“…7,15 While the escalation in neuraminidase activity observed in sepsis may be attributed to the presence of bacteria in the circulation, 36 neuraminidases released from host cells including platelets, leukocytes, and erythrocytes per se may, in addition, contribute to this effect. 15,34,37 Mounting evidence suggests that increased PS externalization, triggered by a host of bacterial components such as peptidoglycan, lipopeptides, sphingomyelinase, Pseudomonas aeruginosa pyocyanin, and α-hemolysin, shortens erythrocyte lifespan, thus, contributing to sepsis-associated anemia. 17,20,22,29,38 Along these lines, it may be conjectured that enhanced neuraminidase activity in septic patients contributes to aggravated eryptosis and anemia.…”