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Received: 2007-04-25

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Journal of Zhejiang University SCIENCE B 2007 Vol.8 No.8 P.560~565


Effect of perioperative autologous versus allogeneic blood transfusion on the immune system in gastric cancer patients

Author(s):  CHEN Gang, ZHANG Feng-jiang, GONG Ming, YAN Min

Affiliation(s):  Department of Anesthesiology, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China

Corresponding email(s):   yanminnina@hotmail.com

Key Words:  Transfusion-induced immunomodulation (TRIM), Autologous blood transfusion, Allogeneic blood transfusion, Neopterin, Interferon-gamma (IFN-&gamma, ), CD3+, CD4+, CD4+/CD8+ ratio

CHEN Gang, ZHANG Feng-jiang, GONG Ming, YAN Min. Effect of perioperative autologous versus allogeneic blood transfusion on the immune system in gastric cancer patients[J]. Journal of Zhejiang University Science B, 2007, 8(8): 560~565.

@article{title="Effect of perioperative autologous versus allogeneic blood transfusion on the immune system in gastric cancer patients",
author="CHEN Gang, ZHANG Feng-jiang, GONG Ming, YAN Min",
journal="Journal of Zhejiang University Science B",
publisher="Zhejiang University Press & Springer",

%0 Journal Article
%T Effect of perioperative autologous versus allogeneic blood transfusion on the immune system in gastric cancer patients
%A CHEN Gang
%A ZHANG Feng-jiang
%A GONG Ming
%A YAN Min
%J Journal of Zhejiang University SCIENCE B
%V 8
%N 8
%P 560~565
%@ 1673-1581
%D 2007
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.2007.B0560

T1 - Effect of perioperative autologous versus allogeneic blood transfusion on the immune system in gastric cancer patients
A1 - CHEN Gang
A1 - ZHANG Feng-jiang
A1 - GONG Ming
A1 - YAN Min
J0 - Journal of Zhejiang University Science B
VL - 8
IS - 8
SP - 560
EP - 565
%@ 1673-1581
Y1 - 2007
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.2007.B0560

Background: Allogeneic blood )%29&ck%5B%5D=abstract&ck%5B%5D=keyword'>transfusion-induced immunomodulation (TRIM) and its adverse effect on the prognosis of patients treated surgically for cancer remain complex and controversial. However, the potential risk associated with allogeneic blood transfusion has heightened interest in the use of autologous blood transfusion. In the present study, the serum concentrations of neopterin, interferon-gamma (IFN-&gamma;), T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+) and a possible association between these variables were investigated. The purpose was to further evaluate the effect of autologous versus allogeneic blood transfusion on immunological status in patients undergoing surgery for gastric cancer. Methods: Sixty ASA I~II (American Society of Anesthesiologists) patients undergoing elective radical resection for stomach cancer were randomly allocated to receive either allogeneic blood transfusion (n=30) or autologous blood transfusion (n=30). Serum concentrations of the neopterin, IFN-γ and T lymphocyte subsets in the recipients were measured before induction of anesthesia, after operation, and on the 5th postoperative day. Results: Both two groups, serum neopterin, IFN-γ, percentages of T-cell subsets (CD3+, CD4+), and CD4+/CD8+ ratio had significantly decreased after operation, but decreased more significantly in group H (receiving allogeneic blood transfusion) than those in group A (receiving autologous whole blood transfusion) (P<0.05). On the 5th postoperative day, serum neopterin, IFN-γ, CD3+, CD4+ T-cells, and CD4+/CD8+ ratio returned to the baseline values in group A. In contrast, the above remain decreasing in group H, where there were no significant relations between serum neopterin and IFN-γ. Conclusion: Perioperative surgical trauma and stress have an immunosuppressive impact on gastric cancer patients. allogeneic blood transfusion exacerbates the impaired immune response. autologous blood transfusion might be significantly beneficial for immune-compromised patients in the perioperative period, clearly showing its superiority over allogeneic blood transfusion.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article


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