Do circulating cytokines really matter in sepsis?

被引:21
作者
Tetta, C
Bellomo, R
D'Intini, V
De Nitti, C
Inguaggiato, P
Brendolan, A
Ronco, C
机构
[1] Fresenius Med Care, Renal Res, Div Med, D-61352 Bad Homburg, Germany
[2] Austin & Repatriat Med Ctr, Dept Intens Care, Melbourne, Vic, Australia
[3] St Bortolo Hosp, Dept Nephrol, Vicenza, Italy
关键词
sepsis; septic shock; cytokines; endotoxin; LPS; hemofiltration; plasmapheresis; adsorption; multiorgan failure; plasma filtration;
D O I
10.1046/j.1523-1755.63.s84.40.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Sepsis remains the major cause of mortality worldwide, claiming millions of lives each year. The past decade has seen major advances in the understanding of the biological mechanisms involved in this complex process. Unfortunately, no definitive therapy yet exists that can successfully treat sepsis and its complications. In this review, we will address the significance of circulating cytokines in the pathophysiology of sepsis and its relevance to new approaches in extracorporeal therapies.
引用
收藏
页码:S69 / S71
页数:3
相关论文
共 18 条
[1]   Cytokine filtration and adsorption during pre- and postdilution hemofiltration in four different membranes [J].
Bouman, CSC ;
van Olden, RW ;
Stoutenbeek, CP .
BLOOD PURIFICATION, 1998, 16 (05) :261-268
[2]  
CAVAILLON JM, 1992, CIRC SHOCK, V38, P145
[3]   Immunodepression in sepsis and SIRS assessed by ex vivo cytokine production is not a generalized phenomenon:: a review [J].
Cavaillon, JM ;
Adib-Conquy, M ;
Cloëz-Tayarani, I ;
Fitting, C .
JOURNAL OF ENDOTOXIN RESEARCH, 2001, 7 (02) :85-93
[4]   The effect of coupled haemofiltration and adsorption on inflammatory cytokines in an ex vivo model [J].
Cole, L ;
Bellomo, R ;
Davenport, P ;
Tipping, P ;
Uchino, S ;
Tetta, C ;
Ronco, C .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2002, 17 (11) :1950-1956
[5]   Can inflammatory cytokines be removed efficiently by continuous renal replacement therapies? [J].
De Vriese, AS ;
Vanholder, RC ;
Pascual, M ;
Lameire, NH ;
Colardyn, FA .
INTENSIVE CARE MEDICINE, 1999, 25 (09) :903-910
[6]   Cytokine removal and cardiovascular hemodynamics in septic patients with continuous venovenous hemofiltration [J].
Heering, P ;
Morgera, S ;
Schmitz, FJ ;
Schmitz, G ;
Willers, R ;
Schultheiss, HP ;
Strauer, BE ;
Grabensee, B .
INTENSIVE CARE MEDICINE, 1997, 23 (03) :288-296
[7]   Effects of different doses in continuous veno-venous haemofiltration on outcomes of acute renal failure: a prospective randomised trial [J].
Ronco, C ;
Bellomo, R ;
Homel, P ;
Brendolan, A ;
Dan, M ;
Piccinni, P ;
La Greca, G .
LANCET, 2000, 356 (9223) :26-30
[8]   A pilot study of coupled plasma filtration with adsorption in septic shock [J].
Ronco, C ;
Brendolan, A ;
Lonnemann, G ;
Bellomo, R ;
Piccinni, P ;
Digito, A ;
Dan, M ;
Irone, M ;
La Greca, G ;
Inguaggiato, P ;
Maggiore, U ;
De Nitti, C ;
Wratten, ML ;
Ricci, Z ;
Tetta, C .
CRITICAL CARE MEDICINE, 2002, 30 (06) :1250-1255
[9]   Importance of increased ultrafiltration volume and impact on mortality: sepsis and cytokine story and the role of continuous veno-venous haemofiltration [J].
Ronco, C ;
Ricci, Z ;
Bellomo, R .
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2001, 10 (06) :755-761
[10]   Non-renal indications for continuous renal replacement therapy [J].
Schetz, M .
KIDNEY INTERNATIONAL, 1999, 56 :S88-S94