Use of Intravenous Immunoglobulins in Sepsis Therapy - A Clinical View
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Use of Intravenous Immunoglobulins in Sepsis Therapy - A Clinical View. / Jarczak, Dominik; Kluge, Stefan; Nierhaus, Axel.
In: INT J MOL SCI, Vol. 21, No. 15, 03.08.2020.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Use of Intravenous Immunoglobulins in Sepsis Therapy - A Clinical View
AU - Jarczak, Dominik
AU - Kluge, Stefan
AU - Nierhaus, Axel
PY - 2020/8/3
Y1 - 2020/8/3
N2 - Sepsis is a life-threatening organ dysfunction, defined by a dysregulated host immune response to infection. During sepsis, the finely tuned system of immunity, inflammation and anti-inflammation is disturbed in a variety of ways. Both pro-inflammatory and anti-inflammatory pathways are upregulated, activation of the coagulation cascade and complement and sepsis-induced lymphopenia occur. Due to the manifold interactions in this network, the use of IgM-enriched intravenous immunoglobulins seems to be a promising therapeutic approach. Unfortunately, there is still a lack of evidence-based data to answer the important questions of appropriate patient populations, optimal timing and dosage of intravenous immunoglobulins. With this review, we aim to provide an overview of the role of immunoglobulins, with emphasis on IgM-enriched formulations, in the therapy of adult patients with sepsis and septic shock.
AB - Sepsis is a life-threatening organ dysfunction, defined by a dysregulated host immune response to infection. During sepsis, the finely tuned system of immunity, inflammation and anti-inflammation is disturbed in a variety of ways. Both pro-inflammatory and anti-inflammatory pathways are upregulated, activation of the coagulation cascade and complement and sepsis-induced lymphopenia occur. Due to the manifold interactions in this network, the use of IgM-enriched intravenous immunoglobulins seems to be a promising therapeutic approach. Unfortunately, there is still a lack of evidence-based data to answer the important questions of appropriate patient populations, optimal timing and dosage of intravenous immunoglobulins. With this review, we aim to provide an overview of the role of immunoglobulins, with emphasis on IgM-enriched formulations, in the therapy of adult patients with sepsis and septic shock.
U2 - 10.3390/ijms21155543
DO - 10.3390/ijms21155543
M3 - SCORING: Review article
C2 - 32756325
VL - 21
JO - INT J MOL SCI
JF - INT J MOL SCI
SN - 1661-6596
IS - 15
ER -