Journal
CURRENT PHARMACEUTICAL DESIGN
Volume 14, Issue 19, Pages 1853-1859Publisher
BENTHAM SCIENCE PUBL LTD
DOI: 10.2174/138161208784980617
Keywords
sepsis; mice; human; death-receptor pathway; mitochondrial pathway; immune and organ dysfunction
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Funding
- [NIH-RO1s GM53209]
- [HL73525]
- [NIH-T32 GM65085]
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The inability of present therapies to mitigate the devastating effects of sepsis and multiple organ failure in the critically ill patient indicates that more knowledge of the pathophysiology of sepsis is needed if we are to develop better, more effective interventions. This review will examine the concept that a portion of the immune and organ dysfunctions encountered in the septic rodent/patient is a reflection of not only the types of cells stimulating/mediating the apoptotic response, but also the varying capacity of the target cell in a given tissue/organ to perceive these death receptor stimuli as either an apoptotic, inflammatory and/or necrotic signal. We hope the discussion of such studies provides not only new insight into the pathobiology of sepsis, but also suggests possible therapeutic targets for the management of this devastating condition.
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