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The immunopathogenesis of sepsis
Abstract
Sepsis is a condition that results from a harmful or damaging host response to infection. Many of the components of the innate immune response that are normally concerned with host defences against infection can, under some circumstances, cause cell and tissue damage and hence multiple organ failure, the clinical hallmark of sepsis. Because of the high mortality of sepsis in the face of standard treatment, many efforts have been made to improve understanding of the dysregulation of the host response in sepsis. As a result, much has been learnt of the basic principles governing bacterial-host interactions, and new opportunities for therapeutic intervention have been revealed.
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“Systemic production of IL-10 following the onset of a cytokine storm is a marker of a counter-anti-inflammatory response that has been termed “immunoparalysis,” in that it is associated with downregulation of neutrophil and monocyte function in the systemic circulation (32,42,49).”
From Into the Eye of the Cytokine Storm (2012) · cites this paper as [32]
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Elevated Plasma Levels of Antimicrobial Polypeptides in Patients with Severe Sepsis
Berkestedt, I., Herwald, H., Ljunggren, L., Nelson, A., & Bodelsson, M. (2010) · Journal of Innate Immunity · doi:10.1159/000317036 · Cited by 62
Ianaro, A., Tersigni, M., & D’Acquisto, F. (2009) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/1389557510909030306 · Cited by 62
The emerging role of microRNA in regulation of endotoxin tolerance
Quinn, E. M., Wang, J., & Redmond, H. P. (2012) · Journal of Leukocyte Biology · doi:10.1189/jlb.1111571 · Cited by 65
Effects of Controlled Mechanical Ventilation on Sepsis-Induced Diaphragm Dysfunction in Rats
Maes, K., Stamiris, A., Thomas, D., Cielen, N., Smuder, A. J., Powers, S. K., Leite, F. D. S., Hermans, G., Decramer, M., Hussain, S. N. A., et al. (2014) · Critical Care Medicine · doi:10.1097/ccm.0000000000000685 · Cited by 62
Utilizing melatonin to combat bacterial infections and septic injury
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APOE polymorphism is associated with risk of severe sepsis in surgical patients*
Moretti, E. W., Morris, R. W., Podgoreanu, M. V., Schwinn, D. A., Newman, M. F., Bennett, E. R., Moulin, V. G., Uzo, U., & Laskowitz, D. T. (2005) · Critical Care Medicine · doi:10.1097/01.ccm.0000186368.96146.fb · Cited by 62
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Wong‐Baeza, I., González-Roldán, N., Ferat-Osorio, E. A., Esquivel-Callejas, N., Aduna-Vicente, R., Arriaga‐Pizano, L., la Vega, H. A., Villasís-Keever, M. Á., Torres-González, R., Estrada‐García, I., et al. (2006) · Clinical & Experimental Immunology · doi:10.1111/j.1365-2249.2006.03158.x · Cited by 62
IL-17C is required for lethal inflammation during systemic fungal infection
Huang, J., Meng, S., Hong, S., Lin, X., Jin, W., & Dong, C. (2016) · Cellular & Molecular Immunology · doi:10.1038/cmi.2015.56 · Cited by 61
Mei, H., & Hu, Y. (2020) · PubMed Central · doi:10.3760/cma.j.issn.0253-2727.2020.0002 · Cited by 61
Targeting Toll-Like Receptors in Sepsis: From Bench to Clinical Trials
Chen, F., Zou, L., Williams, B., & Chao, W. (2021) · Antioxidants and Redox Signaling · doi:10.1089/ars.2021.0005 · Cited by 62
Metadata
- Authors
- Cohen, J.
- Affiliations
- Brighton and Sussex Medical School (GB)
- Corresponding author
- Cohen, Jonathan
- ORCID
- Cohen, Jonathan
- Venue
- Nature
- Published
- 2002-12
- Volume
- 420
- Issue
- 6917
- Pages
- 885-891
- ISSN
- 0028-0836 (ISSN-L)
- 1476-4687
- OpenAlex
- W2088220499
- Cited by
- 2,742
- References
- 74
- Citations by year
- 2026: 31 · 2025: 58 · 2024: 63 · 2023: 59 · 2022: 96 · 2021: 115 · 2020: 120 · 2019: 113 · 2018: 108 · 2017: 135 · 2016: 124 · 2015: 149 · 2014: 205 · 2013: 223 · 2012: 153
- FWCI
- 10.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Sepsis Diagnosis and Treatment
- Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
- Life Sciences › Immunology and Microbiology › Immunology › Immune Response and Inflammation
- Keywords
- sepsis, immunopathogenesis, innate immune response, host response to infection, multiple organ failure, host-bacteria interactions, sepsis mortality, therapeutic interventions
- MeSH terms
- Animals, Bacterial Infections, Host-Parasite Interactions, Humans, Inflammation, Multiple Organ Failure, Polymorphism, Genetic, Signal Transduction, Sepsis, Genetic Predisposition to Disease
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