Sepsis-induced immune dysfunction: can immune therapies reduce mortality?
MJ Delano, PA Ward - The Journal of clinical investigation, 2016 - jci.org
MJ Delano, PA Ward
The Journal of clinical investigation, 2016•jci.orgSepsis is a systemic inflammatory response induced by an infection, leading to organ
dysfunction and mortality. Historically, sepsis-induced organ dysfunction and lethality were
attributed to the interplay between inflammatory and antiinflammatory responses. With
advances in intensive care management and goal-directed interventions, early sepsis
mortality has diminished, only to surge later after “recovery” from acute events, prompting a
search for sepsis-induced alterations in immune function. Sepsis is well known to alter …
dysfunction and mortality. Historically, sepsis-induced organ dysfunction and lethality were
attributed to the interplay between inflammatory and antiinflammatory responses. With
advances in intensive care management and goal-directed interventions, early sepsis
mortality has diminished, only to surge later after “recovery” from acute events, prompting a
search for sepsis-induced alterations in immune function. Sepsis is well known to alter …
Sepsis is a systemic inflammatory response induced by an infection, leading to organ dysfunction and mortality. Historically, sepsis-induced organ dysfunction and lethality were attributed to the interplay between inflammatory and antiinflammatory responses. With advances in intensive care management and goal-directed interventions, early sepsis mortality has diminished, only to surge later after “recovery” from acute events, prompting a search for sepsis-induced alterations in immune function. Sepsis is well known to alter innate and adaptive immune responses for sustained periods after clinical “recovery,” with immunosuppression being a prominent example of such alterations. Recent studies have centered on immune-modulatory therapy. These efforts are focused on defining and reversing the persistent immune cell dysfunction that is associated with mortality long after the acute events of sepsis have resolved.
