Volume 6, Issue 2 e70074
REVIEW
Open Access

Acute respiratory distress syndrome (ARDS): from mechanistic insights to therapeutic strategies

Rongli Xie

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.

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Dan Tan

Dan 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.

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Boke Liu

Boke 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.

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Guohui Xiao

Guohui 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.

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Fangchen Gong

Fangchen 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.

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Qiyao Zhang

Qiyao Zhang

Department of Radiology, Södersjukhuset (Southern Hospital), Stockholm, Sweden

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Lei Qi

Lei Qi

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA

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Sisi Zheng

Sisi Zheng

Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China

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Yuanyang Yuan

Yuanyang Yuan

Department of Immunology and Microbiology, Shanghai Jiao Tong University School of Medicine, Shanghai, China

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Zhitao Yang

Corresponding 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]

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Ying Chen

Corresponding 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]

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Jian Fei

Corresponding 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]

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Dan Xu

Corresponding 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]

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First published: 26 January 2025
Citations: 2

Abstract

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.

DATA AVAILABILITY STATEMENT

The datasets analyzed during the current study are available from the corresponding author upon reasonable request.

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