白细胞介素1受体相关激酶M在脓毒症免疫麻痹中的作用

被引:8
作者
蒋政宇
卞金俊
邓小明
机构
[1] 上海,海军军医大学附属长海医院麻醉学部
关键词
白细胞介素1受体相关激酶M; 脓毒症; 免疫麻痹;
D O I
暂无
中图分类号
R459.7 [急症、急救处理];
学科分类号
100231 [临床病理学];
摘要
背景白细胞介素1受体相关激酶M(interleukin 1 receptor-associated kinase M, IRAK-M)是Toll样受体(toll-like receptor, TLR)信号通路中重要的负向调控因子, 可通过抑制NF-κB炎症信号通路来限制过度的炎症反应。目的通过研究IRAK-M限制炎症反应的相关机制, 可以为脓毒症免疫麻痹的具体机制提供新的思路。内容综述近年来关于IRAK-M对TLR通路中转化生长因子-β激活激酶1(transforming growth factor-β activated kinase-1, TAK1)依赖性与促分裂原活化蛋白激酶/细胞外信号调节激酶-激酶3(mitogen-activated protein kinase/extracellular signal-regulated kinase-kinase 3, MEKK3)依赖性的通路, 并综述IRAK-M被众多TLR分子、细胞因子调控表达及其本身的表观遗传调控方面的机制。趋向现有研究初步阐述了IRAK-M可能通过抑制炎症反应通路而加重脓毒症免疫麻痹的相关病理机制, 并提示IRAK-M可能作为脓毒症患者免疫状态和免疫调节治疗的靶点。
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