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Suppression of HIV-TAT and cocaine-induced neurotoxicity and inflammation by cell penetrable itaconate esters. 可穿透细胞的衣康酸酯可抑制 HIV-TAT 和可卡因诱发的神经毒性和炎症。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-17 DOI: 10.1007/s13365-024-01216-9
B Celia Cui, Marina Aksenova, Aliaksandra Sikirzhytskaya, Diana Odhiambo, Elizaveta Korunova, Vitali Sikirzhytski, Hao Ji, Diego Altomare, Eugenia Broude, Norma Frizzell, Rosemarie Booze, Michael D Wyatt, Michael Shtutman

HIV-associated neurological disorder (HAND) is a serious complication of HIV infection marked by neurotoxicity induced by viral proteins like Tat. Substance abuse exacerbates neurocognitive impairment in people living with HIV. There is an urgent need for therapeutic strategies to combat HAND comorbid with Cocaine Use Disorder (CUD). Our analysis of HIV and cocaine-induced transcriptomes in primary cortical cultures revealed significant overexpression of the macrophage-specific gene aconitate decarboxylase 1 (Acod1). The ACOD1 protein converts the tricarboxylic acid intermediate cis-aconitate into itaconate during the activation of inflammation. Itaconate then facilitates cytokine production and activates anti-inflammatory transcription factors, shielding macrophages from infection-induced cell death. However, the immunometabolic function of itaconate was unexplored in HIV and cocaine-exposed microglia. We assessed the potential of 4-octyl-itaconate (4OI), a cell-penetrable ester form of itaconate known for its anti-inflammatory properties. When primary cortical cultures exposed to Tat and cocaine were treated with 4OI, microglial cell number increased and the morphological altercations induced by Tat and cocaine were reversed. Microglial cells also appeared more ramified, resembling the quiescent microglia. 4OI treatment inhibited secretion of the proinflammatory cytokines IL-1α, IL-1β, IL-6, and MIP1-α induced by Tat and cocaine. Transcriptome profiling determined that Nrf2 target genes were significantly activated in Tat and 4OI treated cultures relative to Tat alone. Further, genes associated with cytoskeleton dynamics in inflammatory microglia were downregulated by 4OI treatment. Together, the results strongly suggest 4-octyl-itaconate holds promise as a potential candidate for therapeutic development to treat HAND coupled with CUD comorbidities.

艾滋病毒相关神经系统疾病(HAND)是艾滋病毒感染的一种严重并发症,其特征是由 Tat 等病毒蛋白诱发的神经毒性。药物滥用会加剧艾滋病病毒感染者的神经认知障碍。目前急需治疗策略来应对与可卡因使用障碍(CUD)并发的艾滋病毒/艾滋病。我们对原代大脑皮层培养物中艾滋病毒和可卡因诱导的转录组进行了分析,发现巨噬细胞特异性基因醋酸脱羧酶1(Acod1)显著过表达。在炎症激活过程中,ACOD1 蛋白将三羧酸中间体顺式乌头转化为伊塔康酸。伊塔康酸随后会促进细胞因子的产生,激活抗炎转录因子,保护巨噬细胞免受感染诱导的细胞死亡。然而,伊塔康酸在艾滋病病毒和可卡因暴露的小胶质细胞中的免疫代谢功能尚未得到研究。我们评估了4-辛基-伊塔康酸(4OI)的潜力,它是伊塔康酸的一种细胞穿透酯形式,以其抗炎特性而闻名。当暴露于 Tat 和可卡因的原代大脑皮层培养物接受 4OI 处理时,小胶质细胞数量增加,Tat 和可卡因诱导的形态改变被逆转。小神经胶质细胞也出现了更多的分支,类似于静止的小神经胶质细胞。4OI 处理抑制了 Tat 和可卡因诱导的促炎细胞因子 IL-1α、IL-1β、IL-6 和 MIP1-α 的分泌。转录组分析表明,与单独使用 Tat 相比,Nrf2 靶基因在 Tat 和 4OI 处理的培养物中被显著激活。此外,与炎性小胶质细胞的细胞骨架动力学相关的基因在 4OI 处理后出现下调。这些结果有力地表明,4-辛基-伊他康酸有望成为治疗伴有 CUD 合并症的手足口病的潜在候选疗法。
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引用次数: 0
CD4 nadir and neurocognitive trajectories in people living with HIV. 艾滋病毒感染者的 CD4 最低点和神经认知轨迹。
IF 3.2 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-10 DOI: 10.1007/s13365-024-01217-8
Razmig Garabet, Will Dampier, Shinika Tillman, Kim Malone, Zsofia Szep, Amy Althoff, Vanessa Pirrone, Michael R Nonnemacher, Brian Wigdahl, Maria Schultheis, Kathryn N Devlin

Human immunodeficiency virus-associated neurocognitive disorders persist in the combination antiretroviral therapy era. CD4 nadir is a well-established predictor of cognition cross-sectionally, but its impact on longitudinal neurocognitive (NC) trajectories is unclear. The few studies on this topic examined trajectories of global cognition, rather than specific NC domains. The current study examined CD4 nadir in relation to domain-specific NC decline. 132 HIV + adults from the Temple/Drexel Comprehensive NeuroHIV Center, Clinical and Translational Research Support Core Cohort were administered comprehensive NC assessments longitudinally, with last visit occurring an average of 12 years after CD4 nadir. Linear mixed models were used to examine CD4 nadir in relation to longitudinal NC trajectories in three empirically identified NC domains: speed/executive function (S/EF), visuospatial memory (VM), and verbal fluency (VF). CD4 nadir was associated with change in VF (p = 0.020), but not with S/EF or VM. Specifically, those with CD4 nadir < 200 demonstrated increasing VF over time (p = .002), whereas those with CD4 nadir > 200 demonstrated stable VF (p = .568), though these differing trajectories may partly reflect regression to the mean or differential practice effect. CD4 dynamics over time were analyzed as potential mechanisms for the identified associations, with mixed findings. While low CD4 nadir has been associated with weaker neurocognition among people living with HIV, the results of this study suggest that low CD4 nadir is not associated with ongoing decline a decade later. Nadir-related deficits in VF may be stable or even improve over time, possibly reflecting the beneficial cognitive effects of long-term treatment and immune reconstitution.

在抗逆转录病毒联合疗法时代,与人类免疫缺陷病毒相关的神经认知障碍仍然存在。CD4 nadir 是预测横断面认知能力的公认指标,但其对纵向神经认知(NC)轨迹的影响尚不清楚。有关这一主题的研究为数不多,这些研究考察的是整体认知的轨迹,而不是特定的神经认知领域。本研究考察了 CD4 最低点与特定神经认知领域下降的关系。研究人员对来自坦普尔/德雷克塞尔综合神经艾滋病中心(Temple/Drexel Comprehensive NeuroHIV Center)、临床和转化研究支持核心队列的 132 名艾滋病毒感染者进行了纵向综合数控评估,最后一次访问平均发生在 CD4 最低点之后 12 年。采用线性混合模型研究了CD4最低点与纵向NC轨迹的关系,这三个NC领域是根据经验确定的:速度/执行功能(S/EF)、视觉空间记忆(VM)和语言流畅性(VF)。CD4 最低值与 VF 的变化相关(p = 0.020),但与 S/EF 或 VM 无关。具体来说,CD4 最低值为 200 的人表现出稳定的 VF(p = .568),尽管这些不同的轨迹可能部分反映了平均值的回归或不同的练习效果。我们分析了 CD4 随时间变化的动态变化,以此作为已确定关联的潜在机制,结果喜忧参半。虽然低 CD4 最低水平与艾滋病病毒感染者的神经认知能力较弱有关,但本研究结果表明,低 CD4 最低水平与十年后的持续下降无关。随着时间的推移,与基线相关的VF缺陷可能会保持稳定甚至有所改善,这可能反映了长期治疗和免疫重建对认知的有益影响。
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引用次数: 0
Induced expression of rabies glycoprotein in the dorsal hippocampus enhances hippocampal dependent memory in a rat model of Alzheimer's disease. 在阿尔茨海默病大鼠模型中,诱导海马背侧表达狂犬病糖蛋白可增强海马依赖性记忆。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-28 DOI: 10.1007/s13365-024-01221-y
Shayan Aliakbari, Leila Hasanzadeh, Mohammad Sayyah, Niloufar Amini, Hamid Gholami Pourbadie

The Rabies virus is a neurotropic virus that manipulates the natural cell death processes of its host to ensure its own survival and replication. Studies have shown that the anti-apoptotic effect of the virus is mediated by one of its protein named, rabies glycoprotein (RVG). Alzheimer's disease (AD) is characterized by the loss of neural cells and memory impairment. We aim to examine whether expression of RVG in the hippocampal cells can shield the detrimental effects induced by Aβ. Oligomeric form of Aβ (oAβ) or vehicle was bilaterally microinjected into the dorsal hippocampus of male Wistar rats. One week later, two μl (108 T.U. /ml) of the lentiviral vector carrying RVG gene was injected into their dorsal hippocampus (post-treatment). In another experiment, the lentiviral vector was microinjected one week before Aβ injection (pre-treatment). One week later, the rat's brain was sliced into cross-sections, and the presence of RVG-expressing neuronal cells was confirmed using fluorescent microscopy. Rats were subjected to assessments of spatial learning and memory as well as passive avoidance using the Morris water maze (MWM) and the Shuttle box apparatuses, respectively. Protein expression of AMPA receptor subunit (GluA1) was determined using western blotting technique. In MWM, Aβ treated rats showed decelerated acquisition of the task and impairment of reference memory. RVG expression in the hippocampus prevented and restored the deficits in both pre- and post- treatment conditions, respectively. It also improved inhibitory memory in the oAβ treated rats. RVG increased the expression level of GluA1 level in the hippocampus. Based on our findings, the expression of RVG in the hippocampus has the potential to enhance both inhibitory and spatial learning abilities, ultimately improving memory performance in an AD rat model. This beneficial effect is likely attributed, at least in part, to the increased expression of GluA1-containing AMPA receptors.

狂犬病病毒是一种神经性病毒,它操纵宿主细胞的自然死亡过程,以确保自身的生存和复制。研究表明,病毒的抗凋亡作用是由其一种名为狂犬病糖蛋白(RVG)的蛋白质介导的。阿尔茨海默病(AD)的特征是神经细胞丧失和记忆受损。我们的目的是研究 RVG 在海马细胞中的表达能否抵御 Aβ 的有害影响。在雄性 Wistar 大鼠的海马背侧双侧显微注射 Aβ(oAβ)的低聚体或载体。一周后,将两微升(108 T.U. /ml)携带 RVG 基因的慢病毒载体注射到雄性 Wistar 大鼠的海马背侧(治疗后)。在另一项实验中,慢病毒载体在注射 Aβ 前一周进行显微注射(预处理)。一周后,将大鼠大脑切成横截面,用荧光显微镜确认是否存在表达 RVG 的神经元细胞。分别使用莫里斯水迷宫(MWM)和穿梭箱装置对大鼠进行空间学习和记忆以及被动回避评估。利用Western印迹技术测定了AMPA受体亚基(GluA1)的蛋白表达。在MWM中,经Aβ处理的大鼠表现出获取任务的速度减慢和参考记忆受损。海马中 RVG 的表达分别防止和恢复了治疗前后的缺陷。它还改善了经 oAβ 处理的大鼠的抑制性记忆。RVG 提高了海马中 GluA1 的表达水平。根据我们的研究结果,在海马中表达 RVG 有可能增强抑制和空间学习能力,最终改善 AD 大鼠模型的记忆表现。这种有益作用可能至少部分归因于含 GluA1 的 AMPA 受体表达的增加。
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引用次数: 0
Limited HIV-associated neuropathologies and lack of immune activation in sub-saharan African individuals with late-stage subtype C HIV-1 infection. 撒哈拉以南非洲晚期 C 亚型 HIV-1 感染者中与 HIV 相关的神经病理变化有限且缺乏免疫激活。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-28 DOI: 10.1007/s13365-024-01219-6
Zhou Liu, Peter Julius, Victor Mudenda, Guobin Kang, Luis Del Valle, John T West, Charles Wood

Although previous studies have suggested that subtype B HIV-1 proviruses in the brain are associated with physiological changes and immune activation accompanied with microgliosis and astrogliosis, and indicated that both HIV-1 subtype variation and geographical location might influence the neuropathogenicity of HIV-1 in the brain. The natural course of neuropathogenesis of the most widespread subtype C HIV-1 has not been adequately investigated, especially for people living with HIV (PLWH) in sub-Saharan Africa. To characterize the natural neuropathology of subtype C HIV-1, postmortem frontal lobe and basal ganglia tissues were collected from nine ART-naïve individuals who died of late-stage AIDS with subtype C HIV-1 infection, and eight uninfected deceased individuals as controls. Histological staining was performed on all brain tissues to assess brain pathologies. Immunohistochemistry (IHC) against CD4, p24, Iba-1, GFAP, and CD8 in all brain tissues was conducted to evaluate potential viral production and immune activation. Histological results showed mild perivascular cuffs of lymphocytes only in a minority of the infected individuals. Viral capsid p24 protein was only detected in circulating immune cells of one infected individual, suggesting a lack of productive HIV-1 infection of the brain even at the late-stage of AIDS. Notably, similar levels of Iba-1 or GFAP between HIV + and HIV- brain tissues indicated a lack of microgliosis and astrogliosis, respectively. Similar levels of CD8 + cytotoxic T lymphocyte (CTL) infiltration between HIV + and HIV- brain tissues indicated CTL were not likely to be involved within subtype C HIV-1 infected participants of this cohort. Results from this subtype C HIV-1 study suggest that there is a lack of productive infection and limited neuropathogenesis by subtype C HIV-1 even at late-stage disease, which is in contrast to what was reported for subtype B HIV-1 by other investigators.

尽管之前的研究表明,大脑中的 B 亚型 HIV-1 病毒原与生理变化和免疫激活有关,并伴有小胶质细胞增生和星形胶质细胞增生,并指出 HIV-1 亚型的变异和地理位置可能会影响 HIV-1 在大脑中的神经致病性。目前尚未对最常见的 C 亚型 HIV-1 的自然神经发病过程进行充分研究,尤其是撒哈拉以南非洲地区的 HIV 感染者(PLWH)。为了描述 C 亚型 HIV-1 的自然神经病理学特征,研究人员从 9 名因感染 C 亚型 HIV-1 而死于艾滋病晚期的抗逆转录病毒疗法(ART)未接受者和 8 名未受感染的已故对照者身上采集了死后额叶和基底节组织。对所有脑组织进行组织学染色,以评估脑部病变。对所有脑组织进行了针对 CD4、p24、Iba-1、GFAP 和 CD8 的免疫组化(IHC),以评估潜在的病毒生成和免疫激活。组织学结果显示,只有少数感染者的血管周围出现了轻微的淋巴细胞袖套。仅在一名感染者的循环免疫细胞中检测到病毒帽 p24 蛋白,这表明即使在艾滋病晚期,脑部也没有产生 HIV-1 感染。值得注意的是,HIV+和HIV-脑组织中的Iba-1或GFAP水平相似,分别表明缺乏小胶质细胞和星形胶质细胞。HIV + 和 HIV- 脑组织中的 CD8 + 细胞毒性 T 淋巴细胞(CTL)浸润水平相似,表明 CTL 不太可能参与该队列中的 C 亚型 HIV-1 感染者。这项 C 亚型 HIV-1 病毒研究的结果表明,即使在疾病晚期,C 亚型 HIV-1 病毒也不会造成生产性感染,其神经发病机制也很有限,这与其他研究人员对 B 亚型 HIV-1 病毒的研究结果形成了鲜明对比。
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引用次数: 0
A viral attack on brain tumors: the potential of oncolytic virus therapy. 病毒攻击脑肿瘤:溶瘤病毒疗法的潜力。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-05-28 DOI: 10.1007/s13365-024-01209-8
Kasra Mokhtarpour, Milad Akbarzadehmoallemkolaei, Nima Rezaei

Managing malignant brain tumors remains a significant therapeutic hurdle that necessitates further research to comprehend their treatment potential fully. Oncolytic viruses (OVs) offer many opportunities for predicting and combating tumors through several mechanisms, with both preclinical and clinical studies demonstrating potential. OV therapy has emerged as a potent and effective method with a dual mechanism. Developing innovative and effective strategies for virus transduction, coupled with immune checkpoint inhibitors or chemotherapy drugs, strengthens this new technique. Furthermore, the discovery and creation of new OVs that can seamlessly integrate gene therapy strategies, such as cytotoxic, anti-angiogenic, and immunostimulatory, are promising advancements. This review presents an overview of the latest advancements in OVs transduction for brain cancer, focusing on the safety and effectiveness of G207, G47Δ, M032, rQNestin34.5v.2, C134, DNX-2401, Ad-TD-nsIL12, NSC-CRAd-S-p7, TG6002, and PVSRIPO. These are evaluated in both preclinical and clinical models of various brain tumors.

治疗恶性脑肿瘤仍然是一个重大的治疗障碍,需要进一步研究才能充分了解其治疗潜力。肿瘤溶解病毒(OV)通过多种机制为预测和抗击肿瘤提供了许多机会,临床前和临床研究都证明了其潜力。OV 疗法已成为一种具有双重机制的强效方法。开发创新而有效的病毒转导策略,并与免疫检查点抑制剂或化疗药物相结合,可以加强这种新技术。此外,发现和创造能无缝整合细胞毒性、抗血管生成和免疫刺激等基因治疗策略的新型 OV 也是很有希望的进展。本综述概述了脑癌 OVs 转导的最新进展,重点介绍 G207、G47Δ、M032、rQNestin34.5v.2、C134、DNX-2401、Ad-TD-nsIL12、NSC-CRAd-S-p7、TG6002 和 PVSRIPO 的安全性和有效性。这些药物已在各种脑肿瘤的临床前和临床模型中进行了评估。
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引用次数: 0
Caffeine upregulates SIRT3 expression to ameliorate astrocytes-mediated HIV-1 Tat neurotoxicity via suppression of EGR1 signaling pathway. 咖啡因通过抑制EGR1信号通路上调SIRT3的表达,从而改善星形胶质细胞介导的HIV-1 Tat神经毒性
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-26 DOI: 10.1007/s13365-024-01222-x
Lin Gao, Weixi Sun, Lei Zhang, Caixia Liang, Dongmei Zhang

Caffeine is one of the most popular consumed psychostimulants that mitigates several neurodegenerative diseases. Nevertheless, the roles and molecular mechanisms of caffeine in HIV-associated neurocognitive disorders (HAND) remain largely unclear. Transactivator of transcription (Tat) is a major contributor to the neuropathogenesis of HAND in the central nervous system. In the present study, we determined that caffeine (100 µM) treatment significantly ameliorated Tat-induced decreased astrocytic viability, oxidative stress, inflammatory response and excessive glutamate and ATP release, thereby protecting neurons from apoptosis. Subsequently, SIRT3 was demonstrated to display neuroprotective effects against Tat during caffeine treatment. In addition, Tat downregulated SIRT3 expression via activation of EGR1 signaling, which was reversed by caffeine treatment in astrocytes. Overexpression of EGR1 entirely abolished the neuroprotective effects of caffeine against Tat. Furthermore, counteracting Tat or caffeine-induced differential expression of SIRT3 abrogated the neuroprotection of caffeine against Tat-triggered astrocytic dysfunction and neuronal apoptosis. Taken together, our study establishes that caffeine ameliorates astrocytes-mediated Tat neurotoxicity by targeting EGR1/SIRT3 signaling pathway. Our findings highlight the beneficial effects of caffeine on Tat-induced astrocytic dysfunction and neuronal death and propose that caffeine might be a novel therapeutic drug for relief of HAND.

咖啡因是最常用的精神兴奋剂之一,可减轻多种神经退行性疾病。然而,咖啡因在艾滋病相关神经认知障碍(HAND)中的作用和分子机制在很大程度上仍不清楚。转录激活因子(Tat)是导致中枢神经系统 HAND 神经发病机制的主要因素。在本研究中,我们发现咖啡因(100 µM)能显著改善 Tat 引起的星形胶质细胞活力下降、氧化应激、炎症反应以及谷氨酸和 ATP 过度释放,从而保护神经元免于凋亡。随后,SIRT3 被证明在咖啡因处理期间对 Tat 具有神经保护作用。此外,Tat 通过激活 EGR1 信号来下调 SIRT3 的表达,而咖啡因处理可逆转星形胶质细胞中 SIRT3 的表达。EGR1 的过表达完全消除了咖啡因对 Tat 的神经保护作用。此外,抵消 Tat 或咖啡因诱导的 SIRT3 差异表达会削弱咖啡因对 Tat 触发的星形胶质细胞功能障碍和神经元凋亡的神经保护作用。综上所述,我们的研究证实咖啡因能通过靶向 EGR1/SIRT3 信号通路改善星形胶质细胞介导的 Tat 神经毒性。我们的研究结果突显了咖啡因对 Tat 诱导的星形胶质细胞功能障碍和神经元死亡的有益影响,并提出咖啡因可能是缓解手足口病的新型治疗药物。
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引用次数: 0
Role of inflammatory cytokine burst in neuro-invasion of Japanese Encephalitis virus infection: an immunotherapeutic approaches. 炎性细胞因子爆发在日本脑炎病毒感染的神经入侵中的作用:一种免疫治疗方法。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-06 DOI: 10.1007/s13365-024-01212-z
Firoz Ahmad, Shad Ahmad, Adil Husain, Niharika Pandey, Mohd Khubaib, Rolee Sharma

Japanese Encephalitis remains a significant global health concern, contributing to millions of deaths annually worldwide. Microglial cells, as key innate immune cells within the central nervous system (CNS), exhibit intricate cellular structures and possess molecular phenotypic plasticity, playing pivotal roles in immune responses during CNS viral infections. Particularly under viral inflammatory conditions, microglial cells orchestrate innate and adaptive immune responses to mitigate viral invasion and dampen inflammatory reactions. This review article comprehensively summarizes the pathophysiology of viral invasion into the CNS and the cellular interactions involved, elucidating the roles of various immune mediators, including pro-inflammatory cytokines, in neuroinflammation. Leveraging this knowledge, strategies for modulating inflammatory responses and attenuating hyperactivation of glial cells to mitigate viral replication within the brain are discussed. Furthermore, current chemotherapeutic and antiviral drugs are examined, elucidating their mechanisms of action against viral replication. This review aims to provide insights into therapeutic interventions for Japanese Encephalitis and related viral infections, ultimately contributing to improved outcomes for affected individuals.

日本脑炎仍然是一个重大的全球健康问题,每年导致全球数百万人死亡。小胶质细胞是中枢神经系统(CNS)内的关键先天性免疫细胞,具有复杂的细胞结构和分子表型可塑性,在中枢神经系统病毒感染期间的免疫反应中发挥着关键作用。特别是在病毒炎症条件下,小胶质细胞协调先天性和适应性免疫反应,以减轻病毒入侵和抑制炎症反应。这篇综述文章全面总结了病毒入侵中枢神经系统的病理生理学和所涉及的细胞相互作用,阐明了包括促炎细胞因子在内的各种免疫介质在神经炎症中的作用。利用这些知识,讨论了调节炎症反应和减轻神经胶质细胞过度激活以减轻病毒在脑内复制的策略。此外,还研究了当前的化疗和抗病毒药物,阐明了它们对病毒复制的作用机制。本综述旨在为日本脑炎和相关病毒感染的治疗干预提供见解,最终有助于改善患者的预后。
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引用次数: 0
Diagnostic value of anti-VZV IgG in neurological diseases among varicella unvaccinated individuals. 抗 VZV IgG 对未接种水痘疫苗者神经系统疾病的诊断价值。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-07-31 DOI: 10.1007/s13365-024-01224-9
Ilakkiya Arumugam, Sivacchandran Subbarayan Rajasekaran, Krithika Gopalakrishnan, Sivasubramaniyan Gnanaskandan, Seetha N Jeganathan, Jayasri Athi, Ranjana Shanmugaraj, Rithivik Ramesh, V Shankar, Kaveri Krishnasamy, Lakshmi Narasimhan Ranganathan, Umamaheswari Balakrishnan, Ravi Mahalingam, Andrew N Bubak, Maria Acena Nagel, Padma Srikanth

Varicella zoster virus (VZV) is a neurotropic alphaherpesvirus that causes neurological manifestations either as a complication of primary infection or reactivation. VZV induced neurological diseases have a good prognosis when confirmed early and treated with anti-viral therapy. Myelitis, encephalitis, ventriculitis or meningitis can occur without a telltale rash in immunocompetent and immunocompromised individuals making the diagnosis difficult. We analyzed CSF and serum samples from 30 unvaccinated study participants (17 male and 13 female) to determine the presence of VZV DNA by PCR in CSF and to estimate serum and CSF anti-VZV IgG and albumin levels in participants with neurological manifestations with/without rash. Anti-VZV IgG was detected in CSF (n = 22, [73%]) and serum (n = 29, [97%]) of pediatric and adult participants. Anti-VZV IgG were detected in CSF of participants with varied clinical presentation altered sensorium (n = 8, [36%]), meningitis (n = 4, [18%]), acute febrile illness (n = 3, [14%], encephalopathy/meningoencephalitis (n = 2, [9%]), irritability (n = 2, [9%]) and each patient from cerebrovascular stroke, demyelinating disorder and febrile seizure (n = 1, [4.5%]). VZV DNA was detected from one participant and CSF serum albumin levels were elevated in 53% of study participants. VZV DNA is present up to 1-2 weeks post onset of disease, after which anti-VZV antibody may be the only indicator of disease and therefore both VZV DNA and anti-VZV IgG need to be tested for in CSF. As VZV DNA and VZV IgG antibody are both good indicators of VZV reactivation, routine testing would result in reduced morbidity and mortality by early detection of disease and antiviral treatment.

水痘带状疱疹病毒(VZV)是一种侵袭神经的阿尔法疱疹病毒,可作为原发感染或再激活的并发症引起神经系统表现。如果及早确诊并接受抗病毒治疗,VZV 引起的神经系统疾病预后良好。脊髓炎、脑炎、脑室炎或脑膜炎可发生在免疫功能正常或免疫功能低下的人身上,但不会出现明显的皮疹,这给诊断带来了困难。我们分析了 30 名未接种疫苗的研究参与者(17 名男性和 13 名女性)的脑脊液和血清样本,通过 PCR 检测脑脊液中是否存在 VZV DNA,并估算有/无皮疹的神经系统表现的参与者的血清和脑脊液抗 VZV IgG 和白蛋白水平。在儿童和成人参与者的脑脊液(22 人,[73%])和血清(29 人,[97%])中检测到抗 VZV IgG。在有不同临床表现的参与者的脑脊液中检测到抗 ZVV IgG:感觉改变(8 人,[36%])、脑膜炎(4 人,[18%])、急性发热性疾病(3 人,[14%])、脑病/脑膜脑炎(2 人,[9%])、易激惹(2 人,[9%])以及脑血管中风、脱髓鞘疾病和发热性癫痫发作(1 人,[4.5%])。从一名参与者体内检测到了 VZV DNA,53% 的研究参与者脑脊液血清白蛋白水平升高。VZV DNA 可在发病后 1-2 周内出现,此后抗 VZV 抗体可能是疾病的唯一指标,因此需要检测 CSF 中的 VZV DNA 和抗 VZV IgG。由于 VZV DNA 和 VZV IgG 抗体都是 VZV 再激活的良好指标,常规检测将通过早期发现疾病和抗病毒治疗降低发病率和死亡率。
{"title":"Diagnostic value of anti-VZV IgG in neurological diseases among varicella unvaccinated individuals.","authors":"Ilakkiya Arumugam, Sivacchandran Subbarayan Rajasekaran, Krithika Gopalakrishnan, Sivasubramaniyan Gnanaskandan, Seetha N Jeganathan, Jayasri Athi, Ranjana Shanmugaraj, Rithivik Ramesh, V Shankar, Kaveri Krishnasamy, Lakshmi Narasimhan Ranganathan, Umamaheswari Balakrishnan, Ravi Mahalingam, Andrew N Bubak, Maria Acena Nagel, Padma Srikanth","doi":"10.1007/s13365-024-01224-9","DOIUrl":"10.1007/s13365-024-01224-9","url":null,"abstract":"<p><p>Varicella zoster virus (VZV) is a neurotropic alphaherpesvirus that causes neurological manifestations either as a complication of primary infection or reactivation. VZV induced neurological diseases have a good prognosis when confirmed early and treated with anti-viral therapy. Myelitis, encephalitis, ventriculitis or meningitis can occur without a telltale rash in immunocompetent and immunocompromised individuals making the diagnosis difficult. We analyzed CSF and serum samples from 30 unvaccinated study participants (17 male and 13 female) to determine the presence of VZV DNA by PCR in CSF and to estimate serum and CSF anti-VZV IgG and albumin levels in participants with neurological manifestations with/without rash. Anti-VZV IgG was detected in CSF (n = 22, [73%]) and serum (n = 29, [97%]) of pediatric and adult participants. Anti-VZV IgG were detected in CSF of participants with varied clinical presentation altered sensorium (n = 8, [36%]), meningitis (n = 4, [18%]), acute febrile illness (n = 3, [14%], encephalopathy/meningoencephalitis (n = 2, [9%]), irritability (n = 2, [9%]) and each patient from cerebrovascular stroke, demyelinating disorder and febrile seizure (n = 1, [4.5%]). VZV DNA was detected from one participant and CSF serum albumin levels were elevated in 53% of study participants. VZV DNA is present up to 1-2 weeks post onset of disease, after which anti-VZV antibody may be the only indicator of disease and therefore both VZV DNA and anti-VZV IgG need to be tested for in CSF. As VZV DNA and VZV IgG antibody are both good indicators of VZV reactivation, routine testing would result in reduced morbidity and mortality by early detection of disease and antiviral treatment.</p>","PeriodicalId":16665,"journal":{"name":"Journal of NeuroVirology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141860071","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
Differential expression of cellular prion protein (PrPC) in mouse hepatitis virus induced neuroinflammation. 细胞朊病毒蛋白(PrPC)在小鼠肝炎病毒诱导的神经炎症中的差异表达。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-26 DOI: 10.1007/s13365-024-01215-w
Satavisha Ghosh, Rishika Jana, Soumen Jana, Rahul Basu, Madhurima Chatterjee, Nishtha Ranawat, Jayasri Das Sarma

The cellular prion protein (PrPC) is an extracellular cell membrane protein. Due to its diversified roles, a definite role of PrPC has been difficult to establish. During viral infection, PrPC has been reported to play a pleiotropic role. Here, we have attempted to envision the function of PrPC in the neurotropic m-CoV-MHV-RSA59-induced model of neuroinflammation in C57BL/6 mice. A significant upregulation of PrPC at protein and mRNA levels was evident in infected mouse brains during the acute phase of neuroinflammation. Furthermore, investigation of the effect of MHV-RSA59 infection on PrPC expression in specific neuronal, microglial, and astrocytoma cell lines, revealed a differential expression of prion protein during neuroinflammation. Additionally, siRNA-mediated downregulation of prnp transcripts reduced the expression of viral antigen and viral infectivity in these cell lines. Cumulatively, our results suggest that PrPC expression significantly increases during acute MHV-RSA59 infection and that PrPC also assists in viral infectivity and viral replication.

细胞朊病毒蛋白(PrPC)是一种细胞外细胞膜蛋白。由于 PrPC 的作用多种多样,因此很难确定其确切的作用。据报道,在病毒感染过程中,PrPC 发挥着多重作用。在此,我们尝试设想 PrPC 在 m-CoV-MHV-RSA59 诱发的 C57BL/6 小鼠神经炎症模型中的功能。在神经炎症的急性期,受感染小鼠大脑中的 PrPC 蛋白和 mRNA 水平明显上调。此外,通过研究 MHV-RSA59 感染对特定神经元、小胶质细胞和星形细胞瘤细胞系中 PrPC 表达的影响,发现神经炎症期间朊病毒蛋白的表达存在差异。此外,siRNA 介导的 prnp 转录本下调降低了这些细胞系的病毒抗原表达和病毒传染性。综上所述,我们的研究结果表明,在 MHV-RSA59 急性感染期间,PrPC 的表达明显增加,PrPC 还有助于病毒的感染性和病毒复制。
{"title":"Differential expression of cellular prion protein (PrP<sup>C</sup>) in mouse hepatitis virus induced neuroinflammation.","authors":"Satavisha Ghosh, Rishika Jana, Soumen Jana, Rahul Basu, Madhurima Chatterjee, Nishtha Ranawat, Jayasri Das Sarma","doi":"10.1007/s13365-024-01215-w","DOIUrl":"10.1007/s13365-024-01215-w","url":null,"abstract":"<p><p>The cellular prion protein (PrP<sup>C</sup>) is an extracellular cell membrane protein. Due to its diversified roles, a definite role of PrP<sup>C</sup> has been difficult to establish. During viral infection, PrP<sup>C</sup> has been reported to play a pleiotropic role. Here, we have attempted to envision the function of PrP<sup>C</sup> in the neurotropic m-CoV-MHV-RSA59-induced model of neuroinflammation in C57BL/6 mice. A significant upregulation of PrP<sup>C</sup> at protein and mRNA levels was evident in infected mouse brains during the acute phase of neuroinflammation. Furthermore, investigation of the effect of MHV-RSA59 infection on PrP<sup>C</sup> expression in specific neuronal, microglial, and astrocytoma cell lines, revealed a differential expression of prion protein during neuroinflammation. Additionally, siRNA-mediated downregulation of prnp transcripts reduced the expression of viral antigen and viral infectivity in these cell lines. Cumulatively, our results suggest that PrP<sup>C</sup> expression significantly increases during acute MHV-RSA59 infection and that PrP<sup>C</sup> also assists in viral infectivity and viral replication.</p>","PeriodicalId":16665,"journal":{"name":"Journal of NeuroVirology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141450665","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
Serum mir-142-3p release in children with viral encephalitis and its relationship with nerve injury and inflammatory response. 病毒性脑炎患儿血清 mir-142-3p 的释放及其与神经损伤和炎症反应的关系。
IF 2.3 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-06-01 Epub Date: 2024-06-11 DOI: 10.1007/s13365-024-01214-x
Yanjiang Liu, ZhenFang Wang, Xiaoli Liu, Qinghua Yang, Zhuoling Tian, Junmei Liu

Background: Viral encephalitis (VE) is a common infectious disease of the central nervous system in children. Children with severe disease may have progressive neurological damage and even lead to death.

Aims: To assess the serum miR-142-3p levels in children with VE and the correlation between miR-142-3p and the severity and prognosis of VE. Besides, its relationship with nerve injury and inflammatory response was assessed.

Methods: Children with VE were regarded as a case group and healthy children served as control. The content of serum miR-142-3p was determined using real-time quantitative PCR. The risk factors associated with severity and prognosis of cases were evaluated using logistic analysis. The discrepancy in miR-142-3p levels, nerve injury-related indicators, and inflammatory cytokines were contrasted among groups. The ROC curve was conducted to assess the diagnostic performance of serum miR-142-3p in predicting prognosis of children with VE.

Results: The altered expression of miR-142-3p in serum of children with VE was enhanced in contrast to healthy control. Serum nerve injury indicators MBP, β-EP, and NSE levels and serum inflammatory cytokines IL-6, IL-18, and IFN-γ were high in children with VE in contrast to healthy control, and had positive relevance with serum miR-142-3p. Besides, serum miR-142-3p was a risk factor associated with the severity and prognosis of children with VE. Serum miR-142-3p had diagnostic performance in predicting the prognosis of children with VE.

Conclusion: Serum miR-142-3p content is high in children with VE and maybe a diagnosis marker for predicting prognosis. The specific miR-142-3p expression may be directly related to the severity of nerve injury and inflammatory response for VE.

背景:病毒性脑炎(VE)是一种常见的儿童中枢神经系统感染性疾病。目的:评估 VE 患儿的血清 miR-142-3p 水平,以及 miR-142-3p 与 VE 严重程度和预后的相关性。此外,还评估其与神经损伤和炎症反应的关系:方法:将 VE 患儿作为病例组,健康儿童作为对照组。方法:VE患儿为病例组,健康儿童为对照组,采用实时定量PCR方法测定血清中miR-142-3p的含量。采用逻辑分析法评估与病例严重程度和预后相关的危险因素。各组间的 miR-142-3p 水平、神经损伤相关指标和炎性细胞因子的差异进行了对比。采用ROC曲线评估血清miR-142-3p在预测VE患儿预后方面的诊断性能:结果:与健康对照组相比,VE患儿血清中miR-142-3p的表达发生了改变。VE患儿血清神经损伤指标MBP、β-EP和NSE水平以及血清炎性细胞因子IL-6、IL-18和IFN-γ均高于健康对照组,且与血清miR-142-3p呈正相关。此外,血清 miR-142-3p 是与 VE 儿童的严重程度和预后相关的风险因素。血清miR-142-3p对预测VE患儿的预后具有诊断作用:结论:VE患儿血清miR-142-3p含量较高,可能是预测预后的诊断指标。特定的 miR-142-3p 表达可能与 VE 神经损伤和炎症反应的严重程度直接相关。
{"title":"Serum mir-142-3p release in children with viral encephalitis and its relationship with nerve injury and inflammatory response.","authors":"Yanjiang Liu, ZhenFang Wang, Xiaoli Liu, Qinghua Yang, Zhuoling Tian, Junmei Liu","doi":"10.1007/s13365-024-01214-x","DOIUrl":"10.1007/s13365-024-01214-x","url":null,"abstract":"<p><strong>Background: </strong>Viral encephalitis (VE) is a common infectious disease of the central nervous system in children. Children with severe disease may have progressive neurological damage and even lead to death.</p><p><strong>Aims: </strong>To assess the serum miR-142-3p levels in children with VE and the correlation between miR-142-3p and the severity and prognosis of VE. Besides, its relationship with nerve injury and inflammatory response was assessed.</p><p><strong>Methods: </strong>Children with VE were regarded as a case group and healthy children served as control. The content of serum miR-142-3p was determined using real-time quantitative PCR. The risk factors associated with severity and prognosis of cases were evaluated using logistic analysis. The discrepancy in miR-142-3p levels, nerve injury-related indicators, and inflammatory cytokines were contrasted among groups. The ROC curve was conducted to assess the diagnostic performance of serum miR-142-3p in predicting prognosis of children with VE.</p><p><strong>Results: </strong>The altered expression of miR-142-3p in serum of children with VE was enhanced in contrast to healthy control. Serum nerve injury indicators MBP, β-EP, and NSE levels and serum inflammatory cytokines IL-6, IL-18, and IFN-γ were high in children with VE in contrast to healthy control, and had positive relevance with serum miR-142-3p. Besides, serum miR-142-3p was a risk factor associated with the severity and prognosis of children with VE. Serum miR-142-3p had diagnostic performance in predicting the prognosis of children with VE.</p><p><strong>Conclusion: </strong>Serum miR-142-3p content is high in children with VE and maybe a diagnosis marker for predicting prognosis. The specific miR-142-3p expression may be directly related to the severity of nerve injury and inflammatory response for VE.</p>","PeriodicalId":16665,"journal":{"name":"Journal of NeuroVirology","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141300808","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
期刊
Journal of NeuroVirology
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