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被低估的病毒损害认知——更多证据及更多工作有待开展。

Underestimated virus impaired cognition-more evidence and more work to do.

作者信息

Awan Maher Un Nisa, Mahmood Faisal, Peng Xiao-Bin, Zheng Fenshuang, Xu Jun

机构信息

Department of Neurology, The Affiliated Hospital of Yunnan University, Kunming, China.

Central Laboratory, Liver Disease Research Center and Department of Infectious Disease, The Affiliated Hospital of Yunnan University, Kunming, China.

出版信息

Front Immunol. 2025 May 12;16:1550179. doi: 10.3389/fimmu.2025.1550179. eCollection 2025.

Abstract

Neurodegenerative disorders (NDs) are chronic neurological diseases that can be of idiopathic, genetic, or potentially infectious origin. Although the exact cause of neurodegeneration is unknown, it might be result of a confluence of age, genetic susceptibility factors, and environmental stresses. The blood-brain barrier shields the brain from the majority of viral infections, however neurotropic viruses are able to breach this barrier and infect central nervous system. Growing research points to a possible connection between viruses and neurodegenerative diseases, indicating that virus-induced neuroinflammation and disruption of neuronal protein quality control may play a role in the initial stages of disease progression. The diagnosis and treatment of NDs are urgent and challenging. Even though there is limited clinical evidence to support the use of antiviral medications and their dose regimens within the central nervous system (CNS), with the exception of acyclovir, they are currently utilized to treat various viral CNS infections. Understanding the neuropathogenesis of viral CNS infection may help with targeted diagnosis and treatment plans by focusing on the molecular mechanisms of the CNS. It may also be helpful in the search for new antiviral drugs, which are crucial for better managing these neurotropic viral infections. This review focuses on new findings linking viral infection to NDs and explores how viral modifications of cellular functions can impact the development of neurodegeneration and will also explore the therapeutic potential of antiviral drugs in NDs.

摘要

神经退行性疾病(NDs)是慢性神经疾病,其病因可能是特发性、遗传性或潜在传染性的。尽管神经退行性变的确切原因尚不清楚,但它可能是年龄、遗传易感性因素和环境压力共同作用的结果。血脑屏障保护大脑免受大多数病毒感染,然而嗜神经病毒能够突破这一屏障并感染中枢神经系统。越来越多的研究表明病毒与神经退行性疾病之间可能存在联系,这表明病毒诱导的神经炎症和神经元蛋白质质量控制的破坏可能在疾病进展的初始阶段起作用。神经退行性疾病的诊断和治疗既紧迫又具有挑战性。尽管除阿昔洛韦外,目前在中枢神经系统(CNS)中支持使用抗病毒药物及其剂量方案的临床证据有限,但它们目前仍被用于治疗各种病毒性中枢神经系统感染。了解病毒性中枢神经系统感染的神经发病机制,通过关注中枢神经系统的分子机制,可能有助于制定有针对性的诊断和治疗方案。这也可能有助于寻找新的抗病毒药物,这对于更好地管理这些嗜神经病毒感染至关重要。本综述重点关注将病毒感染与神经退行性疾病联系起来的新发现,探讨病毒对细胞功能的修饰如何影响神经退行性变的发展,还将探讨抗病毒药物在神经退行性疾病中的治疗潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d84b/12104254/aaee35ac6fb3/fimmu-16-1550179-g001.jpg

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