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[神经炎症作为阿尔茨海默病的驱动因素]

[Neuroinflammation as motor of Alzheimer's disease].

作者信息

Castro-Gomez Sergio, Binder Julius, Heneka Michael T

机构信息

Klinik für Neurodegenerative Erkrankungen und Gerontopsychiatrie, Universitätsklinikum Bonn (AöR), Sigmund-Freud-Str. 25, Venusberg-Campus 1, Gebäude 80, 53127, Bonn, Deutschland.

Deutsches Zentrum für Neurodegenerative Erkrankungen, Bonn, Deutschland.

出版信息

Nervenarzt. 2019 Sep;90(9):898-906. doi: 10.1007/s00115-019-0778-3.

Abstract

Sporadic Alzheimer's disease is the most common neurodegenerative disorder and represents a very important public healthcare problem with a devastating economic burden for industrialized countries. Recent knowledge acquired from experimental, epidemiological, radiological and genome-wide association studies (GWAS) underline the role of the innate immune system in the pathophysiology of this disease. This article reviews and discusses the function of the cerebral innate immune system, the newly discovered genes associated with the disease development and the experimental evidence around the role of microglia in the onset and progression of Alzheimer's disease. The discovery of different microglia phenotypes associated with the pathology as well as new molecular players will enable the development of new preventive and therapeutic strategies by modulating neuroinflammation in neurodegenerative diseases.

摘要

散发性阿尔茨海默病是最常见的神经退行性疾病,是一个非常重要的公共卫生问题,给工业化国家带来了沉重的经济负担。从实验、流行病学、放射学和全基因组关联研究(GWAS)中获得的最新知识强调了先天免疫系统在该疾病病理生理学中的作用。本文回顾并讨论了脑先天免疫系统的功能、与疾病发展相关的新发现基因以及小胶质细胞在阿尔茨海默病发病和进展中作用的实验证据。与病理学相关的不同小胶质细胞表型以及新的分子参与者的发现,将通过调节神经退行性疾病中的神经炎症来开发新的预防和治疗策略。

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