PMID- 10858586 OWN - NLM STAT- MEDLINE DCOM- 20000907 LR - 20240226 IS - 0197-4580 (Print) IS - 1558-1497 (Electronic) IS - 0197-4580 (Linking) VI - 21 IP - 3 DP - 2000 May-Jun TI - Inflammation and Alzheimer's disease. PG - 383-421 AB - Inflammation clearly occurs in pathologically vulnerable regions of the Alzheimer's disease (AD) brain, and it does so with the full complexity of local peripheral inflammatory responses. In the periphery, degenerating tissue and the deposition of highly insoluble abnormal materials are classical stimulants of inflammation. Likewise, in the AD brain damaged neurons and neurites and highly insoluble amyloid beta peptide deposits and neurofibrillary tangles provide obvious stimuli for inflammation. Because these stimuli are discrete, microlocalized, and present from early preclinical to terminal stages of AD, local upregulation of complement, cytokines, acute phase reactants, and other inflammatory mediators is also discrete, microlocalized, and chronic. Cumulated over many years, direct and bystander damage from AD inflammatory mechanisms is likely to significantly exacerbate the very pathogenic processes that gave rise to it. Thus, animal models and clinical studies, although still in their infancy, strongly suggest that AD inflammation significantly contributes to AD pathogenesis. By better understanding AD inflammatory and immunoregulatory processes, it should be possible to develop anti-inflammatory approaches that may not cure AD but will likely help slow the progression or delay the onset of this devastating disorder. FAU - Akiyama, H AU - Akiyama H AD - Sun Health Research Institute, 10515 West Santa Fe Drive, P.O. Box 1278, 85372, Sun City, AZ, USA. FAU - Barger, S AU - Barger S FAU - Barnum, S AU - Barnum S FAU - Bradt, B AU - Bradt B FAU - Bauer, J AU - Bauer J FAU - Cole, G M AU - Cole GM FAU - Cooper, N R AU - Cooper NR FAU - Eikelenboom, P AU - Eikelenboom P FAU - Emmerling, M AU - Emmerling M FAU - Fiebich, B L AU - Fiebich BL FAU - Finch, C E AU - Finch CE FAU - Frautschy, S AU - Frautschy S FAU - Griffin, W S AU - Griffin WS FAU - Hampel, H AU - Hampel H FAU - Hull, M AU - Hull M FAU - Landreth, G AU - Landreth G FAU - Lue, L AU - Lue L FAU - Mrak, R AU - Mrak R FAU - Mackenzie, I R AU - Mackenzie IR FAU - McGeer, P L AU - McGeer PL FAU - O'Banion, M K AU - O'Banion MK FAU - Pachter, J AU - Pachter J FAU - Pasinetti, G AU - Pasinetti G FAU - Plata-Salaman, C AU - Plata-Salaman C FAU - Rogers, J AU - Rogers J FAU - Rydel, R AU - Rydel R FAU - Shen, Y AU - Shen Y FAU - Streit, W AU - Streit W FAU - Strohmeyer, R AU - Strohmeyer R FAU - Tooyoma, I AU - Tooyoma I FAU - Van Muiswinkel, F L AU - Van Muiswinkel FL FAU - Veerhuis, R AU - Veerhuis R FAU - Walker, D AU - Walker D FAU - Webster, S AU - Webster S FAU - Wegrzyniak, B AU - Wegrzyniak B FAU - Wenk, G AU - Wenk G FAU - Wyss-Coray, T AU - Wyss-Coray T LA - eng GR - P01 AG012411/AG/NIA NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Neurobiol Aging JT - Neurobiology of aging JID - 8100437 SB - IM MH - Alzheimer Disease/*pathology MH - Brain/pathology MH - Humans MH - Inflammation/*pathology PMC - PMC3887148 MID - NIHMS542954 EDAT- 2000/06/20 09:00 MHDA- 2000/09/09 11:01 PMCR- 2014/01/09 CRDT- 2000/06/20 09:00 PHST- 2000/06/20 09:00 [pubmed] PHST- 2000/09/09 11:01 [medline] PHST- 2000/06/20 09:00 [entrez] PHST- 2014/01/09 00:00 [pmc-release] AID - S019745800000124X [pii] AID - 10.1016/s0197-4580(00)00124-x [doi] PST - ppublish SO - Neurobiol Aging. 2000 May-Jun;21(3):383-421. doi: 10.1016/s0197-4580(00)00124-x.