Liu Wenzhang, Liu Tianyi, Zheng Yongjun, Xia Zhaofan
Department of Burn Surgery, Changhai Hospital, Naval Medical University, Shanghai, 200433, People's Republic of China.
Research Unit of Key Techniques for Treatment of burns and Combined Burns and Trauma Injury, Chinese Academy of Medical Sciences, Shanghai, 200433, People's Republic of China.
J Inflamm Res. 2023 Mar 20;16:1195-1207. doi: 10.2147/JIR.S403778. eCollection 2023.
Sepsis is a systemic inflammatory disease caused by an infection that can lead to multiple organ failure. Sepsis alters energy metabolism, leading to metabolic reprogramming of immune cells, which consequently disrupts innate and adaptive immune responses, triggering hyperinflammation and immunosuppression. This review summarizes metabolic reprogramming and its regulatory mechanism in sepsis-induced hyperinflammation and immunosuppression, highlights the significance and intricacies of immune cell metabolic reprogramming, and emphasizes the pivotal role of mitochondria in metabolic regulation and treatment of sepsis. This review provides an up-to-date overview of the relevant literature to inform future research directions in understanding the regulation of sepsis immunometabolism. Metabolic reprogramming has great promise as a new target for sepsis treatment in the future.
脓毒症是一种由感染引起的全身性炎症性疾病,可导致多器官功能衰竭。脓毒症会改变能量代谢,导致免疫细胞的代谢重编程,进而破坏先天性和适应性免疫反应,引发过度炎症和免疫抑制。本文综述了脓毒症诱导的过度炎症和免疫抑制中的代谢重编程及其调控机制,强调了免疫细胞代谢重编程的意义和复杂性,并着重阐述了线粒体在脓毒症代谢调节和治疗中的关键作用。本文提供了相关文献的最新综述,以为未来理解脓毒症免疫代谢调节的研究方向提供参考。代谢重编程作为未来脓毒症治疗的新靶点具有很大的潜力。