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Targeting AMPK and the Nrf2/HO-1 axis: a promising therapeutic strategy in acute lung injury
European Respiratory Journal ( IF 24.3 ) Pub Date : 2021-12-23 , DOI: 10.1183/13993003.02238-2021
Stefan W Ryter 1
Affiliation  

Acute lung injury (ALI) is defined as pulmonary conditions leading to severe hypoxaemia, with human acute respiratory distress syndrome (ARDS) representing its most severe manifestation [1]. The primary causes of ARDS are trauma, bacterial and viral pneumonia, sepsis and adverse drug reactions [2]. The development of effective therapeutics for ALI/ARDS remains an urgent unmet need [3]. The overall crude incidence of ALI from all sources has been estimated at 76.9 per 100 000 person-years (86.2 after age adjustment) [4]; or ~200 000 cases per year in the USA [1]. ALI is generally associated with endothelial and epithelial cell injury, loss of alveolar–capillary membrane integrity, neutrophil influx into the lung, and release of pro-inflammatory mediators [1]. Exposure to halogen gases, such as bromine (Br2) and chlorine (Cl2), as well as to halogenated organic compounds, can cause severe ALI. Although many experimental animal models of ALI have been developed [5], halogen gas-induced ALI has been less widely studied. Halogen gas-induced ALI/ARDS remains a public health concern as it can arise from industrial occupational and accidental exposures. Despite individual case reports, there is a lack of more precise epidemiological data on the incidence of halogen-gas specific ALI [6].



中文翻译:

靶向 AMPK 和 Nrf2/HO-1 轴:一种有前途的急性肺损伤治疗策略

急性肺损伤 (ALI) 被定义为导致严重低氧血症的肺部疾病,人类急性呼吸窘迫综合征 (ARDS) 是其最严重的表现 [1]。ARDS的主要原因是创伤、细菌性和病毒性肺炎、败血症和药物不良反应[2]。为 ALI/ARDS 开发有效的治疗方法仍然是一个紧迫的未满足需求 [3]。所有来源的 ALI 总体粗发病率估计为每 10 万人年 76.9 人(年龄调整后为 86.2 人)[4];或在美国每年约 200 000 例 [1]。ALI 通常与内皮和上皮细胞损伤、肺泡-毛细血管膜完整性的丧失、中性粒细胞流入肺和促炎介质的释放有关 [1]。接触卤素气体,例如溴(Br 2) 和氯 (Cl 2 ) 以及卤代有机化合物会导致严重的 ALI。尽管已经开发了许多 ALI 的实验动物模型 [5],但卤素气体诱导的 ALI 的研究较少。卤素气体引起的 ALI/ARDS 仍然是一个公共卫生问题,因为它可能由工业职业和意外暴露引起。尽管有个别病例报告,但缺乏关于卤素气体特异性 ALI 发病率的更准确的流行病学数据 [6]。

更新日期:2021-12-23
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