CytoJournal,
Journal Year:
2024,
Volume and Issue:
21, P. 73 - 73
Published: Dec. 26, 2024
Septic
cardiomyopathy
(SCM),
as
a
complication
of
the
septic
process,
severely
affects
myocardial
function
patients,
but
its
pathogenesis
remains
unclear.
The
article
aims
to
explore
mechanism
tripartite
motif
10
(TRIM10)
in
rats
with
SCM
and
provide
animal
experimental
basis
for
treatment
prevention
SCM.
An
rat
model
was
constructed
by
intraperitoneal
injection
lipopolysaccharide
(LPS).
Sh-NC
sh-TRIM10
groups
were
injected
sh-NC
tail
vein
3
consecutive
days
before
modeling.
expression
TRIM10
detected
Western
blot
reverse
transcription-polymerase
chain
reaction
analyses.
Hematoxylin-eosin
staining
performed
observe
pathological
changes
myocardium.
Cardiomyocyte
apoptosis
flow
cytometry.
Serum
levels
cardiac
troponin
I,
myohemoglobin,
creatine
kinase-MB,
interleukin-18
(IL-18),
interleukin-1
β
(IL-1β),
tumor
necrosis
factor-α
(TNF-α),
superoxide
dismutase,
glutathione
peroxidase
(GSH-Px)
enzyme-linked
immunosorbent
assay.
Apoptosis-related
proteins
toll-like
receptor
4
(TLR4)/nuclear
transcription
factor-κB
(NF-κB)
pathway-related
explored
increased
LPS
group
(P
<
0.0001).
Myocardial
tissue
injury
improved
after
reduction
compared
that
group.
Knockdown
decreased
MDA
0.01),
IL-18
0.0001),
IL-1β
TNF-α
0.0001)
contents
SOD
0.001)
GSH-Px
those
reduced
H9C2
cells
After
interference,
p-P65/P65
TLR4
decreased.
knockdown
can
reduce
inflammation,
oxidative
stress,
has
protective
effect
on
cardiomyocytes,
which
may
be
attributed
regulation
TLR4/NF-κB
pathway.
Frontiers in Pharmacology,
Journal Year:
2025,
Volume and Issue:
15
Published: Jan. 15, 2025
The
efficacy
of
dexmedetomidine
(DEX)
in
treating
sepsis-induced
myocardial
injury
(SIMI)
remains
unclear.
In
this
study,
we
explored
the
relationship
between
DEX
use
and
clinical
outcomes
patients
with
SIMI,
focusing
on
dosage
treatment
duration.
retrospective
cohort
analysis,
identified
SIMI
from
Medical
Information
Mart
for
Intensive
Care
IV
(MIMIC-IV)
database
categorized
them
into
non-DEX
groups
based
intensive
care
unit
treatment.
baseline
bias
was
reduced
through
propensity
score
matching
(PSM).
primary
outcome
28-day
mortality,
whereas
secondary
were
in-hospital
mortality
rates
at
7
days,
90
1
year.
association
assessed
using
Kaplan-Meier
analysis
Cox
proportional
hazards
models.
After
PSM,
373
group
matched
579
to
achieve
a
balanced
distribution
covariates.
regression
model
demonstrated
significant
reduction
associated
use,
yielding
hazard
ratio
(HR)
0.61
(95%
confidence
interval
[CI]:
0.47-0.78,
P
<
0.001).
In-hospital
also
significantly
decreased
(HR
=
0.43,
95%
CI:
0.33-0.57,
Lower
observed
doses
>0.4
μg/kg/h,
particularly
range
0.400-0.612
total
>3.113
mg
during
hospitalization,
durations
exceeding
72
h
improved
risk
all
intervals.
Regarding
28
our
subgroup
analyses
indicated
interaction
Sequential
Organ
Failure
Assessment
invasive
mechanical
ventilation.
administration
year
SIMI.
These
findings
require
validation
future
studies.
Intensive Care Medicine Experimental,
Journal Year:
2025,
Volume and Issue:
13(1)
Published: Feb. 18, 2025
Abstract
Sepsis
is
a
life-threatening
multi-organ
dysfunction
syndrome
caused
by
dysregulated
host
response
to
infection,
posing
significant
global
healthcare
challenge.
Sepsis-induced
myocardial
(SIMD)
common
complication
of
sepsis,
significantly
increasing
mortality
due
its
high
energy
demands
and
low
compensatory
reserves.
The
substantial
mitochondrial
damage
rather
than
cell
apoptosis
in
SIMD
suggests
disrupted
cardiac
metabolism
as
crucial
pathophysiological
mechanism.
Therefore,
we
systematically
reviewed
the
mechanisms
underlying
SIMD,
including
alterations
substrates,
excitation–contraction
coupling
processes,
dysfunction,
autophagy
biogenesis,
summarizing
potential
therapeutic
targets
within
them.
Science Progress,
Journal Year:
2025,
Volume and Issue:
108(1)
Published: Jan. 1, 2025
Sepsis-induced
cardiomyopathy
(SIC),
as
a
common
complication
in
the
intensive
care
unit,
not
only
increases
complexity
of
patient
but
also
greatly
enhances
risk
death.
Currently,
clinical
management
SIC
remains
challenging,
mainly
due
to
its
pathogenesis
and
lack
targeted
therapies.
Although
specific
etiology
is
yet
fully
understood,
existing
studies
have
revealed
several
vital
pathological
processes
that
are
intertwined
contribute
progression
disease.
This
narrative
review
summarizes
SIC,
which
involves
multiple
aspects
including
inflammatory
response,
mitochondrial
dysfunction,
cell
death
mechanisms,
immune
regulation,
calcium
homeostasis
imbalance.
Given
multifactorial
future
need
explore
interactions
between
these
mechanisms
how
intervene
develop
more
precise
effective
therapeutic
strategies
reduce
mortality
improve
prognosis
patients
with
SIC.
Frontiers in Immunology,
Journal Year:
2025,
Volume and Issue:
16
Published: April 10, 2025
Sepsis-induced
cardiomyopathy
(SIC)
presents
a
critical
complication
in
cancer
patients,
contributing
notably
to
heart
failure
and
elevated
mortality
rates.
While
its
clinical
relevance
is
well-documented,
the
intricate
molecular
mechanisms
that
link
sepsis,
tumor-driven
inflammation,
cardiac
dysfunction
remain
inadequately
explored.
This
study
aims
elucidate
interaction
between
post-tumor
intratumor
heterogeneity,
of
VSMC
SIC,
as
well
evaluate
therapeutic
potential
exercise
training
specific
pharmacological
interventions.
Transcriptomic
data
from
NCBI
GEO
databases
were
analyzed
identify
differentially
expressed
genes
(DEGs)
associated
with
SIC.
Weighted
gene
co-expression
network
analysis
(WGCNA),
ontology
(GO),
KEGG
pathway
enrichment
analyses
utilized
biological
significance
these
genes.
Molecular
docking
dynamics
simulations
used
investigate
drug-target
interactions,
immune
infiltration
mutation
carried
out
by
means
platforms
like
TIMER
2.0
DepMap
comprehend
influence
DVL1
on
responsiveness.
Through
utilization
datasets,
we
discovered
core
exhibited
remarkable
up-regulated
expression
both
SIC
diverse
kinds
cancers,
which
poor
prognosis
inflammatory
responses.
revealed
Digoxin
could
bind
reduce
oxidative
stress
The
module
related
was
identified
WGCNA,
demonstrated
distinctive
cell
patterns
impact
immunotherapeutic
resistance.
regulator
other
cancers
and,
therefore,
can
serve
target.
present
suggests
targeted
therapies
enhance
response
regimens
may
be
novel
tool
during
particularly
patients.
drugs,
Digoxin,
require
further
vivo
studies
confirm
their
effects
efforts
improve
outcomes
immunotherapy-resistant
Medicine,
Journal Year:
2024,
Volume and Issue:
103(43), P. e40257 - e40257
Published: Oct. 25, 2024
This
study
aimed
to
explore
the
organ-protective
effects
of
dexmedetomidine
in
patients
with
sepsis
combined
myocardial
injury.
From
December
2021
2023,
263
injury
were
included
based
on
inclusion
and
exclusion
criteria.
They
divided
into
an
experimental
group
(n
=
122),
who
had
previously
received
dexmedetomidine,
a
control
141),
midazolam.
After
matching
baseline
characteristics,
treatment
outcomes
between
2
groups
compared.
In
propensity
score-matched
cohort
patients,
each
62
individuals
balanced
characteristics.
The
showed
significantly
lower
heart
rates
days
1,
3,
7
compared
(
P
<
.05).
Biomarkers
high-sensitivity
troponin
I
creatine
kinase-MB
decreased
by
3
7,
levels
group.
B-type
natriuretic
peptide
also
7.
Heart
function
improved
both
groups,
showing
better
outcomes.
Inflammatory
markers
after
days,
having
levels.
Hospitalization
duration
was
similar
groups.
Dexmedetomidine
reduces
rate
inflammatory
markers,
protects
cells,
improves
cardiac
It
shows
potential
as
option,
future
research
needed
assess
its
long-term
efficacy
safety.