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The Genetic Architecture of Parkinson's Disease in the AfrAbia Population: Current State and Future Perspectives. 阿夫拉比亚人帕金森病的遗传结构:现状与未来展望
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-19 DOI: 10.31083/j.jin2308152
Wael Mohamed, Mohamed Abdelhalim Eltantawi, Vidhu Agarwal, Sara Bandres-Ciga, Mary B Makarious, Yasser Mecheri, Yared Zenebe Zewde, Walaa A Kamel, Bashayer Al-Mubarak, Karem H Alzoubi, Najib Kissani, Badrah S Alghamdi, Samia Ben Sassi

Over 80% of genetic studies in the Parkinson's disease (PD) field have been conducted on individuals of European descent. There is a social and scientific imperative to understand the genetic basis of PD across global populations for therapeutic development and deployment. PD etiology is impacted by genetic and environmental factors that are variable by ancestry and region, emphasising the need for worldwide programs to gather large numbers of patients to identify novel candidate genes and risk loci involved in disease. Only a handful of documented genetic assessments have investigated families with PD in AfrAbia, which comprises the member nations of the Arab League and the African Union, with very limited cohort and case-control studies reported. This review article summarises prior research on PD genetics in AfrAbia, highlighting gaps and challenges. We discuss the etiological risk spectrum in the context of historical interactions, highlighting allele frequencies, penetrance, and the clinical manifestations of known genetic variants in the AfrAbian PD patient community.

帕金森病(PD)领域 80% 以上的基因研究都是针对欧洲后裔进行的。社会和科学界迫切需要了解全球人群帕金森病的遗传基础,以便进行治疗开发和部署。帕金森病的病因受遗传和环境因素的影响,这些因素因血统和地区而异,因此需要在全球范围内开展计划,收集大量患者,以确定与疾病相关的新型候选基因和风险位点。在由阿拉伯联盟(Arab League)和非洲联盟(African Union)成员国组成的阿非拉(AfrAbia)地区,只有极少数有记录的遗传评估对患有帕金森病的家庭进行了调查,而队列研究和病例对照研究的报道也非常有限。这篇综述文章总结了之前在非洲比亚进行的有关帕金森病遗传学的研究,强调了存在的差距和面临的挑战。我们讨论了历史相互作用背景下的病因风险谱,强调了等位基因频率、渗透性以及已知遗传变异在非洲裔帕金森病患者群体中的临床表现。
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引用次数: 0
Altered Effective Connectivity of the Pain Matrix in Herpes Zoster and Postherpetic Neuralgia Patients: Granger Causality Analysis of Resting-State fMRI. 带状疱疹和带状疱疹后神经痛患者疼痛矩阵的有效连接性改变:静息态 fMRI 的格兰杰因果关系分析
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-16 DOI: 10.31083/j.jin2308147
Huiting Lv, Lili Gu, Jiaxin Xiong, Zihan Li, Yangyang Xie, Wanqing Zou, Hongmei Kuang, Shunda Hong, Jian Jiang

Background: Shingles can cause long-term pain and negative emotions, along with changes in brain function. In this study, Granger Causality Analysis (GCA) was used to compare herpes zoster (HZ) and postherpetic neuralgia (PHN) differences in effective connections within the "pain matrix" between patients and healthy controls to further understand patterns of interaction between brain regions and explore the relationship between changes in effective connections and clinical features.

Methods: Resting-state functional magnetic resonance imaging (fMRI) scans were performed on 55 HZ; 55 PHN; and 50 age-, sex- matched healthy controls (HCs). The brain regions associated with the pain matrix are used as the seeds of effective connectivity. GCA was used to analyze effective connections in brain regions that differed significantly between groups. Then the correlation between GCA values and clinical indicators was studied.

Results: Compared with HC, GCA values between the thalamus and the amygdala, between the thalamus and the precentral gyrus, from the thalamus to the postcentral gyrus, and from the parahippocampal gyrus to the amygdala, anterior cingulate gyrus were significantly reduced in HZ patients. Compared with HC, GCA values between the insular and the postcentral gyrus, from the insular to the inferior parietal lobe, and from the postcentral gyrus to the amygdala were significantly reduced in PHN patients. Compared with HZ, GCA values between the inferior parietal lobe and the parahippocampal gyrus, between the inferior parietal lobe and the anterior cingulate gyrus, and from the anterior cingulate gyrus to the amygdala were significantly increased in PHN patients. The visual analogue scale (VAS) score of PHN patients was positively correlated with the GCA value from the central posterior lobe to the insula.

Conclusions: PHN and HZ patients showed a broad reduction in effective connections, mainly reflected in abnormal pain pathway regulation, pain perception, negative emotion and memory production, providing new perspectives to understand the neuroimaging mechanisms of shingles.

背景介绍带状疱疹会导致长期疼痛和负面情绪,同时改变大脑功能。本研究采用格兰杰因果关系分析法(GCA)比较带状疱疹(HZ)和带状疱疹后神经痛(PHN)患者与健康对照组之间 "疼痛矩阵 "内有效连接的差异,以进一步了解大脑区域之间的相互作用模式,并探讨有效连接的变化与临床特征之间的关系:对 55 名 HZ、55 名 PHN 和 50 名年龄、性别匹配的健康对照者(HCs)进行静息态功能磁共振成像(fMRI)扫描。与疼痛矩阵相关的脑区被用作有效连接的种子。GCA 用于分析组间差异显著的脑区的有效连接。然后研究GCA值与临床指标之间的相关性:结果:与 HC 相比,HZ 患者丘脑与杏仁核之间、丘脑与中央前回之间、丘脑与中央后回之间、海马旁回与杏仁核之间、扣带回前回之间的 GCA 值明显降低。与 HC 相比,PHN 患者岛叶与中央后回之间、岛叶至顶叶下部以及中央后回至杏仁核之间的 GCA 值明显降低。与 HZ 相比,PHN 患者顶叶下部与海马旁回之间、顶叶下部与扣带回前部之间以及扣带回前部至杏仁核之间的 GCA 值明显增加。PHN患者的视觉模拟量表(VAS)评分与从中央后叶到岛叶的GCA值呈正相关:结论:PHN和HZ患者的有效连接广泛减少,主要体现在疼痛通路调节异常、疼痛感知、负性情绪和记忆生成等方面,为了解带状疱疹的神经影像学机制提供了新的视角。
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引用次数: 0
Development of EEG Response to Unpleasant, Pleasant, and Neutral Tactile Stimuli. 对不愉快、愉快和中性触觉刺激的脑电图反应的发展。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-16 DOI: 10.31083/j.jin2308148
Galina Portnova, Larisa Mayorova

Background: The study of tactile perception during a childhood is extremely important for understanding the social and communicative aspects of the child's development. Tactile perception of stimuli with different valence can have different normative stages of development.

Methods: In the present study, we examined changes in linear and nonlinear electroencephalogram (EEG) parameters during the presentation of pleasant (C-tactile optimal stroking), unpleasant (ice stroking), and neutral tactile stimuli in three groups of healthy volunteers: preschoolers 4 and 5 years, school-age children from 8 to 10 years, and adults from 20 to 40 years.

Results: According to our findings, child maturation plays a significant role in the perception of pleasant and neutral tactile stimuli. Patterns of EEG dynamics related to tactile perception showed greater similarity between adult volunteers and school-aged children than preschoolers.

Conclusions: Non-linear EEG parameters such as fractal dimension (FD), envelope mean frequency (EMF), and power spectral density (PSD) dynamics of the theta-rhythm were particularly sensitive to developmental changes in tactile perception. Hjorth complexity and peak alpha frequency (PAF) scores may serve as indicators of mature perception of С-tactile (CT)-stimuli.

背景:研究儿童时期的触觉感知对于了解儿童在社交和交流方面的发展极为重要。对不同价位刺激的触觉感知会有不同的规范发展阶段:在本研究中,我们检测了三组健康志愿者(4 至 5 岁的学龄前儿童、8 至 10 岁的学龄儿童以及 20 至 40 岁的成年人)在受到愉快(C-触觉最佳抚摸)、不愉快(冰抚摸)和中性触觉刺激时线性和非线性脑电图(EEG)参数的变化:根据我们的研究结果,儿童的成熟度在感知愉快和中性触觉刺激方面起着重要作用。与学龄前儿童相比,成年志愿者和学龄儿童与触觉感知相关的脑电图动态模式显示出更大的相似性:结论:非线性脑电图参数,如分形维度(FD)、包络平均频率(EMF)和θ节律的功率谱密度(PSD)动态对触觉感知的发育变化特别敏感。Hjorth复杂性和阿尔法频率峰值(PAF)评分可作为成熟的С-触觉(CT)刺激感知的指标。
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引用次数: 0
Hypoxic Signal Transduction and Compensatory Mechanisms in the Neurovascular Unit. 神经血管单元的缺氧信号转导和补偿机制
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-16 DOI: 10.31083/j.jin2308149
Xinxin Ma, Zhihao Zou, Qinghai Shi

Hypoxic hypoxia arises from an inadequate oxygen supply to the blood, resulting in reduced arterial oxygen partial pressure and a consequent decline in oxygen diffusion into tissue cells for utilization. This condition is characterized by diminished oxygen content in the blood, while the supply of other nutrients within the blood remains normal. The brain is particularly sensitive to oxygen deficiency, with varying degrees of hypoxic hypoxia resulting in different levels of neural functional disorder. Since the brain has a specific threshold range for the perception of hypoxic hypoxia, mild hypoxic hypoxia can trigger compensatory protective responses in the brain without affecting neural function. These hypoxic compensatory responses enable the maintenance of an adequate oxygen supply and energy substrates for neurons, thereby ensuring normal physiological functions. To further understand the hypoxic compensatory mechanisms of the central nervous system (CNS), this article explores the structural features of the brain's neurovascular unit model, hypoxic signal transduction, and compensatory mechanisms.

缺氧缺氧是由于血液供氧不足,导致动脉血氧分压降低,氧气扩散到组织细胞供利用的能力随之下降。这种情况的特点是血液中的氧含量减少,而血液中其他营养物质的供应保持正常。大脑对缺氧特别敏感,不同程度的缺氧会导致不同程度的神经功能紊乱。由于大脑对缺氧缺氧的感知有一个特定的阈值范围,轻度缺氧缺氧会引发大脑的代偿保护反应,而不会影响神经功能。这些缺氧代偿反应使神经元能够维持充足的氧气供应和能量基质,从而确保正常的生理功能。为了进一步了解中枢神经系统(CNS)的缺氧代偿机制,本文探讨了大脑神经血管单元模型的结构特征、缺氧信号转导和代偿机制。
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引用次数: 0
Glycine Receptor Beta Subunit (GlyR-β) Promotes Potential Angiogenesis and Neurological Regeneration during Early-Stage Recovery after Cerebral Ischemia Stroke/Reperfusion in Mice. 甘氨酸受体β亚基(GlyR-β)促进小鼠脑缺血中风/再灌注后早期恢复过程中的潜在血管生成和神经再生。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-15 DOI: 10.31083/j.jin2308145
Yuan Xu, Yushi Yang, Jie Yang, Junshuan Cui, Jian Yan, Jiannan Jiang, Zhangwei Yan, Hua Yang

Background: Ischemic stroke is mainly caused by cerebral artery thrombosis. This study investigated the role of glycine receptor beta subunit (GlyR-β) in the recovery from cerebral ischemia stroke/reperfusion.

Methods: The oxygen glucose deprivation and recovery (OGD/R) bEnd3 cell model and the middle cerebral artery occlusion/reperfusion (MCAO/R) mouse model were used in this study.

Results: Expression of both the GlyR-β gene and vascular endothelial growth factor (Vegf), cell proliferation, and tube formation ability was decreased in bEnd3 cells after OGD/R, and was reversed by overexpression of GlyR-β. Neurological function, asindicated by Zea Longa scores, area of cerebral ischemia, and pathological changes were increased in mice after MCAO/R, and were ameliorated by overexpression of the glycine receptor beta (Glrb) gene at 24 h and 7 d after MCAO/R. Expression of GlyR-β and Gap-43 was decreased, and the expression of CD34, Vegf, and Bdnf, and cell growth as determined by a bromodeoxyuridine (BrdU) assay, increased in the affected brain tissue of MCAO/R mice in a time-dependent manner. GlyR-β overexpression resulted in enhanced expression of CD34, Vegf, Growth association protein 43 (Gap-43), and brain-derived neurotrophic factor (Bdnf) and cell growth in affected brain tissue of MCAO/R mice in a time-dependent manner.

Conclusions: GlyR-β promoted potential angiogenesis and neurological regeneration in affected brain tissue, thus promoting recovery from cerebral ischemia stroke/reperfusion.

背景:缺血性脑卒中主要由脑动脉血栓形成引起。本研究探讨了甘氨酸受体β亚基(GlyR-β)在脑缺血卒中/再灌注恢复中的作用:方法:本研究采用氧葡萄糖剥夺和恢复(OGD/R)bEnd3细胞模型和大脑中动脉闭塞/再灌注(MCAO/R)小鼠模型:结果:OGD/R后,bEnd3细胞中GlyR-β基因和血管内皮生长因子(Vegf)的表达、细胞增殖和管形成能力均下降,而过表达GlyR-β可逆转这种下降。MCAO/R后小鼠的神经功能,如Zea Longa评分、脑缺血面积和病理变化均有所增加,而在MCAO/R后24 h和7 d过表达甘氨酸受体β(Glrb)基因后,情况有所改善。在MCAO/R小鼠受影响的脑组织中,GlyR-β和Gap-43的表达量减少,CD34、Vegf和Bdnf的表达量增加,溴脱氧尿苷(BrdU)测定的细胞生长量增加,且呈时间依赖性。GlyR-β过表达导致CD34、Vegf、生长联合蛋白43(Gap-43)和脑源性神经营养因子(Bdnf)表达增强,MCAO/R小鼠受影响脑组织中的细胞生长呈时间依赖性:结论:GlyR-β能促进受累脑组织的潜在血管生成和神经再生,从而促进脑缺血卒中/再灌注后的恢复。
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引用次数: 0
Epilepsy: Born in NREM Sleep? 癫痫:诞生于 NREM 睡眠?
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-15 DOI: 10.31083/j.jin2308146
Peter Halász, Anna Szűcs
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引用次数: 0
Recent Insights into Hippocampal Dysfunction and Neuroplasticity in Sleep Disorders: An Update from Preclinical Studies. 对睡眠障碍中海马体功能障碍和神经可塑性的最新认识:临床前研究的最新进展
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-13 DOI: 10.31083/j.jin2308144
Poornima D E Weerasinghe-Mudiyanselage, Changjong Moon

Sleep disorders are prevalent neurological conditions linked to neurocognitive impairments. Understanding the neuroplasticity changes in the hippocampus, which plays a central role in regulating neurocognitive function, is crucial in the context of sleep disorders. However, research on neurodegenerative disorders and the influence of sleep disorders on hippocampal neuroplasticity remains largely unclear. Therefore, this review aims to highlight the latest advancements regarding hippocampal neuroplasticity and functional changes during sleep disorders, drawing insights from clinical and preclinical research involving sleep-deprived animal models. These articles were gathered through comprehensive literature searches across databases, including Google Scholar, PubMed, Web of Science, and Scopus. Maternal sleep deprivation has been observed to cause neurocognitive impairment in offspring, along with changes in protein expression levels associated with neuroplasticity. Similarly, sleep deprivation in adult mice has been shown to affect several cognitive functions and fear extinction without influencing the acquisition of fear conditioning. While mechanistic research on neurocognitive dysfunction induced by maternal and adult sleep deprivation is limited, it suggests the involvement of several signaling pathways, including neurotrophic factors, synaptic proteins, and inflammatory molecules, which are triggered by sleep deprivation. Further studies are needed to clarify the mechanistic pathways underlying hippocampal dysfunction and synaptic alterations associated with sleep disturbances.

睡眠障碍是一种与神经认知障碍相关的神经系统疾病。海马在调节神经认知功能方面发挥着核心作用,了解海马的神经可塑性变化对睡眠障碍至关重要。然而,有关神经退行性疾病的研究以及睡眠障碍对海马神经可塑性的影响在很大程度上仍不清楚。因此,本综述旨在强调有关睡眠障碍期间海马神经可塑性和功能变化的最新进展,并从涉及睡眠不足动物模型的临床和临床前研究中汲取启示。这些文章是通过在谷歌学术、PubMed、Web of Science 和 Scopus 等数据库中进行全面的文献检索收集到的。据观察,母体睡眠不足会导致后代神经认知功能受损,同时与神经可塑性相关的蛋白质表达水平也会发生变化。同样,成年小鼠的睡眠剥夺也被证明会影响多种认知功能和恐惧消退,但不会影响恐惧条件反射的获得。尽管对母体和成年小鼠睡眠剥夺诱发神经认知功能障碍的机理研究还很有限,但研究表明,睡眠剥夺会触发多种信号通路,包括神经营养因子、突触蛋白和炎症分子。要阐明与睡眠障碍相关的海马功能障碍和突触改变的机制途径,还需要进一步的研究。
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引用次数: 0
Fingolimod Alleviates Inflammation after Cerebral Ischemia via HMGB1/TLR4/NF-κB Signaling Pathway. 芬戈莫德通过HMGB1/TLR4/NF-κB信号通路缓解脑缺血后的炎症反应
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-12 DOI: 10.31083/j.jin2308142
Yao Xing, Liyuan Zhong, Jun Guo, Cuifen Bao, Yumin Luo, Lianqiu Min

Background: Clinically, ischemic reperfusion injury is the main cause of stroke injury. This study aimed to assess the effectiveness of fingolimod in suppressing inflammation caused by ischemic brain injury and explore its pharmacological mechanisms.

Methods: In total, 75 male Sprague-Dawley rats were randomly and equally assigned to five distinct groups: sham, middle cerebral artery occlusion/reperfusion (MCAO/R) surgery, fingolimod low-dose (F-L), fingolimod medium-dose (F-M), and fingolimod high-dose (F-H). Neurobehavioral tests, 2,3,5-triphenyltetrazolium chloride staining, and the brain tissue drying-wet method were conducted to evaluate neurological impairment, cerebral infarction size, and brain water content. Enzyme-linked immunosorbent assay was employed to quantify pro-inflammatory cytokines interleukin (IL)-1β, IL-6, and tumor necrosis factor-alpha (TNF-α) protein levels. Western blotting and immunohistochemical staining were performed to assess high mobility group box 1 (HMGB1), toll-like receptor 4 (TLR4), and nuclear factor kappa-B p65 (NF-κBp65) levels.

Results: Rats in the F-L, F-M, and F-H groups exhibited lower Longa scores, reduced infarction volumes, and decreased brain edema than those in the MCAO/R group. Additionally, the F-L, F-M, and F-H groups exhibited lower serum levels of IL-1β, IL-6, and TNF-α than those of the MCAO/R group. Additionally, F-L, F-M, and F-H treatments resulted in decreased HMGB1, TLR4, and NF-κBp65 protein expression levels in the hippocampus of MCAO/R rats.

Conclusions: Fingolimod was found to reduce ischemic brain injury in a dose-dependent manner. Moreover, it was also found to alleviate inflammation following ischemic brain injury via the HMGB1/TLR4/NF‑κB signaling pathway.

背景:临床上,缺血再灌注损伤是脑卒中损伤的主要原因。本研究旨在评估芬戈莫德抑制缺血性脑损伤所致炎症的有效性,并探讨其药理机制:方法:将75只雄性Sprague-Dawley大鼠随机平均分为五组:假组、大脑中动脉闭塞再灌注(MCAO/R)手术组、芬戈莫德低剂量组(F-L)、芬戈莫德中剂量组(F-M)和芬戈莫德高剂量组(F-H)。通过神经行为测试、2,3,5-三苯基氯化四氮唑染色和脑组织干湿法评估神经功能损伤、脑梗塞面积和脑含水量。酶联免疫吸附试验用于定量检测白细胞介素(IL)-1β、IL-6和肿瘤坏死因子-α(TNF-α)蛋白水平。对高迁移率组盒 1(HMGB1)、类收费受体 4(TLR4)和核因子卡巴-B p65(NF-κBp65)水平进行了免疫印迹和免疫组化染色:结果:与 MCAO/R 组相比,F-L、F-M 和 F-H 组大鼠的 Longa 评分较低,梗死体积缩小,脑水肿减轻。此外,与 MCAO/R 组相比,F-L、F-M 和 F-H 组的血清 IL-1β、IL-6 和 TNF-α 水平较低。此外,F-L、F-M和F-H处理导致MCAO/R大鼠海马中HMGB1、TLR4和NF-κBp65蛋白表达水平下降:结论:研究发现芬戈莫德能以剂量依赖的方式减轻缺血性脑损伤。结论:芬戈莫德能以剂量依赖性方式减轻缺血性脑损伤,而且还能通过 HMGB1/TLR4/NF-κB 信号通路减轻缺血性脑损伤后的炎症反应。
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引用次数: 0
Effects of Hypertension on Alzheimer's Disease: Updates in Pathophysiological and Neuroimaging Findings. 高血压对阿尔茨海默病的影响:病理生理学和神经影像学的最新研究成果。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-12 DOI: 10.31083/j.jin2308143
Si-Cheng Yan, Lu Liu, Gao-Li Fang, Shi-Ting Weng, Jun-Jun Wang, Lin Cheng, Ye-Jia Mo, Qi-Lun Lai, Yin-Xi Zhang, Tian-Yi Zhang, Pan-Pan Gai, Li-Ying Zhuang, Song Qiao

Alzheimer's disease (AD) is recognized as the leading cause of dementia, imposing a significant economic toll on society. Despite the emergence of novel therapeutic approaches for AD, their efficacy and safety mandates further validation through rigorous clinical trials. In this context, hypertension (HTN) has garnered considerable attention as an amendable risk factor for AD. Research indicates that hypertension during midlife is associated with an elevated risk of AD in later years, influencing both the onset and progression of the disease. Nevertheless, the relationship between AD and hypertension in the later stages of life remains a subject of debate. Moreover, the consequences of blood pressure reduction on cognitive function, along with the optimal pharmacological interventions and therapeutic thresholds for hypertension, have emerged as pivotal areas of inquiry. This review synthesizes findings on epidemiology, neuroimaging, and biomarkers, and the effects of antihypertensive medications to elucidate the link between hypertension and cognitive performance. We particularly investigate how hypertension and AD are related by plasma sulfide dysregulation, offering possible indicators for future diagnosis and therapy.

阿尔茨海默病(AD)被认为是痴呆症的主要病因,给社会造成了巨大的经济损失。尽管出现了治疗阿尔茨海默病的新方法,但其疗效和安全性还需要通过严格的临床试验来进一步验证。在这种情况下,高血压(HTN)作为导致注意力缺失症的一个可修正的风险因素受到了广泛关注。研究表明,中年时期的高血压与晚年罹患注意力缺失症的风险升高有关,对该疾病的发病和进展都有影响。然而,晚年注意力缺失症与高血压之间的关系仍存在争议。此外,降低血压对认知功能的影响以及高血压的最佳药物干预和治疗阈值已成为研究的关键领域。本综述综合了流行病学、神经影像学、生物标志物以及降压药物作用等方面的研究成果,以阐明高血压与认知功能之间的联系。我们特别研究了高血压和注意力缺失症如何通过血浆硫化物失调而发生关联,从而为未来的诊断和治疗提供可能的指标。
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引用次数: 0
Differentially Expressed Proteins in the Serum of Elderly Patients Who Experienced Perioperative Neurocognitive Disorders Following Transurethral Resection of the Prostate. 经尿道前列腺切除术后出现围手术期神经认知障碍的老年患者血清中不同表达的蛋白质。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-24 DOI: 10.31083/j.jin2306123
Zhong-Sheng Wang, Yi-Fan Tang, Ting Liu, Qiu-Xia Xiao, Qiu-Yan Li, Hong-Yan Li, Qing Liu, Ying Zhang

Objective: Perioperative neurocognitive disorders (PND) are a group of prevalent neurological complications that often occur in elderly individuals following major or emergency surgical procedures. The etiologies are not fully understood. This study endeavored to investigate novel targets and prediction methods for the occurrence of PND.

Methods: A total of 229 elderly patients diagnosed with prostatic hyperplasia who underwent transurethral resection of the prostate (TURP) combined with spinal cord and epidural analgesia were included in this study. The patients were divided into two groups, the PND group and non-PND group, based on the Z-score method. According to the principle of maintaining consistency between preoperative and intraoperative conditions, three patients from each group were randomly chosen for serum sample collection. isobaric tags for relative and absolute quantification (iTRAQ) proteomics technology was employed to analyze and identify the proteins that exhibited differential expression in the serum samples from the two groups. Bioinformatics analysis was performed on the proteins that exhibited differential expression.

Results: Among the 1101 serum proteins analyzed in the PND and non-PND groups, eight differentially expressed proteins were identified in PND patients. Of these, six proteins showed up-regulation, while two proteins showed down-regulation. Further bioinformatics analysis of the proteins that exhibited differential expression revealed their predominant involvement in cellular biological processes, cellular component formation, as well as endocytosis and phagocytosis Additionally, these proteins were found to possess the RING domain of E3 ubiquitin ligase.

Conclusion: The iTRAQ proteomics technique was employed to analyze the variation in protein expression in serum samples from patients with PND and those without PND. This study successfully identified eight proteins that exhibited differential expression levels between the two groups. Bioinformatics analysis indicates that proteins exhibiting differential expression are primarily implicated in the biological processes associated with microtubules. Investigating the microtubule formation process as it relates to neuroplasticity and synaptic formation may offer valuable insights for enhancing our comprehension and potential prevention of PND.

Clinical trial registration: Registered (ChiCTR2000028836). Date (20190306).

目的:围手术期神经认知障碍(PND)是一组常见的神经系统并发症,通常发生在接受大型或紧急外科手术的老年人身上。其病因尚不完全清楚。本研究致力于研究发生 PND 的新靶点和预测方法:本研究共纳入了 229 名确诊为前列腺增生症的老年患者,他们都接受了经尿道前列腺切除术(TURP),并接受了脊髓和硬膜外镇痛。根据 Z 评分法将患者分为两组,即 PND 组和非 PND 组。根据术前与术中情况保持一致的原则,每组随机抽取三名患者采集血清样本。采用等位相对绝对定量标记(iTRAQ)蛋白质组学技术分析并鉴定两组血清样本中表现出差异表达的蛋白质。对表现出差异表达的蛋白质进行了生物信息学分析:结果:在对 PND 组和非 PND 组的 1101 种血清蛋白进行分析后发现,PND 患者有 8 种蛋白表达不同。其中,6 种蛋白出现上调,2 种蛋白出现下调。此外,这些蛋白质还具有 E3 泛素连接酶的 RING 结构域:采用 iTRAQ 蛋白组学技术分析了 PND 患者和非 PND 患者血清样本中蛋白质表达的变化。这项研究成功鉴定了两组患者血清中表达水平存在差异的八种蛋白质。生物信息学分析表明,表现出差异表达的蛋白质主要与微管相关的生物过程有关。研究微管形成过程与神经可塑性和突触形成的关系,可能会为我们理解和潜在预防 PND 提供有价值的见解:注册(ChiCTR2000028836)。日期(20190306)。
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引用次数: 0
期刊
Journal of integrative neuroscience
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