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Mediterranean diet and gut microbiota: impact on memory and other cognitive functions: a systematic review. 地中海饮食和肠道菌群:对记忆和其他认知功能的影响:系统综述。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-03-10 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1749308
María Victoria Ibeas-Pérez, Blanca Agüí-Ruiz, Samuel Arias-Sánchez, Isabel Martín-Monzón

In recent years, there has been growing interest in the study of gut microbiota and its relationship with multiple diseases, ranging from digestive problems to cognitive disorders. The composition of this microbiota is determined by external and internal factors-such as psychosocial or environmental aspects-and is closely linked to diet, since the foods we consume provide nutrients and establish the conditions of the intestinal environment. The gut-brain axis describes how the intestinal microbial flora and the compounds it produces generate and transmit signals that act on our nervous system and regulate multiple processes in the body. This systematic review aims to explore the impact of the Mediterranean Diet on the composition of the gut microbiota and to analyze its effects on various cognitive conditions, such as memory. Based on a review of 20 articles, we examined how the Mediterranean Diet-characterized by high consumption of olive oil, fruits, vegetables, legumes, and fish-modulates the microbiota in the human gut. The results showed that adherence to the Mediterranean Diet is associated with an increase in beneficial bacteria such as Faecalibacterium prausnitzii and Bifidobacterium, and with greater production of short-chain fatty acids (SCFAs), especially butyrate. The Mediterranean Diet appears to exert a neuroprotective role in disorders such as mild cognitive impairment, schizophrenia, Parkinson's disease, and metabolic diseases. This protective function, derived from changes in the gut microbiota, leads to improvements in cognitive function. Overall, the findings underscore the direct relationship between nutrition and mental health and reinforce the value of the Mediterranean Diet as a preventive strategy and a modulator of cognition through the gut-brain axis, promoting brain health across the lifespan.

Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251273990.

近年来,人们对肠道微生物群及其与多种疾病(从消化问题到认知障碍)的关系的研究越来越感兴趣。这些微生物群的组成由外部和内部因素决定,如社会心理或环境因素,并与饮食密切相关,因为我们摄入的食物提供了营养并建立了肠道环境的条件。肠脑轴描述了肠道微生物菌群及其产生的化合物如何产生和传递信号,这些信号作用于我们的神经系统,并调节身体的多个过程。本系统综述旨在探讨地中海饮食对肠道菌群组成的影响,并分析其对各种认知状况(如记忆)的影响。基于对20篇文章的回顾,我们研究了地中海饮食——以大量食用橄榄油、水果、蔬菜、豆类和鱼类为特征——如何调节人体肠道中的微生物群。结果表明,坚持地中海饮食与有益细菌(如prausnitzii Faecalibacterium和双歧杆菌)的增加有关,并与短链脂肪酸(SCFAs)的增加有关,特别是丁酸盐。地中海饮食似乎在轻度认知障碍、精神分裂症、帕金森病和代谢疾病等疾病中发挥神经保护作用。这种保护功能源于肠道菌群的变化,导致认知功能的改善。总的来说,这些发现强调了营养和心理健康之间的直接关系,并强化了地中海饮食作为一种预防策略和通过肠-脑轴调节认知的价值,促进了整个生命周期的大脑健康。系统综述注册:https://www.crd.york.ac.uk/prospero/,标识符CRD420251273990。
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引用次数: 0
Modulation of apolipoprotein E receptor-2 by ApoE4, amyloid β-peptide, reelin, and secreted amyloid precursor protein: a common point of impact in Alzheimer's disease pathogenesis. 载脂蛋白E受体-2由ApoE4、淀粉样蛋白β-肽、reelin和分泌的淀粉样蛋白前体蛋白调控:阿尔茨海默病发病机制中的一个共同影响点
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1781541
Steven W Barger, Andréa M Moerman-Herzog

Introduction: Apolipoprotein E (ApoE), reelin, and several other proteins bind ApoE-receptor 2 (apoER2), distinguished from other members of its receptor family by signal transduction which enhances the activity of N-methyl D-aspartate (NMDA) receptors. Evidence indicates that this signal transduction depends upon apoER2 forming dimers or other high-order clusters. It seems noteworthy therefore that protein products of major APOE gene variants differ in their numbers of cysteines capable of forming disulfide dimers, with the allele (ε4) associated with highest rates of Alzheimer's disease (AD) possessing none. Thus, lower AD risk may be associated with the ability of ApoE to dimerize and thereby promote apoER2 dimerization and signaling.

Methods: We examined calcium fluxes via the NMDA receptor in neurons derived from the NTera2 cell line in response to conditioned medium from human astrocytes differing in APOE genotype, recombinant ApoE proteins, reelin, amyloid β-peptide (Aβ) preparations differing in their aggregation states, and secreted amyloid precursor protein (sAPP). Signaling through apoER2 was inhibited by receptor-associated protein (RAP) or siRNA directed against apoER2.

Results: Reelin, fibrillar Aβ, ApoE3, and conditioned medium from APOE ε3 astrocytes elevated calcium fluxes, and this phenomenon required apoER2. By contrast, ApoE4 and oligomeric Aβ antagonized activation. sAPP showed high-affinity binding to apoER2 and enhanced responses to reelin.

Discussion: These findings suggest a comprehensive hypothesis for the pathogenesis of AD whereby the common factor in development of disease is antagonism of apoER2, likely to include agents that cannot promote the receptor's dimerization yet competitively inhibit those ligands that can cause dimerization.

载脂蛋白E (ApoE)、reelin和其他几种蛋白结合ApoE受体2 (apoER2),通过信号转导增强n -甲基d -天冬氨酸(NMDA)受体的活性,从而区别于其受体家族的其他成员。有证据表明,这种信号转导依赖于apoER2形成二聚体或其他高阶簇。因此,似乎值得注意的是,主要APOE基因变体的蛋白产物在能够形成二硫二聚体的半胱氨酸数量上存在差异,而与阿尔茨海默病(AD)最高发病率相关的等位基因(ε4)却没有半胱氨酸。因此,较低的AD风险可能与ApoE二聚化的能力有关,从而促进apoER2二聚化和信号传导。方法:在不同APOE基因型、重组APOE蛋白、reelin、不同聚集状态的淀粉样β-肽(Aβ)制剂和分泌淀粉样前体蛋白(sAPP)的人星形胶质细胞条件培养基中,通过NMDA受体检测来自NTera2细胞系的神经元的钙通量。通过apoER2传递的信号被靶向apoER2的受体相关蛋白(RAP)或siRNA抑制。结果:Reelin、纤维状Aβ、ApoE3和APOE ε3星形胶质细胞的条件培养基均能提高钙通量,这一现象与apoER2有关。相反,ApoE4和寡聚物Aβ可拮抗活化。sAPP显示出与apoER2的高亲和力结合,并增强对reelin的反应。讨论:这些发现为AD的发病机制提出了一个全面的假设,其中疾病发展的共同因素是apoER2的拮抗作用,可能包括不能促进受体二聚化但竞争性地抑制可引起二聚化的配体的药物。
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引用次数: 0
Integrating neural organoids and AI: increasing the risk of artificial consciousness or medical malpractice? 整合神经类器官和人工智能:增加人工意识或医疗事故的风险?
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-03-04 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1767365
Alexander R Harris, Patrick McGivern, Kyle C A Wedgwood, Frederic Gilbert

Neural organoids can be integrated with AI models in various formats, termed AI-NO systems. Neural organoids and AI are each high impact research fields which may play significant roles in biological research and clinical decision making. However, their potential benefits, pitfalls and associated governance structures are often overshadowed by highly speculative discourse over the possibility of them developing some form of consciousness and subsequently acquiring a level of moral status. This article examines the cause for this speculative discourse, arguing for a focus on more immediate, empirically grounded ethical issues. It describes potential ethical issues when data obtained from AI models is used for research planning and drug discovery on neural organoids; when AI models are used to analyze data obtained from neural organoids; and when AI models are used to control interventions on neural organoids in open- or closed-loop configurations. It concludes with an investigation on how AI-NO systems may impact clinical decision making.

类神经器官可以以各种形式与人工智能模型集成,称为AI- no系统。类神经器官和人工智能都是高影响力的研究领域,在生物学研究和临床决策中可能发挥重要作用。然而,它们潜在的好处、陷阱和相关的治理结构往往被高度推测性的话语所掩盖,这些话语认为它们有可能发展出某种形式的意识,并随后获得一定程度的道德地位。本文探讨了这种思辨话语的原因,主张关注更直接的、基于经验的伦理问题。它描述了从人工智能模型中获得的数据用于神经类器官的研究规划和药物发现时的潜在伦理问题;当人工智能模型用于分析从神经类器官获得的数据时;以及当人工智能模型被用于控制对神经器官的干预时,在开环或闭环配置中。它总结了AI-NO系统如何影响临床决策的调查。
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引用次数: 0
Notch signaling inhibition attenuates epileptogenesis and hippocampal damage without altering mossy fiber sprouting in adolescent rats post-status epilepticus. Notch信号抑制在不改变青春期大鼠癫痫持续状态后苔藓纤维发芽的情况下减轻癫痫发生和海马损伤。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-03-02 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1764473
Ping Yuan, Jin Chen, Li Jiang

Background: Notch overactivation and aberrant neurogenesis following status epilepticus (SE) has been identified by our previous study. The current study further supplements this by exploring additional pathological changes during epileptogenesis post-SE, as well as the potential role of Notch in these processes.

Methods: Rats were administered N-[N-(3,5-difluorophenacetyl)-L-alanyl)]-S-phenylglycine t-butyl ester (DAPT) immediately after SE induction. Spontaneous recurrent seizures were monitored via electroencephalogram (EEG). Hippocampal synaptic ultrastructure was analyzed using transmission electron microscopy. Nissl staining and Timm staining were performed at 28 days post-SE to evaluate neuronal loss and mossy fiber sprouting (MFS), respectively.

Results: EEG recordings demonstrated that DAPT treatment significantly reduced the severity of epileptiform discharges post-SE. Transmission electron microscopy revealed decreased presynaptic active zone length and postsynaptic density thickness in the hippocampal CA1 region of DAPT-treated rats. Nissl staining indicated attenuated hippocampal neuronal loss and partial structural restoration following DAPT administration. Notably, Timm staining showed no significant effect of DAPT on MFS compared to controls.

Conclusion: Inhibition of Notch signaling alleviates EEG epileptic activity, mitigates synaptic damage, and partially preserves hippocampal neuronal structure in adolescent rats post-SE, without altering MFS. These findings suggest Notch signaling as a potential therapeutic target for post-SE neuroprotection, though its role in MFS remains unclear.

背景:我们之前的研究已经确定了Notch过度激活和癫痫持续状态(SE)后的异常神经发生。目前的研究通过探索se后癫痫发生过程中的其他病理变化以及Notch在这些过程中的潜在作用进一步补充了这一点。方法:大鼠SE诱导后立即给予N-[N-(3,5-二氟苯乙酰基)- l -丙氨基)]- s -苯甘氨酸t-丁基酯(DAPT)。脑电图监测自发性反复发作。透射电镜观察海马突触超微结构。在se后28天,分别进行Nissl染色和Timm染色,以评估神经元损失和苔藓纤维发芽(MFS)。结果:脑电图记录显示,DAPT治疗显著降低了se后癫痫样放电的严重程度。透射电镜显示,dapt处理大鼠海马CA1区突触前活动区长度和突触后密度厚度均减少。尼氏染色显示给药后海马神经元丢失减轻,部分结构恢复。值得注意的是,Timm染色显示与对照组相比,DAPT对MFS没有显著影响。结论:抑制Notch信号可减轻青春期大鼠se后脑电图癫痫活动,减轻突触损伤,部分保留海马神经元结构,但未改变MFS。这些发现表明Notch信号作为se后神经保护的潜在治疗靶点,尽管其在MFS中的作用尚不清楚。
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引用次数: 0
Lactate and cognition: a dual modulator. 乳酸和认知:一个双重调节剂。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-27 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1742681
Wen Yang, Yu Xu, Kunhua Wang

Lactate, traditionally regarded as a byproduct of glycolysis, has emerged as a key metabolic substrate and signaling molecule in the brain. Through the astrocyte-neuron lactate shuttle, lactate provides an essential link between energy metabolism and neuronal function. Beyond its metabolic role, lactate influences synaptic plasticity, neuroinflammation, mitochondrial dynamics, and epigenetic regulation, thereby exerting multifaceted effects on cognitive processes. Accumulating evidence demonstrates that lactate acts as a double-edged regulator: under certain conditions, it promotes neuronal resilience and cognitive enhancement, whereas excessive accumulation or impaired transport may contribute to dysfunction. This review synthesizes current knowledge of lactate metabolism in the central nervous system, highlighting its physiological functions, bidirectional impact on cognition, and emerging role as both a biomarker and therapeutic target. A deeper understanding of lactate-mediated mechanisms may pave the way for novel strategies in the prevention and intervention of cognitive impairment. Clinically, lactate is best interpreted as a context-sensitive metabolic readout rather than a standalone disease-specific biomarker.

乳酸,传统上被认为是糖酵解的副产物,已经成为大脑中重要的代谢底物和信号分子。通过星形胶质细胞-神经元乳酸穿梭,乳酸在能量代谢和神经元功能之间提供了重要的联系。除了代谢作用外,乳酸还影响突触可塑性、神经炎症、线粒体动力学和表观遗传调节,从而对认知过程产生多方面的影响。越来越多的证据表明,乳酸作为一种双刃剑调节剂:在某些条件下,它可以促进神经元的恢复能力和认知增强,而过度积累或运输受损可能导致功能障碍。本文综述了目前关于中枢神经系统乳酸代谢的知识,重点介绍了其生理功能、对认知的双向影响以及作为生物标志物和治疗靶点的新作用。更深入地了解乳酸介导的机制可能为预防和干预认知障碍的新策略铺平道路。临床上,乳酸最好被解释为一种环境敏感的代谢读数,而不是一种独立的疾病特异性生物标志物。
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引用次数: 0
Coactivation of CB1 and GPR55 promotes GABA release and motor behavior at striatonigral terminals through increased dimerization induced by CB1 activation. CB1和GPR55的共激活通过CB1激活引起的二聚化增加,促进纹状体神经末梢GABA的释放和运动行为。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-26 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1717829
José Arturo Avalos-Fuentes, Rodolfo Sánchez-Zavaleta, Ihosvany Rodríguez Pérez, Rafael Jijón-Lorenzo, Refugio Cruz-Trujillo, María Fernanda González de la Torre, Martha Abigail Villareal Zuñiga, Benjamín Florán

CB1 and GPR55 receptors form heteromers in striatal neurons; however, the effects of these heteromers on GABA release at their terminals and their impact on motor behavior remain unknown. In this study, we investigate the presence of CB1-GPR55 heteromers on striatonigral neurons and their axon terminals, and also assess their impact on cAMP accumulation, GABA release, and motor behavior. Furthermore, we explore the effects of sequential receptor activation to examine the phenomenon of increased dimerization induced by receptor activation. A PLA assay combined with Substance P immunofluorescence demonstrated the presence of CB1-GPR55 heteromers in the dorsal striatum and substantia nigra of rats. The kainic acid lesion in the striatum leads to a decrease in PLA dots in both regions. Sequential activation of CB1R, followed by GPR55 activation (CB1→GPR55), increased cAMP accumulation and GABA release at the nigral terminals more compared to GPR55 alone activation. In contrast, simultaneous activation (CB1 + GPR55) or the reverse (GPR55→CB1) did not affect the stimulation effects of GPR55 on cAMP accumulation or GABA release. Additionally, CB1/GPR55 immunoprecipitation in synaptosomes revealed an increase during the sequential activation of CB1→GPR55. Treatments with PTx or ChTx did not alter the effects of CB1→GPR55 sequential activation on GABA release. Finally, intranigral injections of a CB1→GPR55 agonist induced more contralateral turns than GPR55 activation alone. These findings indicate that the sequential activation of CB1→GPR55 within CB1/GPR55 heteromers in striatonigral neurons enhances cAMP accumulation, GABA release, and motor behavior by increasing heteromerization via CB1 activation.

纹状体神经元中CB1和GPR55受体形成异构体;然而,这些异构体对GABA末端释放的影响及其对运动行为的影响尚不清楚。在这项研究中,我们研究了CB1-GPR55异构体在纹状体神经元及其轴突末端的存在,并评估了它们对cAMP积累、GABA释放和运动行为的影响。此外,我们探讨了顺序受体激活的影响,以检查受体激活引起的二聚化增加的现象。聚乳酸联合P物质免疫荧光分析显示,大鼠背纹状体和黑质中存在CB1-GPR55异构体。纹状体中kainic酸损伤导致两个区域的PLA点减少。顺序激活CB1R,然后激活GPR55 (CB1→GPR55),比单独激活GPR55更能增加cAMP的积累和GABA在神经末梢的释放。相比之下,同时激活(CB1 + GPR55)或反向激活(GPR55→CB1)不影响GPR55对cAMP积累或GABA释放的刺激作用。此外,在CB1→GPR55的顺序激活过程中,突触体中CB1/GPR55的免疫沉淀显示增加。PTx或ChTx处理不改变CB1→GPR55顺序激活对GABA释放的影响。最后,与单独激活GPR55相比,在神经内注射CB1→GPR55激动剂诱导更多的对侧转弯。这些发现表明,纹状体神经元中CB1/GPR55异构体CB1→GPR55的顺序激活通过CB1激活增加异构体化,从而促进cAMP积累、GABA释放和运动行为。
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引用次数: 0
Clinical and genetic determinants of glioblastoma survival: a retrospective study. 胶质母细胞瘤生存的临床和遗传因素:一项回顾性研究。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-26 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1740199
Julia L Gutiérrez-Arroyo, Pia Gallego-Porcar, Elvira Carbonell-Martinez, Luis G González-Bonet, Maria Victoria Ibañez, María Díaz-Ruiz, Hugo Caballero-Arzapalo, Ariadna Soto, Guillermo Garcia-Oriola, Jose Maria Borras-Moreno, Conrado Martinez-Cadenas, Maria Angeles Marques-Torrejon

Background: This study analyzed 57 patients with glioblastoma treated at the General University Hospital of Castellon, Spain, focusing on clinical, tumor-specific and genetic factors influencing disease outcome. Variables included age, sex, BMI, extent of surgical resection, and use of radiotherapy or chemotherapy. Tumor characteristics assessed included location, size, proximity to the ventricular system and surgical approach. Genetic mutations in the EGFR, TP53 and CDKN2A genes were also analyzed.

Methods: Kaplan-Meier survival analysis was used to assess the impact of clinical, tumor-related, treatment, lifestyle and genetic variables on overall survival and progression-free survival, with group differences evaluated using log-rank tests. Given the exploratory nature of the study and the sample size, multivariable modeling was not performed. Patients with IDH1/2-mutant tumors were excluded in accordance with the 2021 World Health Organization (WHO) classification, which no longer defines IDH-mutant grade 4 astrocytomas as glioblastoma.

Results: A significant finding was the strong association between extent of resection, tumor proximity to the ventricular system and survival: patients with tumors closer to the ventricles had significantly shorter survival, highlighting the critical role of spatial tumor characteristics in glioblastoma outcomes.

Conclusion: These results suggest that integrating clinical, genetic and spatial tumor data into personalized treatment approaches could improve prognosis.

背景:本研究分析了西班牙卡斯特隆综合大学医院治疗的57例胶质母细胞瘤患者,重点分析了影响疾病结局的临床、肿瘤特异性和遗传因素。变量包括年龄、性别、BMI、手术切除程度、放疗或化疗的使用。评估的肿瘤特征包括位置、大小、是否接近脑室系统和手术入路。还分析了EGFR、TP53和CDKN2A基因的基因突变。方法:采用Kaplan-Meier生存分析评估临床、肿瘤相关、治疗、生活方式和遗传变量对总生存期和无进展生存期的影响,采用log-rank检验评估组间差异。考虑到研究的探索性和样本量,没有进行多变量建模。根据2021年世界卫生组织(WHO)的分类,将idh1 /2突变肿瘤患者排除在外,该分类不再将idh突变4级星形细胞瘤定义为胶质母细胞瘤。结果:一个重要的发现是肿瘤切除程度、肿瘤与脑室系统的接近程度与生存之间有很强的相关性:肿瘤靠近脑室的患者生存期明显较短,突出了肿瘤空间特征在胶质母细胞瘤预后中的关键作用。结论:综合临床、遗传和肿瘤空间信息,个性化治疗可改善预后。
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引用次数: 0
Neuroplasticity and recovery of the brain affected by substance use disorder: multilevel mechanisms and new therapeutic strategies (2020-2025). 物质使用障碍对大脑神经可塑性和恢复的影响:多层次机制和新的治疗策略(2020-2025)。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-26 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1760387
Roberto Estrada-Medina, Berle Estalin Briones-Llamoctanta, Josué Edison Turpo-Chaparro

Introduction: Substance use disorder (SUD) is a complex neurobiological disorder characterized by the consolidation of maladaptive neuroplasticity affecting dopaminergic, glutamatergic, and neurotrophic systems, as well as cortical and subcortical networks critical for executive control, emotional regulation, and associative learning.

Methods: This systematic review was conducted in accordance with PRISMA 2020 guidelines and integrated 57 studies published between 2020 and 2025 to analyze neuroplastic mechanisms involved in vulnerability to substance use disorder and brain recovery following chronic substance exposure.

Results: The findings revealed consistent alterations in synaptic density, BDNF/TrkB signaling, glutamatergic homeostasis, and epigenetic regulation, along with structural and functional neuroimaging changes in regions such as the prefrontal cortex (PFC), nucleus accumbens (NAc), and amygdala. Four core therapeutic domains for neuroplastic restoration were identified: neuromodulation approaches (including repetitive transcranial magnetic stimulation, transcranial direct current stimulation, and deep brain stimulation), compounds that promote neuroplasticity via neurotrophic signaling, epigenetic and anti-inflammatory interventions, and psychological therapies based on memory reconsolidation processes. These strategies demonstrated the capacity to normalize prefrontal activity, modulate reward networks, strengthen emotional regulation, and reduce craving.

Conclusion: Despite significant advances, important gaps remain, including methodological heterogeneity, scarcity of longitudinal studies, and limited clinical generalizability. Overall, the evidence suggests that recovery from substance use disorder requires multimodal interventions simultaneously targeting molecular, synaptic, and circuit-level plasticity, with growing emphasis on personalized approaches guided by neurobiological biomarkers.

物质使用障碍(SUD)是一种复杂的神经生物学障碍,其特征是适应不良的神经可塑性的巩固,影响多巴胺能、谷氨酸能和神经营养系统,以及对执行控制、情绪调节和联想学习至关重要的皮层和皮层下网络。方法:本系统综述根据PRISMA 2020指南进行,整合了2020年至2025年间发表的57项研究,分析慢性物质暴露后物质使用障碍易感性和大脑恢复的神经可塑性机制。结果:研究结果显示突触密度、BDNF/TrkB信号、谷氨酸能稳态和表观遗传调控发生了一致的变化,同时前额叶皮质(PFC)、伏隔核(NAc)和杏仁核等区域的结构和功能神经影像学发生了变化。确定了神经可塑性恢复的四个核心治疗领域:神经调节方法(包括重复经颅磁刺激,经颅直流电刺激和深部脑刺激),通过神经营养信号促进神经可塑性的化合物,表观遗传和抗炎干预,以及基于记忆再巩固过程的心理治疗。这些策略显示了使前额叶活动正常化、调节奖励网络、加强情绪调节和减少渴望的能力。结论:尽管取得了重大进展,但仍然存在重要的差距,包括方法学的异质性、纵向研究的缺乏和有限的临床推广。总的来说,有证据表明,从物质使用障碍中恢复需要同时针对分子、突触和回路水平可塑性的多模式干预,并越来越强调由神经生物学生物标志物指导的个性化方法。
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引用次数: 0
Dysregulated lipid metabolism and hypomyelination in postnatal peroxisome-deficient Pex2 knockout Zellweger mice. 出生后过氧化物酶体缺陷Pex2敲除小鼠的脂质代谢异常和低髓鞘形成。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-24 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1636268
Tanja Eberhart, Khanichi N Charles, Brenda Salumbides-Torres, Nia Price, Steven J Fliesler, Phyllis L Faust, Werner J Kovacs

Peroxisomes are dynamic organelles that play a crucial role in cellular metabolism, particularly in fatty acid degradation, cholesterol homeostasis and reactive oxygen species metabolism. Their dysfunction is associated with severe neurological disorders, including Zellweger spectrum disorders (ZSD) and X-linked adrenoleukodystrophy (X-ALD). In this study, we investigated the relationship between cholesterol homeostasis and myelination in postnatal peroxisome-deficient Pex2 knockout mice. We dissected the central nervous system (CNS) of 10-day-old (P10) control and Pex2 -/- mice into five regions: spinal cord, brainstem, cerebellum, diencephalon and cerebral cortex. Catalase activity, a marker enzyme of peroxisomes, was significantly increased in CNS regions of Pex2 -/- mice, indicating an oxidative imbalance. Proteomic analysis revealed significant alterations in peroxisomal proteins and pathways related to neurodegenerative diseases, cholesterol and fatty acid metabolism and mRNA processing. Cholesterol biosynthesis was particularly dysregulated: enzyme activities, mRNA, and protein levels were reduced in white matter regions but increased in the cerebral cortex. The elevated desmosterol levels in the brain of Pex2 -/- mice indicate impaired cholesterol synthesis. Sphingolipid metabolism was also altered in the peroxisome-deficient CNS, as the protein levels of enzymes dihydroceramide desaturase 1, ceramide synthase 2, fatty acid 2-hydroxylase, and UDP-glycosyltransferase 8 were significantly decreased. Myelination was significantly reduced throughout the CNS, as evidenced by decreased activities of the myelin marker 2',3'-cyclic nucleotide 3'-phosphodiesterase (CNP) and decreased mRNA and protein levels of myelin-associated proteins. The consistent decrease in ribosomal protein S6 phosphorylation in the CNS of Pex2 -/- mice suggests that decreased mechanistic target of rapamycin complex 1 (mTORC1) activity contributes to hypomyelination. Gene expression analysis revealed an upregulation of pro-inflammatory cytokines and altered expression of some homeostatic and disease-associated microglial (DAM) genes. However, full DAM activation was not yet observed in Pex2 -/- mice at P10. In conclusion, this study shows that systemic peroxisome deficiency leads to severe hypomyelination and dysregulation of cholesterol and fatty acid metabolism in the CNS, providing new insights into the pathophysiology of peroxisomal disorders.

过氧化物酶体是一种动态细胞器,在细胞代谢,特别是脂肪酸降解、胆固醇稳态和活性氧代谢中起着至关重要的作用。它们的功能障碍与严重的神经系统疾病有关,包括齐薇格谱系障碍(ZSD)和x -连锁肾上腺脑白质营养不良(X-ALD)。在这项研究中,我们研究了出生后过氧化物酶体缺陷Pex2敲除小鼠胆固醇稳态与髓鞘形成之间的关系。我们将10日龄(P10)对照和px2 -/-小鼠的中枢神经系统(CNS)解剖为脊髓、脑干、小脑、间脑和大脑皮层五个区域。过氧化氢酶是过氧化物酶体的标记酶,过氧化氢酶活性在Pex2 -/-小鼠的中枢神经系统区域显著升高,表明氧化失衡。蛋白质组学分析显示,与神经退行性疾病、胆固醇和脂肪酸代谢以及mRNA加工相关的过氧化物酶体蛋白和途径发生了显著变化。胆固醇的生物合成尤其失调:白质区域的酶活性、mRNA和蛋白质水平降低,而大脑皮层的酶活性、mRNA和蛋白质水平升高。Pex2 -/-小鼠大脑中去氨甾醇水平升高表明胆固醇合成受损。过氧化物酶体缺乏的中枢神经系统鞘脂代谢也发生改变,因为二氢神经酰胺去饱和酶1、神经酰胺合成酶2、脂肪酸2-羟化酶和udp -糖基转移酶8的蛋白水平显著降低。髓磷脂标志物2′,3′-环核苷酸3′-磷酸二酯酶(CNP)活性降低,髓磷脂相关蛋白mRNA和蛋白水平降低,表明整个中枢神经系统的髓鞘形成明显减少。Pex2 -/-小鼠中枢神经系统核糖体蛋白S6磷酸化的持续下降表明,雷帕霉素复合物1 (mTORC1)活性的机制靶点降低有助于髓鞘化降低。基因表达分析显示,促炎细胞因子上调,一些稳态和疾病相关的小胶质细胞(DAM)基因表达改变。然而,在P10的Pex2 -/-小鼠中尚未观察到完全的DAM激活。总之,本研究表明,全体性过氧化物酶体缺乏可导致中枢神经系统严重的髓鞘化降低和胆固醇和脂肪酸代谢失调,为过氧化物酶体疾病的病理生理学提供了新的见解。
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引用次数: 0
Mesenchymal stem cells and the central nervous system: historical perspectives and future directions. 间充质干细胞和中枢神经系统:历史观点和未来方向。
IF 3.8 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-23 eCollection Date: 2026-01-01 DOI: 10.3389/fnmol.2026.1742864
Christopher Y Mazurek, Julia K Kaniuk, Christopher S Ahuja

Mesenchymal stem cells (MSCs) have been studied as a potential therapy for a wide range of conditions for approximately 30 years. MSCs have shown promise in treating pathologies of or affecting the central nervous system (CNS), specifically Alzheimer's disease (AD), Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), stroke, spinal cord injury (SCI), traumatic brain injury (TBI), degenerative disc disease (DDD), and sepsis/meningitis. The therapeutic benefits of MSCs derive primarily from their arsenal of secreted factors that promote anti-inflammatory and pro-survival pathways while attenuating harmful immune responses, thus making them powerful immunomodulatory entities which are also capable of affecting a diverse range of cellular functions to promote endogenous mechanisms of repair. This review summarizes the current state of clinical trials research regarding pathologies of the CNS with a focus on historical progression and upcoming trials. We take a mechanistic approach to explain the therapeutic basis of MSCs and how this has informed clinical trials. We also mention the role of the MSC secretome and MSC exosomes in the treatment of CNS pathologies as well as their increasing use in clinical trials. Finally, we address the challenges inherent to the clinical translation and implementation of MSC therapies along with future directions of the field.

间充质干细胞(MSCs)作为一种潜在的治疗方法已经被研究了大约30年。MSCs在治疗中枢神经系统(CNS)病变或影响中枢神经系统(CNS)方面显示出前景,特别是阿尔茨海默病(AD)、帕金森病(PD)、肌萎缩侧索硬化症(ALS)、多发性硬化症(MS)、中风、脊髓损伤(SCI)、创伤性脑损伤(TBI)、退行性椎间盘疾病(DDD)和败血症/脑膜炎。间充质干细胞的治疗益处主要来自其分泌的因子库,这些因子可以促进抗炎和促生存途径,同时减弱有害的免疫反应,从而使其成为强大的免疫调节实体,也能够影响多种细胞功能,促进内源性修复机制。本文综述了目前关于中枢神经系统病理的临床试验研究的现状,重点是历史进展和即将进行的试验。我们采取一种机制的方法来解释间充质干细胞的治疗基础,以及这是如何影响临床试验的。我们还提到了间充质干细胞分泌组和间充质干细胞外泌体在中枢神经系统病理治疗中的作用,以及它们在临床试验中越来越多的应用。最后,我们讨论了MSC治疗的临床转化和实施所固有的挑战,以及该领域的未来方向。
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引用次数: 0
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Frontiers in Molecular Neuroscience
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