Microglia: A Double-Edged Sword in Intracerebral Hemorrhage From Basic Mechanisms to Clinical Research.

Microglia: A Double-Edged Sword in Intracerebral Hemorrhage From Basic Mechanisms to Clinical Research.
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小胶质细胞:从基本机制到临床研究的脑出血双刃剑

DOI:
10.3389/fimmu.2021.675660
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发表时间:
2021
影响因子:
7.3
通讯作者:
Wang G
Wang G
中科院分区:
医学2区
文献类型:
--
作者:
Liu J;Liu L;Wang X;Jiang R;Bai Q;Wang G

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小胶质细胞是中枢神经系统(CNS)的常驻免疫细胞。已经证实,小胶质细胞被激活和极化以获得不同的炎症表型,无论是促炎表型还是抗炎表型,这些表型是脑出血(ICH)后神经炎症的关键成分。小胶质细胞在脑出血发病早期产生促炎介质,具有神经保护作用的抗炎小胶质细胞似乎受到抑制。先前的研究发现,将小胶质细胞推向抗炎表型可以抑制炎症并吞噬细胞碎片。本综述的主要目的是分析脑出血后小胶质细胞的表型和动态变化,以及它们在功能反应中的变化。这一结果可能会进一步了解脑出血后涉及小胶质细胞的机体自我调节功能。在此基础上,对今后的临床开发和研究提出了建议。
Microglia are the resident immune cells of the central nervous system (CNS). It is well established that microglia are activated and polarized to acquire different inflammatory phenotypes, either pro-inflammatory or anti-inflammatory phenotypes, which act as a critical component in the neuroinflammation following intracerebral hemorrhage (ICH). Microglia produce pro-inflammatory mediators at the early stages after ICH onset, anti-inflammatory microglia with neuroprotective effects appear to be suppressed. Previous research found that driving microglia towards an anti-inflammatory phenotype could restrict inflammation and engulf cellular debris. The principal objective of this review is to analyze the phenotypes and dynamic profiles of microglia as well as their shift in functional response following ICH. The results may further the understanding of the body’s self-regulatory functions involving microglia following ICH. On this basis, suggestions for future clinical development and research are provided.
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