Department of Biomedical and Biotechnological Sciences (BIOMETEC), Section of Pharmacology, University of Catania, Via Santa Sofia 97, Catania, Italy.
Department of Drug Sciences, University of Catania, Catania, Italy.
J Neuroinflammation. 2020 Oct 13;17(1):298. doi: 10.1186/s12974-020-01968-1.
Alzheimer's disease (AD) is the most common form of dementia, characterized by progressive degeneration and loss of neurons in specific regions of the central nervous system. Chronic activation of the immune cells resident in the brain, peripheral immune cell trafficking across the blood-brain barrier, and release of inflammatory and neurotoxic factors, appear critical contributors of the neuroinflammatory response that drives the progression of neurodegenerative processes in AD. As the neuro-immune network is impaired in course of AD, this review is aimed to point out the essential supportive role of innate and adaptive immune response either in normal brain as well as in brain recovery from injury. Since a fine-tuning of the immune response appears crucial to ensure proper nervous system functioning, we focused on the role of the TNF superfamily member, TNF-related apoptosis-inducing ligand (TRAIL), which modulates both the innate and adaptive immune response in the pathogenesis of several immunological disorders and, in particular, in AD-related neuroinflammation. We here summarized mounting evidence of potential involvement of TRAIL signaling in AD pathogenesis, with the aim to provide clearer insights about potential novel therapeutic approaches in AD.
阿尔茨海默病(AD)是最常见的痴呆症形式,其特征是中枢神经系统特定区域的神经元进行性退化和丧失。常驻在大脑中的免疫细胞的慢性激活、外周免疫细胞穿过血脑屏障的迁移以及炎症和神经毒性因子的释放,似乎是驱动 AD 中神经退行性过程进展的神经炎症反应的关键因素。由于 AD 进程中神经免疫网络受损,本综述旨在指出先天和适应性免疫反应在正常大脑以及大脑从损伤中恢复中的重要支持作用。由于免疫反应的精细调节对于确保神经系统的正常功能至关重要,因此我们专注于 TNF 超家族成员 TNF 相关凋亡诱导配体(TRAIL)的作用,该配体在几种免疫性疾病的发病机制中调节先天和适应性免疫反应,特别是在 AD 相关的神经炎症中。我们在这里总结了 TRAIL 信号在 AD 发病机制中潜在作用的大量证据,旨在为 AD 的潜在新型治疗方法提供更清晰的认识。