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NETosis在ARDS中的作用机制及组蛋白修饰对其的调控作用OA

Research progress on the regulation of NETosis by histone modifications in sepsis-associated acute respiratory distress syndrome

中文摘要英文摘要

急性呼吸窘迫综合征(ARDS)是临床常见的危重症疾病之一.中性粒细胞胞外诱捕网(NETs)在其发病机制中扮演双重角色,既是重要的免疫防御机制,也是导致肺组织损伤的关键因素.NETs的形成过程,即NETosis,受到组蛋白修饰的精密调控.本综述系统阐述了组蛋白瓜氨酸化、乙酰化、甲基化等关键修饰在ARDS中调控NETosis的具体分子机制,进一步探讨了不同修饰间的交叉对话及其在ARDS炎症网络中的交互作用,并展望了以肽基精氨酸脱亚胺酶4(PAD4)抑制剂为代表的靶向组蛋白修饰-NETosis通路治疗ARDS的转化前景与挑战,旨在为该领域的研究提供新的思路与理论依据.

Acute respiratory distress syndrome(ARDS)is a common critical disease in clinical practice.Neutrophil extracellular traps(NETs)play a dual role in its pathogenesis,acting as an important immune defense mechanism and a key factor leading to lung tissue damage.Neutrophil extracellular traps formation(NETosis)is precisely regulated by histone modification.This review systematically explores the specific molecular mechanisms by which key modifications such as histone citrullination,acetylation,and methylation regulate NETosis in ARDS.The cross-dialogue among different modifications and their interactions in the ARDS inflammatory network is explored,and the translational prospects and challenges of targeting histone modifier-NETosis pathways represented by PAD4 inhibitors for ARDS treatment are explored,aiming to provide new ideas and a theoretical basis for future research.

王媛媛;郑晓文

广西医科大学,南宁 530000广西医科大学第二附属医院,南宁 530000

医药卫生

ARDS组蛋白修饰NETosis

ARDShistone modificationNETosis

《中国比较医学杂志》 2026 (11)

102-109,8

国家自然科学基金(82460376).

10.3969/j.issn.1671-7856.2026.11.011

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