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High-throughput digital quantification of Alzheimer disease pathology and associated infrastructure in large autopsy studies. 大型尸检研究中阿尔茨海默病病理学和相关基础设施的高通量数字量化。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad086
Alifiya Kapasi, Jennifer Poirier, Ahmad Hedayat, Ashley Scherlek, Srabani Mondal, Tiffany Wu, John Gibbons, Lisa L Barnes, David A Bennett, Sue E Leurgans, Julie A Schneider

High-throughput digital pathology offers considerable advantages over traditional semiquantitative and manual methods of counting pathology. We used brain tissue from 5 clinical-pathologic cohort studies of aging; the Religious Orders Study, the Rush Memory and Aging Project, the Minority Aging Research Study, the African American Clinical Core, and the Latino Core to (1) develop a workflow management system for digital pathology processes, (2) optimize digital algorithms to quantify Alzheimer disease (AD) pathology, and (3) harmonize data statistically. Data from digital algorithms for the quantification of β-amyloid (Aβ, n = 413) whole slide images and tau-tangles (n = 639) were highly correlated with manual pathology data (r = 0.83 to 0.94). Measures were robust and reproducible across different magnifications and repeated scans. Digital measures for Aβ and tau-tangles across multiple brain regions reproduced established patterns of correlations, even when samples were stratified by clinical diagnosis. Finally, we harmonized newly generated digital measures with historical measures across multiple large autopsy-based studies. We describe a multidisciplinary approach to develop a digital pathology pipeline that reproducibly identifies AD neuropathologies, Aβ load, and tau-tangles. Digital pathology is a powerful tool that can overcome critical challenges associated with traditional microscopy methods.

与传统的半定量和手动病理计数方法相比,高通量数字病理提供了相当大的优势。我们使用了来自5项衰老临床病理队列研究的脑组织;宗教秩序研究、快速记忆和老龄化项目、少数民族老龄化研究、非裔美国人临床核心和拉丁裔核心,以(1)开发数字病理过程的工作流程管理系统,(2)优化数字算法以量化阿尔茨海默病(AD)病理,以及(3)在统计上协调数据。β-淀粉样蛋白(Aβ,n = 413)整张幻灯片图像和τ缠结(n = 639)与手工病理学数据高度相关(r = 0.83至0.94)。在不同的放大倍数和重复扫描中,测量是稳健的和可重复的。跨多个大脑区域的Aβ和tau缠结的数字测量再现了既定的相关性模式,即使样本是根据临床诊断分层的。最后,我们在多个基于尸检的大型研究中,将新生成的数字测量与历史测量进行了协调。我们描述了一种多学科方法来开发数字病理管道,该管道可重复识别AD神经病理学、aβ负荷和tau缠结。数字病理学是一种强大的工具,可以克服与传统显微镜方法相关的关键挑战。
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引用次数: 0
Autopsy findings in a 6-month-old infant with rhabdoid tumor predisposition syndrome 1: Case report with literature review. 6个月婴儿横纹肌样肿瘤易感综合征的尸检结果1:病例报告并文献复习。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad087
Yinan Hua, Kenneth E Youens, Eduardo Castro, Dapeng Wang, Parsa Hodjat, Yuan Shan
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引用次数: 0
Synchronous contralateral low-grade oligodendroglioma and high-grade IDH-mutant astrocytoma. 同步对侧低级别少突胶质细胞瘤和高级别idh突变星形细胞瘤。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad088
Bartholomew White, Jean Filo, Eduardo Orrego-Gonzalez, Steven N Schwartz, Hemant Varma, Erik J Uhlmann, Rafael A Vega
{"title":"Synchronous contralateral low-grade oligodendroglioma and high-grade IDH-mutant astrocytoma.","authors":"Bartholomew White, Jean Filo, Eduardo Orrego-Gonzalez, Steven N Schwartz, Hemant Varma, Erik J Uhlmann, Rafael A Vega","doi":"10.1093/jnen/nlad088","DOIUrl":"10.1093/jnen/nlad088","url":null,"abstract":"","PeriodicalId":16682,"journal":{"name":"Journal of Neuropathology and Experimental Neurology","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50158206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Progressive supranuclear palsy can mimic idiopathic normal pressure hydrocephalus: A case series. 进行性核上性麻痹可模拟特发性常压脑积水:一系列病例。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad090
Miki Kawazoe, Shunsuke Koga, Dennis W Dickson
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引用次数: 0
Neuropathology on Trial. 神经病理学试验。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlz137
Clayton A Wiley
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引用次数: 0
Concurrent TERT promoter C228T and C250T mutations in diffuse gliomas: Rare occurrence of intratumoral heterogeneity. 弥漫性胶质瘤中TERT启动子C228T和C250T同时突变:罕见的瘤内异质性。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad081
Alaa Koleilat, Vijay Kumar, Youssef Al Hmada, Dragana Milosevic, Gang Zheng, Maria Beatriz Lopes, Cristiane M Ida
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引用次数: 0
METTL3-mediated maturation of miR-192-5p targets ATG7 to prevent Schwann cell autophagy in peripheral nerve injury. mettl3介导的miR-192-5p成熟靶向ATG7,阻止周围神经损伤中的雪旺细胞自噬。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad091
Xing Liu, Jun Lv, Weilong Tang, Yuanbai Hu, Yiwei Wen, Hongtao Shen

The inhibition of miR-192-5p can promote nerve repair in rats with peripheral nerve injury (PNI) but the precise mechanisms underlying this effect remain unclear. Schwann cell (SC) autophagy mediated by autophagy-related gene (ATG) proteins has a key role in PNI but it is uncertain whether miR-192-5p affects the involvement of SC autophagy in PNI. In this study, we investigated the impact of methyltransferase-like protein 3 (METTL3)/miR-192-5p/ATG7 on SC autophagy in a rat PNI model and in an SC oxygen and glucose deprivation model. The results revealed that METTL3 stimulated miR-192-5p maturation via m6A methylation to depress ATG7 and SC autophagy and aggravate PNI. These findings provide a new target and potential basis for the treatment of patients with PNI.

抑制miR-192-5p可以促进周围神经损伤(PNI)大鼠的神经修复,但这种作用的确切机制尚不清楚。自噬相关基因(ATG)蛋白介导的雪旺细胞(SC)自噬在PNI中起关键作用,但miR-192-5p是否影响SC自噬在PNI中的参与尚不确定。在这项研究中,我们研究了甲基转移酶样蛋白3 (METTL3)/miR-192-5p/ATG7对大鼠PNI模型和SC氧葡萄糖剥夺模型中SC自噬的影响。结果显示,METTL3通过m6A甲基化刺激miR-192-5p成熟,抑制ATG7和SC自噬,加重PNI。这些发现为PNI患者的治疗提供了新的靶点和潜在的基础。
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引用次数: 0
miR-15b-5p transcription mediated by CREB1 protects against inflammation and apoptosis in Parkinson disease models by inhibiting AXIN2 and activating Wnt/β-catenin. CREB1介导的miR-15b-5p转录通过抑制AXIN2和激活Wnt/β-catenin来保护帕金森病模型免受炎症和细胞凋亡。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad084
Tianyi Liu, Guozhong Li

Parkinson disease (PD) is a major neurodegenerative disease that greatly undermines people's health and for which effective therapeutic strategies are currently limited. This study dissected the effects of expression changes of AXIN2, a modulator of the Wnt/beta-catenin signaling pathway, the transcription factor CREB1, and of the microRNA miR-15b-5p on apoptosis and the inflammatory response in a PD mouse model in vivo and in a cellular PD model in vitro. The analyses demonstrated low CREB1 and miR-15b-5p expression and high AXIN2 expression in both models. miR-15b-5p overexpression or AXIN2 knockdown alleviated the inflammatory response indicated by decreased levels of TNF-α, IL-6, and IL-1β and apoptosis indicated by decreased levels of cleaved caspase-3 and Bax and elevated Bcl-2. Protection by miR-15b-5p upregulation was counteracted by the simultaneous overexpression of AXIN2. miR-15b-5p targeted AXIN2. CREB1 promoted miR-15b-5p expression, which activated the Wnt/β-catenin pathway by inhibiting AXIN2. Collectively, the data indicate that transcriptional expression of miR-15b-5p can be promoted by CREB1 to inhibit AXIN2 and activate Wnt/β-catenin, thereby reducing the inflammatory response and apoptosis in these PD models. These data suggest the CREB1/miR-15b-5p/AXIN2 axis is a potential therapeutic target in PD patients.

帕金森病(PD)是一种严重损害人们健康的主要神经退行性疾病,目前有效的治疗策略有限。本研究分析了体内和体外PD小鼠模型中Wnt/β-连环蛋白信号通路的调节剂AXIN2、转录因子CREB1和微小RNA miR-15b-5p的表达变化对细胞凋亡和炎症反应的影响。分析表明,在两种模型中,CREB1和miR-15b-5p表达较低,AXIN2表达较高。miR-15b-5p过表达或AXIN2敲低减轻了TNF-α、IL-6和IL-1β水平降低所指示的炎症反应,并减轻了裂解的胱天蛋白酶-3和Bax水平降低和Bcl-2水平升高所指示的细胞凋亡。miR-15b-5p上调的保护作用被AXIN2的同时过表达所抵消。miR-15b-5p靶向AXIN2。CREB1促进miR-15b-5p的表达,通过抑制AXIN2激活Wnt/β-catenin通路。总之,数据表明,CREB1可以促进miR-15b-5p的转录表达,以抑制AXIN2并激活Wnt/β-catenin,从而减少这些PD模型中的炎症反应和细胞凋亡。这些数据表明CREB1/miR-15b-5p/AXIN2轴是PD患者的潜在治疗靶点。
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引用次数: 0
Translocator protein (TSPO) expression in neoplastic cells and tumor-associated macrophages in meningiomas. 转运蛋白(TSPO)在脑膜瘤肿瘤细胞和肿瘤相关巨噬细胞中的表达。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad093
Nadja Blum, Christian Mirian, Andrea Daniela Maier, Tiit Illimar Mathiesen, Frederik Vilhardt, Jeppe Lohfert Haslund-Vinding

Meningiomas are the most common primary intracranial tumors and show extensive infiltration of macrophages. The mitochondrial membrane protein translocator protein (TSPO) has been used as an in vivo marker of microglia and macrophage activation to visualize neuroinflammation. However, it is unknown which cell types express TSPO in meningiomas. Immunohistochemistry of 38 WHO grade 1-3 meningiomas was subjected to segmentation and deep learning classification of TSPO expression to either Iba1-positive tumor-associated macrophages (TAMs) or all other (mainly neoplastic) cells. A possible association between clinical data and TSPO expression intensities was also investigated. TAMs accounted for 15.9%-26% of all cells in the meningioma tissue. Mean fluorescence intensity of TSPO was significantly higher in TAMs (p < 0.0001), but the mass of neoplastic cells in the tumors exceeded that of TAMs. Thus, the summed fluorescence intensity of TSPO in meningioma cells was 64.1% higher than in TAMs (p = 0.0003). We observed no correlation between TSPO expression intensity and WHO grade. These results indicate that both macrophage-lineage and neoplastic cells in meningiomas express TSPO and that the SPECT-TSPO signal in meningiomas mainly reflects the latter; TSPO is expressed equally in parenchymal activated and resting macrophage/microglia lineage cells.

脑膜瘤是最常见的原发性颅内肿瘤,可见巨噬细胞的广泛浸润。线粒体膜蛋白转运蛋白(TSPO)已被用作小胶质细胞和巨噬细胞激活的体内标记物,用于观察神经炎症。然而,脑膜瘤中哪些细胞类型表达TSPO尚不清楚。对38例WHO分级1-3级脑膜瘤进行免疫组织化学分割和深度学习分类,以确定TSPO在iba1阳性肿瘤相关巨噬细胞(tam)或所有其他(主要是肿瘤)细胞中的表达。研究还探讨了临床数据与TSPO表达强度之间的可能关联。TAMs占脑膜瘤组织中所有细胞的15.9%-26%。TSPO的平均荧光强度显著高于TAMs (p
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引用次数: 0
Validating MCM2 as a clinically relevant surrogate immunohistochemical marker for an aggressive meningioma molecular subtype. 验证MCM2作为侵袭性脑膜瘤分子亚型的临床相关替代免疫组织化学标记物。
IF 3.2 3区 医学 Q1 Medicine Pub Date : 2023-11-20 DOI: 10.1093/jnen/nlad082
Allison Shelbourn, Nicholas Nuechterlein, Carolina Angelica Parada, Jessica Eaton, Mallory Tucker, Manuel Ferreira, Patrick J Cimino
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Journal of Neuropathology and Experimental Neurology
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