Holbrook Jonathan A, Jarosz-Griffiths Heledd H, Caseley Emily, Lara-Reyna Samuel, Poulter James A, Williams-Gray Caroline H, Peckham Daniel, McDermott Michael F
Department of Clinical Neurosciences, John Van Geest Centre for Brain Repair, University of Cambridge, Cambridge, United Kingdom.
Leeds Institute of Rheumatic and Musculoskeletal Medicine (LIRMM), University of Leeds, Leeds, United Kingdom.
Front Pharmacol. 2021 Mar 10;12:643254. doi: 10.3389/fphar.2021.643254. eCollection 2021.
The prevalence of neurodegenerative disease has increased significantly in recent years, and with a rapidly aging global population, this trend is expected to continue. These diseases are characterised by a progressive neuronal loss in the brain or peripheral nervous system, and generally involve protein aggregation, as well as metabolic abnormalities and immune dysregulation. Although the vast majority of neurodegeneration is idiopathic, there are many known genetic and environmental triggers. In the past decade, research exploring low-grade systemic inflammation and its impact on the development and progression of neurodegenerative disease has increased. A particular research focus has been whether systemic inflammation arises only as a secondary effect of disease or is also a cause of pathology. The inflammasomes, and more specifically the NLRP3 inflammasome, a crucial component of the innate immune system, is usually activated in response to infection or tissue damage. Dysregulation of the NLRP3 inflammasome has been implicated in the progression of several neurodegenerative disorders, such as Alzheimer's disease, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, and prion diseases. This review aims to summarise current literature on the role of the NLRP3 inflammasome in the pathogenesis of neurodegenerative diseases, and recent work investigating NLRP3 inflammasome inhibition as a potential future therapy.
近年来,神经退行性疾病的患病率显著上升,随着全球人口迅速老龄化,这一趋势预计将持续。这些疾病的特征是大脑或周围神经系统中神经元进行性丧失,通常涉及蛋白质聚集、代谢异常和免疫失调。虽然绝大多数神经退行性变是特发性的,但也有许多已知的遗传和环境触发因素。在过去十年中,探索低度全身炎症及其对神经退行性疾病发生和发展影响的研究有所增加。一个特别的研究重点是全身炎症是否仅作为疾病的次要效应出现,还是也是病理学的一个原因。炎性小体,更具体地说是NLRP3炎性小体,是先天免疫系统的关键组成部分,通常在对感染或组织损伤作出反应时被激活。NLRP3炎性小体的失调与几种神经退行性疾病的进展有关,如阿尔茨海默病、帕金森病、亨廷顿病、肌萎缩侧索硬化症和朊病毒病。本综述旨在总结关于NLRP3炎性小体在神经退行性疾病发病机制中的作用的当前文献,以及最近研究NLRP3炎性小体抑制作为未来潜在治疗方法的工作。