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      Suppression of Lipopolysaccharide‐Induced Sepsis by Tetrahedral Framework Nucleic Acid Loaded with Quercetin

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          Abstract

          Sepsis has affected millions of people worldwide with high mortality rate and lack of effective strategies. Previous studies have reported that quercetin (Que) can attenuate lipopolysaccharide (LPS)‐Induced sepsis. However, for poor water solubility, low bioavailability, and instability, the application of Que is limited. Hence, a nano‐system is constructed to deliver Que based on tetrahedral framework nucleic acid (tFNA), namely tFNA‐Que. For the anti‐inflammatory, anti‐oxidant, and delivery performance of tFNA, tFNA is designed as the effective carrier to deliver Que. The tFNA‐Que possesses the simple synthesis method, stable performance, good biocompatibility, favorable water solubility, excellent anti‐inflammatory, and anti‐oxidation property. As a result, tFNA‐Que can attenuate LPS‐Induced systemic inflammation and multiple organ injury of mice. In brief, the synthesis of tFNA‐Que provides a simple and effective synergistic delivery nano‐system, which may be a promising candidate for sepsis.

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          Most cited references60

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          Sepsis and septic shock

          Sepsis is a common condition that is associated with unacceptably high mortality and, for many of those who survive, long-term morbidity. Increased awareness of the condition resulting from ongoing campaigns and the evidence arising from research in the past 10 years have increased understanding of this problem among clinicians and lay people, and have led to improved outcomes. The World Health Assembly and WHO made sepsis a global health priority in 2017 and have adopted a resolution to improve the prevention, diagnosis, and management of sepsis. In 2016, a new definition of sepsis (Sepsis-3) was developed. Sepsis is now defined as infection with organ dysfunction. This definition codifies organ dysfunction using the Sequential Organ Failure Assessment score. Ongoing research aims to improve definition of patient populations to allow for individualised management strategies matched to a patient's molecular and biochemical profile. The search continues for improved diagnostic techniques that can facilitate this aim, and for a pharmacological agent that can improve outcomes by modifying the disease process. While waiting for this goal to be achieved, improved basic care driven by education and quality-improvement programmes offers the best hope of increasing favourable outcomes.
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            The immunopathology of sepsis and potential therapeutic targets

            Sepsis — which is caused by a dysregulated host response to infection — is a life-threatening organ dysfunction. This Review describes the recent advances in our understanding of sepsis pathogenesis and discusses strategies for the development of successful therapies.
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              FDA-approved disulfiram inhibits pyroptosis by blocking gasdermin D pore formation

              Cytosolic sensing of pathogens and damage by myeloid and barrier epithelial cells assembles large complexes called inflammasomes, which activate inflammatory caspases to process cytokines (IL-1β) and gasdermin D (GSDMD). Cleaved GSDMD forms membrane pores, leading to cytokine release and inflammatory cell death (pyroptosis). Inhibiting GSDMD is an attractive strategy to curb inflammation. Here we identify disulfiram, a drug for treating alcohol addiction, as an inhibitor of pore formation by GSDMD, but not other members of the GSDM family. Disulfiram blocks pyroptosis and cytokine release in cells and lipopolysaccharide (LPS)-induced septic death in mice. At nanomolar concentration, disulfiram covalently modifies human/mouse Cys191/Cys192 in GSDMD to block pore formation. Disulfiram still allows IL-1β and GSDMD processing, but abrogates pore formation, thereby preventing IL-1β release and pyroptosis. The role of disulfiram in inhibiting GSDMD provides new therapeutic indications for repurposing this safe drug to counteract inflammation, which contributes to many human diseases.
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                Author and article information

                Contributors
                Journal
                Advanced Functional Materials
                Adv Funct Materials
                Wiley
                1616-301X
                1616-3028
                October 2022
                August 15 2022
                October 2022
                : 32
                : 43
                Affiliations
                [1 ] State Key Laboratory of Oral Diseases National Clinical Research Center for Oral Diseases West China Hospital of Stomatology Sichuan University Chengdu 610041 P. R. China
                [2 ] College of Biomedical Engineering Sichuan University Chengdu 610041 P. R. China
                Article
                10.1002/adfm.202204587
                9f0ff06c-9a33-4840-aba3-9ef1bae98878
                © 2022

                http://onlinelibrary.wiley.com/termsAndConditions#vor

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