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脓毒症诱导的急性肺损伤/急性呼吸窘迫综合征中的线粒体自噬与铁死亡:药用植物的分子机制、相互作用及治疗前景

Mitophagy and Ferroptosis in Sepsis-Induced ALI/ARDS: Molecular Mechanisms, Interactions and Therapeutic Prospects of Medicinal Plants.

作者信息

Cheng Huixin, Wang Xuehan, Yao Juyi, Yang Chunbo, Liu Jian

机构信息

The First Clinical Medical College of Lanzhou University, Lanzhou, Gansu Province, People's Republic of China.

Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region, Urumqi, People's Republic of China.

出版信息

J Inflamm Res. 2024 Oct 29;17:7819-7835. doi: 10.2147/JIR.S488655. eCollection 2024.

Abstract

Sepsis is a common critical illness characterized by high mortality rates and a significant disease burden. In the context of sepsis-induced organ dysfunction, the lungs are among the initial organs affected, which may progress to acute lung injury (ALI) and acute respiratory distress syndrome (ARDS). Recent studies have highlighted the crucial roles of mitophagy and ferroptosis in the development and progression of sepsis-induced ALI/ARDS. Identifying key convergence points in these processes may provide valuable insights for the treatment of this condition. In recent years, certain herbs and their bioactive compounds have demonstrated unique benefits in managing sepsis-induced ALI/ARDS by modulating mitophagy or ferroptosis. This review summary the mechanisms of mitophagy and ferroptosis, explores their interactions, and emphasizes their regulatory roles in the progression of sepsis-induced ALI/ARDS. Additionally, it offers a novel perspective on treatment strategies by summarizing various herbs and their bioactive compounds relevant to this condition.

摘要

脓毒症是一种常见的危重病,其特征是死亡率高且疾病负担重。在脓毒症诱导的器官功能障碍的背景下,肺是最初受影响的器官之一,可能进展为急性肺损伤(ALI)和急性呼吸窘迫综合征(ARDS)。最近的研究强调了线粒体自噬和铁死亡在脓毒症诱导的ALI/ARDS的发生和发展中的关键作用。确定这些过程中的关键交汇点可能为这种疾病的治疗提供有价值的见解。近年来,某些草药及其生物活性化合物已通过调节线粒体自噬或铁死亡在管理脓毒症诱导的ALI/ARDS方面显示出独特的益处。本综述总结了线粒体自噬和铁死亡的机制,探讨了它们的相互作用,并强调了它们在脓毒症诱导的ALI/ARDS进展中的调节作用。此外,它通过总结与这种疾病相关的各种草药及其生物活性化合物,为治疗策略提供了新的视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7c6/11531397/5fc77cfc0ffc/JIR-17-7819-g0001.jpg

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