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调节性T细胞在脑出血中的作用。

Role of Regulatory T Cells in Intracerebral Hemorrhage.

作者信息

Shang Yaxin, Zheng Lei, Du Yunpeng, Shang Tong, Liu Xueting, Zou Wei

机构信息

The Graduate School, Heilongjiang University of Chinese Medicine, Harbin, 150000, Heilongjiang, People's Republic of China.

The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, 150000, Heilongjiang, People's Republic of China.

出版信息

Mol Neurobiol. 2025 Jan;62(1):518-532. doi: 10.1007/s12035-024-04281-7. Epub 2024 Jun 14.

Abstract

Intracerebral hemorrhage (ICH) is a common cerebrovascular disease that can lead to severe neurological dysfunction in surviving patients, resulting in a heavy burden on patients and their families. When ICH occurs, the blood‒brain barrier is disrupted, thereby promoting immune cell migration into damaged brain tissue. As important immunosuppressive T cells, regulatory T (Treg) cells are involved in the maintenance of immune homeostasis and the suppression of immune responses after ICH. Treg cells mitigate brain tissue damage after ICH in a variety of ways, such as inhibiting the neuroinflammatory response, protecting against blood‒brain barrier damage, reducing oxidative stress damage and promoting nerve repair. In this review, we discuss the changes in Treg cells in ICH clinical patients and experimental animals, the mechanisms by which Treg cells regulate ICH and treatments targeting Treg cells in ICH, aiming to support new therapeutic strategies for clinical treatment.

摘要

脑出血(ICH)是一种常见的脑血管疾病,可导致存活患者出现严重的神经功能障碍,给患者及其家庭带来沉重负担。脑出血发生时,血脑屏障被破坏,从而促进免疫细胞迁移至受损脑组织。作为重要的免疫抑制性T细胞,调节性T(Treg)细胞参与脑出血后免疫稳态的维持和免疫反应的抑制。Treg细胞通过多种方式减轻脑出血后的脑组织损伤,如抑制神经炎症反应、防止血脑屏障损伤、减少氧化应激损伤及促进神经修复。在本综述中,我们讨论了脑出血临床患者和实验动物中Treg细胞的变化、Treg细胞调节脑出血的机制以及针对脑出血中Treg细胞的治疗方法,旨在为临床治疗提供新的治疗策略。

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