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探讨脑出血后先天免疫激活炎性体与细胞焦亡调控的相关性:从机制到治疗。

Exploring the correlation between innate immune activation of inflammasome and regulation of pyroptosis after intracerebral hemorrhage: From mechanism to treatment.

机构信息

College of Chinese Medicine, Changchun University of Chinese Medicine, Changchun, Jilin 130017, China.

Research Center of Traditional Chinese Medicine, The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, Jilin 130021, China.

出版信息

Biomed Pharmacother. 2024 Oct;179:117382. doi: 10.1016/j.biopha.2024.117382. Epub 2024 Sep 5.

Abstract

Stroke has emerged as the primary cause of disability and death globally in recent years. Intracerebral hemorrhage (ICH), a particularly severe kind of stroke, is occurring in an increasing number of people. The two main clinical treatments for ICH now in use are conservative pharmaceutical therapy and surgical intervention, both of which have risks and drawbacks. Consequently, it is crucial to look into the pathophysiology of ICH and consider cutting-edge therapeutic approaches. Recent research has revealed that pyroptosis is a newly identified type of cell death distinguished by the break of the cell membrane and the discharge of pro-inflammatory substances through different routes. Following ICH, glial cells experience pyroptosis, which worsens neuroinflammation. Hence, the onset and progression of ICH are strongly linked to pyroptosis, which is facilitated by different inflammasomes. It is essential to conduct a comprehensive investigation of ICH damage processes and uncover new targets for treatment. The impact and function of pyroptosis in ICH, as well as the activation and regulation of inflammasomes and their mediated pyroptosis pathways will be fully discussed in this review.

摘要

近年来,中风已成为全球范围内导致残疾和死亡的主要原因。脑出血 (ICH) 是一种特别严重的中风,其发病率正在不断上升。目前,ICH 的两种主要临床治疗方法是保守药物治疗和手术干预,这两种方法都有风险和缺点。因此,深入研究 ICH 的病理生理学并考虑采用先进的治疗方法至关重要。最近的研究表明,细胞焦亡是一种新发现的细胞死亡方式,其特征是通过不同途径导致细胞膜破裂和促炎物质的释放。ICH 后,神经胶质细胞发生细胞焦亡,从而加重神经炎症。因此,ICH 的发生和进展与细胞焦亡密切相关,不同的炎性小体促进了细胞焦亡的发生。全面研究 ICH 损伤过程并寻找新的治疗靶点至关重要。本文将全面讨论细胞焦亡在 ICH 中的作用和功能,以及炎性小体的激活和调节及其介导的细胞焦亡途径。

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