Yang Zhaoyun, Gao Yan, Zhao Lijing, Lv Xuejiao, Du Yanwei
Department of Respiratory and Critical Care Medicine, The Second Hospital of Jilin University, Changchun, China.
Department of Rehabilitation, School of Nursing, Jilin University, Changchun, China.
Front Med (Lausanne). 2024 Aug 29;11:1429370. doi: 10.3389/fmed.2024.1429370. eCollection 2024.
Remarkable progress has been achieved in sepsis treatment in recent times, the mortality rate of sepsis has experienced a gradual decline as a result of the prompt administration of antibiotics, fluid resuscitation, and the implementation of various therapies aimed at supporting multiple organ functions. However, there is still significant mortality and room for improvement. The mortality rate for septic patients, 22.5%, is still unacceptably high, accounting for 19.7% of all global deaths. Therefore, it is crucial to thoroughly comprehend the pathogenesis of sepsis in order to enhance clinical diagnosis and treatment methods. Here, we summarized classic mechanisms of sepsis progression, activation of signal pathways, mitochondrial quality control, imbalance of pro-and anti- inflammation response, diseminated intravascular coagulation (DIC), cell death, presented the latest research findings for each mechanism and identify potential therapeutic targets within each mechanism.
近年来,脓毒症治疗取得了显著进展,由于及时使用抗生素、液体复苏以及实施各种旨在支持多器官功能的治疗方法,脓毒症的死亡率已逐渐下降。然而,仍有显著的死亡率且有改进空间。脓毒症患者的死亡率为22.5%,仍然高得令人无法接受,占全球所有死亡人数的19.7%。因此,深入了解脓毒症的发病机制对于提高临床诊断和治疗方法至关重要。在此,我们总结了脓毒症进展的经典机制、信号通路激活、线粒体质量控制、促炎和抗炎反应失衡、弥散性血管内凝血(DIC)、细胞死亡,介绍了每种机制的最新研究结果,并确定了每种机制内的潜在治疗靶点。