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Chaperone-Mediated Autophagy in Brain Injury: A Double-Edged Sword with Therapeutic Potentials. 脑损伤中伴侣介导的自噬:具有治疗潜力的双刃剑
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-22 DOI: 10.1007/s12035-024-04230-4
Huiyi Zhang, Ye Tian, Shuai Ma, Yichen Ji, Zhihang Wang, Peilun Xiao, Ying Xu

Autophagy is an intracellular recycling process that maintains cellular homeostasis by degrading excess or defective macromolecules and organelles. Chaperone-mediated autophagy (CMA) is a highly selective form of autophagy in which a substrate containing a KFERQ-like motif is recognized by a chaperone protein, delivered to the lysosomal membrane, and then translocated to the lysosome for degradation with the assistance of lysosomal membrane protein 2A. Normal CMA activity is involved in the regulation of cellular proteostasis, metabolism, differentiation, and survival. CMA dysfunction disturbs cellular homeostasis and directly participates in the pathogenesis of human diseases. Previous investigations on CMA in the central nervous system have primarily focus on neurodegenerative diseases, such as Parkinson's disease and Alzheimer's disease. Recently, mounting evidence suggested that brain injuries involve a wider range of types and severities, making the involvement of CMA in the bidirectional processes of damage and repair even more crucial. In this review, we summarize the basic processes of CMA and its associated regulatory mechanisms and highlight the critical role of CMA in brain injury such as cerebral ischemia, traumatic brain injury, and other specific brain injuries. We also discuss the potential of CMA as a therapeutic target to treat brain injury and provide valuable insights into clinical strategies.

自噬是一种细胞内循环过程,它通过降解多余或有缺陷的大分子和细胞器来维持细胞的平衡。伴侣蛋白介导的自噬(CMA)是一种高度选择性的自噬形式,其中含有 KFERQ 样基序的底物会被伴侣蛋白识别,输送到溶酶体膜,然后在溶酶体膜蛋白 2A 的协助下转运到溶酶体进行降解。正常的 CMA 活性参与细胞蛋白稳态、新陈代谢、分化和存活的调节。CMA 功能障碍会扰乱细胞稳态,并直接参与人类疾病的发病机制。以往对中枢神经系统中 CMA 的研究主要集中于神经退行性疾病,如帕金森病和阿尔茨海默病。最近,越来越多的证据表明,脑损伤涉及更广泛的类型和严重程度,这使得 CMA 参与损伤和修复的双向过程变得更加重要。在这篇综述中,我们总结了 CMA 的基本过程及其相关调控机制,并强调了 CMA 在脑损伤(如脑缺血、创伤性脑损伤和其他特定脑损伤)中的关键作用。我们还讨论了 CMA 作为治疗靶点治疗脑损伤的潜力,并为临床策略提供了有价值的见解。
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引用次数: 0
Effects of a Ketogenic Diet on the Assessment of Biochemical and Clinical Parameters in Duchenne Muscular Dystrophy: A Preclinical Investigation. 生酮饮食对杜氏肌肉萎缩症生化和临床参数评估的影响:临床前研究
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-31 DOI: 10.1007/s12035-024-04258-6
Lilian Leite Fausto, Adriano Alberti, Gabriela Kades, Risoní Pereira Dias de Carvalho, Viviane Freiberger, Leticia Ventura, Paula Dias, Eliton Marcio Zanoni, Ben Hur Soares, Matheus Luchini Dutra, Daniel Fernandes Martins, Clarissa Martinelli Comim

Duchenne muscular dystrophy (DMD) is an X-linked recessive disorder characterized by progressive skeletal muscle degeneration and systemic effects, including the central nervous system (CNS). This study aimed to assess the impact of a 14-day ketogenic diet (DCet) on biochemical and clinical parameters in a DMD mouse model. Young adult mice (50 days old) were fed DCet, while control groups received a standard diet. On the 14th day, memory and behavior tests were conducted, followed by biochemical evaluations of oxidative stress, inflammatory biomarkers, body weight, feed intake, and brain-derived neurotrophic factor (BDNF) levels. mdx + DCet mice showed reduced mass (0.2 g ± 2.49) and improved memory retention (p < 0.05) compared to controls. Oxidative damage in muscle tissue and CNS decreased, along with a significant cytokine level reduction (p <0.05). The protocol led to an increase in hippocampal BDNF and mitochondrial respiratory complex activity in muscle tissue and the central nervous system (CNS), while also decreasing creatine kinase activity only in the striatum. Overall, a 14-day DCet showed protective effects by improving spatial learning and memory through reductions in oxidative stress and immune response, as well as increases in BDNF levels, consistent with our study's findings.

杜兴氏肌营养不良症(DMD)是一种 X 连锁隐性疾病,其特征是进行性骨骼肌变性和全身性影响,包括中枢神经系统(CNS)。本研究旨在评估为期 14 天的生酮饮食(DCet)对 DMD 小鼠模型的生化和临床参数的影响。年轻的成年小鼠(50 天大)被喂食 DCet,而对照组则接受标准饮食。与对照组相比,mdx + DCet 小鼠的体重减少(0.2 g ± 2.49),记忆保持能力提高(p < 0.05)。肌肉组织和中枢神经系统的氧化损伤减轻,细胞因子水平显著降低(p
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引用次数: 0
Abnormal Changes of IL3/IL3R and Its Downstream Signaling Pathways in the Prion-Infected Cell Line and in the Brains of Scrapie-Infected Rodents. IL3/IL3R及其下游信号通路在受朊病毒感染的细胞系和受刮伤病感染的啮齿动物大脑中的异常变化
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2023-08-07 DOI: 10.1007/s12035-023-03511-8
Xiao-Xi Jia, Cao Chen, Chao Hu, Zhi-Yue Chao, Wei-Wei Zhang, Yue-Zhang Wu, Qin Fan, Ru-Han A, Xin Liu, Kang Xiao, Qi Shi, Xiao-Ping Dong

Interleukin 3 (IL-3) plays an important role in hematopoiesis and immune regulation, brain IL-3/IL-3R signaling has been shown to involve in the physiological and pathological processes of a variety of neurodegenerative diseases, but its role in prion diseases is rarely described. Here, the changes of IL-3/IL-3R and its downstream signaling pathways in a scrapie-infected cell line and in the brains of several scrapie-infected rodent models were evaluated by various methods. Markedly decreased IL-3Rα were observed in the brains of scrapie-infected rodents at terminal stage and in the prion-infected cell model, which showed increased in the brain samples collected at early and middle stage of infection. The IL-3 levels were almost unchanged in the brains of scrapie-infected mice and in the prion-infected cell line. Morphological assays identified close co-localization of the increased IL-3Rα signals with NeuN- and Iba1-positive cells, whereas co-localization of IL-3 signals with NeuN- and GFAP-positive cells in the scrapie-infected brain tissues. Some downstream components of IL-3/IL-3R pathways, including JAK2-STAT5 and PI3K/AKT/mTOR pathways, were downregulated in the brains of scrapie-infected rodents at terminal stage and in the prion-infected cells. Stimulation of recombinant IL-3 on the cultured cells showed prion that the prion-infected cells displayed markedly more reluctant responses of JAK2-STAT5 and PI3K/AKT/mTOR pathways than the normal partner cells. These data suggest that although prion infection or PrPSc accumulation in brain tissues does not affect IL-3 expression, it significantly downregulates IL-3R levels, thereby inhibiting the downstream pathways of IL-3/IL-3R and blocking the neuroregulatory and neuroprotective activities of IL-3.

白细胞介素3(IL-3)在造血和免疫调节中发挥着重要作用,脑IL-3/IL-3R信号传导已被证明参与了多种神经退行性疾病的生理和病理过程,但其在朊病毒疾病中的作用却鲜有描述。本文通过多种方法评估了IL-3/IL-3R及其下游信号通路在豚鼠瘙痒症感染细胞系和几种豚鼠瘙痒症感染模型大脑中的变化。在豚鼠瘙痒症感染末期的大脑和朊病毒感染细胞模型中观察到 IL-3Rα 明显降低,而在感染早期和中期采集的大脑样本中,IL-3Rα 有所升高。在豚鼠瘙痒症感染的大脑和朊病毒感染的细胞系中,IL-3 的水平几乎没有变化。形态学检测发现,在豚鼠瘙痒症感染的脑组织中,IL-3Rα信号的增加与NeuN和Iba1阳性细胞密切共定位,而IL-3信号则与NeuN和GFAP阳性细胞共定位。IL-3/IL-3R通路的一些下游成分,包括JAK2-STAT5和PI3K/AKT/mTOR通路,在豚鼠瘙痒症感染晚期脑组织和朊病毒感染细胞中被下调。重组 IL-3 对培养细胞的刺激显示,朊病毒感染细胞的 JAK2-STAT5 和 PI3K/AKT/mTOR 通路的反应明显比正常伙伴细胞勉强。这些数据表明,虽然朊病毒感染或PrPSc在脑组织中的积累不会影响IL-3的表达,但会显著下调IL-3R的水平,从而抑制IL-3/IL-3R的下游通路,阻断IL-3的神经调节和神经保护活性。
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引用次数: 0
Interplay Between Zika Virus-Induced Autophagy and Neural Stem Cell Fate Determination. 寨卡病毒诱导的自噬与神经干细胞命运测定之间的相互作用。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2023-11-01 DOI: 10.1007/s12035-023-03704-1
Bindu, Hriday Shanker Pandey, Pankaj Seth

The Zika virus (ZIKV) outbreaks and its co-relation with microcephaly have become a global health concern. It is primarily transmitted by a mosquito, but can also be transmitted from an infected mother to her fetus causing impairment in brain development, leading to microcephaly. However, the underlying molecular mechanism of ZIKV-induced microcephaly is poorly understood. In this study, we explored the role of ZIKV non-structural protein NS4A and NS4B in ZIKV pathogenesis in a well-characterized primary culture of human fetal neural stem cells (fNSCs). We observed that the co-transfection of NS4A and NS4B altered the neural stem cell fate by arresting proliferation and inducing premature neurogenesis. NS4A + NS4B transfection in fNSCs increased autophagy and dysregulated notch signaling. Further, it also altered the regulation of downstream genes controlling cell proliferation. Additionally, we reported that 3 methyl-adenine (3-MA), a potent autophagy inhibitor, attenuated the deleterious effects of NS4A and NS4B as evidenced by the rescue in Notch1 expression, enhanced proliferation, and reduced premature neurogenesis. Our attempts to understand the mechanism of autophagy induction indicate the involvement of mitochondrial fission and ROS. Collectively, our findings highlight the novel role of NS4A and NS4B in mediating NSC fate alteration through autophagy-mediated notch degradation. The study also helps to advance our understanding of ZIKV-induced neuropathogenesis and suggests autophagy as a potential target for anti-ZIKV therapeutic intervention.

寨卡病毒(ZIKV)的爆发及其与小头畸形的共同关系已成为全球健康问题。它主要由蚊子传播,但也可以从受感染的母亲传播给胎儿,导致大脑发育受损,导致小头畸形。然而,ZIKV诱导小头畸形的潜在分子机制尚不清楚。在本研究中,我们在人胎儿神经干细胞(fNSCs)的原代培养中探索了ZIKV非结构蛋白NS4A和NS4B在ZIKV发病机制中的作用。我们观察到NS4A和NS4B的共转染通过阻止增殖和诱导过早神经发生来改变神经干细胞的命运。NS4A + 在fNSCs中转染NS4B增加了自噬和失调的notch信号传导。此外,它还改变了控制细胞增殖的下游基因的调节。此外,我们报道了3-甲基腺嘌呤(3-MA),一种有效的自噬抑制剂,减弱了NS4A和NS4B的有害作用,Notch1表达的挽救、增殖的增强和过早神经发生的减少证明了这一点。我们试图了解自噬诱导的机制,这表明线粒体分裂和ROS的参与。总之,我们的发现强调了NS4A和NS4B在通过自噬介导的notch降解介导NSC命运改变中的新作用。该研究也有助于加深我们对ZIKV诱导的神经发生的理解,并表明自噬是抗ZIKV治疗干预的潜在靶点。
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引用次数: 0
The Role of Gut Microbiota in Blood-Brain Barrier Disruption after Stroke. 中风后肠道微生物群在血脑屏障破坏中的作用
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2023-07-27 DOI: 10.1007/s12035-023-03512-7
Meiqin Zeng, Meichang Peng, Jianhao Liang, Haitao Sun

Growing evidence has proved that alterations in the gut microbiota have been linked to neurological disorders including stroke. Structural and functional disruption of the blood-brain barrier (BBB) is observed after stroke. In this context, there is pioneering evidence supporting that gut microbiota may be involved in the pathogenesis of stroke by regulating the BBB function. However, only a few experimental studies have been performed on stroke models to observe the BBB by altering the structure of gut microbiota, which warrant further exploration. Therefore, in order to provide a novel mechanism for stroke and highlight new insights into BBB modification as a stroke intervention, this review summarizes existing evidence of the relationship between gut microbiota and BBB integrity and discusses the mechanisms of gut microbiota on BBB dysfunction and its role in stroke.

越来越多的证据证明,肠道微生物群的改变与包括中风在内的神经系统疾病有关。中风后会出现血脑屏障(BBB)的结构性和功能性破坏。在这种情况下,有开创性的证据支持肠道微生物群可能通过调节血脑屏障的功能参与中风的发病机制。然而,通过改变肠道微生物群的结构来观察脑卒中模型 BBB 的实验研究为数不多,值得进一步探讨。因此,为了提供脑卒中的新机制,并强调将改变 BBB 作为脑卒中干预措施的新见解,本综述总结了肠道微生物群与 BBB 完整性之间关系的现有证据,并讨论了肠道微生物群对 BBB 功能障碍的机制及其在脑卒中中的作用。
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引用次数: 0
Microbiota Alters and Its Correlation with Molecular Regulation Underlying Depression in PCOS Patients. PCOS患者体内微生物群变化及其与抑郁分子调控的相关性
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2023-11-23 DOI: 10.1007/s12035-023-03744-7
Liying Yu, Xiaoyu Chen, Xuefeng Bai, Jingping Fang, Ming Sui

Depression is one of the complications in patients with polycystic ovary syndrome (PCOS) that leads to considerable mental health. Accumulating evidence suggests that human gut microbiomes are associated with the progression of PCOS and depression. However, whether microbiota influences depression development in PCOS patients is still uncharacterized. In this study, we employed metagenomic sequencing and transcriptome sequencing (RNA-seq) to profile the composition of the fecal microbiota and gene expression of peripheral blood mononuclear cells in depressed women with PCOS (PCOS-DP, n = 27) in comparison to mentally healthy women with PCOS (PCOS, n = 18) and compared with healthy control (HC, n = 27) and patients with major depressive disorder (MDD, n = 29). Gut microbiota assessment revealed distinct patterns in the relative abundance in the PCOS-DP compared to HC, MDD, and PCOS groups. Several gut microbes exhibited uniquely and significantly higher abundance in the PCOS-DP compared to PCOS patients, inducing EC Ruminococcus torques, Coprococcus comes, Megasphaera elsdenii, Acidaminococcus intestini, and Barnesiella viscericola. Bacteroides eggerthii was a potential gut microbial biomarker for the PCOS-DP. RNA-seq profiling identified that 35 and 37 genes were significantly elevated and downregulated in the PCOS-DP, respectively. The enhanced differential expressed genes (DEGs) in the PCOS-DP were enriched in pathways involved in signal transduction and endocrine and metabolic diseases, whereas several lipid metabolism pathways were downregulated. Intriguingly, genes correlated with the gut microbiota were found to be significantly enriched in pathways of neurodegenerative diseases and the immune system, suggesting that changes in the microbiota may have a systemic impact on the expression of neurodegenerative diseases and immune genes. Gut microbe-related DEGs of CREB3L3 and CCDC173 were possible molecular biomarkers and therapeutic targets of women with PCOS-DP. Our multi-omics data indicate shifts in the gut microbiome and host gene regulation in PCOS patients with depression, which is of possible etiological and diagnostic importance.

抑郁症是多囊卵巢综合征(PCOS)患者的并发症之一,严重影响心理健康。越来越多的证据表明,人类肠道微生物群与多囊卵巢综合征和抑郁症的进展有关。然而,微生物群是否影响PCOS患者的抑郁发展仍不清楚。在本研究中,我们采用宏基因组测序和转录组测序(RNA-seq)分析了PCOS抑郁女性(PCOS- dp, n = 27)与心理健康PCOS女性(PCOS, n = 18)、健康对照(HC, n = 27)和重度抑郁症患者(MDD, n = 29)的粪便微生物群组成和外周血单个核细胞基因表达。肠道菌群评估显示,与HC、MDD和PCOS组相比,PCOS- dp组的相对丰度有不同的模式。与PCOS患者相比,PCOS- dp患者肠道微生物的丰度明显高于PCOS患者,包括EC Ruminococcus torques、Coprococcus comes、Megasphaera elsdenii、Acidaminococcus n肠癌和Barnesiella vericola。卵拟杆菌是PCOS-DP的潜在肠道微生物生物标志物。RNA-seq分析发现,在PCOS-DP中,35个基因显著升高,37个基因显著下调。PCOS-DP中差异表达基因(DEGs)的增强在信号转导和内分泌代谢疾病相关通路中富集,而一些脂质代谢通路则下调。有趣的是,与肠道微生物群相关的基因被发现在神经退行性疾病和免疫系统的通路中显著富集,这表明微生物群的变化可能对神经退行性疾病和免疫基因的表达产生全身性影响。CREB3L3和CCDC173的肠道微生物相关DEGs可能是PCOS-DP女性的分子生物标志物和治疗靶点。我们的多组学数据表明PCOS合并抑郁症患者的肠道微生物组和宿主基因调控发生了变化,这可能具有病因学和诊断意义。
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引用次数: 0
Crosstalk Between Cell Death and Spinal Cord Injury: Neurology and Therapy. 细胞死亡与脊髓损伤之间的相互关系:神经学与治疗》。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1007/s12035-024-04188-3
Qifeng Song, Qian Cui, Shi Sun, Yashi Wang, Yin Yuan, Lixin Zhang

Spinal cord injury (SCI) often leads to neurological dysfunction, and neuronal cell death is one of the main causes of neurological dysfunction. After SCI, in addition to necrosis, programmed cell death (PCD) occurs in nerve cells. At first, studies recognized only necrosis, apoptosis, and autophagy. In recent years, researchers have identified new forms of PCD, including pyroptosis, necroptosis, ferroptosis, and cuproptosis. Related studies have confirmed that all of these cell death modes are involved in various phases of SCI and affect the direction of the disease through different mechanisms and pathways. Furthermore, regulating neuronal cell death after SCI through various means has been proven to be beneficial for the recovery of neural function. In recent years, emerging therapies for SCI have also provided new potential methods to restore neural function. Thus, the relationship between SCI and cell death plays an important role in the occurrence and development of SCI. This review summarizes and generalizes the relevant research results on neuronal necrosis, apoptosis, autophagy, pyroptosis, necroptosis, ferroptosis, and cuproptosis after SCI to provide a new understanding of neuronal cell death after SCI and to aid in the treatment of SCI.

脊髓损伤(SCI)通常会导致神经功能障碍,而神经细胞死亡是导致神经功能障碍的主要原因之一。脊髓损伤后,神经细胞除了坏死外,还会发生程序性细胞死亡(PCD)。起初,研究人员只认识到坏死、细胞凋亡和自噬。近年来,研究人员发现了新形式的程序性细胞死亡,包括热凋亡、坏死凋亡、铁凋亡和杯状凋亡。相关研究证实,所有这些细胞死亡模式都参与了 SCI 的不同阶段,并通过不同的机制和途径影响疾病的发展方向。此外,通过各种方法调节 SCI 后神经细胞的死亡已被证实有利于神经功能的恢复。近年来,针对 SCI 的新兴疗法也为恢复神经功能提供了新的潜在方法。因此,SCI 与细胞死亡之间的关系在 SCI 的发生和发展中起着重要作用。本综述总结和归纳了 SCI 后神经细胞坏死、凋亡、自噬、热凋亡、坏死凋亡、铁凋亡和杯状凋亡的相关研究成果,以期对 SCI 后神经细胞死亡有新的认识,并有助于 SCI 的治疗。
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引用次数: 0
Hydroalcoholic Extract of Centella asiatica and Madecassic Acid Reverse Depressive-Like Behaviors, Inflammation and Oxidative Stress in Adult Rats Submitted to Stress in Early Life. 积雪草水醇提取物和麦地那酸能逆转成年大鼠的抑郁行为、炎症和氧化应激。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-04 DOI: 10.1007/s12035-024-04198-1
Amanda Gollo Bertollo, Maiqueli Eduarda Dama Mingoti, Jesiel de Medeiros, Gilnei Bruno da Silva, Giovana Tamara Capoani, Heloisa Lindemann, Joana Cassol, Daiane Manica, Tacio de Oliveira, Michelle Lima Garcez, Margarete Dulce Bagatini, Lilian Caroline Bohnen, Walter Antônio Roman Junior, Zuleide Maria Ignácio

Major depressive disorder (MDD) is a severe disorder that causes enormous loss of quality of life, and among the factors underlying MDD is stress in maternal deprivation (MD). In addition, classic pharmacotherapy has presented severe adverse effects. Centella asiatica (C. asiatica) demonstrates a potential neuroprotective effect but has not yet been evaluated in MD models. This study aimed to evaluate the effect of C. asiatica extract and the active compound madecassic acid on possible depressive-like behavior, inflammation, and oxidative stress in the hippocampus and serum of young rats submitted to MD in the first days of life. Rats (after the first day of birth) were separated from the mother for 3 h a day for 10 days. When adults, these animals were divided into groups and submitted to treatment for 14 days. After subjecting the animals to protocols of locomotor activity in the open field and behavioral despair in the forced swimming test, researchers then euthanized the animals. The hippocampus and serum were collected and analyzed for the inflammatory cytokines and oxidative markers. The C. asiatica extract and active compound reversed or reduced depressive-like behaviors, inflammation in the hippocampus, and oxidative stress in serum and hippocampus. These results suggest that C. asiatica and madecassic acid have potential antidepressant action, at least partially, through anti-inflammatory and antioxidant profiles.

重度抑郁障碍(MDD)是一种严重的疾病,会导致生活质量的巨大损失,而导致重度抑郁障碍的因素之一就是母性剥夺(MD)的压力。此外,传统的药物治疗也带来了严重的不良反应。积雪草(C. asiatica)具有潜在的神经保护作用,但尚未在 MD 模型中进行评估。本研究旨在评估积雪草萃取物和活性化合物马德卡辛酸对出生后几天内患多发性硬化症的幼鼠海马和血清中可能出现的抑郁样行为、炎症和氧化应激的影响。大鼠(出生后第一天)与母亲分离,每天 3 小时,持续 10 天。成年后,这些动物被分成几组,接受为期 14 天的治疗。研究人员对这些动物进行了开阔地运动和强迫游泳行为绝望试验后,对它们实施了安乐术。研究人员收集了海马和血清,并对炎症细胞因子和氧化标志物进行了分析。茜草提取物和活性化合物逆转或减少了类似抑郁的行为、海马中的炎症以及血清和海马中的氧化应激。这些结果表明,积雪草和马德拉杉酸具有潜在的抗抑郁作用,至少部分是通过抗炎和抗氧化作用实现的。
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引用次数: 0
Role of Exercise on Inflammation Cytokines of Neuropathic Pain in Animal Models. 运动对动物模型神经性疼痛炎症细胞因子的作用
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1007/s12035-024-04214-4
Ya-Nan Zheng, Yi-Li Zheng, Xue-Qiang Wang, Pei-Jie Chen

Neuropathic pain (NP) resulting from a lesion or disease of the somatosensory system can lead to loss of function and reduced life quality. Neuroinflammation plays a vital role in the development and maintenance of NP. Exercise as an economical, effective, and nonpharmacological treatment, recommended by clinical practice guidelines, has been proven to alleviate chronic NP. Previous studies have shown that exercise decreases NP by modifying inflammation; however, the exact mechanisms of exercise-mediated NP are unclear. Therefore, from the perspective of neuroinflammation, this review mainly discussed the effects of exercise on inflammatory cytokines in different parts of NP conduction pathways, such as the brain, spinal cord, dorsal root ganglion, sciatic nerve, and blood in rat/mice models. Results suggested that exercise training could modulate neuroinflammation, inhibit astrocyte glial cell proliferation and microglial activation, alter the macrophage phenotype, reduce the expression of proinflammatory cytokines, increase anti-inflammatory cytokine levels, and positively modulate the state of the immune system, thereby relieving NP.

由躯体感觉系统病变或疾病引起的神经性疼痛(NP)可导致功能丧失和生活质量下降。神经炎症在 NP 的发展和维持中起着至关重要的作用。临床实践指南推荐的运动作为一种经济、有效的非药物治疗方法,已被证明可以缓解慢性 NP。以往的研究表明,运动可通过改变炎症来减轻 NP;然而,运动介导 NP 的确切机制尚不清楚。因此,本综述从神经炎症的角度出发,主要讨论了在大鼠/小鼠模型中,运动对 NP 传导通路不同部位,如大脑、脊髓、背根神经节、坐骨神经和血液中炎症细胞因子的影响。结果表明,运动训练可以调节神经炎症,抑制星形胶质细胞增殖和小胶质细胞活化,改变巨噬细胞表型,减少促炎细胞因子的表达,增加抗炎细胞因子水平,积极调节免疫系统状态,从而缓解 NP。
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引用次数: 0
Valsartan: An Angiotensin Receptor Blocker Modulates BDNF Expression and Provides Neuroprotection Against Cerebral Ischemic Reperfusion Injury. 缬沙坦:一种血管紧张素受体阻滞剂,可调节 BDNF 的表达并对脑缺血再灌注损伤提供神经保护。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-12-01 Epub Date: 2024-05-25 DOI: 10.1007/s12035-024-04237-x
Mubashshir Ali, Heena Tabassum, Mohammad Mumtaz Alam, Abdulaziz S Alothaim, Esam S Al-Malki, Azfar Jamal, Suhel Parvez

AT1 receptor blockers (ARBs) are commonly used drugs to treat cardiovascular disease and hypertension, but research on their impact on brain disorders is unattainable. Valsartan (VAL) is a drug that specifically blocks AT1 receptor. Despite the previous evidence for VAL to provide neuroprotection in case of ischemic reperfusion injury, evaluation of their potential in mitigating mitochondrial dysfunction that causes neuronal cell death and neurobehavioral impairment remains unknown. The aim of this study was to evaluate the therapeutic effect of repurposed drug VAL against ischemic reperfusion injury-induced neuronal alternation. tMCAO surgery was performed to induce focal cerebral ischemic reperfusion injury. Following ischemic reperfusion injury, we analyzed the therapeutic efficacy of VAL by measuring the infarct volume, brain water content, mitochondrial oxidative stress, mitochondrial membrane potential, histopathological architecture, and apoptotic marker protein. Our results showed that VAL administrations (5 and 10 mg/kg b.wt.) mitigated the brain damage, enhanced neurobehavioral outcomes, and alleviated mitochondrial-mediated oxidative damage. In addition to this, our findings demonstrated that VAL administration inhibits neuronal apoptosis by restoring the mitochondrial membrane potential. A follow-up investigation demonstrated that VAL induces BDNF expression and promoted ischemic tolerance via modulating the Akt/p-Creb signaling pathway. In summary, our results suggested that VAL administration provided neuroprotection, ameliorated mitochondrial dysfunction, preserved the integrity of neurons, and lead to functional improvement after ischemic reperfusion injury.

AT1受体阻断剂(ARB)是治疗心血管疾病和高血压的常用药物,但有关其对脑部疾病影响的研究却遥遥无期。缬沙坦(VAL)是一种专门阻断AT1受体的药物。尽管已有证据表明缬沙坦能在缺血再灌注损伤的情况下提供神经保护,但对其在减轻导致神经细胞死亡和神经行为障碍的线粒体功能障碍方面的潜力的评估仍然未知。本研究旨在评估再利用药物VAL对缺血再灌注损伤诱导的神经元交替的治疗效果。缺血再灌注损伤后,我们通过测量梗死体积、脑含水量、线粒体氧化应激、线粒体膜电位、组织病理学结构和凋亡标志蛋白来分析VAL的疗效。我们的研究结果表明,服用 VAL(5 毫克/千克体重和 10 毫克/千克体重)可减轻脑损伤,改善神经行为结果,并减轻线粒体介导的氧化损伤。此外,我们的研究结果表明,服用 VAL 可通过恢复线粒体膜电位抑制神经元凋亡。后续研究表明,VAL 可诱导 BDNF 的表达,并通过调节 Akt/p-Creb 信号通路促进缺血耐受。总之,我们的研究结果表明,服用 VAL 可提供神经保护,改善线粒体功能障碍,保持神经元的完整性,并导致缺血再灌注损伤后的功能改善。
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Molecular Neurobiology
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