Department of Emergency, The First Affiliated Hospital of China Medical University, Shenyang, China.
Front Immunol. 2021 Nov 24;12:802085. doi: 10.3389/fimmu.2021.802085. eCollection 2021.
Sepsis is an abnormal systemic inflammatory response of the host immune system to infection and can lead to fatal multiorgan dysfunction syndrome. Epidemiological studies have shown that approximately 10-70% of sepsis cases can lead to septic cardiomyopathy. Since the pathogenesis of septic cardiomyopathy is not clear, it is difficult for medical doctors to treat the disease. Therefore, finding effective interventions to prevent and reduce myocardial damage in septic cardiomyopathy is clinically significant. Epigenetics is the study of stable genetic phenotype inheritance that does not involve changing gene sequences. Epigenetic inheritance is affected by both gene and environmental regulation. Epigenetic studies focus on the modification and influence of chromatin structure, mainly including chromatin remodelling, DNA methylation, histone modification and noncoding RNA (ncRNA)-related mechanisms. Recently, long ncRNA (lncRNA)-related mechanisms have been the focus of epigenetic studies. LncRNAs are expected to become important targets to prevent, diagnose and treat human diseases. As the energy metabolism centre of cells, mitochondria are important targets in septic cardiomyopathy. Intervention measures to prevent and treat mitochondrial damage are of great significance for improving the prognosis of septic cardiomyopathy. LncRNAs play important roles in life activities. Recently, studies have focused on the involvement of lncRNAs in regulating mitochondrial dysfunction. However, few studies have revealed the involvement of lncRNAs in regulating mitochondrial dysfunction in septic cardiomyopathy. In this article, we briefly review recent research in this area.
脓毒症是宿主免疫系统对感染的异常全身炎症反应,可导致致命的多器官功能障碍综合征。流行病学研究表明,约 10-70%的脓毒症病例可导致脓毒性心肌病。由于脓毒性心肌病的发病机制尚不清楚,医生难以对该病进行治疗。因此,寻找有效的干预措施来预防和减少脓毒性心肌病的心肌损伤在临床上具有重要意义。表观遗传学是研究不改变基因序列的稳定遗传表型遗传的学科。表观遗传遗传受基因和环境调控的影响。表观遗传学研究集中在染色质结构的修饰和影响上,主要包括染色质重塑、DNA 甲基化、组蛋白修饰和非编码 RNA(ncRNA)相关机制。最近,长 ncRNA(lncRNA)相关机制已成为表观遗传学研究的重点。lncRNAs 有望成为预防、诊断和治疗人类疾病的重要靶点。线粒体作为细胞的能量代谢中心,是脓毒性心肌病的重要靶点。预防和治疗线粒体损伤的干预措施对于改善脓毒性心肌病的预后具有重要意义。lncRNAs 在生命活动中发挥着重要作用。最近,研究集中在 lncRNAs 调节线粒体功能障碍的参与上。然而,很少有研究揭示 lncRNAs 在调节脓毒性心肌病中线粒体功能障碍中的作用。本文简要综述了这方面的最新研究进展。