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炎症在神经退行性疾病中的作用:帕金森病、阿尔茨海默病和多发性硬化症。

The Role of Inflammation in Neurodegenerative Diseases: Parkinson's Disease, Alzheimer's Disease, and Multiple Sclerosis.

作者信息

Fołta Justyna, Rzepka Zuzanna, Wrześniok Dorota

机构信息

Department of Pharmaceutical Chemistry, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Jagiellońska 4, 41-200 Sosnowiec, Poland.

出版信息

Int J Mol Sci. 2025 May 28;26(11):5177. doi: 10.3390/ijms26115177.

DOI:10.3390/ijms26115177
PMID:40507988
Abstract

Neurodegenerative diseases are a group of conditions that have in common the progressive damage and degeneration of neurons in the central nervous system. This group includes Parkinson's disease, Alzheimer's disease, and multiple sclerosis, among others. In recent years, increasing evidence has pointed to the important role of inflammation in the pathogenesis of these conditions. The occurrence of inflammation in the brain, which is often triggered by pro-inflammatory activation of microglia or astrocytes, can consequently lead to a chronic inflammatory response that contributes to the development of neurodegenerative processes. Inflammatory processes themselves, both within the nervous system and throughout the human body, appear to be central to the initiation and progression of neuronal damage. Understanding the role of inflammation in these diseases may open up new perspectives and opportunities in the future in the development of effective therapies to improve patients' quality of life as the vast majority of cases of patients affected by neurodegenerative diseases continue to be treated symptomatically since causal treatments are lacking. In this review, we provide information on the impact of inflammation on the pathogenesis, course, and potential therapeutic options for selected neurodegenerative diseases. In addition, this article provides a general description of neuroinflammation and the involvement and role of specific cells in the central nervous system.

摘要

神经退行性疾病是一组具有共同特征的病症,即中枢神经系统中的神经元进行性损伤和退化。这组疾病包括帕金森病、阿尔茨海默病和多发性硬化症等。近年来,越来越多的证据表明炎症在这些病症的发病机制中起着重要作用。大脑中的炎症通常由小胶质细胞或星形胶质细胞的促炎激活引发,进而可导致慢性炎症反应,促进神经退行性病变的发展。炎症过程本身,无论是在神经系统内还是在整个人体内,似乎都是神经元损伤起始和进展的核心。由于缺乏病因治疗,绝大多数神经退行性疾病患者仍在接受对症治疗,因此了解炎症在这些疾病中的作用可能为未来开发有效疗法以改善患者生活质量开辟新的视角和机会。在本综述中,我们提供了关于炎症对选定神经退行性疾病的发病机制、病程和潜在治疗选择的影响的信息。此外,本文还对神经炎症以及中枢神经系统中特定细胞的参与和作用进行了一般性描述。

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本文引用的文献

1
Oxidative stress and inflammation in the pathogenesis of neurological disorders: Mechanisms and implications.氧化应激与炎症在神经疾病发病机制中的作用:机制与影响
Acta Pharm Sin B. 2025 Jan;15(1):15-34. doi: 10.1016/j.apsb.2024.10.004. Epub 2024 Oct 16.
2
Interaction between Th17 and central nervous system in multiple sclerosis.多发性硬化症中Th17细胞与中枢神经系统之间的相互作用。
Brain Behav Immun Health. 2024 Dec 24;43:100928. doi: 10.1016/j.bbih.2024.100928. eCollection 2025 Feb.
3
Mitochondrial dysfunction and inflammasome activation in neurodegenerative diseases: Mechanisms and therapeutic implications.
神经退行性疾病中的线粒体功能障碍与炎性小体激活:机制及治疗意义
Mitochondrion. 2023 Oct 28. doi: 10.1016/j.mito.2023.10.003.
4
Uptake of alpha-synuclein preformed fibrils is suppressed by inflammation and induces an aberrant phenotype in human microglia.炎症抑制α-突触核蛋白预形成纤维的摄取,并在人小胶质细胞中诱导异常表型。
Glia. 2025 Jan;73(1):159-174. doi: 10.1002/glia.24626. Epub 2024 Oct 22.
5
Glial Cells as Key Regulators in Neuroinflammatory Mechanisms Associated with Multiple Sclerosis.胶质细胞作为与多发性硬化症相关的神经炎症机制中的关键调节者。
Int J Mol Sci. 2024 Sep 4;25(17):9588. doi: 10.3390/ijms25179588.
6
MS treatment de-escalation: review and commentary.多发性硬化症治疗的逐步降级:综述与评论
J Neurol. 2024 Oct;271(10):6426-6438. doi: 10.1007/s00415-024-12584-x. Epub 2024 Aug 2.
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Targeting Microglia in Alzheimer's Disease: Pathogenesis and Potential Therapeutic Strategies.靶向阿尔茨海默病中的小胶质细胞:发病机制与潜在治疗策略。
Biomolecules. 2024 Jul 11;14(7):833. doi: 10.3390/biom14070833.
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Neuroinflammation: A Critical Factor in Neurodegenerative Disorders.神经炎症:神经退行性疾病中的关键因素。
Cureus. 2024 Jun 13;16(6):e62310. doi: 10.7759/cureus.62310. eCollection 2024 Jun.
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Revised criteria for diagnosis and staging of Alzheimer's disease: Alzheimer's Association Workgroup.修订的阿尔茨海默病诊断和分期标准:阿尔茨海默病协会工作组。
Alzheimers Dement. 2024 Aug;20(8):5143-5169. doi: 10.1002/alz.13859. Epub 2024 Jun 27.
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Molecules. 2024 Jun 13;29(12):2812. doi: 10.3390/molecules29122812.