Neutrophil dysregulation during sepsis: an overview and update.

Neutrophil dysregulation during sepsis: an overview and update.
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脓毒症期间的中性粒细胞失调:概述和更新

DOI:
10.1111/jcmm.13112
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发表时间:
2017-09
影响因子:
5.3
通讯作者:
Du JF
Du JF
中科院分区:
医学2区
文献类型:
--
作者:
Shen XF;Cao K;Jiang JP;Guan WX;Du JF

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尽管在重症监护、病理生理学和治疗策略方面取得了进展,但脓毒症仍然是世界范围内导致死亡的主要原因。目前尚无针对败血症的特异性治疗或药物。中性粒细胞在正常情况下控制感染中起着关键作用,研究表明,它们的迁移和抗菌活性在败血症期间受损,从而导致免疫反应失调。最近的研究进一步表明,在动物模型中,中断或逆转中性粒细胞受损的迁移和抗菌功能可改善败血症的结果。在这篇综述中,我们概述了在脓毒症中控制中性粒细胞生存、迁移和抗菌功能的相关介质和信号通路,并讨论了中性粒细胞作为特异性诊断和/或预测脓毒症结局的靶标的潜力。
Sepsis remains a leading cause of death worldwide, despite advances in critical care, and understanding of the pathophysiology and treatment strategies. No specific therapy or drugs are available for sepsis. Neutrophils play a critical role in controlling infection under normal conditions, and it is suggested that their migration and antimicrobial activity are impaired during sepsis which contribute to the dysregulation of immune responses. Recent studies further demonstrated that interruption or reversal of the impaired migration and antimicrobial function of neutrophils improves the outcome of sepsis in animal models. In this review, we provide an overview of the associated mediators and signal pathways involved which govern the survival, migration and antimicrobial function of neutrophils in sepsis, and discuss the potential of neutrophils as a target to specifically diagnose and/or predict the outcome of sepsis.
幸存的败血症运动:严重败血症和化粪池冲击管理的国际指南,2012年。
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