引用本文:王娅鑫,张译心,尹利民,普快荣,赵晓丽.中性粒细胞胞外诱捕网介导急性缺血性脑卒中病理生理与临床应用转化的研究进展[J].中国临床新医学,2026,19(3):358-362.
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中性粒细胞胞外诱捕网介导急性缺血性脑卒中病理生理与临床应用转化的研究进展
王娅鑫1,张译心1,尹利民1,2,普快荣2,赵晓丽1,2
1.昆明医科大学附属甘美医院医学检验中心,昆明 650011;2.昆明市第一人民医院医学检验中心,昆明 650011
摘要:
[摘要] 急性缺血性脑卒中(AIS)是一种发病率、致残率和病死率均较高的严重血栓性疾病,发病机制复杂,血栓形成与无菌性炎症是核心病理过程。中性粒细胞胞外诱捕网(NETs)是由中性粒细胞活化后释放的纤维网状结构,不仅参与宿主病原体防御,而且还在血栓性疾病的病理过程中发挥关键作用。NETs可启动并放大血栓与炎症级联反应,诱发脑组织损伤,加重AIS进展及恶化。该文对NETs介导AIS病理生理与临床应用转化的研究进展作一综述。
关键词:  中性粒细胞胞外诱捕网  急性缺血性脑卒中  血栓形成  炎症反应
DOI:10.3969/j.issn.1674-3806.2026.03.22
分类号:R 743.3
基金项目:云南省科技厅科技计划项目(编号:202301AY070001-097);昆明市卫生健康委员会卫生科研课题项目(编号:2025-11-01-001);昆明医科大学研究生教育创新基金项目(编号:2025S124)
Research progress in the pathophysiological mechanism and clinical translational application of neutrophil extracellular traps-mediated acute ischemic stroke
WANG Yaxin1, ZHANG Yixin1, YIN Limin1,2, PU Kuairong2, ZHAO Xiaoli1,2
1.Medical Laboratory Center, Ganmei Affiliated Hospital of Kunming Medical University, Kunming 650011, China; 2.Medical Laboratory Center, the First People′s Hospital of Kunming, Kunming 650011, China
Abstract:
[Abstract] Acute ischemic stroke(AIS) is a severe thrombotic disease with high incidence, disability and mortality rates. Its pathogenesis is complex, and thrombosis and aseptic inflammation are the core pathological processes. Neutrophil extracellular traps(NETs) are fibrous mesh-like structures released by activated neutrophils, which not only participate in host defense against pathogens but also play a crucial role in the pathological processes of thrombotic disease. NETs can initiate and amplify the thrombus-inflammation cascade, induce brain tissue damage, and aggravate the progression and deterioration of AIS. In this paper, the research progress in NETs-mediated AIS is reviewed.
Key words:  Neutrophil extracellular traps(NETs)  Acute ischemic stroke(AIS)  Thrombosis  Inflammatory response