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连接大脑与肠道:神经炎症的神经免疫机制及治疗见解

Bridging the brain and gut: neuroimmune mechanisms of neuroinflammation and therapeutic insights.

作者信息

Müller Ludmila, Di Benedetto Svetlana

机构信息

Center for Lifespan Psychology, Max Planck Institute for Human Development, Berlin, Germany.

出版信息

Front Cell Neurosci. 2025 Jun 13;19:1590002. doi: 10.3389/fncel.2025.1590002. eCollection 2025.


DOI:10.3389/fncel.2025.1590002
PMID:40584220
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12202344/
Abstract

The central nervous system (CNS) and the immune system are profoundly interconnected, engaging in a continuous dynamic exchange that regulates homeostasis, immune surveillance, and responses to injury. These interactions occur through diverse mechanisms, ranging from microglial activation and cytokine signaling to peripheral immune cell infiltration. When disrupted, this balance contributes to neurodegenerative processes, affecting cognitive function and neuronal survival. This mini-review examines the cellular and molecular foundations of neuroimmune communication, focusing on how neuroimmune interactions influence the onset and progression of neurodegenerative disorders such as Alzheimer's disease. Key mechanisms include barrier systems, gut-brain interactions, and circadian rhythm regulation, all playing a crucial role in modulating neuroinflammatory responses. The gut-brain axis plays a pivotal role in modulating CNS function, as alterations in gut microbiota composition can trigger neuroinflammatory pathways, affect systemic immunity, and influence disease susceptibility. Both innate and adaptive immune responses are instrumental in shaping disease trajectory, highlighting the complex interplay between systemic and neural immune components. The blood-brain barrier and glymphatic system modulate immune cell trafficking and waste clearance, influencing CNS pathology. Additionally, circadian rhythm and sleep patterns regulate neuroimmune balance, with disruptions exacerbating inflammation and neurodegeneration. Neuroimmune crosstalk manifests through a spectrum of pathways, each capable of either promoting resilience or accelerating neurodegeneration. By unraveling these connections, we can gain new insights into potential strategies to modulate immune responses and restore homeostasis. This investigation underlines the necessity of integrative approaches that target immune modulation, microbiota regulation, and circadian alignment to mitigate neurodegenerative disease progression and improve therapeutic outcomes.

摘要

中枢神经系统(CNS)与免疫系统紧密相连,二者持续进行动态交流,以调节体内平衡、免疫监视及对损伤的反应。这些相互作用通过多种机制发生,从微胶质细胞激活和细胞因子信号传导到外周免疫细胞浸润。当这种平衡被打破时,会导致神经退行性病变,影响认知功能和神经元存活。本综述探讨神经免疫通讯的细胞和分子基础,重点关注神经免疫相互作用如何影响诸如阿尔茨海默病等神经退行性疾病的发生和发展。关键机制包括屏障系统、肠-脑相互作用和昼夜节律调节,所有这些在调节神经炎症反应中都起着至关重要的作用。肠-脑轴在调节中枢神经系统功能方面起着关键作用,因为肠道微生物群组成的改变可触发神经炎症途径、影响全身免疫并影响疾病易感性。先天性和适应性免疫反应在塑造疾病进程中都发挥着作用,突出了全身和神经免疫成分之间复杂的相互作用。血脑屏障和类淋巴系统调节免疫细胞运输和废物清除,影响中枢神经系统病理学。此外,昼夜节律和睡眠模式调节神经免疫平衡,节律紊乱会加剧炎症和神经退行性变。神经免疫相互作用通过一系列途径表现出来,每条途径都可能促进恢复力或加速神经退行性变。通过揭示这些联系,我们可以对调节免疫反应和恢复体内平衡的潜在策略获得新的见解。这项研究强调了综合方法的必要性,这些方法针对免疫调节、微生物群调节和昼夜节律调整,以减轻神经退行性疾病的进展并改善治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bedf/12202344/7b9dec0e367c/fncel-19-1590002-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bedf/12202344/3d362bc8e138/fncel-19-1590002-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bedf/12202344/7b9dec0e367c/fncel-19-1590002-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bedf/12202344/3d362bc8e138/fncel-19-1590002-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bedf/12202344/7b9dec0e367c/fncel-19-1590002-g002.jpg

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本文引用的文献

[1]
Microglial TLR4-Lyn kinase is a critical regulator of neuroinflammation, Aβ phagocytosis, neuronal damage, and cell survival in Alzheimer's disease.

Sci Rep. 2025-4-3

[2]
Short-chain fatty acids mediate gut microbiota-brain communication and protect the blood-brain barrier integrity.

Ann N Y Acad Sci. 2025-3

[3]
Brain interleukins and Alzheimer's disease.

Metab Brain Dis. 2025-2-1

[4]
Microglial activation states and their implications for Alzheimer's Disease.

J Prev Alzheimers Dis. 2025-1

[5]
From Homeostasis to Neuroinflammation: Insights into Cellular and Molecular Interactions and Network Dynamics.

Cells. 2025-1-5

[6]
Neuroinflammation in Alzheimer disease.

Nat Rev Immunol. 2025-5

[7]
Implicative role of Cytokines in Neuroinflammation mediated AD and associated signaling pathways: Current Progress in molecular signaling and therapeutics.

Ageing Res Rev. 2023-10-28

[8]
Melatonin in Alzheimer's Disease: Literature Review and Therapeutic Trials.

J Alzheimers Dis. 2024

[9]
Microglia and gut microbiota: A double-edged sword in Alzheimer's disease.

Ageing Res Rev. 2024-11

[10]
Alzheimer's disease and sleep disorders: A bidirectional relationship.

Neuroscience. 2024-10-4

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