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Recent developments and future perspectives of neuropathology 神经病理学的最新发展和未来展望
Pub Date : 2022-09-30 DOI: 10.37349/en.2022.00004
K. Jellinger
This brief statement describes some recent achievements of neuropathological research, with the focus on Alzheimer’s and other age-related diseases, neurodegenerative disorders (tauopathies, synucleinopathies), multimorbidity of the aged brain, multiple sclerosis (MS), and other neuroinflammatory disorders, including central nervous system involvement by coronavirus disease 2019 (COVID-19), as well as new developments in neurovascular diseases, neurooncology, and myopathies. Although neuropathology, using modern technologies, such as cryo-electron microscopy, proteomic and experimental methods, has helped to increase diagnostic accuracy and provided insight into the pathogenesis of many neurological disorders, future studies in co-operation with clinical and other neurosciences should overcome the challenges of disease-influencing therapeutic approaches.
本简短声明介绍了神经病理学研究的一些最新成果,重点关注阿尔茨海默病和其他与年龄相关的疾病、神经退行性疾病(tau病、突触核蛋白病)、老年脑多病、多发性硬化症(MS)和其他神经炎症性疾病,包括2019年冠状病毒病(COVID-19)累及中枢神经系统,以及神经血管疾病、神经肿瘤学和肌病的新进展。尽管神经病理学使用现代技术,如冷冻电子显微镜、蛋白质组学和实验方法,有助于提高诊断的准确性,并为许多神经疾病的发病机制提供见解,但未来与临床和其他神经科学合作的研究应克服影响疾病治疗方法的挑战。
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引用次数: 1
Impact of circadian clock dysfunction on human health 生物钟功能紊乱对人体健康的影响
Pub Date : 2022-09-29 DOI: 10.37349/en.2022.00002
S. Samanta, Sk Asif Ali
All living organisms exhibit circadian rhythms. Humans show circadian rhythm of the different physiological functions such as sleep-wake cycle, core body temperature, feeding behavior, metabolic activity, heart rate variability, hormone secretion, and others. The hypothalamic suprachiasmatic nucleus (SCN) acts as a primary circadian pacemaker. Peripheral tissues have an endogenous circadian clock; however, SCN synchronizes the circadian activity of the peripheral clocks. The retinohypothalamic tract (RHT) from retinal ganglionic cells carries the photic signal into the SCN that regulates the rhythmic expression of the core clock genes through the feedback loop. At the output level, the SCN connects with the pineal gland and the peripheral tissues with the help of neuroendocrine mediators. Disruption of circadian clock functions is detrimental to health. Shift work, night work, chronic or acute jet lag, and light-at-night have adverse effects on circadian functions. Misalignment of circadian rhythm alters the expression of core clock genes, leading to deregulation of cellular activity and metabolic functions. Circadian rhythm dysfunction causes many pathologic conditions, including sleep disorders, cardiovascular problems, metabolic dysfunction, infertility, poor physical performance, as well as cancer. The present work has reviewed the relationship between circadian clock dysfunction and impaired physiological activities.
所有生物体都有昼夜节律。人类表现出不同生理功能的昼夜节律,如睡眠-觉醒周期、核心体温、摄食行为、代谢活动、心率变异性、激素分泌等。下丘脑视交叉上核(SCN)作为主要的昼夜节律起搏器。外周组织有内源性生物钟;然而,SCN同步外围时钟的昼夜节律活动。视网膜神经节细胞的视网膜下丘脑束(retinohypothalamic tract, RHT)将光信号传递到SCN,通过反馈回路调节核心时钟基因的节律性表达。在输出水平,SCN在神经内分泌介质的帮助下与松果体和周围组织连接。生物钟功能的破坏对健康是有害的。倒班工作、夜间工作、慢性或急性时差以及夜间光线对昼夜节律功能有不利影响。昼夜节律的失调改变了核心时钟基因的表达,导致细胞活动和代谢功能的失调。昼夜节律障碍会导致许多病理状况,包括睡眠障碍、心血管问题、代谢功能障碍、不孕症、身体表现不佳以及癌症。本文综述了生物钟功能障碍与生理活动受损的关系。
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引用次数: 1
Neuregulins: subcellular localization, signaling pathways and their relationship with neuroplasticity and neurological diseases 神经调节蛋白:亚细胞定位、信号通路及其与神经可塑性和神经系统疾病的关系
Pub Date : 2022-09-29 DOI: 10.37349/en.2022.00003
M. Longart, Christian Calderón, Manuel González, María Elena Grela, J. Martínez
Neuregulins (NRGs) and their cognate ErbB receptors (ErbB2–ErbB4) constitute a vast group of proteins encoded by six different genes (NRG1–6) and many isoforms with critical roles in the development and functioning of the nervous system. NRGs are known to regulate important processes in the nervous system like neural development, neuronal differentiation, neurite outgrowth, and specification. These factors are involved in the regulation of neurotransmission pathways and the modulation of several forms of synaptic plasticity. Due to NRGs’ role in synaptic plasticity, defects in their normal functioning are translated into altered signaling networks, which have been linked to susceptibility to developing psychiatric disorders like schizophrenia (SZ), autism, depression, and bipolar disorders. Additionally, deviation of the NRG normal functioning is involved in neurological diseases like Alzheimer’s and Parkinson’s disease. Contrastingly, NRG/ErbB signaling is also involved in the recovery after traumatic brain injuries (e.g., ischemic stroke). The NRG/ErbB signaling complex is highly unusual because the ligands (mainly NRG1–NRG3, with their multiple isoforms) and receptors (ErbB2–ErbB4) can orchestrate vast signaling complexes, with a wide reach within the processes that govern the development and appropriate function of the nervous system. This may explain why NRGs and ErbB receptor genes have been linked to complex brain disorders, like SZ. This review, are discussed important aspects of NRG and their relevance for nervous system functioning, including 1) subcellular localization, 2) signaling pathways involved in neuronal functions, 3) effect on neurite development and synapse formation, 4) modulation of some mechanisms of synaptic plasticity [long-term potentiation (LTP), depotentiation, long-term depression (LTD)] and 5) roles of NRGs in some neurological diseases. This review intends to present a summary of the main findings about this family of proteins, which might position them as one of the master regulators of brain functioning.
神经调节蛋白(NRGs)及其同源ErbB受体(ErbB2-ErbB4)由6个不同的基因(NRG1-6)和许多亚型编码,在神经系统的发育和功能中起关键作用。已知NRGs调节神经系统的重要过程,如神经发育、神经元分化、神经突生长和规范。这些因素参与神经传递途径的调节和几种形式的突触可塑性的调节。由于NRGs在突触可塑性中的作用,其正常功能的缺陷被转化为信号网络的改变,这与精神分裂症(SZ)、自闭症、抑郁症和双相情感障碍等精神疾病的易感性有关。此外,NRG正常功能的偏离与阿尔茨海默病和帕金森病等神经系统疾病有关。相反,NRG/ErbB信号也参与创伤性脑损伤(如缺血性中风)后的恢复。NRG/ErbB信号复合物是非常不寻常的,因为配体(主要是NRG1-NRG3,及其多种异构体)和受体(ErbB2-ErbB4)可以协调大量的信号复合物,在控制神经系统发育和适当功能的过程中具有广泛的影响。这也许可以解释为什么NRGs和ErbB受体基因与复杂的脑部疾病有关,比如SZ。本文综述了NRG在神经系统功能中的重要作用,包括:1)亚细胞定位;2)参与神经元功能的信号通路;3)对神经突发育和突触形成的影响;4)突触可塑性的一些机制[长期增强(LTP),去增强(depotentiation),长期抑制(LTD)]的调节;5)NRG在一些神经系统疾病中的作用。本文综述了该蛋白家族的主要发现,这些发现可能将其定位为脑功能的主要调节因子之一。
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引用次数: 0
Cutting edges in neuroscience to exceed borders 神经科学的前沿突破了国界
Pub Date : 2022-04-02 DOI: 10.37349/en.2022.00001
D. Hermann
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引用次数: 1
Updates in mechanical thrombectomy. 机械血栓切除术的最新进展。
Pub Date : 2022-01-01 Epub Date: 2022-12-30 DOI: 10.37349/en.2022.00007
Kevin Pierre, Carlos Perez-Vega, Anna Fusco, Bankole Olowofela, Rami Hatem, Mohammed Elyazeed, Mohammed Azab, Brandon Lucke-Wold

Stroke is a leading cause of morbidity and mortality. The advent of mechanical thrombectomy has largely improved patient outcomes. This article reviews the features and outcomes associated with aspiration, stent retrievers, and combination catheters used in current practice. There is also a discussion on clinical considerations based on anatomical features and clot composition. The reperfusion grading scale and outcome metrics commonly used following thrombectomy when a patient is still in the hospital are reviewed. Lastly, there are proposed discharge and outpatient follow-up goals in caring for patients hospitalized for a stroke.

中风是发病和死亡的主要原因。机械血栓切除术的出现在很大程度上改善了患者的预后。本文回顾了目前实践中使用的抽吸器、支架取栓器和组合导管的特点和效果。文章还讨论了基于解剖特征和血栓成分的临床考虑因素。此外,还回顾了患者住院期间血栓切除术后常用的再灌注分级表和疗效指标。最后,提出了中风住院患者的出院和门诊随访目标。
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引用次数: 0
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Exploration of neuroscience
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