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Screening of anti-Parkinson activity of tannic acid via antioxidant and neuroprotection in Wistar rats 通过抗氧化和神经保护筛选单宁酸在 Wistar 大鼠体内的抗帕金森活性
Pub Date : 2023-12-21 DOI: 10.1016/j.dscb.2023.100109
Himani Badoni , Sakshi Painuli , Sachin Panwar , Promila Sharma , Prabhakar Semwal

Background

Inflammation in the brain is a severe pathological state to facilitate neurodegenerative disorders. Various inflammatory mediators, such as tumor necrosis factor-α (TNF-α), nitric oxide (NO), interleukin-1 (IL-1), and prostaglandins, promote inflammation. The expression of these major inflammatory mediators is induced by the activation of microglia and astrocytes. Diseases likewise Parkinson's disease (PD), Alzheimer's disease (AD) and multiple sclerosis are caused by uncontrolled release of pro-inflammatory cytokines.

Methods

Acute (5, 50, and 300 mg kg−1), subacute study (30, 100, and 300 mg kg−1) toxicity in rats. In addition, consequence of tannic acid (TA) on haloperidol stimulated catalepsy model of PD in Wistar rats (6–8 weeks) was analysed. Toxicity study of TA has been done to identify the safer dose for experimental animals.

Results

In vivo antioxidant assays demonstrate the suppressed amount of oxidative stress caused due to lipid peroxidation (LPO) and elevated amount of reduced glutathione (GSH),superoxide dismutase (SOD) and catalase (CAT) after assessment with TA as compared to those in only haloperidol treated rats. TNF-α and NO amount were too found to be reduced in rat model of PD when pretreated with TA. haematological analyses also demonstrated the normal level of haemoglobin (Hb), Red blood cell (RBC) count, White blood cell(WBC) count, lymphocyte count, granulocyte count, mean corpuscular volume (MCV) and platelet count in rats pretreated with TA. Histopathological analysis of rat brain tissue showed neuroprotection in groups pretreated with TA. In addition, ADMET results based on structure to activity calculation related to pharmacokinetics and toxicity assessment revealed that TA had reasonably acceptable qualities. These attributes add to our understanding of structural aspects that may boost the bioavailability of TA before going on to the early stages of medication development.

Conclusion

Results obtained from the present study suggest that TA have potential to be extended as effective curative candidate for PD and various neurodegenerative diseases.

背景脑部炎症是导致神经退行性疾病的一种严重病理状态。各种炎症介质,如肿瘤坏死因子-α(TNF-α)、一氧化氮(NO)、白细胞介素-1(IL-1)和前列腺素,都会促进炎症。小胶质细胞和星形胶质细胞的活化会诱导这些主要炎症介质的表达。帕金森病(PD)、阿尔茨海默病(AD)和多发性硬化症等疾病也是由促炎细胞因子的失控释放引起的。此外,还分析了单宁酸(TA)对氟哌啶醇刺激的 Wistar 大鼠(6-8 周)PD 催眠模型的影响。结果体内抗氧化试验表明,与仅接受氟哌啶醇治疗的大鼠相比,使用鞣酸评估后,由于脂质过氧化(LPO)引起的氧化应激量被抑制,还原型谷胱甘肽(GSH)、超氧化物歧化酶(SOD)和过氧化氢酶(CAT)的含量升高。血液学分析也表明,用 TA 预处理的大鼠血红蛋白(Hb)、红细胞(RBC)计数、白细胞(WBC)计数、淋巴细胞计数、粒细胞计数、平均血球容积(MCV)和血小板计数均达到正常水平。对大鼠脑组织的组织病理学分析表明,用 TA 预处理的组别具有神经保护作用。此外,根据与药代动力学和毒性评估相关的结构活性计算得出的 ADMET 结果表明,TA 具有可合理接受的品质。本研究的结果表明,TA 有潜力作为治疗帕金森病和各种神经退行性疾病的有效候选药物。
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引用次数: 0
Preclinical Evaluation of panobinostat and ONC201 for the treatment of diffuse intrinsic pontine glioma (DIPG) 治疗弥漫性内生性桥脑胶质瘤(DIPG)的帕诺比诺司他和 ONC201 临床前评估
Pub Date : 2023-12-20 DOI: 10.1016/j.dscb.2023.100113
Kaoutar Bentayebi , Keittisak Suwan , Azzedine Ibrahimi , Louati Sara , Mouna Ouadghiri , Tarik Aanniz , Saaïd Amzazi , Lahcen Belyamani , Amin Hajitou , Rachid Eljaoudi

Diffuse intrinsic pontine glioma (DIPG) also referred as paediatric high-grade glioma (pHGG) is a fast-growing and aggressive type of childhood brain cancer. Recent studies investigating the molecular pathogenesis of DIPG have identified new therapeutic targets, paving the way for a new line of drugs mainly HDAC inhibitors. However, despite long years of trials, no significant results have been generated yet. Panobinostat is a HDAC inhibitor that has shown promising preclinical cytotoxicity in DIPG but failed so far in clinical trials. This study aims to re-evaluate the efficacy of Panobinostat in DIPG in vitro using patient-derived DIPG cell cultures obtained directly from patients. ONC201 is another potentially effective drug in DIPG. This apoptotic agent has been considered in a few clinical trials in diffuse glioma including DIPG. Our results reveal a dose-dependent response to Panobinostat and ONC201 in DIPG cells. However, Panobinostat caused a significant reduction in the mean percentage cell viability at a lower concentration compared to ONC201. Panobinostat caused significant decreases in DIPG cell viability at concentrations greater than or equal to 0.002 μM (p<0.05), the response reached a plateau after 0.1 μM, which reduced cell viability to 32.81 % ± 0.25 % (p = 6.74E−06) when compared to control cells. ONC201 only significantly induced apoptosis at concentrations equal or higher than 0.01 μM (p<0.05), with its effect plateauing after 0.2 μM. This pre-clinical study supports the effectiveness of Panobinostat as a potential therapeutic agent for DIPG compared to ONC201, with no apparent synergistic effect observed in combination.

弥漫性桥脑胶质瘤(DIPG)又称儿科高级别胶质瘤(pHGG),是一种生长迅速、侵袭性强的儿童脑癌。最近对 DIPG 分子发病机制的研究发现了新的治疗靶点,为以 HDAC 抑制剂为主的新药系列铺平了道路。然而,尽管进行了长达数年的试验,但仍未取得显著成果。Panobinostat是一种HDAC抑制剂,在DIPG的临床前细胞毒性研究中表现良好,但在临床试验中却失败了。本研究旨在利用直接从患者体内获得的 DIPG 细胞培养物,在体外重新评估 Panobinostat 对 DIPG 的疗效。ONC201是另一种可能对DIPG有效的药物。包括DIPG在内的一些弥漫性胶质瘤临床试验已考虑使用这种凋亡剂。我们的研究结果表明,DIPG 细胞对 Panobinostat 和 ONC201 的反应呈剂量依赖性。然而,与ONC201相比,Panobinostat在较低浓度时可显著降低细胞存活率的平均百分比。Panobinostat 在浓度大于或等于 0.002 μM 时会显著降低 DIPG 细胞的存活率(p<0.05),在 0.1 μM 后反应趋于平稳,与对照细胞相比,细胞存活率降至 32.81 % ± 0.25 %(p = 6.74E-06)。ONC201 仅在浓度等于或高于 0.01 μM 时才会明显诱导细胞凋亡(p<0.05),其效果在 0.2 μM 后趋于稳定。这项临床前研究证明,与 ONC201 相比,Panobinostat 作为一种潜在的 DIPG 治疗药物是有效的,而且在联合用药时未观察到明显的协同效应。
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引用次数: 0
Diosmin alleviates doxorubicin-induced chemobrain in rats via inhibition of oxido-inflammation, apoptosis and modulation of autophagy 地奥司明通过抑制氧化-炎症、细胞凋亡和调节自噬缓解多柔比星诱发的大鼠化疗脑病
Pub Date : 2023-12-15 DOI: 10.1016/j.dscb.2023.100111
Oyovwi O. Mega , Falajiki Y. Faith , Ohwin P. Ejiro , Joseph G. Uchechukwu , Olowe G. Temitope , Onome B. Oghenetega , Emojevwe Victor , Tesi P. Edesiri , Rotu A. Rume , Rotu A. Rotu , Oyeleke Abiodun Abioye , Okwute Patrick Godwin

Background/aim

Doxorubicin (DOX) is a highly effective chemotherapy medicine commonly used to treat breast cancer; yet, despite its clinical efficacy, it usually causes chemobrain. As a result, we investigated the neuroprotective effects of Diosmin (DIOS) on DOX-induced chemobrain in male rat brains.

Animals and methods

In the experimental protocol, Rats were divided into 4 groups: group I received solvent and saline for 56 days, group II received Dios and a concomitant dose of saline for 56 days, group III received DOX intraperitoneally on 7th, 14th, 21st, 28th, 35th, 42nd, 49th and 56th days, and Group IV received DIOS (40 mg/kg P.O.) for 56 days and DOX was administered one hour after DIOS oral administration. The novel-object recognition memory test (NORT) was used to assess non-spatial memory function. Following that, brain neurochemical status were assessed.

Results

DIOS increased cognitive performance in DOX-treated rats by enhancing exploration of unfamiliar objects. DIOS protects the brain from DOX-mediated alterations in oxidative status, as well as brain metabolic enzyme indicators. It also decreased MMP-6, IL-6, IL-β1, TNF-α and COX-2 expression, reduced apoptotic markers levels, boosted mTOR protein levels, lowered beclin-1, restored brain metabolic enzyme activities, increased neurotransmitter as well as cathepsin levels, and avoided the rise in α-synuclein and PON1 enzyme activity.

Conclusion

In conclusion, DIOS protects rats' brains against DOX-induced chemobrain via oxidative stress inhibition, autophagy modulation, and down-regulation of inflammatory and apoptotic markers.

背景/摘要 多柔比星(Doxorubicin,DOX)是一种常用于治疗乳腺癌的高效化疗药物;然而,尽管其临床疗效显著,但它通常会导致化疗脑。因此,我们研究了地奥司明 (DIOS) 对 DOX 诱导的雄性大鼠化疗脑的神经保护作用。动物和方法在实验方案中,大鼠被分为 4 组:Ⅰ组接受溶剂和生理盐水治疗 56 天,Ⅱ组接受地奥司和同时剂量的生理盐水治疗 56 天,Ⅲ组在第 7、14、21、28、35、42、49 和 56 天腹腔注射 DOX,Ⅳ组接受地奥司(40 毫克/千克 P.O.)治疗 56 天,并在口服地奥司一小时后注射 DOX。新物体识别记忆测试(NORT)用于评估非空间记忆功能。结果DIOS通过增强对陌生物体的探索,提高了DOX治疗大鼠的认知能力。DIOS保护大脑免受DOX介导的氧化状态改变以及大脑代谢酶指标的影响。它还减少了 MMP-6、IL-6、IL-β1、TNF-α 和 COX-2 的表达,降低了凋亡标志物水平,提高了 mTOR 蛋白水平,降低了 beclin-1,恢复了脑代谢酶活性,提高了神经递质和 cathepsin 水平,并避免了 α-synuclein 和 PON1 酶活性的上升。结论总之,DIOS 可通过抑制氧化应激、调节自噬以及下调炎症和细胞凋亡标志物来保护大鼠大脑免受 DOX 诱导的化学脑。
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引用次数: 0
Computational analysis of Alzheimer's disease-associated missense SNPs to understand underlying molecular mechanisms and identify diagnostic biomarkers 对阿尔茨海默病相关错义 SNP 进行计算分析,以了解潜在的分子机制并确定诊断生物标志物
Pub Date : 2023-12-12 DOI: 10.1016/j.dscb.2023.100110
Aziza Abugaliyeva , Saad Rasool

Background

Alzheimer's disease (AD) is the most common and progressive type of brain disorder that affects parts of the brain responsible for memory, speaking, thinking, and many other important functions. Apart from its common risk factors such as aging, environment, and lifestyle elements, the risk of developing AD largely depends on gene variants, which present a promising opportunity for identifying novel diagnostic and therapeutic biomarkers.

Objectives

Early studies have revealed numerous SNPs simultaneously associated with AD and other diseases such as Parkinson's disease, stroke, multiple sclerosis, and more. Therefore, it is important to conduct research on identifying single nucleotide missense mutations in certain genes specifically linked to AD to understand the prognosis and diagnosis of the disease.

Methods

In this research, we utilized multiple sequence-based computational tools and database servers to analyze specific missense single nucleotide polymorphisms and their potential effects on protein structure and stability.

Results

Our in-silico analysis revealed SNPs of 3 genes, specifically, ATP8B4, UBXN11, and TREM2, to be deleterious. The associating mutations were found to be destabilizing the protein structure and function of deleterious genes.

Conclusion

Three genes, including ATP8B4, UBXN11, and TREM2 and their associated SNPs, were found to be deleterious and are potentially linked to AD. Amino acid changes associated with these genes were found to affect their interactions, which are connected to specific biological processes and pathways that may trigger AD.

背景阿尔茨海默病(AD)是最常见的渐进性脑部疾病,会影响大脑中负责记忆、语言、思维和许多其他重要功能的部分。除了老龄化、环境和生活方式等常见风险因素外,AD 的发病风险在很大程度上取决于基因变异,这为鉴定新型诊断和治疗生物标志物提供了一个大有可为的机会。因此,研究发现某些基因中的单核苷酸错义突变与 AD 特别相关,对于了解该疾病的预后和诊断具有重要意义。方法在这项研究中,我们利用多种基于序列的计算工具和数据库服务器分析了特定的错义单核苷酸多态性及其对蛋白质结构和稳定性的潜在影响。结论发现 ATP8B4、UBXN11 和 TREM2 等三个基因及其相关 SNPs 具有有害性,可能与 AD 有关。研究发现,与这些基因相关的氨基酸变化会影响它们之间的相互作用,而这种相互作用与可能引发注意力缺失症的特定生物过程和途径有关。
{"title":"Computational analysis of Alzheimer's disease-associated missense SNPs to understand underlying molecular mechanisms and identify diagnostic biomarkers","authors":"Aziza Abugaliyeva ,&nbsp;Saad Rasool","doi":"10.1016/j.dscb.2023.100110","DOIUrl":"https://doi.org/10.1016/j.dscb.2023.100110","url":null,"abstract":"<div><h3>Background</h3><p>Alzheimer's disease (AD) is the most common and progressive type of brain disorder that affects parts of the brain responsible for memory, speaking, thinking, and many other important functions. Apart from its common risk factors such as aging, environment, and lifestyle elements, the risk of developing AD largely depends on gene variants, which present a promising opportunity for identifying novel diagnostic and therapeutic biomarkers.</p></div><div><h3>Objectives</h3><p>Early studies have revealed numerous SNPs simultaneously associated with AD and other diseases such as Parkinson's disease, stroke, multiple sclerosis, and more. Therefore, it is important to conduct research on identifying single nucleotide missense mutations in certain genes specifically linked to AD to understand the prognosis and diagnosis of the disease.</p></div><div><h3>Methods</h3><p>In this research, we utilized multiple sequence-based computational tools and database servers to analyze specific missense single nucleotide polymorphisms and their potential effects on protein structure and stability.</p></div><div><h3>Results</h3><p>Our <em>in-silico</em> analysis revealed SNPs of 3 genes, specifically, ATP8B4, UBXN11, and TREM2, to be deleterious. The associating mutations were found to be destabilizing the protein structure and function of deleterious genes.</p></div><div><h3>Conclusion</h3><p>Three genes, including ATP8B4, UBXN11, and TREM2 and their associated SNPs, were found to be deleterious and are potentially linked to AD. Amino acid changes associated with these genes were found to affect their interactions, which are connected to specific biological processes and pathways that may trigger AD.</p></div>","PeriodicalId":72447,"journal":{"name":"Brain disorders (Amsterdam, Netherlands)","volume":"13 ","pages":"Article 100110"},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666459323000471/pdfft?md5=c608052af819670be3f1767cb7f2d5d4&pid=1-s2.0-S2666459323000471-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139033740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Survival determinants of patients with uncertain behavior pituitary tumors: A Surveillance, Epidemiology, and End Results (SEER) database study 行为不确定垂体瘤患者的生存决定因素:监测、流行病学和最终结果 (SEER) 数据库研究
Pub Date : 2023-12-09 DOI: 10.1016/j.dscb.2023.100108
Kristine Ravina, Srijan Adhikari, Abhishek Bhutada, Eric Marvin

Introduction

The “borderline” pituitary tumor category between typical benign adenomas and pituitary carcinomas is a subject of ongoing controversy. Surveillance, Epidemiology, and End Results (SEER) database classifies uncertain behavior pituitary tumors (UPTs) under the “borderline” category including atypical adenomas with presumed propensity for aggressive behavior. Very little is known about UPT patient survival prognostic factors. We aimed to characterize survival risk factors of patients with UPT according to the SEER database.

Methods

SEER 17 database was queried for pituitary tumors and further separated by SEER classification of “Borderline” under the category “ICD-O-3 Hist/behav, malignant”. Patient demographics, tumor characteristic, extent of disease and treatment data were extracted and analyzed. A nomogram was built assessing survival.

Results

Three hundred and thirty-two patients diagnosed between 2004 and 2019 were included. The survival rates at 1, 5 and 10 years were 86.8 %, 78.6 % and 65.1 %, respectively. Female sex and age <65 years correlated with a better prognosis (HR 2.41, 95 % CI [1.57–3.68], p = 4.00E-05 and HR 5.47; 95 % CI [3.53–8.45], p = 3.00E-15). Patients undergoing surgery had a better prognosis than those pursuing non-surgical management (HR 0.43, 95 % CI [0.19–0.97], p = 0.02). A nomogram incorporating sex, age and surgical versus non-surgical treatment status was created. The nomogram demonstrated acceptable accuracy in estimating the survival probability at 1- and 2-years, with a C-index of 0.751 (95 % CI: 0.641–0.861).

Conclusion

Female sex, age <65 years and surgical resection are significant factors determining UPT patient survival based on SEER data. The proposed nomogram achieved good potential for predicting UPT patient survival.

导言介于典型良性腺瘤和垂体癌之间的 "边缘 "垂体瘤类别一直存在争议。监测、流行病学和最终结果(SEER)数据库将行为不确定的垂体瘤(UPT)归入 "边缘 "类别,包括假定具有侵袭倾向的非典型腺瘤。人们对 UPT 患者的生存预后因素知之甚少。我们的目的是根据 SEER 数据库分析 UPT 患者的生存风险因素。方法在 SEER 17 数据库中查询垂体瘤,并根据 SEER 在 "ICD-O-3 组织/肿瘤,恶性 "类别下的 "边缘型 "分类进行进一步分离。提取并分析了患者的人口统计学特征、肿瘤特征、疾病范围和治疗数据。结果2004年至2019年期间确诊的332名患者被纳入研究。1年、5年和10年的生存率分别为86.8%、78.6%和65.1%。女性性别和 65 岁与较好的预后相关(HR 2.41,95 % CI [1.57-3.68],p = 4.00E-05;HR 5.47;95 % CI [3.53-8.45],p = 3.00E-15)。接受手术治疗的患者预后优于接受非手术治疗的患者(HR 0.43,95 % CI [0.19-0.97],p = 0.02)。结合性别、年龄、手术与非手术治疗情况,我们绘制了一个提名图。根据 SEER 数据,女性性别、65 岁和手术切除是决定 UPT 患者存活率的重要因素。所提出的提名图具有预测 UPT 患者生存率的良好潜力。
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引用次数: 0
Oxidative stress, antioxidant defense, and neurodegeneration 氧化应激,抗氧化防御和神经变性
Pub Date : 2023-12-01 DOI: 10.1016/j.dscb.2023.100084
Han-A Park, Kristi M. Crowe-White
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引用次数: 0
Erratum Regarding Previously Published Articles 关于先前发表的文章的勘误
Pub Date : 2023-12-01 DOI: 10.1016/j.dscb.2023.100077
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引用次数: 0
Erratum regarding previously published articles 关于以前发表的文章的勘误
Pub Date : 2023-12-01 DOI: 10.1016/j.dscb.2023.100107
No Author
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引用次数: 0
Amyloidosis-history and development, emphasis on insulin and prion amyloids 淀粉样变性--历史和发展,重点是胰岛素和朊病毒淀粉样变性
Pub Date : 2023-11-29 DOI: 10.1016/j.dscb.2023.100106
Sanjay Kisan Metkar , Saranya Udayakumar , Agnishwar Girigoswami , Koyeli Girigoswami

Amyloidosis is associated with misfolding of protein (normal functional and cellular) into intractable aggregates, commonly known as amyloid fibrils. These amyloid fibrils contain thread-like structure with a high amount of β sheet content and their accumulation initiates the formation of toxic intermediates in the process of self-assembly. This conversion into intractable aggregates is strongly linked with disorders like Creutzfeldt-Jakob disease, Alzheimer's disease, Parkinson's disease, and lifestyle-related Type II diabetes. The exact mechanism of such normal cellular protein conversion into intractable protease-resistant amyloid aggregates has not yet been explored very well, but an agent that can degrade such amyloid fibrils can be a suitable drug candidate for such disorders. Various proteins and peptides like β-amyloid peptide, β2-microglobulin, insulin amyloids (IA), prion, and serum amyloid Aβ protein accumulate in the human body under different diseased conditions. These amyloids have mutual traits and are usually protease-resistant which makes them difficult to clear from the human body. In this review, we have discussed the history of amyloidosis, the different types of amyloids related to neurological disorders, and systemic and localized amyloidosis. A detailed description of insulin amyloids and prion amyloids has been discussed. A glimpse of the use of natural enzymes and their role is the dissociation of amyloids has been discussed.

淀粉样变性与蛋白质(正常功能性蛋白质和细胞蛋白质)错误折叠成难以处理的聚集体有关,这种聚集体通常被称为淀粉样纤维。这些淀粉样纤维含有线状结构,其中含有大量的β片,它们的积累会在自组装过程中形成有毒的中间产物。这种转化为棘手的聚集体的过程与克雅氏病、阿尔兹海默病、帕金森病和与生活方式有关的 II 型糖尿病等疾病密切相关。这种正常的细胞蛋白质转化为难解的抗蛋白酶淀粉样聚集体的确切机制尚未得到很好的探索,但能降解这种淀粉样纤维的药物可能是治疗这类疾病的合适候选药物。在不同的疾病情况下,β-淀粉样肽、β2-微球蛋白、胰岛素淀粉样蛋白(IA)、朊病毒和血清淀粉样 Aβ 蛋白等各种蛋白质和肽会在人体内聚集。这些淀粉样蛋白具有相互特征,通常对蛋白酶具有抗性,因此很难从人体内清除。在这篇综述中,我们讨论了淀粉样变性的历史、与神经系统疾病相关的不同类型的淀粉样变性以及全身性和局部性淀粉样变性。我们还详细介绍了胰岛素淀粉样变性和朊病毒淀粉样变性。还讨论了天然酶的使用及其在解离淀粉样蛋白方面的作用。
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引用次数: 0
Headache as initial presentation of human chronic necrotizing granulomatous meningoencephalitis: A rare case report 头痛是人类慢性坏死性肉芽肿性脑膜脑炎的最初表现:一个罕见的病例报告
Pub Date : 2023-11-22 DOI: 10.1016/j.dscb.2023.100105
Khaled Gharaibeh, Mustafa Al-Chalabi, Sohaib Lateef, Ajaz Sheikh

Chronic necrotizing granulomatous meningoencephalitis is an idiopathic inflammatory disease with possible autoimmune mediated delayed type hypersensitivity response. It commonly affects the central nervous system of dogs, and on rare occasions cats. However, this inflammatory disease has rarely been reported in humans. A 69-year-old woman presented with subacute intermittent sharp headaches. Brain MRI revealed multifocal enhancing lesions and edema as well as multifocal signal abnormality throughout the supratentorial and infratentorial parenchyma. Cerebrospinal fluid showed elevated opening pressure, pleocytosis, and elevated protein. MRA head, MRV head, cerebral angiogram, extensive serum and CSF work up for infectious and autoimmune etiologies were also unremarkable. Brain biopsy revealed necrotizing granulomatous inflammation with dystrophic calcification. High dose of methylprednisolone followed by a 6-week prednisone taper resolved her headache and the brain MRI abnormalities. This case demonstrates the response of necrotizing granulomatous meningoencephalitis in humans to steroids.

慢性坏死性肉芽肿性脑膜脑炎是一种特发性炎症性疾病,可能有自身免疫介导的延迟型超敏反应。它通常会影响狗的中枢神经系统,在极少数情况下也会影响猫。然而,这种炎症性疾病很少在人类中报道。一名69岁女性,表现为亚急性间歇性剧烈头痛。脑MRI显示幕上及幕下实质多灶性强化病变及水肿及多灶性信号异常。脑脊液显示开口压升高,细胞增多,蛋白升高。MRA头,MRV头,脑血管造影,广泛的血清和脑脊液检查的感染性和自身免疫性病因也不显著。脑活检显示坏死性肉芽肿性炎症伴营养不良钙化。大剂量甲基强的松龙治疗后6周逐渐减少强的松治疗,头痛和脑部MRI异常得以缓解。本病例显示人类坏死性肉芽肿性脑膜脑炎对类固醇的反应。
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引用次数: 0
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Brain disorders (Amsterdam, Netherlands)
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