Neuroinflammatory Pathways refer to the complex molecular and cellular signaling cascades within the central nervous system that are activated in response to infection, injury, or chronic systemic stress. These pathways involve the activation of glial cells, such as microglia and astrocytes, leading to the localized release of pro-inflammatory cytokines and chemokines. While acute inflammation is protective, chronic activation is highly detrimental to neuronal health and synaptic integrity.
Origin
The concept evolved from the general study of inflammation, specifically recognizing that the brain’s immune response is distinct and primarily mediated by resident glial cells rather than peripheral immune cells. The identification of specific signaling molecules, like NF-κB and various interleukins, established the existence of dedicated “pathways” that link peripheral health to neurological outcomes.
Mechanism
Microglia, the brain’s resident immune cells, transition from a surveillance state to an activated, inflammatory phenotype upon sensing damage-associated molecular patterns (DAMPs) or pathogen-associated molecular patterns (PAMPs). This activation triggers a cascade of intracellular events, resulting in the transcriptional up-regulation and release of inflammatory mediators, such as TNF-α and IL-6. Chronic neuroinflammation disrupts the blood-brain barrier, impairs neurotransmitter balance, and compromises neuronal function, often being tightly coupled with peripheral endocrine dysregulation.
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