Gan Jiale, Yang Xinyi, Wu Jianan, Liu Peian, Chen Zhaoyao, Hu Yue, Li Wenlei, Zhu Yuan, Wu Minghua
Department of Neurology, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, 210029, China.
Department of Neurology, Jiangsu Province Hospital of Chinese Medicine, Nanjing, 210029, China.
Mol Biol Rep. 2025 Apr 1;52(1):355. doi: 10.1007/s11033-025-10469-4.
Stroke encompasses a range of cerebrovascular disorders characterized by high morbidity, disability, and mortality, with ischemic stroke being the predominant type. This condition imposes significant socio-economic and healthcare burdens, and therapeutic options are currently limited. Microglia, the brain's resident immune cells, are rapidly activated following stroke-induced injury and play a pivotal role in the pathogenesis of neuroinflammation and ischemic tissues. Mitochondria participates in and influences the pathological processes of ischemic stroke, including oxidative stress, modulation of microglia phenotype, and axonal regenerative function, and is an essential and often overlooked target in the clinical management of stroke. This paper reviews recent advancements in research on microglia in ischemic stroke, specifically focusing on the contribution of the mitochondria, providing a reference for selecting therapeutic targets and guiding future research directions.
中风包括一系列以高发病率、高致残率和高死亡率为特征的脑血管疾病,其中缺血性中风是主要类型。这种疾病带来了巨大的社会经济和医疗负担,目前治疗选择有限。小胶质细胞是大脑中的常驻免疫细胞,在中风诱导的损伤后会迅速被激活,并在神经炎症和缺血组织的发病机制中起关键作用。线粒体参与并影响缺血性中风的病理过程,包括氧化应激、小胶质细胞表型的调节和轴突再生功能,并且是中风临床管理中一个重要但常常被忽视的靶点。本文综述了缺血性中风中小胶质细胞的最新研究进展,特别关注线粒体的作用,为选择治疗靶点和指导未来研究方向提供参考。
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