4.6 Review

Necroptosis, Pyroptosis, Ferroptosis in Sepsis and Treatment

Journal

SHOCK
Volume 57, Issue 6, Pages 161-171

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SHK.0000000000001936

Keywords

Ferroptosis; necroptosis; pyroptosis; sepsis

Funding

  1. National Natural Science Foundation of China [82102253]
  2. Shanghai Sailing Program [21YF1406800]
  3. Shanghai Natural Science Foundation [21ZR1413400]

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Sepsis is a major global health problem and a leading cause of death. Despite progress in identification and management, the morbidity and mortality rates remain high. Recent research on regulated cell death (RCD) in sepsis has gained attention as dying cells release danger signals that contribute to inflammation and worsening of sepsis, providing a new direction for treatment strategies.
As a global major health problem and a leading cause of death, sepsis is defined as a failure of homeostasis, which is mainly initiated by an infection and followed by sustained excessive inflammation until immune suppression. Despite advances in the identification and management of clinical sepsis, morbidity, and mortality remain high. In addition, clinical trials have failed to yield promising results. In recent years, the mechanism of regulated cell death (RCD) in sepsis has attracted more and more attention, because these dying cells could release a large number of danger signals which contribute to inflammatory responses and exacerbation of sepsis, providing a new direction for us to make treatment strategy. Here we summarize mechanisms of several forms of RCD in sepsis including necroptosis, pyroptosis, ferroptosis. In conclusion, targeting RCD is considered a promising approach to treat sepsis.

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