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Flow Cytometry Characterization of Cerebrospinal Fluid Monocytes in Patients with Postoperative Cognitive Dysfunction: A Pilot Study

  • Miles Berger
  • , David M. Murdoch
  • , Janet S. Staats
  • , Cliburn Chan
  • , Jake P. Thomas
  • , Grant E. Garrigues
  • , Jeffrey N. Browndyke
  • , Mary Cooter
  • , Quintin J. Quinones
  • , Joseph P. Mathew
  • , Kent J. Weinhold
  • , Cindy L. Amundsen
  • , Shahrukh Bengali
  • , Brian E. Brigman
  • , W. Michael Bullock
  • , Jessica Carter
  • , Joseph Chapman
  • , Vanessa Cheong Yee Ching
  • , Harvey J. Cohen
  • , Brian Colin
  • Thomas A. D'Amico, Michael J. Devinney, James K. Deorio, Tressa Ellet, Ramon M. Esclamado, Michael N. Ferrandino, Jeffrey Gadsden, Jason Guercio, Ashraf Habib, David H. Harpole, Mathew G. Hartwig, Ehimemen Iboaya, Brant A. Inman, Anver Khan, Sandhya Lagoo-Deenadayalan, Paula S. Lee, Walter T. Lee, John Lemm, Howard Levinson, Christopher Mantyh, David L. McDonagh, John Migaly, Suhail K. Mithani, Eugene Moretti, Judd W. Moul, Mark F. Newman, Katherine Ni, Brian Ohlendorf, Alexander Perez, Andrew C. Peterson, Vikram Ponussamy, Glenn M. Preminger, Cary N. Robertson, Sanziana A. Roman, Scott Runyon, Aaron Sandler, Randall P. Scheri, S. Kendall Smith, Leonard Talbot, Julie K.M. Thacker, Betty C. Tong, Alexander Tu, Steven N. Vaslef, Nathan Waldron, Xueyuan Wang, Heather Whitson, Victoria Wickenheisser, Christopher Young

Producción científica: Articlerevisión exhaustiva

27 Citas (Scopus)

Resumen

Animal models suggest postoperative cognitive dysfunction may be caused by brain monocyte influx. To study this in humans, we developed a flow cytometry panel to profile cerebrospinal fluid (CSF) samples collected before and after major noncardiac surgery in 5 patients ≥60 years of age who developed postoperative cognitive dysfunction and 5 matched controls who did not. We detected 12,654 ± 4895 cells/10 mL of CSF sample (mean ± SD). Patients who developed postoperative cognitive dysfunction showed an increased CSF monocyte/lymphocyte ratio and monocyte chemoattractant protein 1 receptor downregulation on CSF monocytes 24 hours after surgery. These pilot data demonstrate that CSF flow cytometry can be used to study mechanisms of postoperative neurocognitive dysfunction.

Idioma originalEnglish
Páginas (desde-hasta)E150-E154
PublicaciónAnesthesia and Analgesia
Volumen129
N.º5
DOI
EstadoPublished - nov 1 2019

Nota bibliográfica

Publisher Copyright:
© 2019 International Anesthesia Research Society.

Financiación

Accepted for publication March 11, 2019. Funding: M.B. acknowledges support from a DREAM Innovation grant from the Duke Anesthesiology department, support from National Institutes of Health T32-GM08600, an International Anesthesia Research Society Mentored Research Award, National Institutes of Health R03-AG050918, and National Institutes of Health K76-AG057022, a Jahnigen Scholars Fellowship award, a small project grant from the American Geriatrics Society, a William L. Young Neuroscience Research Award from the Society for Neuroscience in Anesthesiology and Critical Care, and additional support from the National Institute on Aging (P30-AG028716). D.M.M. acknowledges support from 1R01DA043241. Q.J.Q. acknowledges support from National Institutes of Health T32-GM08600 and a Society of Cardiovascular Anesthesiologists/International Anesthesia Research Society starter grant. J.P.M. acknowledges support from National Institutes of Health R01-HL130443. K.J.W. acknowledges support from National Institutes of Health P30-AI064518.

FinanciadoresNúmero del financiador
Duke Anesthesiology Department
Society of Cardiovascular Anesthesiologists/International Anesthesia Research SocietyP30-AI064518, R01-HL130443
National Institutes of Health (NIH)K76-AG057022, T32-GM08600
National Institutes of Health (NIH)
National Institute on AgingP30-AG028716, R03AG050918, 1R01DA043241
National Institute on Aging
American Geriatrics Society
Society for Neuroscience in Anesthesiology and Critical Care

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine

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