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Bridging the gap of vision restoration. 弥合视力恢复的差距。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1502473
Maya Carleton, Nicholas W Oesch

Retinitis pigmentosa (RP) and Age-Related Macular Degeneration (AMD) are similar in that both result in photoreceptor degeneration leading to permanent progressive vision loss. This affords the possibility of implementing vision restoration techniques, where light signaling is restored to spared retinal circuitry to recreate vision. There are far more AMD patients (Wong et al., 2014), yet more resources have been put towards researching and developing vision restoration strategies for RP despite it rarity, because of the tractability of RP disease models. The hope is that these therapies will extend to the AMD population, however, many questions remain about how the implementation of prosthetic or optogenetic vision restoration technologies will translate between RP and AMD patients. In this review, we discuss the difference and similarities of RP and AMD with a focus on aspects expected to impact vision restoration strategies, and we identify key gaps in knowledge needed to further improve vision restoration technologies for a broad patient population.

视网膜色素变性(RP)和年龄相关性黄斑变性(AMD)的相似之处在于,两者都导致光感受器变性,导致永久性进行性视力丧失。这提供了实现视觉恢复技术的可能性,其中光信号被恢复到空闲的视网膜回路以重建视觉。AMD患者要多得多(Wong et al., 2014),然而由于RP疾病模型的可追溯性,更多的资源被投入到RP的视力恢复策略的研究和开发中,尽管它很少见。希望这些疗法将扩展到AMD人群,然而,许多问题仍然存在,关于假体或光遗传视力恢复技术的实施将如何在RP和AMD患者之间转化。在这篇综述中,我们讨论了RP和AMD的异同,重点讨论了影响视力恢复策略的方面,并确定了进一步提高广大患者视力恢复技术所需的关键知识差距。
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引用次数: 0
MAM-mediated mitophagy and endoplasmic reticulum stress: the hidden regulators of ischemic stroke. mam介导的线粒体自噬和内质网应激:缺血性脑卒中的隐性调节因子。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1470144
Ziyi Jia, Hongtao Li, Ke Xu, Ruobing Li, Siyu Yang, Long Chen, Qianwen Zhang, Shulin Li, Xiaowei Sun

Ischemic stroke (IS) is the predominant subtype of stroke and a leading contributor to global mortality. The mitochondrial-associated endoplasmic reticulum membrane (MAM) is a specialized region that facilitates communication between the endoplasmic reticulum and mitochondria, and has been extensively investigated in the context of neurodegenerative diseases. Nevertheless, its precise involvement in IS remains elusive. This literature review elucidates the intricate involvement of MAM in mitophagy and endoplasmic reticulum stress during IS. PINK1, FUNDC1, Beclin1, and Mfn2 are highly concentrated in the MAM and play a crucial role in regulating mitochondrial autophagy. GRP78, IRE1, PERK, and Sig-1R participate in the unfolded protein response (UPR) within the MAM, regulating endoplasmic reticulum stress during IS. Hence, the diverse molecules on MAM operate independently and interact with each other, collectively contributing to the pathogenesis of IS as the covert orchestrator.

缺血性卒中(IS)是卒中的主要亚型,也是全球死亡的主要原因。线粒体相关内质网膜(MAM)是一个促进内质网和线粒体之间通信的特殊区域,在神经退行性疾病的背景下被广泛研究。然而,它与伊斯兰国的确切关系仍然难以捉摸。这篇文献综述阐明了MAM在IS过程中与线粒体自噬和内质网应激的复杂关系。PINK1、FUNDC1、Beclin1和Mfn2高度集中于MAM,在调节线粒体自噬中起着至关重要的作用。GRP78, IRE1, PERK和Sig-1R参与MAM内的未折叠蛋白反应(UPR),调节IS期间的内质网应激。因此,MAM上的不同分子独立运作并相互作用,共同促进了IS作为隐蔽协调者的发病机制。
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引用次数: 0
Regulation of CeA-Vme projection in masseter hyperactivity caused by restraint stress. 约束应激致咬肌过动时CeA-Vme投射的调节。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1509020
Ya-Juan Zhao, Ji Chen, Yang Liu, Lv-La Pan, Yan-Xia Guo, Zhou-Ming Zhang, Qiang Li, Yong-Jin Chen

The overactivity of the masticatory muscles (bruxism or teeth clenching) is associated with stress exposure, and often leading to consistent muscle pain. However, the neural mechanism underlining it is not fully understood. The central amygdala (CeA), which is linked to stress-induced behaviors and physical reactions, projects directly to the mesencephalic trigeminal nucleus (Vme), which is crucial for oral-motor coordination. Thus, we hypothesized that the projections from the CeA to the Vme could be linked to stress-induced anxiety and overactivity of the jaw muscles. After establishing an animal model of restraint stress, we found that chronic stress could lead to noticeable anxiety-related behavior, increased masseter muscle activity, activation of GABAergic neurons in the CeA, and opposite changes in the excitability of multipolar GABAergic interneurons and pseudounipolar excitatory neurons in the Vme. Subsequently, through the utilization of anterograde and transsynaptic tracing in conjunction with immunofluorescence staining, we discovered that the neural projections from the CeA to the Vme were mainly GABAergic and that the projections from the CeA terminated on GABAergic interneurons within the Vme. Moreover, chemogenetically suppressing the function of GABAergic neurons in the CeA could effectively reduce anxiety levels and reverse the increase in the activity of the masseter muscles induced by stress. And, specifically inhibiting GABAergic projections from the CeA to the Vme via optogenetics could reduce the hyperactivity of the masseter muscles but not stress-induced anxiety. In conclusion, our findings indicate that GABAergic projections from the CeA to the Vme may play an important role in the masseter overactivity in response to chronic stress.

咀嚼肌肉的过度活动(磨牙或咬牙)与压力暴露有关,并经常导致持续的肌肉疼痛。然而,其背后的神经机制尚不完全清楚。中央杏仁核(CeA)与压力诱发的行为和身体反应有关,它直接投射到中脑三叉神经核(Vme),而中脑三叉神经核对口腔运动协调至关重要。因此,我们假设从CeA到Vme的投影可能与压力引起的焦虑和下颌肌肉的过度活动有关。通过建立约束应激动物模型,我们发现慢性应激可导致明显的焦虑相关行为,咬肌活动增加,CeA中gabaergy神经元激活,而Vme中多极gabaergy中间神经元和伪单极兴奋神经元的兴奋性发生相反的变化。随后,通过顺行和跨突触示踪结合免疫荧光染色,我们发现从CeA到Vme的神经投射主要是gaba能的,并且CeA的投射终止于Vme内gaba能的中间神经元。此外,从化学上抑制CeA中gaba能神经元的功能可以有效降低焦虑水平,逆转咬肌因压力引起的活动增加。并且,通过光遗传学特异性地抑制从CeA到Vme的gaba能投射可以减少咬肌的过度活跃,但不能减少压力引起的焦虑。总之,我们的研究结果表明,从CeA到Vme的gaba能投射可能在慢性应激下咬肌过度活动中起重要作用。
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引用次数: 0
Loss of Cdc42 causes abnormal optic cup morphogenesis and microphthalmia in mouse. Cdc42缺失导致小鼠视杯形态发生异常和小眼症。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-20 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1474010
Katrina S Hofstetter, Paula M Haas, Jonathon P Kuntz, Yi Zheng, Sabine Fuhrmann

Congenital ocular malformations originate from defective morphogenesis during early eye development and cause 25% of childhood blindness. Formation of the eye is a multi-step, dynamic process; it involves evagination of the optic vesicle, followed by distal and ventral invagination, leading to the formation of a two-layered optic cup with a transient optic fissure. These tissue folding events require extensive changes in cell shape and tissue growth mediated by cytoskeleton mechanics and intercellular adhesion. We hypothesized that the Rho GTPase Cdc42 may be an essential, convergent effector downstream of key regulatory factors required for ocular morphogenesis. CDC42 controls actin remodeling, apicobasal polarity, and junction assembly. Here we identify a novel essential function for Cdc42 during eye morphogenesis in mouse; in Cdc42 mutant eyes expansion of the ventral optic cup is arrested, resulting in microphthalmia and a wide coloboma. Our analyses show that Cdc42 is required for expression of the polarity effector proteins PRKCZ and PARD6, intercellular junction protein tight junction protein 1, β-catenin, actin cytoskeleton F-actin, and contractile protein phospho myosin light chain 2. Expression of RPE fate determinants OTX2 and MITF, and formation of the RPE layer are severely affected in the temporal domain of the proximal optic cup. EdU incorporation is significantly downregulated. In addition, mitotic retinal progenitor cells mislocalize deeper, basal regions, likely contributing to decreased proliferation. We propose that morphogenesis of the ventral optic cup requires Cdc42 function for coordinated optic cup expansion and establishment of subretinal space, tissue tension, and differentiation of the ventral RPE layer.

先天性眼畸形起源于早期眼睛发育过程中形态发生的缺陷,导致25%的儿童失明。眼睛的形成是一个多步骤的动态过程;它涉及视神经囊泡外翻,随后是远端和腹侧内陷,导致形成两层视神经杯伴暂时性视神经裂。这些组织折叠事件需要在细胞骨架力学和细胞间粘附介导的细胞形状和组织生长的广泛变化。我们假设Rho GTPase Cdc42可能是眼形态发生所需的关键调节因子下游的重要趋同效应因子。CDC42控制肌动蛋白重塑、端基极性和连接组装。在这里,我们确定了Cdc42在小鼠眼睛形态发生过程中的一个新的基本功能;在Cdc42突变眼中,腹侧视杯的扩张被阻止,导致小眼和大面积结肠。我们的分析表明,Cdc42是极性效应蛋白PRKCZ和PARD6、细胞间连接蛋白紧密连接蛋白1、β-catenin、肌动蛋白细胞骨架f -肌动蛋白和收缩蛋白磷酸肌球蛋白轻链2的表达所必需的。近端视杯颞区RPE命运决定因子OTX2和MITF的表达以及RPE层的形成受到严重影响。EdU的合并被显著下调。此外,有丝分裂的视网膜祖细胞错定位于较深的基底区域,可能导致增殖减少。我们认为腹侧视杯的形态发生需要Cdc42的功能来协调视杯的扩张和视网膜下空间的建立、组织张力和腹侧RPE层的分化。
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引用次数: 0
The clinical perspective of circular RNAs in neurodegenerative diseases: potential diagnostic tools and therapeutic targets. 环状rna在神经退行性疾病中的临床应用前景:潜在的诊断工具和治疗靶点。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1470641
Xin'ai Li, Peng Wang, Shuo Qi, Jingwei Zhou, Jeremiah Amalraj, Junhui Wang, Zhiguo Ding

Neurodegenerative diseases (NDDs) mostly occur in older demographics. With the average lifespan increasing over time, NDDs are becoming one of the major adverse factors affecting human health and the quality of life. Currently, there are no specific diagnostic methods for NDDs and they are usually diagnosed based on nonspecific clinical symptoms and occasionally by biomarkers, such as β-amyloid (Aβ) for Alzheimer's disease (AD) and a-synuclein (α-syn) for Parkinson's disease, etc. However, it is usually too late for most treatment to startr when the aforementioned criteria become detectable. Circular RNAs (circRNAs) are a type of single-stranded, covalently closed, non-coding RNAs that lack a 5' cap structure and 3' terminal poly-A tail. According to recent research, circRNAs may play a crucial role for the onset and progression of some NDDs. These small RNAs may be potential diagnostic and prognostic markers and therapeutic targets for these diseases. This review will provide a comprehensive overview of the recent advancements of knowledge on the functions and the possible underlying mechanism of circRNAs in the pathogenesis and treatment of NDDs.

神经退行性疾病(ndd)多发生在老年人中。随着人类平均寿命的延长,ndd正在成为影响人类健康和生活质量的主要不利因素之一。目前,ndd没有特异性的诊断方法,通常根据非特异性的临床症状进行诊断,偶尔也会通过生物标志物进行诊断,如阿尔茨海默病(AD)的β-淀粉样蛋白(Aβ)和帕金森病的α-突触核蛋白(α-syn)等。然而,当上述标准被检测到时,大多数治疗通常为时已晚。环状rna (circRNAs)是一种单链、共价封闭的非编码rna,缺乏5‘帽结构和3’端poly-A尾部。根据最近的研究,circrna可能在一些ndd的发生和发展中起着至关重要的作用。这些小rna可能是这些疾病的潜在诊断和预后标志物和治疗靶点。本文将全面综述circrna在ndd发病和治疗中的功能和可能的潜在机制方面的最新进展。
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引用次数: 0
Maintenance of a central high frequency synapse in the absence of synaptic activity. 在缺乏突触活动的情况下,中枢高频突触的维持。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1404206
Sascha Lessle, Lena Ebbers, Yvette Dörflinger, Simone Hoppe, Michaela Kaiser, Hans Gerd Nothwang, Christoph Körber

Activity has long been considered essential for circuit formation and maintenance. This view has recently been challenged by proper synaptogenesis and only mildly affected synapse maintenance in the absence of synaptic activity in forebrain neurons. Here, we investigated whether synaptic activity is necessary for the development and maintenance of the calyx of Held synapse. This giant synapse located in the auditory brainstem is highly specialized to maintain high frequency, high-fidelity synaptic transmission for prolonged times and thus shows particularly high synaptic activity. We expressed the protease tetanus toxin light chain (TeNT) exclusively in bushy cells of the ventral cochlear nucleus (VCN) of juvenile mice. Since globular bushy cells give rise to the calyx of Held, expression of TeNT in these cells specifically abolished synaptic transmission at the calyx without impairing general functionality of the central auditory system. Calyces lacked synaptic activity after two weeks of TeNT expression. However, this did not lead to major changes in presynaptic morphology, the number of active zones (AZs) or the composition of postsynaptic AMPA-type glutamate receptors (GluAs). Moreover, the fenestration of the calyx of Held, a hallmark of structural maturation, occurred normally. We thus show that the maintenance of a specialized high frequency synapse in the auditory brainstem occurs in a hardwired, probably genetically encoded, manner with little dependence on synaptic activity.

长期以来,活动被认为是电路形成和维护的必要条件。这一观点最近受到了适当的突触发生和仅轻度影响突触维持在缺乏突触活动的前脑神经元的挑战。在这里,我们研究了突触活动是否对Held突触花萼的发育和维持是必要的。这个巨大的突触位于听脑干,它是高度专门化的,可以长时间维持高频率、高保真的突触传递,因此显示出特别高的突触活性。我们在幼鼠耳蜗腹侧核(VCN)浓密细胞中特异性表达了蛋白酶破伤风毒素轻链(TeNT)。由于球状丛状细胞产生Held的花萼,这些细胞中TeNT的表达特异性地消除了花萼的突触传递,而不损害中枢听觉系统的一般功能。表达TeNT两周后,花萼缺乏突触活性。然而,这并没有导致突触前形态、活跃区(AZs)数量或突触后ampa型谷氨酸受体(GluAs)组成的重大变化。此外,花萼开孔正常发生,这是结构成熟的标志。因此,我们表明,听觉脑干中一个特殊的高频突触的维持以一种固定的、可能是遗传编码的方式发生,很少依赖于突触活动。
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引用次数: 0
Time-dependent phenotypical changes of microglia drive alterations in hippocampal synaptic transmission in acute slices. 急性切片中小胶质细胞驱动海马突触传递改变的时间依赖性表型变化。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1456974
Laura Ferrucci, Bernadette Basilico, Ingrid Reverte, Francesca Pagani, Giorgia Scaringi, Federica Cordella, Barbara Cortese, Gaia De Propris, Andrea Galeone, Letizia Mazzarella, Alessandro Mormino, Stefano Garofalo, Azka Khan, Valeria De Turris, Valentina Ferretti, Paola Bezzi, Cornelius Gross, Daniele Caprioli, Cristina Limatola, Silvia Di Angelantonio, Davide Ragozzino

It is widely acknowledged that microglia actively regulate synaptic function in the brain. Remarkably, much of our understanding regarding the role of microglia in synaptic regulation is derived from studies in acute brain slices. However, it is still uncertain to what extent the preparation and maintenance of acute slices can influence microglial function and whether microglial changes may affect synaptic transmission. In this study, we examined the impact of acute slice resting time on hippocampal CA1 microglia, by assessing morphological and functional parameters at two distinct time intervals. We report that after 4 h from slicing microglia undergo morphological, functional, and transcriptional changes, including a decrease in the number of branches and in their movement speed. Furthermore, microglia acquire a reactive phenotype, characterized by increased amplitude of outward rectifying K+ currents, increased expression of the pro-inflammatory cytokine Tnfα and altered expression of the microglial receptors Cx3cr1 and P2y12r. We also examined time-dependent changes of excitatory synaptic transmission in CA1 pyramidal neurons from acute hippocampal slices, reporting time-dependent decrease in both amplitude and frequency of postsynaptic currents (sEPSCs), along with a decrease in spine density. Noticeably, sEPSCs amplitude decrease was absent in slices prepared from PLX5622 microglia-depleted mice, suggesting that this time-dependent effect on synaptic transmission is microglia-dependent. Our findings highlight possible causal relation between microglia phenotypic changes in the hours following slice preparation and concomitant synaptic changes, pointing to the mechanisms of acute synaptic modulation, whose understanding is crucial for unraveling microglia-neurons interplay in nature. Furthermore, they emphasize the potential issues associated with experimental time windows in ex vivo samples.

小胶质细胞积极调节脑内突触功能已被广泛认识。值得注意的是,我们对小胶质细胞在突触调节中的作用的理解大多来自急性脑切片的研究。然而,急性切片的制备和维持在多大程度上影响小胶质细胞的功能,以及小胶质细胞的改变是否会影响突触传递,目前尚不清楚。在这项研究中,我们通过在两个不同的时间间隔评估形态学和功能参数,研究了急性切片休息时间对海马CA1小胶质细胞的影响。我们报道,在切片4小时后,小胶质细胞发生形态、功能和转录变化,包括分支数量减少和运动速度减慢。此外,小胶质细胞获得反应性表型,其特征是向外校正K+电流的振幅增加,促炎细胞因子Tnfα的表达增加,小胶质细胞受体Cx3cr1和P2y12r的表达改变。我们还研究了急性海马切片CA1锥体神经元兴奋性突触传递的时间依赖性变化,报告了突触后电流(sEPSCs)的振幅和频率的时间依赖性降低,以及脊柱密度的降低。值得注意的是,在PLX5622小胶质细胞缺失小鼠制备的切片中没有sEPSCs振幅下降,这表明这种对突触传递的时间依赖性作用是小胶质细胞依赖性的。我们的研究结果强调了在切片制备后数小时内小胶质细胞表型变化与伴随的突触变化之间可能存在的因果关系,指出了急性突触调节的机制,这对于揭示小胶质细胞与神经元在自然界中的相互作用至关重要。此外,他们强调了在离体样品中与实验时间窗相关的潜在问题。
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引用次数: 0
Corrigendum: Organotypic culture of neonatal murine inner ear explants. 勘误:新生鼠内耳外植体的器官型培养。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-14 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1512599
Jacqueline M Ogier, Rachel A Burt, Hannah R Drury, Rebecca Lim, Bryony A Nayagam

[This corrects the article DOI: 10.3389/fncel.2019.00170.].

[这更正了文章DOI: 10.3389/fncel.2019.00170.]。
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引用次数: 0
Neuroinflammation modifies the relationship between stress and perivascular spaces in an elderly population with different levels of cognitive impairment. 神经炎症改变了不同程度认知障碍老年人压力与血管周围空间之间的关系。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-13 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1480405
Francesca Sibilia, Nasim Sheikh-Bahaei, Wendy J Mack, Giuseppe Barisano, Jeiran Choupan

Background: Perivascular spaces (PVS) are fluid-filled spaces surrounding the brain parenchymal vasculature. Literature suggests that PVS may play a significant role in aging and neurological disorders, including Alzheimer's disease (AD). The aim of this study is to investigate whether the relationship between MRI-visible PVS and stress is influenced by neuroinflammation in an elderly population with different levels of cognitive impairment.

Methods: Using brain MRI scans acquired at 1.5 T, PVS were quantified in a cohort of 461 individuals, consisting of cognitively healthy controls (n = 48), people with mild cognitive impairment (MCI, n = 322) and Alzheimer's disease (AD, n = 91). PVS volume fraction was calculated in the basal ganglia and centrum semiovale using a semi-automated segmentation approach. Stress was quantified with levels of salivary cortisol. Inflammatory biomarkers measured from plasma included cytokines, matrix metalloproteinases and C-reactive protein. General linear models were used to test the relationship between PVS and cortisol, when interacting with inflammatory markers. This was done on the whole cohort and within each clinical cognitive group.

Results: In the centrum semiovale, higher inflammation levels reduced the relationship of cortisol with PVS. In basal ganglia, higher levels of C-reactive protein reduced the negative relationship of cortisol with PVS. All analyses were accounted for age, sex, body mass index (BMI) and total hippocampal volume. There was a significant interaction effect between cortisol and C-reactive protein on PVS volume fraction in the MCI group.

Discussion: These findings suggest an influence of neuroinflammation on the PVS structure in Alzheimer's disease spectrum, and offer insight for better understanding physiological processes of cognitive impairment onset.

背景:血管周围间隙(PVS)是围绕脑实质血管的充满液体的间隙。文献表明,PVS可能在衰老和包括阿尔茨海默病(AD)在内的神经系统疾病中发挥重要作用。本研究旨在探讨mri可见PVS与应激之间的关系是否受到不同程度认知障碍老年人神经炎症的影响。方法:利用1.5 T时获得的脑MRI扫描,对461名个体的PVS进行量化,其中包括认知健康对照组(n = 48)、轻度认知障碍患者(n = 322)和阿尔茨海默病患者(n = 91)。采用半自动化分割方法计算基底节和半瓣中央的PVS体积分数。通过唾液皮质醇水平来量化压力。血浆炎症生物标志物包括细胞因子、基质金属蛋白酶和c反应蛋白。使用一般线性模型来测试PVS与皮质醇之间的关系,当与炎症标志物相互作用时。这是在整个队列和每个临床认知组中进行的。结果:在半膈中央,较高的炎症水平降低了皮质醇与PVS的关系。在基底节区,较高水平的c反应蛋白降低了皮质醇与PVS的负相关关系。所有的分析都考虑了年龄、性别、身体质量指数(BMI)和海马总体积。皮质醇和c反应蛋白对MCI组PVS体积分数有显著的交互作用。讨论:这些发现提示了神经炎症对阿尔茨海默病谱系中PVS结构的影响,并为更好地理解认知障碍发病的生理过程提供了见解。
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引用次数: 0
Transcriptome analyses reveal molecular mechanisms of novel compound heterozygous ACO2 variants causing infantile cerebellar retinal degeneration. 转录组分析揭示了导致小脑视网膜变性的新型复合杂合ACO2变体的分子机制。
IF 4.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-12 eCollection Date: 2024-01-01 DOI: 10.3389/fncel.2024.1492048
Wenke Yang, Shuyue Wang, Ke Yang, Yanjun Li, Zhenglong Guo, Jianmei Huang, Jinming Wang, Shixiu Liao

Background and purpose: Infantile cerebellar retinal degeneration (ICRD) (OMIM #614559) is a rare autosomal recessive inherited disease associated with mutations in the aconitase 2 (ACO2) gene. We report a Chinese girl with novel compound heterozygous variants in ACO2, who presented at 7 months of age with psychomotor retardation, truncal hypotonia, and ophthalmologic abnormalities. This study aims to investigate the potential molecular mechanisms underlying ACO2 deficiency-induced neuropathy.

Methods: Whole exome sequencing was performed on family members to screen for potential pathogenic mutations, followed by Sanger sequencing for validation. Mitochondrial aconitase activity and mitochondrial DNA (mtDNA) copy number were measured using an aconitase activity detection kit and quantitative PCR, respectively. Transcriptome expression profiles from patient cells, and cerebellar and retinal organoids retrieved from the GEO database were integrated. Functional enrichment analysis and protein-protein interaction networks were used to identify key molecules, and their expression levels were validated using Western blot analysis.

Results: Genetic testing revealed novel compound heterozygous variations in the proband's ACO2 gene (NM:001098), including c.854A>G (p.Asn285Ser) and c.1183C>T (p.Arg395Cys). Predictive analysis of the tertiary structure of the ACO2 protein suggests that both p.Asn285Ser and p.Arg395Cys affect the binding ability of ACO2 to ligands. The mitochondrial aconitase activity and mtDNA copy number in the proband's leukocytes were significantly reduced. Transcriptomic data analysis identified 80 key candidate genes involved in ACO2-related neuropathy. Among these, LRP8 and ANK3, whose gene expression levels were significantly positively correlated with ACO2, were further validated by Western blot analysis.

Conclusions: This study expands the spectrum of pathogenic ACO2 variants, elucidates the potential molecular mechanisms underlying ACO2-related neuropathy, provides in-depth support for the pathogenicity of ACO2 genetic variations, and offers new insights into the pathogenesis of ICRD.

背景和目的:幼年小脑视网膜变性(ICRD)(OMIM #614559)是一种罕见的常染色体隐性遗传病,与aconitase 2(ACO2)基因突变有关。我们报告了一名患有新型 ACO2 复合杂合子变异的中国女童,她在 7 个月大时出现精神运动发育迟缓、躯干肌张力低下和眼科异常。本研究旨在探讨 ACO2 缺乏症诱发神经病变的潜在分子机制:方法:对家族成员进行全外显子组测序,筛查潜在的致病突变,然后进行桑格测序验证。线粒体丙酮酸酶活性和线粒体DNA(mtDNA)拷贝数分别通过丙酮酸酶活性检测试剂盒和定量PCR进行测定。整合了从 GEO 数据库检索到的患者细胞、小脑和视网膜器官组织的转录组表达谱。利用功能富集分析和蛋白-蛋白相互作用网络确定关键分子,并通过Western印迹分析验证其表达水平:结果:基因检测发现了该患者 ACO2 基因(NM:001098)中的新型复合杂合变异,包括 c.854A>G(p.Asn285Ser)和 c.1183C>T(p.Arg395Cys)。对 ACO2 蛋白三级结构的预测分析表明,p.Asn285Ser 和 p.Arg395Cys 都会影响 ACO2 与配体的结合能力。该患者白细胞中的线粒体丙酮酸酶活性和mtDNA拷贝数明显降低。转录组数据分析确定了 80 个参与 ACO2 相关神经病变的关键候选基因。其中,LRP8和ANK3的基因表达水平与ACO2呈显著正相关,并通过Western印迹分析得到进一步验证:该研究拓展了ACO2变异的致病范围,阐明了ACO2相关神经病变的潜在分子机制,为ACO2基因变异的致病性提供了深入的支持,并为ICRD的发病机制提供了新的见解。
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Frontiers in Cellular Neuroscience
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