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迷走神经调控脓毒症炎症反应的研究进展

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迷走神经作为机体的重要"守护者",其生理功能涉及心血管、呼吸道、胃肠道和内分泌系统的稳态调节.最新研究表明,迷走神经通过炎症反射在炎症反应中发挥了重要的调控作用,这与迷走神经的传入和传出纤维分别能感知及调控炎症密切相关.脓毒症的病理生理机制以免疫反应失调为核心,且常以先天免疫系统的过度炎症反应为起始.近年来,为了扩展对脓毒症免疫失调的干预策略,研究者在迷走神经调节脓毒症炎症反应方面作出了许多努力.本文重点概述了迷走神经参与炎症反射的机制,以及迷走神经在脓毒症炎症反应中的调节作用,以期为寻找脓毒症新的治疗策略提供方向.
Research progress of vagus nerve in regulation of inflammatory response in sepsis
The vagus nerve,as an important"guardian"of the body,is involved in the steady-state regulation of cardiovascular,respiratory,gastrointestinal digestion and endocrine systems.Recent studies have shown that the vagus nerve plays an important regulatory role in inflammatory response via the inflammatory reflex,which is closely related to the fact that the afferent and efferent fibers of the vagus nerve can sense and regulate inflammation,respectively.The pathophysiological mechanism of sepsis is based on the dysregulation of immune response,and it is often initiated by the excessive inflammatory response of the innate immune system.In recent years,in order to expand intervention strategies for the immune dysregulation of sepsis,researchers have made many efforts on regulating the inflammatory response of the vagus nerve in sepsis.This article focuses on the mechanism of vagus nerve-mediated inflammatory reflex and the regulatory role of vagus nerve in inflammatory response of sepsis,in order to reveal new therapeutic strategies for the treatment of sepsis.

Vagus nerveSepsisCholinergic anti-inflammatory pathwayInflammatory reflexNon-neuronal cholinergic system

陈贵兵、刘书畅、付伟、马涛

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成都医学院第一附属医院胃肠外科,四川成都 610500

天津医科大学总医院普通外科,天津 300052

迷走神经 脓毒症 胆碱能抗炎通路 炎症反射 非神经性胆碱能系统

国家自然科学基金国家自然科学基金

8217212281871546

2024

中华危重病急救医学
中华医学会

中华危重病急救医学

CSTPCD北大核心
影响因子:3.049
ISSN:2095-4352
年,卷(期):2024.36(2)
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