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Varicella zoster virus meningoencephalitis and vasculopathy in an immunocompromised patient with rheumatoid arthritis: a diagnostic challenge. 免疫功能低下的类风湿关节炎患者的水痘带状疱疹病毒脑膜脑炎和血管病变:一个诊断挑战。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-02-02 DOI: 10.1007/s13365-026-01306-w
Maria Lima, Mantatzis Michail, Ioannidis Panagiotis, Grigoriadis Nikolaos, Afrantou Theodora
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引用次数: 0
Effects of cigarette smoke and HIV-1 factors on blood-brain barrier integrity and permeability in an in vitro model. 香烟烟雾和HIV-1因子对体外模型血脑屏障完整性和通透性的影响
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2026-01-02 DOI: 10.1007/s13365-025-01295-2
Joseph D Walker, Binu Tharakan, Talib Saafir, Walter Royal

Background: HIV-associated neurocognitive impairment (HAND) is a common complication of HIV-1 infection, which can be exacerbated by exposure to cigarette smoke (CS). Tight junction proteins (TJPs) of the blood-brain barrier (BBB) play a crucial role in maintaining BBB integrity and preventing the entry of circulating toxic factors, including those resulting from HIV-1 infection, into the central nervous system. Both CS exposure and HIV-1 infection can independently disrupt TJPs and compromise BBB integrity; however, the combined or individual effects of these factors on BBB TJPs remain poorly understood.

Methods: An in vitro BBB comprised of Sprague-Dawley rat brain microvascular endothelial cell (RBMVEC) transwell cultures was exposed to wild-type (WT) and HIV-1 transgenic (TG) rat sera, alone or in combination with cigarette smoke extract (CSE) and analyzed for trans-endothelial electrical resistance (TEER) and paracellular permeability to 10 kDa fluorescein isothiocyanate (FITC)-dextran. Immunofluorescence staining was performed to assess the effects of treatment on the cellular localization and expression of the TJPs, "zonula occludens-1 (ZO-1) and claudin-5.

Results: Pretreatment TEER measures were significantly higher for cultures treated with WT serum alone compared to those treated with TG serum or with CSE. Compared to pretreatment, TEER measures were significantly reduced by treatment with WT serum alone, CSE alone, WT serum + CSE, and TG serum + CSE. TG serum alone or TG serum + CSE resulted in statistically significant increased permeability compared to WT serum. All treatments decreased TJP staining intensity, and, in some cases, altered TJP localization. These effects were most prominent following incubation with either CSE alone, TG serum alone, or TG serum + CSE.

Conclusions: CSE and TG serum induced separate and additive toxic effects on BBB function and integrity, which may underlie mechanisms that are associated with more severe HAND among HIV+ cigarette smokers.

背景:hiv相关神经认知障碍(HAND)是HIV-1感染的常见并发症,暴露于香烟烟雾(CS)可加重。血脑屏障(BBB)的紧密连接蛋白(TJPs)在维持血脑屏障完整性和防止循环毒性因子(包括由HIV-1感染引起的毒性因子)进入中枢神经系统方面起着至关重要的作用。CS暴露和HIV-1感染均可单独破坏tjp并损害血脑屏障的完整性;然而,这些因素对血脑屏障tjp的综合或个体影响仍然知之甚少。方法:将Sprague-Dawley大鼠脑微血管内皮细胞(RBMVEC)跨井培养物组成的体外血屏障单独或与香烟烟雾提取物(CSE)联合暴露于野生型(WT)和HIV-1转基因(TG)大鼠血清中,分析其跨内皮电阻(TEER)和细胞旁对10 kDa异硫氰酸荧光素(FITC)-葡聚糖的渗透性。采用免疫荧光染色评估治疗对TJPs、occludens-1 (ZO-1)和claudin-5的细胞定位和表达的影响。结果:单独用WT血清处理的培养物的预处理TEER指标明显高于用TG血清或CSE处理的培养物。与预处理相比,单独使用WT血清、单独使用CSE、WT血清+ CSE和TG血清+ CSE治疗的TEER指标均显著降低。与WT血清相比,单独使用TG血清或TG血清+ CSE导致通透性增加具有统计学意义。所有处理都降低了TJP染色强度,在某些情况下,改变了TJP的定位。这些影响在单独使用CSE、单独使用TG血清或TG血清+ CSE孵育后最为显著。结论:CSE和TG血清诱导血脑屏障功能和完整性的单独和累加毒性作用,这可能是与HIV+吸烟者更严重的HAND相关的机制。
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引用次数: 0
Investigation of anti-N-methyl-D-aspartate receptor and anti-myelin oligodendrocyte glycoprotein antibodies in patients with human herpesviruses-associated central nervous system infections. 人疱疹病毒相关中枢神经系统感染患者抗n -甲基- d -天冬氨酸受体和抗髓鞘少突胶质细胞糖蛋白抗体的研究
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-26 DOI: 10.1007/s13365-025-01292-5
Soichiro Ishimaru, Yoshiki Kawamura, Hiroshi Sakuma, Sayuri Shima, Hiroki Miura, Akihiro Ueda, Hirohisa Watanabe, Tatsuro Mutoh, Tetsushi Yoshikawa

Human herpesviruses (HHVs) cause central nervous system (CNS) infections; however, the role of neural autoantibodies remains unclear. We aimed to assess the presence of anti-N-methyl-D-aspartate receptor (anti-NMDAR) and anti-myelin oligodendrocyte glycoprotein (MOG) antibodies in HHV-associated CNS infections. Seventeen adults with HHV DNA in the cerebrospinal fluid were tested using flow cytometry-based assays. None of the patients tested positive for anti-NMDAR antibodies. Anti-MOG antibodies were detected in two patients with VZV-associated CNS infection, one appearing after deterioration and the other at onset. Both patients recovered without sequelae. Anti-MOG antibodies may arise in VZV-associated CNS infections, warranting the consideration of autoimmune mechanisms.

人类疱疹病毒(hhv)引起中枢神经系统(CNS)感染;然而,神经自身抗体的作用仍不清楚。我们的目的是评估抗n -甲基- d -天冬氨酸受体(抗nmdar)和抗髓鞘少突胶质细胞糖蛋白(MOG)抗体在hhv相关中枢神经系统感染中的存在。用流式细胞术检测了17例脑脊液中携带HHV DNA的成年人。没有患者检测出抗nmdar抗体阳性。2例vzv相关中枢神经系统感染患者检测到抗mog抗体,1例在病情恶化后出现,1例在发病时出现。两例患者均痊愈,无后遗症。抗mog抗体可能出现在vzv相关的中枢神经系统感染中,需要考虑自身免疫机制。
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引用次数: 0
A report of progressive multifocal leukoencephalopathy during adjuvant abemaciclib for breast cancer. 乳腺癌辅助阿贝昔利治疗期间进行性多灶性脑白质病变报告。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-24 DOI: 10.1007/s13365-025-01296-1
Ricard Borras-Ferreres, Dimitri Peterlana, Francesca Segatta, Orazio Caffo

Drugs inhibiting the cyclin-dependent kinases (CDK) 4 and 6 are widely used for the treatment of luminal breast cancer, in the adjuvant and in the metastatic setting, and adverse events are well-known. Progressive multifocal leukoencephalopathy (PML) is classically linked to immunosuppression. We present a case of progressive multifocal leukoencephalopathy that developed during adjuvant abemaciclib therapy in a seventy-year-old woman diagnosed with locally advanced ductal carcinoma of the breast. Neurological impairment developed after 18 months of initiating abemaciclib and in imaging tests a left frontal brain lesion appeared. Metastasis was excluded and the evidence of the John Cunningham polyomavirus (JCPyV) genome, both in the blood and in the cerebrospinal fluid, supported the diagnosis of PML. We did not identify significant immune blood cell counts alterations, nor other causes of immunosuppression; the patient was not treated with other immunosuppressive drugs. We speculate that different immune mechanism alterations related to abemaciclib, which has a high penetration rate in the brain, may be involved in an increased risk of JCPyV reactivation and consequently PML development.

抑制细胞周期蛋白依赖性激酶(CDK) 4和6的药物广泛用于腔内乳腺癌的治疗,无论是辅助治疗还是转移治疗,其不良事件都是众所周知的。进行性多灶性脑白质病(PML)通常与免疫抑制有关。我们提出了一个病例进行性多灶性脑白质病,在辅助阿贝美昔利布治疗期间发展在一个70岁的妇女诊断为局部晚期乳腺导管癌。开始使用abemaciclib 18个月后出现神经损伤,影像学检查显示左额叶脑病变。排除转移,血液和脑脊液中存在约翰·坎宁安多瘤病毒(JCPyV)基因组的证据支持PML的诊断。我们没有发现显著的免疫血细胞计数改变,也没有发现其他免疫抑制的原因;患者未使用其他免疫抑制药物。我们推测,与abemaciclib相关的不同免疫机制改变可能与JCPyV再激活的风险增加有关,从而导致PML的发展。
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引用次数: 0
Proteomic and machine learning signatures of rabies virus infection reveal stage-specific biomarkers. 狂犬病毒感染的蛋白质组学和机器学习特征揭示了特定阶段的生物标志物。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-24 DOI: 10.1007/s13365-025-01294-3
Iana Suly Santos Katz, Elaine Raniero Fernandes, Fernanda Guedes, Sandriana Ramos Silva, Alfonso Portabales Souza, Koushik Vuttha, Leo Kei Iwai

Rabies virus (RABV) is a highly neurotropic pathogen with near-uniform lethality after symptom onset, yet the molecular mechanisms underlying disease progression in the central nervous system (CNS) remain poorly defined. To address this gap, we performed time-resolved, label-free quantitative proteomics in RABV-infected mouse brains at defined clinical phases of RABV infection (asymptomatic, progressive, terminal). Differential protein expression was analyzed by clustering, enrichment, and protein-protein interaction networks. Machine learning models classified infection stages, and top biomarkers were validated by Western blot. Principal component and clustering analyses separated infection phases robustly, while GO/KEGG and PPI analyses revealed a progression from cytoskeletal/trafficking remodeling (early) to innate immune activation (intermediate) and proteostasis collapse/neurodegeneration-linked pathways (late). A Support Vector Machines classifier discriminated phases with high performance (F1 = 0.88; AUC = 0.79) and SHAP interpretation highlighted LAMP2, IL18 and SNCA among the top phase-specific predictors, and confirmed experimentally. This integrative proteomics-machine learning approach maps dynamic molecular transitions during RABV infection and nominates diagnostic biomarkers relevant to neurovirology. These findings provide mechanistic insights into viral neuropathogenesis and highlight parallels with neurodegeneration.

狂犬病毒(RABV)是一种高度嗜神经性病原体,在症状出现后具有几乎一致的致死率,但其在中枢神经系统(CNS)中疾病进展的分子机制仍不清楚。为了解决这一空白,我们在RABV感染的确定临床阶段(无症状、进展、终末期)对感染RABV的小鼠大脑进行了时间分辨、无标记的定量蛋白质组学研究。通过聚类、富集和蛋白相互作用网络分析差异蛋白表达。机器学习模型对感染阶段进行分类,并通过Western blot验证顶级生物标志物。主成分分析和聚类分析强有力地分离了感染阶段,而GO/KEGG和PPI分析揭示了从细胞骨架/运输重塑(早期)到先天免疫激活(中期)和蛋白质平衡崩溃/神经变性相关途径(晚期)的进展。支持向量机分类器的相位识别性能较高(F1 = 0.88; AUC = 0.79), SHAP解释突出了LAMP2、IL18和SNCA是最重要的相位预测因子,并得到了实验证实。这种整合的蛋白质组学-机器学习方法绘制RABV感染过程中的动态分子转移,并提名与神经病毒学相关的诊断生物标志物。这些发现提供了对病毒神经发病机制的深入了解,并强调了与神经变性的相似之处。
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引用次数: 0
LncRNA MCF2L-AS1 inhibits neuronal damage induced by 1-methyl-4-phenylpyridinium (MPP+) via regulating miR-28-5p. LncRNA MCF2L-AS1通过调节miR-28-5p抑制1-甲基-4-苯基吡啶(MPP+)诱导的神经元损伤。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1007/s13365-025-01286-3
Dong Chen, Xiaona Dai, Cong Luo

Parkinson's disease (PD) is the second most prevalent progressive neurological movement condition worldwide. Previous studies have reported aberrant expression of lncRNA MCF2L-AS1 in PD. Therefore, this study aims to investigate the clinical significance of MCF2L-AS1 in PD patients and to explore whether MCF2L-AS1 is involved in the disease progression of PD by regulating miR-28-5p expression. The expression of MCF2L-AS1 was detected by using RT-qPCR. The diagnostic function of MCF2L-AS1 in PD was analyzed via ROC curves. CCK-8 assay was used to measure cell viability, and the apoptosis rate and ROS level were detected by flow cytometry. The targeted binding relationship between MCF2L-AS1 and miR-28-5p was detected using a dual-luciferase reporter gene assay. The concentration of MDA, SOD, and proinflammatory factors (TNF-α, IL-1β, and IL-6) was detected by using ELISA kits. This study found that the expression of MCF2L-AS1 was downregulated in patients with PD, and MCF2L-AS1 had predictive potential in PD. In addition, MCF2L-AS1 regulated MPP+-induced cell viability, apoptosis, oxidative stress, and inflammation of SH-SY5Y cells by regulating miR-28-5p expression. Therefore, MCF2L-AS1 may function as a biomarker for the diagnosis and treatment of PD.

帕金森病(PD)是世界上第二常见的进行性神经运动疾病。先前的研究报道了lncRNA MCF2L-AS1在PD中的异常表达。因此,本研究旨在探讨MCF2L-AS1在PD患者中的临床意义,并探讨MCF2L-AS1是否通过调节miR-28-5p的表达参与PD的疾病进展。采用RT-qPCR检测MCF2L-AS1的表达。采用ROC曲线分析MCF2L-AS1对PD的诊断功能。采用CCK-8法检测细胞活力,流式细胞术检测细胞凋亡率和ROS水平。使用双荧光素酶报告基因检测MCF2L-AS1与miR-28-5p之间的靶向结合关系。采用ELISA试剂盒检测MDA、SOD、促炎因子(TNF-α、IL-1β、IL-6)的浓度。本研究发现,MCF2L-AS1在PD患者中表达下调,MCF2L-AS1在PD中具有预测潜力。此外,MCF2L-AS1通过调节miR-28-5p的表达,调节MPP+诱导的SH-SY5Y细胞的细胞活力、凋亡、氧化应激和炎症。因此,MCF2L-AS1可能作为PD诊断和治疗的生物标志物。
{"title":"LncRNA MCF2L-AS1 inhibits neuronal damage induced by 1-methyl-4-phenylpyridinium (MPP+) via regulating miR-28-5p.","authors":"Dong Chen, Xiaona Dai, Cong Luo","doi":"10.1007/s13365-025-01286-3","DOIUrl":"10.1007/s13365-025-01286-3","url":null,"abstract":"<p><p>Parkinson's disease (PD) is the second most prevalent progressive neurological movement condition worldwide. Previous studies have reported aberrant expression of lncRNA MCF2L-AS1 in PD. Therefore, this study aims to investigate the clinical significance of MCF2L-AS1 in PD patients and to explore whether MCF2L-AS1 is involved in the disease progression of PD by regulating miR-28-5p expression. The expression of MCF2L-AS1 was detected by using RT-qPCR. The diagnostic function of MCF2L-AS1 in PD was analyzed via ROC curves. CCK-8 assay was used to measure cell viability, and the apoptosis rate and ROS level were detected by flow cytometry. The targeted binding relationship between MCF2L-AS1 and miR-28-5p was detected using a dual-luciferase reporter gene assay. The concentration of MDA, SOD, and proinflammatory factors (TNF-α, IL-1β, and IL-6) was detected by using ELISA kits. This study found that the expression of MCF2L-AS1 was downregulated in patients with PD, and MCF2L-AS1 had predictive potential in PD. In addition, MCF2L-AS1 regulated MPP<sup>+</sup>-induced cell viability, apoptosis, oxidative stress, and inflammation of SH-SY5Y cells by regulating miR-28-5p expression. Therefore, MCF2L-AS1 may function as a biomarker for the diagnosis and treatment of PD.</p>","PeriodicalId":16665,"journal":{"name":"Journal of NeuroVirology","volume":" ","pages":"564-573"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145409208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regulation of eco-tropic human immunodeficiency virus type-1-infection by sterile alpha motif and histidine-aspartic domain containing protein-1 in a microglial cell line: a novel in vitro model for studying HIV infection and latency in microglia. 无菌α基序和含组氨酸-天冬氨酸结构域的蛋白-1在小胶质细胞系中对嗜生态人类免疫缺陷病毒1型感染的调控:研究HIV感染和小胶质细胞潜伏期的一种新的体外模型。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-10-21 DOI: 10.1007/s13365-025-01280-9
Brita Ostermeier, Clarissa Halpern, Sanjay B Maggirwar

Microglia are considered the main human immunodeficiency virus (HIV) reservoirs in the central nervous system (CNS) due to their ability to become productively infected, produce new infectious HIV virions, and support HIV latency. The anatomical location of microglia necessitates the use of in vitro HIV infection models. However, currently available in vitro models are laced with limitations, including their suboptimal HIV infection rates, poor experimental tractability, and low affordability. Therefore, we sought to develop a new in vitro infection model that addresses these concerns. Here, we confirmed that microglia express sterile alpha motif and histidine-aspartic domain-containing protein-1 (SAMHD1), an antiviral mechanism that opposes HIV replication. We show that administration of simian immunodeficiency virus (SIV)-derived Vpx virus-like particles (VLPs) can reduce the levels of SAMHD1, thus allowing for increased infectivity in EcoHIV-infected CHME5 microglial cell line. With this model, we achieved higher initial rates of HIV infection. We could also track the cells using eGFP expression during active replication, latency, and latency reversal. Further, we developed a CHME5-EcoHIV + cell line using fluorescence-activated cell sorting (FACS). Despite high infectivity of HIV in CHME5 cells, we confirmed that limited latency reversal occurs following their exposure to conventional latency reversing agents (LRAs). Our novel microglia infection model saves researchers time and money and, due to its ease of use, can rapidly contribute to curative research in the field.

小胶质细胞被认为是中枢神经系统(CNS)中主要的人类免疫缺陷病毒(HIV)储存库,因为它们有能力成为有效感染,产生新的传染性HIV病毒,并支持HIV潜伏期。小胶质细胞的解剖位置需要使用体外HIV感染模型。然而,目前可用的体外模型存在局限性,包括它们的次优HIV感染率,较差的实验可追溯性和较低的可负担性。因此,我们试图开发一种新的体外感染模型来解决这些问题。在这里,我们证实了小胶质细胞表达无菌α基序和含组氨酸-天冬氨酸结构域蛋白1 (SAMHD1),这是一种对抗HIV复制的抗病毒机制。我们发现,给药猿猴免疫缺陷病毒(SIV)衍生的Vpx病毒样颗粒(VLPs)可以降低SAMHD1的水平,从而增加ecohiv感染的CHME5小胶质细胞系的传染性。有了这个模型,我们获得了更高的艾滋病毒感染率。我们还可以在活跃复制、潜伏期和潜伏期逆转期间使用eGFP表达来跟踪细胞。此外,我们利用荧光激活细胞分选(FACS)开发了一种CHME5-EcoHIV +细胞系。尽管HIV在CHME5细胞中具有很高的传染性,但我们证实,暴露于传统的潜伏期逆转剂(LRAs)后,潜伏期逆转发生有限。我们的新型小胶质细胞感染模型节省了研究人员的时间和金钱,并且由于其易于使用,可以迅速促进该领域的治疗研究。
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引用次数: 0
SARS-CoV-2-induced damage to rat cortical neuronal networks ex vivo is mediated by the pro-inflammatory activation of the cGAS-STING pathway. sars - cov -2诱导的体外大鼠皮质神经元网络损伤是由cGAS-STING通路的促炎激活介导的。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1007/s13365-025-01283-6
Pamela Martinez-Orellana, Matteo Manzati, Diletta Pozzi, Yingying Xiao, Alessio Di Clemente, Marika Mearelli, Chiara Kalebić, Valentina Perrera, Denise Ferrarini, Tea Carletti, Carmen Falcone, Michele Giugliano, Alessandro Marcello

Severe Acute Respiratory Syndrome Coronavirus-2 infection has been associated to neurological symptoms characteristic of long-lasting post-acute coronavirus disease. However, the complex mechanisms involved in these clinical manifestations are still unclear. Glial cells are key to inflammation and neurodegeneration in response to central nervous system infection. To investigate this pathway, induced pluripotent stem cells human astrocytes and human microglial HMC3 cells were infected with SARS-CoV-2. Astrocytes showed to be prone to infection, while HMC3 supported only marginal virus replication. A significant IFN-β response was induced in astrocytes, while both cell types showed some level of chemoattractant production. Interestingly, both glial cells showed signs of senescence and activation of the pro-inflammatory cGAS-STING pathway. To investigate if glial cells infection could impair the function of neuronal networks, primary rat cortical cultures seeded on multi-electrode arrays were used to monitor the electrical activity after exposure to SARS-CoV-2. Effective SARS-CoV-2 infection of the glia led to a major loss of synaptic connections, an increase expression and production of pro-inflammatory cytokines and chemokines, and an increase of DNA damage foci. Intriguingly, the pro-inflammatory response was cGAS-STING dependent. Finally, an antagonist of the cGAS-STING pathway was able to ameliorate the decrease in electrical activity early post-infection. These data point to SARS-CoV-2 infection of the glia as a culprit for neurological complications during COVID-19.

严重急性呼吸综合征冠状病毒-2感染与长期急性冠状病毒病后的神经系统症状相关。然而,这些临床表现的复杂机制尚不清楚。神经胶质细胞是中枢神经系统感染引起炎症和神经退行性变的关键。为了研究这一途径,我们用SARS-CoV-2感染了诱导多能干细胞、人星形胶质细胞和人小胶质细胞HMC3。星形胶质细胞易受感染,而HMC3仅支持边缘病毒复制。在星形胶质细胞中诱导了显著的IFN-β反应,而两种细胞类型都显示出一定程度的化学引诱物产生。有趣的是,两种胶质细胞都表现出衰老和促炎cGAS-STING通路激活的迹象。为了研究神经胶质细胞感染是否会损害神经网络的功能,采用多电极阵列播种的原代大鼠皮层培养物监测暴露于SARS-CoV-2后的脑电活动。有效的SARS-CoV-2感染胶质细胞导致突触连接的主要丧失,促炎细胞因子和趋化因子的表达和产生增加,以及DNA损伤灶的增加。有趣的是,促炎反应依赖于cGAS-STING。最后,cGAS-STING途径的拮抗剂能够改善感染后早期电活动的下降。这些数据表明,神经胶质细胞的SARS-CoV-2感染是COVID-19期间神经系统并发症的罪魁祸首。
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引用次数: 0
Progressive multifocal leukoencephalopathy in a young adult with DOCK8 deficiency: a case of JC virus reactivation in primary immunodeficiency. 进行性多灶性白质脑病的年轻人与DOCK8缺乏症:原发性免疫缺陷JC病毒再激活的情况。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-11-12 DOI: 10.1007/s13365-025-01279-2
Laura Naydovich, Joseph R Berger, Pavle S Milutinovic

Progressive multifocal leukoencephalopathy (PML) is a rare, often fatal demyelinating disease of the central nervous system (CNS) caused by JC virus (JCV) reactivation in the setting of impaired cellular immunity. While commonly associated with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) and immunosuppressive therapies, PML can also arise in primary immunodeficiency disorders. We report a case of PML in a young adult with autosomal recessive hyper-IgE syndrome (AR-HIES) due to DOCK8 deficiency, highlighting the importance of considering genetic immunodeficiencies in cases of JCV-PML without known iatrogenic or acquired causes.

进行性多灶性脑白质病(PML)是一种罕见的,通常是致命的中枢神经系统(CNS)脱髓鞘疾病,由细胞免疫受损的JC病毒(JCV)再激活引起。虽然PML通常与人类免疫缺陷病毒/获得性免疫缺陷综合征(艾滋病毒/艾滋病)和免疫抑制疗法有关,但也可在原发性免疫缺陷疾病中出现。我们报告一例因DOCK8缺乏而患有常染色体隐性高ige综合征(AR-HIES)的年轻成人PML病例,强调在没有已知医源性或获得性原因的JCV-PML病例中考虑遗传免疫缺陷的重要性。
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引用次数: 0
Combination antiretroviral therapy prevents SIV-induced aging in the hippocampus and neurodegeneration throughout the brain. 抗逆转录病毒联合治疗可防止siv诱导的海马体老化和整个大脑的神经变性。
IF 1.9 4区 医学 Q3 NEUROSCIENCES Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1007/s13365-025-01275-6
Miranda D Horn, Alison R Van Zandt, Cecily C Midkiff, Ahmad A Saied, Andrew G MacLean

Virus-induced accelerated aging has been proposed as a potential mechanism underlying the persistence of HIV-associated brain injury (HABI) despite advances in access and adherence to combination antiretroviral therapies (cART). While some studies have demonstrated evidence of accelerated aging in PLWH, studies examining the effects of cART intervention are limited, with most studies being in vitro or utilizing small animal models. Here, we utilized archival FFPE tissues from Simian immunodeficiency virus (SIV) infected rhesus macaques to assess the levels of two proteins commonly associated with aging - the cellular senescence marker p16INK4a (p16) and the NAD-dependent deacetylase sirtuin 1 (SIRT1). Our central hypothesis was that SIV infection induces accelerated aging phenotypes in the brain characterized by increased expression of p16 and SIRT1 that correlate with increased neurodegeneration, and that cART inhibits this process. We found that SIV infection induced increased GFAP, p16, SIRT1, and neurodegeneration in multiple brain regions. Importantly, cART reduced SIV-induced accelerated aging (p16 and SIRT1) in the hippocampus and neurodegeneration and GFAP expression in the frontal lobe. Combined, these data suggest that cART is both safe and effective in reducing neuroinflammation and age-associated alterations in astrocytes that contribute to neurodegeneration, providing possible therapeutic targets in the treatment of HABI.

尽管抗逆转录病毒联合疗法(cART)的可及性和依从性有所提高,但病毒诱导的加速衰老已被认为是hiv相关脑损伤(HABI)持续存在的潜在机制。虽然一些研究已经证明了PLWH加速衰老的证据,但检查cART干预效果的研究是有限的,大多数研究是在体外或利用小动物模型。在这里,我们利用猴免疫缺陷病毒(SIV)感染的恒河猴的FFPE档案组织来评估两种通常与衰老相关的蛋白质水平——细胞衰老标志物p16INK4a (p16)和nad依赖性去乙酰化酶sirtuin 1 (SIRT1)。我们的中心假设是SIV感染诱导大脑加速衰老表型,其特征是p16和SIRT1的表达增加,这与神经退行性变增加有关,而cART抑制了这一过程。我们发现SIV感染导致GFAP、p16、SIRT1和多个脑区神经变性增加。重要的是,cART降低了siv诱导的海马加速衰老(p16和SIRT1)、神经变性和额叶GFAP表达。综上所示,这些数据表明cART在减少神经炎症和星形胶质细胞的年龄相关改变方面既安全又有效,从而为HABI的治疗提供了可能的治疗靶点。
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引用次数: 0
期刊
Journal of NeuroVirology
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