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  • 李从烨,高成金,张翔宇.p38信号通路在呼吸机相关性肺损伤中的作用[J].同济大学学报(医学版),2014,35(4):126-128.    [点击复制]
  • LI Cong-ye,GAO Cheng-jin,ZHANG Xiang-yu.p38MAPK signaling pathway is involved in ventilator-induced lung injury[J].Journal of Tongji University(Medical Science),2014,35(4):126-128.   [点击复制]
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p38信号通路在呼吸机相关性肺损伤中的作用
李从烨1,2,高成金1,张翔宇1
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(1.同济大学附属第十人民医院急诊医学科,上海200072; 2.同济大学附属第十人民医院重症医学科,上海200072)
摘要:
呼吸机相关性肺损伤(ventilator-induced lung injury,VILI)是由机械通气产生的严重并发症,VILI的类型主要包括:气压伤(baratrauma)、容积伤(volutrauma)、肺萎陷伤(atelectrauma)、生物伤(biotrauma),目前临床上仍无有效的治疗策略。丝裂原活化蛋白激酶家族可以在一系列细胞外刺激下参与细胞应答,在哺乳动物中,已经发现了ERKs(extracellular signal-regulated kinase)、JNK/SAPK(c-jun N-terminal/stress-activated protein kinase)、ERK5/BMK1(ERK/big MAP kinase 1)以及p38四个亚家族。随着对VILI的不断深入研究,p38通路被认为参与了VILI的发生机制,深入研究p38信号通路在VILI中的作用,可为临床提供新的治疗靶点。
关键词:  p38M  APK  信号通路  呼吸机相关性肺损伤
DOI:10.3969/j.issn1008-0392.2014.04.028
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录用日期:
基金项目:国家自然科学基金(81000024)
p38MAPK signaling pathway is involved in ventilator-induced lung injury
LI Cong-ye1,2,GAO Cheng-jin1,ZHANG Xiang-yu1
(1. Dpet. of Emergency, Tenth People's Hospital, Tongji University, Shanghai 200072, China; 2. Dept. of Intensive Care Unit, Tenth People's Hospital, Tongji University, Shanghai 200072, China)
Abstract:
Ventilator-induced lung injury (VILI) is one of the most serious complications of mechanical ventilation. There are four types of VILI, namely baratrauma, volutrauma, ateletrauma and biotrauma. Members of mitogen-activated protein kinase family participate in cellular responses to a wide range of extracellular stimuli. Four subfamilies of MAPkinase, ERK, JNK/SAPK, ERK5/ BMKI and p38 have been identified in mammalian cells. The p38 MAPK (mitogen-activated protein kinase) signaling pathway is considered one of the mechanisms of VILI. In this article we review the involvement of p38 MAPK in VILI, which may provide a novel target for prevention and treatment of VILI.
Key words:  p38MAPK  signaling pathway  ventilator-induced lung injury

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