Critical Care

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Commentary

Lymphocytes, apoptosis and sepsis: making the jump from mice to humans

John D Lang1,2 and Gustavo Matute-Bello3*

Author Affiliations

1 The VA Puget Sound HealthCare System, Seattle, WA 98108, USA

2 Department of Anesthesiology, University of Washington, Seattle, WA 98195, USA

3 Division of Pulmonary and Critical Care Medicine, Center for Lung Biology, Department of Medicine, University of Washington, Seattle, WA 98109, USA

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Critical Care 2009, 13:109 doi:10.1186/cc7144

Published: 12 January 2009

Abstract

Sepsis is an important clinical problem with a mortality rate of 20% to 30%. Lymphocyte apoptosis has been recognized as an important step in the pathogenesis of experimental sepsis, by inducing a state of 'immune paralysis' that renders the host vulnerable to invading pathogens. The importance of lymphocyte apoptosis in human disease is now confirmed by Weber and colleagues, who demonstrate extensive apoptosis in circulating lymphocytes from patients with severe sepsis. Weber and colleagues' data set the basis for further studies aimed at modulating lymphocyte apoptosis in sepsis.