Zhang Jingwen, Xie Dong, Jiao Danli, Zhou Shuang, Liu Shimin, Ju Ziyong, Hu Li, Qi Li, Yao Chongjie, Zhao Chen
School of Acupuncture-moxibustion and Tuina, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Innovation Research Institute of Traditional Chinese Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China.
Heliyon. 2024 Jun 11;10(12):e32688. doi: 10.1016/j.heliyon.2024.e32688. eCollection 2024 Jun 30.
The persistence of neuronal degeneration and damage is a major obstacle in ageing medicine. Nucleotide-binding oligomerization domain (NOD)-like receptors detect environmental stressors and trigger the maturation and secretion of pro-inflammatory cytokines that can cause neuronal damage and accelerate cell death. NLR (NOD-like receptors) inflammasomes are protein complexes that contain NOD-like receptors. Studying the role of NLR inflammasomes in ageing-related neurological disorders can provide valuable insights into the mechanisms of neurodegeneration. This includes investigating their activation of inflammasomes, transcription, and capacity to promote or inhibit inflammatory signaling, as well as exploring strategies to regulate NLR inflammasomes levels. This review summarizes the use of NLR inflammasomes in guiding neuronal degeneration and injury during the ageing process, covering several neurological disorders such as Alzheimer's disease, Parkinson's disease, amyotrophic lateral sclerosis, stroke, and peripheral neuropathies. To improve the quality of life and slow the progression of neurological damage, NLR-based treatment strategies, including inhibitor-related therapies and physical therapy, are presented. Additionally, important connections between age-related neurological disorders and NLR inflammasomes are highlighted to guide future research and facilitate the development of new treatment options.
神经元变性和损伤的持续存在是衰老医学中的一个主要障碍。核苷酸结合寡聚化结构域(NOD)样受体可检测环境应激源,并触发促炎细胞因子的成熟和分泌,这些细胞因子可导致神经元损伤并加速细胞死亡。NLR(NOD样受体)炎性小体是包含NOD样受体的蛋白质复合物。研究NLR炎性小体在衰老相关神经疾病中的作用可为神经变性机制提供有价值的见解。这包括研究它们对炎性小体的激活、转录以及促进或抑制炎症信号传导的能力,以及探索调节NLR炎性小体水平的策略。本综述总结了NLR炎性小体在指导衰老过程中神经元变性和损伤方面的应用,涵盖了几种神经疾病,如阿尔茨海默病、帕金森病、肌萎缩侧索硬化症、中风和周围神经病变。为了提高生活质量并减缓神经损伤的进展,本文提出了基于NLR的治疗策略,包括与抑制剂相关的疗法和物理治疗。此外,还强调了与年龄相关的神经疾病和NLR炎性小体之间的重要联系,以指导未来的研究并促进新治疗方案的开发。