Neuroinflammation: The Abused Concept

Scientific progress requires the relentless correction of errors and refinement of hypotheses. Clarity of terminology is essential for clarity of thought and proper experimental interrogation of nature. Therefore, the application of the same scientific term to different and even conflicting phenomen...

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Main Authors: Elena Galea, Manuel B. Graeber
Format: Article
Language:English
Published: SAGE Publishing 2023-08-01
Series:ASN Neuro
Online Access:https://doi.org/10.1177/17590914231197523
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author Elena Galea
Manuel B. Graeber
author_facet Elena Galea
Manuel B. Graeber
author_sort Elena Galea
collection DOAJ
description Scientific progress requires the relentless correction of errors and refinement of hypotheses. Clarity of terminology is essential for clarity of thought and proper experimental interrogation of nature. Therefore, the application of the same scientific term to different and even conflicting phenomena and concepts is not useful and must be corrected. Such abuse of terminology has happened and is still increasing in the case of “neuroinflammation,” a term that until the 1990s meant classical inflammation affecting the central nervous system (CNS) and thereon was progressively used to mostly denote microglia activation. The resulting confusion is very wasteful and detrimental not only for scientists but also for patients, given the numerous failed clinical trials in acute and chronic CNS diseases over the last decade with “anti-inflammatory” drugs. Despite this failure, reassessments of the “neuroinflammation” concept are rare, especially considering the number of articles still using the term. This undesirable situation motivates this article. We review the origins and evolution of the term “neuroinflammation,” discuss the unique tissue defense and repair strategies in the CNS, define CNS immunity, and emphasize the notion of gliopathies to help readdress, if not bury, the term “neuroinflammation” as it stands in the way of scientific progress.
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spelling doaj.art-a4554c22c8fa4c1eaa55e88f7ca63eec2023-08-31T05:03:21ZengSAGE PublishingASN Neuro1759-09142023-08-011510.1177/17590914231197523Neuroinflammation: The Abused ConceptElena Galea0Manuel B. Graeber1 ICREA, Barcelona, Spain Faculty of Medicine and Health, Brain and Mind Centre, , Camperdown, AustraliaScientific progress requires the relentless correction of errors and refinement of hypotheses. Clarity of terminology is essential for clarity of thought and proper experimental interrogation of nature. Therefore, the application of the same scientific term to different and even conflicting phenomena and concepts is not useful and must be corrected. Such abuse of terminology has happened and is still increasing in the case of “neuroinflammation,” a term that until the 1990s meant classical inflammation affecting the central nervous system (CNS) and thereon was progressively used to mostly denote microglia activation. The resulting confusion is very wasteful and detrimental not only for scientists but also for patients, given the numerous failed clinical trials in acute and chronic CNS diseases over the last decade with “anti-inflammatory” drugs. Despite this failure, reassessments of the “neuroinflammation” concept are rare, especially considering the number of articles still using the term. This undesirable situation motivates this article. We review the origins and evolution of the term “neuroinflammation,” discuss the unique tissue defense and repair strategies in the CNS, define CNS immunity, and emphasize the notion of gliopathies to help readdress, if not bury, the term “neuroinflammation” as it stands in the way of scientific progress.https://doi.org/10.1177/17590914231197523
spellingShingle Elena Galea
Manuel B. Graeber
Neuroinflammation: The Abused Concept
ASN Neuro
title Neuroinflammation: The Abused Concept
title_full Neuroinflammation: The Abused Concept
title_fullStr Neuroinflammation: The Abused Concept
title_full_unstemmed Neuroinflammation: The Abused Concept
title_short Neuroinflammation: The Abused Concept
title_sort neuroinflammation the abused concept
url https://doi.org/10.1177/17590914231197523
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