Neuroimmune interaction in seizures and epilepsy: focusing on monocyte infiltration.

Neuroimmune interaction in seizures and epilepsy: focusing on monocyte infiltration.
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DOI:
10.1111/febs.15428
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发表时间:
2020-11
期刊:
The FEBS journal
影响因子:
--
通讯作者:
Wu LJ
Wu LJ
中科院分区:
其他
文献类型:
--
作者:
Bosco DB;Tian DS;Wu LJ

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癫痫是一种主要的神经系统疾病,影响着全球数百万人。虽然已经开发了许多干预措施来缓解这种情况,但大量患者对这些治疗难以耐受。因此,需要其他研究途径。其中一个途径是调节免疫系统对这种疾病的反应,这主要集中在小胶质细胞,中枢神经系统(CNS)的常驻免疫细胞。然而,其他免疫细胞可以影响神经系统疾病,主要是可以在癫痫发作后渗透到脑实质中的血源性单核细胞。因此,本综述将首先讨论单核细胞如何被募集到中枢神经系统,以及它们如何与免疫学上的表亲小胶质细胞区分开来。然后,我们将探讨什么是已知的作用,单核细胞在癫痫发作的发病机制和癫痫。考虑到对单核细胞在癫痫发作和癫痫相关病理学中的功能知之甚少,有必要进一步研究浸润的血源性单核细胞作为癫痫治疗的潜在治疗靶点。
Epilepsy is a major neurological condition that affects millions of people globally. While a number of interventions have been developed to mitigate this condition, a significant number of patients are refractory to these treatments. Consequently, other avenues of research are needed. One such avenue is modulation of the immune system response to this condition, which has mostly focused on microglia, the resident immune cells of the central nervous system (CNS). However, other immune cells can impact neurological conditions, principally bloodborne monocytes that can infiltrate into brain parenchyma after seizures. As such, this review will first discuss how monocytes can be recruited to the CNS and how they can be distinguished from there immunological cousins, microglia. Then we will explore what is known about the role monocytes have within seizure pathogenesis and epilepsy. Considering how little is known about monocyte function in seizure and epilepsy related pathologies, further studies are warranted that investigate infiltrated bloodborne monocytes as a potential therapeutic target for epilepsy treatment.
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