In the sepsis syndrome, a "cytokine storm" unleashes numerousinflammatory mediators that contribute to multiple-organ dysfunctionand, frequently, to death. During the past decade, researchon how the innate immune system activates these mediators hasled to remarkable discoveries, many of which are likely to affectthe treatment of sepsis.
The pioneering work of Charles Janeway1 showed that the innateimmune system recognizes pathogen-associated molecular patternsand, as a result, causes the release of powerful mediators thatprotect against infection. The toll family of receptors hasemerged as a front-line mechanism by which cells recognize pathogen-associatedmolecular patterns in endotoxin, . . . [Full Text of this Article]
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From the Pulmonary Division, Children's Hospital, Boston.
Address reprint requests to Dr. Gerard at the Pulmonary Division, Children's Hospital, Enders Bldg., Rm. 144, 300 Longwood Ave., Boston, MA 02115, or at craig.gerard@tch.harvard.edu.
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