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脓毒症综合征期间理解免疫细胞功能的当前挑战。

Current challenges in understanding immune cell functions during septic syndromes.

作者信息

Franks Zechariah, Carlisle McKenzie, Rondina Matthew T

机构信息

Program in Molecular Medicine, Salt Lake City, 84112, , Utah, USA.

Division of General Internal Medicine, University of Utah School of Medicine, Salt Lake City, 84112, , Utah, USA.

出版信息

BMC Immunol. 2015 Mar 26;16:11. doi: 10.1186/s12865-015-0073-4.

Abstract

BACKGROUND

Sepsis is a dynamic infectious disease syndrome characterized by dysregulated inflammatory responses.

RESULTS

Despite decades of research, improvements in the treatment of sepsis have been modest. These limited advances are likely due, in part, to multiple factors, including substantial heterogeneity in septic syndromes, significant knowledge gaps in our understanding of how immune cells function in sepsis, and limitations in animal models that accurately recapitulate the human septic milieu. The goal of this brief review is to describe current challenges in understanding immune cell functions during sepsis. We also provide a framework to guide scientists and clinicians in research and patient care as they strive to better understand dysregulated cell responses during sepsis.

CONCLUSIONS

Additional, well-designed translational studies in sepsis are critical for enhancing our understanding of the role of immune cells in sepsis.

摘要

背景

脓毒症是一种以炎症反应失调为特征的动态感染性疾病综合征。

结果

尽管经过数十年的研究,但脓毒症治疗方面的进展仍较为有限。这些有限的进展可能部分归因于多种因素,包括脓毒症综合征的显著异质性、我们对免疫细胞在脓毒症中功能的理解存在重大知识空白,以及准确模拟人类脓毒症环境的动物模型存在局限性。本简要综述的目的是描述目前在理解脓毒症期间免疫细胞功能方面面临的挑战。我们还提供了一个框架,以指导科学家和临床医生在研究和患者护理中努力更好地理解脓毒症期间失调的细胞反应。

结论

在脓毒症方面进行更多精心设计的转化研究对于增强我们对免疫细胞在脓毒症中作用的理解至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51a9/4374283/2681e5666c94/12865_2015_73_Fig1_HTML.jpg

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