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  4. New Insights into the Role of Neuron-Specific Enolase in Neuro-Inflammation, Neurodegeneration, and Neuroprotection

New Insights into the Role of Neuron-Specific Enolase in Neuro-Inflammation, Neurodegeneration, and Neuroprotection

Brain Sci., 2018 · DOI: 10.3390/brainsci8020033 · Published: February 18, 2018

ImmunologyNeurology

Simple Explanation

Neuron-specific enolase (NSE) is an enzyme found in nerve and neuroendocrine cells that can both promote inflammation and protect nerve cells in conditions like spinal cord injury. High levels of NSE can worsen nerve damage by degrading the matrix around cells, increasing inflammation, and changing cell structure, potentially leading to cell death. However, NSE can also aid in nerve repair. NSE influences neuronal survival, differentiation, and regeneration through activation of certain signaling pathways, and its activity can be regulated by enzymes like cathepsin X, influencing whether it promotes nerve damage or repair.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    NSE can act as a biomarker for neuronal stress and has prognostic potential for neurological disorders.
  • 2
    The expression and activity of NSE are often increased in neuronal and glial activation and injury, which are major factors involved in neurodegenerative diseases.
  • 3
    NSE plays dual roles in neurodegeneration and neuroprotection, influencing microglial activation and the balance between inflammatory and neurotrophic effects.

Research Summary

Neuron-specific enolase (NSE) plays a complex role in neuroinflammation, neurodegeneration, and neuroprotection, especially in conditions like spinal cord injury (SCI) and various neurodegenerative diseases. NSE's involvement in both promoting inflammatory pathways and supporting neuronal survival and regeneration suggests its potential as a therapeutic target, requiring careful regulation to balance its effects. Further research focusing on the regulation of NSE expression and activity could lead to the development of therapeutic strategies aimed at reducing neuroinflammation and promoting neuroprotection in neurodegenerative conditions.

Practical Implications

Biomarker for Neurological Disorders

NSE levels in serum and CSF can be used to assess neuronal damage and predict outcomes in various neurological conditions, including stroke, traumatic brain injury, and neurodegenerative diseases.

Therapeutic Target

Regulation of NSE expression and activity may offer therapeutic opportunities for managing neuroinflammation and promoting neuroprotection in spinal cord injury and other neurodegenerative diseases.

Modulation of Microglial Activation

Understanding NSE's role in microglial activation and polarization (M1/M2) could help in designing targeted therapies to shift microglial responses towards neuroprotection.

Study Limitations

  • 1
    The specific mechanisms by which NSE influences neurodegeneration in SCI remain unclear.
  • 2
    The differential expression of NSE in various glial cells and its relationship to their degenerative, neurotrophic, or neuroprotective functions requires further investigation.
  • 3
    Careful analysis of hemolysis is needed when measuring NSE levels due to its presence in erythrocytes.

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