Bench-to-bedside review: Natural killer cells in sepsis - guilty or not guilty?

Abstract:

:Bacterial sepsis and septic shock are complex inflammatory disorders associated with a systemic inflammatory response syndrome. In the most severe cases of infection, an overzealous release of pro-inflammatory cytokines and inflammatory mediators by activated leukocytes, epithelial cells and endothelial cells, known as a 'cytokine storm', leads to deleterious effects such as organ dysfunction and even death. By the end of the 20th century, natural killer (NK) cells were for the first time identified as important players during sepsis. The role of this cell type was, however, double-edged, either 'angel' or 'devil' depending upon the bacterial infection model under study. Bacterial sensors (such as Toll-like receptors) have recently been shown to be expressed at the protein level in these cells. In addition, NK cells are important sources of interferon-γ and granulocyte-macrophage colony-stimulating factor, which are pro-inflammatory cytokines necessary to fight infection but can contribute to deleterious inflammation as well. Interestingly, an adaptative response occurs aimed to silence them, similar to the well-known phenomenon of endotoxin reprogramming.

journal_name

Crit Care

authors

Souza-Fonseca-Guimaraes F,Cavaillon JM,Adib-Conquy M

doi

10.1186/cc12700

subject

Has Abstract

pub_date

2013-08-27 00:00:00

pages

235

issue

4

eissn

1364-8535

issn

1466-609X

pii

cc12700

journal_volume

17

pub_type

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