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PubMed2006

Normal T-cell development and immune functions in TRIM-deficient mice.

The transmembrane adaptor molecule TRIM is strongly expressed within thymus and in peripheral CD4(+) T cells. Previous studies suggested that TRIM is an integral component of the T-cell receptor (TCR)/CD3 complex and might be involved in regulating TCR cycling. To elucidate the in vivo function of TRIM, we generated TRIM-deficient mice by homologous recombination. TRIM(-/-) mice develop normally and are healthy and fertile. However, the animals show a mild reduction in body weight that appears to be due to a decrease in the size and/or cellularity of many organs. The morphology and anatomy of nonlymphoid as well as primary and secondary lymphoid organs is normal. The frequency of thymocyte and peripheral T-cell subsets does not differ from control littermates. In addition, a detailed analysis of lymphocyte development revealed that TRIM is not required for either positive or negative selection. Although TRIM(-/-) CD4(+) T cells showed an augmented phosphorylation of the serine/threonine kinase Akt, the in vitro characterization of peripheral T cells indicated that proliferation, survival, activation-induced cell death, migration, adhesion, TCR internalization and recycling, TCR-mediated calcium fluxes, tyrosine phosphorylation, and mitogen-activated protein family kinase activation are not affected in the absence of TRIM. Similarly, the in vivo immune response to T-dependent and T-independent antigens as well as the clinical course of experimental autoimmune encephalomyelitis, a complex Th1-mediated autoimmune model, is comparable to that of wild-type animals. Collectively, these results demonstrate that TRIM is dispensable for T-cell development and peripheral immune functions. The lack of an evident phenotype could indicate that TRIM shares redundant functions with other transmembrane adaptors involved in regulating the immune response.

Animals↗
PubMed1998

Relative contributions of subcutaneous and intermuscular fat to yields and predictability of retail product, fat trim, and bone in beef carcasses.

Carcass data from one side of 610 steers born from 1988 to 1990 in Cycle IV of the Germ Plasm Evaluation research program were analyzed to develop means for carcass traits and retail product percentages at two fat trim levels (.76 and .00 cm) by yield grade categories. Weights of subcutaneous (s.c.) fat and intermuscular (i.e.m.) fat were recorded separately at each trim level. Quadratic regression curves were plotted for percentages of roast and steak meat (R&S), retail product (RP), and fat trim components relative to incremental changes in USDA yield grade. Prediction equations were developed on a randomly chosen half of the 610 carcasses to predict weights and percentages of R&S, RP, and fat trim using carcass traits obtained at the time of USDA grading and then tested on the remaining half of the carcasses. In addition, prediction equations were developed using s.c. and i.e.m. fat plus carcass traits to evaluate the contribution of each to carcass fabrication yields. Percentage of RP, trimmed to either .76 cm or .00 cm of fat, decreased by an average of 3.5% for each full yield grade increase. Trimming to .00 cm of fat resulted in about 5.3% less RP compared to trimming to .76 cm. A prediction equation for percentage of RP trimmed to .00 cm using adjusted fat thickness, carcass weight, longissimus muscle area, and percentage of kidney knob had an R2 value of .54. The variations in percentage of R&S and percentage of RP at both trim levels were reduced by removing s.c. fat trimmed to .76 cm; however, considerable variation still existed. Subcutaneous fat expressed as a percentage of the sum of i.e.m. and s.c. fat increased as yield grade increased, but the percentage of i.e.m. fat was higher than the percentage of s.c. fat for all yield grades. On the basis of partial correlation coefficients, i.e.m. fat was approximately twice as important as s.c. fat in accounting for variations in fabrication yields.

Adipose Tissue↗
PubMed2005

Characterisation of a cluster of TRIM-B30.2 genes in the chicken MHC B locus.

We have identified and characterised a cluster of six TRIM-B30.2 genes flanking the chicken BF/BL region of the B complex. The TRIM-B30.2 proteins are a subgroup of the TRIM protein family containing the tripartite motif (TRIM), consisting of a RING domain, a B-box and a coiled coil region, and a B30.2-like domain. In humans, a cluster of seven TRIM-B30.2 genes has been characterised within the MHC on Chromosome 6p21.33. Among the six chicken TRIM-B30.2 genes two are orthologous to those of the human MHC, and two (TRIM41 and TRIM7) are orthologous to human genes located on Chromosome 5. In humans, these last two genes are adjacent to GNB2L1, a guanine nucleotide-binding protein gene, the ortholog of the chicken c12.3 gene situated in the vicinity of the TRIM-B30.2 genes. This suggests that breakpoints specific to mammals have occurred and led to the remodelling of their MHC structure. In terms of structure, like their mammalian counterparts, each chicken gene consists of five coding exons; exon 1 encodes the RING domain and the B-box, exons 2, 3 and 4 form the coiled-coil region, and the last exon represents the B30.2-like domain. Phylogenetic analysis led us to assume that this extended BF/BL region may be similar to the human extended class I region, because it contains a cluster of BG genes sharing an Ig-V like domain with the BTN genes (Henry et al. 1997a) and six TRIM-B30.2 genes containing the B30.2-like domain, shared with the TRIM-B30.2 members and the BTN genes.

Amino Acid Sequence↗
PubMed2005

The molluscan RING-finger protein L-TRIM is essential for neuronal outgrowth.

The tripartite motif proteins TRIM-2 and TRIM-3 have been put forward as putative organizers of neuronal outgrowth and structural plasticity. Here, we identified a molluscan orthologue of TRIM-2/3, named L-TRIM, which is up-regulated during in vitro neurite outgrowth of central neurons. In adult animals, L-Trim mRNA is ubiquitously expressed at low levels in the central nervous system and in peripheral tissues. Central nervous system expression of L-Trim mRNA is increased during postnatal brain development and during in vitro and in vivo neuronal regeneration. In vitro double-stranded RNA knock-down of L-Trim mRNA resulted in a >70% inhibition of neurite outgrowth. Together, our data establish a crucial role for L-TRIM in developmental neurite outgrowth and functional neuronal regeneration and indicate that TRIM-2/3 family members may have evolutionary conserved functions in neuronal differentiation.

Amino Acid Sequence↗
PubMed2006

Effects of TRIM on tension, intracellular calcium and nitrergic transmission in the rat anococcygeus muscle.

The effects of the putatively selective inhibitor of neuronal nitric oxide synthase (nNOS) 1-(2-trifluoromethylphenyl) imidazole (TRIM) were investigated on contractility, intracellular calcium and nitrergic relaxations in the rat anococcygeus muscle. TRIM (100-1000 microM) reduced the tension of rat anococcygeus muscles when contracted with guanethidine (10 microM) and clonidine (0.1 microM). Relaxations to TRIM persisted in the presence of the non-selective NOS inhibitor L-NAME (100 microM) and the inhibitor of soluble guanylate cyclase ODQ (1 microM). TRIM also reduced tension when muscles were contracted with phenylephrine (3 microM), noradrenaline (3 microM) or high K physiological salt solution (high KPSS; 60mM). Influx of calcium ([Ca(2+)](i)) in response to high KPSS was significantly reduced in the presence of TRIM (1mM). TRIM also inhibited the influx of (45)Ca(2+) induced by KPSS, but had no effect on the influx induced by phenylephrine (10 microM). TRIM (300 microM) had a modest, but significant, inhibitory effect on nitrergic relaxations that were evoked by electrical field stimulation (1-10 Hz, 15 V, 10s trains) in muscles contracted with guanethidine and clonidine. In contrast, L-NAME (1-100 microM) inhibited these nitrergic responses with an IC(50) of 9.31+/-0.87 microM (n=4). The results suggest that the smooth muscle relaxant effect of TRIM in the rat anococcygeus muscle may affect the entry of Ca(2+) possibly through voltage-operated calcium channels. Furthermore, the relatively modest effect of TRIM on nitrergic responses indicates that it is not a particularly reliable inhibitor of nNOS.

Animals↗
PubMed2002

The effect of claw trimming on the hoof health of Swedish dairy cattle.

A 2-year experiment on the effect of claw trimming on hoof health was performed in 77 Swedish dairy herds (3444 dairy cattle) selected on herd size, breed composition and membership in the official milk-recording scheme. In the autumn, cows within each herd were blocked according to breed, parity and stage of lactation and allocated to two treatments: autumn trimming (AT) or no autumn trimming (NAT). Outcome variables were claw measurements and prevalence of hoof lesions and lameness (measured at spring trimming) and the need for hoof treatments between scheduled trimmings. At spring trimming, NAT cows had longer and shallower claws than AT cows. The average net growth of the toe wall was greater for AT than for NAT cattle, with a marked variation between housing systems. Most hoof lesions present at AT had disappeared at the subsequent spring trimming. Controlled for clustering by herd-within-year and for the effects of individual-and herd-level covariates, AT cattle at spring trimmings had significantly lower odds of lameness (OR=0.66) and of haemorrhages of the sole or white-line (OR=0.86), sole ulcer (OR=0.59) and white-line fissure or double sole (OR=0.71)-but not of moderate-to-severe heel-horn erosion or dermatitis (OR=0.96). Acute hoof treatments between claw trimmings were more common in the NAT group (OR=2.02).

Animal Husbandry↗
PubMed1987

Effects of beak trimming and restraint on heart rate, food intake, body weight and egg production in hens.

1. Heart rate (measured on restrained hens in two experiments) was used as an indicator of short term fear and pain responses of light and heavy strains of hens subjected to beak trimming. 2. In the first experiment 3 mm of the upper and lower mandibles was trimmed, while in the second 0, 2, 4, 6 and 8 mm of upper and lower mandibles were removed. 3. Production responses to beak trimming were measured after trimming, for 4 weeks in experiment 1 and for 10 weeks in experiment 2. 4. In the first experiment the recovery of beak trimmed hens to normal heart rate took significantly longer than that of control hens subjected only to catching and restraint, suggesting that there was short term pain associated with beak trimming. 5. The heavier strain took about 4 min longer to return to a normal heart rate than the lighter strain, indicating a strain difference in responsiveness to beak trimming. 6. Trimming the hens' beak by 3 mm had no significant effect on rate of lay or body weight, but their mean egg weight was depressed and food intake took 9 to 10 d to recover to pre-trimming values. 7. In the second experiment a plateau was reached in recovery time of the heart rate once 4 mm of beak was removed. Removal of 4, 6 and 8 mm of beak depressed normal feeding and resulted in variable effects on production and body weight.

Animals↗
PubMed2004

The effects of different beak trimming techniques on plasma corticosterone and performance criteria in Single Comb White Leghorn hens.

DeKalb XL chicks were given a beak trim at 6 d of age (6DP) with a 2.8-mm gauge and a beak trim at 11 wk (11WB) with a block cut approximately 2 mm anterior to the nasal openings. Corticosterone (CS) levels of the 6DP treatment were (P < or = 0.01) elevated above nontrimmed CS levels at 2 h posttrim; and BW and feed consumption (FC) of the 6DP were depressed until 8 wk of age. At 11 wk of age, CS of the 11WB treatment was (P < or = 0.02) elevated above controls at 1, 2, 8, and 5 wk posttrim. The 11WB treatment resulted in a decrease in FC and a reduction in BW at 12, 14, and 16 wk of age, whereas there were no differences among treatments in livability during the pullet phase. At 72 wk of age, FC of the nontrimmed controls was greater than both beak trimmed treatments, and both beak trimmed treatments had greater hen housed eggs, percentage hen day egg production, and percentage livability. Both beak trimmed treatments resulted in better egg income, feed cost per hen, and net income (NI). The 6DP and 11WB beak trim treatments resulted in an improvement of NI per hen of 1.48 dollars and 1.86 dollars, respectively. In addition, both beak trimmed treatments exhibited better feather score and Hansen's test (fearfulness). It was concluded that pullets and hens could adapt to the physiological stress of beak trimming and out perform, during a lay phase, controls whose beaks were not trimmed.

Animal Husbandry↗
PubMed1995

An experimental investigation of the costs and benefits of beak trimming in turkeys.

An investigation was carried out on 504 BUT 8 female poults to identify the optimum technique and age for beak trimming breeding turkeys, which have to be kept at relatively high light intensities and are thus at serious risk of cannibalism. Different groups of birds were subjected to electronic trimming (Bio-beaking) at one day old, cold cutting (with secateurs) at six days or at 21 days, or hot cutting (with a cautery iron) at six days or 21 days old. The behaviour, production traits, feather damage, injuries and mortality of the birds were measured up to 12 weeks old. None of the methods had much effect on the behaviour or production traits, other than relatively minor reductions in beak-related activities such as pecking other birds and preening, and short term depressions of food intake and bodyweight gain, and improvements in food conversion ratio. All the beak-trimming techniques resulted in marked reductions in mortality (controls 8.7 per cent, trimmed 1.6 per cent), in injuries due to cannibalism (controls 68.1/100 birds, trimmed 9.8/100 birds) and in the scores of feather damage caused by pecking (controls 1.05, trimmed 0.29). The adverse effects of beak trimming were minor and short-lived, and were clearly outweighed by the benefits in reducing cannibalism. Of the different methods, trimming with a hot blade is not recommended. Electronic trimming appeared to offer the most benefits and caused little apparent distress, but can be hazardous in unskilled hands.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed2006

The effects of one-time hoof trimming on blood biochemical composition, milk yield, and milk composition in dairy cows.

Although not scientifically proven, hoof trimming has been empirically shown to increase milk yields in healthy dairy cows. In this study, we examined the effect of one-time hoof trimming on blood biochemical composition, milk yield, and milk composition in healthy dairy cows. Eleven cows in the mid to late lactation period that were clinically fit and without hoof disease were subjected to hoof trimming, and metabolic profile tests and dairy herd improving tests were performed before and three weeks after the hoof trimming. The metabolic profiles showed changes in albumin, blood urea nitrogen, ammonia, glucose, and beta-hydroxybutyric acid as a result of the hoof trimming. This was indicated by the fact that the cows began to intake more roughage after hoof trimming than prior to hoof trimming, and rumen fermentation became stable. There was no change in milk yield after trimming. However, the milk fat and milk protein compositions were significantly increased after trimming.

Animal Husbandry↗
PubMed2005

Endoscopic argon plasma trimming of biliary and gastrointestinal metallic stents.

BACKGROUND AND STUDY AIMS: The aim of this study was to assess the feasibility and efficiency of plasma argon trimming of gastrointestinal and biliary metallic stents. PATIENTS AND METHODS: A total of 31 patients underwent plasma argon trimming of their metallic stents (14 women, 17 men; mean +/- SD age 73 +/- 12.2 years, range 46 - 96 years). Of these 31 patients, 24 had had covered or noncovered Unistep Wallstents placed in the biliary tract (13 patients with pancreatic neoplasms, five patients with Vater ampulloma, five patients with biliary tract carcinoma and one patient with chronic calcifiying pancreatitis); three patients had noncovered Enteral Unistep Wallstents (pyloroduodenal); two patients with obstructive colorectal carcinoma had a noncovered Bard Memotherm stent inserted; and two patients had noncovered Ultraflex stents placed for esophageal carcinoma. Endoscopic trimming of the stents was performed under propofol-induced general anesthesia, with the power set at 70 - 80 watts and an argon flow of 0.8 liters/minute. RESULTS: Complete and satisfactory trimming of the stents was possible, without complications (mean follow-up 15.8 months), in all patients except one, a patient with a covered biliary Wallstent. In 13 patients with biliary or Enteral Wallstents the trimming procedure was preventive. In eight patients with ulceration and/or hemorrhage (duodenal or rectal), healing was achieved after stent trimming and epinephrine (adrenaline) injection followed by electrocoagulation. Stent trimming restored patency of the duodenal lumen in six patients and of the esophageal lumen in two patients, and was done to allow insertion of a biliary stent in one patient whose duodenal stent was covering the papilla. In one patient with rectal tenesmus, stent shortening resulted in complete resolution of symptoms. CONCLUSIONS: Endsocopic plasma argon trimming of metallic stents is an efficient procedure which allows easy, reproducible and well-tolerated correction of complications that arise due to these prostheses.

Aged↗
PubMed2001

Terminal-repeat retrotransposons in miniature (TRIM) are involved in restructuring plant genomes.

A new group of long terminal repeats (LTR) retrotransposons, termed terminal-repeat retrotransposons in miniature (TRIM), are described that are present in both monocotyledonous and dicotyledonous plant. TRIM elements have terminal direct repeat sequences between approximately 100 and 250 bp in length that encompass an internal domain of approximately 100-300 bp. The internal domain contains primer binding site and polypurine tract motifs but lacks the coding domains required for mobility. Thus TRIM elements are not capable of autonomous transposition and probably require the help of mobility-related proteins encoded by other retrotransposons. The structural organization of TRIM elements suggests an evolutionary relationship to either LTR retrotransposons or retroviruses. The past mobility of TRIM elements is indicated by the presence of flanking 5-bp direct repeats found typically at LTR retrotransposon insertion sites, the high degree of sequence conservation between elements from different genomic locations, and the identification of related to empty sites (RESites). TRIM elements seem to be involved actively in the restructuring of plant genomes, affecting the promoter, coding region and intron-exon structure of genes. In solanaceous species and maize, TRIM elements provided target sites for further retrotransposon insertions. In Arabidopsis, evidence is provided that the TRIM element also can be involved in the transduction of host genes.

Amino Acid Sequence↗
PubMed2004

The effect of preventive trimming on weight bearing and force balance on the claws of dairy cattle.

Claw disorders and lameness in dairy cattle are an increasing problem of the modern dairy industry. To prevent claw disorders from evolving from the subclinical to the clinical stage, trimming is the management practice most routinely applied. The goal of preventive trimming (Toussaint-Raven method) is to promote natural loading by increasing the weight-bearing contact area of the claws and improving the balance between the medial and lateral claw. The biomechanical effect of preventive claw trimming was investigated with the aid of pressure distribution and ground reaction force recordings of the standing cow sampled simultaneously at 250 Hz. It appeared that preventive trimming of the hind limbs (n = 10) brought the claws slightly more in balance. Before trimming, 80% of the total force is taken up by the lateral claw and 20% by the medial claw. After trimming, this becomes 70 to 30%, respectively. Thereby, a significant increase in the weight-bearing contact area from 27.5 to 40.0 cm2 was achieved, resulting in a significant decrease in average pressure. However, the claws remained subjected to unaltered, high maximum pressures after trimming. The suggestion was made that the main focus of claw trimming should not be force balance; instead, a reduction of local maximum pressures at the contact area should be targeted in such a way that the strongest parts of the claw capsule (i.e., the wall) will be subjected to the highest pressures.

Animal Husbandry↗
PubMedDate not supplied

[Measurement of temperature generation in the corium of bovine claws during claw trimming with an angle grinder using different grinding and cutting disks].

On 80 bovine hindclaws from slaughtered cows a correct functional claw trimming (sole horn thickness 5 mm; group 1) and on further 80 hindclaws a standardised, incorrect claw trimming (sole horn thickness 2 mm; group 2) was performed using 4 different disks (one cutting, three grinding disks). Two thermocouples were inserted into the solar corium and the heat production on the corium was measured during claw trimming. During correct functional claw trimming with each of the 4 disks a temperature increase in the corium with a median of < or = 0.3 degrees C was calculated. During incorrect claw trimming (2 mm sole horn thickness) a temperature increase with a median of < or = 0.3 degrees C for the first three disks was determined. During claw trimming using the abrasive semiflexible plastic disk a median of 1.3 degrees C temperature increase was calculated. Comparison of the temperatures measured in the claws from group 1 and 2 showed a statistically significant difference between all four disks. Comparison of the temperature increase within each group (group 1 and 2) revealed a statistically significant difference between the cutting disk with steel blades and the abrasive, semiflexible plastic disk in both groups. The highest temperatures measured were 41.5 degrees C in group 1 using the disk with 70% amount of fitted hard metal granulate, and 42.2 degrees C in group 2 (temperature increase of 10.6 degrees C) using the abrasive semiflexible plastic disk. Under the experimental conditions of this study, only a very slight thermogenesis was found when a functional and correct claw trimming using the 4 tested disks was performed. This slight thermogenesis should not be able to cause thermic injury of the corium. By trimming the sole horn incorrectly (2 mm) the measured heat generation in the corium was minor, without danger of thermic insult, excepted for using the disk with a 70% amount of fitted hard metal granulate and the abrasive semiflexible plastic disk. Even, it is unlikely that a short term temperature increase of 10.6 degrees C can cause thermic insults of the solar corium.

Animal Husbandry↗
PubMed2006

Unique features of TRIM5alpha among closely related human TRIM family members.

The tripartite motif (TRIM) protein, TRIM5alpha, restricts some retroviruses, including human immunodeficiency virus (HIV-1), from infecting the cells of particular species. TRIM proteins contain RING, B-box, coiled-coil and, in some cases, B30.2(SPRY) domains. We investigated the properties of human TRIM family members closely related to TRIM5. These TRIM proteins, like TRIM5alpha, assembled into homotrimers and co-localized in the cytoplasm with TRIM5alpha. TRIM5alpha turned over more rapidly than related TRIM proteins. TRIM5alpha, TRIM34 and TRIM6 associated with HIV-1 capsid-nucleocapsid complexes assembled in vitro; the TRIM5alpha and TRIM34 interactions with these complexes were dependent on their B30.2(SPRY) domains. Only TRIM5alpha potently restricted infection by the retroviruses studied; overexpression of TRIM34 resulted in modest inhibition of simian immunodeficiency virus (SIV(mac)) infection. In contrast to the other TRIM genes examined, TRIM5 exhibited evidence of positive selection. The unique features of TRIM5alpha among its TRIM relatives underscore its special status as an antiviral factor.

Adaptor Proteins, Signal Transducing↗
PubMed2001

Functional and corrective claw trimming.

Foot care and claw trimming require proper systems for restraint, sharp knives and trimming equipment, and an understanding of the biomechanics of weight bearing and hoof overgrowth in cattle. The objective of functional claw trimming is to correct hoof overgrowth, thereby re-establishing appropriate weight bearing within and between the claws of each foot. Traditional trimming methods fail to achieve these objectives. Corrective trimming procedures are applied to horn lesions affecting the claw capsule. Primary objectives of corrective trimming are to adjust weight bearing to provide rest for diseased claws and to remove loose horn and hard ridges that may cause further injury to the corium. The application of a foot block to the healthy claw is a valuable aid in foot care when corrective trimming alone is insufficient to provide needed relief from weight bearing. Finally, the use of topical treatments under a bandage is controversial. It is recommended that caustic treatments be avoided and that the use of a bandage be limited to conditions requiring hemostasis or when operators are committed to their removal within a period of 2 to 5 days depending on the level of environmental contamination.

Animal Husbandry↗
PubMed2006

Effects of beak trimming and cage design on laying hen performance and egg quality.

1. Conventional cages are to be replaced by furnished cages or aviary systems to improve the welfare of hens. We compared the performance and egg quality of hens reared in two designs of furnished cages and of two standard cages. We also explored the consequences of the absence of beak trimming when using these designs. 2. Hens (2028) were housed from 18 to 70 weeks of age in 108 standard cages at 6 per cage (60 cmx63.5 cm), in 96 cages at 5 per cage (59.5 cmx55.5 cm) or in two designs of furnished cage at 15 per cage (24 F15M cages and 36 F15P cages made by two manufacturers) which contained equipment varying in size and location (nests, dust baths and perches). Half of the hens were beak-trimmed in each design. 3. Mortality was low in beak-trimmed hens (<5%) but was unacceptably high in non-beak-trimmed hens due to cannibalism (>40%, 516 hens). Mortality was worse in standard cages than in furnished cages. Consequently, hen-housed egg production was significantly lowered in non-beak-trimmed hens. 4. Egg laying in beak-trimmed hens reared in furnished cages occurred mainly in the nest (80 and 84.8% in F15M and F15P) but also in the dust bath (13.3 and 9.4% in F15M and F15P) and in other parts of the cage (6.7 and 5.8% in F15M and F15P). 5. The total percentage of broken (visual observation) and hair-cracked eggs (candling) was high in the furnished cage designs (15.4 and 19.6% in F15M and F15P, respectively) compared with standard cage designs (8.1 and 12.2% in S6 and S5). This was mainly due to hair-cracked eggs, the highest percentages occurring in the nests, especially in the design with a narrow nest and no egg saver (11.1% in F15M compared to 17.6% in F15P) as a consequence of egg accumulation in the cradle and relatively low frequency of manual egg collection. 6. Eggshell quality (index and breaking strength) was only slightly influenced by cage effects so differences in egg breakage were attributable to impacts related to cage design. 7. It is concluded that beak trimming remains the most effective way to prevent cannibalism, although furnished cages with a large group of hens slightly reduced the incidence, and that further development and optimisation of furnished cages is needed to reach egg quality similar to standard cages.

Animal Husbandry↗
PubMed2005

Transfusion immunomodulation or TRIM: what does it mean clinically?

Evidence from a variety of sources indicate that allogeneic blood transfusions can induce clinically significant immunosuppression, as well as other effects, in recipients. This clinical syndrome is generally referred to in the Transfusion Medicine literature as transfusion-associated immunomodulation, or TRIM. TRIM has been linked to an improved clinical outcome in the setting of renal allograft transplantation. Possible deleterious TRIM-associated effects include an increased rate of cancer recurrence and of post-operative bacterial infection. The recognition that TRIM can increase morbidity and mortality in allogeneically transfused individuals has become a major concern for those involved in Transfusion Medicine. However, based on available randomized controlled trials, whether TRIM predisposes recipients to increased risk for cancer recurrence and/or bacterial infection is still unproven. In contrast, data from experimental animal studies suggest that TRIM is an immunologically mediated biological effect, associated with the transfusion of allogeneic leukocytes; an effect, which can be completely ameliorated by the pre-storage leukoreduction of blood products. Relevantly, several (n = 5) recent large observational trials have provided important evidence for the existence of deleterious TRIM and related effects (mortality and organ dysfunction) of leukocyte-containing allogeneic cellular blood products. These latter data suggest that allogeneic blood product transfusions, containing leukocytes, are associated with an increased risk both for mortality, and organ dysfunction in recipients.

Animals↗