Wang Jianhong, Liu Tongying, Zhou Manhong
Department of Emergency, Affiliated Hospital of Zunyi Medical University, Zunyi 563003, Guizhou, China. Corresponding author: Zhou Manhong, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2022 Apr;34(4):444-448. doi: 10.3760/cma.j.cn121430-20210816-01185.
Since the production and use of paraquat was banned in China in 2016, the use of diquat (DQ) has been increasing and the clinical cases of DQ poisoning have also shown an increasing trend every year. The treatment of DQ poisoning is a worldwide medical problem, and there is no specific antidote. Studies have found that oxidative stress, lipid peroxidation, neurotoxicity, reproductive and developmental toxicity play an important role in DQ poisoning. Nuclear factor E2-related factor 2 (Nrf2) can inhibit oxidative stress, lipid peroxidation and inflammation by regulating the protein expression of upstream and downstream signaling molecules. Therefore, the role of Nrf2 signaling pathway in the poisoning and treatment of DQ has become a hot spot of attention for emergency critical care researchers in recent years. This paper reviews the relationship between Nrf2 signal pathway and DQ poisoning, in order to provide a theoretical basis for improving the treatment strategy for DQ poisoning.
自2016年中国禁止百草枯的生产和使用以来,敌草快(DQ)的使用量一直在增加,DQ中毒的临床病例也呈逐年上升趋势。DQ中毒的治疗是一个全球性的医学难题,目前尚无特效解毒剂。研究发现,氧化应激、脂质过氧化、神经毒性、生殖和发育毒性在DQ中毒中起重要作用。核因子E2相关因子2(Nrf2)可通过调节上下游信号分子的蛋白表达来抑制氧化应激、脂质过氧化和炎症反应。因此,近年来Nrf2信号通路在DQ中毒及治疗中的作用成为急诊重症医学研究者关注的热点。本文综述Nrf2信号通路与DQ中毒的关系,以期为改进DQ中毒的治疗策略提供理论依据。