The Effect and Mechanism of lncRNA NBR2 Regulating Endothelial Pyroptosis by Targeting GSDMD in Sepsis

  • STATUS
    Recruiting
  • participants needed
    100
  • sponsor
    Jianfeng Xie
Updated on 19 February 2024
diabetes
organ failure
septicemia
dysregulated host response
long non-coding rna
cell injury

Summary

Sepsis is a life-threatening disease characterized by multi-organ failure due to dysregulated host response to infection, with high global mortality of 30-50%. One of the most important pathophysiologic hallmarks in sepsis is vascular endothelial injury that contributes to the severity and outcome of the syndrome. Effective treatments for endothelial cell injury in sepsis have been lacking to improve prognosis. Endothelial pyroptosis is a vital mechanism of vascular endothelial injury in sepsis; mitigation or abolishment of endothelial cell pyroptosis alleviate vascular endothelial damage and improve the prognosis of sepsis mice. Gasdermin D (GSDMD) mediated endothelial pyroptosis plays a critical role in modulating vascular endothelial injury in sepsis.

Long non-coding RNA (lncRNA), as a class of non-coding protein RNA longer than 200 kD, contributes to a variety of cell biological processes. The dysregulation of lncRNA results in the occurrence and development of tumors, diabetes, sepsis and other diseases. Therefore, we detected lncRNA and mRNA expression profile in 26 blood samples of septic patients using Arraystar LncRNA Microarray. We found lncRNA NBR2 regulates septic endothelial pyroptosis.

To assess any correlation of pyroptosis levels with relevant endothelial cell injury parameters and determine the prognostic value in septic patients. we measured the levels of pyroptosis in patients admitted to the Department of Critical Care Medicine for sepsis and investigated the correlation with related markers of endothelium injury. Furthermore, we determined the prognostic value of pyroptosis levels for the mortality of patients with sepsis.

Description

We measured the levels of pyroptosis in patients admitted to the Department of Critical Care Medicine for sepsis and investigated the correlation with related markers of endothelium injury. Furthermore, we determined the prognostic value of pyroptosis levels for the mortality of patients with sepsis.

Details
Condition Septicemia, sepsis and septicemia, sepsis and septicemia
Age 18-80 years
Treatment the levels of pyroptosis
Clinical Study IdentifierNCT04427371
SponsorJianfeng Xie
Last Modified on19 February 2024

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Inclusion Criteria

Suspected or confirmed infection
The sequential organ failure score (SOFA score) increases by more than or equal to 2 points on the basis
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the age < 18 or > 80 years of age
pregnant
tumor
viral hepatitis or liver cirrhosis
chronic renal tubular nephritis, chronic renal insufficiency
ulcerative colitis or crohn's disease
active systemic lupus erythematosus (SLE)
acute myocardial infarction
acute pancreatitis
engaged in other clinical subjects
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