2006
DOI: 10.1186/cc5090
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Abstract: Introduction Apoptosis of neutrophils (polymorphonuclear neutrophils [PMNs]) may limit inflammatory injury in sepsis and acute respiratory distress syndrome (ARDS), but the relationship between the severity of sepsis and extent of PMN apoptosis and the effect of superimposed ARDS is unknown. The objective of this study was to correlate neutrophil apoptosis with the severity of sepsis and sepsis-induced ARDS.

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Cited by 117 publications
(61 citation statements)
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“…Moreover, blockade of PMN migration into the lung diminishes tissue damage and favors survival of mice infected with this organism (28). As PMN apoptosis is essential to limit tissue injury, particularly in the lung (61), and we demonstrate here that F. tularensis profoundly inhibits this process, our findings support a model in which neutrophils play a prominent role in dysregulation of the inflammatory response during tularemia. The effects of delayed PMN apoptosis can be exacerbated by defects in corpse removal by macrophages, which increases the probability that dying neutrophils will progress to secondary necrosis with spilling of toxic cell contents and alarmins that amplify inflammation and tissue damage (68, 60, 62).…”
Section: Discussionsupporting
confidence: 83%
See 1 more Smart Citation
“…Moreover, blockade of PMN migration into the lung diminishes tissue damage and favors survival of mice infected with this organism (28). As PMN apoptosis is essential to limit tissue injury, particularly in the lung (61), and we demonstrate here that F. tularensis profoundly inhibits this process, our findings support a model in which neutrophils play a prominent role in dysregulation of the inflammatory response during tularemia. The effects of delayed PMN apoptosis can be exacerbated by defects in corpse removal by macrophages, which increases the probability that dying neutrophils will progress to secondary necrosis with spilling of toxic cell contents and alarmins that amplify inflammation and tissue damage (68, 60, 62).…”
Section: Discussionsupporting
confidence: 83%
“…During tularemia, efferocytosis is directly undermined by intramacrophage bacteria (63), and may be compromised further by local macrophage depletion (64). Moreover, end-stage tularemia is characterized by overwhelming sepsis (63, 65, 66), which is itself associated with decreased neutrophil apoptosis (61). Koedel et al .…”
Section: Discussionmentioning
confidence: 99%
“…The anti-apoptotic effect of ARDS plasma on PMNs appears to be mediated through the GM-CSF receptor [67]. While the mean percentage of neutrophil apoptosis appears to be lower in sepsis-induced ARDS when compared with uncomplicated sepsis [68], in infants receiving extracorporeal membrane oxygenation for severe respiratory failure, survivors had proapoptotic BALF to neutrophils compared with nonsurvivors [69]. These differences, however, may well be a reflection of differences in the pro/anti-apoptotic milieu of the blood versus the alveolus.…”
Section: Pmn Apoptosis and Clearancementioning
confidence: 99%
“…In animal models, failure in this apoptosis, due to deficiency in either TNF-related apoptosis-inducing ligand (TRAIL) or caspase-1, has been shown to lead to an enhanced inflammatory response (5, 6), and strategies to pharmacologically induce apoptosis promote enhanced resolution of ALI responses (7). Neutrophils from patients with ARDS have been shown to exhibit lowered levels of apoptosis than normal (8), while neutrophil numbers were lower in patients who survived ARDS versus those who did not (9). However, the processes that regulate the numbers of neutrophils or induce their apoptotic clearance remain largely unknown.…”
Section: Introductionmentioning
confidence: 99%