The Role of Microglia in Perioperative Neurocognitive Disorders

Wenguo Fan1,2, Lijia Mai2, Xiao Zhu3

  • 1Department of Anesthesiology, Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangzhou, China.

Insights

Perioperative neurocognitive disorder (PND) is common after surgery. This review explores how microglia, the brain's immune cells, may contribute to PND development and function.

Area of Science:

  • Neuroscience
  • Immunology
  • Anesthesiology

Background:

  • Perioperative neurocognitive disorder (PND) is a frequent complication following anesthesia and surgery, particularly in elderly patients.
  • Microglia, the central nervous system's resident immune cells, are crucial for neuronal health and synaptic function.
  • Evidence suggests that microglial dysfunction post-surgery may underlie PND.

Purpose of the Study:

  • To review the current understanding of microglia's role in PND.
  • To discuss the cellular and molecular mechanisms linking microglial activation to PND.

Main Methods:

  • Literature review of studies investigating microglia and PND.
  • Analysis of cellular and molecular pathways involved in microglial activation and neuroinflammation.

Main Results:

  • Microglial activation is implicated in the pathophysiology of PND.
  • Specific cellular and molecular mechanisms are proposed to connect microglial dysfunction to cognitive deficits.

Conclusions:

  • Microglia are key players in the development of PND.
  • Targeting microglial pathways may offer therapeutic strategies for preventing or treating PND.

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