Luo Jieya, Zhou Yunxia, Wang Mingyang, Zhang Junan, Jiang Erlie
State Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Haihe Laboratory of Cell Ecosystem, Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, 300020, China.
Tianjin Institutes of Health Science, Tianjin, 301600, China.
Cell Commun Signal. 2024 Dec 18;22(1):596. doi: 10.1186/s12964-024-01974-3.
The realm of hematopoietic stem cell transplantation (HSCT) has witnessed remarkable advancements in elevating the cure and survival rates for patients with both malignant and non-malignant hematologic diseases. Nevertheless, a considerable number of patients continue to face challenges, including transplant-related complications, infection, graft failure, and mortality. Inflammasomes, the multi-protein complexes of the innate immune system, respond to various danger signals by releasing inflammatory cytokines and even mediating cell death. While moderate activation of inflammasomes is essential for immune defense and homeostasis maintenance, excessive activation precipitates inflammatory damage. The intricate interplay between HSCT and inflammasomes arises from their pivotal roles in immune responses and inflammation. This review examines the molecular architecture and composition of various types of inflammasomes, highlighting their activation and effector mechanisms within the context of the HSCT process and its associated complications. Additionally, we summarize the therapeutic implications of targeting inflammasomes and related factors in HSCT.
造血干细胞移植(HSCT)领域在提高恶性和非恶性血液系统疾病患者的治愈率和生存率方面取得了显著进展。然而,仍有相当数量的患者面临挑战,包括移植相关并发症、感染、移植物失败和死亡。炎性小体是先天免疫系统的多蛋白复合物,通过释放炎性细胞因子甚至介导细胞死亡来应对各种危险信号。虽然炎性小体的适度激活对于免疫防御和体内平衡维持至关重要,但过度激活会引发炎症损伤。HSCT与炎性小体之间复杂的相互作用源于它们在免疫反应和炎症中的关键作用。本综述探讨了各种类型炎性小体的分子结构和组成,重点介绍了它们在HSCT过程及其相关并发症背景下的激活和效应机制。此外,我们总结了针对HSCT中炎性小体和相关因素的治疗意义。