The Interplay between Host Defense, Infection, and Clinical Status in Septic Patients: A Narrative Review.
Alessandro LazzaroGabriella De GirolamoValeria FilippiGiuseppe Pietro InnocentiLetizia SantinelliGiancarlo CeccarelliTrecarichi Enrico MariaCarlo TortiClaudio Maria MastroianniGabriella d'EttorreAlessandro RussoPublished in: International journal of molecular sciences (2022)
Sepsis is a life-threatening condition that arises when the body's response to an infection injures its own tissues and organs. Despite significant morbidity and mortality throughout the world, its pathogenesis and mechanisms are not clearly understood. In this narrative review, we aimed to summarize the recent developments in our understanding of the hallmarks of sepsis pathogenesis (immune and adaptive immune response, the complement system, the endothelial disfunction, and autophagy) and highlight novel laboratory diagnostic approaches. Clinical management is also discussed with pivotal consideration for antimicrobic therapy management in particular settings, such as intensive care unit, altered renal function, obesity, and burn patients.
Keyphrases
- intensive care unit
- end stage renal disease
- immune response
- ejection fraction
- newly diagnosed
- acute kidney injury
- chronic kidney disease
- peritoneal dialysis
- prognostic factors
- metabolic syndrome
- gene expression
- insulin resistance
- type diabetes
- cell death
- stem cells
- endothelial cells
- signaling pathway
- mesenchymal stem cells
- inflammatory response
- physical activity
- dendritic cells
- adipose tissue
- skeletal muscle
- weight gain
- mechanical ventilation