Role of pyroptosis in hemostasis activation in sepsis

Sepsis is frequently associated with hemostasis activation and thrombus formation, and systematic hemostatic changes are associated with a higher risk of mortality. The key events underlying hemostasis activation during sepsis are the strong activation of innate immune pathways and the excessive inf...

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Main Authors: Chengrui Zhu, Yingjian Liang, Yangtuo Luo, Xiaochun Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114917/full
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author Chengrui Zhu
Yingjian Liang
Yangtuo Luo
Xiaochun Ma
author_facet Chengrui Zhu
Yingjian Liang
Yangtuo Luo
Xiaochun Ma
author_sort Chengrui Zhu
collection DOAJ
description Sepsis is frequently associated with hemostasis activation and thrombus formation, and systematic hemostatic changes are associated with a higher risk of mortality. The key events underlying hemostasis activation during sepsis are the strong activation of innate immune pathways and the excessive inflammatory response triggered by invading pathogens. Pyroptosis is a proinflammatory form of programmed cell death, that defends against pathogens during sepsis. However, excessive pyroptosis can lead to a dysregulation of host immune responses and organ dysfunction. Recently, pyroptosis has been demonstrated to play a prominent role in hemostasis activation in sepsis. Several studies have demonstrated that pyroptosis participates in the release and coagulation activity of tissue factors. In addition, pyroptosis activates leukocytes, endothelial cells, platelets, which cooperate with the coagulation cascade, leading to hemostasis activation in sepsis. This review article attempts to interpret the molecular and cellular mechanisms of the hemostatic imbalance induced by pyroptosis during sepsis and discusses potential therapeutic strategies.
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spelling doaj.art-b12301f7ccc2411d84676087640e78542023-01-23T04:59:08ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-01-011410.3389/fimmu.2023.11149171114917Role of pyroptosis in hemostasis activation in sepsisChengrui Zhu0Yingjian Liang1Yangtuo Luo2Xiaochun Ma3Department of Critical Care Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Critical Care Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Otolaryngology, The First Hospital of China Medical University, Shenyang, Liaoning, ChinaDepartment of Critical Care Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, ChinaSepsis is frequently associated with hemostasis activation and thrombus formation, and systematic hemostatic changes are associated with a higher risk of mortality. The key events underlying hemostasis activation during sepsis are the strong activation of innate immune pathways and the excessive inflammatory response triggered by invading pathogens. Pyroptosis is a proinflammatory form of programmed cell death, that defends against pathogens during sepsis. However, excessive pyroptosis can lead to a dysregulation of host immune responses and organ dysfunction. Recently, pyroptosis has been demonstrated to play a prominent role in hemostasis activation in sepsis. Several studies have demonstrated that pyroptosis participates in the release and coagulation activity of tissue factors. In addition, pyroptosis activates leukocytes, endothelial cells, platelets, which cooperate with the coagulation cascade, leading to hemostasis activation in sepsis. This review article attempts to interpret the molecular and cellular mechanisms of the hemostatic imbalance induced by pyroptosis during sepsis and discusses potential therapeutic strategies.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114917/fullpyroptosisinflammasomecoagulationhemostasissepsistissue factor
spellingShingle Chengrui Zhu
Yingjian Liang
Yangtuo Luo
Xiaochun Ma
Role of pyroptosis in hemostasis activation in sepsis
Frontiers in Immunology
pyroptosis
inflammasome
coagulation
hemostasis
sepsis
tissue factor
title Role of pyroptosis in hemostasis activation in sepsis
title_full Role of pyroptosis in hemostasis activation in sepsis
title_fullStr Role of pyroptosis in hemostasis activation in sepsis
title_full_unstemmed Role of pyroptosis in hemostasis activation in sepsis
title_short Role of pyroptosis in hemostasis activation in sepsis
title_sort role of pyroptosis in hemostasis activation in sepsis
topic pyroptosis
inflammasome
coagulation
hemostasis
sepsis
tissue factor
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1114917/full
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