The intestinal microenvironment in sepsis.

The intestinal microenvironment in sepsis.
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DOI:
10.1016/j.bbadis.2017.03.005
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发表时间:
2017-10
期刊:
Biochimica et biophysica acta. Molecular basis of disease
影响因子:
--
通讯作者:
Coopersmith CM
Coopersmith CM
中科院分区:
其他
文献类型:
--
作者:
Fay KT;Ford ML;Coopersmith CM

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The gastrointestinal tract has long been hypothesized to function as “the motor” of multiple organ dysfunction syndrome. The gastrointestinal microenvironment is comprised of a single cell layer epithelia, a local immune system, and the microbiome. These three components of the intestine together play a crucial role in maintaining homeostasis during times of health. However, the gastrointestinal microenvironment is perturbed during sepsis, resulting in pathologic changes that drive both local and distant injury. In this review, we seek to characterize the relationship between the epithelium, gastrointestinal lymphocytes, and commensal bacteria during basal and pathologic conditions and how the intestinal microenvironment may be targeted for therapeutic gain in septic patients.
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