帕金森病和 COVID-19 中嗅觉功能障碍的潜在趋同:神经炎症的作用。
Potential convergence of olfactory dysfunction in Parkinson's disease and COVID-19: The role of neuroinflammation.
机构信息
Institute of Brain Science and Disease, Shandong Provincial Collaborative Innovation Center for Neurodegenerative Disorders, Shandong Provincial Key Laboratory of Pathogenesis and Prevention of Neurological Disorders, Qingdao University, Qingdao, China.
Institute of Brain Science and Disease, Shandong Provincial Collaborative Innovation Center for Neurodegenerative Disorders, Shandong Provincial Key Laboratory of Pathogenesis and Prevention of Neurological Disorders, Qingdao University, Qingdao, China.
出版信息
Ageing Res Rev. 2024 Jun;97:102288. doi: 10.1016/j.arr.2024.102288. Epub 2024 Apr 4.
Parkinson's disease (PD) is a prevalent neurodegenerative disorder that affects 7-10 million individuals worldwide. A common early symptom of PD is olfactory dysfunction (OD), and more than 90% of PD patients suffer from OD. Recent studies have highlighted a high incidence of OD in patients with SARS-CoV-2 infection. This review investigates the potential convergence of OD in PD and COVID-19, particularly focusing on the mechanisms by which neuroinflammation contributes to OD and neurological events. Starting from our fundamental understanding of the olfactory bulb, we summarize the clinical features of OD and pathological features of the olfactory bulb from clinical cases and autopsy reports in PD patients. We then examine SARS-CoV-2-induced olfactory bulb neuropathology and OD and emphasize the SARS-CoV-2-induced neuroinflammatory cascades potentially leading to PD manifestations. By activating microglia and astrocytes, as well as facilitating the aggregation of α-synuclein, SARS-CoV-2 could contribute to the onset or exacerbation of PD. We also discuss the possible contributions of NF-κB, the NLRP3 inflammasome, and the JAK/STAT, p38 MAPK, TLR4, IL-6/JAK2/STAT3 and cGAS-STING signaling pathways. Although olfactory dysfunction in patients with COVID-19 may be reversible, it is challenging to restore OD in patients with PD. With the emergence of new SARS-CoV-2 variants and the recurrence of infections, we call for continued attention to the intersection between PD and SARS-CoV-2 infection, especially from the perspective of OD.
帕金森病(PD)是一种常见的神经退行性疾病,影响着全球 700 万至 1000 万人。PD 的一个常见早期症状是嗅觉功能障碍(OD),超过 90%的 PD 患者患有 OD。最近的研究强调了 SARS-CoV-2 感染患者中 OD 的高发病率。本综述探讨了 PD 和 COVID-19 中 OD 潜在的汇聚,特别是关注神经炎症如何导致 OD 和神经事件。从我们对嗅球的基本理解出发,我们总结了 PD 患者临床病例和尸检报告中 OD 的临床特征和嗅球的病理特征。然后,我们研究了 SARS-CoV-2 诱导的嗅球神经病理学和 OD,并强调了 SARS-CoV-2 诱导的神经炎症级联反应可能导致 PD 表现。SARS-CoV-2 通过激活小胶质细胞和星形胶质细胞,并促进α-突触核蛋白的聚集,可能导致 PD 的发作或恶化。我们还讨论了 NF-κB、NLRP3 炎性体、JAK/STAT、p38 MAPK、TLR4、IL-6/JAK2/STAT3 和 cGAS-STING 信号通路的可能贡献。虽然 COVID-19 患者的嗅觉功能障碍可能是可逆的,但 PD 患者 OD 的恢复具有挑战性。随着新的 SARS-CoV-2 变体的出现和感染的复发,我们呼吁继续关注 PD 和 SARS-CoV-2 感染之间的交叉点,特别是从 OD 的角度。