... f inflammatory cytokines. The result is a production of pro-inflammatory cytokinesthat are b alanced by an array of anti-inflammatory cyto-kines. The coagulation pathway is also activated by ... cell shrinkage (pyknosis) andnuclear fragmentation (karyorrhexis) [52]. The regula-tion of apoptosis in sepsis is complex, as the infectingpathogen may inhibit or induce apoptosis, involvingboth ... signaling and further regulated by the cyto-kines, inducing the production of tissue factor, pro-thrombin conversion to thrombin, and fibrinproduction. Fibrinolysis is impaired due to increasedproduction...