Sepsis: Inflammation Is a Necessary Evil

Autor: Christina Nedeva, Joseph Menassa, Hamsa Puthalakath
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Frontiers in Cell and Developmental Biology, Vol 7 (2019)
Druh dokumentu: article
ISSN: 2296-634X
DOI: 10.3389/fcell.2019.00108
Popis: Sepsis is one of the leading causes of deaths world-wide and yet there are no therapies available other than ICU treatment. The patient outcome is determined by a complex interplay between the pro and anti-inflammatory responses of the body i.e., a homeostatic balance between these two competing events to be achieved for the patient’s recovery. The initial attempts on drug development mainly focused on controlling inflammation, however, without any tangible outcome. This was despite most deaths occurring during the immune paralysis stage of this biphasic disease. Recently, the focus has been shifting to understand immune paralysis (caused by apoptosis and by anti-inflammatory cytokines) to develop therapeutic drugs. In this review we put forth an argument for a proper understanding of the molecular basis of inflammation as well as apoptosis for developing an effective therapy.
Databáze: Directory of Open Access Journals