1978
DOI: 10.1126/science.675246
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Cryoprecipitate Reversal of Opsonic α 2 -Surface Binding Glycoprotein Deficiency in Septic Surgical and Trauma Patients

Abstract: Human opsonic alpha2-surface binding glyoprotein (alphs2SB-glycoprotein), a molecule having immunologic identity with an amino acid composition similar to cold-insoluble globulin, is concentrated in a cryoprecipitate of plasma. Septic surgical and trauma patients manifesting opsonic alpha2SB-glycoprotein deficiency and associated reticuloendothelial system dysfunction were treated by intravenous infusion of cryoprecipitate. This therapy restored circulating bioreactive and immunoreactive opsonin and improved t… Show more

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Cited by 204 publications
(59 citation statements)
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“…Fibronectin has also been shown to increase adherence of bacteria to neutrophils (36, 37), although whether bacterial uptake by neutrophils is facilitated by fibronectin remains unclear (36)(37)(38)(39). However, regardless of opsonic activity, binding of plasma fibronectin to the bacterial surface might block adhesion receptors on S. aureus, thus representing an important defense mechanism against tissue invasion (35,(40)(41)(42) (44,46,47). The FnBP signal peptide is apparently recognized by the E. coli membranes (17).…”
Section: Discussionmentioning
confidence: 99%
“…Fibronectin has also been shown to increase adherence of bacteria to neutrophils (36, 37), although whether bacterial uptake by neutrophils is facilitated by fibronectin remains unclear (36)(37)(38)(39). However, regardless of opsonic activity, binding of plasma fibronectin to the bacterial surface might block adhesion receptors on S. aureus, thus representing an important defense mechanism against tissue invasion (35,(40)(41)(42) (44,46,47). The FnBP signal peptide is apparently recognized by the E. coli membranes (17).…”
Section: Discussionmentioning
confidence: 99%
“…Fibronectin deficiency is seen acutely after trauma or burn and in association with sepsis in injured patients (5,13,15,16). Deficiency also exists in critically-ill adult patients with disseminated intravascular coagulation and organ failure (10).…”
Section: Res Reticuloendothelial Systemmentioning
confidence: 99%
“…Much interest exists as to fibronectin levels in septic injured adult patients (10,13,14,17), and the ability to reverse fibronectin deficiency by infusion of fresh plasma cryoprecipitate (15,16). Although the range of normal has been defined by several studies in the adult population, changes in circulating fibronectin in the pediatric population with age has not been reported.…”
Section: Res Reticuloendothelial Systemmentioning
confidence: 99%
“…Fibronectin opsonlzation is necessary for macrophage recognition and phagocytosis of particulate debris released from tissues after bum and trauma (23,41,53,58), resolution of bacteremia during sepsis (48,53), and clearance of fibrin during disseminated intravascular coagulation (9,11,60). In addition, macrophage adhesion to fibronectin-coated surfaces affects a variety of macrophage functions including chemotaxis (25,50), differentiation (8), secretion (7,45), and phagocytosis via immunologic receptors (12,52,66).…”
mentioning
confidence: 99%