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中国临床药理学与治疗学 ›› 2022, Vol. 27 ›› Issue (9): 1061-1066.doi: 10.12092/j.issn.1009-2501.2022.09.014

• 综述与讲座 • 上一篇    下一篇

自噬在肠缺血再灌注损伤中的研究进展

张伟,王迎斌,曹璐,刘艳,张丽,刘婕婷   

  1. 兰州大学第二医院麻醉科,兰州 730030,甘肃
  • 收稿日期:2022-07-19 修回日期:2022-09-15 出版日期:2022-09-27 发布日期:2022-10-14
  • 通讯作者: 王迎斌,男,博士,主任医师,硕士生导师,研究方向:围术期器官保护、疼痛的机理与治疗的研究。 E-mail: wangyingbin6@163.com
  • 作者简介:张伟,男,硕士研究生,主治医师,研究方向:围术期器官保护。 E-mail: zhangwei-568@163.com
  • 基金资助:
    甘肃省自然科学基金(20JR10RA727)

Research progress of autophagy in intestinal ischemia-reperfusion injury

ZHANG Wei, WANG Yingbin, CAO Lu, LIU Yan, ZHANG Li, LIU Jieting   

  1. Department of Anesthesiology, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China 
  • Received:2022-07-19 Revised:2022-09-15 Online:2022-09-27 Published:2022-10-14

摘要: 肠缺血/再灌注损伤(intestinal ischemia reperfusion injury, II/RI)是临床常见的病理过程,缺血再灌注导致肠黏膜及远隔器官损伤,诱发全身炎症反应综合征(systemic inflammatory response syndrome, SIRS)和多器官功能障碍综合征(multiple organ dysfunction syndrome, MODS)。自噬是机体应激条件下的防御调控机制,具有维持细胞质、蛋白质和细胞器稳态的功能。自噬机制复杂,由进化上保守的自噬相关基因 (autophagy-related gene, ATG)编码的蛋白质复合物以及多种信号分子、通路协同调控。研究发现,自噬参与肠缺血再灌注损伤的过程,因此,揭示自噬在II/RI中的作用机制,可为II/RI的防治提供依据。

关键词: 自噬, 肠缺血再灌注损伤, 分子机制

Abstract: Intestinal ischemia/reperfusion injury (II/RI) is a common pathological process in clinical practice. Ischemia/reperfusion causes damage to intestinal mucosa and distant organs, and induces systemic inflammatory response syndrome (SIRS) and multiple organ dysfunction syndrome (MODS). Autophagy is a defense regulation mechanism under stress conditions, which can maintain the homeostasis of cytoplasm, proteins and organelles. The mechanism of autophagy is complex, which is co-regulated by protein complexes encoded by evolutionarily conserved autophagy-related gene (ATG) and a variety of signaling molecules and pathways. Studies have found that autophagy is involved in the process of intestinal ischemia-reperfusion injury. Therefore, revealing the mechanism of autophagy in II/RI can provide evidence for the prevention and treatment of II/RI.

Key words: autophagy, intestinal ischemia-reperfusion injury, molecular mechanism

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