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脓毒症诱导心肌损伤机制的研究进展

Research Progress on the Mechanism of Sepsis Induced Myocardial Injury.

作者信息

Bi Cheng-Fei, Liu Jia, Yang Li-Shan, Zhang Jun-Fei

机构信息

Department of Emergency Medical, General Hospital of Ningxia Medical University, Yinchuan, People's Republic of China.

School of Clinical Medicine, Ningxia Medical University, Yinchuan, People's Republic of China.

出版信息

J Inflamm Res. 2022 Jul 26;15:4275-4290. doi: 10.2147/JIR.S374117. eCollection 2022.

Abstract

Sepsis is an abnormal condition with multiple organ dysfunctions caused by the uncontrolled infection response and one of the major diseases that seriously hang over global human health. Besides, sepsis is characterized by high morbidity and mortality, especially in intensive care unit (ICU). Among the numerous subsequent organ injuries of sepsis, myocardial injury is one of the most common complications and the main cause of death in septic patients. To better manage septic inpatients, it is necessary to understand the specific mechanisms of sepsis induced myocardial injury (SIMI). Therefore, this review will elucidate the pathophysiology of SIMI from the following certain mechanisms: apoptosis, mitochondrial damage, autophagy, excessive inflammatory response, oxidative stress and pyroptosis, and outline current therapeutic strategies and potential approaches in SIMI.

摘要

脓毒症是一种由失控的感染反应引起的具有多器官功能障碍的异常状况,是严重威胁全球人类健康的主要疾病之一。此外,脓毒症的特点是发病率和死亡率高,尤其是在重症监护病房(ICU)。在脓毒症众多后续器官损伤中,心肌损伤是最常见的并发症之一,也是脓毒症患者死亡的主要原因。为了更好地管理脓毒症住院患者,有必要了解脓毒症诱导的心肌损伤(SIMI)的具体机制。因此,本综述将从细胞凋亡、线粒体损伤、自噬、过度炎症反应、氧化应激和细胞焦亡等特定机制阐明SIMI的病理生理学,并概述SIMI目前的治疗策略和潜在方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99f/9342248/c53c11b59739/JIR-15-4275-g0001.jpg

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