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盲肠结扎穿刺术:多微生物脓毒症的金标准模型?

Cecal ligation and puncture: the gold standard model for polymicrobial sepsis?

机构信息

Department for Molecular Biomedical Research, Flanders Institute for Biotechnology (VIB), B9052 Ghent, Belgium.

出版信息

Trends Microbiol. 2011 Apr;19(4):198-208. doi: 10.1016/j.tim.2011.01.001.

Abstract

Sepsis is a serious medical condition characterized by dysregulated systemic inflammatory responses followed by immunosuppression. To study the pathophysiology of sepsis, diverse animal models have been developed. Polymicrobial sepsis induced by cecal ligation and puncture (CLP) is the most frequently used model because it closely resembles the progression and characteristics of human sepsis. Here we summarize the role of several immune components in the pathogenesis of sepsis induced by CLP. However, several therapies proposed on the basis of promising results obtained by CLP could not be translated to the clinic. This demonstrates that experimental sepsis models do not completely mimic human sepsis. We propose several strategies to narrow the gap between experimental sepsis models and clinical sepsis, including targeting factors that contribute to the immunosuppressive phase of sepsis, and reproducing the heterogeneity of human patients.

摘要

脓毒症是一种严重的医学病症,其特征是系统性炎症反应失调,随后出现免疫抑制。为了研究脓毒症的病理生理学,已经开发了多种动物模型。通过盲肠结扎和穿刺(CLP)诱导的多微生物脓毒症是最常用的模型,因为它非常类似于人类脓毒症的进展和特征。在这里,我们总结了 CLP 诱导的脓毒症发病机制中几种免疫成分的作用。然而,根据 CLP 获得的有希望的结果提出的几种治疗方法不能转化为临床应用。这表明实验性脓毒症模型并不能完全模拟人类脓毒症。我们提出了几种缩小实验性脓毒症模型与临床脓毒症之间差距的策略,包括针对导致脓毒症免疫抑制阶段的因素,并再现人类患者的异质性。

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