Kim Paul M, Kornberg Michael D
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Curr Opin Pharmacol. 2022 Feb;62:103-108. doi: 10.1016/j.coph.2021.11.008. Epub 2021 Dec 26.
Microglia and CNS-infiltrating macrophages play significant roles in the pathogenesis of neuroinflammatory and neurodegenerative diseases, such as Alzheimer's disease, Parkinson's disease, and multiple sclerosis. Prolonged and dysregulated inflammatory responses by these innate immune cells can have deleterious effects on the surrounding CNS microenvironment, which can worsen neurodegeneration and demyelination. However, although chronic activation of pro-inflammatory microglia is maladaptive, other functional microglial subtypes play beneficial roles during CNS repair and regeneration. Therefore, there is a tremendous interest in understanding the underlying mechanism of the activation of these reparative/regenerative microglia. In this review, we focus on the potential role of PKC, a downstream signaling molecule of TREM2 and PLCγ2, and PKC modulators in promoting the activation of reparative/regenerative microglial subtypes as a novel therapy for neuroinflammatory and neurodegenerative diseases.
小胶质细胞和中枢神经系统浸润巨噬细胞在神经炎症性和神经退行性疾病(如阿尔茨海默病、帕金森病和多发性硬化症)的发病机制中发挥着重要作用。这些先天免疫细胞长期且失调的炎症反应会对周围的中枢神经系统微环境产生有害影响,进而加重神经退行性变和脱髓鞘。然而,尽管促炎性小胶质细胞的慢性激活是适应不良的,但其他功能性小胶质细胞亚型在中枢神经系统修复和再生过程中发挥着有益作用。因此,人们对了解这些修复性/再生性小胶质细胞激活的潜在机制有着极大的兴趣。在本综述中,我们重点关注蛋白激酶C(PKC)——触发受体表达2(TREM2)和磷脂酶Cγ2(PLCγ2)的下游信号分子——以及PKC调节剂在促进修复性/再生性小胶质细胞亚型激活方面的潜在作用,将其作为神经炎症性和神经退行性疾病的一种新型治疗方法。