1999
DOI: 10.1159/000008632
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Surgical Stress Induces Decreased Expression of Signal-Transducing Zeta Molecules in T Cells

Abstract: Surgical stress is known to induce immunosuppression of T cell functions, but the mechanism behind this phenomenon is unclear. The purpose of this study was to determine whether surgical stress affects the expression of signal-transducing ζ molecules in peripheral T cells. In the present study, the expression of signal-transducing ζ molecules was studied by flow-cytometric analysis of permeabilized cells in peripheral blood mononuclear cells from 28 patients before and after surgery. The results demonstrate th… Show more

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Cited by 25 publications
(20 citation statements)
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References 18 publications
(36 reference statements)
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“…Consistent with this, rodents and patients with trauma or undergoing liver transplantation have a rapid decrease in circulating L-arginine levels to concentrations below 40 M (11,14), paralleled by poor T cell function (14). In addition, Ichihara et al (39) recently demonstrated the trauma patients may lose CD3 , although they did not associate this change with Larginine reduction. Furthermore, transgenic mice that overexpress ASE I in their enterocytes have a selective depletion of L-arginine in serum, concomitant with a poor thymic development (40).…”
Section: Discussionmentioning
confidence: 92%
“…Consistent with this, rodents and patients with trauma or undergoing liver transplantation have a rapid decrease in circulating L-arginine levels to concentrations below 40 M (11,14), paralleled by poor T cell function (14). In addition, Ichihara et al (39) recently demonstrated the trauma patients may lose CD3 , although they did not associate this change with Larginine reduction. Furthermore, transgenic mice that overexpress ASE I in their enterocytes have a selective depletion of L-arginine in serum, concomitant with a poor thymic development (40).…”
Section: Discussionmentioning
confidence: 92%
“…Other studies have suggested that increased endogenous NOS (201), reduced oxidative burst (58), and decreased expression of SOD, catalase (CAT), and GSH (260) could potentially lead to T-cellmediated immune responses in SLE. Earlier studies have demonstrated that oxidative stress leads to the downregulation of TCR f-chain expression in patients who have undergone surgery (117). This type of oxidative stressinduced downregulation is seen in T cells isolated from SLE patients (83,84).…”
Section: Systemic Lupus Erythematosusmentioning
confidence: 88%
“…Patients with severe trauma have a rapid increase in arginase activity in PBMC and profoundly depleted arginine levels in plasma (between 0 and 50 Amol/L). This is accompanied by T-cell anergy and loss of CD3~expression (22,23). Similarly, RCC patients have a decrease in arginine levels compared with normal controls.…”
Section: Discussionmentioning
confidence: 99%