Sepsis in PD-1 light
- PMID: 27378029
- PMCID: PMC4932709
- DOI: 10.1186/s13054-016-1370-x
Sepsis in PD-1 light
Abstract
Increasing evidence suggests that after the first pro-inflammatory hours, sepsis is characterized by the occurrence of severe immunosuppression. Several mechanisms have been reported to participate in sepsis-induced immune alterations affecting both innate and adaptive immunity. Of these, the concept of 'cell exhaustion' has gained a lot of interest because some parallels can be drawn with the cancer field in which immunostimulation approaches through blocking immune checkpoints currently obtain remarkable success. Herein, perspectives regarding co-inhibitory receptors' contribution to lymphocyte exhaustion in sepsis will be discussed in the context of a recently published study investigating the potential of PD-1 molecule expression (i.e. PD-1 on lymphocytes, PD-L1 on monocytes) to predict mortality in septic shock patients.
Comment on
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Monocyte programmed death ligand-1 expression after 3-4 days of sepsis is associated with risk stratification and mortality in septic patients: a prospective cohort study.Crit Care. 2016 May 9;20(1):124. doi: 10.1186/s13054-016-1301-x. Crit Care. 2016. PMID: 27156867 Free PMC article.
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