Shafqat Areez, Noor Eddin Ahmed, Adi Ghaith, Al-Rimawi Mohammed, Abdul Rab Saleha, Abu-Shaar Mylia, Adi Kareem, Alkattan Khaled, Yaqinuddin Ahmed
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
Front Med (Lausanne). 2023 Feb 17;10:1083242. doi: 10.3389/fmed.2023.1083242. eCollection 2023.
Neutrophils are the first cells to be recruited to sites of acute inflammation and contribute to host defense through phagocytosis, degranulation and neutrophil extracellular traps (NETs). Neutrophils are rarely found in the brain because of the highly selective blood-brain barrier (BBB). However, several diseases disrupt the BBB and cause neuroinflammation. In this regard, neutrophils and NETs have been visualized in the brain after various insults, including traumatic (traumatic brain injury and spinal cord injury), infectious (bacterial meningitis), vascular (ischemic stroke), autoimmune (systemic lupus erythematosus), neurodegenerative (multiple sclerosis and Alzheimer's disease), and neoplastic (glioma) causes. Significantly, preventing neutrophil trafficking into the central nervous system or NET production in these diseases alleviates brain pathology and improves neurocognitive outcomes. This review summarizes the major studies on the contribution of NETs to central nervous system (CNS) disorders.
中性粒细胞是最早被招募到急性炎症部位的细胞,通过吞噬作用、脱颗粒和中性粒细胞胞外陷阱(NETs)参与宿主防御。由于血脑屏障(BBB)具有高度选择性,中性粒细胞在大脑中很少见。然而,几种疾病会破坏血脑屏障并引发神经炎症。在这方面,在各种损伤后,包括创伤性(创伤性脑损伤和脊髓损伤)、感染性(细菌性脑膜炎)、血管性(缺血性中风)、自身免疫性(系统性红斑狼疮)、神经退行性(多发性硬化症和阿尔茨海默病)和肿瘤性(胶质瘤)病因,大脑中已观察到中性粒细胞和NETs。值得注意的是,在这些疾病中阻止中性粒细胞向中枢神经系统的迁移或NET的产生可减轻脑部病变并改善神经认知结果。本综述总结了关于NETs对中枢神经系统(CNS)疾病影响的主要研究。