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减轻阿尔茨海默病神经炎症的药理学方法。

Pharmacological approaches to mitigate neuroinflammation in Alzheimer's disease.

机构信息

Department of Pharmacy, Southeast University, Dhaka, Bangladesh; Pharmakon Neuroscience Research Network, Dhaka, Bangladesh.

Department of Pharmacy, BRAC University, Dhaka, Bangladesh.

出版信息

Int Immunopharmacol. 2020 Jul;84:106479. doi: 10.1016/j.intimp.2020.106479. Epub 2020 Apr 27.

Abstract

Alzheimer's disease (AD) is one of the most prevalent neurodegenerative diseases characterized by the formation of extracellular amyloid beta (Aβ) plaques and intracellular neurofibrillary tangles (NFTs). Growing evidence suggested that there is an association between neuronal dysfunction and neuroinflammation (NI) in AD, coordinated by the chronic activation of astrocytes and microglial cells along with the subsequent excessive generation of the proinflammatory molecule. Therefore, a better understanding of the relationship between the nervous and immune systems is important in order to delay or avert the neurodegenerative events of AD. The inflammatory/immune pathways and the mechanisms to control these pathways may provide a novel arena to develop new drugs in order to target NI in AD. In this review, we represent the influence of cellular mediators which are involved in the NI process, with regards to the progression of AD. We also discuss the processes and the current status of multiple anti-inflammatory agents which are used in AD and have gone through or going through clinical trials. Moreover, new prospects for targeting NI in the development of AD drugs have also been highlighted.

摘要

阿尔茨海默病(AD)是最常见的神经退行性疾病之一,其特征是细胞外淀粉样β(Aβ)斑块和细胞内神经原纤维缠结(NFT)的形成。越来越多的证据表明,AD 中神经元功能障碍与神经炎症(NI)之间存在关联,这是由星形胶质细胞和小胶质细胞的慢性激活以及随后过度产生促炎分子所协调的。因此,为了延缓或避免 AD 的神经退行性事件,更好地理解神经系统和免疫系统之间的关系非常重要。炎症/免疫途径和控制这些途径的机制可能为开发新药提供一个新的领域,以针对 AD 中的 NI。在这篇综述中,我们代表了参与 NI 过程的细胞介质对 AD 进展的影响。我们还讨论了用于 AD 的多种抗炎药物的作用机制和目前的状况,这些药物已经或正在进行临床试验。此外,还强调了针对 AD 药物开发中 NI 的新前景。

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