Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?

Reprogramming of basic metabolic pathways in microbial sepsis: therapeutic targets at last?
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DOI:
10.15252/emmm.201708712
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发表时间:
2018-08
影响因子:
11.1
通讯作者:
Libert C
Libert C
中科院分区:
医学1区
文献类型:
--
作者:
Van Wyngene L;Vandewalle J;Libert C

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脓毒症是一种高度致命且未得到满足的紧迫医疗需求。它是多种途径复杂相互作用的结果,包括炎症、免疫激活、缺氧和代谢重编程。具体而言,后者的调节和影响已得到更好的理解,其中脓毒症期间的高度分解代谢状态及其与饥饿反应的相似性似乎对于脓毒症的不良预后至关重要。似乎合乎逻辑的是,应该开发基于关键代谢途径中新治疗靶点识别的新干预措施,并且可能有很好的机会渗透到床边。在这篇综述中,我们重点关注脓毒症期间观察到的代谢病理变化以及推测的潜在机制,重点关注生物体水平和不同器官系统之间的相互作用。
Sepsis is a highly lethal and urgent unmet medical need. It is the result of a complex interplay of several pathways, including inflammation, immune activation, hypoxia, and metabolic reprogramming. Specifically, the regulation and the impact of the latter have become better understood in which the highly catabolic status during sepsis and its similarity with starvation responses appear to be essential in the poor prognosis in sepsis. It seems logical that new interventions based on the recognition of new therapeutic targets in the key metabolic pathways should be developed and may have a good chance to penetrate to the bedside. In this review, we concentrate on the pathological changes in metabolism, observed during sepsis, and the presumed underlying mechanisms, with a focus on the level of the organism and the interplay between different organ systems.
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发表时间: 2013-06-06
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