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血小板与神经血管炎症。

Platelets and neurovascular inflammation.

机构信息

Harald F. Langer, MD, Department of Cardiology and Cardiovascular Medicine, University Clinic of Tuebingen, Tuebingen, Germany, E-mail:

出版信息

Thromb Haemost. 2013 Nov;110(5):888-93. doi: 10.1160/TH13-02-0096. Epub 2013 May 2.

Abstract

Platelets participate in haemostasis and in thrombus formation in health and disease. Moreover, they contribute to inflammation and cooperate with immune cells in a magnitude of inflammatory/immune responses. Although the inflammatory response has been recognised to be critical in neuronal diseases such as Alzheimer's disease or multiple sclerosis and its mouse counterpart, experimental autoimmune encephalomyelitis, the participation of platelets in these diseases is poorly investigated so far. Emerging studies, however, point to an interesting crosstalk between platelets and neuroinflammation. For instance, when the integrity of the blood brain barrier is compromised, platelets may be relevant for endothelial inflammation, as well as recruitment and activation of inflammatory cells, thereby potentially contributing to central nervous tissue pathogenesis. This review summarises recent insights in the role of platelets for neurovascular inflammation and addresses potential underlying mechanisms, by which platelets may affect the pathophysiology of neurovascular diseases.

摘要

血小板参与健康和疾病中的止血和血栓形成。此外,它们还参与炎症,并在多种炎症/免疫反应中与免疫细胞合作。尽管炎症反应已被认为在阿尔茨海默病或多发性硬化症及其小鼠对应物实验性自身免疫性脑脊髓炎等神经疾病中至关重要,但迄今为止,血小板在这些疾病中的作用仍未得到充分研究。然而,新兴的研究表明血小板与神经炎症之间存在有趣的相互作用。例如,当血脑屏障完整性受到破坏时,血小板可能与内皮炎症以及炎症细胞的募集和激活有关,从而可能有助于中枢神经系统组织发病。本综述总结了血小板在神经血管炎症中的作用的最新见解,并探讨了血小板可能影响神经血管疾病病理生理学的潜在机制。

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