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mitochondrial damage
in sepsis
Helen F. Galley
Initiated by bacterial
products, orchestrated by
inflammatory mediators
Complex spectrum of
haemodynamic and
metabolic derangements
Characterised by
uncontrolled inflammatory
response
Endogenous: enzymes -
Drugs eg propofol
No oxidative stress
Antioxidants
Radical production
Radical damage
Oxidative stress
Damage
Organ failure
damage leading to
mitochondrial dysfunction
Mitochondrial damage
Antioxidant capacity %
Non-survivors
45
1
5
10
15
Days after onset of secondary organ failure
Antioxidant capacity
10.0
7.5
5.0
2.5
0
Controls
Survivors
Non-survivors
% depolarized mitochondria
15
0
Survivors
Non-survivors
isoflurane, tracheostomy,
i.v. cannulation
Temperature controlled,
ECG, blood pressure
After 6h measures of
organ dysfunction
ALT units/ml
Creatinine g/ml
250
125
800
400
0
Controls
Sepsis
Sepsis +MitoQ
Lowes et al. Free Rad Biol Med 2008; 45: 1559-65