The Immune Response: Targets for the Treatment of Severe Sepsis

The clinical process of severe sepsis is characterized by extreme inflammation interlinked with potent stimulation of the coagulation cascade often followed by a state of relative immune paralysis. In this paper, we will review many of the potential therapies directed at various steps along the infl...

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Main Authors: Aline M. Bernard, Gordon R. Bernard
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Inflammation
Online Access:http://dx.doi.org/10.1155/2012/697592
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author Aline M. Bernard
Gordon R. Bernard
author_facet Aline M. Bernard
Gordon R. Bernard
author_sort Aline M. Bernard
collection DOAJ
description The clinical process of severe sepsis is characterized by extreme inflammation interlinked with potent stimulation of the coagulation cascade often followed by a state of relative immune paralysis. In this paper, we will review many of the potential therapies directed at various steps along the inflammatory cascade from modulation of inflammatory mediators eliciting the immune response, alteration of the host's immune response in both a stimulatory and depressive manner, and taming the overexuberant coagulation response triggered by the fierce coagulation-inflammation cycle. Finally, we will discuss further opportunities for research to improve our ability to design effective therapies.
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spelling doaj-art-aa7b43eac2b64b7d8d5d099dc1a8de3a2025-02-03T01:02:18ZengWileyInternational Journal of Inflammation2090-80402042-00992012-01-01201210.1155/2012/697592697592The Immune Response: Targets for the Treatment of Severe SepsisAline M. Bernard0Gordon R. Bernard1Division of Critical Care, Department of Pediatrics, University of Colorado School of Medicine, 13121 E 17th Avenue, MS 8414, Aurora, CO 80045-2535, USADivision of Allergy, Pulmonary and Critical Care Medicine, Department of Medicine, Vanderbilt University School of Medicine, Medical Center North, Vanderbilt University, Room T-1208, Nashville, TN 37232, USAThe clinical process of severe sepsis is characterized by extreme inflammation interlinked with potent stimulation of the coagulation cascade often followed by a state of relative immune paralysis. In this paper, we will review many of the potential therapies directed at various steps along the inflammatory cascade from modulation of inflammatory mediators eliciting the immune response, alteration of the host's immune response in both a stimulatory and depressive manner, and taming the overexuberant coagulation response triggered by the fierce coagulation-inflammation cycle. Finally, we will discuss further opportunities for research to improve our ability to design effective therapies.http://dx.doi.org/10.1155/2012/697592
spellingShingle Aline M. Bernard
Gordon R. Bernard
The Immune Response: Targets for the Treatment of Severe Sepsis
International Journal of Inflammation
title The Immune Response: Targets for the Treatment of Severe Sepsis
title_full The Immune Response: Targets for the Treatment of Severe Sepsis
title_fullStr The Immune Response: Targets for the Treatment of Severe Sepsis
title_full_unstemmed The Immune Response: Targets for the Treatment of Severe Sepsis
title_short The Immune Response: Targets for the Treatment of Severe Sepsis
title_sort immune response targets for the treatment of severe sepsis
url http://dx.doi.org/10.1155/2012/697592
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