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Toll样信号受体介导的脑出血后炎症反应
引用本文:林帅,薛维爽,田力,石权,陶冶,滕伟禹.Toll样信号受体介导的脑出血后炎症反应[J].实用药物与临床,2016(5):631-635.
作者姓名:林帅  薛维爽  田力  石权  陶冶  滕伟禹
作者单位:中国医科大学附属第一医院神经内科,沈阳,110001
基金项目:沈阳市科技技划项目(F16-206-9-03)
摘    要:炎症机制对脑损伤和脑损伤后的潜在修复有重要的作用。脑出血后产生的各种刺激促进了炎症反应的进展。血肿组分通过激活小胶质细胞,从而释放促炎性细胞因子和趋化因子,以吸引病灶周围的炎性浸润。临床研究发现,炎症信号途径参与了小胶质细胞激活、白细胞浸润、Toll样受体的激活等。近年来对于Toll样受体的研究越来越多,有研究表明,Toll样受体介导的炎症通路在肿瘤、各种炎症性疾病、风湿免疫性疾病、糖尿病等疾病中发挥了重要的作用,此外,Toll样受体还参与中枢神经系统疾病的发病,如阿尔兹海默病、脑中风、多发性硬化等。了解Toll样受体与脑出血的关系,对基础研究和临床治疗方面越来越重要。

关 键 词:脑出血  炎症  Toll样受体

Inflammatory reaction mediated by Toll-like receptors after cerebral hemorrhage
Abstract:Objective The mechanism of inflammation plays an important role in the brain injury and potential repairment after brain injury. Various stimulations produced by cerebral hemorrhage promote the progress of inflamma-tion. The compositions of hematoma attract the inflammatory infiltration around the focus by activating microglia,which release pro-inflammatory cytokines and chemokines. Clinical studies have found that inflammatory signaling pathway is involved in the activation of microglia,leukocyte infiltration and activation of Toll-like receptors,etc. In recent years, more and more studies on Toll-like receptors have been done. Some studies have indicated that inflammatory pathways mediated by Toll-like receptors play an important role in tumors,various inflammatory diseases,rheumatic diseases,and diabetes mellitus,etc. In addition,Toll-like receptors are also involved in central nervous system diseases,such as Alzheimer′s disease,stroke,multiple sclerosis,ect. Understanding the relationship between Toll-like receptors and cere-bral hemorrhage has become more and more important in fundamental research and clinical treatment.
Keywords:Cerebral hemorrhage  Inflammation  Toll-like receptors
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