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
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(
)
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:
Jiajia GOU1,Ziyou TIAN1,Zhu LI3,Lili TANG2,Gong ZHANG1,Dongrui HE1,Xiaoyue LI2(
)
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。
中图分类号:
苟佳佳,田梓佑,李竹,唐立丽,张弓,何东蕊,李小悦. 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[J]. 实用医学杂志, 2026, 42(14): 2657-2664.
Jiajia GOU,Ziyou TIAN,Zhu LI,Lili TANG,Gong ZHANG,Dongrui HE,Xiaoyue LI. Research progress on the mechanism and treatment of glycolytic metabolic reprogramming in septic acute kidney injury[J]. The Journal of Practical Medicine, 2026, 42(14): 2657-2664.
图 1
SAKI中糖酵解代谢重编程核心网络模式图注:LPS,脂多糖;TLR4,ToII样受体4;CGAS-STING,环鸟苷酸-腺苷酸合成酶-干扰素基因刺激因子;NF-κB,核因子κB;HIF-1α,缺氧诱导因子;GLUT1,葡萄糖转运蛋白1;HK2,已糖激酶2;PFKFB3,6-磷酸果糖-2-激酶/果糖-2.6-磷酸酶3;LDHA,乳酸脱氢酶A;PDK1,丙酮酸脱氢酶激酶1;PI3K,磷脂酰肌醇3-激酶;AKt,蛋白激酶B;mTOR,哺乳动物雷帕霉素靶蛋白;AMPK,单磷酸腺苷活化蛋白激酶;HK,己糖激酶;PKM2,丙酮酸激酶M2;EP300/HDAC2,E1A结合蛋白p300/组蛋白去乙酰化酶2;PDHA1,丙酮酸脱氢酶E1α亚基;Ezrin,埃兹蛋白;LDHB,乳酸脱氢酶B;HMGB1,高迁移率族蛋白B1;NLRP3,NOD样受体热蛋白结构域相关蛋白3;SAKI,脓毒症急性肾损伤;↑为上调,↓为下调"
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