title: The role of neutrophils in the pathogenesis of transfusion-related acute lung injury.
abstract: Transfusion-related acute lung injury (TRALI) is the major cause of transfusion related morbidity and mortality, world wide. Efforts to reduce or eliminate this serious complication of blood transfusion are hampered by an incomplete understanding of its pathogenesis. Currently, TRALI is thought to be mediated by donor alloantibodies directed against host leukocytes or the result of 2 distinct clinical events. For both proposed mechanisms, the neutrophil is the key effector cell. This article reviews TRALI pathophysiology, explores the role of the neutrophil, details practical information for appropriate diagnosis and promotes further studies into the pathogenesis of TRALI.
authors.affiliation: Australian Red Cross Blood Service, Brisbane, Queensland, Australia. lfung@arcbs.redcross.org.au
authors.forename: Yoke Lin
authors.initials: YL
authors.lastname: Fung
authors.forename: Christopher C
authors.initials: CC
authors.lastname: Silliman
mesh_terms: D055371:Acute Lung Injury / Q000175:diagnosis / Q000209:etiology* / Q000276:immunology / Q000503:physiopathology; D000328:Adult; D000818:Animals; D000911:Antibodies, Monoclonal / Q000633:toxicity; D000941:Antigens / Q000276:immunology; D001793:Blood Preservation; D019559:Capillary Leak Syndrome / Q000209:etiology; D002634:Chemotaxis, Leukocyte; D004730:Endothelium, Vascular / Q000187:drug effects / Q000503:physiopathology; D006801:Humans; D007518:Isoantibodies / Q000097:blood / Q000276:immunology; D007962:Leukocytes / Q000276:immunology*; D008055:Lipids / Q000009:adverse effects / Q000097:blood; D008168:Lung / Q000098:blood supply / Q000276:immunology; D008244:Lysophosphatidylcholines / Q000009:adverse effects / Q000097:blood; D051379:Mice; D008954:Models, Biological; D009504:Neutrophils / Q000145:classification / Q000276:immunology / Q000502:physiology* / Q000637:transplantation; D009928:Organ Specificity; D016897:Respiratory Burst; D065227:Transfusion Reaction
chemical_list: D000911:Antibodies, Monoclonal; D000941:Antigens; D007518:Isoantibodies; D008055:Lipids; D008244:Lysophosphatidylcholines