首页|小胶质细胞对脑出血双重作用的研究进展

小胶质细胞对脑出血双重作用的研究进展

扫码查看
脑出血具有高发病率、高致残率和高致死率等特点,给家庭和社会造成了沉重负担。小胶质细胞作为中枢神经系统常驻免疫细胞,它的激活在脑出血后的组织损伤中起到双重作用。在脑出血中的损害作用具体体现在以下几个方面:释放炎症因子、促进细胞程序性死亡、产生谷氨酸诱发兴奋性毒性、破坏血脑屏障、产生活性氧诱导氧化应激、加剧脑水肿;保护作用具体体现在小胶质细胞对血肿的吞噬和清除、促进血管生成、分泌抗炎和神经营养因子。文章总结了小胶质细胞的功能和其在脑出血中的双重调节机制,未来可以使用药物、针刺等临床治疗手段干预小胶质细胞的活化状态,从而减少小胶质细胞的有害性。
Research Progress on the Dual Effects of Microglia on Intracerebral Hemorrhage
Intracerebral hemorrhage has the characteristics of high incidence,high disability rate and high fatality rate,which has caused a heavy burden to the family and society.As a resident immune cell of the central nervous system,the activation of microglia plays a dual role in tissue damage after intracerebral hemorrhage.The damage in intracerebral hemorrhage is reflected in the following aspects:releasing inflammatory factors,promoting programmed cell death,producing glutamate to induce excitotoxicity,destroying the blood-brain barrier,producing reactive oxygen species to induce oxidative stress,and aggravating brain edema.The protective effect is reflected in the phagocytosis and clearance of hematoma by microglia,the promotion of angiogenesis,and the secretion of anti-inflammatory and neurotrophic factors.This article summarizes the function of microglia and its dual regulatory mechanism in intracerebral hemorrhage.In the future,drugs,acupuncture and other clinical treatments can be used to intervene in the activation state of microglia,so as to reduce the harm of microglia.

intracerebral hemorrhagemicrogliainflammationprogrammed cell death

孙悦、孙文涛、邹伟

展开 >

黑龙江中医药大学,黑龙江哈尔滨 150040

广西中医药大学赛恩斯新医药学院,广西南宁 530000

黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

脑出血 小胶质细胞 炎症 细胞程序性死亡

2025

辽宁中医药大学学报
辽宁中医药大学

辽宁中医药大学学报

影响因子:0.775
ISSN:1673-842X
年,卷(期):2025.27(1)