1999
DOI: 10.1097/00003246-199904000-00026
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Changes in blood lymphocyte populations after multiple trauma

Abstract: A severely depressed cellular immune response associated with increased suppressive mediators might be closely related to the development of severe sepsis and MOF in trauma patients. Therefore, an in-depth understanding of the deficits in host defense following multiple trauma will provide the basis for therapeutic interventions.

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Cited by 204 publications
(155 citation statements)
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“…Besides the functional defects that have been previously described, a marked decrease in the number of circulating lymphocytes has been observed in patients after sepsis and severe trauma (Table 1) (17,20,(120)(121)(122). Most importantly, the extent of this lymphopenia has been correlated with the development of nosocomial infections in those patients (20,122).…”
Section: Studies Of T-lymphocyte Subsetsmentioning
confidence: 63%
“…Besides the functional defects that have been previously described, a marked decrease in the number of circulating lymphocytes has been observed in patients after sepsis and severe trauma (Table 1) (17,20,(120)(121)(122). Most importantly, the extent of this lymphopenia has been correlated with the development of nosocomial infections in those patients (20,122).…”
Section: Studies Of T-lymphocyte Subsetsmentioning
confidence: 63%
“…For many types of cancer, lymphocytopenia indicates a generalized state of immunodepression (Wenger et al, 1999), and survival appears to be adversely influenced by depressed immune function. The number of CD4+ helper lymphocytes may decrease, and CD8+ suppressor lymphocytes may increase due to disturbed inflammatory response, and immunosuppression may result (Menges et al, 1999). The increase in the numbers of neutrophils and / or decreased numbers of lymphocytes may suppress lymphokine-activated killer cells.…”
Section: Discussionmentioning
confidence: 99%
“…On the other hand, human immune response triggered by colorectal cancer mainly relays on lymphocytes, whereas systematic inflammation significantly depressed cellular immunity, resulting in a significantly decrease of CD4/T lymphocytes and an increasing of CD8/suppressor T lymphocytes [38,39]. Thus, cancer-triggered inflammation resulted in elevated NLR.…”
Section: Discussionmentioning
confidence: 99%