脓毒症免疫抑制小鼠模型的制备、评价及研究进展
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1.天津中医药大学针灸推拿学院;2.国家中医针灸临床医学研究中心;3.天津中医药大学医学技术学院

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国家自然科学基金项目(面上项目,重点项目,重大项目)


Establishment, Evaluation, and Research Progress of Mouse Models of Sepsis-Induced Immunosuppression
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1.School of Acupuncture-moxibustion and Tuina, Tianjin University of Traditional Chinese Medicine;2.National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion;3.School of Medicine Technology, Tianjin University of Traditional Chinese Medicine

Fund Project:

The National Natural Science Foundation of China (General Program, Key Program, Major Research Plan)

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    摘要:

    脓毒症是临床中死亡率较高的危重疾病,后期的免疫抑制状态与患者不良预后密切相关。建立可靠的动物模型对于深入剖析脓毒症免疫抑制的机制及治疗策略至关重要。目前,现有模型多用于脓毒症过度炎症的研究,在脓毒症免疫抑制的相关研究中使用较少,并且相关研究的评估标准也不尽相同。盲肠结扎穿孔(CLP)和脂多糖(LPS)注射是常用模型,其中CLP能较好模拟临床病理过程,但模型稳定性较差;LPS操作简单,但与实际感染存在差异。对于动物模型免疫抑制程度,可通过检测免疫细胞数量、细胞因子水平及免疫器官等指标进行有效地评估。本文通过系统查阅分析近年文献,总结脓毒症免疫抑制动物模型的构建方法与评估指标,分析不同模型的优缺点,以期为脓毒症免疫抑制模型设计提供前期实验依据。

    Abstract:

    Sepsis is a life-threatening condition associated with high mortality rates in clinical settings. The subsequent immunosuppressive state is strongly correlated with adverse patient outcomes. Establishing robust animal models is therefore essential for elucidating the pathophysiological mechanisms of sepsis-induced immunosuppression and developing therapeutic interventions. However, current models are predominantly employed in sepsis hyperinflammation studies, while their utilization specifically for the immunosuppression phase remains limited. Additionally, standardized assessment criteria for immunosuppression are lacking across different investigations. Commonly employed models include cecal ligation and puncture (CLP) and lipopolysaccharide (LPS) administration. While CLP effectively recapitulates clinical pathology, it suffers from significant outcome variability. Conversely, although LPS administration is technically straightforward, its artificial nature fails to replicate the polymicrobial pathogenesis of natural infection. Quantitative analysis of immune cell populations, cytokine profiles, and immune organ status provides reliable assessment of immunosuppression severity in animal models. By synthesizing recent literature, this review consolidates methodologies and assessment parameters for establishing sepsis immunosuppression models, while critically evaluating the strengths and limitations of each approach. This aims to establish a standardized experimental framework for future development of optimized sepsis immunosuppression models.

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  • 收稿日期:2025-06-28
  • 最后修改日期:2025-08-02
  • 录用日期:2025-11-05
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