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May 15, 2020Open Access

The adverse alterations of HDL in quality promote septic ARDS via exacerbated pulmonary endothelial dysfunction

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Why the study?

The adverse changes in HDL composition and function in septic acute respiratory distress syndrome patients remain largely unknown.

Does HDL from septic ARDS patients aggravate acute lung injury compared to normal HDL?

Population

40 patients with septic ARDS and 40 matched normal controls, plus mouse and cell models

Comparison

A-HDL vs N-HDL

Design

Preclinical translational and laboratory comparative study

Authors

LYLiu YangChinese Academy of SciencesSLSijie LiuCapital Medical UniversitySHSilu HanCapital Medical University

Discussion

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Implication

HDL dysfunction may worsen septic ALI; leaves open whether restoring HDL composition improves clinical outcomes.

Structured PICO

Does HDL from septic ARDS patients aggravate acute lung injury compared to normal HDL?

P
Population
40 patients with septic ARDS and 40 matched normal controls; C57BL/6 and apoA-I knock-out (KO) mice after cecal ligation and puncture (CLP); Mouse lung microvascular endothelial cells (MLECs)
I
Intervention
Administration of HDL from septic ARDS patients (A-HDL)
C
Comparator
Administration of HDL from normal controls (N-HDL)
O
Outcome
HDL composition changes and severity of acute lung injurysurrogate

Sepsis induces adverse remodeling of HDL quality, which exacerbates acute lung injury by promoting pulmonary endothelial dysfunction.

Cite This Study

Yang et al. (2020) studied this question.

synapsesocial.com/papers/6a716676febe604dd70a11dahttps://doi.org/10.21203/rs.3.rs-28564/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Acute Respiratory Distress Syndrome: From Mechanism to Translation2015 · 417 citations
  2. 2Cardioprotective functions of HDLs2013 · 310 citations
  3. 3High-density lipoproteins during sepsis: from bench to bedside2020 · 250 citations
  4. 4The pulmonary endothelium in acute respiratory distress syndrome: insights and therapeutic opportunities2016 · 239 citations
  5. 5Decreased high density lipoprotein cholesterol is an independent predictor for persistent organ failure, pancreatic necrosis and mortality in acute pancreatitis2017 · 44 citations