Cellular Reprogramming during Sepsis and Potential Therapeutic Targets
A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cellular Pathology".
Deadline for manuscript submissions: closed (31 May 2024) | Viewed by 6001
Special Issue Editor
Interests: Immunity; Immunobiology; Infectious diseases; sepsis; genomics; personalized medicine
Special Issue Information
Dear Colleagues,
Sepsis is a life-threatening syndrome of organ dysfunction that is caused by an abnormal host response to infection. Despite advancement in critical care medicine and empirical antimicrobial therapy, it is expected that sepsis will remain a healthcare problem (recognized by the World Health Assembly and WHO as a global health priority in 2017). To date, no specific treatment for sepsis has been approved. For years, the pathogenesis of sepsis was focused on an abnormal inflammatory response to infection; albeit numerous clinical trials targeting features of inflammation have been ineffective. Those unsuccessful trials were ascribed, at least in part, to the inadequate selection of therapeutic targets. It has become evident that the initial “hyperinflammation” model does not capture the complexity of sepsis pathogenesis. Current knowledge on the host response during sepsis centres on concurrent features of inflammation, including the activation of the complement system, coagulation system and neutrophil reactions, concomitant with immune-suppression, which is mainly caused by the functional reprogramming of antigen-presenting cells, and either apoptosis or exhaustion of lymphocytes. While it may be argued that those changes may reflect a fundamental reorganization of cellular metabolism and epigenetic state, it remains difficult to create an overarching framework of the key “drivers” in sepsis pathobiology versus secondary changes that are less decisive to patient outcome. Improving our understanding of cellular reprogramming during sepsis is critical for the development of precise therapeutics and patient management. Therefore, this Special Issue is dedicated to improvements in our understanding of how cells are functionally reprogrammed during sepsis, and the potential therapeutic implications.
Dr. Brendon Scicluna
Guest Editor
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