IFN-γ在脑缺血中的双重作用

李米亚1,2 , 陈 越1,2 , 兰 平1,2 , 张文欣1,2 , 何 治1,2,*
1三峡大学国家中医药管理局中药药理科研三级实验室,宜昌 443002 2三峡大学基础医学院,宜昌 443002

摘 要:

γ 干扰素(interferon gamma, IFN-γ) 是一种具有多种生物学效应的细胞因子,参与体内固有免疫和获得性免疫。近年研究发现IFN-γ 与脑缺血的病理生理进程密切相关,IFN-γ 不仅通过介导炎症反应损害血脑屏障促进脑缺血早期T 细胞和NK 细胞浸润等过程对脑缺血性疾病发挥神经损伤作用,也可通过促进神
经再生和在脑缺血恢复期招募CD169 巨噬细胞浸润脑实质等过程发挥神经保护作用。除此之外,IFN-γ 在脑缺血并发症中也发挥不同作用:促进早期卒中后抑郁发病和预防卒中相关性肺炎。该文重点围绕IFN-γ在脑缺血中的双重作用及其临床研究进展进行综述,为防治脑缺血提供研究基础。

通讯作者:何 治 , Email:1603277652@qq.com

The dual role of IFN-γ in cerebral ischemia
LI Mi-Ya1,2 , CHEN Yue1,2 , LAN Ping1,2 , ZHANG Wen-Xin1,2 , HE Zhi1,2,*
1Third-grade Pharmacological Laboratory on Traditional Chinese Medicine, State Administration of Traditional Chinese Medicine, China Three Gorges University, Yichang 443002, China 2Basic Medical College, China Three Gorges University, Yichang 443002, China

Abstract:

Interferon gamma (IFN-γ) is a cytokine with multiple biological effects, involved in innate and acquired immunity in vivo. Recent studies have found that IFN-γ is closely related to the pathophysiological process of cerebral ischemia. IFN-γ not only mediates inflammatory responses, damages the blood-brain barrier, promotes T cell and NK cell infiltration during the early stage of  cerebral ischemia through various processes, but also play a neuroprotective role by promoting nerve regeneration and recruiting CD169 macrophages to infiltrate the brain
parenchyma during cerebral ischemic recovery. In  addition, IFN-γ also plays a different role in cerebral  ischemia complications: promoting the onset of early post-stroke depression and preventing stroke-associated pneumonia. This article focuses on the dual role of IFN-γ in cerebral ischemia and its clinical research progress to provide research basis for prevention and treatment of cerebral ischemia.

Communication Author:HE Zhi , Email:1603277652@qq.com

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