Radford Rowan A, Morsch Marco, Rayner Stephanie L, Cole Nicholas J, Pountney Dean L, Chung Roger S
Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, Macquarie University Sydney, NSW, Australia.
Menzies Health Institute Queensland, Griffith University Gold Coast, QLD, Australia.
Front Cell Neurosci. 2015 Oct 27;9:414. doi: 10.3389/fncel.2015.00414. eCollection 2015.
Amyotrophic lateral sclerosis (ALS) and frontotemporal dementia (FTD) are two progressive, fatal neurodegenerative syndromes with considerable clinical, genetic and pathological overlap. Clinical symptoms of FTD can be seen in ALS patients and vice versa. Recent genetic discoveries conclusively link the two diseases, and several common molecular players have been identified (TDP-43, FUS, C9ORF72). The definitive etiologies of ALS and FTD are currently unknown and both disorders lack a cure. Glia, specifically astrocytes and microglia are heavily implicated in the onset and progression of neurodegeneration witnessed in ALS and FTD. In this review, we summarize the current understanding of the role of microglia and astrocytes involved in ALS and FTD, highlighting their recent implications in neuroinflammation, alterations in waste clearance involving phagocytosis and the newly described glymphatic system, and vascular abnormalities. Elucidating the precise mechanisms of how astrocytes and microglia are involved in ALS and FTD will be crucial in characterizing these two disorders and may represent more effective interventions for disease progression and treatment options in the future.
肌萎缩侧索硬化症(ALS)和额颞叶痴呆(FTD)是两种进行性、致命的神经退行性综合征,在临床、遗传和病理方面有相当多的重叠。FTD的临床症状可见于ALS患者,反之亦然。最近的遗传学发现明确地将这两种疾病联系起来,并且已经确定了几个共同的分子因素(TDP - 43、FUS、C9ORF72)。目前,ALS和FTD的确切病因尚不清楚,这两种疾病都无法治愈。神经胶质细胞,特别是星形胶质细胞和小胶质细胞,与ALS和FTD中所见的神经退行性变的发生和进展密切相关。在这篇综述中,我们总结了目前对小胶质细胞和星形胶质细胞在ALS和FTD中所起作用的理解,强调了它们最近在神经炎症、涉及吞噬作用的废物清除改变以及新描述的类淋巴系统和血管异常方面的影响。阐明星形胶质细胞和小胶质细胞如何参与ALS和FTD的确切机制,对于明确这两种疾病至关重要,并且可能代表未来对疾病进展和治疗选择更有效的干预措施。