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Targeting the TRPM4 Channel for Neurologic Diseases: Opportunity and Challenge. 靶向TRPM4通道治疗神经疾病:机遇与挑战
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-02-26 DOI: 10.1177/10738584251318979
Gayathri Rajamanickam, Zhenyu Hu, Ping Liao

As a monovalent cation channel, the transient receptor potential melastatin 4 (TRPM4) channel is a unique member of the transient receptor potential family. Abnormal TRPM4 activity has been identified in various neurologic disorders, such as stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, amyotrophic lateral sclerosis, pathologic pain, and epilepsy. Following brain hypoxia/ischemia and inflammation, TRPM4 up-regulation and enhanced activity contribute to the cell death of neurons, vascular endothelial cells, and astrocytes. Enhanced ionic influx via TRPM4 leads to cell volume increase and oncosis. Depolarization of membrane potential following TRPM4 activation and interaction between TRPM4 and N-methyl-d-aspartate receptors exacerbate excitotoxicity during hypoxia. Importantly, TRPM4 expression and activity remain low in healthy neurons, making it an ideal drug target. Current approaches to inhibit or modulate the TRPM4 channel have various limitations that hamper the interpretation of TRPM4 physiology in the nervous system and potentially hinder their translation into therapy. In this review, we discuss the pathophysiologic roles of TRPM4 and the different inhibitors that modulate TRPM4 activity for potential treatment of neurologic diseases.

暂态受体电位美拉他汀4 (TRPM4)通道作为一种单价阳离子通道,是暂态受体电位家族中独特的成员。异常TRPM4活性已在各种神经系统疾病中被发现,如中风、脊髓损伤、创伤性脑损伤、多发性硬化症、肌萎缩侧索硬化症、病理性疼痛和癫痫。脑缺氧/缺血和炎症后,TRPM4上调和活性增强导致神经元、血管内皮细胞和星形胶质细胞死亡。通过TRPM4增强离子内流导致细胞体积增大和肿瘤。缺氧时,TRPM4激活后的膜电位去极化以及TRPM4与n -甲基-d-天冬氨酸受体的相互作用加剧了兴奋性毒性。重要的是,TRPM4在健康神经元中的表达和活性仍然很低,使其成为理想的药物靶点。目前抑制或调节TRPM4通道的方法存在各种局限性,这妨碍了对神经系统中TRPM4生理学的解释,并可能阻碍其转化为治疗。在这篇综述中,我们讨论了TRPM4的病理生理作用以及调节TRPM4活性的不同抑制剂对神经系统疾病的潜在治疗作用。
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引用次数: 0
Oxytocin in Human Social Network Cooperation. 人类社会网络合作中的催产素。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2024-11-29 DOI: 10.1177/10738584241293366
Xiaochun Han, Yina Ma

Human society is organized in structured social networks upon which large-scale cooperation among genetically unrelated individuals is favored and persists. Such large-scale cooperation is crucial for the success of the human species but also one of the most puzzling challenges. Recent work in social and behavioral neuroscience has linked human cooperation to oxytocin, an evolutionarily ancient and structurally preserved hypothalamic neuropeptide. This review aims to elucidate how oxytocin promotes nonkin cooperation in social networks by reviewing its effects at three distinct levels: individual cooperation, the formation of interpersonal relationships, and the establishment of heterogeneous network structures. We propose oxytocin as a proximate mechanism for fostering large-scale cooperation in human societies. Specifically, oxytocin plays an important role in facilitating network-wide cooperation in human societies by 1) increasing individual cooperation, mitigating noncooperation motives, and facilitating the enforcement of cooperative norms; 2) fostering interpersonal bonding and synchronization; and 3) facilitating the formation of heterogeneous network structures.

人类社会是在结构化的社会网络中组织起来的,在这种网络中,基因无关的个体之间的大规模合作受到青睐并得以持续。这种大规模的合作对人类物种的成功至关重要,但也是最令人费解的挑战之一。最近在社会和行为神经科学方面的研究将人类合作与催产素联系起来,催产素是一种进化上古老且结构上保存完好的下丘脑神经肽。本文旨在从个体合作、人际关系的形成和异质网络结构的建立三个不同层面来阐述催产素如何促进社会网络中的非亲属合作。我们认为催产素是促进人类社会大规模合作的近似机制。具体而言,催产素在促进人类社会网络范围内的合作中发挥着重要作用,其作用如下:1)增加个体合作,减轻非合作动机,促进合作规范的执行;2)促进人际联系和同步;3)促进异质网络结构的形成。
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引用次数: 0
Hidden in the white matter: Current views on interstitial white matter neurons. 隐藏在白质中:目前对白质间质神经元的看法。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2024-10-04 DOI: 10.1177/10738584241282969
Maximilian Fischer, Maria Kukley

The mammalian brain comprises two structurally and functionally distinct compartments: the gray matter (GM) and the white matter (WM). In humans, the WM constitutes approximately half of the brain volume, yet it remains significantly less investigated than the GM. The major cellular elements of the WM are neuronal axons and glial cells. However, the WM also contains cell bodies of the interstitial neurons, estimated to number 10 to 28 million in the adult bat brain, 67 million in Lar gibbon brain, and 450 to 670 million in the adult human brain, representing as much as 1.3%, 2.25%, and 3.5% of all neurons in the cerebral cortex, respectively. Many studies investigated the interstitial WM neurons (IWMNs) using immunohistochemistry, and some information is available regarding their electrophysiological properties. However, the functional role of IWMNs in physiologic and pathologic conditions largely remains unknown. This review aims to provide a concise update regarding the distribution and properties of interstitial WM neurons, highlight possible functions of these cells as debated in the literature, and speculate about other possible functions of the IWMNs and their interactions with glial cells. We hope that our review will inspire new research on IWMNs, which represent an intriguing cell population in the brain.

哺乳动物的大脑由两个结构和功能截然不同的部分组成:灰质(GM)和白质(WM)。在人类中,白质约占大脑体积的一半,但对它的研究却远远少于灰质。白质的主要细胞成分是神经元轴突和胶质细胞。然而,WM 还包含间隙神经元的细胞体,据估计,成年蝙蝠大脑中的间隙神经元数量为 1,000 万至 2,800 万个,长臂猿大脑中的间隙神经元数量为 6,700 万个,而成年人类大脑中的间隙神经元数量为 4.5 亿至 6.7 亿个,分别占大脑皮层所有神经元的 1.3%、2.25% 和 3.5%。许多研究使用免疫组化方法对间质 WM 神经元(IWMNs)进行了调查,并获得了一些有关其电生理特性的信息。然而,IWMNs 在生理和病理状态下的功能作用在很大程度上仍然未知。本综述旨在提供有关间质 WM 神经元分布和特性的最新简明信息,强调文献中争论的这些细胞的可能功能,并推测 IWMNs 的其他可能功能及其与神经胶质细胞的相互作用。我们希望我们的综述能激发对 IWMNs 的新研究,它们代表了大脑中一个有趣的细胞群。
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引用次数: 0
Neurobiological Correlates of Rheumatoid Arthritis and Osteoarthritis: Remodelling and Plasticity of Nociceptive and Autonomic Innervations in Synovial Joints. 类风湿关节炎和骨关节炎的神经生物学相关性:滑膜关节损伤感觉神经和自主神经的重塑和可塑性。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2024-12-12 DOI: 10.1177/10738584241293049
Sharon Mathew, Sadaf Ashraf, Susan Shorter, Gianluca Tozzi, Stella Koutsikou, Saak V Ovsepian

Swelling, stiffness, and pain in synovial joints are primary hallmarks of osteoarthritis and rheumatoid arthritis. Hyperactivity of nociceptors and excessive release of inflammatory factors and pain mediators play a crucial role, with emerging data suggesting extensive remodelling and plasticity of joint innervations. Herein, we review structural, functional, and molecular alterations in sensory and autonomic axons wiring arthritic joints and revisit mechanisms implicated in the sensitization of nociceptors, leading to chronic pain. Sprouting and reorganization of sensory and autonomic fibers with the invasion of ectopic branches into surrounding inflamed tissues are associated with the upregulation of pain markers. These changes are frequently complemented by a phenotypic switch of sensory and autonomic profiles and activation of silent axons, inferring homeostatic adjustments and reprogramming of innervations. Identifying critical molecular players and neurobiological mechanisms underpinning the rewiring and sensitization of joints is likely to elucidate causatives of neuroinflammation and chronic pain, assisting in finding new therapeutic targets and opportunities for interventions.

滑膜关节肿胀、僵硬和疼痛是骨关节炎和类风湿性关节炎的主要特征。痛觉感受器的过度活跃以及炎症因子和疼痛介质的过度释放起到了至关重要的作用,新出现的数据表明关节神经支配存在广泛的重塑和可塑性。在此,我们回顾了连接关节炎关节的感觉和自律神经轴突的结构、功能和分子变化,并重新审视了导致慢性疼痛的痛觉感受器敏感化机制。感觉和自律神经纤维的萌发和重组以及异位分支侵入周围炎症组织与疼痛标记物的上调有关。这些变化经常与感觉和自律神经的表型转换以及沉默轴突的激活相辅相成,从而推断出神经支配的同态调整和重编程。确定关节重新布线和敏感化的关键分子角色和神经生物学机制很可能会阐明神经炎症和慢性疼痛的成因,帮助找到新的治疗目标和干预机会。
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引用次数: 0
How does autophagy impact neurological function? 自噬如何影响神经功能?
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-03-13 DOI: 10.1177/10738584251324459
Angeleen Fleming, Ana Lopez, Matea Rob, Sarayu Ramakrishna, So Jung Park, Xinyi Li, David C Rubinsztein

Autophagies describe a set of processes in which cells degrade their cytoplasmic contents via various routes that terminate with the lysosome. In macroautophagy (the focus of this review, henceforth autophagy), cytoplasmic contents, including misfolded proteins, protein complexes, dysfunctional organelles, and various pathogens, are captured within double membranes called autophagosomes, which ultimately fuse with lysosomes, after which their contents are degraded. Autophagy is important in maintaining neuronal and glial function; consequently, disrupted autophagy is associated with various neurologic diseases. This review provides a broad perspective on the roles of autophagy in the CNS, highlighting recent literature that furthers our understanding of the multifaceted role of autophagy in maintaining a healthy nervous system.

自噬描述了细胞通过各种途径降解其细胞质内容物的一系列过程,这些途径终止于溶酶体。在巨噬中,细胞质内容物,包括错误折叠的蛋白质、蛋白质复合物、功能失调的细胞器和各种病原体,被捕获在称为自噬体的双层膜中,自噬体最终与溶酶体融合,之后其内容物被降解。自噬在维持神经元和神经胶质功能中起重要作用;因此,自噬破坏与各种神经系统疾病有关。本文综述了自噬在中枢神经系统中的作用,强调了最近的文献,进一步加深了我们对自噬在维持健康神经系统中的多方面作用的理解。
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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 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub 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
mRNA in axonal terminals: a role in memory. 轴突终末mRNA:在记忆中的作用。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1177/10738584251358733
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引用次数: 0
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 : 2025-08-01 Epub 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
Neurite density in autism: new lessons from MRI. 自闭症的神经突密度:MRI的新教训。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1177/10738584251358733a
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引用次数: 0
Mapping emotional responses across the brain. 绘制整个大脑的情绪反应图。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1177/10738584251358734
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引用次数: 0
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