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脓毒症中的肝脏:肝衰竭的分子机制及其临床转化的潜力。

The liver in sepsis: molecular mechanism of liver failure and their potential for clinical translation.

机构信息

Department of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Am Klinikum 1, 07747, Jena, Germany.

Center for Sepsis Control and Care, Jena University Hospital, Bachstr. 18, 07743, Jena, Germany.

出版信息

Mol Med. 2022 Jul 30;28(1):84. doi: 10.1186/s10020-022-00510-8.

Abstract

Liver failure is a life-threatening complication of infections restricting the host's response to infection. The pivotal role of the liver in metabolic, synthetic, and immunological pathways enforces limits the host's ability to control the immune response appropriately, making it vulnerable to ineffective pathogen resistance and tissue damage. Deregulated networks of liver diseases are gradually uncovered by high-throughput, single-cell resolved OMICS technologies visualizing an astonishing diversity of cell types and regulatory interaction driving tolerogenic signaling in health and inflammation in disease. Therefore, this review elucidates the effects of the dysregulated host response on the liver, consequences for the immune response, and possible avenues for personalized therapeutics.

摘要

肝衰竭是一种危及生命的并发症,由感染限制宿主对感染的反应引起。肝脏在代谢、合成和免疫途径中的关键作用限制了宿主控制免疫反应的能力,使其容易受到病原体抵抗能力下降和组织损伤的影响。高通量、单细胞解析的 OMICS 技术逐渐揭示了肝脏疾病的失调网络,这些技术可视化了健康和炎症中驱动耐受信号的惊人多样的细胞类型和调节相互作用。因此,本综述阐述了失调的宿主反应对肝脏的影响、对免疫反应的后果以及个性化治疗的可能途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/702d/9338540/d18e9c4ae967/10020_2022_510_Fig1_HTML.jpg

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