Cellular and molecular changes of the liver in sepsis and in systemic inflammatory response syndrome (SIRS)
Romics, L.ás.ó; Frendl, G.ör.; Szabó, G.ön.
Orvosi Hetilap 144(11): 499-506
2003
ISSN/ISBN: 0030-6002 PMID: 12731336 Document Number: 566182
This paper provides a review on the changes in the molecular and cellular level of the liver during sepsis and systemic immune response syndrome. The different function of the various liver cells and their mediators are analyzed. Dual role of nitric-oxide and carbon-monoxide are discussed followed by an overview about acute phase proteins and heat shock proteins in septic liver. A detailed description is presented on the role of the Toll-like receptors and their signaling pathways in the liver during sepsis and systemic immune response syndrome. Finally, the possible mechanisms leading to apoptosis of the liver cells are shown and the most recent therapeutical challenges are discussed.