首页|急性肺损伤发病机制相关信号通路及其药物干预的研究进展

急性肺损伤发病机制相关信号通路及其药物干预的研究进展

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肺内外各种因素会导致低氧血症性呼吸功能不全,甚至发展为急性呼吸窘迫综合征的急性肺损伤(acute lung injury,ALI).其发病率和死亡率均较高,发病机制的信号通路繁杂且治疗手段有限.目前已有大量研究报道了核转录因子κB(NF-κB)、磷脂酰肌醇3-激酶/蛋白激酶B(PI3K/Akt)、有丝分裂原激活蛋白激酶(MAPK)、腺苷酸活化蛋白激酶(AMPK)、血管内皮生长因子(VEGF)、Janus激酶/信号传导及转录激活蛋白(JAK/STAT)信号通路均与ALI炎症反应有关,其单独或协同参与调节ALI的炎症反应过程.本文就ALI发病机制的信号通路及其药物干预的研究进展进行综述,旨在为尽早干预肺损伤、优化供体库使心脏死亡器官捐献供体比例增加以及提供优质的供体保护条件等方面的研究提供参考.
Research progress on signal pathways in pathogenesis of acute lung injury and the drug intervention
Acute lung injury(ALI),in which various factors inside and outside the lung lead to hypoxemic respiratory insufficiency and even the development of acute respiratory distress syndrome,has a high morbidity and mortality rate,and its pathogenesis is characterized by complex signaling pathways and limited therapeutic options.A large number of studies have reported that nuclear factor kappa B(NF-κB),phosphatidylinositol 3-kinase(PI3K)/Akt,mitogen-activated protein kinase(MAPK),AMP-activated protein kinase(AMPK),vascular endothelial growth factors(VEGF)and JAK/signal transducer and activator of transcription(STAT)signaling pathways are all related to the inflammatory response of ALI,and they are involved in regulating the inflammatory response process of ALI individually or cooperatively.Therefore,this article reviews the research progress on the pathogenesis-related signaling pathways and the drug interventions,aiming to provide a reference for early intervention in lung injury,optimizing the donor pool to increase the proportion of donation after cardiac death and providing quality donor protection conditions.

Acute lung injurysignal pathwayinflammatory reactionoxidative stressreview

杨思豪、聂洪鑫、孟辉

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遵义医科大学第五附属(珠海)医院心胸外科(广东珠海 519100)

大连医科大学第二附属医院急诊科(辽宁大连 116023)

急性肺损伤 信号通路 炎症反应 氧化应激 综述

贵州省科技厅基础研究项目遵义医科大学博士科研启动资金项目

黔科合作基础-ZK[2021]一般352BS2021-02

2024

中国胸心血管外科临床杂志
四川大学华西医院

中国胸心血管外科临床杂志

CSTPCD北大核心
影响因子:0.846
ISSN:1007-4848
年,卷(期):2024.31(9)
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