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"Unfolding Parkinson's Disease Through the Microbiome-Gut-Brain Axis". “通过微生物群-肠道-大脑轴揭示帕金森病”。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 10.1007/s12031-025-02462-0
Ramana Kamatchi Shenthilvel, Thangavelu Arumugam Umashankar, Deenathayalan Uvarajan, Mohana Mathuraj, Manish Ravikumar

Parkinson's disease (PD) is a progressive and multifactorial neurodegenerative disorder primarily caused by the loss of dopaminergic neurons in the substantia nigra. This neuronal loss leads to characteristic motor symptoms such as tremors, rigidity, and slowness of movement. Although PD has long been regarded as a disorder originating in the brain, recent findings suggest that the gut-brain axis, the intricate communication network between the gastrointestinal tract and the central nervous system also plays an important role in the development and progression of PD. Interestingly, early non-motor symptoms such as constipation and other bowel irregularities often appear several years before the onset of motor symptoms, indicating that changes in gut function may precede and even contribute to neurodegeneration. The gut microbiota influences neuronal signaling, immune activity, and metabolic balance through neuroactive molecules such as neurotransmitters, short-chain fatty acids (SCFAs), and cytokines. In PD, microbial imbalance, intestinal barrier dysfunction, and chronic inflammation are closely linked to the misfolding and accumulation of α-synuclein (α-syn), which can spread from the gut to the brain through the vagus nerve in a prion-like manner. Current therapeutic approaches are increasingly exploring ways to restore gut microbial balance using probiotics, prebiotics, dietary interventions, fecal microbiota transplantation (FMT), and SCFA supplementation. These strategies not only aim to relieve symptoms but may also have the potential to slow disease progression. This review discusses the mechanisms through which the gut-brain axis contributes to PD, summarizes key clinical and preclinical findings, and highlights emerging gut-targeted therapeutic approaches.

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引用次数: 0
Mitophagy Inhibition Suppresses Seizures in Status Epilepticus Mice by Decreasing Hippocampal NLRC4 Expression. 线粒体自噬抑制通过降低海马NLRC4表达抑制癫痫持续状态小鼠癫痫发作。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-05 DOI: 10.1007/s12031-025-02471-z
Zhi-Cheng Dong, Min Liu, Jin-Yi Zhou, Li-Qun Geng, Mei Li, Xu-Qin Chen
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引用次数: 0
PRDX6 as a Ferroptosis-Related Hub Gene in the Entorhinal Cortex of Alzheimer's Disease: A Multidimensional Bioinformatics and Experimental Validation Study. PRDX6在阿尔茨海默病内嗅皮质中作为嗜铁相关枢纽基因:多维生物信息学和实验验证研究
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-04 DOI: 10.1007/s12031-026-02482-4
Xiaolin Li, Ziteng Man, Tiantian Cheng, Juan Song, Yanan Bao, Yu Lin, Hongyan Yang

Ferroptosis, an iron-dependent regulated cell death form, is a key pathogenic mechanism in Alzheimer's disease (AD), especially in the entorhinal cortex, a brain region selectively vulnerable to early AD neuropathology. This study aimed to identify peroxiredoxin 6 (PRDX6) as a novel ferroptosis-related hub gene in the entorhinal cortex and validate its diagnostic and therapeutic potential in AD. Gene expression datasets (GSE138852, GSE5281, GSE48350, GSE118553) from the Gene Expression Omnibus (GEO) and ferroptosis-related genes (FRGs) from FerrDb were analyzed. Differential expressed genes (DEGs) were identified using Limma (|log2FC| > 1, P < 0.05), followed by Weighted Gene Coexpression Network Analysis (WGCNA) to delineate AD-associated modules. Machine learning approaches (LASSO and random forest) were employed to screen candidate hub genes, and CIBERSORT was utilized to assess correlations with immune cell infiltration. Single-cell RNA sequencing (scRNA-seq) data from GSE138852 mapped gene distribution across entorhinal cortex cell populations. Validation included analyses in the Alzdata database, receiver operating characteristic (ROC) curves for diagnostic accuracy, and Western blot assays in Aβ1-42-induced U251 astrocyte models. Functional enrichment analyses of WGCNA key module genes revealed involvement in anti-apoptosis regulation, cytosolic processes, enzyme binding, and the ferroptosis pathway. Machine learning identified six candidate genes, among which PRDX6 showed significant upregulation in the AD entorhinal cortex (Alzdata), correlation with both Aβ and tau pathologies, and a negative association with neutrophils. Single-cell profiling localized PRDX6 predominantly to astrocytes. ROC curves confirmed PRDX6 as the optimal hub gene, and Western blot validation demonstrated significantly elevated PRDX6 protein expression in Aβ1-42-induced U251 cells, consistent with bioinformatics findings. These findings establish PRDX6 as a pivotal mediator linking ferroptosis, immune cell dynamics, and AD neuropathology. Targeting PRDX6-mediated antioxidant pathways holds promise for intervening in ferroptosis-driven neurodegeneration and provides a novel avenue for AD diagnosis and therapeutic development.

铁凋亡是一种铁依赖性调节的细胞死亡形式,是阿尔茨海默病(AD)的关键致病机制,特别是在内嗅皮层,这是一个选择性易受早期AD神经病理影响的大脑区域。本研究旨在鉴定过氧化氧还蛋白6 (PRDX6)为内嗅皮层中一个新的铁中毒相关枢纽基因,并验证其在AD中的诊断和治疗潜力。分析来自GEO的基因表达数据集(GSE138852、GSE5281、GSE48350、GSE118553)和来自ferdb的铁凋亡相关基因(FRGs)。采用Limma (|log2FC| > 1, p1 -42诱导的U251星形胶质细胞模型鉴定差异表达基因(DEGs)。WGCNA关键模块基因的功能富集分析显示其参与抗凋亡调控、胞质过程、酶结合和铁死亡途径。机器学习鉴定出6个候选基因,其中PRDX6在AD内嗅皮层中表现出显著上调(Alzdata),与a β和tau病理均相关,与中性粒细胞负相关。单细胞分析将PRDX6定位于星形胶质细胞。ROC曲线证实PRDX6为最佳枢纽基因,Western blot验证显示,在a β1-42诱导的U251细胞中,PRDX6蛋白表达显著升高,与生物信息学研究结果一致。这些发现证实PRDX6是连接铁上垂症、免疫细胞动力学和AD神经病理的关键介质。靶向prdx6介导的抗氧化途径有望干预铁中毒驱动的神经退行性变,并为AD的诊断和治疗开发提供新的途径。
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引用次数: 0
Resolving Heterogeneity in the Diagnosis of Alzheimer's Disease and its Progression Using Multimodal Data. 利用多模态数据解决阿尔茨海默病诊断及其进展的异质性
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-04 DOI: 10.1007/s12031-026-02474-4
Fuyan Hu, Nelson L S Tang, Haiying Wang, Huiru Zheng
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引用次数: 0
Novel CACNA1S Mutation c.3491 A>C in Hypokalemic Periodic Paralysis: First Report with Functional Validation. 新的CACNA1S突变c.3491低钾性周期性麻痹的>C:首次报告与功能验证。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-04 DOI: 10.1007/s12031-026-02489-x
Haiyan Shu, Chen Chen, Jianmei Yang

Hypokalemic periodic paralysis (HypoPP) is a muscle disease caused by abnormal ion channels and is characterized by recurrent skeletal muscle relaxation paralysis and hypokalemia. There are obvious triggers before disease onset, such as cold, excessive exercise, excessive consumption of sugary and high-energy foods, and overeating. The aim of this study was to elucidate the pathogenic mechanism of novel mutations in the voltage-dependent L-type calcium channel subunit alpha-1 S (CACNA1S) gene associated with HypoPP. Method: Whole-exome sequencing and American College of Medical Genetics and Genomics (ACMG) compliance analysis were performed, supplemented by serum potassium and blood biochemistry tests for bioinformatics analysis. We report a 13-year-old adolescent male patient with hypokalemic periodic paralysis, who complained of limb muscle weakness accompanied by pain for 10 h. Whole-exome sequencing revealed a mutation in the CACNA1S gene (NM_000069.3: exon27: c.3491 A>C [p. Glu1164Ala]), which was classified as an uncertain mutation. The clinical presentation and protein structure prediction of the gene mutation confirmed its pathogenic role and mechanism. The mutation caused a conformational change in the calcium ion channel. This study revealed a new mutation site in the HypoPP gene and proposed the possibility of a new pathogenesis. Moreover, obesity and low magnesium are two factors that induce HypoPP, which may increase the risk of disease.

低钾血症性周期性麻痹(HypoPP)是一种由异常离子通道引起的肌肉疾病,以复发性骨骼肌松弛性麻痹和低钾血症为特征。发病前有明显的诱因,如感冒、过度运动、过度食用含糖和高能量食物、暴饮暴食等。本研究的目的是阐明与HypoPP相关的电压依赖性l型钙通道亚基α -1 S (CACNA1S)基因新突变的致病机制。方法:进行全外显子组测序和美国医学遗传与基因组学学会(ACMG)符合性分析,并辅以血清钾和血液生化检测进行生物信息学分析。我们报告了一例13岁的青少年男性低钾性周期性麻痹患者,主述肢体肌肉无力并伴有疼痛10小时。全外显子组测序显示CACNA1S基因突变(NM_000069.3:外显子27:c.3491)> C (p。Glu1164Ala]),被归类为不确定突变。该基因突变的临床表现和蛋白结构预测证实了其致病作用和机制。突变引起了钙离子通道的构象变化。本研究揭示了HypoPP基因的一个新的突变位点,并提出了一种新的发病机制的可能性。此外,肥胖和低镁是诱发HypoPP的两个因素,这可能会增加疾病的风险。
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引用次数: 0
Early Reprogramming Intermediates Enable Direct Neuronal Conversion Via NGN2. 早期重编程中间体通过NGN2实现直接神经元转换。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-03 DOI: 10.1007/s12031-025-02460-2
Silvia Angiolillo, Wei Qin, Alessia Gesualdo, Roberta Frison, Nicola Elvassore, Cecilia Laterza, Onelia Gagliano

The generation of engineered neurons via Neurogenin-2 (NGN2) overexpression, starting from human induced pluripotent stem cells (hiPSCs), is a powerful tool for modeling neurological diseases. However, using stabilized hiPSCs as a starting point significantly increases the time required to obtain a valuable human neuronal model in vitro. Here, we demonstrated that as little as 3 days of transient expression of reprogramming factors in human fibroblasts can unlock the ability of these cells to transdifferentiate into neurons upon overexpression of NGN2. We used single-cell transcriptomic data to dissect the distinct cell identities that emerge during reprogramming. We identified three distinct reprogramming intermediate populations responsive to NGN2-mediated neuronal induction and found that partial reprogramming for only 3 days is sufficient to mediate NGN2 neuronal conversion of human fibroblasts. Moreover, we found that the efficiency in neuronal fate acquisition mediated by NGN2 overexpression is strictly correlated with the stage of reprogramming used as a starting point.

从人类诱导多能干细胞(hiPSCs)开始,通过神经原素-2 (NGN2)过表达产生工程神经元,是模拟神经系统疾病的有力工具。然而,使用稳定的hipsc作为起点显著增加了体外获得有价值的人类神经元模型所需的时间。在这里,我们证明了在人类成纤维细胞中短暂表达重编程因子仅需3天,就可以在NGN2过表达的情况下解锁这些细胞转分化为神经元的能力。我们使用单细胞转录组学数据来剖析重编程过程中出现的不同细胞身份。我们确定了三种不同的重编程中间群体对NGN2介导的神经元诱导有反应,并发现部分重编程仅3天就足以介导人类成纤维细胞的NGN2神经元转化。此外,我们发现NGN2过表达介导的神经元命运获得的效率与作为起点的重编程阶段密切相关。
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引用次数: 0
Potential Protective Effect of Carotid Endarterectomy: Inducing Ischemic Tolerance in Brain Tissue after Stroke. 颈动脉内膜切除术的潜在保护作用:诱导脑卒中后脑组织缺血耐受。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-03 DOI: 10.1007/s12031-025-02470-0
Rastislav Mucha, Marek Furman, Alexandra Urbanova, Ivan Kopolovets, Miroslava Nemethova, Michal Virag, Stanislav Hresko, Vladimir Katuch, Vladimir Sihotsky
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引用次数: 0
Unlocking Stress Coping Mechanisms: Implications for Salivary Antioxidant Defense and Trace Element Homeostasis. 解锁压力应对机制:唾液抗氧化防御和微量元素平衡的意义。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-02 DOI: 10.1007/s12031-026-02478-0
Galina V Portnova, Elena V Proskurnina, Krystsina Liaukovich, Ivan V Mikheev, Grigoriy R Chermashentsev, Evgeniia I Alshanskaia, Olga V Martynova

This study investigates the relationship between stress coping ability, salivary antioxidant capacity (AOC), and trace element concentrations, focusing on zinc (Zn) and potassium (K). A cohort of 73 participants, divided into groups based on stress coping ability (SCA) ("adaptive", "intermediate", and "maladaptive"), underwent cognitive tasks while physiological and behavioral data were collected. Saliva samples were analyzed for AOC and trace elements, including Zn, K, total phosphorus (P), and total sulfur (S). Results revealed that individuals with effective stress coping strategies (the "adaptive" group) exhibited significantly higher AOC and Zn levels, along with lower K levels, compared to those with maladaptive coping abilities. Positive correlations were observed between Zn and AOC, while K showed a negative correlation with AOC. Behavioral data indicated that the "maladaptive" group demonstrated a pronounced decline in self-assessment as task difficulty increased, despite similar task performance across groups. These findings suggest that stress coping ability is a stable trait influencing physiological homeostasis, with effective coping associated with enhanced antioxidant defenses and balanced trace element regulation. The study highlights the importance of stress management in maintaining oxidative balance and emotional resilience, offering potential pathways for interventions targeting stress-related physiological and cognitive dysregulation.

本研究探讨了应激应对能力、唾液抗氧化能力(AOC)与微量元素浓度的关系,重点研究了锌(Zn)和钾(K)。73名参与者根据压力应对能力(“适应”、“中等”和“不适应”)分为三组,在接受认知任务的同时收集生理和行为数据。分析唾液样品的AOC和微量元素,包括Zn、K、总磷(P)和总硫(S)。结果表明,具有有效应激应对策略的个体(“适应”组)AOC和Zn水平显著高于应激应对能力不适应组,K水平显著低于应激应对能力不适应组。Zn与AOC呈正相关,K与AOC呈负相关。行为数据表明,“适应不良”组的自我评估随着任务难度的增加而明显下降,尽管各组的任务表现相似。这些结果表明,应激应对能力是一种影响生理稳态的稳定性状,有效应对与增强抗氧化防御和平衡微量元素调节有关。该研究强调了压力管理在维持氧化平衡和情绪恢复能力方面的重要性,为针对压力相关的生理和认知失调的干预提供了潜在的途径。
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引用次数: 0
Diagnostic Accuracy of Cerebrospinal Fluid Presepsin vs. Procalcitonin in Post-Neurosurgical Bacterial Ventriculitis/Meningitis: A Machine Learning Analytical Approach. 脑脊液降钙素对术后细菌性脑室炎/脑膜炎的诊断准确性:机器学习分析方法
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-02-02 DOI: 10.1007/s12031-026-02483-3
Srinivasa Sundara Rajan Radhakrishnan, Veena Kumari Haradara Bahubali, Gyani Jail Singh Birija, Dwarakanath Srinivas, Sudhir Venkataramaiah, Nanda Kumar Dalavaikodihalli Nanjaiah

This study aimed to evaluate the diagnostic accuracy of cerebrospinal fluid presepsin and procalcitonin in patients who had undergone neurosurgery between November 2023 and December 2024 enrolled on the basis of specific guidelines. Cerebrospinal fluid presepsin and procalcitonin levels were evaluated via ELISA. Machine learning models were implemented to assess the diagnostic accuracy. A total of 120 patients were included in the study and categorized into three different groups. Machine learning model: random forest model was implemented for ROC curve analysis and the model had an accuracy of 94.5%. The optimal presepsin cut-off value for discriminating between the infectious and non-infectious group was 1729 pg/ml. The specificity and sensitivity for presepsin was 0.875 and 0.632, respectively, and the AUCs for all groups were greater than 0.800 in the random forest model. The specificity and sensitivity for PCT were 0.458 and 0.789, respectively, and the AUCs for the confirmed and probable groups were 0.810 and 0.800 respectively. The variable importance plot revealed presepsin to be the second most useful parameter in model prediction. The random forest model has good performance in predicting infections among neurosurgical patients. CSF presepsin clearly distinguished the three groups, and the median PCT levels were similar across the three groups. The optimal cut-off for PCT is not suggestive compared with presepsin. CSF presepsin is a better biomarker than CSF PCT in diagnosing post-neurosurgery patients and can be implemented in routine diagnostic procedures.

本研究旨在评估在2023年11月至2024年12月期间接受神经外科手术的患者中脑脊液加压素和降钙素原的诊断准确性。采用ELISA法检测脑脊液降钙素原和前压血素水平。采用机器学习模型来评估诊断的准确性。共有120名患者被纳入研究,并被分为三组。机器学习模型:采用随机森林模型进行ROC曲线分析,模型准确率为94.5%。区分感染组和非感染组的最佳抑菌素临界值为1729 pg/ml。presepsin的特异性和敏感性分别为0.875和0.632,随机森林模型各组auc均大于0.800。PCT的特异性和敏感性分别为0.458和0.789,确诊组和可能组的auc分别为0.810和0.800。变量重要性图显示,血压是模型预测中第二个最有用的参数。随机森林模型在神经外科患者感染预测中有较好的效果。脑脊液加压素明显区分了三组,三组中位PCT水平相似。PCT的最佳临界值与presesin相比并不具有启发性。脑脊液加压素是一种比脑脊液PCT更好的诊断神经外科术后患者的生物标志物,可用于常规诊断程序。
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引用次数: 0
An Optimized Strategy for Brain Tumor Classification Using SO(3) Equivariant Graph Neural Networks with Snow Geese Algorithm in MRI Imaging. 基于SO(3)等变图神经网络与雪雁算法的MRI脑肿瘤分类优化策略
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2026-01-31 DOI: 10.1007/s12031-025-02466-w
Maramreddy Srinivasulu, Prabu Selvam, Balasubbareddy Mallala, K Latha

Brain tumors (BT) are actually an uncontrolled growth of cancer cells inside the body that can be classified into several classes according to their characteristics and accessible therapies. Brain tumors require a thorough examination by medical professionals due to their seriousness and risk for death. One of the advanced digital image processing techniques utilized for categorized tumors is magnetic resonance imaging (MRI). Recently, a number of Deep Learning (DL) models have been created to help diagnose BT. Many of these kinds of models have poor accuracy, which could result in incorrect diagnosis. The Robust Peak Guided Filter R2U++ Multilayer Attention SO(3) Equivariant Graph Neural Network with Snow Geese Algorithm (RPGFR2U++MASO(3)EGNN-SGA) is a proposed methodology that uses data from the Contrast-Enhanced MRI (CE-MRI) and BRATS 2018 datasets to improve brain tumor classification. It employs the Iterative Robust Peak-Aware Guided Filter (RPAGF) to reduce noise and preserve critical features. The Multilayer Edge Attention (MEA-Net) enhances feature extraction and refinement, while SO(3)-equivariant Graph Neural Networks ensure precise graph-based feature analysis. The results express how well the proposed method performs, demonstrating its positive potential for cancer diagnosis. The suggested technique, RPGFR2U++MASO(3)EGNN-SGA, demonstrated its efficacy across a range of datasets with impressive accuracy of 99.6% for the BRATS 2018 dataset and 99.7% for the CE-MRI dataset. These results reveal that the suggested methodology outperforms existing methods, demonstrating its capabilities and potential for future breakthroughs in BT identification and classification.

脑肿瘤(BT)实际上是癌细胞在体内不受控制的生长,根据它们的特征和治疗方法可以分为几类。由于脑瘤的严重性和死亡风险,需要由医疗专业人员进行彻底检查。用于分类肿瘤的先进数字图像处理技术之一是磁共振成像(MRI)。最近,许多深度学习(DL)模型被用来帮助诊断BT,但这些模型的准确性很差,可能导致错误的诊断。鲁棒峰值引导滤波器R2U++多层注意力SO(3)等变图神经网络与雪雁算法(RPGFR2U++MASO(3)EGNN-SGA)是一种使用对比增强MRI (CE-MRI)和BRATS 2018数据集的数据来改进脑肿瘤分类的方法。它采用迭代鲁棒峰值感知引导滤波器(RPAGF)来降低噪声并保留关键特征。多层边缘注意(MEA-Net)增强了特征提取和细化,而SO(3)-等变图神经网络确保了精确的基于图的特征分析。结果表明,所提出的方法执行得很好,证明了其对癌症诊断的积极潜力。建议的技术RPGFR2U++MASO(3)EGNN-SGA在一系列数据集上证明了其有效性,在BRATS 2018数据集和CE-MRI数据集上的准确率分别达到了99.6%和99.7%。这些结果表明,所建议的方法优于现有的方法,展示了其在BT识别和分类方面的能力和未来突破的潜力。
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引用次数: 0
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Journal of Molecular Neuroscience
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