Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?

Abstract Sepsis is a highly lethal and urgent unmet medical need. It is the result of a complex interplay of several pathways, including inflammation, immune activation, hypoxia, and metabolic reprogramming. Specifically, the regulation and the impact of the latter have become better understood in w...

Full description

Saved in:
Bibliographic Details
Main Authors: Lise Van Wyngene, Jolien Vandewalle, Claude Libert
Format: Article
Language:English
Published: Springer Nature 2018-07-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201708712
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849761762547597312
author Lise Van Wyngene
Jolien Vandewalle
Claude Libert
author_facet Lise Van Wyngene
Jolien Vandewalle
Claude Libert
author_sort Lise Van Wyngene
collection DOAJ
description Abstract Sepsis is a highly lethal and urgent unmet medical need. It is the result of a complex interplay of several pathways, including inflammation, immune activation, hypoxia, and metabolic reprogramming. Specifically, the regulation and the impact of the latter have become better understood in which the highly catabolic status during sepsis and its similarity with starvation responses appear to be essential in the poor prognosis in sepsis. It seems logical that new interventions based on the recognition of new therapeutic targets in the key metabolic pathways should be developed and may have a good chance to penetrate to the bedside. In this review, we concentrate on the pathological changes in metabolism, observed during sepsis, and the presumed underlying mechanisms, with a focus on the level of the organism and the interplay between different organ systems.
format Article
id doaj-art-5e5202d300ce4e74bcbb10b68de2cf66
institution DOAJ
issn 1757-4676
1757-4684
language English
publishDate 2018-07-01
publisher Springer Nature
record_format Article
series EMBO Molecular Medicine
spelling doaj-art-5e5202d300ce4e74bcbb10b68de2cf662025-08-20T03:05:55ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842018-07-0110811810.15252/emmm.201708712Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?Lise Van Wyngene0Jolien Vandewalle1Claude Libert2Center for Inflammation Research, VIBCenter for Inflammation Research, VIBCenter for Inflammation Research, VIBAbstract Sepsis is a highly lethal and urgent unmet medical need. It is the result of a complex interplay of several pathways, including inflammation, immune activation, hypoxia, and metabolic reprogramming. Specifically, the regulation and the impact of the latter have become better understood in which the highly catabolic status during sepsis and its similarity with starvation responses appear to be essential in the poor prognosis in sepsis. It seems logical that new interventions based on the recognition of new therapeutic targets in the key metabolic pathways should be developed and may have a good chance to penetrate to the bedside. In this review, we concentrate on the pathological changes in metabolism, observed during sepsis, and the presumed underlying mechanisms, with a focus on the level of the organism and the interplay between different organ systems.https://doi.org/10.15252/emmm.201708712hypoxiainflammationinterventionsmetabolic reprogrammingsepsis
spellingShingle Lise Van Wyngene
Jolien Vandewalle
Claude Libert
Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
EMBO Molecular Medicine
hypoxia
inflammation
interventions
metabolic reprogramming
sepsis
title Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
title_full Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
title_fullStr Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
title_full_unstemmed Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
title_short Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
title_sort reprogramming of basic metabolic pathways in microbial sepsis therapeutic targets at last
topic hypoxia
inflammation
interventions
metabolic reprogramming
sepsis
url https://doi.org/10.15252/emmm.201708712
work_keys_str_mv AT lisevanwyngene reprogrammingofbasicmetabolicpathwaysinmicrobialsepsistherapeutictargetsatlast
AT jolienvandewalle reprogrammingofbasicmetabolicpathwaysinmicrobialsepsistherapeutictargetsatlast
AT claudelibert reprogrammingofbasicmetabolicpathwaysinmicrobialsepsistherapeutictargetsatlast