首页|TREX1介导的免疫调控机制及其在脓毒症中的作用研究进展

TREX1介导的免疫调控机制及其在脓毒症中的作用研究进展

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脓毒症是由宿主对感染的反应失调引起的危及生命的器官功能障碍.脓毒症引起的细胞裂解和坏死,线粒体DNA(mtDNA)和核DNA(nDNA)将被动释放到循环,并通过与模式识别受体(PRR)结合,促进大量炎症细胞因子的产生,增加病死率.三素修复核酸外切酶1(TREX1)是一种3'端—5'端核酸外切酶,通过切割磷酸二酯键来快速降解单链DNA(ssDNA)和双链DNA(dsDNA),防止损伤DNA在细胞质内蓄积,引起异常炎症和病理性免疫反应,这在一定程度上对调节脓毒症引起DNA相关的损伤发挥重要的调节作用,但TREX1在脓毒症中的作用与潜在机制尚缺乏深入地讨论,本文就TREX1的结构与功能及其介导的免疫调控机制进行综述,以期阐述TREX1在脓毒症领域中可能发挥的作用.
Mechanism of TREX1-mediated immune regulation and its role in sepsis
Sepsis is a life-threatening organ dysfunction caused by a dysregulated host response to infection.Sepsis-induced cell lysis and necrosis lead to the passive release of mitochondrial DNA(mtDNA)and nuclear DNA(nDNA)into circulation.These DNAs bind to pattern recognition receptor(PRR),triggering excessive inflammatory cytokines production and increasing mortality.Three prime repair exonuclease 1(TREX1)is a 3'to 5'exonuclease that rapidly degrades single-stranded DNA(ssDNA)and double-stranded DNA(dsDNA)by cleaving phosphodiester bonds.This process can prevent the accumulation of damaged DNA in the cytoplasm,thereby averting abnormal inflammation and pathological immune responses.TREX1 thus plays a significant role in regulating DNA-related damage caused by sepsis.However,the role and underlying mechanisms of TREX1 in sepsis have not been thoroughly discussed.This review aims to elucidate the structure and function of TREX1 and its mediated immune regulatory mechanisms,with the hope of clarifying the potential role of TREX1 in the field of sepsis.

SepsisThree prime repair exonuclease 1Immune regulation

谢晶、李其兰、高成钢、贺亚俊、徐继前、尚游

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华中科技大学同济医学院附属协和医院重症医学科,湖北武汉 430022

脓毒症 三素修复核酸外切酶1 免疫调控

国家自然科学基金国家自然科学基金国家自然科学基金国家自然科学基金国家重点研发计划项目湖北省重点研发计划项目

819718188200202682372176822722172021YFC25008022023BCB091

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(8)