NEUROINFLAMMATION IN POLYNEUROPATHIES: WHAT ARE THE EFFECTS?
Nur Başcı1
Ayşegül Gündüz2
1İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Neurology, İstanbul, Türkiye
2İstanbul University-Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Department of Neurology, İstanbul, Türkiye
Başcı N, Gündüz A. Neuroinflammation in Polyneuropathies: What Are The Effects?. In: Şahin Ş editor. Neuroinflammation. 1st ed. Ankara: Türkiye Klinikleri; 2025. p.91-100.
ABSTRACT
Polyneuropathies represent a diverse group of peripheral nerve disorders with varying etiologies, including metabolic, toxic, immune-mediated, and hereditary factors. Growing evidence highlights the central role of neuroinflammation in the pathogenesis and progression of these conditions, leading to axonal damage, demyelination, and impaired regeneration. Diabetic polyneuropathy, toxic neuropathies, immune-mediated neuropathies, and hereditary neuropathies exhibit overlapping inflammatory pathways, pointing towards a shared pathogenesis. Mechanisms such as oxidative stress, mitochondrial dysfunction, abnormal cytokine response, and immune cell activation contribute to nerve damage, demyelination, and impaired regeneration. Advances in understanding these mechanisms have revealed potential therapeutic options targeting cytokines, oxidative stress, and immune modulation to reduce neuroinflammation and promote repair.
Keywords: Polyneuropathies; Neuroinflammation; Peripheral neuropathy; Inflammation; Nervous system immune disorders
Kaynak Göster
Referanslar
- Hanewinckel R, van Oijen M, Ikram MA, van Doorn PA. The epidemiology and risk factors of chronic polyneuropathy. Eur J Epidemiol. 2016;31(1):5-20. [Crossref] [PubMed] [PMC]
- England JD, Asbury AK. Peripheral neuropathy. Lancet. 2004;363(9427):2151-61. [Crossref] [PubMed]
- Taams NE, Drenthen J, Hanewinckel R, Ikram MA, van Doorn PA. Prevalence and Risk Factor Profiles for Chronic Axonal Polyneuropathy in the General Population. Neurology. 2022;99(20):e2234-40. [Crossref] [PubMed]
- Johannsen L, Smith T, Havsager AM, Madsen C, Kjeldsen MJ, Dalsgaard NJ, et al. Evaluation of patients with symptoms suggestive of chronic polyneuropathy. J Clin Neuromuscul Dis. 2001;3(2):47-52. [Crossref] [PubMed]
- Verghese J, Bieri PL, Gellido C, Schaumburg HH, Herskovitz S. Peripheral neuropathy in young-old and old-old pa tients. Muscle Nerve. 2001;24(11):1476-81. [Crossref] [PubMed]
- Rudolph T, Farbu E. Hospital-referred polyneuropathies--causes, prevalences, clinicaland neurophysiological findings. Eur J Neurol. 2007;14(6):603-8. [Crossref] [PubMed]
- Lee HJ, Kim DH, Kim KH. Diabetic Distal Symmetric Sensorimotor Polyneuropathy: A Proposal of New Electrodiagnostic Evaluation. Ann Rehabil Med. 2023;47(4):231-233. [Crossref] [PubMed] [PMC]
- Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA, et al. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care. 2017;40(1):136-154. [Crossref] [PubMed] [PMC]
- King R. Microscopic anatomy: normal structure. Handb Clin Neurol. 2013;115:7-27.
- Russell JA. General Approach to Peripheral Nerve Disorders. Continuum (Minneap Minn). 2017;23(5, Peripheral Nerve and Motor Neuron Disorders):1241-1262. [Crossref] [PubMed]
- Hille B. Ionic Channels of Excitable Membranes. 3rd ed. Sinauer Associates, Sunderland, Massachusetts; 2001. [Crossref] [PubMed]
- Hodgkin AL, Huxley AF. A quantitative description of membrane current and its application to conduction and excitation in nerve. 1952. Bull Math Biol. 1990;52(1-2):25-71; discussion 5-23. [Crossref] [PubMed]
- Sun Y, Koyama Y, Shimada S. Inflammation From Peripheral Organs to the Brain: How Does Systemic Inflammation Cause Neuroinflammation? Front Aging Neurosci. 2022;14:903455. [Crossref] [PubMed] [PMC]
- Reichmann F, Hassan AM, Farzi A, Jain P, Schuligoi R, Holzer P. Dextran sulfate sodium-induced colitis alters stress-associated behaviour and neuropeptide gene expression in the amygdala-hippocampus network of mice. Sci Rep. 2015;5:9970. [Crossref] [PubMed] [PMC]
- Iliff JJ, Lee H, Yu M, Feng T, Logan J, Nedergaard M, et al. Brain-wide pathway for waste clearance captured by contrast-enhanced MRI. J Clin Invest. 2013;123(3):1299-309. [Crossref] [PubMed] [PMC]
- Iliff JJ, Chen MJ, Plog BA, Zeppenfeld DM, Soltero M, Yang L, et al. Impairment of glymphatic pathway function promotes tau pathology after traumatic brain injury. J Neurosci. 2014;34(49):16180-93. [Crossref] [PubMed] [PMC]
- Udit S, Blake K, Chiu IM. Somatosensory and autonomic neuronal regulation of the immune response. Nat Rev Neurosci. 2022;23(3):157-171. [Crossref] [PubMed] [PMC]
- Steinman L. Modulation of postoperative cognitive decline via blockade of inflammatory cytokines outside the brain. Proc Natl Acad Sci U S A. 2010;107(48):20595-6. [Crossref] [PubMed] [PMC]
- Meyer zu Hörste G, Cordes S, Mausberg AK, Zozulya AL, Wessig C, Sparwasser T, et al. FoxP3+ regulatory T cells determine disease severity in rodent models of inflammatory neuropathies. PLoS One. 2014;9(10):e108756. [Crossref] [PubMed] [PMC]
- Stoian A, Muntean C, Babă DF, Manea A, Dénes L, Simon-Szabó Z, et al. Update on Biomarkers of Chronic Inflammatory Processes Underlying Diabetic Neuropathy. Int J Mol Sci. 2024;25(19):10395. [Crossref] [PubMed] [PMC]
- Chong ZZ, Menkes DL, Souayah N. Targeting neuroinflammation in distal symmetrical polyneuropathy in diabetes. Drug Discov Today. 2024;29(8):104087. [Crossref] [PubMed]
- Ye S, Cheng Z, Zhuo D, Liu S. Different Types of Cell Death in Diabetic Neuropathy: A Focus on Mechanisms and Ther apeutic Strategies. Int J Mol Sci. 2024;25(15):8126. [Crossref] [PubMed] [PMC]
- Panou T, Gouveri E, Papazoglou D, Papanas N. The role of novel inflammation-associated biomarkers in diabetic peripheral neuropathy. Metabol Open. 2024;24:100328. [Crossref] [PubMed] [PMC]
- Neagu M, Constantin C, Surcel M, Munteanu A, Scheau C, Savulescu-Fiedler I, et al. Diabetic neuropathy: A NRF2 disease? J Diabetes. 2024;16(9):e13524. [Crossref] [PubMed] [PMC]
- He Y, Qu L. Non-coding RNAs in diabetic peripheral neuropathy: their role and mechanisms underlying their effects. Metabolism. 2024;154:155833. [Crossref] [PubMed]
- Sher EK, Džidić-Krivić A, Karahmet A, Beća-Zećo M, Farhat EK, Softić A, et al. Novel therapeutical approaches based on neurobiological and genetic strategies for diabetic polyneuropathy A review. Diabetes Metab Syndr. 2023;17(11):102901. [Crossref] [PubMed]
- Lee SO, Kuthati Y, Huang WH, Wong CS. Semaglutide Ameliorates Diabetic Neuropathic Pain by Inhibiting Neuroinflammation in the Spinal Cord. Cells. 2024;13(22):1857. [Crossref] [PubMed] [PMC]
- Cavaletti G, Marmiroli P. Management of Oxaliplatin-Induced Peripheral Sensory Neuropathy. Cancers (Basel). 2020;12(6):1370. [Crossref] [PubMed] [PMC]
- Makker PG, Duffy SS, Lees JG, Perera CJ, Tonkin RS, Butovsky O, et al. Characterisation of Immune and Neuroinflammatory Changes Associated with Chemotherapy-Induced Peripheral Neuropathy. PloS One. 2017;12: e0170814. [Crossref] [PubMed] [PMC]
- Jin HW, Flatters SJ, Xiao WH, Mulhern HL, Bennett GJ. Prevention of paclitaxel-evoked painful peripheral neuropathy by acetyl-L-carnitine: effects on axonal mitochondria, sensory nerve fiber terminal arbors, and cutaneous Langerhans cells. Exp Neurol. 2008;210(1):229-37. [Crossref] [PubMed] [PMC]
- Khalilzadeh M, Panahi G, Rashidian A, Hadian MR, Abdollahi A, Afshari K, et al. The protective effects of sumatriptan on vincristine induced peripheral neuropathy in a rat model. Neurotoxicology. 2018;67:279-86. [Crossref] [PubMed]
- Argyriou AA, Bruna J, Genazzani AA, Cavaletti G. Chemotherapy-induced peripheral neurotoxicity: management informed by pharmacogenetics. Nat Rev Neurol. 2017;13:492-504. [Crossref] [PubMed]
- Kieseier BC, Mathey EK, Sommer C, Hartung HP. Immune-mediated neuropathies. Nat Rev Dis Primers. 2018 Oct 11;4(1):31. [Crossref] [PubMed]
- Mahdi-Rogers M, Hughes RA. Epidemiology of chronic inflammatory neuropathies in southeast England. Eur J Neurol. 2014;21(1):28-33. [Crossref] [PubMed]
- Mathey EK, Park SB, Hughes RA, Pollard JD, Armati PJ, Barnett MH, Taylor BV, Dyck PJ, Kiernan MC, Lin CS. Chronic inflammatory demyelinating polyradiculoneuropathy: from pathology to phenotype. J Neurol Neurosurg Psychiatry. 2015;86(9):973-85. [Crossref] [PubMed] [PMC]
- Chi LJ, Xu WH, Zhang ZW, Huang HT, Zhang LM, Zhou J. Distribution of Th17 cells and Th1 cells in peripheral blood and cerebrospinal fluid in chronic inflammatory demyelinating polyradiculoneuropathy. J Peripher Nerv Syst. 2010;15(4):345-56. [Crossref] [PubMed]
- Schneider-Hohendorf T, Schwab N, Uçeyler N, Göbel K, Sommer C, Wiendl H. CD8+ T-cell immunity in chronic inflammatory demyelinating polyradiculoneuropathy. Neurology. 2012;78(6):402-8. [Crossref] [PubMed]
- Stavropoulos F, Sargiannidou I, Potamiti L, Kagiava A, Panayiotidis MI, Bae JH, et al. Aberrant Mitochondrial Dynamics and Exacerbated Response to Neuroinflammation in a Novel Mouse Model of CMT2A. Int J Mol Sci. 2021;22(21):11569. [Crossref] [PubMed] [PMC]
- Leal A, Ichim TE, Marleau AM, Lara F, Kaushal S, Riordan NH. Immune effects of mesenchymal stem cells: im plications for Charcot-Marie-Tooth disease. Cell Immunol. 2008;253(1-2):11-5. [Crossref] [PubMed]
- Weis J, Claeys KG, Roos A, Azzedine H, Katona I, Schröder JM, et al. Towards a functional pathology of hereditary neuropathies. Acta Neuropathol. 2017;133(4):493-515. [Crossref] [PubMed]
- Su X, Kong X, Lu Z, Wang L, Zheng C. A Rare Phenotype of Uncommon Charcot-Marie-Tooth Genotypes Complicated With Inflammation Evaluated by Genetics and Magnetic Resonance Neurography. Front Genet. 2022;13:873641. [Crossref] [PubMed] [PMC]
- Zhukovsky N, Silvano M, Filloux T, Gonzalez S, Krause KH. Alpha-1 Antitrypsin Reduces Disease Progression in a Mouse Model of Charcot-Marie-Tooth Type 1A: A Role for Decreased Inflammation and ADAM-17 Inhibition. Int J Mol Sci. 2022;23(13):7405. [Crossref] [PubMed] [PMC]
- Yang CF, Pu Y, Li L, Guo MG, Feng ZW. Inflammatory cytokines and carpal tunnel syndrome: A causal relationship revealed. Cytokine. 2024;184:156777. [Crossref] [PubMed]
- Baričić M, Cvijanović Peloza O, Jerbić Radetić AT, Šantić V, Omrčen H, Zoričić Cvek S. Serum Levels of Inflammatory and Fibrotic Cytokines in Patients with Carpal Tunnel Syndrome and Hip Osteoarthritis. Biomedicines. 2022;11(1):11. [Crossref] [PubMed] [PMC]