2003
DOI: 10.1097/01.ccm.0000074719.40109.95
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Elevated nucleosome levels in systemic inflammation and sepsis*

Abstract: Patients with severe sepsis and septic shock have elevated plasma levels of nucleosomes. We suggest that apoptosis, probably resulting from exposure of cells to excessive amounts of inflammatory mediators, might by involved in the pathogenesis of multiple organ dysfunction syndrome.

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Cited by 216 publications
(236 citation statements)
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“…Elevated levels of nucleosomes in serum resulting from cell necrosis during sepsis have been described and strongly correlate with the severity of sepsis (39). Finally, oxidation of Met-361 in the NADP-dependent malic enzyme was the only oxidation event that was identified in both experiments.…”
Section: A Cofradic Methods For Isolating Peptides Containingmentioning
confidence: 67%
“…Elevated levels of nucleosomes in serum resulting from cell necrosis during sepsis have been described and strongly correlate with the severity of sepsis (39). Finally, oxidation of Met-361 in the NADP-dependent malic enzyme was the only oxidation event that was identified in both experiments.…”
Section: A Cofradic Methods For Isolating Peptides Containingmentioning
confidence: 67%
“…136 The presence of ring hemorrhages around cerebral microvessels at autopsy, 53 or as part of the retinopathy observed in patients 137 would also be compatible with the occurrence of endothelial cell death. Indeed, the high levels of circulating nucleosomes of both parasite and human origins detected in the plasma of patients with severe falciparum malaria, compared with the much lower levels detected in septic patients, 138 would suggest that cell death in this infection may be more extensive than previously appreciated. The host cell types that are affected and cell death pathways involved remain to be defined.…”
Section: Cell Deathmentioning
confidence: 89%
“…Recently, extracellular host DNA has gained increased attention as an important DAMP involved in the pathogenesis of multiple diseases. Systemic inflammation and sepsis result in a dramatic increase in circulating extracellular host DNA (11)(12)(13). Immune cells can detect DNA by several sensors in the cytoplasm (14,15).…”
mentioning
confidence: 99%