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REVIEW article

Front. Pharmacol.

Sec. Inflammation Pharmacology

Volume 16 - 2025 | doi: 10.3389/fphar.2025.1559659

This article is part of the Research Topic Targeting Pulmonary Endothelium in Acute Lung Injury and Acute Respiratory Distress Syndrome View all 5 articles

Cell Death In Acute Lung Injury: caspase-regulated apoptosis, pyroptosis, necroptosis, and PANoptosis

Provisionally accepted
Jun Xiao Jun Xiao Wang Lichuan Wang Lichuan Bohan Zhang Bohan Zhang Ana Hou Ana Hou *
  • Department of Pediatrics, ShengJing Hospital of China Medical University, Shenyang, China

The final, formatted version of the article will be published soon.

    There has been abundant research on the variety of programmed cell death pathways. Apoptosis, pyroptosis, and necroptosis under the action of the caspase family are essential for the innate immune response. Caspases are classified into inflammatory caspase-1/4/5/11, apoptotic caspase-3/6/7, and caspase-2/8/9/10. Although necroptosis is not caspase-dependent to transmit cell death signals, it can cross-link with pyroptosis and apoptosis signals under the regulation of caspase-8. An increasing number of studies have reiterated the involvement of the caspase family in acute lung injuries caused by bacterial and viral infections, blood transfusion, and ventilation, which is influenced by noxious stimuli that activate or inhibit caspase engagement pathways, leading to subsequent lung injury. This article reviews the role of caspases implicated in diverse programmed cell death mechanisms in acute lung injury and the status of research on relevant inhibitors against essential target proteins of the described cell death mechanisms. The findings of this review may help in delineating novel therapeutic targets for acute lung injury.

    Keywords: caspase, NLRP3, RIPK, mlkl, Inflammation, Acute Lung Injury

    Received: 13 Jan 2025; Accepted: 03 Mar 2025.

    Copyright: © 2025 Xiao, Lichuan, Zhang and Hou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Ana Hou, Department of Pediatrics, ShengJing Hospital of China Medical University, Shenyang, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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