Influence of sex and age on morphological organ damage after hemorrhagic shock
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Influence of sex and age on morphological organ damage after hemorrhagic shock. / Mees, Soeren Torge; Gwinner, Maike; Marx, Kerstin; Faendrich, Fred; Schroeder, Joerg; Haier, Joerg; Kahlke, Volker.
In: SHOCK, Vol. 29, No. 6, 06.2008, p. 670-4.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Influence of sex and age on morphological organ damage after hemorrhagic shock
AU - Mees, Soeren Torge
AU - Gwinner, Maike
AU - Marx, Kerstin
AU - Faendrich, Fred
AU - Schroeder, Joerg
AU - Haier, Joerg
AU - Kahlke, Volker
PY - 2008/6
Y1 - 2008/6
N2 - Immune function after hemorrhagic shock (shock) and subsequent sepsis is proofed to be sex- and age-related, showing an enhanced immune function and better survival of young females and a deteriorating immune response in advanced age. However, it remains unclear if the observed sex- and age-related effects observed on the immune function mirror the histomorphological changes of the affected organs. To scrutinize a possible association, male and female CBA/J mice (young, 2-3 months; aged 18-19 months) were subjected to shock (35 + 5 mmHg for 90 min and fluid resuscitation) or sham operation. At 48 h after shock, histological specimen at definite sites were harvested (lung, small bowel, liver, and kidney) and immediately stored in 10% formalin. After paraffin embedding, hematoxylin-eosin stain and immunohistochemical stains (vascular cell adhesion molecule 1 [VCAM-1], cluster of differentiation 44 [CD44], signal transducers and activators of transcription 3 [STAT-3]) were performed. In both sexes, aged animals developed significantly increased (P < 0.05) tissue damage in all analyzed organs compared with young mice. Sex differences were noticed in the lungs of young mice, showing a significantly (P < 0.05) lower organ damage score in female animals. Sex-related differences were found for VCAM-1 and cluster of differentiation 44 expression, whereas age-related changes were observed for STAT-3. These results demonstrate that the severity of tissue damage caused by hemorrhagic shock is influenced by sex- and age-related effects. Variances in the VCAM-1 and STAT-3 expression suggest that improved immune function in female and young subjects may be responsible for less shock-induced tissue damage.
AB - Immune function after hemorrhagic shock (shock) and subsequent sepsis is proofed to be sex- and age-related, showing an enhanced immune function and better survival of young females and a deteriorating immune response in advanced age. However, it remains unclear if the observed sex- and age-related effects observed on the immune function mirror the histomorphological changes of the affected organs. To scrutinize a possible association, male and female CBA/J mice (young, 2-3 months; aged 18-19 months) were subjected to shock (35 + 5 mmHg for 90 min and fluid resuscitation) or sham operation. At 48 h after shock, histological specimen at definite sites were harvested (lung, small bowel, liver, and kidney) and immediately stored in 10% formalin. After paraffin embedding, hematoxylin-eosin stain and immunohistochemical stains (vascular cell adhesion molecule 1 [VCAM-1], cluster of differentiation 44 [CD44], signal transducers and activators of transcription 3 [STAT-3]) were performed. In both sexes, aged animals developed significantly increased (P < 0.05) tissue damage in all analyzed organs compared with young mice. Sex differences were noticed in the lungs of young mice, showing a significantly (P < 0.05) lower organ damage score in female animals. Sex-related differences were found for VCAM-1 and cluster of differentiation 44 expression, whereas age-related changes were observed for STAT-3. These results demonstrate that the severity of tissue damage caused by hemorrhagic shock is influenced by sex- and age-related effects. Variances in the VCAM-1 and STAT-3 expression suggest that improved immune function in female and young subjects may be responsible for less shock-induced tissue damage.
KW - Age Factors
KW - Aging
KW - Animals
KW - Antigens, CD44
KW - Female
KW - Male
KW - Mice
KW - STAT3 Transcription Factor
KW - Sex Characteristics
KW - Sex Factors
KW - Shock, Hemorrhagic
KW - Time Factors
KW - Vascular Cell Adhesion Molecule-1
U2 - 10.1097/shk.0b013e31815c3ea0
DO - 10.1097/shk.0b013e31815c3ea0
M3 - SCORING: Journal article
C2 - 17998889
VL - 29
SP - 670
EP - 674
JO - SHOCK
JF - SHOCK
SN - 1073-2322
IS - 6
ER -