2019
DOI: 10.6061/clinics/2019/e509
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p38MAPK plays a pivotal role in the development of acute respiratory distress syndrome

Abstract: Acute respiratory distress syndrome (ARDS) is a life-threatening illness characterized by a complex pathophysiology, involving not only the respiratory system but also nonpulmonary distal organs. Although advances in the management of ARDS have led to a distinct improvement in ARDS-related mortality, ARDS is still a life-threatening respiratory condition with long-term consequences. A better understanding of the pathophysiology of this condition will allow us to create a personalized treatment strategy for imp… Show more

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Cited by 18 publications
(15 citation statements)
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“…The virus is also recognized by cytoplasmic NLRP3, which forms, together with ASC and caspase-1 (Casp-1), the inflammasome complex that will cleave and release mature forms of IL-1β and IL-18 [122]. The cytokines IL-1β, IL-18 and TNF bind to specific receptors and promote further NF-κB nuclear translocation and phosphorylation of p38 MAPK, which will lead to great expression of pro-inflammatory cytokines and chemokines [69,135]. IL-6, an important player in COVID-19, binds IL-6R and gp130 receptors to activate JAK/STAT-3 pathway and then contribute to the CRS observed in COVID-19 patients [88].…”
Section: Cytokine Storm and Activation Of Signaling Pathways After Samentioning
confidence: 99%
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“…The virus is also recognized by cytoplasmic NLRP3, which forms, together with ASC and caspase-1 (Casp-1), the inflammasome complex that will cleave and release mature forms of IL-1β and IL-18 [122]. The cytokines IL-1β, IL-18 and TNF bind to specific receptors and promote further NF-κB nuclear translocation and phosphorylation of p38 MAPK, which will lead to great expression of pro-inflammatory cytokines and chemokines [69,135]. IL-6, an important player in COVID-19, binds IL-6R and gp130 receptors to activate JAK/STAT-3 pathway and then contribute to the CRS observed in COVID-19 patients [88].…”
Section: Cytokine Storm and Activation Of Signaling Pathways After Samentioning
confidence: 99%
“…Indeed, ERK, JNK and p38 are involved in several aspects of COPD progression, including mucus overproduction, immune infiltration, fibrosis and airway inflammation and remodeling [133,134]. Thus, pharmacological targeting of MAPKs in ARDS, particularly p38, could also be a promising approach, since this kinase plays major roles in the up-regulation of various inflammatory-related molecules such as TNF, ICAM-1, COX2 and TLR4 [135].…”
Section: Respiratory Systemmentioning
confidence: 99%
“…51 Additionally, p38MAPK was found to triggers the systemic inflammatory response in septic shock through enhancing the transcriptional levels of different pro-inflammatory cytokines and mediators. 52…”
Section: Discussionmentioning
confidence: 99%
“…[ 59 ] It has been widely accepted that Syk and p38 MAPK signals are essential for lung neutrophil recruitment. [ 60 , 61 ] Siglec-E in neutrophils was constitutively associated with SHP-1 and thereby dephosphorylation of Syk and p38 MAPK to repress neutrophilic inflammatory responses. [ 59 ]…”
Section: Siglec-e As a Regulator Of Neutrophil Recruitmentmentioning
confidence: 99%