Vascular leak in sepsis: physiological basis and potential therapeutic advances

Sepsis is a life-threatening condition characterised by endothelial barrier dysfunction and impairment of normal microcirculatory function, resulting in a state of hypoperfusion and tissue oedema. No specific pharmacological therapies are currently used to attenuate microvascular injury. Given the p...

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Bibliographic Details
Published in:Critical care (London, England) England), 2024-03, Vol.28 (1), p.97-97, Article 97
Main Authors: McMullan, Ross R, McAuley, Daniel F, O'Kane, Cecilia M, Silversides, Jonathan A
Format: Article
Language:English
Subjects:
Cytokines
Endothelium
Glycoproteins
Homeostasis
Hypoxia
Kinases
Leukocytes
Neutrophils
Permeability
Proteins
Review
Sepsis
Shear stress
Vascular endothelial growth factor
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Summary:Sepsis is a life-threatening condition characterised by endothelial barrier dysfunction and impairment of normal microcirculatory function, resulting in a state of hypoperfusion and tissue oedema. No specific pharmacological therapies are currently used to attenuate microvascular injury. Given the prominent role of endothelial breakdown and microcirculatory dysfunction in sepsis, there is a need for effective strategies to protect the endothelium. In this review we will discuss key mechanisms and putative therapeutic agents relevant to endothelial barrier function.
ISSN:1364-8535
1466-609X
1364-8535
1366-609X
DOI:10.1186/s13054-024-04875-6