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神经疾病中的神经炎症:从 bench 到 bedside 的药物治疗靶点

Neuroinflammation in neurological disorders: pharmacotherapeutic targets from bench to bedside.

作者信息

Mishra Awanish, Bandopadhyay Ritam, Singh Prabhakar Kumar, Mishra Pragya Shakti, Sharma Neha, Khurana Navneet

机构信息

Department of Pharmacology, School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, 144411, India.

Department of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research (NIPER), Guwahati, Assam, 781101, India.

出版信息

Metab Brain Dis. 2021 Oct;36(7):1591-1626. doi: 10.1007/s11011-021-00806-4. Epub 2021 Aug 13.

Abstract

Neuroinflammation is one of the host defensive mechanisms through which the nervous system protects itself from pathogenic and or infectious insults. Moreover, neuroinflammation occurs as one of the most common pathological outcomes in various neurological disorders, makes it the promising target. The present review focuses on elaborating the recent advancement in understanding molecular mechanisms of neuroinflammation and its role in the etiopathogenesis of various neurological disorders, especially Alzheimer's disease (AD), Parkinson's disease (PD), and Epilepsy. Furthermore, the current status of anti-inflammatory agents in neurological diseases has been summarized in light of different preclinical and clinical studies. Finally, possible limitations and future directions for the effective use of anti-inflammatory agents in neurological disorders have been discussed.

摘要

神经炎症是宿主防御机制之一,通过该机制神经系统可保护自身免受病原体和/或感染性损伤。此外,神经炎症是各种神经系统疾病中最常见的病理结果之一,使其成为有前景的治疗靶点。本综述着重阐述了在理解神经炎症分子机制及其在各种神经系统疾病(尤其是阿尔茨海默病(AD)、帕金森病(PD)和癫痫)发病机制中的作用方面的最新进展。此外,根据不同的临床前和临床研究,总结了抗炎药物在神经系统疾病中的现状。最后,讨论了在神经系统疾病中有效使用抗炎药物可能存在的局限性和未来方向。

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