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Protective effects of human urinary kallidinogenase against corticospinal tract damage in acute ischemic stroke patients. 人尿凯利苷原酶对急性缺血性中风患者皮质脊髓束损伤的保护作用
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-05-08 Epub Date: 2024-03-12 DOI: 10.1097/WNR.0000000000002028
Peifang Li, Honglin Lu, Xiaoman Shi, Jiajia Yan, Lixia Zhou, Jipeng Yang, Binbin Wang, Yanying Zhao, Luji Liu, Yipu Zhu, Lei Xu, Xiaoli Yang, Xudong Su, Yi Yang, Tong Zhang, Li Guo, Xiaoyun Liu

This study aimed to assess the effects of human urinary kallidinogenase (HUK) on motor function outcome and corticospinal tract recovery in patients with acute ischemic stroke (AIS). This study was a randomized, controlled, single-blinded trial. Eighty AIS patients were split into two groups: the HUK and control groups. The HUK group was administered HUK and standard treatment, while the control group received standard treatment only. At admission and discharge, the National Institutes of Health Stroke Scale (NIHSS), Barthel Index (BI) and muscle strength were scored. The primary endpoint was the short-term outcomes of AIS patients under different treatments. The secondary endpoint was the degree of corticospinal tract fiber damage under different treatments. There was a significant improvement in the NIHSS Scale, BI and muscle strength scores in the HUK group compared with controls (Mann-Whitney U test; P  < 0.05). Diffusion tensor tractography classification and intracranial arterial stenosis were independent predictors of short-term recovery by linear regression analysis. The changes in fractional anisotropy (FA) and apparent diffusion coefficient (ADC) decline rate were significantly smaller in the HUK group than in the control group ( P <  0.05). Vascular endothelial growth factor (VEGF) increased significantly after HUK treatment ( P  < 0.05), and the VEGF change was negatively correlated with changes in ADC. HUK is beneficial for the outcome in AIS patients especially in motor function recovery. It may have protective effects on the corticospinal tract which is reflected by the reduction in the FA and ADC decline rates and increased VEGF expression. The study was registered on ClinicalTrials.gov (unique identifier: NCT04102956).

本研究旨在评估人尿凯利苷原酶(HUK)对急性缺血性脑卒中(AIS)患者运动功能预后和皮质脊髓束恢复的影响。该研究是一项随机对照单盲试验。80 名 AIS 患者被分为两组:HUK 组和对照组。HUK 组接受 HUK 和标准治疗,而对照组只接受标准治疗。入院和出院时,对美国国立卫生研究院卒中量表(NIHSS)、巴特尔指数(BI)和肌肉力量进行评分。主要终点是AIS患者在不同治疗方法下的短期疗效。次要终点是不同治疗方法对皮质脊髓束纤维的损伤程度。与对照组相比,HUK 组的 NIHSS 量表、BI 和肌力评分均有明显改善(Mann-Whitney U 检验;P<0.05)。
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引用次数: 0
The impact of physical exercise on hippocampal atrophy in mild cognitive impairment and Alzheimer's disease: a meta-analysis. 体育锻炼对轻度认知障碍和阿尔茨海默氏症患者海马体萎缩的影响:一项荟萃分析。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-12 DOI: 10.1097/wnr.0000000000002037
Gavin T Kress, Emily S Popa, David A Merrill, Jennifer E Bramen, Prabha Siddarth
Physical activity (PA) is a promising therapeutic for Alzheimer's disease (AD). Only a handful of meta-analyses have studied the impact of PA interventions on regional brain volumes, and none to date has solely included studies on effect of PA on regional brain volumes in individuals with cognitive impairment (CI). In this meta-analysis, we examined whether there is support for the hypothesis that PA interventions positively impact hippocampal volume (HV) in individuals with CI. We also assessed whether the level of CI [mild CI (MCI) vs. AD] impacted this relationship. We identified six controlled trials that met inclusion criteria. These included 236 participants with AD, MCI, or preclinical AD. Data were extracted and analyzed following Cochrane guidelines. We used a random-effects model to estimate the mean change in HV pre- and post-exercise intervention. Forest plots, Hedges' g funnel plots, and Egger's test were used to assess unbiasedness and visualize intervention effects, and Tau2, Cochran's Q, and I2 were calculated to assess heterogeneity. The primary analysis revealed a significant positive effect of PA on total HV. However, sub-group analyses indicated a significant preservation of HV only in individuals with MCI, but not in those with AD. Egger's test indicated no evidence of publication bias. Subgroup analyses also revealed significant heterogeneity only within the MCI cohort for the total and left HV. PA demonstrated a moderate, significant effect in preserving HV among individuals with MCI, but not AD, highlighting a therapeutic benefit, particularly in earlier disease stages.
体力活动(PA)是一种治疗阿尔茨海默病(AD)的有效方法。只有少数荟萃分析研究了体育锻炼干预对区域脑容量的影响,迄今为止还没有一项荟萃分析只研究了体育锻炼对认知障碍(CI)患者区域脑容量的影响。在这项荟萃分析中,我们研究了 PA 干预对 CI 患者海马体积(HV)产生积极影响的假设是否得到支持。我们还评估了 CI 的程度 [轻度 CI (MCI) vs. AD] 是否会影响这种关系。我们确定了六项符合纳入标准的对照试验。其中包括 236 名患有注意力缺失症、MCI 或临床前注意力缺失症的参与者。我们按照 Cochrane 指南对数据进行了提取和分析。我们使用随机效应模型来估算运动干预前后 HV 的平均变化。森林图、Hedges'g 漏斗图和 Egger's 检验用于评估无偏性和可视化干预效果,Tau2、Cochran's Q 和 I2 用于评估异质性。主要分析显示,PA 对总 HV 有明显的积极影响。然而,亚组分析表明,只有 MCI 患者的 HV 有明显的保护作用,而 AD 患者则没有。Egger检验表明没有证据表明存在发表偏倚。亚组分析还显示,只有在MCI队列中,总HV和左侧HV存在显著异质性。PA在保护MCI患者的HV方面具有中等程度的显着效果,但在AD患者中却不明显,这凸显了其治疗效果,尤其是在疾病的早期阶段。
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引用次数: 0
The polysaccharides from Balanophora polyandra enhanced neuronal autophagy to ameliorate brain function decline in natural aging mice through the PI3K/AKT/mTOR signaling pathway. Balanophora polyandra多糖通过PI3K/AKT/mTOR信号通路增强神经元自噬,从而改善自然衰老小鼠的脑功能衰退。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-10 DOI: 10.1097/wnr.0000000000002024
Wenyan Zhong, Jingjing Chen, Yumin He, Li Xiao, Chengfu Yuan
The decline of aging brain neurons is the main cause of various neurodegenerative disease. This study aimed to examine the impact of Balanophora polyandra polysaccharides (BPP) against aging related neuronal deterioration. C57BL/6 mice were fed with regular feed for 27 months to establish a natural aging mouse model. From 3 months of age, mice in the drug-treated group were respectively fed with feed containing 0.05 or 0.18% BPP until 27 months of age. The effects of BPP treatment on the pathological changes of neurons in mice brain were evaluated, as well as autophagy-related and signaling pathway proteins. BPP treatment had a notable positive impact on the pathological injury of cortical and hippocampal neurons, alleviated neuronal degeneration, and enhanced the staining of Nissl bodies in natural aging mice. Furthermore, BPP upregulated autophagy-related proteins LC3 II/I, Parkin, and PINK1 in the cortex and hippocampus of aging mice, and significantly decreased the expression of p62, PI3K, p-protein Kinase B (AKT), and p-mTOR. Immunofluorescence results showed a reduction in the brightness of LC3, which mainly coexpressed with NeuN in natural aging mice brain, and increased LC3-positive neurons were observed after BPP treatment. Collectively, BPP treatment enhanced neuronal autophagy to improve brain functional degradation through the PI3K/AKT/mTOR signaling in natural aging mice. These finding suggested that BPP has potential to mitigate or delay the neurodegeneration associated with aging and further investigation was needed to validate its efficacy in elderly populations.
大脑神经元衰退是各种神经退行性疾病的主要原因。本研究旨在探讨巴兰多糖(BPP)对衰老相关神经元退化的影响。用常规饲料喂养 C57BL/6 小鼠 27 个月,以建立自然衰老小鼠模型。从 3 个月大开始,药物治疗组的小鼠分别用含 0.05% 或 0.18% BPP 的饲料喂养至 27 个月大。评估了 BPP 治疗对小鼠大脑神经元病理变化的影响,以及自噬相关蛋白和信号通路蛋白的影响。BPP治疗对自然衰老小鼠大脑皮层和海马神经元的病理损伤有显著的积极影响,缓解了神经元变性,增强了Nissl体的染色。此外,BPP还能上调衰老小鼠皮层和海马中的自噬相关蛋白LC3 II/I、Parkin和PINK1,并显著降低p62、PI3K、p-蛋白激酶B(AKT)和p-mTOR的表达。免疫荧光结果显示,自然衰老小鼠脑中主要与NeuN共表达的LC3亮度降低,而BPP治疗后观察到LC3阳性神经元增加。总之,BPP治疗可通过PI3K/AKT/mTOR信号转导增强神经元自噬,从而改善自然衰老小鼠的脑功能退化。这些发现表明,BPP 有可能减轻或延缓与衰老相关的神经退行性病变,但还需要进一步研究以验证其在老年人群中的疗效。
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引用次数: 0
ADAMTS13 deficiency exacerbates neuroinflammation by targeting matrix metalloproteinase-9 in ischemic brain injury. 缺血性脑损伤中,ADAMTS13的缺乏会通过靶向基质金属蛋白酶-9加剧神经炎症。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-10 DOI: 10.1097/wnr.0000000000002017
Hongxiang Jiang, Juntao Hu, Peidong He, Yu Wu, Fei Li, Qianxue Chen
Our design aimed to explore the potential involvement of matrix metalloproteinase-9 (MMP-9) in the inflammatory response associated with acute ischemic stroke (AIS). We also aimed to preliminarily examine the potential impact of a disintegrin-like and metalloprotease with thrombospondin type I repeats-13 (ADAMTS13) on MMP-9 in AIS. We conducted oxygen-glucose deprivation models of microglia cells and mice models of AIS with middle cerebral artery occlusion (MCAO). We assessed the expression pattern of MMP-9 with western blotting (WB) and real-time quantitative PCR both in vivo and in vitro. MMP-9 downregulation was achieved by using ACE inhibitors such as trandolapril. For the MCAO model, we used ADAMTS13-deficient mice. We then evaluated the related neurological function scores, cerebral edema and infarct volume. The levels of inflammation-related proteins, such as COX2 and iNOS, were assessed using WB, and the expression of inflammatory cytokines was measured via enzyme-linked immuno sorbent assay in vivo. Our findings indicated that MMP-9 was up-regulated while ADAMTS13 was down-regulated in the MCAO model. Knockdown of MMP-9 reduced both inflammation and ischemic brain injury. ADAMTS13 prevented brain damage, improved neurological function and decreased the inflammation response in mice AIS models. Additionally, ADAMTS13 alleviated MMP-9-induced neuroinflammation in vivo. It showed that ADAMTS13 deficiency exacerbated ischemic brain injury through an MMP-9-dependent inflammatory mechanism. Therefore, the ADAMTS13-MMP-9 axis could have therapeutic potential for the treatment of AIS.
我们的设计旨在探索基质金属蛋白酶-9(MMP-9)可能参与急性缺血性中风(AIS)相关炎症反应的情况。我们还旨在初步研究具有血栓疏松素 I 型重复序列的崩解素样金属蛋白酶-13(ADAMTS13)对 AIS 中 MMP-9 的潜在影响。我们建立了小胶质细胞缺氧-葡萄糖模型和大脑中动脉闭塞(MCAO)的 AIS 小鼠模型。我们用 Western 印迹(WB)和实时定量 PCR 评估了体内和体外 MMP-9 的表达模式。MMP-9的下调是通过使用ACE抑制剂(如曲妥普利)实现的。在 MCAO 模型中,我们使用了 ADAMTS13 缺陷小鼠。然后,我们评估了相关的神经功能评分、脑水肿和梗死体积。我们使用 WB 评估了 COX2 和 iNOS 等炎症相关蛋白的水平,并通过酶联免疫吸附试验测定了体内炎症细胞因子的表达。我们的研究结果表明,在 MCAO 模型中,MMP-9 上调,而 ADAMTS13 下调。抑制MMP-9可减少炎症和缺血性脑损伤。在小鼠 AIS 模型中,ADAMTS13 可预防脑损伤、改善神经功能并减少炎症反应。此外,ADAMTS13还能减轻MMP-9诱导的体内神经炎症。研究表明,ADAMTS13 缺乏会通过 MMP-9 依赖性炎症机制加剧缺血性脑损伤。因此,ADAMTS13-MMP-9轴可能具有治疗AIS的潜力。
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引用次数: 0
The association between glymphatic system dysfunction and alterations in cerebral function and structure in patients with white matter hyperintensities. 脑白质增生症患者的淋巴系统功能障碍与大脑功能和结构改变之间的关联。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-10 DOI: 10.1097/wnr.0000000000002031
Zhang Zhi, Xiao Liang, Muhua Huang, Lin Wu, Fuqing Zhou
The objective of this study is to explore the relationship between the glymphatic system and alterations in the structure and function of the brain in white matter hyperintensity (WMH) patients. MRI data were collected from 27 WMH patients and 23 healthy controls. We calculated the along perivascular space (ALPS) indices, the anterior corner distance of the lateral ventricle, and the width of the third ventricle for each subject. The DPABISurf tool was used to calculate the cortical thickness and cortical area. In addition, data processing assistant for resting-state fMRI was used to calculate regional homogeneity, degree centrality, amplitude low-frequency fluctuation (ALFF), fractional amplitude of low-frequency fluctuation (fALFF), and voxel-mirrored homotopic connectivity (VMHC). In addition, each WMH patient was evaluated on the Fazekas scale. Finally, the correlation analysis of structural indicators and functional indicators with bilateral ALPS indices was investigated using Spearman correlation analysis. The ALPS indices of WMH patients were lower than those of healthy controls (left: t = -4.949, P < 0.001; right: t = -3.840, P < 0.001). This study found that ALFF, fALFF, regional homogeneity, degree centrality, and VMHC values in some brain regions of WMH patients were alternated (AlphaSim corrected, P < 0.005, cluster size > 26 voxel, rmm value = 5), and the cortical thickness and cortical area of WMH patients showed trend changes (P < 0.01, cluster size > 20 mm2, uncorrected). Interestingly, we found significantly positive correlations between the left ALPS indices and degree centrality values in the superior temporal gyrus (r = 0.494, P = 0.009, P × 5 < 0.05, Bonferroni correction). Our results suggest that glymphatic system impairment is related to the functional centrality of local connections in patients with WMH. This provides a new perspective for understanding the pathological mechanisms of cognitive impairment in the WMH population.
本研究的目的是探讨脑白质高密度症(WMH)患者的甘油系统与大脑结构和功能改变之间的关系。研究收集了 27 名 WMH 患者和 23 名健康对照者的磁共振成像数据。我们计算了每个受试者的沿血管周围空间(ALPS)指数、侧脑室前角距离和第三脑室宽度。我们使用 DPABISurf 工具计算皮质厚度和皮质面积。此外,还使用静息态 fMRI 数据处理助手计算区域同质性、度中心性、低频波动幅度(ALFF)、低频波动分数幅度(fALFF)和体素镜像同位连接性(VMHC)。此外,还对每位 WMH 患者进行了法泽卡斯量表评估。最后,利用斯皮尔曼相关分析法研究了结构指标和功能指标与双侧 ALPS 指数的相关性分析。WMH患者的ALPS指数低于健康对照组(左侧:t = -4.949,P < 0.001;右侧:t = -3.840,P < 0.001)。本研究发现,WMH患者部分脑区的ALFF、fALFF、区域同质性、度中心性和VMHC值呈交替变化(AlphaSim校正,P < 0.005,聚类大小> 26体素,rmm值=5),WMH患者的皮层厚度和皮层面积呈趋势性变化(P <0.01,聚类大小> 20平方毫米,未校正)。有趣的是,我们发现左侧 ALPS 指数与颞上回的度中心性值之间存在明显的正相关(r = 0.494,P = 0.009,P × 5 < 0.05,Bonferroni 校正)。我们的研究结果表明,WMH 患者的脑 glymphatic 系统损伤与局部连接的功能中心性有关。这为了解 WMH 患者认知功能障碍的病理机制提供了一个新的视角。
{"title":"The association between glymphatic system dysfunction and alterations in cerebral function and structure in patients with white matter hyperintensities.","authors":"Zhang Zhi, Xiao Liang, Muhua Huang, Lin Wu, Fuqing Zhou","doi":"10.1097/wnr.0000000000002031","DOIUrl":"https://doi.org/10.1097/wnr.0000000000002031","url":null,"abstract":"The objective of this study is to explore the relationship between the glymphatic system and alterations in the structure and function of the brain in white matter hyperintensity (WMH) patients. MRI data were collected from 27 WMH patients and 23 healthy controls. We calculated the along perivascular space (ALPS) indices, the anterior corner distance of the lateral ventricle, and the width of the third ventricle for each subject. The DPABISurf tool was used to calculate the cortical thickness and cortical area. In addition, data processing assistant for resting-state fMRI was used to calculate regional homogeneity, degree centrality, amplitude low-frequency fluctuation (ALFF), fractional amplitude of low-frequency fluctuation (fALFF), and voxel-mirrored homotopic connectivity (VMHC). In addition, each WMH patient was evaluated on the Fazekas scale. Finally, the correlation analysis of structural indicators and functional indicators with bilateral ALPS indices was investigated using Spearman correlation analysis. The ALPS indices of WMH patients were lower than those of healthy controls (left: t = -4.949, P &lt; 0.001; right: t = -3.840, P &lt; 0.001). This study found that ALFF, fALFF, regional homogeneity, degree centrality, and VMHC values in some brain regions of WMH patients were alternated (AlphaSim corrected, P &lt; 0.005, cluster size &gt; 26 voxel, rmm value = 5), and the cortical thickness and cortical area of WMH patients showed trend changes (P &lt; 0.01, cluster size &gt; 20 mm2, uncorrected). Interestingly, we found significantly positive correlations between the left ALPS indices and degree centrality values in the superior temporal gyrus (r = 0.494, P = 0.009, P × 5 &lt; 0.05, Bonferroni correction). Our results suggest that glymphatic system impairment is related to the functional centrality of local connections in patients with WMH. This provides a new perspective for understanding the pathological mechanisms of cognitive impairment in the WMH population.","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":"102 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140597650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Altered expression of transfer RNAs and their possible roles in brain white matter injury. 转移核糖核酸表达的改变及其在脑白质损伤中可能发挥的作用。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-08 DOI: 10.1097/wnr.0000000000002036
Lingyi Huang, Ding Bai, Xiaojuan Su
Transfer RNAs (tRNAs) can regulate cell behavior and are associated with neurological disorders. Here, we aimed to investigate the expression levels of tRNAs in oligodendrocyte precursor cells (OPCs) and their possible roles in the regulation of brain white matter injury (WMI). Newborn Sprague-Dawley rats (postnatal day 5) were used to establish a model that mimicked neonatal brain WMI. RNA-array analysis was performed to examine the expression of tRNAs in OPCs. psRNAtarget software was used to predict target mRNAs of significantly altered tRNAs. Gene ontology (GO) and KEGG were used to analyze the pathways for target mRNAs. Eighty-nine tRNAs were changed after WMI (fold change absolute ≥1.5, P < 0.01), with 31 downregulated and 58 upregulated. Among them, three significantly changed tRNAs were identified, with two being significantly increased (chr10.trna1314-ProTGG and chr2.trna2771-ProAGG) and one significantly decreased (chr10.trna11264-GlyTCC). Further, target mRNA prediction and GO/KEGG pathway analysis indicated that the target mRNAs of these tRNAs are mainly involved in G-protein coupled receptor signaling pathways and beta-alanine metabolism, which are both related to myelin formation. In summary, the expression of tRNAs in OPCs was significantly altered after brain WMI, suggesting that tRNAs may play important roles in regulating WMI. This improves the knowledge about WMI pathophysiology and may provide novel treatment targets for WMI.
转运核糖核酸(tRNA)可调控细胞行为,并与神经系统疾病相关。在此,我们旨在研究少突胶质细胞前体细胞(OPCs)中 tRNAs 的表达水平及其在调节脑白质损伤(WMI)中可能发挥的作用。研究人员利用新生 Sprague-Dawley 大鼠(出生后第 5 天)建立了一个模拟新生儿脑白质损伤的模型。使用 psRNAtarget 软件预测显著改变的 tRNA 的靶 mRNA。基因本体(GO)和 KEGG 被用来分析靶 mRNA 的通路。WMI后有89个tRNA发生了变化(绝对变化倍数≥1.5,P <0.01),其中31个下调,58个上调。其中,发现了3个发生明显变化的tRNA,2个明显增加(chr10.trna1314-ProTGG和chr2.trna2771-ProAGG),1个明显减少(chr10.trna11264-GlyTCC)。进一步的靶 mRNA 预测和 GO/KEGG 通路分析表明,这些 tRNA 的靶 mRNA 主要参与 G 蛋白偶联受体信号通路和 β-丙氨酸代谢,而这两个通路都与髓鞘的形成有关。综上所述,tRNAs在OPCs中的表达在脑WMI后发生了显著变化,表明tRNAs可能在调控WMI中发挥重要作用。这增进了人们对 WMI 病理生理学的了解,并可能为 WMI 提供新的治疗靶点。
{"title":"Altered expression of transfer RNAs and their possible roles in brain white matter injury.","authors":"Lingyi Huang, Ding Bai, Xiaojuan Su","doi":"10.1097/wnr.0000000000002036","DOIUrl":"https://doi.org/10.1097/wnr.0000000000002036","url":null,"abstract":"Transfer RNAs (tRNAs) can regulate cell behavior and are associated with neurological disorders. Here, we aimed to investigate the expression levels of tRNAs in oligodendrocyte precursor cells (OPCs) and their possible roles in the regulation of brain white matter injury (WMI). Newborn Sprague-Dawley rats (postnatal day 5) were used to establish a model that mimicked neonatal brain WMI. RNA-array analysis was performed to examine the expression of tRNAs in OPCs. psRNAtarget software was used to predict target mRNAs of significantly altered tRNAs. Gene ontology (GO) and KEGG were used to analyze the pathways for target mRNAs. Eighty-nine tRNAs were changed after WMI (fold change absolute ≥1.5, P &lt; 0.01), with 31 downregulated and 58 upregulated. Among them, three significantly changed tRNAs were identified, with two being significantly increased (chr10.trna1314-ProTGG and chr2.trna2771-ProAGG) and one significantly decreased (chr10.trna11264-GlyTCC). Further, target mRNA prediction and GO/KEGG pathway analysis indicated that the target mRNAs of these tRNAs are mainly involved in G-protein coupled receptor signaling pathways and beta-alanine metabolism, which are both related to myelin formation. In summary, the expression of tRNAs in OPCs was significantly altered after brain WMI, suggesting that tRNAs may play important roles in regulating WMI. This improves the knowledge about WMI pathophysiology and may provide novel treatment targets for WMI.","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":"69 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140597780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Differential changes in Wnt7 and Dkk1 levels in astrocytes exposed to glutamate or TNFα. 暴露于谷氨酸或 TNFα 的星形胶质细胞中 Wnt7 和 Dkk1 水平的差异变化。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-08 DOI: 10.1097/wnr.0000000000002038
Lizbeth García-Velázquez, Reem Alobayan, Denisse Morales-Moreno, Evangelina Ávila-Muñoz, Clorinda Arias
Wnt signaling plays an important role in adult brain function, and its dysregulation has been implicated in the loss of neuronal homeostasis. Despite the existence of many studies on the participation of the Wnt pathway in adult neurons, its regulation in astrocytes has been scarcely explored. Several reports point to the presence of Wnt ligands in astrocytes and their possible impact on neuronal plasticity or neuronal death. We aimed to analyze the effect of the neurotransmitter glutamate and the inflammatory cytokine TNFα on the mRNA and protein levels of the canonical Wnt agonist Wnt7a and the antagonist Dkk1 in cultured astrocytes. Primary astrocyte cultures from rat cerebral cortices were exposed to glutamate or TNFα. Wnt7a and Dkk1 expression was analyzed by RT-qPCR and its protein abundance and distribution was assessed by immunofluorescence. We found high basal expression and protein levels of Wnt7a and Dkk1 in unstimulated astrocytes and overproduction of Dkk1 mRNA induced by the two stimuli. These results reveal the astrocytic source of the canonical Wnt ligands Wnt7a and Dkk1, whose levels are differentially regulated by glutamate and TNFα. Astrocytes are a significant source of Wnt ligands, the production of which can be differentially regulated under excitatory or proinflammatory conditions, thereby impacting neuronal function.
Wnt 信号在成人大脑功能中发挥着重要作用,其失调与神经元失去平衡有关。尽管已有许多关于 Wnt 通路参与成人神经元的研究,但对其在星形胶质细胞中的调控却鲜有探讨。一些报道指出星形胶质细胞中存在 Wnt 配体,它们可能对神经元的可塑性或神经元的死亡产生影响。我们的目的是分析神经递质谷氨酸和炎症细胞因子 TNFα 对培养的星形胶质细胞中典型 Wnt 激动剂 Wnt7a 和拮抗剂 Dkk1 的 mRNA 和蛋白质水平的影响。大鼠大脑皮层的原代星形胶质细胞培养物暴露于谷氨酸或 TNFα。通过 RT-qPCR 分析 Wnt7a 和 Dkk1 的表达,并通过免疫荧光评估其蛋白丰度和分布。我们发现,在未受刺激的星形胶质细胞中,Wnt7a 和 Dkk1 的基础表达量和蛋白水平都很高,而在这两种刺激的诱导下,Dkk1 mRNA 的表达量过高。这些结果揭示了典型Wnt配体Wnt7a和Dkk1的星形胶质细胞来源,它们的水平受谷氨酸和TNFα的不同调节。星形胶质细胞是Wnt配体的重要来源,其产生可在兴奋或促炎条件下受到不同程度的调节,从而影响神经元的功能。
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引用次数: 0
Electroacupuncture reduces oxidative stress response and improves secondary injury of intracerebral hemorrhage in rats by activating the peroxisome proliferator-activated receptor-γ/nuclear factor erythroid2-related factor 2/γ-glutamylcysteine synthetase pathway. 电针通过激活过氧化物酶体增殖物激活受体-γ/核因子红细胞2相关因子2/γ-谷氨酰半胱氨酸合成酶途径,降低氧化应激反应,改善大鼠脑出血继发性损伤。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-08 DOI: 10.1097/wnr.0000000000002026
Weigang Luo, Wei Bu, Hequn Chen, Wanhu Liu, Xudong Lu, Guisong Zhang, Cuicui Liu, Xiaohui Li, Huiling Ren
Intracerebral hemorrhage (ICH) is a severe stroke subtype. Secondary injury is a key factor leading to neurological deficits after ICH. Electroacupuncture (EA) can improve the neurological function after ICH, however, its internal mechanism is still unclear. The aim of this study is to investigate whether EA could ameliorate secondary injury after ICH through antioxidative stress and its potential regulatory mechanism. A rat model of ICH was established by injecting autologous blood into striatum. After the intervention of EA and EA combined with peroxisome proliferator-activated receptor-γ (PPARγ) blocker, Zea-longa scores, modified neurological severity scores and open field tests were used to evaluate the neurological function of the rats. Flow cytometry detected tissue reactive oxygen species (ROS) levels. Tissue tumor necrosis factor-α (TNF-α) levels were analyzed by enzyme-linked immunosorbent assays. The protein expressions of PPAR γ, nuclear factor erythroid2-related factor 2 (Nrf2) and γ-glutamylcysteine synthetase (γ-GCS) were detected by Western blot. Immunohistochemistry was used to observe the activation of microglia. The demyelination degree of axon myelin was observed by transmission electron microscope. Compared with the model group, EA intervention improved neurological function, decreased ROS and TNF-α levels, increased the protein expression of PPARγ, Nrf2 and γ-GCS, and reduced the activation of microglia, it also alleviated axonal myelin sheath damage. In addition, the neuroprotective effect of EA was partially attenuated by PPARγ blocker. EA ameliorated the neurological function of secondary injury after ICH in rats, possibly by activating the PPARγ/Nrf2/γ-GCS signaling pathway, reducing microglia activation, and inhibiting oxidative stress, thus alleviating the extent of axonal demyelination plays a role.
脑出血(ICH)是一种严重的中风亚型。继发性损伤是导致 ICH 后神经功能缺损的关键因素。电针(EA)可以改善 ICH 后的神经功能,但其内在机制尚不清楚。本研究旨在探讨电针能否通过抗氧化应激改善 ICH 后的继发性损伤及其潜在的调节机制。通过向大鼠纹状体注射自体血,建立了大鼠 ICH 模型。EA和EA联合过氧化物酶体增殖激活受体-γ(PPARγ)阻断剂干预后,Zea-longa评分、改良神经系统严重程度评分和野外开放试验用于评估大鼠的神经功能。流式细胞术检测组织活性氧(ROS)水平。组织肿瘤坏死因子-α(TNF-α)水平通过酶联免疫吸附试验进行分析。用 Western 印迹法检测 PPAR γ、核因子红细胞相关因子 2(Nrf2)和γ-谷氨酰半胱氨酸合成酶(γ-GCS)的蛋白表达。免疫组化用于观察小胶质细胞的活化。透射电子显微镜观察轴突髓鞘的脱髓鞘程度。与模型组相比,EA干预改善了神经功能,降低了ROS和TNF-α水平,增加了PPARγ、Nrf2和γ-GCS的蛋白表达,降低了小胶质细胞的活化,还减轻了轴突髓鞘的损伤。此外,PPARγ阻断剂可部分减弱EA的神经保护作用。EA能改善大鼠ICH后继发性损伤的神经功能,可能是通过激活PPARγ/Nrf2/γ-GCS信号通路、减少小胶质细胞活化和抑制氧化应激,从而减轻轴突脱髓鞘的程度发挥了作用。
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引用次数: 0
Emodin relieves morphine-stimulated BV2 microglial activation and inflammation through the TLR4/NF-κB/NLRP3 pathway. 大黄素通过TLR4/NF-κB/NLRP3途径缓解吗啡刺激的BV2微神经胶质细胞活化和炎症。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-08 DOI: 10.1097/wnr.0000000000002034
Shimei Li, Songjiang Tang, Lina Dai, Zhonglu Jian, Xi Li
The objective of this study is to disclose the role of emodin, a natural anthraquinone derivative that has been proposed to suppress microglial activation and inflammation, in morphine tolerance. Here, cell counting kit-8 method assayed the viability of BV2 microglial cells treated by ascending concentrations of emodin. In emodin-pretreated BV2 microglial cells challenged with morphine with or without transfection of toll-like receptor 4 (TLR4) overexpression plasmids, transwell assay measured cell migration. Immunofluorescence staining and western blot detected the expression of microglial markers. Inflammatory levels were subjected to ELISA and western blot. BODIPY 581/591 C11 assay estimated lipid reactive oxygen species activity. Iron assay kit examined total iron content. Western blot tested the expression of ferroptosis- and TLR4/nuclear factor-kappaB (NF-κB)/NOD-like receptor 3 (NLRP3) pathway-associated proteins. Molecular docking predicted the binding affinity of emodin to TLR4. Emodin was noted to obstruct the migration, activation, inflammatory response, and ferroptosis of BV2 microglial cells induced by morphine. In addition, emodin had a high binding affinity with TLR4 and inactivated TLR4/NF-κB/NLRP3 pathway in morphine-challenged BV2 microglial cells. Upregulation of TLR4 partially countervailed the protective role of emodin against morphine-elicited BV2 microglial cell migration, activation, inflammation, and ferroptosis. Accordingly, emodin might target TLR4 and act as an inactivator of TLR4/NF-κB/NLRP3 pathway, thus inhibiting BV2 microglial activation and inflammation to mitigate morphine tolerance.
大黄素是一种天然蒽醌衍生物,被认为可以抑制小胶质细胞的活化和炎症反应,本研究旨在揭示大黄素在吗啡耐受中的作用。在这里,细胞计数试剂盒-8 法检测了经浓度递增的大黄素处理的 BV2 小神经胶质细胞的活力。在大黄素预处理的 BV2 小神经胶质细胞中,在转染或不转染 TLR4(toll-like receptor 4)过表达质粒的情况下,用吗啡挑战 BV2 小神经胶质细胞。免疫荧光染色和 Western 印迹检测了小胶质细胞标记物的表达。炎症水平通过 ELISA 和 Western 印迹检测。BODIPY 581/591 C11 检测估计了脂质活性氧的活性。铁测定试剂盒检测总铁含量。Western 印迹检测了铁变态反应和 TLR4/核因子-卡巴 (NF-κB)/NOD 样受体 3 (NLRP3) 通路相关蛋白的表达。分子对接预测了大黄素与 TLR4 的结合亲和力。研究发现,大黄素能阻碍吗啡诱导的 BV2 小神经胶质细胞的迁移、活化、炎症反应和铁突变。此外,大黄素与 TLR4 有很高的结合亲和力,能使吗啡挑战的 BV2 小神经胶质细胞中的 TLR4/NF-κB/NLRP3 通路失活。TLR4的上调部分抵消了大黄素对吗啡诱导的BV2小胶质细胞迁移、活化、炎症和铁突变的保护作用。因此,大黄素可能以TLR4为靶点,作为TLR4/NF-κB/NLRP3通路的失活剂,从而抑制BV2小胶质细胞的活化和炎症,减轻吗啡耐受性。
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引用次数: 0
Progesterone induces neuroprotection associated with immune/inflammatory modulation in experimental traumatic brain injury. 黄体酮在实验性脑外伤中诱导与免疫/炎症调节相关的神经保护。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-04-03 Epub Date: 2024-02-29 DOI: 10.1097/WNR.0000000000002013
Ziwei Zhou, Yadan Li, Ruilong Peng, Mingming Shi, Weiwei Gao, Ping Lei, Jianning Zhang

An imbalance of immune/inflammatory reactions aggravates secondary brain injury after traumatic brain injury (TBI) and can deteriorate clinical prognosis. So far, not enough therapeutic avenues have been found to prevent such an imbalance in the clinical setting. Progesterone has been shown to regulate immune/inflammatory reactions in many diseases and conveys a potential protective role in TBI. This study was designed to investigate the neuroprotective effects of progesterone associated with immune/inflammatory modulation in experimental TBI. A TBI model in adult male C57BL/6J mice was created using a controlled contusion instrument. After injury, the mice received consecutive progesterone therapy (8 mg/kg per day, i.p.) until euthanized. Neurological deficits were assessed via Morris water maze test. Brain edema was measured via the dry-wet weight method. Immunohistochemical staining and flow cytometry were used to examine the numbers of immune/inflammatory cells, including IBA-1 + microglia, myeloperoxidase + neutrophils, and regulatory T cells (Tregs). ELISA was used to detect the concentrations of IL-1β, TNF-α, IL-10, and TGF-β. Our data showed that progesterone therapy significantly improved neurological deficits and brain edema in experimental TBI, remarkably increased regulatory T cell numbers in the spleen, and dramatically reduced the activation and infiltration of inflammatory cells (microglia and neutrophils) in injured brain tissue. In addition, progesterone therapy decreased the expression of the pro-inflammatory cytokines IL-1β and TNF-α but increased the expression of the anti-inflammatory cytokine IL-10 after TBI. These findings suggest that progesterone administration could be used to regulate immune/inflammatory reactions and improve outcomes in TBI.

免疫/炎症反应失衡会加重创伤性脑损伤(TBI)后的继发性脑损伤,并可能恶化临床预后。迄今为止,临床上还没有找到足够的治疗途径来防止这种失衡。孕酮已被证明可调节多种疾病的免疫/炎症反应,并在创伤性脑损伤中发挥潜在的保护作用。本研究旨在探讨孕酮在实验性创伤性脑损伤中与免疫/炎症调节相关的神经保护作用。研究人员使用可控挫伤器在成年雄性 C57BL/6J 小鼠中建立了创伤性脑损伤模型。受伤后,小鼠连续接受黄体酮治疗(每天 8 毫克/千克,静脉注射)直至安乐死。通过莫里斯水迷宫试验评估神经功能缺损情况。脑水肿通过干湿重量法进行测量。免疫组化染色和流式细胞术用于检测免疫/炎症细胞的数量,包括IBA-1+小胶质细胞、髓过氧化物酶+中性粒细胞和调节性T细胞(Tregs)。ELISA 用于检测 IL-1β、TNF-α、IL-10 和 TGF-β 的浓度。我们的数据显示,黄体酮疗法能明显改善实验性创伤性脑损伤的神经功能缺损和脑水肿,显著增加脾脏中调节性T细胞的数量,并显著减少损伤脑组织中炎症细胞(小胶质细胞和中性粒细胞)的活化和浸润。此外,黄体酮疗法降低了创伤性脑损伤后促炎细胞因子 IL-1β 和 TNF-α 的表达,但增加了抗炎细胞因子 IL-10 的表达。这些研究结果表明,服用黄体酮可用于调节免疫/炎症反应,改善创伤性脑损伤的预后。
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引用次数: 0
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Neuroreport
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