The endothelium in sepsis: source of and a target for inflammation.

Abstract:

OBJECTIVE:To discuss a possible role of the endothelium in sepsis. DATA SOURCES:Studies published in biomedical journals and our own experimental results. STUDY SELECTION:Studies on endothelial mechanisms in the context of sepsis. DATA EXTRACTION AND SYNTHESIS:Changes in endothelial cells on activation by inflammatory stimuli are reviewed briefly; potential mechanisms that lead to endothelial damage during sepsis are discussed. CONCLUSIONS:The endothelium is a key organ involved in the pathogenesis of sepsis. Dysfunction of or injury to the endothelium may be involved in the pathogenesis of multiple organ failure and should be discriminated from activation resulting from stimulation with inflammatory stimuli. Identification of the molecular mechanisms that contribute to endothelial dysfunction or damage is likely to provide novel targets for the treatment of sepsis.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Hack CE,Zeerleder S

doi

10.1097/00003246-200107001-00011

subject

Has Abstract

pub_date

2001-07-01 00:00:00

pages

S21-7

issue

7 Suppl

eissn

0090-3493

issn

1530-0293

journal_volume

29

pub_type

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