The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment

Lei Zhu,1,2 He Dong,1,2 Lin Li,1,2 Xiaojie Liu1,2 1Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People’s Republic of China; 2Department of Anesthesiology, Shandong Provincial Key Medical and Heath Laboratory of Anesthesia and Brain Function...

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Main Authors: Zhu L, Dong H, Li L, Liu X
Format: Article
Language:English
Published: Dove Medical Press 2025-02-01
Series:Journal of Inflammation Research
Subjects:
Online Access:https://www.dovepress.com/the-mechanisms-of-sepsis-induced-coagulation-dysfunction-and-its-treat-peer-reviewed-fulltext-article-JIR
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author Zhu L
Dong H
Li L
Liu X
author_facet Zhu L
Dong H
Li L
Liu X
author_sort Zhu L
collection DOAJ
description Lei Zhu,1,2 He Dong,1,2 Lin Li,1,2 Xiaojie Liu1,2 1Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People’s Republic of China; 2Department of Anesthesiology, Shandong Provincial Key Medical and Heath Laboratory of Anesthesia and Brain Function, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People’s Republic of ChinaCorrespondence: Xiaojie Liu, Email mmliuxiaojie@qdu.edu.cnAbstract: Sepsis is a critical condition characterized by organ dysfunction due to a dysregulated response to infection that poses significant global health challenges. Coagulation dysfunction is nearly ubiquitous among sepsis patients. Its mechanisms involve platelet activation, coagulation cascade activation, inflammatory reaction imbalances, immune dysregulation, mitochondrial damage, neuroendocrine network disruptions, and endoplasmic reticulum (ER) stress. These factors not only interact but also exacerbate one another, leading to severe organ dysfunction. This review illustrates the mechanisms of sepsis-induced coagulopathy, with a focus on tissue factor activation, endothelial glycocalyx damage, and the release of neutrophil extracellular traps (NETs), all of which are potential targets for therapeutic interventions.Keywords: sepsis, coagulation dysfunction, thrombosis
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series Journal of Inflammation Research
spelling doaj-art-a886caeb2fd449fabce62a55547857ee2025-02-04T17:15:41ZengDove Medical PressJournal of Inflammation Research1178-70312025-02-01Volume 181479149599821The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its TreatmentZhu LDong HLi LLiu XLei Zhu,1,2 He Dong,1,2 Lin Li,1,2 Xiaojie Liu1,2 1Department of Anesthesiology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People’s Republic of China; 2Department of Anesthesiology, Shandong Provincial Key Medical and Heath Laboratory of Anesthesia and Brain Function, Affiliated Hospital of Qingdao University, Qingdao, Shandong Province, People’s Republic of ChinaCorrespondence: Xiaojie Liu, Email mmliuxiaojie@qdu.edu.cnAbstract: Sepsis is a critical condition characterized by organ dysfunction due to a dysregulated response to infection that poses significant global health challenges. Coagulation dysfunction is nearly ubiquitous among sepsis patients. Its mechanisms involve platelet activation, coagulation cascade activation, inflammatory reaction imbalances, immune dysregulation, mitochondrial damage, neuroendocrine network disruptions, and endoplasmic reticulum (ER) stress. These factors not only interact but also exacerbate one another, leading to severe organ dysfunction. This review illustrates the mechanisms of sepsis-induced coagulopathy, with a focus on tissue factor activation, endothelial glycocalyx damage, and the release of neutrophil extracellular traps (NETs), all of which are potential targets for therapeutic interventions.Keywords: sepsis, coagulation dysfunction, thrombosishttps://www.dovepress.com/the-mechanisms-of-sepsis-induced-coagulation-dysfunction-and-its-treat-peer-reviewed-fulltext-article-JIRsepsiscoagulation dysfunctionthrombosis
spellingShingle Zhu L
Dong H
Li L
Liu X
The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
Journal of Inflammation Research
sepsis
coagulation dysfunction
thrombosis
title The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
title_full The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
title_fullStr The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
title_full_unstemmed The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
title_short The Mechanisms of Sepsis Induced Coagulation Dysfunction and Its Treatment
title_sort mechanisms of sepsis induced coagulation dysfunction and its treatment
topic sepsis
coagulation dysfunction
thrombosis
url https://www.dovepress.com/the-mechanisms-of-sepsis-induced-coagulation-dysfunction-and-its-treat-peer-reviewed-fulltext-article-JIR
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