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Alzheimer's disease: where do we stand now and what are the strategic interventions? 阿尔茨海默病:我们现在的情况是什么,有什么战略干预措施?
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1655342
Andrea González, Stephanie Geywitz, Ricardo B Maccioni

Alzheimer's disease (AD) is a multifactorial neurodegenerative disease, the primary cause of dementia in people over 65 years old. AD is characterized by two molecular hallmarks, the intracellular neurofibrillary tangles of tau and amyloid beta oligomers, which are aggregates of hyperphosphorylated tau and amyloid beta peptides, respectively. These hallmarks gave rise to the two main theories that have opened the way for available treatments, such as FDA-approved memantine, and Aβ (aducanumab, lecanemab) and tau immunotherapies. Tau immunotherapy, especially multitarget approaches, has been recently proven effective. However, drugs against amyloid plaques had a non-successful outcome, despite their contributions to AD knowledge. An innovative approach comes from the multitarget concept, based on bioactive molecules and nutraceuticals. Interestingly, the use of early detection biomarkers such as Alz-Tau®, SIMOA®, and the recent Lumipulse™ test, are an important support to orient AD therapies based on the modifications of the styles of life. This includes physical exercise, a healthy diet, mindfulness, and cognitive stimulation, among others. All of the above analyses are critical to switch the focus to the prevention of AD.

阿尔茨海默病(AD)是一种多因素神经退行性疾病,是65岁以上人群痴呆的主要原因。AD具有两个分子特征,即细胞内tau和β淀粉样蛋白低聚物的神经原纤维缠结,它们分别是过度磷酸化的tau和β淀粉样蛋白肽的聚集体。这些标志产生了两种主要理论,为现有的治疗方法开辟了道路,例如fda批准的美金刚,以及Aβ (aducanumab, lecanemab)和tau免疫疗法。Tau免疫治疗,特别是多靶点方法,最近被证明是有效的。然而,抗淀粉样斑块的药物结果并不成功,尽管它们对阿尔茨海默病的认识有所贡献。一种创新的方法来自于基于生物活性分子和营养药品的多靶点概念。有趣的是,使用早期检测生物标志物,如Alz-Tau®,SIMOA®和最近的Lumipulse™测试,是基于生活方式改变来定位AD治疗的重要支持。这包括体育锻炼、健康饮食、正念和认知刺激等。上述所有分析对于将重点转向AD的预防至关重要。
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引用次数: 0
Schwann cells in the inner ear: development, disease, and regeneration. 内耳雪旺细胞:发育、疾病和再生。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1662274
Drew J Montigny, Judith S Kempfle

Schwann cells are classically known as the constituent supporting cells of the peripheral nervous system. Beyond the scope of merely myelinating axons of the more saliently known neurons, Schwann cells comprise the majority of peripheral nervous system tissue. Through the lens of the inner ear, additional properties of Schwann cells are becoming elucidated. Therein, the process of myelin formation in development is more aptly understood as a homeostatic oscillation of differentiation status. Perpetual interaction between neural and non-neural cells of the inner ear maintains an intricate balance of guidance, growth, and maturation during development. In disease, aberration to Schwann cell myelination contributes to sensorineural hearing loss in conditions such as Guillain-Barre Syndrome and Charcot-Marie-Tooth disease, and tumorigenic over proliferation of Schwann cells defines vestibular schwannomas seen in neurofibromatosis type 2. Schwann cells demonstrate plasticity during oscillations between differentiation and dedifferentiation, a property that is now being leveraged in efforts to regenerate lost neurons. Emerging strategies of reprogramming, small molecule modulation, and gene therapy suggest that Schwann cells could serve as progenitor cells for regenerated neurons. Understanding the duality of Schwann cells in pathology and repair could transform the approach to treating sensorineural hearing loss.

雪旺细胞通常被认为是周围神经系统的主要支持细胞。除了仅仅是髓鞘轴突的范围外,雪旺细胞包括大部分周围神经系统组织。通过内耳的晶状体,雪旺细胞的其他特性正在被阐明。因此,髓磷脂形成的过程在发育过程中被更恰当地理解为分化状态的稳态振荡。内耳神经细胞和非神经细胞之间的持续相互作用维持了发育过程中指导、生长和成熟的复杂平衡。在疾病中,雪旺细胞髓鞘形成的异常导致格林-巴利综合征和沙科-玛丽-图斯病等病症的感音神经性听力丧失,2型神经纤维瘤病中雪旺细胞的致瘤性过度增殖定义了前庭神经鞘瘤。雪旺细胞在分化和去分化之间的振荡过程中表现出可塑性,这一特性现在正被用于再生失去的神经元。新出现的重编程、小分子调节和基因治疗策略表明,雪旺细胞可以作为再生神经元的祖细胞。了解雪旺细胞在病理和修复中的双重性可以改变治疗感音神经性听力损失的方法。
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引用次数: 0
A customized affordable multiplexed immunofluorescence method visualizes early changes in the mouse brain microenvironment upon laser cytoreduction. 一种定制的负担得起的多路免疫荧光方法可视化激光细胞减少后小鼠脑微环境的早期变化。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-08 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1553058
Santhosh Shanmugam Anandhan, Jeremy Spence, Farhana Begum, Nimrat Kaur, Dana Henderson, Sabine Hombach-Klonisch, Thomas Klonisch

Introduction: Multiplex immunofluorescence (mIF) utilizes distinct fluorophore-conjugated antibodies to enable the simultaneous visualization and quantification of multiple protein targets within a single tissue section. mIF allows high-resolution spatial mapping of cellular phenotypes within the native tissue microenvironment (TME). mIF facilitates the comprehensive analysis of complex biological systems, such as brain tumors, immune cell infiltration, and tissue heterogeneity. Laser interstitial thermal therapy (LITT) is a minimally invasive, hyperthermia-based laser cytoreductive method for the treatment of surgically inaccessible brain tumors, treatment-resistant epilepsy, and radiation necrosis. Laser-induced heat causes tissue damage, vascular leakage, and the appearance of heat-induced neo-antigens. There is an urgent clinical need to understand the elusive immunomodulatory roles of LITT in the brain TME. We describe a versatile, affordable, and customizable mIF method for the spatial imaging of multiple early tissue responses in post-LITT mouse brain.

Methods: We have developed a customizable and affordable mIF protocol that uses standard histological and microscopy equipment to assess TME changes in formalin-fixed paraffin-embedded (FFPE) mouse brain tissue sections. We combined mIF with a laser cytoreduction workflow that uses MRI to monitor laser-induced tissue damage in post-LITT normal and tumor murine brains. Multiplex IF on individual tissue sections enabled the simultaneous spatial image analysis of multiple cellular and molecular immunotargets, including resident brain cell responses and immune cell infiltration, as exemplified with a mouse brain TME on Day 10 post-LITT.

Results: We combined our mIF imaging procedure with in-vivo targeted laser-induced hyperthermic brain tissue ablation on FFPE mouse brain sections on Day 10 post-LITT. This enabled the spatial visualization of activation states of resident brain cells and the emergence and distribution of diverse phagocytic immune cell populations at the post-LITT site.

Conclusion: Multiplex IF on mouse models of laser cytoablation treatment in non-tumor and tumor brains offers a significant advancement by aiding in our understanding of repair and immune responses in post-LITT brains. Our customizable mIF protocol is cost-effective and simultaneously investigates the spatial distribution of multiple immune cell populations and the activation states of different resident brain cells in the post-LITT brain.

多重免疫荧光(mIF)利用不同的荧光基团偶联抗体,能够在单个组织切片内同时可视化和定量多个蛋白质目标。mIF允许对原生组织微环境(TME)内的细胞表型进行高分辨率空间映射。mIF促进了对复杂生物系统的综合分析,如脑肿瘤、免疫细胞浸润和组织异质性。激光间质热疗法(LITT)是一种微创、基于高温的激光细胞减少方法,用于治疗手术无法治疗的脑肿瘤、治疗抵抗性癫痫和放射性坏死。激光诱导的热导致组织损伤、血管渗漏和热诱导新抗原的出现。临床迫切需要了解LITT在脑TME中难以捉摸的免疫调节作用。我们描述了一种多功能的、可负担的、可定制的mIF方法,用于litt后小鼠大脑多种早期组织反应的空间成像。方法:我们开发了一种可定制且价格合理的mIF方案,该方案使用标准组织学和显微镜设备来评估福尔马林固定石蜡包埋(FFPE)小鼠脑组织切片的TME变化。我们将mIF与激光细胞减少工作流程相结合,使用MRI来监测litt后正常和肿瘤小鼠大脑中激光诱导的组织损伤。单个组织切片上的多重IF可以同时对多个细胞和分子免疫靶点进行空间图像分析,包括常驻脑细胞反应和免疫细胞浸润,如litt后第10天的小鼠脑TME。结果:我们在litt后第10天对FFPE小鼠脑切片进行了mIF成像程序和体内靶向激光诱导的脑组织热消融。这使得驻留脑细胞的激活状态和不同的吞噬免疫细胞群在litt后部位的出现和分布的空间可视化。结论:在非肿瘤和肿瘤脑激光细胞消融治疗的小鼠模型上使用多重IF,有助于我们理解litt后大脑的修复和免疫反应。我们可定制的mIF方案具有成本效益,同时研究了litt后大脑中多种免疫细胞群的空间分布和不同驻留脑细胞的激活状态。
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引用次数: 0
Growth hormone reduces retinal inflammation and preserves microglial morphology after optic nerve crush in male rats. 雄性大鼠视神经挤压后,生长激素可减少视网膜炎症并保留小胶质细胞形态。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-05 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1636399
Jerusa E Balderas-Márquez, David Epardo, Lourdes Siqueiros-Márquez, Martha Carranza, Maricela Luna, José Luis Quintanar, Carlos Arámburo, Carlos G Martínez-Moreno

Introduction: This study investigates the neuroprotective role of growth hormone (GH) in modulating retinal inflammation and microglial responses following optic nerve crush (ONC) in male rats.

Methods: Retinal inflammation and microglial activation were assessed at 24 h and 14 days post-ONC, with or without GH treatment (0.5 mg/kg, subcutaneously, every 12 h). Gene and protein expression of inflammatory markers (e.g., IL-6, TNFα, Iba1, CD86, CD206) were evaluated using qPCR, ELISA, and Western blotting. Microglial morphology was quantified using skeleton and fractal analysis of Iba1-stained retinal sections. Retinal structure and function were assessed via fundus imaging and optomotor reflex testing.

Results: ONC induced significant increases in proinflammatory cytokines (IL-6, TNFα, IL-18) and microglial activation, characterized by reduced branching complexity and increased cell density. GH treatment significantly decreased proinflammatory cytokine levels, modulated microglial phenotype (CD86/CD206 expression), and preserved microglial morphology in the retina. Using the SIM-A9 microglial cell line, we further demonstrated that GH reduces NFκB pathway activation and suppresses LPS-induced proinflammatory cytokine production. At 14 days post-injury, GH-treated retinas exhibited reduced optic nerve size and improved optomotor responses, indicating both structural neuroprotection and functional recovery.

Discussion: Overall, GH mitigates ONC-induced retinal inflammation by reducing proinflammatory signaling and preserving microglial architecture, thereby protecting retinal integrity and function. These findings highlight the potential of GH as a therapeutic agent for retinal neurodegenerative conditions.

本研究探讨了生长激素(GH)在雄性大鼠视神经压迫(ONC)后视网膜炎症和小胶质细胞反应中的神经保护作用。方法:在onc后24小时和14天,观察视网膜炎症和小胶质细胞激活情况,分别给予或不给予GH治疗(0.5 mg/kg,皮下注射,每12小时一次)。采用qPCR、ELISA和Western blotting检测炎症标志物(如IL-6、TNFα、Iba1、CD86、CD206)的基因和蛋白表达。使用iba1染色视网膜切片的骨架和分形分析来量化小胶质细胞形态。通过眼底成像和视运动反射测试评估视网膜结构和功能。结果:ONC诱导促炎细胞因子(IL-6、TNFα、IL-18)和小胶质细胞激活显著增加,其特征是分支复杂性降低,细胞密度增加。生长激素治疗显著降低促炎细胞因子水平,调节小胶质细胞表型(CD86/CD206表达),并保留视网膜小胶质细胞形态。通过SIM-A9小胶质细胞系,我们进一步证明了生长激素降低NFκB通路的激活并抑制lps诱导的促炎细胞因子的产生。在损伤后14天,gh处理的视网膜显示出视神经大小减少,光运动反应改善,表明结构神经保护和功能恢复。讨论:总的来说,生长激素通过减少促炎信号和保留小胶质细胞结构来减轻onc诱导的视网膜炎症,从而保护视网膜的完整性和功能。这些发现突出了生长激素作为视网膜神经退行性疾病治疗剂的潜力。
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引用次数: 0
Nodal Na+ and Ca2+ flux dynamics in cortical myelinated axons. 皮质髓鞘轴突结Na+和Ca2+通量动力学。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1662730
Oron Kotler, Kenichi Miyazaki, Yana Khrapunsky, William N Ross, Ilya A Fleidervish

Functional neuronal connectivity relies on long-range propagation of action potentials by myelinated axons. This process critically depends on the distribution and biophysical properties of ion channels clustered at specialized, regularly spaced domains, the nodes of Ranvier, where the signals are actively regenerated. Morphological and functional evidence indicates that voltage-gated Na+ channels, which directly support action potential conduction, are exclusively localized at nodes. While these domains also contain voltage-gated Ca2+ channels that contribute to key intracellular signaling cascades, evidence regarding the presence of functional Ca2+ channels in the internodal regions remains conflicting. Using high-speed fluorescence imaging, we characterized action potential-evoked Na+ and Ca2+ dynamics at the nodes of Ranvier in myelinated axons of layer 5 pyramidal neurons in cortical brain slices. Spatially, both Na+ and Ca2+ elevations were largely restricted to the nodal regions. The time-to-peak of the nodal Na+ transients was significantly shorter (3.7 ± 0.3 ms) than that of the Ca2+ transients (10.3 ± 0.6 ms with OGB-1, 4.2 ± 0.5 ms with OGB-5 N), consistent with electrophysiological evidence indicating that Na+ influx occurs primarily during the action potential upstroke, whereas Ca2+ influx predominantly takes place during and after the repolarization phase. The decay of Na+ transients, reflecting lateral diffusion into the internodes, was exceptionally fast in short nodes and became progressively slower in longer ones, consistent with computational models assuming diffusion-based clearance alone. In contrast, Ca2+ transients decayed more slowly and showed no dependence on nodal length, consistent with clearance dominated by active transport. Finally, the post-spike recovery of nodal Na+ fluxes was rapid and temperature-dependent, consistent with the reactivation kinetics of voltage-gated Na+ channels. In contrast, the similarly rapid but temperature-independent recovery of Ca2+ flux suggests that a single action potential does not induce Ca2+ channel inactivation and therefore has minimal impact on their availability during subsequent spikes.

功能性神经元连接依赖于有髓鞘轴突的远距离动作电位传播。这一过程主要取决于聚集在特定的、有规则间隔的区域的离子通道的分布和生物物理特性,即信号主动再生的朗维耶节点。形态学和功能证据表明,直接支持动作电位传导的电压门控Na+通道仅局限于节点。虽然这些结构域也包含有助于关键细胞内信号级联的电压门控Ca2+通道,但关于在结间区域存在功能性Ca2+通道的证据仍然存在冲突。利用高速荧光成像技术,研究了脑皮层第5层锥体神经元髓鞘轴突Ranvier节点上动作电位诱发的Na+和Ca2+动态。在空间上,Na+和Ca2+的升高主要局限于结区。节点的time-to-peak Na +瞬变明显短(3.7 ±0.3  ms)比Ca2 +瞬变( 10.3±0.6  女士与OGB-1 4.2±0.5  女士与OGB-5 N),符合电生理学证据表明Na +涌入主要发生在动作电位的一击,而钙离子涌入后主要发生在和复极化阶段。反映向节间横向扩散的Na+瞬态衰变在短节点中异常快,在长节点中逐渐变慢,这与假设仅基于扩散的间隙的计算模型一致。相比之下,Ca2+瞬态衰减更慢,不依赖于节点长度,与主动运输主导的清除一致。最后,节点Na+通量的峰后恢复是快速和温度依赖的,与电压门控Na+通道的再激活动力学一致。相比之下,Ca2+通量的类似快速但不受温度影响的恢复表明,单个动作电位不会诱导Ca2+通道失活,因此在随后的峰值期间对其可用性的影响最小。
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引用次数: 0
Early olfactory dysfunction in experimental autoimmune encephalomyelitis reflects transient brain barrier breach and initiation of neuroinflammation in the olfactory bulb. 实验性自身免疫性脑脊髓炎的早期嗅觉功能障碍反映了短暂的脑屏障破坏和嗅球神经炎症的开始。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-03 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1656777
Andjela Stekic, Milorad Dragic, Ivana Stevanovic, Marina Zaric Kontic, Marija Adzic Bukvic, Sanja Dacic, Milica Ninkovic, Nadezda Nedeljkovic

Olfactory dysfunction is increasingly recognized as an early, non-motor manifestation of multiple sclerosis (MS), but the mechanisms underlying its occurrence remain unclear. Using the rat model of experimental autoimmune encephalomyelitis (EAE), we investigated the temporal relationship between olfactory impairment, neuroinflammation, barrier integrity, and adenosine signaling in the olfactory bulb (OB) in the early stage of EAE. The study showed that more than two-thirds of EAE animals exhibited significant deficits in the buried food test as early as 3 days post-immunization (dpi), which preceded the first motor symptoms by several days. Open field test confirmed that these olfactory deficits were not due to impaired locomotion. Transient breach to the OB tissue barrier was demonstrated at 3-5 dpi by increased FITC-dextran penetration and peripheral monocyte/macrophage infiltration into the lateral aspect of the OB. The breach coincided with activation of microglia in the outer nerve layer on the lateral aspect of the OB. Oxidative stress, including elevated malondialdehyde, nitric oxide, and superoxide ion levels along with a depleted antioxidant defense system, indicated a redox imbalance, while a transient increase in neurofilament light chain serum levels at 3 dpi indicated acute neuroaxonal injury and barrier disruption at early stage EAE. At the molecular level, the simultaneous upregulation of CD73 and adenosine A1/A2A receptors along the pial surface and in the olfactory nerve layer suggested enhanced adenosine signaling in early barrier modulation. Spatial mapping of FITC-dextran penetration, peripheral infiltrates, and microglia activation indicated access of immune cells from the subarachnoid space into the OB parenchyma. Overall, these results demonstrate that the OB is a permissive entry zone for autoreactive immune cells in the OB in early stages of EAE, highlighting olfactory and behavioral testing as promising tools for early detection and monitoring of MS.

嗅觉功能障碍越来越被认为是多发性硬化症(MS)的早期非运动表现,但其发生的机制尚不清楚。利用实验性自身免疫性脑脊髓炎(EAE)大鼠模型,我们研究了EAE早期嗅损伤、神经炎症、屏障完整性和嗅球(OB)腺苷信号传导之间的时间关系。研究表明,超过三分之二的EAE动物早在免疫后3 天(dpi)就在掩埋食物测试中表现出明显缺陷,这比首次运动症状早了几天。野外测试证实,这些嗅觉缺陷不是由于运动能力受损。在3-5 dpi时,通过增加fitc -葡聚糖渗透和外周单核细胞/巨噬细胞浸润到OB的外侧,可以证明OB组织屏障的短暂破坏。这种破坏与OB外侧外神经层小胶质细胞的激活相一致。氧化应激,包括丙二醛、一氧化氮和超氧离子水平的升高以及抗氧化防御系统的衰竭,表明氧化还原失衡。3 dpi时,血清中神经丝轻链水平短暂升高,提示早期EAE发生急性神经轴索损伤和屏障破坏。在分子水平上,CD73和腺苷A1/A2A受体沿枕状表面和嗅觉神经层同时上调,表明腺苷信号在早期屏障调节中增强。fitc -葡聚糖渗透、外周浸润和小胶质细胞激活的空间映射表明免疫细胞从蛛网膜下腔进入OB实质。总的来说,这些结果表明,在EAE的早期阶段,OB是OB中自身反应性免疫细胞的允许进入区,突出了嗅觉和行为测试作为早期检测和监测MS的有前途的工具。
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引用次数: 0
Research progress of kinesin family in neurological diseases. 运动蛋白家族在神经系统疾病中的研究进展。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1527305
Shuyi Liu, Jialing Chen, Liping Shi, Yuan Deng, Zhengbo Wang

Kinesin superfamily proteins (KIFs) constitute a pivotal class of molecular motors that facilitate the intracellular transport of cellular "cargo." Their principal functions encompass the participation of the transport of cellular substances along microtubules, as well as the engagement in the formation of the mitotic spindle and the segregation of chromosomes during cellular mitosis. Dysregulation of KIFs expression can precipitate anomalies in intracellular material transport, mitotic abnormalities, aberrant cell proliferation and migration, and genomic instability within cells. Moreover, members of the KIFs are implicated in the proliferation of neural progenitor cells and the migration of neurons, which are critical processes in the development of the central nervous system. To date, an extensive body of research has substantiated the close correlation between mutations or aberrant expression of KIFs and the onset of neurological disorders, including neurotumors, neurodegenerative disease, and psychiatric illnesses. This review will synthesize recent research elucidating the nexus between KIFs and neurodevelopment, as well as their association with neurological diseases.

运动蛋白超家族蛋白(KIFs)构成了一类关键的分子马达,促进细胞“货物”在细胞内的运输。它们的主要功能包括参与细胞物质沿微管的运输,以及参与有丝分裂纺锤体的形成和细胞有丝分裂期间染色体的分离。KIFs表达失调可导致细胞内物质运输异常、有丝分裂异常、细胞增殖和迁移异常以及细胞内基因组不稳定。此外,kif的成员参与神经祖细胞的增殖和神经元的迁移,这是中枢神经系统发育的关键过程。迄今为止,大量的研究已经证实了kif的突变或异常表达与神经系统疾病(包括神经肿瘤、神经退行性疾病和精神疾病)的发病密切相关。本文将综合最近的研究阐明kif与神经发育之间的联系,以及它们与神经系统疾病的关系。
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引用次数: 0
Vascular endothelial growth factor: a key factor in the onset and treatment of depression. 血管内皮生长因子:抑郁症发病和治疗的关键因素。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1645437
Jing Wang, Fanhao Meng, Long Wang, Zeguang Li

Background: Major depressive disorder (MDD) is a common chronic psychiatric disorder that affects individuals of all ages worldwide, causing significant impairment to patients' physical and mental health as well as social functioning. Vascular endothelial growth factor (VEGF), traditionally recognized as a regulator of angiogenesis and vascular permeability, has been identified in recent studies to possess neurotrophic and neuroprotective potential in the central nervous system (CNS) and is implicated in the pathological processes of MDD.

Aim: To systematically elaborate on the role of VEGF in the pathological mechanisms of MDD and its potential as a target for antidepressant therapy.

Key findings: Through interactions with its receptors (VEGFR1, VEGFR2, and VEGFR3), VEGF regulates critical pathways such as gene expression, blood-brain barrier (BBB) function, and brain-derived neurotrophic factor (BDNF), thereby establishing physiological and pathological associations with MDD. Its signaling pathway serves as a core target for various antidepressant treatments, including conventional antidepressants, ketamine, electroconvulsive therapy (ECT), repetitive transcranial magnetic stimulation (rTMS), and resolvins. Short-term upregulation of central VEGF may exert antidepressant effects by promoting the benign remodeling of neurovascular networks, and its subsequent return to baseline levels during treatment can avoid BBB damage, providing novel insights for the management of rapid-onset and treatment-resistant depression.

Conclusion: Vascular endothelial growth factor holds significant importance in the pathology and treatment of MDD. In-depth exploration of its regulatory mechanisms may provide a basis for the development of novel antidepressant therapies.

背景:重度抑郁症(MDD)是一种常见的慢性精神障碍,影响全世界所有年龄段的个体,对患者的身心健康和社会功能造成严重损害。血管内皮生长因子(VEGF),传统上被认为是血管生成和血管通透性的调节剂,在最近的研究中被发现在中枢神经系统(CNS)中具有神经营养和神经保护潜力,并与MDD的病理过程有关。目的:系统阐述VEGF在重度抑郁症病理机制中的作用及其作为抗抑郁药物治疗靶点的潜力。主要发现:VEGF通过与其受体(VEGFR1、VEGFR2和VEGFR3)的相互作用,调节基因表达、血脑屏障(BBB)功能、脑源性神经营养因子(BDNF)等关键通路,从而与重度抑郁症建立生理和病理关联。它的信号通路是各种抗抑郁药物治疗的核心靶点,包括传统抗抑郁药、氯胺酮、电休克疗法(ECT)、重复经颅磁刺激(rTMS)和resolvins。中枢血管内皮生长因子的短期上调可能通过促进神经血管网络的良性重塑来发挥抗抑郁作用,并且在治疗期间其随后恢复到基线水平可以避免血脑屏障损伤,为快速发作和治疗难治性抑郁症的管理提供新的见解。结论:血管内皮生长因子在MDD的病理及治疗中具有重要意义。深入探索其调控机制可能为开发新型抗抑郁药物提供基础。
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引用次数: 0
APOE genotype-dependent differences in human astrocytic energy metabolism. 人类星形细胞能量代谢中APOE基因型依赖性差异。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1603657
Vanessa Budny, Chantal Bodenmann, Kathrin J Zürcher, Maik Krüger, Sherida M de Leeuw, Rebecca Z Weber, Ruslan Rust, Luca Ravotto, Iván Ruminot, L Felipe Barros, Bruno Weber, Christian Tackenberg

Introduction: The main genetic risk factor for Alzheimer's disease (AD) is the presence of the apolipoprotein E4 (APOE4) allele. While APOE4 increases the risk of developing AD, the APOE2 allele is protective and APOE3 is risk-neutral. In the brain, APOE is primarily expressed by astrocytes and plays a key role in various processes including cholesterol and lipid transport, neuronal growth, synaptic plasticity, immune response and energy metabolism. Disruptions in brain energy metabolism are considered a major contributor to AD pathophysiology, raising a key question about how different APOE isoforms affect the energy metabolism of human astrocytes.

Methods: In this study, we generated astrocytes (iAstrocytes) from APOE-isogenic human induced pluripotent stem cells (iPSCs), expressing either APOE2, APOE3, APOE4 or carrying an APOE knockout (APOE-KO), and investigated APOE genotype-dependent changes in energy metabolism.

Results: ATP Seahorse assay revealed a reduced mitochondrial and glycolytic ATP production in APOE4 iAstrocytes. In contrast, glycolysis stress tests demonstrated enhanced glycolysis and glycolytic capacity in APOE4 iAstrocytes while genetically encoded nanosensor-based FLIM analysis revealed that APOE does not affect lactate dynamics. In agreement with the increased glycolytic activity, APOE4 iAstrocytes also showed elevated mitochondrial respiration and activity, indicated by proteomic GO enrichment analysis and mitochondrial stress test. This was accompanied by elevated proton leak in APOE4 iAstrocytes while levels of mitochondrial uncoupling proteins (UCPs) were not affected. Mass spectrometry-based metabolomic analysis identified various energy and glucose metabolism-related pathways that were differentially regulated in APOE4 compared to the other genotypes, including mitochondrial electron transport chain (ETC) and glycolysis. In general, APOE2 and APOE-KO iAstrocytes showed a very similar phenotype in all functional assays and differences between APOE2/APOE-KO and APOE4 were stronger than between APOE3 and APOE4.

Discussion: Our study provides evidence for APOE genotype-dependent effects on astrocyte energy metabolism and highlights alterations in the bioenergetic processes of the brain as important pathomechanisms in AD.

阿尔茨海默病(AD)的主要遗传危险因素是载脂蛋白E4 (APOE4)等位基因的存在。虽然APOE4增加了患AD的风险,但APOE2等位基因具有保护作用,而APOE3是风险中性的。在大脑中,APOE主要由星形胶质细胞表达,在胆固醇和脂质转运、神经元生长、突触可塑性、免疫反应和能量代谢等多种过程中发挥关键作用。大脑能量代谢的中断被认为是阿尔茨海默病病理生理的主要因素,这就提出了一个关键问题,即不同的APOE亚型如何影响人类星形胶质细胞的能量代谢。方法:在这项研究中,我们从APOE等基因的人诱导多能干细胞(iPSCs)中生成星形胶质细胞(iAstrocytes),表达APOE2, APOE3, APOE4或携带APOE敲除(APOE- ko),并研究APOE基因型依赖性能量代谢的变化。结果:海马ATP测定显示APOE4星形胶质细胞线粒体和糖酵解ATP生成减少。相比之下,糖酵解压力测试显示APOE4星形胶质细胞的糖酵解和糖酵解能力增强,而基于遗传编码纳米传感器的FLIM分析显示APOE不影响乳酸动力学。蛋白质组学氧化石墨烯富集分析和线粒体应激测试表明,与糖酵解活性增加一致,APOE4 iAstrocytes也显示出线粒体呼吸和活性升高。这伴随着APOE4星形胶质细胞中质子泄漏升高,而线粒体解偶联蛋白(UCPs)水平未受影响。基于质谱的代谢组学分析发现,与其他基因型相比,APOE4中不同的能量和葡萄糖代谢相关途径受到不同的调节,包括线粒体电子传递链(ETC)和糖酵解。总的来说,APOE2和APOE-KO在所有功能检测中表现出非常相似的表型,APOE2/APOE-KO和APOE4之间的差异强于APOE3和APOE4之间的差异。讨论:我们的研究提供了APOE基因型依赖于星形细胞能量代谢的证据,并强调了大脑生物能量过程的改变是AD的重要病理机制。
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引用次数: 0
NcRNAs: a potential treatment for spinal cord injury. ncrna:脊髓损伤的潜在治疗方法。
IF 4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-01 eCollection Date: 2025-01-01 DOI: 10.3389/fncel.2025.1645639
Jie Bao, Wenhui Zhi, Sheng Qi, Haolong Mo, Ruzhuan Liu, Chunhui Guo

Spinal cord injury (SCI) is a serious disorder that affects sensory, motor, and autonomic functions. Its pathological process is divided into two stages: primary and secondary injury. The secondary injury involves a variety of biological cascade reactions, leading to an imbalance in the spinal cord microenvironment. Non-coding RNAs (ncRNAs) play a crucial regulatory role in the pathophysiological process of spinal cord injury, including long non-coding RNAs (lncRNAs), circular RNAs (circRNAs), and microRNAs (miRNAs), all of which are involved in processes such as axonal regeneration, oxidative stress, inflammatory response, autophagy, and apoptosis. Although the pathophysiological process of spinal cord injury has been partially elucidated, its pathogenesis is not yet fully understood, and effective treatments are limited. This article reviews the regulatory role and molecular mechanisms of ncRNAs in the development and progression of spinal cord injury and proposes strategies for treating spinal cord injury by regulating ncRNAs.

脊髓损伤(SCI)是一种影响感觉、运动和自主神经功能的严重疾病。其病理过程分为原发性和继发性损伤两个阶段。继发性损伤涉及多种生物级联反应,导致脊髓微环境失衡。非编码rna (ncRNAs)在脊髓损伤的病理生理过程中起着至关重要的调节作用,包括长链非编码rna (lncRNAs)、环状rna (circRNAs)和微rna (miRNAs),它们都参与轴突再生、氧化应激、炎症反应、自噬和凋亡等过程。虽然脊髓损伤的病理生理过程已部分阐明,但其发病机制尚不完全清楚,有效的治疗方法也有限。本文综述了ncRNAs在脊髓损伤发生发展中的调控作用和分子机制,并提出了通过调控ncRNAs治疗脊髓损伤的策略。
{"title":"NcRNAs: a potential treatment for spinal cord injury.","authors":"Jie Bao, Wenhui Zhi, Sheng Qi, Haolong Mo, Ruzhuan Liu, Chunhui Guo","doi":"10.3389/fncel.2025.1645639","DOIUrl":"10.3389/fncel.2025.1645639","url":null,"abstract":"<p><p>Spinal cord injury (SCI) is a serious disorder that affects sensory, motor, and autonomic functions. Its pathological process is divided into two stages: primary and secondary injury. The secondary injury involves a variety of biological cascade reactions, leading to an imbalance in the spinal cord microenvironment. Non-coding RNAs (ncRNAs) play a crucial regulatory role in the pathophysiological process of spinal cord injury, including long non-coding RNAs (lncRNAs), circular RNAs (circRNAs), and microRNAs (miRNAs), all of which are involved in processes such as axonal regeneration, oxidative stress, inflammatory response, autophagy, and apoptosis. Although the pathophysiological process of spinal cord injury has been partially elucidated, its pathogenesis is not yet fully understood, and effective treatments are limited. This article reviews the regulatory role and molecular mechanisms of ncRNAs in the development and progression of spinal cord injury and proposes strategies for treating spinal cord injury by regulating ncRNAs.</p>","PeriodicalId":12432,"journal":{"name":"Frontiers in Cellular Neuroscience","volume":"19 ","pages":"1645639"},"PeriodicalIF":4.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145074768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Frontiers in Cellular Neuroscience
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