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Unraveling the socio-cognitive consequences of KCC2 disruption in zebrafish: implications for neurodevelopmental disorders and therapeutic interventions. 揭示斑马鱼 KCC2 中断的社会认知后果:对神经发育障碍和治疗干预的影响。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1483238
Mohammad Naderi, Thi My Nhi Nguyen, Christopher Pompili, Raymond W M Kwong

During postnatal brain development, maintaining a delicate balance between excitation and inhibition (E/I) is essential for the precise formation of neuronal circuits. The K+/cl- cotransporter 2 (KCC2) is instrumental in this process, and its dysregulation is implicated in various neurological disorders. This study utilized zebrafish (Danio rerio) to investigate the socio-cognitive consequences of KCC2 disruption. Through CRISPR-Cas9 technology, biallelic kcc2a knockout zebrafish larvae were generated, revealing behavioral abnormalities, including impaired social interactions and memory deficits. Molecular analyses unveiled alterations in key genes associated with the GABAergic and glutamatergic systems, potentially contributing to E/I imbalance. Additionally, KCC2 disruption influenced the expression of oxytocin and BDNF, crucial regulators of social behaviors, synaptic plasticity, and memory formation. The study also explored the therapeutic potential of KCC2 modulation using pharmaceuticals, showing the rescuing effects of CLP-290 and LIT-001 on social abnormalities. However, the selective impact of LIT-001 on social behaviors, not memory, highlights the complexity of neurobehavioral modulation. In summary, this study sheds light on the pivotal role of KCC2 in shaping socio-cognitive functions and suggests potential therapeutic avenues for KCC2-related neurological disorders.

在出生后的大脑发育过程中,保持兴奋和抑制(E/I)之间的微妙平衡对于神经元回路的精确形成至关重要。K+/cl- 共转运体 2(KCC2)在这一过程中起着重要作用,它的失调与多种神经系统疾病有关。本研究利用斑马鱼(Danio rerio)来研究 KCC2 干扰的社会认知后果。通过CRISPR-Cas9技术,产生了双叶kcc2a基因敲除斑马鱼幼体,发现了行为异常,包括社会交往受损和记忆缺陷。分子分析揭示了与GABA能系统和谷氨酸能系统相关的关键基因的改变,这可能是导致E/I失衡的原因。此外,KCC2干扰影响了催产素和BDNF的表达,而催产素和BDNF是社会行为、突触可塑性和记忆形成的关键调节因子。该研究还探索了使用药物调节 KCC2 的治疗潜力,结果显示 CLP-290 和 LIT-001 对社交异常有挽救作用。然而,LIT-001 对社交行为而非记忆的选择性影响凸显了神经行为调节的复杂性。总之,这项研究揭示了 KCC2 在塑造社会认知功能方面的关键作用,并提出了治疗 KCC2 相关神经系统疾病的潜在途径。
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引用次数: 0
Inactivity of Stat3 in sensory and non-sensory cells of the mature cochlea. 成熟耳蜗感官细胞和非感官细胞中 Stat3 的非活性。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-14 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1455136
L Bieniussa, C Stolte, P Arampatzi, J Engert, J Völker, R Hagen, S Hackenberg, K Rak

Signal transducer and activator of transcription 3 (Stat3) plays a role in various cellular processes such as differentiation, inflammation, cell survival and microtubule dynamics, depending on the cell type and the activated signaling pathway. Stat3 is highly expressed in the hair cells and supporting cells of the cochlea and is essential for the differentiation of mouse hair cells in the early embryonic stage. However, it is unclear how Stat3 contributes to the correct function of cells in the organ of Corti postnatally. To investigate this, an inducible Cre/loxp system was used to knock out Stat3 in either the outer hair cells or the supporting cells. The results showed that the absence of Stat3 in either the outer hair cells or the supporting cells resulted in hearing loss without altering the morphology of the organ of Corti. Molecular analysis of the outer hair cells revealed an inflammatory process with increased cytokine production and upregulation of the NF-kB pathway. However, the absence of Stat3 in the supporting cells resulted in reduced microtubule stability. In conclusion, Stat3 is a critical protein for the sensory epithelium of the cochlea and hearing and functions in a cell and function-specific manner.

信号转导和转录激活因子 3(Stat3)在分化、炎症、细胞存活和微管动力学等多种细胞过程中发挥作用,这取决于细胞类型和激活的信号通路。Stat3 在耳蜗的毛细胞和支持细胞中高度表达,并且在胚胎早期阶段对小鼠毛细胞的分化至关重要。然而,目前还不清楚 Stat3 如何促进出生后耳蜗器官细胞的正确功能。为了研究这个问题,我们利用诱导性 Cre/loxp 系统敲除了外毛细胞或支持细胞中的 Stat3。结果显示,外毛细胞或支持细胞中的Stat3缺失会导致听力损失,但不会改变Corti器官的形态。对外毛细胞的分子分析表明,炎症过程中细胞因子分泌增加,NF-kB通路上调。然而,支持细胞中缺乏 Stat3 会导致微管稳定性降低。总之,Stat3 是耳蜗感觉上皮细胞和听力的关键蛋白,以细胞和功能特异性的方式发挥作用。
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引用次数: 0
Inflammation and olfactory loss are associated with at least 139 medical conditions. 炎症和嗅觉丧失至少与 139 种疾病有关。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-11 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1455418
Michael Leon, Emily T Troscianko, Cynthia C Woo

Olfactory loss accompanies at least 139 neurological, somatic, and congenital/hereditary conditions. This observation leads to the question of whether these associations are correlations or whether they are ever causal. Temporal precedence and prospective predictive power suggest that olfactory loss is causally implicated in many medical conditions. The causal relationship between olfaction with memory dysfunction deserves particular attention because this sensory system has the only direct projection to memory centers. Mechanisms that may underlie the connections between medical conditions and olfactory loss include inflammation as well as neuroanatomical and environmental factors, and all 139 of the medical conditions listed here are also associated with inflammation. Olfactory enrichment shows efficacy for both prevention and treatment, potentially mediated by decreasing inflammation.

至少有 139 种神经性、躯体性和先天性/遗传性疾病会导致嗅觉丧失。这一观察结果引出了一个问题:这些关联是相关关系还是因果关系?时间优先性和前瞻性预测能力表明,嗅觉丧失与许多病症有因果关系。嗅觉与记忆功能障碍之间的因果关系值得特别关注,因为这一感觉系统是唯一直接投射到记忆中心的系统。医学症状与嗅觉丧失之间的关联机制可能包括炎症以及神经解剖学和环境因素,这里列出的 139 种医学症状也都与炎症有关。丰富嗅觉对预防和治疗都有疗效,这可能是通过减少炎症来实现的。
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引用次数: 0
Dynamic micro-optical coherence tomography enables structural and metabolic imaging of the mammalian cochlea. 动态微型光学相干断层成像技术实现了哺乳动物耳蜗的结构和代谢成像。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-10 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1436837
Hinnerk Schulz-Hildebrandt, Svetolik Spasic, Fang Hou, Kuan-Chung Ting, Shelley Batts, Guillermo Tearney, Konstantina M Stankovic

Sensorineural hearing loss (SNHL) is caused by damage to the mechanosensory hair cells and auditory neurons of the cochlea. The development of imaging tools that can directly visualize or provide functional information about a patient's cochlear cells is critical to identify the pathobiological defect and determine the cells' receptiveness to emerging SNHL treatments. However, the cochlea's small size, embedded location within dense bone, and sensitivity to perturbation have historically precluded high-resolution clinical imaging. Previously, we developed micro-optical coherence tomography (μOCT) as a platform for otologic imaging in animal models and human cochleae. Here we report on advancing μOCT technology to obtain simultaneously acquired and co-localized images of cell viability/metabolic activity through dynamic μOCT (DμOCT) imaging of intracellular motion. DμOCT obtains cross-sectional images of ATP-dependent movement of intracellular organelles and cytoskeletal polymerization by acquiring sequential μOCT images and computing intensity fluctuation frequency metrics on a pixel-wise basis. Using a customized benchtop DμOCT system, we demonstrate the detailed resolution of anatomical and metabolic features of cells within the organ of Corti, via an apical cochleostomy, in freshly-excised adult mouse cochleae. Further, we show that DμOCT is capable of capturing rapid changes in cochlear cell metabolism following an ototoxic insult to induce cell death and actin stabilization. Notably, as few as 6 frames can be used to reconstruct cochlear DμOCT images with sufficient detail to discern individual cells and their metabolic state. Taken together, these results motivate future development of a DμOCT imaging probe for cellular and metabolic diagnosis of SNHL in humans.

感音神经性听力损失(SNHL)是由耳蜗的机械感觉毛细胞和听觉神经元受损引起的。开发可直接观察或提供患者耳蜗细胞功能信息的成像工具,对于确定病理生物学缺陷和确定细胞对新出现的感音神经性听力损失治疗方法的接受程度至关重要。然而,由于耳蜗体积小、位于致密的骨质中以及对扰动的敏感性,高分辨率临床成像一直无法实现。此前,我们开发了微型光学相干断层扫描(μOCT),作为动物模型和人类耳蜗的耳科成像平台。在此,我们报告了μOCT技术的进展,即通过对细胞内运动的动态μOCT(DμOCT)成像,获得细胞活力/代谢活动的同步采集和共定位图像。DμOCT 通过获取连续的 μOCT 图像,并以像素为单位计算强度波动频率指标,从而获得细胞内细胞器和细胞骨架聚合的 ATP 依赖性运动的横截面图像。利用定制的台式 DμOCT 系统,我们展示了通过耳尖耳蜗造口术在新鲜切除的成年小鼠耳蜗中详细解析柯蒂器官内细胞的解剖和代谢特征。此外,我们还发现 DμOCT 能够捕捉耳毒性损伤诱导细胞死亡和肌动蛋白稳定后耳蜗细胞新陈代谢的快速变化。值得注意的是,只需 6 帧图像就能重建耳蜗 DμOCT 图像,其细节足以辨别单个细胞及其代谢状态。综上所述,这些结果推动了未来用于人类SNHL细胞和代谢诊断的DμOCT成像探针的开发。
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引用次数: 0
Exploring shared biomarkers and shared pathways in insomnia and atherosclerosis using integrated bioinformatics analysis. 利用综合生物信息学分析探索失眠和动脉粥样硬化中的共享生物标志物和共享途径。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1477903
Qichong Yang, Juncheng Liu, Tingting Zhang, Tingting Zhu, Siyu Yao, Rongzi Wang, Wenjuan Wang, Haliminai Dilimulati, Junbo Ge, Songtao An

Background: Insomnia (ISM) is one of the non-traditional drivers of atherosclerosis (AS) and an important risk factor for AS-related cardiovascular disease. Our study aimed to explore the shared pathways and diagnostic biomarkers of ISM-related AS using integrated bioinformatics analysis.

Methods: We download the datasets from the Gene Expression Omnibus database and the GeneCards database. Weighted gene co-expression network analysis and gene differential expression analysis were applied to screen the AS-related gene set. The shared genes of ISM and AS were obtained by intersecting with ISM-related genes. Subsequently, candidate diagnostic biomarkers were identified by constructing protein-protein interaction networks and machine learning algorithms, and a nomogram was constructed. Moreover, to explore potential mechanisms, a comprehensive analysis of shared genes was carried out, including enrichment analysis, protein interactions, immune cell infiltration, and single-cell sequencing analysis.

Results: We successfully screened 61 genes shared by ISM and AS, of which 3 genes (IL10RA, CCR1, and SPI1) were identified as diagnostic biomarkers. A nomogram with excellent predictive value was constructed (the area under curve of the model constructed by the biomarkers was 0.931, and the validation set was 0.745). In addition, the shared genes were mainly enriched in immune and inflammatory response regulation pathways. The biomarkers were associated with a variety of immune cells, especially myeloid immune cells.

Conclusion: We constructed a diagnostic nomogram based on IL10RA, CCR1, and SPI1 and explored the inflammatory-immune mechanisms, which indicated new insights for early diagnosis and treatment of ISM-related AS.

背景:失眠(ISM)是动脉粥样硬化(AS)的非传统驱动因素之一,也是AS相关心血管疾病的重要危险因素。我们的研究旨在利用综合生物信息学分析探索与失眠相关的强直性脊柱炎的共享途径和诊断生物标志物:方法:我们从基因表达总库(Gene Expression Omnibus)数据库和基因卡片(GeneCards)数据库下载数据集。方法:我们从基因表达总库(Gene Expression Omnibus)和基因卡片(GeneCards)数据库中下载数据集,应用加权基因共表达网络分析和基因差异表达分析法筛选强直性脊柱炎相关基因。通过与ISM相关基因的交叉,得到ISM和AS的共有基因。随后,通过构建蛋白质-蛋白质相互作用网络和机器学习算法,确定了候选诊断生物标志物,并构建了提名图。此外,为了探索潜在的机制,我们还对共有基因进行了综合分析,包括富集分析、蛋白质相互作用、免疫细胞浸润和单细胞测序分析:结果:我们成功筛选出61个ISM和AS共有基因,其中3个基因(IL10RA、CCR1和SPI1)被确定为诊断生物标志物。研究还构建了一个具有极高预测价值的提名图(由生物标志物构建的模型的曲线下面积为 0.931,验证集为 0.745)。此外,共享基因主要富集在免疫和炎症反应调节通路中。这些生物标志物与多种免疫细胞有关,尤其是髓系免疫细胞:我们构建了基于 IL10RA、CCR1 和 SPI1 的诊断提名图,并探索了炎症-免疫机制,为 ISM 相关强直性脊柱炎的早期诊断和治疗提供了新的思路。
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引用次数: 0
Cellular signaling pathways in the nervous system activated by various mechanical and electromagnetic stimuli. 神经系统中由各种机械和电磁刺激激活的细胞信号通路。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-04 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1427070
Youngjae Ryu, Aboubacar Wague, Xuhui Liu, Brian T Feeley, Adam R Ferguson, Kazuhito Morioka

Mechanical stimuli, such as stretch, shear stress, or compression, activate a range of biomolecular responses through cellular mechanotransduction. In the nervous system, studies on mechanical stress have highlighted key pathophysiological mechanisms underlying traumatic injury and neurodegenerative diseases. However, the biomolecular pathways triggered by mechanical stimuli in the nervous system has not been fully explored, especially compared to other body systems. This gap in knowledge may be due to the wide variety of methods and definitions used in research. Additionally, as mechanical stimulation techniques such as ultrasound and electromagnetic stimulation are increasingly utilized in psychological and neurorehabilitation treatments, it is vital to understand the underlying biological mechanisms in order to develop accurate pathophysiological models and enhance therapeutic interventions. This review aims to summarize the cellular signaling pathways activated by various mechanical and electromagnetic stimuli with a particular focus on the mammalian nervous system. Furthermore, we briefly discuss potential cellular mechanosensors involved in these processes.

拉伸、剪切应力或压缩等机械刺激可通过细胞的机械传导激活一系列生物分子反应。在神经系统中,对机械应力的研究突出了创伤性损伤和神经退行性疾病的关键病理生理机制。然而,神经系统中机械刺激引发的生物分子途径尚未得到充分探索,尤其是与其他身体系统相比。造成这一知识空白的原因可能是研究中使用的方法和定义多种多样。此外,随着超声波和电磁刺激等机械刺激技术越来越多地用于心理和神经康复治疗,了解其潜在的生物机制对于建立准确的病理生理学模型和加强治疗干预至关重要。本综述旨在总结各种机械和电磁刺激激活的细胞信号通路,尤其关注哺乳动物的神经系统。此外,我们还简要讨论了参与这些过程的潜在细胞机械传感器。
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引用次数: 0
A review of the pathogenesis of epilepsy based on the microbiota-gut-brain-axis theory. 基于微生物群-肠-脑-轴理论的癫痫发病机制综述。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1454780
Wentao Yang, Hua Cui, Chaojie Wang, Xuan Wang, Ciai Yan, Weiping Cheng

The pathogenesis of epilepsy is related to the microbiota-gut-brain axis, but the mechanism has not been clarified. The microbiota-gut-brain axis is divided into the microbiota-gut-brain axis (upward pathways) and the brain-gut-microbiota axis (downward pathways) according to the direction of conduction. Gut microorganisms are involved in pathological and physiological processes in the human body and participate in epileptogenesis through neurological, immunological, endocrine, and metabolic pathways, as well as through the gut barrier and blood brain barrier mediated upward pathways. After epilepsy, the downward pathway mediated by the HPA axis and autonomic nerves triggers "leaky brain "and "leaky gut," resulting in the formation of microbial structures and enterobacterial metabolites associated with epileptogenicity, re-initiating seizures via the upward pathway. Characteristic changes in microbial and metabolic pathways in the gut of epileptic patients provide new targets for clinical prevention and treatment of epilepsy through the upward pathway. Based on these changes, this review further redescribes the pathogenesis of epilepsy and provides a new direction for its prevention and treatment.

癫痫的发病机制与微生物群-肠-脑轴有关,但其机制尚未明确。微生物群-肠-脑轴按传导方向分为微生物群-肠-脑轴(上行通路)和脑-肠-微生物群轴(下行通路)。肠道微生物参与人体的病理和生理过程,通过神经、免疫、内分泌、代谢等途径,以及肠道屏障和血脑屏障介导的上行途径参与癫痫的发生。癫痫发作后,由 HPA 轴和自主神经介导的下行途径会引发 "漏脑 "和 "漏肠",从而形成与致痫性相关的微生物结构和肠道细菌代谢物,通过上行途径再次引发癫痫发作。癫痫患者肠道中微生物和代谢途径的特征性变化为临床通过上行途径预防和治疗癫痫提供了新的靶点。基于这些变化,本综述进一步重新描述了癫痫的发病机制,并为癫痫的预防和治疗提供了新的方向。
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引用次数: 0
Molecular determinants of resurgent sodium currents mediated by Navβ4 peptide and A-type FHFs. 由 Navβ4 肽和 A 型 FHFs 介导的钠离子电流恢复的分子决定因素
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1433981
Yucheng Xiao, Yanling Pan, Jingyu Xiao, Theodore R Cummins

Introduction: Resurgent current (INaR ) generated by voltage-gated sodium channels (VGSCs) plays an essential role in maintaining high-frequency firing of many neurons and contributes to disease pathophysiology such as epilepsy and painful disorders. Targeting INaR may present a highly promising strategy in the treatment of these diseases. Navβ4 and A-type fibroblast growth factor homologous factors (FHFs) have been identified as two classes of important INaR mediators; however, their receptor sites in VGSCs remain unknown, which hinders the development of novel agents to effectively target INaR .

Methods: Navβ4 and FHF4A can mediate INaR generation through the amino acid segment located in their C-terminus and N-terminus, respectively. We mainly employed site-directed mutagenesis, chimera construction and whole-cell patch-clamp recording to explore the receptor sites of Navβ4 peptide and FHF4A in Nav1.7 and Nav1.8.

Results: We show that the receptor of Navβ4-peptide involves four residues, N395, N945, F1737 and Y1744, in Nav1.7 DI-S6, DII-S6, and DIV-S6. We show that A-type FHFs generating INaR depends on the segment located at the very beginning, not at the distal end, of the FHF4 N-terminus domain. We show that the receptor site of A-type FHFs also resides in VGSC inner pore region. We further show that an asparagine at DIIS6, N891 in Nav1.8, is a major determinant of INaR generated by A-type FHFs in VGSCs.

Discussion: Cryo-EM structures reveal that the side chains of the critical residues project into the VGSC channel pore. Our findings provide additional evidence that Navβ4 peptide and A-type FHFs function as open-channel pore blockers and highlight channel inner pore region as a hotspot for development of novel agents targeting INaR .

导言:电压门控钠通道(VGSCs)产生的恢复电流(INaR)在维持许多神经元的高频发射方面发挥着重要作用,并对癫痫和疼痛等疾病的病理生理学起着重要作用。以 INaR 为靶点可能是治疗这些疾病的一种极具前景的策略。Navβ4和A型成纤维细胞生长因子同源因子(FHFs)已被确定为两类重要的INaR介质;然而,它们在VGSCs中的受体位点仍然未知,这阻碍了有效靶向INaR的新型药物的开发:Navβ4 和 FHF4A 可分别通过其 C 端和 N 端的氨基酸段介导 INaR 的产生。我们主要采用定点突变、嵌合体构建和全细胞膜片钳记录等方法探讨了 Nav1.7 和 Nav1.8 中 Navβ4 肽和 FHF4A 的受体位点:我们发现 Navβ4 肽的受体涉及 Nav1.7 DI-S6、DII-S6 和 DIV-S6 中的 N395、N945、F1737 和 Y1744 四个残基。我们的研究表明,A 型 FHFs 产生 INaR 依赖于位于 FHF4 N 端结构域最开始的部分,而不是远端的部分。我们发现 A 型 FHFs 的受体位点也位于 VGSC 内孔区域。我们进一步表明,DIIS6(Nav1.8中的N891)上的天冬酰胺是A型FHFs在VGSCs中产生INaR的主要决定因素:低温电子显微镜结构显示,关键残基的侧链伸入 VGSC 通道孔。我们的发现提供了更多证据,证明 Navβ4 肽和 A 型 FHFs 具有开放通道孔阻滞剂的功能,并强调通道内孔区域是开发靶向 INaR 的新型药物的热点区域。
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引用次数: 0
Risk factors for poor prognosis in patients with zoster-associated neuralgia who underwent interventional pain management. 接受介入疼痛治疗的带状疱疹相关神经痛患者预后不良的风险因素。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-02 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1393219
Junpeng Yuan, Youjia Yu, Hong Liu, Huichan Xu, Yan Li, Xiaohong Jin

Background: Zoster-associated neuralgia (ZAN) is recognized as a challenging neuralgia that often leads to poor prognosis in patients receiving interventional pain management. Identifying risk factors early can enable clinicians to develop personalized treatment plans; however, research in this area is limited.

Methods: We retrospectively screened all patients with ZAN who received interventional therapy in the Pain Department of Soochow University First Affiliated Hospital from January 1, 2022 to August 31, 2023. Data on patient demographics, medical history, neutrophil-to-lymphocyte ratio (NLR), clinical scoring, and treatment methods were collected. Interventional therapy included short-term nerve electrical stimulation (st-NES), pulsed radiofrequency (PRF) and radiofrequency thermocoagulation (RF-TC). Patients were categorized into poor prognosis and control groups based on outcomes 3 months post-discharge. Multivariate logistic regression was used to identify risk factors for poor prognosis.

Results: The final analysis included 282 patients. The rate of poor prognosis was 32.6% (92/282). Multivariate logistic regression analysis revealed that age ≥ 65 years (odds ratio, 2.985; 95% confidence interval, 1.449-6.148; p = 0.003), disease duration >3 months (odds ratio, 3.135; 95% confidence interval, 1.685-5.832; p < 0.001), head and face pain (odds ratio, 3.140; 95% confidence interval, 1.557-6.330; p = 0.001), use of immunosuppressants (odds ratio, 2.737; 95% confidence interval, 1.168-6.416; p = 0.021), higher NLR (odds ratio, 1.454; 95% confidence interval, 1.233-1.715; p < 0.001), PRF (st-NES as reference) (odds ratio, 2.324; 95% confidence interval, 1.116-4.844; p = 0.024) and RF-TC (st-NES as reference) (odds ratio, 5.028; 95% confidence interval, 2.139-11.820; p < 0.001) were found to be independent risk factors for poor prognosis in patients with ZAN who underwent interventional pain management.

Conclusion: Age ≥ 65 years (odds ratio, 2.985; 95% confidence interval, 1.449-6.148; p = 0.003), disease duration >3 months (odds ratio, 3.135; 95% confidence interval, 1.685-5.832; p < 0.001), head and face pain (odds ratio, 3.140; 95% confidence interval, 1.557-6.330; p = 0.001), immunosuppressants use (odds ratio, 2.737; 95% confidence interval, 1.168-6.416; p = 0.021), higher NLR (odds ratio, 1.454; 95% confidence interval, 1.233-1.715; p < 0.001), PRF (odds ratio, 2.324; 95% confidence interval, 1.116-4.844; p = 0.024) and RF-TC (odds ratio, 5.028; 95% confidence interval, 2.139-11.820; p < 0.001) were identified as independent risk factors for poor prognosis in patients with ZAN who underwent interventional pain management.

背景:带状疱疹相关神经痛(ZAN)被认为是一种具有挑战性的神经痛,通常会导致接受介入疼痛治疗的患者预后不良。早期识别风险因素可帮助临床医生制定个性化的治疗方案,但这方面的研究还很有限:我们回顾性地筛选了 2022 年 1 月 1 日至 2023 年 8 月 31 日期间在苏州大学附属第一医院疼痛科接受介入治疗的所有 ZAN 患者。收集了患者的人口统计学、病史、中性粒细胞与淋巴细胞比值(NLR)、临床评分和治疗方法等数据。介入治疗包括短期神经电刺激(st-NES)、脉冲射频(PRF)和射频热凝(RF-TC)。根据出院后 3 个月的结果,将患者分为预后不良组和对照组。多变量逻辑回归用于确定预后不良的风险因素:最终分析包括 282 名患者。预后不良率为 32.6%(92/282)。多变量逻辑回归分析显示,年龄≥65 岁(几率比,2.985;95% 置信区间,1.449-6.148;P = 0.003)、病程>3 个月(几率比,3.135;95% 置信区间,1.685-5.832;P = 0.001)、使用免疫抑制剂(几率比,2.737;95% 置信区间,1.168-6.416;P = 0.021)、较高的 NLR(几率比,1.454;95% 置信区间,1.233-1.715;P = 0.024)和 RF-TC(以 st-NES 为参照)(几率比,5.028;95% 置信区间,2.139-11.820;P 结论:年龄≥65 岁(几率比,2.737;95% 置信区间,1.168-6.416;P = 0.021年龄≥65 岁(几率比,2.985;95% 置信区间,1.449-6.148;P = 0.003)、病程>3 个月(几率比,3.135;95% 置信区间,1.685-5.832;P = 0.001)、使用免疫抑制剂(几率比,2.737;95% 置信区间,1.168-6.416;P = 0.021)、较高的 NLR(几率比,1.454;95% 置信区间,1.233-1.715;P P = 0.024)和 RF-TC(几率比,5.028;95% 置信区间,2.139-11.820;P
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引用次数: 0
Functions of TRPs in retinal tissue in physiological and pathological conditions. 生理和病理条件下视网膜组织中 TRPs 的功能。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-25 eCollection Date: 2024-01-01 DOI: 10.3389/fnmol.2024.1459083
Thaianne Hanah Oliveira do Nascimento, Danniel Pereira-Figueiredo, Louise Veroneze, Amanda Alves Nascimento, Francesco De Logu, Romina Nassini, Paula Campello-Costa, Adriana da Cunha Faria-Melibeu, Daniel Souza Monteiro de Araújo, Karin Costa Calaza

The Transient Receptor Potential (TRP) constitutes a family of channels subdivided into seven subfamilies: Ankyrin (TRPA), Canonical (TRPC), Melastatin (TRPM), Mucolipin (TRPML), no-mechano-potential C (TRPN), Polycystic (TRPP), and Vanilloid (TRPV). Although they are structurally similar to one another, the peculiarities of each subfamily are key to the response to stimuli and the signaling pathway that each one triggers. TRPs are non-selective cation channels, most of which are permeable to Ca2+, which is a well-established second messenger that modulates several intracellular signaling pathways and is involved in physiological and pathological conditions in various cell types. TRPs depolarize excitable cells by increasing the influx of Ca2+, Na+, and other cations. Most TRP families are activated by temperature variations, membrane stretching, or chemical agents and, therefore, are defined as polymodal channels. All TPRs are expressed, at some level, in the central nervous system (CNS) and ocular-related structures, such as the retina and optic nerve (ON), except the TRPP in the ON. TRPC, TRPM, TRPV, and TRPML are found in the retinal pigmented cells, whereas only TRPA1 and TRPM are detected in the uvea. Accordingly, several studies have focused on the search to unravel the role of TRPs in physiological and pathological conditions related to the eyes. Thus, this review aims to shed light on endogenous and exogenous modulators, triggered cell signaling pathways, and localization and roles of each subfamily of TRP channels in physiological and pathological conditions in the retina, optic nerve, and retinal pigmented epithelium of vertebrates.

瞬态受体电位(TRP)是一个通道家族,细分为七个亚家族:Ankyrin (TRPA)、Canonical (TRPC)、Melastatin (TRPM)、Mucolipin (TRPML)、no-mechano-potential C (TRPN)、Polycystic (TRPP) 和 Vanilloid (TRPV)。虽然它们在结构上彼此相似,但每个亚家族的特殊性是它们对刺激做出反应和触发信号通路的关键。TRPs是非选择性阳离子通道,其中大多数对Ca2+具有通透性,而Ca2+是一种公认的第二信使,可调节多种细胞内信号通路,并参与各类细胞的生理和病理状态。TRPs 通过增加 Ca2+、Na+ 和其他阳离子的流入,使可兴奋细胞去极化。大多数 TRP 家族都能被温度变化、膜伸展或化学试剂激活,因此被定义为多模式通道。除了在视网膜和视神经(ON)中的 TRPP 外,所有 TRP 在中枢神经系统(CNS)和眼部相关结构(如视网膜和视神经)中都有一定程度的表达。视网膜色素细胞中存在 TRPC、TRPM、TRPV 和 TRPML,而葡萄膜中只检测到 TRPA1 和 TRPM。因此,一些研究集中于揭示 TRPs 在与眼睛有关的生理和病理状况中的作用。因此,本综述旨在阐明脊椎动物视网膜、视神经和视网膜色素上皮中的内源性和外源性调节剂、触发的细胞信号传导途径以及各 TRP 通道亚家族在生理和病理情况下的定位和作用。
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Frontiers in Molecular Neuroscience
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