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Point of View about Erythropoietin in Treatment of Central NervousSystem Diseases 促红细胞生成素治疗中枢神经系统疾病的观点
Pub Date : 2017-04-19 DOI: 10.4172/2161-0460.1000320
Liuzhu Yang, Ruizhen Li, Bo Wu, Jinau Luo, Zhong Chen, Xin-Ping, Yan, Wei Tan
Spinal Cord Injury (SCI) is a complex process which leads to destruction of neuronal tissue and also vascular structure. Recent many studies have shown erythropoietin (EPO) has neuro-protective effects in acute SCI animal models. Alzheimer’s disease (AD), Parkinson’s disease (PD) and SCI belong to central nervous system diseases, a few studies also indicated that EPO may be effective for AD and PD. In this a short review article, we provide a short overview of the animal and human studies on rhEPO in SCI, AD and PD. Further clinical studies should reveal whether derivatives and variants of EPO provide any benefits over the clinical application EPO to against SCI, AD and PD in the experimental studies.
脊髓损伤是一个复杂的过程,导致神经组织和血管结构的破坏。近年来许多研究表明,促红细胞生成素(EPO)在急性脊髓损伤动物模型中具有神经保护作用。阿尔茨海默病(Alzheimer 's disease, AD)、帕金森病(Parkinson 's disease, PD)和脊髓损伤(SCI)属于中枢神经系统疾病,少数研究也表明EPO可能对AD和PD有效。在这篇简短的综述文章中,我们简要概述了rhEPO在SCI, AD和PD中的动物和人类研究。进一步的临床研究应该揭示EPO的衍生物和变体是否比实验研究中EPO在治疗SCI、AD和PD方面的临床应用有任何益处。
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引用次数: 1
Rodent Model of ParkinsonâÂÂs Disease: Unilateral or Bilateral? ParkinsonÃⅱÂÂs疾病啮齿动物模型:单侧还是双侧?
Pub Date : 2017-04-17 DOI: 10.4172/2161-0460.1000319
Z. Zheng, W. Poon
Parkinson’s disease (PD) is one of the most common neurodegenerative diseases affecting the aging population worldwide. Levodopa (L-DOPA) is the gold standard of PD therapy, which is administrated for symptomatic treatment. However, long-term application of L-DOPA leads to less effectiveness and a dose-dependent side effect of dyskinesia. Therefore, to help understand the pathogenesis and clarify potential therapeutic strategies, a great effort is made for the preclinical research on experimental PD models. Since the variety of the animal models is employed in the research work of PD, a controversy has arisen over the reproducibility of experimental models to clinical Parkinsonism. The experimental paradigms are diverse, with which partial Parkinsonism features can be induced in rodents, while others may be limited. Rodent models need to be validated for further use in pathophysiological and therapeutic investigations. This review summarizes the characteristics of the commonly used experimental PD models on rodents, including both unilateral and bilateral models, which may provide useful ideas on selection the most applicable animal model on specific aims of PD research. In conclusion, bilateral models are more consistent with the natural pathogenic process of PD, although there currently exists no model completely reproducing the clinical characteristics of human patients.
帕金森病(PD)是影响全球老年人口最常见的神经退行性疾病之一。左旋多巴(L-DOPA)是PD治疗的金标准,用于对症治疗。然而,长期使用左旋多巴会导致运动障碍的有效性降低和剂量依赖性副作用。因此,为了进一步了解PD的发病机制和明确潜在的治疗策略,我们需要对PD的实验模型进行临床前研究。由于帕金森病的研究工作采用了多种动物模型,因此在实验模型对临床帕金森病的可重复性方面存在争议。实验范式是多种多样的,其中部分帕金森特征可以在啮齿动物中诱导,而其他可能是有限的。啮齿动物模型需要进一步验证,以用于病理生理和治疗研究。本文综述了常用的啮齿类帕金森病实验模型的特点,包括单侧模型和双侧模型,为选择最适合帕金森病研究目的的动物模型提供参考。综上所述,尽管目前还没有完全再现人类患者临床特征的模型,但双侧模型更符合PD的自然发病过程。
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引用次数: 2
Ligands of Receptor for Advanced Glycation End-Products Produced byActivated Microglia are Critical in Neurodegenerative Diseases 活化的小胶质细胞产生的晚期糖基化终产物受体配体在神经退行性疾病中至关重要
Pub Date : 2017-04-10 DOI: 10.4172/2161-0460.1000318
Myeongjoo Son Seyeon Oh, SoJung Lee, K. Byun
Receptor for advanced glycation end products (RAGE) and its ligands have been reported to be involved in the progressions of neurodegenerative diseases, including Alzheimer’s and Parkinson’s disease. Recently microglia activated by immunological stimuli, cytokines, or oxidative stress were reported to synthesize and secrete RAGE ligands including AGEs, HMGB1, and S100 in neurodegenerative diseases. Furthermore, RAGE/ligand binding has been implicated in neuroinflammation and in the progression of neurodegenerative diseases through a RAGEmediated pathway in neurons. A number of RAGE inhibitors, such as, antagonists, small RAGE inhibitors, anti-RAGE antibody, and soluble RAGE, have been shown to interfere with RAGE/ligand binding and to reduce RAGE ligand accumulation, microglia activation, and neuronal cell death in neurodegenerative diseases. Accordingly, RAGE inhibitors present an attractive therapeutic target in neurodegenerative diseases, and RAGE ligands might be useful diagnostic targets. Some human studies have shown RAGE ligand distributions in brain, serum, and cerebrospinal fluid are promising biomarkers for early disease detection and that these ligands might play important roles during early disease stages. Taken together, RAGE ligands and RAGE inhibitors appear to be good therapeutic and diagnostic candidates for neurodegenerative diseases.
晚期糖基化终产物受体(RAGE)及其配体已被报道参与神经退行性疾病的进展,包括阿尔茨海默病和帕金森病。最近有报道称,免疫刺激、细胞因子或氧化应激激活的小胶质细胞在神经退行性疾病中合成并分泌RAGE配体,包括AGEs、HMGB1和S100。此外,RAGE/配体结合通过RAGE介导的神经元通路参与神经炎症和神经退行性疾病的进展。许多RAGE抑制剂,如拮抗剂、小型RAGE抑制剂、抗RAGE抗体和可溶性RAGE,已被证明可以干扰RAGE/配体结合,减少RAGE配体积累、小胶质细胞激活和神经退行性疾病中的神经元细胞死亡。因此,RAGE抑制剂在神经退行性疾病中是一个有吸引力的治疗靶点,RAGE配体可能是有用的诊断靶点。一些人类研究表明,RAGE配体在大脑、血清和脑脊液中的分布是早期疾病检测的有希望的生物标志物,这些配体可能在疾病早期阶段发挥重要作用。总之,RAGE配体和RAGE抑制剂似乎是神经退行性疾病的良好治疗和诊断候选者。
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引用次数: 4
Regional Differences in Amyloid Deposition between 11C-Pib PET PositivePatients with and without Elevated Striatal Amyloid Uptake 11C-Pib PET阳性与非纹状体淀粉样蛋白摄取升高患者淀粉样蛋白沉积的区域差异
Pub Date : 2017-04-04 DOI: 10.4172/2161-0460.1000317
Franziska Scheiwein, K. Ishii, C. Hosokawa, H. Kaida, T. Hyodo, Kohei Hanaoka, M. Brendel, P. Bartenstein, A. Rominger, T. Murakami
Purpose: In subjects showing an increased level of 11C-Pittsburgh compound B (PiB) in positron emission tomography (PET) imaging of the brain, two groups can be distinguished: those with and without elevated PiB uptake in the striatum. We examined regional PiB uptake differences between these groups, and additionally compared them with PiB-negative subjects. Methods: This study included 141 subjects complaining of cognitive impairment. Their clinical diagnoses were Alzheimer’s disease (AD), mild cognitive impairment, dementia with Lewy bodies, frontotemporal lobar degeneration, or subjective cognitive impairment. PiB and 18F-fluorodeoxy-D-glucose (FDG) PET were performed in all subjects. PiB PET images were visually classified into three groups: 1) PiB-positive with uptake in any region of the cortex accompanied by striatal PiB uptake (STRPOS), 2) PiB-positive with cortical uptake but without striatal PiB uptake (STRNEG), and 3) both cortex and striatum PiB-negative (PiBNEG). Standardised uptake value ratios (SUVR) and regional differences in PiB uptake were evaluated using voxelbased analysis of PiB and FDG uptake images. Results: Eighty subjects were visually rated as PiB-positive: 11 had no increased PiB uptake in the striatal area, while 69 showed an elevated striatal PiB level. Sixty-one subjects were PiB-negative. Mean cortical SUVR was 1.46 ± 0.23 for STRNEG, 2.00 ± 0.44 for STRPOS and 0.99 ± 0.19 for PiBNEG. Apart from the striatum, PiB accumulation in the medial orbitofrontal cortex of STRPOS subjects was higher than in STRNEG subjects. No significant differences in regional FDG distribution were observed. Conclusion: PiB-positive cases with high striatal PiB uptake have an increased mean cortical SUVR in comparison to PiB-positive subjects without striatal uptake. This difference is most distinctive in the orbitofrontal cortex. We conclude that a high amyloid load in the striatum is linked to amyloid deposition occurring mostly in the frontal region, and may occur later in the course of AD progression.
目的:在大脑正电子发射断层扫描(PET)成像中显示11c -匹兹堡化合物B (PiB)水平升高的受试者中,可以区分两组:纹状体中PiB摄取升高的和不升高的。我们检查了这些组之间PiB摄取的区域差异,并将其与PiB阴性受试者进行了比较。方法:本研究纳入141名自诉认知障碍的受试者。他们的临床诊断为阿尔茨海默病(AD)、轻度认知障碍、路易体痴呆、额颞叶变性或主观认知障碍。所有受试者均行PiB和18f -氟脱氧- d -葡萄糖(FDG) PET检查。PiB PET图像视觉上分为3组:1)PiB阳性,皮质任何区域摄取并伴有纹状体PiB摄取(STRPOS), 2) PiB阳性,皮质摄取但纹状体不摄取(STRNEG), 3)皮质和纹状体均PiB阴性(PiBNEG)。使用基于体素的PiB和FDG摄取图像分析来评估PiB摄取的标准化摄取值比(SUVR)和区域差异。结果:80例受试者目测PiB阳性,11例纹状体PiB摄取未增加,69例纹状体PiB水平升高。61名受试者为pib阴性。STRNEG的平均皮质SUVR为1.46±0.23,STRPOS为2.00±0.44,PiBNEG为0.99±0.19。除纹状体外,STRPOS受试者的内侧眶额皮质PiB积累量高于STRNEG受试者。FDG的区域分布无显著差异。结论:与没有纹状体摄取的PiB阳性受试者相比,纹状体摄取高的PiB阳性患者的平均皮质SUVR增加。这种差异在眼窝额叶皮层最为明显。我们得出结论,纹状体中淀粉样蛋白的高负荷与淀粉样蛋白沉积有关,淀粉样蛋白沉积主要发生在额叶区域,并且可能发生在AD进展的后期。
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引用次数: 3
A Short Commentary of Neuronal Ceroid Lipofuscinoses; Phenotypes inCongenital to Preschooler 神经元类神经脂褐细胞病综述从先天性到学龄前儿童的表型
Pub Date : 2017-03-31 DOI: 10.4172/2161-0460.1000316
M. Shimono, A. Senju
The classification of neuronal ceroid lipofuscinoses (NCLs) had been clinically divided according to the age at the onset of symptoms: infantile, late infantile, juvenile and adult NCLs. However, this classification cannot always predict the causative gene; i.e., CLN1, for example, causes not only infantile NCL but also late onset infantile and adult NCLs. In 2012, a new classification for the NCLs that takes into account recent genetic and biochemical advances. This short review commentary focuses on the NCLs which might cause symptoms in children from neonate to preschooler age: CLN10 (neonatal), CLN1 (6-48 months), CLN14 (8-24 months), CLN2 (1-6 years), CLN3 (4-7 years), CLN5 (4-6 years), CLN6 (18 months-8 years), CLN7 (2-7 years) and CLN8 (5-10 years). There is no fundamental therapy, but there is the trial of some cures.
神经性脑蜡样脂质病(NCLs)临床按发病年龄分为婴儿期、婴儿期晚期、少年期和成年期NCLs。然而,这种分类不能总是预测致病基因;例如,CLN1不仅引起婴儿NCL,而且引起晚发性婴儿和成人NCL。2012年,考虑到最近的遗传和生物化学进展,对ncl进行了新的分类。本文综述了新生儿至学龄前儿童可能引起症状的ncl: CLN10(新生儿)、CLN1(6-48个月)、CLN14(8-24个月)、CLN2(1-6岁)、CLN3(4-7岁)、CLN5(4-6岁)、CLN6(18个月-8岁)、CLN7(2-7岁)和CLN8(5-10岁)。没有根本的治疗方法,但有一些治疗方法的试验。
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引用次数: 0
Preliminary Evidence: Diagnosed AlzheimerâÂÂs Disease but not MCI AffectsWorking Memory: 0.6 of 2.6 Memory Pointers Lost 初步证据:诊断为AlzheimerâÂÂs疾病但非MCI影响工作记忆:2.6个记忆指针中有0.6个丢失
Pub Date : 2017-03-29 DOI: 10.4172/2161-0460.1000315
E. Tarnow
Objective: Recently it was shown that free recall consists of two stages: the first few recalls empty working memory and a second stage, a reactivation stage, concludes the recall. It was also shown that the serial position curve changes in mild Alzheimer’s disease – lowered total recall and lessened primacy - are similar to second stage recall and different from recall from working memory. Here we wanted to investigate whether there were any free recall first stage changes in more advanced Alzheimer’s disease. Methods: The Tarnow Unchunkable Test (TUT) uses double integer items to separate out only the first stage, the emptying of working memory, by making it difficult to reactivate items due to the lack of intra-item relationships. Results: TUT is found to be gender and culture independent with small dependencies on age and years of education. TUT 3-item test selects out diagnosed Alzheimer’s disease but not amnestic MCI or non-amnestic MCI. On average, diagnosed Alzheimer’s disease is correlated with a loss of 0.6 memory pointers (out of an average of 2.6 pointers) and this is most pronounced for the later serial positions. Conclusion: Diagnosed Alzheimer’s disease is correlated with a loss of 0.6 working memory pointers. The identification of a lost memory pointer may have implications for improved stage definitions of Alzheimer’s disease and for remediation therapy via working memory capacity management.
目的:最近研究表明,自由回忆包括两个阶段:前几个回忆是空的工作记忆,第二个阶段是结束回忆的再激活阶段。研究还表明,轻度阿尔茨海默氏症患者的连续位置曲线变化——总回忆和首要记忆的降低——与第二阶段回忆相似,与工作记忆的回忆不同。在这里,我们想调查在更晚期的阿尔茨海默病中是否有任何自由回忆的第一阶段改变。方法:Tarnow不可分块测试(TUT)使用双整数项来分离第一阶段,即工作记忆的清空,通过使项目难以重新激活,因为缺乏项目内部关系。结果:TUT与性别和文化无关,对年龄和受教育年限的依赖较小。TUT 3项测试可筛选出诊断为阿尔茨海默病的患者,但不能筛选出健忘性轻度认知损伤或非健忘性轻度认知损伤。平均而言,被诊断为阿尔茨海默病的人会失去0.6个记忆指针(平均有2.6个),这在后来的串行位置上最为明显。结论:诊断为阿尔茨海默病与0.6个工作记忆指标丧失相关。丢失记忆指针的识别可能对改善阿尔茨海默病的阶段定义和通过工作记忆容量管理进行补救治疗具有重要意义。
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引用次数: 2
From Nose to Brain: The Promise of Peptide Therapy for AlzheimerâÂÂsDisease and Other Neurodegenerative Diseases 从鼻子到大脑:肽治疗AlzheimerÙÂÂsDisease和其他神经退行性疾病的前景
Pub Date : 2017-03-23 DOI: 10.4172/2161-0460.1000314
Rita Chen
The pathological hallmarks of Alzheimer’s disease (AD) are the deposition of extracellular senile plaques resulting from amyloid-β (Aβ) peptide aggregation, the formation of intracellular neurofibrillary tangles composed of hyperphosphorylated tau protein, and extensive neuron death. Although 110 years have passed since the discovery of AD, the field still debates whether the amyloid hypothesis or tau hypothesis is the key issue in AD therapy. The issue of population aging makes the prevention or therapy of AD a pressing issue since the onset of this disease is highly age-correlated. Over the past two decades, the number of AD-related publications per year has grown rapidly, but to no avail. The failure rate of anti-AD clinical trials is ~99.9% and only cholinergic drugs for symptomatic control are available in the market. The success of the phase 1b clinical trial of Aducanumab immunotherapy in 2014 rekindled interest in anti-amyloid therapy, whereas the failure of the phase 3 clinical trial of Solanezumab immunotherapy once again quashed the optimism. Recently, a peptide therapy for AD was developed. A polyethylenimine (PEI) conjugated peptide, V24P(10-40)- PEI, was proposed to serve as a scavenger by trapping endogenous Aβ produced in the brain to avoid the formation of toxic aggregates. Most importantly, this peptide was given as a nose drop. After treating the AD double transgenic mice APP/PS1 with V24P(10-40)-PEI for four months, there was a significant reduction in Aβ accumulation in the brains of the treated mice. V24P(10-40)-PEI was designed to trap Aβ to interfere with its self-association, which renders Aβ more vulnerable to the attack of various endogenous Aβ-degrading enzymes.
阿尔茨海默病(AD)的病理特征是由淀粉样蛋白-β (Aβ)肽聚集引起的细胞外老年斑沉积,由过度磷酸化的tau蛋白组成的细胞内神经原纤维缠结的形成,以及广泛的神经元死亡。尽管阿尔茨海默病的发现已经过去了110年,但在阿尔茨海默病的治疗中,淀粉样蛋白假说还是tau假说仍是一个争论的焦点。人口老龄化的问题使得阿尔茨海默病的预防或治疗成为一个紧迫的问题,因为这种疾病的发病与年龄高度相关。在过去的二十年里,每年与广告相关的出版物数量迅速增长,但无济于事。抗阿尔茨海默病临床试验失败率约为99.9%,市场上只有用于症状控制的胆碱能药物。2014年Aducanumab免疫疗法1b期临床试验的成功重新点燃了人们对抗淀粉样蛋白疗法的兴趣,而Solanezumab免疫疗法3期临床试验的失败再次打消了这种乐观情绪。最近,一种针对阿尔茨海默病的肽疗法被开发出来。聚乙烯亚胺(PEI)偶联肽V24P(10-40)- PEI被认为是一种清除剂,通过捕获大脑中产生的内源性Aβ来避免有毒聚集体的形成。最重要的是,这种肽是作为滴鼻剂给药的。用V24P(10-40)-PEI治疗AD双转基因小鼠APP/PS1 4个月后,治疗小鼠大脑中a β积累显著减少。V24P(10-40)-PEI被设计为诱捕Aβ,干扰其自结合,使Aβ更容易受到各种内源性Aβ降解酶的攻击。
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引用次数: 11
Vascular Remodelling is Impaired in Parkinson Disease 帕金森病患者血管重构受损
Pub Date : 2017-03-23 DOI: 10.4172/2161-0460.1000313
Panzao Yang, H. Waldvogel, C. Turner, R. Faull, M. Dragunow, J. Guan
Objective: We have previously reported vascular degeneration of human Parkinson disease (PD). In which we described degenerative pathology of endothelial cells and its association with increased string vessels in the grey matter of middle frontal gyrus (MFG). Growth factors, for example platelet-derived growth factor (PDGF), insulin-like growth factor-1 (IGF-1) and vascular endothelial growth factor (VEGF), involve in vascular remodelling by promoting cell proliferations and angiogenesis through capillary pericytes. Thus current study examined the hypothesis whether vascular degeneration in human PD is associated with impairment of vascular remodelling. Methods: Using tissue microarray method we conducted immuno histochemical staining in the grey matter of MFG of human PD (n=17) and age-matched control cases (n=17). The expression of PDGF receptor-beta, proliferating cell nuclear antigen and phosphorylation of IGF-1 receptor in capillaries, IGF binding protein-2 and VEGF were evaluated using automated image analysis software. Results: PDGF receptor-beta was specifically expressed in the pericytes which formed capillary morphology. Compared to the age-matched control cases, there were significant decrease in PDGF receptor-beta positive capillaries (p<0.05; p<0.01), proliferating vascular cells (p<0.05) and VEGF (p<0.05) in the PD cases. There no difference in phosphorylation of IGF-1 receptors, expressed in the capillaries between the groups. We found a significant increase in IGF binding protein-2, expressed in the astrocytes of PD when compared to the control cases (p<0.05). Interestingly the levels of phosphorylated IGF receptors in the capillaries were significantly correlated with the numbers of pericytes and proliferating cells in capillaries (p=0.001). Conclusion: Impaired PDGF function in the pericytes, reduced cell proliferation and VEGF suggested that the ability of vascular remodelling is impaired in PD. The maintained IGF-1 function appeared to be ineffective to retain vascular remodelling process in PD. The up-regulation of IGF binding protein-2 may suggest a role for autocrine/ paracrine of IGF-1 in PD.
目的:我们以前报道过人类帕金森病(PD)的血管变性。在这篇文章中,我们描述了内皮细胞的退行性病理及其与中额回(MFG)灰质中弦血管增加的关系。生长因子,如血小板衍生生长因子(PDGF)、胰岛素样生长因子-1 (IGF-1)和血管内皮生长因子(VEGF),通过毛细血管周细胞促进细胞增殖和血管生成,参与血管重构。因此,本研究探讨了PD患者血管变性是否与血管重构损伤相关的假设。方法:采用组织芯片技术对17例PD患者和17例年龄匹配的对照患者的MFG灰质进行免疫组化染色。使用自动图像分析软件评估毛细血管中PDGF受体β、增殖细胞核抗原和IGF-1受体磷酸化、IGF结合蛋白-2和VEGF的表达。结果:PDGF受体- β在形成毛细血管形态的周细胞中特异性表达。与同龄对照组相比,PDGF受体- β阳性毛细血管明显减少(p<0.05;p<0.01),增殖血管细胞(p<0.05)和VEGF (p<0.05)。在毛细血管中表达的IGF-1受体的磷酸化在两组之间没有差异。我们发现,与对照组相比,PD星形胶质细胞中IGF结合蛋白2的表达显著增加(p<0.05)。有趣的是,毛细血管中磷酸化IGF受体的水平与毛细血管中周细胞和增殖细胞的数量显著相关(p=0.001)。结论:周细胞PDGF功能受损,细胞增殖和VEGF减少,提示PD患者血管重构能力受损。维持IGF-1功能似乎对维持PD的血管重构过程无效。IGF结合蛋白-2的上调可能提示IGF-1在PD中自分泌/旁分泌的作用。
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引用次数: 6
Dopaminergic Positron Emission Tomography Study on AmyotrophicLateral Sclerosis/ParkinsonismâÂÂDementia Complex in Kii, Japan 日本Kii肌萎缩侧索硬化症/ParkinsonismÃⅱÂÂDementia复合体的多巴胺能正电子发射断层扫描研究
Pub Date : 2017-03-07 DOI: 10.4172/2161-0460.1000311
Y. Kokubo, K. Ishii, S. Morimoto, M. Mimuro, R. Sasaki, S. Murayama, S. Kuzuhara
Background: Amyotrophic lateral sclerosis and parkinsonism-dementia complex in the Kii peninsula, Japan (Kii ALS/PDC) is an endemic and rare neurodegenerative disease. We conducted positron emission tomography (PET) study using C-11 CFT (2-b-carbomethoxy-3b-(4-fluorophenyl) tropane) and C-11 Raclopride for two patients with Kii ALS/PDC. Objective and methods: Patient #1 was 64 years old male having 12 years’ duration of the illness. Patient #2 was 68 years old female having 7 years’ duration of the illness. Results: In patient #1, CFT-PET showed marked decreased uptake in the bilateral corpus striatum, almost no signal in the posterior part of the putamen. RAC-PET showed mild decrease in the bilateral caudate nucleus and slight increase in the posterior part of the putamen. In patient #2, CFT-PET showed severe decrease in the bilateral corpus striatum, marked decrease in the posterior part of the putamen and in the caudate nucleus. RACPET showed the mild decrease in the bilateral corpus striatum. Conclusion: These results were compatible with L-dopa resistant Parkinsonism and similar to those of PSP.
背景:日本Kii半岛肌萎缩性侧索硬化症和帕金森-痴呆复合体(Kii ALS/PDC)是一种地方性和罕见的神经退行性疾病。我们使用C-11 CFT (2-b-碳甲氧基-3b-(4-氟苯基)tropane)和C-11 Raclopride对2例Kii ALS/PDC患者进行了正电子发射断层扫描(PET)研究。目的与方法:患者1,男性,64岁,病程12年。2号患者为68岁女性,患病时间为7年。结果:在患者#1中,CFT-PET显示双侧纹状体摄取明显减少,壳核后部几乎没有信号。RAC-PET显示双侧尾状核轻度减少,壳核后部轻度增加。在患者#2中,CFT-PET显示双侧纹状体严重减少,壳核后部和尾状核明显减少。RACPET显示双侧纹状体轻度下降。结论:上述结果与左旋多巴抵抗性帕金森一致,与PSP相似。
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引用次数: 2
Presenilin 1 Mutation (A431V) Causing Features of Dementia with LewyBodies in a Chinese Family of AlzheimerâÂÂs Disease 早老素1突变(A431V)引起中国AlzheimerÃⅱÂÂs病家族路易体痴呆的特征
Pub Date : 2017-02-28 DOI: 10.4172/2161-0460.1000307
Y. Qiao, Dantao Peng, M. Jin, Shuang Xue
Aim: We reported a family with a presenilin 1 (PSEN1) gene mutation whose clinical manifestations are similar to the Dementia with Lewy bodies. Methods: We collected peripheral blood of the proband, his daughter and 100 normal Chinese individuals and extracted genomic DNAi¼ŽPCR-sequencing of PSEN1 and microtubule associated protein tau (MAPT) were performed.We also gave them transcranial sonography test (TCS). Results: We found that the proband and his daughter were heterozygous for a mutation 1292nd base in exon 12 of PSEN1, causing the amino acid alanine substituded by valine at codon 431 (A431V), but this was not found in normal controlsi¼ŽMeanwhile hyperechogenicity of bilateral substantia nigra could be seen in the two patients with the right-left asymmetry index >1.15. Conclusion: This study identified a mutation A431V in the PSEN1 gene in Chinese patients. We considered it might play an important role in familial Alzheimer’s disease leading clinical manifestations similar to DLB.
目的:我们报道了一个早老素1 (PSEN1)基因突变家族,其临床表现与路易体痴呆相似。方法:采集先证者、其女儿及100例正常人外周血,提取基因组dna,进行PSEN1和微管相关蛋白tau (MAPT)的pcr测序。同时进行经颅超声检查(TCS)。结果:先证者及其女儿在PSEN1基因12外显子1292个碱基突变导致密码子431处氨基酸丙氨酸被valine取代(A431V)为杂合,而在正常对照中未见此现象,同时在左右不对称指数>1.15的2例患者中可见双侧黑质高回声。结论:本研究在中国患者的PSEN1基因中发现了A431V突变。我们认为它可能在家族性阿尔茨海默病中发挥重要作用,导致类似DLB的临床表现。
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引用次数: 1
期刊
Journal of Alzheimers Disease & Parkinsonism
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