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The Icelandic Mutation in the Murine APP Gene, mAPPA673T, on Amyloid-β Plaque Burden in the 5×FAD Alzheimer Model. 小鼠APP基因mAPPA673T冰岛突变对5×FAD阿尔茨海默病模型中淀粉样蛋白-β斑块负担的影响
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-22 DOI: 10.31083/JIN48581
Anne Anschuetz, Renny Listyono, Thomas Vorley, Bettina Platt, Charles R Harrington, Gernot Riedel, Karima Schwab

Background: The protective Icelandic mutation in the amyloid precursor protein (APP) gene, APPA673T, identified in Icelandic and other Nordic populations is associated with a significantly lower risk of developing Alzheimer's disease (AD). Conflicting results have been reported for the human APPA673T mutation in various knock-in models of AD, but the effect of the mouse APPA673T form in 5× familial AD (5×FAD) mice has never been investigated.

Methods: We crossed C57Bl6/J mice expressing a single point mutation edited into the murine APP gene via Clustered Regularly Interspaced Short Palindromic Repeats-CRISPR-associated (CRISPR-Cas) gene editing, termed mAPPA673T, with 5×FAD mice that overexpress human APP carrying the Swedish (K670N/M671L), Florida (I716V), and London (V717I) mutations as well as human presenilin-1 (PS1) with two mutations (M146L and L286V); the resulting mice were termed 5×FAD × mAPPA673T mice. We investigated amyloid beta-protein (Aβ) pathology in 5×FAD × mAPPA673T, 5×FAD and their respective controls, mAPPA673T, and C57Bl6/J wild type mice, at 6-months of age using immunohistochemistry, immunoblotting, and enzyme-linked immunosorbent assay (ELISA).

Results: We found a moderate yet significant reduction in Aβ plaque size in male 5×FAD × mAPPA673T compared with 5×FAD mice. No differences were observed for soluble/insoluble Aβ40 and Aβ42 levels per se, but lower plaque count/area was found in 5×FAD × mAPPA673T mice when Aβ42/Aβ40 ratios were low, suggesting a genotype-dependent sensitivity to Aβ aggregation and accumulation.

Conclusions: The mAPPA673T mutation has the potential to modify Aβ pathology in 5×FAD mice at the age of 6 months.

背景:在冰岛和其他北欧人群中发现的淀粉样前体蛋白(APP)基因APPA673T的冰岛保护性突变与患阿尔茨海默病(AD)的风险显著降低有关。关于人类APPA673T突变在各种AD敲入模型中的结果相互矛盾,但小鼠APPA673T形式在5x家族性AD (5×FAD)小鼠中的影响从未被研究过。方法:我们将表达单点突变的C57Bl6/J小鼠(通过聚集规则间隔短回文重复- crispr相关(CRISPR-Cas)基因编辑编辑成小鼠APP基因的mAPPA673T)与过表达人类APP的5×FAD小鼠杂交,这些小鼠携带瑞典(K670N/M671L)、佛罗里达(I716V)和伦敦(V717I)突变,以及携带两个突变(M146L和L286V)的人类早老素-1 (PS1);生成的小鼠命名为5×FAD × mAPPA673T小鼠。我们采用免疫组织化学、免疫印迹和酶联免疫吸附法(ELISA)研究了6月龄5×FAD × mAPPA673T、5×FAD及其对照mAPPA673T和C57Bl6/J野生型小鼠的淀粉样蛋白β (Aβ)病理学。结果:我们发现雄性5×FAD × mAPPA673T与5×FAD小鼠相比,a β斑块大小有中度但显著的减少。可溶性/不溶性a β40和a β42水平本身没有差异,但当a β42/ a β40比率较低时,5×FAD × mAPPA673T小鼠斑块数量/面积较低,表明对a β聚集和积累的敏感性依赖于基因型。结论:mAPPA673T突变有可能改变5×FAD小鼠6月龄时的Aβ病理。
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引用次数: 0
Altered Neural Activity and Functional Connectivity of Dorsolateral Prefrontal Cortex Associated With Cognitive Impairment in Patients With End-Stage Renal Disease. 终末期肾病患者认知障碍与背外侧前额叶皮层神经活动和功能连通性改变有关
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-21 DOI: 10.31083/JIN46820
Jie Fang, Lingling Guo, Hongting Xu, Yu Zhou, Fan Zou, Jinmin Wu, Yuping Wang, Xiangming Qi, Haibao Wang

Background: Executive dysfunction is the most prominent feature of cognitive impairment in patients with end-stage renal disease (ESRD). The dorsolateral prefrontal cortex (DLPFC) is a central region for the regulation of executive functions. The aim of our study was to examine alterations in neural activity and functional connectivity (FC) of the DLPFC in relation to cognitive assessments and clinical indicators in patients with ESRD using the resting-state functional magnetic resonance imaging (rs-fMRI) technique, and to further predict cognitive-related brain damage in this population.

Methods: A total of 37 ESRD patients and 35 normal controls received MRI scans and neuropsychological assessments. Inter-group differences in fractional amplitude of low-frequency fluctuations (fALFF) and FC of the DLPFC were compared. Additionally, the relationships between DLPFC abnormalities and cognitive function were analyzed in ESRD patients, along with the clinical characteristics. Finally, we ascertained the potential of DLPFC abnormalities to predict cognitive-related brain damage using receiver operating characteristic (ROC) curve analysis.

Results: ESRD patients exhibited decreased fALFF in the bilateral DLPFC (p < 0.05, false discovery rate [FDR] corrected). These also showed abnormal FC with the frontoparietal cortex, cingulate cortex, cerebellar posterior lobe, inferior temporal gyrus, and rolandic operculum (p < 0.05, FDR corrected). Several alterations in the DLPFC were associated with cognitive assessments (p < 0.05) in ESRD patients, and were also correlated with the levels of uric acid and hemoglobin (p < 0.05). Importantly, ROC curve analysis showed the fALFF value of left DLPFC, and FC between right DLPFC and right middle frontal gyrus effectively predicted cognitive-related brain damage in patients with ESRD.

Conclusions: This study demonstrated that the DLPFC is an important pathological brain region associated with the cognitive impairment of ESRD patients. Our results provide neuroimaging insights to further understand neural mechanisms of cognitive decline in this population.

背景:执行功能障碍是终末期肾病(ESRD)患者认知功能障碍的最显著特征。背外侧前额叶皮层(DLPFC)是调节执行功能的中心区域。本研究的目的是利用静息状态功能磁共振成像(rs-fMRI)技术研究ESRD患者DLPFC的神经活动和功能连通性(FC)的变化与认知评估和临床指标的关系,并进一步预测该人群的认知相关脑损伤。方法:对37例ESRD患者和35例正常人进行MRI扫描和神经心理评估。比较DLPFC低频波动分数幅值(fALFF)和FC组间差异。此外,我们还分析了ESRD患者DLPFC异常与认知功能的关系以及临床特征。最后,我们利用受试者工作特征(ROC)曲线分析确定了DLPFC异常预测认知相关脑损伤的潜力。结果:ESRD患者双侧DLPFC的fALFF降低(p < 0.05,纠正了错误发现率[FDR])。在额顶叶皮层、扣带皮层、小脑后叶、下颞回和罗兰盖区也显示异常的FC (p < 0.05, FDR校正)。在ESRD患者中,DLPFC的一些改变与认知评估相关(p < 0.05),也与尿酸和血红蛋白水平相关(p < 0.05)。重要的是,ROC曲线分析显示,左侧DLPFC的fALFF值以及右侧DLPFC与右侧额叶中回之间的FC可有效预测ESRD患者认知相关脑损伤。结论:本研究表明DLPFC是与ESRD患者认知功能障碍相关的重要病理脑区。我们的研究结果为进一步了解这一人群认知能力下降的神经机制提供了神经影像学的见解。
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引用次数: 0
Exercise Suppresses Insulin Resistance: A Potential Mechanism for Improving the Interaction Between Type 2 Diabetes and Alzheimer's Disease. 运动抑制胰岛素抵抗:改善2型糖尿病和阿尔茨海默病相互作用的潜在机制
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-21 DOI: 10.31083/JIN44389
Bo Wang, Yuping Shao, Rongxiang Liang

Type 2 diabetes mellitus (T2DM) is a chronic metabolic disorder characterized by hyperglycemia, hyperinsulinemia, and impaired insulin sensitivity. Although classified as a metabolic disorder, T2DM also contributes to cognitive decline. Alzheimer's disease (AD) is a progressive and irreversible neurodegenerative disorder. T2DM is strongly associated with AD and is considered a major risk factor for its development. AD is therefore recognized as a metabolic disorder mediated by cerebral insulin resistance, often termed "type 3 diabetes". T2DM and AD exhibit crosstalk, sharing overlapping molecular mechanisms including insulin resistance, mitochondrial dysfunction, oxidative stress, chronic inflammation, autophagy dysregulation, tau hyperphosphorylation, and β-amyloid deposition. Among these, insulin resistance may play a potential role in this interplay. As a non-pharmacological intervention, exercise demonstrates distinct advantages in preventing and managing metabolic and neurological disorders. Exercise maintains glucose homeostasis by mitigating insulin resistance, enhances insulin sensitivity, and concurrently reduces tau hyperphosphorylation and β-amyloid aggregation, thereby improving cognitive function. Building on current literature, this review explores how exercise mitigates insulin resistance to prevent and manage both T2DM and AD. It further proposes that insulin resistance may serve as a potential mechanistic link through which exercise modulates the pathological crosstalk between the two disorders.

2型糖尿病(T2DM)是一种以高血糖、高胰岛素血症和胰岛素敏感性受损为特征的慢性代谢紊乱。虽然被归类为代谢紊乱,但T2DM也会导致认知能力下降。阿尔茨海默病(AD)是一种进行性和不可逆的神经退行性疾病。T2DM与AD密切相关,被认为是AD发展的主要危险因素。因此,AD被认为是一种由脑胰岛素抵抗介导的代谢紊乱,通常被称为“3型糖尿病”。T2DM和AD表现出串音,共享重叠的分子机制,包括胰岛素抵抗、线粒体功能障碍、氧化应激、慢性炎症、自噬失调、tau过度磷酸化和β-淀粉样蛋白沉积。其中,胰岛素抵抗可能在这种相互作用中发挥潜在作用。作为一种非药物干预,运动在预防和管理代谢和神经疾病方面具有明显的优势。运动通过减轻胰岛素抵抗,增强胰岛素敏感性,维持葡萄糖稳态,同时减少tau过度磷酸化和β-淀粉样蛋白聚集,从而改善认知功能。在现有文献的基础上,本综述探讨了运动如何减轻胰岛素抵抗以预防和管理2型糖尿病和AD。它进一步提出胰岛素抵抗可能作为一个潜在的机制环节,通过运动调节两种疾病之间的病理串串。
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引用次数: 0
Tauroursodeoxycholic Acid Exerts Neuroprotective Effects in Epilepsy via Suppression of Ferroptosis. 金牛去氧胆酸通过抑制铁下垂发挥癫痫的神经保护作用。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-21 DOI: 10.31083/JIN47186
Lihui Wang, Yijiao Long, Fei Wang, Jincheng Guo, Lin Li, Baohua Hou

Background: Epilepsy is a complex neurological disorder marked by recurrent, unprovoked seizures. Ferroptosis is characterized by the accumulation of oxidative stress and is associated with the occurrence and development of epilepsy. Tauroursodeoxycholic acid (TUDCA), a hydrophilic bile acid, has demonstrated neuroprotective properties in various neurodegenerative conditions. In this study, we examined the antiepileptic efficacy of TUDCA and sought to elucidate its underlying mechanisms of action.

Methods: The antiepileptic effects of TUDCA were evaluated using electroencephalogram recordings, behavioral testing, and immunohistochemistry in a Lithium chloride (LiCl)- Pilocarpine (Pilo)-induced epilepsy rat model, alongside a glutamate-induced neuronal cell model. Neuronal ferroptosis was assessed through western blotting and immunofluorescence.

Results: In vivo, TUDCA significantly alleviated both seizure severity and neuronal damage by inhibiting oxidative stress and ferroptosis. In vitro, TUDCA similarly exerted neuroprotective effects and effectively suppressed neuronal ferroptosis.

Conclusion: TUDCA mitigates epilepsy through the suppression of ferroptosis, suggesting its potential as a therapeutic agent for epilepsy treatment.

背景:癫痫是一种复杂的神经系统疾病,其特征是反复发作,无因发作。铁下垂的特点是氧化应激的积累,并与癫痫的发生和发展有关。牛磺酸去氧胆酸(TUDCA)是一种亲水性胆汁酸,在各种神经退行性疾病中显示出神经保护作用。在本研究中,我们检测了TUDCA的抗癫痫疗效,并试图阐明其潜在的作用机制。方法:在氯化锂(LiCl)-匹罗卡品(Pilocarpine, Pilo)诱导的癫痫大鼠模型和谷氨酸诱导的神经元细胞模型中,通过脑电图记录、行为测试和免疫组织化学来评估TUDCA的抗癫痫作用。采用western blotting和免疫荧光法检测神经元铁下垂。结果:在体内,TUDCA通过抑制氧化应激和铁下垂显著减轻癫痫发作严重程度和神经元损伤。在体外,TUDCA同样发挥神经保护作用,有效抑制神经元铁下垂。结论:TUDCA通过抑制铁下垂减轻癫痫,提示其作为治疗癫痫的药物潜力。
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引用次数: 0
Glymphatic Clearance Dynamics in Traumatic Brain Injury: Mechanisms, Imaging Biomarkers, and Application Prospects. 外伤性脑损伤中的淋巴清除动力学:机制、成像生物标志物和应用前景。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.31083/JIN44348
Tao Yang, Yongxiang Yang, Mu Yuan, Xin Chen, Jingmin Cheng, Kexia Fan, Yuan Ma, Haifeng Shu, Sixun Yu

The pathological increase in brain catabolites after traumatic brain injury strongly correlates with a higher risk of neurodegenerative disease. This review examines the pathogenic role of glymphatic clearance dysfunction in that process. The glymphatic network enables cerebrospinal and interstitial fluid exchange and paracellular flow. These processes are mediated by astrocytic aquaporin-4. Glymphatic function is regulated by arterial pulsatility, sleep-wake cycles, and intramural periarterial drainage, with meningeal lymphatic vessels acting as the final drainage site. Mechanical trauma causes aquaporin-4 depolarization and mislocalization; it also triggers neuroinflammatory activation and blood-brain barrier disruption. These processes ultimately impair glymphatic function and neurotoxic proteins become more localized and overproduced. Previous studies have linked clearance defects to secondary neuron injury. Current evidence in humans has come mostly from pilot studies. Recent advances in neuroimaging provide new assessment tools. Dynamic contrast-enhanced magnetic resonance imaging (MRI) reveals delayed tracer clearance. Diffusion tensor imaging along perivascular spaces shows abnormalities in key parameters. These imaging findings preliminarily associate with fluctuations in cerebrospinal fluid catabolites. Therapeutic research suggests several reparative strategies. Physical exercise improves aquaporin-4 polarization integrity. Cannabidiol administration in experimental models increases meningeal lymphatic drainage and reduces tau pathology. Angiotensin II type 1 receptor antagonists may indirectly improve clearance by stabilizing the blood-brain barrier. Lymphatic pathways have been used as therapeutic targets for cannabidiol. Biological evidence also supports their role in traumatic brain injury progression. Further investigation is needed to validate whether these represent independent contributing processes. Multimodal imaging, novel biomarker assays, and chronobiological modulation strategies are improving visualization. Microfluidic modeling could clarify the glymphatic-biomarker relationship; it may also advance precision medicine approaches for traumatic brain injury.

外伤性脑损伤后脑分解代谢物的病理增加与神经退行性疾病的高风险密切相关。本文综述了淋巴清除功能障碍在这一过程中的致病作用。淋巴网络使脑脊液和间质液交换和细胞旁流动成为可能。这些过程是由星形细胞水通道蛋白-4介导的。淋巴功能受动脉搏动、睡眠-觉醒周期和壁内动脉周引流的调节,其中脑膜淋巴管是最终的引流部位。机械损伤导致水通道蛋白-4去极化和定位错误;它还会引发神经炎症激活和血脑屏障破坏。这些过程最终损害淋巴功能,神经毒性蛋白变得更加局部化和过量产生。先前的研究将清除缺陷与继发性神经元损伤联系起来。目前在人类身上的证据主要来自初步研究。神经影像学的最新进展提供了新的评估工具。动态对比增强磁共振成像(MRI)显示示踪剂清除延迟。沿血管周围间隙扩散张量成像显示关键参数异常。这些影像学表现初步与脑脊液分解代谢物的波动有关。治疗性研究提出了几种修复策略。体育锻炼提高水通道蛋白-4极化完整性。大麻二酚在实验模型中增加脑膜淋巴引流并减少tau病理。血管紧张素II型1受体拮抗剂可通过稳定血脑屏障间接提高清除率。淋巴通路已被用作大麻二酚的治疗靶点。生物学证据也支持它们在创伤性脑损伤进展中的作用。需要进一步的调查来验证这些是否代表独立的贡献过程。多模态成像、新型生物标志物分析和时间生物学调节策略正在改善可视化。微流控模型可以阐明淋巴细胞与生物标志物的关系;它还可能推进创伤性脑损伤的精准医学方法。
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引用次数: 0
Overexpression of IL7R Attenuates Cerebral Ischemia-Reperfusion Injury by Inhibiting Apoptosis. IL7R过表达通过抑制细胞凋亡减轻脑缺血再灌注损伤。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.31083/JIN46638
Shiqi Yang, Qian Su, Wenting Liu, Delong Meng, Zhiqiang Su

Background: Cerebral ischemia-reperfusion injury (CIRI) represents the most critical pathological event in the evolution of ischemic stroke (IS). Apoptosis is particularly important in CIRI pathophysiology. The interleukin-7 receptor (IL7R) is involved in various disease regulatory mechanisms; however, its specific role during CIRI remains unclear. We investigated the mechanistic function of IL7R in CIRI through a mouse model in vivo and through an astrocyte model in vitro.

Methods: C57BL/6 mice were randomly allocated to one of five groups: (1) sham; (2) transient middle cerebral artery occlusion (tMCAO); (3) tMCAO + IL7R treatment; (4) tMCAO + negative control (NC); or (5) tMCAO + IL7R + the phosphatidylinositol 3-kinase (PI3K) pathway inhibitor (LY294002) (n = 3-7 per group) to evaluate the role of IL7R in CIRI. The in vitro study groups were (1) control; (2) oxygen-glucose deprivation/reoxygenation (OGD/R); (3) OGD/R + IL7R; (4) OGD/R + NC; and (5) OGD/R + IL7R + LY294002 groups. After IL7R overexpression was induced, the resulting changes in infarct volume, neurological score, cell viability, and expression of apoptosis-related proteins were assessed.

Results: IL7R overexpression significantly attenuated CIRI-induced apoptosis. In vivo, this intervention improved neurological function, alleviated cerebral edema, and decreased infarct volume in tMCAO mice. In vitro, after the overexpression of IL7R, flow cytometry analysis revealed a reduction in apoptosis rates post-OGD/R, whereas transmission electron microscopy revealed fewer morphological alterations associated with apoptosis. In addition, the level of Bcl-2-associated X protein (Bax) and cysteine-dependent aspartate-specific Protease-3 (caspase-3) were decreased, whereas that of B-cell lymphoma-2 (Bcl-2) was increased; these effects were reversed by LY294002.

Conclusion: Overexpression of IL7R was shown to alleviate CIRI by suppressing apoptosis. These findings indicate IL7R as a novel target for IS treatment.

背景:脑缺血再灌注损伤(CIRI)是缺血性脑卒中(IS)发展过程中最关键的病理事件。细胞凋亡在CIRI病理生理中尤为重要。白细胞介素-7受体(IL7R)参与多种疾病调节机制;然而,它在CIRI中的具体作用尚不清楚。我们通过小鼠体内模型和体外星形胶质细胞模型研究了IL7R在CIRI中的机制功能。方法:将C57BL/6小鼠随机分为5组:(1)假手术组;(2)暂时性大脑中动脉闭塞(tMCAO);(3) tMCAO + IL7R治疗;(4) tMCAO +阴性对照(NC);或(5)tMCAO + IL7R +磷脂酰肌醇3-激酶(PI3K)途径抑制剂(LY294002)(每组n = 3-7)来评估IL7R在CIRI中的作用。体外研究组为:(1)对照组;(2)氧-葡萄糖剥夺/再氧合(OGD/R);(3) ogd / r + il7r;(4) ogd / r + nc;OGD/R + IL7R + LY294002基团。诱导IL7R过表达后,评估梗死面积、神经评分、细胞活力和凋亡相关蛋白表达的变化。结果:IL7R过表达可显著减轻ciri诱导的细胞凋亡。在体内,这种干预改善了tMCAO小鼠的神经功能,减轻了脑水肿,减少了梗死体积。在体外,过表达IL7R后,流式细胞术分析显示ogd /R后细胞凋亡率降低,而透射电镜显示与细胞凋亡相关的形态学改变较少。Bcl-2相关X蛋白(Bax)和半胱氨酸依赖性天冬氨酸特异性蛋白酶-3 (caspase-3)水平降低,而b细胞淋巴瘤-2 (Bcl-2)水平升高;LY294002逆转了这些影响。结论:过表达IL7R可通过抑制细胞凋亡来缓解CIRI。这些发现表明IL7R是IS治疗的新靶点。
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引用次数: 0
Trace Element Nanoparticles for Neurodegenerative Disease Therapy. 用于神经退行性疾病治疗的微量元素纳米颗粒。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-27 DOI: 10.31083/JIN48504
Pi-Cheng Ying, Qiu-Ju Han, Xiao-Jie Chen, Di Wu, Zhong Chen

Neurodegenerative diseases (NDDs) are closely linked to physiological conditions such as oxidative stress, neuroinflammation, neuronal cell death, and proteostatic failure, all of which are associated with cerebral trace-element imbalance. Recent research has highlighted the potential of trace-element-based interventions due to their diverse redox, anti-inflammatory, and pro-survival bioactivities. Leveraging nanotechnology to construct trace-element-based nanotherapeutics capable of crossing the blood-brain barrier, actively targeting neurons, and enabling on-demand payload release has emerged as a promising strategy, transforming empirical supplementation into a precision nanomedicine approach. These nanoplatforms have demonstrated significant effects in disease treatment. However, systematic studies on their application in NDD therapy remain limited. In this review, we provide a comprehensive overview of trace-element-based nanotherapeutics, exploring how trace-metal imbalances contribute to NDD development, nanoparticle construction, and the advantages of trace-element-based nanoparticles. Additionally, we discuss the physiological aspects of trace-element metabolism and inflammation in NDD treatment, offer recommendations for future research, and comprehensively discuss and systematically evaluate the safety of trace-element nanoparticles. In doing so, we provide a resource that will help to guide the design and development of nanotherapeutics for NDDs and assist researchers in this emerging field.

神经退行性疾病(ndd)与氧化应激、神经炎症、神经元细胞死亡和蛋白质抑制功能衰竭等生理状况密切相关,而这些生理状况都与大脑微量元素失衡有关。最近的研究强调了基于微量元素的干预措施的潜力,因为它们具有多种氧化还原、抗炎和促生存的生物活性。利用纳米技术构建基于微量元素的纳米疗法,能够跨越血脑屏障,主动靶向神经元,并实现按需有效载荷释放,这已经成为一种有前途的策略,将经验补充转化为精确的纳米医学方法。这些纳米平台在疾病治疗中已经证明了显著的效果。然而,关于它们在NDD治疗中的应用的系统研究仍然有限。在这篇综述中,我们对基于微量元素的纳米疗法进行了全面的概述,探讨了微量金属失衡如何促进NDD的发展、纳米颗粒的构建以及基于微量元素的纳米颗粒的优势。此外,我们讨论了微量元素代谢和炎症在NDD治疗中的生理方面,提出了未来研究的建议,并全面讨论和系统评价了微量元素纳米颗粒的安全性。在此过程中,我们提供了一个资源,将有助于指导ndd纳米疗法的设计和开发,并协助这一新兴领域的研究人员。
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引用次数: 0
Targeted Temperature Management after Resuscitation of Cardiac Arrest: A Review. 心脏骤停复苏后的目标温度管理:综述。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-27 DOI: 10.31083/JIN27177
Jianan Su, Xiaoxu Ren, Xiaofeng Yang

Cardiac arrest (CA) is a leading cause of mortality worldwide, with cerebral injury resulting from hypoxia being its most significant complication. This condition is associated with low survival rates and unfavorable neurological prognosis. Cerebral injury following CA is a major contributor to both mortality and long-term disability. Recently, Targeted Temperature Management (TTM) has garnered considerable attention as a non-pharmacological treatment modality for brain protection, aiming to reduce hypoxia-induced damage and improve neurological outcomes following CA. This work aims to provide a comprehensive review of TTM following CA, focusing on its current status, underlying mechanisms, research advancements, and future prospects for clinical application.

心脏骤停(CA)是世界范围内死亡的主要原因,缺氧引起的脑损伤是其最重要的并发症。这种情况与低存活率和不良神经预后有关。CA后的脑损伤是导致死亡和长期残疾的主要原因。近年来,靶向温度管理(Targeted Temperature Management, TTM)作为一种非药物治疗脑保护方式受到了广泛关注,其目的是减少CA后缺氧引起的损伤,改善神经系统预后。本文旨在对CA后TTM的研究现状、机制、研究进展以及临床应用前景进行综述。
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引用次数: 0
Piezo2 in Paraventricular Neurons: Linking Heartbeat Pulsatility to Increased Oxytocin Release and Social Behavior. 室旁神经元中的Piezo2:将心跳脉动与催产素释放增加和社会行为联系起来。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-26 DOI: 10.31083/JIN47856
Owen P Hamill
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引用次数: 0
Acupuncture Modulates NMDAR-PP1/Calpain1-KCC2 Pathway to Ameliorate Spinal Hyperexcitability and Spastic Hemiplegia Induced by Ischemic Stroke. 针刺调节NMDAR-PP1/Calpain1-KCC2通路改善缺血性脑卒中所致脊髓高兴奋性和痉挛性偏瘫
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-26 DOI: 10.31083/JIN46980
Jia-Ling He, Liang-Xiao Ma, Yu-Xin Zhuang, Jing-Si Wen, Ling-Hui Ma, Jing-Yun Xiu, Meng-Yu Chen

Background: Post-stroke spastic hemiplegia (PSSH) frequently leads to severe motor dysfunction, with its primary pathology being spinal hyperexcitability arising from attenuated descending inhibition. We previously reported that acupuncture alleviated spastic hypertonia induced by middle cerebral artery occlusion (MCAO) via upregulating potassium-chloride cotransporter 2 (KCC2) expression. Cumulative evidence has indicated that N-methyl-D-aspartate receptor (NMDAR) can be a pivotal determinant of spinal excitability via modulating KCC2-mediated neuronal chloride homeostasis. The present study investigated whether acupuncture exerts its therapeutic effects through modulation of NMDAR-mediated activation of protein phosphatase 1 (PP1)/Calpain1-KCC2 pathway.

Methods: Multiple functional assessments, in vivo electrophysiological test, 2,3,5-triphenyl tetrazolium chloride (TTC) staining, immunofluorescence, quantitative real-time PCR (RT-qPCR), and Western blot were used.

Results: In the male MCAO rat model, assessments using the neurological-function score, muscle-tone scale, and footprint analysis demonstrated that acupuncture significantly attenuated spasticity and improved motor performance. H-reflex recordings and immediate early gene c-Fos (c-Fos) immunofluorescence indicated that acupuncture reduced hyperexcitability in spinal ventral horn. These observed effects of acupuncture were associated with its downregulation of N-methyl-D-aspartate receptor 1 (NMDAR1) expression and restoration of both the expression and function of KCC2 in spinal cord. Pharmacological interventions using NMDAR agonist and antagonist demonstrated that acupuncture upregulated KCC2 by inhibiting NMDAR-mediated activation of PP1 and Calpain1.

Conclusion: Acupuncture modulated the NMDAR-PP1/Calpain1-KCC2 pathway in the spinal cord to suppress neuronal hyperexcitability, thereby relieving spasticity and promoting motor function in rats with PSSH.

背景:脑卒中后痉挛性偏瘫(PSSH)经常导致严重的运动功能障碍,其主要病理是下降抑制减弱引起的脊髓高兴奋性。我们之前报道过针灸通过上调氯化钾共转运蛋白2 (KCC2)的表达来缓解大脑中动脉闭塞(MCAO)引起的痉挛性高张力。越来越多的证据表明,n -甲基- d -天冬氨酸受体(NMDAR)可以通过调节kcc2介导的神经元氯离子稳态而成为脊髓兴奋性的关键决定因素。本研究探讨针刺是否通过调节nmdar介导的蛋白磷酸酶1 (PP1)/Calpain1-KCC2通路的激活来发挥其治疗作用。方法:采用多种功能评估、体内电生理试验、2,3,5-三苯基四氯化氮(TTC)染色、免疫荧光、实时荧光定量PCR (RT-qPCR)和Western blot检测。结果:在雄性MCAO大鼠模型中,使用神经功能评分、肌肉张力量表和足迹分析进行评估表明,针灸可显著减轻痉挛并改善运动表现。h反射记录和即时早期基因c-Fos (c-Fos)免疫荧光显示针刺减轻了脊髓前角的高兴奋性。这些观察到的针刺效应与下调n -甲基- d -天冬氨酸受体1 (NMDAR1)的表达和恢复脊髓中KCC2的表达和功能有关。使用NMDAR激动剂和拮抗剂的药理学干预表明,针刺通过抑制NMDAR介导的PP1和Calpain1的激活来上调KCC2。结论:针刺通过调节脊髓NMDAR-PP1/Calpain1-KCC2通路抑制PSSH大鼠神经元的高兴奋性,从而缓解PSSH大鼠的痉挛,促进运动功能。
{"title":"Acupuncture Modulates NMDAR-PP1/Calpain1-KCC2 Pathway to Ameliorate Spinal Hyperexcitability and Spastic Hemiplegia Induced by Ischemic Stroke.","authors":"Jia-Ling He, Liang-Xiao Ma, Yu-Xin Zhuang, Jing-Si Wen, Ling-Hui Ma, Jing-Yun Xiu, Meng-Yu Chen","doi":"10.31083/JIN46980","DOIUrl":"https://doi.org/10.31083/JIN46980","url":null,"abstract":"<p><strong>Background: </strong>Post-stroke spastic hemiplegia (PSSH) frequently leads to severe motor dysfunction, with its primary pathology being spinal hyperexcitability arising from attenuated descending inhibition. We previously reported that acupuncture alleviated spastic hypertonia induced by middle cerebral artery occlusion (MCAO) via upregulating potassium-chloride cotransporter 2 (KCC2) expression. Cumulative evidence has indicated that N-methyl-D-aspartate receptor (NMDAR) can be a pivotal determinant of spinal excitability via modulating KCC2-mediated neuronal chloride homeostasis. The present study investigated whether acupuncture exerts its therapeutic effects through modulation of NMDAR-mediated activation of protein phosphatase 1 (PP1)/Calpain1-KCC2 pathway.</p><p><strong>Methods: </strong>Multiple functional assessments, <i>in vivo</i> electrophysiological test, 2,3,5-triphenyl tetrazolium chloride (TTC) staining, immunofluorescence, quantitative real-time PCR (RT-qPCR), and Western blot were used.</p><p><strong>Results: </strong>In the male MCAO rat model, assessments using the neurological-function score, muscle-tone scale, and footprint analysis demonstrated that acupuncture significantly attenuated spasticity and improved motor performance. H-reflex recordings and immediate early gene c-Fos (c-Fos) immunofluorescence indicated that acupuncture reduced hyperexcitability in spinal ventral horn. These observed effects of acupuncture were associated with its downregulation of N-methyl-D-aspartate receptor 1 (NMDAR1) expression and restoration of both the expression and function of KCC2 in spinal cord. Pharmacological interventions using NMDAR agonist and antagonist demonstrated that acupuncture upregulated KCC2 by inhibiting NMDAR-mediated activation of PP1 and Calpain1.</p><p><strong>Conclusion: </strong>Acupuncture modulated the NMDAR-PP1/Calpain1-KCC2 pathway in the spinal cord to suppress neuronal hyperexcitability, thereby relieving spasticity and promoting motor function in rats with PSSH.</p>","PeriodicalId":16160,"journal":{"name":"Journal of integrative neuroscience","volume":"24 12","pages":"46980"},"PeriodicalIF":2.7,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145933577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Journal of integrative neuroscience
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