实用医学杂志 ›› 2026, Vol. 42 ›› Issue (14): 2657-2664.doi: 10.3969/j.issn.1006-5725.2026.14.019

• 综述 • 上一篇    

糖酵解代谢重编程在脓毒症急性肾损伤中的作用机制及治疗研究进展

苟佳佳1,田梓佑1,李竹3,唐立丽2,张弓1,何东蕊1,李小悦2()   

  1. 1.遵义医科大学第五附属(珠海)医院,急诊科,(广东 珠海 519000 )
    2.遵义医科大学第五附属(珠海)医院,重症医学科,(广东 珠海 519000 )
    3.遵义医科大学第二附属医院急诊科 (贵州 遵义 563000 )
  • 收稿日期:2026-04-22 出版日期:2026-07-25 发布日期:2026-08-05
  • 通讯作者: 李小悦 E-mail:euyeuy1983@126.com
  • 基金资助:
    国家自然科学基金项目(82460375);国家自然科学基金项目(81960361);贵州省科技支撑项目[编号:黔科合支撑(2025)一般121];贵州省基础研究计划项目(编号:黔科合基础-ZK[2024]一般341);贵州省研究生创新计划(2024YJSKYJJ323);贵州省卫生健康委科学技术基金项目(gzwkj2025-011);贵州省卫生健康委科学技术基金项目(gzwkj2025-015);贵州省卫生健康委科学技术基金项目(gzwkj2025-208);珠海市社会发展领域科技计划项目(2420004000300);珠海市社会发展领域科技计划项目(2420004000107)

Research progress on the mechanism and treatment of glycolytic metabolic reprogramming in septic acute kidney injury

Jiajia GOU1,Ziyou TIAN1,Zhu LI3,Lili TANG2,Gong ZHANG1,Dongrui HE1,Xiaoyue LI2()   

  1. 1.Department of Emergency,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519000,Guangdong,Chin
    a2Department of Critical Care Medicine,the Fifth Affiliated(Zhuhai)Hospital of Zunyi Medical University,Zhuhai 519000,Guangdong,Chin
    a3Department of Emergency,the Second Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou,China
  • Received:2026-04-22 Online:2026-07-25 Published:2026-08-05
  • Contact: Xiaoyue LI E-mail:euyeuy1983@126.com

摘要:

脓毒症急性肾损伤(SAKI)是脓毒症患者常见且严重的并发症,发病机制复杂,具有高发病率和高病死率的特点。近年来,代谢重编程在疾病发生发展中的作用日益受到关注。作为代谢重编程的重要组成部分,糖酵解代谢重编程在SAKI发生发展中扮演重要角色。该文对糖酵解代谢重编程概念、SAKI糖酵解代谢重编程发生机制、糖酵解代谢重编程对SAKI调控作用、基于糖酵解代谢重编程的SAKI治疗策略等方面研究进展进行综述,旨在深入探讨SAKI发病机制,为SAKI临床治疗提供潜在靶点。

关键词: 脓毒症急性肾损伤, 代谢重编程, 糖酵解, 作用机制, 治疗策略

Abstract:

Septic acute kidney injury (SAKI), a common and severe complication among sepsis patients, is characterized by a complex pathogenesis, a high morbidity rate, and a high mortality rate. In recent years, the role of metabolic reprogramming in the onset and development of diseases has drawn growing attention. As a crucial part of metabolic reprogramming, glycolytic metabolic reprogramming plays a significant role in the development and advancement of SAKI. This article reviews the research progress regarding the concept of glycolytic metabolic reprogramming, the mechanisms behind glycolytic metabolic reprogramming in SAKI, its regulatory impacts on SAKI, and SAKI treatment strategies based on glycolytic metabolic reprogramming. The purpose of this review is to thoroughly explore the pathogenesis of SAKI and offer potential targets for its clinical treatment.

Key words: septic acute kidney injury, metabolic reprogramming, glycolysis, mechanism, treatment strategy

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