Kida Kotaro, Ichinose Fumito
Anesthesia Center for Critical Care Research, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Handb Exp Pharmacol. 2015;230:181-9. doi: 10.1007/978-3-319-18144-8_9.
The innate and adaptive immune system plays an important role in diverse forms of central nervous system (CNS) pathologies including neurodegenerative diseases and peripheral nerve injury. Evidence for an innate inflammatory response in Alzheimer's disease (AD) was described 20 years ago, and subsequent studies have documented roles of inflammation in Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and a growing number of other CNS pathologies. Although inflammation may not be the initiating factor for neurodegenerative pathologies, experimental data suggests that persistent inflammatory responses involving microglia and astrocytes, as well as blood monocyte-derived macrophages, clearly contribute to disease progression. High levels of hydrogen sulfide exert toxic effects to CNS. On the other hand, low and physiological levels of H2S may have beneficial effects on number of tissues including CNS. For example, a number of studies have reported that H2S exerts anti-inflammatory and anti-apoptotic effects in CNS. In this chapter, studies related to the role of H2S in neuroinflammation and neurodegeneration will be reviewed and discussed. In particular, we will focus on the role of H2S in neuroinflammation associated with PD.
先天性和适应性免疫系统在多种形式的中枢神经系统(CNS)病变中发挥重要作用,这些病变包括神经退行性疾病和周围神经损伤。20年前就已描述了阿尔茨海默病(AD)中先天性炎症反应的证据,随后的研究也记录了炎症在帕金森病(PD)、肌萎缩侧索硬化症(ALS)、多发性硬化症(MS)以及越来越多其他中枢神经系统病变中的作用。尽管炎症可能不是神经退行性病变的起始因素,但实验数据表明,涉及小胶质细胞、星形胶质细胞以及血液单核细胞衍生巨噬细胞的持续性炎症反应显然会促进疾病进展。高浓度硫化氢会对中枢神经系统产生毒性作用。另一方面,低浓度且处于生理水平的硫化氢可能对包括中枢神经系统在内的许多组织具有有益作用。例如,多项研究报告称,硫化氢在中枢神经系统中具有抗炎和抗凋亡作用。在本章中,将对与硫化氢在神经炎症和神经退行性变中的作用相关的研究进行综述和讨论。特别是,我们将重点关注硫化氢在与帕金森病相关的神经炎症中的作用。