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LRRK2 kinase activity regulates Parkinson’s disease-relevant lipids at the lysosome LRRK2激酶活性在溶酶体上调节帕金森病相关脂质
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-08-06 DOI: 10.1186/s13024-025-00880-7
Michael T. Maloney, Xiang Wang, Rajarshi Ghosh, Shan V. Andrews, Romeo Maciuca, Shababa T. Masoud, Maayan Agam, Richard M. Caprioli, Giuseppe Astarita, Vitaliy V. Bondar, John Chen, Chi-Lu Chiu, Sonnet S. Davis, Audrey Cheuk-Nga Ho, Hoang N. Nguyen, Nicholas E. Propson, Michelle L. Reyzer, Oliver B. Davis, Matthew C. Deen, Sha Zhu, Gilbert Di Paolo, David J. Vocadlo, Anthony A Estrada, Javier de Vicente, Joseph W. Lewcock, Annie Arguello, Jung H. Suh, Sarah Huntwork-Rodriguez, Anastasia G. Henry
Pathogenic variants in LRRK2 lead to increased kinase activity, and LRRK2 kinase inhibition is being explored in clinical studies as a therapeutic approach for Parkinson’s Disease (PD). LRRK2 inhibitors reduce urine levels of bis(monoacylglycerol)phosphate (BMP), a key endolysosomal lipid involved in glycosphingolipid (GSL) catabolism, in preclinical models and clinical subjects. However, how LRRK2 regulates BMP and its significance with respect to lysosomal dysfunction in PD are poorly defined. Using a combination of genetic and pharmacological approaches to modulate LRRK2 kinase activity, we explored the mechanisms by which LRRK2 can regulate the levels of BMP and PD-relevant GSLs across cellular models, including iPSC-derived microglia, and in tissues and biofluids from mice using mass spectrometry. The impact of LRRK2 activity on various aspects of lysosomal function, including endolysosomal GCase activity, was assessed using live-cell imaging and lysosomal immunoprecipitation. We employed imaging mass-spectrometry and FACS-based methods to specifically examine how LRRK2 modulates BMP and GSL levels across different cell types and regions of the brain. To confirm the relevance of our findings to disease, we measured lysosomal biomarkers in urine and cerebrospinal fluid (CSF) from human subjects carrying variants in LRRK2 associated with PD risk and from subjects dosed with a LRRK2 kinase inhibitor. Our data demonstrate that LRRK2 can employ distinct mechanisms to control intracellular BMP levels and modulate lysosomal homeostasis depending on the tissue examined. We show that LRRK2 deletion or inhibition lowers urine BMP levels by reducing the secretion of BMP-containing vesicles from kidney into urine. In other cell types such as microglia, LRRK2-mediated inhibition of β-glucocerebrosidase (GCase), a PD-linked enzyme involved in GSL catabolism, leads to lysosomal GSL accumulation and increases BMP levels as a compensatory response to restore lysosomal homeostasis. LRRK2 inhibition normalizes lysosomal function and reduces GSL levels in preclinical models and CSF from LRRK2-PD patients. Our study highlights the therapeutic potential of LRRK2 kinase inhibition to improve PD-associated lysosomal dysfunction and supports the utility of GSLs as CSF-based biomarkers of LRRK2 activity. This work includes results from the following phase 1b study in PD patients: ClinicalTrials.gov ID: NCT03710707; https://clinicaltrials.gov/study/NCT03710707?intr=dnl201&rank=2 . The date of registration was 10/18/2018.
LRRK2的致病变异导致激酶活性增加,LRRK2激酶抑制正在临床研究中作为帕金森病(PD)的治疗方法进行探索。在临床前模型和临床受试者中,LRRK2抑制剂可降低尿中单酰基甘油磷酸(BMP)水平,BMP是参与鞘糖脂(GSL)分解代谢的关键内溶酶体脂质。然而,LRRK2如何调节BMP及其在PD溶酶体功能障碍中的意义尚不清楚。通过结合遗传和药理学方法来调节LRRK2激酶活性,我们探索了LRRK2在细胞模型(包括ipsc衍生的小胶质细胞)以及小鼠组织和生物体液中调节BMP和pd相关GSLs水平的机制。LRRK2活性对溶酶体功能各个方面的影响,包括内溶酶体GCase活性,通过活细胞成像和溶酶体免疫沉淀来评估。我们采用成像质谱法和基于facs的方法专门研究了LRRK2如何调节不同细胞类型和大脑区域的BMP和GSL水平。为了证实我们的发现与疾病的相关性,我们测量了携带与PD风险相关的LRRK2变异的人类受试者和服用LRRK2激酶抑制剂的受试者尿液和脑脊液(CSF)中的溶酶体生物标志物。我们的数据表明,LRRK2可以采用不同的机制来控制细胞内BMP水平,并根据所检查的组织调节溶酶体稳态。我们发现LRRK2的缺失或抑制通过减少含有BMP的囊泡从肾脏分泌到尿液中来降低尿BMP水平。在其他细胞类型中,如小胶质细胞,lrrk2介导的β-葡萄糖脑苷酶(GCase)(一种与pd相关的酶,参与GSL分解代谢)的抑制导致溶酶体GSL积累,并增加BMP水平,作为恢复溶酶体稳态的代偿反应。LRRK2抑制使LRRK2- pd患者的临床前模型和脑脊液中溶酶体功能正常化并降低GSL水平。我们的研究强调了LRRK2激酶抑制改善pd相关溶酶体功能障碍的治疗潜力,并支持GSLs作为LRRK2活性的基于csf的生物标志物的效用。这项工作包括以下PD患者1b期研究的结果:ClinicalTrials.gov ID: NCT03710707;https://clinicaltrials.gov/study/NCT03710707?intr=dnl201&rank=2。注册日期为2018/10/18。
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引用次数: 0
A manifesto for Alzheimer’s disease drug discovery in the era of disease-modifying therapies 阿尔茨海默病药物发现的宣言在疾病修饰疗法的时代
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-08-06 DOI: 10.1186/s13024-025-00872-7
Heike Hering, Thierry Bussiere, Chia-Chen Liu, Kelly E. Glajch, Andreas Weihofen, Jane Grogan, Dominic M. Walsh
After decades of disappointment, three disease-modifying therapies for Alzheimer’s disease (AD) have been approved since 2021. Burgeoning clinical data on these amyloid β-protein (Aβ) targeting drugs validate the amyloid cascade hypothesis as a molecular roadmap for the development of yet more effective therapeutics and offer a template for drugging other AD-associated aggregation-prone proteins. While there remains much to be learned about the molecular pathology of AD, the current state of knowledge is sufficient to expedite the delivery of new drugs. Mindful of the urgent need of patients, we recommend prioritizing efforts in four directions: finishing the job on Aβ, accelerating and diversifying efforts on tau, and expanding discovery on apolipoprotein E and ⍺-synuclein. For each target, we explain the scientific premise, current efforts, and possible new approaches. In the short- and medium-term, we advocate focusing on the technical innovations required to better drug these already well validated targets. While the focus of this review is on expediating development of monotherapies, the subsequent approval of such agents will enable add-on or combination approaches best suited to individual patients.
经过数十年的失望,自2021年以来,已有三种治疗阿尔茨海默病(AD)的疾病改善疗法获得批准。这些针对淀粉样蛋白β-蛋白(a β)的药物的临床数据迅速增长,证实了淀粉样蛋白级联假说是开发更有效治疗方法的分子路线图,并为其他ad相关聚集易感蛋白的药物治疗提供了模板。虽然关于阿尔茨海默病的分子病理学还有很多需要了解的地方,但目前的知识水平足以加快新药的交付。考虑到患者的迫切需求,我们建议优先在四个方向努力:完成Aβ的工作,加快和多样化对tau的努力,扩大对载脂蛋白E和synuclein的发现。对于每个目标,我们解释了科学前提、当前的努力和可能的新方法。在短期和中期,我们主张把重点放在更好地治疗这些已经得到充分验证的目标所需的技术创新上。虽然此次审查的重点是加快单一疗法的开发,但随后批准的此类药物将使最适合个体患者的附加或联合方法成为可能。
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引用次数: 0
Retraction Note: Hippocampal neuronal cells that accumulate α-synuclein fragments are more vulnerable to Aβ oligomer toxicity via mGluR5– implications for dementia with lewy bodies 注:积累α-突触核蛋白片段的海马神经元细胞更容易通过mGluR5 -对Aβ寡聚物的毒性作用影响路易体痴呆
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-08-05 DOI: 10.1186/s13024-025-00881-6
Cassia R Overk, Anna Cartier, Gideon Shaked, Edward Rockenstein, Kiren Ubhi, Brian Spencer, Diana L Price, Christina Patrick, Paula Desplats, Eliezer Masliah

Retraction Note

The Editorial team has retracted this article.

After publication, concerns were raised regarding some of the data presented in the figures. Specifically:

  • Panels Non tg and APP tg in the second row of Fig. 5A appear to overlap;

  • Panels Non tg in the third rows of Fig. 6B and D appear to overlap;

  • Panels APP tg and alpha-syn tg in the first row of Fig. 7D appear to overlap;

  • Panels Non-tg in the second rows of Fig. 7B and D appear to overlap;

  • Panels APP tg and alpha-syn tg in the third row of Fig. 7D appear to overlap;

  • Some blots in Fig. 9c appear to have similar bands between the two LV-control groups (vehicle and Aβ1–42).

The authors have stated that these errors occurred during figure preparation. However, due to the number of concerns, the Editors-in-Chief no longer have confidence in the presented data.

Cassia R Overk and Eliezer Masliah disagree with this retraction. The other authors have not responded to any correspondence from the editor or publisher about this retraction.

Authors and Affiliations

  1. Department of Neurosciences, University of California, San Diego, La Jolla, CA, USA

    Cassia R Overk, Anna Cartier, Gideon Shaked, Edward Rockenstein, Kiren Ubhi, Brian Spencer, Christina Patrick, Paula Desplats & Eliezer Masliah

  2. Neuropore Therapies, Inc, San Diego, CA, 92121, USA

    Diana L Price

  3. Department of Pathology, University of California, San Diego, La Jolla, CA, USA

    Eliezer Masliah

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编辑团队撤回了这篇文章。在发表后,人们对图表中的一些数据提出了担忧。明确:板非tg和应用tg在图5的第二行出现重叠;板非tg在第三排图6 b和D似乎重叠;面板应用tg和alpha-syn tg在图7 D的第一行出现重叠;面板Non-tg第二行图7 b和D似乎重叠;面板应用tg和alpha-syn tg在图7 D的第三行出现重叠;一些污点在图9 c LV-control两组之间似乎也有类似的乐队(车辆和β1-42)。作者指出,这些错误发生在数字准备过程中。但是,由于涉及的问题太多,主编们对所提供的数据不再有信心。Cassia R Overk和Eliezer Masliah不同意这一撤回。其他作者没有回复编辑或出版商关于此次撤稿的任何信件。加州大学圣地亚哥分校神经科学系acassia R Overk, Anna Cartier, Gideon Shaked, Edward Rockenstein, Kiren Ubhi, Brian Spencer, Christina Patrick, Paula Desplats &;Eliezer MasliahNeuropore therapeutics, Inc, San Diego, CA, 92121, USADiana L price,加州大学病理学系,San Diego, La Jolla, CAUSAEliezer MasliahAuthorsCassia R OverkView作者publationssearch author on:PubMed谷歌ScholarAnna CartierView作者publationssearch author on:PubMed谷歌ScholarGideon ShakedView作者publationssearch author on:PubMed谷歌scholarward RockensteinView作者publationssearch author on:PubMed谷歌ScholarKiren UbhiView作者publationssearch author on:PubMed谷歌ScholarBrian SpencerView作者publationssearch author on:PubMed谷歌ScholarDiana L PriceView作者publationssearch author on:PubMed b谷歌ScholarChristina PatrickView作者publationssearch author on:PubMed谷歌ScholarPaula DesplatsView作者publationssearch author on:PubMed谷歌ScholarEliezer MasliahView作者publationssearch author on:PubMed谷歌scholar通讯作者与Eliezer Masliah通信。出版方声明:对于已出版地图的管辖权要求和机构关系,普林格·自然保持中立。开放获取本文遵循知识共享署名4.0国际许可协议,该协议允许以任何媒介或格式使用、共享、改编、分发和复制,只要您适当地注明原作者和来源,提供知识共享许可协议的链接,并注明是否进行了更改。本文中的图像或其他第三方材料包含在文章的知识共享许可协议中,除非在材料的署名中另有说明。如果材料未包含在文章的知识共享许可中,并且您的预期用途不被法律法规允许或超过允许的用途,您将需要直接获得版权所有者的许可。要查看本许可的副本,请访问http://creativecommons.org/licenses/by/4.0/。知识共享公共领域免责条款(http://creativecommons.org/publicdomain/zero/1.0/)适用于本文中提供的数据,除非在数据的署名中另有说明。引用本文overk, c.r., Cartier, A, Shaked, G.等人。注:积累α-突触核蛋白片段的海马神经元细胞更容易通过mGluR5 -对Aβ寡聚物的毒性作用影响路易体痴呆。神经退行性病变,20,87(2025)。https://doi.org/10.1186/s13024-025-00881-6Download citationpublish: 05 August 2025DOI: https://doi.org/10.1186/s13024-025-00881-6Share这篇文章任何你分享了以下链接的人都可以阅读到这篇文章:获取可共享链接对不起,这篇文章目前没有可共享的链接。复制到剪贴板由施普林格自然共享内容倡议提供
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引用次数: 0
Glycerophospholipids in ALS: insights into disease mechanisms and clinical implication 肌萎缩侧索硬化症中的甘油磷脂:疾病机制和临床意义的见解
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-26 DOI: 10.1186/s13024-025-00876-3
Thibaut Burg, Ludo Van Den Bosch
Amyotrophic lateral sclerosis (ALS) is a devastating neurodegenerative disease affecting the adult motor system, with no effective treatments available. Despite extensive research efforts, the exact pathological cascade leading to progressive motor neuron degeneration remains elusive. Recent evidence highlights significant modifications in lipid metabolism during ALS progression, even before the onset of motor symptoms. Glycerophospholipids, the primary components of cellular membranes, are frequently altered in ALS patients and models. These lipids not only play a structural role in membranes, but also contribute to cellular metabolism, signaling pathways, and cell type-specific processes such as neuronal transmission and muscle contraction. In this review, we discuss glycerophospholipid physiological functions in the motor system and review recent studies demonstrating their alterations and the possible underlying pathological mechanisms in ALS. Furthermore, we discuss challenges emerging from studying lipid alterations in neurodegeneration and evaluate the therapeutic potential of glycerophospholipids.
肌萎缩性侧索硬化症(ALS)是一种影响成人运动系统的毁灭性神经退行性疾病,目前尚无有效的治疗方法。尽管进行了广泛的研究,但导致进行性运动神经元变性的确切病理级联仍然难以捉摸。最近的证据强调了在ALS进展过程中脂质代谢的显著改变,甚至在运动症状出现之前。甘油磷脂是细胞膜的主要成分,在ALS患者和模型中经常发生改变。这些脂质不仅在细胞膜中起结构作用,而且还参与细胞代谢、信号通路和细胞类型特异性过程,如神经元传递和肌肉收缩。在这篇综述中,我们讨论了甘油磷脂在运动系统中的生理功能,并回顾了最近的研究表明它们的改变和ALS可能的潜在病理机制。此外,我们讨论了研究神经变性中脂质改变所带来的挑战,并评估了甘油磷脂的治疗潜力。
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引用次数: 0
The role of endolysosomal progranulin and TMEM106B in neurodegenerative diseases 内溶酶体颗粒前蛋白和TMEM106B在神经退行性疾病中的作用
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-26 DOI: 10.1186/s13024-025-00873-6
Hideyuki Takahashi, Stephen M. Strittmatter
Although different neurodegenerative diseases are defined by distinct pathological proteins, they share many common features including protein aggregation. Despite this commonality, most current therapeutic approaches in the field, such as anti-aggregate antibodies, are focused on individual diseases or single neuropathologies with only limited success. The endolysosomal proteins progranulin and TMEM106B were both initially associated with frontotemporal lobar degeneration but have subsequently also been linked to other neurodegenerative diseases. Thus, these proteins are predicted to participate in common pathogenic pathways shared across various neurodegenerative diseases. Importantly, recent discoveries of TMEM106B amyloid fibrils in varied neurodegenerative diseases and glycosphingolipid regulation by progranulin and TMEM106B further support their central roles in cross-disease neurodegenerative mechanisms. This review summarizes recent advances in progranulin and TMEM106B function within the endolysosomal system and neurodegenerative diseases. It describes preclinical models and therapeutic approaches for progranulin- and TMEM106B-associated diseases. We also discuss future direction leading to novel alternative therapies targeting shared mechanisms in neurodegenerative diseases.
虽然不同的神经退行性疾病由不同的病理蛋白定义,但它们有许多共同的特征,包括蛋白质聚集。尽管存在这种共性,但目前该领域的大多数治疗方法,如抗聚集抗体,都集中在个体疾病或单一神经病理学上,仅取得了有限的成功。内溶酶体蛋白前颗粒蛋白和TMEM106B最初都与额颞叶变性有关,但随后也与其他神经退行性疾病有关。因此,这些蛋白被预测参与各种神经退行性疾病共有的常见致病途径。重要的是,最近在各种神经退行性疾病中发现的TMEM106B淀粉样原纤维,以及前颗粒蛋白和TMEM106B对鞘糖脂的调节,进一步支持了它们在跨疾病神经退行性机制中的核心作用。本文综述了蛋白前蛋白和TMEM106B在内溶酶体系统和神经退行性疾病中的功能的最新进展。它描述了前颗粒蛋白和tmem106b相关疾病的临床前模型和治疗方法。我们还讨论了未来的方向,导致新的替代疗法针对神经退行性疾病的共同机制。
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引用次数: 0
Endothelium-specific endoglin triggers astrocyte reactivity via extracellular vesicles in a mouse model of Alzheimer’s disease 在阿尔茨海默病小鼠模型中,内皮特异性内啡肽通过细胞外囊泡触发星形胶质细胞反应性
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-23 DOI: 10.1186/s13024-025-00875-4
Pingao Zhang, Chenghuan Song, Jiyun Shi, Zijie Wei, Jing Wang, Wanying Huang, Rui Zhang, Jintao Wang, Xiaoli Yang, Gang Wang, Xiaoling Gao, Yongfang Zhang, Hongzhuan Chen, Hao Wang
Alzheimer’s disease (AD) is a multifaceted neurodegenerative disorder with a complex etiology that extends beyond the well-documented amyloid-β and tau pathologies. Growing evidence implicates cerebrovascular dysfunction, particularly brain microvascular endothelial cells (BMECs) dysfunction, as an early contributor to AD pathogenesis. However, how BMECs influence on neighboring astrocytes needs to be further explored. We employed a multi-omics approach integrating bulk RNA sequencing of human BMECs with proteomic analysis of cerebrospinal fluid (CSF) from AD patients and cerebrovascular endothelial extracellular vesicles (CEEVs). The role of identified candidate proteins was investigated in vitro and in vivo utilizing CEEVs transplantation and BMEC-astrocyte co-cultures. Endothelial cell-specific knockdown or treatment with a monoclonal antibody was used to assess the functional consequences on cognitive impairment and AD pathology via two-photon imaging and behavioral experiments on APP/PS1 mice. The elevated endothelium-specific protein Endoglin (ENG) was identified in the brain and serum of AD individuals and APP/PS1 mice, and the supernatant of injured BMECs. ENG was released and delivered to adjacent astrocytes via CEEVs, and subsequently upregulated TGFBRI/Smad3 pathway in astrocytes, leading to astrocyte reactivity and the release of pro-inflammatory cytokines. Endothelial cell-specific ENG knockdown or treating with ENG monoclonal antibody Carotuximab significantly suppressed reactive astrocytes, reduced neuroinflammation, and improved cognitive performance of APP/PS1 mice. This study reveals a novel mechanism by which BMECs-derived ENG, delivered via CEEVs, drives astrocyte reactivity. These findings redefine the role of cerebrovascular dysfunction in AD pathogenesis and identify ENG as both a potential biomarker and a promising therapeutic target for AD.
阿尔茨海默病(AD)是一种多方面的神经退行性疾病,其病因复杂,超出了充分记录的淀粉样蛋白-β和tau病理。越来越多的证据表明脑血管功能障碍,特别是脑微血管内皮细胞(BMECs)功能障碍,是AD发病的早期因素。然而,bmec对邻近星形胶质细胞的影响还有待进一步探讨。我们采用了一种多组学方法,将人bmec的大量RNA测序与AD患者脑脊液(CSF)和脑血管内皮细胞外囊泡(CEEVs)的蛋白质组学分析结合起来。在体外和体内利用CEEVs移植和bmec -星形胶质细胞共培养研究了鉴定的候选蛋白的作用。应用内皮细胞特异性敲除或单克隆抗体治疗APP/PS1小鼠,通过双光子成像和行为实验评估其对认知障碍和AD病理的功能影响。在AD个体和APP/PS1小鼠的脑和血清以及损伤bmec的上清液中检测到内皮特异性蛋白内啡肽(engin,内皮特异性蛋白)升高。ENG通过ceev释放并传递到邻近的星形胶质细胞,随后上调星形胶质细胞中的TGFBRI/Smad3通路,导致星形胶质细胞的反应性和促炎细胞因子的释放。内皮细胞特异性ENG敲除或用ENG单克隆抗体Carotuximab治疗可显著抑制反应性星形胶质细胞,减少神经炎症,改善APP/PS1小鼠的认知表现。这项研究揭示了一种新的机制,通过ceev传递bmecs衍生的ENG,驱动星形胶质细胞的反应性。这些发现重新定义了脑血管功能障碍在阿尔茨海默病发病机制中的作用,并将ENG确定为阿尔茨海默病的潜在生物标志物和有希望的治疗靶点。
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引用次数: 0
Proteomic landscape of Alzheimer’s disease: emerging technologies, advances and insights (2021 – 2025) 阿尔茨海默病的蛋白质组学前景:新兴技术,进展和见解(2021 - 2025)
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-14 DOI: 10.1186/s13024-025-00874-5
Jay M. Yarbro, Him K. Shrestha, Zhen Wang, Xue Zhang, Masihuz Zaman, Mengqi Chu, Xusheng Wang, Gang Yu, Junmin Peng
The advancements of proteomics technologies are shaping Alzheimer's disease (AD) research, revealing new molecular insights and improving biomarker discovery. Here, we summarize major AD proteomics studies since our 2021 review, focusing on disease mechanisms and biomarker identification. Enhanced sensitivity and throughput in proteome profiling have been driven by mass spectrometry (MS)-based approaches and affinity-based platforms (e.g., Olink and SomaScan). Emerging techniques, including single-cell, spatial, and single-molecule proteomics, provide unprecedented resolution in studying cellular heterogeneity and pathological microenvironments (e.g., amyloidome). Multi-cohort analyses of AD brain tissues have revealed consensus protein alterations (n = 866), identifying novel disease-associated proteins validated in functional studies (e.g., MDK/PTN, NTN1, SMOC1, GPNMB, NPTX2, NRN1, VGF, and U1 snRNP). Proteomic studies of AD biofluids have identified distinct disease subtypes, offering candidate proteins for early detection. Comparisons between human tissues and AD mouse models highlight shared pathways in amyloid pathology while underscoring limitations in recapitulating human disease. Combining proteomics with genomics enables protein quantitative trait locus (pQTL) analysis in AD, linking genetic risk factors to protein expression changes. Discrepancies between proteome and transcriptome suggest altered protein turnover in AD. Overall, AD proteomics continues to provide mechanistic insights into disease progression and potential biomarkers for precision medicine.
蛋白质组学技术的进步正在塑造阿尔茨海默病(AD)的研究,揭示新的分子见解和促进生物标志物的发现。在这里,我们总结了自2021年回顾以来主要的AD蛋白质组学研究,重点是疾病机制和生物标志物鉴定。基于质谱(MS)的方法和基于亲和力的平台(例如Olink和SomaScan)提高了蛋白质组分析的灵敏度和通量。新兴技术,包括单细胞、空间和单分子蛋白质组学,为研究细胞异质性和病理微环境(如淀粉样体)提供了前所未有的分辨率。阿尔茨海默病脑组织的多队列分析揭示了一致的蛋白质改变(n = 866),鉴定了在功能研究中证实的新的疾病相关蛋白(例如MDK/PTN、NTN1、SMOC1、GPNMB、NPTX2、NRN1、VGF和U1 snRNP)。阿尔茨海默病生物体液的蛋白质组学研究已经确定了不同的疾病亚型,为早期检测提供了候选蛋白质。人类组织和AD小鼠模型之间的比较强调了淀粉样蛋白病理的共同途径,同时强调了概括人类疾病的局限性。将蛋白质组学与基因组学相结合,可以对AD进行蛋白质数量性状位点(pQTL)分析,将遗传危险因素与蛋白质表达变化联系起来。蛋白质组和转录组之间的差异表明阿尔茨海默病的蛋白质周转发生了改变。总的来说,AD蛋白质组学继续为精准医学提供疾病进展和潜在生物标志物的机制见解。
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引用次数: 0
Biomarkers and therapeutic strategies targeting microglia in neurodegenerative diseases: current status and future directions 神经退行性疾病中针对小胶质细胞的生物标志物和治疗策略:现状和未来方向
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-10 DOI: 10.1186/s13024-025-00867-4
Min-Young Noh, Hyuk Sung  Kwon, Min-Soo Kwon, Minyeop Nahm, Hee Kyung Jin, Jae-sung Bae, Seung Hyun Kim
Recent advances in our understanding of non-cell-autonomous mechanisms in neurodegenerative diseases (NDDs) have highlighted microglial dysfunction as a core driver of disease progression. Conditions such as Alzheimer’s disease (AD), amyotrophic lateral sclerosis (ALS), Parkinson’s disease (PD), and frontotemporal dementia (FTD) share features of impaired microglial phagocytosis, chronic neuroinflammation, and metabolic dysregulation. These insights have prompted new therapeutic strategies targeting microglial function and emphasized the need for reliable biomarkers to monitor disease progression and treatment response. Well-established therapeutic targets, such as triggering receptor expressed on myeloid cells 2 (TREM2), progranulin (PGRN), and sortilin (SORT1), along with emerging candidates including LILRB4, P2Y6R, TAM receptors, and neuroinflammation-related markers, are discussed alongside novel blood, cerebrospinal fluid (CSF), and imaging biomarkers. Despite notable progress, many of these biomarkers remain restricted to preclinical studies and face translational challenges due to species-specific differences, lack of standardization, and clinical heterogeneity. Emerging technologies—including single-cell omics, spatial transcriptomics, and artificial intelligence (AI)-driven integration of multimodal data—offer new opportunities to align biomarker profiles with evolving disease states and improve patient stratification. Building on the model of companion diagnostics (CDx) in oncology, integrating multimodal biomarker strategies holds promise for guiding personalized interventions, improving clinical outcomes, and deepening our mechanistic understanding of microglial contributions across the neurodegenerative spectrum.
最近我们对神经退行性疾病(ndd)非细胞自主机制的理解有了新的进展,强调了小胶质细胞功能障碍是疾病进展的核心驱动因素。阿尔茨海默病(AD)、肌萎缩性侧索硬化症(ALS)、帕金森病(PD)和额颞叶痴呆(FTD)等疾病都具有小胶质细胞吞噬功能受损、慢性神经炎症和代谢失调的特征。这些发现促进了针对小胶质细胞功能的新治疗策略,并强调需要可靠的生物标志物来监测疾病进展和治疗反应。已建立的治疗靶点,如髓样细胞2 (TREM2),前颗粒蛋白(PGRN)和SORT1表达的触发受体,以及新兴的候选物,包括LILRB4, P2Y6R, TAM受体和神经炎症相关标志物,与新的血液,脑脊液(CSF)和成像生物标志物一起讨论。尽管取得了显著进展,但由于物种特异性差异、缺乏标准化和临床异质性,许多生物标志物仍然局限于临床前研究,并面临转化挑战。新兴技术——包括单细胞组学、空间转录组学和人工智能(AI)驱动的多模式数据集成——为将生物标志物谱与不断发展的疾病状态相结合并改善患者分层提供了新的机会。在肿瘤学伴随诊断(CDx)模型的基础上,整合多模式生物标志物策略有望指导个性化干预,改善临床结果,并加深我们对神经退行性谱系中小胶质细胞贡献的机制理解。
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引用次数: 0
Glial phagocytosis for synapse and toxic proteins in neurodegenerative diseases. 神经退行性疾病中突触和毒性蛋白的胶质吞噬作用。
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-09 DOI: 10.1186/s13024-025-00870-9
Yeseong Choi,Won-Suk Chung
Glia, as resident immune and supportive cells of the central nervous system, play a critical role in maintaining brain homeostasis. One of their key homeostatic functions is phagocytic capacity in pruning synapses and removing cellular debris/protein aggregates, a process vital for synaptic plasticity and brain maintenance. However, these phagocytic functions are often dysregulated with aging and in neurodegenerative diseases (NDs), such as Alzheimer's disease, Parkinson's disease, Huntington's disease, amyotrophic lateral sclerosis, and frontotemporal dementia. This review aims to examine the phagocytic roles of glia under both physiological and pathological conditions, with a special focus on their interactions with misfolded protein aggregates, including amyloid beta, tau, alpha synuclein, prion, huntingtin, and TAR DNA-binding protein 43. We also explore the fate of ingested molecules after being phagocytosed by glia-whether they are degraded, accumulate intracellularly, or are transferred between cells-and their implications for disease progression. Finally, we review current therapeutic strategies and the potential approaches for modulating glial phagocytosis to mitigate several NDs. We believe that understanding the exact mechanisms of glial phagocytosis and clearance will serve as key elements in developing future treatments for NDs.
神经胶质细胞作为中枢神经系统的常驻免疫和支持细胞,在维持大脑稳态中起着至关重要的作用。它们的关键稳态功能之一是在修剪突触和清除细胞碎片/蛋白质聚集体中的吞噬能力,这是突触可塑性和大脑维持的重要过程。然而,这些吞噬功能往往随着年龄的增长和神经退行性疾病(NDs)而失调,如阿尔茨海默病、帕金森病、亨廷顿病、肌萎缩侧索硬化症和额颞叶痴呆。这篇综述旨在研究神经胶质在生理和病理条件下的吞噬作用,特别关注它们与错误折叠蛋白聚集体的相互作用,包括淀粉样蛋白β、tau、α突触核蛋白、朊病毒、亨廷顿蛋白和TAR dna结合蛋白43。我们还探讨了被胶质细胞吞噬后摄入的分子的命运——它们是被降解、在细胞内积累还是在细胞间转移——以及它们对疾病进展的影响。最后,我们回顾了当前的治疗策略和潜在的方法来调节胶质细胞吞噬以减轻几种NDs。我们相信,了解胶质细胞吞噬和清除的确切机制将成为开发未来nd治疗的关键因素。
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引用次数: 0
Methylome analysis of FTLD patients with TDP-43 pathology identifies epigenetic signatures specific to pathological subtypes 具有TDP-43病理的FTLD患者的甲基组分析确定了病理亚型特异性的表观遗传特征
IF 15.1 1区 医学 Q1 NEUROSCIENCES Pub Date : 2025-07-06 DOI: 10.1186/s13024-025-00869-2
Cristina T. Vicente, Tejasvi Niranjan, Elise Coopman, Júlia Faura, Sara Alidadiani, Claudia Schrauwen, Billie J. Matchett, Bavo Heeman, Marleen Van den Broeck, Wouter De Coster, Thuy Nguyen, Julie S. Lau, Saurabh Baheti, Tim de Pooter, Peter De Rijk, Mojca Strazisar, Matt Baker, Mariely DeJesus-Hernandez, NiCole A. Finch, Cyril Pottier, Marka van Blitterswijk, Yan Asmann, Melissa E. Murray, Leonard Petrucelli, Andrew King, Claire Troakes, Safa Al-Sarraj, Robert A. Rissman, Annie Hiniker, Margaret Flanagan, Bret M. Evers, Charles L. White, Carlos Cruchaga, Rudolph Castellani, Jeroen G.J. van Rooij, Merel O. Mol, Harro Seelaar, John C. van Swieten, Björn Oskarsson, Robert Ross Reichard, Aivi T. Nguyen, Keith A. Josephs, Ronald C. Petersen, Nilüfer Ertekin-Taner, Bradley F. Boeve, Neill R. Graff-Radford, Sarah Weckhuysen, Dennis W. Dickson, Rosa Rademakers
In the last decade, the importance of DNA methylation in the functioning of the central nervous system has been highlighted through associations between methylation changes and differential expression of key genes involved in aging and neurodegenerative diseases. In frontotemporal lobar degeneration (FTLD), aberrant methylation has been reported in causal disease genes including GRN and C9orf72; however, the genome-wide contribution of epigenetic changes to the development of FTLD remains largely unexplored. We performed reduced representation bisulfite sequencing of matched pairs of post-mortem tissue from frontal cortex (FCX) and cerebellum (CER) from pathologically confirmed FTLD patients with TDP-43 pathology (FTLD-TDP) further divided into five subtypes and including both sporadic and genetic forms (N = 25 pairs per group), and neuropathologically normal controls (N = 42 pairs). Case-control differential methylation analyses were performed, both at the individual CpG level, and in regions of grouped CpGs (differentially methylated regions; DMRs), either including all genomic locations or only gene promoters. Gene Ontology (GO) analyses were then performed using all differentially methylated genes in each group of sporadic patients. Finally, additional datasets were queried to prioritize candidate genes for follow-up. Using the largest FTLD-TDP DNA methylation dataset generated to date, we identified thousands of differentially methylated CpGs (FCX = 6,520; CER = 7,134) and several hundred DMRs in FTLD-TDP brains (FCX = 134; CER = 219). Of these, less than 10% are shared between pathological subgroups. Combining additional datasets, we identified, validated and replicated hypomethylation of CAMTA1 in TDP-A potentially also impacting additional genes in the locus. GO analysis further implicated DNA methylation in myelination and developmental processes, as well as important disease-relevant mechanisms with subtype specificity such as protein phosphorylation and DNA damage repair in TDP-A, cholesterol biosynthesis in TDP-B, and protein localization in TDP-C. We identify methylation changes in all FTLD-TDP patient groups and show that most changes are unique to a specific pathological FTLD-TDP subtype, suggesting that these subtypes not only have distinct transcriptomic and genetic signatures, but are also epigenetically distinct. Our study constitutes an invaluable resource to the community and highlights the need for further studies to profile additional epigenetic layers within each FTLD-TDP pathological subtype.
在过去的十年中,DNA甲基化在中枢神经系统功能中的重要性已经通过甲基化变化和涉及衰老和神经退行性疾病的关键基因的差异表达之间的关联得到强调。在额颞叶变性(FTLD)中,有报道称致病基因中存在异常甲基化,包括GRN和C9orf72;然而,表观遗传变化对FTLD发展的全基因组贡献在很大程度上仍未被探索。我们对病理证实为TDP-43病理(FTLD- tdp)的FTLD患者的额叶皮质(FCX)和小脑(CER)的配对死后组织进行了亚亚盐减少代表性测序,进一步分为五个亚型,包括散发性和遗传性形式(每组N = 25对)和神经病理正常对照(N = 42对)。在个体CpG水平和分组CpG区域(差异甲基化区域;DMRs),要么包括所有基因组位置,要么只包括基因启动子。然后对每组散发性患者的所有差异甲基化基因进行基因本体(GO)分析。最后,查询其他数据集以确定候选基因的优先级。使用迄今为止生成的最大的FTLD-TDP DNA甲基化数据集,我们确定了数千个差异甲基化的CpGs (FCX = 6520;在FTLD-TDP脑中,CER = 7134, DMRs数百例(FCX = 134;cer = 219)。其中,病理亚组之间共有的不到10%。结合其他数据集,我们鉴定、验证并复制了TDP-A中CAMTA1的低甲基化,这种低甲基化可能也会影响位点上的其他基因。氧化石墨烯分析进一步揭示了髓鞘形成和发育过程中的DNA甲基化,以及具有亚型特异性的重要疾病相关机制,如TDP-A中的蛋白质磷酸化和DNA损伤修复,TDP-B中的胆固醇生物合成以及TDP-C中的蛋白质定位。我们确定了所有FTLD-TDP患者组的甲基化变化,并表明大多数变化是特定病理性FTLD-TDP亚型所特有的,这表明这些亚型不仅具有不同的转录组学和遗传特征,而且在表观遗传上也是不同的。我们的研究为社区提供了宝贵的资源,并强调了进一步研究每个FTLD-TDP病理亚型中其他表观遗传层的必要性。
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引用次数: 0
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Molecular Neurodegeneration
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