Baune Bernhard T
Discipline of Psychiatry, School of Medicine, University of Adelaide, Adelaide, Australia.
Curr Opin Psychiatry. 2015 Mar;28(2):148-54. doi: 10.1097/YCO.0000000000000140.
This review aims to describe the current understanding of neuroinflammation in neurodegeneration and evaluate the value of various anti-inflammatory treatments.
Inflammation plays important roles in common disease such as dementia and depression. Underlying mechanisms including the role of inflammasomes in these diseases have been recently described. Interventions using Ω-3 polyunsaturated fatty acids, NSAIDs and targeted antagonists (e.g., etanercept) show no convincing clinical efficacy in inflammation-associated depression, cognitive decline and dementia.
Therapeutic targeting of inflammation appears to be relevant in brain conditions characterized by neuroinflammation and neurodegeneration, although published anti-inflammatory interventions have shown no relevant clinical efficacy. Newly described pharmacological targets in the neuroinflammation pathways may not only offer a more profound understanding of the underlying pathophysiology but also raise hope for the development of novel pharmacological agents.
本综述旨在描述目前对神经炎症在神经退行性变中的理解,并评估各种抗炎治疗的价值。
炎症在痴呆和抑郁症等常见疾病中起重要作用。最近已经描述了包括炎性小体在这些疾病中的作用在内的潜在机制。使用Ω-3多不饱和脂肪酸、非甾体抗炎药和靶向拮抗剂(如依那西普)的干预措施在炎症相关的抑郁症、认知衰退和痴呆症中未显示出令人信服的临床疗效。
尽管已发表的抗炎干预措施未显示出相关临床疗效,但针对炎症的治疗靶点在以神经炎症和神经退行性变为特征的脑部疾病中似乎具有相关性。神经炎症途径中新描述的药理学靶点不仅可能提供对潜在病理生理学更深入的理解,也为新型药物的开发带来希望。