Zhang Qiang, Yang Guanhu, Luo Yuan, Jiang Lai, Chi Hao, Tian Gang
Department of Laboratory Medicine, Southwest Medical University, Luzhou, China.
Department of Specialty Medicine, Ohio University, Athens, OH, USA.
Immun Ageing. 2024 Jun 14;21(1):38. doi: 10.1186/s12979-024-00445-0.
Alzheimer's disease (AD) is a serious brain disorder characterized by the presence of beta-amyloid plaques, tau pathology, inflammation, neurodegeneration, and cerebrovascular dysfunction. The presence of chronic neuroinflammation, breaches in the blood-brain barrier (BBB), and increased levels of inflammatory mediators are central to the pathogenesis of AD. These factors promote the penetration of immune cells into the brain, potentially exacerbating clinical symptoms and neuronal death in AD patients. While microglia, the resident immune cells of the central nervous system (CNS), play a crucial role in AD, recent evidence suggests the infiltration of cerebral vessels and parenchyma by peripheral immune cells, including neutrophils, T lymphocytes, B lymphocytes, NK cells, and monocytes in AD. These cells participate in the regulation of immunity and inflammation, which is expected to play a huge role in future immunotherapy. Given the crucial role of peripheral immune cells in AD, this article seeks to offer a comprehensive overview of their contributions to neuroinflammation in the disease. Understanding the role of these cells in the neuroinflammatory response is vital for developing new diagnostic markers and therapeutic targets to enhance the diagnosis and treatment of AD patients.
阿尔茨海默病(AD)是一种严重的脑部疾病,其特征为存在β-淀粉样蛋白斑块、tau病理改变、炎症、神经退行性变和脑血管功能障碍。慢性神经炎症的存在、血脑屏障(BBB)的破坏以及炎症介质水平的升高是AD发病机制的核心。这些因素促进免疫细胞进入大脑,可能会加剧AD患者的临床症状和神经元死亡。虽然小胶质细胞作为中枢神经系统(CNS)的常驻免疫细胞在AD中起着关键作用,但最近的证据表明,在AD中,包括中性粒细胞、T淋巴细胞、B淋巴细胞、NK细胞和单核细胞在内的外周免疫细胞会浸润脑血管和脑实质。这些细胞参与免疫和炎症调节,有望在未来的免疫治疗中发挥巨大作用。鉴于外周免疫细胞在AD中的关键作用,本文旨在全面概述它们对该疾病神经炎症的影响。了解这些细胞在神经炎症反应中的作用对于开发新的诊断标志物和治疗靶点以加强AD患者的诊断和治疗至关重要。
Immun Ageing. 2024-6-14
Front Cell Neurosci. 2017-7-24
Front Aging Neurosci. 2022-6-28
Neuropathol Appl Neurobiol. 2022-4
J Neuroinflammation. 2019-4-5
J Neurochem. 2025-8
Biomark Neuropsychiatry. 2025-6
Neurosci Bull. 2025-6-25
Front Med (Lausanne). 2025-6-2
Int J Mol Sci. 2025-5-28
Mol Neurodegener. 2023-12-18
Nat Rev Drug Discov. 2023-10
Res Pract Thromb Haemost. 2023-5