School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, 310053, China; Key Laboratory of Neuropharmacology and Translational Medicine of Zhejiang Province, Zhejiang Chinese Medical University, Hangzhou, 310053, China.
Eur J Pharmacol. 2022 Jan 5;914:174660. doi: 10.1016/j.ejphar.2021.174660. Epub 2021 Dec 1.
Increasing evidences suggest that inflammation plays a key role in the pathogenesis of stroke, a devastating disease second only to cardiac ischemia as a cause of death worldwide. Microglia are the first non-neuronal cells on the scene during the innate immune response to acute ischemic stroke. Microglia respond to acute brain injury by activating and developing classic M1-like (pro-inflammatory) or alternative M2-like (anti-inflammatory) phenotypes. M1 microglia produce pro-inflammatory cytokines to exacerbate neural death, astrocyte apoptosis, and blood brain barrier (BBB) disruption, while M2 microglia play the opposite role. NF-κB, a central regulator of the inflammatory response, was responsible for microglia M1 and M2 polarization. NF-κB p65 and p50 form a heterodimer to initiate a pro-inflammatory cytokine response, which enhances M1 activation and impair M2 response of microglia. TLR4, expressed on the surface of microglia, plays an important role in activating NF-κB, ultimately causing the M1 response of microglia. Therefore, modulation of microglial phenotypes via TLR4/NF-κB signaling pathway may be a promising therapeutic approach for ischemic stroke. Dietary (poly)phenols are present in various foods, which have shown promising protective effects on ischemic stroke. In vivo studies strongly suggest that many (poly)phenols have a pronounced impact on ischemic stroke, as demonstrated by lower neuroinflammation. Thus, this review focuses on the anti-inflammatory properties of dietary (poly)phenols and discusses their effects on the polarization of microglia through modulating TLR4/NF-κB signaling pathway in the ischemic stroke.
越来越多的证据表明,炎症在中风发病机制中起着关键作用,中风是仅次于缺血性心脏病的全球第二大致死疾病。小胶质细胞是急性缺血性中风固有免疫反应中第一批到达现场的非神经元细胞。小胶质细胞通过激活和发展经典的 M1 样(促炎)或替代的 M2 样(抗炎)表型对急性脑损伤作出反应。M1 小胶质细胞产生促炎细胞因子,加剧神经死亡、星形胶质细胞凋亡和血脑屏障(BBB)破坏,而 M2 小胶质细胞则起到相反的作用。NF-κB 是炎症反应的中央调节因子,负责小胶质细胞 M1 和 M2 的极化。NF-κB p65 和 p50 形成异二聚体以启动促炎细胞因子反应,从而增强 M1 激活并损害小胶质细胞的 M2 反应。TLR4 表达在小胶质细胞表面,在激活 NF-κB 方面发挥重要作用,最终导致小胶质细胞的 M1 反应。因此,通过 TLR4/NF-κB 信号通路调节小胶质细胞表型可能是缺血性中风的一种有前途的治疗方法。膳食(多)酚存在于各种食物中,对缺血性中风表现出有希望的保护作用。体内研究强烈表明,许多(多)酚对缺血性中风有显著影响,表现为神经炎症降低。因此,本综述重点讨论了膳食(多)酚的抗炎特性,并讨论了它们通过调节 TLR4/NF-κB 信号通路对缺血性中风中小胶质细胞极化的影响。
Int J Immunopathol Pharmacol. 2020
Naunyn Schmiedebergs Arch Pharmacol. 2025-6-10
World J Psychiatry. 2025-4-19
Stem Cell Rev Rep. 2025-4-21