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内源性大麻素代谢与创伤性脑损伤。

Endocannabinoid Metabolism and Traumatic Brain Injury.

机构信息

Health Science Center, Department of Cellular and Integrative Physiology, Long School of Medicine, University of Texas, San Antonio, TX 78229, USA.

出版信息

Cells. 2021 Nov 2;10(11):2979. doi: 10.3390/cells10112979.

Abstract

Traumatic brain injury (TBI) represents a major cause of morbidity and disability and is a risk factor for developing neurodegenerative diseases, including Alzheimer's disease (AD). However, no effective therapies are currently available for TBI-induced AD-like disease. Endocannabinoids are endogenous lipid mediators involved in a variety of physiological and pathological processes. The compound 2-arachidonoylglycerol (2-AG) is the most abundant endocannabinoid with profound anti-inflammatory and neuroprotective properties. This molecule is predominantly metabolized by monoacylglycerol lipase (MAGL), a key enzyme degrading about 85% of 2-AG in the brain. Studies using animal models of inflammation, AD, and TBI provide evidence that inactivation of MAGL, which augments 2-AG signaling and reduces its metabolites, exerts neuroprotective effects, suggesting that MAGL is a promising therapeutic target for neurodegenerative diseases. In this short review, we provide an overview of the inhibition of 2-AG metabolism for the alleviation of neuropathology and the improvement of synaptic and cognitive functions after TBI.

摘要

创伤性脑损伤 (TBI) 是发病率和致残率的主要原因,也是包括阿尔茨海默病 (AD) 在内的神经退行性疾病的危险因素。然而,目前尚无有效的疗法可用于治疗 TBI 诱导的 AD 样疾病。内源性大麻素是参与多种生理和病理过程的内源性脂质介质。化合物 2-花生四烯酸甘油酯 (2-AG) 是含量最丰富的内源性大麻素,具有很强的抗炎和神经保护特性。这种分子主要由单酰基甘油脂肪酶 (MAGL) 代谢,该酶可降解大脑中约 85%的 2-AG。使用炎症、AD 和 TBI 的动物模型进行的研究提供了证据,表明 MAGL 的失活会增强 2-AG 信号并减少其代谢物,从而发挥神经保护作用,这表明 MAGL 是神经退行性疾病的一个有希望的治疗靶点。在这篇简短的综述中,我们概述了抑制 2-AG 代谢以减轻 TBI 后的神经病理学、改善突触和认知功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0b4/8616221/083f940dad8a/cells-10-02979-g001.jpg

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