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空气污染对神经退行性疾病的影响。

The Impact of Air Pollution on Neurodegenerative Diseases.

机构信息

Department of Epidemiology and Biostatistics, School of Public Health & State Key Laboratory of Oncogene and Related Genes, Shanghai Jiao Tong University School of Medicine.

School of Xinhua Clinical Medicine, Shanghai Jiao Tong University; and.

出版信息

Ther Drug Monit. 2021 Feb 1;43(1):69-78. doi: 10.1097/FTD.0000000000000818.

Abstract

BACKGROUND

With the development of industrialization in human society, ambient pollutants are becoming more harmful to human health. Epidemiological and toxicological studies indicate that a close relationship exists between particulate matter with a diameter ≤2.5 µm (PM2.5) and neurodegenerative diseases such as Alzheimer's disease (AD) and Parkinson's disease (PD). To further confirm the relationship, we focus on possible relevant mechanisms of oxidative stress and neuroinflammation underlying the association between PM2.5 and neurodegenerative diseases in the review.

METHODS

A literature search was performed on the studies about PM2.5 and neurodegenerative diseases via PubMed. A total of 113 articles published were selected, and 31 studies were included.

RESULTS

PM2.5 can enter the central nervous system through 2 main pathways, the blood-brain barrier and olfactory neurons. The inflammatory response and oxidative stress are 2 primary mechanisms via which PM2.5 leads to toxicity in the brain. PM2.5 abnormally activates microglia, inducing the neuroinflammatory process. Inflammatory markers such as IL-1β play an essential role in neurodegenerative diseases such as AD and PD. Moreover, the association between lipid mechanism disorders related to PM2.5 and neurodegenerative diseases has been gaining momentum.

CONCLUSIONS

In conclusion, PM2.5 could significantly increase the risk of neurological disorders, such as AD and PD. Furthermore, any policy aimed at reducing air-polluting emissions and increasing air quality would be protective in human beings.

摘要

背景

随着人类社会工业化的发展,环境污染物对人类健康的危害越来越大。流行病学和毒理学研究表明,直径≤2.5μm 的颗粒物(PM2.5)与阿尔茨海默病(AD)和帕金森病(PD)等神经退行性疾病之间存在密切关系。为了进一步证实这种关系,我们重点关注 PM2.5 与神经退行性疾病之间关联的氧化应激和神经炎症的可能相关机制。

方法

通过 PubMed 对 PM2.5 与神经退行性疾病的研究进行了文献检索。共选择了 113 篇发表的文章,其中包括 31 项研究。

结果

PM2.5 可以通过 2 条主要途径进入中枢神经系统,即血脑屏障和嗅神经元。炎症反应和氧化应激是 PM2.5 导致大脑毒性的 2 个主要机制。PM2.5 异常激活小胶质细胞,引发神经炎症过程。IL-1β等炎症标志物在 AD 和 PD 等神经退行性疾病中起着重要作用。此外,与 PM2.5 相关的脂质机制紊乱与神经退行性疾病之间的关联也越来越受到关注。

结论

总之,PM2.5 可显著增加 AD 和 PD 等神经障碍的发病风险。此外,任何旨在减少空气污染物排放和提高空气质量的政策都会对人类起到保护作用。

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