Novel Therapeutic Targets in Severe Shock Treatment

K. Zhao
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Abstract

Severe or irreversible shock is a final stage of shock. After treatment of severe shock still exist persistent low microcirculatory perfusion, refractory hypotension, and cell injury, which are 3 main pathogenesis factors and should be looking for new approach to treat it. It has shown that some new therapeutic targets are related to the treatment of the 3 factors, which includes pulse pressure with persistent low perfusion, ASMCs hyperpolarization with refractory hypotension, mitochondrial dysfunction with cell injury, SIRT1 activity with mitochondrial dysfunction. A new anti- shock medicine-polyda-tin has effected on these new therapeutic targets, which has been going to clinical trial in China and America.
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重症休克治疗的新治疗靶点
严重或不可逆休克是休克的最后阶段。重症休克治疗后仍存在持续性微循环灌注低、难治性低血压、细胞损伤等3个主要发病因素,应寻求新的治疗途径。研究表明,一些新的治疗靶点与这3个因素的治疗有关,包括脉压伴持续低灌注、ASMCs超极化伴顽固性低血压、线粒体功能障碍伴细胞损伤、SIRT1活性障碍伴线粒体功能障碍。一种新的抗休克药物——多肽锡已经对这些新的治疗靶点产生了作用,并在中国和美国进行了临床试验。
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