|
免疫细胞参与血管性痴呆的机制研究进展
|
Abstract:
血管性痴呆(vascular dementia, VaD)是痴呆症的主要类型之一,近些年的研究表明,神经炎症反应主要作用于脑长期缺血缺氧之后,从而继发神经损伤。炎性细胞及炎症因子参与了神经及血管的病理损伤,但其机制尚不明确。本文就神经炎症反应中参与VaD发生发展的各炎症因子进行综述,为VaD的神经炎症机制研究及临床治疗提供新的思路。Vascular dementia is one of the main types of dementia. Recent studies have shown that neuroinflammation mainly acts on the brain after long-term ischemia and hypoxia, resulting in secondary nerve damage. Inflammatory cells and inflammatory factors are involved in the patho-logical damage of nerves and blood vessels, but the mechanism is still unclear. This article reviews the inflammatory factors involved in the occurrence and development of VaD in the neuroinflammatory response, and provides new ideas for the research on the neuroinflammation mechanism and clinical treatment of VaD.
[1] | Wang, X.X., Zhang, B., Xia, R. and Jia, Q.Y. (2020) Inflammation, Apoptosis and Autophagy as Critical Players in Vascular Dementia. European Review for Medical and Pharmacological Sciences, 24, 9601-9614. |
[2] | 程笑, 杨欢, 杨滢霖, 等. XXM抗神经炎症及抗血管性痴呆的作用[J]. 中国药理学与毒理学杂志, 2019, 33(6): 422. |
[3] | Yang, Q.-Q. and Zhou, J.W. (2019) Neuroinflammation in the Central Nervous System: Symphony of Glial Cells. Glia, 67, 1017-1035. https://doi.org/10.1002/glia.23571 |
[4] | Hirsch, E.C., Hunot, S. and Hartmann, A. (2005) Neuroinflammatory Processes in Parkinson’s Disease. Parkinsonism & Related Disorders, 11, S9-S15. https://doi.org/10.1016/j.parkreldis.2004.10.013 |
[5] | Lloyd, A.F. and Miron, V.E. (2019) The Pro-Remyelination Properties of Microglia in the Central Nervous System. Nature Reviews Neurology, 15, 447-458. https://doi.org/10.1038/s41582-019-0184-2 |
[6] | 徐文秀, 张双, 任北大, 等. 免疫细胞在血管性痴呆炎症反应中的调控作用[J]. 中西医结合心脑血管病杂志, 2020, 18(19): 3230-3233. |
[7] | 罗先钦. 芍药苷激活CB2R对血管性痴呆大鼠的神经保护作用及机制研究[D]: [博士学位论文]. 重庆: 重庆医科大学, 2018. |
[8] | 丁智斌, 宋丽娟, 王青, 等. 从动物模型的视角研究多发性硬化髓鞘保护和再生的小胶质细胞靶点[J]. 中国免疫学杂志, 2022, 38(6): 753-757. |
[9] | 胥虹贝, 罗勇. 髓样细胞激活受体2调控氧糖剥夺/复氧模型小鼠小胶质细胞向M2型极化[J]. 解剖学报, 2021, 52(3): 329-336. |
[10] | Liddelow, S.A. and Barres, B.A. (2017) Reactive Astrocytes: Production, Function, and Therapeutic Potential. Immunity, 46, 957-967. https://doi.org/10.1016/j.immuni.2017.06.006 |
[11] | Li, M., Li, Z., Yao, Y., et al. (2017) Astrocyte-Derived Interleukin-15 Exacerbates Ischemic Brain Injury via Propagation of Cellular Immunity. Proceedings of the National Academy of Sciences of the United States of America, 114, E396-E405. https://doi.org/10.1073/pnas.1612930114 |
[12] | Hase, Y., Craggs, L., Hase, M., et al. (2018) The Effects of Envi-ronmental Enrichment on White Matter Pathology in a Mouse Model of Chronic Cerebral Hypoperfusion. Journal of Cerebral Blood Flow & Metabolism, 38, 151-165.
https://doi.org/10.1177/0271678X17694904 |
[13] | Ceyzériat, K., Abjean, L., Carrillo-de Sauvage, M.-A., Haim, L.B. and Escartin, C. (2016) The Complex STATes of Astrocyte Reactivity: How Are They Controlled by the JAK-STAT3 Pathway? Neuroscience, 320, 205-218.
https://doi.org/10.1016/j.neuroscience.2016.05.043 |
[14] | Kawabori, M., Kacimi, R., Kauppinen, T., et al. (2015) Triggering Receptor Expressed on Myeloid Cells 2 (TREM2) Deficiency Attenuates Phagocytic Activities of Microglia and Exacerbates Ischemic Damage in Experimental Stroke. Journal of Neuroscience, 35, 3384-3396. https://doi.org/10.1523/JNEUROSCI.2620-14.2015 |
[15] | Anderson, M., Burda, J., Ren, Y., et al. (2016) Astrocyte Scar Formation Aids Central Nervous System Axon Regeneration. Nature, 532, 195-200. https://doi.org/10.1038/nature17623 |
[16] | 吴婷. 依达拉奉对脑缺血再灌注损伤的保护作用及其机制研究[D]: [博士学位论文]. 南京: 南京医科大学, 2006. |
[17] | Garcia-Bonilla, L., Moore, J.M., Racchumi, G., et al. (2014) In-ducible Nitric Oxide Synthase in Neutrophils and Endothelium Contributes to Ischemic Brain Injury in Mice. The Journal of Immunology, 193, 2531-2537.
https://doi.org/10.4049/jimmunol.1400918 |
[18] | 武梓萌, 罗毅沣, 李倩. 血管紧张素Ⅱ2型受体的发现发展与临床应用的研究进展[J]. 中国临床新医学, 2021, 14(7): 716-721. |
[19] | 周亚亚, 贺福初, 姜颖. Na-K-Cl协同转运蛋白研究进展[J]. 现代生物医学进展, 2011, 11(15): 2996-3000. |
[20] | Busse, S., Hoffmann, J., Michler, E., Hartig, R., Frodl, T. and Busse, M. (2021) Dementia-Associated Changes of Immune Cell Composition within the Cerebrospinal Fluid. Brain, Behavior, & Immunity-Health, 14, Article ID: 100218.
https://doi.org/10.1016/j.bbih.2021.100218 |
[21] | D’Agostino, P.M., Gottfried-Blackmore, A., Anandasabapathy, N. and Bulloch, K. (2012) Brain Dendritic Cells: Biology and Pathology. Acta Neuropathologica, 124, 599-614. https://doi.org/10.1007/s00401-012-1018-0 |
[22] | Irla, M., Küpfer, N., Suter, T., et al. (2010) MHC Class II-Restricted Antigen Presentation by Plasmacytoid Dendritic Cells Inhibits T Cell-Mediated Autoimmunity. Journal of Experimental Medicine, 207, 1891-1905.
https://doi.org/10.1084/jem.20092627 |
[23] | Fisher, Y., Nemirovsky, A., Braon, R. and Monsonego, A. (2011) Dendritic Cells Regulate Amyloid-β-Specific T-Cell Entry into the Brain: The Role of Perivascular Amyloid-β. Journal of Alzheimer’s Disease, 27, 99-111.
https://doi.org/10.3233/JAD-2011-102034 |
[24] | Bulloch, K., Miller, M.M., Gal-Toth, J., et al. (2008) CD11c/EYFP Transgene Illuminates a Discrete Network of Dendritic Cells within the Embryonic, Neonatal, Adult, and Injured Mouse Brain. Journal of Comparative Neurology, 508, 687-710. https://doi.org/10.1002/cne.21668 |
[25] | Gelderblom, M., Leypoldt, F., Steinbach, K., et al. (2009) Temporal and Spatial Dynamics of Cerebral Immune Cell Accumulation in Stroke. Stroke, 40, 1849-1857. https://doi.org/10.1161/STROKEAHA.108.534503 |
[26] | 李呼伦, 钟照华, 李国忠, 等. 大鼠缺血脑组织中树突状细胞的来源与作用[J]. 中国免疫学杂志, 2002, 18(12): 813-819. |
[27] | 李国忠, 闫彬彬, 李呼伦, 等. 大鼠脑缺血后胶质细胞向树突状细胞转化的研究[J]. 中国临床康复, 2004, 8(7): 1240-1242+1401. |
[28] | 王瑞. 大脑半球大面积梗死患者外周血T淋巴细胞亚群功能与临床转归相关性研究[D]: [博士学位论文]. 郑州: 郑州大学, 2019. |
[29] | Huppert, J., Closhen, D., Croxford, A., et al. (2010) Cellular Mechanisms of IL-17-Induced Blood-Brain Barrier Disruption. The FASEB Journal, 24, 1023-1034. https://doi.org/10.1096/fj.09-141978 |
[30] | Wang, S., Zhang, H. and Xu, Y. (2016) Crosstalk between Microglia and T Cells Contributes to Brain Damage and Recovery after Ischemic Stroke. Neurological Research, 38, 495-503.
https://doi.org/10.1080/01616412.2016.1188473 |
[31] | Chamorro, á., Meisel, A., Planas, A., et al. (2012) The Immunology of Acute Stroke. Nature Reviews Neurology, 8, 401-410. https://doi.org/10.1038/nrneurol.2012.98 |
[32] | Li, K., Yu, W., Cao, R., Zhu, Z. and Zhao, G. (2017) Micro-glia-Mediated BAFF-BAFFR Ligation Promotes Neuronal Survival in Brain Ischemia Injury. Neuroscience, 363, 87-96. https://doi.org/10.1016/j.neuroscience.2017.09.007 |