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小胶质细胞相关神经炎症对阿尔茨海默病的影响。

The effects of microglia-associated neuroinflammation on Alzheimer's disease.

机构信息

Department of Clinical Laboratory Medicine, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.

School of Medicine, Shandong University, Jinan, Shandong, China.

出版信息

Front Immunol. 2023 Feb 22;14:1117172. doi: 10.3389/fimmu.2023.1117172. eCollection 2023.

Abstract

Alzheimer's disease (AD) is defined as a severe chronic degenerative neurological disease in human. The pathogenic mechanism of AD has been convincingly elucidated by the "amyloid cascade hypothesis" with the main focus of the pathological accretion of β-amyloid (Aβ) peptides outside the cell. However, increasing evidence suggests that this hypothesis is weak in explaining the pathogenesis of AD. Neuroinflammation is crucial in the development of AD, which is proven by the elevated levels of inflammatory markers and the identification of AD risk genes relevant to the innate immune function. Here, we summarize the effects of microglia-mediated neuroinflammation on AD, focusing on the temporal and spatial changes in microglial phenotype, the interactions among microglia, Aβ, tau, and neurons, and the prospects and recent advances in neuroinflammation as a diagnostic and therapeutic target of AD.

摘要

阿尔茨海默病(AD)被定义为一种严重的慢性退行性神经疾病。AD 的发病机制已被“淀粉样蛋白级联假说”令人信服地阐明,其主要关注点是细胞外β-淀粉样蛋白(Aβ)肽的病理性积累。然而,越来越多的证据表明,该假说在解释 AD 的发病机制方面存在缺陷。神经炎症在 AD 的发展中至关重要,这一点已被炎症标志物水平的升高以及与先天免疫功能相关的 AD 风险基因的鉴定所证明。在这里,我们总结了小胶质细胞介导的神经炎症对 AD 的影响,重点介绍了小胶质细胞表型的时空变化、小胶质细胞与 Aβ、tau 和神经元之间的相互作用,以及神经炎症作为 AD 的诊断和治疗靶点的前景和最新进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/123b/9992739/d803ea1b03ce/fimmu-14-1117172-g001.jpg

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