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Pathophysiology of Immunodepression in ICU Patients

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References

  1. Natanson C, Hoffman WD, Suffredini AF et al. Selected treatment strategies for septic shock based on proposed mechanisms of pathogenesis. Ann Intern Med 1994; 120:771–783

    PubMed  CAS  Google Scholar 

  2. Zeni F, Freeman B, Natanson C. Anti-inflammatory therapies to treat sepsis and septic shock: a reassessment. Crit Care Med 1997; 25:1095–1100

    PubMed  CAS  Google Scholar 

  3. Döcke WD, Randow F, Syrbe U, Krausch D, Asadullah K, Reinke P, Volk HD, Kox W. Monocyte deactivation in septic patients: restoration by IFN-γ treatment Nature. Med 1997; 3:678–681

    PubMed  Google Scholar 

  4. Echtenacher B, Falk W, Mannel DN et al. Requirement of endogenous tumor necrosis factor/cachectin for recovery from experimental peritonitis. J Immunol 1990; 145:3762–3766

    PubMed  CAS  Google Scholar 

  5. Pfeffer K. Mice deficient for the p55 kD tumor necrosis factor receptor are resistant to endotoxic shock, yet succumb to L. monocytogenes infection. Cell 1993; 73:457–467

    Article  PubMed  CAS  Google Scholar 

  6. Jack RS, Fan X, Bernheiden M et al. Lipopolysaccaride binding protein is required to combat a murine gram-negative bacterial infection. Nature 1997; 389:742–745

    Article  PubMed  CAS  Google Scholar 

  7. Berg DJ, Kuhn R, Rajewsky K et al. IL-10 is a central regulator of the response to LPS in murine models of endotoxic shock and the Schwartzman reaction but not endotoxin tolerance. J Clin Invest 1995; 96:2339–2347

    PubMed  CAS  Google Scholar 

  8. Christ M, McCartney-Francis NL, Kulkarni AB et al. Immune dysregulation in TGF-beta 1 deficient mice. J Immunol 1994; 153:1936–1946

    PubMed  CAS  Google Scholar 

  9. Rosenbloom AJ, Pinsky MR, Napolitano C et al. Suppression of cytokine-mediated beta2-integrin activation on circulating neutrophils in critically ill patients. J Leukoc Biol 1999; 66:83–89

    PubMed  CAS  Google Scholar 

  10. Faist E, Kim C. Therapeutic immunomodulatory approaches for the control of systemic inflammatory response syndrome and the prevention of sepsis. New Horiz 1998; 6:97–102

    Google Scholar 

  11. Döcke WD, Reinke P, Syrbe U et al. Immunoparalysis in sepsis — from phenomenon to treatment strategies. Transplantationsmedizin 1997; 9:55–65

    Google Scholar 

  12. Randow F, Syrbe U, Meisel C et al. Mechanism of endotoxin desensitization — involvement of IL-10 and TGFB. J Exp Med 1995; 5:1887–1892

    Google Scholar 

  13. Volk HD, Reinke P, Falck P Staffa G, Briedigkeit H, von Baehr R. Diagnostic value of an immune monitoring program for the clinical management of immunosuppressed patients with septic complications. Clin Transplant 1989; 3:246–252

    Google Scholar 

  14. Zedler S, Bone RC, Baue AE et al. T-cell reactivity and its predictive role in immunosuppression after burns. Crit Care Med 1999; 27:66–72

    PubMed  CAS  Google Scholar 

  15. Hershman MJ, Cheadle WG, Wellhausen SR et al. Monocyte HLA-DR antigen expression characterizes clinical outcome in the trauma patient. Br J Surg 1990; 77:204–207

    PubMed  CAS  Google Scholar 

  16. Livingston DH, Appel SH, Wellhausen SR et al. Depressed interferon gamma production and monocyte HLA-DR expression after severe injury. Arch Surg 1988; 123:1309–1312

    PubMed  CAS  Google Scholar 

  17. Woiciechowsky C, Asadullah K, Nestler D, Eberhardt B, Platzer C, Schöning B, Glöckner F, Lanksch WR, Volk HD, Döcke WD. Sympathetic activation triggers systemic IL-10 release in immunodepression induced by brain injury. Nature Med 1998; 4:808–813

    PubMed  CAS  Google Scholar 

  18. Meisel C, Vogt K, Platzer C et al. Differential regulation of monocytic tumor necrosis factor-alpha and interleukin-10 expression. Eur J Immunol 1996; 26:1580–1586

    PubMed  CAS  Google Scholar 

  19. Bone RC. Sir Isaac Newton, sepsis, SIRS, and CARS. Crit Care Med 1996; 24:1125–1128

    PubMed  CAS  Google Scholar 

  20. Voll RE, Herrmann M, Roth EA et al. Immunosuppressive effects of apoptotic cells. Nature 1997; 390:350–351

    Article  PubMed  CAS  Google Scholar 

  21. Asadullah K, Stephanek K, Leupold M et al. IL-10 is a key cytokine in psoriasis. Proof of principle by IL-10 therapy: a new therapeutic approach. J Clin Invest 1998; 101:1–12

    Article  Google Scholar 

  22. Wolk K, Döcke WD, von Baehr V, Volk HD, Sabat R. Impaired antigen presentation by human monocytes during endotoxin tolerance. Blood 2000; 96:218–223.

    PubMed  CAS  Google Scholar 

  23. Eskdale J, Gallagher G, Verweij CL et al. Interleukin 10 secretion in relation to human IL-10 locus haplotypes. Proc Natl Acad Sci USA 1998; 95:9465–9470

    Article  PubMed  CAS  Google Scholar 

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Volk, HD., Höflich, C., Grütz, G., Döcke, WD., Reinke, P. (2002). Pathophysiology of Immunodepression in ICU Patients. In: Vincent, JL., Carlet, J., Opal, S.M. (eds) The Sepsis Text. Springer, Boston, MA. https://doi.org/10.1007/0-306-47664-9_11

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  • DOI: https://doi.org/10.1007/0-306-47664-9_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-7923-7620-0

  • Online ISBN: 978-0-306-47664-8

  • eBook Packages: Springer Book Archive

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