The Pathogenesis of Sepsis and Potential Therapeutic Targets

被引:641
作者
Huang, Min [1 ,2 ]
Cai, Shaoli [1 ,2 ]
Su, Jingqian [1 ,2 ]
机构
[1] Fujian Normal Univ, Coll Life Sci, Biomed Res Ctr South China, Fuzhou 350117, Fujian, Peoples R China
[2] Fujian Normal Univ, Key Labs Innate Immune Biol Fujian Prov, Fuzhou 350117, Fujian, Peoples R China
基金
中国国家自然科学基金;
关键词
sepsis; pathogenesis; biomarkers; therapeutic drugs; SYSTEMIC INFLAMMATORY RESPONSE; DISSEMINATED INTRAVASCULAR COAGULATION; INTERNATIONAL CONSENSUS DEFINITIONS; HUMAN SOLUBLE THROMBOMODULIN; PATTERN-RECOGNITION RECEPTORS; ENDOPLASMIC-RETICULUM STRESS; POLYMYXIN-B HEMOPERFUSION; ORGAN FAILURE ASSESSMENT; CRITICALLY-ILL PATIENTS; NATURAL-KILLER-CELLS;
D O I
10.3390/ijms20215376
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Sepsis is defined as "a life-threatening organ dysfunction caused by a host's dysfunctional response to infection". Although the treatment of sepsis has developed rapidly in the past few years, sepsis incidence and mortality in clinical treatment is still climbing. Moreover, because of the diverse manifestations of sepsis, clinicians continue to face severe challenges in the diagnosis, treatment, and management of patients with sepsis. Here, we review the recent development in our understanding regarding the cellular pathogenesis and the target of clinical diagnosis of sepsis, with the goal of enhancing the current understanding of sepsis. The present state of research on targeted therapeutic drugs is also elaborated upon to provide information for the treatment of sepsis.
引用
收藏
页数:31
相关论文
共 220 条
  • [1] Drotrecogin alfa (activated) for adults with severe sepsis and a low risk of death
    Abraham, E
    Laterre, P
    Garg, R
    Levy, H
    Talwar, D
    Trzaskoma, BL
    Francois, B
    Guy, JS
    Bruckmann, M
    Rea-Neto, A
    Rossaint, R
    Perrotin, D
    Sablotzki, A
    Arkins, N
    Utterback, BG
    Macias, WL
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (13) : 1332 - 1341
  • [2] Effects of pentoxifylline on coagulation profile and disseminated intravascular coagulation incidence in Egyptian septic neonates
    Adel, M.
    Awad, H. A. S.
    Abdel-Naim, A. B.
    Al-Azizi, M. M. M.
    [J]. JOURNAL OF CLINICAL PHARMACY AND THERAPEUTICS, 2010, 35 (03) : 257 - 265
  • [3] Reflex Principles of Immunological Homeostasis
    Andersson, Ulf
    Tracey, Kevin J.
    [J]. ANNUAL REVIEW OF IMMUNOLOGY, VOL 30, 2012, 30 : 313 - 335
  • [4] [Anonymous], 2018, SCAND J IMMUNOL, DOI [10.1111/sji.12653, DOI 10.1111/SJI.12653]
  • [5] Negative regulatory approaches to the attenuation of Toll-like receptor signaling
    Anwar, Muhammad Ayaz
    Basith, Shaherin
    Choi, Sangdun
    [J]. EXPERIMENTAL AND MOLECULAR MEDICINE, 2013, 45 : e11 - e11
  • [6] Sepsis-induced long-term immune paralysis - results of a descriptive, explorative study
    Arens, C.
    Bajwa, S. A.
    Koch, C.
    Siegler, B. H.
    Schneck, E.
    Hecker, A.
    Weiterer, S.
    Lichtenstern, C.
    Weigand, M. A.
    Uhle, F.
    [J]. CRITICAL CARE, 2016, 20
  • [7] Plasma levels of mitochondrial and nuclear DNA in patients with massive pulmonary embolism in the emergency department: a prospective cohort study
    Arnalich, Francisco
    Constanza Maldifassi, Maria
    Ciria, Enrique
    Codoceo, Rosa
    Renart, Jaime
    Fernandez-Capitan, Carmen
    Herruzo, Rafael
    Garcia-Rio, Francisco
    Lopez-Collazo, Eduardo
    Montiel, Carmen
    [J]. CRITICAL CARE, 2013, 17 (03):
  • [8] PROCALCITONIN LEVELS IN SURVIVORS AND NONSURVIVORS OF SEPSIS: SYSTEMATIC REVIEW AND META-ANALYSIS
    Arora, Shubhangi
    Singh, Prashant
    Singh, Preet Mohinder
    Trikha, Anjan
    [J]. SHOCK, 2015, 43 (03): : 212 - 221
  • [9] Increased presepsin levels are associated with the severity of fungal bloodstream infections
    Bamba, Yuuki
    Moro, Hiroshi
    Aoki, Nobumasa
    Koizumi, Takeshi
    Ohshima, Yasuyoshi
    Watanabe, Satoshi
    Sakagami, Takuro
    Koya, Toshiyuki
    Takada, Toshinori
    Kikuchi, Toshiaki
    [J]. PLOS ONE, 2018, 13 (10):
  • [10] World Sepsis Day: September 13, 2012
    Barie, Philip S.
    [J]. SURGICAL INFECTIONS, 2012, 13 (04) : 185 - 186