2025年国内外肺移植基础研究年度盘点

Annual review of basic research on lung transplantation worldwide in 2025

  • 摘要: 肺移植是终末期肺病的确定性治疗手段,可显著改善患者预后。但感染、免疫排斥、缺血-再灌注损伤及慢性移植物功能障碍等术后并发症相互交织,形成复杂的病理网络,对患者长期生存构成持续挑战。2025年度国内外科研团队在肺移植基础研究领域取得系统性进展,通过融合单细胞多组学、空间转录组学及新型动物模型等前沿技术,在感染耐药演化、免疫调控分子机制、程序性细胞死亡、供肺保护策略优化及慢性移植物功能障碍早期预警等方面实现重要突破。本文将系统梳理2025年度国内外肺移植基础研究的代表性进展,深度剖析机制性突破对优化诊疗策略的启示,以期为肺移植基础研究的创新突破与临床转化锚定方向。

     

    Abstract: Lung transplantation is a definitive treatment for end-stage lung disease and can significantly improve patient prognosis. However, postoperative complications such as infection, immune rejection, ischemia-reperfusion injury, and chronic lung allograft dysfunction intertwine to form a complex pathological network, posing persistent challenges to long-term patient survival. In 2025, research teams worldwide have made systematic progress in the field of basic lung transplantation research. By integrating cutting-edge technologies including single-cell multi-omics, spatial transcriptomics and novel animal models, significant breakthroughs have been achieved in the evolutionary dynamics of drug-resistant infections, molecular mechanisms of immune regulation, programmed cell death, optimization of donor lung protection strategies, and early warning of chronic lung allograft dysfunction. This article systematically reviews the representative advances in basic lung transplantation research worldwide in 2025, and deeply analyzes the implications of mechanistic breakthroughs for optimizing diagnosis and treatment strategies, aiming to anchor the direction for innovative breakthroughs and clinical translation in basic lung transplantation research.

     

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