Department of Nuclear Medicine, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Kongjiang Road 1665, Yangpu District, Shanghai 200092, China.
Rev Neurosci. 2023 Aug 21;35(1):99-120. doi: 10.1515/revneuro-2023-0049. Print 2024 Jan 29.
Peripheral inflammation could constitute a risk factor for AD. This review summarizes the research related to peripheral inflammation that appears to have a relationship with Alzheimer's disease. We find there are significant associations between AD and peripheral infection induced by various pathogens, including herpes simplex virus type 1, cytomegalovirus, Epstein-Barr virus, human immunodeficiency virus, severe acute respiratory syndrome coronavirus 2, , , and . Chronic inflammatory diseases are also reported to contribute to the pathophysiology of AD. The mechanisms by which peripheral inflammation affects the pathophysiology of AD are complex. Pathogen-derived neurotoxic molecule composition, disrupted BBB, and dysfunctional neurogenesis may all play a role in peripheral inflammation, promoting the development of AD. Anti-pathogenic medications and anti-inflammatory treatments are reported to decrease the risk of AD. Studies that could improve understanding the associations between AD and peripheral inflammation are needed. If our assumption is correct, early intervention against inflammation may be a potential method of preventing and treating AD.
外周炎症可能构成 AD 的一个危险因素。本综述总结了与外周炎症相关的研究,这些研究似乎与阿尔茨海默病有关。我们发现,AD 与各种病原体引起的外周感染之间存在显著关联,包括单纯疱疹病毒 1 型、巨细胞病毒、EB 病毒、人类免疫缺陷病毒、严重急性呼吸综合征冠状病毒 2 等。慢性炎症性疾病也被报道有助于 AD 的病理生理学。外周炎症影响 AD 病理生理学的机制很复杂。病原体衍生的神经毒性分子组成、血脑屏障破坏和神经发生功能障碍都可能在外周炎症中发挥作用,促进 AD 的发展。抗病原体药物和抗炎治疗被报道可降低 AD 的风险。需要开展研究以更好地了解 AD 与外周炎症之间的关联。如果我们的假设是正确的,那么针对炎症的早期干预可能是预防和治疗 AD 的一种潜在方法。