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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The purpose of this study was to determine concentrations of interleukin 8 &#40;IL-8&#41; in the bronchoalveolar lavage &#40;BAL&#41; fluid from donor lungs and assess the role of IL-8 levels in the development of primary graft failure&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty patients who received a double lung transplant were studied&#46; A series of data&#44; including BAL fluid concentrations of IL-8&#44; were collected for the donors&#46; Data collected for the recipients included arterial blood gases after 6&#44; 24&#44; and 48 hours&#44; and intubation time&#46; Patients with a ratio of PaO<span class="elsevierStyleInf">2</span> to the fraction of inspired oxygen &#40;FiO<span class="elsevierStyleInf">2</span>&#41; of less than 300 during the first 48 hours were diagnosed with primary graft failure&#46; IL-8 levels were determined by enzyme-linked immunosorbent assay&#46; Associations between the donor variables and IL-8 concentrations were evaluated using the Spearman rank correlation coefficient &#40;&#961;&#41; and the Mann-Whitney test for categorical and continuous variables&#44; respectively&#46; Logistic regression was used for multivariate analysis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Fifteen of the 20 donors were men&#46; The cause of brain death was trauma in 9 donors&#44; 7 were smokers&#44; 13 required inotropic support&#44; and pathogens were isolated in the BAL fluid of 18&#46; The median age was 35 years &#40;interquartile range &#91;IQR&#93;&#44; 23&#46;5-51&#46;25 y&#41;&#44; the median ventilation time was 1 day &#40;IQR&#44; 1-2 d&#41;&#44; the median PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> was 459&#46;5 &#40;IQR&#44; 427-510&#46;25&#41;&#44; and the median IL-8 concentration in BAL fluid was 49&#46;01 ng&#47;L &#40;IQR&#44; 7&#46;86-94&#46;05 ng&#47;mL&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Ten of the recipients were men and the median age was 48&#46;43 years &#40;IQR&#44; 25&#46;4-56&#46;81 y&#41;&#46; The median ischemic time was 210 minutes &#40;IQR&#44; 176&#46;25-228&#46;75 min&#41; for the first lung and 300 minutes &#40;IQR&#44; 273&#46;75-333&#46;73 min&#41; for the second lung&#46; The median PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> ratio for the implant at 6&#44; 14&#44; and 48 hours was 329 &#40;IQR&#44; 190&#46;25-435&#41;&#44; 363&#46;5 &#40;IQR&#44; 249-434&#46;75&#41;&#44; and 370&#46;5 &#40;IQR&#44; 243&#46;25-418&#46;25&#41;&#44; respectively&#46; The median intubation time was 39&#46;5 hours &#40;IQR&#44; 19&#46;25-68&#46;5 h&#41; and the correlation with IL-8 values was positive&#58; higher IL-8 concentrations in BAL fluid correlated with longer ventilation times &#40;Spearman rank correlation&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;007&#59; &#961;&#61;0&#46;583&#41;&#46; Five patients developed primary graft failure&#59; IL-8 concentrations were significantly higher in these patients than in those whose grafts did not fail &#40;Mann-Whitney test&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;003&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">High IL-8 concentrations in donor BAL fluid lead to longer ventilation time in the recipients and favor the development of primary graft failure after lung transplant&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El prop&#243;sito del estudio es conocer el papel que las concentraciones de interleucina-8 &#40;IL-8&#41; en el lavado broncoalveolar &#40;BAL&#41; del donante pulmonar desempe&#241;an en el desarrollo de la disfunci&#243;n primaria del injerto pulmonar &#40;DPIP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha analizado a 20 pacientes que recibieron un trasplante bipulmonar&#46; Se recogi&#243; una serie de datos del donante&#44; incluida la concentraci&#243;n de IL-8 en el BAL&#46; Del receptor se registraron los valores gasom&#233;tricos a las 6&#44; 24 y 48 h del implante&#44; as&#237; como el tiempo de intubaci&#243;n&#46; Los pacientes con un cociente presi&#243;n arterial de ox&#237;geno &#40;PaO<span class="elsevierStyleInf">2</span>&#41;&#47;fracci&#243;n inspiratoria de ox&#237;geno &#40;FiO<span class="elsevierStyleInf">2</span>&#41; inferior a 300 mmHg durante las primeras 48 h se clasificaron como pacientes que hab&#237;an desarrollado DPIP&#46; La determinaci&#243;n de IL-8 se realiz&#243; mediante enzimoinmunoan&#225;lisis&#46; La posible asociaci&#243;n entre las variables de los donantes y las concentraciones de IL-8 se evalu&#243; mediante la r de Spearman y el test de Mann-Whitney&#44; seg&#250;n las variables fueran continuas o categ&#243;ricas&#46; En el an&#225;lisis multivariante se utiliz&#243; la regresi&#243;n log&#237;stica&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 20 donantes estudiados&#44; 15 eran varones&#46; En 9 la causa de la muerte cerebral fue traum&#225;tica&#44; 7 eran fumadores activos&#44; 13 precisaron soporte inotr&#243;pico y en 18 se aislaron g&#233;rmenes en el BAL&#46; La mediana de edad fue de 35 a&#241;os &#40;rango intercuart&#237;lico &#91;RIC&#93;&#58; 23&#44;5-51&#44;25&#41;&#44; el tiempo de ventilaci&#243;n asistida fue de un d&#237;a &#40;RIC&#58; 1-2&#41;&#44; el cociente PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> fue 459&#44;5 &#40;RIC&#58; 427-510&#44;25&#41; y la concentraci&#243;n de IL-8 obtenida en el BAL fue de 49&#44;01 ng&#47;l &#40;RIC&#58; 7&#44;86-94&#44;05&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En cuanto a los receptores&#44; 10 eran varones y la mediana de la edad fue de 48&#44;43 a&#241;os &#40;RIC&#58; 25&#44;4-56&#44;81&#41;&#46; El tiempo de isquemia para el primer pulm&#243;n fue de 210 min &#40;RIC&#58; 176&#44;25-228&#44;75&#41; y para el segundo&#44; 300 min &#40;RIC&#58; 273&#44;75-333&#44;73&#41;&#46; El cociente PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> a las 6&#59; 24&#44; y 48 h del implante fue de 329 &#40;RIC&#58; 190&#44;25-435&#41;&#44; 363&#44;5 &#40;RIC&#58; 249-434&#44;75&#41; y 370&#44;5 &#40;RIC&#58; 243&#44;25-418&#44;25&#41;&#44; respectivamente&#46; El tiempo de intubaci&#243;n fue de 39&#44;5 h &#40;RIC&#58; 19&#44;25-68&#44;5&#41; y su correlaci&#243;n con los valores de IL-8 result&#243; positiva&#44; ya que&#44; cuanto mayor era la concentraci&#243;n de IL-8 en el BAL&#44; m&#225;s tiempo de ventilaci&#243;n asistida precis&#243; el paciente &#40;test de Spearman&#44; p &#61; 0&#44;007&#59; r &#61; 0&#44;583&#41;&#46; Desarrollaron DPIP 5 pacientes&#44; en los que la concentraci&#243;n de IL-8 fue significativamente mayor que en quienes no presentaron dicho cuadro cl&#237;nico &#40;test de Mann-Whitney&#44; p &#61; 0&#44;003&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Las concentraciones elevadas de IL-8 en el BAL del donante condicionan un mayor tiempo de ventilaci&#243;n asistida en el receptor de trasplante y favorecen el desarrollo de DPIP&#46;</p>"
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Original Article
Interleukin 8 Concentrations in Donor Bronchoalveolar Lavage: Impact on Primary Graft Failure in Double Lung Transplant
Interleucina-8 en el lavado broncoalveolar del donante y su impacto en la disfunción primaria del injerto en el trasplante bipulmonar
María Almenara, José Ceróna, M. Dolores Gómezb, Juan C. Peñalvera, M. José Jiménezb, José Padillaa,
Corresponding author
jpadilla@comv.es

Corresponding author.
a Unidad de Trasplante Pulmonar-Fibrosis Quística, Servicio de Cirugía Torácica, Hospital Universitario La Fe, Valencia, Spain
b Servicio de Microbiología, Hospital Universitario La Fe, Valencia, Spain
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        "titulo" => "Abstract"
        "resumen" => "<span class="elsevierStyleSectionTitle">Background and Objective</span><p class="elsevierStyleSimplePara elsevierViewall">The purpose of this study was to determine concentrations of interleukin 8 &#40;IL-8&#41; in the bronchoalveolar lavage &#40;BAL&#41; fluid from donor lungs and assess the role of IL-8 levels in the development of primary graft failure&#46;</p> <span class="elsevierStyleSectionTitle">Patients and Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Twenty patients who received a double lung transplant were studied&#46; A series of data&#44; including BAL fluid concentrations of IL-8&#44; were collected for the donors&#46; Data collected for the recipients included arterial blood gases after 6&#44; 24&#44; and 48 hours&#44; and intubation time&#46; Patients with a ratio of PaO<span class="elsevierStyleInf">2</span> to the fraction of inspired oxygen &#40;FiO<span class="elsevierStyleInf">2</span>&#41; of less than 300 during the first 48 hours were diagnosed with primary graft failure&#46; IL-8 levels were determined by enzyme-linked immunosorbent assay&#46; Associations between the donor variables and IL-8 concentrations were evaluated using the Spearman rank correlation coefficient &#40;&#961;&#41; and the Mann-Whitney test for categorical and continuous variables&#44; respectively&#46; Logistic regression was used for multivariate analysis&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Fifteen of the 20 donors were men&#46; The cause of brain death was trauma in 9 donors&#44; 7 were smokers&#44; 13 required inotropic support&#44; and pathogens were isolated in the BAL fluid of 18&#46; The median age was 35 years &#40;interquartile range &#91;IQR&#93;&#44; 23&#46;5-51&#46;25 y&#41;&#44; the median ventilation time was 1 day &#40;IQR&#44; 1-2 d&#41;&#44; the median PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> was 459&#46;5 &#40;IQR&#44; 427-510&#46;25&#41;&#44; and the median IL-8 concentration in BAL fluid was 49&#46;01 ng&#47;L &#40;IQR&#44; 7&#46;86-94&#46;05 ng&#47;mL&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">Ten of the recipients were men and the median age was 48&#46;43 years &#40;IQR&#44; 25&#46;4-56&#46;81 y&#41;&#46; The median ischemic time was 210 minutes &#40;IQR&#44; 176&#46;25-228&#46;75 min&#41; for the first lung and 300 minutes &#40;IQR&#44; 273&#46;75-333&#46;73 min&#41; for the second lung&#46; The median PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> ratio for the implant at 6&#44; 14&#44; and 48 hours was 329 &#40;IQR&#44; 190&#46;25-435&#41;&#44; 363&#46;5 &#40;IQR&#44; 249-434&#46;75&#41;&#44; and 370&#46;5 &#40;IQR&#44; 243&#46;25-418&#46;25&#41;&#44; respectively&#46; The median intubation time was 39&#46;5 hours &#40;IQR&#44; 19&#46;25-68&#46;5 h&#41; and the correlation with IL-8 values was positive&#58; higher IL-8 concentrations in BAL fluid correlated with longer ventilation times &#40;Spearman rank correlation&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;007&#59; &#961;&#61;0&#46;583&#41;&#46; Five patients developed primary graft failure&#59; IL-8 concentrations were significantly higher in these patients than in those whose grafts did not fail &#40;Mann-Whitney test&#44; <span class="elsevierStyleItalic">P</span>&#61;&#46;003&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusion</span><p class="elsevierStyleSimplePara elsevierViewall">High IL-8 concentrations in donor BAL fluid lead to longer ventilation time in the recipients and favor the development of primary graft failure after lung transplant&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Introducci&#243;n y objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">El prop&#243;sito del estudio es conocer el papel que las concentraciones de interleucina-8 &#40;IL-8&#41; en el lavado broncoalveolar &#40;BAL&#41; del donante pulmonar desempe&#241;an en el desarrollo de la disfunci&#243;n primaria del injerto pulmonar &#40;DPIP&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todo</span><p class="elsevierStyleSimplePara elsevierViewall">Se ha analizado a 20 pacientes que recibieron un trasplante bipulmonar&#46; Se recogi&#243; una serie de datos del donante&#44; incluida la concentraci&#243;n de IL-8 en el BAL&#46; Del receptor se registraron los valores gasom&#233;tricos a las 6&#44; 24 y 48 h del implante&#44; as&#237; como el tiempo de intubaci&#243;n&#46; Los pacientes con un cociente presi&#243;n arterial de ox&#237;geno &#40;PaO<span class="elsevierStyleInf">2</span>&#41;&#47;fracci&#243;n inspiratoria de ox&#237;geno &#40;FiO<span class="elsevierStyleInf">2</span>&#41; inferior a 300 mmHg durante las primeras 48 h se clasificaron como pacientes que hab&#237;an desarrollado DPIP&#46; La determinaci&#243;n de IL-8 se realiz&#243; mediante enzimoinmunoan&#225;lisis&#46; La posible asociaci&#243;n entre las variables de los donantes y las concentraciones de IL-8 se evalu&#243; mediante la r de Spearman y el test de Mann-Whitney&#44; seg&#250;n las variables fueran continuas o categ&#243;ricas&#46; En el an&#225;lisis multivariante se utiliz&#243; la regresi&#243;n log&#237;stica&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">De los 20 donantes estudiados&#44; 15 eran varones&#46; En 9 la causa de la muerte cerebral fue traum&#225;tica&#44; 7 eran fumadores activos&#44; 13 precisaron soporte inotr&#243;pico y en 18 se aislaron g&#233;rmenes en el BAL&#46; La mediana de edad fue de 35 a&#241;os &#40;rango intercuart&#237;lico &#91;RIC&#93;&#58; 23&#44;5-51&#44;25&#41;&#44; el tiempo de ventilaci&#243;n asistida fue de un d&#237;a &#40;RIC&#58; 1-2&#41;&#44; el cociente PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> fue 459&#44;5 &#40;RIC&#58; 427-510&#44;25&#41; y la concentraci&#243;n de IL-8 obtenida en el BAL fue de 49&#44;01 ng&#47;l &#40;RIC&#58; 7&#44;86-94&#44;05&#41;&#46;</p><p class="elsevierStyleSimplePara elsevierViewall">En cuanto a los receptores&#44; 10 eran varones y la mediana de la edad fue de 48&#44;43 a&#241;os &#40;RIC&#58; 25&#44;4-56&#44;81&#41;&#46; El tiempo de isquemia para el primer pulm&#243;n fue de 210 min &#40;RIC&#58; 176&#44;25-228&#44;75&#41; y para el segundo&#44; 300 min &#40;RIC&#58; 273&#44;75-333&#44;73&#41;&#46; El cociente PaO<span class="elsevierStyleInf">2</span>&#47;FiO<span class="elsevierStyleInf">2</span> a las 6&#59; 24&#44; y 48 h del implante fue de 329 &#40;RIC&#58; 190&#44;25-435&#41;&#44; 363&#44;5 &#40;RIC&#58; 249-434&#44;75&#41; y 370&#44;5 &#40;RIC&#58; 243&#44;25-418&#44;25&#41;&#44; respectivamente&#46; El tiempo de intubaci&#243;n fue de 39&#44;5 h &#40;RIC&#58; 19&#44;25-68&#44;5&#41; y su correlaci&#243;n con los valores de IL-8 result&#243; positiva&#44; ya que&#44; cuanto mayor era la concentraci&#243;n de IL-8 en el BAL&#44; m&#225;s tiempo de ventilaci&#243;n asistida precis&#243; el paciente &#40;test de Spearman&#44; p &#61; 0&#44;007&#59; r &#61; 0&#44;583&#41;&#46; Desarrollaron DPIP 5 pacientes&#44; en los que la concentraci&#243;n de IL-8 fue significativamente mayor que en quienes no presentaron dicho cuadro cl&#237;nico &#40;test de Mann-Whitney&#44; p &#61; 0&#44;003&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusi&#243;n</span><p class="elsevierStyleSimplePara elsevierViewall">Las concentraciones elevadas de IL-8 en el BAL del donante condicionan un mayor tiempo de ventilaci&#243;n asistida en el receptor de trasplante y favorecen el desarrollo de DPIP&#46;</p>"
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ISSN: 15792129
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