Immune dysregulation in sepsis: experiences, lessons and perspectives.



Cao, Min, Wang, Guozheng ORCID: 0000-0001-5525-3548 and Xie, Jianfeng ORCID: 0000-0002-6097-9172
(2023) Immune dysregulation in sepsis: experiences, lessons and perspectives. Cell death discovery, 9 (1). 465-.

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Abstract

Sepsis is a life-threatening organ dysfunction syndrome caused by dysregulated host responses to infection. Not only does sepsis pose a serious hazard to human health, but it also imposes a substantial economic burden on the healthcare system. The cornerstones of current treatment for sepsis remain source control, fluid resuscitation, and rapid administration of antibiotics, etc. To date, no drugs have been approved for treating sepsis, and most clinical trials of potential therapies have failed to reduce mortality. The immune response caused by the pathogen is complex, resulting in a dysregulated innate and adaptive immune response that, if not promptly controlled, can lead to excessive inflammation, immunosuppression, and failure to re-establish immune homeostasis. The impaired immune response in patients with sepsis and the potential immunotherapy to modulate the immune response causing excessive inflammation or enhancing immunity suggest the importance of demonstrating individualized therapy. Here, we review the immune dysfunction caused by sepsis, where immune cell production, effector cell function, and survival are directly affected during sepsis. In addition, we discuss potential immunotherapy in septic patients and highlight the need for precise treatment according to clinical and immune stratification.

Item Type: Article
Uncontrolled Keywords: Vaccine Related, Sepsis, Clinical Research, Hematology, Infectious Diseases, Immunization, 5 Development of treatments and therapeutic interventions, 2.1 Biological and endogenous factors, 5.1 Pharmaceuticals, 2 Aetiology, Inflammatory and immune system, Infection, 3 Good Health and Well Being
Divisions: Faculty of Health and Life Sciences
Faculty of Health and Life Sciences > Institute of Infection, Veterinary and Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 05 Jan 2024 15:51
Last Modified: 26 Apr 2024 06:04
DOI: 10.1038/s41420-023-01766-7
Related URLs:
URI: https://livrepository.liverpool.ac.uk/id/eprint/3177641