Current Understanding of Long-Term Cognitive Impairment After Sepsis

Sepsis is recognized as a life-threatening multi-organ dysfunction resulting from a dysregulated host response to infection. Although the incidence and mortality of sepsis decrease significantly due to timely implementation of anti-infective and support therapies, accumulating evidence suggests that...

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Main Authors: Ying Li, Muhuo Ji, Jianjun Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-05-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.855006/full
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author Ying Li
Muhuo Ji
Jianjun Yang
author_facet Ying Li
Muhuo Ji
Jianjun Yang
author_sort Ying Li
collection DOAJ
description Sepsis is recognized as a life-threatening multi-organ dysfunction resulting from a dysregulated host response to infection. Although the incidence and mortality of sepsis decrease significantly due to timely implementation of anti-infective and support therapies, accumulating evidence suggests that a great proportion of survivors suffer from long-term cognitive impairment after hospital discharge, leading to decreased life quality and substantial caregiving burdens for family members. Several mechanisms have been proposed for long-term cognitive impairment after sepsis, which are not mutually exclusive, including blood-brain barrier disruption, neuroinflammation, neurotransmitter dysfunction, and neuronal loss. Targeting these critical processes might be effective in preventing and treating long-term cognitive impairment. However, future in-depth studies are required to facilitate preventive and/or treatment strategies for long-term cognitive impairment after sepsis.
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spelling doaj.art-fad2cafdf4fc458f8b38c94db67a86d42022-12-22T02:01:20ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-05-011310.3389/fimmu.2022.855006855006Current Understanding of Long-Term Cognitive Impairment After SepsisYing Li0Muhuo Ji1Jianjun Yang2Department of Anesthesiology, Jiangyin Hospital, Affiliated to Southeast University Medical School, Jiangyin, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital, Nanjing Medical University, Nanjing, ChinaDepartment of Anesthesiology, Pain and Perioperative Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, ChinaSepsis is recognized as a life-threatening multi-organ dysfunction resulting from a dysregulated host response to infection. Although the incidence and mortality of sepsis decrease significantly due to timely implementation of anti-infective and support therapies, accumulating evidence suggests that a great proportion of survivors suffer from long-term cognitive impairment after hospital discharge, leading to decreased life quality and substantial caregiving burdens for family members. Several mechanisms have been proposed for long-term cognitive impairment after sepsis, which are not mutually exclusive, including blood-brain barrier disruption, neuroinflammation, neurotransmitter dysfunction, and neuronal loss. Targeting these critical processes might be effective in preventing and treating long-term cognitive impairment. However, future in-depth studies are required to facilitate preventive and/or treatment strategies for long-term cognitive impairment after sepsis.https://www.frontiersin.org/articles/10.3389/fimmu.2022.855006/fullsepsiscognitive impairmentBBB dysregulationneuroinflammationneurotransmitter dysfunctionneuronal loss
spellingShingle Ying Li
Muhuo Ji
Jianjun Yang
Current Understanding of Long-Term Cognitive Impairment After Sepsis
Frontiers in Immunology
sepsis
cognitive impairment
BBB dysregulation
neuroinflammation
neurotransmitter dysfunction
neuronal loss
title Current Understanding of Long-Term Cognitive Impairment After Sepsis
title_full Current Understanding of Long-Term Cognitive Impairment After Sepsis
title_fullStr Current Understanding of Long-Term Cognitive Impairment After Sepsis
title_full_unstemmed Current Understanding of Long-Term Cognitive Impairment After Sepsis
title_short Current Understanding of Long-Term Cognitive Impairment After Sepsis
title_sort current understanding of long term cognitive impairment after sepsis
topic sepsis
cognitive impairment
BBB dysregulation
neuroinflammation
neurotransmitter dysfunction
neuronal loss
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.855006/full
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