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HAP1 Promotes Spinal Cord Injury Recovery Through BDNF Signaling Modulation. HAP1通过BDNF信号调节促进脊髓损伤恢复。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-25 DOI: 10.31083/JIN42984
Xinzhou Xiao, Riyun Yang, Yongjiang Wu, Feifei Long, Hongjun Zhao, Jingying Pan

Background: Spinal cord injury (SCI) is a severe medical condition resulting from trauma, disease or degeneration, leading to partial or complete loss of sensory and motor functions. Huntingtin-associated protein 1 (HAP1) is a classical neuronal protein that plays a crucial role in the nervous systems. Although numerous proteins and molecules have been extensively studied, the mechanisms underlying SCI pathogenesis remain incompletely understood. This study aimed to elucidate how HAP1 modulates functional recovery and tissue repair post-SCI through a multifaceted experimental approach.

Methods: Immunofluorescence staining was used to evaluate the spatial distribution and expression levels of HAP1 in spinal cord. An SCI model was established to assess behavioral functions using the Basso Mouse Scale, forced swim, inclined plate and hot plate tests. Luxol fast blue staining was used to assess morphological repair. The protein and mRNA expression levels of brain-derived neurotrophic factor (BDNF) were quantified post-SCI using enzyme-linked immunosorbent assay and quantitative real-time polymerase chain reaction, respectively. To elucidate the functional role of HAP1 in the SCI process, BDNF injections and behavioral tests were performed. Finally, RNA sequencing followed by bioinformatics analyses (Kyoto Encyclopaedia of Genes and Genomes (KEGG) pathways and Gene Ontology (GO) term enrichment) were performed to identify differentially expressed genes and signaling pathways associated with HAP1 in the SCI process.

Results: HAP1 is abundantly expressed in spinal cord neurons and plays a crucial role in post-traumatic recovery. HAP1 deficiency significantly impairs both functional recovery and morphological repair following spinal cord injury. Comparative analysis revealed lower BDNF levels in HAP1 heterozygous (HET) mice than in wild-type (WT) controls post-injury. Exogenous BDNF administration partially rescued behavioral deficits in HET mice, indicating BDNF-dependent compensatory mechanisms. RNA-seq analysis identified 444 differentially expressed genes and potential pathways associated with HAP1 in the SCI process.

Conclusions: HAP1 significantly enhances functional recovery and morphological repair post-SCI through potentiation of BDNF signaling pathways. These findings position HAP1 as a novel therapeutic target for SCI treatment.

背景:脊髓损伤(SCI)是一种由创伤、疾病或退行性变引起的严重疾病,可导致部分或完全丧失感觉和运动功能。亨廷顿蛋白相关蛋白1 (HAP1)是一种经典的神经元蛋白,在神经系统中起着至关重要的作用。尽管许多蛋白质和分子已被广泛研究,但脊髓损伤发病机制仍不完全清楚。本研究旨在通过多方面的实验方法阐明HAP1如何调节脊髓损伤后的功能恢复和组织修复。方法:采用免疫荧光染色法观察HAP1在脊髓中的空间分布及表达水平。采用Basso小鼠量表、强迫游泳、倾斜板和热板测试建立脊髓损伤模型,评估其行为功能。采用Luxol快速蓝染色评价形态学修复。采用酶联免疫吸附法和实时定量聚合酶链反应分别测定脊髓损伤后脑源性神经营养因子(BDNF)蛋白和mRNA表达水平。为了阐明HAP1在脊髓损伤过程中的功能作用,我们进行了BDNF注射和行为学测试。最后,通过RNA测序和生物信息学分析(京都基因和基因组百科全书(KEGG)途径和基因本体(GO)术语富集)来确定SCI过程中与HAP1相关的差异表达基因和信号通路。结果:HAP1在脊髓神经元中大量表达,在创伤后恢复中起重要作用。HAP1缺失显著损害脊髓损伤后的功能恢复和形态修复。对比分析显示,损伤后HAP1杂合(HET)小鼠的BDNF水平低于野生型(WT)对照。外源性BDNF部分修复了HET小鼠的行为缺陷,表明BDNF依赖的补偿机制。RNA-seq分析鉴定出444个与HAP1在SCI过程中相关的差异表达基因和潜在通路。结论:HAP1通过增强BDNF信号通路,显著促进脊髓损伤后的功能恢复和形态修复。这些发现使HAP1成为脊髓损伤治疗的一个新的治疗靶点。
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引用次数: 0
Elevated Regulator of G Protein Signaling 8 (Rgs8) Expression in Cerebellar Purkinje Cells of a Non-Manifesting SCA14 Murine Line. 无sc14小鼠小脑浦肯野细胞G蛋白信号8 (Rgs8)表达调控因子的升高
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-25 DOI: 10.31083/JIN40839
Qin-Wei Wu, Josef P Kapfhammer

Background: Spinocerebellar ataxia (SCA) is an autosomal dominant neurodegenerative disorder marked by progressive loss of cerebellar function. Over 40 genetically defined SCA subtypes have been identified, arising from mechanisms such as cytosine-adenine-guanine (CAG) trinucleotide repeat expansions, point mutations, and gene deletions. Spinocerebellar ataxia type 14 (SCA14) stems from mutations to the protein kinase C gamma (PRKCG) gene, which codes for protein kinase C gamma (PKCγ), a signaling protein predominantly expressed in cerebellar Purkinje cells. Although the genetic basis of SCA14 is well established, the mechanisms driving Purkinje cell dysfunction remain poorly understood. Notably, transgenic mice expressing the common PKCγ-Gly118Asp (G118D) mutation, located in the protein's regulatory domain, do not exhibit an overt disease phenotype, raising questions about potential compensatory changes at the molecular level.

Methods: We examined the expression of regulator of G protein signaling 8 (Rgs8), a molecule implicated in SCA-related pathways. Organotypic slice cultures and primary cerebellar cell cultures were generated in vitro to assess Purkinje cells from the non-manifesting PKCγ-G118D transgenic mouse line.

Results: A significant increase in Rgs8 expression was observed in both slice cultures and primary cerebellar cell cultures derived from the non-manifesting SCA14 mouse line.

Conclusions: Elevated Rgs8 expression in Purkinje cells from symptom-free PKCγ-G118D mice suggests molecular adaptations that may underlie the non-manifesting phenotype, offering insight into the subclinical SCA14 pathophysiology.

背景:脊髓小脑性共济失调(SCA)是一种常染色体显性神经退行性疾病,以小脑功能进行性丧失为特征。超过40种基因上定义的SCA亚型已经被鉴定出来,这些亚型由胞嘧啶-腺嘌呤-鸟嘌呤(CAG)三核苷酸重复扩增、点突变和基因缺失等机制引起。脊髓小脑性失调14型(SCA14)源于蛋白激酶Cγ (PRKCG)基因的突变,该基因编码蛋白激酶Cγ (PKCγ),这是一种主要在小脑浦肯野细胞中表达的信号蛋白。尽管SCA14的遗传基础已经建立,但驱动浦肯野细胞功能障碍的机制仍然知之甚少。值得注意的是,表达常见的PKCγ-Gly118Asp (G118D)突变的转基因小鼠,位于该蛋白的调控区域,没有表现出明显的疾病表型,这引发了关于分子水平上潜在代偿性变化的问题。方法:我们检测了G蛋白信号8的调节因子(Rgs8)的表达,这是一种与sca相关途径有关的分子。体外培养器官型切片和原代小脑细胞,以评估不表现PKCγ-G118D转基因小鼠品系的浦肯野细胞。结果:Rgs8的表达在切片培养和原代小脑细胞培养中均有显著增加。结论:无症状的PKCγ-G118D小鼠浦肯野细胞中Rgs8表达升高,提示分子适应可能是隐性表型的基础,为深入了解亚临床SCA14病理生理提供了线索。
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引用次数: 0
The Integrative Brain: Functional Units in Predictive Processing. 综合脑:预测处理中的功能单元。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-23 DOI: 10.31083/JIN39640
Matthew C L Phillips

Predictive processing asserts that the brain learns a generative model of the world, which it uses to make sensory-updated predictions about reality. While traditional views emphasize the cerebral cortex, prediction is a fundamental brain principle, which underscores the vital role of older subcortical structures. This review offers a framework for understanding the brain as an integrated system of semi-independent cortical and subcortical functional units that collectively enable predictive processing. The cerebral cortex is positioned as the primary driver of subconscious predictions, whereas the thalamus, hippocampal complex, amygdala, basal ganglia, and cerebellum contribute critical indirect roles by translating the predictions into conscious, cohesive, and coordinated experiences and behaviours. Specifically, the thalamus controls and establishes selective attention by synchronizing multiple cortical regions, enabling attended predictions to be expressed into conscious perception and cognition; the hippocampal complex captures novelty and constructs episodic simulations, which represent highly abstract or hypothetical predictions that contribute to the conscious cognitive experience; and the amygdala appraises motivational value and activates emotional states, which predict survival-critical events and prime the brain for action, contributing to a subjective emotional experience. During this translation, the basal ganglia and cerebellum contribute sculpting roles, with the basal ganglia chunking predictions into repertoires, facilitating the cohesive expression of actions, and potentially perceptual, cognitive, and emotional experiences, while the cerebellum generates and adjusts temporal predictions, enabling the coordinated expression of actions and experiences. This integrative framework highlights the essential, often-overlooked contributions of subcortical units to predictive processing, providing a unified model for future research.

预测处理断言,大脑学习了一个关于世界的生成模型,并用它来对现实做出感官更新的预测。虽然传统观点强调大脑皮层,但预测是一项基本的大脑原理,这强调了较老的皮层下结构的重要作用。这篇综述为理解大脑是一个由半独立的皮层和皮层下功能单元组成的综合系统提供了一个框架,这些单元共同实现了预测处理。大脑皮层被定位为潜意识预测的主要驱动力,而丘脑、海马体复合体、杏仁核、基底神经节和小脑通过将预测转化为有意识的、有凝聚力的、协调的经验和行为,发挥了重要的间接作用。具体来说,丘脑通过同步多个皮质区域来控制和建立选择性注意,使参与的预测能够表达为有意识的感知和认知;海马体复合体捕捉新奇事物并构建情景模拟,这些情景模拟代表高度抽象或假设的预测,有助于有意识的认知体验;杏仁核评估动机价值,激活情绪状态,预测生存关键事件,并为大脑的行动做好准备,形成主观的情绪体验。在这一转换过程中,基底神经节和小脑发挥了雕刻作用,基底神经节将预测分组成库,促进动作的连贯表达,以及潜在的感知、认知和情感体验,而小脑生成和调整时间预测,使动作和体验的协调表达成为可能。这一综合框架强调了皮层下单元对预测处理的重要贡献,为未来的研究提供了统一的模型。
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引用次数: 0
Clinical Efficacy and Therapeutic Mechanism of Acupuncture in the Treatment of Adolescent Depression. 针刺治疗青少年抑郁症的临床疗效及治疗机制。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-23 DOI: 10.31083/JIN38071
Jinlan Jiang, Baohua Ji, Wei Jin, Peiyun Zhang, Haoran Chen, Wenjie Cong, Xiaoqing Jin, Lihong Li

Background: Pharmacological treatment for adolescent depression is limited in safety and efficacy. Acupuncture treatment for depression has been endorsed by the World Health Organization. This study aimed to analyze the efficacy and mechanisms of acupuncture in treating adolescent depression.

Methods: An 4-week clinical trial was conducted from February 1, 2022 to June 30, 2024 at three hospitals. Patients aged 12 to 18 years were divided into three treatment groups: Manual acupuncture (MA), antidepressants (ADM), or acupuncture combined with antidepressants (MA+ADM). The 24-item Hamilton Depression scale (HAMD-24) scores, serum neurotransmitters levels, and resting-state functional magnetic resonance imaging (RS-fMRI) data were assessed at baseline (week 0) and after treatment (week 4).

Results: After a 4-week intervention, both the MA and MA+ADM groups showed significant improvement in HAMD-24 scores. The MA+ADM group experienced more improvement, particularly in addressing somatization and sleep disorders. The study revealed that acupuncture increased serum levels of 5-hydroxytryptamine (5-HT), kynurenic acid, dopamine noradrenaline, adrenaline, L-histidine, and picolinic acid in adolescents with depression. Acupuncture was also found to regulate the excitability of depression-related brain regions (frontal lobe, caudate nucleus, anterior cingulate, and paracingulate gyri) and the functional connectivity of depression-related circuits (limbic-cortical-striatal-pallidal-thalamic circuit and hate circuit). Furthermore, significant negative correlations were observed between week 0 and week 4 HAMD-24 scores and up-regulated serum levels of 5-HT and dopamine. Scores were positively associated with increased amplitude of low-frequency fluctuations and regional homogeneity values.

Conclusions: Acupuncture improves adolescents' depressive mood and sleep quality and alleviates somatic symptoms by modulating neurotransmitters levels and brain activity.

Clinical trial registration: No: ChiCTR2200056171. https://www.chictr.org.cn/showproj.html?proj=151197.

背景:青少年抑郁症的药物治疗在安全性和有效性方面受到限制。针灸治疗抑郁症已得到世界卫生组织的认可。本研究旨在分析针刺治疗青少年抑郁症的疗效及机制。方法:于2022年2月1日至2024年6月30日在三家医院进行为期4周的临床试验。12 ~ 18岁患者分为3组:手工针刺(MA)、抗抑郁药(ADM)、针刺联合抗抑郁药(MA+ADM)。在基线(第0周)和治疗后(第4周)对24项汉密尔顿抑郁量表(HAMD-24)评分、血清神经递质水平和静息状态功能磁共振成像(RS-fMRI)数据进行评估。结果:干预4周后,MA组和MA+ADM组HAMD-24评分均有显著改善。MA+ADM组有更多的改善,特别是在解决躯体化和睡眠障碍方面。研究表明,针灸可提高青少年抑郁症患者血清中5-羟色胺(5-HT)、犬尿酸、多巴胺去甲肾上腺素、肾上腺素、l -组氨酸和吡啶酸的水平。针刺还能调节抑郁相关脑区(额叶、尾状核、前扣带和副扣带回)的兴奋性和抑郁相关脑回路(边缘-皮质-纹状体-苍白体-丘脑回路和憎恨回路)的功能连通性。此外,在第0周和第4周,HAMD-24评分与血清5-HT和多巴胺水平上调呈显著负相关。得分与低频波动幅度的增加和区域均匀性值呈正相关。结论:针刺可通过调节神经递质水平和大脑活动改善青少年抑郁情绪和睡眠质量,缓解躯体症状。临床试验注册号:ChiCTR2200056171。https://www.chictr.org.cn/showproj.html?proj=151197。
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引用次数: 0
Exercise, an Important Step for Peripheral Nerve Injury Recovery. 运动是周围神经损伤恢复的重要步骤。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-22 DOI: 10.31083/JIN38086
Ziwei Zhang, Jielun Huang, Hu Zhang, Jiawen Shen

Peripheral nerve injury is a relatively common clinical condition that predominantly results from sensory, motor, and nutritional disorders. These can be due to aging, external forces, diseases, or changes in physical and chemical environments. Although interventions, including relevant drugs and surgeries, have led to advancements in peripheral nerve repair, achieving complete recovery remains a challenge. Untimely treatment and rehabilitation can lead to lifelong disabilities and neurological pain. Exercise is a low-cost intervention that plays an active role in the rehabilitation of patients with many diseases, including peripheral nerve injuries. This narrative review, conducted in accordance with the Scale for the Assessment of Narrative Review Articles guidelines, synthesized evidence from searches of PubMed, Scopus, Web of Science, and Google Scholar databases to summarize the molecular mechanisms of exercise and adjuvant therapies in peripheral nerve injury rehabilitation and the synergistic benefits of combined exercise and adjuvant therapy for peripheral nerve repair. This study revealed that the combination of exercise with either physical therapy or traditional Chinese medicine yielded superior therapeutic outcomes for peripheral nerve injuries attributable to aging, pathological conditions, and environmental factors. These benefits appear to be mediated by the suppression of oxidative stress and inflammatory responses, upregulation of neurotrophic factor expression, activation of autophagic pathways, modulation of endocrine homeostasis, and promotion of vascular network reconstruction. Furthermore, this study provides a theoretical foundation and a potential research direction for elucidating the targeted molecular mechanisms through which exercise ameliorates peripheral nerve injury.

周围神经损伤是一种比较常见的临床疾病,主要由感觉、运动和营养障碍引起。这些可能是由于老化、外力、疾病或物理和化学环境的变化。尽管包括相关药物和手术在内的干预措施已经导致周围神经修复的进步,但实现完全恢复仍然是一个挑战。不及时的治疗和康复可能导致终身残疾和神经疼痛。运动是一种低成本的干预措施,在包括周围神经损伤在内的许多疾病患者的康复中起着积极的作用。本叙述性综述按照《叙述性综述文章评价量表》指南进行,综合PubMed、Scopus、Web of Science、谷歌Scholar等数据库的检索证据,总结运动与辅助治疗在周围神经损伤康复中的分子机制,以及运动与辅助治疗联合对周围神经修复的协同效益。本研究表明,运动与物理疗法或中药相结合,对由衰老、病理条件和环境因素引起的周围神经损伤有较好的治疗效果。这些益处似乎是通过抑制氧化应激和炎症反应、上调神经营养因子表达、激活自噬途径、调节内分泌稳态和促进血管网络重建而介导的。本研究为阐明运动改善周围神经损伤的靶向分子机制提供了理论基础和潜在的研究方向。
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引用次数: 0
Proteostasis and Neuroinflammation in Alzheimer's Disease. 阿尔茨海默病的蛋白质抑制和神经炎症。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-18 DOI: 10.31083/JIN39826
Augustina Potokiri, Hongmin Wang

Alzheimer's disease (AD) is the most common cause of dementia in older adults, marked by a gradual and irreversible deterioration of cognitive abilities, including memory and thinking skills. AD is highly heterogeneous, with variations in amyloid and tau pathology, symptoms, proteostasis, neuroinflammation, and genetics. Dysregulated proteostasis and neuroinflammation, though usually protective, contribute significantly to disease progression. Proteostasis refers to the network that maintains the integrity of both intracellular and extracellular proteins, while neuroinflammation is the biological response to harmful stimuli. Proteostasis stress can activate immune responses and cause excessive inflammation, while impaired microglia and astrocyte function can further disrupt proteostasis and worsen disease progression. While numerous reviews on AD exist, this review focuses on the complex interplay between proteostasis and neuroinflammation in AD and their integral roles in disease pathology. Additionally, we will explore current and promising therapeutics targeting these processes, potential biomarkers, and the clinical trials conducted over the past 5 years, particularly those that address neuroinflammation and proteostasis, as identified through a PubMed search.

阿尔茨海默病(AD)是导致老年人痴呆症的最常见原因,其特征是认知能力(包括记忆和思维能力)逐渐且不可逆转地退化。阿尔茨海默病具有高度异质性,在淀粉样蛋白和tau蛋白病理、症状、蛋白质停滞、神经炎症和遗传学方面存在差异。蛋白平衡失调和神经炎症,虽然通常具有保护作用,但对疾病进展有重要影响。蛋白质平衡是指维持细胞内和细胞外蛋白质完整性的网络,而神经炎症是对有害刺激的生物反应。蛋白平衡应激可激活免疫反应,引起过度炎症,而小胶质细胞和星形胶质细胞功能受损可进一步破坏蛋白平衡,使疾病恶化。虽然有许多关于AD的综述,但本文主要关注AD中蛋白质平衡和神经炎症之间的复杂相互作用及其在疾病病理中的整体作用。此外,我们将探索针对这些过程的当前和有前途的治疗方法,潜在的生物标志物,以及过去5年进行的临床试验,特别是那些通过PubMed搜索确定的神经炎症和蛋白质停滞。
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引用次数: 0
Electroacupuncture Regulates Mitochondria-Endoplasmic Reticulum interactions via Fn1 in a Parkinson's Disease Model: Transcriptomic Evidence. 电针在帕金森病模型中通过Fn1调节线粒体-内质网相互作用:转录组学证据
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-09-18 DOI: 10.31083/JIN40105
Peilin Lyu, Feng Wen, Zhiyi Fu, Junying Li, Qiyan Li, Xiaowen Cai, Shengtao Huang, Xiaoke Qiu, Zhinan Zhang, Yong Huang, Jiping Zhang

Aims: Parkinson's disease (PD) is characterized by dopaminergic neuron degeneration and disruption to mitochondria-associated endoplasmic reticulum membranes (MAMs). This study explores whether electroacupuncture (EA) can alleviate 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP) induced PD symptoms and investigates the underlying mechanisms using RNA sequencing (RNA-seq).

Methods: A PD mouse model was established using MPTP, followed by EA treatment at governing vessel 20 (GV20) and gallbladder meridian 34 (GB34) acupoints, with sham EA treatments as a control. Behavioral assays, immunohistochemistry, and Western blotting assessed neuroprotective effects. MAM integrity was assessed using Western blot, immunofluorescence staining, and transmission electron microscopy. RNA-seq and protein-protein interaction (PPI) analysis identified differentially expressed genes which were validated by real-time fluorescence quantitative polymerase chain reaction (qRT-PCR).

Results: EA treatment improved motor performance, increased substantia nigra (SN) and striatum tyrosine hydroxylase expression, reduced SN alpha-synuclein, and improved SN dopamine neuron MAM structure. Transcriptomic analysis identified 32 MAM-associated genes, of which fibronectin-1 (Fn1) was identified as a key regulator. EA was found to upregulate Fn1 expression, suggesting its involvement in MAM stabilization and neuroprotection.

Conclusion: EA at GV20 and GB34 alleviated motor and neural impairments in a PD mouse model potentially through modulation of Fn1 and its role in MAM-associated pathways.

目的:帕金森病(PD)以多巴胺能神经元变性和线粒体相关内质网膜(MAMs)破坏为特征。本研究利用RNA测序技术(RNA-seq)探讨电针(EA)是否可以缓解1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的PD症状,并探讨其潜在机制。方法:采用MPTP法建立PD小鼠模型,然后在大管脉20 (GV20)和胆囊经34 (GB34)穴进行电针治疗,并以假电针治疗为对照。行为测定、免疫组织化学和免疫印迹法评估神经保护作用。使用Western blot、免疫荧光染色和透射电镜评估MAM的完整性。RNA-seq和蛋白-蛋白相互作用(PPI)分析鉴定了差异表达基因,并通过实时荧光定量聚合酶链反应(qRT-PCR)进行了验证。结果:EA治疗可改善运动性能,增加黑质(SN)和纹状体酪氨酸羟化酶表达,降低SN α -突触核蛋白,改善SN多巴胺神经元MAM结构。转录组学分析鉴定出32个mam相关基因,其中纤维连接蛋白-1 (Fn1)被鉴定为关键调控因子。发现EA上调Fn1表达,提示其参与MAM稳定和神经保护。结论:GV20和GB34的EA可能通过调节Fn1及其在mam相关通路中的作用来减轻PD小鼠模型的运动和神经损伤。
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引用次数: 0
Introduction to the Physiology, Anatomy, and Biochemistry of Autonomic Medicine. 自主医学生理学、解剖学和生物化学导论。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-28 DOI: 10.31083/JIN31369
Forrest Sturgill, Kamal Shouman, Paola Sandroni

Autonomic medicine is a rapidly evolving field focused on understanding diseases and processes that affect the autonomic nervous system (ANS). The ANS regulates essential involuntary physiologic processes such as heart rate, blood pressure, and digestion. This review introduces the key anatomical structures, physiological mechanisms, and biochemical processes underlying autonomic function. The anatomy section focuses on the peripheral components of the ANS, including the sympathetic and parasympathetic divisions. The physiological section explores the process of homeostasis and the intricate feedback systems that maintain this balance within the body. Finally, the biochemistry of autonomic signaling, focusing on the neurotransmitters acetylcholine, norepinephrine, and epinephrine, and their receptors, is reviewed. Pertinent clinical points are highlighted throughout, emphasizing the importance of the basic science to the clinical world. This review aims to provide a comprehensive basic science foundation for clinicians and researchers exploring the field of autonomic medicine.

自主医学是一个快速发展的领域,专注于了解影响自主神经系统(ANS)的疾病和过程。ANS调节心率、血压和消化等基本的非自愿生理过程。本文综述了自主神经功能的解剖结构、生理机制和生化过程。解剖部分着重于ANS的外周组成部分,包括交感神经和副交感神经。生理部分探讨体内平衡的过程和维持体内平衡的复杂反馈系统。最后,对自主神经信号的生物化学研究进行了综述,重点介绍了神经递质乙酰胆碱、去甲肾上腺素和肾上腺素及其受体。相关的临床要点贯穿始终,强调基础科学对临床世界的重要性。本文旨在为临床医生和研究人员探索自主医学领域提供全面的基础科学基础。
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引用次数: 0
Remote Ischemic Conditioning Attenuates Apoptosis, the Inflammatory Response, and Reperfusion Injury in Ischemic-Stroke Model Rats via the ELA-Apelin-APJ System. 远程缺血调节通过ELA-Apelin-APJ系统减轻缺血-脑卒中模型大鼠的细胞凋亡、炎症反应和再灌注损伤。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-28 DOI: 10.31083/JIN39897
Feng Zhou, Yangyang Wu, Xuan Chen, Zhuoli Pan, Xiaolong Wang, Shengwei Gao, Chenle Shi, Jie Ren, Jing Shi

Background: Remote ischemic conditioning (RIC), a novel neuroprotective therapy, has broad potential for reducing the occurrence and recurrence of cerebrovascular events, yet its mechanisms are not incompletely understood. The aim of this study is to investigate whether RIC alleviates apoptosis, inflammation, and reperfusion injury in rat models of ischemic stroke by regulating the Elabela (ELA)-apelin-Apelin receptor (APJ) system.

Methods: We established a rat model of middle cerebral artery occlusion (MCAO) with ischemia-reperfusion injury, and RIC was administered twice daily for 3 days post-MCAO. Cerebral infarct volume was measured and neuronal damage was assessed. Apoptosis-related caspase-3 expression was detected by Terminal deoxynucleotidyl Utransferase nick-End Labeling (TUNEL) and Western blotting (WB). WB was also used to measure apelin, signal transducer and activator of transcription 3 (STAT3), and p-STAT3 protein levels in infarcted brain tissue. ELA miRNA expression was evaluated. Immunofluorescence was used to detect hypoxia-inducible factor 1α (HIF-1α) and activating transcription factor 4 (ATF4) expression. Serum levels of tumor necrosis factor-α (TNF-α) and interleukin-1β (IL-1β) were measured using enzyme-linked immunosorbent assay (ELISA).

Results: RIC reduced the cerebral infarct volume and neuronal damage in MCAO rats. Compared with the MCAO group, the RIC-treated group (MCAO+RIC) presented significantly lower caspase-3, TNF-α, IL-1β, p-STAT3, HIF-1α, and ATF4 expression (p < 0.05), whereas STAT3 and ELA miRNA expression and apelin protein levels were increased (p < 0.05). While positively correlated with STAT3 expression, Elabela and apelin levels exhibited a negative correlation with caspase-3 (p < 0.05).

Conclusions: RIC mitigates MCAO-induced neuronal apoptosis, inflammation, and reperfusion injury by modulating the ELA-apelin-APJ system, highlighting its therapeutic potential for ischemic stroke.

背景:远端缺血调节(RIC)是一种新型的神经保护疗法,在减少脑血管事件的发生和复发方面具有广泛的潜力,但其机制尚不完全清楚。本研究旨在探讨RIC是否通过调节Elabela (ELA)-apelin-Apelin受体(APJ)系统减轻缺血性脑卒中大鼠模型的凋亡、炎症和再灌注损伤。方法:建立脑中动脉闭塞(MCAO)并发缺血再灌注损伤大鼠模型,MCAO后给予RIC,每日2次,连续3 d。测量脑梗死体积,评估神经元损伤。采用末端脱氧核苷酸不转移酶(TUNEL)和Western blotting (WB)检测凋亡相关caspase-3的表达。WB还用于检测梗死脑组织中apelin、信号换能器和转录激活因子3 (STAT3)和p-STAT3蛋白水平。检测ELA miRNA的表达。免疫荧光法检测缺氧诱导因子1α (HIF-1α)和激活转录因子4 (ATF4)的表达。采用酶联免疫吸附法(ELISA)检测血清肿瘤坏死因子-α (TNF-α)和白细胞介素-1β (IL-1β)水平。结果:RIC可减轻MCAO大鼠脑梗死体积和神经元损伤。与MCAO组比较,RIC处理组(MCAO+RIC) caspase-3、TNF-α、IL-1β、p-STAT3、HIF-1α、ATF4表达显著降低(p < 0.05), STAT3、ELA miRNA表达及apelin蛋白水平升高(p < 0.05)。Elabela和apelin的表达与STAT3呈正相关,而与caspase-3呈负相关(p < 0.05)。结论:RIC通过调节ELA-apelin-APJ系统减轻mcao诱导的神经元凋亡、炎症和再灌注损伤,突出了其治疗缺血性脑卒中的潜力。
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引用次数: 0
Effect of the DPP4 Inhibitor Sitagliptin on Ferroptosis in Epilepsy. DPP4抑制剂西格列汀对癫痫患者铁下垂的影响。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-08-28 DOI: 10.31083/JIN39469
Baohua Hou, Lin Li, Fei Wang, Jincheng Guo

Background: Epilepsy, a significant neurological condition marked by the occurrence of repeated seizures, continues to pose a substantial health challenge. Previous studies have indicated that Dipeptidyl Peptidase-4 (DPP4) inhibitors may possess antiepileptic properties. Ferroptosis, a newly discovered type of programmed cell death, has recently surfaced as a promising therapeutic target in the management of epilepsy. Nevertheless, the exact mechanisms responsible for the effects of DPP4 inhibitors have not yet been fully elucidated.

Methods: The anti-epileptic effect was evaluated through electroencephalogram (EEG) recordings, behavioral assessments, and immunohistochemical analysis in a mouse model of epilepsy induced by LiCl/Pilocarpine. Public RNA-sequencing data was used to search the key targets of epilepsy. Neuronal ferroptosis was assessed through western blotting and immunofluorescence in an epilepsy rat model and a glutamate-induced neuronal cell model.

Results: Administration of the DPP4 inhibitor sitagliptin was observed to markedly reduce seizure severity in an animal model of epilepsy. Furthermore, sitagliptin effectively diminished epileptiform activity, as assessed by EEG. Additionally, pretreatment with sitagliptin led to a notable decrease in the expression of heme oxygenase-1 (HO-1), reactive oxygen species (ROS) production, and mitochondrial damage, while increasing glutathione peroxidase 4 (GPX4) expression in the epilepsy rat model. Similar effects were observed in cell-based experiments, where sitagliptin pretreatment enhanced GPX4 expression in glutamate-induced neuronal models.

Conclusions: The DPP4 inhibitor sitagliptin mitigates ferroptosis in epilepsy models. These findings highlight new potential targets and treatment modalities for epilepsy.

背景:癫痫是一种以反复发作为特征的重要神经系统疾病,一直对健康构成重大挑战。以往的研究表明,二肽基肽酶-4 (DPP4)抑制剂可能具有抗癫痫作用。铁下垂是一种新发现的程序性细胞死亡类型,最近被认为是治疗癫痫的一个有希望的治疗靶点。然而,DPP4抑制剂作用的确切机制尚未完全阐明。方法:采用脑电图(EEG)记录、行为评价、免疫组化分析等方法评价LiCl/匹罗卡品致痫小鼠模型的抗癫痫作用。公开的rna测序数据用于搜索癫痫的关键靶点。采用western blotting和免疫荧光法对癫痫大鼠模型和谷氨酸诱导的神经元细胞模型进行了神经元铁下垂评估。结果:应用DPP4抑制剂西格列汀可显著降低癫痫动物模型的发作严重程度。此外,西格列汀有效地减少癫痫样活动,通过脑电图评估。此外,西格列汀预处理导致癫痫大鼠模型中血红素氧化酶-1 (HO-1)表达、活性氧(ROS)产生和线粒体损伤显著降低,谷胱甘肽过氧化物酶4 (GPX4)表达升高。在基于细胞的实验中也观察到类似的效果,西格列汀预处理增强了谷氨酸诱导的神经元模型中GPX4的表达。结论:DPP4抑制剂西格列汀可减轻癫痫模型的铁下垂。这些发现突出了癫痫的新的潜在靶点和治疗方式。
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Journal of integrative neuroscience
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