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Targeting novel regulated cell death:Ferroptosis, pyroptosis, and autophagy in sepsis-associated encephalopathy - 27/04/24

Doi : 10.1016/j.biopha.2024.116453 
Jingjing Sun a, Joshua S. Fleishman b, Xueyan Liu a, Hongquan Wang c, Liang Huo a,
a Department of Pediatrics, Shengjing Hospital of China Medical University, Shenyang 11004, China 
b Department of Pharmaceutical Sciences, College of Pharmacy and Health Sciences, St. John’s University, Queens, NY 11439, USA 
c Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin’s Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, 300060, China 

Correspondence to: Department of Pediatrics, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, Liaoning Province 110004, China.Department of Pediatrics, Shengjing Hospital of China Medical UniversityNo. 36 Sanhao Street, Heping DistrictShenyangLiaoning Province110004China

Abstract

Sepsis-associated encephalopathy (SAE), a common neurological complication of sepsis, is a heterogenous complex clinical syndrome caused by the dysfunctional response of a host to infection. This dysfunctional response leads to excess mortality and morbidity worldwide. Despite clinical relevance with high incidence, there is a lack of understanding for its both its acute/chronic pathogenesis and therapeutic management. A better understanding of the molecular mechanisms behind SAE may provide tools to better enhance therapeutic efficacy. Mounting evidence indicates that some types of non-apoptotic regulated cell death (RCD), such as ferroptosis, pyroptosis, and autophagy, contribute to SAE. Targeting these types of RCD may provide meaningful targets for future treatments against SAE. This review summarizes the core mechanism by which non-apoptotic RCD leads to the pathogenesis of SAE. We focus on the emerging types of therapeutic compounds that can inhibit RCD and delineate their beneficial pharmacological effects against SAE. Within this review we suggest that pharmacological inhibition of non-apoptotic RCD may serve as a potential therapeutic strategy against SAE.

Il testo completo di questo articolo è disponibile in PDF.

Graphical Abstract




 : 

We describe the roles of ferroptosis, pyroptosis, and autophagy contributing to sepsis-associated encephalopathy (SAE), and summarize the emerging data in treating these diseases through pharmacological inhibition of ferroptosis, pyroptosis, and autophagy, highlighting a potential promising therapeutic avenue that could be used to prevent SAE. This review will shed light on developing novel therapeutic regimens through inhibiting ferroptosis, pyroptosis, and autophagy to slow down the progression of these diseases in the future.


We describe the roles of ferroptosis, pyroptosis, and autophagy contributing to sepsis-associated encephalopathy (SAE), and summarize the emerging data in treating these diseases through pharmacological inhibition of ferroptosis, pyroptosis, and autophagy, highlighting a potential promising therapeutic avenue that could be used to prevent SAE. This review will shed light on developing novel therapeutic regimens through inhibiting ferroptosis, pyroptosis, and autophagy to slow down the progression of these diseases in the future.

Il testo completo di questo articolo è disponibile in PDF.

Highlights

Ferroptosis is involved in the genesis of sepsis-associated encephalopathy.
Pyroptosis is involved in the genesis of sepsis-associated encephalopathy.
Autophagy is involved in the genesis of sepsis-associated encephalopathy.
Inhibiting ferroptosis,pyroptosis, and autophagy as a therapeutic target for SAE.
Small-molecule compounds that inhibit ferroptosis, pyroptosis, and autophagy shed new light on the development of drugs to treat SAE in the future.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviations : 4-HNE, ALOXs, ACSL4, DMT1, FPN1, GPX4, GSH, HO-1, LPCAT3, LPO, MDA, NCOA4, Nrf2, POR, PL-PUFAs, PL-PUFA-OOH, SAE, TfR1, TMEM43

Keywords : Sepsis, Encephalopathy, Ferroptosis, Autophagy, Pyroptosis


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© 2024  The Authors. Pubblicato da Elsevier Masson SAS. Tutti i diritti riservati.
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