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免疫功能对骨折愈合的局部和全身影响。

The local and systemic effects of immune function on fracture healing.

作者信息

Evans Andrew R, Giannoudis Peter V, Leucht Philip, McKinley Todd O, Gaski Greg E, Frey Katherine P, Wenke Joseph C, Lee Christopher

机构信息

Warren Alpert School of Medicine at Brown University, University Orthopedics, Inc, Providence, RI.

Academic Department of Trauma and Orthopaedics, School of Medicine, University of Leeds, Leeds General Infirmary, Clarendon Wing, Level D, Leeds, West Yorkshire, United Kingdom.

出版信息

OTA Int. 2024 Mar 11;7(2 Suppl):e328. doi: 10.1097/OI9.0000000000000328. eCollection 2024 Mar.

DOI:10.1097/OI9.0000000000000328
PMID:38487403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10936162/
Abstract

The immune system plays an integral role in the regulation of cellular processes responsible for fracture healing. Local and systemic influences on fracture healing correlate in many ways with fracture-related outcomes, including soft tissue healing quality and fracture union rates. Impaired soft tissue healing, restricted perfusion of a fracture site, and infection also in turn affect the immune response to fracture injury. Modern techniques used to investigate the relationship between immune system function and fracture healing include precision medicine, using vast quantities of data to interpret broad patterns of inflammatory response. Early data from the PRECISE trial have demonstrated distinct patterns of inflammatory response in polytrauma patients, which thereby directly and indirectly regulate the fracture healing response. The clearly demonstrated linkage between immune function and fracture healing suggests that modulation of immune function has significant potential as a therapeutic target that can be used to enhance fracture healing.

摘要

免疫系统在调节负责骨折愈合的细胞过程中发挥着不可或缺的作用。对骨折愈合的局部和全身影响在许多方面与骨折相关的结果相关,包括软组织愈合质量和骨折愈合率。软组织愈合受损、骨折部位灌注受限和感染反过来也会影响对骨折损伤的免疫反应。用于研究免疫系统功能与骨折愈合之间关系的现代技术包括精准医学,即利用大量数据来解读炎症反应的广泛模式。来自PRECISE试验的早期数据表明,多发伤患者存在不同的炎症反应模式,从而直接和间接地调节骨折愈合反应。免疫功能与骨折愈合之间明确的联系表明,调节免疫功能作为一种可用于促进骨折愈合的治疗靶点具有巨大潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/a7438802f25e/oi9-7-e328-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/037cfacb665a/oi9-7-e328-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/5c10146e643d/oi9-7-e328-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/a7438802f25e/oi9-7-e328-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/037cfacb665a/oi9-7-e328-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/5c10146e643d/oi9-7-e328-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dead/10936162/a7438802f25e/oi9-7-e328-g003.jpg

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2
Modulating the systemic and local adaptive immune response after fracture improves bone regeneration during aging.调节骨折后全身和局部适应性免疫反应可改善衰老过程中的骨再生。
Bone. 2022 Apr;157:116324. doi: 10.1016/j.bone.2021.116324. Epub 2022 Jan 6.
3
Insights into the Cellular and Molecular Mechanisms That Govern the Fracture-Healing Process: A Narrative Review.
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J Clin Med. 2021 Aug 12;10(16):3554. doi: 10.3390/jcm10163554.
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Systemic T Cell Exhaustion Dynamics Is Linked to Early High Mobility Group Box Protein 1 (HMGB1) Driven Hyper-Inflammation in a Polytrauma Rat Model.全身性 T 细胞耗竭动力学与创伤性大鼠模型中早期高迁移率族蛋白 B1(HMGB1)驱动的过度炎症有关。
Cells. 2021 Jun 30;10(7):1646. doi: 10.3390/cells10071646.
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