神经炎症相关细胞在创伤性脑损伤中的研究进展:综述。
Research progress of neuroinflammation-related cells in traumatic brain injury: A review.
机构信息
Institute of Physical Culture, Huanghuai University, Zhumadian, China.
Zhumadian Central Hospital, Zhumadian, China.
出版信息
Medicine (Baltimore). 2023 Jun 23;102(25):e34009. doi: 10.1097/MD.0000000000034009.
Neuroinflammation after traumatic brain injury (TBI) is related to chronic neurodegenerative diseases and is one of the causes of acute secondary injury after TBI. Therefore, it is particularly important to clarify the role of cellular mechanisms in the neuroinflammatory response after TBI. The objective of this article is to understand the involvement of cells during the TBI inflammatory response (for instance, astrocytes, microglia, and oligodendrocytes) and shed light on the recent progress in the stimulation and interaction of granulocytes and lymphocytes, to provide a novel approach for clinical research. We searched articles in PubMed published between 1950 and 2023, using the following keywords: TBI, neuroinflammation, inflammatory cells, neuroprotection, clinical. Articles for inclusion in this paper were finalized based on their novelty, representativeness, and relevance to the main arguments of this review. We found that the neuroinflammatory response after TBI includes the activation of glial cells, the release of inflammatory mediators in the brain, and the recruitment of peripheral immune cells. These inflammatory responses not only induce secondary brain damage, but also have a role in repairing the nervous system to some extent. However, not all of the mechanisms of cell-to-cell interactions have been well studied. After TBI, clinical treatment cannot simply suppress the inflammatory response, and the inflammatory phenotype of patients' needs to be defined according to their specific conditions after injury. Clinical trials of personalized inflammation regulation therapy for specific patients should be carried out in order to improve the prognosis of patients.
脑外伤(TBI)后的神经炎症与慢性神经退行性疾病有关,是 TBI 后急性继发性损伤的原因之一。因此,阐明细胞机制在 TBI 后神经炎症反应中的作用尤为重要。本文的目的是了解细胞在 TBI 炎症反应中的作用(例如星形胶质细胞、小胶质细胞和少突胶质细胞),并阐明粒细胞和淋巴细胞的刺激和相互作用的最新进展,为临床研究提供新的方法。我们在 PubMed 中搜索了 1950 年至 2023 年期间发表的文章,使用了以下关键词:TBI、神经炎症、炎症细胞、神经保护、临床。根据本文的新颖性、代表性和与主要论点的相关性,最终确定了纳入本文的文章。我们发现,TBI 后的神经炎症反应包括胶质细胞的激活、脑内炎症介质的释放以及外周免疫细胞的募集。这些炎症反应不仅会引发继发性脑损伤,而且在某种程度上也对神经系统的修复有一定作用。然而,并非所有细胞间相互作用的机制都得到了很好的研究。TBI 后,临床治疗不能简单地抑制炎症反应,需要根据患者受伤后的具体情况定义其炎症表型。应针对特定患者开展个性化炎症调节治疗的临床试验,以改善患者的预后。