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HCN channel inhibitor ZD7288 in the lateral septum attenuates methamphetamine-induced behavior sensitization and relapse 侧隔HCN通道抑制剂ZD7288可减轻甲基苯丙胺诱导的行为致敏和复发。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-15 Epub Date: 2025-12-18 DOI: 10.1016/j.neuropharm.2025.110811
Shishi Lai , Wenpei Zhang , Cailing Wang , Ying Xu , Shaolei Jiang , Xiaofei Deng , Mei Zhu , Gaowei Chen , Kuikui Zhou , Yingjie Zhu , Kunhua Wang
Drug addiction involves dysregulation in limbic circuits, with the lateral septum (LS) playing a critical role in regulating drug reward and behavioral sensitization. Although chronic methamphetamine (METH) upregulates hyperpolarization-activated cyclic nucleotide-gated (HCN) channels in the LS, the therapeutic potential of targeting these channels remains unclear. Here, using pharmacological approaches in mice, we demonstrate that the HCN channel inhibitor ZD7288—administered either locally into the LS or systemically—attenuates METH-induced memory retrieval, the development and expression of locomotor sensitization, without impairing memory acquisition. Furthermore, ZD7288 reduced both METH self-administration acquisition and cue-induced reinstatement. These effects were associated with the normalization of METH-induced neuronal hyperexcitability in the LS. Importantly, ZD7288 did not affect natural reward processing, such as food consumption and social interaction. Our results identify LS HCN channels as potential therapeutic targets for METH use disorder.
药物成瘾涉及边缘回路失调,其中外侧隔(LS)在调节药物奖励和行为敏感化中起关键作用。尽管慢性甲基苯丙胺(METH)上调LS中超极化激活的环核苷酸门控(HCN)通道,但靶向这些通道的治疗潜力尚不清楚。在这里,我们通过药理学方法在小鼠中证明,HCN通道抑制剂zd7288在局部或系统给药的情况下,可以减弱甲基甲醚诱导的记忆检索、运动敏化的发展和表达,而不会损害记忆获取。此外,ZD7288减少了甲基安非他明自我给药的获得和线索诱导的恢复。这些效应与甲基苯丙胺诱导的LS神经元高兴奋性正常化有关。重要的是,ZD7288不影响自然奖励处理,如食物消费和社会互动。我们的研究结果确定LS HCN通道是冰毒使用障碍的潜在治疗靶点。
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引用次数: 0
Bacoside-A enhances temozolomide-induced cytotoxicity in U87MG glioblastoma cells via ROS-mediated apoptosis and EGFR/MAPK inhibition. Bacoside-A通过ros介导的凋亡和EGFR/MAPK抑制增强替莫唑胺诱导的U87MG胶质母细胞瘤细胞毒性
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-14 DOI: 10.1016/j.neuropharm.2026.110922
A K Mohammed Unais, Anandan Aparna, K Saju Mariya, Vijaya Padma Viswanadha

Temozolomide (TMZ) is the primary chemotherapeutic agent for glioblastoma multiforme (GBM), but its effectiveness is limited by resistance, recurrence, and toxicity. Combining natural compounds with TMZ is a promising approach to overcome these challenges. Bacoside-A, a brain tonic derived from Bacopa monnieri with proven anticancer properties, was evaluated for its chemotherapeutic potential in U87MG cells. Our study demonstrates that the combination of Bacoside-A and TMZ significantly enhanced intracellular TMZ accumulation and promoted ROS-mediated apoptosis through Ca2+ influx, mitochondrial membrane depolarization, and subsequent cell death by Apoptosis. Additionally, inhibition of EGFR-driven MAPK signalling and suppression of NF-κB nuclear translocation were observed, highlighting modulation of key survival pathways. These findings suggest that Bacoside-A potentiates TMZ efficacy while enabling dose reduction, thereby minimizing toxicity. Overall, this combinatorial approach provides mechanistic insights and a potential therapeutic strategy for improving GBM treatment outcomes.

替莫唑胺(TMZ)是多形性胶质母细胞瘤(GBM)的主要化疗药物,但其有效性受到耐药、复发和毒性的限制。将天然化合物与TMZ结合是克服这些挑战的一种有希望的方法。Bacoside-A是从假马齿苋中提取的一种经证实具有抗癌特性的脑补品,其在U87MG细胞中的化疗潜力被评估。我们的研究表明,Bacoside-A和TMZ联合使用可显著增强细胞内TMZ的积累,并通过Ca2+内流、线粒体膜去极化以及随后的细胞凋亡促进ros介导的凋亡。此外,egfr驱动的MAPK信号的抑制和NF-κB核易位的抑制也被观察到,突出了关键生存途径的调节。这些发现表明Bacoside-A在减少剂量的同时增强了TMZ的功效,从而使毒性最小化。总的来说,这种组合方法为改善GBM治疗结果提供了机制见解和潜在的治疗策略。
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引用次数: 0
Differential effects of cariprazine, LY379268 and donepezil on EEG oscillations and auditory steady-state response in MK-801-treated rats: relevance for schizophrenia drug development. 卡吡嗪、LY379268和多奈哌齐对mk -801治疗大鼠脑电图振荡和听觉稳态反应的差异影响:与精神分裂症药物开发的相关性
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-14 DOI: 10.1016/j.neuropharm.2026.110929
Florian W Adraoui, Maëlle Violas, Heloise Herbel, Geoffrey Viardot, Kenza Hettak, Samuel Tugler, Morgane Chassignolle, Eric Delpy, Anne Maurin, Philippe L'Hostis, Christophe Drieu La Rochelle, Kevin Carvalho

Treating patients affected by schizophrenia (SZ) remains highly challenging for drug developers. While available antipsychotics mostly reduce positive symptoms, their effects on cognitive and social deficits as well as their underlying pathophysiology remain insufficient. Disinhibition in SZ patients' cortex is considered a key player in the genesis of these symptoms and would result from N-methyl-D-aspartate receptor (NMDAr) hypofunction on interneurons. Besides, electroencephalography-based biomarkers of these mechanisms including spontaneous and evoked gamma oscillations have been highlighted. These strongly depend on NMDAr function, associate with symptoms and therefore represent translational tools for drug development. However, reversing these circuit abnormalities is challenging for the field and finding drugs engaging them would constitute a major milestone. Here, we tested three different drugs whose features attract scientists for restoration of excitation/inhibition balance: cariprazine (D2/D3 receptor partial agonist and 5-HT2A receptor antagonist), LY379268 (mGlur2/3 receptor agonist) and donepezil (acetylcholinesterase inhibitor). We investigated their effects on spontaneous oscillations and auditory steady-state responses (ASSR, measuring evoked gamma oscillations) in a rat model of SZ induced by MK-801, a selective NMDAr blocker. MK-801 increased locomotor activity, impaired spontaneous and evoked gamma oscillations and altered spontaneous oscillations in delta, alpha and beta frequencies of male Sprague Dawley rats. Remarkably, both cariprazine and LY379268 normalized spontaneous gamma oscillations. Moreover, cariprazine normalized alpha and beta waves and LY37926 selectively corrected delta activity. Interestingly, only cariprazine mitigated the ASSR deficit. These differential normalization profiles, including cariprazine's unique broad-spectrum signature, reveal distinct patterns of circuit engagement and provide a translational pharmaco-EEG framework for circuit-level target engagement in SZ drug development.

对于药物开发公司来说,治疗精神分裂症(SZ)仍然是一个重大挑战。虽然现有的抗精神病药物大多能减轻SZ的阳性症状,但它们对认知缺陷及其潜在病理生理的影响仍然不足且不明确。SZ患者皮层的去抑制被认为是这些症状发生的关键因素,可能是中间神经元n -甲基- d -天冬氨酸受体(NMDAr)功能低下的结果。此外,基于脑电图的这些机制的生物标志物,包括自发和诱发伽马振荡已被强调。这些都强烈依赖于NMDAr功能,与症状相关,因此代表了相关的转化工具。然而,逆转这些电路异常对该领域来说是具有挑战性的,因此,找到与它们相关的药物,恢复这些参数将是一个里程碑式的重大进展。在这里,我们测试了三种不同的药理学上不同的药物,其作用机制的特点吸引了科学家们恢复兴奋/抑制平衡:卡吡嗪(D2/D3受体部分激动剂和5-HT2A受体拮抗剂),LY379268 (mGlur2/3受体激动剂)和多奈哌齐(乙酰胆碱酯酶抑制剂)。我们在选择性NMDAr阻滞剂MK-801诱导的SZ大鼠模型中研究了它们对自发振荡和听觉稳态反应(ASSR,测量诱发的伽马振荡)的影响。正如预期的那样,MK-801增加了雄性Sprague Dawley大鼠的运动活动,损害了自发和诱发的伽马振荡,甚至改变了δ、α和β频率的自发振荡。值得注意的是,cariprazine和LY379268都使自发伽马振荡归一化。此外,cariprazine还对α波和β波进行了归一化,LY37926选择性地对校正后的delta活性进行了归一化。有趣的是,只有卡吡嗪减轻了ASSR缺陷,产生了强劲的部分正常化。这些结果为关注SZ神经回路功能障碍和症状的潜在药理策略提供了新的亮点。这些差异归一化特征,包括卡吡嗪独特的广谱特征,揭示了不同的电路参与模式,并为SZ药物开发中的电路水平靶标参与提供了一个转化药物-脑电图框架。
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引用次数: 0
Substance P/Neurokinin-1 receptor signaling exhibits sex-specific regulation of inhibitory transmission in the central amygdala. P物质/神经激肽-1受体信号在中央杏仁核中表现出抑制性传递的性别特异性调节。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-13 DOI: 10.1016/j.neuropharm.2026.110927
Laureta Gashi, Jana Lubec, Bibi Husna Daneyshar, Thomas Steinkellner, Sophia Khom
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引用次数: 0
Chronic Morphine Differentially Impacts Glutamatergic Synaptic Plasticity in the Ventral Tegmental Area of Adult versus Adolescent Mice. 慢性吗啡对成年和青少年小鼠腹侧被盖区谷氨酸能突触可塑性的影响差异
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-12 DOI: 10.1016/j.neuropharm.2026.110925
Jeffrey G Edwards, Isaac Ostlund, Michael Von Gunten

Opioids mediate the majority of drug overdose-related deaths in the United States. Opioid-induces addictive behaviors in part via manipulation of excitatory synaptic plasticity of ventral tegmental area (VTA) dopamine cells by targeting presynaptic mu opioid receptors (MORs). Recent data demonstrate VTA GABAergic cells also exhibit excitatory long-term depression (LTD) plasticity that is cannabis susceptible. Here we identify expression of presynaptic MORs at excitatory inputs to VTA GABA cells of male/female adolescent and adult mice using electrophysiology, motivating further examination of morphine impact on synaptic plasticity of these understudied cells. Long-term (7-10 days) intraperitoneal injection of morphine eliminated both LTD and MOR agonist-induced synaptic depression in adolescent mice. Surprisingly, in adult mice chronic morphine eliminated LTD in only ∼50% of VTA GABA cells. Seven-day withdrawal following morphine treatment reversed LTD elimination in all adolescents GABA cells, but not in adults. Next, as LTD is cannabinoid receptor 1 (CB1)-dependent and endogenous opioid and cannabinoid systems have signaling overlap, we examined MOR influence on LTD. While MOR antagonist naloxone did not block LTD, pre-exposure of MOR agonist DAMGO occluded LTD, suggesting CB1 and MOR crosstalk. Collectively, this demonstrates morphine alteration of VTA GABA cell function and plasticity that potentially correlates to dependence and withdrawal, as well as age-dependent morphine impact. Further examination of opioid dependence mediated by the inhibitory reward circuit that considers age-dependence will be essential when considering targets for therapeutic interventions aimed at mitigating opioid addiction.

在美国,阿片类药物介导了大多数与药物过量相关的死亡。阿片诱导的成瘾行为部分是通过靶向突触前mu阿片受体(MORs)来操纵腹侧被盖区(VTA)多巴胺细胞的兴奋性突触可塑性。最近的数据表明VTA gaba能细胞也表现出兴奋性长期抑郁(LTD)可塑性,这是大麻易感的。本研究利用电生理学方法鉴定了雄性/雌性青少年和成年小鼠VTA GABA细胞兴奋性输入时突触前MORs的表达,从而进一步研究吗啡对这些未被研究的细胞突触可塑性的影响。长期(7-10天)腹腔注射吗啡可消除LTD和MOR激动剂诱导的青春期小鼠突触抑制。令人惊讶的是,在成年小鼠中,慢性吗啡只能消除约50%的VTA GABA细胞中的LTD。吗啡治疗后7天停药逆转了所有青少年GABA细胞的LTD消除,但在成人中没有。接下来,由于LTD依赖于大麻素受体1 (CB1),并且内源性阿片和大麻素系统具有信号重叠,我们研究了MOR对LTD的影响。虽然MOR拮抗剂纳洛酮没有阻断LTD,但MOR激动剂DAMGO的预暴露使LTD闭塞,提示CB1和MOR相互作用。总的来说,这表明吗啡对VTA - GABA细胞功能和可塑性的改变可能与依赖和戒断以及年龄依赖性吗啡的影响有关。在考虑旨在减轻阿片类药物成瘾的治疗干预目标时,进一步检查由考虑年龄依赖性的抑制性奖励回路介导的阿片类药物依赖将是必不可少的。
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引用次数: 0
Exploring the role of ventrolateral periaqueductal gray in remifentanil-induced postoperative hyperalgesia. 探讨腹外侧导水管周围灰质在瑞芬太尼术后致痛觉过敏中的作用。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-12 DOI: 10.1016/j.neuropharm.2026.110928
Huiyue Han, Bingjing Sun, Lianjun Li, Yunfeng Liu, Hui Zhang, Bowen Li, Li Yu, Jiandong Yu, Yunzhi Ling

Remifentanil-induced postoperative hyperalgesia (RIH) delays recovery, prolongs hospitalization, and may contribute to chronic pain. The ventrolateral periaqueductal gray (vlPAG) is a critical area for processing pain and supporting opioid-based pain relief. Inside this region, glutamate (Glu) neurons and γ-aminobutyric acid (GABA) neurons work against each other to control pain signals. However, their specific roles and underlying mechanisms in RIH remain unclear. In this study, a RIH model was established by using incisional pain mice combined with continuous infusion of remifentanil. The results indicated that RIH mice showed a significant decrease in mechanical pain thresholds in both hind paws, and this hypersensitivity only occurred under the condition of remifentanil infusion combined with surgical trauma. The expression of immediate early protein (c-Fos) in the vlPAG was significantly upregulated; calcium signal recording showed that both vlPAG-Glu and vlPAG-GABA neurons were involved in the regulation of RIH. Chemical genetic activation of vlPAG-Glu or inhibition of vlPAG-GABA could alleviate hypersensitivity. Patch clamp results showed that vlPAG-Glu in RIH mice exhibited synchronous enhancement of postsynaptic function and intrinsic excitability, while vlPAG-GABA showed increased intrinsic excitability and reduced presynaptic inhibition. Therefore, these findings strongly suggest that RIH simultaneously excites vlPAG-Glu and vlPAG-GABA neurons, the final behavioral output depends on the relative balance of the activities of these two types of neurons. Artificial activation of vlPAG-Glu or inhibition of vlPAG-GABA can effectively alleviate hypersensitivity behavior. This study provides new ideas and theoretical basis for clinical intervention strategies for RIH.

瑞芬太尼引起的术后痛觉过敏(RIH)会延迟恢复,延长住院时间,并可能导致慢性疼痛。腹外侧导水管周围灰质(vlPAG)是处理疼痛和支持阿片类药物疼痛缓解的关键区域。在这个区域内,谷氨酸(Glu)神经元和γ-氨基丁酸(GABA)神经元相互对抗,控制疼痛信号。然而,它们在RIH中的具体作用和潜在机制尚不清楚。本研究采用切口疼痛小鼠联合持续输注瑞芬太尼建立RIH模型。结果表明,RIH小鼠双后爪机械痛阈值明显降低,且这种超敏反应仅发生在输注瑞芬太尼并伴有手术创伤的情况下。直接早期蛋白(c-Fos)在vlPAG中的表达显著上调;钙信号记录显示,vlPAG-Glu和vlPAG-GABA神经元均参与RIH的调控。化学基因激活vlPAG-Glu或抑制vlPAG-GABA可减轻过敏反应。膜片钳结果显示,vlPAG-Glu在RIH小鼠中表现出突触后功能和内在兴奋性的同步增强,而vlPAG-GABA则表现出内在兴奋性的增加和突触前抑制的减少。因此,这些发现强烈提示RIH同时激活vlPAG-Glu和vlPAG-GABA神经元,最终的行为输出取决于这两种神经元活动的相对平衡。人工激活vlPAG-Glu或抑制vlPAG-GABA可有效缓解超敏行为。本研究为RIH的临床干预策略提供了新的思路和理论依据。
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引用次数: 0
Disruption of psychostimulant-associated memories by single, low dose ketamine in rats. 单次低剂量氯胺酮对大鼠精神兴奋剂相关记忆的破坏。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-11 DOI: 10.1016/j.neuropharm.2026.110912
Angela E Gonzalez, Jonathan D Ramos, Zada Anderson, Christyne M Sewell, Shaghayegh Modaberi, Shane T Hentges, Travis E Brown, Barbara A Sorg

Cocaine and methamphetamine use disorders pose public health concerns due to the high propensity for relapse driven by persistent drug-associated memories. Output from the medial prefrontal cortex (mPFC) regulates relapse and is controlled by parvalbumin (PV) interneurons, which are surrounded by perineuronal nets (PNNs) that support precise PV neuron firing. We previously showed that removal of mPFC PNNs, which reduces PV firing, disrupted reconsolidation of a cocaine self-administration memory when rats were given a novel, but not familiar, memory retrieval session. Ketamine rapidly suppresses PV neuron output, so we tested whether a single low dose (6 mg/kg) administered before or after a familiar or novel memory retrieval session altered cocaine cue reinstatement. Ketamine given prior to the novel, but not familiar, retrieval session reduced cue reinstatement in male Sprague-Dawley rats. In addition, both ketamine treatments combined with a novel retrieval session reduced PNN intensity around PV neurons after cue reinstatement, suggesting that PNN decreases may be unrelated to reinstatement. However, ketamine reduced the number of c-Fos-activated PV neurons immediately after the novel memory retrieval session, indicating that ketamine may reduce reinstatement through reduced PV neuron function at the time of memory retrieval. Ketamine given just prior to a novel memory retrieval session also reduced cue-induced reinstatement in rats trained for methamphetamine, but not fentanyl or sucrose self-administration. Collectively, these studies show that a single, low dose of ketamine combined with a novel memory retrieval reduces psychostimulant-seeking behavior, and may help delineate the mechanisms for ketamine-reduced relapse in psychostimulant use disorders.

可卡因和甲基苯丙胺使用障碍造成公共卫生问题,因为在持续的药物相关记忆驱动下极易复发。内侧前额叶皮层(mPFC)的输出调节复发,并由小白蛋白(PV)中间神经元控制,小白蛋白(PV)中间神经元被周围神经网络(pnn)包围,支持精确的PV神经元放电。我们之前的研究表明,当给大鼠一个新的但不熟悉的记忆检索过程时,去除mPFC PNNs(减少PV放电)会破坏可卡因自我给药记忆的再巩固。氯胺酮迅速抑制PV神经元输出,因此我们测试了在熟悉或新的记忆检索过程之前或之后给予单次低剂量(6 mg/kg)是否会改变可卡因线索恢复。在新的但不熟悉的检索过程之前给予氯胺酮可以减少雄性Sprague-Dawley大鼠的线索恢复。此外,两种氯胺酮治疗结合一种新的检索会话降低了线索恢复后PV神经元周围的PNN强度,这表明PNN的降低可能与恢复无关。然而,氯胺酮在新记忆检索后立即减少了c- fos激活的PV神经元的数量,表明氯胺酮可能通过减少记忆检索时PV神经元的功能来减少恢复。在一个新的记忆提取环节之前给予氯胺酮也能减少线索诱导的甲基苯丙胺训练大鼠的恢复,但对芬太尼或蔗糖自我管理没有影响。总的来说,这些研究表明,单次低剂量氯胺酮结合一种新的记忆检索可以减少寻求精神兴奋剂的行为,并可能有助于描述氯胺酮减少精神兴奋剂使用障碍复发的机制。
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引用次数: 0
Synbiotics inhibits gut microbiome perturbation-induced prolongation of migraine-like pain by restoring short-chain fatty acid signaling. 通过恢复短链脂肪酸信号传导抑制肠道微生物群扰动引起的偏头痛样疼痛的延长。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-11 DOI: 10.1016/j.neuropharm.2026.110914
Yuanyuan Tang, Liping Guan, Zeyang Li, Ran Li, Sufang Liu, Boya Chen, Yan Jin, Feng Tao

Migraine is the most common disabling primary headache disorder. However, currently available therapies for migraine pain are still limited. In the present study, we investigated the effects of gut microbiome perturbation and synbiotics supplementation on migraine-like pain in male mice and explored the underlying mechanism. We observed that the supplementation with synbiotics inhibited Broad-spectrum antibiotics (ABX)-prolonged migraine-like pain. Using 16S rRNA sequencing, we analyzed bacterial composition and abundance in the mouse gut, and we found that the supplementation with synbiotics recovered ABX-reduced Bacteroidota, which produces acetate and propionate in the gut, and such supplementation increased the levels of short-chain fatty acids (SCFAs) in the gut. SCFAs, specifically acetate and propionate, reversed the ABX-caused prolongation of migraine-like pain. We further found that ABX treatment decreased the expression of SCFA receptors in the gut and the supplementation with synbiotics restored the expression of SCFA receptor FFAR2, but not FFAR3, in the gut. Moreover, genetic deletion of FFAR2 in the Ffar2 knockout mice blocked the effect of synbiotics on migraine-like pain. Our results suggest that gut microbiome perturbation contributes to the prolongation of migraine-like pain and synbiotics can inhibit such pain prolongation by recovering disturbed gut microbiome and restoring SCFAs-FFAR2 signaling.

偏头痛是最常见的致残性原发性头痛疾病。然而,目前可用的治疗偏头痛的方法仍然有限。在本研究中,我们研究了肠道微生物群扰动和补充合成制剂对雄性小鼠偏头痛样疼痛的影响,并探讨了其潜在机制。我们观察到补充合成抗生素可以抑制广谱抗生素(ABX)延长的偏头痛样疼痛。通过16S rRNA测序,我们分析了小鼠肠道中的细菌组成和丰度,我们发现补充合成制剂恢复了肠道中产生乙酸和丙酸的abx -还原拟杆菌,并且这种补充增加了肠道中短链脂肪酸(SCFAs)的水平。SCFAs,特别是醋酸酯和丙酸酯,逆转了abx引起的偏头痛样疼痛的延长。我们进一步发现,ABX治疗降低了肠道中SCFA受体的表达,添加合成制剂恢复了肠道中SCFA受体FFAR2的表达,但没有恢复FFAR3的表达。此外,FFAR2基因敲除小鼠的FFAR2基因缺失阻断了合生剂对偏头痛样疼痛的作用。我们的研究结果表明,肠道微生物群的紊乱有助于偏头痛样疼痛的延长,而合生剂可以通过恢复紊乱的肠道微生物群和恢复SCFAs-FFAR2信号传导来抑制这种疼痛的延长。
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引用次数: 0
Analgesic effect of cinobufagin is mediated by human-selective P2X7R antagonism governed by distinct extracellular domains 蟾毒球蛋白的镇痛作用是由不同的细胞外结构域调控的人类选择性P2X7R拮抗介导的。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-01 Epub Date: 2025-11-30 DOI: 10.1016/j.neuropharm.2025.110788
Kexin Yu , Min Li , Yuchen Jin, Miao Zhao, Zeliang Wang, Haibo Yu
Chronic pain management remains a major clinical challenge, limited by the efficacy and safety profile of existing analgesics. The P2X7 receptor (P2X7R), a key driver of neuroinflammatory signaling, represents a promising therapeutic target; however, the clinical advancement of P2X7R antagonists has been hindered by limited efficacy and marked species differences in pharmacological activity. Here, we identify cinobufagin (CBG) as a novel, human-selective allosteric antagonist of P2X7R. CBG potently inhibited human P2X7R in functional assays measuring YO-PRO-1 uptake, calcium flux, and electrophysiological responses, but exhibited minimal activity against rat P2X7R or other P2X subtypes. Structural modeling and mutagenesis confirmed CBG's engagement with the canonical allosteric pocket, with residues F103 and M105 being critical for binding. Notably, species selectivity was determined not by variations within the binding pocket itself, but by distal extracellular domains. We further identified key discriminatory residues (R126, S165, I170, R270, Y288, N303) as novel molecular determinants of this selectivity. In a murine model of complete Freund's adjuvant (CFA)-induced inflammatory pain, CBG demonstrated significant analgesic efficacy. Comprehensive electrophysiological profiling also confirmed its selectivity against other major pain-related ion channels. Collectively, our work elucidates CBG's mechanism of action and reveals a paradigm in which allosteric modulation of P2X7R can be governed by long-range conformational influences from distal extracellular domains, rather than solely by direct ligand-pocket interactions.
慢性疼痛管理仍然是一个主要的临床挑战,受到现有镇痛药的有效性和安全性的限制。P2X7受体(P2X7R)是神经炎症信号传导的关键驱动因素,是一个有希望的治疗靶点;然而,P2X7R拮抗剂的临床进展一直受到疗效有限和药理活性明显的物种差异的阻碍。在这里,我们发现cinobufagin (CBG)是一种新的、人类选择性的P2X7R变构拮抗剂。在测量YO-PRO-1摄取、钙通量和电生理反应的功能试验中,CBG能有效抑制人P2X7R,但对大鼠P2X7R或其他P2X亚型的活性很小。结构建模和诱变证实了CBG与标准变构口袋的结合,残基F103和M105对结合至关重要。值得注意的是,物种选择性不是由结合袋本身的变化决定的,而是由远端细胞外结构域决定的。我们进一步确定了关键的区分残基(R126, S165, I170, R270, Y288, N303)作为这种选择性的新分子决定因素。在完全性弗氏佐剂(CFA)诱导的炎症性疼痛小鼠模型中,CBG显示出明显的镇痛效果。综合电生理分析也证实了其对其他主要疼痛相关离子通道的选择性。总的来说,我们的工作阐明了CBG的作用机制,并揭示了P2X7R的变构调节可以由远端细胞外结构域的远程构象影响来控制,而不仅仅是直接的配体-口袋相互作用。
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引用次数: 0
Evaluating tocilizumab in ischemic stroke: Findings from the SPAN multicenter trial 评估Tocilizumab在缺血性卒中中的作用:来自SPAN多中心试验的发现。
IF 4.6 2区 医学 Q1 NEUROSCIENCES Pub Date : 2026-03-01 Epub Date: 2025-12-05 DOI: 10.1016/j.neuropharm.2025.110801
Anjali Chauhan , Eunyoung Angela Lee , Rakesh B. Patel , Mariia Kumskova , Enrique C. Leira , Anil K. Chauhan , Yanrong Shi , Suyi Cao , Raymond C. Koehler , Krishnan M. Dhandapani , Mohammad Badruzzaman Khan , Pradip K. Kamat , Ali Arbab , David C. Hess , Alison L. Herman , Ligia Boisserand , Lauren H. Sansing , Andreia Morais , Xuyan Jin , Sanem Aykan , Jaroslaw Aronowski
Inflammation, particularly mediated through interleukin-6 (IL-6) signaling, plays a critical role in stroke pathophysiology. High levels of IL-6 are associated with poor outcomes in stroke patients. Therapeutic inhibition of IL-6 signaling may offer a novel strategy to mitigate post-stroke damage and improve recovery. This study evaluated the efficacy of tocilizumab (TCZ), a clinically approved monoclonal antibody that blocks IL-6 receptor signaling, using data from the Stroke Preclinical Assessment Network (SPAN), a multi-center, randomized, blinded, placebo-controlled trial in preclinical stroke models.

Methods

We analyzed behavioral and MRI morphometry data from 701 rodents (both males and females; 1:1), including healthy young mice, diet-induced obese mice, aging mice, and spontaneously hypertensive rats (SHR) treated with saline (N = 348) or TCZ (N = 353) at a dose of 100 mg/kg for mice, 10 mg/kg for rats after middle cerebral artery occlusion (MCAO).

Results

In the overall mouse cohort, TCZ did not significantly improve long-term sensorimotor recovery or reduce brain tissue loss measured by MRI. However, aging mice exhibited modest motor function improvements. In SHRs, TCZ treatment resulted in improved sensory-motor function, particularly in male rats, as demonstrated by enhanced corner test scores on days 7 and 28 post-MCAO. While TCZ in SHRs provided early (day 2) cerebroprotection with reduced lesion volume, it did not alter subsequent tissue loss, as measured by tissue atrophy at day 30.

Conclusions

These results suggest that IL-6R blockade with TCZ was associated with functional improvement in aging mice (modest) and hypertensive rats (notably males), without durable effect of brain tissue loss. No benefit was observed in the overall mouse cohort. These findings support IL-6 signaling as a viable therapeutic target and warrant further investigation into IL-6 receptor inhibition as a potential treatment strategy for stroke recovery.
炎症,特别是通过白细胞介素-6 (IL-6)信号介导的炎症,在卒中病理生理中起着关键作用。高水平的IL-6与卒中患者预后不良相关。治疗性抑制IL-6信号可能提供一种减轻脑卒中后损伤和改善康复的新策略。该研究评估了tocilizumab (TCZ)的疗效,TCZ是一种临床批准的单克隆抗体,可阻断IL-6受体信号传导,使用来自卒中临床前评估网络(SPAN)的数据,这是一项多中心,随机,盲法,安慰剂对照的临床前卒中模型试验。方法:我们分析了701只啮齿类动物(雌雄比例为1:1)的行为学和MRI形态学数据,包括健康的年轻小鼠、饮食诱导的肥胖小鼠、衰老小鼠和自发性高血压大鼠(SHR),这些大鼠分别在大脑中动脉闭塞(MCAO)后接受生理盐水(N=348)或TCZ (N=353)的治疗,小鼠剂量为100 mg/kg,大鼠剂量为10 mg/kg。结果:在整个小鼠队列中,TCZ没有显著改善长期感觉运动恢复或减少MRI测量的脑组织损失。然而,衰老小鼠表现出适度的运动功能改善。在SHRs中,TCZ治疗导致感觉运动功能改善,特别是雄性大鼠,mcao后第7天和第28天拐角测试分数提高。虽然TCZ在SHRs中提供了早期(第2天)的脑保护,并减少了病变体积,但通过第30天的组织萎缩测量,TCZ并没有改变随后的组织损失。结论:这些结果表明,TCZ阻断IL-6R与衰老小鼠(中度)和高血压大鼠(尤其是雄性)的功能改善有关,没有脑组织损失的持久效应。在整个小鼠队列中未观察到任何益处。这些发现支持IL-6信号作为一个可行的治疗靶点,并支持进一步研究IL-6受体抑制作为中风恢复的潜在治疗策略。
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Neuropharmacology
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