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阿尔茨海默病:小胶质细胞靶点及其调节以促进淀粉样蛋白吞噬和减轻神经炎症。

Alzheimer's disease: microglia targets and their modulation to promote amyloid phagocytosis and mitigate neuroinflammation.

机构信息

Neuroscience Laboratory, CHU de Québec Research Center (CHUL), Department of Molecular Medicine, Faculty of Medicine, Laval University, Quebec City, QC, Canada.

Department of Pathology, Faculty of Veterinary Medicine, Beni-Suef University, Beni-Suef, Egypt.

出版信息

Expert Opin Ther Targets. 2020 Apr;24(4):331-344. doi: 10.1080/14728222.2020.1738391. Epub 2020 Mar 12.

Abstract

: Despite the revolutionary progress in neurodegenerative disease research, there is no cure for Alzheimer's disease (AD). This is a chronic progressive neurodegenerative disease affecting aged people and is associated with chronic neuroinflammation and amyloid-beta (Aβ) deposition in the brain parenchyma. Microglia, the resident myeloid cells in the central nervous system, are critically involved in the pathogenesis of AD and have emerged as a potential therapeutic target for treating or preventing AD. The failure of microglia to keep up with persistent amyloid-beta development along with secretion of inflammatory cytokines is detrimental to neurons and favors Aβ accumulation.: This review illuminates the latest research that is focused on molecules and their intracellular targets that promote microglial phagocytosis and /or its polarization to an anti-inflammatory state.: A robust inflammatory response of microglia is not necessary to improve their efficiency of Aβ clearance. The challenge is to master inflammatory/anti-inflammatory phenotypes depending on the stage of AD and to maintain efficient responses to remove Aβ. Therefore, promoting microglia phagocytosis without a persistent excessive inflammatory response could be a potential therapeutic strategy.

摘要

尽管神经退行性疾病研究取得了革命性进展,但仍没有治愈阿尔茨海默病(AD)的方法。AD 是一种影响老年人的慢性进行性神经退行性疾病,与脑实质中的慢性神经炎症和淀粉样蛋白-β(Aβ)沉积有关。小胶质细胞是中枢神经系统中的固有髓样细胞,它们在 AD 的发病机制中起着至关重要的作用,并且已经成为治疗或预防 AD 的潜在治疗靶点。小胶质细胞无法跟上持续的 Aβ发展以及炎症细胞因子的分泌,这对神经元是有害的,并有利于 Aβ的积累。

本文综述了最新的研究成果,这些研究集中在促进小胶质细胞吞噬作用及其向抗炎状态极化的分子及其细胞内靶点上。小胶质细胞的强烈炎症反应并不一定能提高其 Aβ清除效率。挑战在于根据 AD 的阶段掌握炎症/抗炎表型,并保持有效清除 Aβ的反应。因此,促进小胶质细胞吞噬作用而不产生持续的过度炎症反应可能是一种潜在的治疗策略。

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