Immune Intervention in Sepsis

被引:48
作者
Chen, Jian [1 ]
Wei, Haiming [2 ,3 ]
机构
[1] Univ Sci & Technol China, Div Life Sci & Med, Affiliated Hosp 1, Dept Intens Care Med,USTC, Hefei, Peoples R China
[2] Univ Sci & Technol China, Div Life Sci & Med, Affiliated Hosp 1, Dept Geriatr,USTC, Hefei, Peoples R China
[3] Univ Sci & Technol China, Inst Immunol, Hefei, Peoples R China
关键词
sepsis; inflammatory; cytokine; immunosuppression; immune intervention; REGULATORY T-CELLS; BETA-2-MICROGLOBULIN KNOCKOUT MICE; RESPIRATORY SYNDROME CORONAVIRUS; INFLAMMATORY RESPONSE SYNDROME; PATTERN-RECOGNITION RECEPTORS; COLONY-STIMULATING FACTOR; CHRONIC CRITICAL ILLNESS; LOW-DOSE HYDROCORTISONE; CRITICALLY-ILL PATIENTS; HLA-DR EXPRESSION;
D O I
10.3389/fphar.2021.718089
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Sepsis is a host immune disorder induced by infection. It can lead to multiple organ dysfunction syndrome (MODS), which has high morbidity and mortality. There has been great progress in the clinical diagnosis and treatment of sepsis, such as improvements in pathogen detection technology, innovations regarding anti-infection drugs, and the development of organ function support. Abnormal immune responses triggered by pathogens, ranging from excessive inflammation to immunosuppression, are recognized to be an important cause of the high mortality rate. However, no drugs have been approved specifically for treating sepsis. Here, we review the recent research progress on immune responses in sepsis to provide a theoretical basis for the treatment of sepsis. Constructing and optimizing a dynamic immune system treatment regimen based on anti-infection treatment, fluid replacement, organ function support, and timely use of immunomodulatory interventions may improve the prognosis of sepsis patients.
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页数:19
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