From the Institute for Molecular Medicine (E.S., A.W.), University Medical Center, Johannes Gutenberg University Mainz; Focus Program Translational Neurosciences (A.W.), University Medical Center of the Johannes Gutenberg-University Mainz; and Research Center for Immunotherapy (A.W.), University Medical Center of the Johannes Gutenberg-University Mainz, Germany.
Neurol Neuroimmunol Neuroinflamm. 2022 Sep 7;9(6). doi: 10.1212/NXI.0000000000200023. Print 2022 Nov.
Chronic stress is a major risk factor for developing psychiatric conditions. In addition to elevating the levels of stress hormones released in the body, chronic stress activates the immune system, resulting in increased levels of proinflammatory cytokines and innate immune cells in the circulation of rodents and humans. Furthermore, exposure to chronic stress alters the phenotype of microglia, a population of innate immune cells that reside in the CNS parenchyma. In rodent models, chronic stress activates microglia in defined brain regions and induces changes in their phenotype and functional properties. In this review, we discussed how microglia are activated in stressful situations. Furthermore, we described how microglia affect the CNS environment during chronic stress, through the production of cytokines, the induction of reactive oxygen species, and phagocytosis. We suggested that, due to their strategic location as immune cells within the CNS, microglia are important players in the induction of psychopathologies after chronic stress.
慢性应激是导致精神疾病的一个主要危险因素。除了增加体内应激激素的水平外,慢性应激还会激活免疫系统,导致啮齿动物和人类循环中促炎细胞因子和固有免疫细胞水平升高。此外,慢性应激会改变小胶质细胞的表型,小胶质细胞是一种存在于中枢神经系统实质中的固有免疫细胞。在啮齿动物模型中,慢性应激会激活特定脑区的小胶质细胞,并诱导其表型和功能特性发生变化。在这篇综述中,我们讨论了小胶质细胞在应激情况下是如何被激活的。此外,我们还描述了小胶质细胞如何通过产生细胞因子、诱导活性氧和吞噬作用来影响慢性应激期间的中枢神经系统环境。我们认为,由于小胶质细胞作为免疫细胞存在于中枢神经系统中,因此它们是慢性应激后诱导精神病理的重要参与者。