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The role of inflammasomes in vascular cognitive impairment
Luting Poh1, Wei Liang Sim1, Dong-Gyu Jo2
1Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Insights
Chronic cerebral hypoperfusion (CCH) drives neuroinflammation in Vascular Cognitive Impairment (VCI) by activating inflammasomes. Understanding these pathways is key to developing treatments for brain damage and cognitive decline.
Area of Science:
- Neuroscience
- Pathophysiology
- Immunology
Background:
- Vascular Cognitive Impairment (VCI) is increasingly prevalent globally.
- Chronic Cerebral Hypoperfusion (CCH) is implicated in VCI onset and progression.
- Neuroinflammation, marked by elevated interleukin-1β (IL-1β), is a key VCI contributor.
Purpose of the Study:
- To comprehensively review the molecular and cellular mechanisms of CCH-induced inflammasome signaling in VCI.
- To elucidate the role of inflammasomes (NLRP3, AIM2) in regulating IL-1β production under CCH.
- To highlight the importance of understanding neuroinflammation for developing VCI treatments.
Main Methods:
- Literature review focusing on CCH, VCI, neuroinflammation, and inflammasome pathways.
- Analysis of studies investigating NLRP3 and AIM2 inflammasome activation.
- Synthesis of current knowledge on molecular and cellular mechanisms.
Main Results:
- CCH activates inflammasome signaling pathways, including NLRP3 and AIM2.
- Activated inflammasomes critically regulate IL-1β production, exacerbating neuroinflammation.
- Neuroinflammation is an early event in VCI pathogenesis, linked to CCH.
Conclusions:
- Inflammasome activation is a central mechanism in CCH-induced VCI pathophysiology.
- Targeting inflammasome signaling offers a potential therapeutic strategy for VCI.
- Further research into these pathways is crucial for mitigating brain damage and cognitive deficits.
Abstract:
There is an increasing prevalence of Vascular Cognitive Impairment (VCI) worldwide, and several studies have suggested that Chronic Cerebral Hypoperfusion (CCH) plays a critical role in disease onset and progression. However, there is a limited understanding of the underlying pathophysiology of VCI, especially in relation to CCH. Neuroinflammation is a significant contributor in the progression of VCI as increased systemic levels of the proinflammatory cytokine interleukin-1β (IL-1β) has been extensively reported in VCI patients. Recently it has been established that CCH can activate the inflammasome signaling pathways, involving NLRP3 and AIM2 inflammasomes that critically regulate IL-1β production. Given that neuroinflammation is an early event in VCI, it is important that we understand its molecular and cellular mechanisms to enable development of disease-modifying treatments to reduce the structural brain damage and cognitive deficits that are observed clinically in the elderly. Hence, this review aims to provide a comprehensive insight into the molecular and cellular mechanisms involved in the pathogenesis of CCH-induced inflammasome signaling in VCI.
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