国际麻醉学与复苏杂志   2020, Issue (2): 6-6
    
T细胞亚群在脓毒症中的免疫代谢反应
郭品豪, 薄禄龙, 卞金俊1()
1.海军军医大学附属长海医院
Immunometabolism of different T cell subsets during sepsis
 全文:
摘要:

脓毒症的发病机制涉及免疫细胞的异常激活和免疫抑制。免疫抑制即使在脓毒症恢复后仍会持续。免疫抑制阶段CD4+T细胞、CD8+T细胞、Th17细胞和γδT细胞减少并伴有调节性T细胞(regulatory T cells, Tregs)的增加,同时还影响免疫细胞代谢。文章总结分析CD4+ T细胞、CD8+ T细胞、Th17细胞、Tregs和γδT细胞在脓毒症导致免疫抑制过程中的代谢反应及其对免疫反应的影响。探究免疫代谢对T细胞功能的调控作用,有助于发现脓毒症期间T细胞免疫代谢的相关靶点,并开发治疗脓毒症免疫的代谢调控疗法。

关键词: 脓毒症; 免疫抑制; 免疫代谢; T细胞
Abstract:

Aberrant activation of innate immune cells and immunosuppression are part of the pathogenesis of sepsis. The loss of CD4+ T cells, CD8+ T cells, Th17 cells, γδT cells, upregulation of regulatory T cells (Tregs) and aberrant immune cell metabolism can be detected in the stage of immunosuppression. Summarizing and analyzing the influence of immunometabolism of immune cells (CD4+ T cells, CD8+ T cells, Th17, Tregs and γδT) during sepsis‑induced immunosuppression on regulating the function of T cells are helpful to investigate potential target of the immunometabolism of T cells. This review is benefit to explore novel immunometabolism therapeutic method to treat sepsis.

Key words: Sepsis; Immunosuppression; Immunometabolism; T cells