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The “route cause” of methotrexate-induced brain structure changes in a juvenile mouse model: Comparison of systemic and CNS-targeted chemotherapy 甲氨蝶呤诱导幼年小鼠脑结构改变的“通路原因”:全身和中枢靶向化疗的比较
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-11 DOI: 10.1016/j.neuro.2025.103363
Sun Eui Choi , Tiffany Ayoub , Gail Lee , Anne L. Wheeler , Sharon L. Guger , Rosanna Weksberg , Shinya Ito , Russell J. Schachar , Johann Hitzler , Brian J. Nieman
Acute lymphoblastic leukemia (ALL) is the most common childhood cancer and while five-year survival rates exceed 90 %, survivors display neurocognitive deficits. Magnetic resonance imaging (MRI) measurements indicate smaller volume across the brain in survivors compared to typically developing peers. Methotrexate (MTX) is the backbone of ALL chemotherapy and is delivered via various administration routes including systemic and central nervous system (CNS) targeted routes. The relative toxicities between routes have not been systematically compared. Our study aims to compare brain volume changes after systemic and CNS-targeted MTX treatment using MRI in a juvenile mouse model. MTX treatment was delivered at postnatal day 17 (P17) and P19 either via an intrathecal (IT) or intravenous (IV) injection, resulting in four total groups for the study: IV MTX (n = 14), IV saline (n = 16), IT MTX (n = 54), and IT saline (n = 51). MRI was performed pre-treatment at P14 and longitudinally after treatment at P24, P42, and P63. IT MTX was probed at a range of doses (0.5–5.0 mg/kg). Volumes of 183 segmented brain structures were compared between groups. Whole brain volume decreased after IT MTX (5.0 mg/kg) and IV MTX at P24. The number of structures significantly affected after IT MTX was highly dependent on dose. Comparison of systemic and intrathecal delivery routes revealed that systemic MTX had a wider impact on brain morphology than did IT MTX treatment, particularly at clinically relevant doses of IT MTX. This finding provides important insight into the mechanisms that likely underlie MTX-induced neurotoxicity and focuses potential interventions on systemic toxicity.
急性淋巴细胞白血病(ALL)是最常见的儿童癌症,虽然5年生存率超过90%,但幸存者表现出神经认知缺陷。磁共振成像(MRI)测量表明,与正常发育的同龄人相比,幸存者的大脑体积更小。甲氨蝶呤(MTX)是ALL化疗的主要药物,可通过多种给药途径,包括全身和中枢神经系统(CNS)靶向途径。不同途径的相对毒性尚未进行系统比较。我们的研究旨在通过MRI比较幼年小鼠模型全身和中枢靶向MTX治疗后脑容量的变化。MTX治疗在出生后第17天(P17)和P19天通过鞘内注射(IT)或静脉注射(IV)进行,总共分为四组:IV MTX (n=14), IV生理盐水(n=16), IT MTX (n=54)和IT生理盐水(n=51)。MRI分别在治疗前的P14和治疗后的P24、P42和P63进行纵向扫描。在剂量范围(0.5-5.0mg/kg)下对IT MTX进行探针。比较两组间183个脑节段结构的体积。注射甲氨蝶呤(5.0mg/kg)和静脉注射甲氨蝶呤后全脑体积减小。经甲氨蝶呤治疗后显著影响的结构数高度依赖于剂量。全身和鞘内给药途径的比较显示,全身MTX对脑形态的影响比IT MTX治疗更广泛,特别是在临床相关剂量的IT MTX治疗下。这一发现为mtx诱导神经毒性的机制提供了重要的见解,并将潜在的干预措施集中在全身毒性上。
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引用次数: 0
Long-term air pollution exposure and cognitive impairment risk in Chinese middle-aged and older adults 中国中老年人长期空气污染暴露与认知障碍风险
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-11 DOI: 10.1016/j.neuro.2025.103364
Shengqiang Xie , Shichao Su , Wenxuan Li , Yanteng Li , Fangbin Hao , Gang Cheng , Jianning Zhang
This prospective cohort study quantified the longitudinal associations between long-term exposure to multiple air pollutants and cognitive impairment risk among China's middle-aged and older adults. Leveraging data from 10,584 participants in the China Health and Retirement Longitudinal Study (2011–2020), we assessed high-resolution (1-km) annual exposures to particulate matter (PM1, PM2.5, PM10), nitrogen dioxide (NO2), and ozone (O3) using satellite-based models. Cognitive impairment was defined through education-stratified Chinese Mini-Mental State Examination thresholds. Time-varying Cox proportional hazards models revealed significant dose-response relationships: per 10-μg/m³ increase, PM1 (HR=1.078, 95 % CI:1.022–1.136), PM2.5 (HR=1.042, 1.015–1.070), PM10 (HR=1.038, 1.022–1.054), and NO2 (HR=1.129, 1.061–1.200) elevated cognitive impairment risk, while O3 showed no association (HR=0.878, 0.743–1.038). Three-year exposure windows intensified effects for NO2 (HR=1.053) and PM1 (HR=1.034). Multi-pollutant models demonstrated PM10's exceptional robustness (e.g., PM10+NO2 HR=1.055), whereas NO2 attenuated finer particulate associations. Critical vulnerability emerged among adults with education below junior high (PM1 HR=1.30), rural residents (PM10 HR=1.21), those aged 60–69 years (peak PM1 HR=1.28), and uninsured individuals (PM1 HR=1.22). Strictly linear exposure-response relationships (all Pnonlinear>0.05) indicated no safe thresholds. These findings advocate prioritizing control of PM10 (particles ≤10 μm) alongside mitigation of traffic-related pollutants, while implementing targeted interventions for vulnerable educationally disadvantaged and rural populations to mitigate dementia burden.
这项前瞻性队列研究量化了中国中老年人长期暴露于多种空气污染物与认知障碍风险之间的纵向关联。利用中国健康与退休纵向研究(2011-2020)的10,584名参与者的数据,我们使用基于卫星的模型评估了高分辨率(1公里)每年暴露于颗粒物(PM1、PM2.5、PM10)、二氧化氮(NO2)和臭氧(O3)的情况。认知障碍的定义是通过教育分层的中国简易精神状态考试阈值。时变Cox比例风险模型显示出显著的剂量-反应关系:每增加10-μg/m³,PM1 (HR=1.078, 95% CI:1.022-1.136)、PM2.5 (HR=1.042, 1.015-1.070)、PM10 (HR=1.038, 1.022-1.054)和NO2 (HR=1.129, 1.061-1.200)会增加认知功能障碍的风险,而O3没有相关性(HR=0.878, 0.743-1.038)。3年暴露窗强化了NO2 (HR=1.053)和PM1 (HR=1.034)的效应。多污染物模型表明,PM10具有特殊的稳健性(例如,PM10+NO2的HR=1.055),而NO2则减弱了细颗粒物的关联。受教育程度在初中以下的成年人(PM1 HR=1.30)、农村居民(PM10 HR=1.21)、60-69岁人群(峰值PM1 HR=1.28)和无保险个体(PM1 HR=1.22)中出现了严重脆弱性。严格的线性暴露-反应关系(p < 0.05)表明没有安全阈值。这些研究结果主张优先控制PM10(颗粒≤10 μm),同时减少交通相关污染物,同时对弱势教育群体和农村人口实施有针对性的干预措施,以减轻痴呆症负担。
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引用次数: 0
Air pollution and Parkinson’s disease: A prospective cohort study with sex-stratified analysis in the UK biobank 空气污染与帕金森病:英国生物银行性别分层分析的前瞻性队列研究。
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.neuro.2025.103353
Jianghong Liu , Michael Pan , Haoer Shi , McKenna Sun , Aimin Chen , Rui Feng
Air pollution has been suggested as a potential environmental risk factor for Parkinson’s disease (PD), but findings remain inconsistent, and sex-specific effects are understudied. This study examined associations between exposure to nitrogen dioxide (NO2) and particulate matter ≤ 10 µm (PM10) and incident PD, using data from the UK Biobank. Annual levels of NO2 (2005–2007) and PM10 (2007) were estimated based on residential addresses. Logistic regression models assessed the associations between air pollution exposure and PD onset, adjusting for age, sex, smoking status, and family history of PD. Competing risk models and inverse probability weighting were applied to address survivorship bias and missing data. Sex-stratified analyses explored potential differences by sex. Among 210,417 participants (mean follow-up = 9.17 years), 2592 developed PD. Higher exposure to both NO2 and PM10 was associated with increased PD risk. In sex-specific models, the associations remained significant in males but not in females. Competing risk models confirmed elevated PD risk with NO2 (HR = 1.05; 95 % CI: 1.01–1.09) and PM10 (HR = 1.08; 95 % CI: 1.03–1.13) in the overall cohort, with similar or stronger associations in males (NO2: HR = 1.07; 95 % CI: 1.02–1.13; PM10: HR = 1.07; 95 % CI: 1.02–1.14). In conclusion, long-term exposure to NO2 and PM10 was linked to increased PD risk, particularly in males. These findings highlight the importance of incorporating sex-specific analyses in environmental research on PD.
空气污染已被认为是帕金森病(PD)的潜在环境风险因素,但研究结果仍不一致,性别特异性影响尚未得到充分研究。本研究使用来自UK Biobank的数据,研究了暴露于二氧化氮(NO2)和≤10µm的颗粒物(PM10)与PD之间的关系。二氧化氮(2005-2007)和可吸入颗粒物(2007)的年度水平是根据居住地址估算的。Logistic回归模型评估了空气污染暴露与PD发病之间的关系,调整了年龄、性别、吸烟状况和PD家族史。采用竞争风险模型和逆概率加权来解决生存偏差和数据缺失问题。性别分层分析探讨了性别之间的潜在差异。在210,417名参与者中(平均随访9.17年),2,592人发展为PD。较高的NO2和PM10暴露与PD风险增加有关。在性别特异性模型中,这种关联在男性中仍然显著,但在女性中没有。相互竞争的风险模型证实,在整个队列中,NO2 (HR = 1.05; 95% CI: 1.01-1.09)和PM10 (HR = 1.08; 95% CI: 1.03-1.13)与PD风险升高有关,在男性中也有类似或更强的相关性(NO2: HR = 1.07; 95% CI: 1.02-1.13; PM10: HR = 1.07; 95% CI: 1.02-1.14)。总之,长期暴露于二氧化氮和PM10与帕金森病风险增加有关,尤其是男性。这些发现强调了在PD环境研究中纳入性别特异性分析的重要性。
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引用次数: 0
Neurotoxic potential of imatinib in aquatic vertebrates: Behavioral and biochemical disruptions in zebrafish 伊马替尼对水生脊椎动物的神经毒性潜力:斑马鱼的行为和生化破坏。
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.neuro.2025.103352
Gustavo Axel Elizalde-Velázquez , Selene Elizabeth Herrera-Vázquez , Leobardo Manuel Gómez-Oliván , Nely SanJuan-Reyes , José Manuel Orozco-Hernández , Ana María Téllez-López , Sandra García-Medina , Marcela Galar-Martínez
Imatinib mesylate (IM), a first-generation tyrosine kinase inhibitor (TKI), remains a global standard in leukemia treatment. However, its environmental persistence and structural homology with conserved kinase domains in aquatic vertebrates raise concerns about potential off-target effects in non-target organisms. This study investigates, for the first time, the neurotoxic impact of IM on adult zebrafish (Danio rerio), employing a multidisciplinary approach that integrates behavioral assays, enzymatic analysis, oxidative stress biomarkers, and gene expression profiling. Exposure to IM induced a distinct anxiety-like behavioral phenotype in zebrafish, characterized by increased bottom-dwelling, heightened locomotor activity, and delayed exploration of upper tank zones in the Novel Tank Test. Concurrently, IM elicited a concentration-dependent inhibition of brain acetylcholinesterase (AChE) activity without classical active-site interaction, suggesting an indirect mechanism potentially linked to oxidative stress. Biochemical analyses confirmed increased lipid and protein oxidation, decreased antioxidant enzyme activities (SOD, CAT), and transcriptional upregulation of pro-apoptotic markers (bax, p53, casp3), alongside suppression of oxidative defense and energy-regulatory genes (nrf1, nrf2, prkaa1). The downregulation of prkaa1, encoding the catalytic subunit of AMP-activated protein kinase (AMPK), implicates disrupted metabolic adaptation and redox homeostasis as central features of IM-induced toxicity. Together, these findings suggest that IM provokes neurobehavioral disturbances in zebrafish through mitochondrial dysfunction, impaired AMPK signaling, oxidative stress, and secondary inhibition of AChE, ultimately leading to cholinergic dysregulation and anxiety-like responses.
甲磺酸伊马替尼(Imatinib mesylate, IM)是第一代酪氨酸激酶抑制剂(TKI),仍然是白血病治疗的全球标准。然而,它的环境持久性和与水生脊椎动物中保守激酶结构域的结构同源性引起了对非靶生物潜在脱靶效应的关注。本研究首次研究了IM对成年斑马鱼(Danio rerio)的神经毒性影响,采用多学科方法,整合了行为分析、酶分析、氧化应激生物标志物和基因表达谱。暴露于IM诱导斑马鱼表现出明显的焦虑样行为表型,其特征是在新水箱测试中,底部居住增加,运动活动增强,对上部水箱区域的探索延迟。同时,IM诱导了脑乙酰胆碱酯酶(AChE)活性的浓度依赖性抑制,而没有经典的活性位点相互作用,表明其间接机制可能与氧化应激有关。生化分析证实脂质和蛋白质氧化增加,抗氧化酶活性(SOD, CAT)降低,促凋亡标志物(bax, p53, casp3)转录上调,氧化防御和能量调节基因(nrf1, nrf2, prkaa1)抑制。编码amp活化蛋白激酶(AMPK)催化亚基的prkaa1下调,暗示代谢适应和氧化还原稳态被破坏是im诱导毒性的核心特征。综上所述,这些发现表明,IM通过线粒体功能障碍、AMPK信号受损、氧化应激和AChE的继发性抑制,引发斑马鱼的神经行为障碍,最终导致胆碱能失调和焦虑样反应。
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引用次数: 0
The effects of doxorubicin on blood-brain barrier integrity in hCMEC/D3 阿霉素对hCMEC/D3患者血脑屏障完整性的影响。
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-19 DOI: 10.1016/j.neuro.2025.103355
Chadni Patel , Christina Glytsou , Mi-Hyeon Jang , Peter D. Cole
Current chemotherapy regimens have significantly improved overall survival for children with cancer. However, these treatments are associated with detrimental side effects like chemotherapy-induced cognitive impairment (CICI), or “chemobrain.” Measurable deficits in cognitive function persist years after treatment. Specifically, doxorubicin (DOXO), a commonly used chemotherapeutic agent in curative regimens for children with cancer, plays a pivotal role in the development of CICI, even though it doesn’t cross the blood-brain barrier (BBB). Using a juvenile rat model, we found that DOXO compromises the BBB integrity. To further address the poorly understood mechanism of DOXO-related CICI, we utilized human cerebral microvascular endothelial cells (hCMEC/D3) to study the changes induced by DOXO in BBB integrity. RNA sequencing after DOXO exposure demonstrated changes in inflammatory pathways that may play a critical role in BBB integrity. Upon DOXO treatment, there was an increase in the secretion of proinflammatory cytokines including interleukin-6 (IL-6), regulated on activation, normal T cell expressed and secreted (RANTES) and granulocyte-macrophage colony stimulating factor (GM-CSF). DOXO induced the activation of p38 mitogen-activated protein kinase (MAPK), extracellular signal-regulated kinases (ERK1/2), and cAMP response element binding protein (CREB). Using xCELLigence Real Time Cell Analysis, we found that DOXO doesn’t immediately compromise the barrier in hCMEC/D3. Additionally, we found that DOXO treatment significantly decreases maximal respiration and the spare respiratory capacity in hCMEC/D3 cells, indicating mitochondrial bioenergetic defects. Our findings provide critical insights on how DOXO impacts the BBB and builds a foundation for developing preventative measures that may improve the quality of life for patients.
目前的化疗方案显著提高了儿童癌症患者的总体生存率。然而,这些治疗与化疗引起的认知障碍(CICI)或“化学脑”等有害副作用有关。可测量的认知功能缺陷在治疗后持续数年。具体来说,多柔比星(DOXO)是儿童癌症治疗方案中常用的化疗药物,尽管它不能穿过血脑屏障(BBB),但在CICI的发展中起着关键作用。使用幼年大鼠模型,我们发现DOXO损害血脑屏障的完整性。为了进一步阐明DOXO相关CICI的机制,我们利用人脑微血管内皮细胞(hCMEC/D3)研究DOXO诱导血脑屏障完整性的变化。DOXO暴露后的RNA测序显示炎症途径的变化可能在血脑屏障完整性中起关键作用。经DOXO处理后,促炎细胞因子的分泌增加,包括活化调节的白细胞介素-6 (IL-6)、正常T细胞表达和分泌(RANTES)和粒细胞-巨噬细胞集落刺激因子(GM-CSF)。DOXO诱导p38丝裂原活化蛋白激酶(MAPK)、细胞外信号调节激酶(ERK1/2)和cAMP反应元件结合蛋白(CREB)的激活。使用xCELLigence实时细胞分析,我们发现DOXO不会立即破坏hCMEC/D3中的屏障。此外,我们发现DOXO处理显著降低了hCMEC/D3细胞的最大呼吸量和备用呼吸量,表明线粒体生物能量缺陷。我们的研究结果为DOXO如何影响血脑屏障提供了重要的见解,并为开发可能改善患者生活质量的预防措施奠定了基础。
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引用次数: 0
A moderated mediation of tau phosphorylated sites in the association between occupational aluminum exposure and cognitive function 职业铝暴露与认知功能之间的关联中tau磷酸化位点的调节调解。
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-19 DOI: 10.1016/j.neuro.2025.103354
Yujun Ma , Guangsen Feng , Shihui Guo , Jing Song , Linping Wang , Huifang Zhang , Jinzhu Yin , Xiaoting Lu
This study aimed to elucidate the associations among occupational aluminum exposure, plasma phosphorylated tau (P-tau), and cognitive function, with particular attention to the modulatory effects of key factors involved in tau protein synthesis and degradation. A total of 208 aluminum plant workers were enrolled, with assessments conducted for plasma aluminum concentrations, cognitive performance, levels of phosphorylated tau (P-tau181 and P-tau231), and biomarkers related to tau synthesis and degradation pathways. Elevated plasma aluminum levels were inversely associated with scores on cognitive assessments, including the MMSE, DSP, DSR, DS, FOM, and CDT, while showing positive associations with STRA and STRF scores. Higher plasma aluminum concentrations were also significantly associated with increased levels of P-tau181 and P-tau231. P-tau181 and P-tau 231 concentrations are negatively correlated with MMSE, DSP, DSR, DS, and FOM scores, and positively correlated with STRA, STRF, and CDT scores. Mediation analysis revealed that P-tau181 and P-tau231 were statistically consistent with mediating 16.6 % and 35.9 % of the association between aluminum exposure and MMSE scores, respectively, with P-tau231 demonstrating a stronger mediating effect. Moderated mediation analysis further indicated that factors regulating tau synthesis had a more pronounced influence on this mediating role than those involved in degradation[ΔR2(PP2A, CDK5)= 0.016 > ΔR2(CHIP, Ub)= 0; ΔR2(PP2A, CDK5)= 0.027 > ΔR2(CHIP, Ub)= 0], with PP2A-mediated regulation exerting a greater effect than CDK5[ΔR2(PP2A)= 0.021 > ΔR2(CDK5)= 0.006; ΔR2(PP2A)= 0.016 > ΔR2(CDK5)= 0.008]. These results are statistically consistent with the hypothesis that P-tau231 and PP2A are critical targets for early intervention and biomonitoring in the context of aluminum-related cognitive impairment, offering novel directions for occupational health risk management and protection.
本研究旨在阐明职业性铝暴露、血浆磷酸化tau蛋白(P-tau)和认知功能之间的关系,特别关注tau蛋白合成和降解的关键因素的调节作用。共招募了208名铝厂工人,对血浆铝浓度、认知能力、磷酸化tau (P-tau181和P-tau231)水平以及与tau合成和降解途径相关的生物标志物进行了评估。血浆铝水平升高与认知评估得分呈负相关,包括MMSE、DSP、DSR、DS、FOM和CDT,而与STRA和STRF得分呈正相关。较高的血浆铝浓度也与P-tau181和P-tau231水平升高显著相关。P-tau181和P-tau 231浓度与MMSE、DSP、DSR、DS和FOM评分呈负相关,与STRA、STRF和CDT评分呈正相关。中介分析显示,P-tau181和P-tau231分别对铝暴露与MMSE评分之间的关联起16.6%和35.9%的中介作用,具有统计学上的一致性,其中P-tau231的中介作用更强。有调节的中介分析进一步表明,调节tau合成的因子对这种中介作用的影响比参与降解的因子更显著[ΔR2(PP2A, CDK5)=0.016>ΔR2(CHIP, Ub)=0;ΔR2(PP2A, CDK5)=0.027>ΔR2(CHIP, Ub)=0],其中PP2A介导的调控作用大于CDK5[ΔR2(PP2A)=0.021>ΔR2(CDK5)=0.006];ΔR2 (PP2A) = 0.016 >ΔR2 (CDK5) = 0.008)。这些结果与P-tau231和PP2A是铝相关认知障碍早期干预和生物监测的关键靶点的假设在统计学上是一致的,为职业健康风险管理和防护提供了新的方向。
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引用次数: 0
Corrigendum to “Micro- and nanoplastics as neurotoxicants: Mechanistic insights from particle morphology, circadian disruption, and potential neurodegeneration – A state-of-the-art narrative review” [Neurotoxicology 111 (2025) 103338] “微塑料和纳米塑料作为神经毒物:从颗粒形态、昼夜节律中断和潜在神经退行性变的机械见解-最先进的叙述回顾”的勘误表[神经毒理学111 (2025)103338]
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-14 DOI: 10.1016/j.neuro.2025.103351
Angelo M. Jamerlan, Seong Soo A. An, John P. Hulme
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引用次数: 0
Blockade of NMDA-receptors mitigates autistic and cognitive behaviors via modulation of TLR-4/NLRP3 inflammasomes and microglia/astrocyte crosstalk in rat model of autism 在自闭症大鼠模型中,nmda受体阻断通过调节TLR-4/NLRP3炎症小体和小胶质细胞/星形胶质细胞串扰减轻自闭症和认知行为。
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-11 DOI: 10.1016/j.neuro.2025.103350
Sawsan Aboul-Fotouh , Sohir M. Zohny , Ghada AM. Hassan , Abeer M. Eissa , Heba Hamed Elshahawi , Sahar M. Abdelraouf , Manar Yehia Ahmed , Mohammed R. Rabei , Fatma E. Hassan , Ahmed Nageh Mahmoud , Eman H. Eltantawy , Shaimaa khedr , Yasmin Ramadan , Maha Khaled El-Ashry , Esraa M. Elnahas
Converging evidence proposed NMDA-receptor dysfunction as a real challenge underlying excitotoxicity implicated in neurological changes of autism spectrum disorder (ASD). Nevertheless, the role of NMDA receptors in relation to toll-like receptor-4 (TLR-4), NOD-like receptor-3 (NLRP3), and microglia/astrocyte activity in autism-related neuroinflammation has not been investigated hitherto.

Methods

The present study was designed to explore the potential role of NMDA-receptor blockade in autism by chronic memantine (MEM) treatment (20 mg/kg/d, i.p.) in male Wistar rats, prenatally exposed to valproic acid (VPA).

Results

Prenatal VPA exposure exhibited autistic-like core symptoms and cognitive deficits that were accompanied by gene and protein overexpression of NMDAR-GluN1 & GluN2B subunits, TLR-4, and NF-κB in the prefrontal cortex (PFC). Additionally, VPA increased oxidative/nitrosative stress and inflammasome markers (NLRP3, procaspase-1, and caspase-1). Similarly, histopathological and immunohistochemical studies confirmed neurodegenerative changes, together with microglia/astrocyte reactivity, increased inflammatory and apoptotic markers, along with elevated Ki-67, β-amyloid expression, and the number of neurofibrillary tangles in prefrontal and cerebellar cortices. Chronic treatment with MEM ameliorated the above-mentioned behavioral, neurochemical, and histopathological abnormalities, and interestingly, these effects significantly correlated with NMDAR expression.

Conclusion

To the author's knowledge, this study is the first to confirm the potential modulatory effect of NMDA-receptor blockade, via memantine, on TLR-4/NLRP3 inflammasome pathway and microglia/astrocyte crosstalk, in relation to its role in mitigating the autistic behaviors and cognitive deficits in autism. These findings therefore lend further support to the hypothesis that NMDA-receptor blockade may represent a novel and promising pharmacotherapeutic strategy for ASD.
越来越多的证据表明,nmda受体功能障碍是自闭症谱系障碍(ASD)神经系统变化中涉及的兴奋性毒性的真正挑战。然而,NMDA受体在自闭症相关神经炎症中与toll样受体-4 (TLR-4)、nod样受体-3 (NLRP3)和小胶质细胞/星形胶质细胞活性相关的作用迄今尚未得到研究。方法:本研究旨在探讨慢性美金刚(MEM)治疗(20mg/kg/d, i.p)在产前暴露于丙戊酸(VPA)的雄性Wistar大鼠自闭症中nmda受体阻断的潜在作用。结果:产前VPA暴露表现出自闭症样核心症状和认知缺陷,并伴有前额皮质(PFC)中NMDAR-GluN1和GluN2B亚基、TLR-4和NF-κB基因和蛋白的过度表达。此外,VPA增加氧化/亚硝化应激和炎性体标志物(NLRP3、procaspase-1和caspase-1)。同样,组织病理学和免疫组织化学研究证实神经退行性改变,以及小胶质细胞/星形胶质细胞反应性,炎症和凋亡标志物增加,Ki-67, β-淀粉样蛋白表达升高,前额叶和小脑皮层神经原纤维缠结数量增加。慢性MEM治疗可改善上述行为、神经化学和组织病理学异常,有趣的是,这些作用与NMDAR表达显著相关。结论:据作者所知,本研究首次证实了nmda受体阻断通过美金刚对TLR-4/NLRP3炎性小体通路和小胶质细胞/星形胶质细胞串扰的潜在调节作用,其在减轻自闭症行为和自闭症认知缺陷中的作用。因此,这些发现进一步支持了nmda受体阻断可能代表一种新的有前途的ASD药物治疗策略的假设。
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引用次数: 0
Mechanisms by which neuroinflammation modulates GABAergic neurotransmission in the hippocampus of hyperammonemic rats 神经炎症调节高氨血症大鼠海马gaba能神经传递的机制
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-06 DOI: 10.1016/j.neuro.2025.103345
María Sancho-Alonso , Paula Izquierdo-Altarejos , Gergana Mincheva , Marta Llansola , Vicente Felipo
Hyperammonemia is a main contributor to cognitive impairment in patients with hepatic encephalopathy. Hyperammonemia-induced cognitive impairment is mediated by neuroinflammation and alteration of glutamatergic and GABAergic neurotransmission in hippocampus. Hyperammonemia enhances GABAergic neurotransmission in hippocampus but the role of neuroinflammation remains unknown. In cerebellum of hyperammonemic rats enhanced S1PR2-BDNF-TrkB pathway activation mediates enhancement of GABAergic neurotransmission. In hippocampus of hyperammonemic rats, the increase of IL-1β and Src kinase activation alters glutamatergic neurotransmission. The aims of this work were to assess if neuroinflammation is responsible for the enhanced GABAergic neurotransmission in hippocampus of hyperammonemic rats and to identify the underlying mechanisms. We used ex vivo hippocampal slices from control and hyperammonemic male rats and assessed the effects of blocking the S1PR2, the IL-1 receptor, TrkB or of inhibiting the protein kinases Src or PI3K on glutamate decarboxylases and GABA content and on membrane expression of GABAA receptor, GABA transporters and chloride co-transporters. Blocking the S1PR2-IL-1β-Src-BDNF-TrkB-PI3K pathway at any of its steps reversed the reduced membrane expression of GABA transporters, which would increase extracellular GABA, and the increased membrane expression of most of the GABAA receptor subunits analyzed, which also enhances GABAergic neurotransmission. This would be mediated by increasing the content of gephyrin and phosphorylation of the β3 subunit of GABAA receptors. The identification of this pathway as the origin of the enhanced GABAergic neurotransmission provides several therapeutic targets to reverse cognitive impairment in hyperammonemia and hepatic encephalopathy and, likely, in other pathologies associated to neuroinflammation and enhanced GABAergic neurotransmission.
高氨血症是肝性脑病患者认知功能障碍的主要原因。高氨血症引起的认知障碍是由神经炎症和海马谷氨酸能和氨基丁酸能神经传递的改变介导的。高氨血症增强海马gaba能神经传递,但神经炎症的作用尚不清楚。高氨血症大鼠小脑中S1PR2-BDNF-TrkB通路激活增强介导gaba能神经传递。在高氨血症大鼠海马中,IL-1β和Src激酶激活的增加改变了谷氨酸能神经传递。本研究的目的是评估神经炎症是否与高氨血症大鼠海马gaba能神经传递增强有关,并确定其潜在机制。我们使用对照和高氨血症雄性大鼠的离体海马切片,评估阻断S1PR2、IL-1受体、TrkB或抑制蛋白激酶Src或PI3K对谷氨酸脱羧酶和GABA含量的影响,以及对GABAA受体、GABA转运体和氯化物共转运体膜表达的影响。阻断S1PR2-IL-1β-Src-BDNF-TrkB-PI3K通路的任何一个步骤都可以逆转GABA转运体的膜表达减少,从而增加细胞外GABA,并且分析的大多数GABAA受体亚基的膜表达增加,这也增强了GABA能神经传递。这可能是通过增加gephyrin的含量和GABAA受体β3亚基的磷酸化来介导的。这一途径作为gabaergy神经传递增强的起源,为逆转高氨血症和肝性脑病的认知障碍提供了几个治疗靶点,也可能是与神经炎症和gabaergy神经传递增强相关的其他病理。
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引用次数: 0
Metal and metalloid exposure and cognitive function among copper mine workers: A three-year longitudinal study 铜矿工人的金属和类金属接触与认知功能:一项为期三年的纵向研究
IF 3.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-06 DOI: 10.1016/j.neuro.2025.103349
Narjes Soltani , Tabandeh Sadeghi , Majid Saadloo , Mohammad Reza Baneshi , Soghra Akbari Chermahini , Ali Shamsizade
Occupational exposure to heavy metals is increasingly recognized as a threat to neurological health. This three-year longitudinal study investigated the relationship between heavy metal exposure and cognitive performance among 69 copper miners and 74 non-miner controls. Blood concentrations of heavy metals were determined using atomic absorption spectrophotometry, while cognitive performance was assessed with standardized neuropsychological tests, including the Mini-Mental State Examination (MMSE), Symbol Digit Modalities Test (SDMT), Paced Auditory Serial Addition Test (PASAT), Psychomotor Vigilance Task (PVT), creativity measures, and the Beck Depression Inventory. The results demonstrated significantly higher blood levels of arsenic and lead in miners compared with controls, whereas copper levels showed no meaningful group difference. Elevated arsenic concentrations were strongly associated with reduced performance on the oral SDMT, reflecting impairments in information processing speed and working memory. Longitudinal analyses confirmed persistent group differences in neurocognitive outcomes, with age and education exerting notable modifying effects. Interestingly, miners consistently exhibited lower depression scores across the study period, despite greater exposure to toxic metals. These findings indicate that chronic occupational exposure to arsenic and lead contributes to subtle but measurable cognitive deficits in copper miners, particularly in domains of working memory and processing speed.
越来越多的人认识到职业性接触重金属是对神经系统健康的威胁。这项为期三年的纵向研究调查了69名铜矿工人和74名非矿工的重金属暴露与认知表现之间的关系。使用原子吸收分光光度法测定血液中重金属浓度,同时使用标准化的神经心理学测试评估认知能力,包括迷你精神状态检查(MMSE)、符号数字模态测试(SDMT)、节奏性听觉序列加法测试(PASAT)、精神运动警惕性任务(PVT)、创造力测量和贝克抑郁量表。结果显示,与对照组相比,矿工血液中砷和铅的含量明显较高,而铜的含量则没有明显的组间差异。砷浓度升高与口服SDMT的表现下降密切相关,反映了信息处理速度和工作记忆的损伤。纵向分析证实了神经认知结果的持续组差异,年龄和教育发挥了显着的调节作用。有趣的是,矿工在整个研究期间一直表现出较低的抑郁得分,尽管他们更多地接触有毒金属。这些发现表明,长期职业性接触砷和铅会导致铜矿工人的认知缺陷,尤其是在工作记忆和处理速度方面。
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Neurotoxicology
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