Department of Drug Discovery and Development, Harrison College of Pharmacy, Auburn University, 720 S Donahue Dr., Auburn, AL 36849, USA.
Division of Pharmaceutics & Pharmacology, College of Pharmacy, The Ohio State University, Columbus, OH 43210, USA.
Int J Mol Sci. 2022 Sep 12;23(18):10572. doi: 10.3390/ijms231810572.
Alzheimer's disease (AD) is a progressive neurodegenerative disorder; it is the most common cause of dementia and has no treatment. It is characterized by two pathological hallmarks, the extracellular deposits of amyloid beta (Aβ) and the intraneuronal deposits of Neurofibrillary tangles (NFTs). Yet, those two hallmarks do not explain the full pathology seen with AD, suggesting the involvement of other mechanisms. Neuroinflammation could offer another explanation for the progression of the disease. This review provides an overview of recent advances on the role of the immune cells' microglia and astrocytes in neuroinflammation. In AD, microglia and astrocytes become reactive by several mechanisms leading to the release of proinflammatory cytokines that cause further neuronal damage. We then provide updates on neuroinflammation diagnostic markers and investigational therapeutics currently in clinical trials to target neuroinflammation.
阿尔茨海默病(AD)是一种进行性神经退行性疾病;它是痴呆症的最常见原因,目前尚无治疗方法。它的特征是两种病理特征,细胞外淀粉样蛋白β(Aβ)沉积和神经元内神经原纤维缠结(NFTs)沉积。然而,这两个特征并不能解释 AD 患者的全部病理,这表明可能存在其他机制。神经炎症可能为疾病的进展提供另一种解释。这篇综述概述了免疫细胞小胶质细胞和星形胶质细胞在神经炎症中的作用的最新进展。在 AD 中,小胶质细胞和星形胶质细胞通过几种机制变得活跃,导致释放促炎细胞因子,从而导致进一步的神经元损伤。然后,我们将介绍目前正在临床试验中针对神经炎症的神经炎症诊断标志物和研究性治疗方法的最新进展。
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