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Neuronal Death: Now You See It, Now You Don't. 神经元死亡现在你看到了,现在你看不到了。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-24 DOI: 10.1177/10738584241282632
Trevor Balena, Kevin Staley

Fatally injured neurons may necrose and rupture immediately, or they may initiate a programmed cell death pathway and then wait for microglial phagocytosis. Biochemical and histopathologic assays of neuronal death assess the numbers of neurons awaiting phagocytosis at a particular time point after injury. This number varies with the fraction of neurons that have necrosed vs initiated programmed cell death, the time elapsed since injury, the rate of phagocytosis, and the assay's ability to detect neurons at different stages of programmed cell death. Many of these variables can be altered by putatively neurotoxic and neuroprotective interventions independent of the effects on neuronal death. This complicates analyses of neurotoxicity and neuroprotection and has likely contributed to difficulties with clinical translation of neuroprotective strategies after brain injury. Time-resolved assays of neuronal health, such as ongoing expression of transgenic fluorescent proteins, are a useful means of avoiding these problems.

致命损伤的神经元可能会立即坏死和破裂,也可能会启动程序性细胞死亡途径,然后等待小胶质细胞的吞噬。神经元死亡的生化和组织病理学检测可评估受伤后特定时间点等待吞噬的神经元数量。这一数量随神经元坏死与启动程序性细胞死亡的比例、受伤后的时间、吞噬率以及检测处于程序性细胞死亡不同阶段的神经元的能力而变化。这些变量中的许多变量都可能因假定的神经毒性和神经保护干预措施而改变,而与对神经元死亡的影响无关。这使得神经毒性和神经保护的分析变得复杂,很可能导致脑损伤后神经保护策略难以临床转化。对神经元健康进行时间分辨检测,如持续表达转基因荧光蛋白,是避免这些问题的有效方法。
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引用次数: 0
Neuronal oscillations in cognition: Down syndrome as a model of mouse to human translation. 认知中的神经元振荡:唐氏综合征作为小鼠到人类的转化模型。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-24 DOI: 10.1177/10738584241271414
Pishan Chang, Marta Pérez-González, Jessica Constable, Daniel Bush, Karen Cleverley, Victor L J Tybulewicz, Elizabeth M C Fisher, Matthew C Walker

Down syndrome (DS), a prevalent cognitive disorder resulting from trisomy of human chromosome 21 (Hsa21), poses a significant global health concern. Affecting approximately 1 in 800 live births worldwide, DS is the leading genetic cause of intellectual disability and a major predisposing factor for early-onset Alzheimer's dementia. The estimated global population of individuals with DS is 6 million, with increasing prevalence due to advances in DS health care. Global efforts are dedicated to unraveling the mechanisms behind the varied clinical outcomes in DS. Recent studies on DS mouse models reveal disrupted neuronal circuits, providing insights into DS pathologies. Yet, translating these findings to humans faces challenges due to limited systematic electrophysiological analyses directly comparing human and mouse. Additionally, disparities in experimental procedures between the two species pose hurdles to successful translation. This review provides a concise overview of neuronal oscillations in human and rodent cognition. Focusing on recent DS mouse model studies, we highlight disruptions in associated brain function. We discuss various electrophysiological paradigms and suggest avenues for exploring molecular dysfunctions contributing to DS-related cognitive impairments. Deciphering neuronal oscillation intricacies holds promise for targeted therapies to alleviate cognitive disabilities in DS individuals.

唐氏综合征(DS)是由人类 21 号染色体三体综合征(Hsa21)引起的一种普遍认知障碍,是一个重大的全球健康问题。全球每 800 名活产婴儿中约有 1 人患有唐氏综合征,它是导致智力残疾的主要遗传原因,也是早发性阿尔茨海默氏症痴呆症的主要诱发因素。据估计,全球有 600 万 DS 患者,由于 DS 医疗保健的进步,患病率正在不断上升。全球都在努力揭示 DS 不同临床结果背后的机制。最近对 DS 小鼠模型的研究揭示了神经元回路的紊乱,为了解 DS 的病理提供了线索。然而,由于直接比较人类和小鼠的系统电生理分析有限,将这些发现转化到人类面临挑战。此外,两个物种在实验程序上的差异也给成功转化带来了障碍。本综述简要概述了人类和啮齿类动物认知中的神经元振荡。我们以最近的 DS 小鼠模型研究为重点,强调了相关大脑功能的紊乱。我们讨论了各种电生理学范式,并提出了探索导致 DS 相关认知障碍的分子功能障碍的途径。破译神经元振荡的复杂性有望为缓解 DS 患者认知障碍的靶向疗法带来希望。
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引用次数: 0
The effect of traumatic brain injury on learning and memory: A synaptic focus. 创伤性脑损伤对学习和记忆的影响:突触聚焦
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-09-24 DOI: 10.1177/10738584241275583
Eric Eyolfson, Kirsten R B Suesser, Holly Henry, Itziar Bonilla-Del Río, Pedro Grandes, Richelle Mychasiuk, Brian R Christie

Deficits in learning and memory are some of the most commonly reported symptoms following a traumatic brain injury (TBI). We will examine whether the neural basis of these deficits stems from alterations to bidirectional synaptic plasticity within the hippocampus. Although the CA1 subregion of the hippocampus has been a focus of TBI research, the dentate gyrus should also be given attention as it exhibits a unique ability for adult neurogenesis, a process highly susceptible to TBI-induced damage. This review examines our current understanding of how TBI results in deficits in synaptic plasticity, as well as how TBI-induced changes in endocannabinoid (eCB) systems may drive these changes. Through the synthesis and amalgamation of existing data, we propose a possible mechanism for eCB-mediated recovery in synaptic plasticity deficits. This hypothesis is based on the plausible roles of CB1 receptors in regulating inhibitory tone, influencing astrocytes and microglia, and modulating glutamate release. Dysregulation of the eCBs may be responsible for deficits in synaptic plasticity and learning following TBI. Taken together, the existing evidence indicates eCBs may contribute to TBI manifestation, pathogenesis, and recovery, but it also suggests there may be a therapeutic role for the eCB system in TBI.

学习和记忆障碍是创伤性脑损伤(TBI)后最常见的症状之一。我们将研究这些缺陷的神经基础是否源于海马内双向突触可塑性的改变。虽然海马的 CA1 亚区一直是 TBI 研究的重点,但齿状回也应受到关注,因为它具有独特的成体神经发生能力,而这一过程极易受到 TBI 引起的损伤。本综述探讨了我们目前对创伤性脑损伤如何导致突触可塑性缺陷以及创伤性脑损伤诱导的内源性大麻素(eCB)系统变化如何驱动这些变化的理解。通过综合和合并现有数据,我们提出了 eCB 介导的突触可塑性缺陷恢复的可能机制。这一假说基于 CB1 受体在调节抑制张力、影响星形胶质细胞和小胶质细胞以及调节谷氨酸释放方面的合理作用。eCB 的失调可能是造成创伤性脑损伤后突触可塑性和学习障碍的原因。综上所述,现有证据表明 eCBs 可能会对创伤性脑损伤的表现、发病机制和恢复做出贡献,同时也表明 eCB 系统可能会在创伤性脑损伤中发挥治疗作用。
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引用次数: 0
Navigating Central Oxytocin Transport: Known Realms and Uncharted Territories. 中枢催产素运输导航:已知领域和未知领域。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-07 DOI: 10.1177/10738584241268754
Deniz Parmaksiz, Yongsoo Kim

Complex mechanisms govern the transport and action of oxytocin (Oxt), a neuropeptide and hormone that mediates diverse physiologic processes. While Oxt exerts site-specific and rapid effects in the brain via axonal and somatodendritic release, volume transmission via CSF and the neurovascular interface can act as an additional mechanism to distribute Oxt signals across distant brain regions on a slower timescale. This review focuses on modes of Oxt transport and action in the CNS, with particular emphasis on the roles of perivascular spaces, the blood-brain barrier (BBB), and circumventricular organs in coordinating the triadic interaction among circulating blood, CSF, and parenchyma. Perivascular spaces, critical conduits for CSF flow, play a pivotal role in Oxt diffusion and distribution within the CNS and reciprocally undergo Oxt-mediated structural and functional reconstruction. While the BBB modulates the movement of Oxt between systemic and cerebral circulation in a majority of brain regions, circumventricular organs without a functional BBB can allow for diffusion, monitoring, and feedback regulation of bloodborne peripheral signals such as Oxt. Recognition of these additional transport mechanisms provides enhanced insight into the systemic propagation and regulation of Oxt activity.

催产素(Oxt)是一种介导多种生理过程的神经肽和激素,其运输和作用机制十分复杂。催产素在大脑中通过轴突和体支释放产生特定部位的快速效应,而通过脑脊液和神经血管界面的体积传输则是一种额外的机制,可以在较慢的时间尺度上将催产素信号分布到远处的脑区。这篇综述将重点讨论 Oxt 在中枢神经系统中的传输和作用模式,特别强调血管周围空间、血脑屏障 (BBB) 和环周器官在协调循环血液、CSF 和实质之间的三重相互作用中的作用。血管周围间隙是脑脊液流动的重要通道,在中枢神经系统内的奥克斯扩散和分布中起着关键作用,并在奥克斯介导下进行结构和功能重建。虽然在大多数脑区,BBB 可调节 Oxt 在全身循环和脑循环之间的移动,但没有功能性 BBB 的环周器官也可实现对 Oxt 等血载外周信号的扩散、监测和反馈调节。认识到这些额外的运输机制,就能更深入地了解 Oxt 活动的全身传播和调节。
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引用次数: 0
SARM1-Dependent Axon Degeneration: Nucleotide Signaling, Neurodegenerative Disorders, Toxicity, and Therapeutic Opportunities. SARM1 依赖性轴突退化:核苷酸信号、神经退行性疾病、毒性和治疗机会。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 Epub Date: 2023-03-31 DOI: 10.1177/10738584231162508
Helen Y McGuinness, Weixi Gu, Yun Shi, Bostjan Kobe, Thomas Ve

Axons are an essential component of the nervous system, and axon degeneration is an early feature of many neurodegenerative disorders. The NAD+ metabolome plays an essential role in regulating axonal integrity. Axonal levels of NAD+ and its precursor NMN are controlled in large part by the NAD+ synthesizing survival factor NMNAT2 and the pro-neurodegenerative NADase SARM1, whose activation triggers axon destruction. SARM1 has emerged as a promising axon-specific target for therapeutic intervention, and its function, regulation, structure, and role in neurodegenerative diseases have been extensively characterized in recent years. In this review, we first introduce the key molecular players involved in the SARM1-dependent axon degeneration program. Next, we summarize recent major advances in our understanding of how SARM1 is kept inactive in healthy neurons and how it becomes activated in injured or diseased neurons, which has involved important insights from structural biology. Finally, we discuss the role of SARM1 in neurodegenerative disorders and environmental neurotoxicity and its potential as a therapeutic target.

轴突是神经系统的重要组成部分,轴突退化是许多神经退行性疾病的早期特征。NAD+ 代谢组在调节轴突完整性方面发挥着重要作用。轴突中 NAD+ 及其前体 NMN 的水平在很大程度上受 NAD+ 合成存活因子 NMNAT2 和促神经退行性变的 NAD 酶 SARM1 的控制,后者的激活会引发轴突破坏。近年来,SARM1 的功能、调节、结构以及在神经退行性疾病中的作用已被广泛描述。在这篇综述中,我们首先介绍了参与 SARM1 依赖性轴突变性过程的关键分子角色。接下来,我们总结了最近在理解 SARM1 如何在健康神经元中保持非活性以及如何在受伤或患病神经元中被激活方面取得的重大进展,其中涉及结构生物学的重要见解。最后,我们讨论了 SARM1 在神经退行性疾病和环境神经毒性中的作用及其作为治疗靶点的潜力。
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引用次数: 0
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
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