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Retroviral Elements in Human Evolution and Neural Development. 逆转录病毒在人类进化和神经发育中的作用。
Pub Date : 2021-01-01
Tongguang Wang, Tara T Doucet-O'Hare, Lisa Henderson, Rachel P M Abrams, Avindra Nath
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引用次数: 0
The Spread of Spectrin in Ataxia and Neurodegenerative Disease. 幽灵蛋白在共济失调和神经退行性疾病中的传播。
Pub Date : 2021-01-01
Jon S Morrow, Michael C Stankewich

Experimental and hereditary defects in the ubiquitous scaffolding proteins of the spectrin gene family cause an array of neuropathologies. Most recognized are ataxias caused by missense, deletions, or truncations in the SPTBN2 gene that encodes beta III spectrin. Such mutations disrupt the organization of post-synaptic receptors, their active transport through the secretory pathway, and the organization and dynamics of the actin-based neuronal skeleton. Similar mutations in SPTAN1 that encodes alpha II spectrin cause severe and usually lethal neurodevelopmental defects including one form of early infantile epileptic encephalopathy type 5 (West syndrome). Defects in these and other spectrins are implicated in degenerative and psychiatric conditions. In recent published work, we describe in mice a novel variant of alpha II spectrin that results in a progressive ataxia with widespread neurodegenerative change. The action of this variant is distinct, in that rather than disrupting a constitutive ligand-binding function of spectrin, the mutation alters its response to calcium and calmodulin-regulated signaling pathways including its response to calpain activation. As such, it represents a novel spectrinopathy that targets a key regulatory pathway where calcium and tyrosine kinase signals converge. Here we briefly discuss the various roles of spectrin in neuronal processes and calcium activated regulatory inputs that control its participation in neuronal growth, organization, and remodeling. We hypothesize that damage to the neuronal spectrin scaffold may be a common final pathway in many neurodegenerative disorders. Targeting the pathways that regulate spectrin function may thus offer novel avenues for therapeutic intervention.

spectrin基因家族中普遍存在的支架蛋白的实验和遗传缺陷导致一系列神经病变。大多数公认的共济失调是由编码β III谱蛋白的SPTBN2基因的错义、缺失或截断引起的。这些突变破坏了突触后受体的组织,它们通过分泌途径的主动运输,以及基于肌动蛋白的神经元骨架的组织和动力学。编码α II谱蛋白的SPTAN1的类似突变可导致严重且通常致命的神经发育缺陷,包括一种早期婴儿癫痫性脑病5型(West综合征)。这些和其他谱蛋白的缺陷与退行性和精神疾病有关。在最近发表的工作中,我们在小鼠中描述了一种新的α II谱蛋白变体,该变体导致进行性共济失调并伴有广泛的神经退行性改变。这种变异的作用是独特的,它并没有破坏谱蛋白的配体结合功能,而是改变了它对钙和钙调素调节的信号通路的反应,包括对钙蛋白酶激活的反应。因此,它代表了一种新的频谱病,其目标是钙和酪氨酸激酶信号汇聚的关键调控途径。在这里,我们简要地讨论了谱蛋白在神经元过程中的各种作用,以及钙激活的调节输入,控制其参与神经元的生长、组织和重塑。我们假设神经元谱蛋白支架的损伤可能是许多神经退行性疾病的共同最终途径。因此,靶向调节谱蛋白功能的途径可能为治疗干预提供新的途径。
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引用次数: 0
Differential Fecal Microbiome Dysbiosis after Equivalent Traumatic Brain Injury in Aged Versus Young Adult Mice. 老年和年轻成年小鼠等效创伤性脑损伤后粪便微生物组的差异性失调。
Pub Date : 2021-01-01 DOI: 10.33696/neurol.2.044
Booker T Davis, Mecca B A R Islam, Promi Das, Jack A Gilbert, Karen J Ho, Steven J Schwulst

Traumatic brain injury (TBI) has a bimodal age distribution with peak incidence at age 24 and age 65 with worse outcomes developing in aged populations. Few studies have specifically addressed age at the time of injury as an independent biologic variable in TBI-associated secondary pathology. Within the framework of our published work, identifying age related effects of TBI on neuropathology, cognition, memory and motor function we analyzed fecal pellets collected from young and aged TBI animals to assess for age-induced effects in TBI induced dysbiosis. In this follow up, work we hypothesized increased dysbiosis after TBI in aged (80-week-old, N=10) versus young (14-week-old, N=10) mice. C57BL/6 males received a sham incision or TBI via open-head controlled cortical impact. Fresh stool pellets were collected 1-day pre-TBI, then 1, 7, and 28-days post-TBI for 16S rRNA gene sequencing and taxonomic analysis. Data revealed an age induced increase in disease associated microbial species which were exacerbated by injury. Consistent with our hypothesis, aged mice demonstrated a high number of disease associated changes to the gut microbiome pre- and post-injury. Our data suggest divergent microbiome phenotypes in injury between young and aged reflecting a previously unknown interaction between age, TBI, and the gut-brain axis implying the need for different treatment strategies.

创伤性脑损伤(TBI)具有双峰年龄分布,24岁和65岁的发病率最高,老年人群的预后较差。很少有研究专门将受伤时的年龄作为TBI相关继发病理的独立生物学变量。在我们已发表的工作的框架内,为了确定TBI对神经病理学、认知、记忆和运动功能的年龄相关影响,我们分析了从年轻和老年TBI动物身上收集的粪便颗粒,以评估年龄对TBI诱导的微生态失调的影响。在这项随访中,我们假设老年(80周龄,N=10)小鼠与年轻(14周龄,N=10)小鼠在TBI后的微生态失调增加。C57BL/6雄性通过开放式头部控制的皮质撞击接受假切口或TBI。在TBI前1天,然后在TBI后1、7和28天收集新鲜粪便颗粒,用于16S rRNA基因测序和分类分析。数据显示,年龄导致疾病相关微生物种类增加,而损伤则加剧了这种情况。与我们的假设一致,衰老小鼠在损伤前后肠道微生物组发生了大量与疾病相关的变化。我们的数据表明,年轻人和老年人在损伤中的微生物组表型不同,反映了年龄、TBI和肠脑轴之间以前未知的相互作用,这意味着需要不同的治疗策略。
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引用次数: 4
Capillary Stalling: A Mechanism of Decreased Cerebral Blood Flow in AD/ADRD. 毛细血管停滞:AD/ADRD脑血流量减少的机制。
Pub Date : 2021-01-01 DOI: 10.33696/neurol.2.048
Reece Crumpler, Richard J Roman, Fan Fan

Alzheimer's Disease (AD) and Alzheimer's Disease-Related Dementias (ADRD) are debilitating conditions that are highly associated with aging populations, especially those with comorbidities such as diabetes and hypertension. In addition to the classical pathological findings of AD, such as beta-amyloid (Aβ) accumulation and tau hyperphosphorylation, vascular dysfunction is also associated with the progression of the disease. Vascular dysfunction in AD is associated with decreased cerebral blood flow (CBF). Impaired CBF is an early and persistent symptom of AD/ADRD and is thought to be associated with deficient autoregulation and neurovascular coupling. Another recently elucidated mechanism that contributes to cerebral hypoperfusion is capillary stalling, or the temporary arrest of capillary blood flow usually precipitated by a stalled leukocyte or constriction of actin-containing capillary pericytes. Stalled capillaries are associated with decreased CBF and impaired cognitive performance. AD/ADRD are associated with chronic, low-level inflammation, which contributes to capillary stalling by increased cell adhesion molecules, circulating leukocytes, and reactive oxygen species production. Recent research has shed light on potential targets to decrease capillary stalling in AD mice. Separate inhibition of Ly6G and VEGF-A has been shown to decrease capillary stalling and increase CBF in AD mice. These results suggest that targeting stalled capillaries could influence the outcome of AD and potentially be a target for future therapies.

阿尔茨海默病(AD)和阿尔茨海默病相关性痴呆(ADRD)是一种使人衰弱的疾病,与人口老龄化高度相关,尤其是与糖尿病和高血压等合并症相关。除了β-淀粉样蛋白(Aβ)积累和tau过度磷酸化等典型的老年痴呆症病理结果外,血管功能障碍也与疾病的进展有关。注意力缺失症的血管功能障碍与脑血流量(CBF)下降有关。CBF受损是AD/ADRD的早期和持续性症状,被认为与自调节和神经血管耦合缺陷有关。最近阐明的另一种导致脑灌注不足的机制是毛细血管停滞,即毛细血管血流暂时停止,通常是由停滞的白细胞或含有肌动蛋白的毛细血管周细胞收缩引起的。毛细血管停滞与 CBF 下降和认知能力受损有关。AD/ADRD与慢性低水平炎症有关,炎症会通过增加细胞粘附分子、循环白细胞和活性氧的产生而导致毛细血管阻滞。最近的研究揭示了减少 AD 小鼠毛细血管滞留的潜在靶点。研究表明,分别抑制 Ly6G 和血管内皮生长因子-A 可减少 AD 小鼠的毛细血管滞留并增加 CBF。这些结果表明,针对停滞的毛细血管可能会影响 AD 的预后,并有可能成为未来疗法的靶点。
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引用次数: 0
Targeting the Cancer Stem Cell (CSC) Phenotype: Uprooting the Evil Seed 靶向癌症干细胞(CSC)表型:根除邪恶的种子
Pub Date : 2020-12-31 DOI: 10.33696/NEUROL.1.027
H. Lopez-Bertoni, J. Laterra
Hernando Lopez-Bertoni1,2*, John Laterra1,2,3,4* 1Hugo W. Moser Research Institute at Kennedy Krieger, 707 N. Broadway, Baltimore, MD, USA 21205 2Department of Neurology, Johns Hopkins School of Medicine, 600 N. Wolfe Street, Baltimore, MD, USA 21287 3Department of Neuroscience, Johns Hopkins School of Medicine, 600 N. Wolfe Street, Baltimore, MD, USA 21287 4Department of Oncology, Johns Hopkins School of Medicine, 600 N. Wolfe Street, Baltimore, MD, USA 21287
Hernando Lopez-Bertoni 1,2*,John Laterra 1,2,3,4*1Hugo W.Moser研究所,地址:Kennedy Krieger,707 N.Broadway,Baltimore,MD,USA 21205 2约翰斯·霍普金斯医学院神经病学系,地址:600 N.Wolfe Street,Baltimor,MD,US 21287 3约翰霍普金斯医学院神经科学系,约翰斯·霍普金斯医学院,美国马里兰州巴尔的摩北沃尔夫街600号,邮编:21287
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引用次数: 0
Alzheimer and It’s Possible Therapy: A Review 阿尔茨海默病及其可能的治疗方法综述
Pub Date : 2020-12-31 DOI: 10.33696/NEUROL.1.019
A. Chakraborty, Anil Diwan
Alzheimer disease (AD) is recognized by a gradual loss of memory which never returns to normal, called dementia caused due to the death of functional neural cells. Only 10-15% cases are found genetically involved. However, in all the cases of AD, beta amyloid (Aβ) protein forms plaques, and the tau protein forms tangles which disrupts the normal neuronal functions for transporting neurotransmitters, nutrient, and also communication with other neural cells; ultimately develops the disease. We have reviewed here the presently available all the treatment options, and discussed, not only why but how, a better option can be developed for AD treatment.
阿尔茨海默病(AD)的特征是记忆力逐渐丧失,再也无法恢复正常,这被称为痴呆症,是由功能性神经细胞死亡引起的。只有10-15%的病例被发现与基因有关。然而,在所有AD病例中,β -淀粉样蛋白(Aβ)形成斑块,tau蛋白形成缠结,破坏正常的神经功能,如运输神经递质、营养物质以及与其他神经细胞的通信;最终患上这种疾病。我们在这里回顾了目前可用的所有治疗方案,并讨论了为什么以及如何开发更好的AD治疗方案。
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引用次数: 1
Cutaneous Side Effects of First-Second Line Oral Disease - Modifying Treatments in Patients with Multiple Sclero 多发性硬化症患者一二线口腔疾病的皮肤副作用-改良治疗
Pub Date : 2020-12-31 DOI: 10.33696/NEUROL.1.024
Doruk Arslan, A. Tuncer
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引用次数: 0
Can ECT Improve the Motor Symptoms of a Neurological Disease? A Case of Dopa-Responsive Dystonia ECT能改善神经系统疾病的运动症状吗?多巴反应性肌张力障碍1例
Pub Date : 2020-12-31 DOI: 10.33696/NEUROL.1.023
C. Guillet
The patient’s brother, who died by suicide, was also diagnosed with DYT5b. He presented symptoms of the disorder from birth, while Ms. M was not diagnosed until adulthood because of the atypical presentation of the disease. She was examined by several neurologists over the years, but they were unable to provide the correct diagnosis. She was even hospitalized several times in a psychiatric ward with a diagnosis of conversion disorder.
该患者自杀身亡的兄弟也被诊断患有DYT5b。他从出生时就出现了这种疾病的症状,而M女士由于这种疾病的非典型表现,直到成年后才被诊断出来。多年来,她接受了几位神经科医生的检查,但他们都无法给出正确的诊断。她甚至多次被诊断为转化障碍,住进精神病院。
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引用次数: 0
A Commentary on Concomitant Symptomatic Coronary Disease and Carotid Artery Stenosis -The Tufts Medical Center Experience 对伴随症状性冠状动脉疾病和颈动脉狭窄的评论-塔夫茨医疗中心的经验
Pub Date : 2020-12-31 DOI: 10.33696//NEUROL.1.021
Y. Ikeno, K. Charlton-Ouw, M. Iafrati, Anand Y. Shah
135 Despite the development of surgical outcomes, acute stroke remain a devastating complication following coronary artery bypass grafting (CABG) [1]. Coexistent CAD and carotid artery stenosis are prevalent due to their common background of systemic atherosclerosis (20%) [2]. Naylor, et al. [3,4] demonstrated that the risk of stroke associated with CABG is 3.2% in patients with asymptomatic, unilateral severe carotid stenosis, whereas these figures increase to 5.2% in those with bilateral carotid stenosis and 7% to 11.6% in those with carotid occlusion. The management of concomitant CAD and carotid artery disease has been elucidated over time. The combination of carotid endarterectomy (CEA) and CABG in the same surgical setting was introduced in the 1980s [5]. Nonetheless, the surgical management, particularly the timing and order of surgical procedures, remains varied across North America. This commentary reflects upon the Tufts Medical Center experience on the current knowledge of the prevention of perioperative stroke in patients with concurrent CAD and carotid artery disease, focusing on simultaneous CEA/CABG.
尽管手术结果有所改善,急性卒中仍然是冠状动脉旁路移植术(CABG)后的严重并发症。由于冠心病和颈动脉狭窄的共同背景是全身性动脉粥样硬化(20%),因此两者并存的情况很普遍。Naylor等[3,4]研究表明,无症状的单侧颈动脉严重狭窄患者CABG相关卒中的风险为3.2%,而双侧颈动脉狭窄患者的这一数字增加到5.2%,颈动脉闭塞患者的这一数字增加到7%至11.6%。随着时间的推移,冠心病和颈动脉疾病的治疗已经得到了阐明。颈动脉内膜切除术(CEA)和CABG在同一手术环境下的联合应用于20世纪80年代[5]。尽管如此,手术治疗,特别是手术的时间和顺序,在北美各地仍然各不相同。这篇评论反映了Tufts医学中心目前对并发CAD和颈动脉疾病患者围手术期卒中预防知识的经验,重点是同时进行CEA/CABG。
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引用次数: 0
A Protocol for the Generation of Treatment-naïve Biopsyderived Diffuse Intrinsic Pontine Glioma and Diffuse Midline Glioma Models 一种生成治疗幼稚活检衍生的弥漫性固有脑桥胶质瘤和弥漫性中线胶质瘤模型的方案
Pub Date : 2020-12-31 DOI: 10.33696/neurol.1.025
Diffuse intrinsic pontine glioma (DIPG) is a universally fatal tumor of the brainstem, most commonly affecting young children. Due to its location, surgical resection is not achievable, but consideration of a biopsy has become standard practice at children’s hospitals with the appropriate neurosurgical expertise. While the decision to obtain a biopsy should be directed by the presence of atypical radiographic features that call the diagnosis of DIPG into question or the requirement of biopsy tissue for clinical trial enrollment, once this precious tissue is available its use for research should be considered. The majority of DIPG and diffuse midline glioma, H3 K27Mmutant (DMG) models are autopsy-derived or genetically-engineered, each of which has limitations for translational studies, so the use of biopsy tissue for laboratory model development provides an opportunity to create unique model systems. Here, we present a detailed laboratory protocol for the generation of treatment-naïve biopsy-derived DIPG/DMG models. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. http://creativecommons.org/ licenses/by/4.0/ Correspondence should be addressed to Nicholas A. Vitanza; nicholas.vitanza@seattlechildrens.org. Authorship MCB, AN, CM, SMM, CAW, FP, JMO, and NAV participated in the design or interpretation of the reported experiments or results. MCB, AN, CM, SMM, CAW, FP, BLC, SRB, and NAV participated in the acquisition or analysis of data. MCB, AN, and NAV wrote the manuscript with revisions and approval from all authors. NAV supervised all aspects of the research. Conflicts of Interest None. HHS Public Access Author manuscript J Exp Neurol. Author manuscript; available in PMC 2021 March 24. Published in final edited form as: J Exp Neurol. 2020 December ; 1(4): 158–167. doi:10.33696//Neurol.1.025. A uhor M anscript
弥漫性固有桥脑胶质瘤(DIPG)是一种普遍致命的脑干肿瘤,最常见于幼儿。由于其位置,手术切除是不可能实现的,但考虑活检已成为具有适当神经外科专业知识的儿童医院的标准做法。虽然活检的决定应该根据是否存在非典型放射学特征来决定,这些特征会使DIPG的诊断受到质疑,或者临床试验注册需要活检组织,但一旦这种珍贵的组织可用,就应该考虑将其用于研究。大多数DIPG和弥漫性中线神经胶质瘤H3 K27M突变体(DMG)模型都是尸检衍生或基因工程模型,每种模型都有转化研究的局限性,因此使用活检组织进行实验室模型开发为创建独特的模型系统提供了机会。在这里,我们提出了一个详细的实验室方案,用于生成治疗幼稚的活检衍生的DIPG/DMG模型。这是一篇根据知识共享署名许可证条款分发的开放获取文章,该许可证允许在任何媒体上不受限制地使用、分发和复制,前提是原始作者和来源得到认可。http://creativecommons.org/许可证/截止日期/4.0/通讯地址应为Nicholas A.Vitanza;nicholas.vitanza@seattlechildrens.org.作者MCB、AN、CM、SMM、CAW、FP、JMO和NAV参与了报告的实验或结果的设计或解释。MCB、AN、CM、SMM、CAW、FP、BLC、SRB和NAV参与了数据的采集或分析。MCB、AN和NAV在所有作者的修订和批准下撰写了手稿。NAV监督了研究的各个方面。利益冲突无。HHS公共访问作者手稿J Exp Neurol。作者手稿;可于2021年3月24日在PMC上获得。以最终编辑形式出版:《神经实验杂志》。2020年12月;1(4):158–167。doi:10.33696//Neurol.1.025
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引用次数: 1
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Journal of experimental neurology
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