Caspases in Sepsis: Understanding Programmed Cell Death Mechanisms, Pathophysiology, and Potential Therapeutic Approaches
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By
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Haibei He
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Xiuli Xie
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Lisui Zhou
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Yumeng Lin
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Aijun Liu
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Peng Guo
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Yu Zhu
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Yu Tang
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Zhongyu Han
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Yi Wang
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Haoran Chen
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July 17, 2026
Clinical Scorecard: Caspases in Sepsis: Understanding Programmed Cell Death Mechanisms, Pathophysiology, and Potential Therapeutic Approaches
At a Glance
| Category | Detail |
| Condition | Sepsis |
| Key Mechanisms | Programmed cell death (PCD) mechanisms including apoptosis, necroptosis, pyroptosis, and PANoptosis regulated by caspases. |
| Target Population | Patients with sepsis and sepsis-induced organ dysfunction. |
| Care Setting | Intensive 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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