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@PHDTHESIS{Kaden:1013785,
author = {Kaden, Marc-Pascal},
othercontributors = {Eschweiler, Jörg and Hein, Marc},
title = {{I}nflammatorische {R}eaktionsmechanismen in lymphatischen
{G}eweben nach {P}olytraumaversorgung im {G}roßtiermodell},
school = {Rheinisch-Westfälische Technische Hochschule Aachen},
type = {Dissertation},
address = {Aachen},
publisher = {RWTH Aachen University},
reportid = {RWTH-2025-05704},
pages = {1 Online-Ressource : Illustrationen},
year = {2025},
note = {Veröffentlicht auf dem Publikationsserver der RWTH Aachen
University; Dissertation, Rheinisch-Westfälische Technische
Hochschule Aachen, 2025},
abstract = {Traumatic influences on the body cause a variety of
inflammatory mechanisms, which are largely understood in the
hematologic system. However, the lymphatic system is also of
great importance for the development and further transport
of reaction equivalents. The processes occurring there are
still only partially understood and require further
clarification in order to enable a better prognosis and
objectification of the severity of inflammation. In this
study, individual lymph node stations from the cervical,
pulmonary, ileal and abdominal regions are examined for the
level of their cytokines FLT3LG, IL-6, IL-10, TLR4 and
VEGFc. Prior to this, the test animals were subjected to a
bilateral femoral fracture, haemorrhagic shock, liver
laceration and lung contusion and placed in a
polytraumatized state. This was followed by
guideline-compliant treatment with an external fixator or
intramedullary nailing with and without simultaneous
administration of a complement inhibitor. After euthanasia
and collection of the tissue samples, the individual lymph
nodes were examined using ELISA tests. The comparison
between the individual therapy groups showed that all
previously traumatized pigs showed increased inflammation in
their lymph nodes compared to the control group and the
trauma groups without CD14/C5 treatment, that the antibody
treatment had a suppressive effect on the release of
inflammatory proteins and that the lymphatic barrier
disorder in the gastrointestinal tract brought them closer
to different intervention groups in terms of
proinflammation. The influence of various factors on the
lymphatic tissue with regard to the lymph node station and
the level of the measured cytokine values is discussed. A
mesenteric barrier disorder in the area of the abdominal and
ileal lymphnodes is critically examined as a possible
factor, as are the resulting changes in the pulmonary
milieu. Intracerebral processes and the probability of ARDS
are discussed in particular for their first lymph node
stations in the neck and lung area. Since the experimental
setup is a snapshot after 72 hours and there are anatomical
differences between the porcine and human species, lymphatic
examinations should be supplemented by CSF and blood tests
in order to provide a better explanation of lymphatic
reaction mechanisms.},
cin = {534000-2 ; 934710},
ddc = {610},
cid = {$I:(DE-82)534000-2_20140620$},
typ = {PUB:(DE-HGF)11},
doi = {10.18154/RWTH-2025-05704},
url = {https://publications.rwth-aachen.de/record/1013785},
}