Brain, 2016 · DOI: 10.1093/brain/awv375 · Published: January 10, 2016
Spinal cord injury (SCI) can lead to a weakened immune system, known as spinal cord injury-induced immune deficiency syndrome (SCI-IDS). This study investigates whether SCI-IDS increases the risk of pneumonia depending on the location of the spinal cord injury. The study found that high thoracic lesions, which disrupt the sympathetic innervation to major immune organs, significantly increased bacterial load in the lungs of mice. This suggests that the level of spinal cord injury affects the body's ability to fight off infection. The study also found that thoracic spinal cord injury level was confirmed as an independent increased risk factor of pneumonia in patients after motor complete spinal cord injury. This confirms the findings in mice, in humans.
Targeting the sympathetic nervous system after SCI may help to improve immune function and reduce the risk of pneumonia.
Identifying patients with high thoracic SCI as being at higher risk for pneumonia can help to guide preventative care and treatment strategies.
Further research is needed to fully understand the mechanisms underlying SCI-IDS and to develop effective interventions to prevent and treat it.