程序性细胞死亡在机会致病菌诱导的器官功能障碍中的作用

IF 11.4 1区 医学 Q1 CRITICAL CARE MEDICINE Critical Care Pub Date : 2025-01-24 DOI:10.1186/s13054-025-05278-x
Yangyanqiu Wang, Li Weng, Xunyao Wu, Bin Du
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引用次数: 0

摘要

脓毒症是由病原体感染引起的危及生命的疾病,以器官功能障碍为特征。脓毒症期间的程序性细胞死亡(PCD)与多器官功能障碍综合征(MODS)的发展有关,影响多种生理系统,包括呼吸系统、心血管系统、肾脏系统、神经系统、血液系统、肝脏系统和肠道系统。众所周知,病原体感染导致免疫失调,从而导致败血症中的MODS。然而,最近的证据表明,败血症相关的机会性病原体可以通过促进每个受累器官实质细胞的PCD直接诱导器官衰竭。本研究综述了受损器官的PCD和机会致病菌诱导宿主实质细胞的PCD,提出了预防败血症器官衰竭的创新策略。
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The role of programmed cell death in organ dysfunction induced by opportunistic pathogens
Sepsis is a life-threatening condition resulting from pathogen infection and characterized by organ dysfunction. Programmed cell death (PCD) during sepsis has been associated with the development of multiple organ dysfunction syndrome (MODS), impacting various physiological systems including respiratory, cardiovascular, renal, neurological, hematological, hepatic, and intestinal systems. It is well-established that pathogen infections lead to immune dysregulation, which subsequently contributes to MODS in sepsis. However, recent evidence suggests that sepsis-related opportunistic pathogens can directly induce organ failure by promoting PCD in parenchymal cells of each affected organ. This study provides an overview of PCD in damaged organ and the induction of PCD in host parenchymal cells by opportunistic pathogens, proposing innovative strategies for preventing organ failure in sepsis.
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来源期刊
Critical Care
Critical Care 医学-危重病医学
CiteScore
20.60
自引率
3.30%
发文量
348
审稿时长
1.5 months
期刊介绍: Critical Care is an esteemed international medical journal that undergoes a rigorous peer-review process to maintain its high quality standards. Its primary objective is to enhance the healthcare services offered to critically ill patients. To achieve this, the journal focuses on gathering, exchanging, disseminating, and endorsing evidence-based information that is highly relevant to intensivists. By doing so, Critical Care seeks to provide a thorough and inclusive examination of the intensive care field.
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