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               ·796 ·                            南 京    医 科 大 学 学         报                        2025年6月


              上皮细胞中的PANoptosis。同时,本研究发现COPD                     [参考文献]
              患者肺部 PANoptosis 相关基因水平的改变。Bulk
                                                                [1] HUGHES R,RAPSOMANIKI E,JANSON C,et al. Fre⁃
              RNA ⁃ seq 和 scRNA ⁃ seq 分 析 均 显 示 COPD 患 者
                                                                     quent productive cough:symptom burden and future exac⁃
                                                          +
              PANoptosis 相关基因的表达降低,尤其是在 CD8 T
                                                                     erbation risk among patients with asthma and/or COPD in
              细胞和上皮细胞中。这一发现表明异常的 PANop⁃
                                                                     the NOVELTY study[J]. Respir Med,2022,200:106921
              tosis 过程可能在 COPD 中起作用。                            [2] WECHSLER M E. Current and emerging biologic thera⁃
                  PANoptosis是最近发现的一种炎症性程序性细                          pies for asthma and COPD[J]. Respir Care,2018,63(6):
              胞死亡形式,已有的研究确定了坏死性凋亡或焦亡                                 699-707
              等个体途径在肺部疾病中的作用,PANoptosis 通过                      [3] RABY KL,MICHAELOUDES C,TONKIN J,et al. Mecha⁃
              组装成为 PANoptosomes 的多蛋白复合物启动泛凋                          nisms of airway epithelial injury and abnormal repair in
                                                                     asthma and COPD[J]. Front Immunol. 2023,14:
              亡过程   [31] 。本研究中 COPD 小鼠模型细胞凋亡、细
                                                                     1201658
              胞焦亡和坏死性凋亡的同时激活,MTRNR2L1 过表
                                                                [4] OPITZ I,ULRICH S. Pulmonary hypertension in chronic
              达可以减少 PANoptosis 的发生,其抗凋亡作用与已
                                                                     obstructive pulmonary disease and emphysema patients:
              有证据一致 ,验证了其保护作用。
                        [32]
                                                                     prevalence,therapeutic options and pulmonary circulatory
                  本研究的局限性在于:一是本研究的完成基于                               effects of lung volume reduction surgery[J]. J Thorac Dis,
              构建的 COPD 小鼠模型,时间偏短,无法全面反应                              2018,10(Suppl 23):S2763-S2774
              COPD疾病全过程改变,同时无COPD患者肺组织标                         [5] MARRON R M,ZHENG M,ROMERO G F,et al. Impact
              本验证,未来仍需要进行更多的临床样本分析来确                                 of chronic obstructive pulmonary disease and emphysema
              认患者 PANoptosis 通路的激活;二是未对 PANopto⁃                     on outcomes of hospitalized patients with coronavirus dis⁃
              some 进行进一步研究。未来的工作应该探索翻译                               ease 2019 pneumonia[J]. Chronic Obstr Pulm Dis,2021,
                                                                     8(2):255-268
              后修饰、蛋白质⁃蛋白质相互作用和参与 PANopto⁃
              some的信号传导。                                        [6] BOUKHENOUNA S,WILSON M A,BAHMED K,et al.
                                                                     Reactive oxygen species in chronic obstructive pulmonary
                  综上所述,本研究介绍了 PANoptosis 作为炎症
                                                                     disease[J]. Oxid Med Cell Longev,2018,2018:5730395
              性肺病发病机制的驱动因素,验证了MTRNR2L1表
                                                                [7] ROBERTONI F S Z,VELOSA A P P,OLIVEIRA L M,et
              达的增加意味着保护性反应,阐明 PANoptosome 可
                                                                     al. Type Ⅴ collagen ⁃ induced nasal tolerance prevents
              能为COPD新的治疗靶点以改善 COPD相关疾病中                              lung damage in an experimental model:new evidence of
              的过度细胞死亡和炎症。未来将通过更多的临床                                  autoimmunity to collagen Ⅴ in COPD[J]. Front Immu⁃
              样本及动物实验进一步探究 PANoptosis在COPD发                          nol,2024,15:1444622
              生发展全过程中的重要作用。                                     [8] CHEN J,WANG T,LI X O,et al. DNA of neutrophil ex⁃
                  利益冲突声明:                                            tracellular traps promote NF⁃κB⁃dependent autoimmunity
                  所有作者声明无利益冲突。                                       via cGAS/TLR9 in chronic obstructive pulmonary dis⁃
                  Conflict of Interests:                             ease[J]. Sig Transduct Target Ther,2024,9:163
                  All authors declare no conflicts of interest.  [9] CRISTALDI M,BUSCETTA M,CIMINO M,et al. Caspase⁃8
                  作者贡献声明:                                            activation by cigarette smoke induces pro ⁃ inflammatory
                  戈艳蕾负责课题设计及文章撰写;孙思怡、任泓沁、姚雪                          cell death of human macrophages exposed to lipopolysac⁃
              鑫、赵倩、李文强负责生信分析、基础实验;陈伟彬、白静负责                           charide[J]. Cell Death Dis,2023,14(11):773
              数据分析;喻昌利、董爱英、刘铁军负责数据收集;付爱双负                       [10]ELISIA I,LAM V,CHO B,et al. The effect of smoking on
              责课题指导。                                                 chronic inflammation,immune function and blood cell
                  Author’s Contributions:                            composition[J]. Sci Rep,2020,10(1):19480
                                                                [11]ALBANO G D,GAGLIARDO R P,MONTALBANO A M,
                  GE Yanlei was responsible for the project design and manu⁃
              script writing;SUN Siyi,REN Hongqin,YAO Xuexin,ZHAO    et al. Overview of the mechanisms of oxidative stress:im⁃
              Qian,and LI Wenqiang were responsible for bioinformatics anal⁃  pact in inflammation of the airway diseases[J]. Antioxi⁃
              ysis and basic experiments;CHEN Weibin and BAI Jing were  dants(Basel),2022,11(11):2237
              responsible for data analysis;YU Changli,DONG Aiying,and  [12]HIKICHI M,MIZUMURA K,MARUOKA S,et al. Patho⁃
              LIU Tiejun were responsible for data collection;FU Aishuang  genesis of chronic obstructive pulmonary disease(COPD)
              was responsible for project guidance.                  induced by cigarette smoke[J]. J Thorac Dis,2019,11
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