首页|α7烟碱型乙酰胆碱受体对围手术期神经认知功能的影响研究进展

α7烟碱型乙酰胆碱受体对围手术期神经认知功能的影响研究进展

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α7烟碱型乙酰胆碱受体(α7nAChR)在中枢神经系统和免疫系统中广泛表达,发挥神经-免疫调节作用。一方面,α7nAChR参与神经递质的传递、兴奋性信号的传导和突触可塑性的维持,对于保持神经认知功能的正常与稳定具有重要意义;另一方面,α7nAChR作为胆碱能抗炎通路的重要组成部分,参与调节中枢系统炎症反应、氧化应激、细胞凋亡和自噬等生理、病理过程,发挥免疫调节和神经保护作用,是改善围手术期神经认知功能的潜在靶点。本文对α7nAChR的生物学特征及其对围手术期神经认知功能的影响进行综述,以期为临床改善手术患者的围手术期神经认知功能提供新的思路和方法。
Research progress on the effect of α7 nicotinic acetylcholine receptor on perioperative neurocognitive function
α7 nicotinic acetylcholine receptor(α7nAChR)is widely expressed in the central nervous system and immune system,and plays a neuro-immunoregulatory role.On the one hand,α7nAChR is involved in the transmission of neurotransmitters,the conduction of excitatory signals and the maintenance of synaptic plasticity,which is of great significance for maintaining the normal and stable neurocognitive function.On the other hand,as an important part of the cholinergic anti-inflammatory pathway,α7nAChR is involved in the regulation of physiological and pathological processes such as inflammatory response,oxidative stress,apoptosis and autophagy in the central system,and plays an immunomodulatory and neuroprotective role,thus being potential target for improving perioperative neurocognitive function.This article reviews the biological characteristics of α7nAChR and its effect on perioperative neurocognitive function,in order to provide ideas and methods for clinical improvement of perioperative neurocognitive function in surgical patients.

α7 nicotinic acetylcholine receptorperioperative periodneurocognitive functioncholinergic anti-inflammatory pathwaycentral nerve system diseases

司尚坤、徐迎雪、张维亮、季加富、张栋斌

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山东中医药大学中医学院,山东济南 250014

山东中医药大学附属医院麻醉科,山东济南 250014

α7烟碱型乙酰胆碱受体 围手术期,神经认知功能 胆碱能抗炎通路 中枢神经系统疾病

山东省自然科学基金面上项目山东省自然科学基金面上项目

ZR2021MH168ZR2020MH391

2024

解放军医学杂志
人民军医出版社

解放军医学杂志

CSTPCD北大核心
影响因子:1.644
ISSN:0577-7402
年,卷(期):2024.49(3)
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