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The essential role of cerebrospinal fluid in the brain; a comprehensive review.
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-05 DOI: 10.1515/revneuro-2024-0156
Farhad Mashayekhi, Zivar Salehi

There has been a significant amount of attention directed towards understanding brain development, shedding light on the underlying mechanisms. The proliferation and differentiation of brain stem cells have been a key focus. The process of neurolation occurs during the early stages of embryonic development, leading to the formation of the neural tube, a hollow nerve cord that gives rise to the central nervous system (CNS). There is a growing emphasis on the fluid-filled space inside the developing CNS and the potential role of cerebrospinal fluid (CSF) in brain development. The flow of CSF near the germinal epithelium significantly impacts the proliferation of cells in the cerebral cortex. CSF provides crucial support to the germinal epithelium, influencing the growth and differentiation of neural stem cells. It achieves this by releasing growth factors, cytokines, and morphogens that control the proliferation, survival, and migration of neuroepithelium. During development, the concentration of proteins in the CSF is notably higher compared to that in adults. Studies have indicated that removing CSF from the brain's ventricles during development causes an increase in neural cell deaths and a reduction in neural cell proliferation, ultimately leading to a thinner cerebral cortex. Additionally, many researches demonstrate that the composition of the CSF is essential for maintaining germinal matrix function and output, highlighting the critical role of CSF in brain development. It is concluded that CSF impacts the proliferation and differentiation of neural stem cells, which in turn plays a pivotal role in brain development.

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引用次数: 0
Phase-amplitude coupling during auditory steady-state stimulation: a methodological review.
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-02-05 DOI: 10.1515/revneuro-2024-0165
Aurimas Mockevičius, Inga Griškova-Bulanova

Auditory steady-state response (ASSR) is a robust method to probe gamma (>30 Hz) activity in a controlled manner. While typically the magnitude and the phase synchronization over stimulus repetitions of ASSR is assessed, other measures are being investigated. One of them is phase-amplitude coupling (PAC), which reflects the interactions between lower frequency phase and higher frequency amplitude. Considering that the number of studies assessing PAC during auditory steady-state stimulation has grown recently, in the present work, we aimed to perform a comprehensive overview of PAC methodological approaches in ASSR studies. We sought to evaluate the studies according to PAC analysis issues emphasized in empirical and theoretical PAC studies. Our work showed considerable variability in the methodology among the reviewed studies. Furthermore, the reviewed works address methodological issues and confounding factors of PAC relatively poorly and are characterized by insufficient descriptions of the applied approaches. Our review shows that systematic research of PAC in the context of ASSR is imperative in order to properly evaluate the presence of PAC during the auditory steady-state stimulation.

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引用次数: 0
The role of neuroinflammation in PV interneuron impairments in brain networks; implications for cognitive disorders.
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-24 DOI: 10.1515/revneuro-2024-0153
Pantea Allami, Niloufar Yazdanpanah, Nima Rezaei

Fast spiking parvalbumin (PV) interneuron is an inhibitory gamma-aminobutyric acid (GABA)ergic interneuron diffused in different brain networks, including the cortex and hippocampus. As a key component of brain networks, PV interneurons collaborate in fundamental brain functions such as learning and memory by regulating excitation and inhibition (E/I) balance and generating gamma oscillations. The unique characteristics of PV interneurons, like their high metabolic demands and long branching axons, make them too vulnerable to stressors. Neuroinflammation is one of the most significant stressors that have an adverse, long-lasting impact on PV interneurons. Neuroinflammation affects PV interneurons through specialized inflammatory pathways triggered by cytokines such as tumor necrosis factor (TNF) and interleukin 6 (IL-6). The crucial cells in neuroinflammation, microglia, also play a significant role. The destructive effect of inflammation on PV interneurons can have comprehensive effects and cause neurological disorders such as schizophrenia, Alzheimer's disease (AD), autism spectrum disorder (ASD), and bipolar disorder. In this article, we provide a comprehensive review of mechanisms in which neuroinflammation leads to PV interneuron hypofunction in these diseases. The integrated knowledge about the role of PV interneurons in cognitive networks of the brain and mechanisms involved in PV interneuron impairment in the pathology of these diseases can help us with better therapeutic interventions.

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引用次数: 0
Neurological mechanism-based analysis of the role and characteristics of physical activity in the improvement of depressive symptoms. 基于神经机制的体力活动在抑郁症状改善中的作用和特征分析。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-21 DOI: 10.1515/revneuro-2024-0147
Nan Wang, Shanshan Zhu, Shuyang Chen, Ju Zou, Peng Zeng, Sijie Tan

Depression is a common mental disorder characterized by a high prevalence and significant adverse effects, making the searching for effective interventions an urgent priority. In recent years, physical activity (PA) has increasingly been recognized as a standard adjunctive treatment for mental disorders owing to its low cost, easy application, and high efficiency. Epidemiological data shows positive preventive and therapeutic effects of PA on mental illnesses such as depression. This article systematically describes the prophylactic and therapeutic effects of PA on depression and its biological basis. A comprehensive literature analysis reveals that PA significantly improves depressive symptoms by upregulating the expression of "exerkines" such as irisin, adiponectin, and BDNF to positively impacting neuropsychiatric conditions. In particular, lactate could also play a critical role in the ameliorating effects of PA on depression due to the findings about protein lactylation as a novel protein post-transcriptional modification. The literature also suggests that in terms of brain structure, PA may improve hippocampal volume, basal ganglia (neostriatum, caudate-crustal nucleus) and PFC density in patients with MDD. In summary, this study elucidates the multifaceted positive effects of PA on depression and its potential biological mechanisms with a particular emphasis on the roles of various exerkines. Future research may further investigate the effects of different types, intensities, and durations of PA on depression, as well as how to better integrate PA interventions into existing treatment strategies to achieve optimal outcomes in mental health interventions.

抑郁症是一种常见的精神障碍,其特点是发病率高,副作用大,因此寻找有效的干预措施是当务之急。近年来,体力活动(physical activity, PA)因其成本低、应用方便、效率高等优点,越来越被公认为精神障碍的标准辅助治疗方法。流行病学数据显示,PA对抑郁症等精神疾病具有积极的预防和治疗作用。本文系统地介绍了PA对抑郁症的预防和治疗作用及其生物学基础。一项全面的文献分析显示,PA通过上调鸢尾素、脂联素和BDNF等“运动因子”的表达,从而对神经精神疾病产生积极影响,从而显著改善抑郁症状。特别是,由于蛋白质乳酸化作为一种新的蛋白质转录后修饰的发现,乳酸也可能在PA对抑郁症的改善作用中发挥关键作用。文献还表明,在脑结构方面,PA可能改善MDD患者的海马体积、基底神经节(新纹状体、尾状核-壳核)和PFC密度。综上所述,本研究阐明了PA对抑郁症的多方面积极作用及其潜在的生物学机制,并特别强调了各种运动的作用。未来的研究可能会进一步探讨不同类型、强度和持续时间的PA对抑郁症的影响,以及如何更好地将PA干预纳入现有的治疗策略,以达到心理健康干预的最佳效果。
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引用次数: 0
Recent advances on brain drug delivery via nanoparticles: alternative future materials for neuroscience applications; a review. 纳米颗粒脑药物传递的最新进展:神经科学应用的替代未来材料复习一下。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-21 DOI: 10.1515/revneuro-2024-0086
Razieh Razavi, Ghazal Khajouei, Fatemeh Divsalar, Elmuez Dawi, Mahnaz Amiri

Essentially, the blood-brain barrier (BBB) serves as a line of demarcation between neural tissues and the bloodstream. A unique and protective characteristic of the blood-brain barrier is its ability to maintain cerebral homeostasis by regulating the flux of molecules and ions. The inability to uphold proper functioning in any of these constituents leads to the disruption of this specialized multicellular arrangement, consequently fostering neuroinflammation and neurodegeneration. Recent advancements in nanomedicine have been regarded as a promising avenue for improving the delivery of drugs to the central nervous system in the modern era. A major benefit of this innovation is that it allows drugs to accumulate selectively within the cerebral area by circumventing the blood-brain barrier. Although brain-targeted nanomedicines have demonstrated impressive achievements, certain limitations in targeting specificity still exist. In this examination, we scrutinize the distinctive physical and chemical attributes of nanoparticles (NPs) contributing to their facilitation in BBB traversal. We explore the various mechanisms governing NP passage over the BBB, encompassing paracellular conveyance, mediated transport, as well as adsorptive- and receptor-mediated transcytosis. The therapeutic success of NPs for the treatment of brain tumors has been extensively investigated through the use of various categories of NPs. Among these are polymeric nanoparticles, liposomes, solid lipid nanoparticles, dendrimers, metallic nanoparticles, quantum dots, and nanogels. The potential utility of nanoparticles goes beyond their ability to transport pharmaceuticals. They can serve as adept imaging contrast agents, capable of being linked with imaging probes. This will facilitate tumor visualization, delineate lesion boundaries and margins, and monitor drug delivery and treatment response. Versatile nanoparticles can be engineered to effectively target neoplastic lesions, serving dual roles in diagnostic imaging and therapeutic interventions. Subsequently, this discourse explores the constraints associated with nanoparticles in the context of treating brain tumors.

本质上,血脑屏障(BBB)是神经组织和血流之间的分界线。血脑屏障的一个独特的保护特性是它能够通过调节分子和离子的流动来维持大脑的稳态。无法维持任何这些成分的正常功能会导致这种专门的多细胞排列的破坏,从而促进神经炎症和神经变性。纳米医学的最新进展被认为是改善现代中枢神经系统药物输送的有前途的途径。这项创新的一个主要好处是,它允许药物绕过血脑屏障,选择性地在大脑区域内积累。尽管脑靶向纳米药物已经取得了令人印象深刻的成就,但在靶向特异性方面仍然存在一定的局限性。在这项研究中,我们仔细研究了纳米颗粒(NPs)独特的物理和化学属性,有助于促进血脑屏障的穿越。我们探索了NP通过血脑屏障的各种机制,包括细胞旁转运、介导转运以及吸附和受体介导的胞吞作用。通过使用各种类型的NPs,已广泛研究了NPs治疗脑肿瘤的治疗成功率。其中包括聚合纳米颗粒、脂质体、固体脂质纳米颗粒、树状大分子、金属纳米颗粒、量子点和纳米凝胶。纳米颗粒的潜在用途超出了它们运输药物的能力。它们可以作为熟练的成像造影剂,能够与成像探针连接。这将有助于肿瘤的可视化,描绘病变的边界和边缘,并监测药物输送和治疗反应。多功能纳米颗粒可以被设计成有效地靶向肿瘤病变,在诊断成像和治疗干预中发挥双重作用。随后,本文探讨了纳米颗粒在脑肿瘤治疗中的局限性。
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引用次数: 0
The interplay between gut microbiota composition and dementia. 肠道菌群组成与痴呆之间的相互作用。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-21 DOI: 10.1515/revneuro-2024-0113
Rad Ghannadzadeh Kermani Pour, Sara Kamali Zounouzi, Melina Farshbafnadi, Nima Rezaei

Recently, researchers have been interested in the potential connection between gut microbiota composition and various neuropsychological disorders. Dementia significantly affects the socioeconomics of families. Gut microbiota is considered as a probable factor in its pathogenesis. Multiple bacterial metabolites such as short-chain fatty acids, lipopolysaccharides, and various neurotransmitters that are responsible for the incidence and progression of dementia can be produced by gut microbiota. Various bacterial species such as Bifidobacterium breve, Akkermansia muciniphila, Streptococcus thermophilus, Escherichia coli, Blautia hydrogenotrophica, etc. are implicated in the pathogenesis of dementia. Gut microbiota can be a great target for imitating or inhibiting their metabolites as an adjunctive therapy based on their role in its pathogenesis. Therefore, some diets can prevent or decelerate dementia by altering the gut microbiota composition. Moreover, probiotics can modulate gut microbiota composition by increasing beneficial bacteria and reducing detrimental species. These therapeutic modalities are considered novel methods that are probably safe and effective. They can enhance the efficacy of traditional medications and improve cognitive function.

最近,研究人员对肠道微生物群组成与各种神经心理疾病之间的潜在联系感兴趣。痴呆症显著影响家庭的社会经济状况。肠道菌群被认为是其发病的一个可能因素。肠道菌群可以产生多种细菌代谢物,如短链脂肪酸、脂多糖和各种神经递质,这些代谢产物与痴呆的发生和发展有关。各种细菌种类,如短双歧杆菌、嗜粘杆菌、嗜热链球菌、大肠杆菌、嗜氢蓝藻等都与痴呆的发病机制有关。肠道微生物群可以作为模仿或抑制其代谢物作为辅助治疗的重要靶点,基于它们在其发病机制中的作用。因此,一些饮食可以通过改变肠道菌群组成来预防或减缓痴呆症。此外,益生菌可以通过增加有益菌和减少有害菌来调节肠道菌群的组成。这些治疗方式被认为是可能安全有效的新方法。它们可以增强传统药物的疗效,改善认知功能。
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引用次数: 0
The neuroprotective effects of cholecystokinin in the brain: antioxidant, anti-inflammatory, cognition, and synaptic plasticity. 胆囊收缩素在大脑中的神经保护作用:抗氧化、抗炎、认知和突触可塑性。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-21 DOI: 10.1515/revneuro-2024-0142
Hailiang Cui, Zhonghua Li, Hongyu Sun, Wanlin Zhao, He Ma, Li Hao, Zhenqiang Zhang, Christian Hölscher, Dongrui Ma, Zijuan Zhang

Cholecystokinin (CCK) is a major neuropeptide in the brain that functions as a neurotransmitter, hormone, and growth factor. The peptide and its receptors are widely expressed in the brain. CCK signaling modulates synaptic plasticity and can improve or impair memory formation, depending on the brain areas studies and the receptor subtype activated. Studies have shown in a series of animal models of neurodegenerative diseases that CCK receptor agonists show neuroprotective effects and can effectively alleviate oxidative stress, alleviate chronic inflammation of the central nervous system, improve neuronal synaptic plasticity, prevent neuronal loss, and improve cognitive dysfunction in Alzheimer's disease (AD) model mice and motor activity in animal models of Parkinson's disease. In addition, CCK plays important roles in the amygdala to regulate anxiety and depressive states. Activation of interneurons or inhibition of excitatory neurons can improve anxiety levels. This review summarizes the effects on memory formation and synaptic plasticity, the neuroprotective effects of cholecystokinin and its analogs in neurological diseases such as Alzheimer and Parkinson's disease, and the effects on anxiety and neuronal activity in the amygdala.

胆囊收缩素(CCK)是大脑中一种主要的神经肽,具有神经递质、激素和生长因子的功能。这种肽及其受体在大脑中广泛表达。CCK信号调节突触可塑性,可以改善或损害记忆的形成,这取决于大脑区域的研究和激活的受体亚型。一系列神经退行性疾病动物模型研究表明,CCK受体激动剂具有神经保护作用,可有效缓解氧化应激,减轻中枢神经系统慢性炎症,改善神经元突触可塑性,预防神经元丢失,改善阿尔茨海默病(AD)模型小鼠认知功能障碍和帕金森病动物模型运动活性。此外,CCK在杏仁核中发挥重要作用,调节焦虑和抑郁状态。中间神经元的激活或兴奋性神经元的抑制可以改善焦虑水平。本文综述了胆囊收缩素及其类似物对记忆形成和突触可塑性的影响,在阿尔茨海默病和帕金森病等神经系统疾病中的神经保护作用,以及对焦虑和杏仁核神经元活动的影响。
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引用次数: 0
Recognition and classification of facial expression using artificial intelligence as a key of early detection in neurological disorders. 使用人工智能识别和分类面部表情是早期发现神经系统疾病的关键。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-21 DOI: 10.1515/revneuro-2024-0125
Nooshin Goudarzi, Zahra Taheri, Amir Mohammad Nezhad Salari, Kimia Kazemzadeh, Abbas Tafakhori

The recognition and classification of facial expressions using artificial intelligence (AI) presents a promising avenue for early detection and monitoring of neurodegenerative disorders. This narrative review critically examines the current state of AI-driven facial expression analysis in the context of neurodegenerative diseases, such as Alzheimer's and Parkinson's. We discuss the potential of AI techniques, including deep learning and computer vision, to accurately interpret and categorize subtle changes in facial expressions associated with these pathological conditions. Furthermore, we explore the role of facial expression recognition as a noninvasive, cost-effective tool for screening, disease progression tracking, and personalized intervention in neurodegenerative disorders. The review also addresses the challenges, ethical considerations, and future prospects of integrating AI-based facial expression analysis into clinical practice for early intervention and improved quality of life for individuals at risk of or affected by neurodegenerative diseases.

利用人工智能(AI)对面部表情进行识别和分类,为神经退行性疾病的早期检测和监测提供了一条有前途的途径。这篇叙述性综述批判性地审视了人工智能驱动的面部表情分析在神经退行性疾病(如阿尔茨海默病和帕金森病)背景下的现状。我们讨论了人工智能技术的潜力,包括深度学习和计算机视觉,以准确地解释和分类与这些病理条件相关的面部表情的细微变化。此外,我们还探讨了面部表情识别作为一种无创、成本效益高的工具,在神经退行性疾病的筛查、疾病进展跟踪和个性化干预方面的作用。该综述还讨论了将基于人工智能的面部表情分析整合到临床实践中的挑战、伦理考虑和未来前景,以早期干预和改善有神经退行性疾病风险或受其影响的个体的生活质量。
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引用次数: 0
Nanocarriers in glioblastoma treatment: a neuroimmunological perspective. 纳米载体在胶质母细胞瘤治疗中的应用:神经免疫学视角。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-12-30 DOI: 10.1515/revneuro-2024-0097
Faezeh Firuzpour, Kiarash Saleki, Cena Aram, Nima Rezaei

Glioblastoma multiforme (GBM) is the most fatal brain tumor with a poor prognosis with current treatments, mainly because of intrinsic resistance processes. GBM is also referred to as grade 4 astrocytoma, that makes up about 15.4 % of brain cancers globally as well as 60-75 % of astrocytoma. The most prevalent therapeutic choices for GBM comprise surgery in combination with radiotherapy and chemotherapy, providing patients with an average survival of 6-14 months. Nanocarriers provide various benefits such as enhanced drug solubility, biocompatibility, targeted activity, as well as minimized side effects. In addition, GBM treatment comes with several challenges such as the presence of the blood-brain barrier (BBB), blood-brain tumor barrier (BBTB), overexpressed efflux pumps, infiltration, invasion, drug resistance, as well as immune escape due to tumor microenvironment (TME) and cancer stem cells (CSC). Recent research has focused on nanocarriers due to their ability to self-assemble, improve bioavailability, provide controlled release, and penetrate the BBB. These nano-based components could potentially enhance drug accumulation in brain tumor tissues and reduce systemic toxicity, making them a compelling solution for GBM therapy. This review captures the complexities associated with multi-functional nano drug delivery systems (NDDS) in crossing the blood-brain barrier (BBB) and targeting cancer cells. In addition, it presents a succinct overview of various types of targeted multi-functional nano drug delivery system (NDDS) which has exhibited promising value for improving drug delivery to the brain.

多形性胶质母细胞瘤(GBM)是最致命的脑肿瘤,目前的治疗方法预后不佳,主要原因是内在抗药性。GBM 也被称为 4 级星形细胞瘤,约占全球脑癌的 15.4%,占星形细胞瘤的 60-75%。治疗星形细胞瘤最普遍的方法是手术结合放疗和化疗,患者的平均生存期为 6-14 个月。纳米载体具有多种优势,如提高药物溶解度、生物相容性、靶向活性以及将副作用降至最低。此外,GBM 治疗还面临着一些挑战,如血脑屏障(BBB)、血脑屏障(BBTB)、过表达的外排泵、浸润、侵袭、耐药性以及肿瘤微环境(TME)和癌症干细胞(CSC)导致的免疫逃逸。由于纳米载体具有自组装、提高生物利用度、控释和穿透 BBB 的能力,近期的研究重点集中在纳米载体上。这些基于纳米的成分有可能增强药物在脑肿瘤组织中的蓄积,并降低全身毒性,使其成为治疗 GBM 的一个引人注目的解决方案。本综述介绍了多功能纳米给药系统(NDDS)在穿越血脑屏障(BBB)和靶向癌细胞方面的复杂性。此外,它还简明扼要地概述了各种类型的靶向多功能纳米给药系统 (NDDS),这些系统在改善脑部给药方面表现出了良好的价值。
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引用次数: 0
Interplay of cell death pathways and immune responses in ischemic stroke: insights into novel biomarkers. 缺血性卒中中细胞死亡途径和免疫反应的相互作用:对新型生物标志物的见解。
IF 3.4 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-12-18 DOI: 10.1515/revneuro-2024-0128
Arian Daneshpour, Zoha Shaka, Nima Rezaei

Stroke is a severe neurological disease and a major worldwide issue, mostly manifesting as ischemic stroke (IS). In order to create effective treatments for IS, it is imperative to fully understand the underlying pathologies, as the existing therapeutic choices are inadequate. Recent investigations have shown the complex relationships between several programmed cell death (PCD) pathways, including necroptosis, ferroptosis, and pyroptosis, and their correlation with immune responses during IS. However, this relationship is still unclear. To address this gap, this review study explored the cellular interactions in the immune microenvironment of IS. Then, to validate prior findings and uncover biomarkers, the study investigated bioinformatics studies. Several pathways, including nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), Toll-like receptor 4 (TLR4), and receptor-interacting protein kinase (RIPK), were involved in PCD-immune interactions. The bioinformatics studies reported key biomarkers such as glutathione peroxidase 4 (GPX4), NOD-like receptor family pyrin domain containing 3 (NLRP3), gasdermin D (GSDMD), and TLR4, which have important implications in ferroptosis, cuproptosis, pyroptosis, and necroptosis respectively. These biomarkers were associated with PCD mechanisms such as oxidative stress and inflammatory reactions. The immune infiltration analysis consistently revealed a significant correlation between PCD pathways and detrimental immune cells, such as neutrophils and γδ T cells. Conversely, M2 macrophages and T helper cells showed protective effects. In conclusion, considering the intricate network of interactions between immune responses and PCD pathways, this study emphasized the necessity of a paradigm shift in therapeutic approaches to address the injuries that are related to this complex network.

脑卒中是一种严重的神经系统疾病,也是世界性的重大问题,主要表现为缺血性脑卒中(IS)。由于现有的治疗方法并不完善,要想有效治疗缺血性中风,就必须充分了解其潜在的病理机制。最近的研究表明,包括坏死、铁凋亡和热凋亡在内的几种程序性细胞死亡(PCD)通路之间存在复杂的关系,它们与 IS 期间的免疫反应也有关联。然而,这种关系仍不清楚。为了填补这一空白,本综述研究探讨了IS免疫微环境中的细胞相互作用。然后,为了验证之前的研究结果并发现生物标志物,该研究对生物信息学研究进行了调查。包括核因子卡巴轻链-活化B细胞增强因子(NF-κB)、Toll样受体4(TLR4)和受体相互作用蛋白激酶(RIPK)在内的几种通路参与了PCD与免疫的相互作用。生物信息学研究报告了一些关键的生物标志物,如谷胱甘肽过氧化物酶4(GPX4)、NOD样受体家族含吡林结构域3(NLRP3)、gasdermin D(GSDMD)和TLR4,它们分别在铁变性、杯突变性、热变性和坏死中具有重要影响。这些生物标志物与氧化应激和炎症反应等 PCD 机制有关。免疫浸润分析一致表明,PCD 途径与中性粒细胞和 γδ T 细胞等有害免疫细胞之间存在显著相关性。相反,M2 巨噬细胞和 T 辅助细胞则具有保护作用。总之,考虑到免疫反应和 PCD 通路之间错综复杂的相互作用网络,本研究强调有必要转变治疗方法的范式,以解决与这一复杂网络相关的损伤问题。
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引用次数: 0
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Reviews in the Neurosciences
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