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  • Inflammatory factors released by activated cells during AD

    2024-10-28

    Inflammatory factors released by activated cells during AD are very important for the disease progression. Not only several inflammatory cytokines, such as IL-1β, IL-18, and IL-33, but also anti-inflammatory ones, as IL-10 and IL-13, are upregulated in the brain of AD patients (Morimoto et al., 2011). Furthermore, some cytokines and related molecules, such as IL-1 receptor antagonist (IL-1Ra), IL-1-converting enzyme (ICE), IL-2, IL-6, IL-8, TNF-α, macrophage-colony-stimulating factor (M-CSF) and TGF-β1, are already increased in stages preceding the disease onset (Wilberding et al., 2008). Activated microglia appears to be the major source of proinflammatory cytokines, which are associated with Aβ burden, tau hyperphosphorylation and neuronal loss (Geula et al., 1998, Lue et al., 2001). Aβ peptide and factors secreted by microglia can interact with astrocytes, that also become activated and acquire an inflammatory profile secreting neurotoxic factors and cytokines, as IL-1β, and nitric oxide (NO) (Forloni et al., 1997, Efremova et al., 2017). In addition, genetic studies suggested mutations in several genes related to the immune system as being a risk factor for development of AD (Karch and Goate, 2015). Triggering receptor on myeloid cell 2 (TREM2) gene encodes a type I transmembrane receptor expressed on myeloid cells, including microglia, dendritic cells, and macrophages (Jonsson et al., 2013). It has relevant functions, both as BI-847325 a pattern recognition receptor expressed on microglial cells and as a sensor for damage-induced signals (Jonsson et al., 2013, Wang et al., 2015). Thus, microglial cells response to Aβ aggregation requires TREM2 signaling, while loss of the functional allele of the gene that encodes TREM2 receptor results in morphological changes in microglia, leading to a reduction in the processing of Aβ BI-847325 and an increase in neuritic dystrophy (Ulrich et al., 2014, O'Donnell et al., 2016). Therefore, rare missense mutation in the TREM2 gene (Jonsson et al., 2013) and other variants encoding TREM2 are linked to a risk for AD (Jin et al., 2014). Inflammasomes are protein complexes that are an important component of the innate immune response (de Zoete et al., 2014, Vanaja et al., 2015, Broz and Dixit, 2016). They are formed due to the recognition of pathogenic products called pathogen-associated molecular patterns (PAMPs) by pattern recognition receptors (PRRs) or the recognition of damage-associated molecular patterns (DAMPs) by receptors in immune and non-immune cells (Lamkanfi and Dixit, 2011, Sahoo et al., 2011, Lupfer et al., 2015, van de Veerdonk et al., 2015, Shrivastava et al., 2016). Inflammasomes are grouped in three different categories, according to their structural features: the nucleotide-binding domain-like receptors (NLRs), the absent in melanoma 2-like receptors (ALRs), and the pyrin (Sharma and Kanneganti, 2016). Between the NLRs is NLRP3, that can be activated by different PAMPs and DAMPs (Halle et al., 2008, Duewell et al., 2010, Gustin et al., 2015), and is essential to maintenance of homeostasis during pathogenic infections (Kim and Jo, 2013). After an insult, NLR, ALR, and pyrin are able to induce caspase-1 activation via apoptosis-associated speck-like protein containing a caspase activation and recruitment domain (CASC), inducing the release of cytokines IL-8 and IL-18 and an inflammatory cell death process (Sharma and Kanneganti, 2016). Inflammasome activity deregulation is associated with numerous chronic pathological conditions related to aging and neurodegeneration, including AD. IL-18 levels are increased in the brain of AD patients (Ojala et al., 2009), and there is a high production of IL-1β in the brain, which may be involved in the induction of tau hyperphosphorylation (Sheng et al., 2000, Li et al., 2003, Griffin et al., 2006, Kitazawa et al., 2011). IL-1β has other roles in neuronal damage, since this cytokine induces the production of inflammatory factors, such as NO and TNF-α. Both NO and iNOS are associated with greater accumulation of Aβ and phosphorylation of tau protein (Nathan et al., 2005). In addition, Aβ-induced TNF-α release reduces neuronal viability through apoptosis (Wood et al., 2015).