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心脏骤停后脑缺血损伤中程序性细胞死亡的研究进展

Progress in Research on Regulated Cell Death in Cerebral Ischaemic Injury After Cardiac Arrest.

作者信息

Chen Zumin, Wang Shuangwei, Shu Tian, Xia Senlin, He Yanmei, Yang Yanhan

机构信息

Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Huzhou, China.

Guangdong Engineering Technology Research Center of Emergency and Life Support Medical Equipment, Ambulanc (Shenzhen) Tech. Co., Ltd., Shenzhen, China.

出版信息

J Cell Mol Med. 2025 Feb;29(3):e70404. doi: 10.1111/jcmm.70404.

Abstract

Ischaemic damage to the brain is the main cause of brain injury after cardiac arrest. The current treatment focuses on early reperfusion, but reperfusion tends to cause reperfusion injury, which is a significant problem. Cell death is an irreversible and normal end to cell life, playing key roles in maintaining the homeostasis and development of multicellular organisms. To date, cell death can be classified into two categories: accidental cell death (ACD) and regulated cell death (RCD). Cell death plays an indispensable role in cerebral ischaemia injury. An increasing number of scholars are exploring the mechanisms and sites of cell death during targeted inhibition of cerebral ischaemia to treat cerebral ischaemia injury. In addition to the established cell death pathways, namely, the apoptosis, pyroptosis and necroptosis pathways, ferroptosis and cuproptosis pathways have been discovered. This article reviews the cell death pathways involved in ischaemic brain injury, discusses the roles played by these death modalities, and suggests therapeutic directions for future targeting of cell death sites.

摘要

脑缺血损伤是心脏骤停后脑损伤的主要原因。目前的治疗重点是早期再灌注,但再灌注往往会导致再灌注损伤,这是一个重大问题。细胞死亡是细胞生命不可逆的正常终点,在维持多细胞生物体的稳态和发育中起关键作用。迄今为止,细胞死亡可分为两类:意外性细胞死亡(ACD)和程序性细胞死亡(RCD)。细胞死亡在脑缺血损伤中起不可或缺的作用。越来越多的学者正在探索在靶向抑制脑缺血以治疗脑缺血损伤过程中细胞死亡的机制和部位。除了已确定的细胞死亡途径,即凋亡、焦亡和坏死性凋亡途径外,还发现了铁死亡和铜死亡途径。本文综述了缺血性脑损伤中涉及的细胞死亡途径,讨论了这些死亡方式所起的作用,并提出了未来针对细胞死亡部位的治疗方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f88d/11816164/830e9893e620/JCMM-29-e70404-g001.jpg

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