ELUCIDATING THE MECHANISMS OF NEUTROPHIL EXTRACELLULAR TRAPS IN ACUTE RESPIRATORY DISTRESS SYNDROME PATHOGENESIS

D.R. Tazhikov, V.B.M. Luchancky, А. Malm
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Abstract

This article critically examines the scientific literature related to the formation of neutrophil extracellular traps and their impact on the pathogenesis and clinical course of acute respiratory distress syndrome (ARDS). The available evidence indicates that the formation and accumulation of neutrophil extracellular traps in the lung tissue are implicated in the development and progression of ARDS. Moreover, recent studies have shed light on the potential mechanisms by which neutrophil extracellular traps contribute to impaired ventilationperfusion relationships in ARDS. The findings presented in this review suggest that further research into the phenomenon of neutrophil extracellular traps may lead to new insights into the pathophysiology of ARDS and inform the development of novel therapeutic strategies. Specifically, targeting neutrophil extracellular traps may offer a promising approach to attenuate the severity of ARDS and improve clinical outcomes. However, the complexity of the underlying mechanisms and the heterogeneity of ARDS patients necessitate further investigation to identify optimal therapeutic targets and treatment strategies.
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阐明中性粒细胞胞外捕获物在急性呼吸窘迫综合征发病机制中的作用机制
本文对有关中性粒细胞胞外捕获物的形成及其对急性呼吸窘迫综合征(ARDS)发病机制和临床过程的影响的科学文献进行了批判性研究。现有证据表明,中性粒细胞胞外捕获物在肺组织中的形成和积聚与 ARDS 的发生和发展有关。此外,最近的研究还揭示了中性粒细胞胞外捕获物导致 ARDS 通气-灌注关系受损的潜在机制。本综述的研究结果表明,对中性粒细胞胞外捕获物现象的进一步研究可能会让人们对 ARDS 的病理生理学有新的认识,并为新型治疗策略的开发提供依据。具体来说,针对中性粒细胞胞外捕获物可能是减轻 ARDS 严重程度和改善临床预后的一种有前景的方法。然而,由于潜在机制的复杂性和 ARDS 患者的异质性,有必要进行进一步研究,以确定最佳治疗目标和治疗策略。
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