脂肪组织和中枢神经系统交叉声:在疼痛和认知功能障碍中的作用
Juan Li1, Zhixiao Li1, Kun Chen1,2
1Department of Anesthesiology, Hubei Key Laboratory of Geriatric Anesthesia and Perioperative Brain Health, Wuhan Clinical Research Center for Geriatric Anesthesia, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430000, China.
Biomedicines
|January 28, 2026
概括
肥胖将功能障碍的脂肪组织与大脑炎症联系在一起,导致慢性疼痛和认知能力下降. 一个新的神经代谢炎症模型解释了脂肪如何影响中枢神经系统 (CNS).
科学领域:
- 神经科学是一个神经科学.
- 代谢健康 代谢健康
- 免疫学 免疫学 免疫学
背景情况:
- 全球肥胖大流行凸显了脂肪组织在神经健康中的作用.
- 代谢功能障碍越来越多地与慢性疼痛和认知能力下降有关.
- 现有的模型没有完全整合脂肪-中枢神经系统 (CNS) 轴.
研究的目的:
- 为脂肪-中枢神经系统轴提出一个统一的"神经代谢-炎症"模型.
- 综合现有证据,关于功能障碍的脂肪组织如何影响神经功能.
- 识别机制,评估证据质量,并确定翻译差距.
主要方法:
- 系统审查和综合当前科学文献.
- 分析功能失调的脂肪组织 (adipokines,脂质,细胞外囊泡) 释放的因素.
- 评估临床证据,将内脏脂肪与疼痛和认知障碍联系起来.
主要成果:
- 功能障碍的脂肪组织释放促进神经炎症并破坏血脑屏障完整性的因素.
- 受损的突触可塑性和神经炎症有助于疼痛敏感性和认知缺陷.
- 内脏脂肪性在临床上与多部位慢性疼痛和加速认知障碍有关,具有性二态效应.
结论:
- 拟议的"神经代谢炎症"模型为了解肥胖症中的脂肪-中枢神经系统通信提供了一个框架.
- 准脂肪-中枢神经系统轴提供了新兴的治疗机会.
- 需要进一步的研究来澄清这种沟通的复杂的时间和空间动态.
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