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Machine learning identifies key cells and therapeutic targets during ferroptosis after spinal cord injury. 机器学习识别脊髓损伤后铁蛋白沉积过程中的关键细胞和治疗靶点。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2024-07-29 DOI: 10.4103/NRR.NRR-D-24-00037
Yigang Lv, Zhen Li, Lusen Shi, Huan Jian, Fan Yang, Jichuan Qiu, Chao Li, Peng Xiao, Wendong Ruan, Hao Li, Xueying Li, Shiqing Feng, Hengxing Zhou

JOURNAL/nrgr/04.03/01300535-202606000-00064/figure1/v/2026-02-11T151048Z/r/image-tiff Ferroptosis, a type of cell death that mainly involves iron metabolism imbalance and lipid peroxidation, is strongly correlated with the phagocytic response caused by bleeding after spinal cord injury. Thus, in this study, bulk RNA sequencing data (GSE47681 and GSE5296) and single-cell RNA sequencing data (GSE162610) were acquired from gene expression databases. We then conducted differential analysis and immune infiltration analysis. Atf3 and Piezo1 were identified as key ferroptosis genes through random forest and least absolute shrinkage and selection operator algorithms. Further analysis of single-cell RNA sequencing data revealed a close relationship between ferroptosis and cell types such as macrophages/microglia and their intrinsic state transition processes. Differences in transcription factor regulation and intercellular communication networks were found in ferroptosis-related cells, confirming the high expression of Atf3 and Piezo1 in these cells. Molecular docking analysis confirmed that the proteins encoded by these genes can bind cycloheximide. In a mouse model of T8 spinal cord injury, low-dose cycloheximide treatment was found to improve neurological function, decrease levels of the pro-inflammatory cytokine inducible nitric oxide synthase, and increase levels of the anti-inflammatory cytokine arginase 1. Correspondingly, the expression of the ferroptosis-related gene Gpx4 increased in macrophages/microglia, while the expression of Acsl4 decreased. Our findings reveal the important role of ferroptosis in the treatment of spinal cord injury, identify the key cell types and genes involved in ferroptosis after spinal cord injury, and validate the efficacy of potential drug therapies, pointing to new directions in the treatment of spinal cord injury.

铁突变是一种主要涉及铁代谢失衡和脂质过氧化的细胞死亡类型,与脊髓损伤后出血引起的吞噬反应密切相关。因此,本研究从基因表达数据库中获取了大量 RNA 测序数据(GSE47681 和 GSE5296)和单细胞 RNA 测序数据(GSE162610)。然后,我们进行了差异分析和免疫浸润分析。通过随机森林算法、最小绝对收缩算法和选择算子算法,Atf3 和 Piezo1 被确定为关键的铁突变基因。对单细胞 RNA 测序数据的进一步分析表明,铁变态反应与巨噬细胞/小胶质细胞等细胞类型及其内在状态转换过程之间存在密切关系。在铁突变相关细胞中发现了转录因子调控和细胞间通讯网络的差异,证实了 Atf3 和 Piezo1 在这些细胞中的高表达。分子对接分析证实,这些基因编码的蛋白质能与环己亚胺结合。在小鼠 T8 脊髓损伤模型中,低剂量环己亚胺治疗可改善神经功能,降低促炎细胞因子诱导型一氧化氮合酶的水平,提高抗炎细胞因子精氨酸酶 1 的水平。相应地,巨噬细胞/小胶质细胞中与铁凋亡相关的基因 Gpx4 的表达增加,而 Acsl4 的表达减少。我们的研究结果揭示了铁凋亡在脊髓损伤治疗中的重要作用,确定了脊髓损伤后参与铁凋亡的关键细胞类型和基因,并验证了潜在药物疗法的疗效,为脊髓损伤的治疗指明了新方向。
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引用次数: 0
Mechanism of action of synaptic mitochondrial damage in delayed cognitive recovery. 突触线粒体损伤在延迟认知恢复中的作用机制。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-03-25 DOI: 10.4103/NRR.NRR-D-24-01126
Huihui Miao, Qiang Liu, Yan-Ping Liu, Bin-Bin Yan, Xin-Hao Jiao, Hai-Bi Wang, Cheng-Hua Zhou, Tianzuo Li, Zhongcong Xie, Yuqing Wu

JOURNAL/nrgr/04.03/01300535-202606000-00060/figure1/v/2026-02-11T151048Z/r/image-tiff Delayed neurocognitive recovery following anesthesia and surgery is a common complication in older adult patients. Synapses are fundamental to cognitive function. The activity of synapses heavily depends on the energy supplied by synaptic mitochondria, which are significantly influenced by oxidative stress. Sirtuin 3 is a histone deacetylase located in the mitochondrial matrix that plays a pivotal role in regulating mitochondrial function. However, it remains unclear whether and how sirtuin 3 is involved in the development of delayed cognitive recovery. Therefore, in this study, we investigated the potential role of sirtuin 3 in synapses during delayed neurocognitive recovery. Our results showed that anesthesia and surgery induced cognitive impairment in mice and reduced sirtuin 3 protein expression. Overexpression of sirtuin 3 inhibited opening of the mitochondrial permeability transition pore by reducing acetylation of K166 on cyclophilin D and also rescued cognitive impairment. Aged mice carrying the cyclophilin D-K166R mutation exhibited significantly reduced cognitive impairment. Similarly, administering the mitochondrial permeability transition pore blocker, cyclosporine A, effectively alleviated the decline in synaptic mitochondrial function and cognitive impairment caused by anesthesia and surgery in aged mice. These results indicate that the sirtuin 3/cyclophilin D-K166/mPTP signaling pathway in hippocampal synaptic mitochondria is involved in delayed neurocognitive recovery of aged mice, suggesting this pathway could serve as a potential target for treatment.

摘要:麻醉手术后神经认知恢复延迟是老年患者常见的并发症。突触是认知功能的基础。突触的活性在很大程度上依赖于突触线粒体提供的能量,而突触线粒体受氧化应激的影响很大。Sirtuin 3是一种位于线粒体基质中的组蛋白去乙酰化酶,在调节线粒体功能中起关键作用。然而,目前尚不清楚sirtuin 3是否以及如何参与认知恢复延迟的发展。因此,在本研究中,我们研究了sirtuin 3在延迟神经认知恢复过程中突触中的潜在作用。我们的研究结果表明,麻醉和手术导致小鼠认知功能障碍,并降低sirtuin 3蛋白的表达。sirtuin 3的过表达通过降低亲环蛋白D上K166的乙酰化,抑制线粒体通透性过渡孔的打开,并挽救认知障碍。携带亲环蛋白D-K166R突变的老年小鼠表现出显著减少的认知障碍。同样,给药线粒体通透性过渡孔阻滞剂环孢素A也能有效缓解老年小鼠因麻醉和手术引起的突触线粒体功能下降和认知障碍。这些结果表明,海马突触线粒体sirtuin 3/cyclophilin D-K166/mPTP信号通路参与了老年小鼠延迟的神经认知恢复,提示该通路可作为潜在的治疗靶点。
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引用次数: 0
Effects of Lycium barbarum polysaccharide on the activation of pathogenic CD4 + T cells in a mouse model of multiple sclerosis. 枸杞多糖对多发性硬化症小鼠模型中致病性CD4+ T细胞活化的影响。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-03-25 DOI: 10.4103/NRR.NRR-D-24-01093
Mengdi Guo, Guozhen Deng, Bin Huang, Zhiyong Lin, Xue Yang, Linglin Dong, Zilin Wang, Yi Guo, Ming Yi, Weiyan Wang, Mei-Ling Jiang, Cun-Jin Zhang

JOURNAL/nrgr/04.03/01300535-202606000-00071/figure1/v/2026-02-11T151048Z/r/image-tiff Multiple sclerosis is a severe autoimmune disorder that is mainly mediated by pathogenic cluster of CD4 + T cell subsets. Despite advancements in the management of multiple sclerosis, there is a critical need for more effective and safer treatments. In the present study, we administered Lycium barbarum glycopeptide to a mouse model of experimental autoimmune encephalomyelitis-an animal model of multiple sclerosis-and evaluated its effects on pathogenic CD4 + T cell activation both in vivo and in vitro . Lycium barbarum glycopeptide significantly mitigated the clinical severity of experimental autoimmune encephalomyelitis, as demonstrated by reduced demyelination and neuroinflammation. Moreover, Lycium barbarum glycopeptide treatment decreased the infiltration of peripheral leukocytes into the central nervous system and suppressed pro-inflammatory cytokine expression. Lycium barbarum glycopeptide also modulated pathogenic CD4 + T cell activation by inhibiting T helper 1/T helper 17 cell differentiation while promoting regulatory T cell expansion. Notably, no side effects were observed, suggesting the long-term safety and tolerability of Lycium barbarum glycopeptide. Furthermore, RNA sequencing data indicated that Lycium barbarum glycopeptide inhibits activator protein-1, an essential regulator of T cell activation and differentiation. This finding was supported by the reversal of T helper/T helper 17 cell response suppression upon AP-1 blockade. Collectively, these results highlight the potential of Lycium barbarum glycopeptide as an innovative therapeutic agent for CD4 + T cell-associated autoimmune or inflammatory diseases, such as multiple sclerosis.

摘要:多发性硬化症是一种严重的自身免疫性疾病,主要由致病性CD4+ T细胞亚群介导。尽管多发性硬化症的治疗取得了进展,但迫切需要更有效、更安全的治疗方法。在本研究中,我们将枸杞糖肽给予实验性自身免疫性脑脊髓炎小鼠模型-多发性硬化症动物模型-并在体内和体外评估其对致病性CD4+ T细胞活化的影响。枸杞糖肽可以显著减轻实验性自身免疫性脑脊髓炎的临床严重程度,这可以通过减少脱髓鞘和神经炎症来证明。此外,枸杞糖肽处理可减少外周白细胞向中枢神经系统的浸润,抑制促炎细胞因子的表达。枸杞糖肽还通过抑制辅助性T细胞1/辅助性T细胞17的分化,促进调节性T细胞扩增,从而调节致病性CD4+ T细胞的活化。值得注意的是,没有观察到副作用,表明枸杞糖肽的长期安全性和耐受性。此外,RNA测序数据表明,枸杞糖肽抑制激活蛋白1 (AP-1), AP-1是T细胞活化和分化的重要调节因子。这一发现得到了AP-1阻断后T辅助性/T辅助性17细胞反应抑制逆转的支持。总的来说,这些结果突出了枸杞糖肽作为CD4+ T细胞相关自身免疫性或炎症性疾病(如多发性硬化症)的创新治疗剂的潜力。
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引用次数: 0
Implications of mitochondrial phosphatidylethanolamine in neuronal health and neurodegeneration. 线粒体磷脂酰乙醇胺在神经元健康和神经变性中的意义。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-07-05 DOI: 10.4103/NRR.NRR-D-25-00201
Yantao Zuo, Niharika Amireddy, Qian Cai

Phosphatidylethanolamine is a major phospholipid class abundant in the brain, particularly in the inner leaflet of the plasma and mitochondrial membranes. Although it is primarily synthesized from phosphatidylserine via decarboxylation in mitochondria or from ethanolamine via the cytidine diphosphate-ethanolamine pathway in the endoplasmic reticulum, phosphatidylethanolamine that resides in mitochondria is preferentially produced locally and is distinct and separate from the pool of phosphatidylethanolamine made in the endoplasmic reticulum. Mitochondria-derived phosphatidylethanolamine is not only essential for mitochondrial integrity but also is exported to other organelles to fulfill diverse cellular functions. Neurons are highly enriched with phosphatidylethanolamine, and the importance of phosphatidylethanolamine metabolism in neuronal health has recently been recognized following its reported links to Alzheimer's disease, Parkinson's disease, and hereditary spastic paraplegia, among other neurological disorders. Indeed, disturbances in mitochondrial function and phosphatidylethanolamine metabolism and the resulting neuronal dysfunction are the common features of individuals suffering from these diseases, highlighting the great importance of maintaining proper phosphatidylethanolamine homeostasis in neurons. In this review, we summarize the current knowledge of phosphatidylethanolamine metabolism and its role in neuronal function with a special emphasis on the phosphatidylethanolamine biosynthetic pathway in mitochondria. We then review findings on how phosphatidylethanolamine biosynthesis is affected in major neurodegenerative diseases. Finally, we highlight promising future research areas that will help advance the understanding of neuronal phosphatidylethanolamine mechanisms and identify phosphatidylethanolamine-targeted therapeutic strategies for combating such brain diseases.

磷脂酰乙醇胺是一种主要的磷脂类,在大脑中含量丰富,特别是在血浆和线粒体膜的内小叶中。虽然它主要是由磷脂酰丝氨酸通过线粒体中的脱羧或由乙醇胺通过内质网中的胞苷二磷酸-乙醇胺途径合成的,但线粒体中的磷脂酰乙醇胺优先在局部产生,并且与内质网中产生的磷脂酰乙醇胺池截然不同。线粒体来源的磷脂酰乙醇胺不仅是线粒体完整性所必需的,而且还输出到其他细胞器以实现各种细胞功能。神经元富含磷脂酰乙醇胺,磷脂酰乙醇胺代谢在神经元健康中的重要性最近得到了认识,因为有报道称它与阿尔茨海默病、帕金森病、遗传性痉挛性截瘫以及其他神经系统疾病有关。事实上,线粒体功能和磷脂酰乙醇胺代谢紊乱以及由此导致的神经元功能障碍是患有这些疾病的个体的共同特征,这突出了在神经元中维持适当的磷脂酰乙醇胺稳态的重要性。本文综述了磷脂酰乙醇胺代谢及其在神经元功能中的作用,重点介绍了磷脂酰乙醇胺在线粒体中的生物合成途径。然后,我们回顾了磷脂酰乙醇胺生物合成如何影响主要神经退行性疾病的研究结果。最后,我们强调了未来有希望的研究领域,这将有助于促进对神经元磷脂酰乙醇胺机制的理解,并确定以磷脂酰乙醇胺为靶点的治疗策略,以对抗此类脑部疾病。
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引用次数: 0
MCC950 suppresses NLRP3-dependent neuroinflammation and ameliorates cognitive decline in a rat model of cerebral small vessel disease. mc950抑制nlrp3依赖性神经炎症并改善脑血管疾病大鼠模型的认知能力下降。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-06-19 DOI: 10.4103/NRR.NRR-D-24-01055
Meiyan Zhang, Xiaoyan Lan, Yue Gao, Shen Li, Guanda Qiao, Yajie Liang, Miroslaw Janowski, Piotr Walczak, Chengyan Chu

JOURNAL/nrgr/04.03/01300535-202606000-00056/figure1/v/2026-02-11T151048Z/r/image-tiff Cerebral small vessel disease is a major vascular contributor to cognitive impairment and dementia. However, there remains a lack of effective preventative or therapeutic regimens for cerebral small vessel disease. In this study, we investigated the potential therapeutic effects of MCC950, a selective NOD-like receptor family pyrin domain-containing protein 3 inhibitor, on cerebral small vessel disease pathogenesis and cognitive decline in spontaneously hypertensive rats. Our results showed that chronic administration of MCC950 (10 mg/kg) to spontaneously hypertensive rats inhibited NOD-like receptor family pyrin domain-containing protein 3 inflammasome activation, thereby considerably suppressing the production of pyroptosis executive protein gasdermin D and pro-inflammatory factors, including interleukin-1β and -18. A decrease in astrocytic and microglial activation was also observed. We also found that MCC950 significantly inhibited autophagy. More importantly, behavioral assessment indicated that MCC950 administration ameliorated impaired neurocognitive function, which was associated with improvements in neuropathological hallmarks in the cerebral small vessel disease brain, such as blood‒brain barrier breakdown, white matter damage, and endothelial dysfunction. Thus, our findings revealed that the NOD-like receptor family pyrin domain-containing protein 3 inflammasome is a key contributor to the onset or progression of cerebral small vessel disease and suggested the potential of NOD-like receptor family pyrin domain-containing protein 3-based therapy as a potential novel strategy for treating cerebral small vessel disease.

摘要:脑血管疾病是导致认知障碍和痴呆的主要血管因素。然而,目前仍缺乏有效的预防或治疗脑血管疾病的方案。在本研究中,我们研究了选择性nod样受体家族pyrin结构域蛋白3抑制剂MCC950对自发性高血压大鼠脑小血管疾病发病机制和认知能力下降的潜在治疗作用。我们的研究结果表明,慢性给药MCC950 (10 mg/kg)可抑制自发性高血压大鼠nod样受体家族pyrin结构域蛋白3炎性小体的激活,从而显著抑制焦亡执行蛋白gasdermin D和促炎因子(包括白细胞介素-1β和-18)的产生。星形胶质细胞和小胶质细胞的激活也有所减少。我们还发现MCC950显著抑制自噬。更重要的是,行为评估表明,MCC950可以改善受损的神经认知功能,这与脑血管疾病患者的神经病理特征(如血液)的改善有关。脑屏障破裂,白质损伤,内皮功能障碍。因此,我们的研究结果揭示了nod样受体家族含pyrin结构域蛋白3炎性小体是脑血管疾病发病或进展的关键因素,并提示基于nod样受体家族含pyrin结构域蛋白3的治疗可能是治疗脑血管疾病的潜在新策略。
{"title":"MCC950 suppresses NLRP3-dependent neuroinflammation and ameliorates cognitive decline in a rat model of cerebral small vessel disease.","authors":"Meiyan Zhang, Xiaoyan Lan, Yue Gao, Shen Li, Guanda Qiao, Yajie Liang, Miroslaw Janowski, Piotr Walczak, Chengyan Chu","doi":"10.4103/NRR.NRR-D-24-01055","DOIUrl":"10.4103/NRR.NRR-D-24-01055","url":null,"abstract":"<p><p>JOURNAL/nrgr/04.03/01300535-202606000-00056/figure1/v/2026-02-11T151048Z/r/image-tiff Cerebral small vessel disease is a major vascular contributor to cognitive impairment and dementia. However, there remains a lack of effective preventative or therapeutic regimens for cerebral small vessel disease. In this study, we investigated the potential therapeutic effects of MCC950, a selective NOD-like receptor family pyrin domain-containing protein 3 inhibitor, on cerebral small vessel disease pathogenesis and cognitive decline in spontaneously hypertensive rats. Our results showed that chronic administration of MCC950 (10 mg/kg) to spontaneously hypertensive rats inhibited NOD-like receptor family pyrin domain-containing protein 3 inflammasome activation, thereby considerably suppressing the production of pyroptosis executive protein gasdermin D and pro-inflammatory factors, including interleukin-1β and -18. A decrease in astrocytic and microglial activation was also observed. We also found that MCC950 significantly inhibited autophagy. More importantly, behavioral assessment indicated that MCC950 administration ameliorated impaired neurocognitive function, which was associated with improvements in neuropathological hallmarks in the cerebral small vessel disease brain, such as blood‒brain barrier breakdown, white matter damage, and endothelial dysfunction. Thus, our findings revealed that the NOD-like receptor family pyrin domain-containing protein 3 inflammasome is a key contributor to the onset or progression of cerebral small vessel disease and suggested the potential of NOD-like receptor family pyrin domain-containing protein 3-based therapy as a potential novel strategy for treating cerebral small vessel disease.</p>","PeriodicalId":19113,"journal":{"name":"Neural Regeneration Research","volume":" ","pages":"2425-2432"},"PeriodicalIF":6.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333567","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
Inductive analysis of the spatial distribution characteristics of neurons that innervate skeletal muscle and their correlation with muscle phenotype. 支配骨骼肌的神经元空间分布特征及其与肌肉表型的相关性的归纳分析。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-08-13 DOI: 10.4103/NRR.NRR-D-24-01540
Xinyi Gu, Chen Huang, Shen Wang, Jin Deng, Shuhang Guo, Xiaofeng Yin

JOURNAL/nrgr/04.03/01300535-202606000-00081/figure1/v/2026-02-11T151048Z/r/image-tiff To perform various functions in the body, skeletal muscle is controlled and coordinated as a whole by nerves. However, there has been little research into whether the nerve control characteristics of different muscles are different, and the importance of these potential differences. In the present study, we used a three-dimensional imaging of solvent-cleared organ-compatible multi-tracer technique to explore the spatial distribution patterns of sensory and sympathetic neurons that innervate limb muscles. We integrated transcriptome sequencing datasets from mouse limb muscles in public databases and performed correlation analysis with neuronal spatial distribution data to reveal the unique effects of different types of neurons on muscle functional pathways. In terms of spatial distribution patterns, sympathetic neurons exhibited a more concentrated distribution than sensory and motor neurons. In addition, the neuronal innervation of limb muscles exhibited four different characteristics: sympathetic neuron-rich muscle, sensory neuron-rich muscle, neuron-sparse muscle, and motor neuron-rich muscle. Sensory neuron density was mainly associated with muscle contractile structure and cell pH, whereas sympathetic neuron density was associated with protein kinase activity, muscle vasculature, muscle calcium-dependent protein kinase activity, lipid transport, and vesicle release. Motor neuron density was mainly associated with protein kinase activity, cell adhesion, oxidoreductase activity, and exocytosis. These findings may contribute to a deeper understanding of how nerves cooperate to endow muscles with diverse physiological functions, thereby providing new insights and experimental evidence for the treatment of various neuromuscular diseases.

骨骼肌是由神经作为一个整体来控制和协调,以完成身体的各种功能。然而,关于不同肌肉的神经控制特征是否不同,以及这些潜在差异的重要性的研究很少。在本研究中,我们使用溶剂清除器官相容多示踪技术的三维成像来探索支配肢体肌肉的感觉和交感神经元的空间分布模式。我们将来自小鼠肢体肌肉的转录组测序数据整合到公共数据库中,并与神经元空间分布数据进行相关性分析,以揭示不同类型神经元对肌肉功能通路的独特影响。在空间分布模式上,交感神经元比感觉神经元和运动神经元分布更集中。此外,肢体肌肉的神经支配表现出4种不同的特征:交感神经元富肌、感觉神经元富肌、神经元稀疏肌和运动神经元富肌。感觉神经元密度主要与肌肉收缩结构和细胞pH有关,而交感神经元密度与蛋白激酶活性、肌肉脉管系统、肌肉钙依赖性蛋白激酶活性、脂质转运和囊泡释放有关。运动神经元密度主要与蛋白激酶活性、细胞粘附、氧化还原酶活性和胞吐有关。这些发现可能有助于更深入地了解神经如何合作赋予肌肉多种生理功能,从而为各种神经肌肉疾病的治疗提供新的见解和实验证据。
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引用次数: 0
Low-intensity transcranial ultrasound neuromodulation promotes neuronal regeneration: A new hope for noninvasive treatment of neurodegenerative diseases. 低强度经颅超声神经调节促进神经元再生:无创治疗神经退行性疾病的新希望。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-08-13 DOI: 10.4103/NRR.NRR-D-25-00113
Shu Xia, Chen He, Yunfei Li, Hao Li, Bo Wang, Long Xu, Xudong Zhao

Neurodegenerative diseases, which are characterized by progressive neuronal loss and the lack of disease-modifying therapies, are becoming a major global health challenge. The existing neuromodulation techniques, such as deep brain stimulation and transcranial magnetic stimulation, show limitations such as invasiveness, restricted cortical targeting, and irreversible tissue effects. In this context, low-intensity transcranial ultrasound has emerged as a promising noninvasive alternative that can penetrate deep into the brain and modulate neuroplasticity. This review comprehensively assesses the therapeutic mechanisms, efficacy, and translational potential of low-intensity transcranial ultrasound in treating neurodegenerative diseases, with emphasis on its role in promoting neuronal regeneration, modulating neuroinflammation, and enhancing functional recovery. We summarize the findings of previous studies and systematically illustrate the potential of low-intensity transcranial ultrasound in regulating cell death mechanisms, enhancing neural repair and regeneration, and alleviating symptoms associated with neurodegenerative diseases. Preclinical findings indicate that low-intensity transcranial ultrasound can enhance the release of neurotrophic factors (e.g., brain-derived neurotrophic factor), promote autophagy to clear protein aggregates, modulate microglial activation, and temporarily open the blood-brain barrier to facilitate targeted drug delivery. Existing clinical trial data show that low-intensity transcranial ultrasound can reduce amyloid-β plaques, improve motor and cognitive deficits, and promote remyelination in various disease models. Early clinical trials suggest that low-intensity transcranial ultrasound may enhance cognitive scores in Alzheimer's disease and alleviate motor symptoms in Parkinson's disease, all while demonstrating a favorable safety profile. Past studies support the notion that by integrating safety, precision, and reversibility, low-intensity transcranial ultrasound can transform the treatment landscape for neurodegenerative disease. However, more advancements are necessary for future clinical application of low-intensity transcranial ultrasound, including optimizing parameters such as frequency, intensity, and duty cycle; considering individual anatomical differences; and confirming long-term efficacy. We believe establishing standardized protocols, conducting larger trials, and investigating the underlying mechanisms to clarify dose-response relationships and refine personalized application strategies are essential in this regard. Future research should focus on translating preclinical findings into clinical practice, addressing technical challenges, and exploring combination therapies with pharmacological or gene interventions.

神经退行性疾病,其特点是进行性神经元丧失和缺乏疾病改善疗法,正在成为一个主要的全球健康挑战。现有的神经调节技术,如脑深部刺激和经颅磁刺激,存在侵入性、皮质靶向性受限、组织效应不可逆等局限性。在这种情况下,低强度经颅超声已经成为一种有前途的非侵入性替代方法,可以穿透大脑深处并调节神经可塑性。本文综述了低强度经颅超声治疗神经退行性疾病的治疗机制、疗效和转化潜力,重点介绍了其在促进神经元再生、调节神经炎症和增强功能恢复方面的作用。我们总结了以往的研究结果,并系统地说明了低强度经颅超声在调节细胞死亡机制、增强神经修复和再生以及减轻神经退行性疾病相关症状方面的潜力。临床前研究结果表明,低强度经颅超声可增强神经营养因子(如脑源性神经营养因子)的释放,促进自噬清除蛋白聚集,调节小胶质细胞活化,暂时打开血脑屏障,促进靶向给药。现有临床试验资料显示,低强度经颅超声可降低淀粉样蛋白-?斑块,改善运动和认知缺陷,并促进各种疾病模型的髓鞘再生。早期临床试验表明,低强度经颅超声可以提高阿尔茨海默病的认知评分,减轻帕金森病的运动症状,同时显示出良好的安全性。过去的研究支持这样一种观点,即低强度经颅超声整合了安全性、精确性和可逆性,可以改变神经退行性疾病的治疗前景。然而,低强度经颅超声的临床应用还需要进一步的改进,包括优化频率、强度、占空比等参数;考虑个体解剖差异;并确认长期疗效。我们认为,在这方面,建立标准化的方案,进行更大规模的试验,调查潜在的机制,以澄清剂量-反应关系,完善个性化的应用策略是必不可少的。未来的研究应侧重于将临床前研究成果转化为临床实践,解决技术挑战,并探索与药物或基因干预的联合治疗。
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引用次数: 0
Lymphatic-venous anastomosis: Cracking the code of Alzheimer's disease treatment? 淋巴-静脉吻合:破解阿尔茨海默病治疗的密码?
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-09-03 DOI: 10.4103/NRR.NRR-D-25-00540
Fan Fan, Nannan Zhao, Mian Guo
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引用次数: 0
Beyond apoptosis: Implications of annexin-V binding to myeloid cells in DARC (Detection of Apoptosing Retinal Cells) imaging. 超越凋亡:膜联蛋白v结合髓细胞在DARC(视网膜细胞凋亡检测)成像中的意义。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-09-03 DOI: 10.4103/NRR.NRR-D-25-00182
Kiyoharu J Miyagishima, Francisco M Nadal-Nicolás, Wei Li
{"title":"Beyond apoptosis: Implications of annexin-V binding to myeloid cells in DARC (Detection of Apoptosing Retinal Cells) imaging.","authors":"Kiyoharu J Miyagishima, Francisco M Nadal-Nicolás, Wei Li","doi":"10.4103/NRR.NRR-D-25-00182","DOIUrl":"10.4103/NRR.NRR-D-25-00182","url":null,"abstract":"","PeriodicalId":19113,"journal":{"name":"Neural Regeneration Research","volume":" ","pages":"2351-2352"},"PeriodicalIF":6.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993044","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
Exercise training promotes nerve cell repair and regeneration after spinal cord injury. 运动训练促进脊髓损伤后神经细胞的修复和再生。
IF 6.7 2区 医学 Q2 CELL BIOLOGY Pub Date : 2026-06-01 Epub Date: 2025-06-19 DOI: 10.4103/NRR.NRR-D-24-01677
Tianyu Zhai, Shuting Ren, Shenghao Qian, Caizhen Shi, Bingbing Wang, Can Zhang, Li Dan, Juan Shen, Feng Gao, Yanling Yang, Youlei Li, Lin Zhao
<p><p>Spinal cord injury is a severe neurological condition characterized by the permanent loss of nerve cell function and a failure in neural circuit reconstruction-key factors contributing to disability. Therefore, exploring effective strategies to promote the repair and regeneration of nerve cells after spinal cord injury is crucial for optimizing patient prognosis. The purpose of this paper is to conduct an in-depth review of the pathological changes in nerve cells after spinal cord injury and to present the state of research on the role of exercise training in promoting the repair and regeneration of nerve cells after spinal cord injury. In terms of the intrinsic growth capacity of neurons, disruptions in the dynamic balance between growth cones and the cytoskeleton, the dysregulation of transcription factors, abnormal protein signaling transduction, and altered epigenetic modifications collectively hinder axonal regeneration. Additionally, the microenvironment of neurons undergoes a series of complex changes, initially manifesting as edema, which may be exacerbated by spinal cord ischemia-reperfusion injury, further increasing the extent of nerve cell damage. The abnormal proliferation of astrocytes leads to the formation of glial scars, creating a physical barrier to nerve regeneration. The inflammatory response triggered by the excessive activation of microglia negatively impacts the process of nerve repair. Non-invasive interventions involving exercise training have shown significant potential in promoting nerve repair as part of a comprehensive treatment strategy for spinal cord injury. Specifically, exercise training can reshape the growth cone and cytoskeletal structures of neurons, regulate transcription factor activity, modulate protein signaling pathways, and influence epigenetic modifications, thereby activating the intrinsic repair mechanisms of neurons. Moreover, exercise training can regulate the activation state of astrocytes, optimize the inflammatory response and metabolic processes, promote astrocyte polarization, enhance angiogenesis, reduce glial scar formation, and modulate the expression levels of nerve growth factors. It also effectively helps regulate microglial activation, promotes axonal regeneration, and improves phagocytic function, thereby optimizing the microenvironment for nerve repair. In terms of clinical translation, we summarize the preliminary results of new drug research and development efforts, the development of innovative devices, and the use of exercise training in promoting clinical advancements in nerve repair following spinal cord injury, while considering their limitations and future application prospects. In summary, this review systematically analyzes findings relating to the pathological changes occurring in nerve cells after spinal cord injury and emphasizes the critical role of exercise training in facilitating the repair and regeneration of nerve cells. This work is expected to provide new i
摘要脊髓损伤是一种以神经细胞功能永久性丧失和神经回路重建失败为特征的严重神经系统疾病,是导致残疾的关键因素。因此,探索促进脊髓损伤后神经细胞修复和再生的有效策略对于优化患者预后至关重要。本文旨在对脊髓损伤后神经细胞的病理变化进行深入的综述,并介绍运动训练在促进脊髓损伤后神经细胞修复和再生中的作用的研究现状。就神经元的内在生长能力而言,生长锥与细胞骨架之间动态平衡的破坏、转录因子的失调、蛋白质信号转导的异常以及表观遗传修饰的改变共同阻碍了轴突再生。此外,神经元微环境发生一系列复杂变化,最初表现为水肿,脊髓缺血再灌注损伤可使其加重,进一步增加神经细胞的损伤程度。星形胶质细胞的异常增殖导致胶质瘢痕的形成,对神经再生造成物理障碍。过度激活小胶质细胞引发的炎症反应对神经修复过程产生负面影响。作为脊髓损伤综合治疗策略的一部分,包括运动训练在内的非侵入性干预已显示出促进神经修复的巨大潜力。具体来说,运动训练可以重塑神经元的生长锥和细胞骨架结构,调节转录因子活性,调节蛋白质信号通路,影响表观遗传修饰,从而激活神经元的内在修复机制。此外,运动训练可以调节星形胶质细胞的激活状态,优化炎症反应和代谢过程,促进星形胶质细胞极化,促进血管生成,减少胶质瘢痕形成,调节神经生长因子的表达水平。有效调节小胶质细胞活化,促进轴突再生,改善吞噬功能,优化神经修复微环境。在临床转化方面,我们总结了新药研发、创新器械开发、运动训练在促进脊髓损伤后神经修复临床进展中的初步成果,同时考虑了它们的局限性和未来的应用前景。综上所述,本文系统分析了脊髓损伤后神经细胞病理变化的相关发现,并强调了运动训练在促进神经细胞修复和再生中的关键作用。本研究有望为脊髓损伤患者的康复提供新的思路和方法。
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Neural Regeneration Research
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