Microparticles from Aged Stored Platelets Impair Microvascular Pulmonary Endothelial Cell Barrier Function
Bibliographic record
Abstract
BACKGROUND Transfusion‐related acute lung injury (TRALI) has a mortality of 5–15% and an incidence ranging from 0.02–1%. TRALI causes chest infiltrates and hypoxia in part due to lung endothelial cell (EC) barrier failure and edema formation. Aged platelets which have a high risk of causing TRALI, accumulate microparticles (PMPs) throughout storage. PMPs have been shown to mediate pro‐inflammatory processes such as neutrophil priming. RESEARCH QUESTION Considering the role of ECs in TRALI, we set out to determine if aged platelet derived PMPs could mediate EC barrier disruption? HYPOTHESIS Specifically, we hypothesized that PMPs from aged but not fresh platelets will lead to EC monolayer disruption. METHODS C57BL/6 mouse platelets were stored for 1 (fresh) or 5 (aged) days duration prior to PMP isolation (centrifugation/filtration) and enumeration (flow cytometry). Human microvascular pulmonary ECs (passage 6–8) were cultured with PBS (sham) or 0.1 mg/ml LPS two hours prior to addition of PBS, 5×10 5 of fresh or aged PMPs, or PMP depleted supernatants from stored platelet pools. Transendothelial electrical resistance (TEER) readings were obtained every 30 minutes for 8 hours in triplicate. Alternatively aged 10 ml/kg PMPs (≈ 5×10 6 ) or saline (sham) was transfused into primed (2 mg/kg LPS intraperitoneal) BALB/c mice for assessment of lung tissue wet‐to‐dry (W/D) ratios 6 hours post transfusion. RESULTS PMPs were found to be increased more than 2 fold in aged as compared to fresh platelet storage pools. ECs exposed to LPS alone did not reveal decreases in TEER relative to PBS sham. When aged PMPs were added 2 hours after PBS there was a marked drop in TEER within 2 hours which became maximal (nearly 50% decrease relative to PBS alone) by 5 hours. Addition of LPS instead of PBS prior to aged PMPs led to similar decreases in TEER readings but with faster onset. Addition of platelet and PMP depleted supernatants (fresh or aged) or fresh PMPs with LPS did not show signs of decreased TEER readings relative to PBS sham. Beyond being more numerous, aged PMPs appear more injurious than fresh PMPs when delivered in our EC model at identical doses. Aged PMPs are able to reduce EC monolayer integrity within 2 hours and sustain this effect for up to 6 hours +/− LPS. LPS primed mice transfused aged PMPs had higher W/D ratios than LPS primed mice transfused saline (p<0.05). CONCLUSIONS PMPs may in part contribute to TRALI when aged platelets which are a rich source of PMPs are transfused. In our model aged PMPs were injurious, impairing EC barrier integrity in vitro and leading to increased W/D ratios in vivo . Targeting aged PMPs may prove a therapeutic option to reduce the risk of aged cellular blood products from causing TRALI. Support or Funding Information Canadian Institutes of Health Research (CIHR) Canadian Blood Services (CBS)
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".