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中枢神经系统疾病中的中性粒细胞胞外陷阱:机制、影响及新观点

Neutrophil extracellular traps in central nervous system disorders: mechanisms, implications, and emerging perspective.

作者信息

Qiao Shan, Yuan Jing, Zhang Shan-Chao, Lu Ying-Ying, Zhou Peng, Xin Tao

机构信息

Shandong University of Traditional Chinese Medicine, Jinan, Shandong, China.

Department of Neurology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, China.

出版信息

Front Immunol. 2025 May 21;16:1602336. doi: 10.3389/fimmu.2025.1602336. eCollection 2025.

Abstract

Neutrophil Extracellular Traps (NETs), as a crucial defense mechanism of neutrophils, have garnered increasing attention in recent years for their roles in central nervous system (CNS) disorders. This review comprehensively summarizes the fundamental characteristics and formation mechanisms of NETs, while highlighting the latest research advances regarding their involvement in various CNS diseases. Specific mechanistic insights are discussed, including how NETs exacerbate ischemic stroke through immunothrombosis, promote blood-brain barrier disruption in multiple sclerosis, and contribute to neuroinflammation in Alzheimer's disease. The paper systematically explores the potential mechanistic contributions of NETs to disease pathogenesis and progression, as well as their prospects as diagnostic biomarkers and therapeutic targets. Through an in-depth analysis of the multifaceted roles of NETs in CNS pathologies, this review aims to provide novel insights and references for advancing the understanding, clinical diagnosis, and therapeutic management of central nervous system disorders.

摘要

中性粒细胞胞外陷阱(NETs)作为中性粒细胞的一种关键防御机制,近年来因其在中枢神经系统(CNS)疾病中的作用而受到越来越多的关注。本综述全面总结了NETs的基本特征和形成机制,同时突出了其参与各种CNS疾病的最新研究进展。文中讨论了具体的机制见解,包括NETs如何通过免疫血栓形成加重缺血性中风、促进多发性硬化症中的血脑屏障破坏以及在阿尔茨海默病中导致神经炎症。本文系统地探讨了NETs对疾病发病机制和进展的潜在机制贡献,以及它们作为诊断生物标志物和治疗靶点的前景。通过深入分析NETs在CNS病理中的多方面作用,本综述旨在为增进对中枢神经系统疾病的理解、临床诊断和治疗管理提供新的见解和参考。

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