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Chlorogenic acid alleviates lipopolysaccharide-induced cognitive dysfunction through inhibiting CCR7-mediated neuroinflammation 绿原酸通过抑制ccr7介导的神经炎症减轻脂多糖诱导的认知功能障碍。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-30 DOI: 10.1016/j.jneuroim.2025.578826
Si-Si He , Liang Liu , Xiang-Qin Wang , Han Wang , Xuan-Qi Fu , Ling-Xue Kong , Si-Yi Wang , Pu-Kai Wang , Xia Cai , Yong-Jian Wang
Evidence indicates that C-Chemokine Receptor 7 (CCR7) is implicated in behavioral dysfunction and that chlorogenic acid (CGA) exerts beneficial effects on cognitive deficits. However, the precise mechanisms by which CCR7 regulates cognitive dysfunction and whether CGA exerts its therapeutic effects through modulation of CCR7 signaling remain to be elucidated. Here, we investigated the specific role and mechanism of CCR7 on LPS-induced cognitive deficits using wild type (WT) and CCR7 knockout (CCR7−/−) mice, and assessed the protective effect of CGA against these deficits. We found intracerebroventricular (i.c.v.) injection of LPS in WT mice induced learning and behavioral deficits in the open field test and Morris water maze (MWM) task, which were ameliorated in LPS-treated CCR7−/− mice. Furthermore, we observed increased expression of the anti-apoptotic marker Bcl-2 and synaptic markers (PSD95, SYN) in the hippocampus of LPS-treated CCR7−/− mice compared to that in LPS-stimulated WT mice. One potential mechanism of this action was attributed to the inhibition of LPS-induced, CCR7-mediated astrocyte activation, which was accompanied by reduced activation of its downstream proinflammatory signaling pathways (NF-κB, p38 and JNK) and the decreased production of pro-inflammatory factors including COX-2, iNOS, TNF-α, IL-1β and IL-6 in the hippocampus of LPS-treated CCR7−/− mice. Importantly, we demonstrated CGA ameliorated LPS-induced cognitive dysfunction, at least in part, through inhibition of CCR7-mediated astrocyte activation and its downstream NF-κB, p38 and JNK pathway activation. Collectively, precise elucidation of the inhibitory effect of CGA on CCR7 signaling in LPS-stimulated mice contributes to the development of strategies for controlling neuroinflammation-mediated cognitive disorders.
有证据表明,c -趋化因子受体7 (CCR7)与行为功能障碍有关,绿原酸(CGA)对认知缺陷有有益作用。然而,CCR7调节认知功能障碍的确切机制以及CGA是否通过调节CCR7信号发挥其治疗作用仍有待阐明。在这里,我们利用野生型(WT)和CCR7敲除(CCR7-/-)小鼠研究了CCR7在lps诱导的认知缺陷中的具体作用和机制,并评估了CGA对这些缺陷的保护作用。我们发现,在CCR7-/-小鼠脑室内注射LPS可诱导小鼠在开阔场实验和Morris水迷宫(MWM)任务中的学习和行为缺陷,而LPS处理后CCR7-/-小鼠的学习和行为缺陷得到改善。此外,我们观察到与lps刺激的WT小鼠相比,lps处理的CCR7-/-小鼠海马中抗凋亡标志物Bcl-2和突触标志物(PSD95, SYN)的表达增加。这种作用的一种潜在机制归因于抑制lps诱导的CCR7介导的星形胶质细胞活化,伴随其下游促炎信号通路(NF-κ b, p38和JNK)的激活减少,以及lps处理的CCR7-/-小鼠海马中促炎因子(COX-2, iNOS, TNF-α, IL-1β和IL-6)的产生减少。重要的是,我们证明了CGA改善lps诱导的认知功能障碍,至少部分是通过抑制ccr7介导的星形胶质细胞激活及其下游NF-κB, p38和JNK途径激活。总之,精确阐明CGA对lps刺激小鼠CCR7信号传导的抑制作用有助于制定控制神经炎症介导的认知障碍的策略。
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引用次数: 0
Ursolic acid enhances social behavior and modulates Th1, Th17, and T regulatory cell-related transcription factor signaling in the BTBR T+ Itpr3tf/J mouse model of autism 熊果酸增强孤独症小鼠BTBR T+ Itpr3tf/J模型中的社会行为并调节Th1、Th17和T调节细胞相关转录因子信号
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-19 DOI: 10.1016/j.jneuroim.2025.578810
Thamer H. Albekairi, Abdulaziz S. Albakheet, Talal H. Alosaimi, Saleh A. Bakheet, Ahmed Nadeem, Sabry M. Attia, Mushtaq A. Ansari, Marwa H. Hussein, Mohamed A. Mahmoud, Sheikh F. Ahmad
Autism spectrum disorder (ASD) is a complex neurodevelopmental condition characterized by unusual social interactions, limited speech, and repetitive behaviors or hobbies. The BTBR T+ Itpr3tf/J (BTBR) inbred mice are commonly used as a model for ASD because they display many genetic traits associated with autism. Ursolic acid, a naturally occurring compound found in several plants, has shown promise as a treatment for various inflammatory disorders and related experimental models. This study aimed to explore the potential effects of ursolic acid on self-grooming, marble burying, and social behaviors in BTBR mice. We examined how ursolic acid affects the expression of Th1 (IFN-γ, TNF-α, STAT1, STAT4, and T-bet), Th17 (IL-17, RORγt, and STAT3), and T regulatory (Treg; IL-10, TGF-β1, and Foxp3) markers in CD4+ T cells within the spleens of BTBR and C57BL/6 mice. Additionally, we assessed the impact of ursolic acid on brain mRNA levels of IFN-γ, TNF-α, STAT1, STAT4, T-bet, IL-17, RORγ, STAT3, IL-10, TGF-β1, and Foxp3. Treatment with ursolic acid significantly affected behavioral issues in BTBR mice. In these animals, ursolic acid reduced the levels of Th1 and Th17 cells while increasing the levels of Treg cells. Furthermore, it decreased the expression of Th1 and Th17 mRNA and increased the expression of Treg-related mRNA in the brain. Our findings suggest that, due to its anti-inflammatory properties, ursolic acid may be a beneficial treatment for behavioral impairments in BTBR mice.
自闭症谱系障碍(ASD)是一种复杂的神经发育疾病,其特征是不寻常的社会互动,有限的语言,重复的行为或爱好。BTBR T+ Itpr3tf/J (BTBR)近交小鼠通常被用作ASD的模型,因为它们显示出许多与自闭症相关的遗传特征。熊果酸是一种在多种植物中发现的天然化合物,有望用于治疗各种炎症性疾病和相关的实验模型。本研究旨在探讨熊果酸对BTBR小鼠自我梳理、大理石掩埋和社会行为的潜在影响。我们研究了熊果酸如何影响BTBR和C57BL/6小鼠脾脏CD4+ T细胞中Th1 (IFN-γ、TNF-α、STAT1、STAT4和T-bet)、Th17 (IL-17、RORγt和STAT3)和T调节(Treg、IL-10、TGF-β1和Foxp3)标志物的表达。此外,我们还评估了熊果酸对脑内IFN-γ、TNF-α、STAT1、STAT4、T-bet、IL-17、RORγ、STAT3、IL-10、TGF-β1和Foxp3 mRNA水平的影响。熊果酸治疗显著影响BTBR小鼠的行为问题。在这些动物中,熊果酸降低了Th1和Th17细胞的水平,同时增加了Treg细胞的水平。降低Th1和Th17 mRNA的表达,增加treg相关mRNA的表达。我们的研究结果表明,由于熊果酸的抗炎特性,熊果酸可能是治疗BTBR小鼠行为障碍的有益方法。
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引用次数: 0
Early exposure of NOD/ShiLtJ mice to Freund's adjuvant prompts delayed, spontaneous progressive encephalomyelitis NOD/ShiLtJ小鼠早期暴露于弗氏佐剂可引起延迟的自发性进行性脑脊髓炎。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-19 DOI: 10.1016/j.jneuroim.2025.578809
Giuseppe Ranieri, Alberto Chiarugi, Daniela Buonvicino
Drugs able to efficiently counteract primary progressive MS (PP-MS) remain an unmet need. The availability of reliable animal models of PP-MS might boost the identification of treatments capable of counteracting disease evolution. Recently, we characterized primary progressive EAE (PP-EAE) in NOD/ShiLtJ mice, showing that it recapitulates several key features of PPMS. However, a fundamental difference between PPMS and PPEAE is that the latter is triggered by loss of tolerance deliberately induced via peripheral expansion of myelin-specific effector T cells (Teff). In the present study, we report that NOD/ShiLtJ mice challenged with complete Freund's adjuvant (CFA) to prevent diabetes onset, developed spontaneous PP-EAE (SPP-EAE). Specifically, we report that the sole CFA challenge induced encephalomyelitis with a similar pattern of that prompted by the complete immunization protocol including CFA, pertussis toxin and MOG3555. Mice with SPP-EAE show primary progressive disease evolution, widespread neurodegeneration, and insensitivity to dexamethasone-dependent immunosuppression. Remarkably, however, at variance with the rapid onset of PP-EAE, SPP-EAE manifested after a latency of approximately 4.5 months following CFA injection. This model may represent a valuable experimental tool to study mechanisms underlying spontaneous loss of self-tolerance toward CNS antigens and MS progression, as well as to identify therapies of relevance to treatment of PMS patients.
能够有效对抗原发性进行性多发性硬化症(PP-MS)的药物仍然是一个未满足的需求。可靠的PP-MS动物模型的可用性可能会促进能够对抗疾病进化的治疗方法的识别。最近,我们对NOD/ShiLtJ小鼠的原发性进行性EAE (PP-EAE)进行了表征,表明它概括了PPMS的几个关键特征。然而,PPMS和peae之间的根本区别在于,后者是由髓磷脂特异性效应T细胞(Teff)外周扩张故意诱导的耐受性丧失引发的。在本研究中,我们报道NOD/ShiLtJ小鼠用完全弗氏佐剂(CFA)来预防糖尿病发作,发生自发性PP-EAE (SPP-EAE)。具体来说,我们报道了单独的CFA攻击诱导脑脊髓炎的模式与包括CFA,百日咳毒素和MOG35-55在内的完整免疫方案引起的模式相似。SPP-EAE小鼠表现为原发性进行性疾病演变,广泛的神经退行性变,对地塞米松依赖性免疫抑制不敏感。然而,值得注意的是,与PP-EAE的快速发作不同,SPP-EAE在注射CFA后大约4.5个月后才出现。该模型可能是一种有价值的实验工具,用于研究对CNS抗原自发丧失自我耐受性和MS进展的机制,以及确定与PMS患者治疗相关的治疗方法。
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引用次数: 0
Clear-positive cut off determination of flow cytometric MOG-antibody assay in Korea: Alignment with international MOGAD diagnostic standards 韩国流式细胞术mog抗体测定的明确阳性切断测定:与国际MOGAD诊断标准一致。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-10 DOI: 10.1016/j.jneuroim.2025.578806
Young Nam Kwon , Woohee Ju , Jae hyun Jeon , Chorong Hahm , Jung-Joon Sung , Sung-Min Kim

Background

MOG-Ab assay is a sensitive and specific biomarker that is indispensable in diagnosis of MOG antibody-associated disease (MOGAD). However, its accuracy can largely depend on a proper selection of patients also on cut-off value setting. We updated the cut-off value of flow cytometric MOG antibody assay in Korea, into low- and clear-positive, in alignment with 2023 International MOGAD Panel proposal.

Methods

We retrospectively analyzed 695 patients who underwent live cell-based flow cytometric MOG-Ab testing at Seoul National University Hospital from August 2023 to January 2024. Cut-off values for mean fluorescence intensity ratio (MFIr) were determined using disease controls, and diagnostic accuracy was assessed at three thresholds: Low Positive (>2.61), Clear-Positive (>5.66), and High Clear-Positive (>10.0).

Results

Among 671 non-MS/NMOSD patients, 159 had core clinical demyelinating events, and 66 met 2023 international panel criteria for MOGAD. The diagnostic accuracies for low-positive, clear-positive, and high clear-positive results were as follows: sensitivity of 100 %, 59.1 %, and 33.3 %, respectively; specificity of 95.7 %, 95.9 %, and 100 %; positive predictive value (PPV) of 71.0 %, 90.7 %, and 100 %; and negative predictive value of 100 %, 95.9 %, and 93.5 %. In 159 patients with core clinical demyelinating events excluding MS and NMOSD, clear-positive threshold demonstrated a PPV of 100 %.

Conclusion

This study updates the cut-off values of flow cytometric MOG-Ab assay and its diagnostic accuracies in Korea in accordance with the 2023 International Panel recommendation. Our findings can contribute to improving the diagnostic accuracy of MOGAD in Korea and to strengthening the scientific validity of MOGAD research data from Korean cohort.
背景:MOG- ab检测是诊断MOG抗体相关疾病(MOGAD)不可缺少的一种敏感、特异的生物标志物。然而,其准确性在很大程度上取决于患者的正确选择,也取决于临界值的设置。根据2023年国际MOGAD小组的建议,我们将韩国流式细胞术MOG抗体检测的临界值更新为低阳性和明确阳性。方法:我们回顾性分析了2023年8月至2024年1月在首尔国立大学医院接受活细胞流式细胞术MOG-Ab检测的695例患者。使用疾病对照确定平均荧光强度比(MFIr)的临界值,并在三个阈值下评估诊断准确性:低阳性(>2.61)、清晰阳性(>5.66)和高清晰阳性(>10.0)。结果:在671例非ms /NMOSD患者中,159例有核心临床脱髓鞘事件,66例符合2023年MOGAD国际小组标准。低阳性、清晰阳性和高清晰阳性的诊断准确率分别为100%、59.1%和33.3%;特异性分别为95.7%、95.9%和100%;阳性预测值分别为71.0%、90.7%和100%;阴性预测值分别为100%、95.9%、93.5%。在159例核心临床脱髓鞘事件(不包括MS和NMOSD)患者中,明确阳性阈值显示PPV为100%。结论:根据2023年国际专家组的建议,本研究更新了韩国流式细胞术MOG-Ab测定的临界值及其诊断准确性。我们的研究结果有助于提高韩国MOGAD的诊断准确性,并加强韩国队列MOGAD研究数据的科学有效性。
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引用次数: 0
Syringic acid suppresses inflammation by upregulation of SOCS3 丁香酸通过上调SOCS3抑制炎症
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-19 DOI: 10.1016/j.jneuroim.2025.578813
Amina Khatun , Surendra Patra , Susovon Chowdhury , Jayasree Saha , Ritobrata Goswami , Shrabani Pradhan , Kuntal Ghosh , Sudipta Chakrabarti
Suppressor of cytokine signalling 3 (SOCS3), a protein that inhibits inflammatory molecules in microglia. A plant-derived phenolic compound, Syringic acid (SA), selectively increased SOCS3 levels in N-9 mouse microglial cells in a dose- and time-dependent manner. Similar effects were also observed in mouse primary microglia and astrocytes. In Lipopolysaccharide (LPS)-stimulated N-9 cells, SOCS3 expression decreased, but after SA treatment (LPS + SA), both mRNA and protein levels of SOCS3 increased. At the same time, pro-inflammatory mediators such as Tumor Necrosis Factor alpha (TNFα), Interleukin-1 receptor, type I (IL1R1), Interleukin-1 beta (IL1β), and Inducible Nitric Oxide Synthase (iNOS) were suppressed, along with a reduction in intracellular Reactive Oxygen Species generation (ROS) in LPS + SA-treated N-9 cells. Additionally, the expression of phospho-CREB was enhanced in LPS + SA-treated N-9 cells compared to only LPS-stimulated cells. Following the SiRNA knockdown of cAMP response element-binding protein (CREB), the upregulation of SOCS3 by syringic acid was abolished. These results confirm the role of CREB in this process. The findings suggest that SA promotes CREB activation, leading to SOCS3 expression, which may have therapeutic potential in neuroinflammatory disorders.
细胞因子信号传导3的抑制因子(SOCS3),一种抑制小胶质细胞炎症分子的蛋白质。一种植物源性酚类化合物丁香酸(SA)以剂量和时间依赖的方式选择性地增加了N-9小鼠小胶质细胞中SOCS3的水平。在小鼠原代小胶质细胞和星形胶质细胞中也观察到类似的效果。在脂多糖(LPS)刺激的N-9细胞中,SOCS3的表达降低,而在SA (LPS + SA)处理后,SOCS3的mRNA和蛋白水平均升高。同时,促炎介质如肿瘤坏死因子α (TNFα)、白细胞介素-1受体I型(IL1R1)、白细胞介素-1 β (IL1β)和诱导型一氧化氮合酶(iNOS)被抑制,同时LPS + sa处理的N-9细胞内活性氧生成(ROS)减少。此外,与仅LPS刺激的细胞相比,LPS + sa处理的N-9细胞中phospho-CREB的表达增强。在cAMP反应元件结合蛋白(CREB)的SiRNA被敲低后,丁香酸对SOCS3的上调作用被消除。这些结果证实了CREB在这一过程中的作用。研究结果表明,SA促进CREB活化,导致SOCS3表达,可能具有治疗神经炎性疾病的潜力。
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引用次数: 0
Modulation of inflammatory and regenerative responses by Galectin-3 after spinal cord injury in wild-type and Galectin-3 knockout mice 半乳糖凝集素-3在野生型和半乳糖凝集素-3敲除小鼠脊髓损伤后炎症和再生反应的调节。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-21 DOI: 10.1016/j.jneuroim.2025.578818
Emanuela Bezerra dos Santos Ribeiro , Luiza dos Santos Heringer , Bruna dos Santos Ramalho , Tiago Bastos Taboada , Fernanda Martins de Almeida , Ana Maria Blanco Martinez
Spinal cord injury (SCI) occurs either after a sudden trauma or through a chronic process at segmental levels of the spinal cord, leading to potentially deleterious neural consequences for the central nervous system (CNS) due to the death of neurons, oligodendrocytes, and astrocytes, as well as significant losses in motor, sensory, and autonomic functions. After SCI, an inflammatory response occurs, with cells such as macrophages and microglia being recruited. These cells are responsible for removing damaged tissue and secreting pro-inflammatory and anti-inflammatory cytokines and chemokines. Additionally, a protein called galectin-3 has been described as participating in cell activation, proliferation, and migration, acting as a mediator of inflammation in neurodegeneration. Thus, different populations of inflammatory cells in the injured nervous parenchyma can be characterized. In this study, we used a spinal cord contusion-compression model in wild-type C57Bl/6 mice (WT) and galectin-3 knockout mice (GAL3−/−) to histologically characterize the lesion, focusing on astrocyte, macrophage, and microglial populations. Our results showed a significant reduction in lesion propagation in GAL3−/− animals compared to WT animals. Moreover, GAL3−/− animals exhibited reduced astrogliosis compared to WT animals. Immunohistochemistry revealed that GAL3−/− animals had a larger area marked for the anti-inflammatory marker Arginase-1 and a smaller area marked for the pro-inflammatory marker iNOS compared to WT animals. We conclude that galectin-3 plays a critical role in the inflammatory process following spinal cord injury, and its absence may contribute to reduced lesion progression, decreased astrogliosis, and the promotion of an inflammatory response with a more anti-inflammatory profile.

Significance statement

This study highlights galectin-3 as a central mediator of the inflammatory response after spinal cord injury, demonstrating that galectin-3 deficiency limits lesion progression, attenuates astrogliosis, and promotes an anti-inflammatory profile. Thus, galectin-3 may represent a promising potential therapeutic target for clinical applications in neurodegenerative diseases.
脊髓损伤(SCI)发生于脊髓节段性水平的突然创伤或慢性过程,由于神经元、少突胶质细胞和星形胶质细胞的死亡,以及运动、感觉和自主神经功能的显著丧失,对中枢神经系统(CNS)造成潜在的有害神经后果。脊髓损伤后,炎症反应发生,巨噬细胞和小胶质细胞等细胞被招募。这些细胞负责清除受损组织,分泌促炎和抗炎细胞因子和趋化因子。此外,一种被称为半乳糖凝集素-3的蛋白质被描述为参与细胞活化、增殖和迁移,作为神经变性炎症的介质。因此,不同群体的炎症细胞损伤的神经实质可以表征。在这项研究中,我们使用野生型C57Bl/6小鼠(WT)和半乳糖凝集素-3敲除小鼠(GAL3-/-)的脊髓损伤压缩模型对病变进行组织学表征,重点关注星形胶质细胞、巨噬细胞和小胶质细胞群。我们的研究结果显示,与WT动物相比,GAL3-/-动物的病变增殖显著减少。此外,与WT动物相比,GAL3-/-动物表现出星形胶质细胞增生减少。免疫组化结果显示,与WT动物相比,GAL3-/-动物的抗炎标志物Arginase-1标记面积更大,促炎标志物iNOS标记面积更小。我们得出结论,半乳糖凝集素-3在脊髓损伤后的炎症过程中起关键作用,其缺失可能有助于减少病变进展,减少星形胶质细胞形成,并促进炎症反应,具有更强的抗炎特征。意义声明:这项研究强调了半乳糖凝集素-3作为脊髓损伤后炎症反应的中心介质,表明半乳糖凝集素-3缺乏限制了病变进展,减轻了星形胶质细胞增生,并促进了抗炎作用。因此,半乳糖凝集素-3可能是神经退行性疾病临床应用的潜在治疗靶点。
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引用次数: 0
Longitudinally-extensive transverse myelitis in the setting of recent Mycoplasma infection: Case series 近期支原体感染背景下的纵向广泛横贯脊髓炎:病例系列
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-10-30 DOI: 10.1016/j.jneuroim.2025.578785
Kyra Curtis , Erin Hendry , Zachary Christensen , Bryce Aidukaitis , Anjili Vara , Geoffrey A. Weinberg , Jennifer Nayak , Bo Hoon Lee , Robert Thompson Stone
Longitudinally-extensive transverse myelitis (LETM) is a rare but serious inflammatory myelopathy, often presenting with broad neurological symptoms with numerous possible etiologies that pose diagnostic and therapeutic challenges. Here we report three pediatric cases of aggressive LETM with recent Mycoplasma pneumoniae (M. pneumoniae) infection. All patients presented with rapid-onset lower extremity weakness and varying degrees of sensory changes and autonomic dysfunction. MRI confirmed extensive and expansile spinal cord lesions in each case. While M. pneumoniae throat nucleic acid amplification test (NAAT) was positive in all cases, CSF PCR was negative in two (and not performed in the third), raising the question of causality. Treatment regimens and functional outcomes varied, where one patient experienced persistent paraplegia. These cases highlight the potential association between M. pneumoniae and LETM, the diagnostic challenges posed by overlapping infectious and autoimmune features, and the need for early, aggressive treatment. Further research is needed to clarify the pathogenesis of this condition in order to optimize treatment and patient outcomes.
纵-广泛性横贯脊髓炎(LETM)是一种罕见但严重的炎症性脊髓病,通常表现为广泛的神经系统症状,可能的病因众多,给诊断和治疗带来挑战。在这里,我们报告三例小儿侵袭性肺心病与近期肺炎支原体(肺炎支原体)感染。所有患者均表现为下肢快发性无力、不同程度的感觉改变和自主神经功能障碍。MRI证实每个病例均有广泛和扩张性脊髓病变。虽然肺炎支原体喉部核酸扩增试验(NAAT)在所有病例中均呈阳性,但CSF PCR在两例中呈阴性(第三例未进行),提出了因果关系的问题。治疗方案和功能结果各不相同,其中一名患者经历了持续性截瘫。这些病例强调了肺炎支原体与LETM之间的潜在关联,感染和自身免疫特征重叠带来的诊断挑战,以及早期积极治疗的必要性。为了优化治疗和患者预后,需要进一步的研究来阐明这种疾病的发病机制。
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引用次数: 0
Acupuncture mitigates sciatic neuropathic pain in lumbar disc herniation via inhibiting spinal CXCL12/CXCR4-driven glial activation and neuroinflammation 针刺通过抑制脊髓CXCL12/ cxcr4驱动的神经胶质激活和神经炎症减轻腰椎间盘突出症的坐骨神经痛。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-05 DOI: 10.1016/j.jneuroim.2025.578797
Fudong Shi , zhiyi Wu , Jinyan Yin , Yuzhang Liu , Zuoxu Li , Shimin Zhang
Lumbar disc herniation (LDH) is a prevalent degenerative spinal disorder causing chronic low back pain and sciatica through persistent neuroinflammation and central sensitization. Increasing evidence implicates the CXCL12/CXCR4 signaling axis in these processes, yet its modulation by acupuncture remains unclear. To explore this mechanism, a rat model of LDH was established by autologous nucleus pulposus implantation adjacent to the L5 dorsal root ganglion, and behavioral hypersensitivity was assessed using von Frey and plantar tests. LDH induced marked mechanical and thermal hyperalgesia accompanied by upregulation of CXCL12 and CXCR4 in the spinal dorsal horn. CXCL12 localized mainly to neurons and microglia, while CXCR4 was expressed in neurons, astrocytes, and microglia. Pharmacological blockade of CXCR4 with AMD3100 alleviated hypersensitivity and reduced neuronal and glial activation. Acupuncture similarly increased withdrawal thresholds, inhibited c-Fos, GFAP, and Iba-1 expression, and suppressed TNF-α, IL-1β, and IL-6 levels, whereas exogenous CXCL12 reversed these effects. Acupuncture also inhibited ERK1/2 and NF-κB phosphorylation, and selective inhibition of these pathways with PD98059 or PDTC reproduced its analgesic effects. These findings identify the CXCL12/CXCR4–ERK/NF-κB axis as a critical mediator of LDH-induced neuroinflammation and demonstrate that acupuncture mitigates neuropathic pain by suppressing this signaling pathway and glial activation.
腰椎间盘突出症(LDH)是一种常见的退行性脊柱疾病,通过持续的神经炎症和中枢致敏引起慢性腰痛和坐骨神经痛。越来越多的证据表明CXCL12/CXCR4信号轴参与了这些过程,但针刺对其的调节尚不清楚。为探讨其机制,采用L5背根神经节附近自体髓核植入法建立LDH大鼠模型,采用von Frey和足底试验评估行为超敏反应。LDH诱导明显的机械和热痛觉过敏,并伴有脊髓背角CXCL12和CXCR4的上调。CXCL12主要定位于神经元和小胶质细胞,而CXCR4在神经元、星形胶质细胞和小胶质细胞中表达。AMD3100药物阻断CXCR4可减轻超敏反应,减少神经元和胶质细胞的激活。针刺同样增加戒断阈值,抑制c-Fos、GFAP和Iba-1表达,抑制TNF-α、IL-1β和IL-6水平,而外源性CXCL12逆转了这些作用。针刺还能抑制ERK1/2和NF-κB磷酸化,PD98059或PDTC选择性抑制这些通路可再现其镇痛作用。这些发现确定了CXCL12/CXCR4-ERK/NF-κB轴是ldh诱导的神经炎症的关键介质,并证明针灸通过抑制该信号通路和胶质细胞激活来减轻神经性疼痛。
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引用次数: 0
Efficacy and safety of intravenous efgartigimod for chronic inflammatory demyelinating polyneuropathy: A case series real-world study 静脉注射依加替莫德治疗慢性炎症性脱髓鞘性多神经病变的疗效和安全性:一项病例系列现实世界研究。
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-14 DOI: 10.1016/j.jneuroim.2025.578796
Ruojie He , Zhanhua Zhong , Huiyu Feng, Xiaoli Yao

Objective

To assess the treatment effecitiveness and safety of Chinese patients with chronic inflammatory demyelinating polyneuropathy (CIDP) treated with intravenous efgartigimod in this real-world study.

Methods

This study analyzed data retrospectively from 13 patients with CIDP treated with efgartigimod at the Department of Neurology, First Affiliated Hospital of Sun Yat-Sen University from December 2023 to September 2024. Clinical assessment scales included the Inflammatory Neuropathy Cause and Treatment (INCAT) score and the Medical Research Council (MRC) sum score were utilized to evalutate effecitiveness before and after efgartigimod treatments. Adverse events werer monitored to assess the safety of efgartigimod treatments.

Results

The mean onset age of 13 patients was 38.3 years, and the mean duration from symptom onset to diagnosis was 13.1 months. About 46 % patients in our study were typical CIDP subtype. About 77 % patients experienced relapses before efgartigimod treatments. Clinical improvements were observed in 12 patients (92.3 %) with at least 1-point decrease on INCAT scores at 12 weeks follow-up, indicating efgartigimod treatment effectiveness. Eleven patients (84.6 %) achieved clinical improvements at 24 weeks follow-up. At last follow-up, five patients (38.5 %) had discontinued immunotherapy. Adverse events monitoring revealed that only one patient had pruritus which alleviated spontaneously.

Conclusion

This case series real-world study support the efficacy and safety of efgartigimod treatment in CIDP patients, benefit on partially reducing the usage of glucocorticoids and immunosuppressants. It was well tolerated across age groups. Larger prospective studies are needed to refine dosing and establish guidelines for CIDP management.
目的:评价静脉注射依加替吉莫德治疗慢性炎症性脱髓鞘性多神经病变(CIDP)的有效性和安全性。方法:本研究回顾性分析中山大学第一附属医院神经内科2023年12月至2024年9月接受依加替莫德治疗的13例CIDP患者的资料。临床评估量表包括炎症性神经病变病因与治疗(INCAT)评分和医学研究委员会(MRC)总评分来评估艾加替莫德治疗前后的有效性。对不良事件进行监测,以评估艾加替莫德治疗的安全性。结果:13例患者平均发病年龄为38.3岁,从出现症状到确诊的平均病程为13.1个月。本研究中约46%的患者为典型的CIDP亚型。约77%的患者在艾加替莫治疗前出现复发。12例患者(92.3%)的临床改善,随访12周时INCAT评分至少下降1分,表明艾加替莫治疗有效。随访24周,11例患者(84.6%)临床改善。最后随访,5例患者(38.5%)停止免疫治疗。不良事件监测显示,仅有1例患者出现瘙痒,瘙痒症状自行缓解。结论:本病例系列实际研究支持依加替莫德治疗CIDP患者的有效性和安全性,可部分减少糖皮质激素和免疫抑制剂的使用。不同年龄组的人都能很好地耐受。需要更大规模的前瞻性研究来完善剂量和建立CIDP管理指南。
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引用次数: 0
IL-17 and IL-22 in Guillain-Barré syndrome: Untangling disease-specific signals from confounding factors guillain - barr<s:1>综合征中的IL-17和IL-22:从混杂因素中解开疾病特异性信号
IF 2.5 4区 医学 Q3 IMMUNOLOGY Pub Date : 2026-01-15 Epub Date: 2025-11-21 DOI: 10.1016/j.jneuroim.2025.578820
Christian Messina
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引用次数: 0
期刊
Journal of neuroimmunology
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