Research status and advances in dexmedetomidine for sepsis-induced multiple organ dysfunction syndrome (Review)

被引:0
作者
Liu, Ming-Wei [1 ]
Duan, Shao-Xin [2 ]
Zhao, Xue-Yan [3 ]
Wang, Qiong-Fen [4 ]
Yang, Shan-Lan [5 ]
Ma, Ni [6 ]
Li, Xuan [7 ]
机构
[1] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Emergency Med, 35 Renmin South Rd,Xiaguan St, Dali 671000, Yunnan, Peoples R China
[2] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Trauma, Dali 671000, Yunnan, Peoples R China
[3] Dali Univ, Affiliated Hosp 1, Dept Endocrinol, Dali 671000, Yunnan, Peoples R China
[4] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Gastroenterol, Dali 671000, Yunnan, Peoples R China
[5] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Oncol, Dali 671000, Yunnan, Peoples R China
[6] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Pharm, Dali 671000, Yunnan, Peoples R China
[7] Dali Bai Autonomous Prefecture Peoples Hosp, Dept Rehabil, 35 Renmin South Rd, Xiaguan St, Dali 671000, Yunnan, Peoples R China
关键词
sepsis; dexmedetomidine; organ dysfunction; immune dysfunction; mechanism of action; ACUTE LUNG INJURY; ISCHEMIA-REPERFUSION INJURY; ENDOTOXIN-INDUCED SHOCK; OXIDATIVE STRESS; CARDIAC-SURGERY; INFLAMMATORY RESPONSES; INDUCED NEUROTOXICITY; ATRIAL-FIBRILLATION; MORTALITY; APOPTOSIS;
D O I
10.3892/ijmm.2025.5535
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Sepsis-induced organ dysfunction syndrome (ODS) arises from a dysregulated response to infection, leading to multiple life-threatening organ dysfunctions, and is a common complication in critically ill patients. Sepsis results in varying degrees of injury to the brain, lungs, kidneys and liver, culminating in immune dysfunction and multiple ODS (MODS). Current evidence indicates a direct correlation between the severity of organ injury and the prognosis of septic patients. Understanding the mechanisms of MODS in sepsis and developing effective management strategies are vital research areas. The protective effects of dexmedetomidine (DEX) on sepsis are well established, demonstrating its capacity to mitigate injuries to the brain, lungs, kidneys, liver and immune system. The present study reviews recent research progress on the role and mechanisms of action of DEX in the treatment of sepsis.
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共 179 条
[1]   Effect of xylazine, detomidine, medetomidine and dexmedetomidine during laparoscopic SCNT embryo transfer on pregnancy rate and some physiological variables in goats [J].
Aghamiri, Seyed Morteza ;
Samimi, Amir Saeed ;
Hajian, Mehdi ;
Samimi, Amir Masoud ;
Oroumieh, Amin .
BMC VETERINARY RESEARCH, 2022, 18 (01)
[2]   Hospital-related cost of sepsis: A systematic review [J].
Arefian, Habibollah ;
Heublein, Steffen ;
Scherag, Andre ;
Brunkhorst, Frank Martin ;
Younis, Mustafa Z. ;
Moerer, Onnen ;
Fischer, Dagmar ;
Hartmann, Michael .
JOURNAL OF INFECTION, 2017, 74 (02) :107-117
[3]   Dexmedetomidine Attenuates Neuroinflammation In LPS-Stimulated BV2 Microglia Cells Through Upregulation Of miR-340 [J].
Bao, Yang ;
Zhu, Yijun ;
He, Guangbao ;
Ni, Hongwei ;
Liu, Chenxia ;
Ma, Limin ;
Zhang, Lifeng ;
Shi, Dongping .
DRUG DESIGN DEVELOPMENT AND THERAPY, 2019, 13 :3465-3475
[4]   Bench-to-bedside review: Microvascular dysfunction in sepsis - hemodynamics, oxygen transport, and nitric oxide [J].
Bateman, RM ;
Sharpe, MD ;
Ellis, CG .
CRITICAL CARE, 2003, 7 (05) :359-373
[5]  
Behera BK, 2022, MINERVA ANESTESIOL, V88, P51, DOI [10.23736/S0375-9393.21.15773-6, 10.23736/S0375-9393.21.15773]
[6]   Changes in plasma protein binding have little clinical relevance [J].
Benet, LZ ;
Hoener, BA .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 2002, 71 (03) :115-121
[7]   Research Progress on the Mechanism of Sepsis Induced Myocardial Injury [J].
Bi, Cheng-Fei ;
Liu, Jia ;
Yang, Li-Shan ;
Zhang, Jun-Fei .
JOURNAL OF INFLAMMATION RESEARCH, 2022, 15 :4275-4290
[8]   Dexmedetomidine and cardiac protection for non-cardiac surgery: a meta-analysis of randomised controlled trials [J].
Biccard, B. M. ;
Goga, S. ;
de Beurs, J. .
ANAESTHESIA, 2008, 63 (01) :4-14
[9]   Dexmedetomidine Attenuates Lipopolysaccharide-Induced Sympathetic Activation and Sepsis via Suppressing Superoxide Signaling in Paraventricular Nucleus [J].
Bo, Jin-Hua ;
Wang, Jing-Xiao ;
Wang, Xiao-Li ;
Jiao, Yang ;
Jiang, Ming ;
Chen, Jun-Liu ;
Hao, Wen-Yuan ;
Chen, Qi ;
Li, Yue-Hua ;
Ma, Zheng-Liang ;
Zhu, Guo-Qing .
ANTIOXIDANTS, 2022, 11 (12)
[10]   Dexmedetomidine for Facilitating Mechanical Ventilation Extubation in Difficult-to-Wean ICU Patients: Systematic Review and Meta-Analysis of Clinical Trials [J].
Buckley, Mitchell S. ;
Smithburger, Pamela L. ;
Wong, Adrian ;
Fraser, Gilles L. ;
Reade, Michael C. ;
Klein-Fedyshin, Michele ;
Ardiles, Thomas ;
Kane-Gill, Sandra L. .
JOURNAL OF INTENSIVE CARE MEDICINE, 2021, 36 (08) :925-936