[HTML][HTML] Burn-induced local and systemic immune response: systematic review and meta-analysis of animal studies

PPG Mulder, HJPM Koenen, M Vlig, I Joosten… - Journal of Investigative …, 2022 - Elsevier
PPG Mulder, HJPM Koenen, M Vlig, I Joosten, RBM de Vries, BKHL Boekema
Journal of Investigative Dermatology, 2022Elsevier
Because burn injuries are often followed by a derailed immune response and excessive
inflammation, a thorough understanding of the occurring reactions is key to preventing
secondary complications. This systematic review, which includes 247 animal studies, shows
the postburn response of 14 different immune cell types involved in immediate and long-
term effects in both wound tissue and circulation. Peripheral blood neutrophil and monocyte
numbers increased directly after burns, whereas thrombocyte numbers increased near the …
Because burn injuries are often followed by a derailed immune response and excessive inflammation, a thorough understanding of the occurring reactions is key to preventing secondary complications. This systematic review, which includes 247 animal studies, shows the postburn response of 14 different immune cell types involved in immediate and long-term effects in both wound tissue and circulation. Peripheral blood neutrophil and monocyte numbers increased directly after burns, whereas thrombocyte numbers increased near the end of the first week. However, lymphocyte numbers were decreased for at least 2 weeks. In burn wound tissue, neutrophil and macrophage numbers accumulated during the first 3 weeks. Burns also altered cellular functions because we found an increased migratory potential of leukocytes, impaired antibacterial activity of neutrophils, and enhanced inflammatory mediator production by macrophages. Neutrophil surges were positively associated with burn size and were highest in rats. Altogether, this comprehensive overview of the temporal immune cell dynamics shows that unlike normal wound healing, burn injury induces a long-lasting inflammatory response. It provides a fundamental research basis to improve experimental set-ups, burn care, and outcomes.
Elsevier