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The inflammatory response system of brain: implications for therapy of Alzheimer and other neurodegenerative diseases
Abstract
Cultured brain cells are capable of generating many molecules associated with inflammatory and immune functions. They constitute the endogenous immune response system of brain. They include complement proteins and their regulators, inflammatory cytokines, acute phase reactants and many proteases and protease inhibitors. Most of the proteins are made by microglia and astrocytes, but even neurons are producers. Many appear in association with Alzheimer disease lesions, indicating a state of chronic inflammation in Alzheimer disease brain. Such a state can apparently exist without stimulation by peripheral inflammatory mediators or the peripheral immune system. A strong inflammatory response may be autotoxic to neurons, exacerbating the fundamental pathology in Alzheimer disease and perhaps other neurological disorders. Autotoxic processes may contribute to cellular death in chronic inflammatory diseases affecting other parts of the body, suggesting the general therapeutic value of anti-inflammatory agents. With respect to Alzheimer disease, multiple epidemiological studies indicate that patients taking anti-inflammatory drugs or suffering from conditions in which such drugs are routinely used, have a decreased risk of developing Alzheimer disease. In one very preliminary clinical trial, the anti-inflammatory drug indomethacin arrested progress of the disease. New agents directed against the inflammatory processes revealed in studies of Alzheimer disease lesions may have broad therapeutic applications.
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“Despite not being modeled in the pathway enrichment analysis and the lack of reported evidence of their possible relationship with AD, these genes encode key products having relevant functions within the immune system, which seems to influence several neurodegenerative and mental diseases.57, 58”
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In the citing paper
“This activation and consequent neuroinflammation are substantially involved in the progression of neurodegenerative diseases (McGeer and McGeer, 1995)”
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Morgan, B. P. (2018) · Seminars in Immunopathology · doi:10.1007/s00281-017-0662-9 · Cited by 194
van Gool, W. A., Weinstein, H. C., Scheltens, P., & Walstra, G. J. M. (2001) · The Lancet · doi:10.1016/s0140-6736(01)05623-9 · Cited by 210
Amyloid β-protein toxicity and oxidative stress in Alzheimer's disease
Behl, C. (1997) · Cell and Tissue Research · doi:10.1007/s004410050955 · Cited by 212
“For a review of this subject, reference should be made to more specialized original reports and reviews (Rogers et al. 1992; McGeer and McGeer 1995; Finch and Marchalonis 1996; London et al. 1996).”
BackgroundSinz, E. H., Kochanek, P. M., Dixon, C. E., Clark, R. S. B., Carcillo, J. A., Schiding, J. K., Chen, M., Wisniewski, S. R., Carlos, T. M., Williams, D., et al. (1999) · Journal of Clinical Investigation · doi:10.1172/jci6670 · Cited by 211
Dietary Flavonoids as Potential Neuroprotectants
Youdim, K. A., Spencer, J. P. E., Schroeter, H., & Rice-Evans, C. A. (2002) · Biological Chemistry · doi:10.1515/bc.2002.052 · Cited by 210
“Inflammation has also been discussed as an important contributor to neuronal damage in neurodegenerative disorders (McGeer and McGeer, 1996, 1998) and is known to involve the generation of both ROS and RNS. Initial toxic insults may promote neuronal damage resulting in activation of microglial…”
Zecca, L., Wilms, H., Geick, S., Claasen, J.-H., Brandenburg, L.-O., Holzknecht, C., Panizza, M. L., Zucca, F. A., Deuschl, G., Sievers, J., et al. (2008) · Acta Neuropathologica · doi:10.1007/s00401-008-0361-7 · Cited by 205
“... protective functions, by, for example, supplying glial-derived neurotrophic factor (GDNF), interferons and tumor necrosis factor (TNF-), they may participate in an ongoing cell death following the initial toxic insult by releasing various kinds of noxious factors such as cytokines (i.e., TNF-, IL-1, IL-6) or proin…”
Cytokines, “depression due to a general medical condition”, and antidepressant drugs
Yirmiya, R., Weidenfeld, J., Pollak, Y., Morag, M., Morag, A., Avitsur, R., Barak, O., Reichenberg, A., Cohen, E., Shavit, Y., et al. (1999) · Advances in Experimental Medicine and Biology · doi:10.1007/978-0-585-37970-8_16 · Cited by 208
Green tea polyphenols and their potential role in health and disease
Afzal, M., Safer, A.-M., & Menon, M. (2015) · Inflammopharmacology · doi:10.1007/s10787-015-0236-1 · Cited by 215
Aβ-Induced Inflammatory Processes in Microglia Cells of APP23 Transgenic Mice
Bornemann, K. D., Wiederhold, K., Pauli, C., Ermini, F., Stalder, M., Schnell, L., Sommer, B., Jucker, M., & Staufenbiel, M. (2001) · American Journal Of Pathology · doi:10.1016/s0002-9440(10)63945-4 · Cited by 206
“In particular, microglia cells are considered to play a role in chronic inflammation and possibly neurodegeneration in AD brains.(4,33) In a recent study we have described an APP transgenic mouse line, APP23, and demonstrated abundant microglia reactivity in the vicinity of compact amyloid plaques in the brains of the…”
BackgroundLiu, Y., Qin, L., Li, G., Zhang, W., An, L., Liu, B., & Hong, J. (2003) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.102.043166 · Cited by 205
“…activation of microglia and astroglia, has been closely associated with the pathogenesis of PD, as well as with several other degenerative neurological disorders, including Alzheimer’s disease (McGeer et al., 1988; McGeer and McGeer, 1995; Dickson et al., 1993; Giulian 1999; Liu and Hong, 2003).”
BackgroundYates, S. L., Burgess, L. H., Kocsis‐Angle, J., Antal, J. M., Dority, M. D., Embury, P. B., Piotrkowski, A. M., & Brunden, K. R. (2000) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.2000.0741017.x · Cited by 202
Tomás-Camardiel, M., Rite, I., Herrera, A. J., de Pablos, R. M., Cano, J., Machado, A., & Venero, J. L. (2004) · Neurobiology of Disease · doi:10.1016/j.nbd.2004.01.010 · Cited by 203
Copernicus revisited: amyloid beta in Alzheimer's disease
Josepha, J. A. (2001) · Neurobiology of Aging · doi:10.1016/s0197-4580(00)00211-6 · Cited by 206
Grape Juice, Berries, and Walnuts Affect Brain Aging and Behavior
Joseph, J. A., Shukitt‐Hale, B., & Willis, L. (2009) · Journal of Nutrition · doi:10.3945/jn.109.108266 · Cited by 203
Glial Cell-Mediated Neuroinflammation in Alzheimer’s Disease
Al-Ghraiybah, N. F., Wang, J., Alkhalifa, A. E., Roberts, A. B., Raj, R., Yang, E., & Kaddoumi, A. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms231810572 · Cited by 217
Emerging roles of pathogens in Alzheimer disease
Miklossy, J. (2011) · Expert Reviews in Molecular Medicine · doi:10.1017/s1462399411002006 · Cited by 206
“Cellular and humoral components of the immune system reactions are both associated with AD (Refs 98, 99, 100, 101, 102).”
BackgroundPET Imaging of Inflammation Biomarkers
Wu, C., Li, F., Niu, G., & Chen, X. S. (2013) · Theranostics · doi:10.7150/thno.6592 · Cited by 204
“An increasing number of diseases have recently been found to be inflammation related, such as atherosclerosis [145], neurodegenerative disorders [146],”
BackgroundProinflammatory milieu in combat-related PTSD is independent of depression and early life stress
Lindqvist, D., Wolkowitz, O. M., Mellon, S., Yehuda, R., Flory, J. D., Henn-Haase, C., Bierer, L. M., Abu-Amara, D., Coy, M., Neylan, T. C., et al. (2014) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2014.06.003 · Cited by 213
“In addition to peripheral synthesis, cytokines can also be produced within the brain, mainly by astrocytes and microglia (McGeer and McGeer, 1995).”
BackgroundGayle, D. A., Ling, Z., Tong, C. W., Landers, T. M., Lipton, J. W., & Carvey, P. M. (2002) · Developmental Brain Research · doi:10.1016/s0165-3806(01)00315-7 · Cited by 201
Mehlhorn, G., Hollborn, M., & Schliebs, R. (2000) · International Journal of Developmental Neuroscience · doi:10.1016/s0736-5748(00)00012-5 · Cited by 199
Glial heme oxygenase-1 expression in Alzheimer disease and mild cognitive impairment
Schipper, H. M., BENNETT, D., Liberman, A., Bienias, J. L., Schneider, J. A., Kelly, J. W., & Arvanitakis, Z. (2005) · Neurobiology of Aging · doi:10.1016/j.neurobiolaging.2005.01.016 · Cited by 199
Cyclooxygenase-2 in synaptic signaling
Yang, H., & Chen, C. (2008) · Current Pharmaceutical Design · doi:10.2174/138161208784480144 · Cited by 195
Stoltzner, S. E., Grenfell, T. J., Mori, C., Wisniewski, K. E., Wisniewski, T. M., Selkoe, D. J., & Lemere, C. A. (2000) · The American Journal of Pathology · doi:10.1016/s0002-9440(10)64753-0 · Cited by 187
Wilms, H., Zecca, L., Rosenstiel, P. C., Sievers, J., Deuschl, G., & Lucius, R. (2007) · Current Pharmaceutical Design · doi:10.2174/138161207780858429 · Cited by 195
“proteolytic enzymes, reactive oxygen intermediates or nitric oxide) microglia may damage CNS cells [11-14] Nitric oxide (NO) is neurotoxic due to inhibition of complex 1 and 2 of the respiratory chain.”
Background
Metadata
- Authors
- MCGEER, P., & MCGEER, E.
- Affiliations
- University of British Columbia (CA)
- Corresponding author
- MCGEER, P
- Venue
- Brain Research Reviews
- Publisher
- Elsevier BV
- Published
- 1995-09
- Volume
- 21
- Issue
- 2
- Pages
- 195-218
- ISSN
- 0165-0173 (ISSN-L)
- OpenAlex
- W2090930997
- Cited by
- 1,287
- References
- 319
- Citations by year
- 2026: 5 · 2025: 12 · 2024: 17 · 2023: 14 · 2022: 24 · 2021: 19 · 2020: 16 · 2019: 18 · 2018: 27 · 2017: 29 · 2016: 19 · 2015: 29 · 2014: 46 · 2013: 42 · 2012: 36
- FWCI
- 5.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Research Reviews (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Alzheimer Society of B.C.
- Topics
- Life Sciences › Neuroscience › Neurology › Neuroinflammation and Neurodegeneration Mechanisms
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- neuroinflammation, Alzheimer's disease, neurodegenerative diseases, microglia, astrocytes, complement system, inflammatory cytokines, acute phase proteins, chronic inflammation, anti-inflammatory therapy, indomethacin, anti-inflammatory agents, neuroprotection
- MeSH terms
- Alzheimer Disease, Brain, Humans, Inflammation, Nerve Degeneration, Nervous System Diseases
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