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Sex steroids in cardiopulmonary bypass

BACKGROUND: Sex steroids have immunomodulatory effects. No data exist on alterations of sex steroids during cardiopulmonary bypass (CPB). Cardiac surgery with CPB releases an immunological response with complement and cytokine activation. RESULTS: Plasma estradiol and progesterone levels before and...

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Detalles Bibliográficos
Autores principales: Trotter, Andreas, Grill, Hans-Jörg, Hemmer, Wolfgang, Hannekum, Andreas, Lang, Dieter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 1997
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3386654/
https://www.ncbi.nlm.nih.gov/pubmed/11094466
http://dx.doi.org/10.1186/cc109
Descripción
Sumario:BACKGROUND: Sex steroids have immunomodulatory effects. No data exist on alterations of sex steroids during cardiopulmonary bypass (CPB). Cardiac surgery with CPB releases an immunological response with complement and cytokine activation. RESULTS: Plasma estradiol and progesterone levels before and immediately after CPB were measured in 11 patients. During CPB, mean estradiol levels decreased from 29 to 15 pg/ml and progesterone levels rose from 0.13 to 0.90 ng/ml. These changes were statistically significant. CONCLUSIONS: These are the first preliminary results evaluating plasma levels of sex steroids during CPB. Whether alterations in estradiol and progesterone levels influence complement and cytokine activation during bypass or vice versa is currently being investigated.