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母体免疫激活诱导病毒模拟物聚肌苷酸-聚胞苷酸对暴露于啮齿动物后代小胶质细胞的影响。

The Outcomes of Maternal Immune Activation Induced with the Viral Mimetic Poly I:C on Microglia in Exposed Rodent Offspring.

机构信息

Division of Medical Sciences, University of Victoria, Victoria, British Columbia, Canada,

Neuroscience Graduate Program, University of Victoria, Victoria, British Columbia, Canada,

出版信息

Dev Neurosci. 2023;45(4):191-209. doi: 10.1159/000530185. Epub 2023 Mar 21.

Abstract

Maternal immune activation (MIA) can result from a variety of maternal inflammatory factors, including metabolic disorders, nutritional deficits, infections, and psychosocial stress. MIA has been consistently recognized as a major risk factor for neurodevelopmental disorders, and this association seems to be especially important for viral infections as viral exposure during pregnancy was associated with a higher risk of developing neurodevelopmental disorders, such as schizophrenia. In MIA, the gestational parent's inflammatory response to an immune stimulus alters or interrupts fetal development, triggering neurodevelopmental consequences. As MIA can occur in any pregnancy, it is important to understand the many factors at play that contribute to altered brain development in the offspring, especially considering recent global events such as the COVID-19 pandemic. The underlying mechanisms by which MIA results in deleterious outcomes are not yet clear, but due to the inflammatory response it initiates, it is becoming apparent that microglia are critically involved. Through investigation of MIA animal models, the role of microglia in this field is becoming more evident. Compelling evidence from animal models indicates that MIA can disrupt synaptic pruning, neuronal progenitor cell proliferation/differentiation, oligodendrogenesis, and more. Microglia appear as an active player, assisting these neural-related functions during healthy development but also mediating MIA-induced disturbances in these critical processes when neurodevelopment is challenged. The present review illustrates this complex web by reviewing recent literature, focusing on the outcomes of MIA resulting from viral mimetic polyinosinic-polycytidylic acid in rodents, to provide a clear description of how MIA impacts microglial functions and what this means for the offspring's neurodevelopment. Moreover, we discuss the possible implications of the COVID-19 pandemic on the neurodevelopment of the current and next generations in the frame of MIA models and propose some putative pharmacological and non-pharmacological approaches to prevent or attenuate MIA consequences.

摘要

母体免疫激活(MIA)可由多种母体炎症因子引起,包括代谢紊乱、营养缺乏、感染和心理社会应激等。MIA 一直被认为是神经发育障碍的主要危险因素,这种关联似乎对病毒感染尤为重要,因为怀孕期间的病毒暴露与神经发育障碍(如精神分裂症)的风险增加有关。在 MIA 中,妊娠母体对免疫刺激的炎症反应改变或中断了胎儿的发育,引发了神经发育后果。由于 MIA 可能发生在任何妊娠中,因此了解导致后代大脑发育改变的许多因素非常重要,尤其是考虑到最近的全球事件,如 COVID-19 大流行。MIA 导致有害后果的潜在机制尚不清楚,但由于它引发的炎症反应,很明显小胶质细胞起着至关重要的作用。通过对 MIA 动物模型的研究,小胶质细胞在这一领域的作用变得更加明显。动物模型的有力证据表明,MIA 可以破坏突触修剪、神经元祖细胞增殖/分化、少突胶质细胞生成等。小胶质细胞似乎是一个活跃的参与者,在正常发育过程中协助这些与神经相关的功能,但在神经发育受到挑战时,也介导 MIA 诱导的这些关键过程的紊乱。本综述通过回顾最近的文献,重点介绍病毒模拟多聚肌苷酸-多聚胞苷酸在啮齿动物中引起的 MIA 的结果,说明了 MIA 如何影响小胶质细胞的功能,以及这对后代的神经发育意味着什么,从而说明了这一复杂的网络。此外,我们讨论了 MIA 模型框架下 COVID-19 大流行对当前和下一代神经发育的可能影响,并提出了一些预防或减轻 MIA 后果的潜在药理学和非药理学方法。

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