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Th17 细胞/IL-17A 在 AD、PD、ALS 中的作用及针对 IL-17A 的靶向治疗策略。

The role of Th17 cells/IL-17A in AD, PD, ALS and the strategic therapy targeting on IL-17A.

机构信息

Department of Neurology, West China Hospital, Sichuan University, Wai Nan Guo Xue Xiang 37#, Chengdu, Sichuan, China.

Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

出版信息

J Neuroinflammation. 2022 Apr 22;19(1):98. doi: 10.1186/s12974-022-02446-6.

Abstract

Neurodegenerative diseases are a group of disorders characterized by progressive loss of certain populations of neurons, which eventually lead to dysfunction. These diseases include Alzheimer's disease (AD), Parkinson's disease (PD), and amyotrophic lateral sclerosis (ALS). Immune pathway dysregulation is one of the common features of neurodegeneration. Recently, there is growing interest in the specific role of T helper Th 17 cells and Interleukin-17A (IL-17A), the most important cytokine of Th 17 cells, in the pathogenesis of the central nervous system (CNS) of neurodegenerative diseases. In the present study, we summarized current knowledge about the function of Th17/IL-17A, the physiology of Th17/IL-17A in diseases, and the contribution of Th17/IL-17A in AD, PD, and ALS. We also update the findings on IL-17A-targeting drugs as potentially immunomodulatory therapeutic agents for neurodegenerative diseases. Although the specific mechanism of Th17/IL-17A in this group of diseases is still controversial, uncovering the molecular pathways of Th17/IL-17A in neurodegeneration allows the identification of suitable targets to modulate these cellular processes. Therapeutics targeting IL-17A might represent potentially novel anti-neurodegeneration drugs.

摘要

神经退行性疾病是一组以特定神经元群体进行性丧失为特征的疾病,最终导致功能障碍。这些疾病包括阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS)。免疫途径失调是神经退行性变的共同特征之一。最近,人们对辅助性 T 细胞 Th17 细胞和白细胞介素-17A(IL-17A)的特定作用越来越感兴趣,Th17 细胞是 Th17 细胞中最重要的细胞因子,在神经退行性疾病的中枢神经系统(CNS)发病机制中发挥重要作用。在本研究中,我们总结了目前关于 Th17/IL-17A 的功能、Th17/IL-17A 在疾病中的生理学以及 Th17/IL-17A 在 AD、PD 和 ALS 中的作用的知识。我们还更新了针对 IL-17A 的靶向药物作为潜在的神经退行性疾病免疫调节治疗药物的发现。尽管 Th17/IL-17A 在这组疾病中的具体机制仍存在争议,但揭示 Th17/IL-17A 在神经退行性变中的分子途径可以确定合适的靶点来调节这些细胞过程。针对 IL-17A 的治疗方法可能代表潜在的新型抗神经退行性变药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2192/9034482/73105a44e437/12974_2022_2446_Fig1_HTML.jpg

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