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ZBP1 mediates interferon-induced necroptosis 被引量:7
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作者 Daowei Yang Yaoji Liang +6 位作者 shubo zhao Yan Ding Qiuyu Zhuang Qilin Shi Tingting Ai Su-Qin Wu Jiahuai Han 《Cellular & Molecular Immunology》 SCIE CAS CSCD 2020年第4期356-368,共13页
Interferons(IFNs)play an important role in immunomodulatory and antiviral functions.IFN-induced necroptosis has been reported in cells deficient in receptor-interacting protein kinase 1(RIPK1),Fas-associated protein w... Interferons(IFNs)play an important role in immunomodulatory and antiviral functions.IFN-induced necroptosis has been reported in cells deficient in receptor-interacting protein kinase 1(RIPK1),Fas-associated protein with death domain(FADD),or caspase-8,but the mechanism is largely unknown.Here,we report that the DNA-dependent activator of IFN regulatory factors(ZBP1,also known as DAI)is required for both type Ⅰ(β)and type Ⅱ(γ)IFN-induced necroptosis.We show that L929 fibroblast cells became susceptible to IFN-induced necroptosis when RIPK1,FADD,or Caspase-8 was genetically deleted,confirming the antinecroptotic role of these proteins in IFN signaling.We found that the pronecroptotic signal from IFN stimulation depends on new protein synthesis and identified ZBP1,an IFN-stimulated gene(ISG)product,as the de novo synthesized protein that triggers necroptosis in IFN-stimulated cells.The N-terminal domain(ND)of ZBP1 is important for ZBP1–ZBP1 homointeraction,and its RHIM domain in the C-terminal region interacts with RIPK3 to initiate RIPK3-dependent necroptosis.The antinecroptotic function of RIPK1,FADD,and caspase-8 in IFN-treated cells is most likely executed by caspase-8-mediated cleavage of RIPK3,since the inhibitory effect on necroptosis was eliminated when the caspase-8 cleavage site in RIPK3 was mutated.ZBP1-mediated necroptosis in IFN-treated cells is likely physiologically relevant,as ZBP1 KO mice were significantly protected against acute systemic inflammatory response syndrome(SIRS)induced by TNF+IFN-γ. 展开更多
关键词 ZBP1 INTERFERON NECROPTOSIS
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肝硬化合并上消化道出血急诊胃镜诊疗经验
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作者 刘影 王艳玲 +1 位作者 赵书博 张文辉 《中华胃肠内镜电子杂志》 2022年第2期86-90,共5页
目的探讨急诊胃镜在肝硬化合并上消化道出血患者诊疗中的价值.方法回顾性分析2019年1月至2019年12月期间收治及诊断明确为肝硬化合并上消化道出血,并行急诊胃镜检查及治疗的患者的临床资料.结果本研究共纳入患者2766例次,所有患者均成... 目的探讨急诊胃镜在肝硬化合并上消化道出血患者诊疗中的价值.方法回顾性分析2019年1月至2019年12月期间收治及诊断明确为肝硬化合并上消化道出血,并行急诊胃镜检查及治疗的患者的临床资料.结果本研究共纳入患者2766例次,所有患者均成功行急诊胃镜检查,其中内镜下可见出血部位的2178例次(78.74%)、未见出血部位的588例次(21.26%).明确出血部位的患者中,食管胃静脉曲张破裂出血1256例次(57.67%),其中行内镜下组织胶、硬化或套扎治疗者1183例次(1145例成功行内镜下止血、38例内镜下止血失败,均补充行三腔两囊管压迫止血后好转).结论急诊胃镜是肝硬化合并上消化道出血行之有效的治疗方法,在积极改善一般情况、病情稳定后,应尽快行急诊胃镜检查治疗,可快速明确病因、控制病情,并获得良好的疗效,应在临床上推广. 展开更多
关键词 食管胃静脉曲张破裂出血 食管胃静脉曲张 肝硬化 急诊胃镜
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