切换至 "中华医学电子期刊资源库"

第五届中国出版政府奖音像电子网络出版物奖提名奖

中国科技核心期刊

中国科学引文数据库(CSCD)来源期刊

中华重症医学电子杂志 ›› 2025, Vol. 11 ›› Issue (02) : 112 -116. doi: 10.3877/cma.j.issn.2096-1537.2025.02.002

年度进展

脓毒症神经免疫互作与器官损伤:2024 年度进展与展望
张玲1, 谢剑锋1,()   
  1. 1. 210009 南京,江苏省重症医学重点实验室 东南大学附属中大医院重症医学科
  • 收稿日期:2025-02-07 出版日期:2025-05-28
  • 通信作者: 谢剑锋
  • 基金资助:
    国家自然科学基金项目(82072155,82272210)国家重点研究与发展计划项目(2021YFC2500804)

Neuroimmunity in sepsis-induced multiple organ dysfunction:progress and prospects in 2024

Ling Zhang1, Jianfeng Xie1,()   

  1. 1. Jiangsu Provincial Key Laboratory of Critical Care Medicine,Department of Critical Care Medicine,Zhongda Hospital,School of Medicine,Southeast University,Nanjing 210009,China
  • Received:2025-02-07 Published:2025-05-28
  • Corresponding author: Jianfeng Xie
引用本文:

张玲, 谢剑锋. 脓毒症神经免疫互作与器官损伤:2024 年度进展与展望[J/OL]. 中华重症医学电子杂志, 2025, 11(02): 112-116.

Ling Zhang, Jianfeng Xie. Neuroimmunity in sepsis-induced multiple organ dysfunction:progress and prospects in 2024[J/OL]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2025, 11(02): 112-116.

脓毒症严重威胁人类健康,然而由于脓毒症的发病机制仍未阐明,目前尚无世界公认的有效治疗药物。最近大量研究揭示了神经免疫互作在脓毒症发生发展中发挥重要作用,与脓毒症时多器官损伤密切相关,提示神经免疫能为改善脓毒症器官损伤提供有效的治疗靶点。本文简要阐述脓毒症器官损伤过程中的神经免疫互作及潜在的神经免疫调控靶点。

Sepsis poses a serious threat to human health,but due to the unclear pathogenesis of sepsis,there is currently no universally recognized effective treatment drug.Recently,a large number of studies have revealed that neuroimmune interactions play an important role in the occurrence and development of sepsis,closely related to multi-organ injury in sepsis,suggesting that neuroimmunity can provide effective therapeutic targets for improving organ function in sepsis.This article briefly describes the neuroimmune interactions and potential neuroimmune regulatory targets during organ injury in sepsis.

1
Cajander S,Kox M,Scicluna BP,et al.Profiling the dysregulated immune response in sepsis:overcoming challenges to achieve the goal of precision medicine [J].Lancet Respir Med,2024,12(4):305-322.
2
Rudd KE,Johnson SC,Agesa KM,et al.Global,regional,and national sepsis incidence and mortality,1990-2017:analysis for the global burden of disease study [J].Lancet,2020,395(10219):200-211.
3
Cavaillon JM,Singer M,Skirecki T,Sepsis therapies:learning from 30 years of failure of translational research to propose new leads [J].EMBO Mol Med,2020,12(4):e10128.
4
Udit S,Blake K,Chiu IM.Somatosensory and autonomic neuronal regulation of the immune response [J].Nat Rev Neurosci,2022,23(3):157-171.
5
Chu C,Artis D,Chiu IM,Neuro-immune interactions in the tissues [J].Immunity,2020,52(3):464-474.
6
Liu S,Wang ZF,Su YS,et al.Somatotopic organization and intensity dependence in driving distinct NPY-expressing sympathetic pathways by electroacupuncture [J].Neuron,2020,108(3):1-39.
7
Caravaca AS,Gallina AL,Tarnawski L,et al.Vagus nerve stimulation promotes resolution of inflammation by a mechanism that involves Alox15 and requires the α7nAChR subunit [J].Proc Natl Acad Sci U S A,2022,119(22):e2023285119.
8
Jin H,Li M,Jeong E,et al.A body-brain circuit that regulates body inflammatory responses [J].Nature,2024,630(8017):695-703.
9
Liu S,Wang Z,Su Y,et al.A neuroanatomical basis for electroacupuncture to drive the vagal-adrenal axis [J].Nature,2021,598(7882):641-645.
10
Manabe T,Heneka MT,Cerebral dysfunctions caused by sepsis during ageing [J].Nat Rev Immunol,2022,22(7):444-458.
11
Huang X,Wei P,Fang C,et al.Compromised endothelial Wnt/betacatenin signaling mediates the blood-brain barrier disruption and leads to neuroinflammation in endotoxemia [J].J Neuroinflammation,2024,21(1):265.
12
Wei C,Jiang W,Wang R,et al.Brain endothelial GSDMD activation mediates inflammatory BBB breakdown [J].Nature,2024,629(8013):893-900.
13
Hoogland ICM,Yik J,Westhoff D,et al.Microglial cell response in α7 nicotinic acetylcholine receptor-deficient mice after systemic infection with Escherichia coli [J].J Neuroinflammation,2022,19(1):94.
14
Yin L,Zhang J,Ma H,et al.Selective activation of cholinergic neurotransmission from the medial septal nucleus to hippocampal pyramidal neurones improves sepsis-induced cognitive deficits in mice[J].Br J Anaesth,2023,130(5):573-584.
15
Villareal JAB,Bathe T,Hery GP,et al.Deterioration of neuroimmune homeostasis in Alzheimer’s disease patients who survive a COVID-19 infection [J].J Neuroinflammation,2024,21(1):202.
16
Grant RA,Poor TA,Sichizya L,et al.Prolonged exposure to lungderived cytokines is associated with activation of microglia in patients with COVID-19 [J].JCI Insight,2024,9(8):e178859.
17
Luo RY,Luo C,Zhong F,et al.ProBDNF promotes sepsis-associated encephalopathy in mice by dampening the immune activity of meningeal CD4+ T cells [J].J Neuroinflammation,2020,17(1):169.
18
Sinha P,Kerchberger VE,Willmore A,et al.Identifying molecular phenotypes in sepsis:an analysis of two prospective observational cohorts and secondary analysis of two randomised controlled trials [J].Lancet Respir Med,2023,11(11):965-974.
19
Joshi PR,Adhikari S,Onah C,et al.Lung-innervating nociceptor sensory neurons promote pneumonic sepsis during carbapenemresistant Klebsiella pneumoniae lung infection [J].Science Advances,2024,10(36):eadl6162.
20
Hollenberg SM,Singer M,Pathophysiology of sepsis-induced cardiomyopathy [J].Nat Rev Cardiol,2021,18(6):424-434.
21
Zhao Y,Zang B,Wang Q.The effectiveness of alkaline phosphatase in sepsis-associated acute kidney injury [J].Intensive Care Med,2024,50(5):778-780.
22
Steiner SE,Choong FX,Antypas H,et al.UPEC kidney infection triggers neuro-immune communication leading to modulation of local renal inflammation by splenic IFNγ [J].PLoS Pathog,2021,17(5):e1009553.
23
Sun J,Zhang J,Wang X,et al.Gut-liver crosstalk in sepsis-induced liver injury [J].Crit Care,2020,24(1):614.
24
Maiwall R,Kulkarni AV,Arab JP,et al.Acute liver failure [J].Lancet,2024,404(10454):789-802.
25
Körner A,Schlegel M,Kaussen T,et al.Sympathetic nervous system controls resolution of inflammation via regulation of repulsive guidance molecule A [J].Nat Commun,2019,10(1):633.
26
Oami T,Abtahi S,Shimazui T,et al.Claudin-2 upregulation enhances intestinal permeability,immune activation,dysbiosis,and mortality in sepsis [J].Proc Natl Acad Sci U S A,2024,121(10):e2217877121.
27
Zhang X,Liu H,Hashimoto K,et al.The gut-liver axis in sepsis:interaction mechanisms and therapeutic potential [J].Crit Care,2022,26(1):213.
28
Lai NY,Musser MA,Pinho-Ribeiro FA,et al.Gut-innervating nociceptor neurons regulate Peyer’s patch microfold cells and SFB levels to mediate salmonella host defense [J].Cell,2020,180(1):33-49.e22.
29
Nagashima H,Mahlakõiv T,Shih HY,et al.Neuropeptide CGRP limits group 2 innate lymphoid cell responses and constrains type 2 inflammation [J].Immunity,2019,51(4):682-695.e6.
30
Seillet C,Luong K,Tellier J,et al.The neuropeptide VIP confers anticipatory mucosal immunity by regulating ILC3 activity [J].Nat Immunol,2020,21(2):168-177.
31
Jarret A,Jackson R,Duizer C,et al.Enteric nervous system-derived IL-18 orchestrates mucosal barrier immunity [J].Cell,2020,180(1):1-38.
[1] 陈瑞, 王丽, 徐海乐, 许彬, 陈超, 陆件. 早期监测白细胞介素35 联合肝素结合蛋白对脓毒症相关急性肾损伤的预测价值[J/OL]. 中华危重症医学杂志(电子版), 2025, 18(02): 122-127.
[2] 陈昊, 富建华. 基于床旁即时超声指导新生儿脓毒性休克救治的临床应用研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(01): 67-72.
[3] 林胜楠, 富建华. 晚发型脓毒症早产儿伴血小板减少的临床特征及其早期并发症的相关性研究[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(01): 78-91.
[4] 乔莉娜. 脓毒症诊断的边际与科学[J/OL]. 中华妇幼临床医学杂志(电子版), 2025, 21(01): 127-127.
[5] 贾艳慧, 原毅轩, 官浩, 胡大海. 清除衰老细胞在减轻脓毒症小鼠急性肺损伤中的作用机制探讨[J/OL]. 中华损伤与修复杂志(电子版), 2025, 20(01): 55-60.
[6] 唐浩然, 周彪, 巴特, 李洋洋. 严重烧伤后脓毒症早期诊断相关生物标记物的研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2025, 20(01): 70-74.
[7] 王鹏森, 吴慧锋, 温建芳, 韦阳, 董龙浩, 刘博强, 李占, 石春锋, 雷晓栋, 吴雄雄. 脓毒症并发急性肺损伤血清miR-146a 的表达及与预后相关性分析[J/OL]. 中华肺部疾病杂志(电子版), 2025, 18(02): 241-245.
[8] 宗晓龙, 林源希, 张天翼, 刘雅茹, 李端阳, 李真玉. 紫檀芪通过抑制炎症反应和NETs 形成对减轻脓毒症小鼠急性肺损伤的影响[J/OL]. 中华肺部疾病杂志(电子版), 2025, 18(01): 29-35.
[9] 李菲, 郭晓夏, 郑悦, 郑爔, 李鑫成, 李文雄. 他汀类药物对甘油三酯葡萄糖指数增高的脓毒症相关急性肾损伤患者预后的影响[J/OL]. 中华肾病研究电子杂志, 2025, 14(02): 68-76.
[10] 张丽娜, 谌楚宇, 杨新宇, 邱海波, 吕奔. 脓毒症凝血功能障碍:2024 年度进展与展望[J/OL]. 中华重症医学电子杂志, 2025, 11(02): 105-111.
[11] 吴健锋, 裴飞, 管向东. 严重感染与免疫功能障碍:2024年度进展与展望[J/OL]. 中华重症医学电子杂志, 2025, 11(01): 27-30.
[12] 王冉, 常炜, 杨毅, 徐静媛. 脓毒症休克液体复苏的晶体液种类对急性肾损伤影响的研究进展[J/OL]. 中华重症医学电子杂志, 2025, 11(01): 100-104.
[13] 王浩, 黄咪, 李雪琴. SIGIRR、IL-1、Treg/Th17、NLR与急性胰腺炎继发脓毒症病情程度及预后的关联性[J/OL]. 中华消化病与影像杂志(电子版), 2025, 15(03): 250-255.
[14] 原江东, 周丽珍, 段鹏程, 许婕璇, 黎江, 卢慕荣. 国际标准化比值与脓毒症相关急性肾损伤患者死亡率的关系[J/OL]. 中华临床实验室管理电子杂志, 2025, 13(01): 11-16.
[15] 欧范妍, 郭乾, 曾莉雄, 陈秋莉, 甘厚玉, 杨洁. 基于机器学习和转录组学综合分析线粒体自噬和铁死亡关键基因在成人脓毒症诱导ARDS中的免疫调控作用机制[J/OL]. 中华卫生应急电子杂志, 2025, 11(02): 86-101.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?