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The role of complement, C5a and its receptors in sepsis and multiorgan dysfunction syndrome

Michael A. Flierl, H. Schreiber, Markus Huber‐Lang2006Journal of Investigative SurgeryReview
CardiovascularGastrointestinalImmune/InnateNeurologicalRenalRespiratory/Sinus

Abstract

Sepsis continues to be a major clinical problem that is difficult to treat, as the pathophysiology of the disease is still unclear. Despite promising experimental strategies, therapeutic interventions have been largely unsuccessful. There is now increasing evidence that the disturbance of innate immunity during sepsis and multiorgan dysfunction syndrome (MODS) may be linked to uncontrolled activation of the complement system. Especially, the powerful anaphylatoxin C5a seems to play a key role in the development of immune paralysis. In this review, we describe our present understanding of the role of complement in the inflammatory response during sepsis and MODS.

Part of CIRS Nexus · Curated by Lauren Lowenstein, The Biotoxin Lady

Key Biomarkers

AnaphylatoxinsC5aComplement activation

Symptom Clusters

Immune paralysisMultiorgan dysfunctionSepsisUncontrolled inflammatory response