Caspases and programmed cell death in sepsis: mechanisms, pathophysiology, and therapeutic targets - Scorecard - MDSpire

Caspases in Sepsis: Understanding Programmed Cell Death Mechanisms, Pathophysiology, and Potential Therapeutic Approaches

  • By

  • Haibei He

  • Xiuli Xie

  • Lisui Zhou

  • Yumeng Lin

  • Aijun Liu

  • Peng Guo

  • Yu Zhu

  • Yu Tang

  • Zhongyu Han

  • Yi Wang

  • Haoran Chen

  • July 17, 2026

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Clinical Scorecard: Caspases in Sepsis: Understanding Programmed Cell Death Mechanisms, Pathophysiology, and Potential Therapeutic Approaches

At a Glance

CategoryDetail
ConditionSepsis
Key MechanismsProgrammed cell death (PCD) mechanisms including apoptosis, necroptosis, pyroptosis, and PANoptosis regulated by caspases.
Target PopulationPatients with sepsis and sepsis-induced organ dysfunction.
Care SettingIntensive care management

Key Highlights

  • Sepsis is characterized by organ impairment due to uncontrolled systemic reactions to infection.
  • Caspases play a central role in regulating various PCD modalities linked to sepsis.
  • Dysregulated PCD contributes to immune dysregulation and organ damage in sepsis.
  • Therapeutic strategies targeting caspases may provide novel treatment avenues for sepsis.
  • Sepsis-related mortality has surged, particularly linked to COVID-19.

Guideline-Based Recommendations

Diagnosis

  • Utilize Sepsis-3 definitions emphasizing immune-inflammatory dysregulation.

Management

  • Implement basic interventions such as fluid resuscitation and anti-infection strategies.

Monitoring & Follow-up

  • Monitor for complications like acute lung injury, acute kidney injury, and encephalopathy.

Risks

  • Consider risks associated with multidrug-resistant bacteria and treatment-related adverse events.

Patient & Prescribing Data

Individuals diagnosed with sepsis, particularly those experiencing organ dysfunction.

Current treatment focuses on basic interventions, with ongoing exploration of caspase-targeted therapies.

Clinical Best Practices

  • Early identification and standardized management of sepsis are critical.
  • Maintain organ function and modulate inflammation as part of sepsis care.

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