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. Author manuscript; available in PMC: 2013 Jul 9.
Published in final edited form as: J Trauma Acute Care Surg. 2012 Jun;72(6):1491–1501. doi: 10.1097/TA.0b013e318256e000

Table 1.

Adaptive Immunity Changes in Severe Sepsis and Trauma

Adaptive Immune Changes Reference(s)
Increased Tregs (75)
T cell anergy (27,38)
T cell polarization-shift from TH1 to TH2 phenotype (51)
Macrophage Paralysis
  • decreased cytokine production

  • decreased bacterial clearance

  • decreased antigen presentation

(53,54)
Apoptosis induced lymphocyte depletion (59)
Suppressed T cell proliferation (73)
Up-regulation of PDL-1, BTLA, CTLA, HVEM (17, 66, 67, 68)