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Der Einfluß von Narkose und Operation auf das Immunsystem

Literaturübersicht

The effect of anaesthesia and surgery on immune function

A review

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Summary

This paper reviews the literature concerning the question, how the immune functions might be affected by anaesthesia and surgery.

General and local anaesthetics inhibit in vitro and in vivo important functions of lymphocytes, granulocytes, and macrophages. However, the postoperative immunosuppression is not attributable to the anaesthesia but rather appears to depend on the tissue truma itself.

Zusammenfassung

Die vorliegende Arbeit untersucht anhand der Literatur die Frage, durch welche Faktoren das menschliche Immunsystem im Zusammenhang mit Operationen beeinflußt wird. Narkotika und Lokalanästhetika vermögen in vitro und in vivo wichtige Funktionen der Lymphozyten, Granulozyten und Makrophagen zu hemmen. Trotzdem ist die postoperative Immunsuppression nicht durch den Einfluß der Narkose zu erklären. Die Hemmung der zellulären Immunität nach Operationen hängt offenbar einzig vom Operationstrauma selbst ab.

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Literatur

  1. Alexander JW, Moncrief JA (1966) Alterations of the immune response following severe thermal injury. Arch Surg 93:75–83

    Google Scholar 

  2. Bancewicz J, Gray AC, Lindop G (1973) The immunosuppressive effect of surgery—a possible mechanism. Br J Surg 60: 314–315

    Google Scholar 

  3. Bennett A, McDonald AM, Simpson JS, Stamford IF (1975) Breast cancer, prostaglandins, and bone metastases. Lancet I:1218–1220

    Google Scholar 

  4. Berenbaum MC, Fluck PA, Hurst NP (1973) Depression of lymphocyte responses after surgical trauma. Br J Exp Pathol 54:597–607

    Google Scholar 

  5. Berenbaum MC, Cope WA, Bundick RV (1976) Synergistic effect of cortisol and prostaglandin E2 on the PHA response. Clin Exp Immunol 26:534–541

    Google Scholar 

  6. Bruce DL (1966) Effect of halothane anesthesia on extravascular mobilization of neutrophils. J Cell Physiol 68:81–84

    Google Scholar 

  7. Bruce DL, Koepke JA (1966) Changes in granulopoiesis in the rat associated with prolonged halothane anesthesia. Anesthesiology 27:811–817

    Google Scholar 

  8. Bruce DL (1972) Halothane inhibition of phythemagglutinin-induced transformation of lymphocytes. Anesthesiology 36:201

    Google Scholar 

  9. Cheigh JS, Stenzel KH, Riggio RR, Katz EB, Rubin AL (1975) Effects of intravenous methylprednisolone on mixed lymphocyte cultures in normal humans. Transplant Proc 7:31–35

    Google Scholar 

  10. Cochran AJ, Spilg WGS, Mackie RM, Thomas CE (1972) Postoperative depression of tumour-directed cell-mediated immunity in patients with malignant disease. Br Med J 4:67–70

    Google Scholar 

  11. Cooper AJ, Irvine JM, Turnbull AR (1974) Depression of immunological responses due to surgery. Immunology 27:393–399

    Google Scholar 

  12. Cullen BF, Chretien PB, Leventhal BG (1972) The effect of lignocaine on PHA-stimulated human lymphocyte transformation. Br J Anaesth 44:1247–1251

    Google Scholar 

  13. Cullen BF, Sample WF, Chretien PB (1972) The effect of halothane on phythemagglutinin-induced transformation of human lymphocytes in vitro. Anesthesiology 36:206–212

    Google Scholar 

  14. Cullen BF (1974) The effects of halothane and nitrous oxide on phagocytosis and human leukocyte metabolism. Anesth Analg (Cleve) 53:531–536

    Google Scholar 

  15. Cullen BF, van Belle G (1975) Lymphocyte transformation and changes in leukocyte counts: Effect of anesthesia and operation. Anesthesiology 43:563–569

    Google Scholar 

  16. Davis JM, Dineen P, Gallin JI (1980) Neutrophil degranulation and abnormal chemotaxis after thermal injury. J Immunol 124:1467–1471

    Google Scholar 

  17. Duncan PG, Cullen BF, Pearsall NN (1977) Anesthesia and the modification of response to infection in mice. Anesth Analg 55:776–782

    Google Scholar 

  18. Erhardt G, Ruschig H (1972) Arzneimittel, Bd 1. Verlag Chemie, Weinheim, S 22–35

    Google Scholar 

  19. Espanol T, Todd GB, Soothill JF (1974) The effect of anesthesia on the lymphocyte response to phythaemagglutinin. Clin Exp Immunol 18:73–79

    Google Scholar 

  20. Gierhake FW, Johannsen R, Stöcker R, Rickmeyer L, Ebert KP, Meyer-Hoepfel W, Meyer-Hoepfel I (1975) Immunosuppressive Wirkung bei Operationen und Möglichkeiten ihrer Begrenzung. Immun Infekt 3:116–124

    Google Scholar 

  21. Goldstein IM, Lind S, Hoffstein S, Weissmann G (1977) Influence of local anesthetics upon human polymorphonuclear leukocyte function in vitro. J Exp. Med 146:483–494

    Google Scholar 

  22. Goodwin JS, Husby G, Williams jr RC (1980) Prostaglandin E and cancer growth. Cancer Immunol Immunother 8:3–7

    Google Scholar 

  23. Han T (1972) Postoperative immunosuppression in patients with breast cancer. Lancet I:742–743

    Google Scholar 

  24. Humphrey LJ, Wingard DW, Lang R (1969) Effect of halothane on spleen cells: in vitro studies on reversibility of immunosuppression. Surgery 65:939–942

    Google Scholar 

  25. Humphrey LJ, Wingard DW, Lang R (1969) The effect of surgery and anesthesia on the immunologic responsiveness of the rat. Surgery 65:946–951

    Google Scholar 

  26. Kijlstra A, van Darp W, Daha MR, Leslie RGQ (1980) The effect of lidocaine on the processing of soluble immune aggregates and immun complexes by peritoneal macrophages. Immunology 41:237–244

    Google Scholar 

  27. Kinnaert P, Mahieu A, van Geertruyden N (1978) Stimulation of antibody synthesis induced by surgical trauma in rats. Clin Exp Immunol 32:243–252

    Google Scholar 

  28. Kuschinsky G, Lüllmann H (1967) Kurzes Lehrbuch der Pharmakologie. Thieme, Stuttgart, S 111–116 und 143–155

    Google Scholar 

  29. Lanz E, Sinterhauf K, Knapstein P, Lommer D (1979) Plasma-Cortisol und Geburt unter Periduralanaesthesie. Regional-Anaesthesie 2:32–35

    Google Scholar 

  30. Lassen HCA, Hendriksen E, Neukirch F, Kristensen HS (1956) Treatment of tetanus. Severe bone-marrow depression after prolonged nitrous-oxide anaesthesia. Lancet I:527–530

    Google Scholar 

  31. Lecky JH (1975) Anesthesia and the immune system. Surg Clin North Am 55:795–799

    Google Scholar 

  32. Lee SK, Singh J, Taylor RB (1975) Subclasses of T-cells with different sensitivities to cytotoxic antibody in the presence of anesthetics. Eur J Immunol 5:259–262

    Google Scholar 

  33. Leguit P, Meinesz A, Zeijlemaker WP, Sellekens PTA, Eijsvoogel VP (1973) Immunological studies in burn patients. I Lymphocyte transformation in vitro. Int Arch Allergy 44:101–121

    Google Scholar 

  34. Mosley JG, Sadler TE, Castro JE (1978) Effects of amputation and corynebacterium parvum on tumour metastases in mice. Br J Cancer 37:571–575

    Google Scholar 

  35. Moudgil GC, Vose MB (1975) Effect of surgery under anaesthesia on tumour-directed leucocyte responses. Br J Anaesth 47:631–632

    Google Scholar 

  36. Moudgil GC, Wade AG (1976) Anaesthesia and immunocompetence. Br J Anaesth 48:31–39

    Google Scholar 

  37. Östergren G (1944) Colchicine mitosis, chromosome contraction, narcosis and protein chain folding. Hereditas 30:429–467

    Google Scholar 

  38. Oyama T (1973) Endocrine responses to anesthetic agents. Br J Anaesth 45:276–281

    Google Scholar 

  39. Park SK, Brody JI, Wallace HA, Blakemore WS (1971) Immunosuppressive effect of surgery. Lancet I:53–55

    Google Scholar 

  40. Riddle PR, Berenbaum MC (1967) Postoperative depression of the lymphocyte response to phythaemagglutinin. Lancet I:746–748

    Google Scholar 

  41. Ryan GB, Unanue ER, Karnovsky MJ (1974) Inhibition of surface capping of macromolecules by local anaesthetics and transquilisers. Nature 250:56–57

    Google Scholar 

  42. Saba TM, Antikatzides TG (1976) Decreased resistance to intravenous tumour-cell challenge during reticulo-endothelial depression following surgery. Br J Cancer 34:381–389

    Google Scholar 

  43. Salo M (1978) Effect of anaesthesia and surgery on the number of and mitogen-induced transformation of T- and B-lymphocytes. Ann Clin Res 10:1–13

    Google Scholar 

  44. Seeman PM (1966) Membrane stabilization by drugs: tranquilizers, steroids, and anesthetics. Int Rew Neurobiol 9:145–221

    Google Scholar 

  45. Seeman P, Roth S (1972) General anesthetics expand cell membranes at surgical concentrations. Biochim Biophys Acta 255:171–177

    Google Scholar 

  46. Sturrock JE, Nunn JF (1975) Mitosis in mammalian cells during exposure to anesthetics. Anaesthesiology 43:21–33

    Google Scholar 

  47. Tarpley JL, Twomey PL, Catalona WL, Chretien PB (1977) Suppression of cellular immunity by anesthesia and operation. J Surg Res 22:195–201

    Google Scholar 

  48. Woodruff JF (1972) Thymolymphatic deficiency and depression of cell-mediated immunity in protein-calorie malnutrition. Lancet I:92–93

    Google Scholar 

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Bröcker, E.B., Macher, E. Der Einfluß von Narkose und Operation auf das Immunsystem. Klin Wochenschr 59, 1297–1301 (1981). https://doi.org/10.1007/BF01711179

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  • DOI: https://doi.org/10.1007/BF01711179

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