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The role of angiotensin II type 1 receptor pathway in cerebral ischemia‒reperfusion injury: Implications for the neuroprotective effect of ARBs 血管紧张素 II 1 型受体通路在脑缺血再灌注损伤中的作用:ARB对神经保护作用的影响
Pub Date : 2024-06-04 DOI: 10.1002/nep3.45
Shuhan Huang, Meng Zhang
Cerebral ischemia–reperfusion (I/R) injury is a crucial factor that impacts the prognosis of recanalization therapy for acute ischemic stroke (AIS). It has been found that the brain renin–angiotensin system, especially the angiotensin II type 1 receptor (AT1R) pathway, plays a significant role in cerebral I/R injury. This pathway is involved in processes such as oxidative stress, neuroinflammation, apoptosis, and it affects cerebrovascular autoregulation and the maintenance of blood–brain barrier. AT1R blocker (ARB), widely used as an antihypertensive agent, has demonstrated stroke prevention capabilities in numerous prospective studies, independent of its antihypertensive characteristics. Studies focusing on neurological diseases like Alzheimer's disease, Parkinson's disease, and cognitive impairment have confirmed that ARBs exhibit neuroprotective effects and aid in improving neurological functions. Preclinical studies have shown that ARBs can reduce infarct volume and brain edema, inhibit multiple signaling pathways associated with I/R injury, restore energy levels in damaged brain regions, and rescue the penumbra by promoting neovascularization in cerebral I/R models. These findings suggest that ARBs have potential to become a novel category of neuroprotecting agents for clinical treatment of AIS. Therefore, this review primarily provides a theoretical foundation and practical evidence for the future clinical utilization of ARBs as neuroprotective agents following reperfusion therapy for AIS. It outlines the role of cerebral I/R injury through the AT1R pathway and highlights the research progress made on ARBs in I/R models.
脑缺血再灌注(I/R)损伤是影响急性缺血性脑卒中(AIS)再通路治疗预后的关键因素。研究发现,脑肾素-血管紧张素系统,尤其是血管紧张素 II 1 型受体(AT1R)通路在脑缺血再灌注损伤中起着重要作用。该通路参与氧化应激、神经炎症、细胞凋亡等过程,并影响脑血管自动调节和血脑屏障的维持。AT1R 阻断剂(ARB)作为一种降压药被广泛使用,在许多前瞻性研究中已证明其具有预防中风的能力,这与其降压特性无关。针对阿尔茨海默病、帕金森病和认知障碍等神经系统疾病的研究证实,ARB 具有神经保护作用,有助于改善神经功能。临床前研究表明,ARBs 可以减少梗死体积和脑水肿,抑制与 I/R 损伤相关的多种信号通路,恢复受损脑区的能量水平,并通过促进脑 I/R 模型中的新生血管形成来挽救半影区。这些研究结果表明,ARBs 有可能成为临床治疗 AIS 的一类新型神经保护药物。因此,本综述主要为 ARBs 作为 AIS 再灌注治疗后的神经保护药物在未来的临床应用提供理论基础和实践证据。它概述了通过 AT1R 通路造成的脑 I/R 损伤的作用,并重点介绍了 ARBs 在 I/R 模型中的研究进展。
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引用次数: 0
Glutamate and excitotoxicity in central nervous system disorders: ionotropic glutamate receptors as a target for neuroprotection 中枢神经系统疾病中的谷氨酸和兴奋毒性:作为神经保护靶点的离子型谷氨酸受体
Pub Date : 2024-06-04 DOI: 10.1002/nep3.46
Jorge Y. Magdaleno Roman, C. Chapa González
Recent advances in neuroscience have illuminated the central role of glutamate dysregulation in various neurological disorders. The glutamatergic system has emerged as a central player in the pathophysiology of various neurological disorders. The dysregulation of glutamate signaling, leading to excitotoxicity and neuronal cell death, has been a focal point in understanding the underlying mechanisms of these conditions. This has prompted a paradigm shift in neuroprotection research, with a growing emphasis on targeting ionotropic glutamate receptors (iGluRs) to restore glutamatergic homeostasis. This review provides a comprehensive overview of recent advancements in the field of iGluR‐targeted neuroprotection. We further investigate the implications of glutamate dysregulation in the central nervous system (CNS) disorders, highlighting the complex interplay between excitotoxicity and neuroprotection. We elucidate the multifaceted factors that render neurons vulnerable to excitotoxic damage, emphasizing the need for innovative therapeutic approaches. This review provides an extensive survey of the burgeoning field of iGluR‐targeted neuroprotection. It showcases the significant potential of a wide array of compounds, encompassing both natural and synthetic agents, to modulate iGluRs and ameliorate excitotoxicity and oxidative stress‐induced neuronal damage. These compounds have demonstrated impressive neuroprotective effects in diverse experimental models, from glutamate‐induced toxicity to traumatic brain injuries. We advocate for further research and clinical investigations to harness the full therapeutic potential of iGluR modulation, heralding a promising era in neuroprotection and CNS disorder management.
神经科学的最新进展揭示了谷氨酸失调在各种神经系统疾病中的核心作用。谷氨酸能系统已成为各种神经系统疾病病理生理学中的核心角色。谷氨酸信号传导失调导致兴奋性中毒和神经细胞死亡,一直是了解这些疾病内在机制的焦点。这促使神经保护研究的范式发生转变,人们越来越重视以离子型谷氨酸受体(iGluRs)为靶点来恢复谷氨酸能平衡。本综述全面概述了 iGluR 靶向神经保护领域的最新进展。我们进一步探讨了谷氨酸失调在中枢神经系统(CNS)疾病中的影响,强调了兴奋性毒性和神经保护之间复杂的相互作用。我们阐明了导致神经元易受兴奋性毒性损伤的多方面因素,强调了创新治疗方法的必要性。这篇综述对 iGluR 靶向神经保护这一新兴领域进行了广泛的调查。它展示了一系列化合物(包括天然药物和合成药物)在调节 iGluRs、改善兴奋毒性和氧化应激诱导的神经元损伤方面的巨大潜力。从谷氨酸诱导的毒性到创伤性脑损伤,这些化合物在各种实验模型中都表现出了令人印象深刻的神经保护作用。我们主张开展进一步的研究和临床调查,以充分发挥 iGluR 调节的治疗潜力,这预示着神经保护和中枢神经系统疾病治疗将进入一个充满希望的时代。
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引用次数: 0
Novel therapeutic strategies and common mechanisms of neurodegenerative diseases 神经退行性疾病的新型治疗策略和常见机制
Pub Date : 2024-06-04 DOI: 10.1002/nep3.52
Š. Lehtonen, Jukka Jolkkonen
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引用次数: 0
Role of gut microbiota in ischemic stroke: A narrative review of human and animal studies 肠道微生物群在缺血性中风中的作用:人类和动物研究综述
Pub Date : 2024-05-16 DOI: 10.1002/nep3.44
Guangtang Chen, Xiaolin Du, Junshuan Cui, Jiaquan Song, Mingsong Xiong, Xi Zeng, Hua Yang, Kaya Xu
The high incidence, mortality, and disability associated with ischemic stroke pose a significant threat to human health. The intestinal microbiota significantly influences the onset, progression, and prognosis of ischemic stroke. Gut flora plays a pivotal role in brain–gut interactions. The reflection of changes in the gut and brain caused by gut microbes facilitates the investigation of early warning biomarkers and potential therapeutic targets for ischemic stroke. In this narrative review of the relationship between gut microbiota and ischemic stroke, we primarily discuss three topics, grounded in real‐world human and animal studies. First, we examined the relationship between ischemic stroke and intestinal microbiota and its metabolites, delineate the overall characteristics of intestinal microbiota dysregulation in ischemic stroke, and assess the potential clinical value, prevailing research controversies, and unique phenomena of intestinal microbiota metabolites such as trimethylamine N‐oxide and short‐chain fatty acids in ischemic stroke. Second, we explored the potential communication pathways between intestinal flora and ischemic stroke based on the brain–gut axis, encompassing metabolic pathways, immune pathways, and neural pathways. Finally, we encapsulated the factors influencing the severity of ischemic stroke via intestinal flora, the pharmacological and nonpharmacological interventions that modulate intestinal flora in treating ischemic stroke, and the current research landscape of intestinal flora in the context of ischemic stroke sequelae.
缺血性中风发病率高、死亡率高、致残率高,对人类健康构成重大威胁。肠道微生物群对缺血性中风的发病、进展和预后有重大影响。肠道菌群在脑-肠相互作用中起着关键作用。反映肠道微生物引起的肠道和大脑变化有助于研究缺血性中风的早期预警生物标志物和潜在治疗靶点。在这篇关于肠道微生物群与缺血性中风之间关系的叙述性综述中,我们主要讨论了三个主题,这些主题均以现实世界中的人类和动物研究为基础。首先,我们探讨了缺血性脑卒中与肠道微生物群及其代谢产物之间的关系,描述了缺血性脑卒中肠道微生物群失调的总体特征,并评估了肠道微生物群代谢产物(如三甲胺 N-氧化物和短链脂肪酸)在缺血性脑卒中中的潜在临床价值、普遍存在的研究争议和独特现象。其次,我们以脑-肠轴为基础,探讨了肠道菌群与缺血性脑卒中之间的潜在沟通途径,包括代谢途径、免疫途径和神经途径。最后,我们概括了通过肠道菌群影响缺血性脑卒中严重程度的因素、调节肠道菌群治疗缺血性脑卒中的药物和非药物干预措施,以及缺血性脑卒中后遗症背景下肠道菌群的研究现状。
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引用次数: 0
Targeting brain‐derived neurotrophic factor in the treatment of neurodegenerative diseases: A review 针对脑源性神经营养因子治疗神经退行性疾病:综述
Pub Date : 2024-05-02 DOI: 10.1002/nep3.43
Dong Wang, Zhi‐Chen Lang, Shi-Nan Wei, Wei Wang, Hao Zhang
Neurodegenerative diseases, marked by the gradual death of neurons, present a significant and growing public health challenge. Brain‐derived neurotrophic factor (BDNF) is crucial for the survival, development, and synaptic plasticity of neurons. Studies have consistently demonstrated that perturbed BDNF communication pathways are associated with the development and progression of neurodegenerative conditions, underscoring their potential as therapeutic targets. This review aimed to summarize the existing findings regarding BDNF expression, metabolism, and signaling transduction. Furthermore, we reviewed the intricate roles of BDNF signaling pathways in neurodegenerative diseases, elucidating their contributions to disease onset and progression. The latest advancements in targeting BDNF for the treatment of neurodegenerative diseases, including the development of small molecules, nucleic acid‐based therapeutics, and antibody‐based approaches, were also summarized. Despite recent strides, challenges persist, including a lack of comprehensive understanding of BDNF modulation across diverse neurodegenerative contexts and the absence of clinically approved BDNF‐targeted drugs.
以神经元逐渐死亡为特征的神经退行性疾病对公共卫生构成了日益严峻的挑战。脑源性神经营养因子(BDNF)对神经元的存活、发育和突触可塑性至关重要。研究不断表明,BDNF 信号通路的紊乱与神经退行性疾病的发生和发展有关,这凸显了其作为治疗靶点的潜力。本综述旨在总结有关 BDNF 表达、代谢和信号转导的现有研究结果。此外,我们还回顾了 BDNF 信号通路在神经退行性疾病中的复杂作用,阐明了它们对疾病发生和发展的贡献。我们还总结了靶向 BDNF 治疗神经退行性疾病的最新进展,包括小分子药物、核酸疗法和抗体疗法的开发。尽管最近取得了长足进步,但挑战依然存在,包括缺乏对不同神经退行性疾病中 BDNF 调节的全面了解,以及缺乏临床批准的 BDNF 靶向药物。
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引用次数: 0
Research progress on intranasal treatment for Parkinson's disease 帕金森病鼻内治疗的研究进展
Pub Date : 2024-04-21 DOI: 10.1002/nep3.42
Puyuan Wen, Chao Ren
Parkinson's disease (PD) is the second most prevalent neurodegenerative disorder globally, significantly affecting the quality of life of affected individuals. Systemic drug delivery to the brain is inefficient because of first‐pass metabolism, the blood‐brain barrier (BBB), and the blood‐cerebrospinal fluid barrier. This inefficiency necessitates increased dosage as the disease progresses, leading to severe side effects that compromise the efficacy of the medication. Nose‐to‐brain (N2B) administration bypasses the BBB, allowing delivery of both small molecules and large protein substances to the central nervous system. Compared with systemic administration, this method enhances brain bioavailability, reduces enzymatic degradation, and minimizes systemic adverse reactions. However, the N2B delivery system is associated with several critical challenges, including mucociliary clearance, enzymatic degradation, and drug translocation via efflux mechanisms. This paper provides a comprehensive overview of the current research progress in intranasal treatment of PD, considering both preclinical and clinical studies, and discusses the physiological aspects and limitations of its delivery system.
帕金森病(PD)是全球发病率第二高的神经退行性疾病,严重影响患者的生活质量。由于首过代谢、血脑屏障(BBB)和血-脑脊液屏障的影响,全身给药到大脑的效率很低。随着病情的发展,这种低效率导致必须增加剂量,从而产生严重的副作用,影响药物的疗效。鼻入脑(N2B)给药可绕过 BBB,将小分子和大分子蛋白质物质输送到中枢神经系统。与全身给药相比,这种方法提高了脑生物利用度,减少了酶降解,并将全身不良反应降至最低。然而,N2B 给药系统也面临着一些严峻的挑战,包括粘膜清除、酶降解和药物通过外流机制转运。本文从临床前研究和临床研究两方面全面概述了目前鼻内治疗帕金森病的研究进展,并讨论了其给药系统的生理方面和局限性。
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引用次数: 0
Beyond boundaries: Neuroprotective effects of steroids and ecdysteroids in SH‐SY5Y cells ‐ A systematic review 超越界限:类固醇和蜕皮激素对 SH-SY5Y 细胞的神经保护作用 - 系统综述
Pub Date : 2024-03-29 DOI: 10.1002/nep3.37
B. A. Tayeb, I. K. Njangiru, Renáta Minorics
Steroids and ecdysteroids have been shown to exhibit a range of biological effects, including anti‐inflammatory, anticancer, and neuroprotective. This systematic review aims to highlight the evidence‐based neuroprotective and antioxidant effects of steroids and ecdysteroids in SH‐SY5Y neuroblastoma cells. A comprehensive literature search was conducted on May 11, 2023, without publication source restrictions, using various electronic databases, including PubMed, Web of Science (WoS), Scopus, and Cumulative Index to Nursing and Allied Health Literature. Of 103 articles, only 20 studies were included for investigating the neuroprotective effects of steroids and ecdysteroids in SH‐SY5Y cells exposed to oxidative stress or neurotoxic agents. The risk of bias and quality assessment of the included studies were evaluated in accordance with the Nature Publication Quality Improvement Project specific criteria. The selected studies reported the antioxidant effects of the tested compounds on SH‐SY5Y cells and demonstrated their ability to scavenge free radicals and prevent lipid peroxidation. These findings suggest that neurosteroids have potential therapeutic applications for the prevention and treatment of neurodegenerative diseases characterized by oxidative stress and neuronal damage. Some studies have investigated the molecular mechanisms underlying the neuroprotective and antioxidant effects of steroids and ecdysteroids in SH‐SY5Y cells. These mechanisms include the activation of antioxidant enzymes, such as superoxide dismutase and glutathione peroxidase, and the modulation of various signaling pathways, including the phosphoinositide 3‐kinase/protein kinase B and mitogen‐activated protein kinase/extracellular signal‐regulated kinase pathways. This review provides evidence that the tested compounds have remarkable neuroprotective and antioxidant effects in human neuroblastoma SH‐SY5Y cells.
类固醇和蜕皮甾醇已被证明具有一系列生物效应,包括抗炎、抗癌和神经保护作用。本系统综述旨在强调类固醇和蜕皮激素对 SH-SY5Y 神经母细胞瘤细胞的神经保护和抗氧化作用的证据基础。2023 年 5 月 11 日,我们利用各种电子数据库(包括 PubMed、Web of Science (WoS)、Scopus 和 Cumulative Index to Nursing and Allied Health Literature)进行了全面的文献检索,没有出版物来源限制。在103篇文章中,只有20篇研究纳入了类固醇和蜕皮激素对暴露于氧化应激或神经毒剂的SH-SY5Y细胞的神经保护作用的调查。根据自然出版质量改进项目的特定标准,对所纳入研究的偏倚风险和质量评估进行了评估。所选研究报告了受测化合物对 SH-SY5Y 细胞的抗氧化作用,并证明了它们清除自由基和防止脂质过氧化的能力。这些研究结果表明,神经类固醇在预防和治疗以氧化应激和神经元损伤为特征的神经退行性疾病方面具有潜在的治疗用途。一些研究调查了类固醇和蜕皮激素对 SH-SY5Y 细胞神经保护和抗氧化作用的分子机制。这些机制包括激活超氧化物歧化酶和谷胱甘肽过氧化物酶等抗氧化酶,以及调节各种信号通路,包括磷脂肌醇3-激酶/蛋白激酶B和丝裂原活化蛋白激酶/细胞外信号调节激酶通路。本综述提供的证据表明,所测试的化合物对人类神经母细胞瘤 SH-SY5Y 细胞具有显著的神经保护和抗氧化作用。
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引用次数: 0
Mitigating the impact of mechanisms causing neuronal degeneration 减轻神经元退化机制的影响
Pub Date : 2024-03-19 DOI: 10.1002/nep3.41
Xunming Ji, Piotr Walczak, Johannes Boltze
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引用次数: 0
Role of autoreactive Tc17 cells in the pathogenesis of experimental autoimmune encephalomyelitis 自身反应性 Tc17 细胞在实验性自身免疫性脑脊髓炎发病机制中的作用
Pub Date : 2024-03-18 DOI: 10.1002/nep3.38
Yong Peng, Xiuli Zhang, Yandan Tang, Shunqing He, Guilan Rao, Quan Chen, Yahui Xue, Hong Jin, Shu Liu, Ziyang Zhou, Yun Xiang
The pathogenesis of multiple sclerosis (MS) and experimental autoimmune encephalomyelitis (EAE—an animal model of MS) is primarily mediated by T cells. However, recent studies have only focused on interleukin (IL)‐17‐secreting CD4+ T‐helper cells, also known as Th17 cells. This study aimed to compare Th17 cells and IL‐17‐secreting CD8+ T‐cytotoxic cells (Tc17) in the context of MS/EAE.Female C57BL/6 mice were immunized with myelin oligodendrocyte glycoprotein peptides 35–55 (MOG35–55), pertussis toxin, and complete Freund's adjuvant to establish the EAE animal model. T cells were isolated from the spleen (12–14 days postimmunization). CD4+ and CD8+ T cells were purified using isolation kit and then differentiated into Th17 and Tc17, respectively, using MOG35–55 and IL‐23. The secretion levels of interferon‐γ (IFN‐γ) and IL‐17 were measured via enzyme‐linked immunosorbent assay using cultured CD4+ and CD8+ T cell supernatants. The pathogenicity of Tc17 and Th17 cells was assessed through adoptive transfer (tEAE), with the clinical course assessed using an EAE score (0–5). Hematoxylin and eosin as well as Luxol fast blue staining were used to examine the spinal cord. Purified CD8+ CD3+ and CD4+ CD3+ cells differentiated into Tc17 and Th17 cells, respectively, were stimulated with MOG35–55 peptide for proliferation assays.The results showed that Tc17 cells (15,951 ± 1985 vs. 55,709 ± 4196 cpm; p < 0.050) exhibited a weaker response to highest dose (20 μg/mL) MOG35–55 than Th17 cells. However, this response was not dependent on Th17 cells. After the 48 h stimulation, at the highest dose (20 μg/mL) of MOG35–55. Tc17 cells secreted lower levels of IFN‐γ (280.00 ± 15.00 vs. 556.67 ± 15.28 pg/mL, p < 0.050) and IL‐17 (102.67 ± 5.86 pg/mL vs. 288.33 ± 12.58 pg/mL; p < 0.050) than Th17 cells. Similar patterns were observed for IFN‐γ secretion at 96 and 144 h. Furthermore, Tc17 cell‐induced tEAE mice exhibited similar EAE scores to Th17 cell‐induced tEAE mice and also showed similar inflammation and demyelination.The degree of pathogenicity of Tc17 cells in EAE is lower than that of Th17 cells. Future investigation on different immune cells and EAE models is warranted to determine the mechanisms underlying MS.
多发性硬化症(MS)和实验性自身免疫性脑脊髓炎(EAE,一种 MS 的动物模型)的发病机制主要由 T 细胞介导。然而,最近的研究仅关注分泌白细胞介素(IL)-17 的 CD4+ T 辅助细胞,也称为 Th17 细胞。用髓鞘少突胶质糖蛋白肽35-55(MOG35-55)、百日咳毒素和完全弗氏佐剂免疫雌性C57BL/6小鼠,建立EAE动物模型。从脾脏分离 T 细胞(免疫后 12-14 天)。用分离试剂盒纯化CD4+和CD8+ T细胞,然后用MOG35-55和IL-23将其分别分化成Th17和Tc17。培养的 CD4+ 和 CD8+ T 细胞上清液通过酶联免疫吸附试验测定了干扰素-γ(IFN-γ)和 IL-17 的分泌水平。Tc17和Th17细胞的致病性通过收养性转移(tEAE)进行评估,临床病程通过EAE评分(0-5分)进行评估。检查脊髓时使用了苏木精、伊红和卢克索快蓝染色法。结果显示,Tc17细胞(15951 ± 1985 vs. 55709 ± 4196 cpm; p < 0.050)对最高剂量(20 μg/mL)MOG35-55的反应弱于Th17细胞。然而,这种反应并不依赖于 Th17 细胞。经过 48 小时的刺激后,在最高剂量(20 μg/mL)MOG35-55 的作用下,Tc17 细胞的分泌水平低于 Th17 细胞。Tc17细胞分泌的IFN-γ(280.00 ± 15.00 vs. 556.67 ± 15.28 pg/mL,p < 0.050)和IL-17(102.67 ± 5.86 pg/mL vs. 288.33 ± 12.58 pg/mL,p < 0.050)水平低于Th17细胞。此外,Tc17细胞诱导的tEAE小鼠表现出与Th17细胞诱导的tEAE小鼠相似的EAE评分,也表现出相似的炎症和脱髓鞘。未来有必要对不同的免疫细胞和EAE模型进行研究,以确定多发性硬化症的发病机制。
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引用次数: 0
The dual role of microglia in ischemic stroke and its modulation via extracellular vesicles and stem cells 小胶质细胞在缺血性中风中的双重作用及其通过细胞外囊泡和干细胞的调节作用
Pub Date : 2024-03-01 DOI: 10.1002/nep3.39
Matteo Haupt, Stefan T Gerner, Thorsten R Doeppner
Stem cell‐based therapies and extracellular vesicle (EV) treatment have demonstrated significant potential for neuroprotection against ischemic stroke. Although the neuroprotective mechanisms are not yet fully understood, targeting microglia is central to promoting neuroprotection. Microglia are the resident immune cells of the central nervous system. These cells are crucial in the pathogenesis of ischemic stroke. They respond rapidly to the site of injury by releasing pro‐inflammatory cytokines, phagocytizing dead cells and debris, and recruiting peripheral immune cells to the ischemic area. Although these responses are essential for clearing damage and initiating tissue repair, excessive or prolonged microglial activation can exacerbate brain injury, leading to secondary neuroinflammation and neurodegeneration. Moreover, microglia exhibit a dynamic range of activation states with the so‐called M1 pro‐inflammatory and M2 anti‐inflammatory phenotypes, representing the two ends of the spectrum. The delivery of both EVs and stem cells modulates microglial activation, suppressing pro‐inflammatory genes, influencing the expression of transcription factors, and altering receptor expression, ultimately contributing to neuroprotection. These findings underscore the importance of understanding the complex and dynamic role of microglia in the development of effective neuroprotective strategies to reduce the effects of ischemic stroke. In this review, we examine the current state of knowledge regarding the role of microglia in ischemic stroke, including their molecular and cellular mechanisms, activation states, and interactions with other cells. We also discuss the multifaceted contributions of microglia to stem cell‐ and EV‐based neuroprotection during an ischemic stroke to provide a comprehensive understanding of microglial functions and their potential implications in stroke therapies.
基于干细胞的疗法和细胞外囊泡(EV)治疗已证明对缺血性中风的神经保护具有巨大潜力。虽然神经保护机制尚未完全明了,但以小胶质细胞为靶点是促进神经保护的核心。小胶质细胞是中枢神经系统的常驻免疫细胞。这些细胞在缺血性中风的发病机制中至关重要。它们对损伤部位迅速做出反应,释放促炎细胞因子,吞噬死亡细胞和碎片,并向缺血区域招募外周免疫细胞。虽然这些反应对于清除损伤和启动组织修复至关重要,但过度或长时间的小胶质细胞激活会加重脑损伤,导致继发性神经炎症和神经变性。此外,小胶质细胞表现出动态范围的激活状态,即所谓的 M1 促炎和 M2 抗炎表型,代表了频谱的两端。EVs和干细胞的输送可调节小胶质细胞的活化,抑制促炎基因,影响转录因子的表达,改变受体的表达,最终促进神经保护。这些发现强调了了解小胶质细胞在制定有效的神经保护策略以减少缺血性中风影响方面复杂而动态的作用的重要性。在这篇综述中,我们探讨了有关小胶质细胞在缺血性中风中作用的知识现状,包括其分子和细胞机制、激活状态以及与其他细胞的相互作用。我们还讨论了缺血性中风期间小胶质细胞对干细胞和基于EV的神经保护的多方面贡献,以全面了解小胶质细胞的功能及其对中风疗法的潜在影响。
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引用次数: 0
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Neuroprotection
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