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Advanced progress of vestibular compensation in vestibular neural networks 前庭神经网络中前庭补偿的先进进展
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-13 DOI: 10.1111/cns.70037
Jun Wang, Yuejin Zhang, Huajing Yang, E. Tian, Zhaoqi Guo, Jingyu Chen, Caijuan Qiao, Hongqun Jiang, Jiaqi Guo, Zhanghong Zhou, Qing Luo, Shiyu Shi, Hongyi Yao, Yisheng Lu, Sulin Zhang

Vestibular compensation is the natural process of recovery that occurs with acute peripheral vestibular lesion. Here, we summarize the current understanding of the mechanisms underlying vestibular compensation, focusing on the role of the medial vestibular nucleus (MVN), the central hub of the vestibular system, and its associated neural networks. The disruption of neural activity balance between the bilateral MVNs underlies the vestibular symptoms after unilateral vestibular damage, and this balance disruption can be partially reversed by the mutual inhibitory projections between the bilateral MVNs, and their top-down regulation by other brain regions via different neurotransmitters. However, the detailed mechanism of how MVN is involved in vestibular compensation and regulated remains largely unknown. A deeper understanding of the vestibular neural network and the neurotransmitter systems involved in vestibular compensation holds promise for improving treatment outcomes and developing more effective interventions for vestibular disorders.

前庭代偿是急性外周前庭病变后出现的自然恢复过程。在此,我们总结了目前对前庭代偿机制的理解,重点是前庭系统的中枢--内侧前庭神经核(MVN)及其相关神经网络的作用。双侧前庭内侧核之间神经活动平衡的破坏是单侧前庭受损后出现前庭症状的基础,而这种平衡的破坏可以通过双侧前庭内侧核之间的相互抑制投射以及其他脑区通过不同的神经递质对其进行自上而下的调节来部分逆转。然而,MVN 如何参与前庭代偿和调节的详细机制在很大程度上仍然未知。深入了解前庭神经网络和参与前庭代偿的神经递质系统有望改善治疗效果,并开发出更有效的前庭障碍干预措施。
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引用次数: 0
Combined use of CLP290 and bumetanide alleviates neuropathic pain and its mechanism after spinal cord injury in rats 联合使用 CLP290 和布美他尼缓解大鼠脊髓损伤后的神经病理性疼痛及其机制
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.1111/cns.70045
Yun-zhu Pan, Zuliyaer Talifu, Xiao-xin Wang, Han Ke, Chun-jia Zhang, Xin Xu, De-gang Yang, Yan Yu, Liang-jie Du, Feng Gao, Jian-Jun Li
<div> <section> <h3> Aim</h3> <p>We aimed to explore whether the combination of CLP290 and bumetanide maximally improves neuropathic pain following spinal cord injury (SCI) and its possible molecular mechanism.</p> </section> <section> <h3> Methods</h3> <p>Rats were randomly divided into five groups: Sham, SCI + vehicle, SCI + CLP290, SCI + bumetanide, and SCI + combination (CLP290 + bumetanide). Drug administration commenced on the 7th day post-injury (7 dpi) and continued for 14 days. All rats underwent behavioral assessments for 56 days to comprehensively evaluate the effects of interventions on mechanical pain, thermal pain, cold pain, motor function, and other relevant parameters. Electrophysiological assessments, immunoblotting, and immunofluorescence detection were performed at different timepoints post-injury, with a specific focus on the expression and changes of KCC2 and NKCC1 proteins in the lumbar enlargement of the spinal cord.</p> </section> <section> <h3> Results</h3> <p>CLP290 and bumetanide alleviated SCI-associated hypersensitivity and locomotor function, with the combination providing enhanced recovery. The combined treatment group exhibited the most significant improvement in restoring Rate-Dependent Depression (RDD) levels. In the combined treatment group and the two individual drug administration groups, the upregulation of potassium chloride cotransporter 2 (K<sup>+</sup>-Cl<sup>−</sup>cotransporter 2, KCC2) expression and downregulation of sodium potassium chloride cotransporter 1 (Na<sup>+</sup>-K<sup>+</sup>-Cl<sup>−</sup>cotransporter 1, NKCC1) expression in the lumbar enlargement area resulted in a significant increase in the KCC2/NKCC1 ratio compared to the SCI + vehicle group, with the most pronounced improvement seen in the combined treatment group. Compared to the SCI + vehicle group, the SCI + bumetanide group showed no significant paw withdrawal thermal latency (PWTL) improvement at 21 and 35 dpi, but a notable enhancement at 56 dpi. In contrast, the SCI + CLP290 group significantly improved PWTL at 21 days, with non-significant changes at 35 and 56 days. At 21 dpi, KCC2 expression was marginally higher in monotherapy groups versus SCI + vehicle, but not significantly. At 56 dpi, only the SCI + bumetanide group showed a significant difference in KCC2 expression compared to the control group.</p> </section> <section> <h3> Conclusion</h3> <p>Combined application of CLP290 and bumetanide effectively increases the ratio of KCC2/NKCC1, restores RDD levels, enhances GABA<sub>A</sub> receptor-mediated inhibitory function
目的 我们旨在探讨 CLP290 和布美他尼联合用药是否能最大程度地改善脊髓损伤(SCI)后的神经病理性疼痛及其可能的分子机制。 方法 将大鼠随机分为五组:Sham 组、SCI + 车辆组、SCI + CLP290 组、SCI + 布美他尼组和 SCI + 组合组(CLP290 + 布美他尼)。给药从损伤后第 7 天(7 dpi)开始,持续 14 天。所有大鼠均接受了为期 56 天的行为评估,以全面评估干预措施对机械痛、热痛、冷痛、运动功能和其他相关参数的影响。在损伤后的不同时间点进行电生理评估、免疫印迹和免疫荧光检测,特别关注脊髓腰部肿大处 KCC2 和 NKCC1 蛋白的表达和变化。 结果 CLP290 和布美他尼减轻了 SCI 相关的超敏反应和运动功能,联合治疗组的恢复能力更强。联合治疗组在恢复速率依赖性抑郁(RDD)水平方面的改善最为显著。与 SCI + 车辆组相比,在联合治疗组和两个单独用药组中,氯化钾共转运体 2(K+-Cl-共转运体 2,KCC2)表达上调,氯化钾钠共转运体 1(Na+-K+-Cl-共转运体 1,NKCC1)表达下调,导致 KCC2/NKCC1 比率显著增加,其中联合治疗组的改善最为明显。与 SCI + 车辆组相比,SCI + 布美他尼组在 21 dpi 和 35 dpi 时爪退热潜伏期 (PWTL) 没有明显改善,但在 56 dpi 时有显著提高。相比之下,SCI + CLP290 组在 21 天时显著改善了 PWTL,在 35 天和 56 天时变化不明显。在 21 dpi 时,单一疗法组的 KCC2 表达略高于 SCI + 车辆组,但不显著。在 56 dpi 时,只有 SCI + 布美他尼组的 KCC2 表达与对照组相比有显著差异。 结论 联合应用 CLP290 和布美他尼可有效提高 KCC2/NKCC1 的比例,恢复 RDD 水平,增强 GABAA 受体介导的脊髓抑制功能,缓解 SCI 神经病理性疼痛;布美他尼可显著改善神经病理性疼痛的长期效果,而 CLP290 则表现出明显的短期效果。
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引用次数: 0
Transcranial direct current stimulation enhances the protective effect of isoflurane preconditioning on cerebral ischemia/reperfusion injury: A new mechanism associated with the nuclear protein Akirin2 经颅直流电刺激可增强异氟醚预处理对脑缺血再灌注损伤的保护作用与核蛋白Akirin2有关的新机制
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.1111/cns.70033
Xiangyi Kong, Wenyuan Lyu, Xiaojie Lin, Hao Feng, Lin Xu, Chengwei Li, Xinyi Sun, Chunlong Lin, Jianjun Li, Penghui Wei

Aims

Ischemic stroke is a major cause of disability and mortality worldwide. Transcranial direct current stimulation (tDCS) and isoflurane (ISO) preconditioning exhibit neuroprotective properties. However, it remains unclear whether tDCS enhances the protective effect of ISO preconditioning on ischemic stroke, and the underlying mechanisms are yet to be clarified.

Method

A model of middle cerebral artery occlusion (MCAO), a rat ischemia–reperfusion (I/R) injury model, and an in vitro oxygen–glucose deprivation/re-oxygenation (O/R) model of ischemic injury were developed. ISO preconditioning and tDCS were administered daily for 7 days before MCAO modeling. Triphenyltetrazolium chloride staining, modified neurological severity score, and hanging-wire test were conducted to assess infarct volume and neurological outcomes. Untargeted metabolomic experiments, adeno-associated virus, lentiviral vectors, and small interfering RNA techniques were used to explore the underlying mechanisms.

Results

tDCS/DCS enhanced the protective effects of ISO pretreatment on I/R injury-induced brain damage. This was evidenced by reduced infarct volume and improved neurological outcomes in rats with MCAO, as well as decreased cortical neuronal death after O/R injury. Untargeted metabolomic experiments identified oxidative phosphorylation (OXPHOS) as a critical pathological process for ISO-mediated neuroprotection from I/R injury. The combination of tDCS/DCS with ISO preconditioning significantly inhibited I/R injury-induced OXPHOS. Mechanistically, Akirin2, a small nuclear protein that regulates cell proliferation and differentiation, was found to decrease in the cortex of rats with MCAO and in cortical primary neurons subjected to O/R injury. Akirin2 functions upstream of phosphatase and tensin homolog deleted on chromosome 10 (PTEN). tDCS/DCS was able to further upregulate Akirin2 levels and activate the Akirin2/PTEN signaling pathway in vivo and in vitro, compared with ISO pretreatment alone, thereby contributing to the improvement of cerebral I/R injury.

Conclusion

tDCS treatment enhances the neuroprotective effects of ISO preconditioning on ischemic stroke by inhibiting oxidative stress and activating Akirin2-PTEN signaling pathway, highlighting potential of combination therapy in ischemic stroke.

目的 缺血性中风是全球致残和致死的主要原因。经颅直流电刺激(tDCS)和异氟烷(ISO)预处理具有神经保护特性。然而,经颅直流电刺激(tDCS)是否能增强异氟烷预处理对缺血性中风的保护作用仍不清楚,其潜在机制也有待明确。 方法 建立了大脑中动脉闭塞(MCAO)模型、大鼠缺血再灌注(I/R)损伤模型和体外氧-葡萄糖剥夺/再氧合(O/R)缺血性损伤模型。在MCAO模型建立前,每天进行ISO预处理和tDCS治疗7天。通过三苯基氯化四氮唑染色、改良神经系统严重程度评分和悬丝试验来评估梗死体积和神经系统预后。非靶向代谢组学实验、腺相关病毒、慢病毒载体和小干扰 RNA 技术被用来探索潜在的机制。 结果 tDCS/DCS 增强了 ISO 预处理对 I/R 损伤诱导的脑损伤的保护作用。MCAO大鼠脑梗塞体积缩小、神经功能改善以及O/R损伤后皮质神经元死亡减少都证明了这一点。非靶向代谢组实验确定氧化磷酸化(OXPHOS)是 ISO 介导的 I/R 损伤神经保护的关键病理过程。将 tDCS/DCS 与 ISO 预处理相结合可显著抑制 I/R 损伤诱导的 OXPHOS。从机理上讲,研究发现Akirin2是一种调节细胞增殖和分化的小核蛋白,它在MCAO大鼠的大脑皮层和受到O/R损伤的大脑皮层初级神经元中减少。与单独使用 ISO 预处理相比,tDCS/DCS 能够进一步上调体内和体外 Akirin2 水平并激活 Akirin2/PTEN 信号通路,从而有助于改善脑 I/R 损伤。 结论 tDCS治疗通过抑制氧化应激和激活Akirin2-PTEN信号通路,增强了ISO预处理对缺血性中风的神经保护作用,凸显了联合疗法在缺血性中风中的潜力。
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引用次数: 0
Cuproptosis: Mechanisms, biological significance, and advances in disease treatment—A systematic review 杯突症:机制、生物学意义和疾病治疗进展--系统综述
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.1111/cns.70039
Chengliang Pan, Zhilin Ji, Qingxuan Wang, Zhao Zhang, Zhenchuan Wang, Chen Li, Shan Lu, Pengfei Ge

Background

Copper is an essential trace element for biological systems, as it plays a critical role in the activity of various enzymes and metabolic processes. However, the dysregulation of copper homeostasis is closely associated with the onset and progression of numerous diseases. In recent years, copper-induced cell death, a novel form of cellular demise, has garnered significant attention. This process is characterized by the abnormal accumulation of intracellular copper ions, leading to cellular dysfunction and eventual cell death. Copper toxicity occurs through the interaction of copper with acylated enzymes in the tricarboxylic acid (TCA) cycle. This interaction results in subsequent protein aggregation, causing proteotoxic stress and ultimately resulting in cell death. Despite the promise of these findings, the detailed mechanisms and broader implications of cuproptosis remain underexplored. Therefore, our study aimed to investigate the role of copper in cell death and autophagy, focusing on the molecular mechanisms of cuproptosis. We also aimed to discuss recent advancements in copper-related research across various diseases and tumors, providing insights for future studies and potential therapeutic applications.

Main Body

This review delves into the biological significance of copper metabolism and the molecular mechanisms underlying copper-induced cell death. Furthermore, we discuss the role of copper toxicity in the pathogenesis of various diseases, emphasizing recent advancements in the field of oncology. Additionally, we explore the therapeutic potential of targeting copper toxicity.

Conclusion

The study highlights the need for further research to explore alternative pathways of copper-induced cell death, detailed mechanisms of cuproptosis, and biomarkers for copper poisoning. Future research should focus on exploring the molecular mechanisms of cuproptosis, developing new therapeutic strategies, and verifying their safety and efficacy in clinical trials.

背景 铜是生物系统中不可或缺的微量元素,因为它在各种酶的活性和代谢过程中起着至关重要的作用。然而,铜平衡失调与多种疾病的发生和发展密切相关。近年来,铜诱导的细胞死亡这一新型细胞死亡形式引起了广泛关注。这一过程的特点是细胞内铜离子异常积累,导致细胞功能障碍,最终导致细胞死亡。铜毒性是通过铜与三羧酸(TCA)循环中的酰化酶相互作用而产生的。这种相互作用会导致随后的蛋白质聚集,造成蛋白质毒性应激,最终导致细胞死亡。尽管这些发现很有希望,但杯突症的详细机制和更广泛的影响仍未得到充分探索。因此,我们的研究旨在探究铜在细胞死亡和自噬中的作用,重点是铜中毒的分子机制。我们还旨在讨论铜相关研究在各种疾病和肿瘤中的最新进展,为未来的研究和潜在的治疗应用提供见解。 正文 本综述深入探讨了铜代谢的生物学意义以及铜诱导细胞死亡的分子机制。此外,我们还讨论了铜毒性在各种疾病发病机制中的作用,并重点介绍了肿瘤学领域的最新进展。此外,我们还探讨了针对铜毒性的治疗潜力。 结论 本研究强调了进一步研究的必要性,以探索铜诱导细胞死亡的替代途径、铜中毒的详细机制以及铜中毒的生物标志物。未来的研究应侧重于探索铜中毒的分子机制、开发新的治疗策略并在临床试验中验证其安全性和有效性。
{"title":"Cuproptosis: Mechanisms, biological significance, and advances in disease treatment—A systematic review","authors":"Chengliang Pan,&nbsp;Zhilin Ji,&nbsp;Qingxuan Wang,&nbsp;Zhao Zhang,&nbsp;Zhenchuan Wang,&nbsp;Chen Li,&nbsp;Shan Lu,&nbsp;Pengfei Ge","doi":"10.1111/cns.70039","DOIUrl":"https://doi.org/10.1111/cns.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Copper is an essential trace element for biological systems, as it plays a critical role in the activity of various enzymes and metabolic processes. However, the dysregulation of copper homeostasis is closely associated with the onset and progression of numerous diseases. In recent years, copper-induced cell death, a novel form of cellular demise, has garnered significant attention. This process is characterized by the abnormal accumulation of intracellular copper ions, leading to cellular dysfunction and eventual cell death. Copper toxicity occurs through the interaction of copper with acylated enzymes in the tricarboxylic acid (TCA) cycle. This interaction results in subsequent protein aggregation, causing proteotoxic stress and ultimately resulting in cell death. Despite the promise of these findings, the detailed mechanisms and broader implications of cuproptosis remain underexplored. Therefore, our study aimed to investigate the role of copper in cell death and autophagy, focusing on the molecular mechanisms of cuproptosis. We also aimed to discuss recent advancements in copper-related research across various diseases and tumors, providing insights for future studies and potential therapeutic applications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Body</h3>\u0000 \u0000 <p>This review delves into the biological significance of copper metabolism and the molecular mechanisms underlying copper-induced cell death. Furthermore, we discuss the role of copper toxicity in the pathogenesis of various diseases, emphasizing recent advancements in the field of oncology. Additionally, we explore the therapeutic potential of targeting copper toxicity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study highlights the need for further research to explore alternative pathways of copper-induced cell death, detailed mechanisms of cuproptosis, and biomarkers for copper poisoning. Future research should focus on exploring the molecular mechanisms of cuproptosis, developing new therapeutic strategies, and verifying their safety and efficacy in clinical trials.</p>\u0000 </section>\u0000 </div>","PeriodicalId":154,"journal":{"name":"CNS Neuroscience & Therapeutics","volume":"30 9","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cns.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142230920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Neuroimaging analysis reveals distinct cerebral perfusion responses to fasting-postprandial metabolic switching in Alzheimer's disease patients 神经成像分析揭示了阿尔茨海默病患者对空腹-餐后代谢转换的不同脑灌注反应
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.1111/cns.70014
Runzhi Li, Zhizheng Zhuo, Zeshan Yao, Zhaohui Li, Yanli Wang, Jiwei Jiang, Linlin Wang, Wenyi Li, Yanling Zhang, Jun Sun, Junjie Li, Yunyun Duan, Yi Liu, Hongyuan Shao, Yang li, Yechuan Zhang, Jinglong Chen, Hanping Shi, Hui Huang, Yaou Liu, Jun Xu

Aims

Extended fasting–postprandial switch intermitting time has been shown to affect Alzheimer's disease (AD). Few studies have investigated the cerebral perfusion response to fasting–postprandial metabolic switching (FMS) in AD patients. We aimed to evaluate the cerebral perfusion response to FMS in AD patients.

Methods

In total, 30 AD patients, 32 mild cognitive impairment (MCI) patients, and 30 healthy control individuals (HCs) were included in the quantification of cerebral perfusion via cerebral blood flow (CBF). The cerebral perfusion response to FMS was defined as the difference (ΔCBF) between fasting and postprandial CBF.

Results

Patients with AD had a regional negative ΔCBF in the anterior temporal lobe, part of the occipital lobe and the parietal lobe under FMS stimulation, whereas HCs had no significant ΔCBF. The AD patients had lower ΔCBF values in the right anterior temporal lobe than the MCI patients and HCs. ΔCBF in the anterior temporal lobe was negatively correlated with cognitive severity and cognitive reserve factors in AD patients.

Conclusions

AD patients exhibited a poor ability to maintain cerebral perfusion homeostasis under FMS stimulation. The anterior temporal lobe is a distinct area that responds to FMS in AD patients and negatively correlates with cognitive function.

目的 延长空腹-餐后代谢转换间歇时间已被证明会影响阿尔茨海默病(AD)。很少有研究调查了AD患者对空腹-餐后代谢转换(FMS)的脑灌注反应。我们旨在评估 AD 患者对 FMS 的脑灌注反应。 方法 共有30名AD患者、32名轻度认知障碍(MCI)患者和30名健康对照组(HC)参加了通过脑血流(CBF)量化脑灌注的研究。对 FMS 的脑灌注反应定义为空腹和餐后 CBF 之差(ΔCBF)。 结果 在FMS刺激下,AD患者的颞叶前部、枕叶部分区域和顶叶的ΔCBF呈区域性负值,而HC患者的ΔCBF无明显变化。与 MCI 患者和 HCs 相比,AD 患者右前颞叶的 ΔCBF值较低。颞叶前部的ΔCBF与AD患者的认知严重程度和认知储备因素呈负相关。 结论 AD患者在FMS刺激下维持脑灌注平衡的能力较差。前颞叶是AD患者对FMS产生反应的一个独特区域,与认知功能呈负相关。
{"title":"Neuroimaging analysis reveals distinct cerebral perfusion responses to fasting-postprandial metabolic switching in Alzheimer's disease patients","authors":"Runzhi Li,&nbsp;Zhizheng Zhuo,&nbsp;Zeshan Yao,&nbsp;Zhaohui Li,&nbsp;Yanli Wang,&nbsp;Jiwei Jiang,&nbsp;Linlin Wang,&nbsp;Wenyi Li,&nbsp;Yanling Zhang,&nbsp;Jun Sun,&nbsp;Junjie Li,&nbsp;Yunyun Duan,&nbsp;Yi Liu,&nbsp;Hongyuan Shao,&nbsp;Yang li,&nbsp;Yechuan Zhang,&nbsp;Jinglong Chen,&nbsp;Hanping Shi,&nbsp;Hui Huang,&nbsp;Yaou Liu,&nbsp;Jun Xu","doi":"10.1111/cns.70014","DOIUrl":"https://doi.org/10.1111/cns.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Extended fasting–postprandial switch intermitting time has been shown to affect Alzheimer's disease (AD). Few studies have investigated the cerebral perfusion response to fasting–postprandial metabolic switching (FMS) in AD patients. We aimed to evaluate the cerebral perfusion response to FMS in AD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In total, 30 AD patients, 32 mild cognitive impairment (MCI) patients, and 30 healthy control individuals (HCs) were included in the quantification of cerebral perfusion via cerebral blood flow (CBF). The cerebral perfusion response to FMS was defined as the difference (ΔCBF) between fasting and postprandial CBF.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Patients with AD had a regional negative ΔCBF in the anterior temporal lobe, part of the occipital lobe and the parietal lobe under FMS stimulation, whereas HCs had no significant ΔCBF. The AD patients had lower ΔCBF values in the right anterior temporal lobe than the MCI patients and HCs. ΔCBF in the anterior temporal lobe was negatively correlated with cognitive severity and cognitive reserve factors in AD patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AD patients exhibited a poor ability to maintain cerebral perfusion homeostasis under FMS stimulation. The anterior temporal lobe is a distinct area that responds to FMS in AD patients and negatively correlates with cognitive function.</p>\u0000 </section>\u0000 </div>","PeriodicalId":154,"journal":{"name":"CNS Neuroscience & Therapeutics","volume":"30 9","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cns.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142170251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Whether coagulation dysfunction influences the onset and progression of diabetic peripheral neuropathy: A multicenter study in middle-aged and aged patients with type 2 diabetes 凝血功能障碍是否会影响糖尿病周围神经病变的发生和发展:一项针对中老年 2 型糖尿病患者的多中心研究
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.1111/cns.70040
Jiali Xie, Xinyue Yu, Luowei Chen, Yifan Cheng, Kezheng Li, Mengwan Song, Yinuo Chen, Fei Feng, Yunlei Cai, Shuting Tong, Yuqin Qian, Yiting Xu, Haiqin Zhang, Junjie Yang, Zirui Xu, Can Cui, Huan Yu, Binbin Deng

Background

Nearly half of patients with diabetes experience diabetic peripheral neuropathy (DPN), resulting in a mere 53% survival rate within 3 years. Aberrations in coagulation function have been implicated in the pathogenesis of microvascular complications, prompting the need for a thorough investigation into its role as a contributing factor in the development and progression of DPN.

Methods

Data were gathered from 1211 type 2 diabetes patients admitted to five centers from September 2018 to October 2022 in China. DPN was evaluated by symptoms and electromyography. Motor and sensory nerve conduction velocity (NCV) was appraised and the NCV sum score was calculated for the median, ulnar, and peroneal motor or sensory nerves.

Results

Patients with DPN exhibited alterations in coagulation function. (i) Specifically, they exhibited prolonged thrombin time (p = 0.012), elevated fibrinogen (p < 0.001), and shortened activated partial thromboplastin time (APTT; p = 0.026) when compared to the control group. (ii) After accounting for potential confounders in linear regression, fibrinogen, and D-dimer were negatively related to the motor NCV, motor amplitude values, and mean velocity and amplitude. Also, fibrinogen was associated with higher Michigan neuropathy screening instrument (MNSI) scores (β 0.140; p = 0.001). This result of fibrinogen can be validated in the validation cohort with 317 diabetic patients. (iii) Fibrinogen was independently associated with the risk of DPN (OR 1.172; p = 0.035). In the total age group, DPN occurred at a slower rate until the predicted fibrinogen level reached around 3.75 g/L, after which the risk sharply escalated.

Conclusions

Coagulation function is warranted to be concerned in patients with type 2 diabetes to predict and prevent the occurrence of DPN in clinical practice.

背景 近一半的糖尿病患者会出现糖尿病周围神经病变(DPN),3 年内的存活率仅为 53%。凝血功能异常与微血管并发症的发病机制有关,因此有必要对凝血功能异常在 DPN 发生和发展过程中的作用进行深入研究。 方法 收集2018年9月至2022年10月中国5个中心收治的1211例2型糖尿病患者的数据。通过症状和肌电图对DPN进行评估。评估运动神经和感觉神经传导速度(NCV),并计算正中神经、尺神经和腓运动神经或感觉神经的NCV总分。 结果 DPN 患者的凝血功能发生了改变。(i) 具体而言,与对照组相比,他们的凝血酶时间延长(p = 0.012),纤维蛋白原升高(p < 0.001),活化部分凝血活酶时间缩短(APTT; p = 0.026)。(ii) 在线性回归中考虑了潜在的混杂因素后,纤维蛋白原和 D-二聚体与运动 NCV、运动振幅值、平均速度和振幅呈负相关。此外,纤维蛋白原与较高的密歇根神经病变筛查工具(MNSI)评分相关(β 0.140; p = 0.001)。纤维蛋白原的这一结果可在由 317 名糖尿病患者组成的验证队列中得到验证。(iii) 纤维蛋白原与 DPN 风险独立相关(OR 1.172;p = 0.035)。在所有年龄组中,DPN 的发生率较低,直到预测纤维蛋白原水平达到 3.75 g/L 左右,之后风险急剧上升。 结论 临床实践中应关注 2 型糖尿病患者的凝血功能,以预测和预防 DPN 的发生。
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引用次数: 0
Feasibility and effectiveness of transcutaneous auricular vagus nerve stimulation (taVNS) in awake mice 清醒小鼠经皮耳廓迷走神经刺激(taVNS)的可行性和有效性
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.1111/cns.70043
Yu-Mei Yu, Rui Yao, Zhou-Liang Liu, Yao Lu, Yang-Zi Zhu, Jun-Li Cao

Aims

Transcutaneous auricular vagus nerve stimulation (taVNS) is widely used to treat a variety of disorders because it is noninvasive, safe, and well tolerated by awake patients. However, long-term and repetitive taVNS is difficult to achieve in awake mice. Therefore, developing a new taVNS method that fully mimics the method used in clinical settings and is well-tolerated by awake mice is greatly important for generalizing research findings related to the effects of taVNS. The study aimed to develop a new taVNS device for use in awake mice and to test its reliability and effectiveness.

Methods

We demonstrated the reliability of this taVNS device through retrograde neurotropic pseudorabies virus (PRV) tracing and evaluated its effectiveness through morphological analysis. After 3 weeks of taVNS application, the open field test (OFT) and elevated plus maze (EPM) were used to evaluate anxiety-like behaviors, and the Y-maze test and novel object recognition test (NORT) were used to evaluate recognition memory behaviors, respectively.

Results

We found that repetitive taVNS was well tolerated by awake mice, had no effect on anxiety-like behaviors, and significantly improved memory.

Conclusion

Our findings suggest that this new taVNS device for repetitive stimulation of awake mice is safe, tolerable, and effective.

目的 经皮耳廓迷走神经刺激(taVNS)具有无创、安全、清醒患者耐受性好等特点,被广泛用于治疗各种疾病。然而,在清醒的小鼠身上很难实现长期和重复的迷走神经刺激。因此,开发一种新的 taVNS 方法,使其完全模拟临床环境中使用的方法,并能被清醒的小鼠很好地耐受,这对推广与 taVNS 效果相关的研究成果非常重要。本研究旨在开发一种用于清醒小鼠的新型 taVNS 装置,并测试其可靠性和有效性。 方法 我们通过逆行神经伪狂犬病毒(PRV)追踪证明了这种 taVNS 装置的可靠性,并通过形态学分析评估了其有效性。应用taVNS 3周后,分别用开阔地试验(OFT)和高架迷宫(EPM)评估焦虑样行为,用Y-迷宫试验和新物体识别试验(NORT)评估识别记忆行为。 结果 我们发现,清醒小鼠对重复使用 taVNS 有良好的耐受性,对焦虑样行为没有影响,并能显著改善记忆。 结论 我们的研究结果表明,这种用于重复刺激清醒小鼠的新型 taVNS 装置是安全、可耐受和有效的。
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引用次数: 0
High-concentration hydrogen inhalation mitigates sepsis-associated encephalopathy in mice by improving mitochondrial dynamics 高浓度氢气吸入可通过改善线粒体动力学缓解小鼠败血症相关脑病
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.1111/cns.70021
Yan Cui, Shuqi Meng, Nannan Zhang, Jingya Liu, Lina Zheng, Wanjie Ma, Yu Song, Zhiwei Wang, Yuehao Shen, Jianfeng Liu, Keliang Xie

Background

Sepsis-associated encephalopathy (SAE) is a neuronal injury with poor prognosis. Mitochondrial dysfunction is critical in SAE development, and hydrogen gas (H2) has a protective effect on septic mice. This study aimed to investigate the effect of high concentration (67%) of H2 on SAE and whether it is related to mitochondrial biogenesis and mitochondrial dynamics.

Methods

A mouse sepsis model was induced by cecal ligation and puncture. The mice inhalated 67% H2 for 1 h at 1 and 6 h post-surgery, respectively. The 7-day survival rate was recorded. Cognitive function was assessed using the Y-maze test and Morris water maze test. Serum inflammatory factors, antioxidant enzymes, as well as mitochondrial function indexes including mitochondrial membrane potential (MMP) and ATP in the hippocampal tissue were evaluated 24 h after surgery. Mitochondrial dynamic proteins (DRP1 and MFN2) and biosynthetic proteins (PGC-1α, NRF2, and TFAM) in the hippocampal tissue were detected. Moreover, the morphology of mitochondria was observed by transmission electron microscopy.

Results

Inhalation of 67% H2 improved the 7-day survival rates and recognition memory function of septic mice, alleviated brain antioxidant enzyme activity (SOD and CAT), and reduced serum proinflammatory cytokine levels. H2 inhalation also enhanced the expression of MFN2 and mitochondrial biogenesis-related factors (PGC-1α, NRF2, and TFAM) and decreased the expression of fission protein (DRP1), leading to improvement in mitochondrial function, as evidenced by MMP and ATP levels.

Conclusions

Inhalation of high concentration (67%) of H2 in septic mice improved the survival rate and reduced neuronal injury. Its mechanism might be mediated by enhancing mitochondrial biogenesis and mitochondrial dynamics.

背景 败血症相关脑病(SAE)是一种预后不良的神经元损伤。线粒体功能障碍是 SAE 发生的关键因素,而氢气(H2)对脓毒症小鼠有保护作用。本研究旨在探讨高浓度(67%)氢气对 SAE 的影响,以及这种影响是否与线粒体生物生成和线粒体动力学有关。 方法 通过盲肠结扎和穿刺诱导小鼠败血症模型。小鼠分别在术后 1 小时和 6 小时吸入 67% 的 H2 1 小时。记录小鼠的 7 天存活率。认知功能采用Y迷宫测试和莫里斯水迷宫测试进行评估。术后24小时评估血清炎症因子、抗氧化酶以及线粒体功能指标,包括海马组织中的线粒体膜电位(MMP)和ATP。检测了海马组织中的线粒体动态蛋白(DRP1和MFN2)和生物合成蛋白(PGC-1α、NRF2和TFAM)。此外,还通过透射电子显微镜观察了线粒体的形态。 结果 吸入 67% 的 H2 提高了败血症小鼠的 7 天存活率和识别记忆功能,减轻了脑部抗氧化酶活性(SOD 和 CAT),降低了血清促炎细胞因子水平。吸入 H2 还可提高 MFN2 和线粒体生物生成相关因子(PGC-1α、NRF2 和 TFAM)的表达,降低裂变蛋白(DRP1)的表达,从而改善线粒体功能,这一点可从 MMP 和 ATP 水平得到证明。 结论 对脓毒症小鼠吸入高浓度(67%)的 H2 可提高存活率并减少神经元损伤。其机制可能是通过增强线粒体生物生成和线粒体动力学来实现的。
{"title":"High-concentration hydrogen inhalation mitigates sepsis-associated encephalopathy in mice by improving mitochondrial dynamics","authors":"Yan Cui,&nbsp;Shuqi Meng,&nbsp;Nannan Zhang,&nbsp;Jingya Liu,&nbsp;Lina Zheng,&nbsp;Wanjie Ma,&nbsp;Yu Song,&nbsp;Zhiwei Wang,&nbsp;Yuehao Shen,&nbsp;Jianfeng Liu,&nbsp;Keliang Xie","doi":"10.1111/cns.70021","DOIUrl":"https://doi.org/10.1111/cns.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Sepsis-associated encephalopathy (SAE) is a neuronal injury with poor prognosis. Mitochondrial dysfunction is critical in SAE development, and hydrogen gas (H<sub>2</sub>) has a protective effect on septic mice. This study aimed to investigate the effect of high concentration (67%) of H<sub>2</sub> on SAE and whether it is related to mitochondrial biogenesis and mitochondrial dynamics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mouse sepsis model was induced by cecal ligation and puncture. The mice inhalated 67% H<sub>2</sub> for 1 h at 1 and 6 h post-surgery, respectively. The 7-day survival rate was recorded. Cognitive function was assessed using the Y-maze test and Morris water maze test. Serum inflammatory factors, antioxidant enzymes, as well as mitochondrial function indexes including mitochondrial membrane potential (MMP) and ATP in the hippocampal tissue were evaluated 24 h after surgery. Mitochondrial dynamic proteins (DRP1 and MFN2) and biosynthetic proteins (PGC-1α, NRF2, and TFAM) in the hippocampal tissue were detected. Moreover, the morphology of mitochondria was observed by transmission electron microscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Inhalation of 67% H<sub>2</sub> improved the 7-day survival rates and recognition memory function of septic mice, alleviated brain antioxidant enzyme activity (SOD and CAT), and reduced serum proinflammatory cytokine levels. H<sub>2</sub> inhalation also enhanced the expression of MFN2 and mitochondrial biogenesis-related factors (PGC-1α, NRF2, and TFAM) and decreased the expression of fission protein (DRP1), leading to improvement in mitochondrial function, as evidenced by MMP and ATP levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Inhalation of high concentration (67%) of H<sub>2</sub> in septic mice improved the survival rate and reduced neuronal injury. Its mechanism might be mediated by enhancing mitochondrial biogenesis and mitochondrial dynamics.</p>\u0000 </section>\u0000 </div>","PeriodicalId":154,"journal":{"name":"CNS Neuroscience & Therapeutics","volume":"30 9","pages":""},"PeriodicalIF":4.8,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/cns.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142170247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
A randomized, double-blind, placebo-controlled, dose-escalating phase IIa trial to evaluate the safety, tolerability, efficacy, and pharmacokinetics of multiple oral doses of Pynegabine tablets as add-on therapy in patients with focal epilepsy 一项随机、双盲、安慰剂对照、剂量递增的 IIa 期试验,旨在评估多剂量口服派恩加滨片作为局灶性癫痫患者的附加疗法的安全性、耐受性、疗效和药代动力学。
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-09 DOI: 10.1111/cns.70002
Shan Wei, Weng Shiwen, Chang Cao-wenjing, Yang Huajun, Wang Qun

Aims

This study aims to investigate the safety, tolerability, efficacy, and pharmacokinetics of Pynegabine as an add-on therapy in the treatment of focal epilepsy.

Methodology

This is a protocol phase-IIa, randomized, double-blinded, placebo-controlled, multicenter study in patients with focal epilepsy from multiple centers in China who have been treated with at least 2 ASMs without effective control. The study involves an 8-week run-in period with stable use of previous medications. Patients are then randomized to receive either Pynegabine or a placebo. Sentinel administration is performed initially, and subsequent patients are randomized based on safety assessments. Three dose cohorts (15, 20, and 25 mg/d) are established. Efficacy is assessed through various measures, including seizure frequency, CGI score, PGI score, HAMA score, HAMD score, MoCA scale score, QOLIE-31 scale score, and 12 h-EEG score. Safety evaluations, PK blood samples, concomitant medications, and adverse events are also recorded.

Conclusion

Data from the study will be used to evaluate the safety, tolerability, efficacy, and pharmacokinetics of Pynegabine tablets as add-on therapy for focal epilepsy.

研究目的 本研究旨在探讨派恩加滨作为加用疗法治疗局灶性癫痫的安全性、耐受性、疗效和药代动力学。 方法 这是一项方案IIa期、随机、双盲、安慰剂对照、多中心研究,研究对象是来自中国多个中心、接受过至少2种ASMs治疗但未得到有效控制的局灶性癫痫患者。研究包括为期8周的磨合期,在此期间患者应稳定使用以前的药物。然后,患者被随机分配接受派恩加滨或安慰剂治疗。首先进行哨点给药,随后根据安全性评估对患者进行随机分组。共设立了三个剂量组群(15、20 和 25 毫克/天)。疗效通过各种指标进行评估,包括癫痫发作频率、CGI 评分、PGI 评分、HAMA 评分、HAMD 评分、MoCA 量表评分、QOLIE-31 量表评分和 12 h-EEG 评分。此外,还将记录安全性评估、PK 血液样本、伴随药物和不良事件。 结论 本研究的数据将用于评估派恩加滨片作为局灶性癫痫附加疗法的安全性、耐受性、疗效和药代动力学。
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引用次数: 0
Effect of ferric citrate on hippocampal iron accumulation and widespread molecular alterations associated with cognitive disorder in an ovariectomized mice model 柠檬酸铁对卵巢切除小鼠模型海马铁积聚以及与认知障碍相关的广泛分子改变的影响
IF 4.8 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-09-09 DOI: 10.1111/cns.70018
Lingling Cui, Huijun Zhou, Yudan Hao, Xiaoli Yang, Zhiqian Li, Yuting Gao, Zhengya Zhang, Lina Ren, Linpu Ji, Ruijie Sun, Yibo Wang, Xian Wang

Objective

Nowadays, the prevalence of cognitive impairment in women has gradually increased, especially in postmenopausal women. There were few studies on the mechanistic effects of iron exposure on neurotoxicity in postmenopausal women. The aim of this study is to investigate the effect of iron accumulation on cognitive ability in ovariectomized mice and its possible mechanism and to provide a scientific basis for the prevention of cognitive dysfunction in postmenopausal women.

Methods

Female C57BL/6N ovariectomized model mice were induced with ferric citrate (FAC). The mice were randomly divided into 5 groups: control, sham, ovariectomized (Ovx), Ovx + 50 mg/kg FAC (Ovx + l), and Ovx + 100 mg/kg FAC (Ovx + h). The impact of motor and cognitive function was verified by a series of behavioral tests. The levels of serum iron parameters, malondialdehyde, and superoxide dismutase were measured. The ultrastructure of mice hippocampal microglia was imaged by transmission electron microscopy. The differential expression of hippocampal proteins was analyzed by Tandem Mass Tag labeling.

Results

Movement and cognitive function in Ovx + l/Ovx + h mice were significantly decreased compared to control and Sham mice. Then, iron exposure caused histopathological changes in the hippocampus of mice. In addition, proteomic analysis revealed that 29/27/41 proteins were differentially expressed in the hippocampus when compared by Ovx vs. Sham, Ovx + l vs. Ovx, as well as Ovx + h vs. Ovx + l groups, respectively. Moreover, transferrin receptor protein (TFR1) and divalent metal transporter 1 (DMT1) protein expression were significantly increased in the iron accumulation mice model with ovariectomy.

Conclusion

Iron exposure could cause histopathological damage in the hippocampus of ovariectomised mice and, by altering hippocampal proteomics, particularly the expression of hippocampal iron metabolism-related proteins, could further influence cognitive impairment in ovariectomized mice.

目的 如今,女性认知障碍的发病率逐渐上升,尤其是绝经后女性。有关铁暴露对绝经后妇女神经毒性机理影响的研究很少。本研究旨在探讨铁积累对卵巢切除小鼠认知能力的影响及其可能的机制,为预防绝经后女性认知功能障碍提供科学依据。 方法 用柠檬酸铁(FAC)诱导雌性 C57BL/6N 卵巢切除模型小鼠。小鼠随机分为 5 组:对照组、假组、卵巢切除组(Ovx)、卵巢切除 + 50 mg/kg FAC 组(Ovx + l)和卵巢切除 + 100 mg/kg FAC 组(Ovx + h)。通过一系列行为测试验证了对运动和认知功能的影响。对血清铁参数、丙二醛和超氧化物歧化酶的水平进行了测定。透射电子显微镜对小鼠海马小胶质细胞的超微结构进行了成像。采用串联质谱标记分析了海马蛋白的差异表达。 结果 Ovx + l/Ovx + h小鼠的运动和认知功能与对照组和Sham小鼠相比明显下降。铁暴露导致小鼠海马发生组织病理学变化。此外,蛋白质组学分析表明,Ovx组与Sham组、Ovx + l组与Ovx组、Ovx + h组与Ovx + l组相比,海马中有29/27/41种蛋白质的表达存在差异。此外,在卵巢切除的铁蓄积小鼠模型中,转铁蛋白受体蛋白(TFR1)和二价金属转运体1(DMT1)蛋白表达明显增加。 结论 铁暴露可导致卵巢切除小鼠海马的组织病理学损伤,并通过改变海马蛋白质组学,尤其是海马铁代谢相关蛋白的表达,进一步影响卵巢切除小鼠的认知障碍。
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引用次数: 0
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CNS Neuroscience & Therapeutics
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