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T-cell mediated immunity and the role of TRAIL in sepsis-induced immunosuppression
Journal article   Open access   Peer reviewed

T-cell mediated immunity and the role of TRAIL in sepsis-induced immunosuppression

Stephanie A Condotta, Javier Cabrera-Perez, Vladimir P Badovinac and Thomas S Griffith
Critical reviews in immunology, Vol.33(1), pp.23-40
2013
DOI: 10.1615/CritRevImmunol.2013006721
PMCID: PMC3625932
PMID: 23510024
url
https://www.ncbi.nlm.nih.gov/pmc/articles/3625932View
Open Access

Abstract

Sepsis is the leading cause of death in most intensive care units, and the death of septic patients usually does not result from the initial septic event but rather from subsequent nosocomial infections. Patients who survive severe sepsis often display severely compromised immune function. Not only is there significant apoptosis of lymphoid and myeloid cells that depletes critical components of the immune system during sepsis, there is also decreased function of the remaining immune cells. Studies in animals and humans suggest the immune defects that occur during sepsis may be critical to the pathogenesis and subsequent mortality. This review is focused on sepsis-induced alterations with the CD8 T-cell compartment that can affect the control of secondary heterologous infections. Understanding how a septic event directly influences CD8 T-cell populations through apoptotic death and homeostatic proliferation and indirectly by immune-mediated suppression will provide valuable starting points for developing new treatment options.
Sepsis apoptosis TRAIL CD8 T-cells tolerance homeostatic proliferation

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