Carbon Monoxide in Sepsis
Publication: Antioxidants & Redox Signaling
Volume 9, Issue Number 11
Abstract
Despite modern practices in critical care medicine, sepsis or systemic inflammatory response syndrome remains a leading cause of morbidity and mortality in the intensive care unit. Thus, the need to identify new therapeutic tools for the treatment of sepsis is urgent. In this context, carbon monoxide has become a promising therapeutic molecule that can potentially prevent uncontrolled inflammation in sepsis. In humans, carbon monoxide arises endogenously from the degradation of heme by heme oxygenase enzymes. Both endogenously synthesized and exogenously applied carbon monoxide can exert antiinflammatory and antiapoptotic effects in cells and tissues. Based on these properties, carbon monoxide, when applied at low concentration, conferred protection in a variety of cellular and rodent models of sepsis, and furthermore reduced morbidity and mortality in vivo. Therefore, application of carbon monoxide may have a major impact on the future of sepsis treatment. This review summarizes evidence for salutary effects of carbon monoxide in sepsis of various organs, including lung, heart, kidney, liver, and intestine, and discusses the potential translation of the data into human clinical trials.
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Published In
Antioxidants & Redox Signaling
Volume 9 • Issue Number 11 • November 2007
Pages: 2013 - 2026
PubMed: 17822362
Copyright
Mary Ann Liebert, Inc.
History
Published in print: November 2007
Published online: 20 October 2007
Published ahead of print: 30 August 2007
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