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星形胶质细胞在淀粉样蛋白生成和阿尔茨海默病中的作用。

The role of astrocytes in amyloid production and Alzheimer's disease.

机构信息

Chemical Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA

Programs of Neurosciences, Weill Graduate School of Medical Sciences of Cornell University, New York, NY, USA.

出版信息

Open Biol. 2017 Dec;7(12). doi: 10.1098/rsob.170228.

Abstract

Alzheimer's disease (AD) is marked by the presence of extracellular amyloid beta (Aβ) plaques, intracellular neurofibrillary tangles (NFTs) and gliosis, activated glial cells, in the brain. It is thought that Aβ plaques trigger NFT formation, neuronal cell death, neuroinflammation and gliosis and, ultimately, cognitive impairment. There are increased numbers of reactive astrocytes in AD, which surround amyloid plaques and secrete proinflammatory factors and can phagocytize and break down Aβ. It was thought that neuronal cells were the major source of Aβ. However, mounting evidence suggests that astrocytes may play an additional role in AD by secreting significant quantities of Aβ and contributing to overall amyloid burden in the brain. Astrocytes are the most numerous cell type in the brain, and therefore even minor quantities of amyloid secretion from individual astrocytes could prove to be substantial when taken across the whole brain. Reactive astrocytes have increased levels of the three necessary components for Aβ production: amyloid precursor protein, β-secretase (BACE1) and γ-secretase. The identification of environmental factors, such as neuroinflammation, that promote astrocytic Aβ production, could redefine how we think about developing therapeutics for AD.

摘要

阿尔茨海默病(AD)的特征是脑内存在细胞外淀粉样β(Aβ)斑块、细胞内神经原纤维缠结(NFTs)和神经胶质细胞激活、胶质细胞,被认为是 Aβ 斑块触发 NFT 形成、神经元细胞死亡、神经炎症和神经胶质细胞激活,最终导致认知障碍。AD 患者大脑中的反应性星形胶质细胞数量增加,它们包围淀粉样斑块并分泌促炎因子,还可以吞噬和分解 Aβ。过去认为神经元细胞是 Aβ 的主要来源。然而,越来越多的证据表明,星形胶质细胞可能通过大量分泌 Aβ并导致大脑中总淀粉样负担增加,在 AD 中发挥额外作用。星形胶质细胞是大脑中数量最多的细胞类型,因此即使是单个星形胶质细胞分泌的少量淀粉样蛋白也可能在整个大脑中被证明是大量的。反应性星形胶质细胞中 Aβ 产生所需的三种必需成分的水平升高:淀粉样前体蛋白、β-分泌酶(BACE1)和 γ-分泌酶。识别促进星形胶质细胞 Aβ 产生的环境因素(如神经炎症),可能重新定义我们对开发 AD 治疗方法的看法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990c/5746550/b438f6279612/rsob-7-170228-g1.jpg

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