PMID- 20034705 OWN - NLM STAT- MEDLINE DCOM- 20110322 LR - 20181201 IS - 0210-5691 (Print) IS - 0210-5691 (Linking) VI - 34 IP - 8 DP - 2010 Nov TI - [Dendritic cells in sepsis: an approach to post-infectious immunosuppression]. PG - 559-66 LID - 10.1016/j.medin.2009.11.005 [doi] AB - Dendritic cells (DCs) play a decisive role in the immune system, especially in the initial events that determine coordination between the innate and adaptive response. Moreover, they are antigen-presenting cells which, through contact with T cells, determine the type of immune responses towards inflammatory or anti-inflammatory. Currently, the hypothesis that attributes importance to the development of a post-infectious immunosuppression in the prognosis of the septic patient is growing stronger. It has been possible to verify the role played by these cells in this type of immunosuppression by the significant decrease in the number of DCs and by the dysfunctions in the functional capacity that include, on the one hand, the abnormal cytokine production and, on the other hand, the alterations in communication between the DCs and T cells that constitute an essential immunological fact. Further research into the knowledge regarding the DCs, in the context of severe infection, may help to consolidate some encouraging data that indicate these cells as: 1) an effective tool for monitoring the acute infection, 2) a discriminatory variable that may help determine the risk of nosocomial infection and 3) in a longer term, a treatment target that would restore the immunological abnormalities that occur in sepsis. CI - Copyright (c) 2009. Published by Elsevier Espana. FAU - Sirgo, G AU - Sirgo G AD - UMI, Hospital Verge de la Cinta, Tortosa, Tarragona, Espana. gsirgoluanco@yahoo.es FAU - Claramonte, R AU - Claramonte R FAU - Chanovas, M AU - Chanovas M FAU - Esteban, F AU - Esteban F FAU - Forcadell, I AU - Forcadell I FAU - Luna, J AU - Luna J FAU - Masdeu, G AU - Masdeu G FAU - Ramon Vazquez, J AU - Ramon Vazquez J FAU - Artigas, A AU - Artigas A LA - spa PT - Journal Article PT - Review TT - Celulas dendriticas en la sepsis: una aproximacion a la inmunosupresion postinfecciosa. DEP - 20100114 PL - Spain TA - Med Intensiva JT - Medicina intensiva JID - 9207689 RN - 0 (Cytokines) SB - IM MH - Antigen Presentation MH - Apoptosis MH - Cell Communication MH - Cell Count MH - Cell Differentiation MH - Cross Infection/immunology MH - Cytokines/metabolism MH - Dendritic Cells/*immunology MH - Flow Cytometry MH - Humans MH - Immune Tolerance/*immunology MH - Inflammation/immunology MH - Lymphocyte Activation MH - Sepsis/*immunology/pathology MH - T-Lymphocyte Subsets/immunology EDAT- 2009/12/26 06:00 MHDA- 2011/03/23 06:00 CRDT- 2009/12/26 06:00 PHST- 2009/08/25 00:00 [received] PHST- 2009/10/16 00:00 [revised] PHST- 2009/11/08 00:00 [accepted] PHST- 2009/12/26 06:00 [entrez] PHST- 2009/12/26 06:00 [pubmed] PHST- 2011/03/23 06:00 [medline] AID - S0210-5691(09)00140-5 [pii] AID - 10.1016/j.medin.2009.11.005 [doi] PST - ppublish SO - Med Intensiva. 2010 Nov;34(8):559-66. doi: 10.1016/j.medin.2009.11.005. Epub 2010 Jan 14.