被低估的病毒损害了认知——更多的证据和更多的工作要做。

IF 5.7 2区 医学 Q1 IMMUNOLOGY
Frontiers in Immunology Pub Date : 2025-05-12 eCollection Date: 2025-01-01 DOI:10.3389/fimmu.2025.1550179
Maher Un Nisa Awan, Faisal Mahmood, Xiao-Bin Peng, Fenshuang Zheng, Jun Xu
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引用次数: 0

摘要

神经退行性疾病(NDs)是一种慢性神经系统疾病,可以是特发性、遗传性或潜在的传染性起源。虽然神经变性的确切原因尚不清楚,但它可能是年龄、遗传易感性因素和环境压力共同作用的结果。血脑屏障保护大脑免受大多数病毒感染,然而嗜神经病毒能够突破这一屏障并感染中枢神经系统。越来越多的研究指出病毒与神经退行性疾病之间可能存在联系,表明病毒诱导的神经炎症和神经元蛋白质量控制的破坏可能在疾病进展的初始阶段发挥作用。非传染性疾病的诊断和治疗是紧迫和具有挑战性的。尽管支持在中枢神经系统(CNS)内使用抗病毒药物及其剂量方案的临床证据有限,但除阿昔洛韦外,它们目前用于治疗各种病毒性中枢神经系统感染。了解病毒性中枢神经系统感染的神经发病机制有助于通过关注中枢神经系统的分子机制来制定有针对性的诊断和治疗计划。它也可能有助于寻找新的抗病毒药物,这对更好地控制这些嗜神经病毒感染至关重要。本文综述了病毒感染与NDs相关的新发现,并探讨了病毒对细胞功能的修饰如何影响神经退行性疾病的发展,同时也将探讨抗病毒药物在NDs中的治疗潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Underestimated virus impaired cognition-more evidence and more work to do.

Neurodegenerative disorders (NDs) are chronic neurological diseases that can be of idiopathic, genetic, or potentially infectious origin. Although the exact cause of neurodegeneration is unknown, it might be result of a confluence of age, genetic susceptibility factors, and environmental stresses. The blood-brain barrier shields the brain from the majority of viral infections, however neurotropic viruses are able to breach this barrier and infect central nervous system. Growing research points to a possible connection between viruses and neurodegenerative diseases, indicating that virus-induced neuroinflammation and disruption of neuronal protein quality control may play a role in the initial stages of disease progression. The diagnosis and treatment of NDs are urgent and challenging. Even though there is limited clinical evidence to support the use of antiviral medications and their dose regimens within the central nervous system (CNS), with the exception of acyclovir, they are currently utilized to treat various viral CNS infections. Understanding the neuropathogenesis of viral CNS infection may help with targeted diagnosis and treatment plans by focusing on the molecular mechanisms of the CNS. It may also be helpful in the search for new antiviral drugs, which are crucial for better managing these neurotropic viral infections. This review focuses on new findings linking viral infection to NDs and explores how viral modifications of cellular functions can impact the development of neurodegeneration and will also explore the therapeutic potential of antiviral drugs in NDs.

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来源期刊
CiteScore
9.80
自引率
11.00%
发文量
7153
审稿时长
14 weeks
期刊介绍: Frontiers in Immunology is a leading journal in its field, publishing rigorously peer-reviewed research across basic, translational and clinical immunology. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Immunology is the official Journal of the International Union of Immunological Societies (IUIS). Encompassing the entire field of Immunology, this journal welcomes papers that investigate basic mechanisms of immune system development and function, with a particular emphasis given to the description of the clinical and immunological phenotype of human immune disorders, and on the definition of their molecular basis.
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