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Photobiomodulation: a novel approach to promote trans-differentiation of adipose-derived stem cells into neuronal-like cells. 光生物调节:促进脂肪干细胞向神经元样细胞转分化的新方法。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-04-03 DOI: 10.4103/NRR.NRR-D-23-01219
Daniella Da Silva, Madeleen Jansen van Rensburg, Anine Crous, Heidi Abrahamse

JOURNAL/nrgr/04.03/01300535-202502000-00035/figure1/v/2024-05-28T214302Z/r/image-tiff Photobiomodulation, originally used red and near-infrared lasers, can alter cellular metabolism. It has been demonstrated that the visible spectrum at 451-540 nm does not necessarily increase cell proliferation, near-infrared light promotes adipose stem cell proliferation and affects adipose stem cell migration, which is necessary for the cells homing to the site of injury. In this in vitro study, we explored the potential of adipose-derived stem cells to differentiate into neurons for future translational regenerative treatments in neurodegenerative disorders and brain injuries. We investigated the effects of various biological and chemical inducers on trans-differentiation and evaluated the impact of photobiomodulation using 825 nm near-infrared and 525 nm green laser light at 5 J/cm2. As adipose-derived stem cells can be used in autologous grafting and photobiomodulation has been shown to have biostimulatory effects. Our findings reveal that adipose-derived stem cells can indeed trans-differentiate into neuronal cells when exposed to inducers, with pre-induced cells exhibiting higher rates of proliferation and trans-differentiation compared with the control group. Interestingly, green laser light stimulation led to notable morphological changes indicative of enhanced trans-differentiation, while near-infrared photobiomodulation notably increased the expression of neuronal markers. Through biochemical analysis and enzyme-linked immunosorbent assays, we observed marked improvements in viability, proliferation, membrane permeability, and mitochondrial membrane potential, as well as increased protein levels of neuron-specific enolase and ciliary neurotrophic factor. Overall, our results demonstrate the efficacy of photobiomodulation in enhancing the trans-differentiation ability of adipose-derived stem cells, offering promising prospects for their use in regenerative medicine for neurodegenerative disorders and brain injuries.

JOURNAL/nrgr/04.03/01300535-202502000-00035/figure1/v/2024-05-28T214302Z/r/image-tiff 光生物调控(Photobiomodulation),最初使用的是红光和近红外光激光,可以改变细胞的新陈代谢。有研究表明,451-540 纳米的可见光谱不一定会增加细胞增殖,近红外线可促进脂肪干细胞增殖并影响脂肪干细胞迁移,而细胞迁移是细胞归巢到损伤部位的必要条件。在这项体外研究中,我们探索了脂肪干细胞分化成神经元的潜力,以用于未来神经退行性疾病和脑损伤的转化再生治疗。我们研究了各种生物和化学诱导剂对转分化的影响,并评估了使用 825 纳米近红外和 525 纳米 5 J/cm2 绿色激光进行光生物调节的影响。由于脂肪源性干细胞可用于自体移植,而光生物调节已被证明具有生物刺激作用。我们的研究结果表明,当暴露于诱导剂时,脂肪源性干细胞确实可以向神经元细胞进行转分化,与对照组相比,预诱导细胞表现出更高的增殖率和转分化率。有趣的是,绿色激光刺激会导致明显的形态学变化,表明转分化得到了加强,而近红外光生物调节则显著增加了神经元标记物的表达。通过生化分析和酶联免疫吸附试验,我们观察到活力、增殖、膜通透性和线粒体膜电位明显改善,神经元特异性烯醇化酶和睫状神经营养因子的蛋白水平也有所提高。总之,我们的研究结果证明了光生物调节在提高脂肪来源干细胞转分化能力方面的功效,为其在神经退行性疾病和脑损伤再生医学中的应用提供了广阔的前景。
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引用次数: 0
A matrix metalloproteinase-responsive hydrogel system controls angiogenic peptide release for repair of cerebral ischemia/reperfusion injury. 基质金属蛋白酶响应性水凝胶系统控制血管生成肽的释放,以修复脑缺血再灌注损伤。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-04-03 DOI: 10.4103/NRR.NRR-D-23-01322
Qi Liu, Jianye Xie, Runxue Zhou, Jin Deng, Weihong Nie, Shuwei Sun, Haiping Wang, Chunying Shi

JOURNAL/nrgr/04.03/01300535-202502000-00028/figure1/v/2024-05-28T214302Z/r/image-tiff Vascular endothelial growth factor and its mimic peptide KLTWQELYQLKYKGI (QK) are widely used as the most potent angiogenic factors for the treatment of multiple ischemic diseases. However, conventional topical drug delivery often results in a burst release of the drug, leading to transient retention (inefficacy) and undesirable diffusion (toxicity) in vivo. Therefore, a drug delivery system that responds to changes in the microenvironment of tissue regeneration and controls vascular endothelial growth factor release is crucial to improve the treatment of ischemic stroke. Matrix metalloproteinase-2 (MMP-2) is gradually upregulated after cerebral ischemia. Herein, vascular endothelial growth factor mimic peptide QK was self-assembled with MMP-2-cleaved peptide PLGLAG (TIMP) and customizable peptide amphiphilic (PA) molecules to construct nanofiber hydrogel PA-TIMP-QK. PA-TIMP-QK was found to control the delivery of QK by MMP-2 upregulation after cerebral ischemia/reperfusion and had a similar biological activity with vascular endothelial growth factor in vitro. The results indicated that PA-TIMP-QK promoted neuronal survival, restored local blood circulation, reduced blood-brain barrier permeability, and restored motor function. These findings suggest that the self-assembling nanofiber hydrogel PA-TIMP-QK may provide an intelligent drug delivery system that responds to the microenvironment and promotes regeneration and repair after cerebral ischemia/reperfusion injury.

JOURNAL/nrgr/04.03/01300535-202502000-00028/figure1/v/2024-05-28T214302Z/r/image-tiff 血管内皮生长因子及其模拟肽 KLTWQELYQLKYKGI (QK) 作为最有效的血管生成因子被广泛用于治疗多种缺血性疾病。然而,传统的局部给药通常会导致药物的猝发释放,从而导致药物在体内的短暂滞留(低效)和不良扩散(毒性)。因此,能对组织再生微环境的变化做出反应并控制血管内皮生长因子释放的给药系统对于改善缺血性中风的治疗至关重要。基质金属蛋白酶-2(MMP-2)在脑缺血后会逐渐上调。在此,血管内皮生长因子模拟肽 QK 与 MMP-2 裂解肽 PLGLAG(TIMP)和可定制的多肽两性分子(PA)自组装,构建了纳米纤维水凝胶 PA-TIMP-QK。研究发现,PA-TIMP-QK 能在脑缺血/再灌注后通过 MMP-2 上调控制 QK 的输送,并与血管内皮生长因子在体外具有相似的生物活性。结果表明,PA-TIMP-QK 能促进神经元存活、恢复局部血液循环、降低血脑屏障通透性并恢复运动功能。这些研究结果表明,自组装纳米纤维水凝胶 PA-TIMP-QK 可提供一种智能给药系统,能对微环境做出反应,促进脑缺血再灌注损伤后的再生和修复。
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引用次数: 0
A new horizon for neuroscience: terahertz biotechnology in brain research. 神经科学的新视野:脑研究中的太赫兹生物技术。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-03-01 DOI: 10.4103/NRR.NRR-D-23-00872
Zhengping Pu, Yu Wu, Zhongjie Zhu, Hongwei Zhao, Donghong Cui

Terahertz biotechnology has been increasingly applied in various biomedical fields and has especially shown great potential for application in brain sciences. In this article, we review the development of terahertz biotechnology and its applications in the field of neuropsychiatry. Available evidence indicates promising prospects for the use of terahertz spectroscopy and terahertz imaging techniques in the diagnosis of amyloid disease, cerebrovascular disease, glioma, psychiatric disease, traumatic brain injury, and myelin deficit. In vitro and animal experiments have also demonstrated the potential therapeutic value of terahertz technology in some neuropsychiatric diseases. Although the precise underlying mechanism of the interactions between terahertz electromagnetic waves and the biosystem is not yet fully understood, the research progress in this field shows great potential for biomedical noninvasive diagnostic and therapeutic applications. However, the biosafety of terahertz radiation requires further exploration regarding its two-sided efficacy in practical applications. This review demonstrates that terahertz biotechnology has the potential to be a promising method in the field of neuropsychiatry based on its unique advantages.

太赫兹生物技术已越来越多地应用于各种生物医学领域,尤其在脑科学领域显示出巨大的应用潜力。本文回顾了太赫兹生物技术的发展及其在神经精神病学领域的应用。现有证据表明,太赫兹光谱和太赫兹成像技术在诊断淀粉样变性疾病、脑血管疾病、胶质瘤、精神疾病、脑外伤和髓鞘缺失方面的应用前景广阔。体外和动物实验也证明了太赫兹技术对某些神经精神疾病的潜在治疗价值。虽然太赫兹电磁波与生物系统之间相互作用的确切内在机制尚未完全清楚,但该领域的研究进展显示了生物医学无创诊断和治疗应用的巨大潜力。然而,太赫兹辐射的生物安全性还需要进一步探讨其在实际应用中的双面功效。本综述表明,基于其独特的优势,太赫兹生物技术有可能成为神经精神医学领域一种前景广阔的方法。
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引用次数: 0
Corrigendum: Astrocytic endothelin-1 overexpression impairs learning and memory ability in ischemic stroke via altered hippocampal neurogenesis and lipid metabolism. 更正:星形胶质细胞内皮素-1过表达通过改变海马神经发生和脂质代谢损害缺血性中风患者的学习和记忆能力
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-05-28 DOI: 10.4103/NRR.NRR-D-24-00356
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引用次数: 0
Repetitive transcranial magnetic stimulation in Alzheimer's disease: effects on neural and synaptic rehabilitation. 阿尔茨海默病的重复经颅磁刺激:对神经和突触康复的影响。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-01-31 DOI: 10.4103/NRR.NRR-D-23-01201
Yi Ji, Chaoyi Yang, Xuerui Pang, Yibing Yan, Yue Wu, Zhi Geng, Wenjie Hu, Panpan Hu, Xingqi Wu, Kai Wang

Alzheimer's disease is a neurodegenerative disease resulting from deficits in synaptic transmission and homeostasis. The Alzheimer's disease brain tends to be hyperexcitable and hypersynchronized, thereby causing neurodegeneration and ultimately disrupting the operational abilities in daily life, leaving patients incapacitated. Repetitive transcranial magnetic stimulation is a cost-effective, neuro-modulatory technique used for multiple neurological conditions. Over the past two decades, it has been widely used to predict cognitive decline; identify pathophysiological markers; promote neuroplasticity; and assess brain excitability, plasticity, and connectivity. It has also been applied to patients with dementia, because it can yield facilitatory effects on cognition and promote brain recovery after a neurological insult. However, its therapeutic effectiveness at the molecular and synaptic levels has not been elucidated because of a limited number of studies. This study aimed to characterize the neurobiological changes following repetitive transcranial magnetic stimulation treatment, evaluate its effects on synaptic plasticity, and identify the associated mechanisms. This review essentially focuses on changes in the pathology, amyloidogenesis, and clearance pathways, given that amyloid deposition is a major hypothesis in the pathogenesis of Alzheimer's disease. Apoptotic mechanisms associated with repetitive transcranial magnetic stimulation procedures and different pathways mediating gene transcription, which are closely related to the neural regeneration process, are also highlighted. Finally, we discuss the outcomes of animal studies in which neuroplasticity is modulated and assessed at the structural and functional levels by using repetitive transcranial magnetic stimulation, with the aim to highlight future directions for better clinical translations.

阿尔茨海默病是一种神经退行性疾病,由突触传递和平衡失调引起。阿尔茨海默氏症患者的大脑往往过度兴奋和过度同步化,从而导致神经变性,最终破坏日常生活中的操作能力,使患者丧失工作能力。重复经颅磁刺激是一种经济有效的神经调节技术,可用于多种神经系统疾病。在过去的二十年里,它已被广泛用于预测认知功能衰退、确定病理生理标记、促进神经可塑性以及评估大脑兴奋性、可塑性和连接性。它还被应用于痴呆症患者,因为它可以对认知产生促进作用,并在神经系统损伤后促进大脑恢复。然而,由于研究数量有限,其在分子和突触水平上的治疗效果尚未得到阐明。本研究旨在描述重复经颅磁刺激治疗后的神经生物学变化,评估其对突触可塑性的影响,并确定相关机制。鉴于淀粉样蛋白沉积是阿尔茨海默病发病机制中的一个主要假说,本综述主要关注病理学、淀粉样蛋白生成和清除途径的变化。与重复经颅磁刺激程序相关的细胞凋亡机制以及介导基因转录的不同途径与神经再生过程密切相关,也是重点讨论内容。最后,我们讨论了利用重复经颅磁刺激在结构和功能层面调节和评估神经可塑性的动物研究成果,目的是强调未来更好的临床转化方向。
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引用次数: 0
Subretinal fibrosis secondary to neovascular age-related macular degeneration: mechanisms and potential therapeutic targets. 继发于新生血管性老年黄斑变性的视网膜下纤维化:机制和潜在治疗目标。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-03-01 DOI: 10.4103/NRR.NRR-D-23-01642
Jingxiang Zhang, Xia Sheng, Quanju Ding, Yujun Wang, Jiwei Zhao, Jingfa Zhang

Subretinal fibrosis is the end-stage sequelae of neovascular age-related macular degeneration. It causes local damage to photoreceptors, retinal pigment epithelium, and choroidal vessels, which leads to permanent central vision loss of patients with neovascular age-related macular degeneration. The pathogenesis of subretinal fibrosis is complex, and the underlying mechanisms are largely unknown. Therefore, there are no effective treatment options. A thorough understanding of the pathogenesis of subretinal fibrosis and its related mechanisms is important to elucidate its complications and explore potential treatments. The current article reviews several aspects of subretinal fibrosis, including the current understanding on the relationship between neovascular age-related macular degeneration and subretinal fibrosis; multimodal imaging techniques for subretinal fibrosis; animal models for studying subretinal fibrosis; cellular and non-cellular constituents of subretinal fibrosis; pathophysiological mechanisms involved in subretinal fibrosis, such as aging, infiltration of macrophages, different sources of mesenchymal transition to myofibroblast, and activation of complement system and immune cells; and several key molecules and signaling pathways participating in the pathogenesis of subretinal fibrosis, such as vascular endothelial growth factor, connective tissue growth factor, fibroblast growth factor 2, platelet-derived growth factor and platelet-derived growth factor receptor-β, transforming growth factor-β signaling pathway, Wnt signaling pathway, and the axis of heat shock protein 70-Toll-like receptors 2/4-interleukin-10. This review will improve the understanding of the pathogenesis of subretinal fibrosis, allow the discovery of molecular targets, and explore potential treatments for the management of subretinal fibrosis.

视网膜下纤维化是新生血管性老年黄斑变性的终末期后遗症。它对光感受器、视网膜色素上皮和脉络膜血管造成局部损伤,导致新生血管性老年黄斑变性患者永久性丧失中心视力。视网膜下纤维化的发病机制十分复杂,其潜在机制大多尚不清楚。因此,目前还没有有效的治疗方案。透彻了解视网膜下纤维化的发病机制及其相关机制对于阐明其并发症和探索潜在的治疗方法非常重要。本文回顾了视网膜下纤维化的几个方面,包括目前对新生血管性老年黄斑变性与视网膜下纤维化之间关系的认识;视网膜下纤维化的多模式成像技术;研究视网膜下纤维化的动物模型;视网膜下纤维化的细胞和非细胞成分;视网膜下纤维化的病理生理机制,如老化、巨噬细胞浸润、间充质转化为肌成纤维细胞的不同来源,以及补体系统和免疫细胞的激活;以及参与视网膜下纤维化发病机制的几种关键分子和信号通路,如血管内皮生长因子、结缔组织生长因子、成纤维细胞生长因子 2、血小板衍生生长因子和血小板衍生生长因子受体-β、转化生长因子-β信号通路、Wnt 信号通路和热休克蛋白 70-Toll 样受体 2/4-白细胞介素-10轴。这篇综述将加深对视网膜下纤维化发病机制的了解,有助于发现分子靶点,并探索治疗视网膜下纤维化的潜在方法。
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引用次数: 0
Mutual regulation of microglia and astrocytes after Gas6 inhibits spinal cord injury. Gas6 抑制脊髓损伤后小胶质细胞和星形胶质细胞的相互调节
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-04-03 DOI: 10.4103/NRR.NRR-D-23-01130
Jiewen Chen, Xiaolin Zeng, Le Wang, Wenwu Zhang, Gang Li, Xing Cheng, Peiqiang Su, Yong Wan, Xiang Li

JOURNAL/nrgr/04.03/01300535-202502000-00032/figure1/v/2024-05-28T214302Z/r/image-tiff Invasive inflammation and excessive scar formation are the main reasons for the difficulty in repairing nervous tissue after spinal cord injury. Microglia and astrocytes play key roles in the spinal cord injury micro-environment and share a close interaction. However, the mechanisms involved remain unclear. In this study, we found that after spinal cord injury, resting microglia (M0) were polarized into pro-inflammatory phenotypes (MG1 and MG3), while resting astrocytes were polarized into reactive and scar-forming phenotypes. The expression of growth arrest-specific 6 (Gas6) and its receptor Axl were significantly down-regulated in microglia and astrocytes after spinal cord injury. In vitro experiments showed that Gas6 had negative effects on the polarization of reactive astrocytes and pro-inflammatory microglia, and even inhibited the cross-regulation between them. We further demonstrated that Gas6 can inhibit the polarization of reactive astrocytes by suppressing the activation of the Yes-associated protein signaling pathway. This, in turn, inhibited the polarization of pro-inflammatory microglia by suppressing the activation of the nuclear factor-κB/p65 and Janus kinase/signal transducer and activator of transcription signaling pathways. In vivo experiments showed that Gas6 inhibited the polarization of pro-inflammatory microglia and reactive astrocytes in the injured spinal cord, thereby promoting tissue repair and motor function recovery. Overall, Gas6 may play a role in the treatment of spinal cord injury. It can inhibit the inflammatory pathway of microglia and polarization of astrocytes, attenuate the interaction between microglia and astrocytes in the inflammatory microenvironment, and thereby alleviate local inflammation and reduce scar formation in the spinal cord.

JOURNAL/nrgr/04.03/01300535-202502000-00032/figure1/v/2024-05-28T214302Z/r/image-tiff侵袭性炎症和过度瘢痕形成是脊髓损伤后神经组织难以修复的主要原因。小胶质细胞和星形胶质细胞在脊髓损伤的微环境中发挥着关键作用,并有着密切的相互作用。然而,其中的机制仍不清楚。本研究发现,脊髓损伤后,静息的小胶质细胞(M0)极化为促炎表型(MG1 和 MG3),而静息的星形胶质细胞则极化为反应性和瘢痕形成表型。脊髓损伤后,生长停滞特异性 6(Gas6)及其受体 Axl 在小胶质细胞和星形胶质细胞中的表达显著下调。体外实验表明,Gas6 对反应性星形胶质细胞和促炎性小胶质细胞的极化有负面影响,甚至能抑制它们之间的交叉调节。我们进一步证实,Gas6 可以通过抑制 Yes 相关蛋白信号通路的激活来抑制反应性星形胶质细胞的极化。这反过来又通过抑制核因子-κB/p65 和 Janus 激酶/信号转导和转录激活因子信号通路的激活,抑制了促炎性小胶质细胞的极化。体内实验表明,Gas6 能抑制损伤脊髓中促炎性小胶质细胞和反应性星形胶质细胞的极化,从而促进组织修复和运动功能恢复。总之,Gas6 可在脊髓损伤的治疗中发挥作用。它可以抑制小胶质细胞的炎症通路和星形胶质细胞的极化,减弱炎症微环境中小胶质细胞和星形胶质细胞之间的相互作用,从而缓解局部炎症,减少脊髓瘢痕的形成。
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引用次数: 0
Additive neurorestorative effects of exercise and docosahexaenoic acid intake in a mouse model of Parkinson's disease. 运动和摄入二十二碳六烯酸对帕金森病小鼠模型神经恢复的叠加效应。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-03-01 DOI: 10.4103/NRR.NRR-D-23-00595
Olivier Kerdiles, Méryl-Farelle Oye Mintsa Mi-Mba, Katherine Coulombe, Cyntia Tremblay, Vincent Émond, Martine Saint-Pierre, Clémence Rouxel, Line Berthiaume, Pierre Julien, Francesca Cicchetti, Frédéric Calon

JOURNAL/nrgr/04.03/01300535-202502000-00033/figure1/v/2024-05-28T214302Z/r/image-tiff There is a need to develop interventions to slow or reverse the degeneration of dopamine neurons in Parkinson's disease after diagnosis. Given that preclinical and clinical studies suggest benefits of dietary n-3 polyunsaturated fatty acids, such as docosahexaenoic acid, and exercise in Parkinson's disease, we investigated whether both could synergistically interact to induce recovery of the dopaminergic pathway. First, mice received a unilateral stereotactic injection of 6-hydroxydopamine into the striatum to establish an animal model of nigrostriatal denervation. Four weeks after lesion, animals were fed a docosahexaenoic acid-enriched or a control diet for the next 8 weeks. During this period, the animals had access to a running wheel, which they could use or not. Docosahexaenoic acid treatment, voluntary exercise, or the combination of both had no effect on (i) distance traveled in the open field test, (ii) the percentage of contraversive rotations in the apomorphine-induction test or (iii) the number of tyrosine-hydroxylase-positive cells in the substantia nigra pars compacta. However, the docosahexaenoic acid diet increased the number of tyrosine-hydroxylase-positive terminals and induced a rise in dopamine concentrations in the lesioned striatum. Compared to docosahexaenoic acid treatment or exercise alone, the combination of docosahexaenoic acid and exercise (i) improved forelimb balance in the stepping test, (ii) decreased the striatal DOPAC/dopamine ratio and (iii) led to increased dopamine transporter levels in the lesioned striatum. The present results suggest that the combination of exercise and docosahexaenoic acid may act synergistically in the striatum of mice with a unilateral lesion of the dopaminergic system and provide support for clinical trials combining nutrition and physical exercise in the treatment of Parkinson's disease.

JOURNAL/nrgr/04.03/01300535-202502000-00033/figure1/v/2024-05-28T214302Z/r/image-tiff帕金森病确诊后,需要制定干预措施来减缓或逆转多巴胺神经元的退化。鉴于临床前和临床研究表明,膳食中的 n-3 多不饱和脂肪酸(如二十二碳六烯酸)和运动对帕金森病有益,我们研究了这两者是否能协同作用,诱导多巴胺能通路的恢复。首先,向小鼠纹状体单侧立体定向注射 6-羟基多巴胺,以建立黑质神经支配的动物模型。病变发生四周后,在接下来的八周内,给动物喂食富含二十二碳六烯酸的食物或对照组食物。在此期间,动物可以使用或不使用跑步轮。二十二碳六烯酸处理、自愿运动或两者的结合对以下方面没有影响:(i)开阔地测试中的行进距离;(ii)阿朴吗啡诱导测试中的逆向旋转百分比;或(iii)黑质紧密团中酪氨酸羟化酶阳性细胞的数量。然而,二十二碳六烯酸饮食增加了病变纹状体中酪氨酸羟化酶阳性末梢的数量,并诱导多巴胺浓度上升。与单独使用二十二碳六烯酸治疗或运动相比,二十二碳六烯酸与运动的结合(i)改善了踏步试验中的前肢平衡,(ii)降低了纹状体DOPAC/多巴胺比率,(iii)导致病变纹状体中多巴胺转运体水平升高。本研究结果表明,运动与二十二碳六烯酸的结合可在多巴胺能系统单侧病变小鼠的纹状体中发挥协同作用,并为结合营养和体育锻炼治疗帕金森病的临床试验提供支持。
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引用次数: 0
Treatment of spinal cord injury with biomaterials and stem cell therapy in non-human primates and humans. 用生物材料和干细胞疗法治疗非人灵长类动物和人类的脊髓损伤。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-02-01 Epub Date: 2024-05-24 DOI: 10.4103/NRR.NRR-D-23-01752
Ana Milena Silva Olaya, Fernanda Martins Almeida, Ana Maria Blanco Martinez, Suelen Adriani Marques

Spinal cord injury results in the loss of sensory, motor, and autonomic functions, which almost always produces permanent physical disability. Thus, in the search for more effective treatments than those already applied for years, which are not entirely efficient, researches have been able to demonstrate the potential of biological strategies using biomaterials to tissue manufacturing through bioengineering and stem cell therapy as a neuroregenerative approach, seeking to promote neuronal recovery after spinal cord injury. Each of these strategies has been developed and meticulously evaluated in several animal models with the aim of analyzing the potential of interventions for neuronal repair and, consequently, boosting functional recovery. Although the majority of experimental research has been conducted in rodents, there is increasing recognition of the importance, and need, of evaluating the safety and efficacy of these interventions in non-human primates before moving to clinical trials involving therapies potentially promising in humans. This article is a literature review from databases (PubMed, Science Direct, Elsevier, Scielo, Redalyc, Cochrane, and NCBI) from 10 years ago to date, using keywords (spinal cord injury, cell therapy, non-human primates, humans, and bioengineering in spinal cord injury). From 110 retrieved articles, after two selection rounds based on inclusion and exclusion criteria, 21 articles were analyzed. Thus, this review arises from the need to recognize the experimental therapeutic advances applied in non-human primates and even humans, aimed at deepening these strategies and identifying the advantages and influence of the results on extrapolation for clinical applicability in humans.

脊髓损伤导致感觉、运动和自主神经功能丧失,几乎总是造成永久性身体残疾。因此,为了寻找比已应用多年但并不完全有效的治疗方法更有效的治疗方法,研究人员已经证明了生物策略的潜力,即通过生物工程和干细胞疗法利用生物材料制造组织,作为神经再生方法,以促进脊髓损伤后神经元的恢复。这些策略中的每一种都在多个动物模型中进行了开发和细致评估,目的是分析神经元修复干预措施的潜力,从而促进功能恢复。虽然大部分实验研究都是在啮齿类动物身上进行的,但人们越来越认识到,在涉及对人类有潜在希望的疗法的临床试验之前,在非人灵长类动物身上评估这些干预措施的安全性和有效性的重要性和必要性。本文使用关键词(脊髓损伤、细胞疗法、非人类灵长类动物、人类、脊髓损伤中的生物工程)对数据库(PubMed、Science Direct、Elsevier、Scielo、Redalyc、Cochrane 和 NCBI)中 10 年前至今的文献进行了回顾。从 110 篇检索到的文章中,根据纳入和排除标准进行两轮筛选后,分析了 21 篇文章。因此,这篇综述源于认识在非人灵长类动物甚至人类身上应用的实验性治疗进展的需要,旨在深化这些策略,并确定其优势和结果对推断人类临床适用性的影响。
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引用次数: 0
Emerging structures and dynamic mechanisms of γ-secretase for Alzheimer's disease. 阿尔茨海默病γ-分泌酶的新结构和动态机制。
IF 6.1 2区 医学 Q1 Neuroscience Pub Date : 2025-01-01 Epub Date: 2024-03-01 DOI: 10.4103/NRR.NRR-D-23-01781
Yinglong Miao, Michael S Wolfe

γ-Secretase, called "the proteasome of the membrane," is a membrane-embedded protease complex that cleaves 150+ peptide substrates with central roles in biology and medicine, including amyloid precursor protein and the Notch family of cell-surface receptors. Mutations in γ-secretase and amyloid precursor protein lead to early-onset familial Alzheimer's disease. γ-Secretase has thus served as a critical drug target for treating familial Alzheimer's disease and the more common late-onset Alzheimer's disease as well. However, critical gaps remain in understanding the mechanisms of processive proteolysis of substrates, the effects of familial Alzheimer's disease mutations, and allosteric modulation of substrate cleavage by γ-secretase. In this review, we focus on recent studies of structural dynamic mechanisms of γ-secretase. Different mechanisms, including the "Fit-Stay-Trim," "Sliding-Unwinding," and "Tilting-Unwinding," have been proposed for substrate proteolysis of amyloid precursor protein by γ-secretase based on all-atom molecular dynamics simulations. While an incorrect registry of the Notch1 substrate was identified in the cryo-electron microscopy structure of Notch1-bound γ-secretase, molecular dynamics simulations on a resolved model of Notch1-bound γ-secretase that was reconstructed using the amyloid precursor protein-bound γ-secretase as a template successfully captured γ-secretase activation for proper cleavages of both wildtype and mutant Notch, being consistent with biochemical experimental findings. The approach could be potentially applied to decipher the processing mechanisms of various substrates by γ-secretase. In addition, controversy over the effects of familial Alzheimer's disease mutations, particularly the issue of whether they stabilize or destabilize γ-secretase-substrate complexes, is discussed. Finally, an outlook is provided for future studies of γ-secretase, including pathways of substrate binding and product release, effects of modulators on familial Alzheimer's disease mutations of the γ-secretase-substrate complexes. Comprehensive understanding of the functional mechanisms of γ-secretase will greatly facilitate the rational design of effective drug molecules for treating familial Alzheimer's disease and perhaps Alzheimer's disease in general.

γ-分泌酶被称为 "膜上的蛋白酶体",是一种膜嵌入蛋白酶复合物,可裂解 150 多种肽底物,在生物学和医学中发挥重要作用,包括淀粉样前体蛋白和细胞表面受体 Notch 家族。γ-分泌酶和淀粉样前体蛋白的突变会导致早发性家族性阿尔茨海默病。因此,γ-分泌酶已成为治疗家族性阿尔茨海默病和更常见的晚发性阿尔茨海默病的关键药物靶点。然而,在了解底物的过程性蛋白水解机制、家族性阿尔茨海默病突变的影响以及γ-分泌酶对底物裂解的异位调节方面仍存在重大差距。在这篇综述中,我们将重点介绍最近对γ-分泌酶结构动态机制的研究。基于全原子分子动力学模拟,γ-分泌酶对淀粉样前体蛋白的底物蛋白水解作用被提出了不同的机制,包括 "贴合-停留-旋转"、"滑动-解旋 "和 "倾斜-解旋"。虽然在Notch1结合的γ-分泌酶的冷冻电镜结构中发现了Notch1底物的错误注册,但以淀粉样前体蛋白结合的γ-分泌酶为模板重建的Notch1结合的γ-分泌酶解析模型的分子动力学模拟成功捕捉到了γ-分泌酶激活野生型和突变型Notch正确裂解的过程,与生化实验结果一致。这种方法有可能用于破译γ-分泌酶对各种底物的处理机制。此外,还讨论了有关家族性阿尔茨海默病突变影响的争议,特别是它们是稳定还是破坏γ-分泌酶-底物复合物稳定性的问题。最后,对γ-分泌酶的未来研究进行了展望,包括底物结合和产物释放的途径、调节剂对家族性阿尔茨海默病γ-分泌酶-底物复合物突变的影响。全面了解γ-分泌酶的功能机制将大大有助于合理设计治疗家族性阿尔茨海默病乃至一般阿尔茨海默病的有效药物分子。
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Neural Regeneration Research
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