Sepsis-induced T cell immunoparalysis: the ins and outs of impaired T cell immunity

IJ Jensen, FV Sjaastad, TS Griffith… - The Journal of …, 2018 - journals.aai.org
The Journal of Immunology, 2018journals.aai.org
Sepsis results in a deluge of pro-and anti-inflammatory cytokines, leading to lymphopenia
and chronic immunoparalysis. Sepsis-induced long-lasting immunoparalysis is defined, in
part, by impaired CD4 and CD8 αβ T cell responses in the postseptic environment. The
dysfunction in T cell immunity affects naive, effector, and memory T cells and is not restricted
to classical αβ T cells. Although sepsis-induced severe and transient lymphopenia is a
contributory factor to diminished T cell immunity, T cell–intrinsic and-extrinsic …
Abstract
Sepsis results in a deluge of pro-and anti-inflammatory cytokines, leading to lymphopenia and chronic immunoparalysis. Sepsis-induced long-lasting immunoparalysis is defined, in part, by impaired CD4 and CD8 αβ T cell responses in the postseptic environment. The dysfunction in T cell immunity affects naive, effector, and memory T cells and is not restricted to classical αβ T cells. Although sepsis-induced severe and transient lymphopenia is a contributory factor to diminished T cell immunity, T cell–intrinsic and-extrinsic factors/mechanisms also contribute to impaired T cell function. In this review, we summarize the current knowledge of how sepsis quantitatively and qualitatively impairs CD4 and CD8 T cell immunity of classical and nonclassical T cell subsets and discuss current therapeutic approaches being developed to boost the recovery of T cell immunity postsepsis induction.
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