Department of Neurology, Hanyang University College of Medicine, Seoul, Republic of Korea.
Department of Translational Medicine, Hanyang University Graduate School of Biomedical Science & Engineering, Seoul, Republic of Korea.
Transl Neurodegener. 2020 Nov 26;9(1):42. doi: 10.1186/s40035-020-00221-2.
Neuroinflammation is associated with neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis. Microglia and astrocytes are key regulators of inflammatory responses in the central nervous system. The activation of microglia and astrocytes is heterogeneous and traditionally categorized as neurotoxic (M1-phenotype microglia and A1-phenotype astrocytes) or neuroprotective (M2-phenotype microglia and A2-phenotype astrocytes). However, this dichotomized classification may not reflect the various phenotypes of microglia and astrocytes. The relationship between these activated glial cells is also very complicated, and the phenotypic distribution can change, based on the progression of neurodegenerative diseases. A better understanding of the roles of microglia and astrocytes in neurodegenerative diseases is essential for developing effective therapies. In this review, we discuss the roles of inflammatory response in neurodegenerative diseases, focusing on the contributions of microglia and astrocytes and their relationship. In addition, we discuss biomarkers to measure neuroinflammation and studies on therapeutic drugs that can modulate neuroinflammation.
神经炎症与神经退行性疾病有关,如阿尔茨海默病、帕金森病和肌萎缩侧索硬化症。小胶质细胞和星形胶质细胞是中枢神经系统炎症反应的关键调节者。小胶质细胞和星形胶质细胞的激活具有异质性,传统上分为神经毒性(M1 表型小胶质细胞和 A1 表型星形胶质细胞)或神经保护(M2 表型小胶质细胞和 A2 表型星形胶质细胞)。然而,这种二分法分类可能无法反映小胶质细胞和星形胶质细胞的各种表型。这些激活的神经胶质细胞之间的关系也非常复杂,并且表型分布可以根据神经退行性疾病的进展而改变。更好地了解小胶质细胞和星形胶质细胞在神经退行性疾病中的作用对于开发有效的治疗方法至关重要。在这篇综述中,我们讨论了炎症反应在神经退行性疾病中的作用,重点讨论了小胶质细胞和星形胶质细胞的贡献及其关系。此外,我们还讨论了用于测量神经炎症的生物标志物和可调节神经炎症的治疗药物研究。