首页|NLRP3炎症小体在脓毒症新发心房颤动中的作用机制研究进展

NLRP3炎症小体在脓毒症新发心房颤动中的作用机制研究进展

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临床上脓毒症新发心房颤动(房颤)患者病死率较高,且预后较差。目前针对脓毒症新发房颤的发病机制尚未完全阐明。有研究表明,脓毒症和房颤与NOD样受体蛋白3(NLRP3)均存在密切联系。NLRP3炎症小体既可以诱导天冬氨酸特异性半胱氨酸蛋白酶1(caspase-1)激活,随后释放细胞促炎因子,参与脓毒症的发生发展;可以促进房颤的发生发展,推断NLRP3炎症小体极可能参与了脓毒症新发房颤的发生发展,起到重要作用。本文从NLRP3炎症小体的结构和作用、NLRP3炎症小体在脓毒症中的作用、NLRP3炎症小体促进房颤发生的机制、NLRP3炎症小体与脓毒症新发房颤发生发展的关系、研究脓毒症新发房颤的可行性、脓毒症新发房颤可能的治疗靶点6个方面,总结归纳了目前有关NLRP3炎症小体在脓毒症中的作用及其促进房颤发生发展相关机制的研究进展,以期为今后研究NLRP3炎症小体促进脓毒症新发房颤的机制及可能的治疗靶点提供一定的理论依据。
Research progress on the mechanism of NLRP3 inflammasome in new-onset fibrillation in sepsis
Patients with new-onset atrial fibrillation in sepsis have a high mortality rate and poor prognosis. At present,the pathogenesis of new-onset atrial fibrillation in sepsis has not been fully elucidated. Studies have shown that both sepsis and atrial fibrillation are closely related to NOD-like receptor protein 3 (NLRP3). NLRP3 inflammasome can not only induce the activation of caspase-1 and the subsequent release of cellular pro-inflammatory factors,but also participate in the occurrence and development of sepsis and promote the occurrence and development of atrial fibrillation. It is concluded that the NLRP3 inflammasome may play an important role in the occurrence and development of new-onset atrial fibrillation in sepsis. This paper summarized the current research progress on the structure and function of the NLRP3 inflammasome,its role in sepsis,its mechanism in promoting atrial fibrillation,the relationship between the NLRP3 inflammasome and new-onset atrial fibrillation in sepsis,the feasibility of studying new-onset atrial fibrillation in sepsis,and potential therapeutic targets for new-onset atrial fibrillation in sepsis. This review aims to provide a theoretical basis for future research on the mechanisms by which the NLRP3 inflammasome promotes new-onset atrial fibrillation in sepsis and possible therapeutic targets.

NLRP3 inflammasomeSepsisNew-onset atrial fibrillationPathogenesis

凌秀雯、杨建中

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新疆医科大学第一附属医院急救·创伤中心,乌鲁木齐 830011

NLRP3炎症小体 脓毒症 新发心房颤动 发病机制

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(10)