Department of Rehabilitation Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, PR China.
Department of Clinical Laboratory Medicine, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, PR China.
Ageing Res Rev. 2020 Dec;64:101192. doi: 10.1016/j.arr.2020.101192. Epub 2020 Oct 13.
Alzheimer's disease (AD) is one of the most common neurodegenerative diseases, and it is characterised by progressive deterioration in cognitive and memory abilities, which can severely influence the elderly population's daily living abilities. Although researchers have made great efforts in the field of AD, there are still no well-established strategies to prevent and treat this disease. Therefore, better clarification of the molecular mechanisms associated with the onset and progression of AD is critical to provide a theoretical basis for the establishment of novel preventive and therapeutic strategies. Currently, it is generally believed that neuroinflammation plays a key role in the pathogenesis of AD. Inflammasome, a multiprotein complex, is involved in the innate immune system, and it can mediate inflammatory responses and pyroptosis, which lead to neurodegeneration. Among the various types of inflammasomes, the NLRP3 inflammasome is the most characterised in neurodegenerative diseases, especially in AD. The activation of the NLRP3 inflammasome causes the generation of caspase-1-mediated interleukin (IL)-1β and IL-18 in microglia cells, where neuroinflammation is involved in the development and progression of AD. Thus, the NLRP3 inflammasome is likely to be a crucial therapeutic molecular target for AD via regulating neuroinflammation. In this review, we summarise the current knowledge on the role and regulatory mechanisms of the NLRP3 inflammasome in the pathogenic mechanisms of AD. We also focus on a series of potential therapeutic treatments targeting NLRP3 inflammasome for AD. Further clarification of the regulatory mechanisms of the NLRP3 inflammasome in AD may provide more useful clues to develop novel AD treatment strategies.
阿尔茨海默病(AD)是最常见的神经退行性疾病之一,其特征是认知和记忆能力的进行性恶化,这可能严重影响老年人群的日常生活能力。尽管研究人员在 AD 领域做出了巨大努力,但仍然没有行之有效的策略来预防和治疗这种疾病。因此,更好地阐明与 AD 发病和进展相关的分子机制对于为建立新的预防和治疗策略提供理论基础至关重要。目前,普遍认为神经炎症在 AD 的发病机制中起着关键作用。炎症小体是一种多蛋白复合物,参与固有免疫系统,可介导炎症反应和细胞焦亡,导致神经退行性变。在各种类型的炎症小体中,NLRP3 炎症小体在神经退行性疾病中最为特征,尤其是在 AD 中。NLRP3 炎症小体的激活导致半胱天冬酶-1 介导的白细胞介素(IL)-1β和 IL-18 在小胶质细胞中的产生,其中神经炎症参与了 AD 的发生和进展。因此,NLRP3 炎症小体可能通过调节神经炎症成为 AD 的一个重要治疗靶点。在这篇综述中,我们总结了 NLRP3 炎症小体在 AD 发病机制中的作用和调控机制的最新知识。我们还重点介绍了一系列针对 NLRP3 炎症小体的潜在 AD 治疗方法。进一步阐明 NLRP3 炎症小体在 AD 中的调控机制可能为开发新的 AD 治疗策略提供更有用的线索。