Role of Antithrombin III and Tissue Factor Pathway in the Pathogenesis of Sepsis

被引:46
作者
Sungurlu, Sarah [1 ,2 ]
Kuppy, Jessica [1 ,2 ]
Balk, Robert A. [1 ]
机构
[1] Rush Med Coll, Div Pulm Crit Care & Sleep Med, 1725 West Harrison St,Suite 054, Chicago, IL 60612 USA
[2] Rush Univ, Med Ctr, 1725 West Harrison St,Suite 054, Chicago, IL 60612 USA
关键词
Antithrombin; Tissue factor; Sepsis; Coagulopathy; Multiple organ failure; DISSEMINATED INTRAVASCULAR COAGULATION; MULTIPLE ORGAN FAILURE; ACTIVATED PROTEIN-C; SEPTIC SHOCK; DOUBLE-BLIND; EFFICACY; SAFETY; INHIBITOR; MORTALITY; TRIAL;
D O I
10.1016/j.ccc.2019.12.002
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The pathobiology of the septic process includes a complex interrelationship between inflammation and the coagulations system. Antithrombin (AT) and tissue factor are important components of the coagulation system and have potential roles in the production and amplification of sepsis. Sepsis is associated with a decrease in AT levels, and low levels are also associated with the development of multiple organ failure and death. Treatment strategies incorporating AT replacement therapy in sepsis and septic shock have not resulted in an improvement in survival or reversal of disseminated intravascular coagulation.
引用
收藏
页码:255 / 265
页数:11
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