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[神经退行性疾病和神经炎症中的小胶质细胞]

[Microglia in neurodegenerative disorders and neuroinflammation].

作者信息

Suzumura Akio

机构信息

Department of Neuroimmunology, RIEM, Nagoya University.

出版信息

Rinsho Shinkeigaku. 2014;54(12):1119-21. doi: 10.5692/clinicalneurol.54.1119.

Abstract

Microglia often accumulate around degenerating neurons. These macrophage-like immune cells produce a variety of neurotoxic and neuroprotective factors. Thus, the accumulation of glia in various neurologic disorders does not reflect only gliosis, but likely results in an active contribution to neuroinflammation, neural degeneration, and cell regeneration. We previously showed that glutamate is the most neurotoxic factor released by activated microglia, and suppressing glutamate release from microglia can inhibit disease progression in various animal models of neurodegenerative disorders. On the other hand, when exposed to harmful stimuli, neurons also produce and release various factors that serve as "help-me" signals. For example, the CX3C chemokine fractalkine, interleukin-34, and fibroblast growth factor-2 are secreted from damaged neurons; these help-me signals induce various microglial activities to rescue neurons, including upregulated phagocytosis of toxicants and damaged debris, and production of antioxidant enzymes and other neurotrophic factors. Elucidating the interactions between neurons and microglia will help uncover the mechanisms underlying chronic neuroinflammatory conditions, and may provide insights into new therapeutic strategies for neurodegenerative disorders.

摘要

小胶质细胞常常聚集在退化的神经元周围。这些巨噬细胞样免疫细胞会产生多种神经毒性和神经保护因子。因此,胶质细胞在各种神经系统疾病中的积聚不仅反映了胶质细胞增生,还可能对神经炎症、神经退行性变和细胞再生起到积极作用。我们之前表明,谷氨酸是活化的小胶质细胞释放的最具神经毒性的因子,抑制小胶质细胞释放谷氨酸可以在各种神经退行性疾病动物模型中抑制疾病进展。另一方面,当受到有害刺激时,神经元也会产生并释放各种作为“求救”信号的因子。例如,CX3C趋化因子fractalkine、白细胞介素-34和成纤维细胞生长因子-2从受损神经元中分泌;这些求救信号诱导各种小胶质细胞活动来拯救神经元,包括上调对毒物和受损碎片的吞噬作用,以及抗氧化酶和其他神经营养因子的产生。阐明神经元与小胶质细胞之间的相互作用将有助于揭示慢性神经炎症状态的潜在机制,并可能为神经退行性疾病的新治疗策略提供见解。

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