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Microglial Necroptosis Mediated by RIPK3 Leads to Retinal Ganglion Cell Apoptosis Through the Release of FGF2 After Ischemia/Reperfusion 缺血/再灌注后RIPK3介导的小胶质细胞坏死坏死通过释放FGF2导致视网膜神经节细胞凋亡
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-07 DOI: 10.1007/s12031-025-02429-1
Jian Liu, Anping Ma, Guangyi Huang, Wen Hu, Xin Xu, Rong Huang, Yaguang Hu, Qiaochu Cheng, Yanlin Feng, Dan Ye, Fan Xu, Aimin Sang

The aim of this study was to explore the function of receptor-interacting protein kinase 3 (RIPK3) on retinal neuron damage induced by retinal ischemia/reperfusion (IR). Microglia-specific RIPK3 knockout (KO) mice were employed to establish retinal IR models. Retinal structural and functional status was assessed using hematoxylin and eosin staining along with electroretinogram. Terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) staining was employed to detect the situations of apoptotic cell death. Immunofluorescence and western blot were applied to detect the proteins associated with necroptosis and retinal inner neurons. Following retinal IR, necroptosis-related protein RIPK3 became activated within microglia, inducing the activation of mixed lineage kinase domain-like protein (MLKL). RIPK3 KO significantly alleviated IR-induced retinal morphological defects and protected against IR-induced visual dysfunction by preserving neurons within the retina. Additionally, the counts of TUNEL+ apoptotic cells were markedly reduced within RIPK3 KO mice after IR, along with a decrease in retinal inflammatory responses. Mechanistically, IR injury promoted retinal ganglion cells (RGCs) death by activating RIPK3 to induce MLKL and fibroblast growth factor 2 (FGF2) activation; however, RIPK3 KO suppressed this process. After IR, RIPK3-mediated necroptosis in microglia induced its activation, promoting inflammatory responses and thereby facilitating RGCs death. Targeting RIPK3 could protect retinal neurons from injury after IR through suppressing the MLKL/FGF2 pathway, rendering this a potential curative measure for RGCs degeneration in ischemic retinopathy.

本研究旨在探讨受体相互作用蛋白激酶3 (receptor-interacting protein kinase 3, RIPK3)在视网膜缺血再灌注(retinal ischemia/reperfusion, IR)所致视网膜神经元损伤中的作用。采用小胶质细胞特异性RIPK3敲除小鼠建立视网膜IR模型。采用苏木精和伊红染色及视网膜电图评估视网膜结构和功能状态。采用末端脱氧核苷酸转移酶dUTP缺口端标记(TUNEL)染色检测凋亡细胞的死亡情况。应用免疫荧光和western blot检测坏死下垂和视网膜内神经元相关蛋白。视网膜IR后,坏死相关蛋白RIPK3在小胶质细胞内被激活,诱导混合谱系激酶结构域样蛋白(MLKL)的激活。RIPK3 KO通过保留视网膜内的神经元,显著减轻了红外诱导的视网膜形态学缺陷,并对红外诱导的视觉功能障碍有保护作用。此外,IR后RIPK3 KO小鼠的TUNEL+凋亡细胞计数明显减少,视网膜炎症反应减少。在机制上,IR损伤通过激活RIPK3诱导MLKL和成纤维细胞生长因子2 (FGF2)活化,促进视网膜神经节细胞(RGCs)死亡;然而,RIPK3 KO抑制了这一过程。IR后,ripk3介导的小胶质细胞坏死坏死诱导其活化,促进炎症反应,从而促进RGCs死亡。靶向RIPK3可以通过抑制MLKL/FGF2通路保护IR后视网膜神经元免受损伤,这是缺血性视网膜病变RGCs变性的潜在治疗措施。
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引用次数: 0
EPG5-Related Disorders in Seven New Patients: Refining the Phenotypic Spectrum and Insights on Phenotype-Genotype Correlations 7例新患者的epg5相关疾病:完善表型谱和对表型-基因型相关性的见解
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-03 DOI: 10.1007/s12031-025-02419-3
Sherif F. Abdel-Ghafar, Amr E. Ahmed, Eman T. Mohammed, Ghada M. H. Abdel-Salam, Mohamed S. Abdel-Hamid, Maha S. Zaki

Pathogenic variants in EPG5 have been associated with Vici syndrome (OMIM #242840) characterized by agenesis of the corpus callosum (ACC), cataracts, cardiomyopathy, hypopigmentation, and immunodeficiency as hallmark features. Additional variable features include microcephaly, hypotonia, developmental delay, and growth retardation. Recently, few reports described milder cases with a neurodevelopmental phenotype and less systemic involvement harboring EPG5 variants suggesting a broader clinical spectrum. Herein, we describe seven patients from six unrelated Egyptian families in whom exome sequencing identified six homozygous (five novel and one previously reported) EPG5 variants. Patients presented with global developmental delay, microcephaly, hypotonia, dystonia, and failure to thrive. Seizures were evident in two patients and showed a variable response to antiepileptic drugs. Fair color of hair and skin was noted in four out of seven patients (57%), while cataracts and cardiomyopathy were observed in one patient each (14%). In addition to ACC, cerebellar and pontine hypoplasia, delayed myelination, and ventricular dilatation were evident in all patients. Interestingly, deep fissure in the frontal lobes, extending from the frontal horn to the frontal pole, was documented in six patients and appears to represent a characteristic feature associated with EPG5 variants. Our study highlights the phenotypic variability associated with EPG5 variants and emphasizes the presence of a phenotypic spectrum ranging from the classic severe Vici syndrome to a neurodevelopmental disorder with less systemic manifestations and a longer survival rate.

EPG5的致病变异与Vici综合征(omim# 242840)有关,其特征是胼胝体(ACC)发育不全、白内障、心肌病、色素沉着降低和免疫缺陷。其他可变特征包括小头畸形、张力低下、发育迟缓和生长迟缓。最近,很少有报道描述了神经发育表型和较少系统性累及EPG5变异的轻度病例,这表明临床范围更广。在这里,我们描述了来自6个不相关的埃及家庭的7名患者,其中外显子组测序鉴定出6个纯合子(5个新的和1个先前报道的)EPG5变体。患者表现为整体发育迟缓、小头畸形、张力低下、肌张力障碍和发育失败。两例患者癫痫发作明显,对抗癫痫药物有不同的反应。7名患者中有4名(57%)有浅色头发和皮肤,而白内障和心肌病各有1名(14%)。除ACC外,所有患者均明显出现小脑和脑桥发育不全、髓鞘形成延迟和心室扩张。有趣的是,从额角延伸到额极的额叶深裂在6例患者中被记录下来,这似乎代表了与EPG5变异相关的特征。我们的研究强调了与EPG5变异相关的表型变异性,并强调了表型谱的存在,从典型的严重Vici综合征到系统性表现较少、生存率较长的神经发育障碍。
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引用次数: 0
Cannabinoids and ADHD: a New Frontier in Neuropharmacology? 大麻素和多动症:神经药理学的新前沿?
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-30 DOI: 10.1007/s12031-025-02435-3
Helia Mavaddat, Abtin Fouladi, Ayeh Sabbagh Kashani, Illia Khayatan, Kamyab Andarzbaksh, Seyed Mehrad Razavi, Amir Rezazadeh

Attention deficit hyperactivity disorder (ADHD) is a disorder characterized by symptoms of inattention, impulsivity, and hyperactivity, which can significantly impair individuals’ quality of life and lead to various challenges in their social interactions, relationships, professional endeavors, and academic pursuits. This disorder can manifest in both children and adults, and it has been established that genetic and environmental factors contribute to its etiology. Existing data indicate that individuals with ADHD are at a higher risk of substance use, and some may develop cannabis dependence or engage in self-medication with it. It has been hypothesized that individuals with ADHD may utilize cannabis to mitigate certain symptoms, such as anxiety, or to alleviate the adverse effects of their prescribed medication. Furthermore, both in vivo and clinical investigations have reported that cannabinoids, including cannabidiol, may possess potential therapeutic effects in ADHD patients or animal models. This study aims to provide a comprehensive review of the current literature on the impact of cannabinoids on ADHD and to elucidate the possible pharmacological mechanisms through which cannabinoids might exert their therapeutic outcomes.

注意缺陷多动障碍(ADHD)是一种以注意力不集中、冲动和多动为特征的障碍,它会严重损害个体的生活质量,并导致他们在社会交往、人际关系、职业努力和学术追求方面的各种挑战。这种疾病可以在儿童和成人中表现出来,并且已经确定遗传和环境因素有助于其病因。现有的数据表明,患有多动症的人有更高的物质使用风险,有些人可能会对大麻产生依赖,或者对大麻进行自我药物治疗。据推测,患有多动症的人可能会利用大麻来减轻某些症状,如焦虑,或减轻处方药的不良影响。此外,体内和临床研究都报道了大麻素,包括大麻二酚,可能对ADHD患者或动物模型具有潜在的治疗作用。本研究旨在对目前有关大麻素对ADHD影响的文献进行全面综述,并阐明大麻素可能发挥其治疗效果的药理学机制。
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引用次数: 0
Unconventional Non-rodent Models in Neurological Research: Exploring New Paths to Translational Insights 神经学研究中的非常规非啮齿动物模型:探索转化见解的新途径。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-29 DOI: 10.1007/s12031-025-02408-6
Arti Devi, Chandra Shekhar Saini, Aditya Shiven, Ashwani Kumar, Anisha Sharma, Naman Joshi, Sajpreet Kour, Zaved Ahmed Khan, Hitesh Dewangan, Vagish Dwibedi

Neurological disorders such as Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), Schizophrenia (SCZ), and epilepsy pose a significant global health challenge, particularly among the ageing population. With Alzheimer’s cases projected to double in the next 30 years, the lack of effective treatments presents a critical concern, leading to substantial social and economic burdens. While rodent models have been instrumental in elucidating disease mechanisms and identifying therapeutic targets, their limited translational success necessitates exploring alternative model systems. This review highlights the increasing integration of non-rodent models, including invertebrates (Drosophila melanogaster and Caenorhabditis elegans), lower vertebrates (Danio rerio), and higher-order mammals (non-human primates), alongside emerging approaches such as Octopus models, 2D and 3D cell culture systems, computational models, and in silico methodologies. These alternative models provide unique advantages in studying neural development, function, and pathology, offering improved translational relevance. By leveraging the complementary strengths of these systems, researchers can refine therapeutic strategies and advance our understanding of complex neurological disorders.

Graphical Abstract

阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)、精神分裂症(SCZ)和癫痫等神经系统疾病构成了重大的全球健康挑战,特别是在老龄化人口中。阿尔茨海默氏症的病例预计将在未来30年翻一番,缺乏有效的治疗方法是一个严重的问题,导致了巨大的社会和经济负担。虽然啮齿动物模型在阐明疾病机制和确定治疗靶点方面发挥了重要作用,但它们有限的转化成功需要探索替代模型系统。这篇综述强调了非啮齿动物模型的日益整合,包括无脊椎动物(黑腹果蝇和秀丽隐杆线虫)、低等脊椎动物(Danio rerio)和高等哺乳动物(非人灵长类动物),以及新兴方法,如章鱼模型、2D和3D细胞培养系统、计算模型和计算机方法。这些替代模型在研究神经发育、功能和病理方面提供了独特的优势,提供了更好的翻译相关性。通过利用这些系统的互补优势,研究人员可以改进治疗策略并推进我们对复杂神经系统疾病的理解。
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引用次数: 0
LncRNA MYL2 Acts as a Sponge for miR-661 to Regulate Postoperative Cognitive Dysfunction LncRNA MYL2作为miR-661的海绵调节术后认知功能障碍。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-22 DOI: 10.1007/s12031-025-02427-3
Yiguo Xu, Xiaoyun He, Huijun Zhang, Xiuqing Wu, Hongbao Li, Fang Cao

Postoperative cognitive dysfunction (POCD) has a significant impact on the postoperative life ability of the elderly, and nearly 50% of the elderly are at risk globally, but the molecular mechanism of its pathogenesis is still unclear. The aim of this study was to discuss the expression of lncRNA MYL2 in older rats and its effects to provide possible targets for future treatment. A POCD model of aged rats was established by osteotomy and sevoflurane, cognitive function was measured by the water maze (MWM), and the concentrations of tumor necrosis factor (TNF)-α, interleukin (IL)-6, IL-1β, and oxidative stress–related factors in the hippocampal tissue of rats were detected by enzyme-linked immunosorbent assay. Luciferase reporter gene analysis was used to detect the target gene of the targeting relationship between MYL2 and miR-661. Cell viability and apoptosis rate were assessed using CCK-8 and flow cytometry. MYL2 was up-regulated by Sev treatment in the rat hippocampus. Overexpression of MYL2 prolonged the escape latency of rats, shortened the time spent in the target quadrant of rats, and reduced the number of platform crossings. At the same time, the concentrations of pro-inflammatory factors and markers of oxidative stress were increased. miR-661 is a miRNA targeting MYL2. miR-661 could reverse the exacerbation effect of MYL2 on POCD. MYL2 serves as a potential sponge of miR-661, and its up-regulation is linked to exacerbated neuroinflammation, oxidative damage, and cellular dysfunction in POCD.

术后认知功能障碍(POCD)对老年人术后生活能力有显著影响,全球有近50%的老年人存在风险,但其发病的分子机制尚不清楚。本研究的目的是探讨lncRNA MYL2在老年大鼠中的表达及其作用,为未来的治疗提供可能的靶点。采用切骨加七氟醚方法建立老年大鼠POCD模型,采用水迷宫(MWM)法测定认知功能,采用酶联免疫吸附法检测大鼠海马组织中肿瘤坏死因子(TNF)-α、白细胞介素(IL)-6、IL-1β及氧化应激相关因子的浓度。荧光素酶报告基因分析检测MYL2与miR-661靶向关系的靶基因。采用CCK-8和流式细胞术检测细胞活力和凋亡率。Sev处理后大鼠海马MYL2表达上调。过表达MYL2延长了大鼠的逃避潜伏期,缩短了大鼠在目标象限的停留时间,减少了穿越平台的次数。同时,促炎因子和氧化应激标志物浓度升高。miR-661是靶向MYL2的miRNA。miR-661可逆转MYL2对POCD的加重作用。MYL2作为miR-661的潜在海绵,其上调与POCD中神经炎症加剧、氧化损伤和细胞功能障碍有关。
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引用次数: 0
Piperine Prevents Scopolamine-Induced Cognitive Impairment via its Antioxidant and Anti-Inflammatory Roles; Suggesting Potential Modulation of Necroptosis-Related Genes Including MLKL and TNF-α 胡椒碱通过抗氧化和抗炎作用预防东莨菪碱引起的认知障碍提示坏死相关基因包括MLKL和TNF-α的潜在调控。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-10-21 DOI: 10.1007/s12031-025-02437-1
Tayebeh Azramezani Kopi, Farzane Shanehbandpour-Tabari, Reyhaneh Mahbubi Arani, Amin Ataie, Mahdi Pouramir, Hossein Khaleghzadeh-Ahangar

Alzheimer's disease (AD) is the leading cause of dementia, characterized by cognitive decline and neurodegeneration. Given the limitations of current treatments, research has turned to natural substances such as piperine, which is known for its neuroprotective properties. This study investigates the effects of piperine on cognitive function and genes associated with oxidative stress, inflammation, and necroptosis-related genes in a rat model of cognitive impairment. Fifty adult male Wistar rats were used, divided into five groups: an intact group, a control group (vehicle solution followed by scopolamine), and three experimental groups receiving piperine (5, 10, and 20 mg/kg) followed by scopolamine during the training period. Behavioral assessment was conducted using the Morris Water Maze (MWM) test. Hippocampal tissue was collected after euthanasia for gene expression analysis of Nrf2, HO‑1, TNF‑α, Fas, TRAIL, MLKL, and Caspase‑8. Spatial learning and memory improved significantly in piperine-treated groups, with no impact on swimming velocity, indicating cognitive enhancement without affecting motor functions in the scopolamine-induced cognitive impairment model. Piperine pretreatment prevented oxidative stress and inflammation, as evidenced by the restoration of Nrf2, HO-1, and Caspase-8 and the reduction of TNF-α, Fas, TRAIL, and MLKL expression levels. These findings suggest that piperine has antioxidative, anti‑inflammatory, and cognitive‑enhancing effects, with particular effects possibly on necroptosis, and could be a valuable addition to the current AD treatment paradigm, warranting further investigation in clinical trials.

阿尔茨海默病(AD)是痴呆症的主要原因,其特征是认知能力下降和神经变性。鉴于目前治疗方法的局限性,研究已经转向天然物质,如胡椒碱,它以其神经保护特性而闻名。本研究探讨胡椒碱对认知功能以及氧化应激、炎症和坏死相关基因在认知障碍大鼠模型中的影响。选用成年雄性Wistar大鼠50只,分为5组:完整组、对照组(载药液加东莨菪碱)和3个实验组,在训练期间分别给予胡椒碱(5、10、20 mg/kg)加东莨菪碱。行为评估采用Morris水迷宫(MWM)测试。安乐死后收集海马组织进行Nrf2、HO‑1、TNF‑α、Fas、TRAIL、MLKL和Caspase‑8基因表达分析。在东莨菪碱诱导的认知障碍模型中,胡椒碱处理组的空间学习和记忆能力显著提高,但对游泳速度没有影响,表明认知增强而不影响运动功能。胡椒碱预处理可预防氧化应激和炎症,其证据是Nrf2、HO-1和Caspase-8的恢复以及TNF-α、Fas、TRAIL和MLKL表达水平的降低。这些发现表明胡椒碱具有抗氧化、抗炎和增强认知能力的作用,特别是对坏死性上睑下垂的作用,可能是当前AD治疗范式的一个有价值的补充,值得在临床试验中进一步研究。
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引用次数: 0
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
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Journal of Molecular Neuroscience
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