Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system

Wound healing should not be considered as a process limited only to the damaged tissues. It is always accompanied by an intensive local immune response and in advanced stages, the systemic lymphatic (immune) structure. In this review we present evidence from our own studies as well as pertinent lite...

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Main Authors: W. L. Olszewski, P. Jain, M. Zaleska, E. Stelmach, E. Swoboda
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2012-05-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.101289
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author W. L. Olszewski
P. Jain
M. Zaleska
E. Stelmach
E. Swoboda
author_facet W. L. Olszewski
P. Jain
M. Zaleska
E. Stelmach
E. Swoboda
author_sort W. L. Olszewski
collection DOAJ
description Wound healing should not be considered as a process limited only to the damaged tissues. It is always accompanied by an intensive local immune response and in advanced stages, the systemic lymphatic (immune) structure. In this review we present evidence from our own studies as well as pertinent literature on the role of skin and subcutaneous tissue lymphatics at the wound site and of transport of antigens along with collecting afferent lymphatics to the lymph nodes. We also speculate the role of lymph nodes in raising cohorts of bacterial and own tissue antigen-specific lymphocytes and their participation in healing and not infrequently evoking uncontrolled chronic immune reaction causing a delay of healing. It is also speculated as to why there is a rapid response of lymph node cells to microbial antigens and tolerance to damaged-tissue-derived antigens occurs
format Article
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institution Kabale University
issn 0970-0358
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language English
publishDate 2012-05-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-5527dfe81f184e1daf7e84a164be78372025-08-20T03:34:21ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2012-05-01450225526010.4103/0970-0358.101289Chronic lower limb wounds evoke systemic response of the lymphatic (immune) systemW. L. Olszewski0P. Jain1M. Zaleska2E. Stelmach3E. Swoboda4Department of Surgical Research, Medical Research Center, Polish Academy of Sciences, Warsaw, PolandDepartment of Plastic Surgery, Benaras Hindu University, Institute of Medical Sciences, Varanasi, IndiaDepartment of Surgical Research, Medical Research Center, Polish Academy of Sciences, Warsaw, PolandDepartment of Microbiology, Warsaw Medical University, Warsaw, PolandDepartment of Microbiology, Warsaw Medical University, Warsaw, PolandWound healing should not be considered as a process limited only to the damaged tissues. It is always accompanied by an intensive local immune response and in advanced stages, the systemic lymphatic (immune) structure. In this review we present evidence from our own studies as well as pertinent literature on the role of skin and subcutaneous tissue lymphatics at the wound site and of transport of antigens along with collecting afferent lymphatics to the lymph nodes. We also speculate the role of lymph nodes in raising cohorts of bacterial and own tissue antigen-specific lymphocytes and their participation in healing and not infrequently evoking uncontrolled chronic immune reaction causing a delay of healing. It is also speculated as to why there is a rapid response of lymph node cells to microbial antigens and tolerance to damaged-tissue-derived antigens occurshttp://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.101289healingimmunitywound
spellingShingle W. L. Olszewski
P. Jain
M. Zaleska
E. Stelmach
E. Swoboda
Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
Indian Journal of Plastic Surgery
healing
immunity
wound
title Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
title_full Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
title_fullStr Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
title_full_unstemmed Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
title_short Chronic lower limb wounds evoke systemic response of the lymphatic (immune) system
title_sort chronic lower limb wounds evoke systemic response of the lymphatic immune system
topic healing
immunity
wound
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.101289
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AT pjain chroniclowerlimbwoundsevokesystemicresponseofthelymphaticimmunesystem
AT mzaleska chroniclowerlimbwoundsevokesystemicresponseofthelymphaticimmunesystem
AT estelmach chroniclowerlimbwoundsevokesystemicresponseofthelymphaticimmunesystem
AT eswoboda chroniclowerlimbwoundsevokesystemicresponseofthelymphaticimmunesystem