Axe Neurosciences du Centre de recherche du Centre hospitalier universitaire (CHU) de Québec-Université Laval et Département de médecine moléculaire de l'Université Laval, Québec, QC G1V 4G2, Canada.
Axe Neurosciences du Centre de recherche du Centre hospitalier universitaire (CHU) de Québec-Université Laval et Département de médecine moléculaire de l'Université Laval, Québec, QC G1V 4G2, Canada.
Brain Behav Immun. 2024 Nov;122:583-595. doi: 10.1016/j.bbi.2024.07.047. Epub 2024 Aug 31.
Damage-associated molecular patterns (DAMPs) are endogenous molecules released in tissues upon cellular damage and necrosis, acting to initiate sterile inflammation. Constitutive DAMPs (cDAMPs) have the particularity to be present within the intracellular compartments of healthy cells, where they exert diverse functions such as regulation of gene expression and cellular homeostasis. However, after injury to the central nervous system (CNS), cDAMPs are rapidly released by stressed, damaged or dying neuronal, glial and endothelial cells, and can trigger inflammation without undergoing structural modifications. Several cDAMPs have been described in the injured CNS, such as interleukin (IL)-1α, IL-33, nucleotides (e.g. ATP), and high-mobility group box protein 1. Once in the extracellular milieu, these molecules are recognized by the remaining surviving cells through specific DAMP-sensing receptors, thereby inducing a cascade of molecular events leading to the production and release of proinflammatory cytokines and chemokines, as well as cell adhesion molecules. The ensuing immune response is necessary to eliminate cellular debris caused by the injury, allowing for damage containment. However, seeing as some molecules associated with the inflammatory response are toxic to surviving resident CNS cells, secondary damage occurs, aggravating injury and exacerbating neurological and behavioral deficits. Thus, a better understanding of these cDAMPs, as well as their receptors and downstream signaling pathways, could lead to identification of novel therapeutic targets for treating CNS injuries such as SCI, TBI, and stroke. In this review, we summarize the recent literature on cDAMPs, their specific functions, and the therapeutic potential of interfering with cDAMPs or their signaling pathways.
损伤相关分子模式(DAMPs)是细胞损伤和坏死时在组织中释放的内源性分子,可引发无菌性炎症。固有 DAMPs(cDAMPs)的特殊性在于它们存在于健康细胞的细胞内区室中,在那里它们发挥多种功能,如调节基因表达和细胞内稳态。然而,在中枢神经系统(CNS)受到损伤后,应激、受损或死亡的神经元、神经胶质细胞和内皮细胞会迅速释放 cDAMPs,并且可以在不发生结构修饰的情况下触发炎症。在受伤的 CNS 中已经描述了几种 cDAMPs,例如白细胞介素(IL)-1α、IL-33、核苷酸(例如 ATP)和高迁移率族蛋白 1。一旦进入细胞外环境,这些分子就会被剩余的存活细胞通过特定的 DAMPs 感知受体识别,从而诱导一系列分子事件,导致促炎细胞因子和趋化因子以及细胞黏附分子的产生和释放。随后的免疫反应对于清除损伤引起的细胞碎片是必要的,从而限制损伤。然而,由于与炎症反应相关的一些分子对存活的中枢神经系统细胞有毒性,因此会发生二次损伤,从而加重损伤并恶化神经和行为缺陷。因此,更好地了解这些 cDAMPs 及其受体和下游信号通路,可能会为治疗中枢神经系统损伤(如 SCI、TBI 和中风)找到新的治疗靶点。在这篇综述中,我们总结了最近关于 cDAMPs 的文献,包括它们的特定功能以及干扰 cDAMPs 或其信号通路的治疗潜力。
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