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Tau, RNA, and RNA-Binding Proteins: Complex Interactions in Health and Neurodegenerative Diseases. Tau、RNA 和 RNA 结合蛋白:健康和神经退行性疾病中的复杂相互作用》。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-03-09 DOI: 10.1177/10738584231154551
Evan Lester, Roy Parker

The tau protein is a key contributor to multiple neurodegenerative diseases. The pathology of tau is thought to be related to tau's propensity to form self-templating fibrillar structures that allow tau fibers to propagate in the brain by prion-like mechanisms. Unresolved issues with respect to tau pathology are how the normal function of tau and its misregulation contribute to disease, how cofactors and cellular organelles influence the initiation and propagation of tau fibers, and determining the mechanism of tau toxicity. Herein, we review the connection between tau and degenerative diseases, the basis for tau fibrilization, and how that process interacts with cellular molecules and organelles. One emerging theme is that tau interacts with RNA and RNA-binding proteins, normally and in pathologic aggregates, which may provide insight into alterations in RNA regulation observed in disease.

tau 蛋白是多种神经退行性疾病的主要致病因子。人们认为,tau 蛋白的病理变化与 tau 蛋白形成自模板纤维结构的倾向有关,这种结构使 tau 纤维能够通过类似朊病毒的机制在大脑中传播。与tau病理学有关的未决问题包括:tau的正常功能及其失调如何导致疾病,辅助因子和细胞器如何影响tau纤维的形成和传播,以及确定tau毒性的机制。在这里,我们将回顾 tau 与退行性疾病之间的联系、tau 纤维化的基础以及这一过程如何与细胞分子和细胞器相互作用。一个新出现的主题是,tau在正常情况下和在病理聚集体中与RNA和RNA结合蛋白相互作用,这可能有助于深入了解在疾病中观察到的RNA调控的改变。
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引用次数: 0
COVID-19 and Long COVID: Disruption of the Neurovascular Unit, Blood-Brain Barrier, and Tight Junctions. COVID-19 和长 COVID:破坏神经血管单元、血脑屏障和紧密连接。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-09-11 DOI: 10.1177/10738584231194927
Duraisamy Kempuraj, Kristina K Aenlle, Jessica Cohen, Annette Mathew, Dylan Isler, Rajendra P Pangeni, Lubov Nathanson, Theoharis C Theoharides, Nancy G Klimas

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of coronavirus disease 2019 (COVID-19), could affect brain structure and function. SARS-CoV-2 can enter the brain through different routes, including the olfactory, trigeminal, and vagus nerves, and through blood and immunocytes. SARS-CoV-2 may also enter the brain from the peripheral blood through a disrupted blood-brain barrier (BBB). The neurovascular unit in the brain, composed of neurons, astrocytes, endothelial cells, and pericytes, protects brain parenchyma by regulating the entry of substances from the blood. The endothelial cells, pericytes, and astrocytes highly express angiotensin converting enzyme 2 (ACE2), indicating that the BBB can be disturbed by SARS-CoV-2 and lead to derangements of tight junction and adherens junction proteins. This leads to increased BBB permeability, leakage of blood components, and movement of immune cells into the brain parenchyma. SARS-CoV-2 may also cross microvascular endothelial cells through an ACE2 receptor-associated pathway. The exact mechanism of BBB dysregulation in COVID-19/neuro-COVID is not clearly known, nor is the development of long COVID. Various blood biomarkers could indicate disease severity and neurologic complications in COVID-19 and help objectively diagnose those developing long COVID. This review highlights the importance of neurovascular and BBB disruption, as well as some potentially useful biomarkers in COVID-19, and long COVID/neuro-COVID.

严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)是 2019 年冠状病毒病(COVID-19)的病原体,可影响大脑结构和功能。SARS-CoV-2 可通过不同途径进入大脑,包括嗅觉神经、三叉神经和迷走神经,以及血液和免疫细胞。SARS-CoV-2 还可能通过被破坏的血脑屏障 (BBB) 从外周血进入大脑。脑内的神经血管单元由神经元、星形胶质细胞、内皮细胞和周细胞组成,通过调节血液中物质的进入保护脑实质。内皮细胞、周细胞和星形胶质细胞高度表达血管紧张素转换酶 2 (ACE2),这表明 SARS-CoV-2 可干扰 BBB,导致紧密连接蛋白和粘连连接蛋白失调。这导致 BBB 通透性增加、血液成分渗漏和免疫细胞进入脑实质。SARS-CoV-2 还可能通过 ACE2 受体相关途径穿过微血管内皮细胞。目前尚不清楚 COVID-19/neuro-COVID 中 BBB 失调的确切机制,也不清楚长 COVID 的发展过程。各种血液生物标志物可显示 COVID-19 的疾病严重程度和神经系统并发症,并有助于客观诊断长 COVID 患者。本综述强调了神经血管和 BBB 破坏的重要性,以及 COVID-19 和长 COVID/neuro-COVID 中一些可能有用的生物标志物。
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引用次数: 0
A Hypothalamic Perspective of Human Socioemotional Behavior. 人类社会情感行为的下丘脑视角。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-01-26 DOI: 10.1177/10738584221149647
Andrea Caria

Historical evidence from stimulation and lesion studies in animals and humans demonstrated a close association between the hypothalamus and typical and atypical socioemotional behavior. A central hypothalamic contribution to regulation of socioemotional responses was also provided indirectly by studies on oxytocin and arginine vasopressin. However, a limited number of studies have so far directly investigated the contribution of the hypothalamus in human socioemotional behavior. To reconsider the functional role of the evolutionarily conserved hypothalamic region in regulating human social behavior, here I provide a synthesis of neuroimaging investigations showing that the hypothalamus is involved in multiple and diverse facets of human socioemotional behavior through widespread functional interactions with other cortical and subcortical regions. These neuroimaging findings are then integrated with recent optogenetics studies in animals demonstrating that the hypothalamus plays a more active role in eliciting socioemotional responses and is not simply a downstream effector of higher-level brain systems. Building on the aforementioned evidence, the hypothalamus is argued to substantially contribute to a continuum of human socioemotional behaviors promoting survival and preservation of the species that extends from exploratory and approaching responses facilitating social bonding to aggressive and avoidance responses aimed to protect and defend formed relationships.

对动物和人类进行的刺激和病变研究的历史证据表明,下丘脑与典型和非典型社会情感行为之间存在密切联系。对催产素和精氨酸加压素的研究也间接证明了下丘脑中枢对社会情感反应的调节作用。然而,迄今为止,直接研究下丘脑在人类社会情感行为中的作用的研究数量有限。为了重新考虑在进化过程中得到保护的下丘脑区域在调节人类社会行为中的功能性作用,我在这里对神经影像学研究进行了综述,这些研究表明,下丘脑通过与其他皮层和皮层下区域的广泛功能性相互作用,参与了人类社会情感行为的多个不同方面。这些神经影像学研究结果与最近在动物身上进行的光遗传学研究相结合,证明下丘脑在激发社会情感反应方面扮演着更加积极的角色,而不仅仅是更高层次大脑系统的下游效应器。以上述证据为基础,论证了下丘脑在促进物种生存和保存的一系列人类社会情感行为中的重要作用,这些行为包括促进社会联系的探索和接近反应,以及旨在保护和捍卫已形成关系的攻击和回避反应。
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引用次数: 0
Enteric Glia and Brain Astroglia: Complex Communication in Health and Disease along the Gut-Brain Axis. 肠胶质细胞和脑星状胶质细胞:肠胶质细胞和脑星状胶质细胞:沿着肠道-大脑轴在健康和疾病中的复杂交流》(Complex Communication in Health and Disease along the Gut-Brain Axis)。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-04-13 DOI: 10.1177/10738584231163460
Vanessa D'Antongiovanni, Carolina Pellegrini, Luca Antonioli, Chiara Ippolito, Cristina Segnani, Laura Benvenuti, Antonio D'Amati, Mariella Errede, Daniela Virgintino, Matteo Fornai, Nunzia Bernardini

Several studies have provided interesting evidence about the role of the bidirectional communication between the gut and brain in the onset and development of several pathologic conditions, including inflammatory bowel diseases (IBDs), neurodegenerative diseases, and related comorbidities. Indeed, patients with IBD can experience neurologic disorders, including depression and cognitive impairment, besides typical intestinal symptoms. In parallel, patients with neurodegenerative disease, such as Parkinson disease and Alzheimer disease, are often characterized by the occurrence of functional gastrointestinal disorders. In this context, enteric glial cells and brain astrocytes are emerging as pivotal players in the initiation/maintenance of neuroinflammatory responses, which appear to contribute to the alterations of intestinal and neurologic functions observed in patients with IBD and neurodegenerative disorders. The present review was conceived to provide a comprehensive and critical overview of the available knowledge on the morphologic, molecular, and functional changes occurring in the enteric glia and brain astroglia in IBDs and neurologic disorders. In addition, our intent is to identify whether such alterations could represent a common denominator involved in the onset of comorbidities associated with the aforementioned disorders. This might help to identify putative targets useful to develop novel pharmacologic approaches for the therapeutic management of such disturbances.

一些研究提供了有趣的证据,证明肠道和大脑之间的双向交流在一些病理情况的发生和发展中起着重要作用,这些病理情况包括炎症性肠病(IBD)、神经退行性疾病以及相关的合并症。事实上,IBD 患者除了典型的肠道症状外,还会出现神经系统紊乱,包括抑郁和认知障碍。与此同时,神经退行性疾病(如帕金森病和阿尔茨海默病)患者通常也会出现功能性胃肠功能紊乱。在这种情况下,肠胶质细胞和脑星形胶质细胞逐渐成为神经炎症反应启动/维持过程中的关键角色,而神经炎症反应似乎是导致肠道疾病和神经退行性疾病患者肠道和神经功能改变的原因之一。本综述旨在对 IBD 和神经系统疾病患者肠胶质细胞和脑星形胶质细胞的形态、分子和功能变化的现有知识进行全面和批判性的概述。此外,我们的目的还在于确定这些变化是否代表了与上述疾病相关的合并症发病的共同点。这可能有助于确定有用的靶点,从而开发出新型药理方法来治疗这些紊乱。
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引用次数: 0
Mitochondria in Aging and Alzheimer's Disease: Focus on Mitophagy. 衰老和阿尔茨海默病中的线粒体:关注线粒体吞噬。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-01-03 DOI: 10.1177/10738584221139761
Jangampalli Adi Pradeepkiran, Javaria Baig, Ashley Seman, P Hemachandra Reddy

Alzheimer's disease (AD) is characterized by the accumulation of amyloid β and phosphorylated τ protein aggregates in the brain, which leads to the loss of neurons. Under the microscope, the function of mitochondria is uniquely primed to play a pivotal role in neuronal cell survival, energy metabolism, and cell death. Research studies indicate that mitochondrial dysfunction, excessive oxidative damage, and defective mitophagy in neurons are early indicators of AD. This review article summarizes the latest development of mitochondria in AD: 1) disease mechanism pathways, 2) the importance of mitochondria in neuronal functions, 3) metabolic pathways and functions, 4) the link between mitochondrial dysfunction and mitophagy mechanisms in AD, and 5) the development of potential mitochondrial-targeted therapeutics and interventions to treat patients with AD.

阿尔茨海默病(AD)的特征是淀粉样蛋白β和磷酸化τ蛋白聚集在大脑中,导致神经元丧失。在显微镜下,线粒体的功能是独一无二的,在神经元细胞存活、能量代谢和细胞死亡中发挥着举足轻重的作用。研究表明,神经元线粒体功能障碍、过度氧化损伤和有丝分裂缺陷是老年痴呆症的早期指标。这篇综述文章总结了线粒体在 AD 中的最新进展:1)疾病机制途径;2)线粒体在神经元功能中的重要性;3)代谢途径和功能;4)AD 中线粒体功能障碍和有丝分裂机制之间的联系;5)开发潜在的线粒体靶向疗法和干预措施以治疗 AD 患者。
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引用次数: 0
Early-Onset Psychosis and Gray and White Matter Volume Abnormalities. 早发精神病与灰质和白质体积异常。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 DOI: 10.1177/10738584241260360a
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引用次数: 0
Breaking Down Glioma-Microenvironment Crosstalk. 打破胶质瘤与微环境的相互影响
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-26 DOI: 10.1177/10738584241259773
Raghavskandhan Ramachandran, Alexander F Jeans

High-grade gliomas (HGGs) are the commonest primary brain cancers. They are characterized by a pattern of aggressive growth and diffuse infiltration of the host brain that severely limits the efficacy of conventional treatments and patient outcomes, which remain generally poor. Recent work has described a suite of mechanisms via which HGGs interact, predominantly bidirectionally, with various cell types in the host brain including neurons, glial cells, immune cells, and vascular elements to drive tumor growth and invasion. These insights have the potential to inspire novel approaches to HGG therapy that are critically needed. This review explores HGG-host brain interactions and considers whether and how they might be exploited for therapeutic gain.

高级别胶质瘤(HGG)是最常见的原发性脑癌。它们的特点是侵袭性生长和对宿主大脑的弥漫性浸润,这严重限制了传统治疗方法的疗效和患者的预后,患者预后普遍较差。最近的工作描述了一系列机制,HGGs 通过这些机制与宿主大脑中的各种细胞类型(包括神经元、神经胶质细胞、免疫细胞和血管元件)进行主要是双向的相互作用,从而推动肿瘤的生长和侵袭。这些见解有可能激发亟需的新型 HGG 治疗方法。这篇综述探讨了 HGG 与宿主大脑之间的相互作用,并探讨了是否以及如何利用这些相互作用获得治疗效果。
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引用次数: 0
Vagus Nerve and Gut-Brain Communication. 迷走神经与肠脑交流
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-23 DOI: 10.1177/10738584241259702
Yiyang Wang, Chenxi Duan, Xinyi Du, Ying Zhu, Lihua Wang, Jun Hu, Yanhong Sun

The vagus nerve, as an important component of the gut-brain axis, plays a crucial role in the communication between the gut and brain. It influences food intake, fat metabolism, and emotion by regulating the gut-brain axis, which is closely associated with the development of gastrointestinal, psychiatric, and metabolism-related disorders. In recent years, significant progress has been made in understanding the vagus-mediated regulatory pathway, highlighting its profound implications in the development of many diseases. Here, we summarize the latest advancements in vagus-mediated gut-brain pathways and the novel interventions targeting the vagus nerve. This will provide valuable insights for future research on treatment of obesity and gastrointestinal and depressive disorders based on vagus nerve stimulation.

迷走神经作为肠脑轴的重要组成部分,在肠道和大脑之间的交流中发挥着至关重要的作用。它通过调节肠脑轴影响食物摄入、脂肪代谢和情绪,而肠脑轴与胃肠道、精神和代谢相关疾病的发生密切相关。近年来,人们在了解迷走神经介导的调节途径方面取得了重大进展,凸显了它在许多疾病的发生发展中的深远影响。在此,我们总结了迷走神经介导的肠道-大脑通路的最新进展以及针对迷走神经的新型干预措施。这将为未来基于迷走神经刺激治疗肥胖症、胃肠道疾病和抑郁症的研究提供有价值的见解。
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引用次数: 0
Exploring the Consistent Roles of Motor Areas Across Voluntary Movement and Locomotion. 探索运动区在自主运动和运动中的一致作用
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-07-23 DOI: 10.1177/10738584241263758
Nicolas Fortier-Lebel, Toshi Nakajima

Multiple cortical motor areas are critically involved in the voluntary control of discrete movement (e.g., reaching) and gait. Here, we outline experimental findings in nonhuman primates with clinical reports and research in humans that explain characteristic movement control mechanisms in the primary, supplementary, and presupplementary motor areas, as well as in the dorsal premotor area. We then focus on single-neuron activity recorded while monkeys performed motor sequences consisting of multiple discrete movements, and we consider how area-specific control mechanisms may contribute to the performance of complex movements. Following this, we explore the motor areas in cats that we have considered as analogs of those in primates based on similarities in their cortical surface topology, anatomic connections, microstimulation effects, and activity patterns. Emphasizing that discrete movement and gait modification entail similar control mechanisms, we argue that single-neuron activity in each area of the cat during gait modification is compatible with the function ascribed to the activity in the corresponding area in primates, recorded during the performance of discrete movements. The findings that demonstrate the premotor areas' contribution to locomotion, currently unique to the cat model, should offer highly valuable insights into the control mechanisms of locomotion in primates, including humans.

多个皮层运动区在离散运动(如伸手)和步态的自主控制中起着至关重要的作用。在此,我们概述了非人灵长类动物的实验结果、临床报告和人类研究,这些结果解释了初级、辅助和前辅助运动区以及背侧前运动区的特征性运动控制机制。然后,我们将重点放在猴子执行由多个离散动作组成的运动序列时记录到的单神经元活动上,并考虑特定区域的控制机制可能如何促进复杂动作的执行。随后,我们探讨了猫的运动区,根据其皮层表面拓扑、解剖连接、微刺激效应和活动模式的相似性,我们认为猫的运动区与灵长类动物的运动区类似。我们强调离散运动和步态改变需要类似的控制机制,并认为猫在步态改变过程中每个区域的单神经元活动与灵长类动物在进行离散运动时记录到的相应区域活动的功能是一致的。这些研究结果表明了前运动区对运动的贡献,这在目前的猫模型中是独一无二的,这些研究结果将对包括人类在内的灵长类动物的运动控制机制提供非常有价值的启示。
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引用次数: 0
Islands and Neurology: An Exploration into a Unique Association. 岛屿与神经学:探索独特的联系。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-06 DOI: 10.1177/10738584241257927
Debjyoti Dhar, Samim Mm, Naznin Parvin, Treshita Dey, Anantini Pal, Pramod Kumar Pal

The current study investigates the intricate connection between neurology and islands shedding light on the historical, epidemiological, and genetic aspects. Based on an elaborate literature review, we identified neurological conditions having a significant clustering in an island(s), confined to a particular island(s), named after an island, and described first in an island. The genetic factors played a crucial role, uncovering disorders like Cayman ataxia, Machado Joseph disease, SGCE-mediated dystonia-myoclonus syndrome, X-linked dystonia parkinsonism, hereditary transthyretinrelated amyloidosis, Charcot Marie Tooth 4F, and progressive myoclonic epilepsy syndromes, that exhibited remarkable clustering in diverse islands. Local customs also left enduring imprints. Practices such as cannibalism in Papua New Guinea led to Kuru, while cycad seed consumption in Guam triggered Lytico-Bodig disease. Toxin-mediated neurologic disorders exhibited intricate island connections, exemplified by Minamata disease in Kyushu islands and atypical parkinsonism in French Caribbean islands. Additionally, the Cuban epidemic of amblyopia and neuropathy was associated with severe nutritional deficiencies. This study pioneers a comprehensive review narrating the genetic, environmental, and cultural factors highlighting the spectrum of neurological disorders in island settings. It enriches the medical literature with a unique understanding of the diverse influences shaping neurological health in island environments.

本研究从历史、流行病学和遗传学等方面探讨了神经病学与岛屿之间错综复杂的联系。在详细查阅文献的基础上,我们确定了一些神经疾病,这些疾病主要集中在一个或多个岛屿上,局限于一个或多个特定岛屿,以岛屿命名,并首次在一个或多个岛屿上被描述。遗传因素发挥了关键作用,发现开曼共济失调症、马查多-约瑟夫病、SGCE 介导的肌张力障碍-肌阵挛综合征、X 连锁肌张力障碍性帕金森病、遗传性转甲状腺素相关淀粉样变性病、夏科-玛丽牙 4F 和进行性肌阵挛性癫痫综合征等疾病在不同的岛屿上表现出显著的聚集性。当地习俗也留下了持久的印记。巴布亚新几内亚人吃人的习俗导致了库鲁病,而关岛人食用苏铁种子则引发了莱蒂科-博迪格病。九州岛的水俣病和法属加勒比海岛的非典型帕金森病等由毒素引起的神经系统疾病与岛屿有着错综复杂的联系。此外,古巴的弱视和神经病流行与严重的营养缺乏有关。本研究开创性地对遗传、环境和文化因素进行了全面回顾,突出了岛屿环境中神经系统疾病的范围。它丰富了医学文献,对影响岛屿环境中神经系统健康的各种因素有了独特的理解。
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引用次数: 0
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