Medical Branch, Hefei Technology College, Hefei, China.
Department of Pharmacology, School of Basic Medical Sciences, Anhui Medical University, Hefei, China.
Biomed Pharmacother. 2023 Sep;165:115141. doi: 10.1016/j.biopha.2023.115141. Epub 2023 Jul 10.
It is widely known that ischemic stroke is the prominent cause of death and disability. To date, neuroinflammation following ischemic stroke represents a complex event, which is an essential process and affects the prognosis of both experimental stroke animals and stroke patients. Intense neuroinflammation occurring during the acute phase of stroke contributes to neuronal injury, BBB breakdown, and worse neurological outcomes. Inhibition of neuroinflammation may be a promising target in the development of new therapeutic strategies. RhoA is a small GTPase protein that activates a downstream effector, ROCK. The up-regulation of RhoA/ROCK pathway possesses important roles in promoting the neuroinflammation and mediating brain injury. In addition, nuclear factor-kappa B (NF-κB) is another vital regulator of ischemic stroke-induced neuroinflammation through regulating the functions of microglial cells and astrocytes. After stroke onset, the microglial cells and astrocytes are activated and undergo the morphological and functional changes, thereby deeply participate in a complicated neuroinflammation cascade. In this review, we focused on the relationship among RhoA/ROCK pathway, NF-κB and glial cells in the neuroinflammation following ischemic stroke to reveal new strategies for preventing the intense neuroinflammation.
众所周知,缺血性脑卒中是死亡和残疾的主要原因。迄今为止,缺血性脑卒中后的神经炎症反应是一个复杂的事件,是一个重要的过程,它影响实验性脑卒中动物和脑卒中患者的预后。脑卒中急性期发生的强烈神经炎症反应导致神经元损伤、血脑屏障破坏和更差的神经功能结局。抑制神经炎症反应可能是开发新治疗策略的有前途的靶点。RhoA 是一种小 GTP 酶蛋白,可激活下游效应物 ROCK。RhoA/ROCK 通路的上调在促进神经炎症和介导脑损伤方面具有重要作用。此外,核因子-κB(NF-κB)通过调节小胶质细胞和星形胶质细胞的功能,也是缺血性脑卒中诱导的神经炎症的另一个重要调节剂。脑卒中发作后,小胶质细胞和星形胶质细胞被激活并发生形态和功能变化,从而深度参与复杂的神经炎症级联反应。在本综述中,我们重点关注 RhoA/ROCK 通路、NF-κB 和缺血性脑卒中后神经炎症中的神经胶质细胞之间的关系,以揭示预防强烈神经炎症的新策略。