It is heartbreaking to see someone you love suffer from mental illness and/or neurodegenerative disease, e.g. Parkinson’s disease. Doctors have traditionally treated mental illness with drugs to alter the brain's chemistry in case of mental illness or pharmaceuticals with respect to Alzheimer, Parkinson and other neurodegenerative diseases.  Research has pointed towards the role of Microglia and their pro-inflammatory cytokines leading to neurobehavioral changes (mental illness) as well as neurodegenerative diseases.  Here we will discuss Microglia and their role as brain immune cells in brain dysfunctions.

What are Microglia and their immune functions in the brain? Microglia are immune system cells that originate in bone marrow and migrate from blood to the brain acting as the first and main form of active immune defense in the central nervous system (CNS). They defend the brain and spinal cord, constantly excavating the CNS and attacking and engulfing infectious agents. In this process they release pro-inflammatory cytokines that can lead to inflammation of the brain and death of neurons. Their normal activity is the repair of damage caused by foreign insult (traumatic brain injury, toxins, microorganisms, viruses).  However, in the disease states associated with activation of the microglia they release cytokines, chemokines, hydrogen peroxide and nitrous oxide (latter two cause free radical formation).  The cytokines and chemokines attract lymphocytes, neutrophils and macrophages from the blood into the brain or spinal cord. In the activated state these compounds cause destruction of myelin and death of neurons.  I will only cover some of the disease states.  All the reader needs to perform is to enter entrez pubmed and search the National Library of Medicine.  

Macrophages, Cytokines and Chemokines in CNS Regulation and Pathology

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Alzheimer’s Disease: Alzheimer’s disease is characterized by the deposition of amyloid-β (Aβ) plaques in the brain parenchnyma and neurofibrillary tangles within neurons.  Its neurodegenerative conditons are characterized by chronic neuroinflammation. Currently, questions still arise as whether the inflammation is an underlying cause or a resulting condition of AD.  Nevertheless, it is important to recognize that chronic inflammation is present and therefore the disease is listed in this section of brain function and inflammation.  Contribution to of toxic exposure as either a cause or exacerbation of AD cannot be ruled out.