Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/57180
Type
ArticleCopyright
Open access
Collections
- IOC - Artigos de Periódicos [12967]
Metadata
Show full item record
INTRAVENOUS WHOLE BLOOD TRANSFUSION RESULTS IN FASTER RECOVERY OF VASCULAR INTEGRITY AND INCREASED SURVIVAL IN EXPERIMENTAL CEREBRAL MALARIA
Transfusão de sangue
Arteméter
Terapia adjuvante
Disfunção endotelial
Blood transfusion
Artemether
Adjunctive therapy
Endothelial dysfunction
Affilliation
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
National Institutes of Health. National Institute of Allergy and Infectious Diseases. Laboratory of Malaria and Vector Research. Rockville, MD, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
National Institutes of Health. National Institute of Allergy and Infectious Diseases. Laboratory of Malaria and Vector Research. Rockville, MD, USA.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa em Malária. Rio de Janeiro, RJ, Brasil.
Abstract
BACKGROUND Cerebral malaria is a lethal complication of Plasmodium falciparum infections in need of better therapies.
Previous work in murine experimental cerebral malaria (ECM) indicated that the combination of artemether plus intraperitoneal
whole blood improved vascular integrity and increased survival compared to artemether alone. However, the effects of blood or
plasma transfusion administered via the intravenous route have not previously been evaluated in ECM.
OBJECTIVES To evaluate the effects of intravenous whole blood compared to intravenous plasma on hematological parameters,
vascular integrity, and survival in artemether-treated ECM.
METHODS Mice with late-stage ECM received artemether alone or in combination with whole blood or plasma administered via
the jugular vein. The outcome measures were hematocrit and platelets; plasma angiopoietin 1, angiopoietin 2, and haptoglobin;
blood-brain barrier permeability; and survival.
FINDINGS Survival increased from 54% with artemether alone to 90% with the combination of artemether and intravenous
whole blood. Intravenous plasma lowered survival to 18%. Intravenous transfusion provided fast and pronounced recoveries of
hematocrit, platelets, angiopoietins levels and blood brain barrier integrity.
MAIN CONCLUSIONS The outcome of artemether-treated ECM was improved by intravenous whole blood but worsened by intravenous
plasma. Compared to prior studies of transfusion via the intraperitoneal route, intravenous administration was more efficacious.
Keywords in Portuguese
Malária cerebral experimentalTransfusão de sangue
Arteméter
Terapia adjuvante
Disfunção endotelial
Keywords
Experimental cerebral malariaBlood transfusion
Artemether
Adjunctive therapy
Endothelial dysfunction
Share