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A cytoskeleton symphony: Actin and microtubules in microglia dynamics and aging 细胞骨架交响曲:小胶质细胞动态和衰老中的肌动蛋白和微管
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-01 DOI: 10.1016/j.pneurobio.2024.102586
Renato Socodato , João B. Relvas

Microglia dynamically reorganize their cytoskeleton to perform essential functions such as phagocytosis of toxic protein aggregates, surveillance of the brain parenchyma, and regulation of synaptic plasticity during neuronal activity bursts. Recent studies have shed light on the critical role of the microtubule cytoskeleton in microglial reactivity and function, revealing key regulators like cyclin-dependent kinase 1 and centrosomal nucleation in the remodeling of microtubules in activated microglia. Concurrently, the role of the actin cytoskeleton is also pivotal, particularly in the context of small GTPases like RhoA, Rac1, and Cdc42 and actin-binding molecules such as profilin-1 and cofilin. This article delves into the intricate molecular landscape of actin and microtubules, exploring their synergistic roles in driving microglial cytoskeletal dynamics. We propose a more integrated view of actin and microtubule cooperation, which is fundamental to understanding the functional coherence of the microglial cytoskeleton and its pivotal role in propelling brain homeostasis. Furthermore, we discuss how alterations in microglial cytoskeleton dynamics during aging and in disease states could have far-reaching implications for brain function. By unraveling the complexities of microglia cytoskeletal dynamics, we can deepen our understanding of microglial functional states and their implications in health and disease, offering insights into potential therapeutic interventions for neurologic disorders.

小胶质细胞会动态重组其细胞骨架,以执行一些基本功能,如吞噬有毒蛋白聚集体、监视脑实质以及在神经元活动爆发期间调节突触可塑性。最近的研究揭示了微管细胞骨架在小胶质细胞反应性和功能中的关键作用,揭示了细胞周期蛋白依赖性激酶 1 和中心体核化等关键调节因子在活化的小胶质细胞微管重塑过程中的作用。同时,肌动蛋白细胞骨架的作用也至关重要,尤其是在小 GTP 酶(如 RhoA、Rac1 和 Cdc42)和肌动蛋白结合分子(如 profilin-1 和 cofilin)的作用下。本文深入研究了肌动蛋白和微管错综复杂的分子结构,探讨了它们在驱动小胶质细胞细胞骨架动力学中的协同作用。我们对肌动蛋白和微管的合作提出了一个更加综合的观点,这对于理解小胶质细胞骨架的功能一致性及其在推动大脑稳态中的关键作用至关重要。此外,我们还讨论了衰老过程中和疾病状态下小胶质细胞细胞骨架动力学的改变如何对大脑功能产生深远影响。通过揭示小胶质细胞细胞骨架动力学的复杂性,我们可以加深对小胶质细胞功能状态及其在健康和疾病中的影响的理解,为神经系统疾病的潜在治疗干预提供见解。
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引用次数: 0
Epilepsy and demyelination: Towards a bidirectional relationship 癫痫与脱髓鞘:走向双向关系。
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-01 DOI: 10.1016/j.pneurobio.2024.102588
Jiayi Li , Honggang Qi , Yuzhou Chen , Xinjian Zhu

Demyelination stands out as a prominent feature in individuals with specific types of epilepsy. Concurrently, individuals with demyelinating diseases, such as multiple sclerosis (MS) are at a greater risk of developing epilepsy compared to non-MS individuals. These bidirectional connections raise the question of whether both pathological conditions share common pathogenic mechanisms. This review focuses on the reciprocal relationship between epilepsy and demyelination diseases. We commence with an overview of the neurological basis of epilepsy and demyelination diseases, followed by an exploration of how our comprehension of these two disorders has evolved in tandem. Additionally, we discuss the potential pathogenic mechanisms contributing to the interactive relationship between these two diseases. A more nuanced understanding of the interplay between epilepsy and demyelination diseases has the potential to unveiling the molecular intricacies of their pathological relationships, paving the way for innovative directions in future clinical management and treatment strategies for these diseases.

脱髓鞘是特定类型癫痫患者的一个突出特征。同时,与非多发性硬化症(MS)患者相比,患有脱髓鞘疾病(如多发性硬化症)的患者患癫痫的风险更高。这些双向联系提出了一个问题:这两种病症是否具有共同的致病机制?本综述重点探讨癫痫与脱髓鞘疾病之间的相互关系。我们首先概述了癫痫和脱髓鞘疾病的神经学基础,然后探讨了我们对这两种疾病的理解是如何同步发展的。此外,我们还讨论了导致这两种疾病之间互动关系的潜在致病机制。对癫痫和脱髓鞘疾病之间的相互作用有了更细致入微的了解,就有可能揭示它们之间错综复杂的分子病理关系,为这些疾病未来的临床管理和治疗策略的创新方向铺平道路。
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引用次数: 0
Fundamentals of sleep regulation: Model and benchmark values for fractal and oscillatory neurodynamics 睡眠调节的基本原理:分形和振荡神经动力学的模型和基准值。
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-01 DOI: 10.1016/j.pneurobio.2024.102589
Róbert Bódizs , Bence Schneider , Péter P. Ujma , Csenge G. Horváth , Martin Dresler , Yevgenia Rosenblum

Homeostatic, circadian and ultradian mechanisms play crucial roles in the regulation of sleep. Evidence suggests that ratios of low-to-high frequency power in the electroencephalogram (EEG) spectrum indicate the instantaneous level of sleep pressure, influenced by factors such as individual sleep-wake history, current sleep stage, age-related differences and brain topography characteristics. These effects are well captured and reflected in the spectral exponent, a composite measure of the constant low-to-high frequency ratio in the periodogram, which is scale-free and exhibits lower interindividual variability compared to slow wave activity, potentially serving as a suitable standardization and reference measure. Here we propose an index of sleep homeostasis based on the spectral exponent, reflecting the level of membrane hyperpolarization and/or network bistability in the central nervous system in humans. In addition, we advance the idea that the U-shaped overnight deceleration of oscillatory slow and fast sleep spindle frequencies marks the biological night, providing somnologists with an EEG-index of circadian sleep regulation. Evidence supporting this assertion comes from studies based on sleep replacement, forced desynchrony protocols and high-resolution analyses of sleep spindles. Finally, ultradian sleep regulatory mechanisms are indicated by the recurrent, abrupt shifts in dominant oscillatory frequencies, with spindle ranges signifying non-rapid eye movement and non-spindle oscillations – rapid eye movement phases of the sleep cycles. Reconsidering the indicators of fundamental sleep regulatory processes in the framework of the new Fractal and Oscillatory Adjustment Model (FOAM) offers an appealing opportunity to bridge the gap between the two-process model of sleep regulation and clinical somnology.

体内平衡、昼夜节律和超昼夜节律机制在调节睡眠方面发挥着至关重要的作用。有证据表明,脑电图(EEG)频谱中的低频与高频功率比显示了睡眠压力的瞬时水平,它受到个人睡眠-觉醒历史、当前睡眠阶段、年龄相关差异和大脑地形特征等因素的影响。频谱指数能很好地捕捉和反映这些影响,频谱指数是周期图中恒定的低频与高频比率的综合测量指标,它不带刻度,与慢波活动相比,个体间的变异性较低,可作为合适的标准化和参考测量指标。在此,我们提出了一种基于频谱指数的睡眠平衡指数,它反映了人类中枢神经系统中膜超极化和/或网络双稳态的水平。此外,我们还提出了一个观点,即振荡慢速和快速睡眠主轴频率的 U 型夜间减速标志着生物夜间,为体质学家提供了昼夜节律睡眠调节的脑电图指数。支持这一观点的证据来自基于睡眠替代、强迫非同步协议和睡眠纺锤体高分辨率分析的研究。最后,超昼夜节律睡眠调节机制表现为主导振荡频率的反复、突然转变,其中纺锤形范围表示非快速眼动,而非纺锤形振荡则表示睡眠周期中的快速眼动阶段。在新的分形和振荡调整模型(FOAM)框架内重新考虑基本睡眠调节过程的指标,为弥合睡眠调节双过程模型与临床体质学之间的差距提供了一个极具吸引力的机会。
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引用次数: 0
Accumulation of NMDA receptors in accumbal neuronal ensembles mediates increased conditioned place preference for cocaine after prolonged withdrawal 在长期戒断后,accumbal神经元集合中NMDA受体的积累介导了对可卡因的条件性位置偏好的增加。
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-01 DOI: 10.1016/j.pneurobio.2024.102573
Ziqing Huai , Bing Huang , Guanhong He , Haibo Li , Yonghui Liu , Qiumin Le , Feifei Wang , Lan Ma , Xing Liu

Cue-induced cocaine craving gradually intensifies following abstinence, a phenomenon known as the incubation of drug craving. Neuronal ensembles activated by initial cocaine use, are critically involved in this process. However, the mechanisms by which neuronal changes occurring in the ensembles after withdrawal contribute to incubation remain largely unknown. Here we labeled neuronal ensembles in the shell of nucleus accumbens (NAcSh) activated by cocaine conditioned place preference (CPP) training. NAcSh ensembles showed an increasing activity induced by CPP test after 21-day withdrawal. Inhibiting synaptic transmission of NAcSh ensembles suppressed the preference for cocaine paired-side after 21-day withdrawal, demonstrating a critical role of NAcSh ensembles in increased preference for cocaine. The density of dendritic spines in dopamine D1 receptor expressing ensembles was increased after 21-day withdrawal. Moreover, the expression of Grin1, a subunit of the N-methyl-D-aspartate (NMDA) receptor, specifically increased in the NAcSh ensembles after cocaine withdrawal in both CPP and self-administration (SA) mouse models. Targeted knockdown or dysfunction of Grin1 in NAcSh ensembles significantly suppressed craving for cocaine. Our results suggest that the accumulation of NMDA receptors in NAcSh ensembles mediates increased craving for cocaine after prolonged withdrawal, thereby providing potential molecular targets for treatment of drug addiction.

线索诱发的可卡因渴求会在戒断后逐渐增强,这种现象被称为药物渴求的潜伏期。最初使用可卡因时激活的神经元集合在这一过程中起着至关重要的作用。然而,戒断后神经元集合中发生的神经元变化是如何导致潜伏现象的,其机制在很大程度上仍不为人所知。在这里,我们标记了由可卡因条件性位置偏好(CPP)训练激活的NAc外壳(NAcSh)中的神经元集合。经过21天的戒断后,可卡因条件性位置偏好(CPP)测试诱导的NAcSh神经元集合的激活程度不断增加。抑制NAcSh集合的突触传递可抑制21天戒断后的可卡因配对偏好,这表明NAcSh集合在可卡因偏好增加中起着关键作用。多巴胺 D1 受体表达集合的树突棘密度在戒断 21 天后有所增加。此外,在CPP和自我给药(SA)小鼠模型中,N-甲基-D-天冬氨酸(NMDA)受体亚基Grin1的表达在可卡因戒断后在NAcSh集合中特异性增加。在 NAcSh 集合中靶向敲除 Grin1 或使其功能失调可显著抑制对可卡因的渴求。我们的研究结果表明,NAcSh集合体中NMDA受体的积累介导了长期戒断后可卡因渴求的增加,从而为治疗药物成瘾提供了潜在的分子靶点。
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引用次数: 0
The multifaceted role of the CXC chemokines and receptors signaling axes in ALS pathophysiology CXC 趋化因子和受体信号轴在渐冻症病理生理学中的多重作用
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-02-15 DOI: 10.1016/j.pneurobio.2024.102587
Valentina La Cognata, Giovanna Morello, Maria Guarnaccia, Sebastiano Cavallaro

Amyotrophic lateral sclerosis (ALS) is a late-onset motor neuron disease with complex genetic basis and still no clear etiology. Multiple intertwined layers of immune system-related dysfunctions and neuroinflammatory mechanisms are emerging as substantial determinants in ALS onset and progression. In this review, we collect the increasingly arising evidence implicating four main CXC chemokines/cognate receptors signaling axes (CXCR1/2-CXCL1/2/8; CXCR3-CXCL9/10/11; CXCR4/7-CXCL12; CXCR5-CXCL13) in the pathophysiology of ALS. Findings in preclinical models implicate these signaling pathways in motor neuron toxicity and neuroprotection, while in ALS patients dysregulation of CXCLs/CXCRs has been shown at both central and peripheral levels. Immunological monitoring of CXC-ligands in ALS may allow tracking of disease progression, while pharmacological modulation of CXC-receptors provides a novel therapeutic strategy. A deeper understanding of the interplay between CXC-mediated neuroinflammation and ALS is crucial to advance research into treatments for this debilitating uncurable disorder.

肌萎缩性脊髓侧索硬化症(ALS)是一种晚发运动神经元疾病,具有复杂的遗传基础,至今仍无明确病因。免疫系统相关功能障碍和神经炎症机制相互交织,成为 ALS 发病和进展的重要决定因素。在这篇综述中,我们收集了越来越多的证据,证明四种主要的 CXC 趋化因子/识别受体信号轴(CXCR1/2-CXCL1/2/8;CXCR3-CXCL9/10/11;CXCR4/7-CXCL12;CXCR5-CXCL13)与 ALS 的病理生理学有关。临床前模型的研究结果表明,这些信号通路与运动神经元毒性和神经保护有关,而在 ALS 患者中,CXCLs/CXCRs 在中枢和外周水平的失调均已得到证实。对 ALS 中 CXC 配体的免疫学监测可跟踪疾病的进展,而对 CXC 受体的药理学调节则提供了一种新的治疗策略。更深入地了解 CXC 介导的神经炎症与 ALS 之间的相互作用,对于推进这种使人衰弱的不治之症的治疗研究至关重要。
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引用次数: 0
Signal peptide peptidase-like 2b modulates the amyloidogenic pathway and exhibits an Aβ-dependent expression in Alzheimer's disease 信号肽肽酶样 2b 可调节淀粉样蛋白生成途径,并在阿尔茨海默病中表现出 Aβ 依赖性表达。
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-02-15 DOI: 10.1016/j.pneurobio.2024.102585
Riccardo Maccioni , Caterina Travisan , Jack Badman , Stefania Zerial , Annika Wagener , Yuniesky Andrade-Talavera , Federico Picciau , Caterina Grassi , Gefei Chen , Laetitia Lemoine , André Fisahn , Richeng Jiang , Regina Fluhrer , Torben Mentrup , Bernd Schröder , Per Nilsson , Simone Tambaro

Alzheimer's disease (AD) is a multifactorial disorder driven by abnormal amyloid β-peptide (Aβ) levels. In this study, we investigated the role of presenilin-like signal peptide peptidase-like 2b (SPPL2b) in AD pathophysiology and its potential as a druggable target within the Aβ cascade. Exogenous Aβ42 influenced SPPL2b expression in human cell lines and acute mouse brain slices. SPPL2b and its AD-related substrate BRI2 were evaluated in the brains of AppNL-G-F knock-in AD mice and human postmortem AD brains. An early high cortical expression of SPPL2b was observed, followed by a downregulation in late AD pathology in AppNL-G-F mice, correlating with synaptic loss. To understand the consequences of pathophysiological SPPL2b dysregulation, we found that SPPL2b overexpression significantly increased APP cleavage, while genetic deletion reduced APP cleavage and Aβ production. Notably, postmortem AD brains showed higher levels of SPPL2b's BRI2 substrate compared to healthy control samples. These results strongly support the involvement of SPPL2b in AD pathology. The early Aβ-induced upregulation of SPPL2b may enhance Aβ production in a vicious cycle, further aggravating Aβ pathology. Therefore, SPPL2b emerges as a potential anti-Aβ drug target.

阿尔茨海默病(AD)是一种由淀粉样β肽(Aβ)水平异常驱动的多因素疾病。在这项研究中,我们探讨了类预肽酶信号肽2b(SPPL2b)在AD病理生理学中的作用及其作为Aβ级联中的药物靶点的潜力。外源性 Aβ42 影响 SPPL2b 在人细胞系和急性小鼠脑片中的表达。在AppNL-G-F基因敲入型AD小鼠大脑和人类死后AD大脑中评估了SPPL2b及其AD相关底物BRI2。在 AppNL-G-F 小鼠中,观察到 SPPL2b 早期在大脑皮层高表达,随后在 AD 病理晚期下调,这与突触丧失有关。为了了解病理生理 SPPL2b 失调的后果,我们发现 SPPL2b 过表达会显著增加 APP 的裂解,而基因缺失则会减少 APP 的裂解和 Aβ 的产生。值得注意的是,与健康对照样本相比,AD 死后大脑中 SPPL2b 的 BRI2 底物含量更高。这些结果有力地证明了SPPL2b参与了AD病理学。早期Aβ诱导的SPPL2b上调可能会在恶性循环中促进Aβ的产生,进一步加重Aβ的病理变化。因此,SPPL2b 成为潜在的抗 Aβ 药物靶点。
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引用次数: 0
Mesoscale organization of ventral and dorsal visual pathways in macaque monkey revealed by 7T fMRI 7 T fMRI揭示猕猴腹侧和背侧视觉通路的中尺度组织结构
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-02-01 DOI: 10.1016/j.pneurobio.2024.102584
Jianbao Wang , Xiao Du , Songping Yao , Lihui Li , Hisashi Tanigawa , Xiaotong Zhang , Anna Wang Roe

In human and nonhuman primate brains, columnar (mesoscale) organization has been demonstrated to underlie both lower and higher order aspects of visual information processing. Previous studies have focused on identifying functional preferences of mesoscale domains in specific areas; but there has been little understanding of how mesoscale domains may cooperatively respond to single visual stimuli across dorsal and ventral pathways. Here, we have developed ultrahigh-field 7 T fMRI methods to enable simultaneous mapping, in individual macaque monkeys, of response in both dorsal and ventral pathways to single simple color and motion stimuli. We provide the first evidence that anatomical V2 cytochrome oxidase-stained stripes are well aligned with fMRI maps of V2 stripes, settling a long-standing controversy. In the ventral pathway, a systematic array of paired color and luminance processing domains across V4 was revealed, suggesting a novel organization for surface information processing. In the dorsal pathway, in addition to high quality motion direction maps of MT, MST and V3A, alternating color and motion direction domains in V3 are revealed. As well, submillimeter motion domains were observed in peripheral LIPd and LIPv. In sum, our study provides a novel global snapshot of how mesoscale networks in the ventral and dorsal visual pathways form the organizational basis of visual objection recognition and vision for action.

在人类和非人灵长类动物的大脑中,柱状(中尺度)组织已被证明是视觉信息处理的低阶和高阶方面的基础。以往的研究主要集中于识别特定区域中尺度结构域的功能偏好;但对于中尺度结构域如何在背侧和腹侧通路上对单一视觉刺激做出协同反应,研究人员还知之甚少。在这里,我们开发了超高场 7 T fMRI 方法,可以在单个猕猴体内同时绘制背侧和腹侧通路对单一简单颜色和运动刺激的反应图。我们首次证明了解剖学上的 V2 细胞色素氧化酶染色条纹与 V2 条纹的 fMRI 图谱非常吻合,从而解决了一个长期存在的争议。在腹侧通路中,发现了整个V4的成对颜色和亮度处理域的系统排列,这表明表面信息处理有了新的组织。在背侧通路中,除了 MT、MST 和 V3A 的高质量运动方向图外,还发现了 V3 中交替的颜色和运动方向域。总之,我们的研究为腹侧和背侧视觉通路的中尺度网络如何形成视觉异议识别和行动视觉的组织基础提供了一个新颖的全球快照。
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引用次数: 0
The Reelin receptor ApoER2 is a cargo for the adaptor protein complex AP-4: Implications for Hereditary Spastic Paraplegia Reelin受体ApoER2是适应蛋白复合物AP-4的载体:对遗传性痉挛性截瘫的影响
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-01-26 DOI: 10.1016/j.pneurobio.2024.102575
Mario O. Caracci , Héctor Pizarro , Carlos Alarcón-Godoy , Luz M. Fuentealba , Pamela Farfán , Raffaella De Pace , Natacha Santibañez , Viviana A. Cavieres , Tammy P. Pástor , Juan S. Bonifacino , Gonzalo A. Mardones , María-Paz Marzolo

Adaptor protein complex 4 (AP-4) is a heterotetrameric complex that promotes export of selected cargo proteins from the trans-Golgi network. Mutations in each of the AP-4 subunits cause a complicated form of Hereditary Spastic Paraplegia (HSP). Herein, we report that ApoER2, a receptor in the Reelin signaling pathway, is a cargo of the AP-4 complex. We identify the motif ISSF/Y within the ApoER2 cytosolic domain as necessary for interaction with the canonical signal-binding pocket of the µ4 (AP4M1) subunit of AP-4. AP4E1- knock-out (KO) HeLa cells and hippocampal neurons from Ap4e1-KO mice display increased co-localization of ApoER2 with Golgi markers. Furthermore, hippocampal neurons from Ap4e1-KO mice and AP4M1-KO human iPSC-derived cortical i3Neurons exhibit reduced ApoER2 protein expression. Analyses of biosynthetic transport of ApoER2 reveal differential post-Golgi trafficking of the receptor, with lower axonal distribution in KO compared to wild-type neurons, indicating a role of AP-4 and the ISSF/Y motif in the axonal localization of ApoER2. Finally, analyses of Reelin signaling in mouse hippocampal and human cortical KO neurons show that AP4 deficiency causes no changes in Reelin-dependent activation of the AKT pathway and only mild changes in Reelin-induced dendritic arborization, but reduces Reelin-induced ERK phosphorylation, CREB activation, and Golgi deployment. This work thus establishes ApoER2 as a novel cargo of the AP-4 complex, suggesting that defects in the trafficking of this receptor and in the Reelin signaling pathway could contribute to the pathogenesis of HSP caused by mutations in AP-4 subunits.

适应蛋白复合物 4(AP-4)是一种异源四聚体复合物,能促进选定的货物蛋白从跨高尔基体网络中输出。AP-4 各亚基的突变会导致一种复杂的遗传性痉挛性截瘫(HSP)。在本文中,我们报告了 ApoER2(一种 Reelin 信号通路中的受体)是 AP-4 复合物的载货。我们发现 ApoER2 细胞质结构域中的 ISSF/Y 矩阵是与 AP-4 的 µ4 (AP4M1) 亚基的典型信号结合袋相互作用的必要条件。AP4E1- 敲除(KO)的 HeLa 细胞和 Ap4e1-KO 小鼠的海马神经元显示载脂蛋白 E2 与高尔基体标记物的共定位增加。此外,Ap4e1-KO 小鼠的海马神经元和 AP4M1-KO 人 iPSC 衍生的皮质 i3Neurons 的 ApoER2 蛋白表达量减少。对 ApoER2 生物合成运输的分析表明,该受体在高尔基体后的运输存在差异,与野生型神经元相比,KO 神经元的轴突分布较少,这表明 AP-4 和 ISSF/Y motif 在 ApoER2 的轴突定位中发挥作用。最后,对小鼠海马和人类皮质 KO 神经元中的胰岛素信号转导的分析表明,AP4 的缺乏不会导致胰岛素依赖的 AKT 通路激活发生变化,也只会导致胰岛素诱导的树突轴化发生轻微变化,但会降低胰岛素诱导的 ERK 磷酸化、CREB 激活和高尔基体的部署。因此,这项研究将 ApoER2 确立为 AP-4 复合物的一种新型载体,表明这种受体的贩运和 Reelin 信号转导途径的缺陷可能是 AP-4 亚基突变导致 HSP 发病的原因之一。
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引用次数: 0
The glymphatic system and Amyotrophic lateral sclerosis 肾上腺系统与肌萎缩性脊髓侧索硬化症
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-01-22 DOI: 10.1016/j.pneurobio.2024.102571
Andrew Eisen , Maiken Nedergaard , Emma Gray , Matthew C. Kiernan

The glymphatic system and the meningeal lymphatic vessels provide a pathway for transport of solutes and clearance of toxic material from the brain. Of specific relevance to ALS, this is applicable for TDP-43 and glutamate, both major elements in disease pathogenesis. Flow is propelled by arterial pulsation, respiration, posture, as well as the positioning and proportion of aquaporin-4 channels (AQP4). Non-REM slow wave sleep is the is key to glymphatic drainage which discontinues during wakefulness. In Parkinson’s disease and Alzheimer’s disease, sleep impairment is known to predate the development of characteristic clinical features by several years and is associated with progressive accumulation of toxic proteinaceous products. While sleep issues are well described in ALS, consideration of preclinical sleep impairment or the potential of a failing glymphatic system in ALS has rarely been considered. Here we review how the glymphatic system may impact ALS. Preclinical sleep impairment as an unrecognized major risk factor for ALS is considered, while potential therapeutic options to improve glymphatic flow are explored.

脑淋巴系统和脑膜淋巴管是运输溶质和清除脑内有毒物质的通道。与渐冻症特别相关的是,这适用于 TDP-43 和谷氨酸,两者都是疾病发病机制的主要因素。水流受动脉搏动、呼吸、姿势以及水蒸发素-4 通道(AQP4)的位置和比例的影响。非快速眼动期慢波睡眠是甘油排泄的关键,而清醒时甘油排泄会中断。在帕金森病和阿尔茨海默病中,睡眠障碍比特征性临床特征的出现要早数年,并且与有毒蛋白质产物的逐渐积累有关。虽然 ALS 中的睡眠问题已被充分描述,但临床前睡眠障碍或 ALS 中潜在的甘液系统衰竭却很少被考虑。在此,我们回顾一下糖尿系统可能对 ALS 产生的影响。临床前睡眠障碍是导致 ALS 的一个未被发现的主要风险因素,同时我们还探讨了改善甘液流动的潜在治疗方案。
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引用次数: 0
Digging into the intrinsic capacity concept: Can it be applied to Alzheimer’s disease? 挖掘内在能力概念:它能应用于阿尔茨海默病吗?
IF 6.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-01-22 DOI: 10.1016/j.pneurobio.2024.102574
Susana López-Ortiz , Giuseppe Caruso , Enzo Emanuele , Héctor Menéndez , Saúl Peñín-Grandes , Claudia Savia Guerrera , Filippo Caraci , Robert Nisticò , Alejandro Lucia , Alejandro Santos-Lozano , Simone Lista

Historically, aging research has largely centered on disease pathology rather than promoting healthy aging. The World Health Organization’s (WHO) policy framework (2015–2030) underscores the significance of fostering the contributions of older individuals to their families, communities, and economies. The WHO has introduced the concept of intrinsic capacity (IC) as a key metric for healthy aging, encompassing five primary domains: locomotion, vitality, sensory, cognitive, and psychological. Past AD research, constrained by methodological limitations, has focused on single outcome measures, sidelining the complexity of the disease. Our current scientific milieu, however, is primed to adopt the IC concept. This is due to three critical considerations: (I) the decline in IC is linked to neurocognitive disorders, including AD, (II) cognition, a key component of IC, is deeply affected in AD, and (III) the cognitive decline associated with AD involves multiple factors and pathophysiological pathways. Our study explores the application of the IC concept to AD patients, offering a comprehensive model that could revolutionize the disease’s diagnosis and prognosis. There is a dearth of information on the biological characteristics of IC, which are a result of complex interactions within biological systems. Employing a systems biology approach, integrating omics technologies, could aid in unraveling these interactions and understanding IC from a holistic viewpoint. This comprehensive analysis of IC could be leveraged in clinical settings, equipping healthcare providers to assess AD patients’ health status more effectively and devise personalized therapeutic interventions in accordance with the precision medicine paradigm. We aimed to determine whether the IC concept could be extended from older individuals to patients with AD, thereby presenting a model that could significantly enhance the diagnosis and prognosis of this disease.

从历史上看,老龄化研究主要集中在疾病病理方面,而不是促进健康老龄化。世界卫生组织(WHO)的政策框架(2015-2030 年)强调了促进老年人为家庭、社区和经济做出贡献的重要性。世卫组织提出了内在能力(IC)的概念,将其作为衡量健康老龄化的关键指标,包括五个主要领域:运动、活力、感官、认知和心理。过去的注意力缺失症研究受方法论限制,只关注单一的结果测量,忽略了疾病的复杂性。然而,我们当前的科学环境已经为采用 IC 概念做好了准备。这主要是基于以下三点考虑:(I) 集成电路的衰退与神经认知障碍(包括注意力缺失症)有关;(II) 认知是集成电路的关键组成部分,在注意力缺失症中深受影响;(III) 与注意力缺失症相关的认知衰退涉及多种因素和病理生理途径。我们的研究探讨了 IC 概念在 AD 患者中的应用,提供了一个全面的模型,可以彻底改变该疾病的诊断和预后。IC是生物系统内部复杂相互作用的结果,目前有关IC生物学特征的信息还很匮乏。采用系统生物学的方法,并结合 Omics 技术,有助于揭示这些相互作用,并从整体角度理解 IC。这种对集成电路的全面分析可在临床环境中加以利用,使医疗服务提供者能够更有效地评估注意力缺失症患者的健康状况,并根据精准医疗范例制定个性化的治疗干预措施。我们的目的是确定能否将 IC 概念从老年人扩展到注意力缺失症患者,从而提出一种可显著提高该疾病诊断和预后的模型。
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Progress in Neurobiology
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