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BACE1 Expression Is Required for Proper Synaptic Vesicle Dynamics in the Hippocampus BACE1的表达是海马突触泡动力学的必要条件。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-21 DOI: 10.1111/jnc.70299
John Zhou, Srdjan D. Antic, Brati Das, Wanxia He, Dang Minh Tran, Xiangyu Hu, Rafael Fernández-Chacón, Riqiang Yan

BACE1 is an indispensable enzyme for the production of β-amyloid peptides by initiating the cleavage of amyloid precursor protein at the β-secretase site. Targeting BACE1 inhibition is therefore a therapeutic strategy for treating patients with Alzheimer's disease. However, several clinical trials using brain-penetrable BACE1 inhibitors have failed due to a lack of efficacy. Previous studies, including our own, have shown that both global and neuron-specific BACE1 inhibition in mice leads to impairments in synaptic strength and spine density. In this study, we investigate the effects of BACE1 inhibition on activity-dependent synaptic vesicle exocytosis and endocytosis using a synapto-pHluorin mouse model. Our results demonstrate impaired synaptic release in BACE1-deficient mice. Furthermore, transcriptomic analysis reveals a significant downregulation of genes related to synapse structure and function. Pathway analysis suggests that BACE1 deficiency significantly downregulates neurexin-neuroligin pathway, which can modulate docking and release of synaptic vesicles at the presynaptic compartment. Our findings suggest that BACE1 inhibition may lead to deficits in synaptic vesicle exocytosis due to the downregulation of key synaptic proteins.

BACE1是产生β-淀粉样肽不可缺少的酶,通过在β-分泌酶位点启动淀粉样前体蛋白的裂解。因此,靶向BACE1抑制是治疗阿尔茨海默病患者的一种治疗策略。然而,一些使用脑穿透性BACE1抑制剂的临床试验由于缺乏疗效而失败。先前的研究,包括我们自己的研究,已经表明小鼠的全局和神经元特异性BACE1抑制都会导致突触强度和脊柱密度的损伤。在这项研究中,我们使用突触-氟小鼠模型研究了BACE1抑制对活性依赖性突触囊泡胞吐和内吞的影响。我们的研究结果表明,bace1缺陷小鼠的突触释放受损。此外,转录组学分析揭示了突触结构和功能相关基因的显著下调。通路分析表明,BACE1缺乏显著下调神经素-神经素通路,该通路可调节突触前腔室突触囊泡的对接和释放。我们的研究结果表明,由于关键突触蛋白的下调,BACE1抑制可能导致突触囊泡胞吐缺陷。
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引用次数: 0
Across Barriers: Blood–Brain and Gut Barrier Signaling in Psychiatric Disorders 跨越障碍:精神疾病中的血脑和肠屏障信号。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-21 DOI: 10.1111/jnc.70282
Luisa Bandeira Binder, Laura Menegatti Bevilacqua, Flora Gro Lorentzen Thomassen, Manon Lebel, Benjamin A. H. Jensen, Caroline Menard

Psychiatric disorders affect millions of people worldwide. Despite widespread use of conventional treatments targeting monoaminergic systems, remission rates remain low, and many individuals experience treatment resistance or relapse. Consequently, there has been growing interest in the involvement of other systems, with exacerbated immune responses and barrier alterations reported in clinical settings and preclinical models. Indeed, emerging evidence supports disruption of the blood–brain barrier (BBB) and intestinal barrier in the etiology and progression of psychiatric conditions, notably major depression, bipolar disorder, and generalized anxiety. The BBB is a highly selective structure whose integrity is maintained by endothelial cells, astrocytes, pericytes, and cellular adhesion molecules. Loss of BBB integrity has been increasingly recognized not only as a marker of psychiatric disorders but also as a contributing factor in their development. The BBB and intestinal barrier share anatomical features and functions, especially with the gut–vascular barrier, which remains understudied. Intestinal barrier dysfunction is a hallmark of inflammatory bowel disease (IBD), a condition with a high rate of comorbidity with psychiatric disorders. Both barriers are characterized by similar cellular components and signaling pathways regulating permeability. Psychological stress, a major risk factor for psychiatric conditions and IBD, renders the BBB and intestinal barrier hyperpermeable, feeding a vicious cycle of exacerbated inflammation and ultimately, mood changes as discussed here. We highlight key signaling pathways linked to barrier development and function, including Wnt/β-catenin, VEGF, and FGF-2, and argue that they may contribute to the pathophysiology of mental disorders and IBD, and could be targeted to develop innovative diagnostic tools and treatments. Key limitations and knowledge gaps are reviewed. To sum up, barrier-related alterations have long been reported in clinical studies in psychiatry and are now receiving increasing attention at the mechanistic level, as they may be relevant to uncovering new therapeutic targets beyond traditional monoamine-focused treatments.

精神疾病影响着全世界数百万人。尽管针对单胺能系统的常规治疗被广泛使用,但缓解率仍然很低,许多个体经历治疗抵抗或复发。因此,人们对其他系统的参与越来越感兴趣,在临床环境和临床前模型中报道了免疫反应加剧和屏障改变。事实上,新出现的证据支持血脑屏障(BBB)和肠道屏障的破坏与精神疾病的病因和进展有关,特别是重度抑郁症、双相情感障碍和广泛性焦虑。血脑屏障是一种高度选择性的结构,其完整性由内皮细胞、星形胶质细胞、周细胞和细胞粘附分子维持。血脑屏障完整性的丧失不仅被认为是精神疾病的标志,而且也被认为是其发展的一个促成因素。血脑屏障和肠屏障具有相同的解剖学特征和功能,特别是与肠血管屏障,这方面的研究尚不充分。肠屏障功能障碍是炎症性肠病(IBD)的标志,这是一种与精神疾病共病率很高的疾病。这两种屏障的特点是相似的细胞成分和调节渗透性的信号通路。心理压力是精神疾病和IBD的主要危险因素,它使血脑屏障和肠屏障高通透性,导致炎症加剧的恶性循环,最终导致情绪变化。我们强调了与屏障发育和功能相关的关键信号通路,包括Wnt/β-catenin、VEGF和FGF-2,并认为它们可能与精神障碍和IBD的病理生理有关,可以作为开发创新诊断工具和治疗的目标。审查了主要的限制和知识差距。综上所述,在精神病学的临床研究中,屏障相关的改变已经被报道了很长时间,现在在机制层面上受到越来越多的关注,因为它们可能与发现传统单胺治疗之外的新治疗靶点有关。
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引用次数: 0
1-Kestose Prevents Psychiatric-Like Behavior by Enhancing Short-Chain Fatty Acid Production 1-酮糖通过促进短链脂肪酸的产生来预防精神病样行为。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-20 DOI: 10.1111/jnc.70273
Moeka Tanabe, Kazuo Kunisawa, Tadashi Fujii, Takumi Tochio, Yoshiki Hirooka, Haruto Ojika, Yuta Naruoka, Hiroyasu Ito, Kuniaki Saito, Toshitaka Nabeshima, Akihiro Mouri

Psychiatric disorders such as major depressive disorder are closely linked to the intestinal environment, suggesting intestinal health may contribute to their prevention. Prebiotics, which enhance intestinal health, are promising candidates for preventing psychiatric disorders. 1-Kestose (kestose), a type of prebiotics, has shown potential, but its effects on psychiatric disorders remain unclear. In this study, we investigated whether kestose prevents abnormal behaviors induced by social isolation (SI) stress and which underlies mechanisms of preventive effects. C57BL/6J male mice (3 weeks old) were divided into two groups: individually housed (SI) group and housed five mice per cage (GH) group. Each group received either a normal diet or a kestose diet (5% kestose) for 5 weeks daily until the end of the behavioral testing. Kestose prevented the SI-induced abnormal behaviors including reduced sociality, impaired spatial recognition, and heightened anxiety, which were associated with suppressed microglial activation in the hippocampus. Kestose altered the diversity of gut microbiota and increased the abundance of Bacteroides sartorii. Furthermore, short-chain fatty acids (SCFAs) such as butyric acid, acetic acid, and propionic acid, produced by intestinal microbiota, were increased after kestose supplementation. Positive correlations were observed between B. sartorii abundance and SCFA levels, suggesting that B. sartorii contributes to SCFA production. Notably, both B. sartorii and SCFAs were strongly associated with the abnormal behaviors by SI. These findings suggest that kestose prevents SI-induced abnormal behaviors by modulating gut microbiota, particularly B. sartorii, through an increase of SCFA production. Taken together, kestose could be used as a promising prebiotic intervention for psychiatric disorders.

重度抑郁症等精神疾病与肠道环境密切相关,肠道健康可能有助于预防这些疾病。益生元可以促进肠道健康,是预防精神疾病的有希望的候选者。1-酮糖(kestose)是一种益生元,已显示出潜力,但其对精神疾病的影响尚不清楚。在这项研究中,我们研究了酮糖是否可以预防由社会隔离(SI)压力引起的异常行为,以及预防作用的机制。将3周龄C57BL/6J雄性小鼠分为单笼(SI)组和每笼5只(GH)组。每组接受正常饮食或酮糖饮食(5%酮糖),每天5周,直到行为测试结束。Kestose阻止了si诱导的异常行为,包括社交能力下降、空间识别能力受损和焦虑加剧,这些异常行为与抑制海马小胶质细胞激活有关。酮糖改变了肠道菌群的多样性,增加了梭氏拟杆菌的丰度。此外,补充酮糖后,肠道菌群产生的丁酸、乙酸和丙酸等短链脂肪酸(SCFAs)也有所增加。结果表明,B. sartorii丰度与SCFA水平呈正相关,表明B. sartorii参与了SCFA的产生。值得注意的是,B. sartorii和scfa都与SI的异常行为密切相关。这些发现表明,酮症通过增加SCFA的产生来调节肠道微生物群,特别是梭氏芽胞杆菌,从而防止si诱导的异常行为。综上所述,酮糖可以作为一种有希望的益生元干预精神疾病。
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引用次数: 0
G Protein-Coupled Receptor Signaling in CNS (Re)Myelination G蛋白偶联受体信号在中枢神经系统髓鞘形成中的作用。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-19 DOI: 10.1111/jnc.70286
Jack K. McDonald, Sheng Yu Ang, Christopher J. Langmead, Gregory D. Stewart

Loss of function in oligodendroglial cells is a pathological hallmark of demyelinating and neurodegenerative diseases. A significant pool of oligodendrocyte precursor cells is maintained in the adult brain following developmental myelination. This population of cells provides plasticity to the myelin network that is crucial for healthy brain function and facilitates myelin repair following demyelination. G protein-coupled receptors (GPCRs) represent a major target class in the druggable genome and are widely expressed in oligodendroglia. Targeting GPCRs involved in remyelination presents a tractable approach for the development of disease-modifying medicines. Despite this, the functional outcomes of GPCR modulation in oligodendroglia remain to be deeply explored, which has hindered the development of remyelinating therapies.

少突胶质细胞功能丧失是脱髓鞘和神经退行性疾病的病理标志。在发育性髓鞘形成后,成人大脑中保留了大量的少突胶质前体细胞。这种细胞群为髓磷脂网络提供可塑性,髓磷脂网络对健康的大脑功能至关重要,并促进髓鞘脱髓鞘后的修复。G蛋白偶联受体(gpcr)是可药物基因组中的一个主要靶标类别,在少突胶质细胞中广泛表达。靶向参与髓鞘再生的gpcr为疾病修饰药物的开发提供了一种可行的方法。尽管如此,GPCR调节在少突胶质细胞中的功能结果仍有待深入探索,这阻碍了髓鞘再生治疗的发展。
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引用次数: 0
Whispering Through the Barrier: Signaling Interfaces for Peripheral Regulation of Brain Function in Obesity 通过屏障低语:肥胖症大脑功能外周调节的信号接口。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-18 DOI: 10.1111/jnc.70291
Melih Zeki Kaya, Alexis M. Stranahan

This review highlights signaling modalities at the blood–brain and blood–cerebrospinal fluid barriers, with reference to the cell types and pathways recruited under steady state conditions and in obesity. We summarize areas of consensus and unresolved questions surrounding the temporal progression of neuroinflammation and the propagation of neuroimmune responses between different cell types and circuits. While data on the reversibility of these changes is scarce, we review the available data on reinstatement of neuroimmune homeostasis following physiological and pharmacological interventions. Published data from preclinical models aligns with evidence implicating middle age as a critical period for the impact of obesity on brain function in humans. Elucidating the metabolic and immune signatures associated with neurological dysfunction could identify novel biomarkers and inform the development of targeted strategies to improve healthspan in obese individuals.

这篇综述强调了血脑和血脑脊液屏障的信号传导模式,并参考了稳态条件下和肥胖中募集的细胞类型和途径。我们总结了共识领域和未解决的问题,围绕神经炎症的时间进展和神经免疫反应在不同细胞类型和电路之间的传播。虽然关于这些变化的可逆性的数据很少,但我们回顾了生理和药物干预后神经免疫稳态恢复的现有数据。来自临床前模型的公开数据与证据一致,表明中年是肥胖对人类大脑功能影响的关键时期。阐明与神经功能障碍相关的代谢和免疫特征可以识别新的生物标志物,并为改善肥胖个体的健康状况提供有针对性的策略。
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引用次数: 0
Taurine Intake, Plasma Taurine Concentration, and Dementia Risk: Findings From the Malmö Diet and Cancer Study 牛磺酸摄入、血浆牛磺酸浓度和痴呆风险:来自Malmö饮食和癌症研究的发现。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-17 DOI: 10.1111/jnc.70298
Naiqi Zhang, Yan Borné, Elisabeth Hagberg, Sebastian Palmqvist, Isabelle Glans, Filip Ottosson, Jessica Samuelsson, Katarina Nägga, Oskar Hansson, João M. N. Duarte, Emily Sonestedt

Preclinical studies suggest that taurine may exert neuroprotective effects. However, its relevance to dementia risk in human populations remains unclear. We investigated the associations between mid-life dietary taurine intake, circulating taurine concentrations, and the risk of late-life all-cause dementia, Alzheimer's disease (AD), and vascular dementia (VaD) in a large prospective cohort. This study utilized data from 27 786 participants of the Malmö Diet and Cancer Study with baseline examination from 1991 to 1996. Dietary taurine intake was estimated from a detailed diet history and adjusted for energy intake. Plasma taurine concentration was measured in a subset of 3693 individuals. Dementia diagnoses were ascertained through the Swedish National Patient Register and validated by memory clinic physicians. Cox proportional hazards models assessed associations with dementia risk, adjusting for potential confounders including APOE ε4 status, lifestyle factors, and comorbidities. Over a median 25-year follow-up, 3224 participants developed dementia. No significant associations were found between dietary taurine intake or plasma taurine concentrations and the risk of all-cause dementia, AD, or VaD. Circulating taurine concentrations were only weakly correlated with dietary intake, suggesting a predominant role of endogenous taurine synthesis and metabolism. Our findings fail to support a protective role for taurine intake against dementia in humans. Further studies are warranted to examine potential effects under specific pathological conditions or with high-dose supplementation.

临床前研究表明牛磺酸可能具有神经保护作用。然而,它与人类痴呆症风险的相关性尚不清楚。我们在一个大型前瞻性队列中调查了中年饮食牛磺酸摄入量、循环牛磺酸浓度与晚年全因痴呆、阿尔茨海默病(AD)和血管性痴呆(VaD)风险之间的关系。这项研究利用了1991年至1996年期间Malmö饮食与癌症研究的27786名参与者的数据,并进行了基线检查。饮食中牛磺酸的摄入量是根据详细的饮食史估算的,并根据能量摄入进行了调整。测量了3693名个体的血浆牛磺酸浓度。痴呆症的诊断是通过瑞典国家患者登记册确定的,并由记忆诊所的医生验证。Cox比例风险模型评估了与痴呆风险的关联,调整了潜在的混杂因素,包括APOE ε4状态、生活方式因素和合并症。在平均25年的随访中,3224名参与者患上了痴呆症。膳食牛磺酸摄入量或血浆牛磺酸浓度与全因痴呆、AD或VaD风险之间没有明显关联。循环牛磺酸浓度与饮食摄入量仅呈弱相关,表明内源性牛磺酸合成和代谢起主导作用。我们的研究结果不能支持牛磺酸摄入对人类痴呆的保护作用。有必要进一步研究在特定病理条件下或高剂量补充下的潜在影响。
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引用次数: 0
Touchscreen and Translational Cognition: A Systematic Review of Trials in Humans and Rodents 触屏和翻译认知:对人类和啮齿动物试验的系统回顾。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1111/jnc.70297
Tamires Coelho Martins, Renata Maria Silva Santos, Rayany Karolyny da Silva Andrade, André Soares da Silva, Felipe Baptista Brunheroto, Isabella Paula Gomes Rocha, Vitória Carrazza Gambogi Loureiro, Yuri Cristelli de Sousa Silva, Ana Caroline Nogueira Souza, Eduardo de Souza Nicolau, Débora Marques Miranda, Marco Aurélio Romano-Silva

The implementation of touchscreen platforms in co-clinical trials for rodents (i.e., mice and rats) and humans to assess cognitive functions presents an opportunity to overcome barriers present in conventional clinical trials. To better visualize the progress made in this area, this review proposes a systematic synthesis of the comparability of touchscreen cognitive assessment studies applied to both humans and rodents in a co-clinical framework. To accomplish this objective the Ovid, PubMed, Scopus and ScienceDirect databases were searched, in English, and without publication date limit and registered on the International Prospective Register of Systematic Review (PROSPERO) under the number CRD420250650537. The screening resulted in 5 cross-sectional studies and 1 randomized controlled trial (RCT) included, which were assessed for methodological quality and risk of bias using the Joanna Briggs Institute (JBI) critical appraisal tools. The data acquired in this review reinforce the potential of touchscreen platforms for cognitive assessment across human and rodent models. Behavioral flexibility and visuospatial cognition excelled in terms of comparability. The scarcity of studies and methodological diversity represent significant gaps in the field. Regardless, the available data highlight important opportunities for advancing translational research in cognition with a co-clinical approach.

在啮齿类动物(即小鼠和大鼠)和人类的联合临床试验中实施触摸屏平台以评估认知功能,为克服传统临床试验中存在的障碍提供了机会。为了更好地了解这一领域的进展,本综述提出了一个系统的综合触摸屏认知评估研究的可比性,该研究应用于人类和啮齿动物的共同临床框架。为了实现这一目标,我们检索了Ovid、PubMed、Scopus和ScienceDirect的英文数据库,没有出版日期限制,并在国际前瞻性系统评价注册(PROSPERO)上注册,编号为CRD420250650537。筛选结果包括5项横断面研究和1项随机对照试验(RCT),使用乔安娜布里格斯研究所(JBI)关键评估工具评估方法学质量和偏倚风险。本综述中获得的数据加强了触摸屏平台在人类和啮齿动物模型中认知评估的潜力。行为灵活性和视觉空间认知在可比性方面表现优异。研究的缺乏和方法的多样性代表了该领域的重大差距。无论如何,现有的数据强调了通过联合临床方法推进认知转化研究的重要机会。
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引用次数: 0
Cell Type-Specific mTORC1 Signaling and Translational Control in Synaptic Plasticity and Memory 细胞类型特异性mTORC1信号传导及其在突触可塑性和记忆中的翻译控制
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1111/jnc.70281
Ziying Huang, Niaz Mahmood, Shane Wiebe, Arkady Khoutorsky, Jean-Claude Lacaille, Nahum Sonenberg

Synaptic plasticity and memory formation require de novo protein synthesis. The mechanistic/mammalian target of rapamycin complex 1 (mTORC1) promotes mRNA translation initiation in the central nervous system. Recent research has uncovered that excitatory neurons, inhibitory neurons, and glia play distinct roles in modulating synaptic strength and encoding long-term memory via mTORC1 signaling. In this review, we discuss the mechanisms by which mTORC1 regulates translation initiation in the brain and its cell type-specific roles in shaping distinct forms of synaptic plasticity and memory. We also consider how dysregulated translational control contributes to neurological disorders and explore emerging technologies for therapeutic modulation of the mTORC1 pathway.

突触可塑性和记忆形成需要从头合成蛋白质。雷帕霉素复合体1 (mTORC1)的机制/哺乳动物靶点促进中枢神经系统mRNA翻译起始。最近的研究发现,兴奋性神经元、抑制性神经元和胶质细胞在调节突触强度和通过mTORC1信号编码长期记忆方面发挥着不同的作用。在这篇综述中,我们讨论了mTORC1在大脑中调节翻译起始的机制及其在形成不同形式的突触可塑性和记忆中的细胞类型特异性作用。我们还考虑了翻译控制失调如何导致神经系统疾病,并探索了mTORC1通路治疗性调节的新兴技术。
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引用次数: 0
Nicotinic Acetylcholine Receptor-Mediated Metabotropic Signalling in Human Microglia 人小胶质细胞中烟碱乙酰胆碱受体介导的代谢信号传导。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1111/jnc.70295
Lydia J. Bye, Marnie L. Maddock, Rocio K. Finol-Urdaneta, David J. Adams

Nicotinic acetylcholine receptors (nAChRs) are well-recognized as ionotropic ligand-gated ion channels in the central and peripheral nervous systems. However, their role in non-neuronal cells such as microglia is less well understood due to challenges in detecting ion channel activity in the plasma membrane of immune cells, which hampers functional characterization. This study investigated nAChR-mediated intracellular signaling pathways in human microglia, exploring possible mechanisms underlying cholinergic modulation of neuroinflammation. We verified transcript expression of nAChR subunits α7, α9, and α10 in human C06 microglia and demonstrated that acetylcholine (ACh) triggers intracellular signaling consistent with nAChR-mediated metabotropic responses, concurrent with pharmacological ablation of muscarinic activity. In the absence of extracellular Ca2+, ACh evoked transient elevations in intracellular Ca2+ concentration ([Ca2+]i) in functionally enriched microglia. These responses were sensitive to U73122 and 2-APB, indicating the mobilization of internal Ca2+ stores via the phospholipase C (PLC) and inositol 1,4,5-trisphosphate (IP3) pathways, respectively. In C06 microglia, extracellular Ca2+ is crucial for replenishing Ca2+ stores. Once replenished, repeated ACh exposure enhanced both the incidence and amplitude of microglial [Ca2+]i responses, indicating agonist-induced sensitization. These findings uncover previously unrecognized pathways for nAChR signaling in human microglia, potentially opening new therapeutic avenues for suppressing inflammation.

烟碱乙酰胆碱受体(Nicotinic acetylcholine receptor, nAChRs)是中枢和外周神经系统中公认的嗜离子配体门控离子通道。然而,它们在非神经元细胞(如小胶质细胞)中的作用尚不清楚,因为检测免疫细胞质膜中的离子通道活性存在挑战,这阻碍了功能表征。本研究研究了nachr介导的人小胶质细胞内信号通路,探索胆碱能调节神经炎症的可能机制。我们验证了nAChR亚基α7、α9和α10在人C06小胶质细胞中的转录表达,并证明乙酰胆碱(ACh)触发的细胞内信号传导与nAChR介导的代谢反应一致,同时药物消蚀毒蕈碱活性。在缺乏细胞外Ca2+的情况下,ACh在功能富集的小胶质细胞中引起细胞内Ca2+浓度([Ca2+]i)的短暂升高。这些反应对U73122和2-APB敏感,表明内部Ca2+储存分别通过磷脂酶C (PLC)和肌醇1,4,5-三磷酸(IP3)途径动员。在C06小胶质细胞中,细胞外Ca2+对于补充Ca2+储存至关重要。一旦补充,重复的乙酰胆碱暴露增强了小胶质细胞[Ca2+]i反应的发生率和幅度,表明激动剂诱导的致敏。这些发现揭示了人类小胶质细胞中以前未被识别的nAChR信号通路,可能为抑制炎症开辟新的治疗途径。
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引用次数: 0
The Energetic Collapse of the Alzheimer's Brain: Metabolic Inflexibility Across Cells and Networks 阿尔茨海默氏症大脑的能量崩溃:跨细胞和网络的代谢不灵活性。
IF 4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-13 DOI: 10.1111/jnc.70294
Nicholas J. Constantino, Clair C. Ashley, Shannon L. Macauley

Alzheimer's disease (AD) is more than just amyloid and tau. While often described as a disease of metabolic dysfunction, AD can more accurately be described as a disorder of metabolic inflexibility that leads to bioenergetic failure. In the healthy brain, neurons, glia, and vascular cells dynamically share and switch between different fuel sources (e.g., glucose, lactate, ketones, and fatty acids) to match functional demand. In AD, this adaptability is progressively lost because cellular metabolism is actively reprogrammed to support neuroinflammatory and disease-associated processes at the cost of neuronal function. Microglia, in particular, upregulate glycolytic metabolism, alter lipid handling, and prioritize immune functions, which actively depletes the brain's energy supply. These adaptations are initially compensatory but ultimately trap the brain in a rigid metabolic program that deprioritizes neuronal support. This metabolic shift unfolds along a biphasic trajectory: early, glia-driven hypermetabolism aligned with inflammation, followed by late-stage brain hypometabolism and energy collapse that leads to neuronal dysfunction. System-level consequences include altered excitability, decreased network connectivity, sleep disruption, and cognitive decline. Critically, these changes feed forward to accelerate AD pathogenesis: glycolytically biased microglia and stressed neurons promote amyloid-β production, tau release, and protein aggregation, adding to metabolic rigidity. Evidence from human neuroimaging studies, brain/cerebral spinal fluid (CSF) multi-omic studies, and preclinical studies demonstrate that shifts in glycolytic flux, tricarboxylic acid cycle (TCA) intermediates, and lipid metabolism parallel amyloid and tau pathology and cognition decline. We hypothesize that these metabolic programs, while initially protective, are chronically maladaptive yet reversible. We propose that restoring metabolic flexibility can mitigate amyloid and tau pathology, neuronal loss, and functional decline. Ongoing preclinical studies and clinical trials are actively exploring metabolism as a therapeutic target in AD. Collectively, these findings define AD as a disorder of metabolic inflexibility, where adaptive shifts in cellular metabolism become pathologically rigid and drive disease progression, while offering a promising target for therapeutic intervention in AD.

阿尔茨海默病(AD)不仅仅是淀粉样蛋白和tau蛋白。虽然通常被描述为一种代谢功能障碍疾病,但AD可以更准确地描述为一种导致生物能量衰竭的代谢不灵活性紊乱。在健康的大脑中,神经元、胶质细胞和血管细胞动态地共享和切换不同的燃料来源(如葡萄糖、乳酸、酮类和脂肪酸),以满足功能需求。在阿尔茨海默病中,这种适应性逐渐丧失,因为细胞代谢被主动重新编程,以牺牲神经元功能为代价来支持神经炎症和疾病相关过程。特别是小胶质细胞,上调糖酵解代谢,改变脂质处理,优先考虑免疫功能,这主动消耗大脑的能量供应。这些适应最初是补偿性的,但最终使大脑陷入僵化的代谢程序,使神经元的支持失去优先地位。这种代谢转变沿着双相轨迹展开:早期,胶质细胞驱动的高代谢与炎症相一致,随后是晚期脑代谢降低和能量崩溃,导致神经元功能障碍。系统级的后果包括兴奋性改变、网络连通性下降、睡眠中断和认知能力下降。关键的是,这些变化会加速AD的发病机制:糖酵解偏倚的小胶质细胞和应激神经元促进淀粉样蛋白-β的产生、tau蛋白的释放和蛋白质聚集,增加代谢刚性。来自人类神经影像学研究、脑/脑脊液(CSF)多组学研究和临床前研究的证据表明,糖酵解通量、三羧酸循环(TCA)中间体和脂质代谢的变化与淀粉样蛋白和tau蛋白病理和认知能力下降平行。我们假设这些代谢程序,虽然最初具有保护作用,但长期不适应但可逆。我们认为,恢复代谢灵活性可以减轻淀粉样蛋白和tau蛋白病理、神经元损失和功能下降。正在进行的临床前研究和临床试验正在积极探索代谢作为阿尔茨海默病的治疗靶点。总的来说,这些发现将AD定义为一种代谢不灵活性紊乱,其中细胞代谢的适应性转变成为病理刚性并驱动疾病进展,同时为AD的治疗干预提供了有希望的靶点。
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Journal of Neurochemistry
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