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Die Rolle von mononukleären Zellen und deren Zytokinen in der Pathophysiologie vaskulärer Erkrankungen

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Book cover Herz- und Kreislauferkrankungen im Alter

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Zusammenfassung

Vaskuläre Erkrankungen spielen bei der heute vorherrschenden Altersstruktur der Bevölkerung in der westlichen Welt eine dominierende Rolle, sowohl was die Morbidität als auch die Mortalität anbelangt. Dabei sind es — vielleicht mit Ausnahme von traumatischen Ereignissen mit akutem Blutverlust — nicht die Gefäßläsionen per se, die das klinische Bild bei manifesten vaskulären Erkrankungen beherrschen, vielmehr dominieren die daraus resultierenden Organbeeinträchtigungen mit allen ihren Folgeerscheinungen. Es sind also in erster Linie Störungen in der nutritiven Mikrozirkulation, die die klinische Symptomatik bedingen. Die therapeutischen Interventionsversuche der jüngeren Zeit zielen folgerichtig darauf ab, das Fließ verhalten des Blutes im Mikrozirkulationsbereich positiv zu beeinflussen, wobei den intrinsischen Fließeigenschaften ein besonderer Stellenwert beigemessen wird (1, 2). So hat es nicht an Ansätzen gefehlt, sowohl durch gezielte Verbesserung der Theologischen Eigenschaften von Erythrozyten (3), Thrombozyten (4) oder Plasmaproteinen (5) als auch unspezifisch durch unterschiedliche Hämodilutionsverfahren (6,7) die Fließeigenschaften des Blutes speziell im Bereich der nutritiven Mikrozirkulation zu verbessern.

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Schönharting, M.M. (1990). Die Rolle von mononukleären Zellen und deren Zytokinen in der Pathophysiologie vaskulärer Erkrankungen. In: Kark, B., Werner, H. (eds) Herz- und Kreislauferkrankungen im Alter. Steinkopff. https://doi.org/10.1007/978-3-642-85384-5_1

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