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神经炎症与能量代谢:缺血性中风的双重视角

Neuroinflammation and energy metabolism: a dual perspective on ischemic stroke.

作者信息

Lei Wen, Zhuang Hao, Huang Weiyi, Sun Jun

机构信息

Wuxi Medical Center of Nanjing Medical University, Wuxi, China.

Department of Neurosurgery, Affiliated Wuxi People'S Hospital of Nanjing Medical University, Wuxi, China.

出版信息

J Transl Med. 2025 Apr 10;23(1):413. doi: 10.1186/s12967-025-06440-3.

Abstract

Ischemic stroke is a prevalent form of cerebrovascular accident, with its pathogenesis involving the intricate interplay between neuroinflammation and energy metabolism. Cerebral ischemia disrupts oxygen and energy supply, triggering metabolic dysregulation and activating neuroinflammatory responses, ultimately resulting in cellular damage. This review provides an exhaustive analysis of the complex mechanisms of ischemic stroke, with a particular focus on the interaction between neuroinflammation and energy metabolism. The interruption of oxygen and energy supply due to cerebral ischemia initiates metabolic dysregulation and activates neuroinflammatory responses, including the release of inflammatory cytokines and the activation of immune cells, contributing to cellular damage and further metabolic disturbances. Studies indicate that dysregulation of energy metabolism significantly impairs neural cell function and interacts with neuroinflammation, exacerbating ischemic brain injury. Therapeutic strategies primarily concentrate on modulating energy metabolism and suppressing neuroinflammatory responses, emphasizing the importance of in-depth research into their interaction to provide a theoretical foundation for new treatment strategies for ischemic stroke. Future research should focus on how to balance anti-inflammatory treatment with energy regulation to minimize neural damage and promote recovery.

摘要

缺血性中风是脑血管意外的一种常见形式,其发病机制涉及神经炎症与能量代谢之间复杂的相互作用。脑缺血会破坏氧气和能量供应,引发代谢失调并激活神经炎症反应,最终导致细胞损伤。本综述对缺血性中风的复杂机制进行了详尽分析,特别关注神经炎症与能量代谢之间的相互作用。脑缺血导致的氧气和能量供应中断引发代谢失调并激活神经炎症反应,包括炎性细胞因子的释放和免疫细胞的激活,从而导致细胞损伤和进一步的代谢紊乱。研究表明,能量代谢失调会显著损害神经细胞功能,并与神经炎症相互作用,加剧缺血性脑损伤。治疗策略主要集中在调节能量代谢和抑制神经炎症反应,强调深入研究它们之间的相互作用对于为缺血性中风新治疗策略提供理论基础的重要性。未来的研究应聚焦于如何平衡抗炎治疗与能量调节,以尽量减少神经损伤并促进恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f89/11983748/6680a00f4bf9/12967_2025_6440_Fig1_HTML.jpg

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