Journal of Antimicrobial Chemotherapy, Vol 41, 25-29, Copyright © 1998 by The British Society for Antimicrobial Chemotherapy
GE Griffin
Studies of the cytokine cascade in animal models of infection and human
experiments involving endotoxin infusion have contributed fundamentally to
understanding the role of cytokines in human sepsis. The complexity of this
cytokine cascade has been difficult to unravel in clinical sepsis. However,
the Jarisch-Herxheimer reaction has been identified as a model of the
cytokine cascade in human sepsis and has provided an excellent model for
experiments involving blocking agents. TNF blocking has been shown to be
important for protection in animal models of sepsis, but has been somewhat
disappointing in humans because adverse events have generally outweighed
benefits.
ORIGINAL ARTICLES
Cytokines involved in human septic shock--the model of the Jarisch- Herxheimer reaction
Division of Infectious Diseases, St George's Hospital Medical School, Tooting, London, UK.
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