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Review

Nature Reviews Immunology 8, 776–787 (1 October 2008) | doi:10.1038/nri2402

Harmful molecular mechanisms in sepsis

Daniel Rittirsch , Michael A. Flierl & Peter A. Ward

Sepsis and sepsis-associated multi-organ failure are major challenges for scientists and clinicians and are a tremendous burden for health-care systems. Despite extensive basic research and clinical studies, the pathophysiology of sepsis is still poorly understood. We are now beginning to understand that sepsis is a heterogeneous, dynamic syndrome caused by imbalances in the 'inflammatory network'. In this Review, we highlight recent insights into the molecular interactions that occur during sepsis and attempt to unravel the nature of the dysregulated immune response during sepsis.