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Neuroinflammatory processes

Molecular classification
Other
01

Overview

Neuroinflammatory processes encompass the complex innate immune response within the central nervous system (CNS), primarily mediated by glial cells such as microglia and astrocytes (DiSabato et al., 2016). While acute neuroinflammation serves as a protective mechanism to eliminate pathogens and initiate tissue repair, chronic or dysregulated neuroinflammation is a key driver of neuronal damage in conditions like Alzheimer's disease, Parkinson's disease, and Multiple Sclerosis (Glass et al., 2010). This process involves the coordinated release of pro-inflammatory mediators, including cytokines (e.g., TNF-alpha, IL-1 beta), chemokines, and reactive oxygen species, which can compromise the integrity of the blood-brain barrier (Ransohoff, 2016). Because 'neuroinflammatory processes' describe a broad pathological state rather than a single molecular entity, therapeutic intervention typically targets specific receptors, enzymes, or signaling pathways within this cascade (Skaper et al., 2018). Modern drug development aims to shift the CNS environment from a pro-inflammatory (M1-like) state to a pro-resolving or neuroprotective (M2-like) state to mitigate neurodegeneration (Leng & Edison, 2021).

Other names
NeuroinflammationCNS inflammationBrain inflammationNeuroinflammatory response
02

Mechanism of action

Modulation of microglial and astrocytic activation states, inhibition of pro-inflammatory cytokine and chemokine signaling, stabilization of the blood-brain barrier, and reduction of oxidative stress within the central nervous system.

03

Biological functions

Immune responseCytokine productionGlial activationNeuroprotectionTissue repairPhagocytosis
04

Disease associations

Neurodegenerative diseaseMultiple sclerosisAlzheimer's diseaseParkinson's diseaseStrokeTraumatic brain injuryAmyotrophic lateral sclerosis
05

Safety considerations

Systemic immunosuppressionIncreased susceptibility to opportunistic CNS infectionsInterference with beneficial neurorestorative inflammatory phasesPotential for rebound inflammation upon drug withdrawalOff-target effects on peripheral immune surveillance
06

Interacting drugs

Fingolimod

6 more in the full profile.

07

Biomarkers

Translocator protein (TSPO) PET imagingGlial fibrillary acidic protein (GFAP)Interleukin-6 (IL-6)Tumor necrosis factor-alpha (TNF-alpha)Neurofilament light chain (NfL)Triggering receptor expressed on myeloid cells 2 (TREM2)

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