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PDE4D inhibitors: Opening a new era of PET diagnostics for Alzheimer's disease PDE4D抑制剂:开启阿尔茨海默病PET诊断新时代
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.neuint.2024.105903
Luyang Shi , Xue Wang , Hongzong Si , Wangdi Song
As the incidence of Alzheimer's disease (AD) continues to rise, the need for an effective PET radiotracer to facilitate early diagnosis has become more pressing than ever before in modern medicine. Phosphodiesterase (PDE) is closely related to cognitive impairment and neuroinflammatory processes in AD. Current research progress shows that specific PDE4D inhibitors radioligands can bind specifically to the PDE4D enzyme in the brain, thereby showing pathology-related signal enhancement in AD animal models, indicating the potential of these ligands as effective radiotracers. At the same time, we need to pay attention to the important role computer aided drug design (CADD) plays in advancing AD drug design and PET imaging. Future research will verify the potential of these ligands in clinical applications through computer simulation techniques, providing patients with timely intervention and treatment, which is of great significance.
随着阿尔茨海默病(AD)的发病率持续上升,对有效的PET放射性示踪剂以促进早期诊断的需求在现代医学中变得比以往任何时候都更加迫切。磷酸二酯酶(PDE)与阿尔茨海默病的认知障碍和神经炎症过程密切相关。目前的研究进展表明,特定的PDE4D抑制剂放射配体可以特异性结合大脑中的PDE4D酶,从而在AD动物模型中显示出与病理相关的信号增强,表明这些配体具有作为有效放射性示踪剂的潜力。同时,我们需要重视计算机辅助药物设计(CADD)在推进AD药物设计和PET成像方面的重要作用。未来的研究将通过计算机模拟技术验证这些配体在临床应用中的潜力,为患者提供及时的干预和治疗,具有重要意义。
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引用次数: 0
Neurometabolite and cognitive changes in hypothyroid patients in response to treatment: In-vivo 1H MRS study 甲状腺功能减退症患者的神经代谢物和认知变化对治疗的反应:体内 1H MRS 研究。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.neuint.2024.105915
Mukesh Kumar , Sadhana Singh , Poonam Rana , Maria D'souza , S Senthil Kumaran , Tarun Sekhri , Subash Khushu
The disturbances in thyroid hormones lead to altered brain metabolism, function, and cognition. Neuroimaging studies have shown structural and functional changes in hypothyroidism. Present study investigates the neuro-metabolite changes in dorsolateral prefrontal cortex (DLPFC) and posterior parietal cortex (PPC) and associated decline cognitive function in hypothyroid patients before and after thyroxine treatment. We performed neuropsychological test and 1H MRS in hypothyroid patients (n = 25) and controls (n = 30). In addition, follow-up data was also collected from 19 patients treated with levo-thyroxine for 32 weeks. The concentration of the neurometabolites were calculated using LCModel. MRS data were analyzed using analysis of covariance (ANCOVA), with age and gender as covariates. A paired t-test was conducted to compare the baseline hypothyroid with the follow-up. Partial correlations were utilised to assess possible associations between neuropsychological scores and neurometabolites with age and gender as covariates. Spearman correlation was performed between thyroid hormone levels and neurometabolites. Hypothyroid patients showed an impairment in delayed recall, immediate recall of semantic, visual retention, recognition of objects memory, attention, and motor function at baseline, which improved significantly after thyroxine therapy. At baseline, patients with hypothyroidism exhibited significantly higher levels of choline compounds (GPC + PCh) [Cho]. No significant normalization of Cho levels was observed, despite achieving euthyroidism with thyroxine treatment. Cho levels showed a positive correlation with TSH in PPC and a negative correlation with T4 in DLPFC and PCC. Cho levels also showed negative correlations with delayed recall, immediate recall of semantic, visual retention memory and MMSE scores. The MRS findings show increased levels of Cho in hypothyroid patients compared to healthy controls. These Cho levels are not reversible within 32 weeks of treatment, suggesting that a longer follow-up may be needed to see if levels can be normalized.
甲状腺激素紊乱导致脑代谢、功能和认知的改变。神经影像学研究显示甲状腺功能减退症的结构和功能改变。本研究探讨了甲状腺功能减退患者在甲状腺素治疗前后背外侧前额叶皮质(DLPFC)和后顶叶皮质(PPC)神经代谢物的变化和相关的认知功能下降。我们对甲状腺功能减退患者(n=25)和对照组(n=30)进行了神经心理测试和1H MRS。此外,还收集了19例左旋甲状腺素治疗32周的随访数据。采用LCModel计算神经代谢物浓度。以年龄和性别为协变量,采用协方差分析(ANCOVA)对MRS数据进行分析。采用配对t检验比较基线甲状腺功能减退与随访。利用部分相关性来评估神经心理学评分和神经代谢物之间可能存在的关联,并将年龄和性别作为协变量。在甲状腺激素水平和神经代谢物之间进行Spearman相关性。甲状腺功能减退患者在基线时表现为延迟回忆、语义即时回忆、视觉保留、物体识别记忆、注意力和运动功能的损害,甲状腺素治疗后显著改善。基线时,甲状腺功能减退患者胆碱化合物(GPC+PCh)水平明显升高[Cho]。尽管通过甲状腺素治疗实现了甲状腺功能亢进,但未观察到Cho水平明显正常化。Cho水平与PPC患者TSH呈正相关,与DLPFC和PCC患者T4呈负相关。Cho水平与语义延迟回忆、即时回忆、视觉保留记忆和MMSE得分呈负相关。磁共振结果显示,与健康对照组相比,甲状腺功能减退患者的Cho水平升高。这些Cho水平在治疗32周内是不可逆转的,这表明可能需要更长的随访时间来观察水平是否可以正常化。
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引用次数: 0
Role of PI3Kγ in the polarization, migration, and phagocytosis of microglia PI3Kγ在小胶质细胞极化、迁移和吞噬中的作用。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.neuint.2024.105917
Xinghua Liang , Yuan Hu , Xinyue Li , Xi Xu , Zhonglan Chen , Yalin Han , Yingying Han , Guangping Lang
Phosphoinositide 3-kinase γ (PI3Kγ) is a signaling protein that is constitutively expressed in immune competent cells and plays a crucial role in cell proliferation, apoptosis, migration, deformation, and immunology. Several studies have shown that high expression of PI3Kγ can inhibit the occurrence of inflammation in microglia while also regulating the polarization of microglia to inhibit inflammation and enhance microglial migration and phagocytosis. It is well known that the regulation of microglial polarization, migration, and phagocytosis is key to the treatment of most neurodegenerative diseases. Therefore, in this article, we review the important regulatory role of PI3Kγ in microglia to provide a basis for the treatment of neurodegenerative diseases.
磷脂酰肌醇3-激酶γ(PI3Kγ)是一种信号蛋白,在具有免疫能力的细胞中组成型表达,在细胞增殖、凋亡、迁移、变形和免疫学中起着至关重要的作用。多项研究表明,PI3Kγ的高表达能抑制小胶质细胞炎症的发生,同时还能调节小胶质细胞的极化,从而抑制炎症,增强小胶质细胞的迁移和吞噬能力。众所周知,调节小胶质细胞的极化、迁移和吞噬能力是治疗大多数神经退行性疾病的关键。因此,本文综述了 PI3Kγ 在小胶质细胞中的重要调控作用,为治疗神经退行性疾病提供依据。
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引用次数: 0
Hydrogen restores central tryptophan and metabolite levels and maintains mitochondrial homeostasis to protect rats from chronic mild unpredictable stress damage 氢恢复中央色氨酸和代谢物水平并维持线粒体稳态以保护大鼠免受慢性轻度不可预测的应激损伤。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-01-01 DOI: 10.1016/j.neuint.2024.105914
Jiaxin Li , Gaimei Hao , Yupeng Yan , Ming Li , Gaifen Li , Zhengmin Lu , Zhibo Sun , Yanjing Chen , Haixia Liu , Yukun Zhao , Meng Wu , Xiangxin Bao , Yong Wang , Yubo Li

Background and purpose

The field of hydrogen medicine has garnered extensive attention since Professor Ohsawa established that low concentrations of hydrogen (2%–4%) exert antioxidant effects. The present study aimed to evaluate the therapeutic effect of molecular hydrogen in a CUMS rat model.

Methods

A total of 40 SD rats were randomly divided into a control group, a model group, a hydrogen group, and a positive drug group. Four weeks post-modeling, hydrogen inhalation and other treatments were administered. Behavioral, biochemical, and immunohistochemical evaluations were performed after treatment.

Results

Hydrogen inhalation alleviated depressive behavior and hippocampal neuronal damage in CUMS rats, as well as restored the levels of neurotransmitters, inflammatory factors, and oxidative stress. Moreover, it maintained mitochondrial homeostasis and up-regulated the expression of PGC-1α, PINK1, and Parkin.

Conclusions

The results collectively indicated that hydrogen significantly attenuated CUMS-induced depressive-like behavior and monoamine neurotransmitter deficiency, as well as protected the brain from oxidative stress and inflammatory damage and effectively preserved mitochondrial homeostasis.
背景与目的:自从Ohsawa教授发现低浓度的氢(2%至4%)具有抗氧化作用以来,氢医学领域受到了广泛关注。本研究旨在评价分子氢对CUMS大鼠模型的治疗作用。方法:将40只SD大鼠随机分为对照组、模型组、氢组和阳性药物组。造模后4周,给予氢气吸入等治疗。治疗后进行行为、生化和免疫组织化学评价。结果:氢吸入可减轻CUMS大鼠的抑郁行为和海马神经元损伤,恢复神经递质、炎症因子和氧化应激水平。维持线粒体稳态,上调PGC-1α、PINK1和Parkin的表达。结论:结果表明,氢能显著减轻coms诱导的抑郁样行为和单胺类神经递质缺乏,保护大脑免受氧化应激和炎症损伤,有效维持线粒体稳态。
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引用次数: 0
Leptin deficiency leads to nerve degeneration and impairs axon remyelination by inducing Schwann cell apoptosis and demyelination in type 2 diabetic peripheral neuropathy in rats 瘦素缺乏导致2型糖尿病周围神经病变大鼠神经退行性变,并通过诱导雪旺细胞凋亡和脱髓鞘损害轴突再生
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-26 DOI: 10.1016/j.neuint.2024.105908
Yuan-Shuo Hsueh , Szu-Han Chen , Wan-Ling Tseng , Sheng-Che Lin , De-Quan Chen , Chih-Chung Huang , Yuan-Yu Hsueh
Diabetic peripheral neuropathy, characterized by symptoms such as paresthesia, neuropathic pain, and potential lower limb amputation, poses significant clinical management challenges. Recent studies suggest that chronic hyperglycemia-induced Schwann cells (SCs) apoptosis contributes to neurodegeneration and impaired nerve regeneration, but the detailed mechanisms are still unknown. Our study investigated a mixed-sex type 2 diabetes mellitus (T2DM) rat model using leptin knockout (KO) to simulate obesity and diabetes-related conditions. Through extensive assessments, including mechanical allodynia, electrophysiology, and microcirculation analyses, along with myelin degradation studies in KO versus wild-type rats, we focused on apoptosis, autophagy, and SCs dedifferentiation in the sciatic nerve and examined nerve regeneration in KO rats. KO rats exhibited notable reductions in mechanical withdrawal force, prolonged latency, decreased compound muscle action potential (CMAP) amplitude, reduced microcirculation, myelin sheath damage, and increases in apoptosis, autophagy, and SCs dedifferentiation. Moreover, leptin KO was found to impair peripheral nerve regeneration postinjury, as indicated by reduced muscle weight, lower CMAP amplitude, extended latency, and decreased remyelination and SCs density. These findings underscore the effectiveness of the T2DM rat model in clarifying the impact of leptin KO on SCs apoptosis, dedifferentiation, and demyelination, providing valuable insights into new therapeutic avenues for treating T2DM-induced peripheral neuropathy.
糖尿病周围神经病变以感觉异常、神经性疼痛和潜在的下肢截肢等症状为特征,给临床管理带来了重大挑战。最近的研究表明,慢性高血糖诱导的雪旺细胞(SCs)凋亡有助于神经退行性变和神经再生受损,但详细的机制尚不清楚。我们的研究采用瘦素敲除(KO)来模拟肥胖和糖尿病相关疾病的混合性别2型糖尿病大鼠模型。通过广泛的评估,包括机械异常性疼痛、电生理学和微循环分析,以及KO与野生型大鼠的髓磷脂降解研究,我们重点研究了KO大鼠坐骨神经的凋亡、自噬和SCs去分化,并检查了KO大鼠的神经再生。KO大鼠表现出机械戒断力明显降低、潜伏期延长、复合肌肉动作电位(CMAP)振幅降低、微循环减少、髓鞘损伤、细胞凋亡、自噬和SCs去分化增加。此外,发现瘦素KO损害损伤后周围神经再生,表现为肌肉重量减少,CMAP振幅降低,潜伏期延长,髓鞘再生和SCs密度降低。这些发现强调了T2DM大鼠模型在阐明瘦素KO对sc凋亡、去分化和脱髓鞘影响方面的有效性,为治疗T2DM诱导的周围神经病变提供了有价值的新治疗途径。
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引用次数: 0
Striatum-enriched protein, arginase 2 localizes to medium spiny neurons and controls striatal metabolic profile 纹状体富集蛋白精氨酸酶 2 定位于中刺神经元并控制纹状体的新陈代谢。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-23 DOI: 10.1016/j.neuint.2024.105907
Martyna Nalepa , Beata Toczyłowska , Aleksandra Owczarek , Aleksandra Skweres , Elżbieta Ziemińska , Michał Węgrzynowicz
Arginase 2 (Arg2) is the predominant arginase isoenzyme in the brain, however its distribution appears to be limited to selected, region-specific subpopulations of cells. Although striatum is highly enriched with Arg2, precise localization and function of striatal Arg2 have never been studied. Here, we confirm that Arg2 is the only arginase isoenzyme in the striatum, and, using genetic model of total Arg2 loss, we show that Arg2 in this region is fully responsible for arginase catalytic activity, and its loss doesn't induce compensatory activation of Arg1. We exhibit that Arg2 is present in medium spiny neurons (MSNs), striatum-specific projecting neurons, where it localizes in soma and neuronal processes, and is absent in astrocytes or microglia. Finally, analysis of NMR spectroscopy-measured metabolic profiles of striata of Arg2-null mice enabled to recognize two metabolites (NADH and malonic acid) to be significantly altered compared to control animals. Multivariate comparison of the data using orthogonal projections to latent structures discriminant analysis, allowed for discrimination between control and Arg2-null mice and identified metabolites that contributed the most to this between-group dissimilarity. Our study reveals for the first time the localization of Arg2 in MSNs and demonstrates significant role of this enzyme in regulating striatal metabolism. These findings may be especially interesting in the context of Huntington's disease (HD), a disorder that specifically affects MSNs and in which, with the use of mouse models, the onset of pathological phenotypes was recently shown to be preceded by progressive impairment of striatal Arg2, a phenomenon of an unknown significance for disease pathogenesis.
精氨酸酶 2(Arg2)是大脑中最主要的精氨酸酶同工酶,但其分布似乎仅限于特定区域的细胞亚群。虽然纹状体(striatum)高度富集 Arg2,但纹状体 Arg2 的精确定位和功能却从未被研究过。在这里,我们证实 Arg2 是纹状体中唯一的精氨酸酶同工酶,并利用 Arg2 完全缺失的遗传模型,证明该区域的 Arg2 完全负责精氨酸酶的催化活性,其缺失不会引起 Arg1 的代偿性激活。我们发现 Arg2 存在于中棘神经元(MSNs)、纹状体特异性投射神经元中,定位于体和神经元过程,而不存在于星形胶质细胞或小胶质细胞中。最后,通过对 Arg2 缺失小鼠纹状体的核磁共振光谱测量代谢谱进行分析,发现与对照组动物相比,两种代谢物(NADH 和丙二酸)发生了显著变化。利用正交投影潜结构判别分析对数据进行多变量比较,可以区分对照组小鼠和 Arg2-无效小鼠,并确定对组间差异贡献最大的代谢物。我们的研究首次揭示了 Arg2 在 MSN 中的定位,并证明了这种酶在调节纹状体代谢中的重要作用。亨廷顿氏病(Huntington's disease,HD)是一种专门影响 MSN 的疾病,最近通过使用小鼠模型显示,病理表型的出现先于纹状体 Arg2 的进行性损伤,这一现象对疾病发病机制的意义尚不清楚。
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引用次数: 0
Accelerated senescence exacerbates α-synucleinopathy in senescence-accelerated prone 8 mice via persistent neuroinflammation 加速衰老会通过持续的神经炎症加剧衰老加速易感基因 8 小鼠的α-突触核蛋白病变
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-23 DOI: 10.1016/j.neuint.2024.105906
Hiroshi Sakiyama , Kousuke Baba , Yasuyoshi Kimura , Kotaro Ogawa , Ujiakira Nishiike , Hideki Hayakawa , Miki Yoshida , Cesar Aguirre , Kensuke Ikenaka , Seiichi Nagano , Hideki Mochizuki
Parkinson's disease (PD) is characterized by the formation of α-synuclein (α-syn) aggregates, which lead to dopaminergic neuronal degeneration. The incidence of PD increases with age, and senescence is considered to be a major risk factor for PD. In this study, we evaluated the effect of senescence on PD pathology using α-synuclein preformed fibrils (PFF) injection model in senescence-accelerated mice. We injected PFF into the substantia nigra (SN) of senescence-accelerated prone 8 (SAMP8) mice and senescence-accelerated resistant 1 (SAMR1) mice. At 24 weeks after injection of saline or PFF, we found that SAMP8 mice injected with PFF exhibited robust Lewy pathology and exacerbated degeneration of dopaminergic neurons in the SN compared to PFF-injected SAMR1 mice. We further observed an increase in the number of Iba1-positive cells in the brains of PFF-injected SAMP8 mice. RNA sequencing revealed that several genes related to neuroinflammation were upregulated in the brains of PFF-injected SAMP8 mice compared to SAMR1 mice. Inflammatory chemokine CC-chemokine ligand 21 (CCL21) was upregulated in PFF-injected SAMP8 mice and expressed in the glial cells of these mice. Our research indicates that accelerated senescence leads to persistent neuroinflammation, which plays an important role in the exacerbation of α-synucleinopathy.
帕金森病(PD)的特点是形成α-突触核蛋白(α-syn)聚集体,导致多巴胺能神经元变性。随着年龄的增长,多巴胺能神经元退化症的发病率也会增加,而衰老被认为是多巴胺能神经元退化症的一个主要风险因素。在本研究中,我们使用α-突触核蛋白预成纤维(PFF)注射模型评估了衰老对帕金森病病理的影响。我们向衰老加速易感性8(SAMP8)小鼠和衰老加速抵抗性1(SAMR1)小鼠的黑质(SN)注射了PFF。在注射生理盐水或 PFF 24 周后,我们发现与注射 PFF 的 SAMR1 小鼠相比,注射 PFF 的 SAMP8 小鼠表现出强烈的路易病理变化,并加剧了 SN 中多巴胺能神经元的退化。我们进一步观察到,注射 PFF 的 SAMP8 小鼠大脑中 Iba1 阳性细胞的数量有所增加。RNA 测序显示,与 SAMR1 小鼠相比,注射 PFF 的 SAMP8 小鼠大脑中与神经炎症相关的几个基因上调。炎症趋化因子CC-趋化因子配体21(CCL21)在注射PFF的SAMP8小鼠中上调,并在这些小鼠的神经胶质细胞中表达。我们的研究表明,加速衰老会导致持续的神经炎症,这在α-突触核蛋白病的恶化中起着重要作用。
{"title":"Accelerated senescence exacerbates α-synucleinopathy in senescence-accelerated prone 8 mice via persistent neuroinflammation","authors":"Hiroshi Sakiyama ,&nbsp;Kousuke Baba ,&nbsp;Yasuyoshi Kimura ,&nbsp;Kotaro Ogawa ,&nbsp;Ujiakira Nishiike ,&nbsp;Hideki Hayakawa ,&nbsp;Miki Yoshida ,&nbsp;Cesar Aguirre ,&nbsp;Kensuke Ikenaka ,&nbsp;Seiichi Nagano ,&nbsp;Hideki Mochizuki","doi":"10.1016/j.neuint.2024.105906","DOIUrl":"10.1016/j.neuint.2024.105906","url":null,"abstract":"<div><div>Parkinson's disease (PD) is characterized by the formation of α-synuclein (α-syn) aggregates, which lead to dopaminergic neuronal degeneration. The incidence of PD increases with age, and senescence is considered to be a major risk factor for PD. In this study, we evaluated the effect of senescence on PD pathology using α-synuclein preformed fibrils (PFF) injection model in senescence-accelerated mice. We injected PFF into the substantia nigra (SN) of senescence-accelerated prone 8 (SAMP8) mice and senescence-accelerated resistant 1 (SAMR1) mice. At 24 weeks after injection of saline or PFF, we found that SAMP8 mice injected with PFF exhibited robust Lewy pathology and exacerbated degeneration of dopaminergic neurons in the SN compared to PFF-injected SAMR1 mice. We further observed an increase in the number of Iba1-positive cells in the brains of PFF-injected SAMP8 mice. RNA sequencing revealed that several genes related to neuroinflammation were upregulated in the brains of PFF-injected SAMP8 mice compared to SAMR1 mice. Inflammatory chemokine <em>C</em>C-chemokine ligand 21 (CCL21) was upregulated in PFF-injected SAMP8 mice and expressed in the glial cells of these mice. Our research indicates that accelerated senescence leads to persistent neuroinflammation, which plays an important role in the exacerbation of α-synucleinopathy.</div></div>","PeriodicalId":398,"journal":{"name":"Neurochemistry international","volume":"182 ","pages":"Article 105906"},"PeriodicalIF":4.4,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Calcium balance through mutual orchestrated inter-organelle communication: A pleiotropic target for combating Alzheimer's disease 通过相互协调的细胞器间通信实现钙平衡:抗击阿尔茨海默病的多效应靶点
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-19 DOI: 10.1016/j.neuint.2024.105905
Muhammad Kamal Hossain , Han Jung Chae
Dysfunctional intraneuronal organelles in Alzheimer's Disease (AD) propel aberrant calcium handling, triggering molecular miscommunication within organelles such as mitochondria, endoplasmic reticulum, and lysosomes. This disruption in organelle function not only impairs cellular homeostasis but also exacerbates neurodegenerative processes involving the accumulation of amyloid-β (Aβ) and hyperphosphorylated tau, amplifying the disease's vicious cycle. In this review, the concept of Mutual Orchestrated Inter-organelle Communication (MOIC) proposes potential therapeutic avenues for restoring Ca2+ homeostasis in AD, offering a theoretical framework for developing disease-modifying treatments. The intricate nature of AD necessitates a shift towards combination therapies targeting MOIC-associated pathways, presenting a more effective approach than monotherapy.
阿尔茨海默病(AD)患者的细胞内细胞器功能失调会导致钙处理失常,引发线粒体、内质网和溶酶体等细胞器内的分子交流失误。这种细胞器功能的紊乱不仅损害了细胞的稳态,还加剧了神经退行性过程,包括淀粉样蛋白-β(Aβ)和高磷酸化tau的积累,扩大了疾病的恶性循环。在这篇综述中,"相互协调的细胞器间通信(MOIC)"这一概念提出了恢复 AD 中 Ca2+ 平衡的潜在治疗途径,为开发改变疾病的治疗方法提供了一个理论框架。由于AD的复杂性,有必要转向针对MOIC相关通路的综合疗法,这是比单一疗法更有效的方法。
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引用次数: 0
Neuroprotective effects of nutraceuticals and natural products in traumatic brain injury 营养保健品和天然产品对创伤性脑损伤的神经保护作用。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-16 DOI: 10.1016/j.neuint.2024.105904
K.M. Bhargavi , Niya Gowthami , G.K. Chetan , M.M. Srinivas Bharath
Traumatic Brain Injury (TBI) is a global healthcare concern with considerable mortality and morbidity. Early diagnosis and timely treatment are critical for optimal clinical prognosis in TBI patients. Injury to the brain tissue following TBI is categorized into primary and secondary injury events, with the former being acute, while the latter evolves over a long period. Although surgical intervention is effective to treat primary injury, secondary injury events that could contribute to long term neurological deterioration, cognitive impairment and neurodegeneration do not have appropriate pharmacotherapy. To address this lacuna, studies based on modern medicine to explore novel drugs in TBI have met with limited success. This has led to focussed efforts to assess natural products capable of targeting multiple pathways in TBI. Complex natural mixtures and isolated phytochemicals capable of targeting redox mechanisms, neuroinflammation, mitochondrial dysfunction, cell death pathways and other specific targets etc. have been characterized. However, the field has met with certain limitations and challenges with inadequate clinical studies and trials being the most important concern. The current review provides an overview of the dietary factors, nutraceuticals, natural extracts, and phytochemicals that could be potentially applied in neuroprotection, TBI therapy and long-term management of cognitive symptoms and other neurological deficits.
创伤性脑损伤(TBI)是一个全球性的医疗问题,死亡率和发病率都相当高。早期诊断和及时治疗是创伤性脑损伤患者获得最佳临床预后的关键。创伤后脑组织损伤分为原发性和继发性损伤,前者是急性的,而后者则是长期的。虽然手术干预能有效治疗原发性损伤,但可能导致长期神经功能衰退、认知障碍和神经变性的继发性损伤事件却没有适当的药物疗法。为了弥补这一空白,基于现代医学探索治疗创伤性脑损伤新药的研究取得了有限的成功。因此,人们开始集中精力评估能够针对创伤性脑损伤多种途径的天然产品。能够靶向氧化还原机制、神经炎症、线粒体功能障碍、细胞死亡途径和其他特定靶点等的复杂天然混合物和分离的植物化学物质已被定性。然而,这一领域也遇到了一些限制和挑战,其中最重要的问题是临床研究和试验不足。本综述概述了可用于神经保护、创伤性脑损伤治疗以及认知症状和其他神经功能缺陷的长期管理的膳食因素、营养保健品、天然提取物和植物化学物质。
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引用次数: 0
Polygonatum sibiricum polysaccharides: A promising strategy in the treatment of neurodegenerative disease 何首乌多糖:治疗神经退行性疾病的有效策略。
IF 4.4 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-11-13 DOI: 10.1016/j.neuint.2024.105902
Xue Jiang , Yumei Wang , Zhaochen Lin , Chao Li , Qian Wang , Junyan Zhang , Xiuhua Liu , Ziye Li , Chao Cui
Neurodegenerative diseases (NDDs), as a neurological disorder characterised by neuronal degeneration and death, are a serious threat to human health and have long attracted attention due to their complex pathogenesis and the ineffectiveness of therapeutic drugs. Existing studies have shown that Polygonatum Sibiricum polysaccharides (PSP) have immunoregulatory, antioxidant, anti-inflammatory and other pharmacological effects, and their neuroprotective effects have been demonstrated in several scientific studies. This paper reviews the main pharmacological effects and mechanisms of PSP in the protection and treatment of NDDs, to provide a reference for the clinical application and basic research of PSP in NDDs.
神经退行性疾病(NDDs)是一种以神经元变性和死亡为特征的神经系统疾病,严重威胁人类健康,由于其发病机制复杂,治疗药物疗效不佳,长期以来一直备受关注。现有研究表明,何首乌多糖(PSP)具有免疫调节、抗氧化、抗炎等药理作用,其神经保护作用已在多项科学研究中得到证实。本文综述了 PSP 在保护和治疗 NDD 方面的主要药理作用和机制,为 PSP 在 NDD 方面的临床应用和基础研究提供参考。
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引用次数: 0
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Neurochemistry international
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