Critical Care,
Journal Year:
2025,
Volume and Issue:
29(1)
Published: Feb. 6, 2025
Postoperative
sepsis
is
a
severe
complication
associated
with
increased
mortality
and
potential
long-term
cognitive
decline,
including
dementia.
However,
the
relationship
between
postoperative
dementia
remains
poorly
understood.
This
retrospective
cohort
study
used
data
from
National
Database
in
Taiwan,
covering
period
January
1,
2005,
to
December
31,
2022.
The
index
for
surgeries
was
set
2008,
2013,
allowing
identification
of
patients
without
prior
A
landmark
12
months
following
surgery
defined
capture
number
events,
which
were
then
analyzed
their
impact
on
risk.
After
1:4
propensity
score
matching
(PSM),
evaluated
using
Cox
proportional
hazards
Fine-Gray
competing
risk
models.
Following
PSM,
778
group
3,112
non-postoperative
group.
Dementia
incidence
higher
(26%)
compared
non-
(13.6%),
hazard
ratio
(HR)
1.25
(95%
CI,
1.03–1.52).
dose–response
observed,
rates
24.5%
one
event
34.9%
two
or
more
latter
showing
an
HR
1.77
1.17–2.66).
Mortality
also
elevated
(40.5%
vs.
31.6%;
1.45,
95%
1.28–1.65).
significantly
dose-dependent
manner.
These
findings
highlight
importance
enhancing
perioperative
infection
control
reduce
both
immediate
complications.
Ageing Research Reviews,
Journal Year:
2024,
Volume and Issue:
99, P. 102357 - 102357
Published: June 1, 2024
Neurodegenerative
disorders
(NDs)
are
expected
to
pose
a
significant
challenge
for
both
medicine
and
public
health
in
the
upcoming
years
due
global
demographic
changes.
NDs
mainly
represented
by
degeneration/loss
of
neurons,
which
is
primarily
accountable
severe
mental
illness.
This
neuronal
degeneration
leads
many
neuropsychiatric
problems
permanent
disability
an
individual.
Moreover,
tight
junction
brain,
blood-brain
barrier
(BBB)has
protective
feature,
functioning
as
biological
that
can
prevent
medicines,
toxins,
foreign
substances
from
entering
brain.
However,
delivering
any
medicinal
agent
brain
(i.e.,
Multiple
sclerosis,
Alzheimer's,
Parkinson's,
etc.)
enormously
challenging.
There
approved
therapies
address
NDs,
but
most
them
only
help
treat
associated
manifestations.
The
available
have
failed
control
progression
certain
factors,
i.e.,
BBB
drug-associated
undesirable
effects.
extremely
complex
pathology,
with
pathogenic
mechanisms
involved
initiation
progression;
thereby,
limited
survival
rate
has
been
observed
ND
patients.
Hence,
understanding
exact
mechanism
behind
crucial
developing
alternative
approaches
improving
patients'
rates.
Thus,
present
review
sheds
light
on
different
cellular
novel
therapeutic
their
clinical
relevance,
will
assist
researchers
alternate
strategies
limitations
conventional
therapies.
current
work
offers
scope
into
near
future
improve
approach
NDs.
Journal of Neuroinflammation,
Journal Year:
2024,
Volume and Issue:
21(1)
Published: Feb. 2, 2024
Abstract
Neuroinflammation
is
a
pathological
hallmark
of
Alzheimer’s
disease
(AD),
characterized
by
the
stimulation
resident
immune
cells
brain
and
penetration
peripheral
cells.
These
inflammatory
processes
facilitate
deposition
amyloid-beta
(Aβ)
plaques
abnormal
hyperphosphorylation
tau
protein.
Managing
neuroinflammation
to
restore
homeostasis
decrease
neuronal
damage
therapeutic
approach
for
AD.
One
way
achieve
this
through
exercise,
which
can
improve
function
protect
against
neuroinflammation,
oxidative
stress,
synaptic
dysfunction
in
AD
models.
The
neuroprotective
impact
exercise
regulated
various
molecular
factors
that
be
activated
same
as
administration
their
mimetics.
Recent
evidence
has
proven
some
mimetics
effective
alleviating
AD,
and,
additionally,
they
are
helpful
alternative
option
patients
who
unable
perform
regular
physical
manage
neurodegenerative
disorders.
This
review
focuses
on
current
state
knowledge
mimetics,
including
efficacy,
regulatory
mechanisms,
progress,
challenges,
limitations,
future
guidance
application
therapy.
Nutrients,
Journal Year:
2022,
Volume and Issue:
14(19), P. 4134 - 4134
Published: Oct. 5, 2022
Neuroinflammation
occurs
throughout
the
pathogenesis
of
Alzheimer's
disease
(AD).
Here,
we
investigated
effects
treadmill
exercise
on
neuroinflammation
in
APP/PS1
transgenic
AD
mice
and
potential
involvement
microbe-gut-brain
axis
(MGB)
mechanisms
based
growing
evidence
that
AD's
is
correlated
with
a
deterioration
function
gut
microbiota.
were
subjected
to
12
weeks
exercise,
followed
by
spatial
memory
tests.
After
behavioral
study,
amyloid
(Aβ)
pathology,
microbes
metabolites,
bacterial
lipopolysaccharide
(LPS)
displacement,
degree
analyzed.
We
found
this
strategy
enriched
microbial
diversity
alleviated
brain.
Notably,
led
reductions
pathogenic
bacteria
such
as
intestinal
Allobaculum,
increases
probiotic
Akkermansia,
increased
levels
intestine-brain
barrier
proteins,
attenuated
LPS
displacement.
These
results
suggest
prolonged
can
effectively
modulate
thereby
reduce
displacement
ultimately
alleviate
AD-related
neuroinflammation.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(6), P. 5283 - 5283
Published: March 9, 2023
The
blood-brain
barrier
(BBB)
is
a
functional
interface
that
provides
selective
permeability,
protection
from
toxic
substances,
transport
of
nutrients,
and
clearance
brain
metabolites.
Additionally,
BBB
disruption
has
been
shown
to
play
role
in
many
neurodegenerative
conditions
diseases.
Therefore,
the
aim
this
study
was
establish
functional,
convenient,
efficient
vitro
co-cultured
model
can
be
used
for
several
physiological
related
disruption.
Mouse
brain-derived
endothelial
(bEnd.3)
astrocyte
(C8-D1A)
cells
were
on
transwell
membranes
an
intact
model.
its
effects
different
neurological
diseases
stress
conditions,
including
Alzheimer's
disease
(AD),
neuroinflammation,
obesity,
have
examined
by
transendothelial
electrical
resistance
(TEER),
fluorescein
isothiocyanate
(FITC)
dextran,
tight
junction
protein
analyses.
Scanning
electron
microscope
images
showed
evidence
end-feet
processes
passing
through
membrane
transwell.
Moreover,
effective
properties
TEER,
FITC,
solvent
persistence
leakage
tests
when
compared
mono-cultured
immunoblot
results
expression
proteins
such
as
zonula
occludens-1
(ZO-1),
claudin-5,
occludin-1
enhanced
co-culture.
Lastly,
under
structural
integrity
decreased.
present
demonstrated
mimicked
BBB's
and,
similar
damages.
convenient
experimental
tool
investigate
wide
range
BBB-related
pathological
studies.
Pharmaceuticals,
Journal Year:
2025,
Volume and Issue:
18(1), P. 104 - 104
Published: Jan. 15, 2025
Cytokine-mediated
inflammation
is
increasingly
recognized
for
playing
a
vital
role
in
the
pathophysiology
of
wide
range
brain
disorders,
including
neurodegenerative,
psychiatric,
and
neurodevelopmental
problems.
Pro-inflammatory
cytokines
such
as
interleukin-1
(IL-1),
tumor
necrosis
factor-alpha
(TNF-α),
interleukin-6
(IL-6)
cause
neuroinflammation,
alter
function,
accelerate
disease
development.
Despite
progress
understanding
these
pathways,
effective
medicines
targeting
are
still
limited.
Traditional
anti-inflammatory
immunomodulatory
drugs
peripheral
inflammatory
illnesses.
Still,
they
face
substantial
hurdles
when
applied
to
central
nervous
system
(CNS),
blood-brain
barrier
(BBB)
unwanted
systemic
effects.
This
review
highlights
developing
treatment
techniques
modifying
cytokine-driven
focusing
on
advances
that
selectively
target
critical
involved
pathology.
Novel
approaches,
cytokine-specific
inhibitors,
antibody-based
therapeutics,
gene-
RNA-based
interventions,
sophisticated
drug
delivery
systems
like
nanoparticles,
show
promise
with
respect
lowering
neuroinflammation
greater
specificity
safety.
Furthermore,
developments
biomarker
discoveries
neuroimaging
improving
our
ability
monitor
responses,
allowing
more
accurate
personalized
regimens.
Preclinical
clinical
trial
data
demonstrate
therapeutic
potential
tailored
techniques.
However,
significant
challenges
remain,
across
BBB
reducing
off-target
As
research
advances,
creation
personalized,
cytokine-centered
therapeutics
has
therapy
landscape
illnesses,
giving
patients
hope
better
results
higher
quality
life.
Journal of Biophotonics,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 22, 2025
ABSTRACT
Neuroinflammation
plays
a
key
role
in
the
development
of
neurodegenerative
diseases,
with
microglia
regulating
this
process
through
pro‐inflammatory
M1
and
anti‐inflammatory
M2
phenotypes.
Studies
have
shown
that
human
umbilical
cord
mesenchymal
stem
cells
(hUCMSCs)
modulate
neuroinflammation
by
secreting
cytokines.
Photobiomodulation
(PBM),
non‐invasive
therapy,
has
demonstrated
significant
potential
alleviating
neuroinflammation.
This
study
examines
combined
effects
PBM
hUCMSCs
an
vitro
microglial
inflammation
model
LPS‐induced
mouse
model.
The
results
show
PBM‐pretreated
promoted
polarization
improved
cognitive
function
mice
downregulating
Notch
signaling
pathway,
suggesting
promising
new
approach
for
treating
diseases.
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(6), P. 5383 - 5383
Published: March 11, 2023
Alzheimer’s
disease
(AD)
is
an
incurable,
progressive
neurodegenerative
disorder.
AD
a
complex
and
multifactorial
that
responsible
for
60–80%
of
dementia
cases.
Aging,
genetic
factors,
epigenetic
changes
are
the
main
risk
factors
AD.
Two
aggregation-prone
proteins
play
decisive
role
in
pathogenesis:
β-amyloid
(Aβ)
hyperphosphorylated
tau
(pTau).
Both
them
form
deposits
diffusible
toxic
aggregates
brain.
These
biomarkers
Different
hypotheses
have
tried
to
explain
pathogenesis
served
as
platforms
drug
research.
Experiments
demonstrated
both
Aβ
pTau
might
start
processes
necessary
cognitive
decline.
The
two
pathologies
act
synergy.
Inhibition
formation
has
been
old
target.
Recently,
successful
clearance
by
monoclonal
antibodies
raised
new
hopes
treatments
if
detected
at
early
stages.
More
recently,
novel
targets,
e.g.,
improvements
amyloid
from
brain,
application
small
heat
shock
(Hsps),
modulation
chronic
neuroinflammation
different
receptor
ligands,
microglial
phagocytosis,
increase
myelination
revealed
International Journal of Nanomedicine,
Journal Year:
2023,
Volume and Issue:
Volume 18, P. 4193 - 4227
Published: July 1, 2023
Introduction:
Donepezil
(DPL),
a
specific
acetylcholinesterase
inhibitor,
is
used
as
first-line
treatment
to
improve
cognitive
deficits
in
Alzheimer's
disease
(AD)
and
it
might
have
modifying
effect.
Astaxanthin
(AST)
natural
potent
antioxidant
with
neuroprotective,
anti-amyloidogenic,
anti-apoptotic,
anti-inflammatory
effects.
This
study
aimed
prepare
nanostructured
lipid
carriers
(NLCs)
co-loaded
donepezil
astaxanthin
(DPL/AST–NLCs)
evaluate
their
vivo
efficacy
an
AD-like
rat
model
30
days
after
daily
intranasal
administration.
Methods:
DPL/AST–NLCs
were
prepared
using
hot
high-shear
homogenization
technique,
vitro
examined
for
physicochemical
parameters
evaluated.
AD
induction
rats
was
performed
by
aluminum
chloride.
The
cortex
hippocampus
isolated
from
the
brain
of
biochemical
testing
histopathological
examination.
Results:
showed
z-average
diameter
149.9
±
3.21
nm,
polydispersity
index
0.224
0.017,
zeta
potential
–
33.7
4.71
mV,
entrapment
efficiency
81.25
1.98%
(donepezil)
93.85
1.75%
(astaxanthin),
sustained
release
both
24
h,
spherical
morphology
transmission
electron
microscopy,
they
stable
at
4–
8
2°C
six
months.
Differential
scanning
calorimetry
revealed
that
molecularly
dispersed
NLC
matrix
amorphous
state.
DPL/AST–NLC-treated
significantly
lower
levels
nuclear
factor-kappa
B,
malondialdehyde,
β-site
amyloid
precursor
protein
cleaving
enzyme-1,
caspase-3,
beta
(Aβ
1‑42
),
acetylcholinesterase,
higher
glutathione
acetylcholine
than
untreated
treated
donepezil–NLCs.
antioxidant,
anti-acetylcholinesterase,
anti-inflammatory,
anti-apoptotic
effects,
resulting
significant
improvement
cortical
hippocampal
histopathology.
Conclusion:
Nose-to-brain
delivery
promising
strategy
management
AD.
Keywords:
disease,
donepezil,
astaxanthin,
delivery,
Saudi Pharmaceutical Journal,
Journal Year:
2023,
Volume and Issue:
31(9), P. 101728 - 101728
Published: Aug. 3, 2023
Neuroinflammation
is
associated
with
the
elevation
of
toxic
proinflammatory
mediators
that
promote
neurodegeneration
and
subsequently
affect
cognition.
Causes
inflammation
in
neuronal
cells
are
believed
to
initiate
various
neurodegenerative
disorders,
mainly
Alzheimer's
disease.
Levetiracetam
a
second-generation
antiepileptic
drug.
There
evidence
supporting
memory-enhancing
effect
levetiracetam
from
numerous
experimental
clinical
studies.
Therefore,
this
research
focused
on
finding
its
protective
effects
against
lipopolysaccharides
prompted
cognitive
impairment
exploring
possible
mechanisms
underlining
their
neuroprotection.Two
doses
(100
or
200
mg/kg)
were
administrated
orally
for
30
days.
Additionally,
four
(250
µg/kg)
lipopolysaccharide
injected
peripherally
induce
neurotoxicity.
Behavioral
tests
carried
out
using
maze
models.
At
end
tests,
brain
tissues
collected
biochemical
evaluations.
Cholinergic,
neuroinflammatory,
apoptosis,
oxidative-related
parameters
analyzed
homogenate
explore
action
levetiracetam.In
lipopolysaccharide-induced
rats,
indicated
reduction
(p
<
0.01)
transfer
latency
elevated
plus-maze.
An
improvement
novel
familiar
objects
exploration
time
object
recognition
test.
A
rise
0.05)
arm
entries
extended
spent
Y-maze
In
extension,
levels
acetylcholine
0.001),
anti-inflammatory
factors
(transforming
growth
factor-β1;
p
0.01
interleukin-10;
0.05),
an
antioxidant
(catalase;
rats
after
administration
levetiracetam.
contrast,
inflammatory
(cyclooxygenase-2;
0.05,
nuclear
factor
kappa
B;
tumor
necrosis
factor-α;
0.01,
interleukin-6
0.01),
apoptosis
inducers
(BCL2-associated
X
protein;
0.05
Caspase-3
oxidative
stress
(malondialdehyde;
considerably
reduced
rats.The
collective
results
suggested
may
be
able
treat
neuroinflammatory-related
memory
loss
by
enhancing
cholinergic
activity
while
reducing
neuroinflammation,
cellular
stress.