@article{3101162, title = "Balanced control of both hyper and hypo-inflammatory phases as a new treatment paradigm in sepsis", author = "Tsirigotis, P. and Chondropoulos, S. and Gkirkas, K. and Meletiadis, J. and Dimopoulou, I.", journal = "Journal of thoracic disease", year = "2016", volume = "8", number = "5", pages = "E312-E316", publisher = "Pioneer Bioscience Publishing", doi = "10.21037/jtd.2016.03.47", keywords = "Janus kinase; ruxolitinib; STAT protein, Article; clinical effectiveness; cytokine production; disease activity; disease association; drug efficacy; drug response; homeostasis; human; hyperinflammation; hypoinflammation; immune response; immunomodulation; immunosuppressive treatment; inflammation; molecular pathology; nonhuman; outcome assessment; patient monitoring; sepsis; treatment failure", abstract = "The immune response of the host against invading pathogens is clinically manifested as sepsis. Sepsis is a complicated process characterized by distinct phases that usually occur in a sequential manner. The initial hyper-inflammation helps in elimination of the pathogen, but potentially may lead to excessive tissue injury. Hypo-inflammation helps in restoring immune homeostasis, but may lead to significant immune suppression and death from secondary infections if not appropriately controlled. Immune-modulating intervention in sepsis should be based on a balanced control of both the hyper and the hypo-inflammatory phase. © 2016. Journal of Thoracic Disease." }