Bastias-Candia Sussy, Garrido A Nicolas, Zolezzi Juan M, Inestrosa Nibaldo C
CARE Biomedical Center, Pontificia Universidad Catolica de Chile, Postal Code: 8331150, Santiago, Chile.
Curr Pharm Des. 2016;22(10):1312-23. doi: 10.2174/1381612822666151223103038.
Neurodegenerative disorders are one of the most critical public health concerns of our times. Regrettably, therapeutic interventions currently available have shown only partial benefits to patients affected by one of these disorders. Although the important advances made during the last decades, several questions regarding physiopathological aspects of these diseases are still open. On this regard, the role of neuroinflammation is recognized as critical during the establishment and progression of the neurodegenerative process, and several authors have suggested that neuroinflammatory modulation should be at the basis of therapeutic treatment. In the present review we summarize the general aspects of the neuroinflammatory process and the cellular component of such response whose have been commonly related with the main neurodegenerative disorders, particularly Alzheimer's and Parkinson's disease, as well as, the main molecular events that might trigger the inflammatory process and affect neuronal support structures, such as the blood brain barrier, leading to neurodegeneration. Additionally, we discuss recent advances regarding Nuclear Receptors research, such as peroxisome proliferators-activated receptors and liver X receptor, and the molecular basis of its potential role against neuroinflammation and neurodegeneration.
神经退行性疾病是我们这个时代最关键的公共卫生问题之一。遗憾的是,目前可用的治疗干预措施对受这些疾病之一影响的患者仅显示出部分益处。尽管在过去几十年中取得了重要进展,但关于这些疾病生理病理学方面的几个问题仍然没有答案。在这方面,神经炎症在神经退行性过程的发生和发展中的作用被认为至关重要,几位作者提出神经炎症调节应成为治疗的基础。在本综述中,我们总结了神经炎症过程的一般方面以及这种反应的细胞成分,这些成分通常与主要的神经退行性疾病有关,特别是阿尔茨海默病和帕金森病,以及可能引发炎症过程并影响神经元支持结构(如血脑屏障)从而导致神经退行性变的主要分子事件。此外,我们讨论了核受体研究的最新进展,如过氧化物酶体增殖物激活受体和肝X受体,以及其对抗神经炎症和神经退行性变潜在作用的分子基础。