1.上海市静安区中医医院(上海 200072)
2.上海中医药大学附属市中医医院(上海 200070)
李怿霞,女,硕士,住院医师,主要从事神志病、失眠、认知障碍相关疾病的临床研究工作
徐建,主任医师,教授,博士研究生导师; E-mail: 0296@ szy.sh.cn
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李怿霞,徐建,李文娟,等.血管性认知障碍中小胶质细胞的炎症反应及中药干预研究进展[J].上海中医药杂志,2022,56(10):99-103.
LI Yixia,XU Jian,LI Wenjuan,et al.Research progress on microglia inflammation in vascular cognitive impairment and intervention of traditional Chinese medicine[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(10):99-103.
李怿霞,徐建,李文娟,等.血管性认知障碍中小胶质细胞的炎症反应及中药干预研究进展[J].上海中医药杂志,2022,56(10):99-103. DOI: 10.16305/j.1007-1334.2022.2203073.
LI Yixia,XU Jian,LI Wenjuan,et al.Research progress on microglia inflammation in vascular cognitive impairment and intervention of traditional Chinese medicine[J].Shanghai Journal of Traditional Chinese Medicine,2022,56(10):99-103. DOI: 10.16305/j.1007-1334.2022.2203073.
血管性认知障碍(VCI)是脑血管病变及其危险因素导致的临床卒中或亚临床血管性脑损伤,涉及至少一个认知域受损的临床综合征。小胶质细胞是大脑内神经炎症的主要调节者和释放者,兼具神经细胞保护和神经毒性双重作用。近年来研究发现其可作为判断VCI病情、预测预后的重要标志物。而通过中药(提取物、制剂、复方)干预小胶质细胞来治疗血管性认知障碍,近年来颇受关注,并取得了一定的研究进展,但还有待进一步深入研究。
Vascular cognitive impairment (VCI) is a clinical syndrome of clinical stroke or subclinical vascular brain injury involving impairment of at least one cognitive domain as a result of cerebrovascular lesions and their risk factors. Microglia are the main regulators and releasers of neuroinflammation in the brain, which have the dual functions of neurocytoprotection and neurotoxicity. Recent studies have found that they can be used as an important marker to evaluate the condition of VCI and predict the prognosis. The intervention of microglia through traditional Chinese herbal medicines (extracts, preparations, and compound prescriptions) to treat vascular cognitive impairment has received considerable attention in recent years and has made some research progress, but further in-depth studies are still needed.
认知障碍痴呆脑卒中小胶质细胞炎症反应中药研究进展
cognitive impairmentdementiastrokemicrogliainflammationtraditional Chinese herbal medicineresearch progress
余文骁,王延江. 亚洲血管性认知损害的流行病学现状和发展趋势[J]. 中国医学前沿杂志,2020, 12(10): 1-8.
BIR S C, KHAN M W, JAVALKAR V, et al. Emerging concepts in vascular dementia: a review[J]. J Stroke Cerebrovasc Dis, 2021, 30(8): 105864..
MARSH P, COURTNEY P H, CAMPBELL M. The land-scape of dementia inclusivity[J]. Health Place, 2018, 52: 174-179.
CLASSEN J. New cardiovascular targets to prevent late onset Alzheimer disease[J]. Eur J Pharmacol, 2015,763(Pt A): 131-134.
ZULIANNI G, RANZINI M, GUERRA G, et al. Plasma cytokines profile in older subjects with late onset Alzheimer's disease or vascular dementia[J]. J Psychiatr Res, 2007, 41(8): 686-693.
CHABRY J, NICOLAS S, CAZARETH J, et al. Enriched environment decreases microglia and brain macrophages inflammatory phenotypes through adiponectin-dependent mechanisms: Relevance to depressive-like behavior[J]. Brain Behav Immun, 2015, 50: 275-287
GINHOUX F, GRETER M, LEBOEUF M, et al. Fate mapping analysis reveals that adult microglia derive from primitive macrophages[J]. Science, 2010, 330(6005): 841-845.
SCHULZ C, PERDIGUERO E, CHORRO L, et al.A lineage of myeloid cells independent of Myb and hematopoietic stem cells[J]. Science, 2012, 336(6077): 86-90.
KIERDORK K, ERNY D, GOLDMANN T, et al. Microglia emerge from erythromyeloid precursors via Pu.1- and Irf8-dependent pathways[J]. Nat Neurosci, 2013, 16(3): 273-280.
HAYASHI Y, NAKANISHI H. Synaptic plasticity and synaptic reorganization regulated by microglia[J]. Nihon Shinkei Seishin Yakurigaku Zasshi, 2013, 33(5-6): 211-216.
ROGERS J T, MORGANTI J M, BACHSTETTER A D, et al. CX3CR1 deficiency leads to impairment of hippocampal cognitive function and synaptic plasticity[J]. J Neurosci, 2011, 31(45): 16241-16250.
PRICE C, WANG D, MENON D K, et al. Intrinsic activated microglia map to the peri-infarct zone in the subacute phase of ischemic stroke[J]. Stroke, 2006, 37(7): 1749-1753.
BRIGHT F, WERRY E L, DOBSON-STONE C, et al. Neuroinflammation in frontotemporal dementia[J]. Nat Rev Neurol, 2019, 15(9): 540-555.
GEMMA C, BACHSTETTER A D. The role of microglia in adult hippocampal neurogenesis[J]. Front Cell Neurosci, 2013(7): 229 .
ZHANG J, XIE X, TANG M, et al. Salvianolic acid B promotes microglial M2-polarization and rescues neurogenesis in stress-exposed mice[J]. Brain Behav Immun, 2017, 66: 111-124
LU W J, ZENG L L, WANG Y, et al. Blood microRNA-15a correlates with IL-6, IGF-1 and acute cerebral ischemia[J]. Curr Neurovasc Res, 2018, 15(1): 63-71.
LIAN Y J,GONG H,WU T Y, et al. Ds-HMGB1 and fr-HMGB induce depressive behavior through neuroinflammation in contrast to nonoxid-HMGB1[J]. Brain Behav Immun, 2017, 59: 322-332.
QIN W Y, LUO Y, CHEN L, et al. Electroacupuncture could regulate the NF-κB signaling pathway to ameliorate the inflammatory injury in focal cerebral ischemia/reperfusion model rats[J]. Evid Based Complement Alternat Med, 2013, 2013: 924541.
CHEN L, YANG Q, DING R, et al. Carotid thickness and atherosclerotic plaque stability, serum inflammation, serum MMP-2 and MMP-9 were associated with acute cerebral infarction[J]. Exp Ther Med, 2018, 16(6): 5253-5257.
ZHANG S, QI Y, XU Y, et al. Protective effect of flavonoid-rich extract from Rosa laevigata Michx on cerebral ischemia-reperfusion injury through suppression of apoptosis and inflammation[J]. Neurochem Int, 2013, 63(5): 522-532.
BDA B, MENG L A. Anti-mouse CX3CR1 antibody alleviates cognitive impairment, neuronal loss and myelin deficits in an animal model of brain ischemia[J]. Neuroscience, 2020, 438: 169-181.
PAN J, JIN J L, GE H M, et al. Malibatol A regulates microglia M1/M2 polarization in experimental stroke in a PPARgamma-dependent manner[J]. J Neuroinflammation, 2015, 12(1): 1-11.
CHEN C W, CHEN Q B, OUYANG Q, et al. Transient early neurotrophin release and delayed inflammatory cytokine release by microglia in response to PAR-2 stimulation[J]. J Neuroinflammation, 2012, 9(1): 1-10.
UTKAN T, YAZIR Y, KARSON A, et al. Etanercept improves cognitiveperformance and increases eNOS and BDNF expression during experimental vascular dementia in streptozotocin-induced diabetes[J]. Curr Neurovasc Res, 2015, 12(2): 135-146.
ROTHMAN S M, GRIFFIOEN K J, WAN R, et al. Brain-derived neurotrophic factor as a regulator of systemic and brain energy metabolism and cardiovascular health[J]. Ann N Y Acad Sci, 2012, 1264(1): 49-63.
DONG W, XU D, HU Z, et al. Low-functional programming of the CREB/BDNF/Trk B pathway mediates cognitive impairment in male offspring after prenatal dexamethasone exposure[J]. Toxicol Lett, 2018(283): 1-12.
MYSONA B A, ZHAO J, BOLLINGER K E . Role of BDNF/TrkB pathway in the visual system: therapeutic implications for glaucoma[J]. Expert Rev Ophthalmol, 2017,12(1): 69-81.
LOUHIVUORI V,VICARIO A,UTELA M, et al. BDNF and TrkB in neuronal differentiation of Fmr1-knockout mouse[J]. Neurobiol Dis, 2011, 41(2): 469-480.
ALBONI S, TASCEDDA F, CORSINI D, et al. Stress induces altered CRE/CREB pathway activity and BDNF expression in the hippocampus of glucocorticoid receptor-impaired mice[J]. Neuropharmacology, 2011, 60(7-8): 1337-1346
OKUYAMA S, SHIMADA N, KAJI M, et al. Heptamethoxyflavone, a citrus flavonoid, enhances brain-derived neurotrophic factor production and neurogenesis in the hippocampus following cerebral global ischemia in mice[J]. Neuroscience Letters, 2012, 528(2): 190-195.
MIAO J, DING M, ZHANG A, et al. Pleiotrophin promotes microglia proliferation and secretion of neurotrophic factors by activating extracellular signal-regulated kinase 1/2 pathway[J]. Neurosci Res, 2012, 74(3-4): 269-276.
张云霞. 人参皂甙Rd抑制脑缺血炎症损伤的作用及机制研究[D]. 西安:第四军医大学, 2014.
ZHU L H, BI W, QI R B, et al. Luteolin reduces primary hippocampal neurons death induced by neuroinflammation[J]. Neurol Res, 2011, 33(9): 927-934.
廖鸿雁,刘杰,刘菁,等. 白藜芦醇对氧糖剥夺/再复氧损伤后小胶质细胞系N9活化的影响[J]. 解剖学报,2019, 50(2): 137-144.
侯金才,刘建勋,张鹏,等. 黄芩苷对缺氧/复氧小胶质细胞TLR4通路的影响[J]. 中华中医药杂志,2012, 27(3): 572-575.
李春杏,李太生,朱珠,等. 雷公藤抗炎免疫调节活性单体的研究进展[J]. 中国中药杂志,2014, 39(21): 4159-4164.
路遥,孙峥,曾常茜,等. 雷公藤内酯对海人酸诱导大鼠脑小胶质细胞MHC分子表达的影响[J]. 辽宁中医药大学学报,2012, 14(9): 112-114.
朱耀峰. 雷公藤甲素对LPS诱导脑内炎症反应中血脑屏障的保护作用[D]. 长沙:中南大学,2012.
陈芬燕,郭韧,张毕奎. 丹参酮ⅡA的心血管药理作用研究进展[J]. 中国中药杂志,2015, 40(9): 1649-1653.
黎洪展,吕永恒,陈琪,等. 丹参酮ⅡA对大鼠局灶性脑缺血再灌注损伤的保护作用及其机制[J]. 中国综合临床,2012, 28(1): 55-57.
蔡琳,易小波,袁利邦,等. 丹参酮ⅡA通过NLRP3炎症体信号通路对小胶质细胞糖氧剥夺/再灌注损伤的保护作用[J]. 四川大学学报(医学版),2016, 47(5): 660-664.
王富江,李芮琳,贾壮壮,等. 注射用丹参多酚酸和血栓通注射液联合应用对局灶性脑缺血再灌注大鼠脑组织星形胶质细胞和小胶质细胞的影响及作用机制研究[J]. 中草药,2017, 48(19): 4029-4036.
丁瑞瑞. 当归芍药散对激活的小胶质细胞TLR4/NF-κB信号通路及介导神经炎症反应的影响[D]. 广州:广东药科大学,2018.
李凡. 基于炎症反应探讨芍药甘草汤对AD模型大鼠p38MAPK信号通路的作用及机制研究[D]. 武汉:湖北中医药大学,2019.
谢苗. 改良三甲散通过调控神经炎症与自噬及凋亡治疗老年性痴呆病的机制研究[D]. 南京:南京中医药大学,2018.
甘海燕,李琳,杨琰,等. 补阳还五汤调控小胶质细胞/巨噬细胞极化抑制大鼠脑缺血后炎症反应研究[J]. 浙江中医药大学学报,2019, 43(1): 1-6.
张佳佳. 天芪益智颗粒对阿尔茨海默病模型大鼠炎症反应的保护作用[D]. 北京:北京中医药大学,2016.
刘晓蕾. 加味不忘散对阿尔茨海默病模型大鼠学习记忆的影响及其抗炎机制的研究[D].太原:山西医科大学,2018.
李琨,裴卉,曹宇,等. 参麻益智方对血管性痴呆模型大鼠Nrf2/HO-1通路及小胶质细胞的影响[J]. 中国中医药信息杂志,2020, 27(12): 38-42.
韩广卉,李东岳,余虹霓,等. 心安胶囊对慢性脑缺血致血管性认知障碍大鼠胶质细胞激活及炎性反应的调节作用[J]. 中国实验方剂学杂志,2021, 27(19): 46-55.
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