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外泌体参与脓毒症发生发展及临床诊治方面的研究进展

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脓毒症是宿主对感染的免疫反应失调而导致的危及生命的器官功能障碍.脓毒症发生发展中伴随多种细胞分泌外泌体,囊括非编码核糖核酸(RNA)、代谢小分子和蛋白质等,在免疫炎症反应、氧化应激、凝血功能障碍等方面扮演重要角色.新型检测技术的飞速发展促进了外泌体在脓毒症早期预警、危重度分层及治疗效果和预后评估中的应用.本文从外泌体新型检测技术、参与脓毒症病理进展及其在脓毒症早期诊断、病情评估及治疗方面最新进展进行综述,以期为脓毒症诊疗提供新思路.
Research advances in exosomes involved in the occurrence,development and clinical diagnosis and treatment of sepsis
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host immune response to infection.The development of sepsis is accompanied by the secretion of exosomes by a variety of cells,including non-coding RNA,metabolic small molecules and proteins,which play an important role in immune inflammatory response,oxidative stress,and coagulation dysfunction.The rapid development of new detection technologies has promoted the application of exosomes in the early warning,severity stratification,treatment effect and prognosis evaluation of sepsis.This article reviews the new detection technology of exosomes,the involvement of exosomes in the pathological progress of sepsis,and the latest progress in the early diagnosis,disease assessment and treatment of sepsis,in order to provide new ideas for the diagnosis and treatment of sepsis.

SepsisExosomeNovel detection technologyPathological mechanismClinical application

赵奕琳、刘田恬、王春霞

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上海市儿童医院 上海交通大学医学院附属儿童医院重症医学科,上海 200062

上海交通大学医学院儿童感染免疫与重症医学研究院危重症转化医学研究室,上海 200062

脓毒症 外泌体 新型检测技术 病理机制 临床应用

国家自然科学基金上海市卫生健康委员会科研项目

82171729202340076

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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