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Published in: Inflammopharmacology 1/2020

01-02-2020 | Alzheimer's Disease | Review

Microglial polarization: novel therapeutic mechanism against Alzheimer’s disease

Authors: Kai Yao, Heng-bing Zu

Published in: Inflammopharmacology | Issue 1/2020

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Abstract

Alzheimer’s disease (AD) is the most prevalent neurodegenerative disease that results in progressive dementia, and exhibits high disability and fatality rates. Recent evidence has demonstrated that neuroinflammation is critical in the pathophysiological processes of AD, which is characterized by the activation of microglia and astrocytes. Under different stimuli, microglia are usually activated into two polarized states, termed the classical ‘M1’ phenotype and the alternative ‘M2’ phenotype. M1 microglia are considered to promote inflammatory injury in AD; in contrast, M2 microglia exert neuroprotective effects. Imbalanced microglial polarization, in the form of excessive activation of M1 microglia and dysfunction of M2 microglia, markedly promotes the development of AD. Furthermore, an increasing number of studies have shown that the transition of microglia from the M1 to M2 phenotype could potently alleviate pathological damage in AD. Hence, this article reviews the current knowledge regarding the role of microglial M1/M2 polarization in the pathophysiology of AD. In addition, we summarize several approaches that protect against AD by altering the polarization states of microglia. This review aims to contribute to a better understanding of the pathogenesis of AD and, moreover, to explore the potential of novel drugs for the treatment of AD in the future.
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Metadata
Title
Microglial polarization: novel therapeutic mechanism against Alzheimer’s disease
Authors
Kai Yao
Heng-bing Zu
Publication date
01-02-2020
Publisher
Springer International Publishing
Published in
Inflammopharmacology / Issue 1/2020
Print ISSN: 0925-4692
Electronic ISSN: 1568-5608
DOI
https://doi.org/10.1007/s10787-019-00613-5

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