首页|二氯乙酸盐在脓毒症中的作用及其分子机制研究进展

二氯乙酸盐在脓毒症中的作用及其分子机制研究进展

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脓毒症(sepsis)是感染诱发的全身炎症反应综合征,患者病理生理改变伴有代谢紊乱及炎症反应异常.然而,目前炎症-代谢重编程临床特征及相关分子机制仍不明确.近期有研究报道二氯乙酸盐(dichloroacetate,DCA)可逆转脓毒症继发的代谢重编程,参与细胞代谢、线粒体功能、氧化应激反应、糖脂代谢、蛋白质代谢及免疫调节,但具体作用机制尚未完全阐明.为进一步研究DCA对脓毒症的作用,该文综述目前DCA在脓毒症领域中应用情况及其可能分子机制,为防治脓毒症提供新靶点、新思路、新方法.
Research progress on the role and molecular mechanism of dichloroacetate in sepsis
Sepsis is a systemic inflammatory response syndrome induced by infection,and the pathophysiological changes are accompanied by metabolic disorders and abnormal inflammatory responses.However,the clinical characteristics and related molecular mechanisms of inflammation-metabolic reprogramming are still unclear.Recent studies have reported that dichloroacetate(DCA)can reverse the metabolic reprogramming secondary to sepsis,participate in cell metabolism,mitochondrial function,oxidative stress response,glucose and lipid metabolism,protein metabolism,and immune regulation,but the possible mechanism of action has not been fully clarified.To further study the effects of DCA on sepsis,this article reviewed the current application of DCA in sepsis and its possible molecular mechanisms,providing new targets,new ideas,and new methods for the prevention and treatment of sepsis.

dichloroacetatesepsiscell metabolismpyruvate dehydrogenase complex

布祖克拉·阿布都艾尼、张继园、宋云林

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新疆医科大学第一附属医院重症医学二科,新疆乌鲁木齐 830054

新疆医科大学第一临床医学院,新疆乌鲁木齐市 830054

二氯乙酸盐 脓毒症 细胞代谢 丙酮酸脱氢酶复合物

新疆维吾尔自治区卫生健康青年医学科技人才专项科研项目

WJWY-202336

2024

世界临床药物
上海医药工业研究院

世界临床药物

CSTPCD
影响因子:0.849
ISSN:1672-9188
年,卷(期):2024.45(3)
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