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脓毒症中免疫细胞的中性粒细胞胞外诱捕网形成和细胞焦亡

NETosis and pyroptosis of immune cells in sepsis.

作者信息

Kashif Ali Muhammad, Ouyang Yang, Li Yongqing, Pan Baihong

机构信息

Department of Vascular Surgery, Xiangya Hospital, Central South University, Changsha, Hunan Province, China.

Hunan Clinical Research Center for Vascular Intervention, Changsha, Hunan Province, China.

出版信息

J Transl Int Med. 2025 Aug 12;13(4):318-327. doi: 10.1515/jtim-2025-0035. eCollection 2025 Aug.

Abstract

Sepsis, a potentially fatal illness marked by an abnormal host immune response to an infection, continues to be a major global health issue. This study explores the role of pyroptosis and neutrophil extracellular traps (NETs) and their complex interactions, two dominant immune cell death, in the setting of sepsis. The review begins by explaining sepsis and its strong dependence on the immune system. It then delves into the basic mechanisms of neutrophil extracellular trap associated death (NETosis) and pyroptosis, examining their functions in inflammation and host defense. Going further, it looks at the dysregulated immune response in sepsis, with a focus on neutrophils and other immune cells and their critical role. We analyze in detail two types of cell death: pyroptosis and NETosis, both of which are closely examined for their roles in the development of sepsis, particularly the escalation of pathophysiology. Additionally, the study looks into the complex interactions between pyroptosis and NETosis, illuminating possible mechanisms for control as well as their cooperative effects. The report concludes with a summary of the major findings and recommendations for future therapy approaches and research prospects. This review adds to our knowledge of the pathophysiology of sepsis by thoroughly analyzing the roles of NETosis and pyroptosis in sepsis and providing possible directions for therapeutic intervention.

摘要

脓毒症是一种由宿主对感染的异常免疫反应所引发的潜在致命疾病,它仍然是一个重大的全球健康问题。本研究探讨了细胞焦亡和中性粒细胞胞外陷阱(NETs)及其复杂相互作用在脓毒症中的作用,这两种主要的免疫细胞死亡方式在脓毒症中起着关键作用。综述首先解释了脓毒症及其对免疫系统的强烈依赖性。接着深入探讨了中性粒细胞胞外陷阱相关死亡(NETosis)和细胞焦亡的基本机制,研究它们在炎症和宿主防御中的功能。进一步地,审视了脓毒症中失调的免疫反应,重点关注中性粒细胞和其他免疫细胞及其关键作用。我们详细分析了两种细胞死亡类型:细胞焦亡和NETosis,深入研究它们在脓毒症发展过程中的作用,特别是病理生理学的进展。此外,该研究还探究了细胞焦亡和NETosis之间的复杂相互作用,阐明了可能的控制机制及其协同效应。报告最后总结了主要研究结果,并对未来的治疗方法和研究前景提出了建议。本综述通过全面分析NETosis和细胞焦亡在脓毒症中的作用,并为治疗干预提供可能的方向,增进了我们对脓毒症病理生理学的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0135/12371402/8c551aad90ab/j_jtim-2025-0035-graphabs.jpg

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