College of Traditional Chinese Medicine, Beijing University of Chinese Medicine, Beijing, China.
J Mol Neurosci. 2021 Oct;71(10):1975-1986. doi: 10.1007/s12031-021-01803-z. Epub 2021 Feb 14.
In recent years, the World Health Organization (WHO) has included fatigue as a major risk factor for human life and health. The incidence rate of fatigue is high. In Europe and America, nearly 1/3 of the population is suffering from fatigue. Due to the acceleration of modern people's life rhythm and the increase of work pressure, more and more attention has been paid to central fatigue. The activation of NF-κB is related to central fatigue, which has been paid little attention by previous studies. At the same time, previous studies have mostly focused on the immune regulation function of NF-κB, while the NF-κB pathway plays an equally important role in regulating nerve function. NF-κB can participate in the occurrence and development of central fatigue by mediating immune inflammatory response, regulating central excitability and inhibitory transmitters, regulating synaptic plasticity and regulating central nervous system (CNS) functional genes. In addition to neuroprotective effects, NF-κB also has nerve damage effects, which is also closely related to the occurrence and development of central fatigue. In this review, we focus on the relationship between NF-κB pathway and central fatigue and further explore the biological mechanism of central fatigue. At the same time, the clinical application and potential of typical NF-κB inhibitors in the treatment of fatigue were analyzed to provide reference for the clinical treatment of central fatigue.
近年来,世界卫生组织(WHO)已将疲劳列为影响人类生命和健康的主要危险因素之一。疲劳的发病率很高。在欧美,近三分之一的人口患有疲劳症。由于现代人生活节奏的加快和工作压力的增加,人们越来越关注中枢性疲劳。NF-κB 的激活与中枢性疲劳有关,而这一点在以前的研究中很少受到关注。同时,以前的研究大多集中在 NF-κB 的免疫调节功能上,而 NF-κB 通路在调节神经功能方面同样起着重要作用。NF-κB 可以通过介导免疫炎症反应、调节中枢兴奋性和抑制性递质、调节突触可塑性以及调节中枢神经系统(CNS)功能基因来参与中枢性疲劳的发生和发展。除了具有神经保护作用外,NF-κB 还具有神经损伤作用,这也与中枢性疲劳的发生和发展密切相关。在这篇综述中,我们重点关注 NF-κB 通路与中枢性疲劳的关系,并进一步探讨中枢性疲劳的生物学机制。同时,分析了典型 NF-κB 抑制剂在疲劳治疗中的临床应用和潜力,为中枢性疲劳的临床治疗提供参考。