A sequential and self-perpetuating process of immune activation within the central nervous system (CNS), involving the activation of resident immune cells like microglia and astrocytes. This cascade leads to the release of pro-inflammatory mediators, including cytokines and chemokines, within the brain and spinal cord parenchyma. Unlike acute, beneficial inflammation, a chronic cascade can result in neuronal dysfunction, synaptic pruning, and neurodegeneration. It is a key pathological feature linking systemic inflammation to cognitive and neurological decline.
Origin
The term is derived from neuroscience and immunology, reflecting the understanding that the brain, once thought to be “immune privileged,” has its own specialized immune response. The concept of a “cascade” emphasizes the self-amplifying nature of this process, where initial insults trigger a series of molecular events that sustain the inflammatory state. Research into neuroinflammation has accelerated rapidly, linking it to various neurodegenerative and psychiatric disorders.
Mechanism
The cascade is often initiated by peripheral inflammation or direct CNS insults, which breach the blood-brain barrier (BBB) or activate CNS-resident microglia. Activated microglia transition to a pro-inflammatory phenotype, releasing neurotoxic factors and reactive oxygen species. These mediators then perpetuate the activation of surrounding glial cells and impair neuronal function, often by disrupting synaptic plasticity and mitochondrial health. The chronic nature of the cascade prevents the necessary resolution and repair phases.
We use cookies to personalize content and marketing, and to analyze our traffic. This helps us maintain the quality of our free resources. manage your preferences below.
Detailed Cookie Preferences
This helps support our free resources through personalized marketing efforts and promotions.
Analytics cookies help us understand how visitors interact with our website, improving user experience and website performance.
Personalization cookies enable us to customize the content and features of our site based on your interactions, offering a more tailored experience.