Is boosting the immune system in sepsis appropriate?
Identifieur interne : 003770 ( Main/Exploration ); précédent : 003769; suivant : 003771Is boosting the immune system in sepsis appropriate?
Auteurs : Jean-Marc Cavaillon [France] ; Damon Eisen [Australie] ; Djilalli Annane [France]Source :
- Critical Care [ 1364-8535 ] ; 2014.
Abstract
A relative immunosuppression is observed in patients after sepsis, trauma, burns, or any severe insults. It is currently proposed that selected patients will benefit from treatment aimed at boosting their immune systems. However, the host immune response needs to be considered in context with pathogen-type, timing, and mainly tissue specificity. Indeed, the immune status of leukocytes is not universally decreased and their activated status in tissues contributes to organ failure. Accordingly, any new immune-stimulatory therapeutic intervention should take into consideration potentially deleterious effects in some situations.
Url:
DOI: 10.1186/cc13787
PubMed: 24886820
PubMed Central: 4035855
Affiliations:
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first="Jean-Marc" last="Cavaillon">Jean-Marc Cavaillon</name><affiliation wicri:level="3"><nlm:aff id="I1">Unit Cytokines & Inflammation, Institut Pasteur, 28 rue Dr. Roux, 75015 Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Unit Cytokines & Inflammation, Institut Pasteur, 28 rue Dr. Roux, 75015 Paris</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Eisen, Damon" sort="Eisen, Damon" uniqKey="Eisen D" first="Damon" last="Eisen">Damon Eisen</name><affiliation wicri:level="1"><nlm:aff id="I2">Victorian Infectious Diseases Service, Royal Melbourne Hospital, 300 Grattan Street, Parkville 3050 Victoria, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Victorian Infectious Diseases Service, Royal Melbourne Hospital, 300 Grattan Street, Parkville 3050 Victoria</wicri:regionArea><wicri:noRegion>Parkville 3050 Victoria</wicri:noRegion></affiliation><affiliation wicri:level="4"><nlm:aff id="I3">Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Victorian Infectious Diseases Service, Royal Melbourne Hospital, 300 Grattan Street, Parkville 3050 Victoria, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Medicine, Royal Melbourne Hospital, University of Melbourne, Victorian Infectious Diseases Service, Royal Melbourne Hospital, 300 Grattan Street, Parkville 3050 Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Annane, Djilalli" sort="Annane, Djilalli" uniqKey="Annane D" first="Djilalli" last="Annane">Djilalli Annane</name><affiliation wicri:level="1"><nlm:aff id="I4">Intensive Care Unit, Hôpital Raymond Poincaré, 104, boulevard Raymond-Poincaré, 92380 Garches, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Intensive Care Unit, Hôpital Raymond Poincaré, 104, boulevard Raymond-Poincaré, 92380 Garches</wicri:regionArea><wicri:noRegion>92380 Garches</wicri:noRegion><wicri:noRegion>92380 Garches</wicri:noRegion></affiliation></author></analytic><series><title level="j">Critical Care</title><idno type="ISSN">1364-8535</idno><idno type="eISSN">1466-609X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A relative immunosuppression is observed in patients after sepsis, trauma, burns, or any severe insults. It is currently proposed that selected patients will benefit from treatment aimed at boosting their immune systems. However, the host immune response needs to be considered in context with pathogen-type, timing, and mainly tissue specificity. Indeed, the immune status of leukocytes is not universally decreased and their activated status in tissues contributes to organ failure. 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Heffernan</name></author><author><name sortKey="Irwin, Lr" uniqKey="Irwin L">LR Irwin</name></author><author><name sortKey="Monaghan, Sf" uniqKey="Monaghan S">SF Monaghan</name></author><author><name sortKey="Ayala, A" uniqKey="Ayala A">A Ayala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kobayashi, Y" uniqKey="Kobayashi Y">Y Kobayashi</name></author><author><name sortKey="Iwata, A" uniqKey="Iwata A">A Iwata</name></author><author><name sortKey="Suzuki, K" uniqKey="Suzuki K">K Suzuki</name></author><author><name sortKey="Suto, A" uniqKey="Suto A">A Suto</name></author><author><name sortKey="Kawashima, S" uniqKey="Kawashima S">S Kawashima</name></author><author><name sortKey="Saito, Y" uniqKey="Saito Y">Y Saito</name></author><author><name sortKey="Owada, T" uniqKey="Owada T">T Owada</name></author><author><name sortKey="Kobayashi, M" uniqKey="Kobayashi M">M Kobayashi</name></author><author><name sortKey="Watanabe, N" uniqKey="Watanabe N">N Watanabe</name></author><author><name sortKey="Nakajima, H" uniqKey="Nakajima H">H Nakajima</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Victoria (État)</li><li>Île-de-France</li></region><settlement><li>Melbourne</li><li>Paris</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Cavaillon, Jean Marc" sort="Cavaillon, Jean Marc" uniqKey="Cavaillon J" first="Jean-Marc" last="Cavaillon">Jean-Marc Cavaillon</name></region><name sortKey="Annane, Djilalli" sort="Annane, Djilalli" uniqKey="Annane D" first="Djilalli" last="Annane">Djilalli Annane</name></country><country name="Australie"><noRegion><name sortKey="Eisen, Damon" sort="Eisen, Damon" uniqKey="Eisen D" first="Damon" last="Eisen">Damon Eisen</name></noRegion><name sortKey="Eisen, Damon" sort="Eisen, Damon" uniqKey="Eisen D" 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