Zhang Ji, Shao Yuwen, Wu Jingyi, Zhang Jing, Xiong Xiangsheng, Mao Jingjing, Wei Yunwei, Miao Changhong, Zhang Hao
Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Shanghai Key laboratory of Perioperative Stress and Protection, Shanghai, China.
Cell Commun Signal. 2025 Feb 14;23(1):87. doi: 10.1186/s12964-025-02098-y.
Sepsis remains the leading cause of death in intensive care units. Despite newer antimicrobial and supportive therapies, specific treatments are still lacking. Neutrophils are pivotal components of the effector phase of the host immune defense against pathogens and play a crucial role in the control of infections under normal circumstances. In addition to its anti-infective effects, the dysregulation and overactivation of neutrophils may lead to severe inflammation or tissue damage and are potential mechanisms for poor prognosis in sepsis. This review focuses on recent advancements in the understanding of the functional status of neutrophils across various pathological stages of sepsis to explore the mechanisms by which neutrophils participate in sepsis progression and provide insights for the treatment of sepsis by targeting neutrophils.
脓毒症仍然是重症监护病房中死亡的主要原因。尽管有了更新的抗菌和支持性治疗方法,但仍缺乏特异性治疗。中性粒细胞是宿主针对病原体的免疫防御效应阶段的关键组成部分,在正常情况下对控制感染起着至关重要的作用。除了抗感染作用外,中性粒细胞的失调和过度激活可能导致严重炎症或组织损伤,是脓毒症预后不良的潜在机制。本综述重点关注脓毒症各个病理阶段中性粒细胞功能状态的最新研究进展,以探讨中性粒细胞参与脓毒症进展的机制,并为通过靶向中性粒细胞治疗脓毒症提供见解。