Acute respiratory distress syndrome (ARDS): from mechanistic insights to therapeutic strategies
Rongli Xie
Department of General Surgery, Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorDan Tan
Department of General Surgery, Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorBoke Liu
Department of Urology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorGuohui Xiao
Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorFangchen Gong
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorQiyao Zhang
Department of Radiology, Södersjukhuset (Southern Hospital), Stockholm, Sweden
Search for more papers by this authorLei Qi
Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA
Search for more papers by this authorSisi Zheng
Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
Search for more papers by this authorYuanyang Yuan
Department of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Search for more papers by this authorCorresponding Author
Zhitao Yang
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Ying Chen
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Jian Fei
Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Dan Xu
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorRongli Xie
Department of General Surgery, Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorDan Tan
Department of General Surgery, Ruijin Hospital Lu Wan Branch, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorBoke Liu
Department of Urology, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorGuohui Xiao
Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorFangchen Gong
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Rongli Xie, Dan Tan, Boke Liu, Guohui Xiao, and Fangchen Gong contributed equally to this work.
Search for more papers by this authorQiyao Zhang
Department of Radiology, Södersjukhuset (Southern Hospital), Stockholm, Sweden
Search for more papers by this authorLei Qi
Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA
Search for more papers by this authorSisi Zheng
Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China
Search for more papers by this authorYuanyang Yuan
Department of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Search for more papers by this authorCorresponding Author
Zhitao Yang
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Ying Chen
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Jian Fei
Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorCorresponding Author
Dan Xu
Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
Correspondence
Zhitao Yang, Ying Chen, and Dan Xu, Department of Emergency, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected], [email protected], and [email protected]
Jian Fei, Department of General Surgery, Pancreatic Disease Center, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Email: [email protected]
Search for more papers by this authorAbstract
Acute respiratory distress syndrome (ARDS) is a clinical syndrome of acute hypoxic respiratory failure caused by diffuse lung inflammation and edema. ARDS can be precipitated by intrapulmonary factors or extrapulmonary factors, which can lead to severe hypoxemia. Patients suffering from ARDS have high mortality rates, including a 28-day mortality rate of 34.8% and an overall in-hospital mortality rate of 40.0%. The pathophysiology of ARDS is complex and involves the activation and dysregulation of multiple overlapping and interacting pathways of systemic inflammation and coagulation, including the respiratory system, circulatory system, and immune system. In general, the treatment of inflammatory injuries is a coordinated process that involves the downregulation of proinflammatory pathways and the upregulation of anti-inflammatory pathways. Given the complexity of the underlying disease, treatment needs to be tailored to the problem. Hence, we discuss the pathogenesis and treatment methods of affected organs, including 2019 coronavirus disease (COVID-19)-related pneumonia, drowning, trauma, blood transfusion, severe acute pancreatitis, and sepsis. This review is intended to provide a new perspective concerning ARDS and offer novel insight into future therapeutic interventions.
CONFLICT OF INTEREST STATEMENT
The authors declare no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
The datasets analyzed during the current study are available from the corresponding author upon reasonable request.
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