Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: May 2, 2025
Sepsis,
a
critical
systemic
inflammatory
response
syndrome
elicited
by
pathogenic
microorganisms,
poses
significant
challenge
in
clinical
practice
due
to
its
rapid
progression
and
potential
for
multi-organ
failure.
This
review
delineates
the
intricate
roles
of
Toll-like
receptors
(TLRs),
essential
components
innate
immune
system,
mediating
host
responses
during
sepsis.
TLRs
recognize
pathogen-associated
molecular
patterns
(PAMPs)
damage-associated
(DAMPs),
thereby
initiating
signaling
cascades
that
lead
synthesis
pro-inflammatory
cytokines
chemokines.
However,
dysregulation
TLR
can
precipitate
hyper-inflammatory
state
known
as
“cytokine
storm,”
characterized
excessive
tissue
damage
complications
such
Acute
Respiratory
Distress
Syndrome
(ARDS)
acute
kidney
injury
(AKI).
Several
therapeutic
strategies
targeting
pathways
are
under
exploration
mitigate
adverse
effects
Despite
advancements,
gaps
remain,
including
need
robust
validation
understanding
expression
variability
among
individuals.
Future
research
should
focus
on
elucidating
precise
mechanisms
governing
TLR-mediated
developing
human-specific
interventions.
aims
consolidate
current
knowledge
sepsis,
highlighting
their
dual
both
defenders
against
infection
contributors
pathological
conditions,
informing
future
strategies.
Redox Biology,
Journal Year:
2025,
Volume and Issue:
unknown, P. 103614 - 103614
Published: March 1, 2025
Macrophages
play
a
critical
role
in
the
development
of
sepsis-induced
acute
lung
injury
(si-ALI),
with
extracellular
vesicles
(EVs)
acting
as
crucial
mediators.
However,
effects
and
mechanisms
macrophage-derived
EVs
on
si-ALI
remain
unclear.
This
study
demonstrated
that
induce
endothelial
ferroptosis
barrier
disruption
during
sepsis.
Through
proteomic
sequencing
reanalysis
transcriptomic
single-cell
data,
guanylate-binding
protein
2
(GBP2)
was
identified
key
EV
molecule.
Elevated
GBP2
expression
observed
monocytes
from
peripheral
blood
sepsis
patients,
LPS-stimulated
THP-1
RAW264.7
cells
their
secreted
EVs,
macrophages
within
lungs
CLP
mice.
Additionally,
showed
positive
correlation
vascular
biomarkers,
including
ANGPT2,
Syndecan-1,
sTM.
Modulating
levels
affected
EV-induced
cells.
The
mechanism
by
which
binds
directly
to
OTUD5
promotes
GPX4
ubiquitination
elucidated
using
RNA
interference,
adeno-associated
virus
transfection,
endothelial-specific
Gpx4
knockout
A
high-throughput
screening
small-molecule
compounds
targeting
conducted.
Molecular
docking,
molecular
dynamics
simulations,
cellular
thermal
shift
assays
further
confirmed
Plantainoside
D
(PD)
has
potent
binding
affinity
for
GBP2.
PD
treatment
inhibited
interaction
between
OTUD5,
leading
reduction
ubiquitination.
Further
research
revealed
enhanced
pulmonary
protective
inhibition.
In
conclusion,
this
explored
EV-mediated
signaling
si-ALI,
highlighting
GBP2-OTUD5-GPX4
axis
driver
injury.
Targeting
presents
potential
therapeutic
strategy
si-ALI.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: May 2, 2025
Sepsis,
a
critical
systemic
inflammatory
response
syndrome
elicited
by
pathogenic
microorganisms,
poses
significant
challenge
in
clinical
practice
due
to
its
rapid
progression
and
potential
for
multi-organ
failure.
This
review
delineates
the
intricate
roles
of
Toll-like
receptors
(TLRs),
essential
components
innate
immune
system,
mediating
host
responses
during
sepsis.
TLRs
recognize
pathogen-associated
molecular
patterns
(PAMPs)
damage-associated
(DAMPs),
thereby
initiating
signaling
cascades
that
lead
synthesis
pro-inflammatory
cytokines
chemokines.
However,
dysregulation
TLR
can
precipitate
hyper-inflammatory
state
known
as
“cytokine
storm,”
characterized
excessive
tissue
damage
complications
such
Acute
Respiratory
Distress
Syndrome
(ARDS)
acute
kidney
injury
(AKI).
Several
therapeutic
strategies
targeting
pathways
are
under
exploration
mitigate
adverse
effects
Despite
advancements,
gaps
remain,
including
need
robust
validation
understanding
expression
variability
among
individuals.
Future
research
should
focus
on
elucidating
precise
mechanisms
governing
TLR-mediated
developing
human-specific
interventions.
aims
consolidate
current
knowledge
sepsis,
highlighting
their
dual
both
defenders
against
infection
contributors
pathological
conditions,
informing
future
strategies.