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Beyond inflammation: the role of metabolic dysregulation in sepsis diagnosis and treatment

dc.contributor.authorPayen, Didier
dc.contributor.authorVelho, Tiago R.
dc.contributor.authorMoita, Luis
dc.date.accessioned2025-06-04T14:07:28Z
dc.date.available2025-06-04T14:07:28Z
dc.date.issued2025
dc.description© 2025 Springer-Verlag GmbH Germany, part of Springer Naturept_PT
dc.description.abstractSepsis is a life-threatening organ dysfunction syndrome that results from a dysregulated host response to infection. Our evolving understanding of sepsis pathophysiology now incorporates insights from molecular advances, particularly in the felds of immunity and, more recently, metabolism. The concept that sepsis induces metabolic perturbations is not new. In fact, hyperlactatemia, metabolic acidosis, hypocholesterolaemia, or hyperglycaemia are essential indicators of sepsis severity [2]. Conversely, chronic metabolic conditions may contribute to the severity and type of host response to infection. However, the mechanistic contribution of specifc metabolic pathways to the quality and magnitude of immune responses in sepsis and other conditions that impose signifcant stress on the organism has only recently begun to be explored. In this perspective, we briefy highlight critical aspects of metabolic reprogramming (changes in metabolic pathways to meet diferent energy demands, support growth, adapt to environmental conditions, or survive stress) associated with sepsis. We then explore how knowledge of different metabolic signatures (distinct, measurable profles of metabolites or metabolic activities that characterize a particular biological state, disease, cell type, or response to treatment) may lead to innovative diagnostic and therapeutic approaches.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationIntensive Care Med. 2025 Jun 3pt_PT
dc.identifier.doi10.1007/s00134-025-07948-4pt_PT
dc.identifier.eissn1432-1238
dc.identifier.issn0342-4642
dc.identifier.urihttp://hdl.handle.net/10400.5/101288
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Naturept_PT
dc.relation.publisherversionhttps://link.springer.com/journal/134pt_PT
dc.titleBeyond inflammation: the role of metabolic dysregulation in sepsis diagnosis and treatmentpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleIntensive Care Medicinept_PT
person.familyNameVelho
person.familyNameMoita
person.givenNameTiago
person.givenNameLuis
person.identifier335918
person.identifier.ciencia-id4717-323E-A9BB
person.identifier.ciencia-idCA1C-AE28-33FE
person.identifier.orcid0000-0002-0455-8189
person.identifier.orcid0000-0003-0707-315X
person.identifier.ridL-1296-2013
person.identifier.scopus-author-id24554088300
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication7c4f4d35-a752-4488-a4de-ddf7d09a8a89
relation.isAuthorOfPublication600d2967-0c4d-4820-800e-bcbd58a21b60
relation.isAuthorOfPublication.latestForDiscovery600d2967-0c4d-4820-800e-bcbd58a21b60

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