脑梗死后神经血管单元炎性反应与自噬的相关性

唐丽娜 陆志成 莫圣龙 杨成敏 简崇东 商敬伟

解剖学报 ›› 2024, Vol. 55 ›› Issue (4) : 407-413.

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解剖学报 ›› 2024, Vol. 55 ›› Issue (4) : 407-413. DOI: 10.16098/j.issn.0529-1356.2024.04.005
脑科学进展综述

脑梗死后神经血管单元炎性反应与自噬的相关性

  • 唐丽娜1,2 陆志成1,2 莫圣龙1,2 杨成敏简崇东商敬伟2*
作者信息 +

Correlation between inflammatory response in the neurovascular unit and autophagy after cerebral infarction

  • TANG Li-na 1,2  LU ZHi-cheng1,2 MO Sheng-long1,2 YANG CHeng-minJIAN CHong-dong SHANG Jing-wei2*
Author information +
文章历史 +

摘要

随着我国社会经济水平的提升,老龄化问题日益凸显,使脑梗死成为老年人中较为常见的疾病。近年来,对脑梗死的研究逐渐深入,不再仅着眼于神经元的保护和修复,而更注重脑血管单元炎性反应与自噬之间复杂的相互关系,涵盖了血脑屏障、星形胶质细胞、小胶质细胞与自噬等多方面的相互作用。这一研究方向的转变为我们提供了深刻了解脑梗死机制的新视角,为未来治疗策略的创新提供了有力支持。在本综述中,我们深入探讨了脑梗死发病机制中脑血管单元炎性反应与自噬相互关系的重要性,强调了这些生物组分之间错综复杂的互动,为更为有效治疗脑梗死奠定了基础。通过对现有研究的全面梳理,我们提出了未来研究的方向,期望为脑梗死的临床管理和治疗提供更为科学和系统的指导。

Abstract

With the improvement of China’s socioeconomic status, the issue of aging has become increasingly prominent, making cerebral infarction a common disease among the elderly. In recent years, research on cerebral infarction has gradually deepened, shifting focus from merely protecting and repairing neurons to emphasizing the complex interplay between inflammatory response and autophagy in the brain vascular unit, covering various aspects such as the blood-brain barrier, astrocytes, microglia, and autophagy. This shift in research direction has provided us with a profound understanding of the mechanisms underlying cerebral infarction, offering strong support for innovative future treatment strategies. In this review, we delved into the importance of the interplay between inflammatory response and autophagy in the pathogenesis of cerebral infarction, emphasized the intricate interactions among these biological components, which might lay the groundwork for more effective managements and treatments of cerebral infarction. By comprehensively reviewing existing literatures, we proposed future research directions, aiming to provide more scientific and systematic guidance for the clinical management and treatment of cerebral infarction. 

关键词

脑梗死 / 神经血管单元 / 炎性反应 / 自噬

Key words


Cerebral infarction
/ Neurovascular unit / Inflammatory response / Autophagy


引用本文

导出引用
唐丽娜 陆志成 莫圣龙 杨成敏 简崇东 商敬伟. 脑梗死后神经血管单元炎性反应与自噬的相关性[J]. 解剖学报. 2024, 55(4): 407-413 https://doi.org/10.16098/j.issn.0529-1356.2024.04.005
TANG Li-na LU Zhi-cheng MO Sheng-long YANG Cheng-min JIAN Chong-dong SHANG Jing-wei. Correlation between inflammatory response in the neurovascular unit and autophagy after cerebral infarction[J]. Acta Anatomica Sinica. 2024, 55(4): 407-413 https://doi.org/10.16098/j.issn.0529-1356.2024.04.005
中图分类号:      R741.02   

参考文献

[1]Zhao Y, Zhang X, Chen X, et al. Neuronal injuries in cerebral infarction and ischemic stroke: From mechanisms to treatment (Review) [J]. Int J Mol Med, 2022, 49(2):15.
[2]Wang L, Xiong X,Zhang L, et al. Neurovascular unit: a critical role in ischemic stroke [J]. CNS Neurosci Ther, 2021, 27(1): 7-16.
[3]Wang HJ, Ran HF, Yin Y, et al. Catalpol improves impaired neurovascular unit in ischemic stroke rats via enhancing VEGF-PI3K/AKT and VEGF-MEK1/2/ERK1/2 signaling [J]. Acta Pharmacol Sin, 2022, 43(7): 1670-1685.
[4]Steliga A, Kowiański P, Czuba E, et al. Neurovascular unit as a source of ischemic stroke biomarkers-limitations of experimental studies and perspectives for clinical application [J]. Transl Stroke Res, 2020, 11(4): 553-579.
[5]Ma HY, Li QQ, Chu ShF, et al. Structure and function of neurovascular units and their role in the mechanism of cerebral ischemic injury [J]. Chinese Journal of Pharmacology and Toxicology, 2023,37 (12): 885-894. (in Chinese) 
马贺远, 李钦青, 楚世峰, 等. 神经血管单元结构和功能及其在脑缺血损伤发生机制中的作用 [J]. 中国药理学与毒理学杂志, 2023, 37(12): 885-894.
[6]Huang W, Xia Q, Zheng F, et al. Microglia-mediated neurovascular unit dysfunction in Alzheimer’s disease [J]. J Alzheimers Dis, 2023, 94(S1): S335-S354.
[7]Yan YW. Study on the protective mechanism of ischemic stroke based on autophagy and PI3K-Akt-mTOR signaling [D]. Wuhan: Huazhong University of Science and Technology, 2019. (in Chinese) 
严雅维. 基于自噬及PI3K-Akt-mTOR信号通路的丁苯酞对缺血性脑卒中的保护作用机制研究 [D]. 武汉:华中科技大学,2019.
[8]Zhang JT. Cerebral ischemia, glucose / energy metabolism disorders, and neurodegenerative diseases [J]. Chinese Pharmacology Bulletin, 2000, (3): 241-246. (in Chinese) 
张均田. 脑缺血、葡萄糖/能量代谢障碍与神经退行性疾病 [J]. 中国药理学通报, 2000, (3): 241-246.
[9]Li HD. Mechanisms and immunological intervention strategies for neurovascular inflammation in ischemic stroke [D]. Tianjin:Tianjin Medical University, 2019. (in Chinese) 
李瀚栋. 缺血性脑卒中神经血管炎症的机制和免疫干预策略 [D]. 天津:天津医科大学, 2019.
[10]Fioranelli M, Roccia MG, Flavin D, et al. Regulation of inflammatory reaction in health and disease [J]. Int J Mol Sci, 2021, 22(10):5277.
[11]Stuckey SM, Ong LK, Collins-Praino LE, et al. Neuroinflammation as a key driver of secondary neurodegeneration following stroke [J]? Int J Mol Sci, 2021, 22(23):13101.
[12]Li F, Zhang Y, Li R, et al. Neuronal Serpina3n is an endogenous protector against blood brain barrier damage following cerebral ischemic stroke [J]. J Cereb Blood Flow Metab, 2023, 43(2): 241-257.
[13]Gray SC, Kinghorn KJ, Woodling NS. Shifting equilibriums in Alzheimer’s disease: the complex roles of microglia in neuroinflammation, neuronal survival and neurogenesis [J]. Neural Regen Res, 2020, 15(7): 1208-1219.
[14]Constantakis JW, Reed-McBain CA, Famakin B. Astrocyte innate immune activation and injury amplification following experimental focal cerebral ischemia [J]. Neurochem Int, 2023, 162: 105456.
[15]Han G, Song L, Ding Z, et al. The important double-edged role of astrocytes in neurovascular unit after ischemic stroke [J]. Front Aging Neurosci, 2022, 14: 833431.
[16]Wang HY, Ye JR, Cui LY, et al. Regulatory T cells in ischemic stroke [J]. Acta Pharmacol Sin, 2022, 43(1): 1-9.
[17]Kong DM, Zou W. Effect of microglial cell polarization and its associated inflammatory signaling pathways on secondary brain injury after ICH [J]. Chinese Journal of Stroke, 2023,18 (11): 1315-1323. (in Chinese) 
孔德敏, 邹伟. 脑出血后小胶质细胞极化及其相关炎症信号通路对继发性脑损伤的影响 [J]. 中国卒中杂志, 2023, 18(11): 1315-1323.
[18]Li JY, Wang DY, Dong X, et al. Progress in studying the effect of acupuncture on microglia in ischemic stroke [J]. Clinical Journal of Acupuncture, 2022,38 (11): 94-99. (in Chinese) 
李晶怡, 王东岩, 董旭, 等. 针刺对缺血性脑卒中小胶质细胞影响的研究进展 [J]. 针灸临床杂志, 2022, 38(11): 94-99.
[19]Liu M, Zhu YY, Fang JX. Study of the mechanism of GPNMB through the PI3K / Akt pathway to reduce nerve injury after ischemic stroke [J]. Chinese Journal of Immunology, 2023,39 (12): 2483-2488. (in Chinese) 
刘梦, 朱洋洋, 方敬献. GPNMB通过PI3K/Akt通路调节小胶质细胞M2极化减轻缺血性脑卒中后神经损伤的机制研究 [J]. 中国免疫学杂志, 2023, 39(12): 2483-2488.
[20]Xu Y, Gao W, Sun Y, et al. New insight on microglia activation in neurodegenerative diseases and therapeutics [J]. Front Neurosci, 2023, 17: 1308345.
[21]Sheng LL, Teng XQ, Li HM, et al. Progress on the role of microglia in ischemic stroke [J]. Journal of Practical Cardiovascular, Brain and Pulmonary Diseases, 2023,31 (6): 127-132. (in Chinese) 
盛玲丽, 腾兴琼, 李寒梅, 等. 小胶质细胞在缺血性脑卒中中的作用研究进展 [J]. 实用心脑肺血管病杂志, 2023, 31(6): 127-132.
[22]Sun M, You H, Hu X, et al. Microglia-astrocyte interaction in neural development and neural pathogenesis [J]. Cells, 2023, 12(15):1942.
[23]Hu X, Wang Q, Zhang ChX, et al. The microglia-astrocyte interaction and its mediated neuroinflammation in Alzheimer’s disease [J]. Chinese Journal of Comparative Medicine, 2023,33 (11): 142-149. (in Chinese) 
胡鑫, 汪蒨, 张晨曦, 等. 小胶质细胞-星形胶质细胞的交互作用及其介导的神经炎症在阿尔茨海默病中的研究进展 [J]. 中国比较医学杂志, 2023, 33(11): 142-149.
[24]Wang N, Sun Y, Wang RT. The role of microglia and astrocytes in the development and development of Alzheimer’s disease [J]. Journal of Alzheimer’s Disease and Related Diseases, 2023,6 (4): 326-330. (in Chinese) 
王楠, 孙莹, 王瑞婷. 小胶质细胞及星形胶质细胞在阿尔茨海默病发生发展中的作用 [J]. 阿尔茨海默病及相关病杂志, 2023, 6(4): 326-330.
[25]Liu LR, Liu JC, Bao JS, et al. Interaction of microglia and astrocytes in the neurovascular unit [J]. Front Immunol, 2020, 11: 1024. 
[26]Sanmarco LM, Polonio CM, Wheeler MA, et al. Functional immune cell-astrocyte interactions [J]. J Exp Med, 2021, 218(9): e20202715. 
[27]Zhang J, Xiang Q, Wu M, et al. Autophagy regulators in cancer [J]. Int J Mol Sci, 2023, 24(13):10944. 
[28]Sun Y, Hou XD, Yang YW, et al. Effect of enhanced autophagy levels on the neuroprotective mechanisms of cerebral ischemia preconditioning [J]. Journal of Hebei Medical University, 2021,42 (7): 750-753, 764, 869. (in Chinese) 
孙原, 侯晓冬, 杨延雯, 等. 增强自噬水平对脑缺血预处理神经保护机制的影响 [J]. 河北医科大学学报, 2021, 42(7): 750-753, 764, 869.
[29]Ao LY, Li YM. Progress in studying the role of cellular autophagy in the outcome of ischemic stroke [J]. Pharmacy Progress, 2019,43 (8): 584-592. (in Chinese) 
敖路遥, 李运曼. 细胞自噬对缺血性脑卒中转归中的作用研究进展 [J]. 药学进展, 2019, 43(8): 584-592.
[30]Zhou P, Xu WJ, Zang R, et al. Mechanism of autophagy regulation in nerve repair in the subacute phase of ischemic stroke in rats [J]. China Medical Herald, 2022,19 (22): 20-24. (in Chinese) 
周平, 徐伟杰, 臧瑞, 等. 自噬调控在大鼠缺血性脑卒中亚急性期神经修复中的机制研究 [J]. 中国医药导报, 2022, 19(22): 20-24.
[31]Chen B. The mechanism of VEGF inhibiting OGD-induced autophagic activity in astrocytes [D]. Suzhou: Soochow University, 2015. (in Chinese) 
陈波. VEGF抑制OGD诱导的星形胶质细胞自噬活性的机制研究 [D]. 苏州:苏州大学, 2015.
[32]Jang YJ, Kim JH, Byun S. Modulation of autophagy for controlling immunity [J]. Cells, 2019, 8(2):138. 
[33]Merighi S, Nigro M, Travagli A, et al. Microglia and Alzheimer’s disease [J]. Int J Mol Sci, 2022, 23(21):12990. 
[34]Deleyto-Seldas N, Efeyan A. The mTOR-autophagy axis and the control of metabolism [J]. Front Cell Dev Biol, 2021, 9: 655731.
[35]De Los Reyes Corrales T, Losada-Pérez M, Casas-Tintó S. JNK pathway in CNS pathologies [J]. Int J Mol Sci, 2021, 22(8):3883. 
[36]Li Y, Chen Y. AMPK and autophagy [J]. Adv Exp Med Biol, 2019, 1206: 85-108. 
[37]Trimm E, Red-Horse K. Vascular endothelial cell development and diversity [J]. Nat Rev Cardiol, 2023, 20(3): 197-210.
[38]Afewerki T, Ahmed S, Warren D. Emerging regulators of vascular smooth muscle cell migration [J]. J Muscle Res Cell Motil, 2019, 40(2): 185-196.
[39]Lawrence JM, Schardien K, Wigdahl B, et al. Roles of neuropathology-associated reactive astrocytes: a systematic review [J]. Acta Neuropathol Commun, 2023, 11(1): 42.
[40]Williamson MR, Fuertes CJA, Dunn AK, et al. Reactive astrocytes facilitate vascular repair and remodeling after stroke [J]. Cell Rep, 2021, 35(4): 109048. 
[41]Zhang XY, Chen ZhG, Wu YF, et al. Progress on the role of autophagy in the neurovascular unit [J]. Chinese Journal of Pathophysiology, 2021,37 (9): 1703-1711. (in Chinese) 
张昕洋, 陈志刚, 吴艺帆, 等. 自噬在神经血管单元中作用的研究进展 [J]. 中国病理生理杂志, 2021, 37(9): 1703-1711.
[42]Li Y, Zheng WQ, Pan L, et al. Progress on the role of autophagy in the process of ischemic stroke [J]. Science of China: Life Sciences, 2023,53 (1): 19-29. (in Chinese) 
李玥, 郑婉晴, 潘玲, 等. 自噬在缺血性脑卒中过程中的作用及其调节机制研究进展 [J]. 中国科学:生命科学, 2023, 53(1): 19-29.
[43]Zheng JQ, Long YB, Liu Y. Research advance on circRNA in acute ischemic stroke [J]. Tianjin Medicine, 2022,50 (12): 1335-1339. (in Chinese) 
郑继青, 龙耀斌, 刘云. circRNA作用于急性缺血性脑卒中的研究进展 [J]. 天津医药, 2022, 50(12): 133-1339.
[44]Yu J, Wu XG. Progress in investigating the effects of autophagy and inflammatory response on ischemic stroke [J]. Journal of Chengde Medical College, 2021,38 (3): 239-243. (in Chinese) 
于静, 吴晓光. 自噬与炎症反应对缺血性脑卒中影响的研究进展 [J]. 承德医学院学报, 2021, 38(3): 239-243.
[45]Feng XM, Xu MM, Huang Ch, et al. Progress on the role of autophagy inhibitor 3-MA in neurological diseases [J]. Chinese Journal of Comparative Medicine, 2019,29 (8): 129-134. (in Chinese) 
封秀梅, 许明敏, 黄辰, et al. 自噬抑制剂3-MA在神经系统疾病中的作用的研究进展 [J]. 中国比较医学杂志, 2019, 29(8): 129-134.
 

基金

右江民族医学院附属医院高层次人才科研项目;国家自然科学基金;百色市科学研究与技术开发计划课题

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