围手术期神经认知障碍中神经炎症与治疗目标的相关性。

IF 2.2 4区 医学 Q4 BIOCHEMISTRY & MOLECULAR BIOLOGY Current pharmaceutical biotechnology Pub Date : 2024-09-26 DOI:10.2174/0113892010315764240920064245
Fahad Khan, Meenakshi Verma, Indra Rautela, Vijay Jagdish Upadhye, Pratibha Pandey, Rahul Kumar
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引用次数: 0

摘要

围手术期神经认知(PND)障碍是老年患者中一种普遍的并发症,表现为麻醉和手术后各种形式的认知障碍。尽管 PND 疾病的确切病因尚不清楚,但神经炎症已被确定为一个重要的诱因,尤其是在老年患者中。因此,本综述旨在深入探讨围术期神经认知障碍的潜在机制和相关的有效治疗靶点。许多因素,如 PRRs、趋化因子受体、免疫球蛋白超家族受体和嘌呤能受体,都在不同程度上参与了围手术期神经认知障碍的发生和发展,并可能成为有效治疗的有价值的生物标记物。在此,我们全面综述了神经炎症在 PND 疾病中的参与情况,包括其发病和可能的治疗靶点。这篇综述将有助于未来的研究人员为围术期神经认知障碍的治疗阐明更好的治疗方法。我们还在综述的最后一部分简要概述了与术后神经认知障碍相关的临床试验。总之,本综述将有助于研究人员探索更好的治疗方法来治疗术后神经认知障碍。
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Correlation of Neuroinflammation and Therapeutic Targets in Perioperative Neurocognitive Disorders.

Perioperative Neurocognitive (PND) disorders represent a prevalent complication among geriatric patients, manifested in diverse forms of cognitive impairment following anesthesia and surgical procedures. Even though the exact origin of PND disorders is still unknown, neuroinflammation has been identified as a significant contributing factor, particularly in older patients. Hence, this review aims to provide a deeper insight into the underlying mechanism and associated potent therapeutic targets for the efficient management of perioperative neurocognitive disorders. Many factors, such as PRRs, chemokine receptors, immunoglobulin superfamily receptors, and purinergic receptors, are involved in the development and occurrence of perioperative neurocognitive disorders to varying degrees and may be valuable biomarkers for their effective management. Here, we present a comprehensive overview of the involvement of neuroinflammation in PND disorders, including their onset and possible therapeutic targets. This review would benefit future researchers in elucidating a better therapeutic approach for the management of perioperative neurocognitive disorders. We have also briefly outlined the clinical trials associated with Postoperative neurocognitive disorders in the last section of the review. Altogether, this review would help the researchers investigate better therapeutics for the management of PND disorders.

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来源期刊
Current pharmaceutical biotechnology
Current pharmaceutical biotechnology 医学-生化与分子生物学
CiteScore
5.60
自引率
3.60%
发文量
203
审稿时长
6 months
期刊介绍: Current Pharmaceutical Biotechnology aims to cover all the latest and outstanding developments in Pharmaceutical Biotechnology. Each issue of the journal includes timely in-depth reviews, original research articles and letters written by leaders in the field, covering a range of current topics in scientific areas of Pharmaceutical Biotechnology. Invited and unsolicited review articles are welcome. The journal encourages contributions describing research at the interface of drug discovery and pharmacological applications, involving in vitro investigations and pre-clinical or clinical studies. Scientific areas within the scope of the journal include pharmaceutical chemistry, biochemistry and genetics, molecular and cellular biology, and polymer and materials sciences as they relate to pharmaceutical science and biotechnology. In addition, the journal also considers comprehensive studies and research advances pertaining food chemistry with pharmaceutical implication. Areas of interest include: DNA/protein engineering and processing Synthetic biotechnology Omics (genomics, proteomics, metabolomics and systems biology) Therapeutic biotechnology (gene therapy, peptide inhibitors, enzymes) Drug delivery and targeting Nanobiotechnology Molecular pharmaceutics and molecular pharmacology Analytical biotechnology (biosensing, advanced technology for detection of bioanalytes) Pharmacokinetics and pharmacodynamics Applied Microbiology Bioinformatics (computational biopharmaceutics and modeling) Environmental biotechnology Regenerative medicine (stem cells, tissue engineering and biomaterials) Translational immunology (cell therapies, antibody engineering, xenotransplantation) Industrial bioprocesses for drug production and development Biosafety Biotech ethics Special Issues devoted to crucial topics, providing the latest comprehensive information on cutting-edge areas of research and technological advances, are welcome. Current Pharmaceutical Biotechnology is an essential journal for academic, clinical, government and pharmaceutical scientists who wish to be kept informed and up-to-date with the latest and most important developments.
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