Inflammatory pathogenesis in Alzheimer's disease: biological mechanisms and cognitive sequeli

被引:93
作者
Gahtan, E [1 ]
Overmier, JB [1 ]
机构
[1] Univ Minnesota, Dept Psychol, Minneapolis, MN 55455 USA
关键词
acetylcholine; amyloid; Alzheimer's pathogenesis; brain inflammation; cognition; cytokines; glutamate; microglia; nitric oxide; free radicals;
D O I
10.1016/S0149-7634(98)00058-X
中图分类号
B84 [心理学]; C [社会科学总论]; Q98 [人类学];
学科分类号
03 ; 0303 ; 030303 ; 04 ; 0402 ;
摘要
Experimental evidence from molecular biology, biochemistry, epidemiology and behavioral research support the conclusion that brain inflammation contributes to the pathogenesis of Alzheimer's disease and other types of human dementias. Aspects of neuroimmunology relating to the pathogenesis of Alzheimer's disease are briefly reviewed. The effects of brain inflammation, mediated through cytokines and other secretory products of activated glial cells, on neurotransmission (specifically, nitric oxide, glutamate, and acetylcholine), amyloidogenesis, proteolysis, and oxidative stress are discussed within the context of the pathogenesis of learning and memory dysfunction in Alzheimer's disease. Alzheimer's disease is proposed to be an etiologically heterogeneous syndrome with the common elements of amyloid deposition and inflammatory neuronal damage. (C) 1999 Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:615 / 633
页数:19
相关论文
共 202 条
[51]  
FELTEN DL, 1991, NEUR CONT B, V6, P3
[52]   Thermogenic and corticosterone responses to intravenous cytokines (IL-1β and TNF-α) are attenuated by subdiaphragmatic vagotomy [J].
Fleshner, M ;
Goehler, LE ;
Schwartz, BA ;
McGorry, M ;
Martin, D ;
Maier, SF ;
Watkins, LR .
JOURNAL OF NEUROIMMUNOLOGY, 1998, 86 (02) :134-141
[53]  
FONTANA A, 1996, CYTOKINES CNS, P205
[54]  
FORSTER MJ, 1991, PSYCHONEUROIMMUNOLOG, P718
[55]   Context-dependent behavioral effects of interleukin-1 in the rhesus monkey (Macaca mulatta) [J].
Friedman, EM ;
Reyes, TM ;
Coe, CL .
PSYCHONEUROENDOCRINOLOGY, 1996, 21 (05) :455-468
[56]   IS ALZHEIMERS-DISEASE AN IMMUNOLOGICAL DISORDER - OBSERVATIONS AND SPECULATIONS [J].
FUDENBERG, HH ;
WHITTEN, HD ;
ARNAUD, P ;
KHANSARI, N .
CLINICAL IMMUNOLOGY AND IMMUNOPATHOLOGY, 1984, 32 (02) :127-131
[57]   ALPHA-2-MACROGLOBULIN SYNTHESIS IN INTERLEUKIN-6-STIMULATED HUMAN NEURONAL (SH-SY5Y NEUROBLASTOMA) CELLS - POTENTIAL SIGNIFICANCE FOR THE PROCESSING OF ALZHEIMER BETA-AMYLOID PRECURSOR PROTEIN [J].
GANTER, U ;
STRAUSS, S ;
JONAS, U ;
WEIDEMANN, A ;
BEYREUTHER, K ;
VOLK, B ;
BERGER, M ;
BAUER, J .
FEBS LETTERS, 1991, 282 (01) :127-131
[58]   Differential diagnosis of Alzheimer's disease [J].
Geldmacher, DS ;
Whitehouse, PJ .
NEUROLOGY, 1997, 48 (05) :S2-S9
[59]   SPATIAL-LEARNING IMPAIRMENT IN MICE INFECTED WITH LEGIONELLA-PNEUMOPHILA OR ADMINISTERED EXOGENOUS INTERLEUKIN-1-BETA [J].
GIBERTINI, M ;
NEWTON, C ;
FRIEDMAN, H ;
KLEIN, TW .
BRAIN BEHAVIOR AND IMMUNITY, 1995, 9 (02) :113-128
[60]  
GOLDBACH JM, 1996, NEUROIMMUNOMODULAT, V3, P310