Infante-Duarte C, Waiczies S, Wuerfel J, Zipp F
Cecilie Vogt Clinic for Neurology in the HELIOS Clinic Berlin-Buch, Charité-Universitaetsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany.
J Mol Med (Berl). 2008 Sep;86(9):975-85. doi: 10.1007/s00109-007-0292-0. Epub 2008 Jan 15.
We are currently witnesses to and authors of a paradigm shift in neuropathology. While classical acute and chronic neuroinflammatory diseases such as meningitis or multiple sclerosis (MS) present aspects of neurodegeneration, the disease course of progressive degenerative disorders such as Alzheimer's disease (AD), Parkinson's disease (PD), or stroke-mediated neuronal deficit are demonstrably affected by inflammation. These insights have immediate consequences both for research methods and for the development of novel, more efficient therapies for these diseases. In this review, we analyze the inflammatory and degenerative pathological mechanisms in the brain with particular emphasis on the classical chronic inflammatory disease MS. We demonstrate that the latest pathological considerations not only require the application of advanced research technologies to investigate new pathomechanistic pathways, but also affect the investigation, development, and monitoring of novel potential therapeutic tools.
我们目前正见证着神经病理学范式转变,并参与其中。虽然诸如脑膜炎或多发性硬化症(MS)等经典的急性和慢性神经炎症性疾病呈现出神经退行性变的特征,但诸如阿尔茨海默病(AD)、帕金森病(PD)或中风介导的神经元损伤等进行性退行性疾病的病程显然受到炎症的影响。这些见解对研究方法以及这些疾病新型、更有效疗法的开发都有着直接影响。在本综述中,我们分析大脑中的炎症和退行性病理机制,特别强调经典的慢性炎症性疾病MS。我们证明,最新的病理考量不仅需要应用先进的研究技术来研究新的病理机制途径,还会影响新型潜在治疗工具的研究、开发和监测。