Gu Chao, Chen Yajing, Chen Yan, Liu Chun-Feng, Zhu Zengyan, Wang Mei
Department of Pharmacy, Children's Hospital of Soochow University, Suzhou, China.
Department of Child and Adolescent Healthcare, Children's Hospital of Soochow University, Suzhou, China.
Front Aging Neurosci. 2021 Nov 16;13:768156. doi: 10.3389/fnagi.2021.768156. eCollection 2021.
Parkinson's disease (PD) is one of the prevalent neurodegenerative diseases associated with preferential loss of dopaminergic (DA) neurons in the substantia nigra compacta (SNc) and accumulation of α-synuclein in DA neurons. Even though the precise pathogenesis of PD is not clear, a large number of studies have shown that microglia-mediated neuroinflammation plays a vital role in the process of PD development. G protein-coupled receptors (GPCRs) are widely expressed in microglia and several of them act as regulators of microglial activation upon corresponding ligands stimulations. Upon α-synuclein insults, microglia would become excessively activated through some innate immune receptors. Presently, as lack of ideal drugs for treating PD, certain GPCR which is highly expressed in microglia of PD brain and mediates neuroinflammation effectively could be a prospective source for PD therapeutic intervention. Here, six kinds of GPCRs and two types of innate immune receptors were introduced, containing adenosine receptors, purinergic receptors, metabotropic glutamate receptors, adrenergic receptors, cannabinoid receptors, and melatonin receptors and their roles in neuroinflammation; we highlighted the relationship between these six GPCRs and microglial activation in PD. Based on the existing findings, we tried to expound the implication of microglial GPCRs-regulated neuroinflammation to the pathophysiology of PD and their potential to become a new expectation for clinical therapeutics.
帕金森病(PD)是一种常见的神经退行性疾病,与黑质致密部(SNc)中多巴胺能(DA)神经元的选择性丧失以及DA神经元中α-突触核蛋白的积累有关。尽管PD的确切发病机制尚不清楚,但大量研究表明,小胶质细胞介导的神经炎症在PD发展过程中起着至关重要的作用。G蛋白偶联受体(GPCRs)在小胶质细胞中广泛表达,其中一些在相应配体刺激后作为小胶质细胞激活的调节因子。在α-突触核蛋白损伤时,小胶质细胞会通过一些天然免疫受体过度激活。目前,由于缺乏治疗PD的理想药物,某些在PD脑小胶质细胞中高表达并有效介导神经炎症的GPCR可能是PD治疗干预的一个潜在来源。在此,介绍了六种GPCR和两种天然免疫受体,包括腺苷受体、嘌呤能受体、代谢型谷氨酸受体、肾上腺素能受体、大麻素受体和褪黑素受体及其在神经炎症中的作用;我们强调了这六种GPCR与PD中小胶质细胞激活之间的关系。基于现有研究结果,我们试图阐述小胶质细胞GPCR调节的神经炎症对PD病理生理学的影响及其成为临床治疗新希望的潜力。