Zhang Zhi-Gang, Li Yan, Ng Cheung Toa, Song You-Qiang
School of Biomedical Sciences, The University of Hong Kong, Pokfulam, Hong Kong, People's Republic of China.
Energy Research Institute of Shandong Academy of Sciences, Jinan, Shandong, People's Republic of China.
Arch Immunol Ther Exp (Warsz). 2015 Oct;63(5):333-44. doi: 10.1007/s00005-015-0351-0. Epub 2015 Aug 1.
Alzheimer's disease (AD) is a complex age-related neurodegenerative disorder of the central nervous system. Since the first description of AD in 1907, many hypotheses have been established to explain its causes. The inflammation theory is one of them. Pathological and biochemical studies of brains from AD individuals have provided solid evidence of the activation of inflammatory pathways. Furthermore, people with long-term medication of anti-inflammatory drugs have shown a reduced risk to develop the disease. After three decades of genetic study in AD, dozens of loci harboring genetic variants influencing inflammatory pathways in AD patients has been identified through genome-wide association studies (GWAS). The most well-known GWAS risk factor that is responsible for immune response and inflammation in AD development should be APOE ε4 allele. However, a growing number of other GWAS risk AD candidate genes in inflammation have recently been discovered. In the present study, we try to review the inflammation in AD and immunity-associated GWAS risk genes like HLA-DRB5/DRB1, INPP5D, MEF2C, CR1, CLU and TREM2.
阿尔茨海默病(AD)是一种与年龄相关的复杂中枢神经系统神经退行性疾病。自1907年首次描述AD以来,已经建立了许多假说来解释其病因。炎症理论就是其中之一。对AD患者大脑的病理和生化研究为炎症途径的激活提供了确凿证据。此外,长期服用抗炎药物的人患该病的风险降低。经过三十年对AD的基因研究,通过全基因组关联研究(GWAS)已经确定了数十个含有影响AD患者炎症途径的基因变异位点。在AD发展过程中,负责免疫反应和炎症的最著名的GWAS风险因素应该是APOE ε4等位基因。然而,最近发现了越来越多其他与炎症相关的GWAS风险AD候选基因。在本研究中,我们试图综述AD中的炎症以及与免疫相关的GWAS风险基因,如HLA-DRB5/DRB1、INPP5D、MEF2C、CR1、CLU和TREM2。