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Human Induced Pluripotent Stem Cells: Directed Differentiation Methods and Applications in Brain Diseases 人诱导多能干细胞:定向分化方法及其在脑部疾病中的应用
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-11 DOI: 10.1002/jnr.70027
Yu Wang, Ziping Wang, Le Wang, Yanping Sun, Huijia Song, Xiaokun Cheng, Xiaoliang He, Zibin Gao, Yongjun Sun

Human induced pluripotent stem cells (hiPSCs), similar to embryonic stem cells, are a class of pluripotent stem cells with the potential to differentiate into various kinds of cells. Because the application of hiPSCs obtained by reprogramming patients' somatic cells in the treatment of brain diseases bypasses the ethical constraints on the use of embryonic stem cells and mitigates immune rejection, hiPSCs have profound clinical application prospects. In this review, we first summarized the differentiation methods of hiPSCs into different kinds of neurons, and secondly discussed the application of hiPSCs in several brain disease models, so as to provide a reference for the future application of hiPSCs in the studies and treatment of brain diseases.

人诱导多能干细胞(Human induced pluripotent stem cells, hiPSCs)是一类多能干细胞,与胚胎干细胞类似,具有分化为多种细胞的潜能。由于将患者体细胞重编程获得的hipsc应用于脑部疾病治疗,绕过了胚胎干细胞使用的伦理限制,减轻了免疫排斥反应,因此hipsc具有深远的临床应用前景。本文首先综述了hiPSCs分化为不同类型神经元的方法,然后讨论了hiPSCs在几种脑疾病模型中的应用,以期为hiPSCs在脑疾病研究和治疗中的应用提供参考。
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引用次数: 0
EXPRESSION OF CONCERN: Role of the Nrf2-ARE Pathway in Early Brain Injury After Experimental Subarachnoid Hemorrhage 关注表达:Nrf2-ARE通路在实验性蛛网膜下腔出血后早期脑损伤中的作用
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-10 DOI: 10.1002/jnr.70024

EXPRESSION OF CONCERN: G. Chen, Q. Fang, J. Zhang, D. Zhou, and Z. Wang, “Role of the Nrf2-ARE Pathway in Early Brain Injury After Experimental Subarachnoid Hemorrhage,” Journal of Neuroscience Research 89, no. 4 (2011): 515–523, https://doi.org/10.1002/jnr.22577.

This Expression of Concern is for the above article, published online on 21 January 2011, in Wiley Online Library (http://onlinelibrary.wiley.com/), and has been issued by agreement between the journal Editors-in-Chief, Cristina A. Ghiani and J. Paula Warrington, and Wiley Periodicals LLC. The publisher received a report from a third party who indicated that the images in Figures 4A and 4B had been re-used from Figures 9A and 9B in a previously published article by most of the same authors (Zhang et al. 2010 [https://doi.org/10.1016/j.cyto.2010.08.011]). The authors did not respond to an inquiry by the publisher and therefore did not provide original data for examination. The Expression of Concern has been agreed because the evidence of inappropriate and undeclared image duplication calls into question the validity of the data in Figure 4. The authors did not respond to our notice regarding the Expression of Concern.

关注表达:陈国光,方强,张军,周德华,王志强,“nr_2 - are通路在实验性蛛网膜下腔出血后早期脑损伤中的作用”,中华神经科学杂志,第89期,no。4 (2011):515-523, https://doi.org/10.1002/jnr.22577.This关注的表达是对上述文章的关注,该文章于2011年1月21日在线发表在Wiley在线图书馆(http://onlinelibrary.wiley.com/)上,并已由期刊主编Cristina A. giani和J. Paula Warrington同意发布。和Wiley期刊有限责任公司。出版商收到了来自第三方的报告,该报告指出,图4A和4B中的图像在大多数相同作者之前发表的文章中重复使用了图9A和9B (Zhang et al. 2010 [https://doi.org/10.1016/j.cyto.2010.08.011]])。作者没有回应出版商的询问,因此没有提供原始数据供审查。由于不适当和未申报的图像复制的证据使图4中数据的有效性受到质疑,因此已同意表达关注。作者没有回应我们关于表达关注的通知。
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引用次数: 0
Klf10 Regulates the Emergence of Glial Phenotypes During Hypothalamic Development Klf10调控下丘脑发育过程中胶质表型的出现
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-09 DOI: 10.1002/jnr.70020
Norma Angelica Garduño-Tamayo, Jorge Luis Almazán, Rubí Romo-Rodríguez, David Valle-García, Karla F. Meza-Sosa, Martha Pérez-Domínguez, Rosana Pelayo, Gustavo Pedraza-Alva, Leonor Pérez-Martínez

Glial cells play a pivotal role in the Central Nervous System (CNS), constituting most brain cells. Gliogenesis, crucial in CNS development, occurs after neurogenesis. In the hypothalamus, glial progenitors first generate oligodendrocytes and later astrocytes. However, the precise molecular mechanisms governing the emergence of glial lineages in the developing hypothalamus remain incompletely understood. This study reveals the pivotal role of the transcription factor KLF10 in regulating the emergence of both astrocyte and oligodendrocyte lineages during embryonic hypothalamic development. Through transcriptomic and bioinformatic analyses, we identified novel KLF10 putative target genes, which play important roles in the differentiation of neurons, astrocytes, and oligodendrocytes. Notably, in the absence of KLF10, there is an increase in the oligodendrocyte population, while the astrocyte population decreases in the embryonic hypothalamus. Strikingly, this decline in the number of astrocytes persists into adulthood, indicating that the absence of KLF10 leads to an extended period of oligodendrocyte emergence while delaying the appearance of astrocytes. Our findings also unveil a novel signaling pathway for Klf10 gene expression regulation. We demonstrate that Klf10 is a target of CREB and that its expression is upregulated via the BDNF-p38-CREB pathway. Thus, we postulate that KLF10 is an integral part of the hypothalamic developmental program that ensures the correct timing for glial phenotypes' generation. Importantly, we propose that the Klf10−/− mouse model represents a valuable tool for investigating the impact of reduced astrocyte and microglia populations in the homeostasis of the adult hypothalamus.

神经胶质细胞在中枢神经系统(CNS)中起着关键作用,构成了大多数脑细胞。神经胶质瘤发生是中枢神经系统发育的关键,发生在神经发生之后。在下丘脑,胶质祖细胞首先产生少突胶质细胞,然后产生星形胶质细胞。然而,控制发育中的下丘脑神经胶质谱系出现的精确分子机制仍然不完全清楚。这项研究揭示了转录因子KLF10在调节胚胎下丘脑发育过程中星形胶质细胞和少突胶质细胞谱系的出现中的关键作用。通过转录组学和生物信息学分析,我们确定了新的KLF10可能的靶基因,这些基因在神经元、星形胶质细胞和少突胶质细胞的分化中发挥重要作用。值得注意的是,在缺乏KLF10的情况下,胚胎下丘脑的少突胶质细胞数量增加,而星形胶质细胞数量减少。引人注目的是,这种星形胶质细胞数量的下降持续到成年期,这表明KLF10的缺失导致少突胶质细胞出现时间延长,同时延缓了星形胶质细胞的出现。我们的发现还揭示了Klf10基因表达调控的新信号通路。我们证明Klf10是CREB的靶标,其表达通过BDNF-p38-CREB途径上调。因此,我们假设KLF10是下丘脑发育程序的一个组成部分,确保胶质表型产生的正确时间。重要的是,我们提出Klf10 - / -小鼠模型代表了一个有价值的工具,用于研究星形胶质细胞和小胶质细胞数量减少对成年下丘脑内稳态的影响。
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引用次数: 0
The Utility of Prolonged Chronic Unpredictable Stress to Study the Effects of Chronic Fluoxetine, Eicosapentaenoic Acid, and Lipopolysaccharide on Anxiety-Like Behavior and Hippocampal Transcriptomic Responses in Male Rats 利用长期慢性不可预测应激研究慢性氟西汀、二十碳五烯酸和脂多糖对雄性大鼠焦虑样行为和海马转录组反应的影响。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-05 DOI: 10.1002/jnr.70025
Konstantin A. Demin, Tatiana O. Kolesnikova, David S. Galstyan, Natalia A. Krotova, Nikita P. Ilyin, Ksenia A. Derzhavina, Maria Seredinskaya, Maria Nerush, Sofia A. Pushkareva, Alexey Masharsky, Murilo S. de Abreu, Allan V. Kalueff

Chronic stress is a common trigger of multiple neuropsychiatric illnesses. Animal models are widely used to study stress-induced brain disorders and their interplay with neuroinflammation and other neuroimmune processes. Here, we apply the prolonged 12-week chronic unpredictable stress (PCUS) model to examine rat behavioral and hippocampal transcriptomic responses to stress and to chronic 4-week treatment with a classical antidepressant fluoxetine, an anti-inflammatory agent eicosapentaenoic acid (EPA), a pro-inflammatory agent lipopolysaccharide and their combinations. Overall, PCUS evoked anxiety-like behavioral phenotype in rats, corrected by chronic fluoxetine (alone or combined with other drugs), and EPA. PCUS also evoked pronounced transcriptomic responses in rat hippocampi, involving > 200 differentially expressed genes. While pharmacological manipulations did not affect hippocampal gene expression markedly, Gpr6, Drd2 and Adora2a were downregulated in stressed rats treated with fluoxetine, EPA and fluoxetine + EPA, suggesting their respective protein products (G protein-coupled receptor 6, dopamine D2 receptor and adenosine A2A receptor) as potential evolutionarily conserved targets under chronic stress. Overall, these findings support the validity of rat PCUS paradigm as a useful model to study stress-related anxiety pathogenesis, and call for further research probing how various conventional and novel drugs may (co)modulate behavioral and neurotranscriptomic biomarkers of chronic stress.

慢性压力是多种神经精神疾病的常见诱因。动物模型被广泛用于研究应激性脑疾病及其与神经炎症和其他神经免疫过程的相互作用。在这里,我们采用延长12周的慢性不可预测应激(PCUS)模型来研究大鼠对应激的行为和海马转录组反应,以及对经典抗抑郁药氟西汀、抗炎药二十碳五烯酸(EPA)、促炎药脂多糖及其联合治疗4周的反应。总体而言,PCUS在大鼠中引起焦虑样行为表型,通过慢性氟西汀(单独或与其他药物联合)和EPA纠正。PCUS还在大鼠海马中引起了明显的转录组反应,涉及bbb200个差异表达基因。在氟西汀、EPA和氟西汀+ EPA处理的应激大鼠中,Gpr6、Drd2和Adora2a基因表达下调,提示它们各自的蛋白产物(G蛋白偶联受体6、多巴胺D2受体和腺苷A2A受体)是慢性应激下潜在的进化保守靶点。总的来说,这些发现支持了大鼠PCUS范式作为研究压力相关焦虑发病机制的有效模型,并呼吁进一步研究各种传统和新型药物如何调节慢性应激的行为和神经转录组生物标志物。
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引用次数: 0
Acute Intermittent Theta-Burst Stimulation Produces Antidepressant-Like Effects by Modulating Neuronal Oscillations and Serotonin Levels of the Medial Prefrontal Cortex in Experimental Parkinson's Disease 实验性帕金森氏症患者急性间歇性θ - burst刺激通过调节神经元振荡和内侧前额叶皮层血清素水平产生抗抑郁样作用
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-04 DOI: 10.1002/jnr.70022
Yixuan Wang, Jian Liu, Yanping Hui, Zhongheng Wu, Xiang Wu, Yihua Bai, Jing Li, Lei Zhang, Kuncheng Liu, Qiaojun Zhang, Libo Li

Parkinson's disease (PD)-related depression is associated with aberrant neuronal oscillations and 5-hydroxytryptamine (5-HT) neurotransmission in the medial prefrontal cortex (mPFC). Intermittent theta-burst stimulation (iTBS), an updated pattern of high-frequency repetitive transcranial magnetic stimulation, has possible efficacy in PD-related depression. However, whether iTBS alleviates PD-related depression through modulating neuronal oscillations and 5-HT levels in the mPFC has not been determined. In this study, male Sprague–Dawley rats were used to establish a unilateral 6-hydroxydopamine-induced PD model. Then, acute iTBS was applied to the parkinsonian rats, and behavioral, neurochemical, and electrophysiological experiments were performed. We found that the parkinsonian rats exhibited increased immobility time and decreased sucrose preference accompanied by an increase of δ power and a decrease of θ power in the mPFC compared to sham-operated rats. One block of iTBS (1 block-iTBS, 300 stimuli) alleviated depressive-like behaviors in parkinsonian rats and elevated 5-HT levels in the mPFC compared to sham-iTBS. Additionally, it altered neuronal oscillations in the mPFC in the opposite fashion by suppressing the δ rhythm and enhancing the θ and β rhythms compared to sham-iTBS, suggesting that acute iTBS induces hyperactivity in the mPFC. With this iTBS paradigm, we also observed decreased parvalbumin expression in the mPFC, reflecting reduced cortical inhibition. Finally, correlation analyses showed strong correlation between immobility time and θ power after 1 block-iTBS. These findings suggest that the application of acute iTBS in parkinsonian rats produces antidepressant-like effects, which may be associated with elevated 5-HT levels and normalized neuronal oscillations in the mPFC.

帕金森病(PD)相关抑郁与内侧前额叶皮层(mPFC)的异常神经元振荡和5-羟色胺(5-HT)神经传递有关。间歇性脉冲刺激(iTBS)是一种更新的高频重复经颅磁刺激模式,可能对pd相关抑郁症有疗效。然而,iTBS是否通过调节神经元振荡和mPFC中的5-HT水平来缓解pd相关抑郁尚未确定。本研究采用雄性Sprague-Dawley大鼠建立单侧6-羟多巴胺诱导的PD模型。然后将急性iTBS应用于帕金森大鼠,进行行为学、神经化学和电生理实验。我们发现,与假手术大鼠相比,帕金森病大鼠mPFC的δ功率增加,θ功率降低,且固定时间增加,蔗糖偏好降低。与假iTBS相比,1块iTBS(1块iTBS, 300个刺激)减轻了帕金森大鼠的抑郁样行为,并提高了mPFC中的5-羟色胺水平。此外,与假iTBS相比,它通过抑制δ节律和增强θ和β节律,以相反的方式改变了mPFC中的神经元振荡,这表明急性iTBS诱导mPFC过度活跃。在这种iTBS模式下,我们还观察到mPFC中的小白蛋白表达减少,反映了皮质抑制的减少。最后,相关分析显示,1块- itbs后,静止时间与θ功率有较强的相关性。这些发现表明,在帕金森大鼠中应用急性iTBS可产生抗抑郁样作用,这可能与5-羟色胺水平升高和mPFC中正常化的神经元振荡有关。
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引用次数: 0
Tale of Two n-Backs: Diverging Associations of Dorsolateral Prefrontal Cortex Activation With n-Back Task Performance 两个n-Back的故事:背外侧前额皮质激活与n-Back任务表现的不同关联
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-04 DOI: 10.1002/jnr.70021
Philip N. Tubiolo, John C. Williams, Jared X. Van Snellenberg

In studying the neural correlates of working memory (WM) ability via functional magnetic resonance imaging (fMRI) in health and disease, it is relatively uncommon for investigators to report associations between brain activation and measures of task performance. Additionally, how the choice of WM task impacts observed activation–performance relationships is poorly understood. We sought to illustrate the impact of WM task on brain–behavior correlations using two large, publicly available datasets. We conducted between-participants analyses of task-based fMRI data from two publicly available datasets: The Human Connectome Project (HCP; n = 866) and the Queensland Twin Imaging (QTIM) Study (n = 459). Participants performed two distinct variations of the n-back WM task with different stimuli, timings, and response paradigms. Associations between brain activation ([2-back − 0-back] contrast) and task performance (2-back % correct) were investigated separately in each dataset, as well as across datasets, within the dorsolateral prefrontal cortex (dlPFC), medial prefrontal cortex, and whole cortex. Global patterns of activation to task were similar in both datasets. However, opposite associations between activation and task performance were observed in bilateral pre-supplementary motor area and left middle frontal gyrus. Within the dlPFC, HCP participants exhibited a significantly greater activation–performance relationship in bilateral middle frontal gyrus relative to QTIM Study participants. The observation of diverging activation–performance relationships between two large datasets performing variations of the n-back task serves as a critical reminder for investigators to exercise caution when selecting WM tasks and interpreting neural activation in response to a WM task.

在通过功能磁共振成像(fMRI)研究健康和疾病中工作记忆(WM)能力的神经相关性时,研究人员很少报道大脑激活与任务表现之间的关联。此外,WM任务的选择如何影响观察到的激活-性能关系尚不清楚。我们试图使用两个大型的公开数据集来说明WM任务对大脑行为相关性的影响。我们对来自两个公开数据集的基于任务的fMRI数据进行了参与者之间的分析:人类连接组计划(HCP);n = 866)和昆士兰双胞胎成像(QTIM)研究(n = 459)。参与者在不同的刺激、时间和反应范式下完成了两种截然不同的n-back WM任务。在每个数据集中,以及在背外侧前额叶皮层(dlPFC)、内侧前额叶皮层和整个皮层中,分别研究了脑激活([2-back−0-back]对比)和任务表现(2-back %正确率)之间的关联。在两个数据集中,对任务的整体激活模式是相似的。然而,在双侧辅助前运动区和左额叶中回,激活与任务表现之间存在相反的关联。在dlPFC内,与QTIM研究参与者相比,HCP参与者在双侧额中回表现出更大的激活-表现关系。在执行n-back任务的两个大数据集之间观察到不同的激活-性能关系,这对研究者在选择WM任务和解释响应WM任务的神经激活时要谨慎是一个重要的提醒。
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引用次数: 0
Associations Between the Neural Stress Response and Symptoms of Anxiety and Depression 神经应激反应与焦虑和抑郁症状之间的关系
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-16 DOI: 10.1002/jnr.70019
Marina Giglberger, Hannah L. Peter, Gina-Isabelle Henze, Christoph Bärtl, Julian Konzok, Peter Kirsch, Brigitte M. Kudielka, Ludwig Kreuzpointner, Stefan Wüst

Anxiety and depression disorders show high prevalence rates, and stress is a significant risk factor for both. However, studies investigating the interplay between anxiety, depression, and stress regulation in the brain are scarce. The present manuscript included 124 law students from the LawSTRESS project. Anxiety and depression symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS), and psychosocial stress was induced with the imaging stress paradigm ScanSTRESS. Anxiety, but not depression scores, were significantly related to neural stress responses in a striato-limbic cluster. Moreover, relative to women, men showed stronger associations between anxiety scores and activation in striatal and temporal clusters. A bifactor model of the HADS suggested a general factor characterized by tension, nervousness, and cheerlessness, which was associated with activation changes in a similar but more circumscribed cluster than anxiety. In the LawSTRESS project, the HADS was assessed at five sampling points (1 year, 3 months, 1 week prior exam, 1 week, and 1 month thereafter), and thus an exploratory trajectory analysis could be performed. It confirmed the relationship between anxiety scores and striatal stress responses at baseline but revealed no predictive value of the neural measure across the sampling points. Our results suggest that—in healthy young participants—neural acute psychosocial stress responses in striato-limbic structures are associated with anxiety, supporting the assumption that these regions are related to individual differences in vulnerability to stress-related disorders. A correlation with depression scores could not be found, and possible explanations are discussed.

焦虑和抑郁障碍的患病率很高,而压力是两者的重要风险因素。然而,关于大脑中焦虑、抑郁和压力调节之间相互作用的研究很少。目前的手稿包括124名来自LawSTRESS项目的法律系学生。使用医院焦虑和抑郁量表(HADS)评估焦虑和抑郁症状,并使用成像应激范式ScanSTRESS诱导社会心理应激。焦虑得分与纹状体-边缘区神经应激反应显著相关,但与抑郁得分无关。此外,相对于女性,男性表现出更强的焦虑得分与纹状体和颞叶簇激活之间的关联。HADS的双因素模型提出了一个以紧张、紧张和不愉快为特征的一般因素,它与一个类似但比焦虑更受限制的集群的激活变化有关。在LawSTRESS项目中,HADS在五个采样点(考试前1年、3个月、1周、1周和1个月)进行评估,从而可以进行探索性轨迹分析。它证实了焦虑得分和纹状体应激反应之间的关系,但在抽样点上没有显示神经测量的预测价值。我们的研究结果表明,在健康的年轻参与者中,纹状体边缘结构中的神经急性心理社会压力反应与焦虑有关,支持了这些区域与个体对压力相关疾病的易感性差异有关的假设。没有发现与抑郁评分的相关性,并讨论了可能的解释。
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引用次数: 0
Neurological and Cognitive Effects of Hypothyroidism in Patients With Epilepsy: A Study on Anti-Seizure Medicines Therapy 抗癫痫药物治疗甲状腺功能减退对癫痫患者神经和认知的影响。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-10 DOI: 10.1002/jnr.70012
Natalia Molodozhnikova, Svetlana Prokhorova, Dimitar Monov, Nikolay Lilyanov

The primary objective of this study was to examine neurological disorders and cognitive impairments in patients with secondary hypothyroidism and epilepsy undergoing treatment with antiepileptic medications. The study included 184 patients divided into three groups: Group 1 (subclinical hypothyroidism, n = 60), Group 2 (manifest hypothyroidism, n = 64), and Group 3 (control, n = 60). Patients in Group 2 received levothyroxine therapy (initial dose of 25 μg/day, titrated to 50–100 μg/day), while Groups 1 and 2 were treated with anti-seizure medications (valproic acid, 40 mg/kg/day). Neurological symptoms, including Babinski's reflex abnormalities (χ2 = 8.15, p = 0.017) and sensory disturbances (χ2 = 12.44, p = 0.005), were significantly more frequent in Group 2 than in Group 1. Cognitive test scores were significantly lower in Group 2 compared to Group 3 across all domains (F(2, 181) = 6.55, p = 0.002 for MMSE; F(2, 181) = 4.70, p = 0.010 for FAB; and F(2, 181) = 5.75, p = 0.006 for CDT), with Group 1 showing intermediate results. Regression analysis identified neurodegenerative disease risk (β = 0.34, CI: 0.20–0.48, p < 0.001), anemia (β = 0.32, CI: 0.15–0.49, p = 0.001), and prolonged stress (β = 0.26, CI: 0.12–0.40, p = 0.002) as significant predictors of cognitive decline, while higher education was protective (β = −0.28, CI: −0.42 to −0.14, p = 0.003). An inverse relationship was observed between TSH levels and cognitive scores (r = −0.55, p < 0.001).

本研究的主要目的是检查继发性甲状腺功能减退和癫痫患者接受抗癫痫药物治疗时的神经系统疾病和认知障碍。184例患者分为3组:1组(亚临床甲状腺功能减退,n = 60), 2组(明显甲状腺功能减退,n = 64), 3组(对照组,n = 60)。2组患者给予左旋甲状腺素治疗(初始剂量25 μg/d,逐渐滴定至50 ~ 100 μg/d), 1、2组患者给予抗癫痫药物(丙戊酸,40 mg/kg/d)。神经系统症状,包括巴宾斯基反射异常(χ2 = 8.15, p = 0.017)和感觉障碍(χ2 = 12.44, p = 0.005), 2组明显高于1组。在所有领域中,第二组的认知测试得分明显低于第三组(F(2,181) = 6.55, p = 0.002);F(2,181) = 4.70, p = 0.010;CDT的F(2,181) = 5.75, p = 0.006),组1为中间结果。回归分析确定了神经退行性疾病的风险(β = 0.34, CI: 0.20-0.48, p
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引用次数: 0
Mechanisms of Autophagy in Ineffective Reperfusion After Ischemic Stroke 缺血性脑卒中后无效再灌注自噬的机制
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-07 DOI: 10.1002/jnr.70017
Shangying Bai, Yuchuan Ding, Leticia Simo, Fengwu Li, Xiaokun Geng

Despite significant advancements in achieving high recanalization rates (80%–90%) for large vessel occlusions through mechanical thrombectomy, the issue of “futile recanalization” remains a major clinical challenge. Futile recanalization occurs when over half of patients fail to experience expected symptom improvement after vessel recanalization, often resulting in severe functional impairment or death. Traditionally, this phenomenon has been attributed to inadequate blood flow and reperfusion injury. More recently, ongoing neuronal death after reperfusion, which leads to the progression of the ischemic penumbra into the core infarct, has been termed “futile reperfusion.” This review explores the complex role of autophagy mechanisms in futile reperfusion following ischemic stroke, with a focus on its relationship to neuronal survival. We also examine the regulation of autophagic activity by epigenetic mechanisms. By investigating autophagy's role in ischemic stroke, we aim to identify novel pathways for precision treatment.

尽管通过机械取栓在实现大血管闭塞的高再通率(80%-90%)方面取得了重大进展,但“无效再通”仍然是一个主要的临床挑战。当超过一半的患者在血管再通后未能经历预期的症状改善时,会发生无效的再通,通常导致严重的功能损害或死亡。传统上,这种现象归因于血流不足和再灌注损伤。最近,再灌注后持续的神经元死亡,导致缺血半暗区进展为核心梗死,被称为“无效再灌注”。这篇综述探讨了自噬机制在缺血性卒中后无用再灌注中的复杂作用,重点是其与神经元存活的关系。我们还研究了表观遗传机制对自噬活性的调节。通过研究自噬在缺血性脑卒中中的作用,我们旨在确定精确治疗的新途径。
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引用次数: 0
The Intricate Interplay: Microbial Metabolites and the Gut-Liver-Brain Axis in Parkinson's Disease 复杂的相互作用:微生物代谢物和帕金森病的肠-肝-脑轴。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-03 DOI: 10.1002/jnr.70016
Dayamrita Kollaparampil Kishanchand, Athira Krishnan K. A., Krishnapriya Chandrababu, Cyriac Abby Philips, Unnikrishnan Sivan, Baby Chakrapani Pulikaparambil Sasidharan

Parkinson's Disease (PD) is a neurodegenerative disorder marked by the depletion of dopaminergic neurons. Recent studies highlight the gut-liver-brain (GLB) axis and its role in PD pathogenesis. The GLB axis forms a dynamic network facilitating bidirectional communication between the gastrointestinal tract, liver, and central nervous system. Dysregulation within this axis, encompassing gut dysbiosis and microbial metabolites, is emerging as a critical factor influencing PD progression. Our understanding of PD was traditionally centered on neurodegenerative processes within the brain. However, examining PD through the lens of the GLB axis provides new insights. This review provides a comprehensive analysis of microbial metabolites, such as short-chain fatty acids (SCFAs), trimethylamine-N-oxide (TMAO), kynurenine, serotonin, bile acids, indoles, and dopamine, which are integral to PD pathogenesis by modulation of the GLB axis. Our extensive research included a comprehensive literature review and database searches utilizing resources such as gutMGene and gutMDisorder. These databases have been instrumental in identifying specific microbes and their metabolites, shedding light on the intricate relationship between the GLB axis and PD. This review consolidates existing knowledge and underscores the potential for targeted therapeutic interventions based on the GLB axis and its components, which offer new avenues for future PD research and treatment strategies. While the GLB axis is not a novel concept, this review is the first to focus specifically on its role in PD, highlighting the importance of integrating the liver and microbial metabolites as central players in the PD puzzle.

帕金森病(PD)是一种以多巴胺能神经元耗竭为特征的神经退行性疾病。最近的研究强调肠-肝-脑(GLB)轴及其在帕金森病发病中的作用。GLB轴形成一个动态网络,促进胃肠道、肝脏和中枢神经系统之间的双向交流。这个轴的失调,包括肠道生态失调和微生物代谢物,正在成为影响PD进展的关键因素。我们对帕金森病的理解传统上集中在大脑内的神经退行性过程。然而,通过GLB轴的镜头检查PD提供了新的见解。本文综述了微生物代谢产物,如短链脂肪酸(SCFAs)、三甲胺- n -氧化物(TMAO)、犬尿氨酸、血清素、胆胆酸、吲哚和多巴胺,这些微生物代谢产物通过调节GLB轴参与PD的发病机制。我们广泛的研究包括全面的文献综述和数据库搜索,利用资源如gutMGene和gutMDisorder。这些数据库有助于识别特定微生物及其代谢物,揭示GLB轴与PD之间的复杂关系。这篇综述巩固了现有的知识,并强调了基于GLB轴及其组成部分的靶向治疗干预的潜力,这为未来PD的研究和治疗策略提供了新的途径。虽然GLB轴并不是一个新概念,但这篇综述是第一次专门关注它在PD中的作用,强调了整合肝脏和微生物代谢物在PD之谜中的重要性。
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Journal of Neuroscience Research
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