MEKK2在脓毒症临床诊断与治疗中的研究新进展

刘 田田1, 王 花*2
1、青海大学 临床医学院
2、青海省人民医院 急诊科

摘要


脓毒症是由感染引发的全身炎症反应综合征(SIRS),以免疫失衡、多器官功能障碍为特征,是全球重症监
护病房(ICU)患者死亡的主要原因之一。丝裂原活化蛋白激酶2(MEKK2)作为MAPK信号通路的关键调控分子,
在免疫细胞活化、炎症因子释放及血管内皮功能调节中发挥重要作用。近年来,随着对脓毒症病理机制研究的深入,
MEKK2在脓毒症发生发展中的调控作用逐渐被揭示,其在临床诊断标志物筛选及靶向治疗中的潜力备受关注。本文
系统梳理了脓毒症的定义与流行病学背景、MEKK2的生物学功能,结合国内外研究现状,重点分析MEKK2在脓毒
症中的分子机制、诊断价值及治疗靶点潜力,并对未来研究方向进行展望。

关键词


脓毒症;MEKK2;免疫失衡;多器官功能障碍;临床诊断;靶向治疗

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参考


[1]Singer M, Deutschman CS, Seymour CW, et al.

The Third International Consensus Definitions for Sepsis and

Septic Shock(Sepsis-3)[J]. JAMA, 2016, 315(8):801-810.

[2]Shankar-Hari M, Phillips GS, Levy ML, et

al.Developing a New Definition and Assessing New Clinical

Criteria for Septic Shock: For the Third International Consensus

Definitions for Sepsis and Septic Shock(Sepsis-3)[J]. JAMA,

2016, 315(8): 762-774.

[3]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]. The

Lancet, 2020, 395(10219): 200-211.

[4]Fleischmann-Struzek C, Goldfarb DM, Schlattmann

P, et al. The global burden of paediatric and neonatal sepsis:

a systematic review and meta-analysis[J]. The Lancet

Respiratory Medicine, 2018, 6(3):223-230.

[5]Zhou J, Qian C, Zhao M, et al. Epidemiology

and outcome of sepsis in mainland China: a multicenter

prospective cohort study[J].Critical Care, 2021, 25(1):1-12.

[6]Zhang W, Liu HT. MAPK signal pathways in the

regulation of cell proliferation in mammalian cells[J]. Cell

Research, 2002, 12(1):9-18.

[7]Rincon M, Enslen H, Raingeaud J, et al.Interleukin-2

signaling is required for the development of Th1 and Th2

responses[J].Immunity, 1997, 6(2):171-180.

[8]Huang Q, Liu D, Majewski P, et al. The plasticity of

dendritic cell responses to pathogens and their components[J].

Science, 2001, 294(5543):870-875.

[9]Dejana E, Orsenigo F, Lampugnani MG. The role of

adherens junctions and VE-cadherin in the control of vascular

permeability[J]. Journal of Cell Science, 2008, 121(Pt 13):

35

医学理论研究 | 第3卷/第5期

Medical Theory Research

2115-2122.

[10]Schuetz P, Briel M, Christ-Crain M, et al.Procalcitonin

to initiate or discontinue antibiotics in acute respiratory tract

infections[J]. Cochrane Database of Systematic Reviews,

2012, (9):CD007498.

[11]Li X, Wang Y, Zhang L, et al. MEKK2 is upregulated

in peripheral blood mononuclear cells of patients with sepsis and

correlates with disease severity[J]. Cytokine, 2019, 117:32-38.

[12]Chen Y, Zhang Q, Liu X, et al. MEKK2 deficiency

protects mice against sepsis-induced lethality by attenuating

systemic inflammation[J]. Journal of Immunology, 2020,

204(5): 1231-1240.

[13]Zhang Y, Wang X, Li J, et al. selective MEKK2

inhibitor, suppresses LPS-induced inflammatory responses

in macrophages[J]. Biochemical and Biophysical Research

Communications, 2018, 503(3):1231-1237.

[14]Hotchkiss RS, Monneret G, Immunosuppression

in sepsis: a novel understanding of the disorder and a new

therapeutic approach[J]. The Lancet Infectious Diseases, 2013,

13(3):260-268.

[15]Wang X, Li X, Zhang L, et al. Dynamic changes of

MEKK2 expression in different phases of sepsis and its correlation

with immune function[J]. Frontiers in Immunology, 2021, 12:

678901.

[16]解放军总医院脓毒症研究组.脓毒症患者外周血

单核细胞MEKK2表达与病情严重程度的相关性研究[J].

中华危重病急救医学,2017,29(5):435-440.

[17]华中科技大学同济医学院附属协和医院.MEKK2

通过HMGB1通路调控脓毒症肺损伤的机制研究[J].中华

医学杂志,2019,99(12):912-918.

[18]中国药科大学天然药物活性组分与药效国家重

点实验室.黄连素通过抑制MEKK2活性减轻LPS诱导的

巨噬细胞炎症反应[J].中国药理学通报,2020,36(3):

345-351.

[19]Dickens M, Raingeaud J, et al. Opposing effects of

ERK and JNK-p38 MAP kinases on apoptosis[J]. Science,

1995, 270(5240): 1326-1331.

[20]Weissmann N, Syed SN, Goyal P, et al. Macrophagespecific deletion of MEKK2 protects mice from LPS-induced

septic shock[J]. Journal of Experimental Medicine, 2015,

212(11):1831-1842.

[21]Gurung P, Lukens JR, Kanneganti TD. Mitochondrial

reactive oxygen species regulate NLRP3 inflammasome

activation[J]. Nature Immunology, 2014, 15(3):225-233.

[22]Pfizer Inc. Preclinical evaluation of PF-06882991, a

dual MEKK2/3 inhibitor, in a murine sepsis model[R].2021.


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