阿尔茨海默病、帕金森病和多发性硬化症神经炎症通路的比较分析:对异同点的见解

Comparative analysis of neuroinflammatory pathways in Alzheimer's disease, Parkinson's disease, and multiple sclerosis: insights into similarities and distinctions.

作者信息

Doroszkiewicz Julia, Winkel Izabela, Mroczko Barbara

机构信息

Department of Neurodegeneration Diagnostics, Medical University of Bialystok, Bialystok, Poland.

Dementia Disorders Centre, Medical University of Wroclaw, Scinawa, Poland.

出版信息

Front Neurosci. 2025 Apr 29;19:1579511. doi: 10.3389/fnins.2025.1579511. eCollection 2025.

Abstract

Neurodegenerative diseases, contributing to the significant socioeconomic burden due to aging society, are gaining increasing interest. Despite each disease having different etiologies, neuroinflammation is believed to play a crucial role in Alzheimer's disease (AD), Parkinson's disease (PD), and multiple sclerosis (MS). In addition to the pathogenic function of inflammation in the brain there is growing evidence that immune responses are essential for neuroregeneration. This review compares and contrasts the neuroinflammatory pathways that selected neurodegenerative diseases share and have in common. In AD, tau tangles and beta-amyloid plaques cause microglia and astrocytes to become activated in an inflammatory response. Alpha-synuclein aggregation stimulate neuroinflammation in Parkinson's disease, especially in the substantia nigra. In Multiple Sclerosis an autoimmune attack on myelin is connected to inflammation via invading immune cells. Commonalities include the release of pro-inflammatory mediators like cytokines and activation of signaling pathways such as NF-κB and MAPK. Comprehending these common routes is essential for discovering early diagnostic possibilities for the diseases and possible tailored treatments. Our work underscores the potential for insights into disease mechanisms. Identifying common targets offers promise for advancing our understanding and potential future treatment approaches across these debilitating disorders.

摘要

神经退行性疾病因老龄化社会而带来巨大的社会经济负担,正日益受到关注。尽管每种疾病的病因不同,但神经炎症被认为在阿尔茨海默病(AD)、帕金森病(PD)和多发性硬化症(MS)中起着关键作用。除了炎症在大脑中的致病作用外,越来越多的证据表明免疫反应对神经再生至关重要。本综述比较并对比了某些神经退行性疾病共有的神经炎症途径。在AD中,tau缠结和β-淀粉样斑块会导致小胶质细胞和星形胶质细胞在炎症反应中被激活。α-突触核蛋白聚集会在帕金森病中引发神经炎症,尤其是在黑质中。在多发性硬化症中,针对髓鞘的自身免疫攻击通过入侵的免疫细胞与炎症相关联。共同点包括促炎介质如细胞因子的释放以及信号通路如NF-κB和MAPK的激活。理解这些共同途径对于发现这些疾病的早期诊断可能性和可能的个性化治疗至关重要。我们的工作强调了深入了解疾病机制的潜力。确定共同靶点有望促进我们对这些使人衰弱的疾病的理解以及未来可能的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd7/12069400/715cc820f31d/fnins-19-1579511-g001.jpg

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