炎性小体将创伤性脑损伤、慢性创伤性脑病和阿尔茨海默病联系起来。

Inflammasome links traumatic brain injury, chronic traumatic encephalopathy, and Alzheimer's disease.

作者信息

Seplovich Gabriela, Bouchi Yazan, de Rivero Vaccari Juan Pablo, Pareja Jennifer C Munoz, Reisner Andrew, Blackwell Laura, Mechref Yehia, Wang Kevin K, Tyndall J Adrian, Tharakan Binu, Kobeissy Firas

机构信息

Department of Surgery, Morehouse School of Medicine, Atlanta, GA, USA.

Department of Neurobiology, Center for Neurotrauma, Multiomics & Biomarkers (CNMB), Neuroscience Institute, Morehouse School of Medicine, Atlanta, GA, USA.

出版信息

Neural Regen Res. 2025 Jun 1;20(6):1644-1664. doi: 10.4103/NRR.NRR-D-24-00107. Epub 2024 Jul 10.

Abstract

Traumatic brain injury, chronic traumatic encephalopathy, and Alzheimer's disease are three distinct neurological disorders that share common pathophysiological mechanisms involving neuroinflammation. One sequela of neuroinflammation includes the pathologic hyperphosphorylation of tau protein, an endogenous microtubule-associated protein that protects the integrity of neuronal cytoskeletons. Tau hyperphosphorylation results in protein misfolding and subsequent accumulation of tau tangles forming neurotoxic aggregates. These misfolded proteins are characteristic of traumatic brain injury, chronic traumatic encephalopathy, and Alzheimer's disease and can lead to downstream neuroinflammatory processes, including assembly and activation of the inflammasome complex. Inflammasomes refer to a family of multimeric protein units that, upon activation, release a cascade of signaling molecules resulting in caspase-induced cell death and inflammation mediated by the release of interleukin-1β cytokine. One specific inflammasome, the NOD-like receptor protein 3, has been proposed to be a key regulator of tau phosphorylation where it has been shown that prolonged NOD-like receptor protein 3 activation acts as a causal factor in pathological tau accumulation and spreading. This review begins by describing the epidemiology and pathophysiology of traumatic brain injury, chronic traumatic encephalopathy, and Alzheimer's disease. Next, we highlight neuroinflammation as an overriding theme and discuss the role of the NOD-like receptor protein 3 inflammasome in the formation of tau deposits and how such tauopathic entities spread throughout the brain. We then propose a novel framework linking traumatic brain injury, chronic traumatic encephalopathy, and Alzheimer's disease as inflammasome-dependent pathologies that exist along a temporal continuum. Finally, we discuss potential therapeutic targets that may intercept this pathway and ultimately minimize long-term neurological decline.

摘要

创伤性脑损伤、慢性创伤性脑病和阿尔茨海默病是三种不同的神经系统疾病,它们具有涉及神经炎症的共同病理生理机制。神经炎症的一个后遗症包括tau蛋白的病理性过度磷酸化,tau蛋白是一种内源性微管相关蛋白,可保护神经元细胞骨架的完整性。tau蛋白过度磷酸化导致蛋白质错误折叠,随后tau缠结积累,形成神经毒性聚集体。这些错误折叠的蛋白质是创伤性脑损伤、慢性创伤性脑病和阿尔茨海默病的特征,可导致下游神经炎症过程,包括炎性小体复合物的组装和激活。炎性小体是指一组多聚体蛋白单元,激活后会释放一系列信号分子,导致半胱天冬酶诱导的细胞死亡和由白细胞介素-1β细胞因子释放介导的炎症。一种特定的炎性小体,即核苷酸结合寡聚化结构域样受体蛋白3,被认为是tau蛋白磷酸化的关键调节因子,研究表明,核苷酸结合寡聚化结构域样受体蛋白3的长期激活是病理性tau蛋白积累和扩散的一个因果因素。本综述首先描述创伤性脑损伤、慢性创伤性脑病和阿尔茨海默病的流行病学和病理生理学。接下来,我们强调神经炎症是一个首要主题,并讨论核苷酸结合寡聚化结构域样受体蛋白3炎性小体在tau蛋白沉积物形成中的作用,以及这些tau蛋白病实体如何在大脑中扩散。然后,我们提出了一个新的框架,将创伤性脑损伤、慢性创伤性脑病和阿尔茨海默病联系起来,认为它们是沿着时间连续体存在的炎性小体依赖性疾病。最后,我们讨论了可能阻断这一途径并最终将长期神经功能衰退降至最低的潜在治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/315d/11688549/12cd759fccfa/NRR-20-1644-g001.jpg

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