阿尔茨海默病与感染因子:致病机制及微小RNA作用的全面综述

Alzheimer's disease and infectious agents: a comprehensive review of pathogenic mechanisms and microRNA roles.

作者信息

Hosseininasab Seyyed Sam Mehdi, Ebrahimi Rasoul, Yaghoobpoor Shirin, Kazemi Kiarash, Khakpour Yaser, Hajibeygi Ramtin, Mohamadkhani Ashraf, Fathi Mobina, Vakili Kimia, Tavasol Arian, Tutunchian Zohreh, Fazel Tara, Fathi Mohammad, Hajiesmaeili Mohammadreza

机构信息

Critical Care Quality Improvement Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Front Neurosci. 2025 Jan 7;18:1513095. doi: 10.3389/fnins.2024.1513095. eCollection 2024.

Abstract

Alzheimer's Disease (AD) is the most prevalent type of dementia and is characterized by the presence of senile plaques and neurofibrillary tangles. There are various theories concerning the causes of AD, but the connection between viral and bacterial infections and their potential role in the pathogenesis of AD has become a fascinating area of research for the field. Various viruses such as (HSV-1), (EBV), Cytomegalovirus (CMV), influenza viruses, and Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2), as well as bacteria such as (CP), (HP), (), Spirochetes and eukaryotic unicellular parasites (e.g., ), have been linked to AD due to their ability to activate the immune system, induce inflammation and increase oxidative stress, thereby leading to cognitive decline and AD. In addition, microRNAs (miRNAs) might play a crucial role in the pathogenesis mechanisms of these pathogens since they are utilized to target various protein-coding genes, allowing for immune evasion, maintaining latency, and suppressing cellular signaling molecules. Also, they can regulate gene expression in human cells. This article provides an overview of the association between AD and various infectious agents, with a focus on the mechanisms by which these pathogens may be related to the pathogenesis of AD. These findings suggest important areas for further research to be explored in future studies.

摘要

阿尔茨海默病(AD)是最常见的痴呆类型,其特征是存在老年斑和神经原纤维缠结。关于AD的病因有多种理论,但病毒和细菌感染与它们在AD发病机制中的潜在作用之间的联系已成为该领域一个引人入胜的研究领域。各种病毒,如单纯疱疹病毒1型(HSV-1)、EB病毒(EBV)、巨细胞病毒(CMV)、流感病毒和严重急性呼吸综合征冠状病毒2(SARS-CoV-2),以及细菌,如肺炎衣原体(CP)、幽门螺杆菌(HP)、牙龈卟啉单胞菌(P.gingivalis)、螺旋体和真核单细胞寄生虫(如弓形虫),由于它们激活免疫系统、诱导炎症和增加氧化应激的能力,已与AD相关联,从而导致认知能力下降和AD。此外,微小RNA(miRNA)可能在这些病原体的发病机制中发挥关键作用,因为它们被用于靶向各种蛋白质编码基因,从而实现免疫逃逸、维持潜伏状态和抑制细胞信号分子。此外,它们还可以调节人类细胞中的基因表达。本文概述了AD与各种感染因子之间的关联,重点关注这些病原体可能与AD发病机制相关的机制。这些发现为未来研究中有待探索的重要领域提供了参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3504/11747386/8a06791881b1/fnins-18-1513095-g001.jpg

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