Neuroinflammation and Perioperative Neurocognitive Disorders

被引:290
|
作者
Subramaniyan, Saraswathi [1 ]
Terrando, Niccolo [1 ]
机构
[1] Duke Univ, Med Ctr, Dept Anesthesiol, Ctr Translat Pain Med, 3 Genome Ct,MSRBIII Room 6144, Durham, NC 27710 USA
来源
ANESTHESIA AND ANALGESIA | 2019年 / 128卷 / 04期
基金
美国国家卫生研究院;
关键词
BLOOD-BRAIN-BARRIER; POSTOPERATIVE COGNITIVE DYSFUNCTION; CENTRAL-NERVOUS-SYSTEM; C-REACTIVE PROTEIN; CEREBROSPINAL-FLUID; ORTHOPEDIC-SURGERY; IMMUNE-RESPONSE; NEUROTROPHIC FACTOR; ALZHEIMER-DISEASE; CARDIAC-SURGERY;
D O I
10.1213/ANE.0000000000004053
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Neuroinflammation has become a key hallmark of neurological complications including perioperative pathologies such as postoperative delirium and longer-lasting postoperative cognitive dysfunction. Dysregulated inflammation and neuronal injury are emerging from clinical studies as key features of perioperative neurocognitive disorders. These findings are paralleled by a growing body of preclinical investigations aimed at better understanding how surgery and anesthesia affect the central nervous system and possibly contribute to cognitive decline. Herein, we review the role of postoperative neuroinflammation and underlying mechanisms in immune-to-brain signaling after peripheral surgery.
引用
收藏
页码:781 / 788
页数:8
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