Department of Surgery, University of Pittsburgh, Pittsburgh, PA, United States.
Department of Surgery, University of Pittsburgh, Pittsburgh, PA, United States; Center for Inflammation and Regenerative Modeling, McGowan Institute for Regenerative Medicine, Pittsburgh, PA, United States.
Cytokine. 2021 Mar;139:154344. doi: 10.1016/j.cyto.2018.03.030. Epub 2018 Jun 27.
Acute inflammation following sterile injury is both inevitable and necessary to restore homeostasis and promote tissue repair. However, when excessive, inflammation can jeopardize the viability of organs and cause detrimental systemic effects. Identifying key-regulators of the immune cascade induced by surgery is vital to attenuating excessive inflammation and its subsequent effects. In this review, we describe the emerging role of IL-17A as a key-regulator in acute inflammation. The role of IL-17A in chronic disease states, such as rheumatoid arthritis, psoriasis and cancer has been well documented, but its significance in acute inflammation following surgery, sepsis, or traumatic injury has not been well studied. We aim to highlight the role of IL-17A in acute inflammation caused by trauma, liver ischemia, and organ transplantation, as well as in post-operative surgical infections. Further investigation of the roles of this cytokine in acute inflammation may stimulate novel therapies or diagnostic modalities.
无菌损伤后的急性炎症既是不可避免的,也是恢复体内平衡和促进组织修复所必需的。然而,当炎症过度时,会危及器官的存活并引起有害的全身影响。鉴定手术引起的免疫级联反应的关键调节因子对于减轻过度炎症及其后续影响至关重要。在这篇综述中,我们描述了 IL-17A 作为急性炎症关键调节因子的新作用。IL-17A 在慢性疾病状态(如类风湿关节炎、银屑病和癌症)中的作用已得到充分证实,但它在手术、脓毒症或创伤后急性炎症中的意义尚未得到很好的研究。我们旨在强调 IL-17A 在创伤、肝缺血和器官移植引起的急性炎症以及术后手术感染中的作用。进一步研究这种细胞因子在急性炎症中的作用可能会激发新的治疗方法或诊断方法。