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Sepsis-Induced T Cell Immunoparalysis: The Ins and Outs of Impaired T Cell Immunity
Journal article   Peer reviewed

Sepsis-Induced T Cell Immunoparalysis: The Ins and Outs of Impaired T Cell Immunity

Isaac J Jensen, Frances V Sjaastad, Thomas S Griffith and Vladimir P Badovinac
The Journal of immunology (1950), Vol.200(5), pp.1543-1553
03/01/2018
DOI: 10.4049/jimmunol.1701618
PMCID: PMC5826615
PMID: 29463691

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Abstract

Sepsis results in a deluge of pro- and anti-inflammatory cytokines, leading to lymphopenia and chronic immunoparalysis. Sepsis-induced long-lasting immunoparalysis is defined, in part, by impaired CD4 and CD8 αβ T cell responses in the postseptic environment. The dysfunction in T cell immunity affects naive, effector, and memory T cells and is not restricted to classical αβ T cells. Although sepsis-induced severe and transient lymphopenia is a contributory factor to diminished T cell immunity, T cell-intrinsic and -extrinsic factors/mechanisms also contribute to impaired T cell function. In this review, we summarize the current knowledge of how sepsis quantitatively and qualitatively impairs CD4 and CD8 T cell immunity of classical and nonclassical T cell subsets and discuss current therapeutic approaches being developed to boost the recovery of T cell immunity postsepsis induction.
Animals Cytokines - immunology Humans Inflammation - immunology Lymphopenia - immunology Sepsis - immunology T-Lymphocytes - immunology

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