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Sex Differences in Markers of Neuronal Adaptation in the Medullary Dorsal Horn During the Development of Orofacial Neuropathic Pain. 颅面神经性疼痛发生过程中髓背角神经元适应标记物的性别差异。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-01 DOI: 10.1002/jnr.70117
Hyunsol Lim, James W M Kang, Luke A Henderson, Kevin A Keay

Chronic trigeminal neuropathic pain is caused by a lesion, damage, or trauma to the trigeminal sensory system. The pain affects female individuals with higher incidence and greater severity compared with males. Despite a strong sex bias in this clinical condition, the majority of preclinical experimental studies of trigeminal neuropathic pain have been conducted in males. This study investigated sex differences in the number of ΔFosB and FosB immunoreactive cells, as markers of neuronal adaptation following infraorbital nerve chronic constriction injury (ION-CCI). Sex differences in ΔFosB and FosB expression were identified in infra-orbital recipient regions of laminae I-II of the medullary dorsal horn during the post-injury period. Three phases of altered expression were identified following ION-CCI: (1) an early phase 2 days after injury, (2) a transitional phase (7-14 days), and (3) a late phase (28+ days). Nerve-injured female rats had consistently lower levels of ΔFosB immunoreactive cells when compared with males and showed increased FosB expression during the early phase. In contrast, in males, the number of ΔFosB immunoreactive cells decreased significantly from the early phase to the transitional phase post-injury. However, by the late phase, ΔFosB expression in the superficial laminae of the medullary dorsal horn was significantly higher than in females. These data suggest that cellular adaptation in neurons in laminae I-II of the medullary dorsal horn in males is much greater than that in females, revealing one location at which the sex differences seen in the incidence and severity of trigeminal neuropathic pain might be mediated.

慢性三叉神经性疼痛是由三叉神经感觉系统的病变、损伤或创伤引起的。与男性相比,女性个体的疼痛发生率更高,严重程度更大。尽管三叉神经性疼痛在临床上存在强烈的性别偏见,但大多数三叉神经性疼痛的临床前实验研究都是在男性中进行的。这项研究调查了ΔFosB和FosB免疫反应细胞数量的性别差异,这些细胞是眶下神经慢性收缩损伤(ION-CCI)后神经元适应的标志。损伤后,脊髓背角I-II椎板眶下受体区ΔFosB和FosB的表达存在性别差异。在离子- cci后发现了三个阶段的表达改变:(1)损伤后2天的早期阶段,(2)过渡阶段(7-14天)和(3)晚期阶段(28天以上)。与雄性相比,神经损伤的雌性大鼠的ΔFosB免疫反应细胞水平一直较低,并且在早期表现出FosB的表达增加。相比之下,在雄性中,ΔFosB免疫反应细胞的数量在损伤后从早期到过渡阶段显著减少。然而,到了晚期,ΔFosB在髓背角浅层的表达明显高于雌性。这些数据表明,雄性脊髓背角I-II层神经元的细胞适应性远高于雌性,揭示了三叉神经痛发生率和严重程度的性别差异可能是在一个位置介导的。
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引用次数: 0
Pharmacological Inhibition of EZH2 by GSK-343 Attenuates Neuroinflammation in a Mouse Model of Spinal Cord Injury GSK-343对EZH2的药理抑制减轻脊髓损伤小鼠模型的神经炎症
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-20 DOI: 10.1002/jnr.70104
Yinhui Kang, Deborah Mannino, Valentina Bova, Alberto Repici, Bulzomì Maria, Ahmed Hasan, Antonio Catalfamo, Jia Yang, Marika Lanza, Alessia Filippone

Spinal cord injury (SCI) is a devastating condition with limited therapeutic options and a strong neuroinflammatory component that exacerbates tissue damage and impairs functional recovery. Enhancer of zeste homolog 2 (EZH2), a histone methyltransferase and core component of the Polycomb Repressive Complex 2 (PRC2), has emerged as a key regulator of epigenetic modifications involved in neuroinflammation. In this study, we investigated the potential neuroprotective effects of GSK-343, a selective EZH2 inhibitor, in a murine model of SCI induced by extradural compression. Female adult CD1 mice received intraperitoneal injections of GSK-343 (1, 5, or 10 mg/kg) at 1- and 6-h post-injury. After 24 h, spinal cord tissues were collected and analyzed. GSK-343 treatment significantly reduced histological damage, neuronal demyelination, and the expression of pro-inflammatory markers, likely through modulation of the TRAF6/NF-κB signaling pathway. Moreover, EZH2 inhibition attenuated innate immune responses, as evidenced by the reduction in mast cell infiltration, microglial activation, and MCP-1 levels. These findings support the therapeutic potential of EZH2 inhibition as a novel epigenetic strategy to counteract neuroinflammation and promote early neuroprotection following SCI.

脊髓损伤(SCI)是一种具有破坏性的疾病,治疗选择有限,并且具有强烈的神经炎症成分,会加剧组织损伤并损害功能恢复。zeste同源物2增强子(EZH2)是一种组蛋白甲基转移酶,也是Polycomb抑制复合体2 (PRC2)的核心成分,是参与神经炎症的表观遗传修饰的关键调节因子。在这项研究中,我们研究了选择性EZH2抑制剂GSK-343在硬膜外压迫致脊髓损伤小鼠模型中的潜在神经保护作用。雌性成年CD1小鼠在损伤后1和6小时分别腹腔注射GSK-343(1、5或10 mg/kg)。24 h后,收集脊髓组织进行分析。GSK-343治疗可能通过调节TRAF6/NF-κB信号通路,显著减轻了组织损伤、神经元脱髓鞘和促炎标志物的表达。此外,EZH2抑制减弱了先天免疫反应,这可以通过肥大细胞浸润、小胶质细胞激活和MCP-1水平的降低来证明。这些发现支持EZH2抑制作为一种新的表观遗传策略来对抗神经炎症和促进脊髓损伤后的早期神经保护的治疗潜力。
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引用次数: 0
The Functional Epididymal Amyloid Cystatin-Related Epididymal Spermatogenic (CRES) is a Component of the Mammalian Brain Extracellular Matrix 功能性附睾淀粉样半胱抑素相关附睾生精(CRES)是哺乳动物脑细胞外基质的一个组成部分。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-20 DOI: 10.1002/jnr.70113
Alejandra Gomez, Uyen T. Tran, Petar N. Grozdanov, Gail A. Cornwall

CRES is the defining member of a reproductive subgroup of family 2 cystatins of cysteine protease inhibitors. We previously showed that CRES and other subgroup members are part of a highly plastic amyloid-containing extracellular matrix (ECM) with host defense functions in the mouse epididymal lumen. Based on parallels between the epididymis and the brain, we hypothesized that CRES and CRES amyloids might also function within the brain including the ECM. Here we show that CRES is produced by hippocampal neurons and astrocytes in the male and female mouse and human brain. Further, approximately 50% of hippocampal astrocytes from aged mice, like the aged human donor samples, had significantly reduced levels of CRES compared to younger mice, suggesting an age-related decline in CRES could contribute to altered brain function. Immunofluorescence experiments showed CRES colocalized with the ECM markers phosphacan and wisteria floribunda agglutinin indicating that CRES is part of the ECM. CRES monomer and high molecular weight SDS-resistant forms were found in insoluble fractions of the hippocampus, cortex, cerebellum, and midbrain and bound to the protein aggregation disease (PAD) ligand, which preferentially binds amyloids but not protein monomers, suggesting a population of CRES normally exists in the brain as an amyloid structure. Collectively, our studies demonstrate that CRES/CRES amyloid is present in the mammalian brain and may contribute to ECM structure and function.

CRES是半胱氨酸蛋白酶抑制剂家族2胱抑素生殖亚群的决定性成员。我们之前的研究表明,CRES和其他亚群成员是小鼠附睾管腔中具有宿主防御功能的高可塑性含淀粉样蛋白细胞外基质(ECM)的一部分。基于附睾和大脑之间的相似之处,我们假设CRES和CRES淀粉样蛋白也可能在包括ECM在内的大脑中起作用。本研究表明,CRES是由雌雄小鼠和人类大脑的海马神经元和星形胶质细胞产生的。此外,与老年小鼠相比,老年小鼠的海马星形胶质细胞中约有50%的cre水平显著降低,这表明与年龄相关的cre下降可能导致脑功能改变。免疫荧光实验显示,CRES与ECM标记物磷酸腺苷和紫藤凝集素共定位,表明CRES是ECM的一部分。在海马、皮质、小脑和中脑的不溶性部分中发现了CRES单体和高分子量sds抗性形式,并与蛋白质聚集病(PAD)配体结合,PAD配体优先结合淀粉样蛋白而不是蛋白质单体,这表明CRES群体通常以淀粉样蛋白结构存在于大脑中。总的来说,我们的研究表明,CRES/CRES淀粉样蛋白存在于哺乳动物大脑中,并可能有助于ECM的结构和功能。
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引用次数: 0
Non-Mammalian Models in Ischemic Stroke Research: Advances, Applications, and Translational Potential 缺血性卒中研究中的非哺乳动物模型:进展、应用和转化潜力。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-20 DOI: 10.1002/jnr.70112
Takamasa Mizoguchi, Ayako Tonoki, Atsushi Yamaguchi, Motoyuki Itoh

Ischemic stroke remains a major global health burden, consistently ranking among the leading causes of mortality and long-term disability. Although rodent models are widely utilized for ischemic stroke research, their limited translational success has driven the pursuit of alternative experimental systems. This review underscores the growing significance of non-mammalian models, particularly zebrafish and Drosophila melanogaster, in advancing ischemic stroke research. Zebrafish offer notable advantages, including high genetic homology with humans, optical transparency, a pronounced capacity for neural regeneration, in vivo live real-time imaging, and behavioral analyses. Photothrombotic and systemic hypoxia paradigms in zebrafish enable detailed investigation of neurovascular injury and recovery processes. Drosophila, characterized by a rapid life cycle and sophisticated genetic toolkit, serves as a valuable model for elucidating hypoxia-induced neuronal damage and stroke-related comorbidities such as sleep disturbances. These models are cost-efficient, ethically advantageous, and well-suited for high-throughput applications. Despite inherent anatomical and physiological disparities, non-mammalian systems provide critical complementary insights into stroke pathogenesis and therapeutic innovation, reinforcing their integration into multi-model research frameworks.

缺血性中风仍然是全球主要的健康负担,一直是导致死亡和长期残疾的主要原因之一。尽管啮齿类动物模型被广泛用于缺血性卒中研究,但其有限的转化成功推动了对替代实验系统的追求。这篇综述强调了非哺乳动物模型,特别是斑马鱼和黑腹果蝇在推进缺血性卒中研究中的日益重要的意义。斑马鱼具有显著的优势,包括与人类的高度基因同源性、光学透明性、显著的神经再生能力、活体实时成像和行为分析。斑马鱼的光血栓和全身性缺氧模式可以详细研究神经血管损伤和恢复过程。果蝇具有快速的生命周期和复杂的遗传工具包,可作为阐明缺氧诱导的神经元损伤和卒中相关合并症(如睡眠障碍)的有价值模型。这些模型具有成本效益、道德优势,非常适合高通量应用。尽管存在固有的解剖和生理差异,但非哺乳动物系统为中风发病机制和治疗创新提供了重要的补充见解,加强了它们与多模型研究框架的整合。
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引用次数: 0
G Protein-Coupled Receptor Kinase 5 (GRK5) Modulates Nociceptin/Orphanin FQ Opioid (NOP) Receptor Desensitization in Rat Sympathetic Neurons G蛋白偶联受体激酶5 (GRK5)调节大鼠交感神经元痛觉肽/孤啡肽FQ阿片受体脱敏。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-13 DOI: 10.1002/jnr.70110
Mohamed Farrag, Marwa Soliman, Saifeldin Mahmoud, Lauren Miller, Paul B. Herold, Kristen Brandt, Victor Ruiz-Velasco

Stimulation of nociceptin/orphanin FQ peptide (NOP) opioid receptors by the endogenous ligand nociceptin (Noc) leads to voltage-gated Ca2+ channel inhibition or G protein inwardly rectifying K+ channel activation. One mechanism of G protein-coupled receptor (GPCR) desensitization occurs when G protein-coupled receptor kinases (GRK) phosphorylate the agonist-bound receptors. In the continued presence of an agonist, Gβγ recruits GRK to the plasma membrane where GPCR are then phosphorylated by GRK. The purpose of this study was to identify the GRK subtype responsible for desensitization of the Noc-mediated Ca2+ current inhibition in rat stellate ganglion (SG) neurons. We observed that GRK2 and GRK5 are expressed in SG neurons. Further, silencing either GRK subtype alone or together employing siRNA did not overtly alter their Noc pharmacological profile. We assessed NOP receptor desensitization employing a protocol where the peak Ca2+ current inhibition was measured during intermittent application of high Noc concentrations in the continued presence of the IC50 Noc concentration. With this approach, we observed complete Ca2+ current desensitization in neurons transfected with either scrambled or GRK2 siRNA following exposure to high Noc concentrations. On the other hand, full desensitization of the Ca2+ currents was not observed in neurons in which GRK5 was silenced alone or with GRK2. That is, coupling of NOP receptors with Ca2+ channels was still observed following application of high Noc concentration. These results suggest that GRK5 plays a key role in the mechanism that mediates NOP receptor desensitization in SG neurons.

内源性配体痛觉肽(Noc)刺激痛觉肽/孤啡肽FQ肽(NOP)阿片受体,导致电压门控Ca2+通道抑制或G蛋白内向纠偏K+通道激活。G蛋白偶联受体(GPCR)脱敏的一种机制发生在G蛋白偶联受体激酶(GRK)磷酸化激动剂结合受体时。在持续存在激动剂的情况下,Gβγ将GRK招募到质膜,在那里GPCR被GRK磷酸化。本研究的目的是确定负责noc介导的大鼠星状神经节(SG)神经元Ca2+电流抑制脱敏的GRK亚型。我们观察到GRK2和GRK5在SG神经元中表达。此外,单独或联合使用siRNA沉默GRK亚型并没有明显改变它们的Noc药理学特征。我们评估了NOP受体脱敏,采用了一种方案,在持续存在IC50 Noc浓度的情况下,在间歇性应用高浓度Noc时测量峰值Ca2+电流抑制。通过这种方法,我们观察到在暴露于高浓度Noc后,转染了混乱或GRK2 siRNA的神经元中完全的Ca2+电流脱敏。另一方面,在单独或与GRK2一起沉默GRK5的神经元中未观察到Ca2+电流的完全脱敏。也就是说,在高浓度Noc的作用下,仍观察到NOP受体与Ca2+通道的偶联。这些结果表明GRK5在SG神经元中介导NOP受体脱敏的机制中起关键作用。
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引用次数: 0
The Subcellular Localization of the Cystic Fibrosis Transmembrane Conductance Regulator in the Chicken Retina Suggests Multiple Roles in Retinal Function 鸡视网膜中囊性纤维化跨膜传导调节因子的亚细胞定位提示其在视网膜功能中的多重作用。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.1002/jnr.70109
Brandon Leviskas, Evanna Gleason

Protein function is influenced by multiple factors including cell type and subcellular localization. The cystic fibrosis transmembrane conductance regulator (CFTR) is well investigated in epithelial tissues, where life threatening symptoms stem from its dysfunction. A postsynaptic neuronal role was previously established by the Gleason lab where CFTR regulation of cytosolic Cl in retinal amacrine cells was shown. Other work from our lab showed that disruption of the synaptic vesicle cycle reduced action of CFTR, suggesting CFTR associates with synaptic vesicles. Here, we evaluate the hypothesis that CFTR localizes to the synapse with possible presynaptic function. To address this, the cellular and subcellular CFTR localization in mature chicken retina was examined using fluorescence light microscopy and immunogold-labeled transmission electron microscopy. CFTR labeling was detected throughout the retina, including photoreceptor outer segments and in the mitochondria rich region of the photoreceptor inner segment termed the ellipsoid. Synaptic labeling was found in both synaptic plexiform layers, pre-and post-synaptically. A subset of amacrine cells were strongly labeled and labeling was also found in Müller cells and in axons of the nerve fiber layer. Addressing whether the activity of CFTR plays a role in presynaptic function, amacrine cells were recorded using the whole cell voltage clamp method. Spontaneous postsynaptic quantal currents were recorded and found to increase in frequency upon pharmacological inhibition of CFTR suggesting that under normal circumstances, CFTR serves to limit the rate of spontaneous synaptic vesicle fusion. This work provides evidence CFTR might have multiple functions in the retina including synaptic transmission regulation.

蛋白质的功能受多种因素的影响,包括细胞类型和亚细胞定位。囊性纤维化跨膜传导调节剂(CFTR)在上皮组织中得到了很好的研究,其中危及生命的症状源于其功能障碍。Gleason实验室先前证实了CFTR在视网膜无突细胞中调节胞浆Cl-的突触后神经元作用。我们实验室的其他工作表明,突触囊泡周期的破坏降低了CFTR的作用,这表明CFTR与突触囊泡有关。在这里,我们评估了CFTR定位于可能具有突触前功能的突触的假设。为了解决这个问题,利用荧光显微镜和免疫金标记透射电镜检测了成熟鸡视网膜中CFTR的细胞和亚细胞定位。在整个视网膜中检测到CFTR标记,包括光感受器外段和光感受器内段称为椭球体的线粒体丰富区域。突触标记存在于突触前和突触后两个突触丛状层。一部分无毛细胞被强烈标记,在神经纤维层的轴突和束状细胞中也发现了标记。为了确定CFTR的活性是否在突触前功能中起作用,我们使用全细胞电压钳法记录了无突细胞。记录了自发突触后量子电流,发现CFTR药物抑制后频率增加,提示在正常情况下,CFTR限制了自发突触囊泡融合的速率。这项工作提供了证据,证明CFTR可能在视网膜中具有多种功能,包括突触传递调节。
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引用次数: 0
Tryptophan Hydroxylase: A Target for the Correction of Affective and Neurodegenerative Disorders 色氨酸羟化酶:纠正情感性和神经退行性疾病的靶标。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-06 DOI: 10.1002/jnr.70106
Valentina Mikhailovna Sviridova, Margarita Timurovna Absalyamova, Marina Nikolaevna Karpenko, Irina Sergeevna Ivleva

Tryptophan hydroxylase (TPH) is a key enzyme in the biosynthesis of serotonin, a neurotransmitter involved in the regulation of mood, emotional state, sleep, appetite, digestion, and cognitive functions. It plays a key role in the creation of a sense of well-being, reduction of anxiety and control of the response to stress. Imbalances in its levels are associated with many disorders, notably depression, anxiety disorders and migraines. This review examines the structural and functional aspects of the regulation of TPH activity with an emphasis on its isoforms, TPH1 and TPH2, which are responsible for serotonin synthesis in peripheral tissues and in neurons, respectively. Approaches to TPH regulation at the gene, protein, and enzymatic activity levels are discussed. The role of TPH in the pathogenesis of affective disorders such as depression, anxiety, attention deficit hyperactivity disorder and posttraumatic stress disorder is also discussed. Approaches to modulating TPH activity are proposed, including, for example, using calpain inhibitors.

色氨酸羟化酶(TPH)是生物合成血清素的关键酶,血清素是一种神经递质,参与调节情绪、情绪状态、睡眠、食欲、消化和认知功能。它在创造幸福感、减少焦虑和控制对压力的反应方面起着关键作用。其水平失衡与许多疾病有关,尤其是抑郁症、焦虑症和偏头痛。本文综述了TPH活性调控的结构和功能方面,重点介绍了其异构体TPH1和TPH2,它们分别负责外周组织和神经元中血清素的合成。讨论了在基因、蛋白质和酶活性水平上调控TPH的方法。本文还讨论了TPH在抑郁、焦虑、注意缺陷多动障碍和创伤后应激障碍等情感性障碍发病机制中的作用。提出了调节TPH活性的方法,例如,包括使用钙蛋白酶抑制剂。
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引用次数: 0
The Effect of Magic Mushroom (Psilocybe azurescens) on Social Interaction, Anxiety- and Depressive-Like Behaviors in Male Rats; the Role of Neuroinflammation, Oxidative Stress, and Neurotrophic Factors 魔菇对雄性大鼠社会交往、焦虑和抑郁样行为的影响神经炎症、氧化应激和神经营养因子的作用。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-06 DOI: 10.1002/jnr.70107
Hediye Moghadam, Parisa Akbari, Elmira Beirami, Samaneh Nabavifard, Akram Ameli, Neda Valian

Psilocybin-containing mushrooms, commonly known as magic mushrooms, strongly affect mood, cognition, and behavior. Psilocybe azurescens is a species of psilocybin mushrooms that contains the main active compounds psilocybin and psilocin. Psilocybin mushrooms have been used since ancient times to improve the quality of life. However, their adverse effects have been less studied. This study aimed to investigate, for the first time, the effect of oral consumption of P. azurescens on social behavior, anxiety- and depressive-like behaviors in rats. The underlying mechanisms of these behaviors were also studied. Male Wistar rats received three doses of P. azurescens (10, 100, and 250 mg/kg) by gavage every other day for 14 days. Social interaction, anxiety- and depressive-like behaviors were assessed using the three-chamber, elevated plus maze, and forced swimming tests, respectively. Protein levels of neurotrophic (BDNF and GDNF), neuroinflammatory (IL-6 and TNFα), and oxidative stress (ROS and SOD) factors were measured in the hippocampus, prefrontal cortex (PFC), and amygdala by ELISA technique. The results showed that P. azurescens significantly increased anxiety- and depressive-like behaviors and disrupted social interaction behavior in rats. These effects were accompanied by increased neuroinflammation and oxidative stress and decreased neurotrophic factors in the hippocampus, PFC, and amygdala. This study suggests that the high doses of P. azurescens can cause mood disorders by increasing inflammatory responses and oxidative stress and decreasing the expression of neurotrophic factors.

含有裸盖菇素的蘑菇,通常被称为神奇蘑菇,强烈影响情绪,认知和行为。裸盖菇(Psilocybe azurescens)是一种裸盖菇素类蘑菇,含有主要活性化合物裸盖菇素和裸盖菇素。裸盖菇素自古以来就被用来提高生活质量。然而,它们的副作用研究较少。本研究首次探讨了口服天蓝色草对大鼠社交行为、焦虑和抑郁样行为的影响。这些行为的潜在机制也进行了研究。雄性Wistar大鼠每隔一天灌胃3次,分别给药10、100、250 mg/kg。社会互动、焦虑和抑郁行为分别通过三室、高架迷宫和强迫游泳测试进行评估。采用ELISA技术检测海马、前额叶皮质(PFC)和杏仁核中神经营养(BDNF和GDNF)、神经炎症(IL-6和tnf - α)和氧化应激(ROS和SOD)因子的蛋白水平。结果表明,天蓝色草显著增加了大鼠的焦虑和抑郁样行为,并破坏了社会互动行为。这些影响伴随着神经炎症和氧化应激的增加以及海马、PFC和杏仁核中神经营养因子的减少。本研究提示,高剂量天蓝色花可通过增加炎症反应和氧化应激,降低神经营养因子的表达而引起心境障碍。
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引用次数: 0
Modulation of Magnetic Resonance Spectroscopy Levels of Glutamate and GABA by Ketamine in Treatment-Resistant Depression 氯胺酮对难治性抑郁症中谷氨酸和GABA的磁共振波谱调节。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-31 DOI: 10.1002/jnr.70102
Stephanie Njau, Artemis Zavaliangos-Petropulu, Shantanu Joshi, John Brooks, Joseph O'Neill, Woods P. Roger, Viviane Norris, Randall T. Espinoza, Katherine L. Narr

Ketamine has emerged as a highly effective intervention for treatment-resistant depression (TRD). Though it acts as a non-competitive antagonist of excitatory N-methyl-D-aspartate receptors (NMDAR), widely expressed in the brain, including on inhibitory γ-aminobutyric acid (GABA)-ergic cells, the mechanisms of its antidepressant action are less clear. To investigate the links between glutamate and GABA neurotransmission and the clinical benefits of ketamine, we used proton magnetic resonance spectroscopy (1H-MRS) to measure both glutamate and GABA levels in the dorsal anterior cingulate cortex (dACC) in 60 participants with TRD before (~within 1 week), and 24 h after a 40-min intravenous infusion with 0.5 mg/kg of racemic (R,S)-ketamine. The 17-item Hamilton Depression Rating Scale (HDRS17) was used as the primary measure of clinical improvement, and a 50% or greater improvement in HDRS17 ratings was used to define treatment responders. Ketamine increased mean dACC glutamate levels in responders only 24 h after treatment (n = 25, p = 0.01). Further, lower glutamate levels at baseline predicted greater improvements in HDRS17 scores at 24 h post treatment (p < 0.0001). However, GABA levels remained stable after treatment irrespective of response status (p = 0.90). Metabolites associated with neuronal integrity (tNAA), metabolic function (tCr), and membrane turnover (tCho), which may serve as complementary biological evidence of ketamine-induced plasticity, also increased with treatment (all p < 0.01). Results provide evidence of sustained enhancements of neurotransmission or other glutamate-related metabolic effects following subanesthetic ketamine in responders and a potential role of ACC glutamate levels as a biomarker of responsivity to ketamine.

氯胺酮已成为治疗难治性抑郁症(TRD)的一种非常有效的干预措施。虽然它作为兴奋性n-甲基- d -天冬氨酸受体(NMDAR)的非竞争性拮抗剂,在大脑中广泛表达,包括抑制性γ-氨基丁酸(GABA)能细胞,但其抗抑郁作用的机制尚不清楚。为了研究谷氨酸和GABA神经传递与氯胺酮的临床疗效之间的联系,我们使用质子磁共振波谱(1H-MRS)测量了60名TRD患者在静脉输注0.5 mg/kg外消旋(R,S)-氯胺酮40分钟前(~ 1周内)和24小时后背前扣带皮层(dACC)中谷氨酸和GABA的水平。17项汉密尔顿抑郁评定量表(HDRS17)作为临床改善的主要衡量标准,HDRS17评分改善50%或更高用于定义治疗反应。治疗24小时后,氯胺酮使应答者的平均dACC谷氨酸水平升高(n = 25, p = 0.01)。此外,基线时较低的谷氨酸水平预示着治疗后24小时HDRS17评分的更大改善
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引用次数: 0
Cortical Hierarchy Collapse in Alzheimer's Disease: Connectome Gradient Compression as a Potential Biomarker 阿尔茨海默病的皮质层次崩溃:连接组梯度压缩作为潜在的生物标志物。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-21 DOI: 10.1002/jnr.70099
Mei-Ting Zhao, Qi Gong, Ran Chen, Yun Jiao, Alzheimer's Disease Neuroimaging Initiative

This investigation centered on Alzheimer's disease (AD), a progressive neurodegenerative disorder characterized by memory impairment and cognitive decline. Functional connectome gradient analysis was utilized to investigate alterations in the hierarchical architecture of brain networks in AD. The study cohort consisted of 222 subjects, encompassing 111 AD patients and 111 normal controls (NC). Connectome gradients were computed via a dimensionality reduction technique based on diffusion map embedding and analyzed at both the region of interest (ROI) and network levels. Additional connectome gradient metrics, including network median distance and gradient eccentricity, were calculated, and the relationship between connectome gradients and rich-club organization was assessed. These connectome gradient values were subsequently correlated with clinical cognitive scores. The results demonstrated a significant reduction in the principal gradient range in AD patients. At the network level, gradient values exhibited an increase in the somatomotor (SMN) and visual networks (VIS), while decreasing in the default mode (DMN) and frontoparietal networks (FPN) relative to controls. Analyzes of network mean distance and gradient eccentricity further revealed compression of the brain cortical hierarchy in AD patients. Furthermore, rich-club analyzes indicated a reduction in the gradient value difference between hub and peripheral nodes in AD patients. Finally, clinical correlation analysis revealed a positive correlation between the degree of cognitive impairment and the degree of compression of the brain cortical hierarchy. These findings provide a novel perspective on the study of brain network organization in AD patients, contributing to a more comprehensive understanding of the neural mechanisms underlying Alzheimer's disease.

这项研究以阿尔茨海默病(AD)为中心,这是一种以记忆障碍和认知能力下降为特征的进行性神经退行性疾病。功能连接体梯度分析用于研究AD患者脑网络层次结构的变化。研究队列包括222名受试者,包括111名AD患者和111名正常对照(NC)。通过基于扩散图嵌入的降维技术计算连接组梯度,并在感兴趣区域(ROI)和网络层面进行分析。计算了其他连接体梯度指标,包括网络中位数距离和梯度偏心,并评估了连接体梯度与富俱乐部组织之间的关系。这些连接体梯度值随后与临床认知评分相关。结果表明,AD患者的主梯度范围显著降低。在网络水平上,梯度值在躯体运动网络(SMN)和视觉网络(VIS)中增加,而在默认模式(DMN)和额顶叶网络(FPN)中相对于对照组减少。网络平均距离和梯度偏心率的分析进一步揭示了阿尔茨海默病患者大脑皮层层次的压缩。此外,rich-club分析表明,AD患者中枢和外周淋巴结之间的梯度值差异减小。最后,临床相关分析显示认知障碍程度与大脑皮层层次受压程度呈正相关。这些发现为研究AD患者的大脑网络组织提供了一个新的视角,有助于更全面地了解阿尔茨海默病的神经机制。
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引用次数: 0
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Journal of Neuroscience Research
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