Interactions of cardiopulmonary bypass and erythrocyte transfusion in the pathogenesis of pulmonary dysfunction in Swine.

BACKGROUND: Allogeneic erythrocyte transfusion in cardiac surgical patients is associated with a fourfold increase in pulmonary complications. Our understanding of the processes underlying these observations is poor and there is no experimental model of transfusion-related acute lung injury that shows homology to cardiac surgical patients. Our objective was to develop a novel swine recovery model to determine how two clinical risk factors, allogenic erythrocyte transfusion and cardiopulmonary bypass, interact in the genesis of postcardiac surgery acute lung injury. METHODS: Thirty-six pigs were infused with allogeneic 14- or 42-day-old erythrocytes or they underwent cardiopulmonary bypass with or without transfusion of 42-day erythrocyte. Controls received saline. All pigs were recovered and assessed for pulmonary dysfunction, inflammation, and endothelial activation at 24 h. RESULTS: Transfusion of stored allogeneic erythrocytes in pigs compared with sham caused pulmonary dysfunction characterized by reduced lung compliance (mean difference -3.36 [95% CI, -5.31 to -1.42] ml/cm H2O), an increase in protein levels in bronchoalveolar lavage fluid, histological lung injury inflammation, and endothelial activation. Transfusion of blood stored for up to 42 days resulted in greater protein levels in bronchoalveolar lavage fluid, macrophage infiltration, platelet activation, and depletion of T-lymphocytes in recipient lungs versus 14-day-old blood. Transfusion interacted with cardiopulmonary bypass to increase lung injury in the absence of platelet activation. CONCLUSIONS: In this novel large animal model of allogeneic erythrocyte transfusion, pulmonary dysfunction occurs in the absence of any priming event, is increased when combined with other inflammatory stimuli, and is mediated by monocyte activation and T-lymphocyte depletion.

Teaching with evaluation in ants.

Tandem running in ants is a form of recruitment in which a single well-informed worker guides a naive nestmate to a goal [1-8]. The ant Temnothorax albipennis recently satisfied a strict set of predefined criteria for teaching in nonhuman animals [9, 10]. These criteria do not include evaluation as a prerequisite for teaching [10]. However, some authors claim that true teaching is always evaluative, i.e., sensitive to the competence or quality of the pupil [11-13]. They then assume, on the premise that only humans are capable of making such necessarily complex cognitive evaluations, that teaching must be unique to humans. We conducted experiments to test whether evaluation occurs during tandem running, in which a knowledgeable ant physically guides a naive follower to a goal. In each experiment, we interrupted the tandem run by removing the tandem follower. The response of the leader was to stand still at the point where the tandem run was interrupted. We then measured how long the leader waited for the missing follower before giving up. Our results demonstrate T. albipennis performs three different kinds of evaluation. First, the longer the tandem has proceeded the longer the leader will wait for the follower to re-establish contact. Second, ant teachers modulate their giving-up time depending on the value of the goal. Finally, leaders have shorter giving-up times after unusually slow tandem runs.