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From online resources to collaborative global neuroscience research: where are we heading? 从在线资源到全球神经科学合作研究:我们将走向何方?
Q4 Neuroscience Pub Date : 2020-07-21 DOI: 10.31117/neuroscirn.v3i3.51
P. Cheah, K. Ling, Eric Tatt Wei Ho
Neuroscience has emerged as a richly transdisciplinary field, poised to leverage potential synergies with information technology. To investigate the complex nervous system in its normal function and the disease state, researchers in the field are increasingly reliant on generating, sharing and analyzing diverse data from multiple experimental paradigms at multiple spatial and temporal scales. There is growing recognition that brain function must be investigated from a systems perspective. This requires an integrated analysis of genomic, proteomic, anatomical, functional, topological and behavioural information to arrive at accurate scientific conclusions. The integrative neuroinformatics approaches for exploring complex structure-function relationships in the nervous system have been extensively reviewed. To support neuroscience research, the neuroscientific community also generates and maintains web-accessible databases of experimental and computational data and innovative software tools. Neuroinformatics is an emerging sub-field of neuroscience which focuses on addressing the unique technological and computational challenges to integrate and analyze the increasingly high-volume, multi-dimensional, and fine-grain data generated from neuroscience experiments. The most visible contributions from neuroinformatics include the myriad reference atlases of brain anatomy (human and other mammals such as rodents, primates and pig), gene and protein sequences and the bioinformatics software tools for alignment, matching and identification. Other neuroinformatics initiatives include the various open-source preprocessing and processing software and workflows for data analysis as well as the specifications for data format and software interoperability that allow seamless exchange of data between labs, software tools and modalities.
神经科学已经成为一个丰富的跨学科领域,准备利用潜在的协同效应与信息技术。为了研究复杂的神经系统的正常功能和疾病状态,研究人员越来越依赖于在多个时空尺度上生成、共享和分析来自多个实验范式的各种数据。越来越多的人认识到,必须从系统的角度来研究大脑功能。这需要对基因组学、蛋白质组学、解剖学、功能学、拓扑学和行为学信息进行综合分析,以得出准确的科学结论。综合神经信息学方法用于探索神经系统中复杂的结构-功能关系已经得到了广泛的回顾。为了支持神经科学研究,神经科学界还生成并维护了可通过网络访问的实验和计算数据数据库以及创新的软件工具。神经信息学是神经科学的一个新兴子领域,它专注于解决独特的技术和计算挑战,以整合和分析神经科学实验产生的越来越多的高容量,多维度和细粒度数据。神经信息学最显著的贡献包括大量的脑解剖学参考图谱(人类和其他哺乳动物,如啮齿动物、灵长类动物和猪)、基因和蛋白质序列以及用于比对、匹配和鉴定的生物信息学软件工具。其他神经信息学计划包括各种开源预处理和处理软件以及用于数据分析的工作流程,以及数据格式和软件互操作性规范,这些规范允许在实验室、软件工具和模式之间无缝交换数据。
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引用次数: 0
Neurocognitive interventions based on network neuroscience may break the cycle of drug addiction relapse 基于网络神经科学的神经认知干预可能打破毒瘾复发的循环
Q4 Neuroscience Pub Date : 2020-05-30 DOI: 10.31117/neuroscirn.v3i2.48
Kavinash Loganathan, Eric Tatt Wei Ho
In Malaysia, abstinence-centric programs failed to reduce drug use and stem the spread of HIV. The Malaysian government shifted its focus to implement harm reduction strategies with methadone maintenance therapy (MMT), in particular proving to be effective in improving the overall health and well-being of people who inject drugs (PWIDs). Despite this success, MMT retention rates remain low, as methadone is only able to stall drug consumption, but not stop it completely. Neuroimaging research revealed that PWIDs enrolled in MMT still display addictive behavior, including drug cue sensitivity, craving, and withdrawal, despite treatment adherence. Brain activity amongst treated PWIDs continues to bear similarities to untreated individuals, as they struggle with cognitive impairments and poor self-control. Findings from the emerging field of network neuroscience could provide fresh insight into the mechanics of addiction, especially the impact of substance abuse on brain-wide cognitive networks. Concurrently, the development of non-intrusive cognitive interventions, such as neurofeedback and transcranial magnetic stimulation, shows promise to reprogram a person's patterns of brain activity, including those regulated by large-scale networks, to a state resembling normalcy. We highlight the importance of relapse in the life-long rehabilitation of substance abuse. The lack of treatment options to handle relapse after successful harm-reduction policies is due to the absence of a conceptual framework to reason about interventions. We review recent research in the new field of network neuroscience, which suggests that altered brain activity due to drug addiction underlies the propensity for relapse and that this dysfunction is not addressed in drug rehabilitation programs. We hypothesize that non-invasive, non-pharmacological cognitive interventions based on network neuroscience to correct brain activity dysfunction associated with addiction are potential therapies to treat drug addiction relapse. In complement with medicine-substitution-based therapies, we hope this approach will finally break the cycle of addiction.
在马来西亚,以禁欲为中心的项目未能减少毒品使用并阻止艾滋病毒的传播。马来西亚政府将重点转移到实施美沙酮维持疗法(MMT)的减少伤害战略上,特别是事实证明,美沙酮在改善注射毒品者的整体健康和福祉方面是有效的。尽管取得了成功,但MMT的保留率仍然很低,因为美沙酮只能阻止药物消费,但不能完全阻止药物消费。神经影像学研究表明,尽管坚持治疗,参与MMT的PWID仍表现出成瘾行为,包括药物线索敏感性、渴望和戒断。接受治疗的PWID的大脑活动仍然与未接受治疗的个体相似,因为他们正在与认知障碍和自制力差作斗争。新兴网络神经科学领域的发现可以为成瘾的机制,特别是药物滥用对全脑认知网络的影响提供新的见解。与此同时,非侵入性认知干预措施的发展,如神经反馈和经颅磁刺激,有望将一个人的大脑活动模式(包括由大规模网络调节的模式)重新编程为类似正常的状态。我们强调复发在药物滥用终身康复中的重要性。在成功实施减少伤害政策后,缺乏治疗复发的选择,这是由于缺乏一个概念框架来解释干预措施。我们回顾了网络神经科学新领域的最新研究,该研究表明,毒瘾导致的大脑活动改变是复发倾向的基础,而这种功能障碍在药物康复计划中没有得到解决。我们假设,基于网络神经科学的非侵入性、非药物认知干预是治疗毒瘾复发的潜在疗法,以纠正与成瘾相关的大脑活动功能障碍。与基于药物替代的疗法相补充,我们希望这种方法最终能打破成瘾的循环。
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引用次数: 0
Improved β-catenin detection in spinal cord tissue sections: autofluorescence quenching 改进的脊髓组织切片β-catenin检测:自身荧光猝灭
Q4 Neuroscience Pub Date : 2020-05-29 DOI: 10.31117/neuroscirn.v3i2.49
D. Abdullahi, A. A. Annuar, J. Sanusi
Experimental studies on spinal cord regeneration are focusing on the windows of opportunity to improve spinal cord microenvironment via spinal-centric repair pathways. One pathway of particular interest is the Wnt/β-catenin signalling pathway which plays a vital role in axonal guidance, synaptic assembly and function, neuronal survival and connectivity after spinal cord trauma to induce repair. Upregulation of β-catenin expression is often taken as evidence of regeneration mechanisms through the Wnt/ β-catenin pathway. However, these studies may not have optimised the staining protocol for β-catenin to enable accurate detection of the protein. Given possible issues with the background or endogenous tissue autofluorescence, there is a need to optimise the protocol further to allow better visualisation of β-catenin. So far, there are no studies which report optimising spinal cord tissues for β-catenin to reduce autofluorescence, and as β-catenin is widely used in spinal cord injury (SCI) and other spinal cord tissue studies, thus it is an important issue to address. To achieve reliable detection and localisation of β-catenin, we utilised sequential quenching techniques using 1% NaBH4 and 1mM CuSO4 in 50mM ammonium acetate buffer to reduce both background and fixative-induced autofluorescence. Our results showed that sequential autofluorescence quenching is crucial in β-catenin detection, and this improved technique indicates that β-catenin is localised in the spinal cord white matter regions. Objective approach for the β-catenin localisation is highly significant as it unravelled an objective identification and illuminate the pattern of distribution of β-catenin for researcher focusing on spinal cord repair studies via the Wnt/β-catenin pathway following SCI.
脊髓再生的实验研究集中在通过脊髓中心修复途径改善脊髓微环境的机会之窗上。一种特别感兴趣的途径是Wnt/β-catenin信号通路,它在脊髓创伤后的轴突引导、突触组装和功能、神经元存活和连接以诱导修复中发挥着至关重要的作用。β-连环蛋白表达的上调通常被认为是通过Wnt/β-连环素途径再生机制的证据。然而,这些研究可能没有优化β-连环蛋白的染色方案,从而能够准确检测该蛋白。考虑到背景或内源性组织自发荧光可能存在的问题,有必要进一步优化方案,以更好地可视化β-连环蛋白。到目前为止,还没有研究报道为β-连环蛋白优化脊髓组织以减少自发荧光,并且由于β-连环素广泛用于脊髓损伤(SCI)和其他脊髓组织研究,因此这是一个需要解决的重要问题。为了实现β-连环蛋白的可靠检测和定位,我们使用在50mM乙酸铵缓冲液中使用1%NaBH4和1mM CuSO4的顺序猝灭技术来减少背景和固定剂诱导的自发荧光。我们的结果表明,连续自发荧光猝灭在β-连环蛋白检测中至关重要,这种改进的技术表明β-连环素定位于脊髓白质区域。β-连环蛋白定位的客观方法具有非常重要的意义,因为它为专注于脊髓损伤后通过Wnt/β-连环素途径进行脊髓修复研究的研究人员揭示了β-连环in的客观识别和分布模式。
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引用次数: 1
COVID-19 and mental health: Our reactions to its actions COVID-19与心理健康:我们对其行动的反应
Q4 Neuroscience Pub Date : 2020-04-04 DOI: 10.31117/neuroscirn.v3i2.46
M. Shaikh, F. A. Shaikh
The genetic epidemiology suggests that coronavirus disease 2019 (COVID-19) is most likely transmitted to the human population in November or December 2019, originating from Wuhan and spread entirely by human-to-human transmission. The period of the Chinese New Year holidays is thought to be one of the key periods where a substantial transmission took place within Wuhan. Moreover, the movement of people from Wuhan resulted in massive spread nationally and internationally when people traveled during the holidays.
遗传流行病学认为,2019冠状病毒病(COVID-19)最有可能在2019年11月或12月传播给人群,起源于武汉,完全通过人与人之间的传播。中国春节假期被认为是武汉内部发生大量传播的关键时期之一。此外,武汉的人员流动导致了人们在假期旅行期间在国内和国际上的大规模传播。
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引用次数: 1
sLORETA neurofeedback in fibromyalgia 纤维肌痛的sLORETA神经反馈
Q4 Neuroscience Pub Date : 2020-01-30 DOI: 10.31117/NEUROSCIRN.V3I1.40
R. Pérez-Elvira, Ana Jiménez Gómez
Fibromyalgia is a chronic and incapacitating condition that produces, as main symptoms, pain, and stiffness. In addition to these physical symptoms, it is also accompanied by psychological symptoms such as cognitive deficits, anxiety, and depression. One of the non-pharmacological treatments that have been used in this pathology in recent years is neurofeedback. In this study, we analyze the efficacy of sLORETA Neurofeedback in the case of fibromyalgia. The experimental subject was a 37-year-old patient. Quantified electroencephalography studies were applied on three occasions, one initial, another after fifteen days of waiting list, and another after treatment. Psychometric scales were also applied at the same time to evaluate the patient's psychological and physical state. The treatment consisted of 5 sessions of Neurofeedback LORETA in Brodmann area 2. After the treatment, a neurometric, psychometric, and clinical improvement were found. The improvement of the patient after 5 sessions is relevant since previous studies using neurofeedback in fibromyalgia, despite finding positive results, needed a higher number of sessions to achieve relevant results. Therefore, the intervention with neurofeedback LORETA in fibromyalgia patients could be an alternative or complement to current treatments.
纤维肌痛是一种慢性致残疾病,主要症状是疼痛和僵硬。除了这些身体症状外,它还伴有认知缺陷、焦虑和抑郁等心理症状。近年来在这种病理中使用的一种非药物治疗方法是神经反馈。在这项研究中,我们分析了斯洛雷达神经反馈治疗纤维肌痛的疗效。实验对象是一位37岁的病人。量化脑电图研究在三种情况下应用,一次是首次,另一次是在15天的等待名单后,另一次是在治疗后。同时采用心理测量量表对患者的心理和生理状态进行评估。治疗包括5次Brodmann 2区LORETA神经反馈治疗。治疗后,发现神经测量、心理测量和临床改善。患者在5次治疗后的改善是相关的,因为先前使用神经反馈治疗纤维肌痛的研究尽管发现了积极的结果,但需要更多的治疗次数才能达到相关的结果。因此,对纤维肌痛患者进行神经反馈LORETA干预可能是当前治疗的替代或补充。
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引用次数: 1
Dopamine transporter 1 (DAT1) rs40184 single nucleotide polymorphism is not associated with the Malaysian major depressive disorder subjects 多巴胺转运蛋白1 (DAT1) rs40184单核苷酸多态性与马来西亚重度抑郁症受试者无关
Q4 Neuroscience Pub Date : 2019-12-04 DOI: 10.31117/neuroscirn.v2i4.36
Asraa Faris Aldoghachi, P. Cheah, Normala Ibrahim, Munn Sann Lye, K. Ling
Major depressive disorder (MDD) is a serious mental illness with a multifactorial aetiology that was shown to influence behaviour and affect cognition. Previous research has favoured the involvement of dopamine in the aetiology of the disorder, and since one of the critical regulators of the dopamine levels and activity in the brain is DAT1, the present study investigated the association of a single nucleotide polymorphism in the DAT1 gene (rs40184) and MDD in the Malaysian population. A total of 300 cases and 300 matched controls were recruited from four Klang valley hospitals and were screened for DAT1 rs40184 using high resolution melting assays. The allele and genotype frequencies were analysed by using Chi-square. Hardy Weinberg equilibrium for the distribution of alleles and genotypes was tested by using Chi-square. Determination of the association between rs40184 and MDD was achieved by conditional logistic regression using SPSS. In the present study, no significant association was obtained between DAT1 and MDD in the Malaysian population.
重度抑郁症(MDD)是一种具有多因素病因的严重精神疾病,已被证明会影响行为和认知。先前的研究支持多巴胺参与该疾病的病因学,并且由于大脑中多巴胺水平和活动的关键调节因子之一是DAT1,因此本研究调查了马来西亚人群中DAT1基因(rs40184)的单核苷酸多态性与MDD的关系。从四家巴生谷医院共招募了300例病例和300名匹配对照,并使用高分辨率融化试验筛选了DAT1 rs40184。采用卡方分析等位基因频率和基因型频率。采用卡方法检验等位基因和基因型分布的Hardy Weinberg平衡。rs40184与MDD的相关性采用SPSS条件logistic回归分析。在目前的研究中,马来西亚人群中DAT1和MDD之间没有明显的关联。
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引用次数: 1
Research beyond biomedical confines: towards better mental health and well-being for all 超越生物医学范围的研究:为所有人提供更好的心理健康和福祉
Q4 Neuroscience Pub Date : 2019-11-19 DOI: 10.31117/neuroscirn.v2i4.43
J. Y. Teoh, Kee Hean Lim
‘Working Together to Prevent Suicide’ is the theme of World Mental Health Day 2019. According to the World Health Organisation, suicide is the second leading cause of death for people aged 15-19 years old. One person dies of suicide every 40 seconds, with this form of death affecting people of all age groups in all countries. Hence in line with this year’s theme calling for a trans-sectoral and interdisciplinary approach to address this epidemic, we would like to invite all contributors and readers of Neuroscience Research Notes (NeurosciRN) to take a moment to reflect on how they - as researchers can contribute towards the facilitation, discussion and promotion of positive mental health, which in turn has been found to reduce suicide risk.
“携手预防自杀”是2019年世界心理健康日的主题。根据世界卫生组织的数据,自杀是15-19岁人群的第二大死因。每40秒就有一人死于自杀,这种形式的死亡影响到所有国家所有年龄段的人。因此,根据今年呼吁采取跨部门和跨学科的方法来应对这一流行病的主题,我们想邀请《神经科学研究笔记》(NeurosciRN)的所有撰稿人和读者花点时间思考一下他们是如何为促进、讨论和促进积极的心理健康做出贡献的,这反过来又被发现可以降低自杀风险。
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引用次数: 0
Zinc transporter-3 [SLC30A3 (rs11126936)] polymorphism is associated with major depressive disorder in Asian subjects 锌转运体-3 [SLC30A3 (rs11126936)]多态性与亚洲受试者重度抑郁症相关
Q4 Neuroscience Pub Date : 2019-09-13 DOI: 10.31117/neuroscirn.v2i3.34
Munn Sann Lye, A. Shahbudin, Yin-Yee Tey, Y. Tor, K. Ling, Normala Ibrahim, J. Stanslas, S. Loh, R. Rosli
Major depressive disorder (MDD) compromises the individual’s capacity for self-care and productivity. Single nucleotide polymorphisms (SNP) of a number of genes have been associated with MDD. The zinc transporter-3 protein, encoded by the ZnT3 (SLC30A3) gene, maintains zinc-glutamate homeostasis at the glutamatergic synapse, a disruption of which increases risk of MDD. We hypothesise that variation in SLC30A3 (rs11126936) SNP increases risk of MDD. We recruited 300 MDD cases and 300 controls, matched in the ratio of 1:1 by age, gender and ethnicity. PCR-restriction fragment length polymorphism analysis was used in DNA genotyping, validated by sequencing 10% of samples. Deviation from the Hardy-Weinberg equilibrium was tested using the chi-square test. Conditional logistic regression was used to estimate adjusted odds ratios, controlling for age, gender, ethnicity, occupation and family monthly income. Genotypes G/G and G/T showed two times greater odds of developing MDD compared to variant genotype T/T (OR=1.983, 95% CI=1.031-3.815; p=0.040 and OR=2.232, 95% CI=1.100-4.533; p=0.026 respectively). Carriers of genotypes G/G and G/T of the SNP rs11126936 in SLC30A3 are associated with increased risk of MDD.
重度抑郁症(MDD)损害个人的自我照顾能力和生产力。许多基因的单核苷酸多态性(SNP)与MDD有关。锌转运蛋白-3由ZnT3 (SLC30A3)基因编码,维持谷氨酸突触的锌-谷氨酸稳态,其破坏会增加MDD的风险。我们假设SLC30A3 (rs11126936) SNP的变异会增加MDD的风险。我们招募了300名重度抑郁症患者和300名对照,年龄、性别和种族的比例为1:1。pcr -限制性片段长度多态性分析用于DNA基因分型,测序10%的样本进行验证。偏离Hardy-Weinberg平衡的情况采用卡方检验。在控制年龄、性别、种族、职业和家庭月收入的情况下,使用条件logistic回归来估计调整后的优势比。基因型G/G和G/T发生MDD的几率是变异基因型T/T的2倍(OR=1.983, 95% CI=1.031-3.815;p=0.040, OR=2.232, 95% CI=1.100-4.533;p = 0.026)。SLC30A3中rs11126936 SNP基因型G/G和G/T携带者与MDD风险增加相关。
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引用次数: 3
Chemical hypoxia in human pluripotent NT2 stem cell-derived neurons: Effect of hydroxamic acid and benzamide-based epigenetic drugs 人NT2多能干细胞衍生神经元的化学缺氧:异羟肟酸和苯甲酰胺类表观遗传学药物的作用
Q4 Neuroscience Pub Date : 2019-08-22 DOI: 10.31117/NEUROSCIRN.V2I3.30
R. Bagchi, A. Bagchi, Ankita Salunke, D. Hens, Pragna Parikh
Hypoxia-induced oxidative stress contributes to neuronal damage leading to many neurodegenerative disorders. Hypoxia promotes many downstream effectors such as hypoxia-inducible factor-1α (HIF-1α) in order to restore respiratory homeostasis due to low oxygen availability and increased ROS. Use of histone deacetylase (HDAC) inhibitors may modulate hypoxia-induced neuronal cell damage.  In this study, we used two chemically diverse HDAC inhibitors to investigate their effect on hypoxia-exposed neuronal cells. Human pluripotent NT-2 stem cell-derived neuronal differentiated cells were exposed to CoCl2 pre-treatment for 6h to induce hypoxia, prior to supplementation of HDAC inhibitor (SAHA or MGCD0103). Treatment with HDAC inhibitor improved cell viability in hypoxia-induced neuronal cells. The increased HIF1α expression in hypoxia-induced neuronal cells was blunted by these HDAC inhibitors with a concomitant decrease in ROS production. CoCl2 treatment caused an increase in IL-1β, which was significantly inhibited by these HDAC inhibitors. Furthermore, apoptosis induced in these CoCl2 treated neuronal cells was mitigated by SAHA as well MGCD0103 suggesting that these HDAC inhibitors are capable of reducing cellular toxicity, inflammation and apoptosis, and thus, could be beneficial as therapeutic molecules for many neuropathological conditions.
缺氧诱导的氧化应激导致神经元损伤,导致许多神经退行性疾病。缺氧促进许多下游效应物,如缺氧诱导因子-1α(HIF-1α),以恢复由于低氧可用性和ROS增加而引起的呼吸稳态。组蛋白去乙酰化酶(HDAC)抑制剂的使用可能调节缺氧诱导的神经元细胞损伤。在这项研究中,我们使用了两种不同化学性质的HDAC抑制剂来研究它们对缺氧暴露的神经元细胞的影响。在补充HDAC抑制剂(SAHA或MGCD0103)之前,将人多能干细胞NT-2衍生的神经元分化细胞暴露于CoCl2预处理6小时以诱导缺氧。用HDAC抑制剂处理改善了缺氧诱导的神经元细胞中的细胞活力。缺氧诱导的神经元细胞中HIF1α表达的增加被这些HDAC抑制剂钝化,同时ROS产生减少。CoCl2处理引起IL-1β的增加,这些HDAC抑制剂显著抑制了IL-1β。此外,SAHA和MGCD0103减轻了在这些CoCl2处理的神经元细胞中诱导的细胞凋亡,这表明这些HDAC抑制剂能够减少细胞毒性、炎症和细胞凋亡,因此,作为许多神经病理学病症的治疗分子可能是有益的。
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引用次数: 0
Genotypic and phenotypic variation of CADASIL among Chinese, Indians and Rungus in Malaysia 马来西亚华人、印度人和龙格人CADASIL基因型和表型变异
Q4 Neuroscience Pub Date : 2019-08-17 DOI: 10.31117/NEUROSCIRN.V2I3.35
T. Toh, K. Lim, C. Ng, Imran Idris, S. Ahmad, T. Lim, I. Looi, A. Tan, Chung-Kin Chan, C. Lim, C. Tan
Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) is a hereditary disease of small cerebral arteries. This case series aims to describe the mutations in NOTCH3 and their phenotypes in Malaysia. We included patients who were genetically confirmed to have CADASIL, diagnosed at the University of Malaya Medical Centre, Malaysia. Family members who fulfilled clinical or imaging criteria, and patients from two previous published Malaysian families were also included. Six families (eleven cases) were included in this series. Genetic testing revealed NOTCH3 mutations in c.328C>T (p.Arg110Cys, R110C), c.533T>G (p.Cys185Gly, C185G), c.1630C>T (p.Arg544Cys, R544C) and c.160C>T (p.Arg54Cys, R54C). Two out of four Chinese families had R544C mutation in exon 11, with a later age of onset, absence of migraine and lack of anterior temporal pole involvement on MRI. One family with mixed Indian and Chinese ancestry had a mutation in exon 3 with R110C and another Indian family exon 4 with C185G mutation. This case series highlights the genotypic and phenotypic variability of CADASIL in a multiethnic country. The finding of p.Arg544Cys mutation among the older Chinese families, similar to those reported in Jeju Island and Taiwan, suggest the need to screen the older Chinese stroke patients with typical MRI changes.
大脑常染色体显性动脉病伴皮质下梗死和脑白质病(CADASIL)是一种大脑小动脉的遗传性疾病。本病例系列旨在描述NOTCH3突变及其在马来西亚的表型。我们纳入了在马来西亚马来亚大学医学中心诊断的基因证实患有CADASIL的患者。符合临床或影像学标准的家庭成员,以及先前公布的两个马来西亚家庭的患者也包括在内。本系列包括6个家庭(11例)。基因检测显示,c.328C b> T (p.a g110cys, R110C)、c.533T>G (p.a gys185gly, C185G)、c.1630C>T (p.a g544cys, R544C)和c.160C>T (p.a g54cys, R54C)中存在NOTCH3突变。4个中国家庭中有2个外显子11有R544C突变,发病年龄较晚,没有偏头痛,MRI上没有颞叶前极受累。一个印度和中国血统混合的家庭外显子3与R110C突变,另一个印度家庭外显子4与C185G突变。本病例系列突出了CADASIL在多民族国家的基因型和表型变异性。在中国老年家庭中发现p.a g544cys突变,与济州岛和台湾报道的相似,表明有必要对具有典型MRI变化的中国老年中风患者进行筛查。
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引用次数: 2
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