From the Department of Orthopaedic Surgery, Louisiana State University Health Science Center, New Orleans, LA.
J Am Acad Orthop Surg. 2021 Apr 1;29(7):297-299. doi: 10.5435/JAAOS-D-20-00805.
The recent COVID-19 pandemic has brought attention to cytokines and the phenomenon of cytokine storm into mainstream discussions. In this disease specifically, a cytokine storm overwhelming immune response contributes to the pathophysiology and mortality of the COVID-19 infection. Analogous perturbed immune reactions are experienced in polytrauma patients, compromising local tissue healing while threatening multiple organ systems. The expanding field of osteoimmunology should contribute to the orthopaedic community's understanding of how the immune system response, whether normal or pathologic, affects the whole body outcome of our patients.
最近的 COVID-19 大流行引起了人们对细胞因子和细胞因子风暴现象的关注,并将其纳入主流讨论。在这种疾病中,细胞因子风暴会过度激活免疫反应,导致 COVID-19 感染的病理生理学和死亡率增加。在多发创伤患者中也会出现类似的免疫反应紊乱,这会影响局部组织愈合,同时威胁多个器官系统。骨免疫学领域的不断发展,应该有助于骨科界了解免疫系统的反应(无论是正常还是病理)如何影响患者的整体预后。