Comprehensive Center for Inflammatory Disorders, University of North Carolina, Chapel Hill, NC 27599, USA.
J Neural Transm (Vienna). 2010 Aug;117(8):971-9. doi: 10.1007/s00702-010-0428-1. Epub 2010 Jun 23.
Parkinson's disease (PD) is a neurodegenerative movement disorder characterized by the progressive loss of dopaminergic neurons in the substantia nigra and depletion of dopamine in the striatum, which lead to pathological and clinical abnormalities. Increasing evidence has demonstrated that inflammation is the fundamental process contributing to neuron death in PD. Neuroinflammation, which is characterized by activated microglia and infiltrating T cells at sites of neuronal injury, is a prominent contributor to the pathogenesis of progressive PD. Microglia play a critical role in forming a self-propelling cycle leading to sustained chronic neuroinflammation and driving the progressive neurodegeneration in PD. This activation depends heavily on the respiratory burst within the microglia, which in turn regulates a number of downstream pro-inflammatory activities. On the other hand, the adaptive immune responses, most notably T cells, are now emerging as important components of the inflammatory response that contribute to the pathogenesis of PD. This review paper focus on the understanding of the inflammatory etiology of PD, as well as the molecular signaling involved in this inflammatory response, with the aim to provide more effective treatments to slow down or halt the progression of chronic inflammation-induced CNS disorders, such as PD.
帕金森病(PD)是一种神经退行性运动障碍,其特征是黑质中的多巴胺能神经元进行性丧失和纹状体中多巴胺耗竭,导致病理性和临床异常。越来越多的证据表明,炎症是导致 PD 神经元死亡的根本过程。神经炎症的特征是神经元损伤部位的小胶质细胞激活和浸润的 T 细胞,是 PD 进行性发病的主要原因。小胶质细胞在形成一个自我推进的循环中起着关键作用,导致持续的慢性神经炎症,并驱动 PD 的进行性神经退行性变。这种激活在很大程度上依赖于小胶质细胞内的呼吸爆发,进而调节许多下游的促炎活性。另一方面,适应性免疫反应,尤其是 T 细胞,现在正成为炎症反应的重要组成部分,有助于 PD 的发病机制。这篇综述文章重点介绍了对 PD 炎症病因的理解,以及参与这种炎症反应的分子信号通路,旨在为减缓或阻止慢性炎症诱导的中枢神经系统疾病(如 PD)的进展提供更有效的治疗方法。