TY - JOUR TI - Balanced control of both hyper and hypo-inflammatory phases as a new treatment paradigm in sepsis AU - Tsirigotis, P. AU - Chondropoulos, S. AU - Gkirkas, K. AU - Meletiadis, J. AU - Dimopoulou, I. JO - Journal of thoracic disease PY - 2016 VL - 8 TODO - 5 SP - E312-E316 PB - Pioneer Bioscience Publishing SN - null TODO - 10.21037/jtd.2016.03.47 TODO - 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 TODO - 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. ER -