1 Department of Neurosurgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
2 Department of Neurosurgery, Tainan Municipal An-Nan Hospital-China Medical University, Tainan, Taiwan, China.
Int J Immunopathol Pharmacol. 2018 Jan-Dec;31:2058738418801406. doi: 10.1177/2058738418801406.
Fibrosis is formed after injury in most of the organs as a common and complex response that profoundly affects regeneration of damaged tissue. In central nervous system (CNS), glial scar grows as a major physical and chemical barrier against regeneration of neurons as it forms dense isolation and creates an inhibitory environment, resulting in limitation of optimal neural function and permanent deficits of human body. In neurological damages, glial scar is mainly attributed to the activation of resident astrocytes which surrounds the lesion core and walls off intact neurons. Glial cells induce the infiltration of immune cells, resulting in transient increase in extracellular matrix deposition and inflammatory factors which inhibit axonal regeneration, impede functional recovery, and may contribute to the occurrence of neurological complications. However, recent studies have underscored the importance of glial scar in neural protection and functional improvement depending on the specific insults which involves various pivotal molecules and signaling. Thus, to uncover the veil of scar formation in CNS may provide rewarding therapeutic targets to CNS diseases such as chronic neuroinflammation, brain stroke, spinal cord injury (SCI), traumatic brain injury (TBI), brain tumor, and epileptogenesis. In this article, we try to describe the new portrait of glial scar and trending of research in neurological diseases to readers.
纤维化是大多数器官在受伤后的一种常见且复杂的反应,它会深刻影响受损组织的再生。在中枢神经系统(CNS)中,神经胶质瘢痕的形成是阻止神经元再生的主要物理和化学屏障,因为它形成了致密的隔离,并创造了一个抑制性的环境,导致最佳神经功能的限制和人体的永久性缺陷。在神经损伤中,神经胶质瘢痕主要归因于驻留星形胶质细胞的激活,这些细胞围绕着损伤核心并将未受损的神经元隔离起来。神经胶质细胞诱导免疫细胞的浸润,导致细胞外基质沉积和炎症因子的短暂增加,这些因子抑制轴突再生,阻碍功能恢复,并可能导致神经并发症的发生。然而,最近的研究强调了神经胶质瘢痕在神经保护和功能改善中的重要性,这取决于具体的损伤,涉及各种关键分子和信号通路。因此,揭示中枢神经系统瘢痕形成的面纱可能为慢性神经炎症、脑卒中等中枢神经系统疾病提供有价值的治疗靶点中风、脊髓损伤(SCI)、创伤性脑损伤(TBI)、脑肿瘤和癫痫发生。在本文中,我们试图向读者描述神经胶质瘢痕的新面貌和神经疾病研究的趋势。