Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin

Following severe tissue injury, patients are exposed to various danger- and microbe-associated molecular patterns, which provoke a strong activation of the neutrophil defense system. Neutrophils trigger and modulate the initial posttraumatic inflammatory response and contribute critically to subsequ...

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Main Authors: A. Kovtun, D. A. C. Messerer, K. Scharffetter-Kochanek, M. Huber-Lang, A. Ignatius
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2018/8173983
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author A. Kovtun
D. A. C. Messerer
K. Scharffetter-Kochanek
M. Huber-Lang
A. Ignatius
author_facet A. Kovtun
D. A. C. Messerer
K. Scharffetter-Kochanek
M. Huber-Lang
A. Ignatius
author_sort A. Kovtun
collection DOAJ
description Following severe tissue injury, patients are exposed to various danger- and microbe-associated molecular patterns, which provoke a strong activation of the neutrophil defense system. Neutrophils trigger and modulate the initial posttraumatic inflammatory response and contribute critically to subsequent repair processes. However, severe trauma can affect central neutrophil functions, including circulation half-life, chemokinesis, phagocytosis, cytokine release, and respiratory burst. Alterations in neutrophil biology may contribute to trauma-associated complications, including immune suppression, sepsis, multiorgan dysfunction, and disturbed tissue regeneration. Furthermore, there is evidence that neutrophil actions depend on the quality of the initial stimulus, including trauma localization and severity, the micromilieu in the affected tissue, and the patient’s overall inflammatory status. In the present review, we describe the effects of severe trauma on the neutrophil phenotype and dysfunction and the consequences for tissue repair. We particularly concentrate on the role of neutrophils in wound healing, lung injury, and bone fractures, because these are the most frequently affected tissues in severely injured patients.
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institution Kabale University
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Immunology Research
spelling doaj-art-c3fa3e58202f4642b64a6d5b371dba552025-02-03T01:23:26ZengWileyJournal of Immunology Research2314-88612314-71562018-01-01201810.1155/2018/81739838173983Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same CoinA. Kovtun0D. A. C. Messerer1K. Scharffetter-Kochanek2M. Huber-Lang3A. Ignatius4Institute of Orthopedic Research and Biomechanics, Trauma Research Center Ulm, University of Ulm, 89081 Ulm, GermanyInstitute of Clinical and Experimental Trauma Immunology (ITI), Trauma Research Center Ulm, University of Ulm, 89081 Ulm, GermanyDepartment of Dermatology and Allergic Diseases, Trauma Research Center Ulm, University of Ulm, 89081 Ulm, GermanyInstitute of Clinical and Experimental Trauma Immunology (ITI), Trauma Research Center Ulm, University of Ulm, 89081 Ulm, GermanyInstitute of Orthopedic Research and Biomechanics, Trauma Research Center Ulm, University of Ulm, 89081 Ulm, GermanyFollowing severe tissue injury, patients are exposed to various danger- and microbe-associated molecular patterns, which provoke a strong activation of the neutrophil defense system. Neutrophils trigger and modulate the initial posttraumatic inflammatory response and contribute critically to subsequent repair processes. However, severe trauma can affect central neutrophil functions, including circulation half-life, chemokinesis, phagocytosis, cytokine release, and respiratory burst. Alterations in neutrophil biology may contribute to trauma-associated complications, including immune suppression, sepsis, multiorgan dysfunction, and disturbed tissue regeneration. Furthermore, there is evidence that neutrophil actions depend on the quality of the initial stimulus, including trauma localization and severity, the micromilieu in the affected tissue, and the patient’s overall inflammatory status. In the present review, we describe the effects of severe trauma on the neutrophil phenotype and dysfunction and the consequences for tissue repair. We particularly concentrate on the role of neutrophils in wound healing, lung injury, and bone fractures, because these are the most frequently affected tissues in severely injured patients.http://dx.doi.org/10.1155/2018/8173983
spellingShingle A. Kovtun
D. A. C. Messerer
K. Scharffetter-Kochanek
M. Huber-Lang
A. Ignatius
Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
Journal of Immunology Research
title Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
title_full Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
title_fullStr Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
title_full_unstemmed Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
title_short Neutrophils in Tissue Trauma of the Skin, Bone, and Lung: Two Sides of the Same Coin
title_sort neutrophils in tissue trauma of the skin bone and lung two sides of the same coin
url http://dx.doi.org/10.1155/2018/8173983
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