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Blood platelets and sepsis pathophysiology: A new therapeutic prospect in critical ill patients?

Antoine Dewitte, Sébastien Lepreux, Julien Villeneuve and 4 more

Annals of Intensive Care · 2017 · Review · CC BY-NC-ND

doi:10.1186/s13613-017-0337-7

Abstract

Beyond haemostasis, platelets have emerged as versatile effectors of the immune response. The contribution of platelets in inflammation, tissue integrity and defence against infections has considerably widened the spectrum of their role in health and disease. Here, we propose a narrative review that first describes these new platelet attributes. We then examine their relevance to microcirculatory alterations in multi-organ dysfunction, a major sepsis complication. Rapid progresses that are made on the knowledge of novel platelet functions should improve the understanding of thrombocytopenia, a common condition and a predictor of adverse outcome in sepsis, and may provide potential avenues for management and therapy.

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    Yeaman MR. Platelets: at the nexus of antimicrobial defence. Nat Rev Microbiol. 2014;12(6):426-437.

    Not in our library10.1038/nrmicro3269

  117. 117.

    Cox D, Kerrigan SW, Watson SP. Platelets and the innate immune system: mechanisms of bacterial-induced platelet activation. J Thromb Haemost. 2011;9(6):1097-1107.

    Not in our library10.1111/j.1538-7836.2011.04264.x

  118. 118.

    Kerrigan SW. The expanding field of platelet-bacterial interconnections. Platelets. 2015;26(4):293-301.

    Not in our library10.3109/09537104.2014.997690

  119. 119.

    de Stoppelaar SF, Claushuis TA, Schaap MC, Hou B, van der Poll T, Nieuwland R, et al. Toll-like receptor signalling is not involved in platelet response to streptococcus pneumoniae in vitro or in vivo. PLoS ONE. 2016;11(6):e0156977.

    Not in our library10.1371/journal.pone.0156977

  120. 120.
  121. 121.

    Fitzgerald JR, Foster TJ, Cox D. The interaction of bacterial pathogens with platelets. Nat Rev Microbiol. 2006;4(6):445-457.

    Not in our library10.1038/nrmicro1425

  122. 122.

    Chan JK, Roth J, Oppenheim JJ, Tracey KJ, Vogl T, Feldmann M, et al. Alarmins: awaiting a clinical response. J Clin Investig. 2012;122(8):2711-2719.

    Not in our library10.1172/jci62423

  123. 123.

    Semeraro F, Ammollo CT, Morrissey JH, Dale GL, Friese P, Esmon NL, et al. Extracellular histones promote thrombin generation through platelet-dependent mechanisms: involvement of platelet TLR2 and TLR4. Blood. 2011;118(7):1952-1961.

    Not in our library10.1182/blood-2011-03-343061

  124. 124.

    de Stoppelaar SF, van ‘t Veer C, van der Poll T. The role of platelets in sepsis. Thromb Haemost. 2014;112(4):666-677.

    Not in our library10.1160/th14-02-0126

  125. 125.

    Elzey BD, Sprague DL, Ratliff TL. The emerging role of platelets in adaptive immunity. Cell Immunol. 2005;238(1):1-9.

    Not in our library10.1016/j.cellimm.2005.12.005

  126. 126.

    Middleton E, Rondina MT. Platelets in infectious disease. Hematol Am Soc Hematol Educ Program. 2016;2016(1):256-261.

    Not in our library10.1182/asheducation-2016.1.256

  127. 127.

    Dankert J, van der Werff J, Zaat SA, Joldersma W, Klein D, Hess J. Involvement of bactericidal factors from thrombin-stimulated platelets in clearance of adherent viridans streptococci in experimental infective endocarditis. Infect Immun. 1995;63(2):663-671.

    Not in our library10.1128/iai.63.2.663-671.1995

  128. 128.

    McMorran BJ, Marshall VM, de Graaf C, Drysdale KE, Shabbar M, Smyth GK, et al. Platelets kill intraerythrocytic malarial parasites and mediate survival to infection. Science. 2009;323(5915):797-800.

    Not in our library10.1126/science.1166296

  129. 129.

    de Stoppelaar SF, van ‘t Veer C, Claushuis TA, Albersen BJ, Roelofs JJ, van der Poll T. Thrombocytopenia impairs host defense in gram-negative pneumonia-derived sepsis in mice. Blood. 2014;124(25):3781-3790.

    Not in our library10.1182/blood-2014-05-573915

  130. 130.

    Kahn F, Hurley S, Shannon O. Platelets promote bacterial dissemination in a mouse model of streptococcal sepsis. Microbes Infect. 2013;15(10–11):669-676.

    Not in our library10.1016/j.micinf.2013.05.003

  131. 131.

    Rittirsch D, Hoesel LM, Ward PA. The disconnect between animal models of sepsis and human sepsis. J Leukoc Biol. 2007;81(1):137-143.

    Not in our library10.1189/jlb.0806542

  132. 132.

    Doi K, Leelahavanichkul A, Yuen PS, Star RA. Animal models of sepsis and sepsis-induced kidney injury. J Clin Investig. 2009;119(10):2868-2878.

    Not in our library10.1172/jci39421

  133. 133.

    Ward PA. New approaches to the study of sepsis. EMBO Mol Med. 2012;4(12):1234-1243.

    Not in our library10.1002/emmm.201201375

  134. 134.

    Fink MP. Animal models of sepsis. Virulence. 2014;5(1):143-153.

    Not in our library10.4161/viru.26083

  135. 135.

    Vincent JL. Microvascular endothelial dysfunction: a renewed appreciation of sepsis pathophysiology. Crit Care. 2001;5(2):S1-S5.

    Not in our library10.1186/cc1332

  136. 136.

    Aird WC. The role of the endothelium in severe sepsis and multiple organ dysfunction syndrome. Blood. 2003;101(10):3765-3777.

    Not in our library10.1182/blood-2002-06-1887

  137. 137.

    Bateman RM, Sharpe MD, Ellis CG. Bench-to-bedside review: microvascular dysfunction in sepsis–hemodynamics, oxygen transport, and nitric oxide. Crit Care. 2003;7(5):359-373.

    Not in our library10.1186/cc2353

  138. 138.

    Peters K, Unger RE, Brunner J, Kirkpatrick CJ. Molecular basis of endothelial dysfunction in sepsis. Cardiovasc Res. 2003;60(1):49-57.

    Not in our library10.1016/s0008-6363(03)00397-3

  139. 139.

    Warkentin TE, Aird WC, Rand JH. Platelet-endothelial interactions: sepsis, HIT, and antiphospholipid syndrome. Hematol Am Soc Hematol Educ Program. 2003;2003:497-519.

    Not in our library10.1182/asheducation-2003.1.497

  140. 140.

    Matsuda N, Hattori Y. Vascular biology in sepsis: pathophysiological and therapeutic significance of vascular dysfunction. J Smooth Muscle Res. 2007;43(4):117-137.

    Not in our library10.1540/jsmr.43.117

  141. 141.

    Schouten M, Wiersinga WJ, Levi M, van der Poll T. Inflammation, endothelium, and coagulation in sepsis. J Leukoc Biol. 2008;83(3):536-545.

    Not in our library10.1189/jlb.0607373

  142. 142.

    Gando S. Microvascular thrombosis and multiple organ dysfunction syndrome. Crit Care Med. 2010;38(2 Suppl):S35-S42.

    Not in our library10.1097/ccm.0b013e3181c9e31d

  143. 143.

    Goldenberg NM, Steinberg BE, Slutsky AS, Lee WL. Broken barriers: a new take on sepsis pathogenesis. Sci Transl Med. 2011;3(88):88ps25.

    Not in our library10.1126/scitranslmed.3002011

  144. 144.

    Tyml K. Critical role for oxidative stress, platelets, and coagulation in capillary blood flow impairment in sepsis. Microcirculation. 2011;18(2):152-162.

    Not in our library10.1111/j.1549-8719.2010.00080.x

  145. 145.

    Boisrame-Helms J, Kremer H, Schini-Kerth V, Meziani F. Endothelial dysfunction in sepsis. Curr Vasc Pharmacol. 2013;11(2):150-160.

    Not in our library

  146. 146.

    De Backer D, Orbegozo Cortes D, Donadello K, Vincent JL. Pathophysiology of microcirculatory dysfunction and the pathogenesis of septic shock. Virulence. 2014;5(1):73-79.

    Not in our library10.4161/viru.26482

  147. 147.

    Opal SM, van der Poll T. Endothelial barrier dysfunction in septic shock. J Int Med. 2015;277(3):277-293.

    Not in our library10.1111/joim.12331

  148. 148.

    Ince C, Mayeux PR, Nguyen T, Gomez H, Kellum JA, Ospina-Tascon GA, et al. The endothelium in sepsis. Shock. 2016;45(3):259-270.

    Not in our library10.1097/shk.0000000000000473

  149. 149.

    Xing K, Murthy S, Liles WC, Singh JM. Clinical utility of biomarkers of endothelial activation in sepsis–a systematic review. Crit Care. 2012;16(1):R7.

    Not in our library10.1186/cc11145

  150. 150.

    Ait-Oufella H, Maury E, Lehoux S, Guidet B, Offenstadt G. The endothelium: physiological functions and role in microcirculatory failure during severe sepsis. Intensive Care Med. 2010;36(8):1286-1298.

    Not in our library10.1007/s00134-010-1893-6

  151. 151.

    Vincent JL, De Backer D. Circulatory shock. N Engl J Med. 2013;369(18):1726-1734.

    Not in our library10.1056/nejmra1208943

  152. 152.

    Gawaz M, Dickfeld T, Bogner C, Fateh-Moghadam S, Neumann FJ. Platelet function in septic multiple organ dysfunction syndrome. Intensive Care Med. 1997;23(4):379-385.

    Not in our library10.1007/s001340050344

  153. 153.

    Hurley SM, Lutay N, Holmqvist B, Shannon O. The dynamics of platelet activation during the progression of streptococcal sepsis. PLoS ONE. 2016;11(9):e0163531.

    Not in our library10.1371/journal.pone.0163531

  154. 154.

    Levi M. Platelets in critical illness. Semin Thromb Hemost. 2016;42(3):252-257.

    Not in our library10.1055/s-0035-1570080

  155. 155.

    Heffner JE, Sahn SA, Repine JE. The role of platelets in the adult respiratory distress syndrome. Culprits or bystanders? Am Rev Respir Dis. 1987;135(2):482-492.

    Not in our library10.1164/arrd.1987.135.2.482

  156. 156.

    Bozza FA, Shah AM, Weyrich AS, Zimmerman GA. Amicus or adversary: platelets in lung biology, acute injury, and inflammation. Am J Respir Cell Mol Biol. 2009;40(2):123-134.

    Not in our library10.1165/rcmb.2008-0241tr

  157. 157.

    Reilly JP, Christie JD. Linking genetics to ARDS pathogenesis: the role of the platelet. Chest. 2015;147(3):585-586.

    Not in our library10.1378/chest.14-2701

  158. 158.

    Yadav H, Kor DJ. Platelets in the pathogenesis of acute respiratory distress syndrome. Am J Physiol Lung Cell Mol Physiol. 2015;28:ajplung 00266.

    Not in our library10.1152/ajplung.00266.2015

  159. 159.

    Ware LB, Matthay MA. The acute respiratory distress syndrome. N Engl J Med. 2000;342(18):1334-1349.

    Not in our library10.1056/nejm200005043421806

  160. 160.

    Bhattacharya J, Matthay MA. Regulation and repair of the alveolar-capillary barrier in acute lung injury. Annu Rev Physiol. 2013;75:593-615.

    Not in our library10.1146/annurev-physiol-030212-183756

  161. 161.

    Kiefmann R, Heckel K, Schenkat S, Dorger M, Wesierska-Gadek J, Goetz AE. Platelet-endothelial cell interaction in pulmonary micro-circulation: the role of PARS. Thromb Haemost. 2004;91(4):761-770.

    Not in our library10.1160/th03-11-0685

  162. 162.

    Zarbock A, Singbartl K, Ley K. Complete reversal of acid-induced acute lung injury by blocking of platelet-neutrophil aggregation. J Clin Investig. 2006;116(12):3211-3219.

    Not in our library10.1172/jci29499

  163. 163.

    Looney MR, Nguyen JX, Hu Y, Van Ziffle JA, Lowell CA, Matthay MA. Platelet depletion and aspirin treatment protect mice in a two-event model of transfusion-related acute lung injury. J Clin Investig. 2009;119(11):3450-3461.

    Not in our library10.1172/jci38432

  164. 164.

    Ortiz-Munoz G, Mallavia B, Bins A, Headley M, Krummel MF, Looney MR. Aspirin-triggered 15-epi-lipoxin A4 regulates neutrophil-platelet aggregation and attenuates acute lung injury in mice. Blood. 2014;124(17):2625-2634.

    Not in our library10.1182/blood-2014-03-562876

  165. 165.

    Katz JN, Kolappa KP, Becker RC. Beyond thrombosis: the versatile platelet in critical illness. Chest. 2011;139(3):658-668.

    Not in our library10.1378/chest.10-1971

  166. 166.

    Sharron M, Hoptay CE, Wiles AA, Garvin LM, Geha M, Benton AS, et al. Platelets induce apoptosis during sepsis in a contact-dependent manner that is inhibited by GPIIb/IIIa blockade. PLoS ONE. 2012;7(7):e41549.

    Not in our library10.1371/journal.pone.0041549

  167. 167.

    Brown KA, Brain SD, Pearson JD, Edgeworth JD, Lewis SM, Treacher DF. Neutrophils in development of multiple organ failure in sepsis. Lancet. 2006;368(9530):157-169.

    Not in our library10.1016/s0140-6736(06)69005-3

  168. 168.

    Zarbock A, Ley K. The role of platelets in acute lung injury (ALI). Front Biosci (Landmark Ed). 2009;01(14):150-158.

    Not in our library10.2741/3236

  169. 169.

    Idell S. Coagulation, fibrinolysis, and fibrin deposition in acute lung injury. Crit Care Med. 2003;31(4 Suppl):S213-S220.

    Not in our library10.1097/01.ccm.0000057846.21303.ab

  170. 170.

    Caudrillier A, Kessenbrock K, Gilliss BM, Nguyen JX, Marques MB, Monestier M, et al. Platelets induce neutrophil extracellular traps in transfusion-related acute lung injury. J Clin Investig. 2012;122(7):2661-2671.

    Not in our library10.1172/jci61303

  171. 171.

    McVey M, Tabuchi A, Kuebler WM. Microparticles and acute lung injury. Am J Physiol Lung Cell Mol Physiol. 2012;303(5):L364-L381.

    Not in our library10.1152/ajplung.00354.2011

  172. 172.

    Asaduzzaman M, Lavasani S, Rahman M, Zhang S, Braun OO, Jeppsson B, et al. Platelets support pulmonary recruitment of neutrophils in abdominal sepsis. Crit Care Med. 2009;37(4):1389-1396.

    Not in our library10.1097/ccm.0b013e31819ceb71

  173. 173.

    Cloutier N, Pare A, Farndale RW, Schumacher HR, Nigrovic PA, Lacroix S, et al. Platelets can enhance vascular permeability. Blood. 2012;120(6):1334-1343.

    Not in our library10.1182/blood-2012-02-413047

  174. 174.

    Reddy AJ, Kleeberger SR. Genetic polymorphisms associated with acute lung injury. Pharmacogenomics. 2009;10(9):1527-1539.

    Not in our library10.2217/pgs.09.89

  175. 175.

    Wei Y, Wang Z, Su L, Chen F, Tejera P, Bajwa EK, et al. Platelet count mediates the contribution of a genetic variant in LRRC16A to ARDS risk. Chest. 2015;147(3):607-617.

    Not in our library10.1378/chest.14-1246

  176. 176.

    De Backer D, Creteur J, Preiser JC, Dubois MJ, Vincent JL. Microvascular blood flow is altered in patients with sepsis. Am J Respir Crit Care Med. 2002;166(1):98-104.

    Not in our library10.1164/rccm.200109-016oc

  177. 177.

    Schrier RW, Wang W. Acute renal failure and sepsis. N Engl J Med. 2004;351(2):159-169.

    Not in our library10.1056/nejmra032401

  178. 178.

    Langenberg C, Wan L, Egi M, May CN, Bellomo R. Renal blood flow in experimental septic acute renal failure. Kidney Int. 2006;69(11):1996-2002.

    Not in our library10.1038/sj.ki.5000440

  179. 179.

    Shum HP, Yan WW, Chan TM. Recent knowledge on the pathophysiology of septic acute kidney injury: a narrative review. J Crit Care. 2016;31(1):82-89.

    Not in our library10.1016/j.jcrc.2015.09.017

  180. 180.

    Post EH, Kellum JA, Bellomo R, Vincent JL. Renal perfusion in sepsis: from macro- to microcirculation. Kidney Int. 2017;91(1):45-60.

    Not in our library10.1016/j.kint.2016.07.032

  181. 181.

    Wan L, Bagshaw SM, Langenberg C, Saotome T, May C, Bellomo R. Pathophysiology of septic acute kidney injury: what do we really know? Crit Care Med. 2008;36(4 Suppl):S198-S203.

    Not in our library10.1097/ccm.0b013e318168ccd5

  182. 182.

    Lerolle N, Nochy D, Guerot E, Bruneval P, Fagon JY, Diehl JL, et al. Histopathology of septic shock induced acute kidney injury: apoptosis and leukocytic infiltration. Intensive Care Med. 2010;36(3):471-478.

    Not in our library10.1007/s00134-009-1723-x

  183. 183.

    Jacobs R, Honore PM, Joannes-Boyau O, Boer W, De Regt J, De Waele E, et al. Septic acute kidney injury: the culprit is inflammatory apoptosis rather than ischemic necrosis. Blood Purif. 2011;32(4):262-265.

    Not in our library10.1159/000330244

  184. 184.

    Takasu O, Gaut JP, Watanabe E, To K, Fagley RE, Sato B, et al. Mechanisms of cardiac and renal dysfunction in patients dying of sepsis. Am J Respir Crit Care Med. 2013;187(5):509-517.

    Not in our library10.1164/rccm.201211-1983oc

  185. 185.
  186. 186.

    Prowle JR, Ishikawa K, May CN, Bellomo R. Renal blood flow during acute renal failure in man. Blood Purif. 2009;28(3):216-225.

    Not in our library10.1159/000230813

  187. 187.

    Chvojka J, Sykora R, Karvunidis T, Radej J, Krouzecky A, Novak I, et al. New developments in septic acute kidney injury. Physiol Res. 2010;59(6):859-869.

    Not in our library10.33549/physiolres.931936

  188. 188.

    Murugan R, Karajala-Subramanyam V, Lee M, Yende S, Kong L, Carter M, et al. Acute kidney injury in non-severe pneumonia is associated with an increased immune response and lower survival. Kidney Int. 2010;77(6):527-535.

    Not in our library10.1038/ki.2009.502

  189. 189.

    Kellum JA. Impaired renal blood flow and the ‘spicy food’ hypothesis of acute kidney injury. Crit Care Med. 2011;39(4):901-903.

    Not in our library10.1097/ccm.0b013e31820f70bb

  190. 190.

    Zarjou A, Agarwal A. Sepsis and acute kidney injury. J Am Soc Nephrol. 2011;22(6):999-1006.

    Not in our library10.1681/asn.2010050484

  191. 191.

    Basile DP, Anderson MD, Sutton TA. Pathophysiology of acute kidney injury. Compr Physiol. 2012;2(2):1303-1353.

    Not in our library10.1002/cphy.c110041

  192. 192.

    Gomez H, Ince C, De Backer D, Pickkers P, Payen D, Hotchkiss J, et al. A unified theory of sepsis-induced acute kidney injury: inflammation, microcirculatory dysfunction, bioenergetics, and the tubular cell adaptation to injury. Shock. 2014;41(1):3-11.

    Not in our library10.1097/shk.0000000000000052

  193. 193.

    Umbro I, Gentile G, Tinti F, Muiesan P, Mitterhofer AP. Recent advances in pathophysiology and biomarkers of sepsis-induced acute kidney injury. J Infect. 2015;72:131-142.

    Not in our library10.1016/j.jinf.2015.11.008

  194. 194.

    Gomez H, Kellum JA. Sepsis-induced acute kidney injury. Curr Opin Crit Care. 2016;22(6):546-553.

    Not in our library10.1097/mcc.0000000000000356

  195. 195.

    Bellomo R, Kellum JA, Ronco C, Wald R, Martensson J, Maiden M, et al. Acute kidney injury in sepsis. Intensive Care Med. 2017;43(6):816-828.

    Not in our library10.1007/s00134-017-4755-7

  196. 196.

    Bonventre JV, Yang L. Cellular pathophysiology of ischemic acute kidney injury. J Clin Investig. 2011;121(11):4210-4221.

    Not in our library10.1172/jci45161

  197. 197.

    Zarbock A, Gomez H, Kellum JA. Sepsis-induced acute kidney injury revisited: pathophysiology, prevention and future therapies. Curr Opin Crit Care. 2014;20(6):588-595.

    Not in our library10.1097/mcc.0000000000000153

  198. 198.

    Glodowski SD, Wagener G. New insights into the mechanisms of acute kidney injury in the intensive care unit. J Clin Anesth. 2015;27(2):175-180.

    Not in our library10.1016/j.jclinane.2014.09.011

  199. 199.

    Schwarzenberger C, Sradnick J, Lerea KM, Goligorsky MS, Nieswandt B, Hugo CP, et al. Platelets are relevant mediators of renal injury induced by primary endothelial lesions. Am J Physiol Renal Physiol. 2015;308(11):F1238-F1246.

    Not in our library10.1152/ajprenal.00535.2014

  200. 200.
  201. 201.

    Becker BF, Jacob M, Leipert S, Salmon AH, Chappell D. Degradation of the endothelial glycocalyx in clinical settings: searching for the sheddases. Br J Clin Pharmacol. 2015;80(3):389-402.

    Not in our library10.1111/bcp.12629

  202. 202.
  203. 203.

    Martin L, Koczera P, Zechendorf E, Schuerholz T. The endothelial glycocalyx: new diagnostic and therapeutic approaches in sepsis. Biomed Res Int. 2016;2016:3758278.

    Not in our library10.1155/2016/3758278

  204. 204.

    Zuk A, Bonventre JV. Acute kidney injury. Annu Rev Med. 2016;14(67):293-307.

    Not in our library10.1146/annurev-med-050214-013407

  205. 205.

    Doi K, Rabb H. Impact of acute kidney injury on distant organ function: recent findings and potential therapeutic targets. Kidney Int. 2016;89(3):555-564.

    Not in our library10.1016/j.kint.2015.11.019

  206. 206.

    Lapchak PH, Kannan L, Ioannou A, Rani P, Karian P, Dalle Lucca JJ, et al. Platelets orchestrate remote tissue damage after mesenteric ischemia-reperfusion. Am J Physiol Gastrointest Liver Physiol. 2012;302(8):G888-G897.

    Not in our library10.1152/ajpgi.00499.2011

  207. 207.

    Singbartl K, Bishop JV, Wen X, Murugan R, Chandra S, Filippi MD, et al. Differential effects of kidney-lung cross-talk during acute kidney injury and bacterial pneumonia. Kidney Int. 2011;80(6):633-644.

    Not in our library10.1038/ki.2011.201

  208. 208.

    Lapchak PH, Ioannou A, Kannan L, Rani P, Dalle Lucca JJ, Tsokos GC. Platelet-associated CD40/CD154 mediates remote tissue damage after mesenteric ischemia/reperfusion injury. PLoS ONE. 2012;7(2):e32260.

    Not in our library10.1371/journal.pone.0032260

  209. 209.

    Lapchak PH, Ioannou A, Rani P, Lieberman LA, Yoshiya K, Kannan L, et al. The role of platelet factor 4 in local and remote tissue damage in a mouse model of mesenteric ischemia/reperfusion injury. PLoS ONE. 2012;7(7):e39934.

    Not in our library10.1371/journal.pone.0039934

  210. 210.

    Henn V, Slupsky JR, Grafe M, Anagnostopoulos I, Forster R, Muller-Berghaus G, et al. CD40 ligand on activated platelets triggers an inflammatory reaction of endothelial cells. Nature. 1998;391(6667):591-594.

    Not in our library10.1038/35393

  211. 211.

    Frossard JL, Kwak B, Chanson M, Morel P, Hadengue A, Mach F. Cd40 ligand-deficient mice are protected against cerulein-induced acute pancreatitis and pancreatitis-associated lung injury. Gastroenterology. 2001;121(1):184-194.

    Not in our library10.1053/gast.2001.25483

  212. 212.

    Hashimoto N, Kawabe T, Imaizumi K, Hara T, Okamoto M, Kojima K, et al. CD40 plays a crucial role in lipopolysaccharide-induced acute lung injury. Am J Respir Cell Mol Biol. 2004;30(6):808-815.

    Not in our library10.1165/rcmb.2003-0197oc

  213. 213.

    Rahman M, Zhang S, Chew M, Ersson A, Jeppsson B, Thorlacius H. Platelet-derived CD40L (CD154) mediates neutrophil upregulation of Mac-1 and recruitment in septic lung injury. Ann Surg. 2009;250(5):783-790.

    Not in our library10.1097/sla.0b013e3181bd95b7

  214. 214.

    Stephan F, Hollande J, Richard O, Cheffi A, Maier-Redelsperger M, Flahault A. Thrombocytopenia in a surgical ICU. Chest. 1999;115(5):1363-1370.

    Not in our library10.1378/chest.115.5.1363

  215. 215.

    Mavrommatis AC, Theodoridis T, Orfanidou A, Roussos C, Christopoulou-Kokkinou V, Zakynthinos S. Coagulation system and platelets are fully activated in uncomplicated sepsis. Crit Care Med. 2000;28(2):451-457.

    Not in our library10.1097/00003246-200002000-00027

  216. 216.

    Nijsten MW, ten Duis HJ, Zijlstra JG, Porte RJ, Zwaveling JH, Paling JC, et al. Blunted rise in platelet count in critically ill patients is associated with worse outcome. Crit Care Med. 2000;28(12):3843-3846.

    Not in our library10.1097/00003246-200012000-00017

  217. 217.

    Sharma B, Sharma M, Majumder M, Steier W, Sangal A, Kalawar M. Thrombocytopenia in septic shock patients–a prospective observational study of incidence, risk factors and correlation with clinical outcome. Anaesth Intensive Care. 2007;35(6):874-880.

    Not in our library10.1177/0310057x0703500604

  218. 218.

    Thiolliere F, Serre-Sapin AF, Reignier J, Benedit M, Constantin JM, Lebert C, et al. Epidemiology and outcome of thrombocytopenic patients in the intensive care unit: results of a prospective multicenter study. Intensive Care Med. 2013;39(8):1460-1468.

    Not in our library10.1007/s00134-013-2963-3

  219. 219.

    Williamson DR, Lesur O, Tetrault JP, Nault V, Pilon D. Thrombocytopenia in the critically ill: prevalence, incidence, risk factors, and clinical outcomes. Can J Anaesth. 2013;60(7):641-651.

    Not in our library10.1007/s12630-013-9933-7

  220. 220.

    Aydemir H, Piskin N, Akduman D, Kokturk F, Aktas E. Platelet and mean platelet volume kinetics in adult patients with sepsis. Platelets. 2015;26(4):331-335.

    Not in our library10.3109/09537104.2012.701027

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    Thiery-Antier N, Binquet C, Vinault S, Meziani F, Boisrame-Helms J, Quenot JP. Is thrombocytopenia an early prognostic marker in septic shock? Crit Care Med. 2016;44(4):764-772.

    Not in our library10.1097/ccm.0000000000001520

  222. 222.

    Greinacher A, Selleng K. Thrombocytopenia in the intensive care unit patient. Hematol Am Soc Hematol Educ Program. 2010;2010:135-143.

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