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特刊:神经炎症途径作为脑疾病的治疗靶点 自噬对缺血性中风中神经炎症的调节。

Special issue: Neuroinflammatory pathways as treatment targets in brain disorders autophagic regulation of neuroinflammation in ischemic stroke.

机构信息

Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, School of Pharmaceutical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.

Key Lab of Cardiovascular and Cerebrovascular Medicine, Drug Target and Drug Discovery Center, School of Pharmacy, Nanjing Medical University, Nanjing, China.

出版信息

Neurochem Int. 2021 Sep;148:105114. doi: 10.1016/j.neuint.2021.105114. Epub 2021 Jun 27.

Abstract

Despite the high lethality and increasing prevalence, effective therapy for ischemic stroke is still limited. As a crucial pathophysiological mechanism underlying ischemic injury, neuroinflammation remains a promising target for novel anti-ischemic strategies. However, the potential adverse effects limit the applications of traditional anti-inflammatory therapies. Recent explorations into the mechanisms of inflammation reveal that autophagy acts as a critical part in inflammation regulation. Autophagy refers to the hierarchically organized process resulting in the lysosomal degradation of intracellular components. Autophagic clearance of intracellular danger signals (DAMPs) suppresses the inflammation activation. Alternatively, autophagy blunts inflammation by removing either inflammasomes or the transcriptional modulators of cytokines. Interestingly, several compounds have been proved to alleviate neuroinflammatory responses and protect against ischemic injury by activating autophagy, highlighting autophagy as a promising target for the regulation of ischemia-induced neuroinflammation. Nonetheless, the molecular mechanism underlying autophagic regulation of neuroinflammation in the central nervous system is less clear and further explorations are still needed.

摘要

尽管缺血性脑卒中的致死率高且发病率不断上升,但有效的治疗方法仍然有限。神经炎症作为缺血性损伤的关键病理生理机制,仍是新型抗缺血策略的有希望的靶点。然而,传统抗炎疗法的潜在副作用限制了其应用。最近对炎症机制的研究揭示,自噬在炎症调节中起着关键作用。自噬是指导致细胞内成分溶酶体降解的分级组织过程。自噬对细胞内危险信号(DAMPs)的清除可抑制炎症激活。另外,自噬通过清除炎性小体或细胞因子的转录调节剂来减轻炎症。有趣的是,已有几种化合物被证明通过激活自噬来减轻神经炎症反应并保护缺血性损伤,这凸显了自噬作为调节缺血性诱导的神经炎症的有希望的靶点。然而,自噬调节中枢神经系统神经炎症的分子机制尚不清楚,仍需要进一步探索。

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