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[脓毒症新发房颤中NLRP3炎性小体机制的研究进展]

[Research progress on the mechanism of NLRP3 inflammasome in new-onset fibrillation in sepsis].

作者信息

Ling Xiuwen, Yang Jianzhong

机构信息

Emergency Trauma Center, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830011, Xinjiang Uyghur Autonomous Region, China. Corresponding author: Yang Jianzhong, Email:

出版信息

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2024 Oct;36(10):1108-1112. doi: 10.3760/cma.j.cn121430-20231114-00978.

Abstract

Patients with new-onset atrial fibrillation in sepsis have a high mortality rate and poor prognosis. At present, the pathogenesis of new-onset atrial fibrillation in sepsis has not been fully elucidated. Studies have shown that both sepsis and atrial fibrillation are closely related to NOD-like receptor protein 3 (NLRP3). NLRP3 inflammasome can not only induce the activation of caspase-1 and the subsequent release of cellular pro-inflammatory factors, but also participate in the occurrence and development of sepsis and promote the occurrence and development of atrial fibrillation. It is concluded that the NLRP3 inflammasome may play an important role in the occurrence and development of new-onset atrial fibrillation in sepsis. This paper summarized the current research progress on the structure and function of the NLRP3 inflammasome, its role in sepsis, its mechanism in promoting atrial fibrillation, the relationship between the NLRP3 inflammasome and new-onset atrial fibrillation in sepsis, the feasibility of studying new-onset atrial fibrillation in sepsis, and potential therapeutic targets for new-onset atrial fibrillation in sepsis. This review aims to provide a theoretical basis for future research on the mechanisms by which the NLRP3 inflammasome promotes new-onset atrial fibrillation in sepsis and possible therapeutic targets.

摘要

脓毒症新发房颤患者死亡率高且预后差。目前,脓毒症新发房颤的发病机制尚未完全阐明。研究表明,脓毒症和房颤均与NOD样受体蛋白3(NLRP3)密切相关。NLRP3炎性小体不仅可诱导半胱天冬酶-1激活及随后细胞促炎因子的释放,还参与脓毒症的发生发展并促进房颤的发生发展。得出结论,NLRP3炎性小体可能在脓毒症新发房颤的发生发展中起重要作用。本文综述了NLRP3炎性小体的结构与功能、其在脓毒症中的作用、其促进房颤的机制、NLRP3炎性小体与脓毒症新发房颤的关系、研究脓毒症新发房颤的可行性以及脓毒症新发房颤潜在治疗靶点的当前研究进展。本综述旨在为未来研究NLRP3炎性小体促进脓毒症新发房颤的机制及可能的治疗靶点提供理论依据。

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