Induced immunosuppression in critical care: diagnostic opportunities in clinical practice

The immune system in critical illnesses initiates local inflammation in the damaged area. In the absence of a balance between local and systemic inflammations, an infectious or non-infectious systemic inflammatory response follows, which has a stage of "hyper inflammation - compensatory anti-in...

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Bibliographic Details
Main Authors: E. V. Grigoryev, V. G. Matveeva, D. L. Shukevich, A. S. Radivilko, E. A. Velikanova, M. Yu. Khanova
Format: Article
Language:English
Published: Siberian State Medical University (Tomsk) 2019-05-01
Series:Бюллетень сибирской медицины
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Online Access:https://bulletin.ssmu.ru/jour/article/view/2167
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Summary:The immune system in critical illnesses initiates local inflammation in the damaged area. In the absence of a balance between local and systemic inflammations, an infectious or non-infectious systemic inflammatory response follows, which has a stage of "hyper inflammation - compensatory anti-inflammatory response", that may result in multi-organ failure. The final stage of critical ill-nesses, therefore, will be characterized by induced immunosuppression with the impaired function of neutrophils, monocytes, macrophages and dendritic cells and release of myeloid-derived suppres-sor cells. The aim of the review is to evaluate the contribution of various components of the im-mune response to the formation of induced immune suppression from the perspective of candidate diagnostic markers.
ISSN:1682-0363
1819-3684