脓毒症中的 DAMPs 和 NETs。

DAMPs and NETs in Sepsis.

机构信息

Center for Immunology and Inflammation, Feinstein Institutes for Medical Research, Manhasset, NY, United States.

Elmezzi Graduate School of Molecular Medicine, Manhasset, NY, United States.

出版信息

Front Immunol. 2019 Oct 30;10:2536. doi: 10.3389/fimmu.2019.02536. eCollection 2019.

Abstract

Sepsis is a deadly inflammatory syndrome caused by an exaggerated immune response to infection. Much has been focused on host response to pathogens mediated through the interaction of pathogen-associated molecular patterns (PAMPs) and pattern recognition receptors (PRRs). PRRs are also activated by host nuclear, mitochondrial, and cytosolic proteins, known as damage-associated molecular patterns (DAMPs) that are released from cells during sepsis. Some well described members of the DAMP family are extracellular cold-inducible RNA-binding protein (eCIRP), high mobility group box 1 (HMGB1), histones, and adenosine triphosphate (ATP). DAMPs are released from the cell through inflammasome activation or passively following cell death. Similarly, neutrophil extracellular traps (NETs) are released from neutrophils during inflammation. NETs are webs of extracellular DNA decorated with histones, myeloperoxidase, and elastase. Although NETs contribute to pathogen clearance, excessive NET formation promotes inflammation and tissue damage in sepsis. Here, we review DAMPs and NETs and their crosstalk in sepsis with respect to their sources, activation, release, and function. A clear grasp of DAMPs, NETs and their interaction is crucial for the understanding of the pathophysiology of sepsis and for the development of novel sepsis therapeutics.

摘要

脓毒症是一种致命的炎症综合征,由感染引起的过度免疫反应引起。人们已经关注了宿主对病原体的反应,这些反应是通过病原体相关分子模式 (PAMPs) 和模式识别受体 (PRRs) 的相互作用介导的。PRRs 还被宿主核、线粒体和细胞质蛋白激活,这些蛋白被称为损伤相关分子模式 (DAMPs),它们在脓毒症期间从细胞中释放出来。DAMP 家族的一些描述得很好的成员是细胞外冷诱导 RNA 结合蛋白 (eCIRP)、高迁移率族框 1 (HMGB1)、组蛋白和三磷酸腺苷 (ATP)。DAMPs 通过炎症小体激活或细胞死亡后被动释放从细胞中释放出来。同样,中性粒细胞胞外陷阱 (NETs) 在炎症期间从中性粒细胞中释放出来。NETs 是由带有组蛋白、髓过氧化物酶和弹性蛋白酶的细胞外 DNA 构成的网。尽管 NETs 有助于清除病原体,但过多的 NET 形成会促进脓毒症中的炎症和组织损伤。在这里,我们综述了 DAMPs 和 NETs 及其在脓毒症中的相互作用,包括它们的来源、激活、释放和功能。清楚地掌握 DAMPs、NETs 及其相互作用对于理解脓毒症的病理生理学以及开发新的脓毒症治疗方法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7ab/6831555/4d8b7a82ca34/fimmu-10-02536-g0001.jpg

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