MINI-REVIEW: Long-Term Outcomes after Sepsis

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Oleg A. Grebenchikov^1,a* and Artem N. Kuzovlev¹

¹Negovsky Scientific Research Institute of General Reanimatology, 107031 Moscow, Russia

^* To whom correspondence should be addressed.

Received December 10, 2020; Revised March 16, 2021; Accepted March 22, 2021

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Sepsis is one of the most serious problems in modern medicine. Long-term outcomes in septic shock patients are very discouraging: 75% individuals who survived sepsis and septic shock demonstrate signs of organ failure and experience persistent functional deficit. Acute sepsis and its management in an intensive care unit (ICU) to a great extent determine the pathogenesis of further complications. We believe that the concept of phenoptosis proposed by Prof. Skulachev deserves a special attention from anesthesiologists and ICU doctors. According to this concept, septic shock is a suicidal mechanism of programmed organism death, which protects human population from dangerously infected individuals. The article suggests a potential approach to the sepsis treatment based on the notion that septic shock can be prevented by identification and blockade of receptors involved in the processing of phenoptotic signal induced by lipopolysaccharide and other substances that initiate septic shock. In view of this, the search for agents that can block molecular mechanisms of the phenoptotic signal transmission seems very promising.

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KEY WORDS: sepsis, septic shock, lipopolysaccharide, lethality, phenoptosis

DOI: 10.1134/S0006297921050059

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