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阿尔茨海默病是否为炎症小体病?

Is Alzheimer's disease an inflammasomopathy?

机构信息

CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Rua Larga, Faculty of Medicine, Polo I, 1st Floor, 3004-504, Coimbra, Portugal; CIBB-Center for Innovative Biomedicine and Biotechnology, University of Coimbra, Rua Larga, Faculty of Medicine, Polo I, 1st Floor, 3004-504, Coimbra, Portugal; Faculty of Medicine, Azinhaga de Santa Comba, Celas, 3000-548, Coimbra, Portugal.

CNC - Center for Neuroscience and Cell Biology, University of Coimbra, Rua Larga, Faculty of Medicine, Polo I, 1st Floor, 3004-504, Coimbra, Portugal; CIBB-Center for Innovative Biomedicine and Biotechnology, University of Coimbra, Rua Larga, Faculty of Medicine, Polo I, 1st Floor, 3004-504, Coimbra, Portugal; Faculty of Pharmacy, Azinhaga de Santa Comba, Celas, 3000-548, Coimbra, Portugal.

出版信息

Ageing Res Rev. 2019 Dec;56:100966. doi: 10.1016/j.arr.2019.100966. Epub 2019 Sep 29.

Abstract

Alzheimer's disease (AD) is the most common form of dementia in the elderly and, despite the tremendous efforts researchers have put into AD research, there are no effective options for prevention and treatment of the disease. The best way to reach this goal is to clarify the mechanisms involved in the onset and progression of AD. In the last few years the views about the drivers of AD have been changing and nowadays it is believed that neuroinflammation takes center stage in disease pathogenesis. Herein, we provide an overview about the role of neuroinflammation in AD describing the role of microglia and astroglia is this process. Then, we will debate the NLRP3 inflammasome putting the focus on its activation through the canonical, non-canonical and alternative pathways and the triggers involved herein namely endoplasmic reticulum stress, mitochondrial dysfunction, reactive oxygen species and amyloid β peptide. Data supporting the hypothesis that inflammasome-mediated peripheral inflammation may contribute to AD pathology will be presented. Finally, a brief discussion about the therapeutic potential of NLRP3 inflammasome modulation is also provided.

摘要

阿尔茨海默病(AD)是老年人中最常见的痴呆症形式,尽管研究人员在 AD 研究方面做出了巨大努力,但目前尚无有效的预防和治疗该病的方法。实现这一目标的最佳方法是阐明 AD 发病和进展中涉及的机制。在过去的几年中,人们对 AD 驱动因素的看法发生了变化,如今人们认为神经炎症在疾病发病机制中占据中心地位。本文概述了神经炎症在 AD 中的作用,描述了小胶质细胞和星形胶质细胞在这一过程中的作用。然后,我们将讨论 NLRP3 炎性体,重点介绍其通过经典、非经典和替代途径的激活以及涉及的触发因素,即内质网应激、线粒体功能障碍、活性氧和淀粉样β肽。将介绍支持炎性体介导致外周炎症可能有助于 AD 病理假说的数据。最后,还简要讨论了 NLRP3 炎性体调节的治疗潜力。

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