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Correction: Role of heme in lung bacterial infection after trauma hemorrhage and stored red blood cell transfusion: A preclinical experimental study


Authors: Brant M. Wagener;  Parker J. Hu;  Joo-Yeun Oh;  Cilina A. Evans;  Jillian R. Richter;  Jaideep Honavar;  Angela P. Brandon;  Judy Creighton;  Shannon W. Stephens;  Charity Morgan;  Randal O. Dull;  Marisa B. Marques;  Jeffrey D. Kerby;  Jean-Francois Pittet;  Rakesh P. Patel
Published in the journal: Correction: Role of heme in lung bacterial infection after trauma hemorrhage and stored red blood cell transfusion: A preclinical experimental study. PLoS Med 16(11): e32767. doi:10.1371/journal.pmed.1002991
Category: Correction
doi: https://doi.org/10.1371/journal.pmed.1002991

There is an error in Panel B of Fig 6 and the associated caption. The authors have provided a corrected Fig 6 and caption here.

Measurement of hemolysis products and heme-sequestering proteins in transfused units and plasma in TH patients.
Fig. 1. Measurement of hemolysis products and heme-sequestering proteins in transfused units and plasma in TH patients.
Fifty TH patients requiring blood product resuscitation admitted to UAB ER between Jan 2015 and Apr 2016 were enrolled. Panel A: oxyHb, metHb, free heme, haptoglobin (Hp) and hemopexin (Hpx) concentrations in plasma from TH patients 2-3h after resuscitation. Data are mean ± SEM. *p = 0.0018 relative to free heme, #p<0.001 relative to oxyHb, metHb and free heme, **p<0.001 relative to Hp and free heme by Kruskal-Wallis with Dunn’s multiple comparison test. Panel B: Molar ratios (log transformed) of Hp:hemoglobin dimer and Hpx:heme. The former is presented as Hp/hemoglobin dimer to reflect the fact that one haptoglobin binds to one hemoglobin dimer. Each data point reflects an individual patient. Data show mean ± SEM. Segments associated with RBC units transfused and plasma from patients after stable resuscitation was collected. Panel C: total oxyHb, metHb and free heme concentrations in segments of RBC units transfused (n = 35). Panel D: Segment concentrations of total heme were plotted against the average age of the transfused RBC or the number of units transfused. Line represents best fit by linear regression with 95% confidence intervals. Slope was significantly non-zero for number of units (r2 = 0.91, p<0.001).

In the Results, in the subsection “Heme levels in patients after TH and resuscitation”, there is an error in the fifth sentence of the first paragraph. The correct sentence is: Fig 6B plots the ratio of Hp/2:hemoglobin and Hpx:free heme. The ratio of Hp/2:hemoglobin was greater than 1 (median = 3.5, IQR 1.1–6.0, p<0.01 by one sample t-test and comparison to a theoretical mean of one), although variance is noted. For hemopexin:free heme, this ratio was lower (median = 0.56, IQR 0.34–0.86) and below one (p<0.01 by one sample t-test and comparison to a theoretical mean of one).

In the Discussion, there is an error in the seventh sentence of the eighth paragraph. The correct sentence is: While the absolute concentration of these mediators is important, the relative concentrations of hemoglobin and free heme, compared to Hp and Hpx respectively is likely of greater clinical significance; Hp and Hpx are the endogenous primary defense mechanisms protecting against hemolysis-dependent injury. We show that Hp levels were higher than Hpx, with the Hp:hemoglobin dimer ratio being greater than 1.

There is an error in the tab “Fig 6A–6B” of the S1 Data file. The authors have provided a corrected S1 Data file here.

Supporting information

S1 Data [xlsx]
Raw data presented in Figs 1–6.


Zdroje

1. Wagener BM, Hu PJ, Oh J-Y, Evans CA, Richter JR, Honavar J, et al. (2018) Role of heme in lung bacterial infection after trauma hemorrhage and stored red blood cell transfusion: A preclinical experimental study. PLoS Med 15(3): e1002522. https://doi.org/10.1371/journal.pmed.1002522 29522519

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Interní lékařství

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