State Key Laboratory of Brain and Cognitive Sciences, The University of Hong Kong, Hong Kong 999077, China.
Laboratory of Neuropsychology and Human Neuroscience, The University of Hong Kong, Hong Kong 999077, China.
Int J Mol Sci. 2022 Oct 20;23(20):12573. doi: 10.3390/ijms232012573.
The relationship between inflammation and age-related neurocognitive changes is significant, which may relate to the age-related immune dysfunctions characterized by the senescence of immune cells and elevated inflammatory markers in the peripheral circulation and the central nervous system. In this review, we discuss the potential mechanisms, including the development of vascular inflammation, neuroinflammation, organelle dysfunctions, abnormal cholesterol metabolism, and glymphatic dysfunctions as well as the role that the key molecules play in the immune-cognition interplay. We propose potential therapeutic pharmacological and behavioral strategies for ameliorating age-related neurocognitive changes associated with inflammation. Further research to decipher the multidimensional roles of chronic inflammation in normal and pathological aging processes will help unfold the pathophysiological mechanisms underpinning neurocognitive disorders. The insight gained will lay the path for developing cost-effective preventative measures and the buffering or delaying of age-related neurocognitive decline.
炎症与年龄相关的神经认知变化之间存在显著关系,这可能与免疫细胞衰老和外周循环及中枢神经系统中炎症标志物升高为特征的与年龄相关的免疫功能障碍有关。在这篇综述中,我们讨论了潜在的机制,包括血管炎症、神经炎症、细胞器功能障碍、胆固醇代谢异常和糖质新生功能障碍的发展,以及关键分子在免疫认知相互作用中的作用。我们提出了潜在的治疗药理学和行为策略,以改善与炎症相关的年龄相关的神经认知变化。进一步研究以阐明慢性炎症在正常和病理性衰老过程中的多维作用,将有助于揭示神经认知障碍的病理生理机制。所获得的见解将为开发具有成本效益的预防措施以及缓冲或延缓与年龄相关的神经认知衰退铺平道路。