Stroke Renaissance Project, Tokyo Metropolitan Institute of Medical Science, Tokyo, Japan.
Department of Computational Biology and Medical Sciences, Graduate School of Frontier Sciences, The University of Tokyo, Chiba, Japan.
J Biochem. 2019 Jun 1;165(6):459-464. doi: 10.1093/jb/mvz017.
Cerebral inflammation is a promising therapeutic target for ischaemic stroke. After ischaemic stroke, inflammatogenic self-molecules, which originate from damaged brain tissue due to ischaemia, activate infiltrating immune cells (neutrophils, macrophages and lymphocytes) and thereby trigger sterile inflammation. Innate immunity plays the central role in sterile inflammation at the acute phase of brain ischaemia, although immune response by T lymphocytes (innate or acquired immunity) is also implicated in inflammation at the subacute phase, which sustains ischaemic brain damage. In the recovery phase, infiltrating macrophages remove the damage-associated molecular patterns (DAMPs) from the ischaemic brain. These pro-resolving myeloid cells also produce neurotrophic factors involved in neural repair. Through a series of inflammatory mechanisms activated by ischaemic stroke, various immune cells change their functions from inflammation to repair in a precise process. In order to establish therapeutic strategies for the improvement of neurological deficits after ischaemic stroke, it is necessary to clarify the detailed molecular and cellular mechanisms of sterile inflammation after ischaemic brain injury.
脑炎症是缺血性中风有前途的治疗靶点。在缺血性中风后,源自缺血性脑组织损伤的致炎自身分子激活浸润免疫细胞(中性粒细胞、巨噬细胞和淋巴细胞),从而引发无菌性炎症。在脑缺血的急性期,固有免疫在无菌性炎症中发挥核心作用,尽管 T 淋巴细胞(固有或获得性免疫)的免疫反应也与亚急性期的炎症有关,该炎症持续存在缺血性脑损伤。在恢复阶段,浸润的巨噬细胞从缺血性大脑中清除损伤相关分子模式 (DAMPs)。这些促修复髓样细胞还产生参与神经修复的神经营养因子。通过缺血性中风激活的一系列炎症机制,各种免疫细胞在一个精确的过程中从炎症转变为修复功能。为了制定改善缺血性中风后神经功能缺损的治疗策略,有必要阐明缺血性脑损伤后无菌性炎症的详细分子和细胞机制。