Targeting HMGB1 in the treatment of sepsis.

Targeting HMGB1 in the treatment of sepsis.
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靶向HMGB1治疗败血症。

DOI:
10.1517/14728222.2014.863876
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发表时间:
2014-03
影响因子:
5.8
通讯作者:
Sama AE
Sama AE
中科院分区:
医学2区
文献类型:
--
作者:
Wang H;Ward MF;Sama AE

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脓毒症是指宿主对微生物感染的有害和非消退的全身性炎症反应,并且代表重症监护病房中死亡的主要原因。脓毒症的发病机制是复杂的,但部分介导的一个新发现的警报分子,高迁移率族蛋白1(HMGB1)。在这里,我们审查的证据,支持细胞外HMGB1作为一个较宽的治疗窗口的实验性脓毒症的晚期介质,并讨论HMGB1中和抗体和小分子抑制剂(草药成分)在实验性脓毒症的治疗潜力。因此,评估HMGB1靶向治疗策略在未来脓毒症临床治疗中的有效性具有重要意义。
Sepsis refers to the host’s deleterious and non-resolving systemic inflammatory response to microbial infections, and represents the leading cause of death in the intensive care unit. The pathogenesis of sepsis is complex, but partly mediated by a newly identified alarmin molecule, the high mobility group box 1 (HMGB1). Here we review the evidence that support extracellular HMGB1 as a late mediator of experimental sepsis with a wider therapeutic window, and discuss the therapeutic potential of HMGB1-neutralizing antibodies and small molecule inhibitors (herbal components) in experimental sepsis. It will be important to evaluate the efficacy of HMGB1-targeting strategies for the clinical management of human sepsis in the future.
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