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Immune cell-enriched single-cell RNA sequencing unveils the interplay between infiltrated CD8+ T resident memory cells and choroid plexus epithelial cells in Alzheimer's disease 免疫细胞富集单细胞 RNA 测序揭示了阿尔茨海默病中浸润的 CD8+ T 常驻记忆细胞与脉络丛上皮细胞之间的相互作用。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.jneuroim.2024.578488
Seong-Jun Kang , Yong-Hee Kim , Thuy Nguyen-Phuong , Yijoon Kim , Jin-Mi Oh , Jae-chun Go , DaeSik Kim , Chung-Gyu Park , Hyunsu Lee , Hyun Je Kim
Alzheimer's disease (AD) is a progressive neurological disorder and the leading cause of dementia. Despite significant efforts, treatment strategies targeting amyloid-β have been less successful than anticipated. Recently, the role of neuroinflammation and adaptive immune response in AD pathogenesis has gained attention. Here, we performed immune cell-enriched single-cell RNA sequencing of brain parenchymal cells from 12-month-old 5xFAD, an AD mouse model. We analyzed 11,587 single cells and found distinct differences in T cell and choroid plexus cell populations between 5xFAD mouse and littermate control. Subsequent sub-clustering of T cells in the 5xFAD mouse revealed distinct subtypes, with CD8+ resident memory T cells (TRM) being the most prevalent T cell type. In addition, we observed an increase in T cell exhaustion markers, including Pdcd1, Ctla4, and Havcr2, with a particularly significant elevation of PD-1 and TIM-3 in CD8+ TRM in 5xFAD mouse. Furthermore, choroid plexus (ChP) epithelial cells showed altered gene expression patterns, with higher expression of MHC class I and Type I IFN-stimulated genes in 5xFAD mouse compared to the control mouse, suggesting an association with clonal expansion of AD-specific T cells in the brain. Through single-cell RNA sequencing (scRNA-seq) analysis, our study highlights the potential role of resident memory CD8+ T cell and their possible interactions with ChP epithelial cells. This study provides an exploration of the brain microenvironment landscape in AD, revealing critical insights into its underlying mechanisms.
阿尔茨海默病(AD)是一种进行性神经系统疾病,也是导致痴呆症的主要原因。尽管做出了巨大的努力,但针对淀粉样蛋白-β的治疗策略并没有预期的那么成功。最近,神经炎症和适应性免疫反应在AD发病机制中的作用受到了关注。在这里,我们对12个月大的5xFAD(一种AD小鼠模型)脑实质细胞进行了免疫细胞富集单细胞RNA测序。我们分析了 11,587 个单细胞,发现 5xFAD 小鼠与同窝对照小鼠的 T 细胞和脉络丛细胞群存在明显差异。我们随后对 5xFAD 小鼠的 T 细胞进行了分组,发现了不同的亚型,其中 CD8+ 常驻记忆 T 细胞(TRM)是最普遍的 T 细胞类型。此外,我们还观察到 T 细胞衰竭标记物的增加,包括 Pdcd1、Ctla4 和 Havcr2,尤其是 5xFAD 小鼠 CD8+ TRM 中 PD-1 和 TIM-3 的显著升高。此外,脉络丛(ChP)上皮细胞的基因表达模式也发生了改变,与对照组小鼠相比,5xFAD小鼠的MHC I类基因和I型IFN刺激基因的表达量更高,这表明与AD特异性T细胞在大脑中的克隆扩增有关。通过单细胞 RNA 测序(scRNA-seq)分析,我们的研究强调了常驻记忆 CD8+ T 细胞的潜在作用及其与 ChP 上皮细胞的可能相互作用。这项研究探索了AD的大脑微环境状况,揭示了其潜在机制的重要见解。
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引用次数: 0
Retinoic acid modulates peripheral blood helper innate lymphoid cell composition in vitro in patients with multiple sclerosis 维甲酸可调节多发性硬化症患者体外外周血辅助性先天性淋巴细胞的组成。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.jneuroim.2024.578489
Altuğ Özkoşar , Fatma Betül Öktelik , Metin Yusuf Gelmez , Sevda Öztürk Erden , Tuncay Gündüz , Murat Kürtüncü , Günnur Deniz , Suzan Çınar
This study investigates the frequency and numbers of circulating helper innate lymphoid cells (ILCs) in untreated relapsing-remitting multiple sclerosis (RRMS) patients, focusing on intracellular IL-10 and CCR6 expressions under IL-2, IL-33, and retinoic acid (RA) stimulation in vitro and their associations with clinical features in RRMS. In RRMS patients, ILC1 levels were notably higher upon IL-2 + IL-33 + RA stimulation, while ILC2 levels, particularly the c-Kit+ ILC2 and CCR6+ ILC2 subsets, were significantly lower compared to unstimulated conditions. Additionally, IL-10+ ILC1 levels were elevated. The ratios of IL-10+ ILC1/ILC1, c-Kit+ ILC2/c-Kit ILC2, and CCR6+ ILC2/ILC2 were associated with the progression index (PI) in RRMS patients.
本研究调查了未经治疗的复发缓解型多发性硬化症(RRMS)患者体内循环辅助性先天性淋巴细胞(ILC)的频率和数量,重点研究了体外IL-2、IL-33和维甲酸(RA)刺激下细胞内IL-10和CCR6的表达及其与RRMS临床特征的关系。在RRMS患者中,IL-2+IL-33+RA刺激下ILC1水平明显升高,而ILC2水平,尤其是c-Kit+ ILC2和CCR6+ ILC2亚群,与非刺激条件下相比明显降低。此外,IL-10+ ILC1 水平升高。IL-10+ ILC1/ILC1、c-Kit+ ILC2/c-Kit- ILC2和CCR6+ ILC2/ILC2的比率与RRMS患者的病情进展指数(PI)相关。
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引用次数: 0
Silencing of circular RNA PTP4A2 ameliorates depressive-like behaviors by inhibiting microglia activation in mice 通过抑制小鼠小胶质细胞的激活,沉默环状 RNA PTP4A2 可改善抑郁样行为。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-13 DOI: 10.1016/j.jneuroim.2024.578486
Han Zhang, Xiang Chen, Jialu Qian
Major depressive disorder (MDD) is a prevalent mental illness and showed a strong link with inflammation. Microglia, as the main resident immune cells, play an important role in the occurrence and development of depression. Circular RNA PTP4A2 (circPTP4A2) was highly expressed in microglia inflammation induced by oxygen glucose deprivation/reperfusion. However, whether circPTP4A2 involves in microglia inflammation in MDD is not clear. Here, chronic unpredictable stress (CUS) induced depressive behaviors and microglia activation in mouse hippocampus, accompanied by the elevated expression of circPTP4A2. Knockdown circPTP4A2 in mouse hippocampus ameliorated depressive-like behaviors and microglia activation. Moreover, CUS promoted phosphorylation of ERK, JNK and P38 in mouse hippocampus as same as LPS-exposed BV2 microglia. Only P38 phosphorylation was inhibited by circPTP4A2 knockdown in the hippocampus. P38 inhibitor, sb203580, repressed circPTP4A2 overexpression-induced inflammatory reaction in BV2 cells. These findings suggest that circPTP4A2 promotes depressive-like behaviors and microglia activation via P38 phosphorylation.
重度抑郁症(MDD)是一种常见的精神疾病,与炎症有着密切的联系。小胶质细胞作为主要的常驻免疫细胞,在抑郁症的发生和发展中扮演着重要角色。环状 RNA PTP4A2(circPTP4A2)在氧葡萄糖剥夺/再灌注诱导的小胶质细胞炎症中高表达。然而,circPTP4A2是否参与了MDD中的小胶质细胞炎症尚不清楚。在这里,慢性不可预知应激(CUS)诱导了小鼠海马的抑郁行为和小胶质细胞活化,并伴随着circPTP4A2的表达升高。在小鼠海马中敲除circPTP4A2可改善抑郁样行为和小胶质细胞活化。此外,CUS 与 LPS 暴露的 BV2 小胶质细胞一样,促进了小鼠海马中 ERK、JNK 和 P38 的磷酸化。在海马中,只有 P38 磷酸化被 circPTP4A2 敲除抑制。P38 抑制剂 sb203580 可抑制 circPTP4A2 过表达诱导的 BV2 细胞炎症反应。这些发现表明,circPTP4A2通过P38磷酸化促进抑郁样行为和小胶质细胞活化。
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引用次数: 0
Pre-existing Lambert-Eaton Myasthenic Syndrome and Scleroderma in a Patient with Neuroendocrine Carcinoma Undergoing Immune Checkpoint Inhibitor Cancer Immunotherapy 接受免疫检查点抑制剂癌症免疫疗法的神经内分泌癌患者原有的兰伯特-伊顿氏肌萎缩综合征和硬皮病
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-12 DOI: 10.1016/j.jneuroim.2024.578485
Nisa Vorasoot , Thorvardur R. Halfdanarson , Nicolas N. Madigan , Divyanshu Dubey , Uma Thanarajasingam , Anastasia Zekeridou

Introduction

Paraneoplastic neurological syndromes (PNS) can worsen with immune checkpoint inhibitor (ICI) cancer immunotherapy.

Case report

A 66-year-old female with paraneoplastic Lambert-Eaton Myasthenic Syndrome (LEMS), which led to the diagnosis of metastatic neuroendocrine carcinoma, was treated with intravenous immune globulin (IVIg) (with minimal response), chemotherapy, and radiation, resulting in neurological improvement. However, sclerodermatous changes developed after a year. Due to cancer progression, dual ICI therapy was initiated, and the patient remained stable for eight months until the progression of both LEMS and cancer, ultimately leading to death.

Discussion

This case highlights the challenges of managing pre-existing PNS during ICI therapy, emphasizing the need for a multidisciplinary approach and the consideration of unusual clinical presentations in therapeutic decision-making.
导言:副肿瘤性神经综合征(PNS)会随着免疫检查点抑制剂(ICI)癌症免疫疗法而恶化:一名66岁的女性患者患有副肿瘤性兰伯特-伊顿肌萎缩综合征(LEMS),诊断为转移性神经内分泌癌,患者接受了静脉注射免疫球蛋白(IVIg)(反应微弱)、化疗和放疗,神经系统症状有所改善。然而,一年后出现了硬皮病变。由于癌症进展,患者开始接受双 ICI 治疗,病情稳定了八个月,直到 LEMS 和癌症同时进展,最终导致死亡:本病例凸显了在 ICI 治疗期间管理原有 PNS 所面临的挑战,强调了多学科方法的必要性,以及在治疗决策中考虑异常临床表现的必要性。
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引用次数: 0
MOGAD presenting as fulminant intracranial hypertension 表现为暴发性颅内高压的 MOGAD。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-11-10 DOI: 10.1016/j.jneuroim.2024.578487
Sai Nagaratnam , Amardeep Gill , Niroshan Jeyakumar , Shuo Xi , Ming-Wei Lin , Andrew Martin , Winny Varikatt , Michael W.K. Fong , Hugo Morales-Briceno

Objectives

Myelin oligodendrocyte glycoprotein antibody disease (MOGAD) has an expanding phenotype. We describe two cases of MOGAD with associated severe intracranial hypertension.
Case 1: A 21-year-old male presented with diffuse cortical encephalitis and intracranial hypertension with both serum and CSF MOG antibody positivity. Initial brain CT scan was normal but subsequent demyelination was evident on MRI. Case 2: A 44-year-old female presented with a progressive brainstem encephalitis and intracranial hypertension and normal MRI, with later development of subcortical demyelination which was confirmed on brain biopsy. CSF-restricted MOG antibody was detected following the biopsy results.

Results

Both patients presented with clinical features of severe intracranial hypertension requiring surgical management followed by immunosuppressive therapy (methylprednisone and plasma exchange; and intravenous immunoglobulin and plasma exchange) leading to clinical improvement.

Discussion

MOGAD should be in the differential diagnosis of acute severe intracranial hypertension even in the absence of demyelination on initial neuroimaging. Clinicians should be alert of this syndrome that requires combined management of intracranial pressure in addition to early and intensive immunotherapy.
目的:髓鞘少突胶质细胞糖蛋白抗体病(MOGAD)的表型不断扩大。我们描述了两例伴有严重颅内高压的 MOGAD 病例。病例 1:21 岁男性,弥漫性皮质脑炎和颅内高压,血清和脑脊液 MOG 抗体均阳性。最初的脑 CT 扫描结果正常,但随后的核磁共振检查发现脱髓鞘现象明显。病例 2:一名 44 岁女性患者出现进行性脑干脑炎和颅内高压,核磁共振成像正常,后来出现皮层下脱髓鞘,脑活检证实了这一点。活检结果出来后,检测到了脑脊液限制性 MOG 抗体:结果:两名患者均表现为严重颅内高压的临床特征,需要手术治疗,随后接受免疫抑制治疗(甲基强的松和血浆置换;静脉注射免疫球蛋白和血浆置换),临床症状有所改善:讨论:即使最初的神经影像学检查没有发现脱髓鞘,MOGAD 也应作为急性重度颅内高压的鉴别诊断之一。临床医生应警惕这种综合征,除了早期强化免疫治疗外,还需要对颅内压进行综合管理。
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引用次数: 0
Minocycline inhibits microglial activation in the CA1 hippocampal region and prevents long-term cognitive sequel after experimental cerebral malaria 米诺环素可抑制 CA1 海马区的小胶质细胞活化并预防实验性脑疟疾后的长期认知后遗症
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-29 DOI: 10.1016/j.jneuroim.2024.578480
E.T. Moreira , M.P. Lourenço , T. Cunha-Fernandes , T.I. Silva , L.D. Siqueira , H.C. Castro-Faria-Neto , P.A. Reis
Cerebral malaria is the worst complication of malaria infection, has a high mortality rate, and may cause different neurodysfunctions, including cognitive decline. Neuroinflammation is an important cause of cognitive damage in neurodegenerative diseases, and microglial cells can be activated in a disease-associated profile leading to tissue damage and neuronal death. Here, we demonstrated that treatment with minocycline reduced blood-brain barrier breakdown and modulated ICAM1 mRNA expression; reduced proinflammatory cytokines, such as TNF-α, IL-1β, IFN-γ, and IL-6; and prevented long-term cognitive decline in contextual and aversive memory tasks. Taken together, our data suggest that microglial cells are activated during experimental cerebral malaria, leading to neuroinflammatory events that end up in cognitive damage. In addition, pharmacological modulation of microglial activation, by drugs such as minocycline may be an important therapeutic strategy in the prevention of long-term memory impairment.
脑疟疾是疟疾感染最严重的并发症,死亡率很高,并可能导致不同的神经功能障碍,包括认知能力下降。神经炎症是神经退行性疾病中认知损伤的重要原因,小胶质细胞可在疾病相关的情况下被激活,导致组织损伤和神经元死亡。在这里,我们证明了米诺环素治疗可减少血脑屏障的破坏并调节ICAM1 mRNA的表达;减少促炎细胞因子,如TNF-α、IL-1β、IFN-γ和IL-6;以及防止情境记忆和厌恶记忆任务中的长期认知能力下降。总之,我们的数据表明,小胶质细胞在实验性脑疟疾期间被激活,导致神经炎症事件,最终造成认知损伤。此外,米诺环素等药物对小胶质细胞活化的药理调节可能是预防长期记忆损伤的重要治疗策略。
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引用次数: 0
Influence of cocaine use reduction on markers of immune function 减少使用可卡因对免疫功能指标的影响
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.jneuroim.2024.578470
William W. Stoops , Thomas P. Shellenberg , Sean D. Regnier , David H. Cox , Reuben Adatorwovor , Lon R. Hays , Danielle M. Anderson , Joshua A. Lile , Joy M. Schmitz , Jennifer R. Havens , Suzanne C. Segerstrom
This study determined the effects of reduced cocaine use on immune function. Treatment seeking participants with Cocaine Use Disorder enrolled in a 12-week contingency management trial to reduce cocaine use. Participants were randomly assigned 1:1:1 to High Value Reinforcers (i.e., $55/negative urine sample) for cocaine abstinence (n = 41), Low Value Reinforcers (i.e., $13/negative urine sample) for cocaine abstinence (n = 33) or Non-Contingent Control (n = 33). Immune measures were collected at 6-week intervals. The High Value group had greatest use reductions, increased erythema and IL-6 and decreased IL-10 and CCL5, suggesting an activated immune response. Cocaine use reduction may promote changes in immune health.
本研究确定了减少可卡因使用对免疫功能的影响。患有可卡因使用障碍的求治者参加了为期 12 周的应急管理试验,以减少可卡因的使用。参与者按 1:1:1 的比例被随机分配到高价值强化物(即 55 美元/阴性尿样)以戒除可卡因(n = 41)、低价值强化物(即 13 美元/阴性尿样)以戒除可卡因(n = 33)或非权变控制(n = 33)。每隔 6 周收集一次免疫测定结果。高价值组的用量减少最多,红斑和 IL-6 增加,IL-10 和 CCL5 减少,表明免疫反应被激活。减少使用可卡因可能会促进免疫健康的变化。
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引用次数: 0
Kidney injury: An overlooked manifestation in autoimmune encephalitis 肾损伤:自身免疫性脑炎中一个被忽视的表现
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-28 DOI: 10.1016/j.jneuroim.2024.578472
Zhirong Fan , Jing Li , Yingchi Zhang , Juan Kang , Di Wang , Lijuan Liu , Min Li , Xiaodan Shi , Na Yuan , Yuanli Zhang , Fang Du , Wen Jiang

Aim

To investigate the prevalence and clinical features of kidney injury in patients with autoimmune encephalitis (AE).

Methods

Kidney injury was suspected in kidney-involving group due to persistent abnormal in urinary protein and serum albumin. Data on demographics and clinical features were compared between kidney-involving group and kidney-sparing group (patients without kidney injury) using Wilcoxon rank-sum test or chi-square test. Renal biopsy was conducted to identify the type of kidney injury.

Results

Approximate 30 % (32 of 108) patients with AE were suspicious of kidney injury. Nine patients further tested 24 h urine total protein, and seven of them had an elevated urine protein higher than 150 mg. The predominantly patterns of kidney injury were elevated urine protein, decreased serum albumin and normal kidney function. Compared to kidney-sparing group, the spectrum of AE antibodies in kidney-involving group was different, manifested as less anti-N-methyl-d-aspartate receptor antibodies (50 % vs. 72.4 %, p = 0.025) and more anti-contactin-associated protein like 2 antibodies (18.8 % vs. 1.3 %, p = 0.003). Definite pathological changes indicative of IgA nephropathy and membranous nephropathy in renal biopsy of two cases provided evidence of autoimmune attacks.

Discussion

Kidney injury occurred in considerable proportion of patients with AE. An in-depth screening for nephropathy could be essential for AE.
目的 探讨自身免疫性脑炎(AE)患者肾损伤的发生率和临床特征。方法 由于尿蛋白和血清白蛋白持续异常,怀疑肾损伤发生在累及肾脏组。采用Wilcoxon秩和检验或秩和检验比较肾脏受损组和肾脏未受损组的人口统计学和临床特征。结果约有 30% 的 AE 患者(108 例中有 32 例)怀疑有肾损伤。9 名患者进一步检测了 24 小时尿总蛋白,其中 7 人的尿蛋白升高超过 150 毫克。肾损伤的主要模式是尿蛋白升高、血清白蛋白降低和肾功能正常。与保肾组相比,累及肾脏组的 AE 抗体谱不同,表现为抗 N-甲基-d-天冬氨酸受体抗体较少(50% 对 72.4%,P = 0.025),而抗接触蛋白相关蛋白 2 抗体较多(18.8% 对 1.3%,P = 0.003)。两个病例的肾活检结果显示了 IgA 肾病和膜性肾病的明确病理改变,为自身免疫攻击提供了证据。深入筛查肾病对 AE 患者至关重要。
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引用次数: 0
Corrigendum to “Clinical features and outcomes of patients with muscle-specific kinase antibody-positive myasthenia gravis in Japan” [Journal of Neuroimmunology 385 (2023) 578241]. 日本肌肉特异性激酶抗体阳性肌无力患者的临床特征和预后》[《神经免疫学杂志》385 (2023) 578241]更正。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-25 DOI: 10.1016/j.jneuroim.2024.578465
Manato Yasuda , Akiyuki Uzawa , Satoshi Kuwabara , Shigeaki Suzuki , Hiroyuki Akamine , Yosuke Onishi , Yukiko Ozawa , Naoki Kawaguchi , Tomoya Kubota , Masanori P. Takahashi , Yasushi Suzuki , Genya Watanabe , Takashi Kimura , Takamichi Sugimoto , Makoto Samukawa , Naoya Minami , Masayuki Masuda , Shingo Konno , Yuriko Nagane , Kimiaki Utsugisawa
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引用次数: 0
Modulating sonic hedgehog (SHH) pathway to create a rapid CNS-TB model: Facilitating drug discovery 调节声刺猬(SHH)通路,创建快速中枢神经系统结核模型:促进药物发现。
IF 2.9 4区 医学 Q3 IMMUNOLOGY Pub Date : 2024-10-24 DOI: 10.1016/j.jneuroim.2024.578471
Mohamad Mosa Mubarak , Shahnawaz Majeed , Zubair Ahmad Wani , Hadiya Amin Kantroo , Abbass Malik , Ishfaq Ahmad Baba , Radhika Mhatre , Zahoor Ahmad
Tuberculous meningitis, a severe complication of Mycobacterium tuberculosis (M. tb) infection, involves the dissemination of bacilli in the brain. This study explored the role of the sonic hedgehog (SHH) signaling pathway in regulating blood-brain barrier (BBB) integrity, M. tb invasion into the central nervous system (CNS), and disease progression of Central Nervous System Tuberculosis (CNS-TB) in a Balb/c mouse model. The modulation of the SHH pathway using agonist Purmorphamine (PUR) and antagonist Cyclopamine (CYC) revealed that CYC treatment led to a rapid and extensive invasion of M. tb in the brain, with bacterial loads increasing by 99 % compared to the untreated-infected group. In contrast, PUR reduced M. tb loads by 50 % and delayed disease progression. Histopathological analysis showed that CYC exacerbated inflammation and immune cell infiltration, while PUR mitigated these responses. Immunohistochemistry demonstrated that CYC caused severe BBB breakdown and reactive gliosis, while PUR partially attenuated this response. Further analysis revealed that CYC upregulated Matrix Metalloproteinase-9 (MMP-9) secretion, a key contributor to BBB disruption. These findings highlight the critical role of the SHH pathway in maintaining BBB integrity and regulating the immunopathological response during CNS-TB, opening up future scope for drug discovery. This Cyclopamine-induced model of rapid M. tb invasion and chronic inflammation provides a new tool for studying CNS-TB pathogenesis and evaluating potential therapeutic interventions targeting the SHH signaling axis.

Significance statement

Understanding how tuberculosis (TB) infection can spread to the brain is crucial, as this “central nervous system TB” (CNS-TB) is a serious and potentially life-threatening health complication. However, studying CNS-TB in humans is very difficult. Animal models are needed to better understand how TB gets into the brain and the resulting damage. This study in mice showed that blocking a signaling pathway called Sonic Hedgehog (SHH) allowed TB to rapidly spread to the brain, damaging the blood-brain barrier and causing severe inflammation. In contrast, activating the SHH pathway helped protect the brain from TB. These findings provide important insights that could lead to new ways to prevent or treat this dangerous form of TB.
结核性脑膜炎是结核分枝杆菌(M. tb)感染的一种严重并发症,涉及结核杆菌在大脑中的传播。本研究在 Balb/c 小鼠模型中探讨了声刺猬(SHH)信号通路在调节血脑屏障(BBB)完整性、结核分枝杆菌侵入中枢神经系统(CNS)以及中枢神经系统结核(CNS-TB)疾病进展中的作用。使用激动剂嘌吗啡胺(PUR)和拮抗剂环戊丙胺(CYC)调节 SHH 通路的结果显示,CYC 治疗会导致 M. tb 快速而广泛地侵入大脑,与未经治疗的感染组相比,细菌量增加了 99%。与此相反,PUR可使结核杆菌载量减少50%,并延缓疾病进展。组织病理学分析表明,CYC 加剧了炎症和免疫细胞浸润,而 PUR 则减轻了这些反应。免疫组化显示,CYC 会导致严重的 BBB 崩溃和反应性神经胶质增生,而 PUR 则会部分减轻这种反应。进一步的分析表明,CYC 会上调基质金属蛋白酶-9(MMP-9)的分泌,而 MMP-9 是导致 BBB 破坏的关键因素。这些发现凸显了 SHH 通路在中枢神经系统结核期间维持 BBB 完整性和调节免疫病理反应中的关键作用,为未来的药物发现开辟了空间。这种由环丙胺诱导的结核杆菌快速入侵和慢性炎症模型为研究中枢神经系统结核发病机制和评估针对 SHH 信号轴的潜在治疗干预措施提供了一种新工具。意义声明:了解结核病(TB)感染如何扩散到大脑至关重要,因为这种 "中枢神经系统结核"(CNS-TB)是一种严重且可能威胁生命的健康并发症。然而,在人类身上研究中枢神经系统结核非常困难。我们需要动物模型来更好地了解结核病是如何进入大脑并造成损害的。这项在小鼠身上进行的研究表明,阻断一种名为 "音速刺猬(SHH)"的信号通路会让结核病迅速扩散到大脑,破坏血脑屏障并导致严重炎症。相比之下,激活SHH通路有助于保护大脑免受结核病的侵袭。这些发现提供了重要的见解,可能会带来预防或治疗这种危险形式结核病的新方法。
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引用次数: 0
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Journal of neuroimmunology
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