Peripheral inflammation and neurocognitive impairment: correlations, underlying mechanisms, and therapeutic implications

Front Aging Neurosci. 2023 Nov 29:15:1305790. doi: 10.3389/fnagi.2023.1305790. eCollection 2023.

Abstract

Cognitive impairments, such as learning and memory deficits, may occur in susceptible populations including the elderly and patients who are chronically ill or have experienced stressful events, including surgery, infection, and trauma. Accumulating lines of evidence suggested that peripheral inflammation featured by the recruitment of peripheral immune cells and the release of pro-inflammatory cytokines may be activated during aging and these conditions, participating in peripheral immune system-brain communication. Lots of progress has been achieved in deciphering the core bridging mechanism connecting peripheral inflammation and cognitive impairments, which may be helpful in developing early diagnosis, prognosis evaluation, and prevention methods based on peripheral blood circulation system sampling and intervention. In this review, we summarized the evolving evidence on the prevalence of peripheral inflammation-associated neurocognitive impairments and discussed the research advances in the underlying mechanisms. We also highlighted the prevention and treatment strategies against peripheral inflammation-associated cognitive dysfunction.

Keywords: fMRI; large-scale brain functional network; neurocognitive impairment; neuroinflammation; peripheral inflammation.

Publication types

  • Review

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This work was supported by grants partly from the Special Fund of Neurotoxicity of General Anesthetics and its Prevention and Treatment Innovation Team of the First Affiliated Hospital of Guangxi Medical University (No. YYZS2022001), the Guangxi Clinical Research Center for Anesthesiology (No. GK AD22035214), and the Department of Science and Technology of Hunan Province (No. 2021SK50907).