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Back to the future: Stoic wisdom and psychotherapy for neuropsychiatric conditions 回到未来:斯多葛智慧与神经精神疾病的心理治疗
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-02-01 DOI: 10.2217/FNL-2018-0046
A. Cavanna
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引用次数: 17
Genetics in vascular dementia 血管性痴呆的遗传学
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-02-01 DOI: 10.2217/FNL-2018-0027
R. Manso-Calderón
Vascular dementia (VaD) is a common disorder that encompasses heterogeneous entities, which creates challenges in order to reach a global consensus for diagnostic criteria. While the genetic basis for sporadic VaD remains poorly understood, the identification of causal genes in monogenic forms of VaD sheds light on the pathophysiological mechanisms of VaD. This special report describes progress in genetic research on monogenic and sporadic VaD, as well as on associated phenotypes, such as cerebral small vessel disease, stroke and Alzheimer's disease. Methodological issues (e.g., small-size studies) and strategies to overcome these problems (e.g., collaborative consortiums, endophenotypes) are discussed. Lastly, future perspectives in the field and how such work could benefit patients and clinicians are mentioned.
血管性痴呆(VaD)是一种常见的疾病,包括异质性实体,这给在诊断标准上达成全球共识带来了挑战。虽然对散发性VaD的遗传基础仍知之甚少,但对单基因形式的VaD致病基因的鉴定揭示了VaD的病理生理机制。这份特别报告描述了单基因和散发性VaD的遗传学研究进展,以及相关表型,如脑小血管疾病、中风和阿尔茨海默病。讨论了方法论问题(如小型研究)和克服这些问题的战略(如合作联盟、内表型)。最后,提到了该领域的未来前景,以及这项工作如何使患者和临床医生受益。
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引用次数: 3
What are the challenges in migraine research? An interview with Parisa Gazerani 偏头痛研究面临哪些挑战?Parisa Gazerani访谈录
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-02-01 DOI: 10.2217/FNL-2018-0041
P. Gazerani
Parisa Gazerani, PharmD, PhD, is an associate professor in the Faculty of Medicine, Aalborg University, Denmark. She completed postdoctoral training at the Faculty of Pharmaceuticals Sciences, The University of British Columbia, Canada with support from the International Brain Research Organization, International Association for the Study of Pain and the SparNord Foundation. Her passion and enthusiasm for understanding the pathogenesis of migraine and the potential role of non-neuronal components was subsequently supported by a prestigious Sapere Aude Young Elite Researcher Award from the Danish Ministry of Science in 2010. Her research interests include neuroscience, pain with a focus in migraine, biomarkers of neuroinflammation and development of novel treatments. Her research has resulted in more than 200 publications and several awards. Besides research, she teaches from undergraduate to PhD level, and has been awarded the title of ‘teacher of the year’. She is a sought after reviewer for scientific journals, grant committees and PhD thesis evaluation. She is a member of several professional and scientific organizations. She is co-founder and head of research of a spin-off company, EMPros Bio, which is developing novel tools for the diagnosis and control of migraine. She also consults for several pharmaceutical and medicinal device companies.
Parisa Gazerani,药学博士,博士,丹麦奥尔堡大学医学院副教授。在国际脑研究组织、国际疼痛研究协会和SparNord基金会的支持下,她在加拿大不列颠哥伦比亚大学药物科学学院完成了博士后培训。她对理解偏头痛的发病机制和非神经元成分的潜在作用的热情和热情随后得到了2010年丹麦科学部颁发的著名Sapere Aude青年精英研究员奖的支持。她的研究兴趣包括神经科学、以偏头痛为重点的疼痛、神经炎症的生物标志物和新型治疗方法的开发。她的研究成果已经发表了200多篇文章,并获得了多个奖项。除了研究,她从本科一直教到博士,并被授予“年度教师”称号。她是科学期刊、资助委员会和博士论文评审的热门评审员。她是几个专业和科学组织的成员。她是一家分拆公司EMPros Bio的联合创始人兼研究负责人,该公司正在开发诊断和控制偏头痛的新型工具。她还为几家制药和医疗器械公司提供咨询服务。
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引用次数: 0
Neuroprotection of multifunctional phytochemicals as novel therapeutic strategy for neurodegenerative disorders: antiapoptotic and antiamyloidogenic activities by modulation of cellular signal pathways 多功能植物化学物质的神经保护作为神经退行性疾病的新治疗策略:通过调节细胞信号通路的抗凋亡和抗淀粉样蛋白生成活性
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-02-01 DOI: 10.2217/FNL-2018-0028
M. Naoi, M. Shamoto‐Nagai, W. Maruyama
In neurodegenerative disorders, including Alzheimer's and Parkinson's disease, neuroprotection by diet and natural bioactive compounds has been proposed to prevent the onset and progress of neurodegeneration by modification of pathogenic factors. Plant food-derived phytochemicals protect neurons via targeting oxidative stress, mitochondrial dysfunction, neurotrophic factor deficit, apoptosis and abnormal protein accumulation. This review presents the molecular mechanism of neuroprotection by phytochemicals: direct regulation of mitochondrial apoptotic machinery, modification of cellular signal pathways, induction of antiapoptotic Bcl-2 protein family and prosurvival neurotrophic factors, such as brain- and glial cell line-derived neurotrophic factor, and prevention of protein aggregation. Multitargeted neuroprotective agents are under development based on the structure of blood–brain barrier-permeable phytochemicals to ameliorate brain dysfunction and prevent neurodegeneration.
在神经退行性疾病中,包括阿尔茨海默病和帕金森病,已经提出通过饮食和天然生物活性化合物来保护神经,通过改变致病因素来预防神经退行性疾病的发生和进展。植物性食物来源的植物化学物质通过靶向氧化应激、线粒体功能障碍、神经营养因子缺陷、细胞凋亡和异常蛋白质积累来保护神经元。本文综述了植物化学物质对神经保护的分子机制:直接调节线粒体凋亡机制、改变细胞信号通路、诱导抗凋亡Bcl-2蛋白家族和促生存神经营养因子,如脑和胶质细胞系来源的神经营养因子,以及防止蛋白质聚集。基于血脑屏障可渗透植物化学物质的结构,多靶点神经保护剂正在开发中,以改善脑功能障碍和预防神经退行性变。
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引用次数: 44
Cerebrospinal fluid biomarkers in neurodegenerative disorders 神经退行性疾病的脑脊液生物标志物
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-02-01 DOI: 10.2217/FNL-2018-0029
Thalia T Robey, P. Panegyres
Neurodegenerative diseases represent a daunting challenge in clinical diagnosis and management. Biomarkers that might aid in the diagnosis of these devastating and globally important diseases are urgently sought and required. Here we describe the application and state of development of a range of cerebrospinal fluid biomarkers in common neurodegenerative disorders including Alzheimer's disease, frontotemporal dementia and prion diseases.
神经退行性疾病在临床诊断和管理方面是一项艰巨的挑战。迫切需要有助于诊断这些具有毁灭性和全球重要性的疾病的生物标志物。在这里,我们描述了一系列脑脊液生物标志物在常见神经退行性疾病中的应用和发展状况,包括阿尔茨海默病、额颞叶痴呆和朊病毒疾病。
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引用次数: 23
Human cerebral organoids and neural 3D tissues in basic research, and their application to study neurological diseases 人脑类器官和神经三维组织的基础研究,及其在神经系统疾病研究中的应用
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-01-25 DOI: 10.2217/FNL-2018-0043
Theresa S P Rothenbücher, A. Martínez-Serrano
Spanish Ministry of Science, Economy and Competitiveness, call Retos, Ref: SAF2017-83241-R.
西班牙科学、经济和竞争力部,电话Retos,编号:SAF2017-83241-R。
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引用次数: 7
Therapeutic targets for malignant peripheral nerve sheath tumors 恶性周围神经鞘肿瘤的治疗靶点
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2019-01-15 DOI: 10.2217/FNL-2018-0026
L. M. Wu, Q. Lu
Malignant peripheral nerve sheath tumors (MPNSTs) are rare and aggressive soft-tissue sarcomas with dismal prognosis. Complete resection, which is the only known definitive therapy, is not feasible with every tumor, and local recurrence after surgery is another challenge to successful treatment. Treatments used with other sarcoma types have not proven beneficial to MPNST patients. Targeted therapies blocking several signaling pathways known to drive MPNST pathogenesis have also not improved patient outcomes in clinical trials. This review discusses existing therapies and targeted chemotherapeutic options currently being tested clinically, and potential therapeutic avenues identified in preclinical studies that include targeting signaling pathways such as the HIPPO-YAP pathway and epigenetic mechanisms as well as multi-agent strategies.
恶性周围神经鞘肿瘤是一种罕见的侵袭性软组织肉瘤,预后较差。完全切除是唯一已知的最终治疗方法,但并非对所有肿瘤都可行,手术后局部复发是成功治疗的另一个挑战。其他类型肉瘤的治疗尚未证明对MPNST患者有益。在临床试验中,阻断几种已知驱动MPNST发病机制的信号通路的靶向治疗也没有改善患者的预后。这篇综述讨论了现有的治疗方法和目前正在临床测试的靶向化疗方案,以及在临床前研究中确定的潜在治疗途径,包括靶向信号通路,如HIPPO-YAP通路和表观遗传机制以及多药物策略。
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引用次数: 20
The burden of oncology promises not kept in glioblastoma 肿瘤学的负担并没有在胶质母细胞瘤中得到保证
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2018-11-18 DOI: 10.2217/FNL-2017-0033
G. Lamberti, E. Franceschi, A. Brandes
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引用次数: 5
Cannabidiol for epilepsy: a new indication for an old drug 大麻二酚治疗癫痫:一种老药的新适应症
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2018-11-01 DOI: 10.2217/FNL-2018-0022
Samantha Hagopian, E. Marsh
Medicinal cannabis, and cannabidiol in particular, has garnered much attention in the media and medical community as a possible therapeutic for multiple conditions including epilepsy. Although the use of cannabis has been reported for centuries, evidence in its usefulness in the treatment of epilepsy has been mainly anecdotal. This review discusses emerging research on cannabidiol in the treatment of severe pediatric epilepsies, including Dravet syndrome and Lennox Gastaut syndrome. We discuss the data from both open-label and Phase III trials and report a consistently significant reduction in seizures but also concomitant drug interactions and adverse effects. Future directions of research are considered to determine the full therapeutic potential of this old, but new, class of compounds.
药用大麻,特别是大麻二酚,作为一种可能治疗包括癫痫在内的多种疾病的药物,在媒体和医学界引起了广泛关注。虽然大麻的使用已被报道了几个世纪,但其在治疗癫痫方面的有效性的证据主要是轶事。本文综述了大麻二酚治疗严重儿童癫痫的新研究,包括Dravet综合征和Lennox Gastaut综合征。我们讨论了开放标签和III期试验的数据,并报告了癫痫发作的持续显著减少,但也有伴随的药物相互作用和不良反应。未来的研究方向被认为是确定这类古老但新的化合物的全部治疗潜力。
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引用次数: 1
Benzodiazepine use and the risk for dementia 苯二氮卓类药物的使用与痴呆风险
IF 1.3 Q4 CLINICAL NEUROLOGY Pub Date : 2018-11-01 DOI: 10.2217/FNL-2017-0040
R. Tampi, Deena Tampi, J. Young, A. Banerjee
Emerging evidence indicates that the use of benzodiazepines among older adults may increase the risk of development of dementia. A review of the literature identified 13 studies investigating this link. Eight studies found a positive association between the use of benzodiazepines and development of dementia. Two studies found no such association, two had mixed results and one study found that benzodiazepine use reduced the incidence of dementia. As none of these studies were controlled prospective studies, causality could not be ascertained. The association identified between the use of benzodiazepines and the development of dementia is a cause for concern among older adults.
新出现的证据表明,在老年人中使用苯二氮卓类药物可能会增加患痴呆症的风险。对文献的回顾确定了13项调查这一联系的研究。八项研究发现苯二氮卓类药物的使用与痴呆症的发展呈正相关。两项研究没有发现这种关联,两项结果喜忧参半,一项研究发现苯二氮卓类药物的使用降低了痴呆症的发病率。由于这些研究都不是对照前瞻性研究,因此无法确定因果关系。苯二氮卓类药物的使用与痴呆症的发展之间的联系引起了老年人的担忧。
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引用次数: 8
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Future Neurology
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