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河南中医药大学第一附属医院急诊科,河南 郑州 450000
FENG Bo; E-mail: fengboicu@126.com
Received:05 February 2025,
Revised:2025-06-08,
Accepted:17 June 2025,
Published:20 July 2025
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高翔,冯博.泛凋亡在缺血-再灌注损伤疾病中的研究进展[J].中山大学学报(医学科学版),2025,46(04):574-582.
GAO Xiang,FENG Bo.Research Progress on PANoptosis in Ischemia-reperfusion Injury Diseases[J].Journal of Sun Yat-sen University(Medical Sciences),2025,46(04):574-582.
高翔,冯博.泛凋亡在缺血-再灌注损伤疾病中的研究进展[J].中山大学学报(医学科学版),2025,46(04):574-582. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2025.0404.
GAO Xiang,FENG Bo.Research Progress on PANoptosis in Ischemia-reperfusion Injury Diseases[J].Journal of Sun Yat-sen University(Medical Sciences),2025,46(04):574-582. DOI: 10.13471/j.cnki.j.sun.yat-sen.univ(med.sci).2025.0404.
泛凋亡是一种新发现的受调控的细胞死亡类型,具有细胞焦亡、凋亡和坏死性凋亡的关键特征,其分子基础依赖上游泛凋亡小体的精密调控,在感染性和炎症性疾病的病理生理过程中同时发生。既往研究普遍认为这些程序性死亡通路是彼此独立、互不关联的信号传导体系。然而,随着分子机制研究的不断深入,证据链日益表明,在这些死亡通路之间存在复杂的调控网络。研究者将这种各程序性死亡通路的交叉对话机制定义为泛凋亡。目前,已有研究证实泛凋亡与感染性疾病、神经系统疾病、肿瘤等多种人类疾病密切相关。此外,越来越多的研究结果表明,泛凋亡在缺血—再灌注损伤(IRI)相关的疾病中也发挥着重要的调控作用,但其具体的调控机制尚不十分明确。全面了解泛凋亡在IRI疾病中的作用研究进展,阐明泛凋亡在IRI疾病中的调控机制,有望为疾病的治疗带来突破。作为一个潜在的干预靶点,泛凋亡已经在研究领域展现出了很大的潜力,并且成为一个备受关注的课题。本文主要就泛凋亡的定义、特征、分子机制及其与IRI疾病的关系进行综述,旨在为IRI疾病的治疗和药物研发开辟新的途径。
PANoptosis, a newly characterized form of programmed cell death, exhibits hybrid molecular features of pyroptosis, apoptosis, and necroptosis, orchestrated by upstream PANoptosomes. This process is critically implicated in the pathophysiological progression of infectious and inflammatory disorders. Previously, these pathways of programmed cell death were considered mutually exclusive signaling systems. Previously advanced molecular interrogation has revealed intricate cross-regulatory networks among them. Researchers have formally defined this inter-pathway communication mechanism as PANoptosis. Emerging evidence implicates PANoptosis in diverse human pathologies, including infectious diseases, neurological disorders, and malignancies. Notably, PANoptosis has emerged as a critical modulator of ischemia-reperfusion injury (IRI)-associated pathologies, though its precise regulatory mechanisms remain incompletely delineated. A comprehensive understanding of the research advances in PANoptosis within IRI-related pathologies, coupled with the systematic elucidation of its regulatory mechanisms, holds transformative potential for therapeutic breakthroughs in disease management. As a feasible intervention target, PANoptosis has proven promising in studies and become a focus of intense research. This comprehensive review critically analyzes current knowledge on PANoptosis, including its definitions, molecular hallmarks, regulatory mechanisms, and pathophysiological correlations in IRI, to catalyze the development of transformative therapeutic strategies and pertinent medications for IRI management.
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