The Connection Between Chronic Vascular Disorders and Neurodegenerative Diseases

Published on May 19, 2022

Imagine the body as a vibrant city with different neighborhoods. Sometimes, there can be troublemakers causing a ruckus in certain areas. Inflammation is like a rowdy protest happening in the central nervous system, and it turns out that this unruly behavior could be linked to both chronic vascular disorders and neurodegenerative diseases. Researchers have been investigating this possible connection, exploring the processes of neuroinflammation within the brain. They have found that there are some similarities between neuroinflammation seen in diseases like Alzheimer’s and Parkinson’s, and neuroinflammation caused by transient ischemia (a disruption in blood flow to the brain). However, there are also notable differences in these two types of neuroinflammation. The article also highlights the relationship between systemic inflammation throughout the body and neuroinflammation specifically within the brain. Interestingly, there is still much we don’t know about how atherosclerosis (the build-up of plaque in arteries) contributes to neuroinflammation and its impact on neurodegenerative diseases. Further research in this area could shed light on important connections and potential therapeutic strategies.

Various age-related diseases involve systemic inflammation, i.e. a stereotyped series of acute immune system responses, and aging itself is commonly associated with low-grade inflammation or inflamm’aging. Neuroinflammation is defined as inflammation-like processes inside the central nervous system, which this review discusses as a possible link between cardiovascular disease-related chronic inflammation and neurodegenerative diseases. To this aim, neuroinflammation mechanisms are first summarized, encompassing the cellular effectors and the molecular mediators. A comparative survey of the best-known physiological contexts of neuroinflammation (neurodegenerative diseases and transient ischemia) reveals some common features such as microglia activation. The recently published transcriptomic characterizations of microglia have pointed a marker core signature among neurodegenerative diseases, but also unraveled the discrepancies with neuroinflammations related with acute diseases of vascular origin. We next review the links between systemic inflammation and neuroinflammation, beginning with molecular features of respective pro-inflammatory cells, i.e. macrophages and microglia. Finally, we point out a gap of knowledge concerning the atherosclerosis-related neuroinflammation, which is for the most surprising given that atherosclerosis is established as a major risk factor for neurodegenerative diseases.

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