Document Detail


The leptin system: a potential target for sepsis induced immune suppression.
MedLine Citation:
PMID:  20923403     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Sepsis, which is defined as a systemic inflammatory response syndrome that occurs during infection, is associated with several clinical conditions and high mortality rates. As sepsis progresses immune paralysis can become severe, leaving an already vulnerable patient ill equipped to eradicate primary or secondary infections. At present the predominant treatments for sepsis have not demonstrated convincing efficacy of decreased mortality. During sepsis, it has been observed that leptin levels initially increase but subsequently decline. A body of evidence has demonstrated that central or systemic leptin can beneficially regulate immune function. In this report expression of leptin and its receptor, signaling, and function on leukocytes will be reviewed. Furthermore, the effects mediated by central and systemic leptin during sepsis will be reviewed. Altogether, the ability of leptin to beneficially enhance inflammation and the host response during sepsis supports its use as a therapeutic agent, particularly during the latter phases of the syndrome.
Authors:
Johannes Tschöp; Jonathan R Dattilo; Priya S Prakash; Kevin R Kasten; Matthias H Tschöp; Charles C Caldwell
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Endocrine, metabolic & immune disorders drug targets     Volume:  10     ISSN:  2212-3873     ISO Abbreviation:  Endocr Metab Immune Disord Drug Targets     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-01-10     Completed Date:  2011-04-18     Revised Date:  2012-04-19    
Medline Journal Info:
Nlm Unique ID:  101269157     Medline TA:  Endocr Metab Immune Disord Drug Targets     Country:  United Arab Emirates    
Other Details:
Languages:  eng     Pagination:  336-47     Citation Subset:  IM    
Affiliation:
Department of Surgery, University of Cincinnati College of Medicine, OH 45267, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Cytokines / metabolism
Immune Tolerance*
Immunologic Factors / therapeutic use
Inflammation Mediators / metabolism
Leptin / metabolism*,  therapeutic use
Leukocytes / immunology
Receptors, Leptin / metabolism
Sepsis / drug therapy,  immunology*
Signal Transduction
Chemical
Reg. No./Substance:
0/Cytokines; 0/Immunologic Factors; 0/Inflammation Mediators; 0/Leptin; 0/Receptors, Leptin

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