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Neuroinflammatory Response in the Traumatic Brain Injury: An Update 外伤性脑损伤的神经炎症反应:最新进展
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-24 DOI: 10.1007/s11064-024-04316-4
Amanda C. S. Kursancew, Cristiano Julio Faller, Daniel Paulo Bortoluzzi, Luana Budny Niero, Beatriz Brandão, Lucineia Gainski Danielski, Fabricia Petronilho, Jaqueline S. Generoso Ph.D.

The central nervous system (CNS) comprises membranes and barriers that are vital to brain homeostasis. Membranes form a robust shield around neural structures, ensuring protection and structural integrity. At the same time, barriers selectively regulate the exchange of substances between blood and brain tissue, which is essential for maintaining homeostasis. Another highlight is the glymphatic system, which cleans metabolites and waste from the brain. Traumatic brain injury (TBI) represents a significant cause of disability and mortality worldwide, resulting from the application of direct mechanical force to the head that results in a primary injury. Therefore, this review aims to elucidate the mechanisms associated with the secondary injury cascade, in which there is intense activation of glial cells, dysfunction of the glymphatic system, glutamatergic neurotoxicity, additional molecular and biochemical changes that lead to a neuroinflammatory process, and oxidative stress and in which way they can be associated with cognitive damage that is capable of lasting for an extended period.

中枢神经系统(CNS)包括对大脑稳态至关重要的膜和屏障。膜在神经结构周围形成坚固的屏障,确保保护和结构的完整性。同时,屏障选择性地调节血液和脑组织之间的物质交换,这对维持体内平衡至关重要。另一个亮点是淋巴系统,它可以清除大脑中的代谢物和废物。外伤性脑损伤(TBI)是世界范围内致残和死亡的重要原因,是由直接机械力施加于头部导致原发性损伤引起的。因此,本综述旨在阐明与继发性损伤级联相关的机制,其中存在神经胶质细胞的强烈激活,淋巴系统功能障碍,谷氨酸能神经毒性,导致神经炎症过程的额外分子和生化变化,以及氧化应激,以及它们与能够持续较长时间的认知损伤相关的方式。
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引用次数: 0
Correction: 4,5-Dimethoxycanthin-6-one Inhibits Glioblastoma Stem Cell and Tumor Growth by Inhibiting TSPAN1 Interaction with TM4SF1 纠正:4,5-二甲氧基cantin -6-one通过抑制TSPAN1与TM4SF1的相互作用抑制胶质母细胞瘤干细胞和肿瘤生长
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-24 DOI: 10.1007/s11064-024-04313-7
Wei Li, Li-jian Yang, Yuan-yuan Xiong, Zeng-shi Li, Xi Li, Yi Wen
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引用次数: 0
Correction: NL-1 Promotes PINK1-Parkin-Mediated Mitophagy Through MitoNEET Inhibition in Subarachnoid Hemorrhage 更正:在蛛网膜下腔出血中,NL-1通过抑制MitoNEET促进PINK1-Parkin介导的丝裂吞噬作用
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-16 DOI: 10.1007/s11064-024-04303-9
Tongyu Zhang, Minghai Zhang
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引用次数: 0
ALG13-Related Epilepsy: Current Insights and Future Research Directions ALG13相关癫痫:当前见解和未来研究方向
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-14 DOI: 10.1007/s11064-024-04300-y
Peng Gao, Haoran Chen, Yangyang Sun, Xin Qian, Tao Sun, Yuhan Fan, Jing Zhang

The ALG13 gene encodes a subunit of the uridine diphosphate-N-acetylglucosamine (UDP-GlcNAc) transferase enzyme, which plays a key role in the N-linked glycosylation pathway. This pathway involves the attachment of carbohydrate structures to asparagine (Asn) residues in proteins within the endoplasmic reticulum, by which N-glycosylated proteins produced participate a wide range of processes such as electrical gradients formation and neurotransmission. Mutations in the ALG13 gene have been identified as a causative factor for congenital disorders of glycosylation (CDG) and have been frequently associated with epilepsy in affected individuals. Several studies have demonstrated a strong correlation between abnormal N-glycosylation due to ALG13 deficiency and the onset of epilepsy. Despite these findings, the precise role of ALG13 in the pathogenesis of epilepsy remains unclear. This review provides a comprehensive overview of the current literature on ALG13-related disorders, with a focus on recent evidence regarding its role in epilepsy development and progression. Future research directions are also proposed to further elucidate the molecular mechanisms underlying this association.

ALG13基因编码尿苷二磷酸- n -乙酰氨基葡萄糖(UDP-GlcNAc)转移酶的一个亚基,该亚基在n -链糖基化途径中起关键作用。这一途径涉及到碳水化合物结构附着在内质网蛋白质中的天冬酰胺(Asn)残基上,由此产生的n -糖基化蛋白参与了广泛的过程,如电梯度形成和神经传递。ALG13基因突变已被确定为先天性糖基化障碍(CDG)的一个致病因素,并且经常与受影响个体的癫痫有关。一些研究表明,由于ALG13缺乏导致的n -糖基化异常与癫痫发作之间存在很强的相关性。尽管有这些发现,ALG13在癫痫发病机制中的确切作用仍不清楚。本文综述了目前有关alg13相关疾病的文献,重点介绍了其在癫痫发生和进展中的作用。未来的研究方向是进一步阐明这种关联的分子机制。
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引用次数: 0
Function of Brain-Derived Neurotrophic Factor in the Vestibular-Cochlear System 脑源性神经营养因子在前庭-耳蜗系统中的功能
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-14 DOI: 10.1007/s11064-024-04314-6
Bin Zhang, Su-Lan Chen, Xin Teng, Qi Han, Tong Wu, Zhen Yang, Yin Liu, Ke Xiang, Li Sun

Brain-derived neurotrophic factor (BDNF) is essential for the development and functioning of the vestibular system. BDNF promotes the growth, differentiation, and synaptic plasticity of vestibular neurons, ensuring their normal operation and maintenance. According to research, BDNF is pivotal during vestibular compensation, aiding in the recovery of neuron function by remodeling the spontaneous resting potentials of damaged vestibular neurons. Additionally, BDNF exhibits dose-dependent and age-dependent characteristics during vestibular system development, with its deficiencies leading to the degeneration of vestibular neurons. BDNF dynamically interacts with other neurotrophic factors, such as fibroblast growth factor-2 (FGF-2) and glial cell line-derived neurotrophic factor (GDNF), synergistically enhancing neuron survival and functionality. This review outline the function of BDNF in the vestibulocochlear system and explores its potential therapeutic applications, offering fresh perspectives and guidance for future research and treatment of vestibulocochlear system disorders.

脑源性神经营养因子(BDNF)对前庭系统的发育和功能至关重要。脑源性神经营养因子能促进前庭神经元的生长、分化和突触可塑性,确保其正常运行和维持。研究表明,BDNF 在前庭代偿过程中起着关键作用,它通过重塑受损前庭神经元的自发静息电位来帮助神经元功能的恢复。此外,BDNF 在前庭系统发育过程中表现出剂量依赖性和年龄依赖性特征,其缺乏会导致前庭神经元退化。BDNF与成纤维细胞生长因子-2(FGF-2)和胶质细胞系源性神经营养因子(GDNF)等其他神经营养因子动态相互作用,协同提高神经元的存活率和功能。这篇综述概述了 BDNF 在前庭耳蜗系统中的功能,并探讨了其潜在的治疗应用,为前庭耳蜗系统疾病的未来研究和治疗提供了新的视角和指导。
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引用次数: 0
Memantine Alleviates PTSD-like Symptoms and Improves Dendritic Arborization through Modulation of the HPA Axis and Neuroinflammation in Rats 美金刚通过调节HPA轴和神经炎症减轻创伤后应激样症状并改善树突树突化
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-14 DOI: 10.1007/s11064-024-04315-5
Sumadhura Bommaraju, Mrunali D. Dhokne, Patel Parthkumar Rakeshkumar, Ashok Kumar Datusalia

Post-traumatic stress disorder (PTSD) poses significant neurological and psychiatric challenges. Investigations into the glutamatergic system, particularly the N-methyl-D-aspartate (NMDA) receptor, are crucial for understanding PTSD mechanisms. This study aimed to evaluate the therapeutic potential of the non-competitive NMDA receptor antagonist memantine in mitigating PTSD symptoms and to explore its underlying cellular and molecular impacts. Male Sprague Dawley rats were subjected to inescapable foot shock stress (FS-stress) to model PTSD. Following stress exposure, memantine was administered at doses of 5 mg/kg and 10 mg/kg six hours post-stress. Behavioural assessments, including fear conditioning and sucrose preference tests, were conducted. Golgi-Cox staining was used to assess neuroanatomical changes related to synaptic plasticity. Western blotting was used to analyse molecular markers associated with synaptic plasticity, while immunoassays measured proinflammatory cytokines and cortisol levels. Memantine treatment improved behavioral outcomes, restoring sucrose preference and reducing freezing behavior. Morphological analysis demonstrated that memantine enhanced dendritic spine structure, particularly increasing the proportion of mature mushroom spines, which are critical for synaptic stability. Additionally, memantine normalized cortisol levels, suggesting a regulatory effect on the hypothalamic-pituitary-adrenal (HPA) axis. Additionally, memantine treatment improved the inflammatory cytokine profile, reducing IL-6 and TNF-α levels. These results suggest that memantine has potential as a therapeutic intervention for PTSD by targeting critical pathways involved in stress responses.The findings indicate that memantine, an NMDA receptor antagonist, can counteract behavioral and functional disturbances induced by FS-stress.

创伤后应激障碍(PTSD)给神经学和精神病学带来了巨大挑战。对谷氨酸能系统,尤其是 N-甲基-D-天冬氨酸(NMDA)受体的研究对于了解创伤后应激障碍的机制至关重要。本研究旨在评估非竞争性NMDA受体拮抗剂美金刚在缓解创伤后应激障碍症状方面的治疗潜力,并探索其潜在的细胞和分子影响。雄性 Sprague Dawley 大鼠受到无法逃避的足部冲击应激(FS-stress),以模拟创伤后应激障碍。应激暴露后六小时,分别以 5 毫克/千克和 10 毫克/千克的剂量给大鼠注射美金刚。进行了行为评估,包括恐惧条件反射和蔗糖偏好测试。高尔基-柯克斯染色法用于评估与突触可塑性有关的神经解剖学变化。免疫测定法测定了促炎细胞因子和皮质醇水平。美金刚治疗改善了行为结果,恢复了蔗糖偏好并减少了冻结行为。形态学分析表明,美金刚能增强树突棘结构,尤其是增加成熟蘑菇棘的比例,而成熟蘑菇棘对突触稳定性至关重要。此外,美金刚还能使皮质醇水平正常化,这表明美金刚对下丘脑-垂体-肾上腺(HPA)轴有调节作用。此外,美金刚治疗还能改善炎症细胞因子谱,降低 IL-6 和 TNF-α 的水平。这些研究结果表明,美金刚胺是一种NMDA受体拮抗剂,它可以对抗FS-应激引起的行为和功能紊乱。
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引用次数: 0
Targeting Neuroinflammation and Apoptosis: Cardamonin’s Cognitive Benefits in Alzheimer’s 5XFAD Mice 针对神经炎症和细胞凋亡:豆蔻宁对阿尔茨海默氏症 5XFAD 小鼠认知能力的益处
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-14 DOI: 10.1007/s11064-024-04308-4
Shukur Wasman Smail

This study aimed to evaluate the cognitive-enhancing and neuroprotective effects of cardamonin in the 5XFAD transgenic mouse model of Alzheimer’s disease (AD). We treated six-month-old female 5XFAD mice with cardamonin at 5 mg/kg, 10 mg/kg, and 20 mg/kg. Cognitive function was assessed using the Morris Water Maze (MWM) and Novel Object Recognition (NOR) tests. ELISA, western blot, and PCR analyses evaluated amyloid-beta (Aβ) levels, neuroinflammation markers, and apoptosis-related factor expression. All animals survived without toxicity. Cardamonin treatment significantly improved spatial learning and memory retention in MWM and NOR tests, with the 20 mg/kg dose showing the most pronounced effects. Additionally, cardamonin reduced soluble and insoluble Aβ levels in the frontal cortex and hippocampus. The treatment also significantly decreased neuroinflammatory markers, with IL-1β, IL-6, and TNF-α levels dropping substantially at higher doses. Cardamom treatment also normalizes cleaved caspase 3, GFAP, Iba-1, PSD-95, and synaptophysin, which aids in restoring synaptic integrity. Furthermore, cardamonin led to a marked reduction in apoptosis-related gene expression, indicating its potential to mitigate neurodegeneration. Cardamonin demonstrates significant cognitive-enhancing and neuroprotective properties in the 5XFAD mouse model, suggesting its potential as a therapeutic agent for AD. These findings support further investigation into cardamonin’s mechanisms and applicability in treating neurodegenerative disorders.

本研究旨在评价小豆蔻素在5XFAD转基因阿尔茨海默病(AD)小鼠模型中的认知增强和神经保护作用。我们给6月龄雌性5XFAD小鼠分别给予5 mg/kg、10 mg/kg和20 mg/kg的小豆蔻素。采用Morris水迷宫(MWM)和新目标识别(NOR)测试评估认知功能。ELISA、western blot和PCR分析评估了β淀粉样蛋白(Aβ)水平、神经炎症标志物和凋亡相关因子的表达。所有动物都存活了下来,没有毒性。在MWM和NOR测试中,小豆蔻素处理显著改善了空间学习和记忆保留,其中以20 mg/kg剂量效果最显著。此外,小豆蔻素降低了额叶皮质和海马体中可溶性和不可溶性Aβ水平。治疗还显著降低了神经炎症标志物,高剂量的IL-1β、IL-6和TNF-α水平显著下降。豆蔻治疗也使裂解的caspase 3、GFAP、Iba-1、PSD-95和突触素正常化,这有助于恢复突触的完整性。此外,小豆蔻素导致细胞凋亡相关基因表达的显著减少,表明其可能减轻神经退行性变。小豆蔻素在5XFAD小鼠模型中显示出显著的认知增强和神经保护特性,提示其作为AD治疗剂的潜力。这些发现支持进一步研究小豆蔻素的机制和治疗神经退行性疾病的适用性。
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引用次数: 0
Mechanism and Clinical Application Prospects of Mitochondrial DNA Single Nucleotide Polymorphism in Neurodegenerative Diseases 线粒体 DNA 单核苷酸多态性在神经退行性疾病中的作用机制与临床应用前景
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-14 DOI: 10.1007/s11064-024-04311-9
Mengying Xu, Tianjiao Li, Xuan Liu, Binish Islam, Yuyue Xiang, Xiyan Zou, Jianwu Wang

Mitochondrial dysfunction is well recognized as a critical component of the complicated pathogenesis of neurodegenerative diseases such as Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease. This review investigates the influence of mitochondrial DNA single nucleotide polymorphisms on mitochondrial function, as well as their role in the onset and progression of these neurodegenerative diseases. Furthermore, the contemporary approaches to mitochondrial regulation in these disorders are discussed. Our objective is to uncover early diagnostic targets and formulate precision medicine strategies for neurodegenerative diseases, thereby offering new paths for preventing and treating these conditions.

线粒体功能障碍被公认为是阿尔茨海默病、帕金森病和亨廷顿病等神经退行性疾病复杂发病机制的关键组成部分。本综述探讨了线粒体 DNA 单核苷酸多态性对线粒体功能的影响,以及它们在这些神经退行性疾病的发病和进展中的作用。此外,还讨论了这些疾病中线粒体调节的现代方法。我们的目标是发现神经退行性疾病的早期诊断目标并制定精准医疗策略,从而为预防和治疗这些疾病提供新的途径。
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引用次数: 0
Antitumor Effect of Butia odorata Hydroalcoholic Extract on C6 and U87MG Glioma Cell Lines: Impact on Redox Status and Inflammation Signaling 香果水醇提取物对C6和U87MG胶质瘤细胞系的抗肿瘤作用:对氧化还原状态和炎症信号的影响
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-13 DOI: 10.1007/s11064-024-04305-7
Juliane Torchelsen Saraiva, Francieli da Silva dos Santos, Natália Pontes Bona, Larissa Menezes da Silveira, William Sanabria Simões, Giulia Bueno de Oliveira da Silva, Júlia Araújo da Silva, William Borges Domingues, Mariana Cavalcanti Nascimento, Vinicius Farias Campos, Roselia Maria Spanevello, Nathalia Stark Pedra, Francieli Moro Stefanello

Among the spectrum of gliomas, glioblastoma stands out as the most aggressive brain tumor affecting the central nervous system. In addressing this urgent medical challenge, exploring therapeutic alternatives becomes imperative to enhance the patient’s prognosis. In this regard, Butia odorata (BO) fruit emerges as a promising candidate due to its array of bioactive compounds, including flavonoids, phenolic acids, and carotenoids, known for their antioxidant, anti-inflammatory, and antitumor properties. Thus, this study aimed to investigate the impact of standardized hydroalcoholic extract of BO on rat C6 and human U87MG glioma cell lines. Cells were exposed to varying extract concentrations (125–2000 μg/mL) for intervals of 0, 2, 4, 6, 24, 48, or 72 h. Then, cell viability, proliferation, colony formation, redox equilibrium parameters, cell migration, and the relative mRNA expression of genes related to gliomagenesis were evaluated. Our findings revealed a reduction in viability, proliferation, colony formation, reactive oxygen species, and nitrite levels in both glioma cell lines upon exposure to the extract. Conversely, an increase in sulfhydryl content and the activity of superoxide dismutase and catalase were observed in both glioma cell lines. No significant changes in viability and proliferation were observed in astrocytes. Furthermore, in the C6 cells only, the BO extract reduced the migration and downregulated the relative mRNA expression of matrix metalloproteinase-2, O6-methylguanine-DNA methyltransferase, nuclear factor-kappa B, interleukin-6 genes, and upregulated caspase-3 gene. These results underscore the promising anti-glioma potential of BO extract, attributed to its diverse bioactive composition.

在神经胶质瘤中,胶质母细胞瘤是影响中枢神经系统的最具侵袭性的脑肿瘤。在解决这一紧迫的医疗挑战,探索治疗方案成为当务之急,以提高患者的预后。在这方面,由于其含有一系列生物活性化合物,包括黄酮类化合物、酚酸和类胡萝卜素,具有抗氧化、抗炎和抗肿瘤的特性,因此,Butia odorata (BO)水果成为有希望的候选者。因此,本研究旨在探讨薄荷叶标准化水醇提取物对大鼠C6和人U87MG胶质瘤细胞系的影响。将细胞暴露于不同浓度的提取物(125-2000 μg/mL)中,时间间隔为0、2、4、6、24、48或72小时。然后,评估细胞活力、增殖、集落形成、氧化还原平衡参数、细胞迁移以及与胶质瘤形成相关基因的相对mRNA表达。我们的研究结果显示,暴露于提取物后,两种胶质瘤细胞系的活力、增殖、菌落形成、活性氧和亚硝酸盐水平均有所降低。相反,在两种胶质瘤细胞系中均观察到巯基含量和超氧化物歧化酶和过氧化氢酶活性的增加。星形胶质细胞的活力和增殖未见明显变化。此外,仅在C6细胞中,BO提取物减少了迁移,下调了基质金属蛋白酶-2、o6 -甲基鸟嘌呤- dna甲基转移酶、核因子κ B、白细胞介素-6基因的相对mRNA表达,上调了caspase-3基因的表达。这些结果强调了薄荷叶提取物有希望的抗胶质瘤潜力,归因于其多样化的生物活性成分。
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引用次数: 0
GsMTx4 Combined with Exercise Exerts Neuroprotective Effects by Regulating Neuronal Autophagy in Rats with Spinal Cord Injury GsMTx4联合运动通过调节脊髓损伤大鼠神经元自噬发挥神经保护作用
IF 3.7 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-12-12 DOI: 10.1007/s11064-024-04304-8
Qianxi Li, Chenyu Li, Xinyan Li, Xinyu Liu, Jinghua Qian, Jianjun Li, Xuemei Li, Xin Zhang

A sharp increase in intramedullary pressure after spinal cord injury (SCI) can aggravate secondary injury and lead to severe neurological deficits. Unfortunately, effective treatment options are currently lacking. The mechanosensitive ion channel Piezo1 plays an important role in the pathological process of SCI by transducing mechanical stress. The Piezo1 inhibitor GsMTx4 has been shown to have neuroprotective effects and may hold therapeutic potential for SCI. Given that single drug treatment strategy has limited effect on functional recovery after SCI, we explored the efficacy of combining GsMTx4 with exercise training in treating SCI in rats and investigated the underlying mechanisms. We used the T10 SCI rat model, administered GsMTx4 immediately after injury, and performed 4 weeks of body weight supported treadmill training starting (BWSTT) 2 weeks post injury. Subsequently, HE and LFB staining were used to observe the morphology of spinal cord tissue, WB was used to detect autophagy and apoptosis-related proteins, biochemical detection of calcium ion concentration and CTSD activity, IHC detection of LAMP1 expression, immunofluorescence labeling of NeuN and ChAT-positive motor neurons, as well as MBP and GFAP, and BBB scores were used to evaluate rat motor function. We found that the combined treatment of GsMTx4 drug and exercise training was more effective than single treatment alone. The combined treatment reduced calcium ion concentration, improved lysosomal function, enhanced autophagic flux, reduced cell apoptosis, and significantly improved the motor function of rats. This combined treatment regimen may pave the way for developing more comprehensive treatment strategies for SCI in the future.

Graphical Abstract

Mechanism diagram. Piezo1 inhibitors combined with exercise exerts neuroprotective effects by regulating neuronal autophagy. Excessive mechanical stress following spinal cord injury (SCI) over activates the mechanosensitive Piezo1 channel in spinal neurons, leading to increased Ca2+ release and subsequent lysosomal dysfunction. This dysfunction decreases autophagic flux, potentially resulting in neuronal apoptosis, exacerbated glial scar formation, and demyelination. The application of Piezo1 inhibitors improves lysosomal function and enhances autophagic flux, thereby reducing cell apoptosis. Additionally, exercise training further amplifies the neuroprotective effects of Piezo1 inhibitors, contributing to overall neuronal recovery.

脊髓损伤(SCI)后髓内压的急剧升高可加重继发性损伤并导致严重的神经功能缺损。不幸的是,目前缺乏有效的治疗方案。机械敏感离子通道Piezo1通过传导机械应力在脊髓损伤的病理过程中发挥重要作用。Piezo1抑制剂GsMTx4已被证明具有神经保护作用,并可能具有治疗脊髓损伤的潜力。鉴于单一药物治疗策略对脊髓损伤后功能恢复的影响有限,我们探索GsMTx4联合运动训练治疗大鼠脊髓损伤的疗效,并探讨其作用机制。我们使用T10脊髓损伤大鼠模型,在损伤后立即给予GsMTx4,并在损伤后2周进行4周的体重支撑跑步机训练(BWSTT)。随后采用HE和LFB染色观察脊髓组织形态学,WB检测自噬和凋亡相关蛋白,生化检测钙离子浓度和CTSD活性,IHC检测LAMP1表达,免疫荧光标记NeuN和chat阳性运动神经元,以及MBP和GFAP, BBB评分评估大鼠运动功能。我们发现GsMTx4药物与运动训练联合治疗比单独治疗更有效。联合治疗降低钙离子浓度,改善溶酶体功能,增强自噬通量,减少细胞凋亡,显著改善大鼠运动功能。这种联合治疗方案可能为未来开发更全面的脊髓损伤治疗策略铺平道路。图形化的:机理图。Piezo1抑制剂联合运动通过调节神经元自噬发挥神经保护作用。脊髓损伤(SCI)后的过度机械应力过度激活脊髓神经元中的机械敏感Piezo1通道,导致Ca2+释放增加和随后的溶酶体功能障碍。这种功能障碍降低了自噬通量,可能导致神经元凋亡,加剧胶质瘢痕形成和脱髓鞘。应用Piezo1抑制剂可改善溶酶体功能,增强自噬通量,从而减少细胞凋亡。此外,运动训练进一步增强了Piezo1抑制剂的神经保护作用,有助于整体神经元的恢复。
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