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Molecular Mechanisms and Pathophysiology of Sepsis (2nd Edition)

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pathology, Diagnostics, and Therapeutics".

Deadline for manuscript submissions: 31 October 2026 | Viewed by 1041

Special Issue Editor


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Guest Editor
Department of Internal Medicine, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania
Interests: genetic polymorphisms; inflammation; oxidative stress; sepsis; internal medicine; acute pancreatitis; diabetes mellitus; liver diseases; rheumatic disease
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Special Issue Information

Dear Colleagues,

Considering that antibiosis, eradication of the focus, and intensive care supply are the only treatment regimens for patients suffering from sepsis, it is obvious that new therapies are mandatory. Because the anamneses of sepsis patients are very heterogeneous, characterizing mechanistic details associated with sepsis initiation or progression will help to establish new therapeutic approaches. Therefore, manuscripts elucidating the molecular mechanisms in vitro or in vivo in preclinical models, as well as patient studies providing insights into new therapeutic concepts to prevent or treat sepsis progression, are welcome. Based on this research topic, this Special Issue aims to collate original research manuscripts and review articles in the field of the origin of sepsis and related therapies.

Submissions of review articles and original research papers that cover topics including, but not limited to, the following are welcome:

  1. Cell culture studies characterizing and/or identifying new factors involved in sepsis development;
  2. The role of immune cell subpopulations in sepsis progression;
  3. Animal models providing mechanistic insights into the underlying principles leading to sepsis;
  4. Therapeutic approaches to prevent or cure sepsis and future perspectives;
  5. The definition of new sepsis biomarkers;
  6. The characterization of putative subgroups of sepsis patients with a similar origin of sepsis.

Dr. Vlad Pădureanu
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Molecular Sciences is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. There is an Article Processing Charge (APC) for publication in this open access journal. For details about the APC please see here. Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • animal models
  • therapeutic concepts
  • biomarkers
  • sepsis
  • immune suppression
  • epigenetics

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Published Papers (1 paper)

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Review

18 pages, 1104 KB  
Review
Association Between Myocardial Dysfunction and Septic Shock
by Vlad Pădureanu, Daniel Cosmin Caragea, Denisa Floriana Vasilica Pîrșcoveanu, Dalia Dop, Alexandru Claudiu Munteanu, Dumitru Rădulescu, Dragoș George Popa, Dragoș Forțofoiu, Alice Nicoleta Drăgoescu and Rodica Pădureanu
Int. J. Mol. Sci. 2026, 27(6), 2552; https://doi.org/10.3390/ijms27062552 - 10 Mar 2026
Viewed by 760
Abstract
There is a substantial correlation between cardiac dysfunction and elevated mortality in sepsis. Impaired myocardial perfusion, direct myocardial injury, and mitochondrial dysfunction are all part of the complex pathophysiology of sepsis-induced myocardial dysfunction. Recent evidence has shown the critical role mitochondrial dysfunction plays [...] Read more.
There is a substantial correlation between cardiac dysfunction and elevated mortality in sepsis. Impaired myocardial perfusion, direct myocardial injury, and mitochondrial dysfunction are all part of the complex pathophysiology of sepsis-induced myocardial dysfunction. Recent evidence has shown the critical role mitochondrial dysfunction plays in the development of sepsis-induced myocardial dysfunction. In order to prevent and treat sepsis-induced myocardial dysfunction, a variety of drugs have been proposed. However, patient outcomes have not been appreciably enhanced by this therapy. This underscores the need for novel treatment approaches that target the specific pathways underlying cardiac dysfunction in sepsis. The prognosis is greatly impacted by sepsis-induced cardiac dysfunction, monitoring it is crucial. Clinicians employ a mix of clinical evaluations, hemodynamic monitoring, echocardiography, and bSICiomarkers to efficiently monitor this illness. The combined application of these techniques provides a comprehensive evaluation of cardiac function, thereby supporting timely optimization of treatment strategies. Treatments for septic shock and established sepsis will be beneficial for patients with this condition. However, there is little information and evidence about more targeted therapy, except than general management with vasopressors, inotropes, and fluid resuscitation. This study provides an outline of current knowledge on the pathophysiological mechanisms underlying sepsis-induced cardiac dysfunction, as well as the effects of monitoring and current treatments on sepsis-induced myocardial dysfunction. Full article
(This article belongs to the Special Issue Molecular Mechanisms and Pathophysiology of Sepsis (2nd Edition))
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