酒精与脑-肠轴:小胶质细胞和肠胶质细胞在神经-肠炎症过程中的作用。
Alcohol and the Brain-Gut Axis: The Involvement of Microglia and Enteric Glia in the Process of Neuro-Enteric Inflammation.
机构信息
Department of Neurosurgery, Brigham Hospital for Children, Harvard Medical School, Boston, MA 02115, USA.
Institute of NeuroImmune Pharmacology, Seton Hall University, South Orange, NJ 07079, USA.
出版信息
Cells. 2023 Oct 18;12(20):2475. doi: 10.3390/cells12202475.
Binge or chronic alcohol consumption causes neuroinflammation and leads to alcohol use disorder (AUD). AUD not only affects the central nervous system (CNS) but also leads to pathologies in the peripheral and enteric nervous systems (ENS). Thus, understanding the mechanism of the immune signaling to target the effector molecules in the signaling pathway is necessary to alleviate AUD. Growing evidence shows that excessive alcohol consumption can activate neuroimmune cells, including microglia, and change the status of neurotransmitters, affecting the neuroimmune system. Microglia, like peripheral macrophages, are an integral part of the immune defense and represent the reticuloendothelial system in the CNS. Microglia constantly survey the CNS to scavenge the neuronal debris. These cells also protect parenchymal cells in the brain and spinal cord by repairing nerve circuits to keep the nervous system healthy against infectious and stress-derived agents. In an activated state, they become highly dynamic and mobile and can modulate the levels of neurotransmitters in the CNS. In several ways, microglia, enteric glial cells, and macrophages are similar in terms of causing inflammation. Microglia also express most of the receptors that are constitutively present in macrophages. Several receptors on microglia respond to the inflammatory signals that arise from danger-associated molecular patterns (DAMPs), pathogen-associated molecular patterns (PAMPs), endotoxins (e.g., lipopolysaccharides), and stress-causing molecules (e.g., alcohol). Therefore, this review article presents the latest findings, describing the roles of microglia and enteric glial cells in the brain and gut, respectively, and their association with neurotransmitters, neurotrophic factors, and receptors under the influence of binge and chronic alcohol use, and AUD.
binge 或慢性酒精消费会引起神经炎症,并导致酒精使用障碍(AUD)。AUD 不仅影响中枢神经系统(CNS),还导致周围和肠神经系统(ENS)的病理学。因此,了解免疫信号靶向信号通路中效应分子的机制对于缓解 AUD 是必要的。越来越多的证据表明,过量饮酒会激活神经免疫细胞,包括小胶质细胞,并改变神经递质的状态,影响神经免疫系统。小胶质细胞与外周巨噬细胞一样,是免疫防御系统的重要组成部分,代表中枢神经系统中的网状内皮系统。小胶质细胞不断监测中枢神经系统,以清除神经元碎片。这些细胞还通过修复神经回路来保护脑和脊髓实质细胞,使神经系统保持健康,免受感染和应激源的影响。在激活状态下,它们变得高度动态和移动,并可以调节中枢神经系统中神经递质的水平。在几种方式中,小胶质细胞、肠胶质细胞和巨噬细胞在引起炎症方面是相似的。小胶质细胞也表达大多数巨噬细胞中存在的组成型受体。小胶质细胞上的几种受体对来自危险相关分子模式(DAMPs)、病原体相关分子模式(PAMPs)、内毒素(例如,脂多糖)和应激引起的分子(例如,酒精)的炎症信号做出反应。因此,本文综述了最新的发现,描述了小胶质细胞和肠胶质细胞分别在大脑和肠道中的作用,以及它们在 binge 和慢性酒精使用以及 AUD 下与神经递质、神经营养因子和受体的关联。