The active clinical process of reducing and ultimately resolving chronic, low-grade inflammatory signaling within the central nervous system, which is mediated by activated glial cells like microglia and astrocytes. Unresolved neuroinflammation is a key driver of neuronal dysfunction, cognitive decline, and disruption of the neuroendocrine axes, including the HPA axis. Resolution is a therapeutic goal that aims to restore the brain’s immune privilege and promote a healthy, non-toxic microenvironment for optimal neuronal signaling and plasticity.
Origin
This concept emerges from neuroimmunology and neuropathology, recognizing that the brain is not immune-privileged in the classical sense but maintains a highly regulated, localized immune response. The term ‘Resolution’ emphasizes the active, therapeutic goal of returning the brain’s immune cells to a quiescent, surveillance state, contrasting with simple anti-inflammatory suppression. This strategy is central to modern cognitive and mental health interventions.
Mechanism
Resolution is mediated by modulating the activity of microglia, shifting them from a pro-inflammatory (M1) to a reparative (M2) phenotype, and by promoting the synthesis of specialized pro-resolving mediators (SPMs). Interventions often target gut-brain axis integrity to reduce peripheral inflammatory signals that cross the blood-brain barrier and utilize specific nutraceuticals that inhibit NF-κB signaling. By quieting the inflammatory cascade, the mechanism restores the delicate balance necessary for healthy neurotransmission and neuroplasticity.
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