|
|
Prepublished online as a Blood First Edition Paper on January 23, 2003; DOI 10.1182/blood-2002-06-1887.
Previous Article | Table of Contents | Next Article 
Blood, 15 May 2003, Vol. 101, No. 10, pp. 3765-3777
REVIEW ARTICLE
The role of the endothelium in severe sepsis and multiple
organ dysfunction syndrome
William C. Aird
From the Department of Medicine, Beth Israel Deaconess
Medical Center and Harvard Medical School, Boston, MA.
Severe sepsis, defined as sepsis with acute organ dysfunction, is
associated with high morbidity and mortality rates. The development of
novel therapies for sepsis is critically dependent on an understanding
of the basic mechanisms of the disease. The pathophysiology of severe
sepsis involves a highly complex, integrated response that includes the
activation of a number of cell types, inflammatory mediators, and the
hemostatic system. Central to this process is an alteration of
endothelial cell function. The goals of this article are to (1) provide
an overview of sepsis and its complications, (2) discuss the role of
the endothelium in orchestrating the host response in sepsis, and (3)
emphasize the potential value of the endothelium as a target for sepsis therapy.

CiteULike Connotea Del.icio.us Digg Reddit Technorati What's this?
This article has been cited by other articles:

|
 |

|
 |
 
X. Ye, J. Ding, X. Zhou, G. Chen, and S. F. Liu
Divergent roles of endothelial NF-{kappa}B in multiple organ injury and bacterial clearance in mouse models of sepsis
J. Exp. Med.,
June 9, 2008;
205(6):
1303 - 1315.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W.S. Bartynski
Posterior Reversible Encephalopathy Syndrome, Part 2: Controversies Surrounding Pathophysiology of Vasogenic Edema
AJNR Am. J. Neuroradiol.,
June 1, 2008;
29(6):
1043 - 1049.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. T. Roberts, H. Ghebeh, M. A. Chishti, F. Al-Mohanna, R. El-Sayed, F. Al-Mohanna, and A. Bouchama
Microvascular Injury, Thrombosis, Inflammation, and Apoptosis in the Pathogenesis of Heatstroke: A Study in Baboon Model
Arterioscler. Thromb. Vasc. Biol.,
June 1, 2008;
28(6):
1130 - 1136.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Mofarrahi, T. Nouh, S. Qureshi, L. Guillot, D. Mayaki, and S. N. A. Hussain
Regulation of angiopoietin expression by bacterial lipopolysaccharide
Am J Physiol Lung Cell Mol Physiol,
May 1, 2008;
294(5):
L955 - L963.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Schouten, W. J. Wiersinga, M. Levi, and T. van der Poll
Inflammation, endothelium, and coagulation in sepsis
J. Leukoc. Biol.,
March 1, 2008;
83(3):
536 - 545.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. P. Wheeler
Recent Developments in the Diagnosis and Management of Severe Sepsis
Chest,
December 1, 2007;
132(6):
1967 - 1976.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Borgel, C. Bornstain, P. H. Reitsma, N. Lerolle, S. Gandrille, F. Dali-Ali, C. T. Esmon, J.-Y. Fagon, M. Aiach, and J.-L. Diehl
A Comparative Study of the Protein C Pathway in Septic and Nonseptic Patients with Organ Failure
Am. J. Respir. Crit. Care Med.,
November 1, 2007;
176(9):
878 - 885.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Liu, F. Lu, G. Qin, S. M. Fernandes, J. Li, and A. E. Davis III
C1 Inhibitor-Mediated Protection from Sepsis
J. Immunol.,
September 15, 2007;
179(6):
3966 - 3972.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Nguyen, A. J. Pace, and B. H. Koller
Mice lacking NKCC1 are protected from development of bacteremia and hypothermic sepsis secondary to bacterial pneumonia
J. Exp. Med.,
June 11, 2007;
204(6):
1383 - 1393.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W.-J. Zhang, H. Wei, T. Hagen, and B. Frei
{alpha}-Lipoic acid attenuates LPS-induced inflammatory responses by activating the phosphoinositide 3-kinase/Akt signaling pathway
PNAS,
March 6, 2007;
104(10):
4077 - 4082.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. Fazal, M. Minhajuddin, K. M. Bijli, J. L. McGrath, and A. Rahman
Evidence for Actin Cytoskeleton-dependent and -independent Pathways for RelA/p65 Nuclear Translocation in Endothelial Cells
J. Biol. Chem.,
February 9, 2007;
282(6):
3940 - 3950.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Inoue, M. Kobayashi, K. Yano, M. Miura, A. Izumi, C. Mataki, T. Doi, T. Hamakubo, P. C. Reid, D. A. Hume, et al.
Histone Deacetylase Inhibitor Reduces Monocyte Adhesion to Endothelium Through the Suppression of Vascular Cell Adhesion Molecule-1 Expression
Arterioscler. Thromb. Vasc. Biol.,
December 1, 2006;
26(12):
2652 - 2659.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
W.S. Bartynski, J.F. Boardman, Z.R. Zeigler, R.K. Shadduck, and J. Lister
Posterior Reversible Encephalopathy Syndrome in Infection, Sepsis, and Shock
AJNR Am. J. Neuroradiol.,
November 1, 2006;
27(10):
2179 - 2190.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
V. Vachharajani and S. Vital
Obesity and sepsis.
J Intensive Care Med,
September 1, 2006;
21(5):
287 - 295.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
K. Yano, P. C. Liaw, J. M. Mullington, S.-C. Shih, H. Okada, N. Bodyak, P. M. Kang, L. Toltl, B. Belikoff, J. Buras, et al.
Vascular endothelial growth factor is an important determinant of sepsis morbidity and mortality
J. Exp. Med.,
June 12, 2006;
203(6):
1447 - 1458.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Camerer, I. Cornelissen, H. Kataoka, D. N. Duong, Y.-W. Zheng, and S. R. Coughlin
Roles of protease-activated receptors in a mouse model of endotoxemia
Blood,
May 15, 2006;
107(10):
3912 - 3921.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
R. E. Rumbaut, R. V. Bellera, J. K. Randhawa, C. N. Shrimpton, S. K. Dasgupta, J.-F. Dong, and A. R. Burns
Endotoxin enhances microvascular thrombosis in mouse cremaster venules via a TLR4-dependent, neutrophil-independent mechanism
Am J Physiol Heart Circ Physiol,
April 1, 2006;
290(4):
H1671 - H1679.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Tuin, A. Huizinga-Van der Vlag, A.-M. M. A. van Loenen-Weemaes, D. K. F. Meijer, and K. Poelstra
On the role and fate of LPS-dephosphorylating activity in the rat liver
Am J Physiol Gastrointest Liver Physiol,
February 1, 2006;
290(2):
G377 - G385.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. P. Rivers, L. McIntyre, D. C. Morro, and K. K. Rivers
Early and innovative interventions for severe sepsis and septic shock: taking advantage of a window of opportunity
Can. Med. Assoc. J.,
October 25, 2005;
173(9):
1054 - 1065.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. Lupu, A. D. Westmuckett, G. Peer, L. Ivanciu, H. Zhu, F. B. Taylor Jr., and F. Lupu
Tissue Factor-Dependent Coagulation Is Preferentially Up-Regulated within Arterial Branching Areas in a Baboon Model of Escherichia coli Sepsis
Am. J. Pathol.,
October 1, 2005;
167(4):
1161 - 1172.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Eto, A. Kouroedov, F. Cosentino, and T. F. Luscher
Glycogen Synthase Kinase-3 Mediates Endothelial Cell Activation by Tumor Necrosis Factor-{alpha}
Circulation,
August 30, 2005;
112(9):
1316 - 1322.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S.-Q. Wu and W. C. Aird
Thrombin, TNF-{alpha}, and LPS exert overlapping but nonidentical effects on gene expression in endothelial cells and vascular smooth muscle cells
Am J Physiol Heart Circ Physiol,
August 1, 2005;
289(2):
H873 - H885.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M. Minhajuddin, F. Fazal, K. M. Bijli, Md. R. Amin, and A. Rahman
Inhibition of Mammalian Target of Rapamycin Potentiates Thrombin-Induced Intercellular Adhesion Molecule-1 Expression by Accelerating and Stabilizing NF-{kappa}B Activation in Endothelial Cells
J. Immunol.,
May 1, 2005;
174(9):
5823 - 5829.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
J. Seybold, D. Thomas, M. Witzenrath, S. Boral, A. C. Hocke, A. Burger, A. Hatzelmann, H. Tenor, C. Schudt, M. Krull, et al.
Tumor necrosis factor-{alpha}-dependent expression of phosphodiesterase 2: role in endothelial hyperpermeability
Blood,
May 1, 2005;
105(9):
3569 - 3576.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
S. Lacroix-Desmazes, J. Bayry, S. V. Kaveri, D. Hayon-Sonsino, N. Thorenoor, J. Charpentier, C.-E. Luyt, J.-P. Mira, V. Nagaraja, M. D. Kazatchkine, et al.
From the Cover: High levels of catalytic antibodies correlate with favorable outcome in sepsis
PNAS,
March 15, 2005;
102(11):
4109 - 4113.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. Liu, D. Zhang, J. Scafidi, X. Wu, C. C. Cramer, and A. E. Davis III
C1 inhibitor prevents Gram-negative bacterial lipopolysaccharide-induced vascular permeability
Blood,
March 15, 2005;
105(6):
2350 - 2355.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Nooteboom, C. J. van der Linden, and T. Hendriks
Whole blood-mediated endothelial permeability and adhesion molecule expression: a model study into the effects of bacteria and antibiotics
J. Antimicrob. Chemother.,
February 1, 2005;
55(2):
150 - 156.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
M-H Gaugler
A unifying system: does the vascular endothelium have a role to play in multi-organ failure following radiation exposure?
Br. J. Radiol.,
January 1, 2005;
Supplement_27(1):
100 - 105.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
F. Bossi, F. Fischetti, V. Pellis, R. Bulla, E. Ferrero, T. E. Mollnes, D. Regoli, and F. Tedesco
Platelet-Activating Factor and Kinin-Dependent Vascular Leakage as a Novel Functional Activity of the Soluble Terminal Complement Complex
J. Immunol.,
December 1, 2004;
173(11):
6921 - 6927.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
K. N. Anwar, F. Fazal, A. B. Malik, and A. Rahman
RhoA/Rho-Associated Kinase Pathway Selectively Regulates Thrombin-Induced Intercellular Adhesion Molecule-1 Expression in Endothelial Cells via Activation of I{kappa}B Kinase {beta} and Phosphorylation of RelA/p65
J. Immunol.,
December 1, 2004;
173(11):
6965 - 6972.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
L. B. Ware, M. D. Eisner, B. T. Thompson, P. E. Parsons, and M. A. Matthay
Significance of Von Willebrand Factor in Septic and Nonseptic Patients with Acute Lung Injury
Am. J. Respir. Crit. Care Med.,
October 1, 2004;
170(7):
766 - 772.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
G. Schabbauer, M. Tencati, B. Pedersen, R. Pawlinski, and N. Mackman
PI3K-Akt Pathway Suppresses Coagulation and Inflammation in Endotoxemic Mice
Arterioscler. Thromb. Vasc. Biol.,
October 1, 2004;
24(10):
1963 - 1969.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
E. Andreakos, S. M. Sacre, C. Smith, A. Lundberg, S. Kiriakidis, T. Stonehouse, C. Monaco, M. Feldmann, and B. M. Foxwell
Distinct pathways of LPS-induced NF-{kappa}B activation and cytokine production in human myeloid and nonmyeloid cells defined by selective utilization of MyD88 and Mal/TIRAP
Blood,
March 15, 2004;
103(6):
2229 - 2237.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
A. Carrillo, Y. Monreal, P. Ramirez, L. Marin, P. Parrilla, F. J. Oliver, and J. Yelamos
Transcription regulation of TNF-{alpha}-early response genes by poly(ADP-ribose) polymerase-1 in murine heart endothelial cells
Nucleic Acids Res.,
February 3, 2004;
32(2):
757 - 766.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
Z. Shariat-Madar and A. H. Schmaier
Review: The plasma kallikrein/kinin and renin angiotensin systems in blood pressure regulation in sepsis
Innate Immunity,
February 1, 2004;
10(1):
3 - 13.
[Abstract]
[PDF]
|
 |
|

|
 |

|
 |
 
T. Minami, A. Sugiyama, S.-Q. Wu, R. Abid, T. Kodama, and W. C. Aird
Thrombin and Phenotypic Modulation of the Endothelium
Arterioscler. Thromb. Vasc. Biol.,
January 1, 2004;
24(1):
41 - 53.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
B. A. Kerlin, S. B. Yan, B. H. Isermann, J. T. Brandt, R. Sood, B. R. Basson, D. E. Joyce, H. Weiler, and J.-F. Dhainaut
Survival advantage associated with heterozygous factor V Leiden mutation in patients with severe sepsis and in mouse endotoxemia
Blood,
November 1, 2003;
102(9):
3085 - 3092.
[Abstract]
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
C. H. Toh and M. Dennis
Disseminated intravascular coagulation: old disease, new hope
BMJ,
October 25, 2003;
327(7421):
974 - 977.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
D. C. Angus and M. A. Crowther
Unraveling Severe Sepsis: Why Did OPTIMIST Fail and What's Next?
JAMA,
July 9, 2003;
290(2):
256 - 258.
[Full Text]
[PDF]
|
 |
|

|
 |

|
 |
 
T. E. Warkentin, W. C. Aird, and J. H. Rand
Platelet-Endothelial Interactions: Sepsis, HIT, and Antiphospholipid Syndrome
Hematology,
January 1, 2003;
2003(1):
497 - 519.
[Abstract]
[Full Text]
[PDF]
|
 |
|
|
|