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Seasonal patterns of neurogenesis in European starlings (Sturnus vulgaris) are region- and sex-specific. 欧洲椋鸟(Sturnus vulgaris)神经发生的季节性模式具有地区和性别特异性。
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-16 DOI: 10.1111/jne.13455
Sean D T Aitken, Broderick M B Parks, Marjorie Sollows, Colleen A Barber, Leslie S Phillmore

Songbird vocal behavior, physiology, and brains-including neurogenesis-change between seasons. We examined seasonal differences in neurogenesis in three brain regions associated with vocal production and learning, HVC (letter-based proper name), robust nucleus of the arcopallium (RA), and Area X, and two brain regions associated with auditory perception, caudomedial nidopallium (NCM) and caudomedial mesopallium (CMM). To do this, we captured wild male and female European starlings (Sturnus vulgaris) in spring and fall, collected a blood sample, and minimized time from capture to tissue collection to limit suppressive effects of captivity on neurogenesis. We quantified neurogenesis using doublecortin (DCX) immunohistochemistry, counting new neurons of three DCX cell morphologies (multipolar, fusiform, and round). We found regional differences in types of morphologies expressed, and amount of neurogenesis across regions: NCM had more fusiform cells than all other regions, and RA had more round cells than other regions. Males had more neurogenesis in HVC in fall than in spring, but there was no seasonal difference in neurogenesis in HVC of females, perhaps reflecting sexually dimorphic vocal learning demands related to repertoire size and complexity. Plasma corticosterone was higher in spring than fall and was correlated with testis volume in males, but it was not correlated with another purported measure of stress, heterophil:lymphocyte ratio (HLR), nor with neurogenesis. Our results suggest that the addition of new neurons to specific regions and circuits may serve different functions for males and females, particularly in the context of vocal production, learning, and perceptual demands across seasons.

鸣禽的发声行为、生理和大脑(包括神经发生)在不同季节会发生变化。我们研究了与发声和学习相关的三个脑区--HVC(基于字母的专有名称)、弧胼胝体粗壮核(RA)和X区--以及与听觉感知相关的两个脑区--尾内侧栉状突起(NCM)和尾内侧中胼胝体(CMM)的神经发生的季节性差异。为此,我们在春季和秋季捕获了野生雌雄欧洲椋鸟(Sturnus vulgaris),采集了血液样本,并尽量缩短了从捕获到组织采集的时间,以限制人工饲养对神经发生的抑制作用。我们使用双皮质素(DCX)免疫组化技术对神经发生进行量化,对三种DCX细胞形态(多极、纺锤形和圆形)的新神经元进行计数。我们发现,不同区域的神经发生所表达的形态类型和数量存在差异:NCM 的纺锤形细胞多于所有其他区域,RA 的圆形细胞多于其他区域。秋季雄性 HVC 的神经发生多于春季,但雌性 HVC 的神经发生没有季节性差异,这可能反映了与曲目大小和复杂性有关的性别双态发声学习需求。春季的血浆皮质酮高于秋季,并且与雄性的睾丸体积相关,但与另一种所谓的压力测量指标--嗜异性细胞:淋巴细胞比率(HLR)以及神经发生无关。我们的研究结果表明,特定区域和回路中新神经元的增加可能对雄性和雌性具有不同的功能,尤其是在不同季节的发声、学习和知觉需求方面。
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引用次数: 0
Liver metastases in high-grade neuroendocrine neoplasms: A comparative study of hepatic tumor volume and biochemical findings in NET G3 versus NEC 高级别神经内分泌肿瘤的肝转移:NET G3 与 NEC 的肝肿瘤体积和生化结果比较研究。
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-14 DOI: 10.1111/jne.13454
Philipp Melhorn, Markus Raderer, Peter Mazal, Luzia Berchtold, Lucian Beer, Barbara Kiesewetter

Abnormal liver blood tests and liver tumor burden are known prognostic factors in neuroendocrine neoplasms (NEN). However, the relationship between biochemical liver parameters and hepatic tumor load is largely unknown in NEN and in high-grade NEN (G3) specifically. The primary objective of this study was to correlate the biochemical parameters and liver tumor volume of patients with neuroendocrine tumors grade 3 (NET G3) or neuroendocrine carcinomas (NEC). We wanted to investigate whether patients with NET G3 with extensive liver involvement had less severely elevated laboratory liver parameters than NEC patients. In total, 46 patients with NEN were included, 31 had NEC and 15 NET G3. All patients had distant metastatic disease, with liver metastases being the most common (n = 39). Both laboratory results and semiautomatic volumetric measurements of liver tumor burden were obtainable for 34 patients at baseline and 26 patients at follow-up. Alkaline phosphatase (AP), gamma-GT (gGT), and lactate dehydrogenase (LDH) increased significantly between the two time periods (p < .01). In a regression model, liver tumor burden significantly affected several blood parameters, for example, increasing AP, gGT, LDH, and aspartate aminotransferase (ASAT) by a factor of 1.02–1.04 per unit increase (1% tumor burden; all p < .001). AP, gGT, and LDH were significantly lower in NET G3 (factor of 0.43–0.68) than in NEC. Here, we found that liver chemistries changed over the NEN disease course, correlated with hepatic tumor burden, and differed by histologic subtype. The current data can potentially guide treatment decisions, for example, with regard to integration of liver-directed therapies.

肝脏血液化验异常和肝脏肿瘤负荷是已知的神经内分泌肿瘤(NEN)预后因素。然而,肝脏生化指标与肝脏肿瘤负荷之间的关系在神经内分泌瘤,尤其是高级别神经内分泌瘤(G3)中尚不为人所知。本研究的主要目的是将神经内分泌肿瘤3级(NET G3)或神经内分泌癌(NEC)患者的生化指标与肝脏肿瘤体积相关联。我们希望研究肝脏广泛受累的 G3 级神经内分泌肿瘤患者的肝脏化验指标升高程度是否低于 NEC 患者。共纳入46例NEN患者,其中31例为NEC患者,15例为NET G3患者。所有患者均患有远处转移性疾病,其中以肝脏转移最为常见(39 例)。34名患者的基线化验结果和26名患者的随访化验结果均可获得,肝脏肿瘤负荷的半自动体积测量结果也可获得。碱性磷酸酶(AP)、γ-谷氨酰转肽酶(gGT)和乳酸脱氢酶(LDH)在两个时间段之间显著增加(p
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引用次数: 0
Mind the GAPS: Glia associated with psychological stress. 注意 GAPS:与心理压力有关的神经胶质
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-09 DOI: 10.1111/jne.13451
Niklas Blank, Molly Weiner, Shaan Patel, Sarah Köhler, Christoph A Thaiss

Glial cells are an integral component of the nervous system, performing crucial functions that extend beyond structural support, including modulation of the immune system, tissue repair, and maintaining tissue homeostasis. Recent studies have highlighted the importance of glial cells as key mediators of stress responses across different organs. This review focuses on the roles of glial cells in peripheral tissues in health and their involvement in diseases linked to psychological stress. Populations of glia associated with psychological stress ("GAPS") emerge as a promising target cell population in our basic understanding of stress-associated pathologies, highlighting their role as mediators of the deleterious effects of psychological stress on various health conditions. Ultimately, new insights into the impact of stress on glial cell populations in the periphery may support clinical efforts aimed at improving the psychological state of patients for improved health outcomes.

神经胶质细胞是神经系统不可或缺的组成部分,其重要功能不仅限于结构支持,还包括调节免疫系统、组织修复和维持组织稳态。最近的研究强调了神经胶质细胞作为不同器官应激反应关键介质的重要性。本综述将重点讨论神经胶质细胞在健康的外周组织中的作用,以及它们在与心理压力有关的疾病中的参与。与心理压力相关的神经胶质细胞群("GAPS")是我们对压力相关病症的基本认识中一个很有希望的目标细胞群,突出了它们作为心理压力对各种健康状况产生有害影响的介质的作用。最终,关于压力对外周神经胶质细胞群影响的新见解可能会支持旨在改善患者心理状态以提高健康状况的临床工作。
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引用次数: 0
Sex differences in the influence of adult-onset hypothyroidism on hippocampal progenitor survival and neuronal differentiation in mice 成年甲状腺功能减退症对小鼠海马祖细胞存活和神经元分化的影响存在性别差异
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-03 DOI: 10.1111/jne.13453
Darshana Kapri, Amartya Pradhan, Ratna Mahathi Vuruputuri, Vidita A. Vaidya

The ongoing production of newborn neurons in the adult hippocampus is reported to be sensitive to perturbations of thyroid hormone signaling, in male rats and mice. Here, we examined whether the neurogenic changes evoked by adult-onset hypothyroidism exhibit sex differences, using male and female C57BL/6N mice. We assessed the impact of goitrogen-induced, adult-onset hypothyroidism on the postmitotic survival and differentiation of hippocampal progenitors in male and female mice. Adult-onset hypothyroidism evoked a significant decline in the postmitotic survival and neuronal differentiation of adult-born progenitors within the dentate gyrus hippocampal subfield of male, but not female, mice. We observed a significant decrease in the number of immature neurons within the hippocampi of adult-onset hypothyroid male mice, whereas adult-onset hypothyroidism evoked by goitrogens using the same treatment paradigms did not evoke any change in immature neuron number in female mice. Gene expression analysis within the hippocampi of euthyroid male and female mice revealed sex-dependent, differential expression of thyroid hormone receptor genes, as well as genes linked to thyroid hormone metabolism and transport. Collectively, our findings highlight sex differences in the influence of goitrogen-induced, adult-onset hypothyroidism on hippocampal neurogenesis, with male, but not female, mice exhibiting a decline in postmitotic hippocampal progenitor survival and neuronal differentiation. These findings underscore the importance of sex as a vital variable when considering the impact of thyroid hormone signaling on the adult hippocampal neurogenic niche.

据报道,在雄性大鼠和小鼠中,成年海马中新生神经元的持续生成对甲状腺激素信号的干扰很敏感。在这里,我们使用雄性和雌性C57BL/6N小鼠研究了成年甲状腺机能减退引起的神经元变化是否表现出性别差异。我们评估了甲状腺素诱导的成年型甲状腺机能减退对雌雄小鼠海马祖细胞有丝分裂后存活和分化的影响。成年甲状腺机能减退会导致雄性小鼠(而非雌性小鼠)齿状回海马亚场中的成体祖细胞的有丝分裂后存活率和神经元分化率显著下降。我们观察到成年型甲状腺机能减退雄性小鼠海马内未成熟神经元的数量明显减少,而使用相同治疗范式的甲状腺素诱发的成年型甲状腺机能减退并未引起雌性小鼠未成熟神经元数量的任何变化。对甲状腺功能正常的雄性和雌性小鼠海马的基因表达分析表明,甲状腺激素受体基因以及与甲状腺激素代谢和转运相关的基因的表达存在性别差异。总之,我们的研究结果凸显了甲状腺素诱导的成年型甲状腺机能减退对海马神经发生的影响存在性别差异,雄性小鼠(而非雌性小鼠)在有丝分裂后海马祖细胞存活率和神经元分化方面表现出下降。这些发现强调了在考虑甲状腺激素信号对成年海马神经源龛的影响时,性别作为一个重要变量的重要性。
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引用次数: 0
The role of NMDA receptors in fish stress response: Assessments based on physiology of the caudal neurosecretory system and defensive behavior NMDA 受体在鱼类应激反应中的作用:基于尾神经分泌系统生理学和防御行为的评估。
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-01 DOI: 10.1111/jne.13448
Yeyang Qin, Mengmeng Shi, Yanyan Wei, Weiqun Lu

Stress strongly influences the physiology and behavior of animals, and leads into a pathological condition and disease. NMDA receptors (NMDARs) play a crucial role in the modulation of neural activity. To understand the role of NMDARs in fish stress response, we used NMDARs agonist aspartate to test the functional role of its input on the Dahlgren cell population in the caudal neurosecretory system (CNSS) of the olive flounder. In addition, the effect of the NMDARs antagonist D-AP5 on the expression of genes of the main secretory products of the CNSS after stress was investigated by using qPCR technology and the effect of the NMDARs antagonist D-AP5 on post-stress behavior was explored by behavioral methods. Ex vivo electrophysiological experiments showed that the NMDARs agonist aspartate enhanced the firing frequency of Dahlgren cells. Additionally, aspartate treatment increased the incidence of cells exhibiting bursting firing pattern, this result is corroborated by the observed upregulation in the expression of ion channels and major hormone genes in the CNSS. Furthermore, the excitatory influence of aspartate was effectively counteracted by NMDARs antagonist D-AP5. Interestingly, NMDARs antagonist D-AP5 treatment also significantly decreased the plasma cortisol levels and the expression of CRH, UI, and UII in CNSS after acute stress. Treatment with D-AP5 effectively attenuated the stress response, as evidenced by alterations in respiratory metabolism, sand-burying behavior, swimming distance, simulated capture, and escape response. In conclusion, modulation of Dahlgren cell excitability in the CNSS by NMDARs contributes to the regulation of the stress response, NMDARs antagonist D-AP5 can effectively suppress stress response in flounder by regulating the stress hormone expression and secretion.

Clinical Trial Registration

Project code SHOU-DW-2022-032.

压力会强烈影响动物的生理和行为,并导致病理状态和疾病。NMDA 受体(NMDARs)在调节神经活动中起着至关重要的作用。为了了解 NMDARs 在鱼类应激反应中的作用,我们使用 NMDARs 激动剂天冬氨酸来测试其输入对橄榄鲽尾部神经分泌系统(CNSS)中 Dahlgren 细胞群的功能作用。此外,还利用 qPCR 技术研究了 NMDARs 拮抗剂 D-AP5 对应激后 CNSS 主要分泌产物基因表达的影响,并通过行为学方法探讨了 NMDARs 拮抗剂 D-AP5 对应激后行为的影响。体外电生理实验表明,NMDARs 激动剂天冬氨酸能提高达氏细胞的发射频率。此外,天冬氨酸处理还增加了表现出爆发性发射模式的细胞的发生率,CNSS 中观察到的离子通道和主要激素基因的表达上调也证实了这一结果。此外,NMDARs 拮抗剂 D-AP5 能有效抵消天冬氨酸的兴奋性影响。有趣的是,NMDARs 拮抗剂 D-AP5 还能显著降低急性应激后 CNSS 中的血浆皮质醇水平以及 CRH、UI 和 UII 的表达。D-AP5能有效减轻应激反应,这体现在呼吸代谢、埋沙行为、游泳距离、模拟捕捉和逃逸反应的改变上。NMDARs拮抗剂D-AP5可通过调节应激激素的表达和分泌有效抑制比目鱼的应激反应。临床试验注册:项目编号 SHOU-DW-2022-032。
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引用次数: 0
Rapid and local neuroestrogen synthesis supports long-term potentiation of hippocampal Schaffer collaterals-cornu ammonis 1 synapse in ovariectomized mice 快速和局部神经雌激素合成支持卵巢切除小鼠海马 Schaffer collaterals-cornu ammonis 1 突触的长期电位。
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-10-01 DOI: 10.1111/jne.13450
Matthieu J. Maroteaux, Claire T. Noccioli, Jill M. Daniel, Laura A. Schrader

In aging women, cognitive decline and increased risk of dementia have been associated with the cessation of ovarian hormones production at menopause. In the brain, presence of the key enzyme aromatase required for the synthesis of 17-β-estradiol (E2) allows for local production of E2 in absence of functional ovaries. Understanding how aromatase activity is regulated could help alleviate the cognitive symptoms. In female rodents, genetic or pharmacological reduction of aromatase activity over extended periods of time impair memory formation, decreases spine density, and hinders long-term potentiation (LTP) in the hippocampus. Conversely, increased excitatory neurotransmission resulting in rapid N-methyl-d-aspartic acid (NMDA) receptor activation rapidly promotes neuroestrogen synthesis. This rapid modulation of aromatase activity led us to address the hypothesis that acute neuroestrogens synthesis is necessary for LTP at the Schaffer collateral-cornu ammonis 1 (CA1) synapse in absence of circulating ovarian estrogens. To test this hypothesis, we did electrophysiological recordings of field excitatory postsynaptic potential (fEPSPs) in hippocampal slices obtained from ovariectomized mice. To assess the impact of neuroestrogens synthesis on LTP, we applied the specific aromatase inhibitor, letrozole, before the induction of LTP with a theta burst stimulation protocol. We found that blocking aromatase activity prevented LTP. Interestingly, exogenous E2 application, while blocking aromatase activity, was not sufficient to recover LTP in our model. Our results indicate the critical importance of rapid, activity-dependent local neuroestrogens synthesis, independent of circulating hormones for hippocampal synaptic plasticity in female rodents.

在老年妇女中,认知能力下降和痴呆症风险增加与绝经期卵巢激素分泌停止有关。在大脑中,合成 17-β-estradiol (E2) 所需的关键酶芳香化酶的存在,使得在没有功能性卵巢的情况下,也能在局部产生 E2。了解如何调节芳香化酶的活性有助于缓解认知症状。在雌性啮齿动物中,通过遗传或药物长期降低芳香化酶的活性会损害记忆的形成,降低脊柱密度,阻碍海马的长期电位(LTP)。相反,N-甲基-d-天冬氨酸(NMDA)受体的快速激活导致兴奋性神经传递增加,从而迅速促进神经雌激素的合成。这种对芳香化酶活性的快速调节促使我们提出了一个假设,即在缺乏循环卵巢雌激素的情况下,急性神经雌激素合成是沙弗侧索-角氨1(CA1)突触 LTP 的必要条件。为了验证这一假设,我们对卵巢切除小鼠的海马切片进行了场兴奋突触后电位(fEPSPs)的电生理记录。为了评估神经雌激素合成对LTP的影响,我们在使用θ脉冲刺激方案诱导LTP之前使用了特异性芳香化酶抑制剂来曲唑。我们发现,阻断芳香化酶的活性可以阻止LTP。有趣的是,在阻断芳香化酶活性的同时,应用外源性E2不足以恢复模型中的LTP。我们的研究结果表明,对于雌性啮齿类动物的海马突触可塑性而言,快速、依赖于活动的局部神经雌激素合成至关重要,它与循环激素无关。
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引用次数: 0
Photoperiodism, testosterone and adult neurogenesis in canaries (Serinus canaria) 金丝雀的光周期、睾酮和成体神经发生
IF 3.2 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-17 DOI: 10.1111/jne.13449
Jacques Balthazart
Domestic strains of canaries (Serinus canaria) variably respond to photoperiod changes and apparently stay in breeding state for extended periods. Fife Fancy canaries are supposed to be similar to the native species living at 27–39° north where photoperiod significantly changes across the year. Our birds showed reproductive cycles when exposed to light regimes mimicking the annual cycle of photoperiod. However after 6 months in short days (SD: 8L:16D), males developed large testes, as observed by X‐ray tomography, and intense singing. Switching to long days (LD: 16L:8D) did not further increase song rate nor testes size but increased song duration, number of syllables per song, and trill occurrence frequency. No sign of regression was observed after 12 weeks in LD but return to SD produced a rapid decrease in testes size and singing activity below values in birds maintained throughout in SD. Fife Fancy thus does not seem to develop absolute but only relative refractoriness. The relatively high singing activity expressed by SD‐photosensitive males does not seem to depend on high testosterone (T) concentrations. Singing did not correlate with plasma testosterone (T). Treatment with ATD + Flutamide only marginally decreased song rate and did not affect song quality nor song control nuclei volume. These birds are either supersensitive to low T levels or their reproductive physiology is activated by other mechanisms. Neurogenesis is increased by T and by LD but the function of new neurons incorporated in HVC is poorly understood. We developed a procedure based on X‐ray focal irradiation to deplete neural progenitors adjacent to HVC and study the functional consequences. The decrease in neurogenesis increased the variability of T‐induced songs in females and decreased their bandwidth. Neurogenesis in HVC thus plays a role in song production and X‐ray focal irradiation represents an excellent tool to analyze adult neurogenesis.
金丝雀(Serinus canaria)的家养品系对光周期变化的反应各不相同,而且显然能长时间保持繁殖状态。法夫金丝雀应该与生活在北纬 27-39° 的本地金丝雀相似,那里的光周期在一年中会发生显著变化。我们的金丝雀在模拟光周期年周期的光照条件下表现出繁殖周期。然而,在短日照(SD: 8L:16D)条件下生活6个月后,雄鸟的睾丸变大,X射线断层扫描可以观察到这一现象,而且雄鸟的鸣唱也很激烈。转为长日照(LD: 16L:8D)后,雄鸟的鸣唱率和睾丸大小都没有进一步增加,但鸣唱持续时间、每次鸣唱的音节数和颤音出现频率都有所增加。在长日照条件下生活 12 周后,没有观察到鸟类出现倒退的迹象,但回到短日照条件下后,鸟类的睾丸大小和歌唱活动迅速下降,低于在短日照条件下生活的鸟类的数值。由此看来,Fife Fancy 不会产生绝对的退行性,只会产生相对的退行性。对 SD 光敏感的雄鸟表现出的相对较高的歌唱活性似乎并不依赖于高浓度的睾酮(T)。歌唱与血浆睾酮(T)并无关联。使用ATD+氟他胺治疗仅会略微降低鸣唱率,不会影响鸣唱质量和鸣唱控制核体积。这些鸟要么对低睾酮水平超敏感,要么它们的生殖生理是通过其他机制激活的。T和LD可增加神经发生,但对HVC中新神经元的功能却知之甚少。我们开发了一种基于 X 射线局灶照射的程序,以耗尽 HVC 附近的神经祖细胞并研究其功能后果。神经发生的减少增加了雌性 T 诱导的鸣唱的变异性并降低了其带宽。因此,HVC的神经发生在鸣唱中起着一定的作用,而X射线聚焦照射是分析成体神经发生的极佳工具。
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引用次数: 0
The curious case of the hypothalamic–pituitary–gonadal axis dysfunction in subordinate female naked mole-rats (Heterocephalus glaber): No apparent role of opioids and glucocorticoids 雌性裸鼹鼠下丘脑-垂体-性腺轴功能障碍的奇特案例:阿片类药物和糖皮质激素无明显作用
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-16 DOI: 10.1111/jne.13444
Daniel W. Hart, E. Roberts, M. J. O'Riain, R. P. Millar, N. C. Bennett

The naked mole-rat (Heterocephalus glaber) is a unique model mammal in which to study socially induced inhibition of the hypothalamic–pituitary–gonadal (HPG) axis. Naked mole-rat groups exhibit a high degree of reproductive bias in which breeding is restricted to one female (the queen) and one male, with subordinate non-breeding colony members rarely, if ever, having the opportunity to reproduce due to a dysfunctional HPG axis. It is posited that aggression directed at subordinates by the queen suppresses reproduction in these subordinates, yet the underlying physiological mechanisms causing this dysfunction are unknown. This study aimed to investigate the possible factors contributing to the dysfunction of the HPG axis in subordinate female naked mole-rats with a specific focus on the role of ovarian feedback and stress-related factors such as circulating glucocorticoid and endogenous opioid peptides. The results showed that stress-related factors appear to not mediate the suppression of reproductive function in subordinate female naked mole rats. Indeed, in some cases, the activation of the stress axis may lead to reproductive activation instead of deactivation. At the same time, the role of ovarian sex steroid feedback in reproductive suppression is likely limited and not clearly delineated. This study highlights the need for detailed studies to elucidate the mechanism of reproductive suppression in this unique model mammalian species which may shed light on, and reveal novel mechanisms, in the social regulation of reproduction.

裸鼹鼠(Heterocephalus glaber)是一种独特的哺乳动物模型,可用于研究社会对下丘脑-垂体-性腺轴(HPG)的抑制作用。裸鼹鼠群体表现出高度的繁殖偏向,繁殖仅限于一只雌鼠(鼠后)和一只雄鼠,由于 HPG 轴功能失调,从属的非繁殖群体成员很少(如果有的话)有机会繁殖。据推测,蜂后对从属成员的攻击抑制了这些从属成员的繁殖,但导致这种功能障碍的潜在生理机制尚不清楚。本研究旨在调查导致雌性裸鼹鼠从属HPG轴功能失调的可能因素,特别关注卵巢反馈和应激相关因素(如循环糖皮质激素和内源性阿片肽)的作用。结果表明,应激相关因素似乎并不是抑制从属雌性裸鼹鼠生殖功能的介导因素。事实上,在某些情况下,应激轴的激活可能会导致生殖功能的激活而不是失活。同时,卵巢性类固醇反馈在生殖抑制中的作用很可能是有限的,并没有得到明确的界定。这项研究强调了详细研究的必要性,以阐明这种独特的哺乳动物模式物种的生殖抑制机制,从而揭示生殖的社会调控机制。
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引用次数: 0
Real-world effectiveness of adjuvant octreotide therapy in patients with pancreatic neuroendocrine tumors at high recurrence risk: A multicenter retrospective cohort study 奥曲肽辅助治疗对高复发风险胰腺神经内分泌肿瘤患者的实际疗效:多中心回顾性队列研究
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-10 DOI: 10.1111/jne.13442
Shiwei Guo, Heshui Wu, Suizhi Gao, Weiyu Hu, Hui Jiang, Yun Bian, Yijie Zhang, Bo Li, Gang Li, Xuefeng Xu, Min Wang, Chenglin Zhu, Linlin Qu, Qiang Huang, Renyi Qin, Wenhui Lou, Gang Jin

Adjuvant therapy for pancreatic neuroendocrine tumors (PanNETs) after radical resection lacks evidence-based data and remains controversial. This study aimed to validate whether long-acting octreotide is a potential candidate for adjuvant therapy in patients with G2 PanNETs at high recurrence risk by clustering real-world data. A retrospective review of patients with nonmetastatic grade 2 PanNETs who underwent radical resection at six research centers between 2008 and 2020 was conducted. Propensity score matching and inverse probability of treatment weight analysis were used to control confounding factors. Overall, 357 patients (octreotide group, n = 82; control group, n = 275) were analyzed. Kaplan–Meier survival analyses showed that the octreotide group had longer disease-free survival (DFS) compared with the control group (36 months: 93.3% vs. 79.0%, p = .0124; 60 months: 71% vs. 67.6%, p = .0596, respectively), as well as overall survival (OS) (60 months: 98% vs. 83.8%, p = .0117, respectively). Multivariate analyses indicated that octreotide long-acting repeatable (LAR) adjuvant therapy was associated with higher OS (p = .0270) at 60 months. Propensity score matching analysis showed that octreotide adjuvant therapy was associated with higher DFS (p = .0455) and OS (p = .0190) at 60 months. Similar results were obtained via inverse probability of treatment weight analysis. Subgroup analysis indicated that octreotide LAR was associated with a high DFS in patients with lymph node metastasis or Ki-67 <10% PanNETs. Adjuvant therapy with long-acting octreotide following radical resection of nonmetastatic G2 PanNETs may be associated with improved DFS and OS in a real-world setting.

胰腺神经内分泌肿瘤(PanNET)根治性切除术后的辅助治疗缺乏循证数据,仍存在争议。本研究旨在通过聚类真实世界的数据,验证长效奥曲肽是否是G2 PanNET高复发风险患者辅助治疗的潜在候选药物。研究对2008年至2020年间在六个研究中心接受根治性切除术的非转移性2级PanNET患者进行了回顾性研究。采用倾向评分匹配和治疗权重逆概率分析来控制混杂因素。总共分析了357名患者(奥曲肽组,n = 82;对照组,n = 275)。卡普兰-梅耶生存分析显示,与对照组相比,奥曲肽组的无病生存期(DFS)更长(36 个月:93.3% 对 79.3%):93.3% vs. 79.0%,p = .0124;60 个月:71% vs. 67.6%,p = .0124;60 个月:71% vs. 67.6%,p = .0124:分别为 71% vs. 67.6%,p = .0596),以及总生存期(OS)(60 个月:分别为 98% vs. 83.8%,p = .0117)。多变量分析表明,奥曲肽长效重复(LAR)辅助治疗与60个月时较高的OS相关(p = .0270)。倾向评分匹配分析显示,奥曲肽辅助治疗与60个月时较高的DFS(p = .0455)和OS(p = .0190)相关。通过治疗权重的逆概率分析也得到了类似的结果。亚组分析表明,在淋巴结转移或Ki-67 <10% PanNETs患者中,奥曲肽LAR与较高的DFS相关。在现实世界中,非转移性G2 PanNET根治性切除术后使用长效奥曲肽进行辅助治疗可能会改善DFS和OS。
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引用次数: 0
Lack of a genetic risk continuum between pubertal timing in the general population and idiopathic hypogonadotropic hypogonadism 普通人群的青春期发育时间与特发性性腺功能减退症之间缺乏遗传风险连续性
IF 3.3 4区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2024-09-10 DOI: 10.1111/jne.13445
Lacey Plummer, Ravikumar Balasubramanian, Maria Stamou, Mark Campbell, Pranav Dewan, Nora Bryant, Kathryn Salnikov, Margaret Lippincott, Stephanie Seminara

Pubertal timing is a highly heritable trait in the general population. Recently, a large-scale exome-wide association study has implicated rare variants in six genes (KDM4C, MC3R, MKRN3, PDE10A, TACR3, and ZNF483) as genetic determinants of pubertal timing within the general population. Two of the genes (TACR3, MKRN3) are already implicated in extreme disorders of pubertal timing. This observation suggests that there may be a pervasive “genetic risk continuum” wherein genes that govern pubertal timing in the general population, by extension, may also be causal for rare Mendelian disorders of pubertal timing. Hence, we hypothesized that the four novel genes linked to pubertal timing in the population will also contribute to idiopathic hypogonadotropic hypogonadism (IHH), a genetic disorder characterized by absent puberty. Exome sequencing data from 1322 unrelated IHH probands were reviewed for rare sequence variants (RSVs) (minor allele frequency bins: <1%; <0.1%; <0.01%) in the six genes linked to puberty in the general population. A gene-based rare variant association testing (RVAT) was performed between the IHH cohort and a reference public genomic sequences repository—the Genome Aggregation Database (gnomAD). As expected, RVAT analysis showed that RSVs in TACR3, a known IHH gene, were significantly enriched in the IHH cohort compared to gnomAD cohort across all three MAF bins. However, RVAT analysis of the remaining five genes failed to show any RSV enrichment in the IHH cohort across all MAF bins. Our findings argue strongly against a pervasive genetic risk continuum between pubertal timing in the general population and extreme pubertal phenotypes. The biologic basis of such distinct genetic architectures' merits further evaluation.

在一般人群中,青春期时间是一个高度遗传的特征。最近,一项大规模的全外显子关联研究发现,6 个基因(KDM4C、MC3R、MKRN3、PDE10A、TACR3 和 ZNF483)中的罕见变异是普通人群中青春期时间的遗传决定因素。其中两个基因(TACR3、MKRN3)已经与青春期时间的极端紊乱有关。这一观察结果表明,可能存在一种普遍的 "遗传风险连续体",即在普通人群中控制青春期时间的基因,推而广之,也可能与罕见的孟德尔青春期时间紊乱症有关。因此,我们假设,与人群中青春期时间相关的四个新基因也会导致特发性性腺功能减退症(IHH),这是一种以青春期缺失为特征的遗传性疾病。研究人员对 1322 名无亲属关系的 IHH 患者的外显子组测序数据进行了审查,以寻找普通人群中与青春期有关的六个基因中的罕见序列变异(RSV)(小等位基因频率:<1%; <0.1%;<0.01%)。在IHH队列和参考公共基因组序列库--基因组聚合数据库(gnomAD)之间进行了基于基因的罕见变异关联测试(RVAT)。不出所料,RVAT 分析显示,与 gnomAD 队列相比,IHH 队列中已知的 IHH 基因 TACR3 中的 RSVs 在所有三个 MAF 区间都明显富集。然而,对其余五个基因的 RVAT 分析未能显示出在所有 MAF bins 中,IHH 群体中有任何 RSV 富集。我们的研究结果有力地证明,在普通人群的青春期时间和极端青春期表型之间不存在普遍的遗传风险连续体。这种不同遗传结构的生物学基础值得进一步评估。
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引用次数: 0
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Journal of Neuroendocrinology
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