Severe Acquired Brain Injuries Dpt Section, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy; NeuroCare Onlus, Pisa, Italy.
Institute of Clinical Physiology, National Research Council, Pisa, Italy.
Environ Res. 2021 Oct;201:111511. doi: 10.1016/j.envres.2021.111511. Epub 2021 Jun 12.
The climate change induced global warming, and in particular the increased frequency and intensity of heat waves, have been linked to health problems. Among them, scientific works have been reporting an increased incidence of neurological diseases, encompassing also neurodegenerative ones, such as Dementia of Alzheimer's type, Parkinson's Disease, and Motor Neuron Diseases. Although the increase in prevalence of neurodegenerative diseases is well documented by literature reports, the link between global warming and the enhanced prevalence of such diseases remains elusive. This is the main theme of our work, which aims to examine the connection between high temperature exposure and neurodegenerative diseases. Firstly, we evaluate the influence of high temperatures exposure on the pathophysiology of these disorders. Secondly, we discuss its effects on the thermoregulation, already compromised in affected patients, and its interference with processes of excitotoxicity, oxidative stress and neuroinflammation, all of them related with neurodegeneration. Finally, we investigate chronic versus acute stressors on body warming, and put forward a possible interpretation of the beneficial or detrimental effects on the brain, which is responsible for the incidence or progression of neurological disorders.
气候变化引起的全球变暖,特别是热浪的频率和强度增加,与健康问题有关。其中,科学研究报告称,神经退行性疾病的发病率也有所增加,包括阿尔茨海默病型痴呆、帕金森病和运动神经元病等。尽管文献报道已经充分证明了神经退行性疾病的发病率增加,但全球变暖与这些疾病患病率增加之间的联系仍然难以捉摸。这是我们工作的主要主题,旨在探讨高温暴露与神经退行性疾病之间的联系。首先,我们评估高温暴露对这些疾病病理生理学的影响。其次,我们讨论其对已经受损患者的体温调节的影响,以及它对兴奋性毒性、氧化应激和神经炎症等过程的干扰,所有这些过程都与神经退行性变有关。最后,我们研究了慢性与急性压力源对体温升高的影响,并对其对大脑产生有益或有害影响提出了一种可能的解释,这与神经紊乱的发生或进展有关。