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Plasma and CSF Amyloid-β42 Predict Plasma Sortilin, Which Influences Cognitive Impairment via Mediation of Whole-Brain Volume: A 12-Month Longitudinal Study Across the Alzheimer’s Disease Spectrum 血浆和脑脊液淀粉样蛋白β42预测血浆Sortilin,通过全脑容量影响认知障碍:一项为期12个月的阿尔茨海默病谱系纵向研究
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-15 DOI: 10.1007/s12031-025-02398-5
Ali Azargoonjahromi, For the Alzheimer’s Disease Neuroimaging Initiative

Sortilin, a type I transmembrane protein encoded by SORT1 and part of the VPS10-domain receptor family, is crucial for intracellular trafficking and APP processing in Alzheimer’s disease (AD). It promotes protective α-secretase cleavage to prevent Aβ formation and aids Aβ clearance. However, under certain conditions, sortilin can become neurotoxic, causing Aβ buildup, tau phosphorylation, protein misrouting, and apoptosis, which accelerate neuronal damage and cognitive decline. No longitudinal human studies have yet explored how plasma and CSF Aβ42 predict plasma sortilin across the AD spectrum or whether whole-brain volume mediates the relationship between plasma sortilin and cognitive impairment. This study aimed to clarify these relationships and assess plasma sortilin as an indicator of central and peripheral amyloid pathology in AD for future experimental research. The results showed that at baseline, CSF Aβ42 levels were significantly lower in mild cognitive impairment (MCI) and AD compared to controls, while plasma Aβ42 levels did not differ, and sortilin levels were significantly reduced in MCI versus controls but not between other groups. Over 12 months, plasma sortilin levels declined in cognitively normal (CN) individuals but increased in MCI and AD, plasma Aβ42 rose across all groups, and CSF Aβ42 decreased modestly, highlighting diagnosis-specific sortilin changes and differing plasma versus CSF Aβ42 dynamics. Solely in MCI, higher plasma and CSF Aβ42 independently predicted increased plasma sortilin levels over time, indicating both peripheral and central Aβ42 contribute to sortilin upregulation, but when both were elevated simultaneously, the sortilin increase was attenuated, suggesting a non-linear or compensatory response. At the 12-month time point, higher plasma sortilin levels were negatively associated with whole-brain volume in MCI. In contrast, higher plasma Aβ42 levels showed positive associations with whole-brain volume in both CN and MCI groups, while no such association was observed in AD. CSF Aβ42 was not significantly related to brain volume in any group. Notably, at the 12-month time point in MCI, higher plasma sortilin levels were associated with poorer cognitive performance indirectly via reduced whole-brain volume; this mediation effect was not observed in CN or AD groups. Thus, plasma and CSF Aβ42 levels predict plasma sortilin levels, which may contribute to brain volume reduction and subsequent cognitive impairment, highlighting sortilin as a potential mediator or early indicator of neurodegeneration in AD progression.

SORT1编码的I型跨膜蛋白Sortilin,是vps10结构域受体家族的一部分,在阿尔茨海默病(AD)的细胞内运输和APP加工中至关重要。它促进保护性α-分泌酶的裂解,阻止Aβ的形成,并有助于Aβ的清除。然而,在某些情况下,sortilin可能具有神经毒性,导致Aβ积聚、tau磷酸化、蛋白质错误转运和细胞凋亡,从而加速神经元损伤和认知能力下降。目前还没有纵向的人体研究探索血浆和脑脊液Aβ42如何预测AD频谱中的血浆sortilin,或者全脑容量是否介导血浆sortilin和认知障碍之间的关系。本研究旨在澄清这些关系,并评估血浆sortilin作为AD中枢性和外周性淀粉样蛋白病理的指标,为未来的实验研究提供依据。结果显示,在基线时,轻度认知障碍(MCI)和AD患者的脑脊液Aβ42水平显著低于对照组,而血浆Aβ42水平没有差异,MCI患者的sortilin水平显著低于对照组,但其他组之间没有差异。在12个月的时间里,认知正常(CN)个体的血浆sortilin水平下降,但MCI和AD个体的血浆a - β42水平升高,所有组的血浆a - β42水平均升高,CSF a - β42水平略有下降,突出了诊断特异性的sortilin变化以及血浆与CSF a - β42的不同动态。仅在MCI中,血浆和脑脊液a β42升高独立预测血浆中sortilin水平随时间的增加,表明外周和中枢a β42都有助于sortilin上调,但当两者同时升高时,sortilin的增加减弱,提示非线性或代偿反应。在12个月的时间点,MCI患者较高的血浆sortinin水平与全脑容量呈负相关。相比之下,在CN和MCI组中,较高的血浆Aβ42水平与全脑容量呈正相关,而在AD组中没有观察到这种关联。各组脑脊液Aβ42与脑容量无显著相关。值得注意的是,在MCI的12个月时间点,较高的血浆sortinin水平与较差的认知表现间接相关,通过减少全脑容量;在CN组和AD组中未观察到这种中介作用。因此,血浆和脑脊液a β42水平预测血浆sortilin水平,这可能导致脑容量减少和随后的认知障碍,强调sortilin是AD进展中神经退行性变的潜在介质或早期指标。
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引用次数: 0
Cannabidiol Enhances Stress-Induced Cellular Damage: Potential Contribution of Kv2.1 Inhibition 大麻二酚增强应激诱导的细胞损伤:Kv2.1抑制的潜在贡献
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-14 DOI: 10.1007/s12031-025-02396-7
Fatemeh Sayehmiri, Mohsen Ilkhanizadeh-Qomi, Nima Naderi, Arnaud Monteil, Mohammad Sayyah, Leila Hasanzadeh, Majid Golkar, Hamid Gholami Pourbadie

Kv2.1 channels, a subset of voltage-gated potassium channels, play critical roles in regulating cellular processes such as proliferation and apoptosis. While cannabidiol (CBD), a non-psychoactive phytocannabinoid, is known to modulate various ion channels, its specific effects on Kv2.1 channels remain largely unexplored. In this study, we investigated the influence of CBD on Kv2.1 channel activity and its impact on cell viability under both normal and stress conditions. To achieve stable Kv2.1 expression, HEK293 cells were transfected using the Sleeping Beauty transposon XB100 system. Puromycin (4 µg/mL) was used for selection over multiple passages. Cell viability and morphological changes were assessed using MTT assays and Giemsa staining under standard culture conditions (DMEM) and nutrient deprivation (ND) to simulate metabolic stress. CBD was applied in concentrations ranging from 3 to 3000 nM. Under standard conditions, CBD did not significantly affect cell viability during early exposure. However, under ND conditions, CBD-treated cells exhibited marked morphological deterioration and decreased viability, with these effects becoming more pronounced at higher CBD concentrations. Interestingly, Kv2.1-expressing cells showed improved baseline viability under ND, suggesting a protective role for the channel during metabolic stress. Electrophysiological analyses revealed that CBD inhibits Kv2.1 channel activity, primarily through enhanced channel inactivation. This inhibition increased cellular vulnerability to stress-induced damage. These findings reveal a dose-dependent interaction between CBD and Kv2.1 suggesting that Kv2.1 may be a relevant therapeutic target in pathological conditions such as tumor microenvironments, where cells experience oxidative stress and nutrient deprivation.

Kv2.1通道是电压门控钾通道的一个子集,在调节细胞增殖和凋亡等过程中起重要作用。虽然大麻二酚(CBD)是一种非精神活性的植物大麻素,已知可以调节各种离子通道,但其对Kv2.1通道的具体影响仍未被探索。在本研究中,我们研究了CBD在正常和应激条件下对Kv2.1通道活性的影响及其对细胞活力的影响。为了实现Kv2.1的稳定表达,我们使用睡美人转座子XB100系统转染HEK293细胞。用Puromycin(4µg/mL)进行多次传代选择。在标准培养条件(DMEM)和模拟代谢应激的营养剥夺(ND)下,采用MTT法和吉姆萨染色法评估细胞活力和形态变化。CBD的浓度范围为3 ~ 3000 nM。在标准条件下,CBD在早期暴露期间对细胞活力没有显著影响。然而,在ND条件下,CBD处理的细胞表现出明显的形态恶化和活力下降,这些影响在更高的CBD浓度下变得更加明显。有趣的是,表达kv2.1的细胞在ND下表现出更高的基线活力,表明该通道在代谢应激过程中具有保护作用。电生理分析表明,CBD主要通过增强通道失活来抑制Kv2.1通道活性。这种抑制增加了细胞对应激性损伤的脆弱性。这些发现揭示了CBD和Kv2.1之间的剂量依赖性相互作用,表明Kv2.1可能是病理条件下的相关治疗靶点,如肿瘤微环境,细胞经历氧化应激和营养剥夺。
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引用次数: 0
Impact of AOC1 and HNMT Variants on the Therapeutic Outcomes of a Histamine Reducing Diet in Autism Spectrum Disorder AOC1和HNMT变异对减少组胺饮食对自闭症谱系障碍治疗结果的影响
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-12 DOI: 10.1007/s12031-025-02399-4
Tanya Kadiyska, Ivan Tourtourikov, Dilyana Madzharova, Stanislava Ciurinskiene, Maria Savcheva, Ekaterina Ivanova-Todorova, Rene Mileva-Popova, Radka Tafradjiiska-Hadjiolova, Vanyo Mitev

This study aimed to investigate the effects of a histamine-reducing diet on five developmental domains in autism spectrum disorder subjects and the impact of variants in the AOC1 and HNMT genes on the therapeutic outcomes. Four genetic variants (rs2052129, rs10156191, rs1049742, and rs11558538) in AOC1 and HNMT were genotyped in 400 Bulgarian children with ASD. Genotype and allele frequencies were compared to control data from the GnomAD database. Further analysis was conducted on 91 ASD subjects with elevated histamine who followed the histamine-reducing diet. Significant improvements were observed across all developmental domains measured by the DP-3 test, including physical, adaptive behavior, social-emotional, cognitive, and communication skills. Paired samples T-tests indicated statistically significant increases in all categories (p < 0.001), with physical scores increasing from 82.29 to 89.18, adaptive behavior from 72.68 to 81.35, social-emotional from 71.43 to 80.22, cognitive from 69.33 to 78.66, and communication from 67.36 to 77.54. Minor allele carriers exhibited lower mean improvements across each of the five developmental parameters compared to wild-type carriers, with mean reductions of 0.90 for rs2052129, 0.70 for rs10156191, 2.07 for rs1049742, and 1.94 for rs11558538. These findings highlight the potential role of histamine regulation in autism spectrum disorder, the impact of variants in the AOC1 and HNMT genes on the therapeutic outcome and suggest dietary management as a viable intervention to improve developmental outcomes.

本研究旨在探讨组胺减少饮食对自闭症谱系障碍患者5个发育领域的影响,以及AOC1和HNMT基因变异对治疗结果的影响。对400名保加利亚ASD儿童进行了AOC1和HNMT基因分型研究,发现AOC1和HNMT基因变异为rs2052129、rs10156191、rs1049742和rs11558538。将基因型和等位基因频率与GnomAD数据库中的对照数据进行比较。对91名组胺升高的ASD患者进行了进一步的分析,这些患者遵循了减少组胺的饮食。DP-3测试测量的所有发展领域都有显著改善,包括身体、适应行为、社会情感、认知和沟通技巧。配对样本t检验显示,所有类别均有统计学显著增加(p <;体格评分从82.29提高到89.18,适应行为评分从72.68提高到81.35,社交情绪评分从71.43提高到80.22,认知评分从69.33提高到78.66,交际评分从67.36提高到77.54。与野生型携带者相比,次要等位基因携带者在5个发育参数上的平均改善程度较低,rs2052129、rs10156191、rs1049742和rs11558538的平均改善程度分别为0.90、0.70、2.07和1.94。这些发现强调了组胺调节在自闭症谱系障碍中的潜在作用,AOC1和HNMT基因变异对治疗结果的影响,并建议饮食管理作为一种可行的干预措施来改善发育结果。
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引用次数: 0
LncRNA–miRNA‒mRNA Network in Schizophrenia LncRNA-miRNA-mRNA网络在精神分裂症中的作用
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-12 DOI: 10.1007/s12031-025-02397-6
Jianxiong Long, Weiwei Lan, Bing Shen, Fangping Liao, Hong Cai, Jiale Li, Rumei Lu, Zhicheng Zhong, Zukang Gong, Jianfeng Xu

Schizophrenia (SCZ) is a severe mental disorder that significantly impacts the social functioning of patients and can reduce their life expectancy and quality of life. However, the specific causes of SCZ remain unknown, and the evidence indicates that long noncoding RNAs (lncRNAs) play critical roles in its pathogenesis. Analyzing lncRNA expression in peripheral blood samples from patients could reveal the biological mechanisms underlying the disease and help in the identification of biomarkers for early diagnosis and treatment. This study utilized whole-transcriptome sequencing to analyze lncRNA expression in 5 SCZ patients and 5 healthy controls. We constructed lncRNA‒microRNA (miRNA) and miRNA‒messenger RNA (mRNA) interaction pairs and established a competing endogenous RNA (ceRNA) network. Additionally, a weighted gene coexpression network analysis (WGCNA) and lncRNA‒RNA binding protein (RBP) network construction were performed. The potential functions of the mRNAs were predicted using Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses. A total of 438 differentially expressed lncRNAs (DElncRNAs) were identified in patients with SCZ compared with controls, with 260 upregulated and 178 downregulated. The ceRNA network comprised 383 DElncRNAs, 304 miRNAs, and 1849 mRNAs. GO and KEGG analyses indicated that these genes are involved in pathways such as the HIF-1 signaling pathway and oxidative phosphorylation, both of which are relevant to SCZ. Based on the ceRNA network-derived mRNAs, WGCNA identified three disease-associated modules. Furthermore, interactions between RBPs and DElncRNAs may play a significant role in the pathophysiology of SCZ. This study identifies 438 dysregulated lncRNAs in SCZ, constructs a ceRNA network implicating HIF-1 signaling and oxidative phosphorylation pathways, and reveals disease-associated coexpression modules and RBP-lncRNA interactions, providing novel insights into SCZ pathogenesis and potential diagnostic biomarkers.

精神分裂症(SCZ)是一种严重的精神障碍,严重影响患者的社会功能,降低患者的预期寿命和生活质量。然而,SCZ的具体原因尚不清楚,有证据表明长链非编码rna (lncRNAs)在其发病机制中起关键作用。分析患者外周血样本中的lncRNA表达可以揭示疾病的生物学机制,并有助于识别早期诊断和治疗的生物标志物。本研究利用全转录组测序分析了5例SCZ患者和5例健康对照者的lncRNA表达。我们构建了lncRNA-microRNA (miRNA)和miRNA -信使RNA (mRNA)相互作用对,并建立了竞争的内源RNA (ceRNA)网络。此外,还进行了加权基因共表达网络分析(WGCNA)和lncRNA-RNA结合蛋白(RBP)网络构建。利用基因本体(GO)和京都基因与基因组百科全书(KEGG)途径分析预测了mrna的潜在功能。与对照组相比,SCZ患者共鉴定出438个差异表达的lncRNAs (DElncRNAs),其中260个表达上调,178个表达下调。ceRNA网络包括383个delncrna, 304个mirna和1849个mrna。GO和KEGG分析表明,这些基因参与了HIF-1信号通路和氧化磷酸化等途径,这些途径都与SCZ有关。基于ceRNA网络衍生的mrna, WGCNA确定了三个疾病相关模块。此外,rbp和delncrna之间的相互作用可能在SCZ的病理生理中发挥重要作用。本研究确定了SCZ中438个失调的lncrna,构建了涉及HIF-1信号通路和氧化磷酸化通路的ceRNA网络,揭示了疾病相关的共表达模块和RBP-lncRNA相互作用,为SCZ的发病机制和潜在的诊断生物标志物提供了新的见解。
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引用次数: 0
Effects of Risperidone and Aripiprazole Antipsychotic Drugs on Behavioral Changes and the Expression Levels of DRD2, HTR2A, AKT1, and CACNA1C Genes in the Hippocampus of a Ketamine-induced Schizophrenia-like Rat Model 利培酮和阿立哌唑抗精神病药物对氯胺酮诱导的精神分裂症样大鼠海马DRD2、HTR2A、AKT1和CACNA1C基因表达及行为改变的影响
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-12 DOI: 10.1007/s12031-025-02403-x
Mobin Naderi, Hamed Ghazvini, Amir Maleksabet, Hossein Ghalehnoei, Rezvan Khajavi

Schizophrenia, a severe neuropsychiatric disorder, is characterized by significant impairments in neurological function. The disease includes a spectrum of symptoms that are divided into four main categories: positive, negative, cognitive, and mood symptoms. In this study, 32 male Wistar rats, approximately 10 to 12 weeks old, were randomly separated into four groups: vehicle (saline), ketamine (30 mg/kg), aripiprazole (0.75 mg/kg), and risperidone (1 mg/kg). Twenty-four hours following the final ketamine or saline administration, social interaction test (SIT), open field test (OFT), novel object recognition (NOR), and elevated plus-maze (EPM) were performed on the animals. Hippocampal tissue was used for molecular analysis using Real-Time PCR technique. Behavioral tests revealed that both risperidone and aripiprazole reduced anxiety-like behaviors and enhanced cognitive discrimination. At the molecular level, hippocampal expression of DRD2 and HTR2A did not differ significantly across groups. However, the ketamine-treated group exhibited elevated AKT1 expression relative to the vehicle group, whereas risperidone administration downregulated AKT1 compared to the ketamine group. Notably, CACNA1C expression was upregulated in the aripiprazole group compared to both the ketamine and vehicle groups. The findings of this study showed that the antipsychotic drugs risperidone and aripiprazole have the ability to moderately alleviate cognitive deficits in rats. The results also indicated that this treatment may affect the gene expression of AKT1, and CACNA1C genes.

Graphical Abstract

精神分裂症是一种严重的神经精神疾病,其特点是神经功能严重受损。该疾病包括一系列症状,分为四大类:阳性、阴性、认知和情绪症状。实验选用10 ~ 12周龄雄性Wistar大鼠32只,随机分为4组:对照物(生理盐水)、氯胺酮(30 mg/kg)、阿立哌唑(0.75 mg/kg)、利培酮(1 mg/kg)。在最后一次氯胺酮或生理盐水给药24小时后,对动物进行社会互动测试(SIT)、开放场测试(OFT)、新物体识别(NOR)和升高+迷宫(EPM)。采用Real-Time PCR技术对海马组织进行分子分析。行为测试显示,利培酮和阿立哌唑都能减少焦虑样行为,增强认知歧视。在分子水平上,各组海马DRD2和HTR2A的表达无显著差异。然而,与氯胺酮组相比,氯胺酮处理组的AKT1表达升高,而利培酮处理组的AKT1表达下调。值得注意的是,与氯胺酮组和载药组相比,阿立哌唑组CACNA1C表达上调。本研究结果表明,抗精神病药物利培酮和阿立哌唑具有中度缓解大鼠认知缺陷的能力。结果还表明,这种处理可能会影响AKT1和CACNA1C基因的表达。图形抽象
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引用次数: 0
A Comprehensive microRNA-seq Transcriptomic Analysis of Tay-Sachs Disease Mice Revealed Distinct miRNA Profiles in Neuroglial Cells Tay-Sachs病小鼠的综合microRNA-seq转录组学分析揭示了神经胶质细胞中不同的microrna谱。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-09 DOI: 10.1007/s12031-025-02395-8
Beyza Kaya, Mehmet Emin Orhan, Selman Yanbul, Müşerref Duygu Saçar Demirci, Secil Akyildiz Demir, Volkan Seyrantepe

Tay-Sachs disease (TSD) is a rare lysosomal storage disorder marked by the progressive buildup of GM2 in the central nervous system (CNS). This condition arises from mutations in the HEXA gene, which encodes the α subunit of the enzyme β-hexosaminidase A. A newly developed mouse model for early-onset TSD (Hexa-/-Neu3-/-) exhibited signs of neurodegeneration and neuroinflammation, evidenced by elevated levels of pro-inflammatory cytokines and chemokines, as well as significant astrogliosis and microgliosis. Identifying disease-specific microRNAs (miRNAs) may aid the development of targeted therapies. Although previous small-scale studies have investigated miRNA expression in some regions of GM2 gangliosidosis mouse models, thorough profiling of miRNAs in this innovative TSD model remains to be done. In this study, we employed next-generation sequencing to analyze the complete miRNA profile of neuroglial cells from Hexa-/-Neu3-/- mice. By comparing KEGG and Reactome pathways associated with neurodegeneration, neuroinflammation, and sphingolipid metabolism in Hexa-/-Neu3-/- neuroglial cells, we discovered new microRNAs and their targets related to the pathophysiology of GM2 gangliosidosis. For the first time, our findings showed that miR-708-5p, miR-672-5p, miR-204-5p, miR-335-5p, and miR-296-3p were upregulated, while miR-10 b-5p, miR-615-3p, miR-196a-5p, miR-214-5p, and miR-199a-5p were downregulated in Hexa-/-Neu3-/- neuroglial cells in comparison to age-matched wild-type (WT). These specific changes in miRNA expression deepen our understanding of the disease's neuropathological characteristics in Hexa-/-Neu3-/- mice. Our study suggests that miRNA-based therapeutic strategies may improve clinical outcomes for TSD patients.

Tay-Sachs病(TSD)是一种罕见的溶酶体储存疾病,其特征是中枢神经系统(CNS)中GM2的进行性积累。这种情况是由编码β-已糖氨酸酶A α亚基的HEXA基因突变引起的。一种新开发的早发性TSD小鼠模型(HEXA -/- neu3 -/-)表现出神经变性和神经炎症的迹象,表现为促炎细胞因子和趋化因子水平升高,以及明显的星形胶质细胞和小胶质细胞增生。识别疾病特异性microRNAs (miRNAs)可能有助于开发靶向治疗。尽管之前的小规模研究已经研究了GM2神经节脂质病小鼠模型中某些区域的miRNA表达,但在这种创新的TSD模型中,miRNA的全面分析仍有待完成。在本研究中,我们采用新一代测序技术分析了Hexa-/- neu3 -/-小鼠神经胶质细胞的完整miRNA图谱。通过比较Hexa-/- neu3 -/-神经胶质细胞中与神经退行性变、神经炎症和鞘脂代谢相关的KEGG和Reactome通路,我们发现了与GM2神经节脂质病病理生理相关的新microrna及其靶点。我们的研究结果首次表明,与年龄匹配的野生型(WT)相比,在Hexa-/- neu3 -/-神经胶质细胞中,miR-708-5p、miR-672-5p、miR-204-5p、miR-335-5p和miR-296-3p上调,而mir - 10b -5p、miR-615-3p、miR-196a-5p、miR-214-5p和miR-199a-5p下调。这些miRNA表达的特异性变化加深了我们对Hexa-/- neu3 -/-小鼠的神经病理特征的理解。我们的研究表明,基于mirna的治疗策略可能改善创伤后应激障碍患者的临床结果。
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引用次数: 0
Efficacy and Safety of Electroacupuncture Combined with Agomelatine Tablets Therapy in Treating Insomnia After Stroke 电针联合阿戈美拉汀片治疗脑卒中后失眠的疗效及安全性。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-09 DOI: 10.1007/s12031-025-02394-9
Rui Han, Wenguang Wei

Insomnia, a common complication following stroke, significantly impairs patients’ clinical outcomes. Electroacupuncture (EA), an advanced acupuncture technique, has demonstrated efficacy in alleviating insomnia symptoms. Agomelatine (AT), a melatonin receptor agonist, is widely utilized for depression management. This study aimed to evaluate the therapeutic effects of combined EA + AT therapy for post-stroke insomnia. A total of 120 stroke-related insomnia patients were randomly assigned to three intervention groups (n = 40 each): EA therapy, AT treatment, and EA + AT combination therapy. Sleep efficiency and cognitive function were comprehensively assessed using the Cardiopulmonary Coupling-based sleep quality evaluation system, Montreal Cognitive Assessment (MoCA), and National Institutes of Health Stroke Scale (NIHSS). The results revealed that all three interventions significantly enhanced sleep efficiency (EA: 78.23 ± 4.19; AT: 75, 5; EA + AT: 80.97 ± 4.21) and MoCA scores (EA: 24, 2; AT: 24, 2; EA + AT: 27, 2), with the combination therapy showing superior effectiveness. Similarly, NIHSS scores exhibited marked reduction across all treatment groups (EA: 6, 2; AT: 7, 2), particularly in the EA + AT combination cohort (EA + AT: 4, 3). Notably, post-treatment analysis revealed significant positive correlations between sleep efficiency and MoCA scores in all groups, with the strongest correlation observed in the AT group (r = 0.87). These findings demonstrate that EA + AT combination therapy outperforms monotherapies in treating post-stroke insomnia. In conclusion, this study establishes EA + AT as an effective intervention for improving both sleep quality and cognitive function in stroke-related insomnia patients, offering a promising therapeutic strategy for this clinical condition.

失眠是卒中后常见的并发症,严重影响患者的临床预后。电针(EA)是一种先进的针灸技术,已被证明对缓解失眠症状有疗效。阿戈美拉汀(Agomelatine, AT)是一种褪黑激素受体激动剂,被广泛用于抑郁症治疗。本研究旨在评价EA + AT联合治疗脑卒中后失眠的疗效。120例卒中相关性失眠患者随机分为EA治疗组、AT治疗组和EA + AT联合治疗组,每组40例。采用基于心肺耦合的睡眠质量评估系统、蒙特利尔认知评估(MoCA)和美国国立卫生研究院卒中量表(NIHSS)对睡眠效率和认知功能进行综合评估。结果显示,三种干预措施均显著提高了睡眠效率(EA: 78.23±4.19;在:75,5;EA + AT: 80.97±4.21)和MoCA评分(EA: 24.2;在:24,2;EA + AT: 27,2),联合治疗效果更佳。同样,NIHSS评分在所有治疗组中均表现出显著降低(EA: 6,2;AT: 7,2),特别是在EA + AT联合队列中(EA + AT: 4,3)。值得注意的是,治疗后分析显示,所有组的睡眠效率与MoCA评分之间存在显著正相关,其中AT组的相关性最强(r = 0.87)。这些发现表明,EA + AT联合疗法在治疗中风后失眠方面优于单一疗法。综上所述,本研究确立了EA + AT作为卒中相关失眠患者睡眠质量和认知功能改善的有效干预手段,为卒中相关失眠患者提供了一种有前景的治疗策略。
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引用次数: 0
Finerenone Modulates PANoptosis to Improve Immune Microenvironment in Diabetic Nephropathy: A Machine Learning–Based Mechanistic Analysis 芬烯酮调节PANoptosis改善糖尿病肾病的免疫微环境:基于机器学习的机制分析。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-07 DOI: 10.1007/s12031-025-02384-x
Aihua Chen, Fenghua Wang

Diabetic nephropathy (DN) is characterized by nephron degeneration induced by hyperglycemia, driven by complex interactions between glucose metabolism dysregulation and immune microenvironment dynamics. This study employed machine learning and bioinformatics techniques to investigate the role of finerenone, a novel nonsteroidal mineralocorticoid receptor antagonist, in modulating immune dysregulation associated with DN through targeted intervention in PANoptosis-related networks. Using machine learning algorithms, five key PANoptosis-associated genes (CASP3, FLT3, KDR, HIF1A, and MMP2) were identified, and a diagnostic model incorporating these biomarkers demonstrated high efficacy in distinguishing patients with DN from controls. These genes were strongly correlated with immune cell infiltration, particularly mast cells, M2 macrophages, and B lymphocytes. KEGG and GSVA enrichment analyses highlighted significant pathway enrichment in PI3K-Akt signaling and glycosphingolipid biosynthesis (lacto and neolacto series). These results suggest that finerenone mitigates DN-related immune disruptions by modulating PANoptosis-linked gene expression, thereby influencing PI3K-Akt signaling and glycosphingolipid biosynthesis in mast cells, M2 macrophages, and B cells. This study provides new insights into potential therapeutic targets and pharmacological evidence for precision immunomodulation in DN treatment.

糖尿病肾病(Diabetic nephropathy, DN)的特点是由高血糖引起的肾细胞变性,是由糖代谢失调和免疫微环境动力学之间复杂的相互作用驱动的。本研究采用机器学习和生物信息学技术来研究finerenone(一种新型非甾体矿物皮质激素受体拮抗剂)在通过靶向干预panoptosis相关网络调节DN相关免疫失调中的作用。使用机器学习算法,鉴定了5个关键的panopsis相关基因(CASP3, FLT3, KDR, HIF1A和MMP2),并且包含这些生物标志物的诊断模型在区分DN患者和对照组方面表现出高效率。这些基因与免疫细胞浸润密切相关,尤其是肥大细胞、M2巨噬细胞和B淋巴细胞。KEGG和GSVA富集分析强调了PI3K-Akt信号通路和鞘糖脂生物合成(乳酸和新乳酸系列)的显著富集。这些结果表明,细烯酮通过调节panopysis相关基因表达,从而影响肥大细胞、M2巨噬细胞和B细胞中PI3K-Akt信号传导和鞘糖脂的生物合成,从而减轻dn相关的免疫破坏。本研究为精确免疫调节治疗DN提供了潜在的治疗靶点和药理学证据。
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引用次数: 0
Aggregation-Prone Pathogenic SOD1 Variants in Amyotrophic Lateral Sclerosis: Insights from Computational Genomics and Evolutionary Conservation 肌萎缩性侧索硬化症中易于聚集的致病SOD1变异:来自计算基因组学和进化保护的见解。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-07 DOI: 10.1007/s12031-025-02388-7
Farah Anjum, Maha M Bakhuraysah, Maram Jameel Hulbah, Abdulaziz Alsharif, Taj Mohammad, Md.Imtaiyaz Hassan

Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder characterized by progressive motor neuron degeneration and a median survival of 3–5 years post-diagnosis. While the etiology of ALS remains elusive, mutations in SOD1, encoding the Cu/Zn superoxide dismutase enzyme, are strongly associated with familial ALS (fALS). These mutations promote a toxic gain-of-function, primarily through SOD1 misfolding and aggregation. We systematically assessed 244 SOD1 missense mutations using a multi-tiered computational framework encompassing structural, functional, and pathogenic predictors. Sequence-based predictors (SIFT, PolyPhen-2, FATHMM) and structure-guided tools (mCSM, PremPS, DynaMut2) identified 79 destabilizing mutations, 64 of which were classified as pathogenic by phenotype predictors (PhD-SNP, SNPs&GO, MutPred2). Twelve mutations resided in evolutionarily conserved regions, with eight (D84N, G73C, H72Y, P67A, P67R, P67S, R144G, S60I) exhibiting pronounced aggregation propensity via SODA analysis. Notably, H72Y disrupts a zinc-binding residue critical for structural integrity and catalysis. Protein–protein interaction networks linked SOD1 to ALS-associated pathways, highlighting its involvement in oxidative stress and protein homeostasis. Our integrative approach highlights the power of computational genomics in unraveling mutation-driven SOD1 dysfunction, offering mechanistic insights into ALS pathogenesis and guiding therapeutic strategies focused on aggregation-prone variants.

肌萎缩性侧索硬化症(ALS)是一种致命的神经退行性疾病,以进行性运动神经元变性为特征,诊断后中位生存期为3-5年。虽然ALS的病因尚不清楚,但编码Cu/Zn超氧化物歧化酶的SOD1突变与家族性ALS (fALS)密切相关。这些突变主要通过SOD1错误折叠和聚集促进毒性功能获得。我们使用包含结构、功能和致病预测因子的多层计算框架系统地评估了244个SOD1错义突变。基于序列的预测因子(SIFT、polyphen2、FATHMM)和结构导向工具(mCSM、PremPS、DynaMut2)鉴定出79个不稳定突变,其中64个通过表型预测因子(PhD-SNP、snp & go、MutPred2)被归类为致病性突变。SODA分析显示,12个突变位于进化保守区,其中8个(D84N、G73C、H72Y、P67A、P67R、P67S、R144G、S60I)表现出明显的聚集倾向。值得注意的是,H72Y破坏了对结构完整性和催化作用至关重要的锌结合残基。蛋白质-蛋白质相互作用网络将SOD1与als相关途径联系起来,强调其参与氧化应激和蛋白质稳态。我们的综合方法突出了计算基因组学在揭示突变驱动的SOD1功能障碍方面的力量,为ALS发病机制提供了机制见解,并指导了专注于易聚集变异的治疗策略。
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引用次数: 0
Genetic Association of CANT1 Gene with Scoliosis: An Integrative Study Involving Methylation, Immune Factors, and Metabolites CANT1基因与脊柱侧凸的遗传关联:一项涉及甲基化、免疫因子和代谢物的综合研究。
IF 2.7 4区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-08-07 DOI: 10.1007/s12031-025-02383-y
Xiao Zhang, Wenbo Gu, Yanrong Tian, Hongyang Zhao, Donghui Cao, Tenyao Niu, Xusheng Li, Haifeng Yuan

The CANT1 gene, encoding a nucleotidase linked to calcium signaling, is crucial for spinal development, with its deficiency causing skeletal developmental issues. However, the relationship between CANT1 and scoliosis remains unclear. This study aims to explore the role of CANT1 in scoliosis from a genetic perspective and its potential as a therapeutic target. This study employed a multi-method approach, including Mendelian Randomization (MR) analysis, colocalization analysis, mediation analysis, enrichment analysis, PPI network construction, and molecular docking. Using eQTL and pQTL databases, the Inverse Variance Weighted (IVW) method identified key genes associated with scoliosis. Colocalization analysis pinpointed genes with strong causal links to scoliosis. Mediation analysis assessed the impact of CANT1 methylation, immune cells, inflammatory factors, and plasma metabolites on scoliosis. Enrichment analysis identified biological pathways enriched in scoliosis-related genes. The PPI network was constructed using the STRING database, and CANT1 expression in bone marrow and skeletal muscle was analyzed via the Human Protein Atlas. Potential therapeutic compounds were identified through the DSigDB database and validated by molecular docking. We identified 94 key genes associated with scoliosis, primarily involved in purine ribonucleotide metabolism. Colocalization analysis provided strong evidence linking CANT1 to scoliosis. Further analysis revealed that methylation sites, immune cells, inflammatory factors, and plasma metabolites related to CANT1 may play roles in scoliosis pathogenesis. The regulatory expression of CANT1 was examined using the STRING database and the Human Protein Atlas. Six candidate compounds with favorable binding affinity to CANT1 were identified through DSigDB and molecular docking. This study offers new insights into the pathogenesis of scoliosis and highlights CANT1 as a potential therapeutic target. CANT1 may influence scoliosis development through multiple pathways, including methylation, immune cells, inflammatory factors, and plasma metabolites. Further experimental validation is needed to confirm these findings and explore the therapeutic potential of the identified compounds.

CANT1基因编码一种与钙信号相关的核苷酸酶,对脊柱发育至关重要,缺乏CANT1基因会导致骨骼发育问题。然而,CANT1与脊柱侧凸之间的关系尚不清楚。本研究旨在从遗传学角度探讨CANT1在脊柱侧凸中的作用及其作为治疗靶点的潜力。本研究采用孟德尔随机化(MR)分析、共定位分析、中介分析、富集分析、PPI网络构建、分子对接等多方法进行研究。利用eQTL和pQTL数据库,逆方差加权(IVW)方法确定与脊柱侧凸相关的关键基因。共定位分析确定了与脊柱侧凸有强烈因果关系的基因。中介分析评估了CANT1甲基化、免疫细胞、炎症因子和血浆代谢物对脊柱侧凸的影响。富集分析确定了脊柱侧凸相关基因富集的生物学途径。使用STRING数据库构建PPI网络,通过Human Protein Atlas分析CANT1在骨髓和骨骼肌中的表达。通过DSigDB数据库识别潜在的治疗化合物,并通过分子对接进行验证。我们确定了94个与脊柱侧凸相关的关键基因,主要涉及嘌呤核糖核苷酸代谢。共定位分析提供了强有力的证据表明CANT1与脊柱侧凸有关。进一步分析显示,与CANT1相关的甲基化位点、免疫细胞、炎症因子和血浆代谢物可能在脊柱侧凸发病中发挥作用。使用STRING数据库和Human Protein Atlas检测CANT1的调控表达。通过DSigDB和分子对接,鉴定出6个与CANT1具有良好结合亲和力的候选化合物。这项研究为脊柱侧凸的发病机制提供了新的见解,并强调了CANT1作为潜在的治疗靶点。CANT1可能通过多种途径影响脊柱侧凸的发展,包括甲基化、免疫细胞、炎症因子和血浆代谢物。需要进一步的实验验证来证实这些发现,并探索所鉴定化合物的治疗潜力。
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引用次数: 0
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Journal of Molecular Neuroscience
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