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Tenuigenin ameliorates Alzheimer's disease by targeting MAP2K1: integrated evidence from network pharmacology and experimental validation. Tenuigenin通过靶向MAP2K1改善阿尔茨海默病:来自网络药理学和实验验证的综合证据
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-02-04 Epub Date: 2025-12-23 DOI: 10.1097/WNR.0000000000002239
Chunyu Fu, Yuna Kan, Kedong Guo, Liyan Jiang, Yingbo Zhang, Haiying Dong, Jiaming Xie

Objective: Alzheimer's disease (AD) is a prevalent neurodegenerative disorder primarily characterized by progressive cognitive impairment and synaptic dysfunction. Despite substantial research efforts, effective therapeutic options remain limited. Tenuigenin (TEN), a principal bioactive constituent isolated from the traditional Chinese medicinal herb Polygala tenuifolia, has demonstrated promising neuroprotective effects.

Methods: This study adopted a comprehensive multitiered approach, combining network pharmacology, machine learning, molecular modeling, and in-vitro experiments, to elucidate the therapeutic targets and mechanisms of TEN in AD. Computational analyses identified mitogen-activated protein kinase kinase 1 (MAP2K1) as a critical target, mediating the effects of TEN. Gene set enrichment analysis indicated that TEN could activate the 26S proteasome pathway, promoting the degradation of neurotoxic proteins, such as amyloid-β (Aβ), thereby reducing their pathological accumulation.

Results: Immune infiltration analysis further revealed that TEN could modulate the distribution of activated natural killer cells and M0 macrophages, playing a role in restoring immune balance in the AD microenvironment. Molecular docking and dynamics simulations demonstrated strong binding affinity and structural compatibility between TEN and MAP2K1. Experimental validation using Aβ-treated SH-SY5Y cells indicated that TEN significantly enhanced cell viability and suppressed MAP2K1 protein expression.

Conclusion: In conclusion, this study provided the first integrated evidence that TEN exerts neuroprotective effects in AD by targeting MAP2K1. These findings highlight the multitarget, multipathway therapeutic potential of TEN and support its development as a natural agent for AD prevention and treatment.

目的:阿尔茨海默病(AD)是一种常见的神经退行性疾病,主要特征是进行性认知障碍和突触功能障碍。尽管进行了大量的研究,但有效的治疗选择仍然有限。Tenuigenin (TEN)是从传统中药tenuifolia中分离出来的主要生物活性成分,具有良好的神经保护作用。方法:采用网络药理学、机器学习、分子模型和体外实验相结合的综合多层方法,阐明TEN治疗AD的靶点和机制。计算分析发现,丝裂原活化蛋白激酶激酶1 (MAP2K1)是介导TEN效应的关键靶点。基因集富集分析表明,TEN可以激活26S蛋白酶体通路,促进淀粉样蛋白-β (Aβ)等神经毒性蛋白的降解,从而减少其病理积累。结果:免疫浸润分析进一步揭示TEN可调节活化的自然杀伤细胞和M0巨噬细胞的分布,在AD微环境中发挥恢复免疫平衡的作用。分子对接和动力学模拟表明TEN和MAP2K1具有很强的结合亲和力和结构相容性。经a β处理的SH-SY5Y细胞实验验证表明,TEN可显著提高细胞活力,抑制MAP2K1蛋白表达。结论:本研究首次提供了TEN通过靶向MAP2K1在AD中发挥神经保护作用的综合证据。这些发现突出了TEN的多靶点、多途径治疗潜力,并支持其作为预防和治疗AD的天然药物的发展。
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引用次数: 0
Docosahexaenoic acid modulates microglial autophagy via miR-589-5p/toll-like receptor 4 axis in Alzheimer's disease. 二十二碳六烯酸通过miR-589-5p/toll样受体4轴调节阿尔茨海默病的小胶质细胞自噬。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-02-04 Epub Date: 2025-12-23 DOI: 10.1097/WNR.0000000000002236
Xiao-Hui Hu, Qi Jin, Jia-Li Xie, Chun-Ling Wu, Jian-Ping Pan

Objective: To investigate the neuroprotective mechanism by which docosahexaenoic acid (DHA) promotes microglial autophagy via the miR-589-5p/toll-like receptor 4 (TLR4) axis in Alzheimer's disease.

Methods: In vitro, BV2 microglial cells were treated with Aβ25-35 to establish an Alzheimer's disease model and subjected to DHA treatment with or without miR-589-5p inhibition and TLR4 overexpression. Cytotoxic effects were assessed by methylthiazolyldiphenyl-tetrazolium bromide assays. Autophagy markers (LC3-II/I ratio, Beclin1, and p62) were evaluated by Western blot and immunofluorescence. The miR-589-5p/TLR4 interaction was assessed using dual luciferase assays. For clinical validation, peripheral blood samples from healthy controls, patients with mild Alzheimer's disease, and patients with severe Alzheimer's disease (n = 30 each) were analyzed for miR-589-5p and TLR4 mRNA expression via quantitative reverse transcription PCR (qRT-PCR).

Results: In cellular assays, DHA significantly enhanced autophagy by increasing the LC3-II/I ratio and Beclin1 expression while decreasing p62 levels (P < 0.05). Mechanistic validation showed that miR-589-5p inhibition abolished DHA's autophagy-promoting effects, while TLR4 overexpression reversed these benefits. Conversely, miR-589-5p mimic treatment rescued autophagy even under TLR4 overexpression conditions. Dual-luciferase assays confirmed that miR-589-5p directly targets TLR4. Clinically, qRT-PCR analysis revealed that miR-589-5p expression was downregulated and TLR4 expression was upregulated in Alzheimer's disease patients compared to healthy controls, and these alterations were correlated with disease severity (P < 0.05).

Conclusion: DHA enhances microglial autophagy via a novel miR-589-5p/TLR4 regulatory axis, a potential Alzheimer's disease therapy and biomarker for Alzheimer's disease progression.

目的:探讨二十二碳六烯酸(DHA)通过miR-589-5p/toll样受体4 (TLR4)轴促进阿尔茨海默病小胶质细胞自噬的神经保护机制。方法:体外用Aβ25-35处理BV2小胶质细胞,建立阿尔茨海默病模型,并进行DHA处理,有或没有miR-589-5p抑制和TLR4过表达。采用甲基噻唑基二苯四唑溴化试验评估细胞毒性作用。Western blot和免疫荧光法检测自噬标志物LC3-II/I比值、Beclin1和p62。使用双荧光素酶测定评估miR-589-5p/TLR4的相互作用。为了临床验证,通过定量反转录PCR (qRT-PCR)分析健康对照、轻度阿尔茨海默病患者和重度阿尔茨海默病患者的外周血样本(n = 30),检测miR-589-5p和TLR4 mRNA的表达。结果:在细胞实验中,DHA通过提高LC3-II/I比值和Beclin1表达,降低p62水平,显著促进细胞自噬(P < 0.05)。机制验证表明,miR-589-5p抑制消除了DHA促进自噬的作用,而TLR4过表达逆转了这些益处。相反,即使在TLR4过表达条件下,miR-589-5p模拟治疗也能挽救自噬。双荧光素酶检测证实miR-589-5p直接靶向TLR4。临床上,qRT-PCR分析显示,与健康对照组相比,阿尔茨海默病患者miR-589-5p表达下调,TLR4表达上调,且这些改变与疾病严重程度相关(P < 0.05)。结论:DHA通过一种新的miR-589-5p/TLR4调节轴增强小胶质细胞自噬,这是一种潜在的阿尔茨海默病治疗方法和阿尔茨海默病进展的生物标志物。
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引用次数: 0
Deep patch-clamp recordings in awake mice from medial septal neurons during hippocampal sharp-wave ripples. 清醒小鼠海马锐波波纹期间中隔神经元的深度膜片钳记录。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-02-02 Epub Date: 2026-01-13 DOI: 10.1097/WNR.0000000000002244
Hana Samejima, Yu Sato, Yuji Ikegaya, Tetsuhiko Kashima

Objectives: The medial septum modulates hippocampal oscillations, including ripples, which are critical for memory consolidation. While the role of the medial septum in theta rhythms is well-established, its specific contribution to hippocampal ripple activity remains poorly understood. This study sought to investigate the relationship between medial septal activity and hippocampal ripples in vivo .

Methods: This study aimed to characterize the in-vivo membrane potential dynamics of putative medial septal neuron subtypes and their contribution to hippocampal ripples in awake mice. We performed in-vivo whole-cell patch-clamp recordings from medial septal neurons in head-fixed, awake mice, while simultaneously acquiring hippocampal local field potentials.

Results: Medial septal neurons were classified into glutamatergic, cholinergic, and GABAergic subtypes using hierarchical clustering based on their intrinsic electrophysiological properties. We analyzed the firing rates and subthreshold membrane potential dynamics of these neurons during hippocampal ripple events and examined their correlations with ripple parameters (duration, frequency, and power). Our results revealed subtype-specific responses. Notably, putative glutamatergic neurons exhibited a slight decrease in firing rate, yet displayed a pronounced depolarization of their membrane potential approximately 100 ms before ripple onset, peaking at the initiation of ripples. This depolarization was inversely correlated with subsequent ripple amplitude and power. In addition, membrane hyperpolarization was positively correlated with ripple duration.

Conclusion: These findings elucidate the contribution of glutamatergic medial septal neurons to hippocampal ripple dynamics and suggest a tightly regulated interaction between the medial septum and hippocampus in shaping ripple activity.

目的:内侧隔调节海马振荡,包括波纹,这是记忆巩固的关键。虽然中隔在θ波节律中的作用已经确立,但它对海马纹波活动的具体贡献仍然知之甚少。本研究旨在探讨体内中隔活动与海马波纹的关系。方法:本研究旨在描述清醒小鼠中隔神经元亚型的体内膜电位动态及其对海马波纹的贡献。我们对头部固定的清醒小鼠进行了体内全细胞膜片钳记录,同时获取海马局部场电位。结果:根据内隔神经元的电生理特性,采用分层聚类方法将其分为谷氨酸能、胆碱能和gaba能三种亚型。我们分析了海马纹波事件中这些神经元的放电率和阈下膜电位动态,并研究了它们与纹波参数(持续时间、频率和功率)的相关性。我们的结果揭示了亚型特异性反应。值得注意的是,假定的谷氨酸能神经元的放电速率略有下降,但在纹波开始前约100毫秒,其膜电位表现出明显的去极化,在纹波开始时达到峰值。这种去极化与随后的纹波振幅和功率呈负相关。膜超极化与纹波持续时间呈正相关。结论:这些发现阐明了谷氨酸能内侧间隔神经元对海马纹波动力学的贡献,并表明内侧间隔和海马之间在形成纹波活动方面存在严格调节的相互作用。
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引用次数: 0
The nonlinear nature of MEP amplitudes during cold-water immersion. 冷水浸泡过程中MEP振幅的非线性性质。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-02-02 Epub Date: 2026-01-13 DOI: 10.1097/WNR.0000000000002242
Karita S-T Salo

Objective: The objective of this study is to investigate whether motor-evoked potentials (MEPs) amplitudes are associated nonlinearly with cold-water immersion-induced experimental pain in muscle.

Methods: The cortical representation area of the right abductor pollicis brevis muscle of 10 subjects was stimulated using a multi-locus transcranial magnetic stimulation device, and the resulting MEPs were recorded with electromyography. The stimulation was delivered with and without the cold-water immersion. A generalized additive model (GAM) was applied to study the association of different parameters with the MEP amplitudes.

Results: The GAM results indicated a nonlinear association between MEP amplitude and cold-water immersion-induced experimental pain, with a curved component at lower pain levels [up to approximately 5 on the numerical rating scale (NRS)], followed by a rising trend that peaked at the upper end of the NRS.

Conclusion: The formed GAM suggests a nonlinear association between the experienced pain level and the amplitudes of MEPs. These findings indicate that higher pain levels or prolonged cold-water exposure may be associated with changes in MEP amplitudes, though causality cannot be inferred.

目的:研究运动诱发电位(MEPs)振幅是否与冷水浸泡引起的实验性肌肉疼痛非线性相关。方法:采用多位点经颅磁刺激装置刺激10例右拇短外展肌皮层表征区,用肌电图记录mep。在冷水浸泡和不冷水浸泡的情况下进行增产。采用广义加性模型(GAM)研究了不同参数与MEP振幅的关系。结果:GAM结果表明,MEP振幅与冷水浸泡诱导的实验疼痛之间存在非线性关联,在较低的疼痛水平(在数值评定量表(NRS)上高达约5)存在弯曲分量,随后呈上升趋势,并在NRS的上端达到峰值。结论:形成的GAM提示痛觉水平与mep振幅呈非线性关系。这些发现表明,较高的疼痛水平或长时间的冷水暴露可能与MEP振幅的变化有关,尽管不能推断因果关系。
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引用次数: 0
Indobufen ameliorates ischemic stroke by suppressing the signal transducer and activator of transcription 1/NIMA-related kinase 7/NOD-like receptor family pyrin domain-containing 3 signaling axis. 吲哚布芬通过抑制转录1/ nima相关激酶7/ nod样受体家族pyrin结构域3信号轴的信号转导和激活因子改善缺血性卒中。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-02-02 Epub Date: 2026-01-13 DOI: 10.1097/WNR.0000000000002243
Yang Wang, Shanshan Mu, Huifang Yu, Dongwei Zhao, Fenglian Zhang, Yan Wang

Background: The neuronal pyroptosis exacerbated neurological injury in ischemic stroke. Indobufen (IND), a clinically used agent for reducing ischemic stroke risk, was shown to suppress neuronal pyroptosis in ischemic stroke. This study aimed to elucidate the precise mechanism by which IND regulates NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome-mediated neuronal pyroptosis.

Methods: SH-SY5Y cells underwent oxygen-glucose deprivation/reoxygenation (OGD/R) to simulate ischemic damage. The binding of signal transducer and activator of transcription 1 (STAT1) at the NIMA-related kinase 7 (NEK7) promoter was assessed via chromatin immunoprecipitation and dual-luciferase reporter assay. Cell counting kit-8 was used to determine cell viability. The levels of inflammatory cytokines [interleukin (IL)-1β and IL-18] were evaluated using ELISA. Flow cytometry was employed to determine the rate of pyroptosis. The expression of NLRP3 was assessed by immunofluorescence. Quantitative real-time PCR or Western blot was utilized to detect the expression of STAT1, NEK7, GSDMD-N, cleaved caspase-1, and NLRP3.

Results: Treatment with IND significantly attenuated OGD/R-induced NLRP3 inflammasome activation and pyroptosis in neurons. STAT1 served as the direct molecular target through which IND exerted its antipyroptotic effects in ischemic stroke. Mechanistically, STAT1 transcriptionally activated NEK7 expression under the ischemic stroke condition. IND suppressed neuronal pyroptosis in ischemic stroke by inhibiting the STAT1/NEK7/NLRP3 signaling axis.

Conclusion: IND downregulated STAT1 to inhibit STAT1-mediated transcriptional activation of NEK7, thereby reducing NLRP3 inflammasome activation and ultimately mitigating neuronal pyroptosis in ischemic stroke.

背景:缺血性脑卒中患者神经元焦亡加重神经损伤。吲哚布芬(IND)是临床上用于降低缺血性卒中风险的药物,可抑制缺血性卒中患者的神经元焦亡。本研究旨在阐明IND调控nod样受体家族pyrin domain-containing 3 (NLRP3)炎症小体介导的神经元焦亡的确切机制。方法:对SH-SY5Y细胞进行氧糖剥夺/再氧化(OGD/R)模拟缺血损伤。通过染色质免疫沉淀和双荧光素酶报告基因试验评估信号转导器和转录激活因子1 (STAT1)在尼玛相关激酶7 (NEK7)启动子上的结合。细胞计数试剂盒-8测定细胞活力。采用ELISA法检测炎症因子[白细胞介素(IL)-1β和IL-18]水平。采用流式细胞术检测细胞的焦亡率。免疫荧光法检测NLRP3的表达。采用实时荧光定量PCR或Western blot检测STAT1、NEK7、GSDMD-N、cleaved caspase-1、NLRP3的表达。结果:IND治疗可显著减轻OGD/ r诱导的NLRP3炎性体活化和神经元焦亡。STAT1是IND在缺血性脑卒中中发挥抗焦亡作用的直接分子靶点。在机制上,STAT1在缺血性卒中条件下通过转录激活NEK7的表达。IND通过抑制STAT1/NEK7/NLRP3信号轴抑制缺血性卒中神经元焦亡。结论:IND下调STAT1,抑制STAT1介导的NEK7转录激活,从而降低NLRP3炎性体激活,最终减轻缺血性卒中神经元焦亡。
{"title":"Indobufen ameliorates ischemic stroke by suppressing the signal transducer and activator of transcription 1/NIMA-related kinase 7/NOD-like receptor family pyrin domain-containing 3 signaling axis.","authors":"Yang Wang, Shanshan Mu, Huifang Yu, Dongwei Zhao, Fenglian Zhang, Yan Wang","doi":"10.1097/WNR.0000000000002243","DOIUrl":"10.1097/WNR.0000000000002243","url":null,"abstract":"<p><strong>Background: </strong>The neuronal pyroptosis exacerbated neurological injury in ischemic stroke. Indobufen (IND), a clinically used agent for reducing ischemic stroke risk, was shown to suppress neuronal pyroptosis in ischemic stroke. This study aimed to elucidate the precise mechanism by which IND regulates NOD-like receptor family pyrin domain-containing 3 (NLRP3) inflammasome-mediated neuronal pyroptosis.</p><p><strong>Methods: </strong>SH-SY5Y cells underwent oxygen-glucose deprivation/reoxygenation (OGD/R) to simulate ischemic damage. The binding of signal transducer and activator of transcription 1 (STAT1) at the NIMA-related kinase 7 (NEK7) promoter was assessed via chromatin immunoprecipitation and dual-luciferase reporter assay. Cell counting kit-8 was used to determine cell viability. The levels of inflammatory cytokines [interleukin (IL)-1β and IL-18] were evaluated using ELISA. Flow cytometry was employed to determine the rate of pyroptosis. The expression of NLRP3 was assessed by immunofluorescence. Quantitative real-time PCR or Western blot was utilized to detect the expression of STAT1, NEK7, GSDMD-N, cleaved caspase-1, and NLRP3.</p><p><strong>Results: </strong>Treatment with IND significantly attenuated OGD/R-induced NLRP3 inflammasome activation and pyroptosis in neurons. STAT1 served as the direct molecular target through which IND exerted its antipyroptotic effects in ischemic stroke. Mechanistically, STAT1 transcriptionally activated NEK7 expression under the ischemic stroke condition. IND suppressed neuronal pyroptosis in ischemic stroke by inhibiting the STAT1/NEK7/NLRP3 signaling axis.</p><p><strong>Conclusion: </strong>IND downregulated STAT1 to inhibit STAT1-mediated transcriptional activation of NEK7, thereby reducing NLRP3 inflammasome activation and ultimately mitigating neuronal pyroptosis in ischemic stroke.</p>","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":" ","pages":"106-117"},"PeriodicalIF":1.7,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145952639","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
Abnormal functional connectivity density in patients with obsessive-compulsive disorder. 强迫症患者的功能连接密度异常。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-07 Epub Date: 2025-12-03 DOI: 10.1097/WNR.0000000000002232
Zihe Xu, Linglong Chen, Zhijun Luo, Yuanyuan Wang, Xingbo Suo, Feng Ouyang, Xuewen Lu, Xianjun Zeng, Maorong Hu

Objective: This study investigated abnormal short- and long-range functional connectivity density (FCD) and resting-state functional connectivity (rsFC) within and outside the cortico-striatal-thalamic (CST) loop in patients with obsessive-compulsive disorder (OCD).

Methods: Ninety-two patients with OCD and 75 healthy controls underwent multimodal MRI. Clinical assessments included the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Anxiety Inventory, and Beck Depression Inventory. Voxel-based FCD analysis explored local and distant nodal changes, followed by seed-based rsFC analysis and correlation with clinical variables.

Results: Compared with healthy controls, patients with OCD showed decreased short-range FCD in the bilateral postcentral gyrus, left superior temporal gyrus, and right insula, but increased short-range FCD in the left caudate nucleus. Long-range FCD increased in the right orbitofrontal gyrus and left middle frontal gyrus. Seed-based analysis revealed enhanced rsFC between the right orbitofrontal gyrus and right calcarine fissure and surrounding cortex, and between the left middle frontal gyrus and right anterior cingulate and paracingulate gyri, as well as the right paracentral lobule. Left caudate FCD values negatively correlated with Y-BOCS scores, while left middle frontal gyrus FCD values positively correlated with illness duration.

Conclusion: Patients with OCD exhibit widespread connectivity abnormalities in multiple brain regions within and beyond the classic CST loop, involving sensorimotor networks, emotion-cognitive regulation, executive control, error monitoring, and visual processing systems. These findings suggest that OCD pathophysiology extends beyond the traditional CST loop, providing new insights into the neural mechanisms underlying this disorder.

目的:探讨强迫症(OCD)患者皮质纹状体丘脑(CST)环内外短、远程功能连接密度(FCD)和静息状态功能连接密度(rsFC)的异常。方法:92例强迫症患者和75名健康对照者行多模态MRI检查。临床评估包括耶鲁-布朗强迫症量表(Y-BOCS)、贝克焦虑量表和贝克抑郁量表。基于体素的FCD分析探讨了局部和远处淋巴结的变化,其次是基于种子的rsFC分析及其与临床变量的相关性。结果:与健康对照组相比,强迫症患者双侧中央后回、左侧颞上回和右侧岛叶的近程FCD下降,而左侧尾状核的近程FCD增加。远端FCD在右侧眶额回和左侧额中回增加。基于种子的分析显示,右侧眶额回与右侧胼胝体裂及其周围皮层之间、左侧额中回与右侧前扣带和副扣带回之间以及右侧中央旁小叶之间的rsFC增强。左尾状核FCD值与Y-BOCS评分呈负相关,而左额中回FCD值与病程呈正相关。结论:强迫症患者在经典CST回路内外的多个脑区表现出广泛的连通性异常,包括感觉运动网络、情绪认知调节、执行控制、错误监测和视觉处理系统。这些发现表明强迫症的病理生理学超越了传统的CST回路,为这种疾病背后的神经机制提供了新的见解。
{"title":"Abnormal functional connectivity density in patients with obsessive-compulsive disorder.","authors":"Zihe Xu, Linglong Chen, Zhijun Luo, Yuanyuan Wang, Xingbo Suo, Feng Ouyang, Xuewen Lu, Xianjun Zeng, Maorong Hu","doi":"10.1097/WNR.0000000000002232","DOIUrl":"10.1097/WNR.0000000000002232","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated abnormal short- and long-range functional connectivity density (FCD) and resting-state functional connectivity (rsFC) within and outside the cortico-striatal-thalamic (CST) loop in patients with obsessive-compulsive disorder (OCD).</p><p><strong>Methods: </strong>Ninety-two patients with OCD and 75 healthy controls underwent multimodal MRI. Clinical assessments included the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS), Beck Anxiety Inventory, and Beck Depression Inventory. Voxel-based FCD analysis explored local and distant nodal changes, followed by seed-based rsFC analysis and correlation with clinical variables.</p><p><strong>Results: </strong>Compared with healthy controls, patients with OCD showed decreased short-range FCD in the bilateral postcentral gyrus, left superior temporal gyrus, and right insula, but increased short-range FCD in the left caudate nucleus. Long-range FCD increased in the right orbitofrontal gyrus and left middle frontal gyrus. Seed-based analysis revealed enhanced rsFC between the right orbitofrontal gyrus and right calcarine fissure and surrounding cortex, and between the left middle frontal gyrus and right anterior cingulate and paracingulate gyri, as well as the right paracentral lobule. Left caudate FCD values negatively correlated with Y-BOCS scores, while left middle frontal gyrus FCD values positively correlated with illness duration.</p><p><strong>Conclusion: </strong>Patients with OCD exhibit widespread connectivity abnormalities in multiple brain regions within and beyond the classic CST loop, involving sensorimotor networks, emotion-cognitive regulation, executive control, error monitoring, and visual processing systems. These findings suggest that OCD pathophysiology extends beyond the traditional CST loop, providing new insights into the neural mechanisms underlying this disorder.</p>","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":"37 1","pages":"11-20"},"PeriodicalIF":1.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669249","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
Alterations in white matter microstructure and glymphatic function in post-traumatic disorders of consciousness: impact on consciousness levels and prognosis. 创伤后意识障碍患者白质微结构和淋巴功能的改变:对意识水平和预后的影响。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-07 Epub Date: 2025-12-03 DOI: 10.1097/WNR.0000000000002235
Xiaoyang Ma, Minglian Da, Wenjing Huang, Zhuo Wang, Dan Yang, Jiahao Yan, Xiaoling Li, Jing Zhang

Purpose: This study aimed to investigate the impairments in white matter microstructure and glymphatic function in patients with post-traumatic brain injury (TBI) who exhibit disorders of consciousness (DoCs), as well as their relationships with levels of consciousness and clinical outcomes.

Methods: We enrolled 30 patients diagnosed with TBI who exhibited DoCs and 30 healthy controls for MRI scanning. We compared intergroup differences in diffusion tensor imaging (DTI) metrics, the DTI analysis along the perivascular space (DTI-ALPS) index, and choroid plexus volume (CPV). The Pearson correlation analysis was conducted to examine the correlations among various indicators in the DoC group.

Results: Significant group differences were found in DTI metrics, the DTI-ALPS index, and CPV (P < 0.05). In the DoC group at baseline, fractional anisotropy (FA) and mean diffusivity (MD) values correlated with Coma Recovery Scale-Revised, DTI-ALPS, and CPV (P < 0.05). At 3-month follow-up, Glasgow Outcome Scale-Extended (scores were positively correlated with FA and DTI-ALPS, but negatively correlated with MD and CPV (P < 0.05).

Conclusion: This study suggested that TBI may cause brain structural damage, impair glymphatic function, and subsequently affect patients' levels of consciousness. These findings further indicate that glymphatic dysfunction could play an important role in the pathogenesis and prognosis of DoCs.

目的:探讨脑外伤后意识障碍(doc)患者脑白质微结构和淋巴功能的损害及其与意识水平和临床预后的关系。方法:我们招募了30名被诊断为TBI并表现出doc的患者和30名健康对照者进行MRI扫描。我们比较了各组间弥散张量成像(DTI)指标、沿血管周围空间(DTI- alps)指数和脉络膜丛容积(CPV)的差异。采用Pearson相关分析检验DoC组各指标间的相关性。结果:DTI指标、DTI- alps指数、CPV (P)组间差异显著。结论:本研究提示TBI可引起脑结构损伤,损害淋巴功能,进而影响患者的意识水平。这些结果进一步表明,淋巴功能障碍可能在doc的发病机制和预后中起重要作用。
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引用次数: 0
PDK4 suppresses high glucose-induced microglial ferroptosis by restricting pro-ferroptotic PUFA biosynthesis. PDK4通过限制亲铁性PUFA生物合成来抑制高糖诱导的小胶质细胞铁下垂。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-07 Epub Date: 2025-12-03 DOI: 10.1097/WNR.0000000000002234
Huahua Su, Zhihui Liu, Jiahao Wei, Ying Liu, Yuke Zhong, Xi Liu, Changhong Tan, Lifen Chen

Background: Diabetes significantly elevates the risk of neurodegenerative disorders, including Alzheimer's disease and Parkinson's disease, indicating shared pathophysiological mechanisms. While ferroptosis is increasingly implicated in neurodegeneration, microglia - highly vulnerable to ferroptosis - may mediate this link. However, it remains unknown whether high glucose (HG) directly induces microglial ferroptosis.

Methods: Using HG-treated BV2 microglia, we integrated multiomics profiling (RNA-seq and targeted lipidomics), functional assays, and genetic manipulation of pyruvate dehydrogenase kinase 4 (PDK4) to investigate its role in HG-associated ferroptosis.

Results: HG-induced microglial ferroptosis, characterized by iron overload, elevated malondialdehyde and mitochondrial reactive oxygen species, glutathione peroxidase 4 (GPX4) downregulation, and mitochondrial damage, including loss of membrane potential and ultrastructural disintegration. This was accompanied by upregulated PDK4 expression. PDK4 overexpression attenuated ferroptosis by preserving GPX4, reducing lipid peroxidation, and maintaining mitochondrial integrity; these protective effects were reversed by n-6 polyunsaturated fatty acid (PUFA) supplementation. Conversely, PDK4 knockdown exacerbated ferroptosis via amplified n-6 PUFA synthesis and oxidative stress. Mechanistically, PDK4 acts as a metabolic gatekeeper by restricting acetyl-CoA availability for the synthesis of pro-ferroptotic PUFAs, thereby curtailing iron-dependent lipid peroxidation.

Conclusion: PDK4 is a critical regulator of HG-induced microglial ferroptosis, thereby bridging hyperglycemia-induced metabolic dysfunction and neurodegeneration. Our findings nominate PDK4 as a promising therapeutic target for diabetes-linked neurodegenerative diseases.

背景:糖尿病显著增加神经退行性疾病的风险,包括阿尔茨海默病和帕金森病,表明有共同的病理生理机制。虽然铁下垂越来越多地与神经退行性变有关,但对铁下垂高度敏感的小胶质细胞可能介导了这一联系。然而,高糖是否直接诱导小胶质细胞铁下垂尚不清楚。方法:利用hg处理的BV2小胶质细胞,我们整合了多组学分析(RNA-seq和靶向脂质组学)、功能分析和丙酮酸脱氢酶激酶4 (PDK4)的遗传操作,以研究其在hg相关的铁凋亡中的作用。结果:hg诱导的小胶质细胞铁上塌,其特征是铁超载、丙二醛和线粒体活性氧升高、谷胱甘肽过氧化物酶4 (GPX4)下调、线粒体损伤,包括膜电位丧失和超微结构解体。这伴随着PDK4表达上调。PDK4过表达通过保留GPX4、减少脂质过氧化和维持线粒体完整性来减轻铁下垂;这些保护作用被补充n-6多不饱和脂肪酸(PUFA)逆转。相反,PDK4敲低通过放大n-6 PUFA合成和氧化应激加剧铁下垂。从机制上说,PDK4通过限制乙酰辅酶a的可用性来合成亲铁性PUFAs,从而减少铁依赖性脂质过氧化作用,从而作为代谢守门人。结论:PDK4是hg诱导的小胶质细胞铁质凋亡的关键调节因子,从而架起了高血糖诱导的代谢功能障碍和神经退行性变的桥梁。我们的研究结果表明PDK4是糖尿病相关神经退行性疾病的一个有希望的治疗靶点。
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引用次数: 0
Sodium butyrate attenuates early brain injury and neuronal apoptosis after subarachnoid hemorrhage in rats via GPR41/PI3K/Akt pathway. 丁酸钠通过GPR41/PI3K/Akt通路减轻大鼠蛛网膜下腔出血后早期脑损伤和神经元凋亡。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-07 Epub Date: 2025-12-03 DOI: 10.1097/WNR.0000000000002231
Chen Liang, Meiling Yu, Kang Liu, Yufei Ge

Objective: Butyrate, a short-chain fatty acid produced by intestinal microbial fermentation of dietary fiber, serves as an endogenous ligand for the G protein-coupled receptors. Previous studies have confirmed the neuroprotective effects of sodium butyrate (NaB) in ischemic stroke, but its role in subarachnoid hemorrhage (SAH) remains unclear. Here, we investigated the potential therapeutic efficacy and underlying mechanisms of NaB in a rat SAH model.

Methods: NaB was administered intranasally 1 h post-SAH, and neurological function and neuronal apoptosis were evaluated 24 h post-SAH.

Results: During the early brain injury (EBI) phase after SAH, GPR41 was predominantly expressed in neuronal cells, and its expression levels increased significantly, peaking at 24 h post-SAH. NaB treatment attenuated neurological deficits after SAH, reduced brain edema, and alleviated neuronal damage and apoptosis. Furthermore, NaB elevated the levels of GPR41, phosphorylated Akt, and the antiapoptotic protein Bcl-2, while suppressing the expression of the proapoptotic protein Bax. Notably, the neuroprotective effects of NaB were partially reversed by GPR41 siRNA knockdown and pharmacological inhibition of PI3K with LY294002.

Conclusions: These findings suggest that NaB may mitigate EBI after SAH by inhibiting neuronal apoptosis, with the underlying mechanism potentially involving activation of the GPR41/PI3K/Akt signaling pathway.

目的:丁酸盐是膳食纤维肠道微生物发酵产生的一种短链脂肪酸,是G蛋白偶联受体的内源性配体。先前的研究已经证实丁酸钠(NaB)在缺血性卒中中的神经保护作用,但其在蛛网膜下腔出血(SAH)中的作用尚不清楚。在此,我们研究了NaB在大鼠SAH模型中的潜在治疗效果和潜在机制。方法:在sah后1小时鼻内给予NaB,并在sah后24小时评估神经功能和神经元凋亡。结果:在SAH后早期脑损伤(EBI)阶段,GPR41主要在神经元细胞中表达,且表达水平显著升高,在SAH后24 h达到峰值。NaB治疗可减轻SAH后的神经功能缺损,减少脑水肿,减轻神经元损伤和细胞凋亡。此外,NaB上调GPR41、磷酸化Akt和抗凋亡蛋白Bcl-2的水平,同时抑制促凋亡蛋白Bax的表达。值得注意的是,NaB的神经保护作用被GPR41 siRNA敲除和LY294002对PI3K的药理抑制部分逆转。结论:这些发现表明NaB可能通过抑制神经元凋亡来减轻SAH后的EBI,其潜在机制可能与激活GPR41/PI3K/Akt信号通路有关。
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引用次数: 0
Sustained acidosis suppresses persistent sodium currents to regulate the excitability of medullary dorsal horn neurons in rats. 持续酸中毒抑制持续钠电流调节大鼠髓背角神经元的兴奋性。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2026-01-07 Epub Date: 2025-12-03 DOI: 10.1097/WNR.0000000000002233
Jin-Hwa Cho, Il-Sung Jang

Objectives: Acid-sensing ion channels (ASICs) are rapidly inactivated following activation by acidic extracellular pH. Consequently, mechanisms beyond ASICs are likely involved in modulating neuronal excitability under sustained acidic conditions. Therefore, this study investigated the impact of sustained acidic pH on neuronal excitability.

Methods: Membrane current and voltage changes induced by acidic pH were recorded from acutely isolated rat medullary dorsal horn neurons using the whole-cell patch-clamp technique.

Results: The steady-state inactivation relationship for extracellular pH revealed that most ASICs were completely inactivated at pH ≤ 6.5. Acidic pH depolarized medullary dorsal horn neurons with high affinity (EC50 of pH 6.9), a process mediated by ASIC activation. Acidic pH (≤6.9) also generated instantaneous action potentials; however, they immediately disappeared owing to the inactivation of voltage-gated Na⁺ channels. Action potentials reemerged depending on pH level, even under sustained acidic conditions. This reappearance of action potentials correlated with the extent to which acidic pH inhibited the persistent Na⁺ current mediated by voltage-gated Na⁺ channels.

Conclusion: These findings suggest that under pathological conditions characterized by sustained extracellular pH reduction, such as inflammation, a persistent Na⁺ current may serve as a sensor for modulating neuronal excitability in response to prolonged acidic pH levels.

目的:酸感离子通道(asic)在酸性细胞外ph激活后迅速失活。因此,在持续酸性条件下,asic之外的机制可能参与调节神经元兴奋性。因此,本研究探讨了持续的酸性pH对神经元兴奋性的影响。方法:采用全细胞膜片钳技术,记录酸性pH对急性分离大鼠髓背角神经元膜电流和电压的影响。结果:细胞外pH的稳态失活关系显示,大多数asic在pH≤6.5时完全失活。酸性pH使高亲和力的髓背角神经元去极化(EC50为pH值6.9),这一过程由ASIC激活介导。酸性pH≤6.9时也会产生瞬时动作电位;然而,由于电压门控Na⁺通道失活,它们立即消失了。动作电位的重新出现取决于pH值,即使在持续的酸性条件下。这种动作电位的重现与酸性pH抑制电压门控Na⁺通道介导的持续Na⁺电流的程度有关。结论:这些发现表明,在细胞外pH值持续降低的病理条件下,比如炎症,持续的Na +电流可能作为一种传感器,在长时间的酸性pH水平下调节神经元的兴奋性。
{"title":"Sustained acidosis suppresses persistent sodium currents to regulate the excitability of medullary dorsal horn neurons in rats.","authors":"Jin-Hwa Cho, Il-Sung Jang","doi":"10.1097/WNR.0000000000002233","DOIUrl":"10.1097/WNR.0000000000002233","url":null,"abstract":"<p><strong>Objectives: </strong>Acid-sensing ion channels (ASICs) are rapidly inactivated following activation by acidic extracellular pH. Consequently, mechanisms beyond ASICs are likely involved in modulating neuronal excitability under sustained acidic conditions. Therefore, this study investigated the impact of sustained acidic pH on neuronal excitability.</p><p><strong>Methods: </strong>Membrane current and voltage changes induced by acidic pH were recorded from acutely isolated rat medullary dorsal horn neurons using the whole-cell patch-clamp technique.</p><p><strong>Results: </strong>The steady-state inactivation relationship for extracellular pH revealed that most ASICs were completely inactivated at pH ≤ 6.5. Acidic pH depolarized medullary dorsal horn neurons with high affinity (EC50 of pH 6.9), a process mediated by ASIC activation. Acidic pH (≤6.9) also generated instantaneous action potentials; however, they immediately disappeared owing to the inactivation of voltage-gated Na⁺ channels. Action potentials reemerged depending on pH level, even under sustained acidic conditions. This reappearance of action potentials correlated with the extent to which acidic pH inhibited the persistent Na⁺ current mediated by voltage-gated Na⁺ channels.</p><p><strong>Conclusion: </strong>These findings suggest that under pathological conditions characterized by sustained extracellular pH reduction, such as inflammation, a persistent Na⁺ current may serve as a sensor for modulating neuronal excitability in response to prolonged acidic pH levels.</p>","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":"37 1","pages":"39-44"},"PeriodicalIF":1.7,"publicationDate":"2026-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145669389","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
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Neuroreport
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