The immune response: targets for the treatment of severe sepsis
- PMID: 23251827
- PMCID: PMC3518958
- DOI: 10.1155/2012/697592
The immune response: targets for the treatment of severe sepsis
Abstract
The clinical process of severe sepsis is characterized by extreme inflammation interlinked with potent stimulation of the coagulation cascade often followed by a state of relative immune paralysis. In this paper, we will review many of the potential therapies directed at various steps along the inflammatory cascade from modulation of inflammatory mediators eliciting the immune response, alteration of the host's immune response in both a stimulatory and depressive manner, and taming the overexuberant coagulation response triggered by the fierce coagulation-inflammation cycle. Finally, we will discuss further opportunities for research to improve our ability to design effective therapies.
References
-
- Rice TW, Bernard GR. Therapeutic intervention and targets for sepsis. Annual Review of Medicine. 2005;56:225–248. - PubMed
-
- Hotchkiss RS, Karl IE. The pathophysiology and treatment of sepsis. New England Journal of Medicine. 2003;348(2):138–150. - PubMed
-
- Dellinger RP, Levy MM, Carlet JM. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2008. Critical Care Medicine. 2008;36(1):296–327. - PubMed
-
- Kotsaki A, Giamarellos-Bourboulis EJ. Emerging drugs for the treatment of sepsis. Expert Opinion on Emerging Drugs. 2012;17(3):379–391. - PubMed
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