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Traumatic brain injury in elderly population: A global systematic review and meta-analysis of in-hospital mortality and risk factors among 2.22 million individuals 老年人群中的创伤性脑损伤:对 222 万人的院内死亡率和风险因素的全球系统回顾和荟萃分析。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-06 DOI: 10.1016/j.arr.2024.102376
Zixuan Ma , Zhenghui He , Zhifan Li , Ru Gong , Jiyuan Hui , Weiji Weng , Xiang Wu , Chun Yang , Jiyao Jiang , Li Xie , Junfeng Feng

Background

Traumatic brain injury (TBI) among elderly individuals poses a significant global health concern due to the increasing ageing population.

Methods

We searched PubMed, Cochrane Library, and Embase from database inception to Feb 1, 2024. Studies performed in inpatient settings reporting in-hospital mortality of elderly people (≥60 years) with TBI and/or identifying risk factors predictive of such outcomes, were included. Data were extracted from published reports, in-hospital mortality as our main outcome was synthesized in the form of rates, and risk factors predicting in-hospital mortality was synthesized in the form of odds ratios. Subgroup analyses, meta-regression and dose-response meta-analysis were used in our analyses.

Findings

We included 105 studies covering 2217,964 patients from 30 countries/regions. The overall in-hospital mortality of elderly patients with TBI was 16 % (95 % CI 15 %-17 %) from 70 studies. In-hospital mortality was 5 % (95 % CI, 3 %-7 %), 18 % (95 % CI, 12 %-24 %), 65 % (95 % CI, 59 %-70 %) for mild, moderate and severe subgroups from 10, 7, and 23 studies, respectively. A decrease in in-hospital mortality over years was observed in overall (1981–2022) and in severe (1986–2022) elderly patients with TBI. Older age 1.69 (95 % CI, 1.58–1.82, P < 0.001), male gender 1.34 (95 % CI, 1.25–1.42, P < 0.001), clinical conditions including traffic-related cause of injury 1.22 (95 % CI, 1.02–1.45, P = 0.029), GCS moderate (GCS 9–12 compared to GCS 13–15) 4.33 (95 % CI, 3.13–5.99, P < 0.001), GCS severe (GCS 3–8 compared to GCS 13–15) 23.09 (95 % CI, 13.80–38.63, P < 0.001), abnormal pupillary light reflex 3.22 (95 % CI, 2.09–4.96, P < 0.001), hypotension after injury 2.88 (95 % CI, 1.06–7.81, P = 0.038), polytrauma 2.31 (95 % CI, 2.03–2.62, P < 0.001), surgical intervention 2.21 (95 % CI, 1.22–4.01, P = 0.009), pre-injury health conditions including pre-injury comorbidity 1.52 (95 % CI, 1.24–1.86, P = 0.0020), and pre-injury anti-thrombotic therapy 1.51 (95 % CI, 1.23–1.84, P < 0.001) were related to higher in-hospital mortality in elderly patients with TBI. Subgroup analyses according to multiple types of anti-thrombotic drugs with at least two included studies showed that anticoagulant therapy 1.70 (95 % CI, 1.04–2.76, P = 0.032), Warfarin 2.26 (95 % CI, 2.05–2.51, P < 0.001), DOACs 1.99 (95 % CI, 1.43–2.76, P < 0.001) were related to elevated mortality. Dose-response meta-analysis of age found an odds ratio of 1.029 (95 % CI, 1.024–1.034, P < 0.001) for every 1-year increase in age on in-hospital mortality.

Conclusions

In the field of elderly patients with TBI, the overall in-hospital mortality and its temporal-spatial feature, the subgroup in-hospital mortalities according

背景:随着人口老龄化的加剧,老年人的创伤性脑损伤(TBI)已成为全球关注的重大健康问题:方法:我们检索了 PubMed、Cochrane Library 和 Embase 数据库中从数据库开始到 2024 年 2 月 1 日的内容。纳入了在住院环境中进行的研究,这些研究报告了患有创伤性脑损伤的老年人(≥60 岁)的院内死亡率和/或确定了预测此类结果的风险因素。从已发表的报告中提取数据,将院内死亡率作为主要结果,以比率的形式进行综合分析,并将预测院内死亡率的风险因素以几率比的形式进行综合分析。我们在分析中使用了亚组分析、元回归和剂量反应元分析:我们纳入了 105 项研究,涵盖 30 个国家/地区的 2,217,964 名患者。在70项研究中,老年创伤性脑损伤患者的总体院内死亡率为16%(95% CI为15%-17%)。轻度、中度和重度亚组的院内死亡率分别为 5%(95% CI,3%-7%)、18%(95% CI,12%-24%)和 65%(95% CI,59%-70%),分别来自 10、7 和 23 项研究。在总体(1981-2022 年)和重度(1986-2022 年)老年创伤性脑损伤患者中,院内死亡率逐年下降。年龄较大 1.69 (95% CI, 1.58 to 1.82, P < 0.001),性别为男性 1.34 (95% CI, 1.25 to 1.42, P < 0.001),临床症状包括交通相关的受伤原因 1.22 (95% CI, 1.02 to 1.45, P = 0. 029),GCS 中度(1981-2022 年)和重度(1986-2022 年)。029)、GCS 中度(GCS 9-12 与 GCS 13-15 相比)4.33(95% CI,3.13 至 5.99,P<0.001)、GCS 重度(GCS 3-8 与 GCS 13-15 相比)23.09(95% CI,13.80 至 38.63,P<0.001)、瞳孔光反射异常 3.22(95% CI,2.09 至 4.96,P<0.001)、伤后低血压 2.88(95% CI,1.06 至 7.81,P = 0.038)、多发性创伤 2.31(95% CI,2.03 至 2.62,P <0.001)、手术干预 2.21(95% CI,1.22 至 4.01,P = 0.009)、伤前健康状况(包括伤前合并症) 1.52 (95% CI, 1.24 to 1.86, P = 0.0020)、受伤前抗血栓治疗 1.51 (95% CI, 1.23 to 1.84, P < 0.001)与老年创伤性脑损伤患者较高的院内死亡率有关。根据至少纳入两项研究的多种抗血栓药物类型进行的亚组分析表明,抗凝疗法 1.70(95% CI,1.04 至 2.76,P = 0.032)、华法林 2.26(95% CI,2.05 至 2.51,P < 0.001)、DOACs 1.99(95% CI,1.43 至 2.76,P < 0.001)与死亡率升高有关。年龄的剂量-反应荟萃分析发现,年龄每增加1岁,院内死亡率的几率比为1.029(95% CI,1.024至1.034,P<0.001):首次全面总结了老年创伤性脑损伤患者的总体院内死亡率及其时空特征、根据损伤严重程度划分的亚组院内死亡率以及年龄的剂量反应荟萃分析。研究发现了大量关键风险因素,包括以前未阐明的因素。因此,我们的研究有助于强调治疗老年创伤性脑损伤的重要性,为医护人员提供有用的信息,并启动未来的管理指南。这项工作强调了将老年创伤性脑损伤治疗和管理纳入更广泛的健康战略的必要性,以应对全球人口老龄化带来的挑战:PROCROPERO:CRD42022323231。
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引用次数: 0
Aging of the eye: Lessons from cataracts and age-related macular degeneration 眼睛的老化:白内障和老年性黄斑变性的教训。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-06 DOI: 10.1016/j.arr.2024.102407
Ales Cvekl, Jan Vijg

Aging is the greatest risk factor for chronic human diseases, including many eye diseases. Geroscience aims to understand the effects of the aging process on these diseases, including the genetic, molecular, and cellular mechanisms that underlie the increased risk of disease over the lifetime. Understanding of the aging eye increases general knowledge of the cellular physiology impacted by aging processes at various biological extremes. Two major diseases, age-related cataract and age-related macular degeneration (AMD) are caused by dysfunction of the lens and retina, respectively. Lens transparency and light refraction are mediated by lens fiber cells lacking nuclei and other organelles, which provides a unique opportunity to study a single aging hallmark, i.e., loss of proteostasis, within an environment of limited metabolism. In AMD, local dysfunction of the photoreceptors/retinal pigmented epithelium/Bruch’s membrane/choriocapillaris complex in the macula leads to the loss of photoreceptors and eventually loss of central vision, and is driven by nearly all the hallmarks of aging and shares features with Alzheimer’s disease, Parkinson’s disease, cardiovascular disease, and diabetes. The aging eye can function as a model for studying basic mechanisms of aging and, vice versa, well-defined hallmarks of aging can be used as tools to understand age-related eye disease.

衰老是人类慢性疾病(包括许多眼部疾病)的最大风险因素。老年科学旨在了解衰老过程对这些疾病的影响,包括一生中患病风险增加的遗传、分子和细胞机制。对衰老眼球的了解增加了对各种生物极端衰老过程所影响的细胞生理学的一般知识。老年性白内障和老年性黄斑变性(AMD)这两种主要疾病分别是由晶状体和视网膜功能障碍引起的。晶状体的透明度和光折射是由缺乏细胞核和其他细胞器的晶状体纤维细胞介导的,这为研究单一衰老标志(即在新陈代谢受限的环境中丧失蛋白稳态)提供了一个独特的机会。在老年性黄斑变性中,黄斑中的光感受器/视网膜色素上皮/布氏膜/绒毛膜复合体的局部功能障碍会导致光感受器的丧失,最终导致中心视力的丧失,而且几乎所有的衰老特征都会导致老年性黄斑变性,并与阿尔茨海默病、帕金森病、心血管疾病和糖尿病具有相同的特征。衰老的眼睛可以作为研究衰老基本机制的模型,反之亦然,明确的衰老特征可以作为了解与年龄有关的眼病的工具。
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引用次数: 0
Non-coding RNAs as regulators of autophagy in chondrocytes: Mechanisms and implications for osteoarthritis 作为软骨细胞自噬调节因子的非编码 RNA:骨关节炎的机理和影响》。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-05 DOI: 10.1016/j.arr.2024.102404
Chenyu Zhu , Lingli Zhang , Xiaoqing Ding , Wei Wu , Jun Zou

Osteoarthritis (OA) is a chronic degenerative joint disease with multiple causative factors such as aging, mechanical injury, and obesity. Autophagy is a complex dynamic process that is involved in the degradation and modification of intracellular proteins and organelles under different pathophysiological conditions. Autophagy, as a cell survival mechanism under various stress conditions, plays a key role in regulating chondrocyte life cycle metabolism and cellular homeostasis. Non-coding RNAs (ncRNAs) are heterogeneous transcripts that do not possess protein-coding functions, but they can act as effective post-transcriptional and epigenetic regulators of gene and protein expression, thus participating in numerous fundamental biological processes. Increasing evidence suggests that ncRNAs, autophagy, and their crosstalk play crucial roles in OA pathogenesis. Therefore, we summarized the complex role of autophagy in OA chondrocytes and focused on the regulatory role of ncRNAs in OA-associated autophagy to elucidate the complex pathological mechanisms of the ncRNA-autophagy network in the development of OA, thus providing new research targets for the clinical diagnosis and treatment of OA.

骨关节炎(OA)是一种慢性退行性关节疾病,有多种致病因素,如衰老、机械损伤和肥胖。自噬是一个复杂的动态过程,在不同的病理生理条件下参与细胞内蛋白质和细胞器的降解和修饰。自噬作为各种应激条件下的一种细胞生存机制,在调节软骨细胞生命周期代谢和细胞稳态方面发挥着关键作用。非编码 RNA(ncRNA)是不具有蛋白质编码功能的异质性转录本,但它们可以作为基因和蛋白质表达的有效转录后和表观遗传调节因子,从而参与许多基本生物过程。越来越多的证据表明,ncRNA、自噬及其相互作用在 OA 发病机制中起着至关重要的作用。因此,我们总结了自噬在OA软骨细胞中的复杂作用,重点研究了ncRNA在OA相关自噬中的调控作用,以阐明ncRNA-自噬网络在OA发病中的复杂病理机制,从而为OA的临床诊断和治疗提供新的研究靶点。
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引用次数: 0
Artificial intelligence in Parkinson's disease: Early detection and diagnostic advancements 帕金森病中的人工智能:早期检测和诊断进展。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-05 DOI: 10.1016/j.arr.2024.102410
Aananya Reddy , Ruhananhad P. Reddy , Aryan Kia Roghani , Ricardo Isaiah Garcia , Sachi Khemka , Vasanthkumar Pattoor , Michael Jacob , P. Hemachandra Reddy , Ujala Sehar

Parkinson’s disease (PD) is the second most common neurodegenerative disorder, globally affecting men and women at an exponentially growing rate, with currently no cure. Disease progression starts when dopaminergic neurons begin to die. In PD, the loss of neurotransmitter, dopamine is responsible for the overall communication of neural cells throughout the body. Clinical symptoms of PD are slowness of movement, involuntary muscular contractions, speech & writing changes, lessened automatic movement, and chronic tremors in the body. PD occurs in both familial and sporadic forms and modifiable and non-modifiable risk factors and socioeconomic conditions cause PD. Early detectable diagnostics and treatments have been developed in the last several decades. However, we still do not have precise early detectable biomarkers and therapeutic agents/drugs that prevent and/or delay the disease process. Recently, artificial intelligence (AI) science and machine learning tools have been promising in identifying early detectable markers with a greater rate of accuracy compared to past forms of treatment and diagnostic processes. Artificial intelligence refers to the intelligence exhibited by machines or software, distinct from the intelligence observed in humans that is based on neural networks in a form and can be used to diagnose the longevity and disease severity of disease. The term Machine Learning or Neural Networks is a blanket term used to identify an emerging technology that is created to work in the way of a “human brain” using many intertwined neurons to achieve the same level of raw intelligence as that of a brain. These processes have been used for neurodegenerative diseases such as Parkinson’s disease and Alzheimer’s disease, to assess the severity of the patient’s condition. In the current article, we discuss the prevalence and incidence of PD, and currently available diagnostic biomarkers and therapeutic strategies. We also highlighted currently available artificial intelligence science and machine learning tools and their applications to detect disease and develop therapeutic interventions.

帕金森病(Parkinson's disease,PD)是第二大常见的神经退行性疾病,在全球范围内影响着男性和女性,且发病率呈指数级增长,目前尚无法治愈。当多巴胺能神经元开始死亡时,疾病就开始恶化。在帕金森氏症中,神经递质多巴胺的丧失负责全身神经细胞的整体交流。帕金森氏症的临床症状是行动迟缓、肌肉不自主收缩、语言和书写改变、自动运动减少以及身体长期震颤。肢端麻痹症有家族性和散发性两种形式,可改变和不可改变的风险因素以及社会经济条件都会导致肢端麻痹症。在过去的几十年中,已经开发出了可早期检测的诊断和治疗方法。然而,我们仍然没有精确的早期检测生物标志物和治疗剂/药物来预防和/或延缓疾病进程。最近,人工智能(AI)科学和机器学习工具在确定早期检测标记物方面大有可为,与过去的治疗和诊断过程相比,准确率更高。人工智能是指机器或软件表现出的智能,有别于人类观察到的智能,它以神经网络的形式为基础,可用于诊断疾病的长短和严重程度。机器学习 "或 "神经网络 "是一个总称,用来指代一种新兴技术,这种技术以 "人脑 "的方式工作,使用许多交织在一起的神经元,以达到与大脑相同的原始智能水平。这些程序已被用于帕金森病和阿尔茨海默病等神经退行性疾病,以评估患者病情的严重程度。在这篇文章中,我们讨论了帕金森病的患病率和发病率,以及目前可用的诊断生物标记物和治疗策略。我们还重点介绍了目前可用的人工智能科学和机器学习工具及其在检测疾病和开发治疗干预措施方面的应用。
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引用次数: 0
Cannabidiol and neurodegeneration: From molecular mechanisms to clinical benefits 大麻二酚与神经变性:从分子机制到临床益处。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-04 DOI: 10.1016/j.arr.2024.102386

Neurodegenerative disorders (NDs) such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, multiple sclerosis, and amyotrophic lateral sclerosis are severe and life-threatening conditions in which significant damage of functional neurons occurs to produce psycho-motor malfunctions. NDs are an important cause of death in the elderly population worldwide. These disorders are commonly associated with the progression of age, oxidative stress, and environmental pollutants, which are the major etiological factors. Abnormal aggregation of specific proteins such as α-synuclein, amyloid-β, huntingtin, and tau, and accumulation of the associated oligomers in neurons are the hallmark pathological features of NDs. Existing therapeutic options for NDs are only symptomatic relief and do not address root-causing factors, such as protein aggregation, oxidative stress, and neuroinflammation. Cannabidiol (CBD) is a non-psychotic natural cannabinoid obtained from Cannabis sativa that possesses multiple pharmacological actions, including antioxidant, anti-inflammatory, and neuroprotective effects in various NDs and other neurological disorders both in vitro and in vivo. CBD has gained attention as a promising drug candidate for the management of neurodegenerative disorders, such as Alzheimer’s disease and Parkinson’s disease, by inhibiting protein aggregation, free radicals, and neuroinflammation. In parallel, CBD has shown positive results in other neurological disorders, such as epilepsy, depression, schizophrenia, and anxiety, as well as adjuvant treatment with existing standard therapeutic agents. Hence, the present review focuses on exploring the possible molecular mechanisms in controlling various neurological disorders as well as the clinical applications of CBD in NDs including epilepsy, depression and anxiety. In this way, the current review will serve as a standalone reference for the researchers working in this area.

神经退行性疾病(NDs),如阿尔茨海默病、帕金森病、亨廷顿病、多发性硬化症和肌萎缩侧索硬化症,是一种严重威胁生命的疾病,其中功能神经元受到严重损害,导致精神运动功能失调。ND 是导致全球老年人死亡的重要原因。这些疾病通常与年龄增长、氧化应激和环境污染等主要致病因素有关。特定蛋白质(如α-突触核蛋白、淀粉样蛋白-β、狩猎蛋白和tau)的异常聚集及其相关低聚物在神经元中的堆积是NDs的标志性病理特征。现有的 NDs 治疗方案只能缓解症状,并不能从根本上解决蛋白聚集、氧化应激和神经炎症等致病因素。大麻二酚是从大麻(Cannabis sativa)中提取的一种非精神类天然大麻素,具有多种药理作用,包括在体外和体内对各种 ND 和其他神经系统疾病的抗氧化、抗炎和神经保护作用。大麻二酚通过抑制蛋白质聚集、自由基和神经炎症,已成为治疗神经退行性疾病(如阿尔茨海默病和帕金森病)的一种很有前景的候选治疗药物,受到了人们的关注。与此同时,CBD 在治疗癫痫、抑郁症、精神分裂症和焦虑症等其他神经系统疾病以及现有标准治疗药物的辅助治疗方面也取得了积极成果。因此,本综述将重点探讨控制各种神经系统疾病的可能分子机制,以及大麻在癫痫、抑郁和焦虑等非传染性疾病中的临床应用。因此,本综述将成为该领域研究人员的独立参考文献。
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引用次数: 0
Is it time to revise the fighting strategy toward type 2 diabetes? Sex and pollution as new risk factors 现在是修改 2 型糖尿病防治策略的时候了吗?性别和污染是新的风险因素。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-04 DOI: 10.1016/j.arr.2024.102405
Michelangela Barbieri , Francesco Prattichizzo , Rosalba La Grotta , Giulia Matacchione , Lucia Scisciola , Rosaria Anna Fontanella , Giovanni Tortorella , Rosaria Benedetti , Vincenzo Carafa , Raffaele Marfella , Antonio Ceriello , Giuseppe Paolisso

Diabetes mellitus, a metabolic condition affecting around 537 million individuals worldwide, poses significant challenges, particularly among the elderly population. The etiopathogenesis of type 2 diabetes (T2D) depends on a combination of the effects driven by advancing age, genetic background, and lifestyle habits, e.g. overnutrition. These factors influence the development of T2D differently in men and women, with an obvious sexual dimorphism possibly underlying the diverse clinical features of the disease in different sexes. More recently, environmental pollution, estimated to cause 9 million deaths every year, is emerging as a novel risk factor for the development of T2D. Indeed, exposure to atmospheric pollutants such as PM2.5, O3, NO2, and Persistent Organic Pollutants (POP)s, along with their combination and bioaccumulation, is associated with the development of T2D and obesity, with a 15 % excess risk in case of exposure to very high levels of PM2.5. Similar data are available for plasticizer molecules, e.g. bisphenol A and phthalates, emerging endocrine-disrupting chemicals. Even though causality is still debated at this stage, preclinical evidence sustains the ability of multiple pollutants to affect pancreatic function, promote insulin resistance, and alter lipid metabolism, possibly contributing to T2D onset and progression. In addition, preclinical findings suggest a possible role also for plastic itself in the development of T2D. Indeed, pioneeristic studies evidenced that micro- or nanoplastics (MNP)s, particles in the micro- or nano- range, promote cellular damage, senescence, inflammation, and metabolic disturbances, leading to insulin resistance and impaired glucose metabolism in animal and/or in vitro models. Here we synthesize recent knowledge relative to the association between air-related or plastic-derived pollutants and the incidence of T2D, discussing also the possible mechanistic links suggested by the available literature. We then anticipate the need for future studies in the field of candidate therapeutic strategies limiting pollution-induced damage in preclinical models, such as SGLT-2 inhibitors. We finally postulate that future guidelines for T2D prevention should consider pollution and sex an additional risk factors to limit the diabetes pandemic.

糖尿病是一种代谢性疾病,影响着全球约 5.37 亿人,给人们,尤其是老年人群带来了巨大的挑战。2 型糖尿病(T2D)的发病机理取决于年龄增长、遗传背景和生活习惯(如营养过剩)的综合影响。这些因素对男性和女性 2 型糖尿病发病的影响不同,明显的性别二形性可能是该病在不同性别中具有不同临床特征的基础。最近,据估计每年导致 900 万人死亡的环境污染正在成为 T2D 发病的新风险因素。事实上,暴露于 PM2.5、O3、NO2 和持久性有机污染物(POP)等大气污染物及其组合和生物累积与 T2D 和肥胖症的发生有关,暴露于极高水平 PM2.5 的超额风险为 15%。增塑剂分子(如双酚 A 和邻苯二甲酸盐)、新出现的干扰内分泌的化学品也有类似的数据。尽管现阶段对因果关系仍有争议,但临床前证据证明,多种污染物能够影响胰腺功能、促进胰岛素抵抗和改变脂质代谢,可能会导致 T2D 的发生和发展。此外,临床前研究结果表明,塑料本身也可能在 T2D 的发病过程中发挥作用。事实上,先驱性研究证明,在动物模型和/或体外模型中,微塑料或纳米塑料(MNP)、微米或纳米范围的颗粒会促进细胞损伤、衰老、炎症和代谢紊乱,导致胰岛素抵抗和葡萄糖代谢受损。在此,我们综述了与空气相关或塑料衍生污染物与 T2D 发病率之间关系的最新知识,并讨论了现有文献中提出的可能的机理联系。然后,我们预测了未来在临床前模型中限制污染引起的损害的候选治疗策略领域的研究需求,如 SGLT-2 抑制剂。最后,我们推测未来的 T2D 预防指南应将污染和性作为额外的风险因素,以限制糖尿病的流行。
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引用次数: 0
Osteoporosis and Alzheimer´s disease (or Alzheimer´s disease and Osteoporosis) 骨质疏松症和阿尔茨海默病(或阿尔茨海默病和骨质疏松症)。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-03 DOI: 10.1016/j.arr.2024.102408
Nahuel E. Wanionok , Gustavo R. Morel , Juan M. Fernández

Alzheimer's disease (AD) and osteoporosis are two diseases that mainly affect elderly people, with increases in the occurrence of cases due to a longer life expectancy. Several epidemiological studies have shown a reciprocal association between both diseases, finding an increase in incidence of osteoporosis in patients with AD, and a higher burden of AD in osteoporotic patients. This epidemiological relationship has motivated the search for molecules, genes, signaling pathways and mechanisms that are related to both pathologies. The mechanisms found in these studies can serve to improve treatments and establish better patient care protocols.

阿尔茨海默病(AD)和骨质疏松症是两种主要影响老年人的疾病,随着预期寿命的延长,这两种疾病的发病率也在增加。一些流行病学研究表明,这两种疾病之间存在相互关联,发现阿尔茨海默病患者的骨质疏松症发病率增加,而骨质疏松症患者的阿尔茨海默病负担更高。这种流行病学关系促使人们寻找与这两种疾病相关的分子、基因、信号传导途径和机制。这些研究中发现的机制可用于改善治疗方法和制定更好的患者护理方案。
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引用次数: 0
Dynamic endocannabinoid-mediated neuromodulation of retinal circadian circuitry 内源性大麻素介导的视网膜昼夜节律环路动态神经调节
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-03 DOI: 10.1016/j.arr.2024.102401
Deepak Kumar , Bareera Khan , Yagmur Okcay , Çağıl Önal Sis , Aya Abdallah , Fiona Murray , Ashish Sharma , Maiko Uemura , Rajeev Taliyan , Thomas Heinbockel , Shafiqur Rahman , Rohit Goyal

Circadian rhythms are biological rhythms that originate from the “master circadian clock,” called the suprachiasmatic nucleus (SCN). SCN orchestrates the circadian rhythms using light as a chief zeitgeber, enabling humans to synchronize their daily physio-behavioral activities with the Earth’s light-dark cycle. However, chronic/ irregular photic disturbances from the retina via the retinohypothalamic tract (RHT) can disrupt the amplitude and the expression of clock genes, such as the period circadian clock 2, causing circadian rhythm disruption (CRd) and associated neuropathologies. The present review discusses neuromodulation across the RHT originating from retinal photic inputs and modulation offered by endocannabinoids as a function of mitigation of the CRd and associated neuro-dysfunction. Literature indicates that cannabinoid agonists alleviate the SCN’s ability to get entrained to light by modulating the activity of its chief neurotransmitter, i.e., γ-aminobutyric acid, thus preventing light-induced disruption of activity rhythms in laboratory animals. In the retina, endocannabinoid signaling modulates the overall gain of the retinal ganglion cells by regulating the membrane currents (Ca2+, K+, and Cl- channels) and glutamatergic neurotransmission of photoreceptors and bipolar cells. Additionally, endocannabinoids signalling also regulate the high-voltage-activated Ca2+ channels to mitigate the retinal ganglion cells and intrinsically photosensitive retinal ganglion cells-mediated glutamate release in the SCN, thus regulating the RHT-mediated light stimulation of SCN neurons to prevent excitotoxicity. As per the literature, cannabinoid receptors 1 and 2 are becoming newer targets in drug discovery paradigms, and the involvement of endocannabinoids in light-induced CRd through the RHT may possibly mitigate severe neuropathologies.

昼夜节律是一种生物节律,源于 "昼夜节律主钟"--嗜铬细胞上核(SCN)。昼夜节律是一种生物节律,源于 "昼夜节律主钟"--视网膜上核(SCN)。视网膜上核以光为主要媒介协调昼夜节律,使人类的日常生理和行为活动与地球的光暗周期同步。然而,通过视网膜丘脑束(RHT)从视网膜发出的慢性/不规则光干扰会扰乱时钟基因(如周期昼夜节律时钟 2)的振幅和表达,导致昼夜节律紊乱(CRd)和相关神经病理学。本综述讨论了源于视网膜光输入的 RHT 跨神经调节和内源性大麻素提供的调节功能,以缓解 CRd 和相关神经功能紊乱。文献表明,大麻素激动剂通过调节 SCN 的主要神经递质(即γ-氨基丁酸)的活性,减轻了 SCN 对光的适应能力,从而防止了光对实验动物活动节律的干扰。在视网膜中,内源性大麻素信号通过调节膜电流(Ca2+、K+和Cl-通道)以及感光细胞和双极细胞的谷氨酸能神经传递,调节视网膜神经节细胞的整体增益。此外,内源性大麻素信号还能调节高压激活的 Ca2+ 通道,缓解视网膜神经节细胞和固有光敏视网膜神经节细胞介导的 SCN 谷氨酸释放,从而调节 RHT 介导的 SCN 神经元光刺激,防止兴奋性中毒。根据文献,大麻素受体1和2正在成为药物发现范例中的新靶点,而内源性大麻素通过RHT参与光诱导的CRd可能会减轻严重的神经病理学。
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引用次数: 0
Mechanism and therapeutic targets of the involvement of a novel lysosomal proton channel TMEM175 in Parkinson's disease 新型溶酶体质子通道 TMEM175 参与帕金森病的机制和治疗靶点。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-02 DOI: 10.1016/j.arr.2024.102373

Parkinson's disease (PD), recognized as the second most prevalent neurodegenerative disease in the aging population, presents a significant challenge due to the current lack of effective treatment methods to mitigate its progression. Many pathogenesis of PD are related to lysosomal dysfunction. Moreover, extensive genetic studies have shown a significant correlation between the lysosomal membrane protein TMEM175 and the risk of developing PD. Building on this discovery, TMEM175 has been identified as a novel potassium ion channel. Intriguingly, further investigations have found that potassium ion channels gradually close and transform into hydrion "excretion" channels in the microenvironment of lysosomes. This finding was further substantiated by studies on TMEM175 knockout mice, which exhibited pronounced motor dysfunction in pole climbing and suspension tests, alongside a notable reduction in dopamine neurons within the substantia nigra compacta. Despite these advancements, the current research landscape is not without its controversies. In light of this, the present review endeavors to methodically examine and consolidate a vast array of recent literature on TMEM175. This comprehensive analysis spans from the foundational research on the structure and function of TMEM175 to expansive population genetics studies and mechanism research utilizing cellular and animal models.A thorough understanding of the structure and function of TMEM175, coupled with insights into the intricate mechanisms underpinning lysosomal dysfunction in PD dopaminergic neurons, is imperative. Such knowledge is crucial for pinpointing precise intervention targets, thereby paving the way for novel therapeutic strategies that could potentially alter the neurodegenerative trajectory of PD.

帕金森病(Parkinson's disease,PD)被认为是老龄人口中第二大最常见的神经退行性疾病,由于目前缺乏有效的治疗方法来缓解其进展,因此给人们带来了巨大的挑战。许多帕金森氏症的发病机制都与溶酶体功能障碍有关。此外,大量遗传学研究表明,溶酶体膜蛋白 TMEM175 与罹患帕金森氏症的风险有显著相关性。在这一发现的基础上,TMEM175 被鉴定为一种新型钾离子通道。耐人寻味的是,进一步的研究发现,钾离子通道在溶酶体的微环境中会逐渐关闭并转变为氢离子 "排泄 "通道。对 TMEM175 基因敲除小鼠的研究进一步证实了这一发现,这些小鼠在极点攀爬和悬吊测试中表现出明显的运动功能障碍,同时黑质紧密区内的多巴胺神经元也明显减少。尽管取得了这些进展,但目前的研究状况并非没有争议。有鉴于此,本综述试图有条不紊地研究和整合有关 TMEM175 的大量最新文献。对 TMEM175 的结构和功能的透彻了解,加上对支持帕金森病多巴胺能神经元溶酶体功能障碍的复杂机制的深入了解,是势在必行的。这些知识对于精确定位干预目标至关重要,从而为可能改变帕金森病神经退行性病变轨迹的新型治疗策略铺平道路。
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引用次数: 0
Developing transcriptomic signatures as a biomarker of cellular senescence 开发作为细胞衰老生物标记的转录组特征。
IF 12.5 1区 医学 Q1 CELL BIOLOGY Pub Date : 2024-07-02 DOI: 10.1016/j.arr.2024.102403
Shamsed Mahmud , Louise E. Pitcher , Elijah Torbenson , Paul D. Robbins , Lei Zhang , Xiao Dong

Cellular senescence is a cell fate driven by different types of stress, where damaged cells exit from the cell cycle and, in many cases, develop an inflammatory senescence-associated secretory phenotype (SASP). Senescence has often been linked to driving aging and the onset of multiple diseases conferred by the harmful SASP, which disrupts tissue homeostasis and impairs the regular function of many tissues. This phenomenon was first observed in vitro when fibroblasts halted replication after approximately 50 population doublings. In addition to replication-induced senescence, factors such as DNA damage and oncogene activation can induce cellular senescence both in culture and in vivo. Despite their contribution to aging and disease, identifying senescent cells in vivo has been challenging due to their heterogeneity. Although senescent cells can express the cell cycle inhibitors p16Ink4a and/or p21Cip1 and exhibit SA-ß-gal activity and evidence of a DNA damage response, there is no universal biomarker for these cells, regardless of inducer or cell type. Recent studies have analyzed the transcriptomic characteristics of these cells, leading to the identification of signature gene sets like CellAge, SeneQuest, and SenMayo. Advancements in single-cell and spatial RNA sequencing now allow for analyzing senescent cell heterogeneity within the same tissue and the development of machine learning algorithms, e.g., SenPred, SenSig, and SenCID, to discover cellular senescence using RNA sequencing data. Such insights not only deepen our understanding of the genetic pathways driving cellular senescence, but also promote the development of its quantifiable biomarkers. This review summarizes the current knowledge of transcriptomic signatures of cellular senescence and their potential as in vivo biomarkers.

细胞衰老是一种由不同类型压力驱动的细胞命运,受损细胞在衰老过程中退出细胞周期,并在许多情况下形成炎性衰老相关分泌表型(SASP)。衰老往往与有害的 SASP 导致的衰老和多种疾病的发生有关,SASP 破坏了组织的平衡,损害了许多组织的正常功能。这种现象最早是在体外观察到的,当时成纤维细胞在大约 50 个群体倍增后停止复制。除了复制诱导的衰老外,DNA 损伤和癌基因激活等因素也会诱导细胞在培养和体内衰老。尽管衰老和疾病与衰老细胞有关,但由于衰老细胞的异质性,在体内识别衰老细胞一直是一项挑战。虽然衰老细胞能表达细胞周期抑制剂 p16Ink4a 和/或 p21Cip1,并表现出 SA-ß-gal 活性和 DNA 损伤反应的证据,但无论诱导剂或细胞类型如何,这些细胞都没有通用的生物标志物。最近的研究分析了这些细胞的转录组特征,从而确定了特征基因集,如 CellAge、SeneQuest 和 SenMayo。现在,单细胞和空间 RNA 测序技术的进步可以分析同一组织内衰老细胞的异质性,并开发出机器学习算法,如 SenPred、SenSig 和 SenCID,利用 RNA 测序数据发现细胞衰老。这些见解不仅加深了我们对驱动细胞衰老的遗传途径的理解,还促进了细胞衰老可量化生物标志物的开发。本综述总结了目前有关细胞衰老转录组特征的知识及其作为体内生物标记物的潜力。
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Ageing Research Reviews
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