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The Causal Relationship Between Palmitoylation Genes and Parkinson’s Disease: A Mendelian Randomization Study 棕榈酰化基因与帕金森病的因果关系:一项孟德尔随机研究
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-21 DOI: 10.1007/s12031-025-02436-2
Jin Qiu, Jiali Yang, Ruisen Zhu, DeHai Xian, Kaiwen Yang

This work examined the causal link between palmitoylation-related genes and Parkinson’s disease (PD) by Mendelian randomization (MR). We conducted two-sample Mendelian randomization utilizing genome-wide association study (GWAS) summary statistics. Expression quantitative trait loci (eQTL) data for palmitoylation genes were sourced from eQTLGen, whilst PD data were derived from the GWAS Catalogue (15,056 cases, 12,637 controls) and FinnGen (4,681 cases, 407,500 controls). Instrumental variables (p < 5 × 10⁻⁶, r2 < 0.1) were examined using inverse-variance weighted (IVW) regression, along with weighted median, MR-Egger, and Summary-data-based MR (SMR) methods. Sensitivity analyses evaluated pleiotropy and resilience. The IVW analysis revealed significant correlations with Parkinson’s disease for ZDHHC14 (OR = 1.09, P = 0.037), ZDHHC17 (OR = 1.18, P = 0.002), ZDHHC2 (OR = 1.16, P = 0.039), ZDHHC20 (OR = 0.82, P = 0.019), and ZDHHC8 (OR = 1.24, P = 0.022). SMR validation corroborated solely ZDHHC8 (OR = 1.35, P = 0.040). Replication in FinnGen corroborated ZDHHC1, ZDHHC13, ZDHHC17, and ZDHHC8. No heterogeneity or pleiotropy was observed (P > 0.05). ZDHHC8 has a strong causative relationship with PD, suggesting that palmitoylation dysregulation plays a role in disease etiology. These findings underscore synaptic dysfunction as a viable therapeutic target.

这项工作通过孟德尔随机化(MR)研究了棕榈酰化相关基因与帕金森病(PD)之间的因果关系。我们利用全基因组关联研究(GWAS)汇总统计进行了两样本孟德尔随机化。棕榈酰化基因的表达数量性状位点(eQTL)数据来源于eQTLGen, PD数据来源于GWAS目录(15,056例,12,637例对照)和FinnGen(4,681例,407,500例对照)。工具变量(p < 0.05)。ZDHHC8与PD有很强的致病关系,提示棕榈酰化失调在疾病病因学中起作用。这些发现强调突触功能障碍是一个可行的治疗靶点。
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引用次数: 0
Investigating the Genetic Diversity of DRD2 and OXTR Genes in the Iranian Population and Its Relationship with Personality Traits 伊朗人群DRD2和OXTR基因的遗传多样性及其与人格特征的关系研究
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-19 DOI: 10.1007/s12031-025-02430-8
Zahra Sepehri Nader, Shirin Jalili, Fereshteh Rahmati

By analyzing genetic polymorphisms in the genes of patients and control subjects, it is possible to find the correlation of these factors with the phenotypic variation as mental disorders to propose hypotheses about the possible mechanisms of specific diseases. Accordingly, in the present study, the role of oxytocin receptor and dopamine D2 receptor polymorphisms in the personality traits of optimistic, pessimistic and intermediate individuals was investigated. In this study, the polymorphism of DRD2 receptors and oxytocin receptor genes in saliva samples of Iranian volunteers was investigated. Accordingly, saliva samples were prepared from 90 individuals. The mental status of these individuals (optimistic, pessimistic and intermediate) was determined by a specialist physician. Then, the DNA of the sample was extracted and the presence or absence of the rs53576 polymorphism in the OXTR gene and the rs1800497 polymorphism in the DRD2 gene was examined using PCR reaction and sequencing. The results showed a significant association between the frequency of the rs53576 polymorphism in the OXTR gene and pessimism. In fact, the A allele in this polymorphism caused a 2.4-fold increase in pessimism in the studied individuals. However, no significant association was observed between the rs1800497 polymorphism and the traits of optimism and pessimism. Such studies require more detailed assessments such as brain scans, but due to the high cost of such tests, genetic studies can be used as the first step to confirm or reject the association of the polymorphism with the aforementioned trait.

通过分析患者和对照组基因的遗传多态性,可以发现这些因素与精神障碍的表型变异之间的相关性,从而对特定疾病的可能机制提出假设。因此,本研究探讨了催产素受体和多巴胺D2受体多态性在乐观、悲观和中间个体人格特质中的作用。本研究对伊朗志愿者唾液样本中DRD2受体和催产素受体基因的多态性进行了研究。因此,从90个人身上提取了唾液样本。这些个体的精神状态(乐观、悲观和中等)由专科医生确定。然后提取样品DNA,采用PCR反应和测序检测OXTR基因rss53576多态性和DRD2基因rs1800497多态性的存在与否。结果显示,OXTR基因中rs53576多态性的频率与悲观情绪之间存在显著关联。事实上,这种多态性中的A等位基因导致被研究个体的悲观情绪增加了2.4倍。然而,rs1800497多态性与乐观和悲观性状之间没有显著的相关性。这样的研究需要更详细的评估,如脑部扫描,但由于这种测试的高成本,基因研究可以作为确认或拒绝多态性与上述特征关联的第一步。
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引用次数: 0
An Investigation of the Causal Link Between Palmoylation Genes and Epilepsy Utilising Multi-omics Mendelian Randomisation Analysis and Validation Through Single-Cell Evidence 利用多组学孟德尔随机化分析和单细胞证据验证研究棕榈酰化基因与癫痫之间的因果关系。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-16 DOI: 10.1007/s12031-025-02434-4
Jin Qiu, Dehai Xian, Kaiwen Yang

This work sought to examine the causal link between palmoyl-protein-modifying genes (ZDHHC family) and epilepsy by Mendelian randomisation (MR), utilising multi-level genomic data. A two-sample MR analysis was performed utilising publicly accessible blood and brain tissue expression quantitative trait locus (eQTL) data as exposure variables and epilepsy genome-wide association study (GWAS) data from the FinnGen as the outcome measure. The major analysis method utilised was inverse variance weighting (IVW), with robustness validation conducted by weighted median and MR-Egger procedures. Subsequently, summary-data-based MR (SMR) analysis confirmed signal colocalization, supplemented by single-cell transcriptomic data (GSE302285) to investigate target gene expression patterns at a cellular granularity. MR analysis indicated that heightened expression of ZDHHC3 (OR = 0.69, 95% CI: 0.57–0.84, p = 0.0002) and ZDHHC20 (OR = 0.88, 95% CI: 0.82–0.94, p = 0.0002) was significantly linked to a decreased risk of epilepsy, while increased expression of ZDHHC8 and ZDHHC18 was associated with an elevated risk. SMR analysis further corroborated the protective roles of ZDHHC3 and ZDHHC20. Layered MR analysis showed that the results are more significant in focal epilepsy. An eQTL study specific to brain cells revealed cell-type specificity in these correlations, with ZDHHC20 demonstrating the most significant protective impact in excitatory neurones (OR = 0.89, p = 0.0273). Single-cell transcriptomics demonstrated that ZDHHC20 was significantly expressed in astrocytes and neurones in the brain tissue of epilepsy patients, while ZDHHC3 was primarily concentrated in neurones. This work genetically confirms that certain palmitoylation genes, notably ZDHHC3 and ZDHHC20, may have causative protective effects against the risk of focal epilepsy, highlighting cell-type-specific processes. This establishes innovative theoretical frameworks for exploring the pathophysiology of epilepsy and formulating targeted treatments.

这项工作旨在通过孟德尔随机化(MR),利用多层次基因组数据,研究棕榈基蛋白修饰基因(ZDHHC家族)与癫痫之间的因果关系。利用可公开获取的血液和脑组织表达数量性状位点(eQTL)数据作为暴露变量,并利用FinnGen的癫痫全基因组关联研究(GWAS)数据作为结果测量,进行了两样本MR分析。使用的主要分析方法是逆方差加权(IVW),并通过加权中位数和MR-Egger程序进行鲁棒性验证。随后,基于汇总数据的MR (SMR)分析证实了信号共定位,并辅以单细胞转录组学数据(GSE302285)在细胞粒度上研究靶基因表达模式。MR分析显示,ZDHHC3 (OR = 0.69, 95% CI: 0.57-0.84, p = 0.0002)和ZDHHC20 (OR = 0.88, 95% CI: 0.82-0.94, p = 0.0002)表达升高与癫痫风险降低显著相关,而ZDHHC8和ZDHHC18表达升高与癫痫风险升高相关。SMR分析进一步证实了ZDHHC3和ZDHHC20的保护作用。分层MR分析结果在局灶性癫痫中更为显著。一项针对脑细胞的eQTL研究揭示了这些相关性的细胞类型特异性,ZDHHC20对兴奋性神经元的保护作用最为显著(OR = 0.89, p = 0.0273)。单细胞转录组学结果显示,ZDHHC20在癫痫患者脑组织星形胶质细胞和神经元中显著表达,而ZDHHC3主要集中在神经元中。这项工作从遗传学上证实了某些棕榈酰化基因,特别是ZDHHC3和ZDHHC20,可能对局灶性癫痫的风险具有保护性作用,突出了细胞类型特异性过程。这为探索癫痫的病理生理和制定有针对性的治疗方法建立了创新的理论框架。
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引用次数: 0
Targeting Oligodendrocyte Dysfunction in Alzheimer’s Disease: a New Frontier for Drug Repurposing with Antihistamines and Serotonin Receptor Agonists 针对阿尔茨海默病少突胶质细胞功能障碍:抗组胺药和血清素受体激动剂药物再利用的新前沿。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-15 DOI: 10.1007/s12031-025-02433-5
Sharanappa Gurikar, Syed Sagheer Ahmed, Bharathi Doddlu Raghunatahanaidu

Emerging data highlight oligodendrocyte dysfunction and myelin degeneration as early contributors to the pathology of Alzheimer’s disease (AD), questioning the conventional neuron-focused amyloid-tau model. This comprehensive review recapitulates both clinical and preclinical data linking oligodendrocytes (OLs) and oligodendrocyte precursor cells (OPCs) to amyloid-β secretion, accelerated cellular ageing, and loss of metabolic and trophic support. Simultaneously, microglial activation and neuroinflammation exacerbate damage to myelin and impair remyelination. High-field imaging technologies are associated with white matter pathology that is evident decades before the onset of cortical atrophy, highlighting the pathogenic importance of glial pathology. We discuss pharmacological strategies to correct OL dysfunction by drug repurposing: first-generation H1-antihistamine clemastine, which induces OPC maturation by M1 muscarinic antagonism and ERK/mTOR signalling; H3-receptor antagonists/inverse agonists (e.g. pitolisant) increase neurotransmitter release and induce CREB-mediated remyelination; and serotonergic GPCR agonists (5-HT4, 5-HT6, 5-HT2C) shift APP processing toward non-amyloidogenic pathways, enhance synaptic proteostasis, and protect OLs against 5-HT toxicity. We provide mechanistic details, comparative profiles, and translational considerations, including blood–brain barrier penetration, pharmacokinetics, and safety considerations, as well as patient stratification. We also cover preclinical models and early clinical trials that demonstrate cognitive benefits and advantages in myelin repair. The limitations of monotherapies imply the promise of combinatorial regimens that attack both histaminergic and serotonergic systems. We present a clinical translation roadmap featuring adaptive, biomarker-responsive trials that utilise enhanced myelin imaging; personalised and multi-omics approaches to medicine; and transdisciplinary collaboration among neuroscience, pharmacology, regulatory bodies, and patient–caregiver groups. The translation of repurposed glial-targeting therapies to clinical practice will require adaptive, biomarker-guided trials, advanced myelin imaging, and intersectoral coordination among neuroscience, pharmacology, and regulatory partners, including engagement with patients and caregivers, as well as ethical input.

新出现的数据强调少突胶质细胞功能障碍和髓鞘变性是阿尔茨海默病(AD)病理的早期贡献者,质疑传统的神经元聚焦淀粉样蛋白模型。这篇全面的综述总结了临床和临床前数据,将少突胶质细胞(OLs)和少突胶质前体细胞(OPCs)与淀粉样蛋白β分泌、细胞加速老化以及代谢和营养支持的丧失联系起来。同时,小胶质细胞激活和神经炎症加重髓鞘损伤,损害髓鞘再生。高视场成像技术与白质病理相关,这在皮层萎缩发生前几十年就很明显,突出了神经胶质病理的致病重要性。我们讨论了通过药物再利用来纠正OL功能障碍的药理学策略:第一代h1 -抗组胺药clemastine,通过M1毒菌碱拮抗和ERK/mTOR信号传导诱导OPC成熟;h3受体拮抗剂/逆激动剂(如pitolisant)增加神经递质释放并诱导creb介导的髓鞘再生;和5-羟色胺能GPCR激动剂(5- ht4,5 - ht6,5 - ht2c)将APP加工转向非淀粉样蛋白生成途径,增强突触蛋白平衡,并保护ol免受5-HT毒性。我们提供了机制细节、比较概况和翻译考虑,包括血脑屏障穿透、药代动力学、安全性考虑以及患者分层。我们还涵盖临床前模型和早期临床试验,证明髓磷脂修复的认知益处和优势。单一疗法的局限性意味着同时攻击组胺能和血清素能系统的组合疗法的前景。我们提出了一个临床翻译路线图,具有适应性,生物标志物响应试验,利用增强髓磷脂成像;个性化和多组学医学方法;以及神经科学、药理学、监管机构和患者护理团体之间的跨学科合作。将神经胶质靶向疗法转化为临床实践将需要适应性的、生物标志物引导的试验、先进的髓磷脂成像,以及神经科学、药理学和监管合作伙伴之间的跨部门协调,包括与患者和护理人员的接触,以及伦理投入。
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引用次数: 0
Transcriptome Profiling Across Multiple Organs Unveils Potential Regulatory Effects of C-Fibers on Host in Mice 跨多器官的转录组分析揭示了c -纤维对小鼠宿主的潜在调节作用。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-14 DOI: 10.1007/s12031-025-02423-7
Yu He, Changgen Li, Jianhua Wei, Zhongying Yang, Luo Ren, Yu Deng, Na Zang, Enmei Liu

As nociceptors, C-fibers play a critical role in maintaining host homeostasis under both physiological and pathological conditions. We previously demonstrated that C-fiber degeneration confers protection against respiratory syncytial virus (RSV) infection. However, a comprehensive investigation of the effects of C-fiber degeneration on the physiological state of the host remains unexplored. To address this gap, we established a C-fiber-degenerated (KCF) BALB/c mouse model and validated it by immunofluorescence staining of multiple organs. We monitored the body weight of KCF mice and performed 16S rRNA sequencing of their feces. And their brains, lungs, intestines, and spleen were subjected to section staining and RNA sequencing. Although no significant changes in body weight or tissue pathology were observed, KCF mice showed significant transcriptional alterations in the four examined organs. The lungs and intestines exhibited diminished proportions of resting mast cells, while the spleens displayed reduced proportions of monocytes. Functional enrichment analysis revealed the involvement of C-fibers in the production of immunoglobulin and changes in intestinal microbiota. Subsequent experiments confirmed a trend towards reduced globulin levels in the peripheral blood and marked alterations in the diversity and composition of intestinal microbiota. Integrated analysis of differentially expressed genes shared by all four organs identified the nucleotide-binding and oligomerization domain (NOD)-like receptor signaling pathway as a pivotal route by which C-fibers may influence these organs. In summary, this study elucidates the diverse effects of C-fibers on the host, extending our understanding in a multi-organ context. 

作为伤害感受器,c -纤维在生理和病理条件下维持宿主稳态中起着至关重要的作用。我们之前证明了c纤维变性对呼吸道合胞病毒(RSV)感染具有保护作用。然而,c -纤维变性对宿主生理状态的影响尚未得到全面的研究。为了解决这一空白,我们建立了c纤维变性(KCF) BALB/c小鼠模型,并通过多器官免疫荧光染色验证。我们监测了KCF小鼠的体重,并对其粪便进行了16S rRNA测序。对脑、肺、肠、脾进行切片染色和RNA测序。虽然没有观察到体重或组织病理的显著变化,但KCF小鼠在四个被检查的器官中显示出显著的转录改变。肺和肠显示静止肥大细胞比例减少,而脾脏显示单核细胞比例减少。功能富集分析揭示了c -纤维参与免疫球蛋白的产生和肠道菌群的变化。随后的实验证实了外周血中球蛋白水平降低的趋势,以及肠道微生物群多样性和组成的显著改变。对这四个器官共有的差异表达基因的综合分析发现,核苷酸结合和寡聚化结构域(NOD)样受体信号通路是c -纤维影响这些器官的关键途径。总之,本研究阐明了c -纤维对宿主的多种作用,扩展了我们在多器官背景下的理解。
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引用次数: 0
Exosome/Extracellular Vesicles-Based Therapeutics in Alzheimer’s Disease: Neuroprotective Roles and Future Perspectives 基于外泌体/细胞外囊泡的阿尔茨海默病治疗:神经保护作用和未来展望
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-12 DOI: 10.1007/s12031-025-02432-6
Negar Ebadpour, Mohammad Abavisani, Sercan Karav, Prashant Kesharwani, Amirhossein Sahebkar

Alzheimer’s disease (AD), a progressive neurodegenerative disorder, is marked by memory loss, cognitive decline, and characteristic pathological features including β-amyloid (Aβ) plaques, tau tangles, and neuroinflammation. Despite extensive research, effective therapies remain elusive. Exosome/EVs-based therapeutics have emerged as a promising avenue for AD treatment. Neuron-derived exosomes/extracellular vesicles (EVs) (NDEs) and stem cell-derived exosomes/EVs exhibit neuroprotective effects by promoting Aβ degradation, modulating tau pathology, and reducing inflammation. Notably, NDEs carry insulin-degrading enzyme (IDE) and cellular prion proteins (PrPC), aiding Aβ clearance. However, exosomes also present challenges, such as the potential propagation of pathogenic tau and complement-mediated neurotoxicity. Neural and mesenchymal stem cell-derived exosomes further demonstrate therapeutic efficacy by altering amyloid precursor protein processing and activating PI3K/Akt/mTOR signaling to reduce AD pathology. Despite these advancements, clinical translation requires a deeper understanding of exosome/EVs biology, improved isolation techniques, and personalized strategies. Continued research may establish exosomes as a transformative approach in AD therapy.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特点是记忆丧失、认知能力下降,并伴有β-淀粉样蛋白(a β)斑块、tau蛋白缠结和神经炎症等特征性病理特征。尽管进行了广泛的研究,但有效的治疗方法仍然难以捉摸。基于外泌体/ ev的治疗方法已成为治疗AD的一种有前途的途径。神经元源性外泌体/细胞外囊泡(NDEs)和干细胞源性外泌体/细胞外囊泡通过促进Aβ降解、调节tau病理和减少炎症表现出神经保护作用。值得注意的是,nde携带胰岛素降解酶(IDE)和细胞朊病毒蛋白(PrPC),有助于清除Aβ。然而,外泌体也面临挑战,如致病性tau的潜在传播和补体介导的神经毒性。神经和间充质干细胞来源的外泌体通过改变淀粉样前体蛋白加工和激活PI3K/Akt/mTOR信号传导来减少AD病理进一步证明了治疗效果。尽管取得了这些进展,但临床翻译需要更深入地了解外泌体/ ev生物学、改进的分离技术和个性化策略。持续的研究可能会证实外泌体在阿尔茨海默病治疗中的变革性作用。
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引用次数: 0
The ADNP-Mediated Transcriptome Response to Ketamine Impairs the Cytoskeletal Protein Axis adnp介导的对氯胺酮的转录组反应损害细胞骨架蛋白轴。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-08 DOI: 10.1007/s12031-025-02420-w
Claudio Peter D’Incal, Ligia Mateiu, Kevin De Man, Ellen Elinck, Illana Gozes, R. Frank Kooy

De novo variants in the Activity-Dependent Neuroprotective Protein (ADNP) gene cause the autistic Helsmoortel-Van der Aa syndrome with patients showing mild to disastrous phenotypes impacting brain functioning, behavior, and organ functions. In this respect, two treatment strategies have been proposed to alleviate symptoms in patients with this syndrome: (1) the ADNP-derived octapeptide investigational drug NAP (davunetide), which enhances ADNP’s ability to target cytoskeletal deficits, and (2) subnarcotic levels of ketamine, which are suggested to increase endogenous ADNP mRNA levels. Here, we focus on the perspective of ketamine and investigated the transcriptomic response of low-dose and high-dose ketamine applications at different time points, experimentally controlled by the non-toxic drug NAP, in lymphoblastoid cell lines obtained from individuals with Helsmoortel-Van der Aa syndrome. Transcriptome profiling was performed at baseline conditions, followed by dose (low or high) and time (40 min or 4 h)-dependent ketamine application in patient and control lymphoblastoid cell lines. We showed that ketamine affected ADNP expression levels in a dose- and time-dependent manner with only toxic ketamine concentrations increasing ADNP protein levels. Ketamine application also triggered a transcriptomic response with profound gene expression alterations centered around processes such as immune response-regulating signaling pathways and cell fate commitment at low-dose ketamine, together with organelle assembly and cytoskeletal dysregulation at high doses. A parallel control experiment with NAP under the same experimental conditions did not induce detectable gene expression differences in patient-derived cell lines. The ketamine-induced cytoskeletal alterations were functionally studied using immunoblotting, showing a disturbed expression of α-tubulin, β-actin, and to a minor extent microtubule-associated protein EB3 in patient-derived lymphoblastoid cells. Ketamine upregulates wild-type ADNP transcript and protein levels in a dose- and time-dependent manner in patient-derived lymphoblastoid cell lines from individuals with Helsmoortel-Van der Aa syndrome, while inducing a transcriptomic response that affects key processes including immune system signaling and cytoskeletal organization.

活动依赖性神经保护蛋白(ADNP)基因的新生变异导致自闭症Helsmoortel-Van der Aa综合征,患者表现出轻微到灾难性的表型,影响脑功能、行为和器官功能。在这方面,已经提出了两种治疗策略来缓解该综合征患者的症状:(1)ADNP衍生的八肽研究药物NAP (davunetide),它可以增强ADNP靶向细胞骨架缺陷的能力;(2)亚麻醉水平的氯胺酮,它被认为可以增加内源性ADNP mRNA水平。本研究从氯胺酮的角度出发,在无毒药物NAP的实验控制下,研究了低剂量和高剂量氯胺酮在不同时间点对Helsmoortel-Van der Aa综合征患者淋巴母细胞样细胞株的转录组反应。在基线条件下进行转录组分析,然后在患者和对照淋巴母细胞细胞系中使用剂量(低或高)和时间(40分钟或4小时)依赖的氯胺酮。我们发现氯胺酮以剂量和时间依赖的方式影响ADNP表达水平,只有有毒氯胺酮浓度增加ADNP蛋白水平。氯胺酮的应用还引发了转录组反应,在低剂量氯胺酮下,基因表达发生了深刻的改变,主要围绕免疫反应调节信号通路和细胞命运承诺等过程,以及高剂量氯胺酮下的细胞器组装和细胞骨架失调。在相同的实验条件下,用NAP进行平行对照实验,在患者来源的细胞系中没有诱导可检测到的基因表达差异。利用免疫印迹技术对氯胺酮诱导的细胞骨架改变进行了功能性研究,发现患者源性淋巴母细胞中α-微管蛋白、β-肌动蛋白和微管相关蛋白EB3的表达受到干扰。在Helsmoortel-Van der Aa综合征患者源性淋巴母细胞样细胞系中,氯胺酮以剂量和时间依赖的方式上调野生型ADNP转录物和蛋白质水平,同时诱导转录组反应,影响免疫系统信号传导和细胞骨架组织等关键过程。
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引用次数: 0
Genetic Abnormalities in Neurodevelopmental Disorders with Multidimensional Impairment 神经发育障碍伴多维损害的遗传异常
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-02 DOI: 10.1007/s12031-025-02424-6
Cyril Hanin, Paloma Torres, Isabelle Millet, Joana Matos, Cora Cravero, Marianna Giannitelli, Anne-Sophie Pellen, Hugues Pellerin, Charline Grossard, Ingrid Zammouri, Astrid De Foucaud, Claudine Laurent-Levinson, David Cohen

Objectives: Many children with neurodevelopmental disorders (NDD) show complex, multidimensional impairments meeting criteria for multiple NDD, yet remain “diagnostically homeless” as DSM-5 lacks a Multidimensional Impairment (MDI) category. We investigated the prevalence of genetic abnormalities in such complex NDD cases. Methods:Between 2017 and 2019, we diagnosed MDI in 666 patients. Among them, 122 (18%) underwent genetic assessment (DNA microarrays, karyotype, gene panels, FISH, FMR1 testing, exome/genome sequencing). We used univariate analyses and clustering to explore associations between clinical dimensions and genetic findings. Results: Genetic abnormalities were identified in 78 patients. Of these:

  1. (1)

    41 had known abnormalities usually linked to complex NDD (e.g., del22q11.2);

  2. (2)

    16 had mutations associated with severe ASD/ID (e.g., GRIA3 on Xq25);

  3. (3)

    11 showed novel abnormalities not previously linked to NDD (e.g., duplication Xq21.1 including POU3F4);

  4. (4)

    10 had variants of uncertain significance.

Depending on classification, prevalence ranged from 47% (57/122, definite or predisposition) to 64% (78/122, including uncertain/possible pathogenic variants). Neither clinical dimensions nor severity clusters were associated with the presence of genetic abnormalities. Conclusion:Despite a referral bias toward severe cases, the high rate of genetic findings in this cohort underscores the need for more systematic genetic testing in complex NDD with multidimensional impairment.

目的:许多患有神经发育障碍(NDD)的儿童表现出复杂的、符合多重NDD标准的多维损害,但由于DSM-5缺乏多维损害(MDI)类别,他们仍然“被诊断为无家可归”。我们调查了遗传异常在这些复杂的NDD病例中的患病率。方法:在2017年至2019年期间,我们在666例患者中诊断出MDI。其中122例(18%)进行了遗传评估(DNA微阵列、核型、基因面板、FISH、FMR1检测、外显子组/基因组测序)。我们使用单变量分析和聚类来探索临床维度和遗传发现之间的关联。结果:78例患者发现遗传异常。其中:(1)41例已知异常通常与复杂的NDD有关(例如,del22q11.2);(2) 16个基因存在与严重ASD/ID相关的突变(如Xq25上的GRIA3);(3) 11例显示以前未与NDD联系的新异常(例如,重复Xq21.1,包括POU3F4);(4)有10个具有不确定意义的变体。根据分类,患病率从47%(57/122,明确或易感性)到64%(78/122,包括不确定/可能的致病变异)不等。临床维度和严重程度群集都与遗传异常的存在无关。结论:尽管转诊偏向于重症病例,但该队列中较高的遗传发现率强调了在复杂的NDD中进行更系统的基因检测的必要性。
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引用次数: 0
Can Oxidative Stress Biomarkers Differentiate Trichotillomania from Obsessive–Compulsive Disorder and Healthy Controls? 氧化应激生物标志物能区分拔毛狂与强迫症和健康对照吗?
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-02 DOI: 10.1007/s12031-025-02428-2
Yusuf Selman Çelik, Hande Günal Okumuş, Meryem Kaşak, Göktuğ Okyar, Barışcan Çimen, Yusuf Öztürk, Ayşegül Efe, Özcan Erel

This study investigated oxidative stress biomarkers in differentiating trichotillomania (TTM), obsessive–compulsive disorder (OCD), and healthy controls (HC), focusing on thiol-disulfide homeostasis, total oxidant status (TOS), total antioxidant status (TAS), and ischemia-modified albumin (IMA). A total of 68 adolescent females aged 10–18 were recruited and divided into three groups: TTM (n = 24), OCD (n = 21), and HC (n = 23). Oxidative stress biomarkers were assessed through blood analyses, including measurements of thiol-disulfide homeostasis, TOS, TAS, and IMA. Blood analyses revealed that TTM patients had significantly lower native and total thiol levels, a reduced native/total thiol ratio, and elevated disulfide levels compared to OCD and HC (p < 0.01). ROC analysis indicated that the native thiol/total thiol ratio effectively distinguished TTM from both HC and OCD with high accuracy. These findings reveal distinct oxidative stress patterns in TTM and OCD, with disrupted thiol-disulfide homeostasis in TTM and elevated oxidative burden in OCD. The discriminative power of the native thiol/total thiol ratio suggests molecular-level differences, which may inform the etiopathogenesis of TTM and support the development of targeted treatment strategies.

本研究探讨了氧化应激生物标志物在鉴别拔毛狂(TTM)、强迫症(OCD)和健康对照(HC)中的作用,重点研究了硫醇-二硫醚稳态、总氧化状态(TOS)、总抗氧化状态(TAS)和缺血修饰白蛋白(IMA)。本研究共招募了68名10-18岁的青春期女性,分为三组:TTM组(n = 24)、OCD组(n = 21)和HC组(n = 23)。通过血液分析评估氧化应激生物标志物,包括测量硫醇二硫稳态、TOS、TAS和IMA。血液分析显示,与强迫症和HC相比,TTM患者的天然硫醇和总硫醇水平显著降低,天然硫醇/总硫醇比值降低,二硫化物水平升高
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引用次数: 0
Deep Neural Network-Based Risk Prediction of Glioblastoma Multiforme Recurrence 基于深度神经网络的胶质母细胞瘤多形性复发风险预测。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-02 DOI: 10.1007/s12031-025-02412-w
Disha Sushant Wankhede, Aniket K. Shahade, Priyanka V. Deshmukh, Akshay Manikjade, Makrand Shahade, Pritam H. Gohatre, Kanchan Tidke

This study aims to develop and evaluate deep neural network (DNN) models for accurately predicting the recurrence risk of glioblastoma multiforme (GBM) to enhance individualized treatment strategies and improve patient outcomes. This study implemented DNN architectures optimized using a hybrid differential evolution neural network (HDE-NN) framework to forecast GBM recurrence risk, particularly in patients at advanced disease stages. The models were trained and validated on a multimodal dataset comprising genomic profiles, imaging-derived metrics, and longitudinal clinical records from 780 GBM patients. Data were sourced from The Cancer Genome Atlas (TCGA) and institutional repositories. Performance was benchmarked against conventional machine learning models, including support vector machines (SVM), random forests (RF), and standard DNNs. The models were implemented in Python. The proposed HDE-optimized DNN achieved an accuracy of 94%, precision of 92%, recall of 90%, F1 score of 91%, and an AUC-ROC of 0.96. These metrics significantly outperformed baseline models, with improvements of 6–12% across evaluation criteria. Confidence intervals (95%) were computed via tenfold cross-validation, confirming statistical robustness. This research introduces a high-performance and generalizable deep learning framework for GBM recurrence prediction. By incorporating multi-source clinical and genomic data, the model demonstrates superior predictive capacity over traditional methods. These findings support the integration of AI-driven tools into GBM care workflows to improve prognosis assessment and personalize therapeutic interventions.

本研究旨在建立和评估深度神经网络(DNN)模型准确预测多形性胶质母细胞瘤(GBM)复发风险,以加强个体化治疗策略和改善患者预后。本研究使用混合差分进化神经网络(HDE-NN)框架优化DNN架构,以预测GBM复发风险,特别是在疾病晚期患者中。这些模型在多模态数据集上进行了训练和验证,该数据集包括基因组图谱、成像衍生指标和来自780名GBM患者的纵向临床记录。数据来自癌症基因组图谱(TCGA)和机构存储库。性能与传统的机器学习模型(包括支持向量机(SVM)、随机森林(RF)和标准深度神经网络)进行了基准测试。这些模型是用Python实现的。提出的hde优化DNN的准确率为94%,精密度为92%,召回率为90%,F1得分为91%,AUC-ROC为0.96。这些指标显著优于基线模型,在评估标准上有6-12%的改进。通过十倍交叉验证计算置信区间(95%),确认统计稳健性。本研究提出了一种用于GBM递归预测的高性能、可推广的深度学习框架。通过整合多源临床和基因组数据,该模型显示出优于传统方法的预测能力。这些发现支持将人工智能驱动的工具整合到GBM护理工作流程中,以改善预后评估和个性化治疗干预措施。
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引用次数: 0
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Journal of Molecular Neuroscience
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