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Skeletal Muscle and Lymphocyte Mitochondrial Dysfunctions in Septic Shock Trigger ICU-Acquired Weakness and Sepsis-Induced Immunoparalysis
Joint Authors
Chamaraux-Tran, T. N.
Maestraggi, Quentin
Lebas, Benjamin
Clere-Jehl, Raphaël
Ludes, Pierre-Olivier
Schneider, Francis
Diemunsch, Pierre
Geny, Bernard
Pottecher, J.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-05-15
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Fundamental events driving the pathological processes of septic shock-induced multiorgan failure (MOF) at the cellular and subcellular levels remain debated.
Emerging data implicate mitochondrial dysfunction as a critical factor in the pathogenesis of sepsis-associated MOF.
If macrocirculatory and microcirculatory dysfunctions undoubtedly participate in organ dysfunction at the early stage of septic shock, an intrinsic bioenergetic failure, sometimes called “cytopathic hypoxia,” perpetuates cellular dysfunction.
Short-term failure of vital organs immediately threatens patient survival but long-term recovery is also severely hindered by persistent dysfunction of organs traditionally described as nonvital, such as skeletal muscle and peripheral blood mononuclear cells (PBMCs).
In this review, we will stress how and why a persistent mitochondrial dysfunction in skeletal muscles and PBMC could impair survival in patients who overcome the first acute phase of their septic episode.
First, muscle wasting protracts weaning from mechanical ventilation, increases the risk of mechanical ventilator-associated pneumonia, and creates a state of ICU-acquired muscle weakness, compelling the patient to bed.
Second, failure of the immune system (“immunoparalysis”) translates into its inability to clear infectious foci and predisposes the patient to recurrent nosocomial infections.
We will finally emphasize how mitochondrial-targeted therapies could represent a realistic strategy to promote long-term recovery after sepsis.
American Psychological Association (APA)
Maestraggi, Quentin& Lebas, Benjamin& Clere-Jehl, Raphaël& Ludes, Pierre-Olivier& Chamaraux-Tran, T. N.& Schneider, Francis…[et al.]. 2017. Skeletal Muscle and Lymphocyte Mitochondrial Dysfunctions in Septic Shock Trigger ICU-Acquired Weakness and Sepsis-Induced Immunoparalysis. BioMed Research International،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1138774
Modern Language Association (MLA)
Maestraggi, Quentin…[et al.]. Skeletal Muscle and Lymphocyte Mitochondrial Dysfunctions in Septic Shock Trigger ICU-Acquired Weakness and Sepsis-Induced Immunoparalysis. BioMed Research International No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1138774
American Medical Association (AMA)
Maestraggi, Quentin& Lebas, Benjamin& Clere-Jehl, Raphaël& Ludes, Pierre-Olivier& Chamaraux-Tran, T. N.& Schneider, Francis…[et al.]. Skeletal Muscle and Lymphocyte Mitochondrial Dysfunctions in Septic Shock Trigger ICU-Acquired Weakness and Sepsis-Induced Immunoparalysis. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1138774
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1138774