immune inflammation

免疫炎症
  • 文章类型: Journal Article
    应用中药治疗免疫性疾病的趋势日益明显。本研究揭示了木犀草素的可能作用机制,中药核心处方中的有效成分,缓解系统性硬化症(SSc)炎症。采用文献计量学方法检索SSc炎症的核心关键词。采用ELISA法检测50例SSc患者血清中的关键炎症指标。将数据挖掘应用于相关性分析,关联规则分析,并对50例SSc患者治疗前后的临床指标及用药情况进行二元logistic回归分析,确定核心处方。网络药理学用于识别候选基因和通路;进行分子对接以确定处方的核心单体成分,为后续的体外分子机制研究提供依据。采用酶联免疫吸附试验(ELISA)评价木犀草素对SSc-人真皮成纤维细胞(HDF)活力和炎症因子的影响,RT-PCR,和Westernblot。通过使用TNF过表达载体探索TNF在炎症中的作用,NF-κB抑制剂(PKM2),和SSc-HDF。通过RT-PCR验证TNF/NF-κB通路的参与,蛋白质印迹,和免疫荧光。中医治疗部分纠正SSc患者的炎症改变,表明其在体内的抗炎作用。白术,山药,黄芪根,Poriacocos,半夏,丹参,红花,决明子树枝,和当归被确定为改善炎症指标的核心处方。木犀草素是处方中的主要活性成分,与TNF和NF-κB具有很强的结合能。木犀草素通过降低SSc-HDF中的炎性细胞因子和抑制TNF/NF-κB的活化而发挥体外抗炎作用。机械上,木犀草素抑制SSc-HDF中TNF/NF-κB通路的激活,表现为核外p-P65和TNF的增加,但核内p-P65的减少。有趣的是,在SSc-HDF中,添加PKM2可增强木犀草素对炎症的治疗功能。我们的研究表明,中药通过抑制TNF/NF-κB通路的激活来减轻SSc的炎症反应,是治疗SSc的有效治疗剂。
    There is a growing trend of applying traditional Chinese medicine (TCM) to treat immune diseases. This study reveals the possible mechanism of luteolin, an active ingredient in the core prescription of TCM, in alleviating systemic sclerosis (SSc) inflammation. Bibliometrics was performed to retrieve the core keywords of SSc inflammation. The key inflammatory indicators in the serum samples of 50 SSc patients were detected by ELISA. Data mining was applied for correlation analysis, association rule analysis, and binary logistic regression analysis on the clinical indicators and medication of 50 SSc patients before and after treatment to determine the core prescription. Network pharmacology was used for identifying candidate genes and pathways; molecular docking was conducted to determine the core monomer components of the prescription, providing a basis for subsequent in vitro molecular mechanism research. The effect of luteolin on SSc-human dermal fibroblasts (HDF) viability and inflammatory factors was evaluated by means of ELISA, RT-PCR, and Western blot. The role of TNF in inflammation was explored by using a TNF overexpression vector, NF-κB inhibitor (PKM2), and SSc-HDF. The involvement of TNF/NF-κB pathway was validated by RT-PCR, Western blot, and immunofluorescence. TCM treatment partially corrected the inflammatory changes in SSc patients, indicating its anti-inflammatory effects in the body. Atractylodes, Yam, Astragalus root, Poria cocos, Pinellia ternata, Salvia miltiorrhiza, Safflower, Cassia twig, and Angelica were identified as the core prescriptions for improving inflammatory indicators. Luteolin was the main active ingredient in the prescription and showed a strong binding energy with TNF and NF-κB. Luteolin exerted anti-inflammatory effects in vitro by reducing inflammatory cytokines in SSc-HDF and inhibiting the activation of TNF/NF-κB. Mechanistically, luteolin inhibited the activation of the TNF/NF-κB pathway in SSc-HDF, as manifested by an increase in extranuclear p-P65 and TNF but a decrease in intranuclear p-P65. Interestingly, the addition of PKM2 augmented the therapeutic function of luteolin against inflammation in SSc-HDF. Our study showed the TCM alleviates the inflammatory response of SSc by inhibiting the activation of the TNF/NF-κB pathway and is an effective therapeutic agent for the treatment of SSc.
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  • 文章类型: Journal Article
    免疫介导的炎症与癌症之间有着密切的关系,类风湿关节炎(RA)是否会增加恶性肿瘤的风险仍存在争议。我们首先使用孟德尔随机化(MR)分析来探索RA与泛癌症之间的潜在因果关系。并通过中间MR分析验证免疫介导的炎症对癌症的影响。然后,我们通过大规模荟萃分析提取RA患者相对于普通人群的标准化恶性肿瘤发生率。最后,我们对从MR分析中获得的RA相关基因进行了全癌分析.并对关键基因进行免疫相关分析,以揭示RA与恶性肿瘤之间的关联。MR分析显示RA与泛癌症之间呈负相关(p=0.008)。自身免疫性状是RA与泛癌症之间因果关系的主要中介变量。根据荟萃分析的结果,我们验证了RA可降低结直肠癌的发病风险(SIR=0.69,95%CI0.53~0.85).泛癌分析还显示RA相关基因的高表达与结肠腺癌呈负相关。IL6R是其中相关性最高的基因,结直肠癌与免疫细胞的相关性高于其他恶性肿瘤。我们的MR研究提供了RA与降低结直肠癌风险相关的证据。这种效应是由免疫介导的炎症引起的,IL6R是一个关键的调控基因。
    There is a close relationship between immune-mediated inflammation and cancer, and there is still controversy over whether rheumatoid arthritis (RA) increases the risk of malignancy. We first used Mendelian randomization (MR) analysis to explore the potential causal relationship between RA and pan-cancer. And verify the effect of immune-mediated inflammation on cancer through intermediate MR analysis. Then we extracted the standardized incidence rate of malignancy in RA patients relative to the general population through large-scale meta-analysis. Finally, we performed pan-cancer analysis on the RA related genes obtained from MR analysis. And perform immune related analysis on key genes to reveal the association between RA and malignancy. The MR analysis demonstrated a negative correlation between RA and pan-cancer (p = 0.008). Autoimmune traits were the main mediating variable for the causal relationship between RA and pan-cancer. Based on the results of the meta-analysis, we validated that RA reduces the risk of developing colorectal cancer (SIR = 0.69, 95% CI 0.53-0.85). Pan-cancer analysis also showed that high expression of RA related genes was negatively correlated with colon adenocarcinoma. IL6R was the gene with the highest correlation among them, and its correlation with immune cells was higher in colorectal cancer than in other malignancy. Our MR study provides evidence that RA was associated with reduced risk of colorectal cancer. This effect is caused by immune-mediated inflammation, with IL6R being a key regulatory gene.
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  • 文章类型: Journal Article
    溶酶体是高度动态的细胞器,可通过整合多种代谢途径来维持细胞稳态并调节基本的细胞过程。溶酶体离子通道如TRPML1-3、TPC1/2、ClC6/7、CLN7和TMEM175介导Ca2+的流动,Cl-,Na+,H+,和K+穿过溶酶体膜以响应渗透刺激,营养依赖性信号,和细胞压力。这些离子通道作为细胞信号的关键传感器,对于溶酶体生物发生的调节是必不可少的,运动性,膜接触位点的形成,和溶酶体稳态。在病理生理学方面,这些通道基因的遗传变异与溶酶体贮积病的发展有关,神经退行性疾病,炎症,和癌症。这篇综述旨在讨论目前对这些离子通道在中枢神经系统中的作用的理解,并评估它们作为药物靶标的潜力。
    Lysosomes are highly dynamic organelles that maintain cellular homeostasis and regulate fundamental cellular processes by integrating multiple metabolic pathways. Lysosomal ion channels such as TRPML1-3, TPC1/2, ClC6/7, CLN7, and TMEM175 mediate the flux of Ca2+, Cl-, Na+, H+, and K+ across lysosomal membranes in response to osmotic stimulus, nutrient-dependent signals, and cellular stresses. These ion channels serve as the crucial transducers of cell signals and are essential for the regulation of lysosomal biogenesis, motility, membrane contact site formation, and lysosomal homeostasis. In terms of pathophysiology, genetic variations in these channel genes have been associated with the development of lysosomal storage diseases, neurodegenerative diseases, inflammation, and cancer. This review aims to discuss the current understanding of the role of these ion channels in the central nervous system and to assess their potential as drug targets.
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  • 文章类型: Journal Article
    先进的体内成像技术促进了动物生物过程的全面视觉探索,导致了突破性的发现,如淋巴系统。然而,宏观成像技术的当前局限性阻碍了对调节这种专门的淋巴运输系统的生理参数的精确研究。虽然NIR-II荧光成像在外周淋巴成像中显示出优势,关于其在淋巴系统中的利用的报道很少。为了解决这个问题,使用花青染料-蛋白质偶联纳米探针,建立了一种无创经颅宏观NIR-II荧光成像模型.具有高时间和空间分辨率的NIR-II成像显示,低温可以通过降低脑脊液的流速来增加淋巴流入。此外,呼吸频率,呼吸幅度,和心率都在调节淋巴流入中起作用。因此,靶向类淋巴管的流入可能会改变脑损伤后免疫炎症的轨迹,为亚低温治疗脑损伤提供了治疗前景。
    Advanced in vivo imaging techniques have facilitated the comprehensive visual exploration of animal biological processes, leading to groundbreaking discoveries such as the glymphatic system. However, current limitations of macroscopic imaging techniques impede the precise investigation of physiological parameters regulating this specialized lymphatic transport system. While NIR-II fluorescence imaging has demonstrated advantages in peripheral lymphatic imaging, there are few reports regarding its utilization in the glymphatic system. To address this, a noninvasive transcranial macroscopic NIR-II fluorescence imaging model is developed using a cyanine dye-protein coupled nanoprobe. NIR-II imaging with high temporal and spatial resolution reveals that hypothermia can increase the glymphatic influx by reducing the flow rate of cerebrospinal fluid. In addition, respiratory rate, respiratory amplitude, and heart rate all play a role in regulating the glymphatic influx. Thus, targeting the glymphatic influx may alter the trajectory of immune inflammation following brain injury, providing therapeutic prospects for treating brain injury with mild hypothermia.
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  • 文章类型: Journal Article
    中性粒细胞与高密度脂蛋白胆固醇比率(NHR),单核细胞与高密度脂蛋白胆固醇比率(MHR),淋巴细胞与高密度脂蛋白胆固醇比率(LHR),血小板与高密度脂蛋白胆固醇比值(PHR),全身免疫炎症指数(SII),全身炎症反应指数(SIRI),全身炎症综合指数(AISI)已被确定为与心血管疾病预后相关的免疫炎症生物标志物。然而,这些生物标志物与非阻塞性冠状动脉心肌梗死(MINOCA)预后的关系尚不清楚.
    在联合后勤支援部队第920医院行冠状动脉造影的MINOCA患者纳入本研究。从医院记录系统收集临床基线特征和实验室测试数据。根据主要不良心血管事件(MACE)的发生情况分为两组。进行多元logistic回归分析以评估NHR,MHR,LHR,PHR,SII,SIRI,AISI,和MACE。产生受试者工作特征(ROC)曲线以评估NHR的预测值,MHR,LHR,PHR,SII,SIRI,和AISI用于MINOCA患者的MACE。预测的准确性由曲线下面积(AUC)值表示。
    该研究包括335名MINOCA患者。(MACE组中的81和No-MACE组中的254)。MACE组的NHR水平较高,MHR,LHR,PHR,SII,SIRI,和AISI比No-MACE组。校正混杂因素的多元逻辑回归分析表明,NHR水平越高,MHR,PHR,SII,SIRI,和AISI与MINOCA患者MACE的发生有关(P<0.001)。NHR的AUC值,MHR,PHR,SII,SIRI,AISI分别为0.695、0.747、0.674、0.673、0.688和0.676。NHR的组合,MHR,PHR,SII,SIRI,和AISI提高了预测MINOCA患者MACE的准确性(AUC=0.804)。
    较高水平的NHR,MHR,PHR,SII,SIRI,AISI与MACE的发生有关,和NHR的组合,MHR,PHR,SII,SIRI,AISI提高了预测MINOCA患者MACE事件发生率的准确性.
    UNASSIGNED: Neutrophil-to-high-density lipoprotein cholesterol ratio (NHR), monocyte-to-high-density lipoprotein cholesterol ratio (MHR), lymphocyte-to-high-density lipoprotein cholesterol ratio (LHR), platelet-to-high-density lipoprotein cholesterol ratio (PHR), systemic immune-inflammation index (SII), systemic inflammation response index (SIRI), and aggregate index of systemic inflammation (AISI) have been identified as immune-inflammatory biomarkers associated with the prognosis of cardiovascular diseases. However, the relationship of these biomarkers with the prognosis of myocardial infarction with non-obstructive coronary arteries (MINOCA) remains unclear.
    UNASSIGNED: Patients with MINOCA who underwent coronary angiography at the 920th Hospital of Joint Logistics Support Force were included in our study. Clinical baseline characteristics and laboratory testing data were collected from the hospital record system. The patients were divided into two groups on the basis of major adverse cardiovascular events (MACE) occurrence. Multiple logistic regression analysis was conducted to assess the relationship between NHR, MHR, LHR, PHR, SII, SIRI, AISI, and MACE. Receiver operating characteristic (ROC) curves were generated to evaluate the predictive value of NHR, MHR, LHR, PHR, SII, SIRI, and AISI for MACE in patients with MINOCA. The accuracy of the prediction was indicated by the area under the curve (AUC) value.
    UNASSIGNED: The study included 335 patients with MINOCA. (81 in the MACE group and 254 in the No-MACE group). The MACE group had higher levels of NHR, MHR, LHR, PHR, SII, SIRI, and AISI than the No-MACE group. Multiple logistic regression analysis adjusted for confounding factors indicated that the higher levels of NHR, MHR, PHR, SII, SIRI, and AISI were associated with the occurrence of MACE in patients with MINOCA (P < 0.001). The AUC values for NHR, MHR, PHR, SII, SIRI, and AISI were 0.695, 0.747, 0.674, 0.673, 0.688, and 0.676, respectively. The combination of NHR, MHR, PHR, SII, SIRI, and AISI improved the accuracy of predicting MACE in patients with MINOCA (AUC = 0.804).
    UNASSIGNED: Higher levels of NHR, MHR, PHR, SII, SIRI, and AISI were associated with the occurrence of MACE, and the combination of NHR, MHR, PHR, SII, SIRI, and AISI improved the accuracy for predicting the incidence of MACE events in patients with MINOCA.
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  • 文章类型: Journal Article
    Insomnia is one of the most common accompanying symptoms of depression, with both sharing highly overlapping molecular pathways. The same pathological changes can trigger comorbidity of insomnia and depression, which further forms a vicious cycle with the involvement of more mechanisms and disease progression. Thus, understanding the potential interaction mechanisms between insomnia and depression is critical for clinical diagnosis and treatment. Comorbidity genetic factors, the hypothalamic-pituitary-adrenal axis, along with circadian rhythms of cortisol and the brain reward mechanism, are important ways in contributing to the comorbidity occurrence and development. However, owing to lack of pertinent investigational data, intricate molecular mechanisms necessitate further elaboration. Synaptic plasticity is a solid foundation for neural homeostasis. Pathological alterations of depression and insomnia may perturb the production and release of neurotransmitter, dendritic spine remodeling and elimination, which converges and reflects in aberrant synaptic dynamics. Hence, the introduction of synaptic plasticity research route and the construction of a comprehensive model of depression and insomnia comorbidity can provide new ideas for clinical depression insomnia comorbidity treatment plans.
    失眠是抑郁症最常见的伴随症状之一,二者具有高度重合的分子机制。通过相似的病理学改变可以引发失眠和抑郁症的共病,随着病程进展可能形成恶性循环。因此,了解失眠、抑郁症二者潜在交互机制对于临床诊疗十分重要。共病基因、下丘脑-垂体-肾上腺轴与皮质醇昼夜节律、免疫炎症、大脑奖赏机制是参与共病发生、发展的重要途径,但由于缺乏相关研究数据,详细的分子机制有待进一步阐明。突触可塑性是神经功能稳定的坚实基础,抑郁症和失眠的病理改变都可能影响神经递质的产生和释放、树突棘剪切和消除等过程,表现为异常的突触活动。探究突触可塑性研究路径并构建抑郁症和失眠共病发生及影响的综合模型,可为临床抑郁症和失眠共病的治疗方案提供新思路。.
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  • 文章类型: Journal Article
    砷可以引起免疫炎症,这是砷对多个器官和系统造成损害的基础。叉头盒P3(Foxp3)标记的CD4+CD25+调节性T细胞(Tregs)在维持免疫稳态中起重要作用。核因子-κB(NF-κB)和白细胞介素-2(IL-2)是Foxp3的关键调节因子。刺梨(RRT)是一种具有抗炎作用的可食用药用植物。在这项研究中,对照组(n=41)和砷中毒组(n=209)被招募,并从砷中毒患者中筛选RRTJ(n=46)或安慰剂(n=43)的受试者,以探讨RRT减轻免疫炎症的可能机制。结果表明,RRTJ能抑制NF-κB,增加IL-2,减轻Foxp3介导的砷中毒患者外周血Tregs失衡。总之,这些发现提示了砷中毒患者免疫炎症的新干预或治疗靶点,并为RRTJ抑制免疫炎症提供了新的证据.

    在线版本包含补充材料,可在10.1007/s10068-023-01384-0获得。
    Arsenic can cause immune inflammation, which is the basis of arsenic-induced damage to multiple organs and systems. Forkhead box P3 (Foxp3)-labelled CD4+CD25+ regulatory T cells (Tregs) play an essential role in maintaining immune homeostasis. Nuclear factor-κb (NF-κB) and Interleukin-2 (IL-2) are critical regulators of Foxp3. Rosa roxburghii Tratt (RRT) is an edible medicinal plant with anti-inflammation effects. In this study, a control group (n = 41) and an arseniasis group (n = 209) were recruited, and screened subjects from the arseniasis patients for RRTJ (n = 46) or placebo (n = 43) to explore the possible mechanism by which RRT alleviates immune inflammation. The results indicated that RRTJ can inhibits NF-κB and increases IL-2, and alleviates the Foxp3-mediated Tregs imbalance in the peripheral blood of arseniasis patients. In summary, these findings suggest a novel intervention or therapeutic target for immune inflammation in arseniasis patients and provide new evidence that RRTJ inhibits immune inflammation.
    UNASSIGNED:
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s10068-023-01384-0.
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  • 文章类型: Journal Article
    广泛性焦虑症(GAD)的患病率很高。然而,潜在的机制仍然难以捉摸。蛋白质组学技术可用于评估GAD中涉及的病理机制。
    招募了22名未服用药物的GAD患者,他们的血清样本用于蛋白质定量,并使用串联质量标签和多反应监测(MRM)进行鉴定。通过使用临床评分和靶蛋白作为输入变量,采用机器学习模型来构建疾病发生的预测模型。
    共有991种蛋白质在GAD和健康参与者之间差异表达。基因本体分析显示,这些蛋白与应激反应和生物调控显著相关,这表明了焦虑症的重要意义。MRM验证揭示了12种特定蛋白质的明显差异。机器学习模型发现一组五种蛋白质以87.5%的比率准确预测疾病的发生,如α1B-糖蛋白,补体成分4A,转铁蛋白,V3-3和防御素α1。这些蛋白质与免疫炎症有功能关联。
    广泛性焦虑症的发展可能与免疫炎症应激反应密切相关。
    The prevalence of generalised anxiety disorder (GAD) is high. However, the underlying mechanisms remain elusive. Proteomics techniques can be employed to assess the pathological mechanisms involved in GAD.
    Twenty-two drug-naive GAD patients were recruited, their serum samples were used for protein quantification and identified using Tandem Mass Tag and Multiple Reaction Monitoring (MRM). Machine learning models were employed to construct predictive models for disease occurrence by using clinical scores and target proteins as input variables.
    A total of 991 proteins were differentially expressed between GAD and healthy participants. Gene Ontology analysis revealed that these proteins were significantly associated with stress response and biological regulation, suggesting a significant implication in anxiety disorders. MRM validation revealed evident disparities in 12 specific proteins. The machine learning model found a set of five proteins accurately predicting the occurrence of the disease at a rate of 87.5%, such as alpha 1B-glycoprotein, complement component 4 A, transferrin, V3-3, and defensin alpha 1. These proteins had a functional association with immune inflammation.
    The development of generalised anxiety disorder might be closely linked to the immune inflammatory stress response.
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  • 文章类型: Journal Article
    粘附G蛋白偶联受体G2(ADGRG2)是一种孤儿粘附G蛋白偶联受体(GPCR),在某些癌症中具有促进肿瘤的作用;然而,尚未在肝细胞癌(HCC)中进行系统研究。在目前的研究中,我们利用多个数据库分析了ADGRG2在HCC中的表达,诊断和预后价值及其与免疫浸润和炎症因子的相关性。通过qPCR验证ADGRG2的功能和上游调控miRNA,蛋白质印迹,CCK8,伤口愈合,和双荧光素酶测定。结果表明,ADGRG2在HCC中明显较高,生存率较差,尤其是AFP≤400ng/mL亚组。功能富集分析表明,ADGRG2可能参与癌症通路和免疫相关通路。体外,siRNA介导的ADGRG2沉默可以抑制Huh7和HepG2细胞的增殖和迁移。ADGRG2与中性粒细胞呈极显著正相关。此外,NET相关基因被过滤和确认,例如ENO1和S100A9。同时,ADGRG2的高表达也伴随着数量最多的炎性细胞因子,趋化因子,和趋化因子受体和良好的免疫治疗效果。最后,AGDGR2可能对两种药物(PIK-93和NPK76-II-72-1)敏感,可被miR-326靶向。总之,ADGRG2可能作为HCC诊断的新生物标志物和药物靶点,免疫疗法,中性粒细胞和炎症过程与肝癌的发生发展有关。
    Adhesion G protein-coupled receptor G2 (ADGRG2) is an orphan adhesion G protein-coupled receptor (GPCR), which performs a tumor-promoting role in certain cancers; however, it has not been systematically investigated in hepatocellular carcinoma (HCC). In the current study, we utilized multiple databases to analyze the expression and diagnostic and prognostic value of ADGRG2 in HCC and its correlation with immune infiltration and inflammatory factors. The function and upstream regulatory miRNA of ADGRG2 were validated through qPCR, Western blot, CCK8, wound healing, and dual luciferase assays. It turned out that ADGRG2 was significantly higher in HCC and had a poor survival rate, especially in AFP ≤ 400 ng/mL subgroups. Functional enrichment analysis suggested that ADGRG2 may be involved in cancer pathways and immune-related pathways. In vitro, siRNA-mediated ADGRG2 silencing could inhibit the proliferation and migration of Huh7 and HepG2 cells. There was a highly significant positive correlation between ADGRG2 and neutrophils. Moreover, NET-related genes were filtered and confirmed, such as ENO1 and S100A9. Meanwhile, the high expression of ADGRG2 was also accompanied by the highest number of inflammatory cytokines, chemokines, and chemokine receptors and good immunotherapy efficacy. Finally, AGDGR2 may be sensitive to two drugs (PIK-93 and NPK76-II-72-1) and can be targeted by miR-326. In conclusion, ADGRG2 may serve as a novel biomarker and drug target for HCC diagnosis, immunotherapy, and prognosis and was related to neutrophils and the inflammatory process of liver cancer development.
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  • 文章类型: Journal Article
    创伤后癫痫(PTE)是由对大脑的各种暴力行为引起的创伤性脑损伤引起的严重并发症。PTE发病机制复杂,尚未完全确定。大约,1/3的PTE患者对抗癫痫治疗耐药.最近的研究证据表明,神经炎症在PTE的发展中至关重要。本文综述了有关小胶质细胞活化的免疫炎症机制。星形胶质细胞增殖,炎症信号通路,慢性神经炎症,和肠道菌群。这些机制为PTE的病理生理机制提供了新的见解,并在PTE的预防和治疗中具有开创性的意义。创伤后癫痫中神经胶质细胞和肠道菌群之间的免疫炎症串扰。这个图形摘要描述了小胶质细胞和星形胶质细胞在创伤后癫痫中的作用,强调肠道微生物群对其功能的影响。TBI创伤性脑损伤,AQP4水通道蛋白-4,Kir4.1向内整流K通道。
    Posttraumatic epilepsy (PTE) is a severe complication arising from a traumatic brain injury caused by various violent actions on the brain. The underlying mechanisms for the pathogenesis of PTE are complex and have not been fully defined. Approximately, one-third of patients with PTE are resistant to antiepileptic therapy. Recent research evidence has shown that neuroinflammation is critical in the development of PTE. This article reviews the immune-inflammatory mechanisms regarding microglial activation, astrocyte proliferation, inflammatory signaling pathways, chronic neuroinflammation, and intestinal flora. These mechanisms offer novel insights into the pathophysiological mechanisms of PTE and have groundbreaking implications in the prevention and treatment of PTE. Immunoinflammatory cross-talk between glial cells and gut microbiota in posttraumatic epilepsy. This graphical abstract depicts the roles of microglia and astrocytes in posttraumatic epilepsy, highlighting the influence of the gut microbiota on their function. TBI traumatic brain injury, AQP4 aquaporin-4, Kir4.1 inward rectifying K channels.
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