糖基化系统病理学和神经炎症作为神经退行性变的两个风险因素。
Glymphatic System Pathology and Neuroinflammation as Two Risk Factors of Neurodegeneration.
机构信息
Department of Neurology, Faculty of Health Science, Medical University of Warsaw, 02-091 Warszawa, Poland.
出版信息
Cells. 2024 Feb 5;13(3):286. doi: 10.3390/cells13030286.
The key to the effective treatment of neurodegenerative disorders is a thorough understanding of their pathomechanism. Neurodegeneration and neuroinflammation are mutually propelling brain processes. An impairment of glymphatic system function in neurodegeneration contributes to the progression of pathological processes. The question arises as to how neuroinflammation and the glymphatic system are related. This review highlights the direct and indirect influence of these two seemingly independent processes. Protein aggregates, a characteristic feature of neurodegeneration, are correlated with glymphatic clearance and neuroinflammation. Glial cells cannot be overlooked when considering the neuroinflammatory processes. Astrocytes are essential for the effective functioning of the glymphatic system and play a crucial role in the inflammatory responses in the central nervous system. It is imperative to acknowledge the significance of AQP4, a protein that exhibits a high degree of polarization in astrocytes and is crucial for the functioning of the glymphatic system. AQP4 influences inflammatory processes that have not yet been clearly delineated. Another interesting issue is the gut-brain axis and microbiome, which potentially impact the discussed processes. A discussion of the correlation between the functioning of the glymphatic system and neuroinflammation may contribute to exploring the pathomechanism of neurodegeneration.
神经退行性疾病有效治疗的关键在于深入了解其发病机制。神经退行性变和神经炎症是相互促进的大脑过程。神经退行性变中糖质分解系统功能的损害会促进病理过程的发展。问题在于神经炎症和糖质分解系统之间的关系如何。这篇综述强调了这两个看似独立的过程的直接和间接影响。蛋白聚集体是神经退行性变的特征,与糖质分解系统清除和神经炎症有关。在考虑神经炎症过程时,不能忽视神经胶质细胞。星形胶质细胞对于糖质分解系统的有效功能至关重要,并且在中枢神经系统的炎症反应中起着关键作用。必须认识到水通道蛋白 4(AQP4)的重要性,AQP4 在星形胶质细胞中表现出高度的极化,对于糖质分解系统的功能至关重要。AQP4 影响尚未明确界定的炎症过程。另一个有趣的问题是肠道-大脑轴和微生物组,它们可能会影响所讨论的过程。探讨糖质分解系统功能与神经炎症之间的相关性可能有助于探索神经退行性变的发病机制。