Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?

Sepsis is a syndrome characterized by life-threatening organ dysfunction caused by the dysregulated host response to an infection. Sepsis, especially septic shock and multiple organ dysfunction is a medical emergency associated with high morbidity, high mortality, and prolonged after-effects. Over t...

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Main Authors: Yu-lei Gao, Ying Yao, Xiang Zhang, Fang Chen, Xiang-long Meng, Xin-sen Chen, Chao-lan Wang, Yan-cun Liu, Xin Tian, Song-tao Shou, Yan-fen Chai
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.829210/full
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author Yu-lei Gao
Ying Yao
Xiang Zhang
Fang Chen
Xiang-long Meng
Xin-sen Chen
Chao-lan Wang
Yan-cun Liu
Xin Tian
Song-tao Shou
Yan-fen Chai
author_facet Yu-lei Gao
Ying Yao
Xiang Zhang
Fang Chen
Xiang-long Meng
Xin-sen Chen
Chao-lan Wang
Yan-cun Liu
Xin Tian
Song-tao Shou
Yan-fen Chai
author_sort Yu-lei Gao
collection DOAJ
description Sepsis is a syndrome characterized by life-threatening organ dysfunction caused by the dysregulated host response to an infection. Sepsis, especially septic shock and multiple organ dysfunction is a medical emergency associated with high morbidity, high mortality, and prolonged after-effects. Over the past 20 years, regulatory T cells (Tregs) have been a key topic of focus in all stages of sepsis research. Tregs play a controversial role in sepsis based on their heterogeneous characteristics, complex organ/tissue-specific patterns in the host, the multi-dimensional heterogeneous syndrome of sepsis, the different types of pathogenic microbiology, and even different types of laboratory research models and clinical research methods. In the context of sepsis, Tregs may be considered both angels and demons. We propose that the symptoms and signs of sepsis can be attenuated by regulating Tregs. This review summarizes the controversial roles and Treg checkpoints in sepsis.
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spelling doaj.art-3dfe83dd4d6f45898ca2032660a244642022-12-21T23:51:22ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-02-011310.3389/fimmu.2022.829210829210Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?Yu-lei Gao0Ying Yao1Xiang Zhang2Fang Chen3Xiang-long Meng4Xin-sen Chen5Chao-lan Wang6Yan-cun Liu7Xin Tian8Song-tao Shou9Yan-fen Chai10Department of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Rizhao People’s Hospital of Shandong Province, Rizhao, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Medical Research, Beijing Qiansong Technology Development Company, Beijing, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaDepartment of Emergency Medicine, Tianjin Medical University General Hospital, Tianjin, ChinaSepsis is a syndrome characterized by life-threatening organ dysfunction caused by the dysregulated host response to an infection. Sepsis, especially septic shock and multiple organ dysfunction is a medical emergency associated with high morbidity, high mortality, and prolonged after-effects. Over the past 20 years, regulatory T cells (Tregs) have been a key topic of focus in all stages of sepsis research. Tregs play a controversial role in sepsis based on their heterogeneous characteristics, complex organ/tissue-specific patterns in the host, the multi-dimensional heterogeneous syndrome of sepsis, the different types of pathogenic microbiology, and even different types of laboratory research models and clinical research methods. In the context of sepsis, Tregs may be considered both angels and demons. We propose that the symptoms and signs of sepsis can be attenuated by regulating Tregs. This review summarizes the controversial roles and Treg checkpoints in sepsis.https://www.frontiersin.org/articles/10.3389/fimmu.2022.829210/fullsepsisregulatory T cellspathophysiologycheckpointssecondary infections
spellingShingle Yu-lei Gao
Ying Yao
Xiang Zhang
Fang Chen
Xiang-long Meng
Xin-sen Chen
Chao-lan Wang
Yan-cun Liu
Xin Tian
Song-tao Shou
Yan-fen Chai
Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
Frontiers in Immunology
sepsis
regulatory T cells
pathophysiology
checkpoints
secondary infections
title Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
title_full Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
title_fullStr Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
title_full_unstemmed Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
title_short Regulatory T Cells: Angels or Demons in the Pathophysiology of Sepsis?
title_sort regulatory t cells angels or demons in the pathophysiology of sepsis
topic sepsis
regulatory T cells
pathophysiology
checkpoints
secondary infections
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.829210/full
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