Pawitan Jeanne Adiwinata
Department of Histology, Faculty of Medicine, University of Indonesia, Jl. Salemba 6, Jakarta 10430, Indonesia.
ISRN Pharmacol. 2011;2011:975048. doi: 10.5402/2011/975048. Epub 2011 Apr 3.
Shock due to severe plasma leakage may happen in infectious diseases such as severe dengue and sepsis due to various bacterial infections, which may be deleterious and may lead to death. Various substances and proteins are known to modulate the effects of proleakage mediators and counteract the deleterious effect of plasma leakage. Some of the various substances and proteins such as focal adhesion kinase (FAK), the Rho GTPases, protein kinase A, and caveolin-1 have dual actions; therefore they are not suitable for therapy. However, sphingosine 1phosphate and its receptor agonists, Angiopoetin-1, Slit, and Bbeta15-42 may be promising.
严重血浆渗漏导致的休克可能发生在诸如严重登革热等传染病以及各种细菌感染引起的败血症中,这可能是有害的,甚至可能导致死亡。已知多种物质和蛋白质可调节促渗漏介质的作用,并抵消血浆渗漏的有害影响。多种物质和蛋白质中的一些,如粘着斑激酶(FAK)、Rho GTP酶、蛋白激酶A和小窝蛋白-1具有双重作用;因此它们不适合用于治疗。然而,1-磷酸鞘氨醇及其受体激动剂、血管生成素-1、Slit和β淀粉样蛋白15-42可能很有前景。