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阿尔茨海默病与疱疹病毒:当前的研究进展和展望。

Alzheimer's disease and herpes viruses: Current events and perspectives.

机构信息

Division of Infectious Diseases, Department of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.

Division of Neurology, Department of Neuroscience Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples, Italy.

出版信息

Rev Med Virol. 2024 May;34(3):e2550. doi: 10.1002/rmv.2550.

Abstract

Alzheimer's disease (AD) is a real and current scientific and societal challenge. Alzheimer's disease is characterised by a neurodegenerative neuroinflammatory process, but the etiopathogenetic mechanisms are still unclear. The possible infectious aetiology and potential involvement of Herpes viruses as triggers for the formation of extracellular deposits of amyloid beta (Aβ) peptide (amyloid plaques) and intraneuronal aggregates of hyperphosphorylated and misfold could be a possible explanation. In fact, the possible genetic interference of Herpes viruses with the genome of the host neuronal cell or the stimulation of the infection to a continuous immune response with a consequent chronic inflammation could constitute those mechanisms underlying the development of AD, with possible implications in the understanding and management of the disease. Herpes viruses could be significantly involved in the pathogenesis of AD and in particular, their ability to reactivate in particular conditions such as immunocompromise and immunosenescence, could explain the neurological damage characteristic of AD. Our review aims to evaluate the state of the art of knowledge and perspectives regarding the potential relationship between Herpes viruses and AD, in order to be able to identify the possible etiopathogenetic mechanisms and the possible therapeutic implications.

摘要

阿尔茨海默病(AD)是一个真实且当前的科学和社会挑战。AD 的特征是神经退行性神经炎症过程,但病因发病机制仍不清楚。可能的传染性病因和潜在的疱疹病毒参与作为形成细胞外淀粉样β(Aβ)肽(淀粉样斑块)和神经元内过度磷酸化和错误折叠聚集物的触发因素,可能是一种可能的解释。事实上,疱疹病毒可能会对宿主神经元细胞的基因组产生遗传干扰,或者刺激感染产生持续的免疫反应,从而导致慢性炎症,这可能构成 AD 发展的潜在机制,并可能对疾病的理解和治疗产生影响。疱疹病毒可能在 AD 的发病机制中起重要作用,特别是它们在免疫抑制和免疫衰老等特定条件下重新激活的能力,可以解释 AD 特有的神经损伤。我们的综述旨在评估疱疹病毒与 AD 之间潜在关系的最新知识和观点,以便能够确定可能的病因发病机制和可能的治疗意义。

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