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Association between plasma glucosylsphingosine levels and dyskinesia burden in GBA1-related Parkinson's disease 血浆葡萄糖鞘氨酸水平与gba1相关帕金森病运动障碍负担的关系
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-13 DOI: 10.1016/j.nbd.2026.107271
Massimo Marano , Carmela Zizzo , Francesco Cavallieri , Micol Avenali , Tommaso Schirinzi , Edoardo Monfrini , Francesca Spagnolo , Rosa De Micco , Silvia Ramat , Maria Chiara Malaguti , Federico Reali , Roberto Cilia , Miryam Carecchio , Andrea Pilotto , Roberto Erro , Ilaria Antonella di Vico , Mario Meloni , Giulia Di Lazzaro , Sara Pietracupa , Claudia Ledda , Alessio Di Fonzo

Background

GBA1 mutation is the most significant genetic risk factor for Parkinson's disease (PD). It encodes glucocerebrosidase (GCase), whose dysfunction – seen in Gaucher disease - leads to the accumulation of glucosylceramide and its derivate glucosylsphingosine (GlcSph). However, it remains unclear whether GCase and GlcSph are relevant in PD patients carrying no or monoallelic GBA1 variants, and what their clinical impact might be.

Objective

Investigating the relationships between GBA1 mutations, GCase, GlcSph, and clinical features in a large PD cohort.

Methods

We performed a cross-sectional study of PD patients screened for GBA1 mutations, GCase activity, and GlcSph via dried blood spot tests. Patients were classified as heterozygous mutation carriers (GBA1-PD) or non-carriers (nonGBA1-PD). Collected data included motor and non-motor parameters. Molecular and clinical differences were compared between GBA1-PD and nonGBA1-PD. Distinctive clinical features were further investigated through multivariate models to test their correlations with biochemical data.

Results

The cohort included 611 subjects (225 GBA1-PD, 386 nonGBA1-PD). GBA1-PD presented earlier onset, lower cognitive scores, higher incidence of mood disturbances and more advanced stage. Motor assessment revealed a higher frequency and severity of dyskinesias, independently from disease duration and LEDD. GlcSph levels showed an independent correlation with dyskinesia severity and time at onset in GBA1-PD patients, which was independent of sex, LEDD, UPDRS-III, disease duration and GBA1 mutation class.

Conclusions

This study reveals an association between GlcSph and dyskinesias in GBA1-PD, that should prompt further investigation to assess the GlcSph role as a possible biomarker and target to tackle dyskinesias in GBA1-PD.
背景:GBA1突变是帕金森病(PD)最重要的遗传危险因素。它编码葡萄糖脑苷酶(GCase),其功能障碍(见于戈谢病)导致葡萄糖神经酰胺及其衍生物葡萄糖鞘氨酸(GlcSph)的积累。然而,目前尚不清楚GCase和GlcSph是否与无GBA1等位基因变异或单等位基因变异的PD患者相关,以及它们的临床影响可能是什么。目的:探讨大型PD队列中GBA1突变、GCase、GlcSph与临床特征之间的关系。方法:我们对PD患者进行了横断面研究,通过干血斑点试验筛选GBA1突变、GCase活性和GlcSph。患者分为杂合突变携带者(GBA1-PD)和非携带者(non - ba1 - pd)。收集的数据包括电机和非电机参数。比较GBA1-PD与non - ba1 - pd的分子及临床差异。通过多变量模型进一步研究不同的临床特征,以检验其与生化数据的相关性。结果:共纳入611例受试者(GBA1-PD 225例,non - ba1 - pd 386例)。GBA1-PD患者起病早,认知评分低,情绪障碍发生率高,病程较晚。运动评估显示运动障碍的频率和严重程度较高,与疾病持续时间和LEDD无关。GBA1- pd患者GlcSph水平与运动障碍严重程度和发病时间独立相关,与性别、LEDD、UPDRS-III、病程和GBA1突变类型无关。结论:本研究揭示了GlcSph与GBA1-PD运动障碍之间的关联,这应该促使进一步的研究来评估GlcSph作为GBA1-PD运动障碍可能的生物标志物和靶点的作用。
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引用次数: 0
Afferent-driven modulation of spinal interneurofn circuits across disease stages in amyotrophic lateral sclerosis 肌萎缩性侧索硬化症不同疾病阶段脊髓神经间回路的传入驱动调节
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-12 DOI: 10.1016/j.nbd.2026.107270
Sina Sangari , Alexandra Lackmy-Vallée , Iseline Peyre , Pierre-François Pradat , Véronique Marchand-Pauvert
Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disease that progressively disrupts voluntary motor command through combined cortical and spinal motor neuron degeneration. However, how spinal circuits reorganize during the disease remains poorly understood, particularly in humans. This study examined the function of excitatory and inhibitory spinal interneuron circuits that control upper and lower limb movements, using non-invasive electrophysiological techniques targeting specific afferent–motoneuron pathways at cervical and lumbar levels. These segments are clinically relevant, as spinal-onset forms constitute the predominant clinical presentation of ALS. We compared patients with ALS at different stages of functional impairment to healthy individuals. Spinal circuits predominantly driven by muscle spindle afferents (group Ia and II) showed, at the group level, a marked reduction in inhibition together with enhanced propriospinal excitation. In contrast, pathways mediated by tendon afferents (group Ib) and cutaneous inputs appeared preserved in unstratified analyses. However, when accounting for disease stage, inhibitory dysfunction emerged as an early feature, whereas excitation increased progressively with functional impairment, and modulations also became detectable in Ib- and cutaneous-driven responses. These findings reveal an afferent- and stage-dependent hierarchy of spinal dysfunction, following a reproducible sequence from early disinhibition to maladaptive excitation. This dynamic pattern mirrors the organization observed in preclinical spinal models and aligns with cortical pathophysiology, where widespread loss of inhibition precedes selective increases in excitation. Together, these results refine the mechanistic understanding of motor network disorganization in ALS and identify inhibitory interneurons as potential therapeutic targets to stabilize spinal network function.
肌萎缩性侧索硬化症(ALS)是一种神经退行性疾病,通过皮质和脊髓运动神经元的联合变性逐渐破坏自主运动指令。然而,在疾病期间脊髓回路如何重组仍然知之甚少,特别是在人类中。本研究检测了控制上肢和下肢运动的兴奋性和抑制性脊髓神经元中间回路的功能,采用非侵入性电生理技术,针对颈椎和腰椎水平的特定传入-运动神经元通路。这些部分具有临床相关性,因为脊髓发病形式构成ALS的主要临床表现。我们比较了处于不同功能损害阶段的ALS患者和健康人。主要由肌纺锤体传入事件驱动的脊髓回路(Ia组和II组)显示,在组水平上,抑制显著减少,同时本体兴奋增强。相反,在非分层分析中,由肌腱传入(Ib组)和皮肤输入介导的通路似乎保留了下来。然而,当考虑到疾病阶段时,抑制性功能障碍作为早期特征出现,而兴奋随着功能损伤逐渐增加,并且在Ib和皮肤驱动的反应中也可以检测到调节。这些发现揭示了脊髓功能障碍的传入和阶段依赖的层次结构,遵循从早期去抑制到适应不良兴奋的可重复序列。这种动态模式反映了在临床前脊髓模型中观察到的组织,并与皮层病理生理学一致,其中广泛的抑制丧失先于选择性的兴奋增加。总之,这些结果完善了对ALS中运动网络紊乱的机制理解,并确定了抑制性中间神经元作为稳定脊髓网络功能的潜在治疗靶点。
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引用次数: 0
Elevated neurotransmitter levels in people with HIV are associated with attention function 艾滋病毒感染者神经递质水平升高与注意力功能有关。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-11 DOI: 10.1016/j.nbd.2026.107273
Ilenia Salsano , Jason A. John , Ryan J. Glesinger , Grant M. Garrison , Kennedy A. Kress , Aubrie J. Petts , Danielle L. Rice , Grace C. Ende , Lucy K. Horne , Anna T. Coutant , Pamela E. May-Weeks , Georg Oeltzschner , Tony W. Wilson
People with HIV (PWH) often exhibit cognitive impairments, particularly in attention and executive function domains, despite effective viral suppression. The neurophysiological and neurochemical mechanisms underlying these deficits remain poorly understood. Herein, we used proton magnetic resonance spectroscopy (1H-MRS) at 3 T with spectral editing to quantify the inhibitory (GABA+: GABA and co-edited macromolecules) and excitatory (Glx: glutamate and glutamine) neurotransmitter pools in the calcarine cortex of 27 virally suppressed PWH and 27 age- and sex-matched controls. We also estimated several secondary metabolites commonly implicated in neuroinflammatory and energetic processes, including total N-acetylaspartate (tNAA), total choline (tCho), total creatine (tCr), and myo-inositol (mI). Following best practices, metabolite concentrations were scaled to the unsuppressed water signal and corrected for voxel tissue composition, including gray matter, white matter, and CSF percentages. Compared with controls, PWH exhibited significantly elevated GABA+, Glx, and mI levels, suggesting parallel alterations in inhibitory, excitatory, and glial pathways. Notably, higher Glx levels were associated with longer HIV disease duration and increases in Glx and mI were coupled to decreases in attentional performance, linking neurochemical alterations to both disease progression and cognitive dysfunction. In sum, these findings provide the first evidence of concurrent GABA+ and Glx alterations in virally suppressed PWH, supporting a model in which disrupted excitatory-inhibitory balance contributes to cortical instability and attentional deficits in HIV.
HIV感染者(PWH)经常表现出认知障碍,特别是在注意力和执行功能领域,尽管有效的病毒抑制。这些缺陷背后的神经生理和神经化学机制仍然知之甚少。在此,我们在3 T使用质子磁共振波谱(1H-MRS)和光谱编辑来量化27名病毒抑制PWH和27名年龄和性别匹配对照的calcarine皮层中的抑制性(GABA+: GABA和共同编辑的大分子)和兴奋性(Glx:谷氨酸和谷氨酰胺)神经递质池。我们还估计了几种通常与神经炎症和能量过程有关的次级代谢物,包括总n -乙酰天冬氨酸(tNAA)、总胆碱(tCho)、总肌酸(tCr)和肌醇(mI)。按照最佳实践,代谢物浓度按比例缩放到未抑制的水信号,并校正体素组织组成,包括灰质、白质和脑脊液百分比。与对照组相比,PWH表现出显著升高的GABA+、Glx和mI水平,表明抑制、兴奋和胶质通路平行改变。值得注意的是,较高的Glx水平与较长的HIV疾病持续时间有关,Glx和mI的增加与注意力表现的下降有关,将神经化学改变与疾病进展和认知功能障碍联系起来。总之,这些发现提供了在病毒抑制的PWH中同时发生GABA+和Glx改变的第一个证据,支持了兴奋-抑制平衡被破坏导致HIV皮质不稳定和注意力缺陷的模型。
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引用次数: 0
Focus on the excitatory and inhibitory neurotransmission imbalance in amyotrophic lateral sclerosis: a harmful disease player or a potential therapeutic opportunity? 关注肌萎缩性侧索硬化症的兴奋性和抑制性神经传递失衡:是一个有害的疾病玩家还是一个潜在的治疗机会?
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-10 DOI: 10.1016/j.nbd.2026.107272
Sara Tessitore , Carola Torazza , Tiziana Bonifacino , Francesca Bacchetti , Francesco Roselli , Luca Raiteri , Marco Milanese , Giambattista Bonanno
Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neurodegenerative disease affecting both upper and lower motor neurons. Evidence indicates that ALS is a “multifactorial” and “multicellular” disease; however, the causes of ALS remain elusive, as the mechanisms underlying the disease have not yet been completely clarified. One major proposed mechanism, first described in 1990, is the glutamate excitotoxicity theory. This theory suggests that excessive glutamatergic neurotransmission, combined with impaired glutamate clearance, significantly contributes to motor neuron degeneration. Aberrant glutamate neurotransmission may lead to precocious motor neuron hyperexcitability in the brain cortex and spinal cord, which can be later followed by hypoexcitability phases. Accumulating evidence suggests that impairment in inhibitory neurotransmission is relevant for excitation/inhibition imbalance, leading to excitotoxicity, a critical feature of ALS. Gamma-aminobutyric acid (GABA) and glycine are the primary inhibitory neurotransmitters that modulate neuronal excitability, including that of motor neurons. In ALS, dysfunction of inhibitory processes and loss of cortical and spinal inhibitory interneurons are observed. Renshaw cells, which mediate recurrent inhibition in the spinal cord, seem particularly vulnerable. The interactions among neurotransmitters, including glutamate, GABA, and glycine, play pivotal roles in regulating the excitation/inhibition balance. Auto- or hetero-receptor-mediated interactions are crucial, but auto- or hetero-transporter-mediated neurotransmission control, as well as other molecular mechanisms that regulate neuronal interplay, are also relevant, as they can be altered in pathological conditions such as ALS. To facilitate the search for new effective therapies for ALS, attention toward the impairment of inhibitory neurotransmission is essential to determine the role of excitation/inhibition imbalance on excitotoxicity. Different pharmacological agents are being used to treat other pathologies in which the excitation/inhibition ratio is impaired. Among these, we highlighted the potential of novel glycine and GABA receptor ligands and transporter inhibitors, as stand-alone interventions or in combination with other treatments. The present review aims to elucidate the complex interplay between excitatory and inhibitory neurotransmission in ALS, exploring the potential to target this imbalance for therapeutic purposes.
肌萎缩性侧索硬化症(ALS)是一种累及上下运动神经元的进行性和致命性神经退行性疾病。有证据表明,ALS是一种“多因素”和“多细胞”疾病;然而,肌萎缩侧索硬化症的病因仍然难以捉摸,因为这种疾病的机制尚未完全阐明。1990年首次提出的一个主要机制是谷氨酸兴奋毒性理论。这一理论表明,过度的谷氨酸能神经传递,结合谷氨酸清除受损,显著有助于运动神经元变性。异常的谷氨酸神经传递可导致大脑皮层和脊髓运动神经元早发性亢奋,随后可出现低兴奋期。越来越多的证据表明,抑制性神经传递损伤与兴奋/抑制失衡有关,从而导致兴奋性毒性,这是ALS的一个重要特征。γ -氨基丁酸(GABA)和甘氨酸是调节神经元兴奋性的主要抑制性神经递质,包括运动神经元的兴奋性。在ALS中,观察到抑制过程功能障碍和皮层和脊髓抑制性中间神经元的丢失。介导脊髓复发性抑制的Renshaw细胞似乎特别脆弱。谷氨酸、GABA和甘氨酸等神经递质之间的相互作用在调节兴奋/抑制平衡中起关键作用。自受体或异受体介导的相互作用是至关重要的,但自受体或异受体介导的神经传递控制,以及调节神经元相互作用的其他分子机制,也是相关的,因为它们可以在病理条件下改变,如ALS。为了促进寻找新的有效治疗ALS的方法,对抑制性神经传递损伤的关注对于确定兴奋/抑制失衡在兴奋毒性中的作用至关重要。不同的药理学制剂被用于治疗兴奋/抑制比受损的其他病理。其中,我们强调了新型甘氨酸和GABA受体配体和转运体抑制剂作为单独干预或与其他治疗联合使用的潜力。本综述旨在阐明肌萎缩侧索硬化症中兴奋性和抑制性神经传递之间的复杂相互作用,探索针对这种不平衡的治疗目的的潜力。
{"title":"Focus on the excitatory and inhibitory neurotransmission imbalance in amyotrophic lateral sclerosis: a harmful disease player or a potential therapeutic opportunity?","authors":"Sara Tessitore ,&nbsp;Carola Torazza ,&nbsp;Tiziana Bonifacino ,&nbsp;Francesca Bacchetti ,&nbsp;Francesco Roselli ,&nbsp;Luca Raiteri ,&nbsp;Marco Milanese ,&nbsp;Giambattista Bonanno","doi":"10.1016/j.nbd.2026.107272","DOIUrl":"10.1016/j.nbd.2026.107272","url":null,"abstract":"<div><div>Amyotrophic lateral sclerosis (ALS) is a progressive and fatal neurodegenerative disease affecting both upper and lower motor neurons. Evidence indicates that ALS is a “multifactorial” and “multicellular” disease; however, the causes of ALS remain elusive, as the mechanisms underlying the disease have not yet been completely clarified. One major proposed mechanism, first described in 1990, is the glutamate excitotoxicity theory. This theory suggests that excessive glutamatergic neurotransmission, combined with impaired glutamate clearance, significantly contributes to motor neuron degeneration. Aberrant glutamate neurotransmission may lead to precocious motor neuron hyperexcitability in the brain cortex and spinal cord, which can be later followed by hypoexcitability phases. Accumulating evidence suggests that impairment in inhibitory neurotransmission is relevant for excitation/inhibition imbalance, leading to excitotoxicity, a critical feature of ALS. Gamma-aminobutyric acid (GABA) and glycine are the primary inhibitory neurotransmitters that modulate neuronal excitability, including that of motor neurons. In ALS, dysfunction of inhibitory processes and loss of cortical and spinal inhibitory interneurons are observed. Renshaw cells, which mediate recurrent inhibition in the spinal cord, seem particularly vulnerable. The interactions among neurotransmitters, including glutamate, GABA, and glycine, play pivotal roles in regulating the excitation/inhibition balance. Auto- or hetero-receptor-mediated interactions are crucial, but auto- or hetero-transporter-mediated neurotransmission control, as well as other molecular mechanisms that regulate neuronal interplay, are also relevant, as they can be altered in pathological conditions such as ALS. To facilitate the search for new effective therapies for ALS, attention toward the impairment of inhibitory neurotransmission is essential to determine the role of excitation/inhibition imbalance on excitotoxicity. Different pharmacological agents are being used to treat other pathologies in which the excitation/inhibition ratio is impaired. Among these, we highlighted the potential of novel glycine and GABA receptor ligands and transporter inhibitors, as stand-alone interventions or in combination with other treatments. The present review aims to elucidate the complex interplay between excitatory and inhibitory neurotransmission in ALS, exploring the potential to target this imbalance for therapeutic purposes.</div></div>","PeriodicalId":19097,"journal":{"name":"Neurobiology of Disease","volume":"219 ","pages":"Article 107272"},"PeriodicalIF":5.6,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959955","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}
引用次数: 0
Compartment-specific transcriptome of motor neurons reveals impaired extracellular matrix signaling and activated cell cycle kinases in FUS-ALS 运动神经元的区室特异性转录组揭示了FUS-ALS的细胞外基质信号传导受损和细胞周期激酶活化。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-10 DOI: 10.1016/j.nbd.2026.107268
Vitaly Zimyanin , Banaja P. Dash , Theresa Simolka , Hannes Glaß , Arun Pal , Felix Haidle , Kathi Zarnack , Riya Verma , Vivek Khatri , Christopher Deppmann , Eli Zunder , Michaela Müller-McNicoll , Stefanie Redemann , Andreas Hermann
Mutations in FUSED IN SARCOMA (FUS) cause juvenile-onset amyotrophic lateral sclerosis (ALS). Early pathogenesis of FUS-ALS involves impaired transcription and splicing, DNA damage response, and axonal degeneration. However, the molecular pathophysiology and the link between somatic and axonal phenotypes are still poorly understood. We evaluated whether compartment-specific transcriptome differences could distinguish and drive early axonal degeneration. We used iPSC-derived motor neurons (MNs) coupled with microfluidic approaches to generate RNA-sequencing profiles from axonal and somatodendritic compartments. We demonstrate that the axonal transcriptome is unique and distinct, with RNA metabolism, extracellular secretion, and matrix disassembly pathways particularly enriched in distal axonal compartments.
FUS mutation leads to changes in distinct pathways that were clustered in only a few distinct protein-protein interaction (PPI) networks. Somatodendritic changes upon FUS mutation include WNT signaling, mitochondrial, extracellular matrix (ECM)-, and synapse-related functions. In contrast, analysis of the axonal transcriptome in mutant MNs centers on the PLK1 pathway, mitochondrial gene expression, and regulation of inflammation. Comparison to CLIP-seq data revealed a significant enrichment for PLK1 and DNA replication pathways in axons. PLK1 upregulation did not activate cell-cycle re-entry but contributed to mutant MNs survival, and its inhibition increased neuronal cell death. We propose that upregulation of PLK1 represents an early event in the pathogenesis of ALS and could act in response to DNA damage, mitochondrial damage, and immune response activation in the affected cells. Additionally, downregulation of ECM pathways in the somatodendritic compartment and axons could explain strongly compromised dynamics of axonal outgrowth. Overall, we provide a novel valuable resource of the potential targets and affected processes changed in the specific compartments of FUS-ALS motor neurons.
融合in肉瘤(FUS)的突变可引起青少年发病的肌萎缩侧索硬化症(ALS)。FUS-ALS的早期发病机制包括转录和剪接受损、DNA损伤反应和轴突变性。然而,分子病理生理学和体细胞和轴突表型之间的联系仍然知之甚少。我们评估了室特异性转录组差异是否可以区分和驱动早期轴突变性。我们使用ipsc衍生的运动神经元(MNs)与微流体方法结合,从轴突和体树突室生成rna测序图谱。我们证明轴突转录组是独特的,具有RNA代谢,细胞外分泌和基质分解途径,特别是在远端轴突室富集。FUS突变导致不同通路的变化,这些通路仅聚集在少数不同的蛋白-蛋白相互作用(PPI)网络中。FUS突变后的躯体树突变化包括WNT信号、线粒体、细胞外基质(ECM)-和突触相关功能。相比之下,突变MNs的轴突转录组分析集中在PLK1途径、线粒体基因表达和炎症调节上。与CLIP-seq数据的比较显示轴突中PLK1和DNA复制途径的显著富集。PLK1上调不激活细胞周期再进入,但有助于突变MN存活,其抑制增加神经元细胞死亡。我们认为PLK1的上调代表了ALS发病机制的一个早期事件,并可能对受影响细胞的DNA损伤、线粒体损伤和免疫反应激活起作用。此外,下调体树突室和轴突的ECM通路可以解释轴突生长动力学的严重受损。总的来说,我们提供了一个新的有价值的资源,在FUS-ALS运动神经元的特定区室中改变了潜在的目标和受影响的过程。
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引用次数: 0
HOPS disruption impairs APP trafficking and processing, promoting exosomal secretion of APP-CTFs 啤酒花的破坏会损害APP的运输和加工,促进APP- ctfs的外泌体分泌。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-10 DOI: 10.1016/j.nbd.2026.107269
Derk Draper , Anna E. George , Tineke Veenendaal , Suzanne van Dijk , Elly Z. Soltani , Paolo Sanzà , Frederik J. Verweij , Judith Klumperman , Ginny G. Farías
Amyloid precursor protein (APP) is a key player in various neuronal functions but also the source for toxic Aβ that accumulates in the brain of Alzheimer patients. APP trafficking and processing depend on the endo-lysosomal system, but the molecular mechanisms that coordinate these processes remain not fully understood. Here, we studied the HOPS complex, a central regulator of endo-lysosomal maturation. We show that HOPS disruption impairs retromer-mediated recycling of APP to the TGN, resulting in the accumulation of APP in late endosomes. In neurons, this accumulation is spatially restricted to somatodendritic endosomes. These APP-containing endosomes are catalytically inactive and lack the γ-secretase subunit PSEN2. However, they do contain BACE1, which contributes to the build-up of toxic APP C-terminal fragments (APP-CTFs). Notably, loss of HOPS function enhances secretion of APP-CTFs by exosomes, suggesting a potential mechanism for disease propagation. Together, our findings establish a mechanistic link between HOPS loss-of-function and aberrant APP processing, with implications for neurodegeneration.
淀粉样蛋白前体蛋白(APP)是各种神经元功能的关键参与者,也是阿尔茨海默病患者大脑中积累的有毒a β的来源。APP的运输和加工依赖于内溶酶体系统,但协调这些过程的分子机制仍未完全了解。在这里,我们研究了啤酒花复合物,一种内溶酶体成熟的中央调节剂。我们发现,HOPS破坏损害了逆转录物介导的APP到TGN的再循环,导致APP在晚期核内体的积累。在神经元中,这种积累在空间上仅限于体树突内体。这些含有app的核内体没有催化活性,缺乏γ分泌酶亚基PSEN2。然而,它们确实含有BACE1,这有助于有毒APP c端片段(APP- ctfs)的积累。值得注意的是,HOPS功能的丧失增强了外泌体分泌APP-CTFs,提示疾病传播的潜在机制。总之,我们的研究结果建立了啤酒花功能丧失和异常APP加工之间的机制联系,并暗示了神经退行性变。
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引用次数: 0
A C. elegans model of familial Alzheimer's disease shows age-dependent synaptic degeneration independent of amyloid β-peptide 一个秀丽隐杆线虫的家族性阿尔茨海默病模型显示出与淀粉样蛋白β-肽无关的年龄依赖性突触变性。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-10 DOI: 10.1016/j.nbd.2026.107267
Vaishnavi Nagarajan , Caitlin L. Libowitz , Brian D. Ackley , Michael S. Wolfe
The membrane-embedded γ-secretase complex is involved in the intramembrane cleavage of ∼150 substrates. Cleavage of amyloid precursor protein (APP)-derived substrate C99 generates 38–43-residue secreted amyloid β-peptides (Aβ), with the aggregation-prone 42-residue form (Aβ42) particularly implicated in the pathogenesis of Alzheimer's Disease (AD). However, whether Aβ42 is the primary driver of neurodegeneration in AD remains unclear. Dominant mutations in APP or presenilin—the catalytic component of γ-secretase—cause early-onset familial AD (FAD) and reduce one or more steps in the multi-step processive proteolysis of C99 to Aβ peptides, apparently through stabilization of γ-secretase enzyme-substrate (E-S) complexes. To investigate mechanisms of neurodegeneration in FAD, we developed new C. elegans models co-expressing wild-type or FAD-mutant C99 substrate and presenilin-1 (PSEN1) variants in neurons, allowing intramembrane processing of C99 to Aβ in vivo. We demonstrate that while FAD-mutation of either C99 or PSEN1 leads to age-dependent synaptic loss, proteolytically inactive PSEN1 did not. Designed mutations that allow stable E-S complex formation without Aβ42 or Aβ production likewise result in synaptic degeneration. Moreover, replacement of C99 with variants of a Notch1-based substrate revealed that disrupted processing of another γ-secretase substrate can similarly lead to synaptic degeneration. These results support a model in which synaptic loss can be triggered by toxic, stalled γ-secretase E-S complexes in the absence of Aβ production and not by simple loss of proteolytic function. This new C. elegans system provides a powerful platform to study the role of dysfunctional γ-secretase substrate processing in FAD pathogenesis.
膜内嵌入的γ-分泌酶复合物参与了约150种底物的膜内裂解。淀粉样蛋白前体蛋白(APP)衍生的底物C99的裂解产生38-43个残基分泌的淀粉样蛋白β-肽(Aβ),易于聚集的42个残基形式(Aβ42)与阿尔茨海默病(AD)的发病机制特别相关。然而,Aβ42是否是阿尔茨海默病神经退行性变的主要驱动因素尚不清楚。APP或早老素(γ-分泌酶的催化成分)的显性突变会导致早发性家族性AD (FAD),并减少C99多步骤蛋白水解过程中的一个或多个步骤,这显然是通过稳定γ-分泌酶底物(E-S)复合物实现的。为了研究FAD神经退行性变的机制,我们建立了新的秀丽隐杆线虫模型,在神经元中共同表达野生型或FAD突变型C99底物和早老素-1 (PSEN1)变体,使C99在体内膜内加工为Aβ。我们证明,C99或PSEN1的fad突变会导致年龄依赖性突触丧失,而PSEN1蛋白水解失活则不会。设计突变允许稳定的E-S复合物形成而不产生a - β42或a - β,同样会导致突触变性。此外,用notch1基底物的变体替代C99表明,另一种γ-分泌酶底物的加工中断同样会导致突触变性。这些结果支持了一种模型,即突触损失可以由有毒的、停滞的γ-分泌酶E-S复合物在缺乏a β产生的情况下触发,而不是简单的蛋白质水解功能丧失。这个新的秀丽隐杆线虫系统为研究功能失调的γ-分泌酶底物加工在FAD发病机制中的作用提供了一个强大的平台。
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引用次数: 0
Ultra-high-field (9.4 T) ex vivo diffusion MRI tractography reveals microstructural differences in Parkinson's disease motor subtypes 超高场(9.4 T)体外扩散MRI示踪显示帕金森病运动亚型的显微结构差异。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.1016/j.nbd.2026.107266
Jackson Boonstra , Stijn Michielse , Yasin Temel , Ali Jahanshahi , Alard Roebroeck
The structural correlates of Parkinson's disease (PD) with tremor-dominance and those with non-tremor dominance are not fully differentiated. Ultra-high field magnetic resonance imaging (UHF-MRI) allows the human brain to be imaged at a higher resolution compared to traditional scanner strengths but has largely been underutilized in PD research. Scanning post-mortem tissue allows for increased scan times and fewer movement issues leading to improved image quality, especially higher spatial resolution. We performed diffusion MRI on twelve post-mortem hemispheres (eight parkinsonian (four tremor-dominant, four non-tremor-dominant) and four non-demented controls) scanned with a specialized 9.4 Tesla human post-mortem brain coil. Diffusion tensor analysis was performed for local scalar diffusion metrics and constrained spherical deconvolution tractography was performed for global connectivity metrics. Compared to both non-tremor-dominant patients and controls, tremor-dominant patients displayed greater hemispheric fractional anisotropy. While motor subtypes were similar to each other across multiple regional diffusion metrics, each subtype demonstrated subtype-specific differences when compared to controls. Interconnections within basal ganglia circuitry mainly involving the internal capsule showed disparities across both subtypes and controls. Our findings show motor subtype specific circuitopathies in PD and improve the mapping of connectivity fingerprints potentially relevant in the planning of treatment regimes.
震颤主导型和非震颤主导型帕金森病(PD)的结构相关性尚未完全区分。与传统扫描仪相比,超高场磁共振成像(UHF-MRI)可以以更高的分辨率对人类大脑进行成像,但在PD研究中尚未得到充分利用。扫描尸体组织可以增加扫描时间,减少运动问题,从而提高图像质量,特别是更高的空间分辨率。我们用专门的9.4 特斯拉人类死后脑线圈对12个死后大脑半球进行了弥散性MRI扫描(8个帕金森患者(4个震颤显性,4个非震颤显性)和4个非痴呆对照)。对局部标量扩散度量进行扩散张量分析,对全局连通性度量进行约束球面反褶积跟踪。与非震颤显性患者和对照组相比,震颤显性患者表现出更大的半球分数各向异性。虽然运动亚型在多个区域扩散指标上彼此相似,但与对照组相比,每个亚型都表现出亚型特异性差异。基底神经节回路内的相互连接主要涉及内囊,在亚型和对照组中都显示出差异。我们的研究结果显示了PD中运动亚型特异性电路病变,并改善了连接指纹的映射,可能与治疗方案的规划相关。
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引用次数: 0
Hyperactivity, compulsive-like behaviours, and impaired flexibility in mouse models of Duchenne muscular dystrophy 杜氏肌营养不良小鼠模型的多动、强迫样行为和柔韧性受损。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-09 DOI: 10.1016/j.nbd.2026.107265
Faouzi Zarrouki , Léa Ceschi , Rubén Miranda , Amel Saoudi , Cyrille Vaillend
X-linked Duchenne muscular dystrophy (DMD), caused by mutations in a gene coding several dystrophin isoforms from independent promoters, is associated with a range of brain-related comorbidities. Intellectual disability is variably expressed depending on the position of the genetic variants, intelligence quotients being negatively correlated with the number of deficient brain dystrophins. However, the genetic basis of other phenotypes underlying cognitive deficits and neuropsychiatric disorders, such as executive dysfunctions and attention deficit/hyperactivity disorder (ADHD), is still unclear. In this study, we behaviourally characterized two mouse models (mdx5Cv, mdx52) lacking brain dystrophins, Dp427 or Dp427 and Dp140 respectively, which together correspond to about 90% of DMD patients' mutation profiles. We included new paradigms allowing automated, high-throughput, collection of behavioural data from social groups of mice in home-cage conditions. We show that both models display unaltered circadian exploratory activity in such conditions, opposite of the motor inhibition expressed in stand-alone behavioural tests. In contrast, both models variably developed hyperactivity, impulsive and perseverative behaviours, triggered by sudden task-condition changes such as increases in waiting delays to access rewards, with a moderate impact on delay discounting. Cumulative Dp427 and Dp140 deficiency resulted in reduced memory of fear extinction and impaired behavioural flexibility during reversal of the learning-strategy rule in a working-memory task. These results are relevant to the comorbid diagnosis of ADHD across main mutation profiles in DMD; they also highlight a specific contribution of Dp140 deficiency to maladaptive behavioural inflexibility, and provide new genotype-specific outcome measures to probe brain-targeting treatments in future preclinical studies.
x连锁杜氏肌营养不良症(DMD)是由编码来自独立启动子的几种肌营养不良蛋白同型异构体的基因突变引起的,与一系列脑相关的合并症有关。智力残疾的表现取决于基因变异的位置,智商与缺乏脑营养不良蛋白的数量呈负相关。然而,认知缺陷和神经精神疾病(如执行功能障碍和注意缺陷/多动障碍(ADHD))的其他表型的遗传基础仍不清楚。在这项研究中,我们对两种缺乏脑营养不良蛋白Dp427或Dp427和Dp140的小鼠模型(mdx5Cv,mdx52)进行了行为学表征,这两种模型共同对应了约90%的DMD患者突变谱。我们纳入了新的范例,允许自动化,高通量,从家庭笼条件下的小鼠社会群体中收集行为数据。我们表明,在这种情况下,这两种模型都显示出不变的昼夜节律探索活动,与独立行为测试中表达的运动抑制相反。相比之下,两种模型都不同地发展出了多动、冲动和持久的行为,这些行为是由突然的任务条件变化引发的,比如等待获得奖励的延迟时间增加,对延迟折扣有中等影响。Dp427和Dp140的累积缺乏导致工作记忆任务中学习策略规则逆转过程中恐惧消退记忆减少和行为灵活性受损。这些结果与跨DMD主要突变谱的ADHD合并症诊断相关;他们还强调了Dp140缺乏对适应不良行为不灵活性的特殊贡献,并提供了新的基因型特异性结果测量方法,以探索未来临床前研究中的脑靶向治疗。
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引用次数: 0
Multi-omics analysis identifies mitochondrial dysfunction in CD83+ macrophages as a key event in diabetic peripheral neuropathy progression 多组学分析发现CD83+巨噬细胞线粒体功能障碍是糖尿病周围神经病变进展的关键事件。
IF 5.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-06 DOI: 10.1016/j.nbd.2026.107262
Yumin Lin , Yuanyuan Shen , Jiahua Wu , Yucheng Wang , Yijin Zhao , Caixia Yao , Jiale Lin , Hanbing Zhao , Hongman Zhang , Yucong Chen , Jianbo Li

Background

Diabetic peripheral neuropathy (DPN) is a debilitating diabetic complication marked by progressive nerve fiber loss and dysfunction. While extensive studies have focused on the onset of DPN, the mechanisms underlying its progression remain poorly understood. Once DPN progression occurs, it can render nerve damage irreversible and make treatment more challenging. Emerging evidence suggests that immune and mitochondrial metabolic dysregulation play critical roles in disease exacerbation, yet the specific cell subtype and molecular mediators driving DPN progression have not been systematically identified.

Methods

Constructed a progressive DPN mouse model for bulk sequencing to explore progression-related mechanisms. Integrated Scissor and multi-omics analyses identified key cell subtypes and hub genes. TIMM23's role in DPN progression and mitochondrial function was validated in vitro in bone marrow-derived macrophages (BMDMs) and in vivo via adeno-associated virus-mediated overexpression.

Results

Mitochondrial metabolic dysfunction is a potential core mechanism underlying the progression of DPN. CD83+ macrophages were identified as the most prominent and specific subset associated with mitochondrial dysfunction and the DPN progression. Accordingly, we constructed a progressive DPN-related mitochondrial score, which enabled quantitative evaluation of DPN progression, inflammation, and immune infiltration. In vitro, high-glucose or high-fat intervention in BMDMs resulted in reduced expression of TIMM23. TIMM23 overexpression increased ATP production and mitochondrial mass, while reducing reactive oxygen species. In vivo, TIMM23 overexpression in the sciatic nerve improved nerve conduction velocity and nociceptive responses.

Conclusion

This study highlights the first discovery of CD83+ macrophages in DPN progression and identifies TIMM23 as a potential diagnostic and therapeutic marker.
背景:糖尿病周围神经病变(DPN)是一种以进行性神经纤维丧失和功能障碍为特征的糖尿病并发症。虽然广泛的研究集中在DPN的发病上,但其发展的机制仍然知之甚少。一旦DPN发生进展,它可以使神经损伤不可逆转,使治疗更具挑战性。新出现的证据表明,免疫和线粒体代谢失调在疾病恶化中起关键作用,但驱动DPN进展的特定细胞亚型和分子介质尚未被系统地确定。方法:构建进行性DPN小鼠模型进行批量测序,探讨进展相关机制。综合剪刀和多组学分析确定了关键的细胞亚型和中心基因。TIMM23在体外骨髓源性巨噬细胞(bmdm)和体内通过腺相关病毒介导的过表达验证了DPN进展和线粒体功能中的作用。结果:线粒体代谢功能障碍是DPN发展的潜在核心机制。CD83+巨噬细胞被确定为与线粒体功能障碍和DPN进展相关的最突出和特异性的亚群。因此,我们构建了一个渐进式DPN相关线粒体评分,可以定量评估DPN的进展、炎症和免疫浸润。在体外,高糖或高脂肪干预bmdm导致TIMM23表达降低。TIMM23过表达增加ATP的产生和线粒体质量,同时减少活性氧。在体内,TIMM23在坐骨神经中的过表达改善了神经传导速度和伤害反应。结论:本研究首次发现了CD83+巨噬细胞在DPN进展中的作用,并确定TIMM23是一个潜在的诊断和治疗标志物。
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引用次数: 0
期刊
Neurobiology of Disease
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