Pub Date : 2026-01-30DOI: 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.
{"title":"Endoplasmic Reticulum Stress in Spinal Cord Injury: Pathological Roles, Molecular Targets, and Emerging Treatments: A Systematic Review.","authors":"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","doi":"10.1007/s12035-025-05654-2","DOIUrl":"https://doi.org/10.1007/s12035-025-05654-2","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"410"},"PeriodicalIF":4.3,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"VKORC1L1 Downregulation Induced Vitamin K Cycle Disorder Exacerbates Neuronal Ferroptosis After Spinal Cord Injury.","authors":"Mingliang Tan, Chao Ma, Lingxia Min, Cheng Cheng, Jilan Wang, Zhou Feng, Jingming Hou","doi":"10.1007/s12035-026-05662-w","DOIUrl":"https://doi.org/10.1007/s12035-026-05662-w","url":null,"abstract":"<p><p>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 VK<sub>2</sub> levels and examined VK cycle enzyme expression in injured spinal cords after SCI to identify mechanisms of VK<sub>2</sub> reduction. The role of VKORC1L1 in neuronal ferroptosis and motor recovery was assessed via overexpression and inhibition both in vivo and in vitro. Finally, VK<sub>2</sub> supplementation was tested for its effects on ferroptosis, tissue damage, electrophysiological outcomes, and motor function after SCI. VK<sub>2</sub> 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 VK<sub>2</sub> 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 VK<sub>2</sub> supplementation represent promising avenues for SCI treatment.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"406"},"PeriodicalIF":4.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"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.","authors":"Mohammad Amini, Elahe Motevaseli, Maryam Zahmatkesh, Zahra Yousefi, Elham Esmaeil-Jamaat, Gholamreza Hassanzadeh, Tahmineh Mokhtari","doi":"10.1007/s12035-025-05656-0","DOIUrl":"https://doi.org/10.1007/s12035-025-05656-0","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"405"},"PeriodicalIF":4.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 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
{"title":"Serum miRNA-155 and TREM2 as Non-Invasive Biomarkers for Monitoring Neuroinflammation and Disease Activity in Multiple Sclerosis.","authors":"Masoud Nikanfar, Hadi Yousefi, Alireza Nourazarian","doi":"10.1007/s12035-026-05697-z","DOIUrl":"https://doi.org/10.1007/s12035-026-05697-z","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"407"},"PeriodicalIF":4.3,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146086488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 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.
{"title":"Gastrodin Ameliorates Pain-Depression Comorbidity through SIRT3-Dependent Alleviation of Oxidative Stress and Promotion of Mitochondrial Biogenesis.","authors":"Feiran Zhou, Yijian Luo, Yan Liu, Lin Luo, Ping Jiang, Qing Liu, Ying Zhang","doi":"10.1007/s12035-026-05677-3","DOIUrl":"https://doi.org/10.1007/s12035-026-05677-3","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"400"},"PeriodicalIF":4.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146065106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-28DOI: 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.
{"title":"In Vitro Analysis of TWEAK/Fn14 Axis in the Blood-Brain Barrier Models during Oxygen-Glucose Deprivation and Reoxygenation.","authors":"Ana Sampedro-Viana, María Luz Alonso-Alonso, José Castillo, Pablo Hervella, Ezequiel Álvarez, Malgorzata Burek, Ramón Iglesias-Rey","doi":"10.1007/s12035-026-05691-5","DOIUrl":"10.1007/s12035-026-05691-5","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"402"},"PeriodicalIF":4.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146093189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"P2X7 Receptor Inhibition Mitigates Microglial Activation, Neuroinflammation, and Secondary Thalamic Damage After Ischemic Stroke.","authors":"Xiaomei Wu, Ming Gong, Linhui Peng, Caimin Chen, Zhiqiang Hu, Weiwen Sun, Xialin Zuo","doi":"10.1007/s12035-026-05665-7","DOIUrl":"https://doi.org/10.1007/s12035-026-05665-7","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"401"},"PeriodicalIF":4.3,"publicationDate":"2026-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146065085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27DOI: 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。
{"title":"Exploratory RNA Sequencing Reveals Systemic Metabolic Dysregulation in Alzheimer's Disease: Insights from a Diverse Latin American Cohort.","authors":"Lina M Villegas-Trujillo, Beatriz Parra, Diana López-Álvarez, Lina M Gonzalez-Ojeda, Alejandra Torres-Parga, Sebastián Cardona, Nelson Rivera-Franco, Juan F Cardona","doi":"10.1007/s12035-025-05597-8","DOIUrl":"10.1007/s12035-025-05597-8","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"397"},"PeriodicalIF":4.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-27DOI: 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.
{"title":"Spatial Changes in Hippocampal Transcriptomic Profiles Following Limbic Non-convulsive Status Epilepticus: Insights into Long-Term Inflammation and Cognitive Deficits.","authors":"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","doi":"10.1007/s12035-026-05698-y","DOIUrl":"https://doi.org/10.1007/s12035-026-05698-y","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"399"},"PeriodicalIF":4.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Mechanistic Investigation of TSPO-Mediated Dysregulation of Mitochondrial Copper Homeostasis in Microglia and its Role in Perioperative Neurocognitive Disorders.","authors":"Youli Fu, Jiahe Lian, Yinglong Liu, Yongxin Liu, Zihan Xu, Haoran Fan, Yongliang Zhu, Yingxia Liang, Lina Sun, Rui Zhang","doi":"10.1007/s12035-026-05692-4","DOIUrl":"10.1007/s12035-026-05692-4","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":18762,"journal":{"name":"Molecular Neurobiology","volume":"63 1","pages":"398"},"PeriodicalIF":4.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12835046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146053162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}