少突胶质细胞功能障碍在阿尔茨海默病进展中的新作用。

Emerging Role of Oligodendrocytes Malfunction in the Progression of Alzheimer's Disease.

作者信息

Tylek Kinga, Basta-Kaim Agnieszka

机构信息

Immunoenocrinology Laboratory, Department of Experimental Neuroendocrinology, Maj Institute of Pharmacology, Polish Academy of Sciences, 12 Smętna St. 31-343, Kraków, Poland.

出版信息

J Neuroimmune Pharmacol. 2025 Sep 1;20(1):79. doi: 10.1007/s11481-025-10236-z.

Abstract

Alzheimer's disease (AD), the most prevalent form of dementia, is characterized by hallmark pathologies such as amyloid-beta (Aβ) plaque accumulation, tau hyperphosphorylation, and progressive neuronal dysfunction. While much attention has focused on neurons and microglia, recent studies underscore the significant yet understudied roles of oligodendrocytes (OL) and oligodendrocyte precursor cells (OPC) in AD pathology. OL, responsible for myelin production and maintenance, are impaired early in AD, contributing to demyelination, synaptic dysfunction, and cognitive decline. Emerging evidence reveals that Aβ and tau pathology disrupt OPC differentiation and induce senescence, exacerbating neuroinflammation and reducing remyelination potential. Demyelination precedes overt AD symptoms, positioning it as a potential early biomarker. Furthermore, animal models reveal that OPC density and function deteriorate with age, particularly in the presence of Aβ plaques, highlighting their vulnerability in the AD environment. Transcriptomic studies also link cholesterol biosynthesis and lipid metabolism dysregulation in OPC to AD progression, emphasizing the intricate relationship between OL, metabolic processes, and amyloid toxicity. Additionally, the identification of disease-associated oligodendrocytes (DAO), characterized by altered gene expression and proximity to Aβ plaques, highlights their involvement in neuroinflammation and APP processing. This review synthesizes recent insights into OL and OPC dysfunction in AD, focusing on their roles in neuroinflammation, Aβ clearance, and myelin integrity. It discusses the potential of targeting OL and OPC pathways, such as enhancing remyelination and mitigating senescence, as novel therapeutic strategies. By addressing gaps in our understanding of OL dynamics, this work sheds light on their critical contributions to AD pathology and sets the stage for future research and intervention.

摘要

阿尔茨海默病(AD)是最常见的痴呆形式,其特征在于标志性病理变化,如β-淀粉样蛋白(Aβ)斑块积累、tau蛋白过度磷酸化和进行性神经元功能障碍。虽然很多注意力都集中在神经元和小胶质细胞上,但最近的研究强调了少突胶质细胞(OL)和少突胶质前体细胞(OPC)在AD病理中虽重要但尚未得到充分研究的作用。负责髓鞘产生和维持的OL在AD早期就受到损害,导致脱髓鞘、突触功能障碍和认知能力下降。新出现的证据表明,Aβ和tau病理会破坏OPC分化并诱导衰老,加剧神经炎症并降低髓鞘再生潜力。脱髓鞘先于明显的AD症状出现,使其成为潜在的早期生物标志物。此外,动物模型显示OPC密度和功能会随着年龄增长而恶化,特别是在存在Aβ斑块的情况下,突出了它们在AD环境中的脆弱性。转录组学研究还将OPC中的胆固醇生物合成和脂质代谢失调与AD进展联系起来,强调了OL、代谢过程和淀粉样蛋白毒性之间的复杂关系。此外,对疾病相关少突胶质细胞(DAO)的鉴定,其特征是基因表达改变且靠近Aβ斑块,突出了它们在神经炎症和APP加工中的作用。本综述综合了近期对AD中OL和OPC功能障碍的见解,重点关注它们在神经炎症、Aβ清除和髓鞘完整性中的作用。它讨论了靶向OL和OPC途径的潜力,如增强髓鞘再生和减轻衰老,作为新的治疗策略。通过填补我们对OL动态理解的空白,这项工作揭示了它们对AD病理中的关键贡献,并为未来的研究和干预奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a102/12399730/a57f007ee3ff/11481_2025_10236_Fig1_HTML.jpg

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