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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Anesthesiol+Res+Pract
2016 ; 2016
(ä): 2794364
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English Wikipedia
Perioperative Elevation in Cell-Free DNA Levels in Patients Undergoing Cardiac
Surgery: Possible Contribution of Neutrophil Extracellular Traps to Perioperative
Renal Dysfunction
#MMPMID27882047
Qi Y
; Uchida T
; Yamamoto M
; Yamamoto Y
; Kido K
; Ito H
; Ohno N
; Asahara M
; Yamada Y
; Yamaguchi O
; Mitaka C
; Tomita M
; Makita K
Anesthesiol Res Pract
2016[]; 2016
(ä): 2794364
PMID27882047
show ga
Background. This study aimed to determine the perioperative change in serum
double-strand DNA (dsDNA) as a marker potentially reflecting neutrophil
extracellular trap concentration in samples from patients undergoing cardiac
surgery and to analyze a relationship between serum dsDNA concentrations and
perioperative renal dysfunction. Methods. Serum dsDNA concentrations in samples
that were collected during a previously conducted, prospective, multicenter,
observational study were measured. Eighty patients undergoing elective cardiac
surgery were studied. Serum samples were collected at baseline, immediately after
surgery, and the day after surgery (POD-1). Results. Serum dsDNA concentration
was significantly increased from baseline (median, 398?ng/mL [interquartile
range, 372-475?ng/mL]) to immediately after surgery (median, 540?ng/mL
[437-682?ng/mL], p < 0.001), and they were reduced by POD-1 (median, 323?ng/mL
[256-436?ng/mL]). The difference in serum creatinine concentration between
baseline and POD-1 was correlated with dsDNA concentration on POD-1 (r(s) = 0.61,
p < 0.001). Conclusions. In patients undergoing cardiac surgery, serum dsDNA
concentration is elevated postoperatively. Prolonged elevation in dsDNA
concentration is correlated with perioperative renal dysfunction. Further
large-scale studies are needed to determine the relationship between serum
concentration of circulating dsDNA and perioperative renal dysfunction.