Huang Chengjun, Shu Xiaoyi, Xu Yu, Dong Jinrui, Li Youxia, Li Siqi, Wang Hongman
Department of Respiratory and Critical Care Medicine, the Fifth Affiliated (Zhuhai) Hospital of Zunyi Medical College, Zhuhai 519100, Guangdong, China. Corresponding author: Wang Hongman, Email:
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2023 Jan;35(1):102-105. doi: 10.3760/cma.j.cn121430-20220531-00516.
Acute respiratory distress syndrome (ARDS) refers to acute diffuse lung injury caused by a variety of intrapulmonary and/or extrapulmonary factors such as infection and trauma. Uncontrolled inflammatory response is the main pathological feature. Different functional states of alveolar macrophages have different effects on inflammatory response. Transcription activating factor 3 (ATF3) is a fast response gene in the early stage of stress. In recent years, it has been found that ATF3 plays an important role in regulating the inflammatory response of ARDS by regulating the function of macrophages. This paper reviews the regulatory effects of ATF3 on alveolar macrophage polarization, autophagy and endoplasmic reticulum stress and its effects on the inflammatory process of ARDS, aiming to provide a new research direction for the prevention and treatment of ARDS.
急性呼吸窘迫综合征(ARDS)是指由感染、创伤等多种肺内和/或肺外因素引起的急性弥漫性肺损伤。失控的炎症反应是其主要病理特征。肺泡巨噬细胞的不同功能状态对炎症反应有不同影响。转录激活因子3(ATF3)是应激早期的快速反应基因。近年来发现,ATF3通过调节巨噬细胞功能在调控ARDS炎症反应中起重要作用。本文综述ATF3对肺泡巨噬细胞极化、自噬及内质网应激的调控作用及其对ARDS炎症进程的影响,旨在为ARDS的防治提供新的研究方向。