Heneka Michael T
Department of Neurodegenerative Disease, University of Bonn, Bonn, Germany.
German Center for Neurodegenerative Disease, Bonn, Germany.
Brain Pathol. 2017 Mar;27(2):220-222. doi: 10.1111/bpa.12483.
Activation of innate immunity and the assembly of microglial cells at sites of Alzheimer disease pathology has long been regarded as bystander phenomenon, which does not actively contribute to disease pathogenesis and progression. Recent data emerging from genetics, clinical imaging and animal experimentation point to an intimate and mutual interaction of innate immune mechanisms and neurodegenerative processes. NOD-like receptor (NLR) family, pyrin domain containing 3 and 1 inflammasomes, present in myeloid cells and neurons, respectively, represent key components of the innate immune reaction observed in Alzheimer patient brains. Inhibition of inflammasome activation just begins to prove beneficial and protective from cognitive deficits and neuronal death in cell culture and animal models of Alzheimer's disease, thereby opening a new avenue for therapeutic intervention.
长期以来,先天性免疫的激活以及小胶质细胞在阿尔茨海默病病理部位的聚集一直被视为旁观者现象,并不积极参与疾病的发病机制和进展。来自遗传学、临床影像学和动物实验的最新数据表明,先天性免疫机制与神经退行性过程之间存在密切的相互作用。分别存在于髓样细胞和神经元中的含NOD样受体(NLR)家族、含pyrin结构域的3和1炎性小体,是在阿尔茨海默病患者大脑中观察到的先天性免疫反应的关键组成部分。在阿尔茨海默病的细胞培养和动物模型中,抑制炎性小体激活刚刚开始被证明对认知缺陷和神经元死亡有益且具有保护作用,从而为治疗干预开辟了一条新途径。