Wang Qinqin, Liu Yingjun, Zhou Jiawei
Institute of Neuroscience, State Key Laboratory of Neuroscience, CAS Center for Excellence in Brain Science, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, 320 Yueyang Road, Shanghai, 200031 China.
Transl Neurodegener. 2015 Oct 12;4:19. doi: 10.1186/s40035-015-0042-0. eCollection 2015.
Parkinson's disease (PD), the second most common age-associated neurodegenerative disorder, is characterized by the loss of dopaminergic (DA) neurons and the presence of α-synuclein-containing aggregates in the substantia nigra pars compacta (SNpc). Chronic neuroinflammation is one of the hallmarks of PD pathophysiology. Post-mortem analyses of human PD patients and experimental animal studies indicate that activation of glial cells and increases in pro-inflammatory factor levels are common features of the PD brain. Chronic release of pro-inflammatory cytokines by activated astrocytes and microglia leads to the exacerbation of DA neuron degeneration in the SNpc. Besides, peripheral immune system is also implicated in the pathogenesis of PD. Infiltration and accumulation of immune cells from the periphery are detected in and around the affected brain regions of PD patients. Moreover, inflammatory processes have been suggested as promising interventional targets for PD and even other neurodegenerative diseases. A better understanding of the role of inflammation in PD will provide new insights into the pathological processes and help to establish effective therapeutic strategies. In this review, we will summarize recent progresses in the neuroimmune aspects of PD and highlight the potential therapeutic interventions targeting neuroinflammation.
帕金森病(PD)是第二常见的与年龄相关的神经退行性疾病,其特征是黑质致密部(SNpc)中多巴胺能(DA)神经元的丧失以及含α-突触核蛋白聚集体的存在。慢性神经炎症是PD病理生理学的标志之一。对人类PD患者的尸检分析和实验动物研究表明,胶质细胞的激活和促炎因子水平的升高是PD大脑的常见特征。活化的星形胶质细胞和小胶质细胞慢性释放促炎细胞因子会导致SNpc中DA神经元变性加剧。此外,外周免疫系统也与PD的发病机制有关。在PD患者受影响的脑区及其周围检测到外周免疫细胞的浸润和积累。此外,炎症过程已被认为是PD甚至其他神经退行性疾病有前景的干预靶点。更好地理解炎症在PD中的作用将为病理过程提供新的见解,并有助于建立有效的治疗策略。在这篇综述中,我们将总结PD神经免疫方面的最新进展,并强调针对神经炎症的潜在治疗干预措施。