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小胶质细胞与T细胞之间的相互作用促成了缺血性中风后的脑损伤与恢复。

Crosstalk between microglia and T cells contributes to brain damage and recovery after ischemic stroke.

作者信息

Wang Sunwei, Zhang He, Xu Yun

机构信息

a Department of Neurology , Affiliated Drum Tower Hospital of Nanjing University Medical School , Nanjing , P.R. China.

b State Key Laboratory of Pharmaceutical Biotechnology , Nanjing University , Nanjing , P.R. China.

出版信息

Neurol Res. 2016 Jun;38(6):495-503. doi: 10.1080/01616412.2016.1188473. Epub 2016 May 31.

Abstract

OBJECTIVES

To summarize available knowledge regarding the crosstalk, thereby providing a more detailed explanation for the mechanism of brain damage and recovery after ischemic stroke.

METHODS

An extensive review of the literature on the crosstalk between microglia and T cells in ischemic stroke was performed. We review the relevant publications in PubMed database.

RESULTS

After cerebral ischemia, microglia are activated and peripheral T cells infiltrated into the brain. The crosstalk between microglia and T cells has both pro-inflammatory and anti-inflammatory effects in the inflammation after stroke. The crosstalk between M1 and Th1/Th17 cells promotes immune response after stroke and contributes to brain damage, while the crosstalk between M2 and Th2/Treg cells plays an anti-inflammatory role and contributes to brain recovery. Meanwhile, the crosstalk can be regulated by many factors, in both contact dependent and non-contact dependent way.

CONCLUSION

Inflammation mediated by microglia crosstalking to T cells contributes to brain damage and recovery after ischemic stroke. Extensive evidence supports a critical role for the crosstalk of microglia and T cells in the prognosis of brain injury after ischemic stroke. The regulation of the crosstalk may provide a potential therapeutic target for improving the ischemic brain damage.

摘要

目的

总结关于相互作用的现有知识,从而为缺血性中风后脑损伤和恢复机制提供更详细的解释。

方法

对缺血性中风中微胶质细胞与T细胞之间相互作用的文献进行广泛综述。我们检索了PubMed数据库中的相关出版物。

结果

脑缺血后,微胶质细胞被激活,外周T细胞浸润到脑内。微胶质细胞与T细胞之间的相互作用在中风后的炎症反应中具有促炎和抗炎作用。M1与Th1/Th17细胞之间的相互作用促进中风后的免疫反应并导致脑损伤,而M2与Th2/Treg细胞之间的相互作用发挥抗炎作用并有助于脑恢复。同时,这种相互作用可通过多种因素以接触依赖和非接触依赖的方式进行调节。

结论

微胶质细胞与T细胞相互作用介导的炎症反应有助于缺血性中风后脑损伤和恢复。大量证据支持微胶质细胞与T细胞之间的相互作用在缺血性中风后脑损伤预后中起关键作用。对这种相互作用的调节可能为改善缺血性脑损伤提供潜在的治疗靶点。

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