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异丁烯酸及其衍生物在神经紊乱中的抗炎作用。

The anti-inflammatory effects of itaconate and its derivatives in neurological disorders.

机构信息

Department of Anesthesiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, 758 Hefei Road, Qingdao, China; Laboratory of Anesthesia and Brain Function, Qilu hospital (Qingdao), Cheeloo College of Medicine, Shandong University, 758 Hefei Road, Qingdao, China.

Department of Pharmacy, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, 758 Hefei Road, Qingdao, China.

出版信息

Cytokine Growth Factor Rev. 2024 Aug;78:37-49. doi: 10.1016/j.cytogfr.2024.07.001. Epub 2024 Jul 6.


DOI:10.1016/j.cytogfr.2024.07.001
PMID:38981775
Abstract

Almost 16 % of the global population is affected by neurological disorders, including neurodegenerative and cerebral neuroimmune diseases, triggered by acute or chronic inflammation. Neuroinflammation is recognized as a common pathogenic mechanism in a wide array of neurological conditions including Alzheimer's disease, Parkinson's disease, postoperative cognitive dysfunction, stroke, traumatic brain injury, and multiple sclerosis. Inflammatory process in the central nervous system (CNS) can lead to neuronal damage and neuronal apoptosis, consequently exacerbating these diseases. Itaconate, an immunomodulatory metabolite from the tricarboxylic acid cycle, suppresses neuroinflammation and modulates the CNS immune response. Emerging human studies suggest that itaconate levels in plasma and cerebrospinal fluid may serve as biomarkers associated with inflammatory responses in neurological disorders. Preclinical studies have shown that itaconate and its highly cell-permeable derivatives are promising candidates for preventing and treating neuroinflammation-related neurological disorders. The underlying mechanism may involve the regulation of immune cells in the CNS and neuroinflammation-related signaling pathways and molecules including Nrf2/KEAP1 signaling pathway, reactive oxygen species, and NLRP3 inflammasome. Here, we introduce the metabolism and function of itaconate and the synthesis and development of its derivatives. We summarize the potential impact and therapeutic potential of itaconate and its derivatives on brain immune cells and the associated signaling pathways and molecules, based on preclinical evidence via various neurological disorder models. We also discuss the challenges and potential solutions for clinical translation to promote further research on itaconate and its derivatives for neuroinflammation-related neurological disorders.

摘要

全球近 16%的人口受到神经退行性疾病和脑神经免疫疾病的影响,这些疾病是由急性或慢性炎症引起的。神经炎症被认为是广泛的神经疾病的共同发病机制,包括阿尔茨海默病、帕金森病、术后认知功能障碍、中风、创伤性脑损伤和多发性硬化症。中枢神经系统(CNS)中的炎症过程可导致神经元损伤和神经元凋亡,从而使这些疾病恶化。衣康酸是三羧酸循环中的一种免疫调节代谢物,可抑制神经炎症并调节中枢神经系统的免疫反应。新兴的人体研究表明,血浆和脑脊液中的衣康酸水平可能是与神经退行性疾病炎症反应相关的生物标志物。临床前研究表明,衣康酸及其高度细胞渗透性衍生物是预防和治疗与神经炎症相关的神经退行性疾病的有前途的候选药物。其潜在机制可能涉及对中枢神经系统免疫细胞和神经炎症相关信号通路及分子(包括 Nrf2/KEAP1 信号通路、活性氧和 NLRP3 炎性体)的调节。在这里,我们介绍了衣康酸的代谢和功能及其衍生物的合成和发展。我们根据各种神经退行性疾病模型的临床前证据,总结了衣康酸及其衍生物对脑免疫细胞及其相关信号通路和分子的潜在影响和治疗潜力。我们还讨论了临床转化的挑战和潜在解决方案,以促进对与神经炎症相关的神经退行性疾病的衣康酸及其衍生物的进一步研究。

相似文献

[1]
The anti-inflammatory effects of itaconate and its derivatives in neurological disorders.

Cytokine Growth Factor Rev. 2024-8

[2]
The potential therapeutic role of itaconate and mesaconate on the detrimental effects of LPS-induced neuroinflammation in the brain.

J Neuroinflammation. 2024-8-20

[3]
Itaconate alleviates anesthesia/surgery-induced cognitive impairment by activating a Nrf2-dependent anti-neuroinflammation and neurogenesis via gut-brain axis.

J Neuroinflammation. 2024-4-22

[4]
Dimethyl itaconate, an itaconate derivative, exhibits immunomodulatory effects on neuroinflammation in experimental autoimmune encephalomyelitis.

J Neuroinflammation. 2020-4-29

[5]
Control of immune cell signaling by the immuno-metabolite itaconate.

Front Immunol. 2024

[6]
Itaconate: A Metabolite Regulates Inflammation Response and Oxidative Stress.

Oxid Med Cell Longev. 2020

[7]
Endogenous itaconate is not required for particulate matter-induced NRF2 expression or inflammatory response.

Elife. 2020-4-7

[8]
IRG1/itaconate alleviates acute liver injury in septic mice by suppressing NLRP3 expression and its mediated macrophage pyroptosis via regulation of the Nrf2 pathway.

Int Immunopharmacol. 2024-6-30

[9]
[Research progress of itaconate on the regulation of macrophage inflammation].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue. 2021-11

[10]
4-Octyl Itaconate Activates Nrf2 Signaling to Inhibit Pro-Inflammatory Cytokine Production in Peripheral Blood Mononuclear Cells of Systemic Lupus Erythematosus Patients.

Cell Physiol Biochem. 2018

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Hyperglycemia-Suppressed Acod1 Expression Contributes to Innate Immune Deficiency in Pseudomonas aeruginosa Keratitis.

Invest Ophthalmol Vis Sci. 2025-7-1

[2]
Spectroscopic method for measuring activity of cis-aconitate decarboxylase, an important metabolic regulator of immune responses.

Anal Biochem. 2025-7-11

[3]
Repurposing Dimethyl Fumarate Targeting Nrf2 to Slow Down the Growth of Areas of Geographic Atrophy.

Int J Mol Sci. 2025-6-25

[4]
Mitochondrial damage-associated molecular patterns: Neuroimmunomodulators in central nervous system pathophysiology.

Neural Regen Res. 2025-6-19

[5]
The metabolite itaconate is a transcriptional and posttranslational modulator of plant metabolism, development, and stress response.

Sci Adv. 2025-6-6

[6]
4-octyl itaconate reduces human NLRP3 inflammasome constitutive activation with the cryopyrin-associated periodic syndrome p.R262W, p.D305N and p.T350M variants.

Cell Mol Life Sci. 2025-5-23

[7]
Neonatal febrile seizures: Dimethyl itaconate's role in behavioral recovery and glutathione enzyme modulation in adult rats.

PLoS One. 2025-3-25

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