创伤性脑损伤中的细胞浸润。

Cellular infiltration in traumatic brain injury.

机构信息

Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

出版信息

J Neuroinflammation. 2020 Nov 3;17(1):328. doi: 10.1186/s12974-020-02005-x.

Abstract

Traumatic brain injury leads to cellular damage which in turn results in the rapid release of damage-associated molecular patterns (DAMPs) that prompt resident cells to release cytokines and chemokines. These in turn rapidly recruit neutrophils, which assist in limiting the spread of injury and removing cellular debris. Microglia continuously survey the CNS (central nervous system) compartment and identify structural abnormalities in neurons contributing to the response. After some days, when neutrophil numbers start to decline, activated microglia and astrocytes assemble at the injury site-segregating injured tissue from healthy tissue and facilitating restorative processes. Monocytes infiltrate the injury site to produce chemokines that recruit astrocytes which successively extend their processes towards monocytes during the recovery phase. In this fashion, monocytes infiltration serves to help repair the injured brain. Neurons and astrocytes also moderate brain inflammation via downregulation of cytotoxic inflammation. Depending on the severity of the brain injury, T and B cells can also be recruited to the brain pathology sites at later time points.

摘要

创伤性脑损伤导致细胞损伤,进而导致损伤相关分子模式 (DAMPs) 的快速释放,促使驻留细胞释放细胞因子和趋化因子。反过来,这些细胞因子和趋化因子迅速招募中性粒细胞,协助限制损伤的扩散并清除细胞碎片。小胶质细胞持续监测中枢神经系统 (CNS) 区室,并识别导致反应的神经元结构异常。几天后,当中性粒细胞数量开始下降时,激活的小胶质细胞和星形胶质细胞在损伤部位聚集,将损伤组织与健康组织分开,并促进修复过程。单核细胞浸润损伤部位产生趋化因子,招募星形胶质细胞,在恢复阶段,星形胶质细胞的突起逐渐向单核细胞延伸。通过这种方式,单核细胞的浸润有助于修复受损的大脑。神经元和星形胶质细胞还通过下调细胞毒性炎症来调节大脑炎症。根据脑损伤的严重程度,T 细胞和 B 细胞也可以在稍后时间点被招募到脑病理部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfae/7640704/490c77ab84bc/12974_2020_2005_Fig1_HTML.jpg

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