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Transportation of Immunosuppressive Substances Produced at the Site of Burn Injury Into the Systemic Circulation: The Role of Lymphatics

 

作者: John Ferrara,   Donna Dyess,   Arnold Luterman,   P William Curreri,  

 

期刊: Journal of Burn Care & Rehabilitation  (OVID Available online 1990)
卷期: Volume 11, issue 4  

页码: 281-286

 

ISSN:0273-8481

 

年代: 1990

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Serum of patients with severe burns has the ability to suppress mitogen-induced lymphocyte proliferation. Edema fluid collected from the site of injury during resuscitation and at the time of fascial excision has also been shown to suppress this response. An animal model was designed to identify the onset time of the formation of suppressive factors, their potential site(s) of origin, and their route of entry into the systemic circulation. Femoral artery, saphenous vein, and lateral saphenous lymphatic vessels were cannulated in an anesthetized dog. Baseline samples were collected, the hind paw was subjected to scald injury, and samples were collected serially for up to 6 hours after burn injury. Tissue fluid beneath the scald injury was harvested at the end of the experiments. In the absence of significant serologic evidence for inhibition, lymph and tissue fluid exhibited early and prolonged suppression of mitogen-induced lymphocyte proliferation. We concluded that edema fluid capable of cell-mediated immune suppression forms early after thermal injury and that lymph generated from the site of burn injury is immunosuppressive.

 

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