new insights into the protein c pathway potential implications for the biological activities of drotrecogin alfa (activated)新见解蛋白c通路潜在影响的生物活性drotrecogin阿尔法(激活).pdfVIP
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new insights into the protein c pathway potential implications for the biological activities of drotrecogin alfa (activated)新见解蛋白c通路潜在影响的生物活性drotrecogin阿尔法(激活)
Critical Care August 2005 Vol 9 Suppl 4 Macias et al.
Review
New insights into the protein C pathway: potential implications
for the biological activities of drotrecogin alfa (activated)
William L Macias, S Betty Yan, Mark D Williams, Suzane L Um, George E Sandusky,
Darryl W Ballard and Jean-Michel S Planquois
Lilly Research Laboratories, Indianapolis, Indiana, USA
Corresponding author: Jean-Michel S Planquois, planquoisjs@
Published online: 25 August 2005 Critical Care 2005, 9(suppl 4):S38-S45 (DOI 10.1186/cc3747)
This article is online at /supplements/9/S4/S38
© 2005 BioMed Central Ltd
Abstract most instances, this results in a localized inflammatory and
It has been hypothesized that the protein C pathway is a pivotal link procoagulant response that is beneficial in limiting spread of
between the inflammation and coagulation cascades. The the infection, clearing pathogens, and aiding tissue healing
demonstration that a survival benefit is associated with [3,4]. However, in a significant number of sepsis patients,
administration of drotrecogin alfa (activated) (recombinant human activation of the immune system is poorly regulated, resulting
activated protein C [APC]) in severe sepsis patients has provided in a systemic inflammatory and procoagulant response that is
new insights into the protein C pathway. APC was originally
frequently fatal [5,6]. Severe sepsis and septic shock
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