神经炎症已成为癫痫和认知障碍的共同分子机制,为免疫反应和大脑功能之间复杂的相互作用提供了新的见解。证据显示高迁移率族蛋白1(HMGB1)参与血脑屏障破坏,并与癫痫严重程度和耐药性相关。虽然抗炎治疗显示出希望,翻译这些发现在阐明机制和开发可靠的生物标志物方面面临挑战。然而,战略性靶向神经炎症和HMGB1介导的炎症具有治疗潜力。这篇综述综合了关于癫痫和认知障碍中HMGB1和相关生物标志物的知识,以塑造针对这些复杂炎症过程的未来研究和治疗。
Neuroinflammation has emerged as a shared molecular mechanism in epilepsy and cognitive impairment, offering new insights into the complex interplay between immune responses and brain function. Evidence reveals involvement of High mobility group box 1 (HMGB1) in blood-brain barrier disruption and correlations with epilepsy severity and drug resistance. While anti-inflammatory treatments show promise, translating these discoveries faces challenges in elucidating mechanisms and developing reliable biomarkers. However, strategically targeting neuroinflammation and HMGB1-mediated inflammation holds therapeutic potential. This review synthesises knowledge on HMGB1 and related biomarkers in epilepsy and cognitive impairment to shape future research and treatments targeting these intricate inflammatory processes.