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Identification of critical genes and drug repurposing targets in entorhinal cortex of Alzheimer's disease. 阿尔茨海默病内嗅皮质关键基因的鉴定和药物再利用靶点。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-02-10 DOI: 10.1007/s10048-025-00806-x
Arghavan Hosseinpouri, Khadijeh Sadegh, Zeinab Zarei-Behjani, Zeinab Dehghan, Reza Karbalaei

Alzheimer's disease (AD) is a slow brain degeneration disorder in which the accumulation of beta-amyloid precursor plaque and an intracellular neurofibrillary tangle of hyper-phosphorylated tau proteins in the brain have been implicated in neurodegeneration. In this study, we identified the most important genes that are unique and sensitive in the entorhinal region of the brain to target AD effectively. At first, microarrays data are selected and constructed protein-protein interaction network (PPIN) and gene regulatory network (GRN) from differentially expressed genes (DEGs) using Cytoscape software. Then, networks analysis was performed to determine hubs, bottlenecks, clusters, and signaling pathways in AD. Finally, critical genes were selected as targets for repurposing drugs. Analyzing the constructed PPIN and GRN identified CD44, ELF1, HSP90AB1, NOC4L, BYSL, RRP7A, SLC17A6, and RUVBL2 as critical genes that are dysregulated in the entorhinal region of AD suffering patients. The functional enrichment analysis revealed that DEG nodes are involved in the synaptic vesicle cycle, glutamatergic synapse, PI3K-Akt signaling pathway, retrograde endocannabinoid signaling, endocrine and other factor-regulated calcium reabsorption, ribosome biogenesis in eukaryotes, and nicotine addiction. Gentamicin, isoproterenol, and tumor necrosis factor are repurposing new drugs that target CD44, which plays an important role in the development of AD. Following our model validation using the existing experimental data, our model based on previous experimental reports suggested critical molecules and candidate drugs involved in AD for further investigations in vitro and in vivo.

阿尔茨海默病(AD)是一种缓慢的脑变性疾病,其中β -淀粉样蛋白前体斑块的积累和大脑中过度磷酸化的tau蛋白的细胞内神经原纤维缠结与神经变性有关。在这项研究中,我们确定了大脑内嗅区独特而敏感的最重要基因,以有效地靶向AD。首先,选择微阵列数据,利用Cytoscape软件从差异表达基因(deg)中构建蛋白-蛋白相互作用网络(PPIN)和基因调控网络(GRN)。然后,进行网络分析以确定AD中的集线器、瓶颈、集群和信号通路。最后,选择关键基因作为药物再利用的靶点。分析构建的PPIN和GRN,发现CD44、ELF1、HSP90AB1、NOC4L、BYSL、RRP7A、SLC17A6和RUVBL2是AD患者内嗅区失调的关键基因。功能富集分析显示,DEG节点参与突触囊泡循环、谷氨酸能突触、PI3K-Akt信号通路、内源性大麻素逆行信号通路、内分泌等因子调控的钙重吸收、真核生物核糖体生物发生、尼古丁成瘾等。庆大霉素、异丙肾上腺素和肿瘤坏死因子正在重新利用靶向CD44的新药,CD44在AD的发展中起着重要作用。在使用现有实验数据验证我们的模型之后,我们的模型基于先前的实验报告,提出了参与AD的关键分子和候选药物,用于进一步的体外和体内研究。
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引用次数: 0
Retraction Note: Impact of flexible assertive community treatment model (FACT) on community rehabilitation of schizophrenia in Southern China. 撤稿注:弹性自信社区治疗模式(FACT)对华南地区精神分裂症社区康复的影响。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-02-06 DOI: 10.1007/s10048-025-00809-8
Yinglin Zhao, Shaoxiong Zheng, Handi Zhang, Yinnan Zhang, Zidong Wang, Qingjun Huang
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引用次数: 0
Genetic and expressional insights into the association of TRAPPC10 variants with neurodevelopmental disorders. TRAPPC10变异与神经发育障碍的遗传和表达关系
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-02-01 DOI: 10.1007/s10048-025-00804-z
Peng-Yu Wang, Wen-Hui Liu, Yu-Jie Gu, Sheng Luo
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引用次数: 0
Correction to: Gene-gene interaction network analysis indicates CNTN2 is a candidate gene for idiopathic generalized epilepsy. 基因-基因相互作用网络分析表明CNTN2是特发性全面性癫痫的候选基因。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-28 DOI: 10.1007/s10048-025-00802-1
Zhi-Jian Lin, Jun-Wei He, Sheng-Yin Zhu, Li-Hong Xue, Jian-Feng Zheng, Li-Qin Zheng, Bi-Xia Huang, Guo-Zhang Chen, Peng-Xing Lin
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引用次数: 0
Phenotypic variability in progressive encephalopathy with brain atrophy and thin corpus callosum: insights from two families. 进行性脑病伴脑萎缩和胼胝体薄的表型变异性:来自两个家族的见解。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-24 DOI: 10.1007/s10048-025-00799-7
Busra Aynekin, Sinan Akbaş, Ayten Gulec, Ummu Gulsum Ozgul Gumus, Abdullah Emre Guner, Stephanie Efthymiou, Henry Houlden, Gözde Yesil Sayın, Huseyin Per

The cytoskeleton, composed of microtubules, intermediate filaments and actin filaments is vital for various cellular functions, particularly within the nervous system, where microtubules play a key role in intracellular transport, cell morphology, and synaptic plasticity. Tubulin-specific chaperones, including tubulin folding cofactors (TBCA, TBCB, TBCC, TBCD, TBCE), assist in the proper formation of α/β-tubulin heterodimers, essential for microtubule stability. Pathogenic variants in these chaperone-encoding genes, especially TBCD, have been linked to Progressive Encephalopathy with Brain Atrophy and Thin Corpus Callosum (PEBAT, OMIM #604,649), a severe neurodevelopmental disorder. We report three cases from two consanguineous families with varying clinical presentations of PEBAT syndrome due to homozygous pathogenic variants in the TBCD. In Family 1, two siblings (F1C1 and F1C2) harboring the homozygous c.2314C > T, p.(Arg772Cys) variant exhibited severe neurodevelopmental regression, spastic tetraplegia, seizures, and brain atrophy. In contrast, Family 2, Case 3 (F2C3), with the homozygous c.230A > G, p.(His77Arg) variant, presented a milder phenotype, including absence seizures, slight developmental delay, and less pronounced neuroanatomical abnormalities. These findings contribute to the expanding phenotypic spectrum of PEBAT and suggesting that modifier genes or epigenetic factors may influence disease severity.

由微管、中间丝和肌动蛋白丝组成的细胞骨架对各种细胞功能至关重要,特别是在神经系统中,微管在细胞内运输、细胞形态和突触可塑性中起着关键作用。微管蛋白特异性伴侣,包括微管蛋白折叠辅助因子(TBCA, TBCB, TBCC, TBCD, TBCE),有助于α/β-微管蛋白异源二聚体的适当形成,对微管稳定性至关重要。这些伴侣编码基因的致病变异,特别是TBCD,与进行性脑病伴脑萎缩和胼胝体薄(PEBAT, OMIM #604,649)有关,这是一种严重的神经发育障碍。我们报告三例来自两个近亲家庭的不同临床表现的PEBAT综合征由于纯合致病性变异的TBCD。在家族1中,两个兄弟姐妹(F1C1和F1C2)携带纯合子c.2314C >t, p.(Arg772Cys)变异,表现出严重的神经发育退化、痉挛性四肢瘫痪、癫痫发作和脑萎缩。相比之下,家族2,病例3 (F2C3),纯合子c.230A > G, p.(His77Arg)变异,表现出较轻的表型,包括癫痫发作,轻微发育迟缓,不太明显的神经解剖异常。这些发现有助于扩大PEBAT的表型谱,并提示修饰基因或表观遗传因素可能影响疾病的严重程度。
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引用次数: 0
The molecular mechanism of nitric oxide in memory consolidation and its role in the pathogenesis of memory-related disorders. 一氧化氮在记忆巩固中的分子机制及其在记忆相关疾病发病机制中的作用。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-24 DOI: 10.1007/s10048-025-00803-0
Zainab I Bahdar, Ejlal Abu-El-Rub, Rawan Almazari, Ayman Alzu'bi, Raed M Al-Zoubi

Memory is a dynamic process of encoding, storing, and retrieving information. It includes sensory, short-term, and long-term memory, each with unique characteristics. Nitric oxide (NO) is a biological messenger synthesized on demand by neuronal nitric oxide synthase (nNOS) through a biochemical process initiated by glutamate binding to NMDA receptors, causing membrane depolarization and calcium influx. NO is known to regulate many signaling pathways including those related to memory consolidation. To throw light on the precise molecular mechanism of nitric oxide (NO) in memory consolidation and the possibility of targeting NO pathways as a therapeutic approach to scale down cognitive impairments. We conducted a search of the PubMed MEDLINE database, maintained by the US National Library of Medicine. The search strategy utilized Medical Subject Headings (MeSH) terms, including "nitric oxide and memory," "nitric oxide synthesis in the brain," "nitric oxide and Alzheimer's," "nitric oxide and Parkinson's," and "nitric oxide, neurodegenerative disorders, and psychiatric disorders." Additionally, relevant keywords such as "nitric oxide," "memory," and "cognitive disorders" were employed. We included the most recent preclinical and clinical studies pertinent to the review topic and limited the selection to articles published in English. NO exerts its role in memory consolidation by diffusing between neurons to promote synaptic plasticity, especially long-term potentiation (LTP). It acts as a retrograde messenger, neurotransmitter release modulator, and synaptic protein modifier. The dysregulation of NO balance in the brain can contribute to the pathogenesis of various neurodegenerative diseases, particularly Alzheimer's, Parkinson's, and psychiatric disorders. The disturbance in NO signaling is strongly correlated with synaptic signaling dysfunction and oxidative stress. NO plays a fundamental role in memory consolidation, and its dysregulation contributes to cognitive impairment-a hallmark of numerous neurodegenerative and psychiatric disorders. Future research should aim to deepen our understanding of the mechanisms underlying NO's involvement in memory consolidation and to explore therapeutic strategies targeting the NO pathway to mitigate cognitive decline in affected individuals.

记忆是一个编码、存储和检索信息的动态过程。它包括感觉记忆、短期记忆和长期记忆,每一种都有其独特的特点。一氧化氮(NO)是神经元一氧化氮合酶(nNOS)根据需要合成的一种生物信使,其生化过程是由谷氨酸与NMDA受体结合,引起膜去极化和钙内流。已知一氧化氮调节许多信号通路,包括与记忆巩固有关的信号通路。揭示一氧化氮(NO)在记忆巩固中的精确分子机制,以及靶向NO通路作为一种治疗认知障碍的方法的可能性。我们对PubMed MEDLINE数据库进行了搜索,该数据库由美国国家医学图书馆维护。搜索策略利用医学主题标题(MeSH)术语,包括“一氧化氮和记忆”,“大脑中的一氧化氮合成”,“一氧化氮和阿尔茨海默氏症”,“一氧化氮和帕金森症”,以及“一氧化氮,神经退行性疾病和精神疾病”。此外,还使用了“一氧化氮”、“记忆”和“认知障碍”等相关关键词。我们纳入了与综述主题相关的最新临床前和临床研究,并将选择限制在以英文发表的文章中。一氧化氮在记忆巩固中的作用是通过在神经元间扩散促进突触的可塑性,特别是长期增强(LTP)。它作为逆行信使、神经递质释放调节剂和突触蛋白调节剂。脑内NO平衡失调与各种神经退行性疾病的发病机制有关,尤其是阿尔茨海默病、帕金森病和精神疾病。一氧化氮信号的紊乱与突触信号功能障碍和氧化应激密切相关。一氧化氮在记忆巩固中起着重要作用,它的失调会导致认知障碍,这是许多神经退行性疾病和精神疾病的标志。未来的研究应旨在加深我们对NO参与记忆巩固的机制的理解,并探索针对NO通路的治疗策略,以减轻受影响个体的认知衰退。
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引用次数: 0
Neuroinflammation and neurodegeneration in Huntington's disease: genetic hallmarks, role of metals and organophosphates. 亨廷顿氏病的神经炎症和神经退行性变:遗传特征,金属和有机磷酸盐的作用。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-17 DOI: 10.1007/s10048-025-00801-2
Omkar Kumar Kunwar, Shamsher Singh

Huntington's disease (HDs) is a fatal, autosomal dominant, and hereditary neurodegenerative disorder characterized by progressive motor dysfunction, cognitive decline, and psychiatric disturbances. HD is well linked to mutation in the HTT gene, which leads to an abnormal expansion of trinucleotide CAG repeats, resulting in the production of the mHTT protein and responsible for abnormally long poly-Q tract. These abnormal proteins disrupt cellular processes, including neuroinflammation, endoplasmic reticulum (ER) stress, and mitochondrial dysfunction, ultimately leading to selective neuronal loss in the brain. Epidemiological studies reveal significant regional variability in HDs prevalence, with the highest rates observed in North America and the lowest in Africa. In addition to genetic factors, environmental influences such as exposure to metals, and chemicals, and lifestyle factors like alcohol and tobacco use may exacerbate disease progression. This review explores the molecular mechanisms underlying HDs and emphasize the role of neuroinflammatory mediators and environmental factors, in HD research. Understanding these complex interactions is crucial for developing targeted interventions that can slow or halt the progression of this devastating disease.

亨廷顿舞蹈病(hd)是一种致命的常染色体显性遗传性神经退行性疾病,以进行性运动功能障碍、认知能力下降和精神障碍为特征。HD与HTT基因突变密切相关,HTT基因突变导致三核苷酸CAG重复序列的异常扩增,导致mHTT蛋白的产生,并导致异常长的多q通道。这些异常蛋白破坏细胞过程,包括神经炎症、内质网(ER)应激和线粒体功能障碍,最终导致大脑选择性神经元丢失。流行病学研究表明,hd患病率存在显著的区域差异,北美的发病率最高,非洲最低。除遗传因素外,环境影响(如接触金属和化学物质)以及生活方式因素(如饮酒和吸烟)也可能加剧疾病进展。本文综述了HD的分子机制,并强调了神经炎症介质和环境因素在HD研究中的作用。了解这些复杂的相互作用对于制定有针对性的干预措施至关重要,这些干预措施可以减缓或阻止这种毁灭性疾病的进展。
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引用次数: 0
Neuronal ceroid lipofuscinosis 11 (CLN11) presenting with early-onset cone-rod dystrophy and learning difficulties. 神经性蜡样脂褐质病11 (CLN11)表现为早发性锥杆营养不良和学习困难。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-15 DOI: 10.1007/s10048-025-00800-3
Gustavo Maximiano-Alves, Renata do Amaral Moreto Caravelas, Trajano Aguiar Pires Gonçalves, Kelvin Ferrari Corniani, Júlio Cesar Nather, Camila Vasconcelos Geraldi-Tomaselli, Rodrigo Siqueira Soares Frezatti, Regina Maria França Fernandes, Antônio Carlos Dos Santos, Wilson Marques, Pedro José Tomaselli

Neuronal Ceroid Lipofuscinosis 11 (CLN11) is an ultra-rare subtype of adult-onset Neuronal Ceroid Lipofuscinosis. Its phenotype is variable and not fully known. A 21-year-old man was evaluated in our neurogenetic outpatient clinic for early onset complex phenotype, including learning difficulties, cerebellar ataxia, cone-rod dystrophy, epilepsy, and dystonia. The patient was submitted to neurological and neuropsychological assessment, neuro-ophthalmological tests, brain MRI, EEG and whole exome sequencing. A homozygous frameshift variant (NM_002087.4: c.768_769dup; p.Gln257Profs*27) was found. Distinct type descriptions, as in this case, increase the clinical spectrum of the disease.

神经细胞类色素沉着病 11(CLN11)是成人发病型神经细胞类色素沉着病的一种超罕见亚型。其表型多变,尚不完全清楚。我们的神经遗传门诊对一名 21 岁的男性患者进行了评估,该患者早发表型复杂,包括学习困难、小脑共济失调、锥杆营养不良、癫痫和肌张力障碍。患者接受了神经学和神经心理学评估、神经眼科检查、脑磁共振成像、脑电图和全外显子组测序。结果发现了一个同基因框移变异体(NM_002087.4:c.768_769dup; p.Gln257Profs*27)。与本病例一样,不同的类型描述增加了该病的临床范围。
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引用次数: 0
ATXN2 polyglutamine intermediate repeats length expansions in Malaysian patients with amyotrophic lateral sclerosis (ALS). 马来西亚肌萎缩性侧索硬化症(ALS)患者的ATXN2聚谷氨酰胺中间重复序列长度扩增。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-13 DOI: 10.1007/s10048-024-00798-0
Suzanna Edgar, Nurul Angelyn Zulhairy-Liong, Melina Ellis, Shuchi Trivedi, Danqing Zhu, Jeffrey Ochieng Odongo, Khean-Jin Goh, David Paul Capelle, Nortina Shahrizaila, Marina L Kennerson, Azlina Ahmad-Annuar

Intermediate CAG repeats from 29 to 33 in the ATXN2 gene contributes to the risk of amyotrophic lateral sclerosis (ALS) in European and Asian populations. In this study, 148 ALS patients of multiethnic descent: Chinese (56.1%), Malay (24.3%), Indian (12.8%), others (6.8%) and 100 neurologically normal controls were screened for the ATXN2 CAG repeat expansion. The most common repeat length in both the controls and patients was 22. No familial ALS patients were positive for the intermediate repeat sizes (29-33), while four sporadic patients (2.8%) were positive, with one harbouring a rare ATXN2 homozygous 32 repeat expansion, and a likely pathogenic variant in SPAST. All four patients had limb-onset ALS. Despite representing the smallest ethnic group in our patient cohort, three of the four patients with intermediate repeat sizes were of Indian ancestry. This study, which is the first in Malaysia and Southeast Asia, shows that ATXN2 intermediate risk expansions are relevant to ALS in these populations and will help to inform future genetic testing strategies in the clinic.

在欧洲和亚洲人群中,ATXN2基因的中间CAG重复29至33与肌萎缩性侧索硬化症(ALS)的风险有关。本研究对148例多民族ALS患者(华人(56.1%)、马来人(24.3%)、印度人(12.8%)、其他民族(6.8%)和100例神经正常对照进行了ATXN2 CAG重复扩增筛查。在对照组和患者中,最常见的重复长度都是22。没有家族性ALS患者的中间重复序列呈阳性(29-33),而4例散发性患者(2.8%)呈阳性,其中1例携带罕见的ATXN2纯合32重复扩增,可能是SPAST的致病变体。所有4例患者均为肢体起病的ALS。尽管在我们的患者队列中代表了最小的种族群体,但四个中等重复序列大小的患者中有三个是印度血统。这项在马来西亚和东南亚首次开展的研究表明,ATXN2中间风险扩增与这些人群中的ALS有关,并将有助于为未来的临床基因检测策略提供信息。
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引用次数: 0
Computational modeling design of novel NMDAR agonist for the treatment of Schizophrenia. 新型NMDAR激动剂治疗精神分裂症的计算模型设计。
IF 1.2 4区 医学 Q3 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1007/s10048-024-00796-2
Amena Khatun Manica, Mariam Omowunmi Daud, Michael Olanrewaju Faloyo, Afuape Raphael Akinwunmi, Aminat Motunrayo Adekunle, Aminat Adedolapo Adekola, Ilyas Adisa Lawal, Musiliyu Ayofe Salawu, Jamiu Adewole Muritala, Ridwan Olajire Muraina, Rukayat Abiodun Hassan, Sherif Olabisi Ogunyemi

Schizophrenia (SZ) is a complex, chronic mental disorder characterized by positive symptoms (such as delusions and hallucinations), negative symptoms (including anhedonia, alogia, avolition, and social withdrawal), and cognitive deficits (affecting attention, processing speed, verbal and visuospatial learning, problem-solving, working memory, and mental flexibility). Extensive animal and clinical studies have emphasized the NMDAR hypofunction hypothesis of SZ. Glycine plays a crucial role as an agonist of NMDAR, enhancing the receptor's affinity for glutamate and supporting normal synaptic function and plasticity, that is, signal transmission between neurons. In the absence of glycine or any other co-agonists (serine and D-cycloserine), NMDAR responsiveness to glutamate decreases, reducing its likelihood to open and allow ion flow, which leads to impaired synaptic plasticity and neurotransmission. Current antipsychotic treatments are severely limited, as they only address positive symptoms, can lead to significant neurological and metabolic side effects such as sexual dysfunction, and are effective in only about half of SZ patients. Similarly, direct glycine-site modulators have shown considerable side-effects due to high-dose usage, such as nausea, nephrotoxicity, anxiety, depression, and hyperexcitability resulting from the external administration of glycine, serine, and D-cycloserine. To this effect, the current study considers glycine-like compounds with improved BBB permeability directly targeting the Glycine modulatory site (GMS). A thorough evaluation encompassing ADMET analysis, virtual screening, and molecular dynamics was used to screen the glycine-like library. Data collected revealed Compound_8, Compound_15, and Compound_945 as promising agonists. Further experimental validation is needed to confirm their preclinical relevance as SZ treatment.

精神分裂症(SZ)是一种复杂的慢性精神障碍,其特征为阳性症状(如妄想和幻觉)、阴性症状(包括快感缺乏、痛症、逃避和社交退缩)和认知缺陷(影响注意力、处理速度、言语和视觉空间学习、解决问题、工作记忆和心理灵活性)。大量的动物和临床研究强调了SZ的NMDAR功能减退假说。甘氨酸作为NMDAR的激动剂起着至关重要的作用,增强受体对谷氨酸的亲和力,支持正常的突触功能和可塑性,即神经元之间的信号传递。在缺乏甘氨酸或任何其他协同激动剂(丝氨酸和d -环丝氨酸)的情况下,NMDAR对谷氨酸的反应性降低,降低其打开和允许离子流动的可能性,从而导致突触可塑性和神经传递受损。目前的抗精神病药物治疗非常有限,因为它们只针对阳性症状,可能导致严重的神经和代谢副作用,如性功能障碍,并且仅对约一半的SZ患者有效。类似地,直接甘氨酸位点调节剂由于大剂量使用而显示出相当大的副作用,例如由外部给药甘氨酸、丝氨酸和d -环丝氨酸引起的恶心、肾毒性、焦虑、抑郁和高兴奋性。为此,目前的研究考虑具有改善血脑屏障通透性的甘氨酸样化合物直接靶向甘氨酸调节位点(GMS)。全面评估包括ADMET分析,虚拟筛选和分子动力学用于筛选甘氨酸样文库。收集的数据显示Compound_8、Compound_15和Compound_945是有希望的激动剂。需要进一步的实验验证来证实它们作为SZ治疗的临床前相关性。
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引用次数: 0
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