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Type 2 Diabetes Mellitus, Cognitive Performance, and Incident Dementia; Identifying Mediating Pathways and Biomarkers From the Plasma Proteome 2型糖尿病、认知能力和痴呆的发生从血浆蛋白质组鉴定介导途径和生物标志物。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-04 DOI: 10.1111/jnc.70306
Sofia E. Perfetto, Myuri Ruthirakuhan, Si Won Ryoo, Yuen Yan Wong, Lisa Y. Xiong, Natasha Z. Anita, Nathanael A. Caveney, Landon J. Edgar, John W. Newman, Hugo Cogo-Moreira, Walter Swardfager

Type 2 diabetes mellitus (T2DM) is associated with poorer cognitive performance and increased dementia risk. Pathophysiological mechanisms are not fully understood. In this prospective study of UK Biobank participants, (n = 9943 without T2DM, age = 56.3 ± 8.2 years, 55% female, n = 3752 with T2DM, age = 59.1 ± 7.7 years, 41% female), T2DM was associated with poorer attention (Hedges' g = −0.15[−0.17, −0.10]), processing speed (Hedges' g = −0.14[−0.17, −0.09]), and a higher risk of incident dementia over 15 years (HR = 2.13[1.74, 2.61]). Among 2923 proteins measured by Olink proteomics, 1739 were differentially expressed in T2DM. Four-way decomposition models of proteomic markers, and KEGG pathway analyses, were used to identify potential mediating and moderating effects of biological pathways on the association between T2DM and cognitive or dementia outcomes. For dementia, 230 protein mediators implicated inflammatory pathways (complement/coagulation cascades, cytokine-cytokine receptor interactions, and the janus kinase-signal transducer and activator of transcription signaling pathway), and 11 proteins implicated cholesterol/lipid metabolism as moderators (including apolipoprotein E, low-density lipoprotein receptor and prostaglandin reductase 1). Mediators with the highest accuracy to predict incident dementia in T2DM were glial fibrillary acidic protein (AUC = 0.71[0.67, 0.76]) and neurofilament light polypeptide (AUC = 0.71 [0.67, 0.75]). Multivariate proteomic/clinical models (AUC = 0.78 [0.75, 0.81]) improved accuracy beyond clinical risk factors alone (AUC = 0.74 [0.69, 0.78]). Subgroup analyses by sex, apolipoprotein E ε4 carrier status and age showed some features unique within strata. This study suggests potential targets within inflammatory, oxidative, angiogenesis-related, and metabolic pathways to mitigate cognitive decline and dementia risk in T2DM.

2型糖尿病(T2DM)与认知能力下降和痴呆风险增加有关。病理生理机制尚不完全清楚。在这项对英国生物银行参与者的前瞻性研究中,(n = 9943名无T2DM的参与者,年龄= 56.3±8.2岁,55%为女性,n = 3752名有T2DM的参与者,年龄= 59.1±7.7岁,41%为女性),T2DM与注意力较差(Hedges' g = -0.15[-0.17, -0.10])、处理速度(Hedges' g = -0.14[-0.17, -0.09])以及15年内发生痴呆的高风险相关(HR = 2.13[1.74, 2.61])。在Olink蛋白组学检测的2923个蛋白中,1739个蛋白在T2DM中有差异表达。使用蛋白质组学标记物的四向分解模型和KEGG通路分析来确定生物学通路在T2DM与认知或痴呆结局之间的潜在介导和调节作用。对于痴呆症,230种蛋白质介质涉及炎症途径(补体/凝血级联,细胞因子-细胞因子受体相互作用,janus激酶信号换能器和转录信号通路的激活因子),11种蛋白质涉及胆固醇/脂质代谢作为调节剂(包括载脂蛋白E,低密度脂蛋白受体和前列腺素还原酶1)。预测T2DM痴呆发生率最高的介质是胶质纤维酸性蛋白(AUC = 0.71[0.67, 0.76])和神经丝轻多肽(AUC = 0.71[0.67, 0.75])。多变量蛋白质组学/临床模型(AUC = 0.78[0.75, 0.81])比单独的临床危险因素(AUC = 0.74[0.69, 0.78])提高了准确性。按性别、载脂蛋白E ε4携带状况和年龄进行的亚群分析显示出一些地层内特有的特征。该研究提示炎症、氧化、血管生成相关和代谢途径中的潜在靶点可以减轻T2DM患者的认知能力下降和痴呆风险。
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引用次数: 0
Metabolic Remodeling During the Early Phase of Spontaneous Seizure Emergence Highlights Hexosamine Biosynthetic Pathway Dysregulation in Temporal Lobe Epilepsy 自发性癫痫发作早期的代谢重构强调了颞叶癫痫中己糖胺生物合成途径失调。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-02 DOI: 10.1111/jnc.70314
Zhao Zhao, Yu-Fei Zhang, Le-Qing Xu, Ming-Kang Zhong, Chun-Lai Ma

Temporal lobe epilepsy (TLE) is a prevalent form of drug-resistant epilepsy characterized by profound biochemical alterations. Emerging evidence suggests that metabolic dysregulation plays a crucial role in the development of TLE. In this study, we employed a kainic acid-induced mouse model of TLE to investigate metabolic remodeling and key regulatory pathways at Day 14 post–status epilepticus, a time point within early epilepsy, corresponding to the early phase of spontaneous seizure emergence during epileptogenic progression. Liquid chromatography–mass spectrometry-based proteomics and metabolomics analyses were conducted on hippocampal and serum samples to identify and quantify differentially expressed metabolites and proteins. Joint pathway analysis revealed substantial metabolic reprogramming, with consistent upregulation of the hexosamine biosynthetic pathway (HBP), converging on amino sugar and nucleotide sugar metabolism. Western blotting, immunohistochemistry, and targeted metabolite quantification further validated the elevation of key HBP components in the hippocampus, supporting HBP activation as a hallmark of metabolic remodeling during early seizure emergence. These findings provide novel insight into the metabolic landscape of epileptogenesis and highlight HBP-related alterations as potential contributors to seizure development and promising therapeutic targets.

颞叶癫痫(TLE)是一种常见的耐药癫痫形式,其特征是深刻的生化改变。新出现的证据表明,代谢失调在TLE的发展中起着至关重要的作用。在这项研究中,我们采用凯尼克酸诱导的TLE小鼠模型来研究癫痫持续状态后第14天的代谢重塑和关键调控途径,癫痫持续状态后是癫痫早期的一个时间点,对应于癫痫发生过程中自发发作的早期阶段。对海马和血清样本进行基于液相色谱-质谱的蛋白质组学和代谢组学分析,以鉴定和量化差异表达的代谢物和蛋白质。联合通路分析显示了大量的代谢重编程,六糖胺生物合成途径(HBP)一致上调,集中在氨基糖和核苷酸糖代谢上。Western blotting、免疫组织化学和靶向代谢物定量进一步证实了海马中关键HBP成分的升高,支持HBP激活是癫痫发作早期代谢重塑的标志。这些发现为癫痫发生的代谢景观提供了新的见解,并强调了hbp相关的改变是癫痫发作发展的潜在贡献者和有希望的治疗靶点。
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引用次数: 0
Clinical Validation of Novel Immunoassays for Plasma Phosphorylated Tau 217, 212, 181, 231, and Brain-Derived Tau Across the Biochemical Spectrum of Alzheimer's Disease 在阿尔茨海默病的生化谱中,血浆磷酸化Tau 217、212、181、231和脑源性Tau的新型免疫测定方法的临床验证
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 DOI: 10.1111/jnc.70313
Maciej Dulewicz, Przemysław Radosław Kac, Fernando Gonzalez Ortiz, Thomas K. Karikari, Agnieszka Kulczyńska-Przybik, Barbara Mroczko, Michael Turton, Peter Harrison, Manuel Maler, Timo Oberstein, Johannes Kornhuber, Jörg Hanrieder, Henrik Zetterberg, Kaj Blennow, Piotr Lewczuk

Plasma biomarkers have emerged as promising less invasive alternatives for Alzheimer's disease (AD) detection. However, the diagnostic performance of phosphorylated tau (p-tau) isoforms remains incompletely validated. In a cohort of 160 patients from a memory clinic, plasma levels of p-tau217, p-tau212, p-tau181, p-tau231, and BD-tau were measured using Single Molecule Array (Simoa) in-house assays, alongside NFL and GFAP. Subjects were classified using the Erlangen Score into Controls (n = 53), neurochemically possible AD (n = 27), and probable AD (n = 80). Plasma concentrations of all p-tau isoforms were significantly elevated in both Possible AD and Probable AD groups compared to Controls (p < 0.001). Notably, p-tau217 exhibited the highest diagnostic accuracy (AUC = 0.954) and correlated with CSF classical biomarkers. A positive result for p-tau217 increases the probability of AD almost fivefold. Plasma p-tau217 reflects AD neurochemical changes and has high negative predictive value, supporting its use as a screening tool. However, moderate PPV suggests the need for confirmatory testing to ensure an accurate diagnosis.

血浆生物标志物已成为阿尔茨海默病(AD)检测的有希望的低侵入性替代方法。然而,磷酸化tau (p-tau)亚型的诊断性能仍未完全验证。在来自记忆诊所的160名患者队列中,使用单分子阵列(Simoa)内部测定法与NFL和GFAP一起测量血浆中p-tau217、p-tau212、p-tau181、p-tau231和BD-tau的水平。使用Erlangen评分将受试者分为对照组(n = 53)、神经化学上可能的AD (n = 27)和可能的AD (n = 80)。与对照组相比,可能AD组和可能AD组中所有p-tau亚型的血浆浓度均显著升高(p < 0.001)。值得注意的是,p-tau217具有最高的诊断准确性(AUC = 0.954),并与脑脊液经典生物标志物相关。p-tau217的阳性结果使AD的可能性增加了近五倍。血浆p-tau217反映AD神经化学变化,具有较高的阴性预测值,支持其作为筛查工具。然而,中度PPV提示需要进行确认性检测以确保准确诊断。
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引用次数: 0
Patient-Derived Variants Define Constraints for Ligand Binding at the PDZ Domain of CASK 患者衍生变体定义了CASK PDZ结构域配体结合的约束
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-12-01 DOI: 10.1111/jnc.70303
Debora Tibbe, Hans-Hinrich Hönck, Neha Bhatia, Tina Truong, Lydia Proskauer, Xilma Ortiz-Gonzalez, Jean Ann Maguire, ChangHui Pak, Hans-Jürgen Kreienkamp

Genetic variants in the X-chromosomal gene coding for the calcium−/calmodulin-dependent serine protein kinase (CASK) are associated with a neurodevelopmental disorder. CASK is a member of the membrane-associated guanylate kinase (MAGUK) family of proteins. It acts as a scaffold at presynaptic sites, as a regulator of the transport of glutamate receptors, and as a transcriptional regulator. The PDZ domain of CASK has been reported to bind to presynaptic cell adhesion molecules such as Neurexin1-3, CNTNAP2, SynCAM and SALM1. Structural analyses of related MAGUKs indicate that the canonical SH3 and GK domains combine with the PDZ domain to form the so-called PSG supramodule. Conserved aromatic residues (Y723 and W914) flanking the GK domain contribute to the formation of a dimeric structure of two PSG modules, which is required for high-affinity binding to the type 2 PDZ ligand motif of, for example, Neurexin. Here we identify previously uncharacterized patient variants in the SH3 domain of CASK (I672V; P673L), which alter the intermolecular binding pocket for Y723. Both variants interfere with the binding of Neurexin-1β, in a manner similar to the previously reported Y723C variant. Intriguingly, binding to the type 1 PDZ ligand of the cell adhesion molecule SALM1 is not altered. Using a set of highly selective patient variants, we show that the binding of SALM1 to CASK is actually not mediated by the CASK PDZ domain or the PSG supramodule, but depends on other type 1 PDZ domain-containing proteins such as SAP97 and Veli, which associate with CASK through its L27 domains. Our data underline the relevance of an intact PSG tandem of CASK for human health.

编码钙/钙调素依赖性丝氨酸蛋白激酶(CASK)的x染色体基因的遗传变异与神经发育障碍有关。CASK是膜相关鸟苷酸激酶(MAGUK)蛋白家族的一员。它作为突触前位点的支架,作为谷氨酸受体运输的调节剂,以及作为转录调节剂。据报道,CASK的PDZ结构域与突触前细胞粘附分子如Neurexin1-3、CNTNAP2、SynCAM和SALM1结合。相关MAGUKs的结构分析表明,典型的SH3和GK结构域与PDZ结构域结合形成所谓的PSG超模。GK结构域两侧的保守芳香残基(Y723和W914)有助于形成两个PSG模块的二聚体结构,这是与Neurexin等2型PDZ配体基序高亲和力结合所必需的。在这里,我们在CASK (I672V; P673L)的SH3结构域中发现了以前未表征的患者变异,这些变异改变了Y723的分子间结合口袋。这两种变体都干扰Neurexin-1β的结合,其方式与先前报道的Y723C变体相似。有趣的是,与细胞粘附分子SALM1的1型PDZ配体的结合并没有改变。使用一组高度选择性的患者变异体,我们发现SALM1与CASK的结合实际上不是由CASK PDZ结构域或PSG超小模介导的,而是依赖于其他1型PDZ结构域蛋白,如SAP97和Veli,它们通过其L27结构域与CASK结合。我们的数据强调了CASK的完整PSG串联与人类健康的相关性。
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引用次数: 0
Local Protein Synthesis at Synapses: A Driver for Synapse Diversification 突触的局部蛋白质合成:突触多样化的驱动因素
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-26 DOI: 10.1111/jnc.70308
Ezgi Daskin, Stanley Van, Anne-Sophie Hafner

Local protein synthesis within neuronal processes seems to be crucial for the rapid and dynamic remodeling of the proteome at synaptic compartments. Indeed, this capability enables neurons to swiftly adapt their synaptic functions in response to activity. In this review, we first explore the diverse mechanisms that allow the targeted transport of mRNAs into both dendrites and axons. Then, we report evidence that local mRNAs are actively recruited for protein synthesis during plasticity. Finally, we highlight how this molecular complexity contributes to the establishment and stabilization of memory traces, or engrams, within neural circuits. We propose that presynaptic protein synthesis is a pivotal factor driving the diversification of presynaptic terminals, a process we foresee as essential for the durable consolidation and specificity of engrams.

神经元过程中的局部蛋白质合成似乎对突触区室蛋白质组的快速和动态重塑至关重要。事实上,这种能力使神经元能够根据活动迅速调整其突触功能。在这篇综述中,我们首先探讨了允许mrna靶向转运到树突和轴突的多种机制。然后,我们报告了局部mrna在可塑性期间被积极招募用于蛋白质合成的证据。最后,我们强调这种分子复杂性如何有助于神经回路中记忆痕迹或印痕的建立和稳定。我们提出突触前蛋白合成是驱动突触前末端多样化的关键因素,我们预见这一过程对于印迹的持久巩固和特异性至关重要。
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引用次数: 0
Dietary Iron Deficiency in Adult Mice Increases Brain Uptake of High-Affinity, Anti-Transferrin Receptor Antibody RI7217 成年小鼠膳食铁缺乏增加大脑对高亲和力抗转铁蛋白受体抗体RI7217的摄取
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-26 DOI: 10.1111/jnc.70300
Serhii Kostrikov, Kasper Bendix Johnsen, Annette Burkhart, Steinunn Sara Helgudóttir, Thomas Lars Andresen, Torben Moos

Brain capillary endothelial cells (BCECs) express transferrin receptor 1 (TfR1) to ensure sufficient iron transport into the brain. Our main objective was to examine adult mice subjected to dietary iron deficiency (ID) for possible changes in the content of TfR1 in BCECs and the influence thereof on the uptake and possible transport across the blood–brain barrier (BBB) of high-affinity, rat anti-mouse transferrin receptor IgG2a antibody (clone RI7217) targeting the TfR1. We subjected adult, female mice to dietary ID for 8 weeks. Iron and copper were measured using inductively coupled plasma mass spectrometry (ICP-MS) in various tissues, including total brain, and fractions of brain tissue separated to contain a capillary enriched fraction (“capillary fraction”) and a post-capillary, non-endothelial-containing brain parenchymal fraction (“brain fraction”). Possible effects of ID on the cerebral angioarchitecture were estimated using 3D confocal microscopy of optically cleared brain samples labeled using intravenous injection of wheat germ agglutinin with subsequent machine learning-based segmentation and vascular tracing. TfR1 was quantified using ELISA. RI7217 antibodies were conjugated with 1.4 nm nanogold and brain uptake quantified using ICP-MS. ID significantly reduced the iron content in the capillary fraction, liver, spleen, kidney, heart, and skeletal muscles. ID increased the copper content in the brain. Analysis of cerebral cortical angioarchitecture revealed no changes following dietary ID, except for a minor increase in tortuosity of small-caliber vessels. Following ID, the concentration of TfR1 protein remained unchanged in total brain, and the isolated capillaries and brain fraction. In contrast, the uptake of nanogold-conjugated RI7217 was increased in total brain, the brain fraction, liver, spleen, and isolated retinae. The targeting to TfR1 in ID hence suggested increased brain uptake of RI7217. Hypothetically, elevated transport of RI7217 could occur due to increased trafficking of TfR1-containing vesicles through BCECs in ID.

脑毛细血管内皮细胞(BCECs)表达转铁蛋白受体1 (TfR1),以保证足够的铁转运到脑内。我们的主要目的是研究成年小鼠在饮食铁缺乏(ID)的情况下,bcec中TfR1含量的可能变化,及其对高亲和力的大鼠抗小鼠转铁蛋白受体IgG2a抗体(克隆RI7217)靶向TfR1的摄取和可能通过血脑屏障(BBB)运输的影响。我们对成年雌性小鼠进行了为期8周的膳食ID试验。使用电感耦合等离子体质谱(ICP-MS)测量各种组织中的铁和铜,包括全脑和分离的含有毛细血管富集部分(“毛细血管部分”)和毛细血管后不含内皮的脑实质部分(“脑部分”)的脑组织部分。使用3D共聚焦显微镜对静脉注射小麦胚芽凝集素标记的光学清除脑样本进行标记,并随后进行基于机器学习的分割和血管追踪,估计ID对脑血管结构的可能影响。ELISA法定量TfR1。RI7217抗体与1.4 nm纳米金偶联,采用ICP-MS定量脑摄取。ID显著降低了毛细血管部位、肝、脾、肾、心脏和骨骼肌中的铁含量。ID增加了大脑中的铜含量。大脑皮质血管结构分析显示,除了小口径血管扭曲轻微增加外,饮食ID没有改变。ID后,TfR1蛋白在全脑、离体毛细血管和脑部分的浓度保持不变。相比之下,纳米金共轭RI7217在全脑、脑部分、肝脏、脾脏和离体视网膜中的摄取增加。因此,在ID中靶向TfR1表明RI7217的脑摄取增加。假设,RI7217的运输增加可能是由于含有tfr1的囊泡通过ID的bccc的运输增加。
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引用次数: 0
Development and Validation of an ICP-MS/MS Method for the Multielemental Analysis of Cerebrospinal Fluid, Examination of Alzheimer's Disease Samples ICP-MS/MS方法在阿尔茨海默病脑脊液多元素分析中的应用及验证
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.1111/jnc.70307
Rebeca Pérez-Ramírez, Inmaculada Cuchillo-Ibáñez, Raquel Sánchez-Romero, Ana Beltrán-Sanahuja, Sergio Escamilla, Ricardo Molina-Gasset, Henrik Zetterberg, Kaj Blennow, Javier Sáez-Valero, José-Luis Todolí-Torró

Multielemental analysis of cerebrospinal fluid (CSF) yields critical insights into the pathophysiology of neurological disorders and holds potential as a diagnostic and predictive tool for Alzheimer's disease (AD). The present work presents the development and validation of an inductively coupled plasma tandem mass spectrometry (ICP-MS/MS) based method for multielemental determination in CSF, including metals and metalloids as analytes. As a proof of concept, the importance of the CSF element determination was evaluated in a cohort of patients with AD (n = 20) and non-AD controls (n = 19) who displayed typical levels of core CSF biomarkers (Aβ42, P-tau, and total-tau). Discrete sample introduction ICP-MS/MS procedure was effective for accurate and precise CSF analysis. The methodology provided better sensitivities and limits of detection than a conventional one based on sample dilution and analysis in continuous sample introduction mode, while only requiring a 20 μL CSF sample volume. A total of 24 elements were encountered and quantified in CSF, with reduced levels of Mn, Cr, Se, Fe, and Zn in the CSF from AD patients and increased levels of Ag and Bi, compared with non-AD patients. Particularly, Mn fully discriminated AD from non-AD subjects, with binary regression analysis indicating that Mn was the most effective element to distinguish between AD and non-AD groups. Furthermore, distinctive correlation profiles were found between AD and non-AD controls for elements with AD core biomarkers and the alternative amyloidogenic sAPPβ fragment. Quantitative determination of metals, metalloids and non-metals displays differences associated with pathological status, serving as additional biomarkers for neurological diseases.

脑脊液(CSF)的多元素分析为神经系统疾病的病理生理学提供了重要见解,并有望作为阿尔茨海默病(AD)的诊断和预测工具。本文介绍了一种基于电感耦合等离子体串联质谱(ICP-MS/MS)的脑脊液多元素测定方法的开发和验证,包括金属和类金属作为分析物。作为概念证明,在AD患者(n = 20)和非AD对照(n = 19)的队列中评估了CSF元素测定的重要性,这些患者显示出典型的核心CSF生物标志物(a β42, P-tau和total-tau)水平。离散样品导入ICP-MS/MS程序对脑脊液的准确和精确分析是有效的。该方法的灵敏度和检出限优于传统的基于样品稀释和连续进样模式分析的方法,且只需要20 μL的CSF样本量。与非AD患者相比,AD患者CSF中Mn、Cr、Se、Fe和Zn的水平降低,Ag和Bi的水平升高。特别是Mn完全区分AD和非AD受试者,二元回归分析表明Mn是区分AD和非AD组最有效的元素。此外,在AD和非AD对照中,发现具有AD核心生物标志物的元件和淀粉样变性sAPPβ片段之间存在明显的相关性。金属、类金属和非金属的定量测定显示出与病理状态相关的差异,可作为神经系统疾病的额外生物标志物。
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引用次数: 0
Extracellular Vesicles as Therapeutic Strategy for Ischemic Stroke 细胞外囊泡作为缺血性脑卒中的治疗策略。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.1111/jnc.70311
Elisama Araújo da Silva, Júlio César Queiroz Figueiredo, Erik Aranha Rossi, Rachel Santana Cunha, Flávia Santos Sanches, Adne Vitória Rocha de Lima, Erick Correia Loiola, Zaquer Suzana Munhoz Costa-Ferro, Bruno Solano de Freitas Souza

Ischemic stroke remains one of the leading causes of death and long-term disability worldwide, with current treatments limited by narrow therapeutic windows and the risk of hemorrhagic transformation. In this context, extracellular vesicles (EVs) have emerged as a promising cell-free therapeutic strategy due to their ability to modulate inflammation and support neuroregeneration. This review explores recent advances in the application of EVs in ischemic stroke therapy, highlighting their mechanisms of action, including the delivery of neuroprotective molecules such as microRNAs and proteins that promote angiogenesis, neurogenesis, and anti-apoptotic pathways. We summarize findings from preclinical models demonstrating the regenerative potential of EVs derived from mesenchymal stem cells, microglia, neural progenitor cells, and other cell types, as well as advances in bioengineered EVs for targeted delivery. Despite encouraging results, the clinical translation of EV-based therapies faces challenges, including large-scale production, content variability, and targeted delivery efficiency. Future efforts should focus on optimizing EV characterization and manufacturing processes to ensure therapeutic consistency and safety.

缺血性中风仍然是世界范围内死亡和长期残疾的主要原因之一,目前的治疗受到狭窄的治疗窗口和出血转化风险的限制。在这种情况下,细胞外囊泡(EVs)因其调节炎症和支持神经再生的能力而成为一种有前途的无细胞治疗策略。本文综述了ev在缺血性卒中治疗中的最新进展,重点介绍了其作用机制,包括传递神经保护分子,如microrna和促进血管生成、神经发生和抗凋亡途径的蛋白质。我们总结了临床前模型的发现,证明了来自间充质干细胞、小胶质细胞、神经祖细胞和其他细胞类型的电动汽车的再生潜力,以及生物工程电动汽车靶向递送的进展。尽管取得了令人鼓舞的结果,但基于ev的疗法的临床转化面临着挑战,包括大规模生产、内容可变性和靶向递送效率。未来的工作应该集中在优化EV的表征和制造工艺,以确保治疗的一致性和安全性。
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引用次数: 0
Age-Progressive Synaptic and Axonal Dysregulation Induced by Purkinje Cell–Targeted AAV Expression of SCA14 PKCγ in Mice 小鼠浦肯野细胞靶向AAV表达SCA14 PKCγ诱导的年龄进行性突触和轴突失调
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.1111/jnc.70305
Naoko Adachi, Izumi Koganemaru, Feng Wanying, Naoya Matsushita, Tomoyoshi Nakayama, Takahiro Seki, Ayumu Konno, Hirokazu Hirai, Naoaki Saito, Takehiko Ueyama

Spinocerebellar ataxia type 14 (SCA14) is an autosomal-dominant disorder caused by more than 80 PRKCG missense variants encoding protein kinase Cγ (PKCγ), a serine/threonine kinase highly enriched in Purkinje cells (PCs). Despite typically late onset and slow progression, the molecular basis of age-related decline remains unclear. We used a somatic in vivo approach to express wild-type (WT) PKCγ–GFP or the prototypical G128D PKCγ–GFP selectively in PCs of neonatal mice via an adeno-associated virus (AAV) under a PC-specific promoter. G128D PKCγ–GFP formed cytoplasmic aggregates, mislocalized PCs during development, and produced gait deficits by 4 weeks that worsened with age, despite preserved PC counts and overall cerebellar volume at 1.5 years. Immunohistochemistry revealed a selective vulnerability of climbing-fiber (CF) input: vesicular glutamate transporter 2 (VGLUT2), a marker of CF synapses, declined significantly from 12 to 60 weeks in G128D mice, and the VGLUT2-positive innervation field was narrower than age-matched WT at both time points. By contrast, the glutamate/aspartate transporter GLAST in Bergmann-glial radial processes was reduced predominantly at 12 weeks in G128D mice. The δ2 glutamate receptor (GluD2) at parallel fibers and glial fibrillary acidic protein (GFAP) decreased with age but were comparable between expression conditions. Notably, aggregated mutant PKCγ accumulated within the axon initial segment (AIS), whose architecture progressively deteriorated; the altered AIS excluded PKCγ–GFP from distal axons and, by 60 weeks, was associated with reduced delivery of the vesicular GABA transporter (VGAT) to deep cerebellar nuclei (DCN), consistent with impaired anterograde transport. Hence, rather than overt neuronal loss, the cumulative burden of G128D-specific CF/axonal deficits and age-accentuated circuit and glial changes—reduced GLAST function and decreased GluD2—accounts for the worsening motor phenotype. This AAV-based system provides a practical platform to dissect late-onset pathogenic mechanisms and evaluate therapeutic strategies in vivo.

脊髓小脑性失平衡性14型(SCA14)是一种常染色体显性疾病,由80多种PRKCG错义变体编码蛋白激酶Cγ (PKCγ)引起,PKCγ是一种在浦肯野细胞(PCs)中高度丰富的丝氨酸/苏氨酸激酶。尽管典型的晚发和缓慢的进展,与年龄相关的衰退的分子基础仍不清楚。我们采用体细胞体内方法,通过腺相关病毒(AAV)在pc特异性启动子下,在新生小鼠pc中选择性表达野生型(WT) PKCγ-GFP或原型G128D PKCγ-GFP。G128D PKCγ-GFP在发育过程中形成细胞质聚集体,错定位PC,并在4周内产生步态缺陷,随着年龄的增长而恶化,尽管在1.5岁时PC计数和整体小脑体积保持不变。免疫组织化学揭示了攀爬纤维(CF)输入的选择性易变性:在G128D小鼠中,CF突触的标志物水疱性谷氨酸转运蛋白2 (VGLUT2)在12周至60周期间显著下降,VGLUT2阳性的神经分布范围在两个时间点都比年龄匹配的WT窄。相比之下,G128D小鼠在12周时bergmann -胶质径向过程中的谷氨酸/天冬氨酸转运体GLAST明显减少。平行纤维上的δ2谷氨酸受体(GluD2)和胶质原纤维酸性蛋白(GFAP)随着年龄的增长而下降,但在不同表达条件下具有可比性。值得注意的是,聚集突变体PKCγ聚集在轴突初始段(AIS)内,其结构逐渐恶化;改变后的AIS将PKCγ-GFP从远端轴突排除,并且在60周时,与小脑深部核(DCN)的泡状GABA转运蛋白(VGAT)递送减少有关,与顺行转运受损一致。因此,g128d特异性CF/轴突缺陷和年龄增强的回路和胶质细胞变化的累积负担——GLAST功能降低和glud2下降——而不是明显的神经元损失,是运动表型恶化的原因。这种基于aav的系统提供了一个实用的平台来解剖晚发性致病机制和评估体内治疗策略。
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引用次数: 0
C-Myc Indirectly Controls ATP13A2 Levels via HIF-1α Activation C-Myc通过HIF-1α激活间接控制ATP13A2水平。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-25 DOI: 10.1111/jnc.70296
Aslı Beril Tiryakiler, Benan Temizci, Arzu Karabay

c-Myc is an essential transcription factor controlling an extensive range of intracellular processes, and the abnormal activity of c-Myc is associated with many different complex diseases, such as different types of cancer and neurodegenerative diseases. Understanding the regulatory functions of c-Myc has been challenging due to its intricate and multifaceted roles in cellular processes. The ATP13A2 (PARK9) gene encodes the ATP13A2 protein, which has important roles in lysosomal functions and metal ion transport. The association of ATP13A2 with Kufor-Rakeb Syndrome (KRS), as well as its role in Parkinson's disease, highlights its significance in maintaining cellular homeostasis. While our previous study indicated that c-Myc might play a role in the regulation of the ATP13A2 gene and its mutation linked to KRS, very little is known about the transcriptional regulation of the ATP13A2 gene. In this study, we identified potential c-Myc transcription factor binding sites on the ATP13A2 promoter and showed in vivo c-Myc binding using ChIP assay. qPCR and luciferase analyses revealed that the ATP13A2 transcription level was decreased upon 36 h of c-Myc overexpression. In contrast, western blot analysis revealed an increased ATP13A2 protein level under the same conditions. We further analyzed this discrepancy in a time-dependent manner, and results indicated that after c-Myc overexpression, ATP13A2 expression was markedly upregulated for the first 24 h, but this impact gradually decreased, returning to baseline levels by 72 h. Both HIF1α and p53 exhibited transient upregulation followed by a time-dependent decrease, suggesting that the initial increase in ATP13A2 may be regulated by c-Myc-driven HIF1α stabilization, which was supported by the elevated ATP13A2 expression and HIF1α stabilization by CoCl2 treatment. Prussian blue analysis indicated corresponding changes in intracellular iron accumulation with the temporal alterations in ATP13A2 expression. Our findings indicate that c-Myc indirectly causes an increased ATP13A2 expression by increasing HIF1α accumulation.

c-Myc是一种控制广泛细胞内过程的重要转录因子,c-Myc的异常活性与许多不同的复杂疾病有关,如不同类型的癌症和神经退行性疾病。由于c-Myc在细胞过程中的复杂和多方面的作用,了解其调控功能一直具有挑战性。ATP13A2 (PARK9)基因编码ATP13A2蛋白,该蛋白在溶酶体功能和金属离子运输中起重要作用。ATP13A2与Kufor-Rakeb综合征(KRS)的关联,以及它在帕金森病中的作用,突出了它在维持细胞稳态中的重要性。虽然我们之前的研究表明c-Myc可能在ATP13A2基因及其与KRS相关的突变的调控中发挥作用,但对ATP13A2基因的转录调控知之甚少。在这项研究中,我们在ATP13A2启动子上发现了潜在的c-Myc转录因子结合位点,并通过ChIP检测显示了体内c-Myc结合。qPCR和荧光素酶分析显示,c-Myc过表达36小时后,ATP13A2转录水平下降。相反,western blot分析显示,在相同条件下,ATP13A2蛋白水平升高。我们进一步以时间依赖的方式分析了这种差异,结果表明,c-Myc过表达后,ATP13A2的表达在前24小时显著上调,但这种影响逐渐减弱,在72小时后恢复到基线水平。HIF1α和p53均表现出短暂性上调,随后呈时间依赖性下降,这表明ATP13A2的初始升高可能受到c- myc驱动的HIF1α稳定的调节,这得到了CoCl2处理后ATP13A2表达升高和HIF1α稳定的支持。普鲁士蓝分析显示,细胞内铁积累随ATP13A2表达的时间改变而发生相应的变化。我们的研究结果表明,c-Myc通过增加HIF1α积累间接导致ATP13A2表达增加。
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引用次数: 0
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Journal of Neurochemistry
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