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Updated: Aug 5, 2026

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Published on: December 9, 2022
Regulated cell death-induced coagulation dysfunction in sepsis
Min Li1,2,3, Ao Li1,2,3, Sipin Tan4,5,6
1Department of Pathophysiology, Xiangya School of Basic Medicine Science, Central South University, No.110, Xiangya Road, Changsha, 410078, PR China.
Regulated cell death (RCD) pathways significantly contribute to sepsis-induced coagulopathy (SIC). Understanding RCD mechanisms offers new avenues for diagnosing and treating this life-threatening condition.
Area of Science:
- Immunology
- Pathophysiology
- Molecular Biology
Background:
- Sepsis-induced coagulopathy (SIC) is a severe complication of sepsis, associated with high mortality.
- Regulated cell death (RCD) pathways are increasingly recognized as key upstream mediators in SIC pathogenesis.
Purpose of the Study:
- To review the role of RCD in SIC, integrating various cell death pathways.
- To explore RCD-derived Damage-Associated Molecular Patterns (DAMPs) in coagulation dysfunction.
- To outline RCD-guided strategies for patient stratification and targeted therapies.
Main Methods:
- Comprehensive literature review of RCD pathways (pyroptosis, NETosis, ferroptosis, necroptosis, PANoptosis) in SIC.
- Analysis of RCD-derived DAMPs and their impact on coagulation.
- Evaluation of biomarkers for patient stratification and combination therapies.
Main Results:
- RCD pathways critically influence coagulation dysfunction in sepsis.
- RCD-derived DAMPs serve as potential mediators and biomarkers.
- Phenotype-directed therapies targeting RCD show promise for SIC management.
Conclusions:
- RCD-guided phenotyping offers a framework for understanding and managing SIC.
- Precision immunomodulation based on RCD holds transformative potential for clinical practice.
- Bridging cell death and thrombosis research is crucial for advancing SIC treatment.
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