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HIV-1 interaction with an O-glycan-specific bacterial lectin enhances virus infectivity and resistance to neutralization by antibodies. HIV-1与O-聚糖特异性细菌凝集素的相互作用增强了病毒感染性和细胞间病毒转移。
Pub Date : 2024-01-03 DOI: 10.21203/rs.3.rs-2596269/v2
Daniel W Heindel, Dania M Figueroa Acosta, Marisa Goff, Clauvis Kunkeng Yengo, Muzafar Jan, Xiaomei Liu, Xiao-Hong Wang, Mariya I Petrova, Mo Zhang, Manish Sagar, Phillip Barnette, Shilpi Pandey, Ann J Hessell, Kun-Wei Chan, Xiang-Peng Kong, Benjamin K Chen, Lara K Mahal, Barbara A Bensing, Catarina E Hioe

Bacteria dysbiosis has been associated with an increased risk of HIV-1 transmission and acquisition. The prevalent idea is that bacteria dysbiosis compromises mucosal integrity and promotes inflammatory conditions to cause recruitment and activation of immune cells that harbor or are targeted by HIV-1. However, it is also possible that HIV-1 directly binds bacteria or bacterial products to impact virus infectivity and transmissibility. This study evaluated HIV-1 interactions with bacteria through glycan-binding lectins. The Streptococcal Siglec-like lectin SLBR-N, which is part of the fimbriae shrouding the bacteria surface and recognizes α2,3 sialyated O-linked glycans, was noted for its ability to enhance HIV-1 infectivity in the context of cell-free infection and cell-to-cell transfer. Enhancing effects were recapitulated with O-glycan-binding plant lectins, signifying the importance of O-glycans. Conversely, N-glycan-binding bacterial lectins FimH and Msl had no effect. SLBR-N was demonstrated to capture and transfer infectious HIV-1 virions, bind to O-glycans on HIV-1 Env, and increase HIV-1 resistance to broadly neutralizing antibodies targeting different regions of Env. Hence, this study highlights the potential contribution of O-glycans in promoting HIV-1 infection through the exploitation of O-glycan-binding lectins from commensal bacteria at the mucosa.

虽然细菌失调与HIV-1传播风险的增加有关,但对HIV-1与细菌之间的直接联系知之甚少。这项研究通过影响病毒传染性的聚糖结合凝集素评估了HIV-1与细菌的相互作用。链球菌Siglec样凝集素SLBR-N是覆盖细菌表面的菌毛的一部分,可识别α2,3唾液酸化的O-连接聚糖,在无细胞感染和细胞间转移的情况下,它具有增强HIV-1感染性的能力。SLBR-N被证明可以捕获HIV-1病毒粒子,与HIV-1Env上的O-聚糖结合,并增强CD4与Env的结合。其他识别不同O-聚糖的SLBR也增强了HIV-1的感染性,尽管程度较低,而N-聚糖结合的细菌凝集素FimH和Msl没有影响。用O-聚糖结合植物凝集素概括了增强作用。因此,本研究强调了O-聚糖通过利用粘膜共生细菌的O-聚糖结合凝集素在促进HIV-1感染中的潜在作用。
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引用次数: 0
Illuminating T cell-dendritic cell interactions in vivo by FlAsHing antigens. FlAsHing抗原在体内照亮T细胞-树突状细胞相互作用。
Pub Date : 2023-12-21 DOI: 10.21203/rs.3.rs-3193191/v3
Munir Akkaya, Jafar Al Souz, Daniel Williams, Rahul Kamdar, Olena Kamenyeva, Juraj Kabat, Ethan M Shevach, Billur Akkaya

Delineating the complex network of interactions between antigen-specific T cells and antigen presenting cells (APCs) is crucial for effective precision therapies against cancer, chronic infections, and autoimmunity. However, the existing arsenal for examining antigen-specific T cell interactions is restricted to a select few antigen-T cell receptor pairs, with limited in situ utility. This lack of versatility is largely due to the disruptive effects of reagents on the immune synapse, which hinder real-time monitoring of antigen-specific interactions. To address this limitation, we have developed a novel and versatile immune monitoring strategy by adding a short cysteine-rich tag to antigenic peptides that emits fluorescence upon binding to thiol-reactive biarsenical hairpin compounds. Our findings demonstrate the specificity and durability of the novel antigen-targeting probes during dynamic immune monitoring in vitro and in vivo. This strategy opens new avenues for biological validation of T-cell receptors with newly identified epitopes by revealing the behavior of previously unrecognized antigen-receptor pairs, expanding our understanding of T cell responses.

界定抗原特异性T细胞和抗原呈递细胞(APC)之间复杂的相互作用网络对于针对癌症、慢性感染和自身免疫的有效精确治疗至关重要。然而,现有的用于检测抗原特异性T细胞相互作用的武器库仅限于选择的少数抗原-T细胞受体对,原位实用性有限。这种缺乏通用性的主要原因是试剂对免疫突触的破坏性影响,这阻碍了对抗原特异性相互作用的实时监测。为了解决这一局限性,我们开发了一种新的、通用的免疫监测策略,通过在抗原肽中添加富含半胱氨酸的短标签,该标签在与硫醇反应性双锥发夹化合物结合时发出荧光。我们的研究结果证明了新型抗原靶向探针在体外和体内动态免疫监测中的特异性和耐用性。这一策略通过揭示以前未识别的抗原-受体对的行为,扩大了我们对T细胞反应的理解,为具有新鉴定的表位的T细胞受体的生物验证开辟了新的途径。
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引用次数: 0
Evolutionary paths that link orthogonal pairs of binding proteins. 连接正交结合蛋白对的进化路径。
Pub Date : 2023-12-13 DOI: 10.21203/rs.3.rs-2836905/v1
Ziv Avizemer, Carlos Martí-Gómez, Shlomo Yakir Hoch, David M McCandlish, Sarel J Fleishman

Some protein binding pairs exhibit extreme specificities that functionally insulate them from homologs. Such pairs evolve mostly by accumulating single-point mutations, and mutants are selected if their affinity exceeds the threshold required for function1-4. Thus, homologous and high-specificity binding pairs bring to light an evolutionary conundrum: how does a new specificity evolve while maintaining the required affinity in each intermediate5,6? Until now, a fully functional single-mutation path that connects two orthogonal pairs has only been described where the pairs were mutationally close thus enabling experimental enumeration of all intermediates2. We present an atomistic and graph-theoretical framework for discovering low molecular strain single-mutation paths that connect two extant pairs, enabling enumeration beyond experimental capability. We apply it to two orthogonal bacterial colicin endonuclease-immunity pairs separated by 17 interface mutations7. We were not able to find a strain-free and functional path in the sequence space defined by the two extant pairs. But including mutations that bridge amino acids that cannot be exchanged through single-nucleotide mutations led us to a strain-free 19-mutation trajectory that is completely viable in vivo. Our experiments show that the specificity switch is remarkably abrupt, resulting from only one radical mutation on each partner. Furthermore, each of the critical specificity-switch mutations increases fitness, demonstrating that functional divergence could be driven by positive Darwinian selection. These results reveal how even radical functional changes in an epistatic fitness landscape may evolve.

一些蛋白质结合对表现出极端的特异性,使它们在功能上与同源物隔离。这样的配对主要通过积累单点突变来进化,如果它们的亲和力超过功能1-4所需的阈值,则选择突变体。因此,同源和高特异性结合对揭示了一个进化难题:一种新的特异性如何进化,同时在每个中间体中保持所需的亲和力5,6?到目前为止,只描述了连接两个正交对的全功能单一突变路径,其中这些对在突变上很接近,从而能够对所有中间体进行实验计数2。我们提出了一个原子论和图论框架,用于发现连接两个现存对的低分子菌株单突变路径,并将其应用于由17个界面突变分离的两个正交细菌肠绞痛核酸内切酶免疫对7。我们无法在由两个现存配对定义的序列空间中找到一条无应变和功能路径。通过包括桥接无法通过单核苷酸突变交换的氨基酸的突变,我们发现了一个在体内完全起作用的无菌株19突变轨迹。尽管突变轨迹很长,但特异性的转换非常突然,这是由每个伴侣上只有一个激进突变引起的。每一个关键的特异性转换突变都会增加适应度,这表明功能差异可能是由积极的达尔文选择驱动的。这些结果揭示了上位适应度景观中即使是根本的功能变化也可能如何演变。
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引用次数: 0
Structural dynamics of GluK2 kainate receptors in apo and partial agonist bound states. GluK2 kainate 受体在apo和部分激动剂结合状态下的结构动力学。
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3592604/v1
Nami Tajima, Nebojša Bogdanović, Guadalupe Segura-Covarrubias, Lisa Zhang
Abstract Kainate receptors (KARs) belong to the family of ionotropic glutamate receptors (iGluRs) and are tetrameric ligand-gated ion channels that regulate neurotransmitter release and excitatory synaptic transmission in the central nervous system. While KARs share overall architectures with other iGluR subfamilies, their dynamics are significantly different from those of other iGluRs. KARs are activated by both full and partial agonists. While there is less efficacy with partial agonists than with full agonists, the detailed mechanism has remained elusive. Here, we used cryo-electron microscopy to determine the structures of homomeric rat GluK2 KARs in the absence of ligands (apo) and in complex with a partial agonist. Intriguingly, the apo state KARs were captured in desensitized conformation. This structure confirms the KAR desensitization prior to activation. Structures of KARs complexed to the partial agonist domoate populate in domoate bound desensitized and non-active/non-desensitized states. These previously unseen intermediate structures highlight the molecular mechanism of partial agonism in KARs. Additionally, we show how N -glycans stabilized the ligand-binding domain dimer via cation/anion binding and modulated receptor gating properties using electrophysiology. Our findings provide vital structural and functional insights into the unique KAR gating mechanisms.
Kainate receptor (KARs)属于嗜离子性谷氨酸受体(iGluRs)家族,是调节中枢神经系统神经递质释放和兴奋性突触传递的四聚体配体门控离子通道。虽然kar与其他iGluR子家族共享整体架构,但它们的动态与其他iGluR有很大不同。KARs可被完全和部分激动剂激活。虽然部分激动剂的疗效低于完全激动剂,但详细的机制仍然难以捉摸。在这里,我们使用低温电子显微镜来确定同源大鼠GluK2 KARs在没有配体(载子)和与部分激动剂配合的情况下的结构。有趣的是,载脂蛋白状态的卡尔被捕获为脱敏构象。这种结构证实了KAR在激活前的脱敏。与部分激动剂domoate络合的KARs结构以domoate结合的脱敏状态和非活性/非脱敏状态填充。这些以前未见过的中间结构突出了局部激动作用的分子机制。此外,我们展示了N -聚糖如何通过阳离子/阴离子结合和电生理学调节受体门控特性来稳定配体结合域二聚体。我们的发现为独特的KAR门控机制提供了重要的结构和功能见解。
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引用次数: 0
Exploring the genetics of lithium response in bipolar disorders 探索双相情感障碍中锂反应的遗传学原理
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3677630/v1
Marisol Herrera-Rivero, M. Adli, K. Akiyama, N. Akula, Azmeraw T. Amare, R. Ardau, Bárbara Arias, Jean-Michel Aubry, L. Backlund, F. Bellivier, A. Benabarre, S. Bengesser, A. Bhattacharjee, Joanna M. Biernacka, A. Birner, Micah Cearns, P. Cervantes, Hsi-Chung Chen, C. Chillotti, S. Cichon, Scott R. Clark, F. Colom, C. Cruceanu, P. Czerski, N. Dalkner, Franziska Degenhardt, M. Zompo, J. DePaulo, Bruno Etain, Peter Falkai, E. Ferensztajn-Rochowiak, A. Forstner, J. Frank, L. Frisén, Mark A. Frye, Janice M. Fullerton, Carla Gallo, S. Gard, J. Garnham, F. Goes, M. Grigoroiu-Serbanescu, P. Grof, Ryota Hashimoto, R. Hasler, Joanna Hauser, U. Heilbronner, S. Herms, Per Hoffmann, Liping Hou, Yi-Hsiang Hsu, S. Jamain, E. Jiménez, J. Kahn, L. Kassem, Tadafumi Kato, J. Kelsoe, Sarah Kittel-Schneider, Po-Hsiu kuo, I. Kusumi, B. König, G. Laje, M. Landén, C. Lavebratt, M. Leboyer, S. Leckband, M. Maj, Mirko Manchia, C. Marie-Claire, Lina Martinsson, Michael J. McCarthy, Susan L. McElroy, V. Millischer, M. Mitjans, Franci
Abstract Background: Lithium (Li) remains the treatment of choice for bipolar disorders (BP). Its mood-stabilizing effects help reduce the long-term burden of mania, depression and suicide risk in patients with BP. It also has been shown to have beneficial effects on disease-associated conditions, including sleep and cardiovascular disorders. However, the individual responses to Li treatment vary within and between diagnostic subtypes of BP (e.g. BP-I and BP-II) according to the clinical presentation. Moreover, long-term Li treatment has been linked to adverse side-effects that are a cause of concern and non-adherence, including the risk of developing chronic medical conditions such as thyroid and renal disease. In recent years, studies by the Consortium on Lithium Genetics (ConLiGen) have uncovered a number of genetic factors that contribute to the variability in Li treatment response in patients with BP. Here, we leveraged the ConLiGen cohort (N=2,064) to investigate the genetic basis of Li effects in BP. For this, we studied how Li response and linked genes associate with the psychiatric symptoms and polygenic load for medical comorbidities, placing particular emphasis on identifying differences between BP-I and BP-II. Results: We found that clinical response to Li treatment, measured with the Alda scale, was associated with a diminished burden of mania, depression, substance and alcohol abuse, psychosis and suicidal ideation in patients with BP-I and, in patients with BP-II, of depression only. Our genetic analyses showed that a stronger clinical response to Li was modestly related to lower polygenic load for diabetes and hypertension in BP-I but not BP-II. Moreover, our results suggested that a number of genes that have been previously linked to Li response variability in BP differentially relate to the psychiatric symptomatology, particularly to the numbers of manic and depressive episodes, and to the polygenic load for comorbid conditions, including diabetes, hypertension and hypothyroidism. Conclusions: Taken together, our findings suggest that the effects of Li on symptomatology and comorbidity in BP are partially modulated by common genetic factors, with differential effects between BP-I and BP-II.
背景:锂(Li)仍然是治疗双相情感障碍(BP)的首选药物。它的情绪稳定作用有助于减轻BP患者躁狂、抑郁和自杀风险的长期负担。它还被证明对睡眠和心血管疾病等与疾病相关的疾病有有益的影响。然而,根据临床表现,个体对Li治疗的反应在BP诊断亚型(如BP- i和BP- ii)内和之间有所不同。此外,长期Li治疗与不良副作用有关,这是引起关注和不坚持治疗的原因,包括患甲状腺和肾脏疾病等慢性疾病的风险。近年来,锂遗传学联盟(ConLiGen)的研究发现了一些导致BP患者锂治疗反应变异性的遗传因素。在这里,我们利用ConLiGen队列(N= 2064)来研究Li效应在BP中的遗传基础。为此,我们研究了Li反应和相关基因如何与精神症状和医学合并症的多基因负荷相关,特别强调了BP-I和BP-II之间的差异。结果:我们发现,用Alda量表测量的Li治疗的临床反应与BP-I患者的躁狂症、抑郁症、物质和酒精滥用、精神病和自杀意念负担的减轻有关,而BP-II患者仅与抑郁症有关。我们的遗传分析显示,Li的临床反应较强,与BP-I患者糖尿病和高血压的多基因负荷较低有一定关系,但与BP-II患者的多基因负荷无关。此外,我们的研究结果表明,先前与BP Li反应变异性相关的一些基因与精神症状,特别是躁狂和抑郁发作的次数,以及合并症(包括糖尿病、高血压和甲状腺功能减退)的多基因负荷存在差异。结论:综上所述,我们的研究结果表明,Li对BP症状和合并症的影响部分受到共同遗传因素的调节,BP- i和BP- ii的影响不同。
{"title":"Exploring the genetics of lithium response in bipolar disorders","authors":"Marisol Herrera-Rivero, M. Adli, K. Akiyama, N. Akula, Azmeraw T. Amare, R. Ardau, Bárbara Arias, Jean-Michel Aubry, L. Backlund, F. Bellivier, A. Benabarre, S. Bengesser, A. Bhattacharjee, Joanna M. Biernacka, A. Birner, Micah Cearns, P. Cervantes, Hsi-Chung Chen, C. Chillotti, S. Cichon, Scott R. Clark, F. Colom, C. Cruceanu, P. Czerski, N. Dalkner, Franziska Degenhardt, M. Zompo, J. DePaulo, Bruno Etain, Peter Falkai, E. Ferensztajn-Rochowiak, A. Forstner, J. Frank, L. Frisén, Mark A. Frye, Janice M. Fullerton, Carla Gallo, S. Gard, J. Garnham, F. Goes, M. Grigoroiu-Serbanescu, P. Grof, Ryota Hashimoto, R. Hasler, Joanna Hauser, U. Heilbronner, S. Herms, Per Hoffmann, Liping Hou, Yi-Hsiang Hsu, S. Jamain, E. Jiménez, J. Kahn, L. Kassem, Tadafumi Kato, J. Kelsoe, Sarah Kittel-Schneider, Po-Hsiu kuo, I. Kusumi, B. König, G. Laje, M. Landén, C. Lavebratt, M. Leboyer, S. Leckband, M. Maj, Mirko Manchia, C. Marie-Claire, Lina Martinsson, Michael J. McCarthy, Susan L. McElroy, V. Millischer, M. Mitjans, Franci","doi":"10.21203/rs.3.rs-3677630/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-3677630/v1","url":null,"abstract":"Abstract Background: Lithium (Li) remains the treatment of choice for bipolar disorders (BP). Its mood-stabilizing effects help reduce the long-term burden of mania, depression and suicide risk in patients with BP. It also has been shown to have beneficial effects on disease-associated conditions, including sleep and cardiovascular disorders. However, the individual responses to Li treatment vary within and between diagnostic subtypes of BP (e.g. BP-I and BP-II) according to the clinical presentation. Moreover, long-term Li treatment has been linked to adverse side-effects that are a cause of concern and non-adherence, including the risk of developing chronic medical conditions such as thyroid and renal disease. In recent years, studies by the Consortium on Lithium Genetics (ConLiGen) have uncovered a number of genetic factors that contribute to the variability in Li treatment response in patients with BP. Here, we leveraged the ConLiGen cohort (N=2,064) to investigate the genetic basis of Li effects in BP. For this, we studied how Li response and linked genes associate with the psychiatric symptoms and polygenic load for medical comorbidities, placing particular emphasis on identifying differences between BP-I and BP-II. Results: We found that clinical response to Li treatment, measured with the Alda scale, was associated with a diminished burden of mania, depression, substance and alcohol abuse, psychosis and suicidal ideation in patients with BP-I and, in patients with BP-II, of depression only. Our genetic analyses showed that a stronger clinical response to Li was modestly related to lower polygenic load for diabetes and hypertension in BP-I but not BP-II. Moreover, our results suggested that a number of genes that have been previously linked to Li response variability in BP differentially relate to the psychiatric symptomatology, particularly to the numbers of manic and depressive episodes, and to the polygenic load for comorbid conditions, including diabetes, hypertension and hypothyroidism. Conclusions: Taken together, our findings suggest that the effects of Li on symptomatology and comorbidity in BP are partially modulated by common genetic factors, with differential effects between BP-I and BP-II.","PeriodicalId":21039,"journal":{"name":"Research Square","volume":"110 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138607939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Self-management Intervention for Reducing Epilepsy Burden Among Adult Ugandans With Epilepsy (Smart-u), Randomised Clinical Trial Protocol 减轻乌干达成年癫痫患者癫痫负担的自我管理干预(Smart-u),随机临床试验方案
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3667486/v1
S. Mbalinda, M. Kaddumukasa, J. Najjuma, Doreen Birungi, M. Kaddumukasa, Jennifer Levin, Carolyn Still, C. Burant, Avani Modi, Elly T Katabira, Martha Sajatovic
Abstract Background: Epilepsy is a common chronic brain disorder globally affecting people of all ages, with the majority living in developing countries. The introduction of epilepsy self-management approaches to help people with epilepsy is urgently needed to influence epilepsy-related outcomes. This 2-site randomised controlled trial building on promising preliminary data is intended to explore this further. Methods: A total of 188 adult people with epilepsy (PWE) attending the neurology clinics at Mulago and Mbarara hospitals and consent to participate in the study. They will be randomised into intervention versus enhanced treatment control (eTAU) study groups. The intervention group will receive 12-week “intensive” educational sessions and a 12-week remotely accessed telephone follow-up stage. The controls will continue in their usual care supplemented by written materials on epilepsy in their preferred language and tailored to the reading level of most patients at the clinic. SMART-U consists of 2 main components: a 12-week “intensive” group format stage and a 12-week remotely accessed telephone follow-up stage. SMART-U will be assessed for acceptability, fidelity, and efficacy compared to eTAU. The primary study outcome is the mean change in cumulative past 24-week seizure frequency (24 weeks prior to the study baseline compared to the 24-week follow-up). Seizure frequency will be via self-report with corroboration by family/support system informants whenever possible. Participants will self-report their seizure frequency (numeric count) that they experienced between baseline and 13 weeks and again between 13 and 24 weeks and the mean change from baseline to 24 weeks in QOL. Discussion: The curriculum-guided Self-Management intervention for Reducing The epilepsy burden among Ugandans (SMART-U) program is anticipated to reduce the epilepsy burden seizure frequency and improve other health outcomes, including depression, functional status and health resource use. Trial Registration Number (TRN): NCT06139198 Date of registration: 14 th November 2023
背景:癫痫是一种常见的慢性脑部疾病,影响全球所有年龄段的人群,大多数生活在发展中国家。迫切需要引入癫痫自我管理方法来帮助癫痫患者,以影响癫痫相关的结果。这项建立在有希望的初步数据基础上的2点随机对照试验旨在进一步探讨这一点。方法:共有188名成年癫痫患者(PWE)在Mulago和Mbarara医院神经内科就诊并同意参与研究。他们将被随机分为干预组和强化治疗对照组(eTAU)研究组。干预组将接受为期12周的“强化”教育课程和为期12周的远程电话随访阶段。对照组将继续他们的常规护理,并辅以以他们喜欢的语言编写的关于癫痫的书面材料,并根据诊所大多数患者的阅读水平进行调整。SMART-U由两个主要部分组成:一个为期12周的“密集”小组形式阶段和一个为期12周的远程访问电话随访阶段。与eTAU相比,SMART-U将评估其可接受性、保真度和有效性。主要研究结果是过去24周累积发作频率的平均变化(研究基线前24周与24周随访相比)。癫痫发作频率将通过自我报告,并尽可能得到家庭/支持系统举报人的证实。参与者将自我报告他们在基线和13周之间以及在13和24周之间经历的癫痫发作频率(数字计数)以及从基线到24周的生活质量的平均变化。讨论:减轻乌干达人癫痫负担的课程指导自我管理干预(SMART-U)计划预计将减少癫痫负担,发作频率,改善其他健康结果,包括抑郁、功能状态和卫生资源使用。试验注册号(TRN): NCT06139198注册日期:2023年11月14日
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引用次数: 0
Older adults at greater risk for Alzheimer’s disease show stronger associations between sleep apnea severity and verbal memory 罹患阿尔茨海默病风险较高的老年人的睡眠呼吸暂停严重程度与言语记忆力之间的关系更为密切
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3683218/v1
Kitty Lui, Abhishek Dave, K. Sprecher, M. Chappel-Farley, B. Riedner, Margo Heston, Chase E. Taylor, C. Carlsson, O. Okonkwo, S. Asthana, Sterling Johnson, B. Bendlin, B. Mander, Ruth M. Benca
Abstract Background : Obstructive sleep apnea (OSA) increases risk for cognitive decline and Alzheimer’s disease (AD). While the underlying mechanisms remain unclear, hypoxemia during OSA has been implicated in cognitive impairment. OSA during rapid eye movement (REM) sleep is usually more severe than in non-rapid eye movement (NREM) sleep, but the relative effect of oxyhemoglobin desaturation during REM versus NREM sleep on memory is not completely characterized. Here, we examined the impact of OSA, as well as the moderating effects of AD risk factors, on verbal memory in a sample of middle-aged and older adults with heightened AD risk. Methods : Eighty-one adults (mean age:61.7±6.0 years, 62% females, 32% a polipoprotein E ε4 allele ( APOE4) carriers, and 70% with parental history of AD) underwent clinical polysomnography including assessment of OSA. OSA features were derived in total, NREM, and REM sleep. REM-NREM ratios of OSA features were also calculated. Verbal memory was assessed with the Rey Auditory Verbal Learning Test (RAVLT). Multiple regression models evaluated the relationships between OSA features and RAVLT scores while adjusting for sex, age, time between assessments, education years, body mass index (BMI), and APOE4 status or parental history of AD. The significant main effects of OSA features on RAVLT performance and the moderating effects of AD risk factors (i.e., sex, age, APOE4 status, and parental history of AD) were examined. Results : Apnea-hypopnea index (AHI), respiratory disturbance index (RDI), and oxyhemoglobin desaturation index (ODI) during REM sleep were negatively associated with RAVLT total learning and long-delay recall. Further, greater REM-NREM ratios of AHI, RDI, and ODI (i.e., more events in REM than NREM) were related to worse total learning and recall. We found specifically that the negative association between REM ODI and total learning was driven by adults 60+ years old. In addition, the negative relationships between REM-NREM ODI ratio and total learning and REM-NREM RDI ratio and long-delay recall were driven by APOE4 carriers. Conclusion : Greater OSA severity, particularly during REM sleep, negatively affects verbal memory, especially for people with greater AD risk. These findings underscore the potential importance of proactive screening and treatment of REM OSA even if overall AHI appears low.
背景:阻塞性睡眠呼吸暂停(OSA)增加认知能力下降和阿尔茨海默病(AD)的风险。虽然潜在的机制尚不清楚,但OSA期间的低氧血症与认知障碍有关。快速眼动(REM)睡眠期间的OSA通常比非快速眼动(NREM)睡眠更严重,但REM和NREM睡眠期间氧合血红蛋白去饱和对记忆的相对影响尚未完全确定。在这里,我们研究了阻塞性睡眠呼吸暂停的影响,以及AD风险因素的调节作用,对阿尔茨海默病高风险的中老年人的言语记忆的影响。方法:81例成人(平均年龄61.7±6.0岁,62%为女性,32%为APOE4携带者,70%父母有AD病史)接受了包括OSA在内的临床多导睡眠图检查。OSA特征来源于总睡眠、非快速眼动睡眠和快速眼动睡眠。同时计算OSA特征的REM-NREM比值。用雷伊听觉言语学习测验(RAVLT)评估言语记忆。多元回归模型评估OSA特征与RAVLT评分之间的关系,同时调整性别、年龄、评估间隔时间、受教育年限、体重指数(BMI)、APOE4状态或父母AD病史。研究了OSA特征对RAVLT表现的显著主要影响以及AD危险因素(即性别、年龄、APOE4状态和父母AD病史)的调节作用。结果:REM睡眠时呼吸暂停低通气指数(AHI)、呼吸障碍指数(RDI)、血红蛋白氧饱和度指数(ODI)与RAVLT总学习和长延迟回忆呈负相关。此外,AHI、RDI和ODI的REM-NREM比率越大(即REM中的事件多于NREM),总学习和回忆能力就越差。我们特别发现,快速眼动ODI和总体学习之间的负相关是由60岁以上的成年人驱动的。此外,APOE4携带者对REM-NREM ODI比率与总学习量、REM-NREM RDI比率与长延迟回忆量呈负相关。结论:OSA严重程度越高,尤其是在快速眼动睡眠期间,会对言语记忆产生负面影响,尤其是对AD风险较高的人群。这些发现强调了主动筛查和治疗REM睡眠呼吸暂停的潜在重要性,即使总体AHI看起来很低。
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引用次数: 0
Cultural-Responsiveness of the Mental Health First Aid Training for Asian Immigrant Populations in Greater Boston, Massachusetts 马萨诸塞州大波士顿地区亚裔移民心理健康急救培训的文化适应性
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3449868/v1
Min Kyung Kim, Grace S. Su, Angel N.Y. Chan, Yuxin Fu, Yanqing Huang, Chien-Chi Huang, Ben Hires, MyDzung Chu
Abstract Background The COVID-19 pandemic and rise in anti-Asian racism have had adverse mental health impacts in Asian communities. The lack of culturally-responsive and linguistically-accessible mental health trainings hinders access to mental health services for Asian populations. In this study, we assessed the mental health needs of Asian communities in Greater Boston and evaluated cultural responsiveness of the Mental Health First Aid (MHFA), a first-responder training teaching participants skills to recognize signs of mental health and substance use challenges, and how to appropriately respond. Methods This community-based participatory research with the Boston Chinatown Neighborhood Center (BCNC), Asian Women For Health (AWFH), and the Addressing Disparities in Asian Populations through Translational Research (ADAPT) Coalition employed two phases. In phase 1, we conducted focus groups with BCNC and AWFH staff and peer educators to assess mental health priorities of Asian populations in Boston. Findings informed phase 2, which evaluated cultural responsiveness of the MHFA through pre- and post-training questionnaires and focus groups with community participants. The pre-training questionnaire asked about mental health needs and barriers, help-seeking behaviors, and literacy; and personal and Asian community stigma. The post-training questionnaire and focus group with community participants asked about cultural competence of MHFA training for Asian populations. Paired t-tests were used to evaluate questionnaire responses. Thematic analysis was used to analyze interviews. Results In total, 10 staff/educators and 8 community members participated in focus groups. They identified common mental health needs and workforce and culturally-responsive community strategies to support persons with mental health issues. Twenty-four community participants completed pre- and post-training questionnaires. They reported the MHFA training reduced mental health care stigma and increased mental health literacy. Recommendations to increase cultural-responsiveness of the MHFA were to include mental health case studies common in Asian populations and provide the training in other languages (e.g., Chinese, Vietnamese). Conclusion Cultural responsiveness of the MHFA for Asian populations could be improved with the inclusion of case studies specific to the Asian communities and accessibility of the training in other languages. Increasing the cultural relevance and language accessibility of these trainings could help reduce mental health stigma and gaps in mental health awareness and service utilization among Asian populations.
背景2019冠状病毒病大流行和反亚裔种族主义抬头对亚裔社区心理健康产生了不利影响。缺乏适应文化和语言的心理健康培训阻碍了亚洲人口获得心理健康服务。在本研究中,我们评估了大波士顿地区亚裔社区的心理健康需求,并评估了心理健康急救(MHFA)的文化反应性。MHFA是一种急救培训,教授参与者识别心理健康和物质使用挑战迹象的技能,以及如何适当应对。方法与波士顿唐人街社区中心(BCNC)、亚洲妇女健康中心(AWFH)和通过转化研究解决亚洲人口差异联盟(ADAPT)合作开展的社区参与性研究分为两个阶段。在第一阶段,我们与BCNC和AWFH的工作人员和同伴教育者进行了焦点小组,以评估波士顿亚洲人口的心理健康优先事项。研究结果为第二阶段提供了信息,该阶段通过培训前和培训后的问卷调查以及与社区参与者的焦点小组来评估MHFA的文化响应性。训练前问卷询问心理健康需求和障碍、求助行为和读写能力;以及个人和亚裔社区的耻辱。培训后问卷调查和与社区参与者的焦点小组询问了针对亚洲人群的MHFA培训的文化能力。采用配对t检验评价问卷反应。访谈采用主题分析法进行分析。结果共有10名工作人员/教育工作者和8名社区成员参加了焦点小组。他们确定了共同的心理健康需求以及支持有心理健康问题的人的劳动力和符合文化的社区战略。24名社区参与者完成了培训前和培训后的问卷调查。他们报告说,MHFA培训减少了精神卫生保健的耻辱感,提高了精神卫生素养。为提高MHFA的文化反应能力,建议包括亚洲人群中常见的心理健康案例研究,并提供其他语言(如汉语、越南语)的培训。结论针对亚裔群体的个案研究和其他语言培训的可及性可以提高MHFA对亚裔人群的文化反应性。提高这些培训的文化相关性和语言可及性有助于减少亚洲人群对心理健康的耻辱感和心理健康意识和服务利用方面的差距。
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引用次数: 0
Moderate ethanol exposure reduces astrocyte-induced neuroinflammatorysignaling and cognitive decline in presymptomatic APP/PS1 mice 适度接触乙醇可降低星形胶质细胞诱导的神经炎症信号传导,减少无症状 APP/PS1 小鼠的认知能力下降
Pub Date : 2023-12-02 DOI: 10.21203/rs.3.rs-3627637/v1
S. Kang, Jeyeon Lee, Sun Choi, J. Nesbitt, Paul H Min, Eugenia Trushina, Doo-Sup Choi
Abstract Background Alcohol use disorder (AUD) has been associated with the development of neurodegenerative diseases, including Alzheimer's disease (AD). However, recent studies demonstrate that moderate alcohol consumption may be protective against dementia and cognitive decline. Methods We examined astrocyte function, low-density lipoprotein (LDL) receptor-related protein 1 (LRP1), and the NF-κB p65 and IKK-α/β signaling pathways in modulating neuroinflammation and amyloid beta (Aβ) deposition. We assessed apolipoprotein E (ApoE) in the mouse brain using IHC and ELISA in response to moderate ethanol exposure (MEE). First, to confirm the intracerebral distribution of ApoE, we co-stained with GFAP, a marker for astrocytes that biosynthesize ApoE. We sought to investigate whether the ethanol-induced upregulation of LRP1 could potentially inhibit the activity of IL-1β and TNF-α induced IKK-α/β towards NF-κB p65, resulting in a reduction of pro-inflammatory cytokines. To evaluate the actual Aβ load in the brains of APP/PS1 mice, we performed with a specific antibody Aβ (Thioflavin S) on both air- and ethanol-exposed groups, subsequently analyzing Aβ levels. We also measured glucose uptake activity using 18F-FDG in APP/PS1 mice. Finally, we investigated whether MEE induced cognitive and memory changes using the Y maze, noble objective recognition (NOR) test, and Morris water maze (MWM). Results Our findings demonstrate that MEE reduced astrocytic glial fibrillary acidic protein (GFAP) and ApoE levels in the cortex and hippocampus in presymptomatic APP/PS1 mice. Interestingly, increased LRP1 protein expression is accompanied by dampening the IKK-α/β-NF-κB p65 pathway, resulting in decreased IL-1β and TNF-α levels in male mice. Notably, female mice show reduced anti-inflammatory cytokines, IL-4, and IL-10 levels without altering IL-1β and TNF-α concentrations. In both males and females, Aβ plaques, a hallmark of AD, were reduced in the cortex and hippocampus of ethanol-exposed presymptomatic APP/PS1 mice. Consistently, MEE increased fluorodeoxyglucose (FDG)-positron emission tomography (PET)-based brain activities and normalized cognitive and memory deficits in the APP/PS1 mice. Conclusions Our findings suggest that MEE may benefit AD pathology via modulating LRP1 expression, potentially reducing neuroinflammation and attenuating Aβ deposition. Our study implies that reduced astrocyte derived ApoE and LDL cholesterol levels are critical for attenuating AD pathology.
背景酒精使用障碍(AUD)与包括阿尔茨海默病(AD)在内的神经退行性疾病的发展有关。然而,最近的研究表明,适度饮酒可能有助于预防痴呆和认知能力下降。方法研究星形胶质细胞功能、低密度脂蛋白受体相关蛋白1 (LRP1)、NF-κB p65和IKK-α/β信号通路在神经炎症和β淀粉样蛋白(Aβ)沉积中的调节作用。我们使用免疫组化和ELISA法评估了小鼠大脑中载脂蛋白E (ApoE)对中度乙醇暴露(MEE)的反应。首先,为了确认ApoE在脑内的分布,我们用GFAP(一种生物合成ApoE的星形胶质细胞的标记物)联合染色。我们试图研究乙醇诱导的LRP1上调是否可能抑制IL-1β和TNF-α诱导的IKK-α/β对NF-κB p65的活性,从而导致促炎细胞因子的减少。为了评估APP/PS1小鼠大脑中实际的a β负荷,我们对空气和乙醇暴露组进行了特异性抗体a β (Thioflavin S),随后分析了a β水平。我们还用18F-FDG测量了APP/PS1小鼠的葡萄糖摄取活性。最后,我们通过Y迷宫、崇高客观识别(NOR)测试和Morris水迷宫(MWM)来研究MEE是否会引起认知和记忆的变化。结果我们的研究结果表明,MEE降低了症状前APP/PS1小鼠皮质和海马中的星形胶质胶质纤维酸性蛋白(GFAP)和ApoE水平。有趣的是,LRP1蛋白表达的增加伴随着IKK-α/β-NF-κB p65通路的抑制,导致雄性小鼠IL-1β和TNF-α水平下降。值得注意的是,雌性小鼠显示抗炎细胞因子、IL-4和IL-10水平降低,但IL-1β和TNF-α浓度没有改变。在男性和女性中,酒精暴露的APP/PS1症状前小鼠的皮质和海马中的a β斑块(AD的标志)减少。与此同时,MEE增加了基于氟脱氧葡萄糖(FDG)-正电子发射断层扫描(PET)的APP/PS1小鼠的大脑活动和正常化的认知和记忆缺陷。我们的研究结果表明,MEE可能通过调节LRP1的表达,潜在地减少神经炎症和减弱Aβ沉积,从而有益于AD的病理。我们的研究表明,星形胶质细胞来源的ApoE和LDL胆固醇水平的降低对减轻AD病理至关重要。
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引用次数: 0
WITHDRAWN: Elevated glucose promotes DNA replication and cancer cell growth through pRB-E2F1. 升高的葡萄糖通过pRB-E2F1促进DNA复制和癌症细胞生长。
Pub Date : 2023-12-01 DOI: 10.21203/rs.3.rs-3126261/v1

The full text of this preprint has been withdrawn by the authors due to author disagreement with the posting of the preprint. Therefore, the authors do not wish this work to be cited as a reference. Questions should be directed to the corresponding author.

尽管流行病学研究强调了高血糖与癌症风险增加之间的联系,但对这种联系背后的分子机制的了解仍然有限。在这项研究中,我们报道了高血糖水平(HG)增强DNA复制,导致肿瘤细胞生长。此外,通过全基因组分析,我们确定E2F1是HG诱导的细胞适应的核心转录因子。对E2F1的抑制消除了HG诱导的DNA合成和细胞生长,支持了E2F1在这一过程中的作用。此外,我们证明,升高的葡萄糖水平增强了pRB磷酸化,这在E2F1激活中起作用。有趣的是,在HG诱导的E2F1靶基因中,RRM2(核糖核苷酸还原酶调节亚基M2)通过催化DNA复制所必需的dNTP的产生参与核苷酸合成。我们发现HG以E2F1-RRM2依赖的方式增加细胞dNTP水平,这与增强的DNA合成和癌症细胞生长相关。总之,我们的发现揭示了高血糖与癌症细胞增殖之间的pRB-E2F1-RRM2依赖性联系,并提供了高血糖引导肿瘤细胞进行DNA复制的分子机制。
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引用次数: 0
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