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Endoplasmic Reticulum Stress in Spinal Cord Injury: Pathological Roles, Molecular Targets, and Emerging Treatments: A Systematic Review. 脊髓损伤中的内质网应激:病理作用、分子靶点和新兴治疗方法:系统综述。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-30 DOI: 10.1007/s12035-025-05654-2
Seyed Mohammad Piri, Sajjad Ahmadpour, Mohammad Amin Habibi, Elham Mirzaian, Sahar Montazeri, Masume Allahmoradi, Sina Shool, Kurosh Mojtabavi, Yasaman Mahdizadeh Darban, Hanieh Amani, Seyed Mohammad Tavangar

Spinal cord injuries (SCI) are associated with significant physical and economic burdens on individuals and healthcare systems. Research has shown that several molecular and cellular interactions significantly contribute to SCI progression. The initiation and development of SCI are strongly linked to cellular stress mechanisms, notably those associated with the endoplasmic reticulum (ER), which gives rise to the unfolded protein response (UPR). This systematic review discusses the molecular pathways involved in ER stress, particularly the role of the activating transcription factor 6 (ATF6)-mediated apoptosis pathway and the role of CCAAT/enhancer-binding homologous protein (CHOP) in SCI pathogenesis. Prolonged ER stress exacerbates neuronal degeneration and apoptosis, making it a key factor in SCI. Efforts to inhibit this pathway via genetic or pharmacological interventions have shown potential in addressing cellular dysfunction and preventing SCI-related degeneration. Moreover, pharmacological approaches that mitigate ER stress, for example, by promoting protein folding, are promising for enhancing neuronal survival and reducing damage after SCI. Complementary strategies, such as maintaining metabolic health and engaging in physical activity, could also help fortify the spinal cord against ER stress-related damage. These preventive and therapeutic approaches underscore the importance of targeting ER stress to minimize SCI onset and progression, offering valuable insights for improved care and recovery.

脊髓损伤(SCI)与个人和医疗保健系统的重大身体和经济负担有关。研究表明,一些分子和细胞的相互作用显著地促进了脊髓损伤的进展。脊髓损伤的发生和发展与细胞应激机制密切相关,特别是与内质网(ER)相关的应激机制,内质网会产生未折叠蛋白反应(UPR)。本系统综述讨论了内质网应激的分子通路,特别是激活转录因子6 (ATF6)介导的凋亡通路和CCAAT/增强子结合同源蛋白(CHOP)在SCI发病中的作用。长时间内质网应激加剧了神经元的变性和凋亡,是脊髓损伤的关键因素。通过遗传或药物干预抑制这一途径的努力已显示出解决细胞功能障碍和预防sci相关变性的潜力。此外,减轻内质网应激的药理学方法,例如,通过促进蛋白质折叠,有望提高脊髓损伤后神经元的存活率和减少损伤。补充策略,如保持代谢健康和参与体育活动,也可以帮助加强脊髓免受内质网应激相关损伤。这些预防和治疗方法强调了靶向内质网应激对减少脊髓损伤发病和进展的重要性,为改善护理和康复提供了有价值的见解。
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引用次数: 0
VKORC1L1 Downregulation Induced Vitamin K Cycle Disorder Exacerbates Neuronal Ferroptosis After Spinal Cord Injury. VKORC1L1下调诱导的维生素K周期紊乱加重脊髓损伤后神经元铁下垂。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-29 DOI: 10.1007/s12035-026-05662-w
Mingliang Tan, Chao Ma, Lingxia Min, Cheng Cheng, Jilan Wang, Zhou Feng, Jingming Hou

Ferroptosis contributes significantly to neuronal loss and functional decline after spinal cord injury (SCI). Emerging evidence links the vitamin K (VK) cycle to ferroptosis regulation, but its status and role in SCI remain unknown. Therefore, this study aims to elucidate the role and underlying mechanism of the VK cycle in neuronal ferroptosis post-SCI, thereby providing insights for developing novel therapeutic strategies. We quantified VK2 levels and examined VK cycle enzyme expression in injured spinal cords after SCI to identify mechanisms of VK2 reduction. The role of VKORC1L1 in neuronal ferroptosis and motor recovery was assessed via overexpression and inhibition both in vivo and in vitro. Finally, VK2 supplementation was tested for its effects on ferroptosis, tissue damage, electrophysiological outcomes, and motor function after SCI. VK2 levels were significantly reduced at the injury site following SCI. Expression of VKORC1L1, a pivotal enzyme in the VK cycle, was found to decrease at the injury site after SCI. Enhancing VKORC1L1 expression reduced neuronal ferroptosis, protected spinal cord tissue, and promoted functional recovery. Conversely, inhibiting VKORC1L1 activity heightened neuronal vulnerability and exacerbated ferroptosis. Additionally, supplementation with VK2 alleviated neuronal ferroptosis, alleviated spinal cord damage, and improved motor function following SCI. The downregulation of VKORC1L1 disrupts the VK cycle, thereby exacerbating neuronal ferroptosis after SCI. Therapeutic strategies targeting VKORC1L1 upregulation or VK2 supplementation represent promising avenues for SCI treatment.

脊髓损伤(SCI)后,铁下垂对神经元丢失和功能下降有重要作用。新出现的证据表明维生素K (VK)周期与铁下垂调节有关,但其在SCI中的地位和作用尚不清楚。因此,本研究旨在阐明VK周期在脊髓损伤后神经元铁下垂中的作用和潜在机制,从而为开发新的治疗策略提供见解。我们量化了VK2水平,并检测了脊髓损伤后VK循环酶的表达,以确定VK2减少的机制。通过体内和体外的过表达和抑制来评估VKORC1L1在神经元铁下垂和运动恢复中的作用。最后,我们测试了补充VK2对脊髓损伤后铁下垂、组织损伤、电生理结果和运动功能的影响。脊髓损伤后损伤部位的VK2水平显著降低。在脊髓损伤后,VK周期中的关键酶VKORC1L1的表达减少。增强VKORC1L1表达可减少神经元铁下垂,保护脊髓组织,促进功能恢复。相反,抑制VKORC1L1活性会增加神经元易感性,加重铁下垂。此外,补充VK2可以减轻神经元铁下垂,减轻脊髓损伤,改善脊髓损伤后的运动功能。VKORC1L1的下调破坏了VK周期,从而加剧了脊髓损伤后神经元铁下垂。针对VKORC1L1上调或VK2补充的治疗策略为脊髓损伤治疗提供了有希望的途径。
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引用次数: 0
Synergistic Efficacy of Lactobacillus plantarum Supernatant-Preconditioned BM-MSCs in Alleviating Depression, Anxiety-Like Behavior, and Memory Impairment in a Rat Stress Model by Suppressing the NF-κB Pathway. 植物乳杆菌上清预处理脑-间充质干细胞通过抑制NF-κB通路减轻应激大鼠抑郁、焦虑样行为和记忆障碍的协同作用
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-29 DOI: 10.1007/s12035-025-05656-0
Mohammad Amini, Elahe Motevaseli, Maryam Zahmatkesh, Zahra Yousefi, Elham Esmaeil-Jamaat, Gholamreza Hassanzadeh, Tahmineh Mokhtari

Mesenchymal stem cells (MSCs)-based therapy has received considerable research attention for its anti-inflammatory properties in depressive-like behavior, but poor MSC survival and immunogenicity after transplantation limit their therapeutic effectiveness. This study evaluated pretreated bone marrow-derived MSCs (BM-MSCs) with Lactobacillus plantarum supernatant (L.PS) in an animal model of chronic restraint stress (CRS)-induced depressive-like behavior. BM-MSCs were pretreated with 15 μM of fluoxetine (Flx) or 10 µl/ml of L.PS for 24 h. Thirty-six adult male Wistar rats were divided into six groups: CTRL, CRS, CRS + PBS (Phosphate-Buffered Saline), CRS + MSCs, CRS + MSCs(Flx) (Flx-preconditioned MSCs), and CRS + MSCs(L.PS) groups. The open field test, Morris water maze, forced swimming test, body weight, and blood glucose levels were measured. After sacrifice, the hippocampal tissues underwent histopathological analysis. Additionally, hippocampal mRNA levels of NF-κB and pro-inflammatory cytokines (IL-1β, IL-6, IL-18, and TNF-α) were measured using real-time PCR, while ELISA was used to measure protein levels of these cytokines and serum corticosterone. A bioinformatic analysis, including protein-protein interaction network, enrichment, and correlation analysis related to depression, was performed. Pre-treatment of MSCs with L.PS significantly improved depressive-like behavior (p < 0.05) by enhancing MSCs neuroprotection through the downregulation of NF-κB and pro-inflammatory cytokines. An in silico analysis also supported the importance of evaluating and targeting this pathway. In conclusion, we found that L.PS pretreated MSCs significantly improves CRS-induced depressive-like behavior, which can be partly attributed to the inhibition of NLRP3-mediated neuroinflammation.

基于间充质干细胞(MSCs)的治疗因其在抑郁样行为中的抗炎特性而受到相当多的研究关注,但移植后较差的间充质干细胞存活率和免疫原性限制了其治疗效果。本研究在慢性抑制应激(CRS)诱导的抑郁样行为动物模型中评估了植物乳杆菌上清(L.PS)预处理的骨髓源性间充质干细胞(BM-MSCs)。用15 μM氟西汀(Flx)或10µl/ml l . ps预处理bmp -MSCs 24 h。36只成年雄性Wistar大鼠分为6组:CTRL、CRS、CRS + PBS(磷酸盐缓冲盐水)、CRS + MSCs、CRS + MSCs(Flx) (Flx预处理的MSCs)和CRS + MSCs(L.PS)组。测定裸地试验、Morris水迷宫、强迫游泳试验、体重、血糖水平。献祭后,对海马组织进行组织病理学分析。实时荧光定量PCR检测海马NF-κB和促炎细胞因子(IL-1β、IL-6、IL-18、TNF-α) mRNA水平,ELISA检测这些细胞因子蛋白水平和血清皮质酮水平。进行了生物信息学分析,包括蛋白质-蛋白质相互作用网络、富集和与抑郁症相关的相关性分析。经lps预处理的MSCs可显著改善抑郁样行为(p
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引用次数: 0
Serum miRNA-155 and TREM2 as Non-Invasive Biomarkers for Monitoring Neuroinflammation and Disease Activity in Multiple Sclerosis. 血清miRNA-155和TREM2作为监测多发性硬化症神经炎症和疾病活动的非侵入性生物标志物
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-29 DOI: 10.1007/s12035-026-05697-z
Masoud Nikanfar, Hadi Yousefi, Alireza Nourazarian

Serum miRNA-155 and TREM2 levels were investigated as potential non-invasive indicators. In this case-control study, serum miRNA-155 and TREM2 levels were evaluated in 80 patients with multiple sclerosis (MS) and 80 age- and sex-matched healthy controls. Levels were measured using qPCR and ELISA, with correlations assessed against Expanded Disability Status Scale (EDSS) scores, MRI lesion burden, and cerebrospinal fluid (CSF) markers (oligoclonal bands and immunoglobulin G index). Participants were followed for 24 months to evaluate biomarker dynamics during relapses and treatment. Patients with MS showed significantly elevated miRNA-155 and TREM2 levels compared to controls. Compared to healthy controls, the combined panel demonstrated good discriminatory performance (AUC = 0.924), with 89.0% sensitivity and 87.5% specificity. However, these metrics represent differentiation from health rather than disease specificity, as the study lacked disease control groups with inflammatory or non-inflammatory neurological disorders-a critical limitation for assessing actual diagnostic utility, performing better than the individual markers. Both biomarkers correlated moderately with EDSS (miRNA-155 r = 0.62, 95% CI 0.49-0.73; TREM2 r = 0.59, 95% CI 0.45-0.71), MRI abnormalities, and CSF parameters (r = 0.48-0.60, p < 0.001). Longitudinally, elevations tracked relapse activity, while therapy responders showed reductions (miRNA-155: -18.7%; TREM2: -15.3%), underscoring utility in monitoring treatment efficacy. These results indicate that serum miRNA-155 and TREM2 effectively capture MS neuroinflammation, structural damage, and therapeutic responses. This dual-biomarker approach provides clinicians with a practical, noninvasive tool for tracking disease progression and optimizing the management of MS.

血清miRNA-155和TREM2水平作为潜在的无创指标进行研究。在这项病例对照研究中,对80名多发性硬化症(MS)患者和80名年龄和性别匹配的健康对照者的血清miRNA-155和TREM2水平进行了评估。使用qPCR和ELISA检测水平,并与扩展残疾状态量表(EDSS)评分、MRI病变负担和脑脊液(CSF)标记物(寡克隆带和免疫球蛋白G指数)进行相关性评估。参与者随访24个月,以评估复发和治疗期间的生物标志物动态。与对照组相比,MS患者的miRNA-155和TREM2水平显著升高。与健康对照相比,联合筛查具有良好的鉴别性能(AUC = 0.924),敏感性为89.0%,特异性为87.5%。然而,这些指标代表了健康的差异,而不是疾病的特异性,因为该研究缺乏炎症性或非炎症性神经系统疾病的疾病对照组——这是评估实际诊断效用的一个关键限制,表现得比个体标志物更好。这两种生物标志物与EDSS (miRNA-155 r = 0.62, 95% CI 0.49-0.73; TREM2 r = 0.59, 95% CI 0.45-0.71)、MRI异常和CSF参数(r = 0.48-0.60, p
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引用次数: 0
Gastrodin Ameliorates Pain-Depression Comorbidity through SIRT3-Dependent Alleviation of Oxidative Stress and Promotion of Mitochondrial Biogenesis. 天麻素通过sirt3依赖性减轻氧化应激和促进线粒体生物发生改善疼痛-抑郁共病。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-28 DOI: 10.1007/s12035-026-05677-3
Feiran Zhou, Yijian Luo, Yan Liu, Lin Luo, Ping Jiang, Qing Liu, Ying Zhang

Neuropathic pain (NP) and depression frequently co-occur, creating a complex clinical challenge with limited therapeutic options due to poorly understood shared mechanisms. Our preliminary screening identified the mitochondrial deacetylase SIRT3 as a potential key regulator of this comorbidity. Building on this finding, we hypothesized that Gastrodin, a natural compound with documented neuroprotective properties, exerts its therapeutic effects by targeting SIRT3. This study was therefore designed to investigate whether Gastrodin alleviates NP-depression comorbidity through a SIRT3-dependent mechanism. A rat model of NP-depression comorbidity was established by combining spared sciatic nerve injury (SNI) with chronic unpredictable mild stress (CUMS). Behavioral tests were conducted to assess mechanical allodynia, thermal hyperalgesia, and depression-like behaviors. Molecular mechanisms were evaluated using Western blot, ELISA, qPCR, and transmission electron microscopy. The specific role of SIRT3 was confirmed using the inhibitor 3-TYP in vivo and siRNA in vitro. Gastrodin administration (200/300 mg/kg) significantly ameliorated both pain hypersensitivity and depression-like behaviors in the comorbidity model. Mechanistically, Gastrodin upregulated SIRT3 expression and enhanced its deacetylase activity in the hippocampus, as evidenced by reduced acetylation of SOD2. This led to attenuated neuroinflammation (TNF-α, IL-1β, IL-6) and oxidative stress (MDA, ROS). Furthermore, Gastrodin improved mitochondrial ultrastructure and promoted mitochondrial biogenesis via the PGC-1α/TFAM pathway in astrocytes. Critically, all therapeutic benefits of Gastrodin were abolished upon SIRT3 inhibition. Gastrodin exerts dual therapeutic effects on NP-depression comorbidity by activating the SIRT3 pathway, thereby rescuing mitochondrial function in hippocampal astrocytes. These findings identify Gastrodin as a promising candidate for treating pain-depression comorbidity and underscore SIRT3 as a critical therapeutic target.

神经性疼痛(NP)和抑郁症经常同时发生,由于缺乏对共同机制的理解,造成了复杂的临床挑战和有限的治疗选择。我们的初步筛选确定线粒体去乙酰化酶SIRT3是这种合并症的潜在关键调节因子。基于这一发现,我们假设天麻素是一种具有神经保护特性的天然化合物,通过靶向SIRT3发挥其治疗作用。因此,本研究旨在探讨天麻素是否通过sirt3依赖机制减轻np -抑郁合并症。将坐骨神经损伤(SNI)与慢性不可预测轻度应激(CUMS)相结合,建立np -抑郁合并症大鼠模型。行为测试评估机械异常性痛、热痛觉过敏和抑郁样行为。采用Western blot、ELISA、qPCR和透射电镜分析分子机制。在体内用抑制剂3-TYP和体外用siRNA证实SIRT3的特异性作用。在合并症模型中,天麻素(200/300 mg/kg)可显著改善疼痛过敏和抑郁样行为。从机制上讲,天麻素上调海马SIRT3表达,增强其去乙酰化酶活性,SOD2乙酰化程度降低。这导致神经炎症(TNF-α, IL-1β, IL-6)和氧化应激(MDA, ROS)减弱。天麻素通过PGC-1α/TFAM通路改善星形胶质细胞线粒体超微结构,促进线粒体生物发生。至关重要的是,天麻素的所有治疗益处在SIRT3抑制后被取消。天麻素通过激活SIRT3通路对np -抑郁合并症发挥双重治疗作用,从而挽救海马星形胶质细胞的线粒体功能。这些发现确定天麻素是治疗疼痛抑郁合并症的有希望的候选药物,并强调SIRT3是一个关键的治疗靶点。
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引用次数: 0
In Vitro Analysis of TWEAK/Fn14 Axis in the Blood-Brain Barrier Models during Oxygen-Glucose Deprivation and Reoxygenation. 氧-糖剥夺和再氧化过程中血脑屏障模型中TWEAK/Fn14轴的体外分析
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-28 DOI: 10.1007/s12035-026-05691-5
Ana Sampedro-Viana, María Luz Alonso-Alonso, José Castillo, Pablo Hervella, Ezequiel Álvarez, Malgorzata Burek, Ramón Iglesias-Rey

Upregulation of tumor necrosis factor-like weak apoptosis-inducing factor (TWEAK) and its receptor fibroblast growth factor-inducible 14 (Fn14) was observed in stroke patients and murine models, contributing to neuronal apoptosis and blood-brain barrier (BBB) disruption. This study aimed to investigate the TWEAK/Fn14 signaling axis in cerebral ischemia and reperfusion using different in vitro oxygen-glucose deprivation (OGD) durations and cellular models. Western blot and RT-qPCR were used to evaluate TWEAK/Fn14 expression in monocultures, co-cultures, and triple-cultures of human immortalized endothelial cells, pericytes, and astrocytes. Six OGD conditions were tested: 4, 8, and 16 h, with or without 24 h reoxygenation. BBB model integrity was evaluated by analyzing occludin, zonula occludens-1, and VE-cadherin. A significant, duration-dependent downregulation of Fn14 was observed in monocultures after OGD (up to 85%, p < 0.05-p < 0.001), with partial recovery after 24 h reoxygenation (p < 0.05). TWEAK levels remained stable with minor fluctuations. Similar Fn14 reductions were seen in co- and triple-cultures (p < 0.01), followed by recovery. Endothelial biomarkers exhibited an initial stress response post-OGD, followed by recovery during reoxygenation. In conclusion, TWEAK remains stable during ischemia without immune cells, while Fn14 is downregulated during OGD and recovers after reoxygenation, indicating time-dependent roles in ischemic response and repair. The findings indicate a time-dependent regulation of Fn14 under ischemic conditions in vitro, highlighting its role in BBB stress and recovery. Nevertheless, further preclinical studies are needed to establish its therapeutic potential.

在脑卒中患者和小鼠模型中观察到肿瘤坏死因子样弱凋亡诱导因子(TWEAK)及其受体成纤维细胞生长因子诱导14 (Fn14)上调,促进神经元凋亡和血脑屏障(BBB)破坏。本研究旨在通过不同体外氧糖剥夺(OGD)持续时间和细胞模型,探讨TWEAK/Fn14信号轴在脑缺血再灌注中的作用。Western blot和RT-qPCR检测了在人永生化内皮细胞、周细胞和星形胶质细胞的单培养、共培养和三重培养中TWEAK/Fn14的表达。测试了6种OGD条件:4、8和16 h,有或没有24 h的再氧化。通过分析occludin、occludens-1和VE-cadherin来评估血脑屏障模型的完整性。在OGD后的单培养中观察到Fn14显著的、持续时间依赖性的下调(高达85%,p
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引用次数: 0
P2X7 Receptor Inhibition Mitigates Microglial Activation, Neuroinflammation, and Secondary Thalamic Damage After Ischemic Stroke. P2X7受体抑制减轻缺血性卒中后小胶质细胞激活、神经炎症和继发性丘脑损伤
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-28 DOI: 10.1007/s12035-026-05665-7
Xiaomei Wu, Ming Gong, Linhui Peng, Caimin Chen, Zhiqiang Hu, Weiwen Sun, Xialin Zuo

Secondary damage in remote brain regions following ischemic stroke significantly worsens patient outcomes, yet its underlying mechanisms remain poorly understood. Microglial activation is a central pathological feature of secondary damage, with the P2X7 receptor (P2X7R) emerging as a key regulator of neuroinflammatory processes. In this study, we employed a distal middle cerebral artery occlusion (dMCAO) model in rats to investigate the role of P2X7R in secondary damage in the ventral posterolateral nucleus (VPN) of the ipsilateral thalamus. We observed a spatiotemporal pattern of microglial activation and elevated P2X7R expression in the VPN, coinciding with delayed neuronal loss and gliosis. P2X7R activation drove the NLRP3 inflammasome cascade, leading to the release of interleukin-1β (IL-1β). Inhibition of P2X7R using Brilliant Blue G (BBG) significantly attenuated microglial activation, suppressed the NLRP3/IL-1β axis, and reduced neuronal loss and gliosis in the VPN. Molecular dynamics simulations confirmed BBG's high-affinity binding to P2X7R, while behavioral tests demonstrated improved neurological function. Transcriptome sequencing revealed that P2X7R inhibition by BBG induces profound reprogramming of calcium signaling pathways, suppressing calcium-regulated exocytosis and neuroactive ligand-receptor interactions, while enriching the cAMP pathway. This correlates with BBG's efficacy in attenuating microglial activation, NLRP3/IL-1β axis activation, and neuronal loss. Our findings establish P2X7R as a central driver of neuroinflammation in delayed neurodegeneration after ischemic stroke,and inhibition with P2X7R offers a promising strategy to mitigate secondary damage.

缺血性脑卒中后远端脑区继发性损伤显著恶化患者预后,但其潜在机制尚不清楚。小胶质细胞激活是继发性损伤的中心病理特征,P2X7受体(P2X7R)成为神经炎症过程的关键调节因子。本研究采用大鼠大脑中动脉远端闭塞(dMCAO)模型,探讨P2X7R在同侧丘脑腹侧后外侧核(VPN)继发性损伤中的作用。我们观察到VPN中小胶质细胞激活和P2X7R表达升高的时空模式,与延迟的神经元丢失和胶质瘤形成相一致。P2X7R激活驱动NLRP3炎性小体级联,导致白细胞介素-1β (IL-1β)的释放。使用Brilliant Blue G (BBG)抑制P2X7R显著减弱了小胶质细胞的激活,抑制了NLRP3/IL-1β轴,减少了VPN中的神经元丢失和胶质细胞形成。分子动力学模拟证实了BBG与P2X7R的高亲和力结合,而行为测试证实了神经功能的改善。转录组测序显示,BBG抑制P2X7R可诱导钙信号通路的深度重编程,抑制钙调节的胞外分泌和神经活性配体-受体相互作用,同时丰富cAMP通路。这与BBG在减弱小胶质细胞激活、NLRP3/IL-1β轴激活和神经元丢失方面的功效有关。我们的研究结果表明,P2X7R是缺血性卒中后迟发性神经退行性变中神经炎症的主要驱动因素,抑制P2X7R为减轻继发性损伤提供了一种有希望的策略。
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引用次数: 0
Exploratory RNA Sequencing Reveals Systemic Metabolic Dysregulation in Alzheimer's Disease: Insights from a Diverse Latin American Cohort. 探索性RNA测序揭示了阿尔茨海默病的系统性代谢失调:来自拉丁美洲不同队列的见解。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-27 DOI: 10.1007/s12035-025-05597-8
Lina M Villegas-Trujillo, Beatriz Parra, Diana López-Álvarez, Lina M Gonzalez-Ojeda, Alejandra Torres-Parga, Sebastián Cardona, Nelson Rivera-Franco, Juan F Cardona

Alzheimer's disease (AD) is characterized by an insidious onset and complex pathophysiology, necessitating the development of effective strategies for early detection and intervention. This exploratory study aimed to identify differentially expressed genes (DEGs) and disrupted molecular pathways in AD by analyzing blood samples from participants recruited in Valle del Cauca, Colombia, a region with high genetic admixture and persistent underrepresentation in genomic research. A total of 41 individuals (AD, n = 14; cognitively healthy controls (CHC), n = 27) were included. Groups did not differ significantly in age, education, sex distribution, or vascular comorbidities. Peripheral blood RNA was sequenced using 150-bp paired-end reads, and transcriptomic profiling revealed 399 DEGs, with 378 upregulated and 21 downregulated in the AD group. Key genes such as APOE, MMP2, PPARG, and TUBB3 were enriched in the Metabolism of Proteins pathway. At the same time, TUBB3, CACNA2D1, and GABBR2 were implicated in transmission across chemical synapses, suggesting synaptic signaling and protein metabolism dysregulation. Multiple factor analysis (MFA), integrating gene expression with neurocognitive and functional outcomes, revealed distinct molecular signatures associated with cognitive decline and functional impairment. These findings highlight the role of systemic metabolic dysfunction and synaptic dysregulation in AD pathogenesis. By focusing on an ancestrally diverse cohort, this study underscores the critical need to expand the molecular characterization of AD beyond European-ancestry populations, informing the development of inclusive biomarkers and precision strategies for early diagnosis and intervention.

阿尔茨海默病(AD)的特点是发病隐匿,病理生理复杂,需要制定有效的早期发现和干预策略。这项探索性研究旨在通过分析来自哥伦比亚考卡谷(Valle del Cauca)的参与者的血液样本,识别AD中的差异表达基因(DEGs)和破坏的分子途径,该地区遗传混合程度高,基因组研究中一直代表性不足。共纳入41例个体(AD, n = 14;认知健康对照组(CHC), n = 27)。各组在年龄、受教育程度、性别分布或血管合并症方面没有显著差异。使用150 bp的配对端reads对外周血RNA进行测序,转录组学分析显示,AD组中有399个deg,其中378个上调,21个下调。关键基因如APOE、MMP2、PPARG、TUBB3在蛋白质代谢途径中富集。同时,TUBB3、CACNA2D1和GABBR2参与化学突触间的传递,提示突触信号传导和蛋白质代谢失调。多因素分析(MFA)将基因表达与神经认知和功能结果相结合,揭示了与认知能力下降和功能障碍相关的独特分子特征。这些发现强调了系统性代谢功能障碍和突触失调在AD发病机制中的作用。通过关注祖先多样化的队列,本研究强调了将AD的分子特征扩展到欧洲血统人群之外的迫切需要,为早期诊断和干预的包容性生物标志物和精确策略的发展提供信息。
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引用次数: 0
Spatial Changes in Hippocampal Transcriptomic Profiles Following Limbic Non-convulsive Status Epilepticus: Insights into Long-Term Inflammation and Cognitive Deficits. 边缘非惊厥性癫痫持续状态后海马转录组谱的空间变化:对长期炎症和认知缺陷的见解。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-27 DOI: 10.1007/s12035-026-05698-y
Marawan Elbaset, Reem El Jammal, Naazneen Khan, I-Ju Yeh, Aidan Looney, Tyler Nguyen, Mohammed H Al-Juboori, Gabriel T Flath-Everhard, Susan Conrad, Sergiu Abramovici, Ken Yoshida, Adrian L Oblak, Fletcher A White, Makram Obeid

The long-term effects of non-convulsive status epilepticus (NCSE) and their mechanisms in the brain remain largely unknown. Such insight is needed to better shape the clinical approach to this condition. Here, we investigated long-term alterations in hippocampal transcriptomic profiles following an episode of limbic NCSE in periadolescent rats. Cortical and hippocampal mRNA expressions were measured 2 months following intrahippocampal kainic acid (NCSE group, n = 3) or saline injections (controls, n = 4). Compared to controls, NCSE-treated rodents exhibited a significant twofold downregulation in 126 genes in the CA1 hippocampal subfield, 11 in the CA2-3 region, and 21 in the dentate/hilar areas. Most of the identified genes are known to play an essential role in learning and hippocampal plasticity. Additional roles include modulation of inflammatory responses. Twenty altered genes are known to contribute to human intellectual and mental disease pathology, and nine out of these are direct causes of cognitive and neurodevelopmental brain disorders. Spatial deconvolution analyses revealed NCSE-related increases in CA2-3 microglia and hilar astrocytes coupled with increases in dentate GABAergic neurons. These long-term region-specific cellular and molecular hippocampal alterations may contribute to both inflammatory states and disturbances in neuronal function. Taken together, these gene expression changes are suggestive of neuroinflammation-driven synaptic dysfunction following NCSE.

非惊厥性癫痫持续状态(NCSE)的长期影响及其在大脑中的机制在很大程度上仍然未知。这样的洞察力是需要更好地塑造这种情况的临床方法。在这里,我们研究了青春期大鼠边缘NCSE发作后海马转录组谱的长期变化。在海马内注射凯因酸(NCSE组,n = 3)或生理盐水(对照组,n = 4) 2个月后,测量皮质和海马mRNA的表达。与对照组相比,nse处理的啮齿动物海马CA1亚区126个基因下调,CA2-3区11个基因下调,齿状/门区21个基因下调。已知大多数已确定的基因在学习和海马体可塑性中起着重要作用。其他作用包括调节炎症反应。已知有20种改变的基因会导致人类智力和精神疾病的病理,其中9种是认知和神经发育性大脑疾病的直接原因。空间反褶积分析显示,CA2-3小胶质细胞和门状星形胶质细胞的nse相关增加,并伴有齿状gaba能神经元的增加。这些长期区域特异性的海马细胞和分子改变可能导致炎症状态和神经元功能紊乱。综上所述,这些基因表达变化提示NCSE后神经炎症驱动的突触功能障碍。
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引用次数: 0
Mechanistic Investigation of TSPO-Mediated Dysregulation of Mitochondrial Copper Homeostasis in Microglia and its Role in Perioperative Neurocognitive Disorders. tspo介导的小胶质细胞线粒体铜稳态失调的机制研究及其在围手术期神经认知障碍中的作用。
IF 4.3 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-27 DOI: 10.1007/s12035-026-05692-4
Youli Fu, Jiahe Lian, Yinglong Liu, Yongxin Liu, Zihan Xu, Haoran Fan, Yongliang Zhu, Yingxia Liang, Lina Sun, Rui Zhang

Perioperative neurocognitive disorders (PND) are common complications in elderly surgical patients; their mechanisms remain unclear and no effective therapeutic targets exist. This study aims to determine whether copper dyshomeostasis contributes to PND via 18 kDa translocator protein (TSPO)-mediated pathways and to evaluate the therapeutic potential of a TSPO inhibitor. An aged-mouse model of PND was established by right carotid exposure, and BV-2 microglia were stimulated with lipopolysaccharide (LPS) to mimic neuroinflammation. Copper ions, TSPO expression, and mitochondrial function were assessed in the hippocampus, serum, and cultured cells. Postoperative mice exhibited elevated copper levels in both the hippocampus and serum, accompanied by a significant increase in hippocampal TSPO expression. In vitro, LPS-induced TSPO over-expression in BV-2 cells led to copper accumulation and mitochondrial dysfunction, both of which were reversed by the TSPO inhibitor PK11195. TSPO-mediated disruption of copper homeostasis is a critical mechanism in PND, and targeting TSPO offers a novel strategy for PND prevention and treatment.

围手术期神经认知障碍(PND)是老年外科患者的常见并发症;其机制尚不清楚,也没有有效的治疗靶点。本研究旨在确定铜代谢失调是否通过18kda转运蛋白(TSPO)介导的途径导致PND,并评估TSPO抑制剂的治疗潜力。通过右颈动脉暴露建立老龄小鼠PND模型,用脂多糖(LPS)刺激BV-2小胶质细胞模拟神经炎症。在海马、血清和培养细胞中评估铜离子、TSPO表达和线粒体功能。术后小鼠海马和血清中铜含量均升高,同时海马TSPO表达显著增加。在体外,lps诱导的BV-2细胞中TSPO过表达导致铜积累和线粒体功能障碍,这两种情况都可以通过TSPO抑制剂PK11195逆转。TSPO介导的铜稳态破坏是PND的关键机制,靶向TSPO为PND的预防和治疗提供了一种新的策略。
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引用次数: 0
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Molecular Neurobiology
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