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Microglial process convergence on axonal segments in health and disease. 健康和疾病中轴突段的小胶质过程收敛。
Pub Date : 2020-01-01 Epub Date: 2020-03-21 DOI: 10.20517/2347-8659.2019.28
Savannah D Benusa, Audrey D Lafrenaye

Microglia dynamically interact with neurons influencing the development, structure, and function of neuronal networks. Recent studies suggest microglia may also influence neuronal activity by physically interacting with axonal domains responsible for action potential initiation and propagation. However, the nature of these microglial process interactions is not well understood. Microglial-axonal contacts are present early in development and persist through adulthood, implicating microglial interactions in the regulation of axonal integrity in both the developing and mature central nervous system. Moreover, changes in microglial-axonal contact have been described in disease states such as multiple sclerosis (MS) and traumatic brain injury (TBI). Depending on the disease state, there are increased associations with specific axonal segments. In MS, there is enhanced contact with the axon initial segment and node of Ranvier, while, in TBI, microglia alter interactions with axons at the site of injury, as well as at the axon initial segment. In this article, we review the interactions of microglial processes with axonal segments, analyzing their associations with various axonal domains and how these interactions may differ between MS and TBI. Furthermore, we discuss potential functional consequences and molecular mechanisms of these interactions and how these may differ among various types of microglial-axonal interactions.

小胶质细胞动态地与神经元相互作用,影响神经元网络的发育、结构和功能。最近的研究表明,小胶质细胞也可能通过与负责动作电位起始和传播的轴突结构域的物理相互作用来影响神经元活动。然而,这些小胶质过程相互作用的性质尚不清楚。小胶质细胞-轴突的接触在发育早期就存在,并持续到成年期,这暗示了小胶质细胞在发育中和成熟中枢神经系统中对轴突完整性的调节中的相互作用。此外,在多发性硬化症(MS)和创伤性脑损伤(TBI)等疾病状态中也描述了小胶质细胞-轴突接触的变化。根据疾病状态,与特定轴突段的关联增加。在MS中,小胶质细胞与轴突初始段和Ranvier节点的接触增强,而在TBI中,小胶质细胞改变了与损伤部位轴突以及轴突初始段的相互作用。在本文中,我们回顾了小胶质细胞过程与轴突段的相互作用,分析了它们与各种轴突结构域的关联,以及这些相互作用在MS和TBI之间的差异。此外,我们讨论了这些相互作用的潜在功能后果和分子机制,以及这些相互作用在不同类型的小胶质-轴突相互作用中可能存在的差异。
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引用次数: 18
An association between mitochondria and microglia effector function. What do we think we know? 线粒体与小胶质细胞效应功能之间的联系。我们知道些什么?
Pub Date : 2020-01-01 Epub Date: 2020-06-16 DOI: 10.20517/2347-8659.2020.07
G Jean Harry, Gabrielle Childers, Sahana Giridharan, Irisyunuel Lopez Hernandes

While resident innate immune cells of the central nervous system, the microglia, represent a cell population unique in origin, microenvironment, and longevity, they assume many properties displayed by peripheral macrophages. One prominent shared property is the ability to undergo a metabolic switch towards glycolysis and away from oxidative phosphorylation (OXPHOS) upon activation by the pro-inflammatory stimuli lipopolysaccharide. This shift serves to meet specific cellular demands and allows for cell survival, similar to the Warburg effect demonstrated in cancer cells. In contrast, normal survelliance phenotype or stimulation to a non-proinflammatory phenotype relies primarily on OXPHOS and fatty acid oxidation. Thus, mitochondria appear to function as a pivotal signaling platform linking energy metabolism and macrophage polarization upon activation. These unique shifts in cell bioenergetics in response to different stimuli are essential for proper effector responses at sites of infection, inflammation, or injury. Here we present a summary of recent developments as to how these dynamics characterized in peripheral macrophages are displayed in microglia. The new insights provided by an increased understanding of metabolic reprogramming in macrophages may allow for translation to the CNS and a better understanding of microglia heterogeneity, regulation, and function.

虽然中枢神经系统的常住先天性免疫细胞--小胶质细胞--在起源、微环境和寿命方面是一个独特的细胞群,但它们具有外周巨噬细胞的许多特性。一个显著的共同特性是,在促炎性刺激脂多糖的激活下,它们能够进行新陈代谢转换,转向糖酵解,而不是氧化磷酸化(OXPHOS)。这种转变是为了满足特定的细胞需求,使细胞得以存活,类似于癌细胞中的沃伯格效应。与此相反,正常的增殖表型或受刺激后的非促炎表型主要依赖于 OXPHOS 和脂肪酸氧化。因此,线粒体似乎是连接能量代谢和巨噬细胞激活后极化的关键信号平台。细胞生物能在应对不同刺激时发生的这些独特变化,对于在感染、炎症或损伤部位做出适当的效应反应至关重要。在此,我们总结了小胶质细胞如何显示外周巨噬细胞的这些动态特征的最新进展。通过进一步了解巨噬细胞中的代谢重编程,我们可以获得新的见解,从而将其应用于中枢神经系统,并更好地了解小胶质细胞的异质性、调节和功能。
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引用次数: 0
Microglial contributions to aberrant neurogenesis and pathophysiology of epilepsy. 小胶质细胞在癫痫异常神经发生和病理生理学中的作用。
Pub Date : 2020-01-01 Epub Date: 2020-07-12 DOI: 10.20517/2347-8659.2020.02
Tanya R Victor, Stella E Tsirka

Microglia are dynamic cells that constitute the brain's innate immune system. Recently, research has demonstrated microglial roles beyond immunity, which include homeostatic roles in the central nervous system. The function of microglia is an active area of study, with insights into changes in neurogenesis and synaptic pruning being discovered in both health and disease. In epilepsy, activated microglia contribute to several changes that occur during epileptogenesis. In this review, we focus on the effects of microglia on neurogenesis and synaptic pruning, and discuss the current state of anti-seizure drugs and how they affect microglia during these processes. Our understanding of the role of microglia post-seizure is still limited and may be pivotal in recognizing new therapeutic targets for seizure intervention.

小胶质细胞是构成大脑先天免疫系统的动态细胞。最近,研究表明小胶质细胞在免疫之外的作用,包括在中枢神经系统中的稳态作用。小胶质细胞的功能是一个活跃的研究领域,在健康和疾病中都发现了对神经发生和突触修剪变化的深入了解。在癫痫中,活化的小胶质细胞参与了癫痫发生过程中发生的几种变化。在这篇综述中,我们重点讨论了小胶质细胞对神经发生和突触修剪的影响,并讨论了抗癫痫药物的现状以及它们在这些过程中如何影响小胶质细胞。我们对癫痫发作后小胶质细胞作用的理解仍然有限,可能对识别癫痫干预的新治疗靶点至关重要。
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引用次数: 15
Substantial subpial cortical demyelination in progressive multiple sclerosis: have we underestimated the extent of cortical pathology? 进展性多发性硬化症的实质枕下皮质脱髓鞘:我们是否低估了皮质病理的程度?
Pub Date : 2020-01-01 DOI: 10.20517/2347-8659.2019.21
Lauren Griffiths, R. Reynolds, Rhian Evans, Ryan J. Bevan, M. Rees, D. Gveric, J. Neal, O. Howell
Aim: Multiple sclerosis (MS) is an inflammatory demyelinating and neurodegenerative disease. Much of the complex symptomatology relates to pathology outside the classic white matter plaque, whereby lesions of the cortical grey matter, which are difficult to resolve by conventional clinical imaging, are in part predictive of outcome. We investigated the extent of grey matter pathology in whole coronal macrosections to reassess the contribution of cortical pathology to total demyelinating lesion area in progressive MS. Methods: Twenty-two cases of progressive MS were prepared as whole bi-hemispheric macrosections for histology, immunostaining and quantitative analysis of lesion number and relative area, leptomeningeal inflammation and microglial/macrophage activation. Results: Cortical grey matter demyelination was seen in all cases, which was more extensive than in white and deep grey matter (hippocampus, thalamus and basal ganglia) and accounted for 0.8%-60.2% of the entire measurable cortical ribbon. The pattern of cortical grey matter demyelination was predominantly subpial (mean 90.9%, range 60%-100%, of total cortical grey matter lesion area) and cases with the largest areas of subpial cortical lesions had more and larger deep grey matter lesions, greater numbers of activated microglia/macrophages, both in lesions as well as in normal cortical grey matter, together with elevated leptomeningeal inflammation and lymphoid-like structures. White matter lesion area was unchanged when compared with the progressive MS cases with little subpial cortical demyelination. Conclusion: Analysis of whole coronal macrosections reveals cortical demyelination is more extensive than reported by conventional histological methods. Cases of progressive MS with substantial subpial cortical demyelination that is independent of underlying white matter lesion area support the implications that these lesions may in-part arise through different pathogenetic mechanisms. Biomarkers and/or imaging correlates of this subpial pathology are required if we are to fully comprehend the clinical disease process.
目的:多发性硬化症(MS)是一种炎性脱髓鞘和神经退行性疾病。许多复杂的症状与典型白质斑块以外的病理有关,因此,常规临床成像难以解决的皮质灰质病变在一定程度上预测了结果。方法:将22例进展性多发性硬化症患者制作成双半球完整大切片,进行组织学、免疫染色、病变数量和相对面积、小脑膜炎症和小胶质/巨噬细胞活化的定量分析。结果:所有病例均可见皮质灰质脱髓鞘,其脱髓鞘范围较白质和深部灰质(海马、丘脑和基底节区)更为广泛,占整个可测皮质带的0.8% ~ 60.2%。皮层灰质脱髓鞘的模式主要是在枕下(平均90.9%,范围60%-100%,占皮质灰质总病变面积),枕下皮质病变面积最大的病例有更多更大的深部灰质病变,激活的小胶质细胞/巨噬细胞数量更多,病变和正常皮质灰质中都有,并伴有轻脑膜炎症和淋巴样结构升高。与进展性MS患者相比,白质病变面积没有变化,并伴有少量的枕下皮质脱髓鞘。结论:整个冠状动脉宏观切片分析显示皮质脱髓鞘比常规组织学方法报道的更广泛。进展性多发性硬化症伴枕下皮质脱髓鞘的病例与潜在的白质病变区域无关,这表明这些病变可能部分是由不同的发病机制引起的。如果我们要充分了解临床疾病过程,就需要这种基底下病理的生物标志物和/或影像学相关指标。
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引用次数: 12
Correction: Neuroinflammatory modulators of oligodendrogenesis 更正:少突胶质发生的神经炎症调节剂
Pub Date : 2019-12-30 DOI: 10.20517/2347-8659.2019.12
Adam Armada-Moreira, Filipa F Ribeiro, A. Sebastião, S. Xapelli
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引用次数: 0
2019 CNS Diseases: Advanced Diagnostics and Treatment Conference 2019年中枢神经系统疾病:高级诊断和治疗会议
Pub Date : 2019-12-30 DOI: 10.20517/2347-8659.2019.019
A. Melbourne, Sep, Bangkok Published Dec
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引用次数: 0
Brain motor control assessment post intensive whole-body exercise vs. upper body exercise after spinal cord injury 脊髓损伤后全身强化运动与上身运动后的脑运动控制评估
Pub Date : 2019-12-17 DOI: 10.20517/2347-8659.2019.03
M. Zoghi, M. Galea
Aim: The aim of this study was to assess the pattern of voluntary movements in patients with spinal cord injury (SCI) post intensive whole-body training vs. upper body training with brain motor control assessment (BMCA). Methods: Twelve neurologically intact participants and 18 patients with SCI participated in this study as part of a multi-centre randomised controlled trial. All participants received 12 weeks training (three times per week), which comprised trunk, upper and lower limb exercises and locomotor training and functional electrical stimulation-assisted cycling in whole-body training group and an upper body strength and fitness program for upper body training group. Results: Generalised linear model analysis showed significant effect of the main effect of the Task (P < 0.001) on the similarity index of voluntary movement patterns but not on the other factors or the interactions between them (P > 0.05). Some participants showed significant improvement in muscle strength post 12 weeks training; however, this improvement was not reflected in the pattern of muscle activation which was captured by BMCA. Conclusion: BMCA is a valuable objective assessment tool that could add resolution to the clinical evaluation of patients with SCI post different therapeutic techniques.
目的:本研究的目的是评估脊髓损伤(SCI)患者在高强度全身训练与上肢训练与脑运动控制评估(BMCA)后的自主运动模式。方法:作为多中心随机对照试验的一部分,12名神经系统完整的参与者和18名脊髓损伤患者参与了这项研究。所有参与者均接受为期12周的训练(每周三次),包括躯干、上肢和下肢锻炼、运动训练和功能性电刺激辅助骑自行车,全身性训练组为上肢力量和健身项目。结果:广义线性模型分析显示,任务主效应对自主运动模式相似指数有显著影响(P < 0.001),而对其他因素或它们之间的相互作用没有显著影响(P < 0.05)。一些参与者在12周的训练后肌肉力量有了显著的改善;然而,这种改善并没有反映在BMCA捕获的肌肉激活模式上。结论:BMCA是一种有价值的客观评价工具,可为脊髓损伤患者不同治疗方法后的临床评价提供依据。
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引用次数: 0
Bee venom acupuncture reduces neuroinflammation modulating microglia/macrophage phenotype polarization in spinal cord injury compression model 蜂毒针刺减轻脊髓损伤压迫模型中调节小胶质细胞/巨噬细胞表型极化的神经炎症
Pub Date : 2019-11-08 DOI: 10.20517/2347-8659.2019.04
Raquel De Souza, Júlia Miccolis Azevedo Lopes, L. R. Monteiro, R. A. Barbosa, Gabriela Hollmann, S. Allodi, L. Reis, M. Medeiros
Aim: The present study aimed to examine whether apipuncture (stimulation of acupuncture points with bee venom) at ST36 and GV3 acupoints promotes neuroprotection and reduces neuroinflammation by modulating M1 and M2 phenotype polarization. Methods: Wistar rats were treated with bee venom (BV) (0.08 mg/kg) injection at acupoints ST36 and GV3 [BV (ST36 + GV3)-spinal cord injury (SCI)] or BV injection at non-acupoints [BV (NP)-SCI] or no treatment (CTL-SCI) after SCI by compression. The spinal cord mRNA expression of iNOS, Arg-1 and TGF-β was measured by real time PCR and the levels of IBA-1; BCL-2; NeuN e CNPase was measured by western blotting. Locomotor performance was measured by Basso, Beattie, and Bresnahan (BBB) and grid-walking tests. Results: Apipuncture treatment was able to (1) ameliorate locomotor performance; (2) reduce inflammatory markers (Cox-2 levels) and activation of microglia and macrophages; (3) reduce the polarization of the M1 phenotype marker (iNOS) and increase M2 (Arg-1 and TGF-β) phenotypic markers; (4) promote neuroprotection by reducing the death of neurons and oligodendrocytes; and (5) increase the expression of the anti-apoptotic factor BCL-2. Conclusion: Apipuncture treatment induces locomotor recovery and neuroprotection after the compression model of spinal cord injury. Further, it reduces neuroinflammation by decreasing M1 polarization and increasing M2
目的:本研究旨在探讨针刺(蜂毒刺激穴位)ST36和GV3穴是否通过调节M1和M2表型极化来促进神经保护和减轻神经炎症。方法:用蜂毒(BV) (0.08 mg/kg)注射于Wistar大鼠ST36和GV3穴[BV (ST36 + GV3)-脊髓损伤(SCI)]或BV注射于非穴位[BV (NP)-SCI]或脊髓损伤后不治疗(CTL-SCI)]。real - time PCR检测大鼠脊髓iNOS、Arg-1、TGF-β mRNA表达及IBA-1水平;bcl - 2;western blotting检测NeuN - CNPase。运动表现采用Basso, Beattie, and Bresnahan (BBB)测试和网格行走测试。结果:针刺治疗能够(1)改善运动能力;(2)降低炎症标志物(Cox-2水平)和小胶质细胞和巨噬细胞的活化;(3)减少M1表型标记物(iNOS)的极化,增加M2 (Arg-1和TGF-β)表型标记物;(4)通过减少神经元和少突胶质细胞的死亡来促进神经保护;(5)增加抗凋亡因子BCL-2的表达。结论:针刺治疗可促进脊髓损伤模型后的运动恢复和神经保护。此外,它通过减少M1极化和增加M2来减轻神经炎症
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引用次数: 0
Evaluation, treatment, and surveillance of neurogenic detrusor overactivity in spinal cord injury patients 脊髓损伤患者神经源性逼尿肌过度活动的评估、治疗和监测
Pub Date : 2019-11-08 DOI: 10.20517/2347-8659.2019.007
A. Alsulihem, J. Corcos
Neurogenic detrusor overactivity is a common urodynamic finding in patients with supra-sacral spinal cord injury. Early evaluation, stepped management, and close follow-up reduce the risk of upper urinary tract deterioration, renal failure and incontinence. In this article, we aim to outline the modern pathway of the management of this complex disease. Evaluation of patients with history, physical examination, renal function assessment, cystoscopy, and urodynamic study are essential. Management of neurogenic detrusor overactivity with adequate bladder drainage, medical therapy, intradetrusor botulinum injections, and surgery can be offered in a stepwise manner. Follow-up after specific interventions should be done in a timely fashion to detect treatment response and to avoid complications of poorly managed neurogenic detrusor overactivity.
神经源性逼尿肌过度活动是骶上脊髓损伤患者常见的尿动力学表现。早期评估、分步处理和密切随访可降低上尿路恶化、肾功能衰竭和尿失禁的风险。在这篇文章中,我们的目的是概述现代途径的管理这种复杂的疾病。评估患者的病史、体格检查、肾功能评估、膀胱镜检查和尿动力学研究是必不可少的。通过适当的膀胱引流、药物治疗、肌内肉毒杆菌注射和手术治疗,可以逐步治疗神经源性逼尿肌过度活动。具体干预后的随访应及时进行,以发现治疗反应,避免管理不善的神经源性逼尿肌过度活动的并发症。
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引用次数: 10
LFA-1 antagonist (BIRT377) similarly reverses peripheral neuropathic pain in male and female mice with underlying sex divergent peripheral immune proinflammatory phenotypes LFA-1拮抗剂(BIRT377)类似地逆转具有潜在性别差异的外周免疫促炎表型的雄性和雌性小鼠的外周神经性疼痛
Pub Date : 2019-07-22 DOI: 10.20517/2347-8659.2019.18
Shahani Noor, M. S. Sun, A. G. Vanderwall, Mara A. Havard, Jacob E. Sanchez, Nathan W. Harris, Monique Nysus, J. Norenberg, Harrison T. West, Carsten R. Wagner, L. Jantzie, N. Mellios, E. Milligan
Aim: The majority of preclinical studies investigating aberrant glial-neuroimmune actions underlying neuropathic pain have focused on male rodent models. Recently, studies have shown peripheral immune cells play a more prominent role than glial cells in mediating pathological pain in females. Here, we compared the onset and duration of allodynia in males and females, and the anti-allodynic action of a potentially novel therapeutic drug (BIRT377) that not only antagonizes the action of lymphocyte function-associated antigen-1 (LFA-1) to reduce cell migration in the periphery, but may also directly alter the cellular inflammatory bias. Methods: Male and female mice were subjected to peripheral nerve injury chronic constriction injury (CCI) applying two methods, using either 4–0 or 5–0 chromic gut suture material, to examine potential sex differences in the onset, magnitude and duration of allodynia. Hindpaw sensitivity before and after CCI and application of intravenous BIRT377 was assessed. Peripheral and spinal tissues were analyzed for protein (multiplex electrochemiluminescence technology) and mRNA expression (quantitative real-time PCR). The phenotype of peripheral T cells was determined using flow cytometry. Results: Sex differences in proinflammatory CCL2 and IL-1β and the anti-inflammatory IL-10 were observed from a set of cytokines analyzed. A profound proinflammatory T cell (Th17) response in the periphery and spinal cord was also observed in neuropathic females. BIRT377 reversed pain, reduced IL-1β and TNF, and increased IL-10 and transforming growth factor (TGF)-β1, also an anti-inflammatory cytokine, in both sexes. However, female-derived T cell cytokines are transcriptionally regulated by BIRT377, as demonstrated by reducing proinflammatory IL-17A production with concurrent increases in IL-10, TGF-β1 and the anti-inflammatory regulatory T cell-related factor, FOXP3. Conclusion: This study supports that divergent peripheral immune and neuroimmune responses during neuropathy exists between males and females. Moreover, the modulatory actions of BIRT377 on T cells during neuropathy are predominantly specific to females. These data highlight the necessity of including both sexes for studying drug efficacy and mechanisms of action in preclinical studies and clinical trials.
目的:大多数研究神经性疼痛背后异常神经胶质免疫作用的临床前研究都集中在雄性啮齿动物模型上。最近,研究表明,在介导女性病理性疼痛方面,外周免疫细胞比神经胶质细胞发挥着更突出的作用。在这里,我们比较了男性和女性异常性疼痛的发作和持续时间,以及一种潜在的新型治疗药物(BIRT377)的抗异常性疼痛作用,该药物不仅拮抗淋巴细胞功能相关抗原-1(LFA-1)减少外周细胞迁移的作用,而且可能直接改变细胞炎症偏向。方法:雄性和雌性小鼠应用两种方法,使用4–0或5–0铬肠道缝合材料,对周围神经损伤慢性收缩损伤(CCI)进行研究,以检查异常性疼痛的发作、程度和持续时间的潜在性别差异。评估CCI前后和静脉注射BIRT377后的后爪敏感性。分析外周和脊髓组织的蛋白质(多重电化学发光技术)和mRNA表达(定量实时PCR)。使用流式细胞术测定外周T细胞的表型。结果:从一组细胞因子分析中观察到促炎CCL2和IL-1β以及抗炎IL-10的性别差异。在神经性女性的外周和脊髓中也观察到了严重的促炎性T细胞(Th17)反应。BIRT377逆转了疼痛,降低了IL-1β和TNF,并增加了IL-10和转化生长因子(TGF)-β1,这也是一种抗炎细胞因子。然而,女性来源的T细胞因子受到BIRT377的转录调节,如通过减少促炎性IL-17A的产生,同时增加IL-10、TGF-β1和抗炎调节性T细胞相关因子FOXP3所证明的。结论:本研究支持男性和女性在神经病变过程中存在不同的外周免疫和神经免疫反应。此外,在神经病变期间,BIRT377对T细胞的调节作用主要是女性特有的。这些数据强调了在临床前研究和临床试验中研究药物疗效和作用机制时包括两性的必要性。
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引用次数: 10
期刊
Neuroimmunology and Neuroinflammation
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