Caspases and programmed cell death in sepsis: mechanisms, pathophysiology, and therapeutic targets - Summary - 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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Objective:

To review the role of caspases in programmed cell death (PCD) mechanisms related to sepsis and explore potential therapeutic strategies targeting these pathways.

Approach:
  • Review of Caspases: The manuscript reviews the classification, structural features, and molecular mechanisms of caspases in regulating PCD pathways during sepsis.
  • Pathophysiological Role: It clarifies the dual roles of PCD forms in sepsis-induced immune dysregulation and organ damage.
  • Therapeutic Strategies: The article summarizes therapeutic strategies targeting caspases to develop novel treatments for sepsis.
Key Findings:
  • Sepsis is characterized by organ impairment due to an uncontrolled systemic reaction to pathogenic infection.
  • Caspases are central to regulating multiple programmed cell death modalities, including apoptosis, necroptosis, pyroptosis, and PANoptosis.
  • Dysregulated programmed cell death processes can lead to excessive inflammatory responses, contributing to severe complications in sepsis.
Interpretation:

Understanding the regulatory mechanisms of caspases in PCD is crucial for developing targeted therapies for sepsis.

Limitations:
  • The review does not provide specific clinical trial data or outcomes related to caspase-targeted therapies.
  • Potential adverse effects of targeting caspases in clinical settings are not discussed.
Conclusion:

The manuscript emphasizes the central role of caspases in the pathophysiology of sepsis and highlights the need for further research into targeted therapies.

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