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Published on: June 15, 2019
Gut microbiota as a therapeutic target in sepsis-induced multi-organ dysfunction: a review
Xinlan Zhao1, Tiangang Ma2, Jinyan Yu1
1Department of Respiratory and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, Jilin, China.
Abstract:
Sepsis and the resulting multiple organ dysfunction carry a high mortality rate, and effective treatment remains lacking owing to the condition's heterogeneity. The translocation of gut microbiota plays an essential role in the occurrence and development of sepsis and organ dysfunction. Uncontrolled inflammatory responses in sepsis, together with antibiotic use during treatment, lead to gut microbiota translocation. This in turn promotes sepsis progression and organ dysfunction by altering microbial metabolite production and causing immune dysregulation. Drawing on literature from databases such as PubMed and Web of Science, this review summarizes the interactions between intestinal microbiota translocation, sepsis, and organ dysfunction, aiming to identify new targets for the prevention and treatment of sepsis.
Insights
Gut microbiota translocation is key in sepsis and organ dysfunction. Understanding these interactions may reveal new therapeutic targets for sepsis treatment.
Area of Science:
- Microbiology
- Immunology
- Critical Care Medicine
Background:
- Sepsis and multiple organ dysfunction have high mortality rates.
- Gut microbiota translocation is a critical factor in sepsis development and progression.
- Inflammatory responses and antibiotic use in sepsis exacerbate gut microbiota issues.
Purpose of the Study:
- To review the complex interactions between gut microbiota translocation, sepsis, and organ dysfunction.
- To identify potential therapeutic targets for sepsis prevention and treatment.
Main Methods:
- Literature review of studies from PubMed and Web of Science.
- Synthesis of current research on gut microbiota and sepsis.
Main Results:
- Gut microbiota translocation significantly contributes to sepsis progression.
- Altered microbial metabolites and immune dysregulation are consequences of translocation.
- This translocation exacerbates organ dysfunction in sepsis patients.
Conclusions:
- Targeting gut microbiota translocation offers a promising avenue for sepsis treatment.
- Further research into these interactions could lead to novel therapeutic strategies.
- Addressing gut dysbiosis is crucial for improving sepsis outcomes.
Related Concept Videos
Dysbiosis of the Gut Microbiota
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