What is the Difference Between Sepsis and Cytokine Storm?

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Sepsis and cytokine storm are related but distinct concepts in the context of the immune system's response to infection. Here are the key differences between the two:

  1. Definition: Sepsis is a severe clinical syndrome related to the host response to infection, while a cytokine storm is an overproduction of immune-signaling molecules called cytokines, which can occur in response to infection or other conditions.
  2. Pathophysiology: Sepsis occurs when the immune system overreacts to an infection or injury, producing excessive levels of cytokines, signaling molecules that can trigger a vicious cycle of immune response and organ damage. A cytokine storm, on the other hand, is a specific type of immune response characterized by a sudden and dramatic increase in cytokine production, which can lead to severe illness or even death.
  3. Diagnosis: There are differences in cytokine levels and profiles between sepsis and cytokine release syndrome (CRS), which can potentially be used to discriminate between the two conditions.
  4. Treatment: Treating cytokine storms involves managing the symptoms of severe illness, such as high fever, severe fatigue, nausea, and organ failure. Treatment for sepsis, on the other hand, focuses on addressing the underlying infection, supporting organ function, and maintaining blood flow to vital organs.

In summary, sepsis is a severe clinical syndrome resulting from an overactive immune response to infection, while a cytokine storm is a specific type of immune response characterized by excessive cytokine production. Although cytokine storms can occur in the context of sepsis, they are not exclusive to sepsis and can be triggered by non-infectious diseases as well.

Comparative Table: Sepsis vs Cytokine Storm

Here is a table comparing the differences between sepsis and cytokine storm:

Feature Sepsis Cytokine Storm
Definition Sepsis is a severe clinical syndrome related to the host response to infection, characterized by an intense inflammatory response. A cytokine storm is an overwhelming immune response characterized by the release of cytokines, including interleukins, interferons, chemokines, and others.
Trigger Sepsis results from the complicated interactions between infecting bacteria or viruses and the host's immune system. Cytokine storms can be triggered by various factors, such as sepsis, post-cardiac arrest syndrome, endotoxin, post-splenectomy syndrome, invasive meningococcal disease, viral and parasitic infections, sterile inflammation, and iatrogenic causes.
Pathophysiology In sepsis, the host's response to infection leads to the activation of an autoamplifying cytokine storm. Cytokine storms involve the dysregulation of pro-inflammatory and anti-inflammatory cytokines, which can lead to tissue and organ injury.
Treatment Treatment for sepsis may include antibiotics, intravenous fluids, oxygen therapy, and medications to support organ function. Treatment for cytokine storms may include immunomodulating therapies, such as cytokine immunotherapy, which is being tested in clinical trials.
Implications Sepsis is a major global health burden, with a high mortality rate. Cytokine storms can have various causes and implications, including sepsis, COVID-19, and other inflammatory conditions.

Please note that this table is a simplification of the complex relationships between sepsis and cytokine storms. The actual mechanisms and implications of these conditions are much more intricate and require further research for a comprehensive understanding.