Department of Plastic and Cosmetic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Trauma Center/Department of Emergency and Traumatic Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Front Immunol. 2022 Nov 3;13:1035709. doi: 10.3389/fimmu.2022.1035709. eCollection 2022.
Skeletal muscle atrophy is a common complication in survivors of sepsis, which affects the respiratory and motor functions of patients, thus severely impacting their quality of life and long-term survival. Although several advances have been made in investigations on the pathogenetic mechanism of sepsis-induced skeletal muscle atrophy, the underlying mechanisms remain unclear. Findings from recent studies suggest that the nucleotide-binding and oligomerisation domain (NOD)-like receptor family pyrin domain containing 3 (NLRP3) inflammasome, a regulator of inflammation, may be crucial in the development of skeletal muscle atrophy. NLRP3 inhibitors contribute to the inhibition of catabolic processes, skeletal muscle atrophy and cachexia-induced inflammation. Here, we review the mechanisms by which NLRP3 mediates these responses and analyse how NLRP3 affects muscle wasting during inflammation.
骨骼肌萎缩是脓毒症幸存者的常见并发症,影响患者的呼吸和运动功能,严重影响其生活质量和长期生存。尽管在脓毒症引起的骨骼肌萎缩的发病机制研究方面已经取得了一些进展,但潜在机制仍不清楚。最近的研究结果表明,核苷酸结合寡聚结构域(NOD)样受体家族含pyrin 结构域蛋白 3(NLRP3)炎症小体作为炎症的调节剂,可能在骨骼肌萎缩的发生中起关键作用。NLRP3 抑制剂有助于抑制分解代谢过程、骨骼肌萎缩和恶病质诱导的炎症。在这里,我们回顾了 NLRP3 介导这些反应的机制,并分析了 NLRP3 如何在炎症期间影响肌肉消耗。