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Alterations in the Brain Transcriptome in Plasmodium Berghei ANKA Infected Mice. 伯氏疟原虫ANKA感染小鼠脑转录组的改变
Pub Date : 2010-10-01
Mahalia S Desruisseaux, Dumitru A Iacobas, Sanda Iacobas, Shankar Mukherjee, Louis M Weiss, Herbert B Tanowitz, David C Spray

We have used cDNA microarrays to compare gene expression profiles in brains from normal mice to those infected with the ANKA strain of Plasmodium berghei, a model of cerebral malaria. For each of three brains in each group, we computed ratios of all quantifiable genes with a composite reference sample and then computed ratios of gene expression in infected brains compared to untreated controls. Of the almost 12,000 unigenes adequately quantified in all arrays, approximately 3% were significantly downregulated (P < 0.05, ≥ 50% fold change) and about 7% were upregulated. Upon inspection of the lists of regulated genes, we identified a high number encoding proteins of importance to normal brain function or associated with neuropathology, including genes that encode for synaptic proteins or genes involved in cerebellar function as well as genes important in certain neurological diseases such as Alzheimer's disease or autism. These results emphasize the important impact of malarial infection on gene expression in the brain and provide potential biomarkers that may provide novel therapeutic targets to ameliorate the neurological sequelae of this infection.

我们利用cDNA微阵列技术比较了正常小鼠和感染了伯氏疟原虫ANKA菌株(一种脑型疟疾模型)的小鼠大脑中的基因表达谱。对于每组的三个大脑,我们用复合参考样本计算了所有可量化基因的比率,然后计算了感染大脑中与未治疗对照组相比的基因表达比率。在所有阵列中充分量化的近12,000个单基因中,约3%显着下调(P < 0.05,≥50%倍变化),约7%上调。通过对受调节基因列表的检查,我们确定了大量对正常脑功能或与神经病理学相关的重要编码蛋白,包括编码突触蛋白或参与小脑功能的基因,以及在某些神经系统疾病(如阿尔茨海默病或自闭症)中重要的基因。这些结果强调了疟疾感染对大脑基因表达的重要影响,并提供了潜在的生物标志物,可能为改善疟疾感染的神经系统后遗症提供新的治疗靶点。
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引用次数: 0
Alterations in the Brain Transcriptome in Plasmodium Berghei ANKA Infected Mice. 伯氏疟原虫ANKA感染小鼠脑转录组的改变
Pub Date : 2010-10-01 DOI: 10.4303/JNP/N100803
M. Desruisseaux, D. Iacobas, S. Iacobaş, Shankar Mukherjee, L. Weiss, H. Tanowitz, D. Spray
We have used cDNA microarrays to compare gene expression profiles in brains from normal mice to those infected with the ANKA strain of Plasmodium berghei, a model of cerebral malaria. For each of three brains in each group, we computed ratios of all quantifiable genes with a composite reference sample and then computed ratios of gene expression in infected brains compared to untreated controls. Of the almost 12,000 unigenes adequately quantified in all arrays, approximately 3% were significantly downregulated (P < 0.05, ≥ 50% fold change) and about 7% were upregulated. Upon inspection of the lists of regulated genes, we identified a high number encoding proteins of importance to normal brain function or associated with neuropathology, including genes that encode for synaptic proteins or genes involved in cerebellar function as well as genes important in certain neurological diseases such as Alzheimer's disease or autism. These results emphasize the important impact of malarial infection on gene expression in the brain and provide potential biomarkers that may provide novel therapeutic targets to ameliorate the neurological sequelae of this infection.
我们利用cDNA微阵列技术比较了正常小鼠和感染了伯氏疟原虫ANKA菌株(一种脑型疟疾模型)的小鼠大脑中的基因表达谱。对于每组的三个大脑,我们用复合参考样本计算了所有可量化基因的比率,然后计算了感染大脑中与未治疗对照组相比的基因表达比率。在所有阵列中充分量化的近12,000个单基因中,约有3%显着下调(P < 0.05,≥50%倍变化),约7%上调。通过对受调节基因列表的检查,我们确定了大量对正常脑功能或与神经病理学相关的重要编码蛋白,包括编码突触蛋白或参与小脑功能的基因,以及在某些神经系统疾病(如阿尔茨海默病或自闭症)中重要的基因。这些结果强调了疟疾感染对大脑基因表达的重要影响,并提供了潜在的生物标志物,可能为改善疟疾感染的神经系统后遗症提供新的治疗靶点。
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引用次数: 19
Trypanosoma cruzi-Derived Neurotrophic Factor: Role in Neural Repair and Neuroprotection. 克氏锥虫衍生神经营养因子:在神经修复和神经保护中的作用。
Pub Date : 2010-07-26 DOI: 10.4303/jnp/N100507
Marina V Chuenkova, Mercio Pereiraperrin

Some patients infected with the parasite Try-panosoma cruzi develop chronic Chagas' disease, while others remain asymptomatic for life. Although pathological mechanisms that govern disease progression remain unclear, the balance between degeneration and regeneration in the peripheral nervous system seems to contribute to the different clinical outcomes. This review focuses on certain new aspects of host-parasite interactions related to regeneration in the host nervous system induced by the trans-sialidase of T. cruzi, also known as a parasite-derived neurotrophic factor (PDNF). PDNF plays multiple roles in T. cruzi infection, ranging from immunosuppression to functional mimicry of mammalian neurotrophic factors and inhibition of apoptosis. PDNF affinity to neurotrophin Trk receptors provide sustained activation of cellular survival mechanisms resulting in neuroprotection and neuronal repair, resistance to cytotoxic insults and enhancement of neuritogenesis. Such unique PDNF-elicited regenerative responses likely prolong parasite persistence in infected tissues while reducing neuropathology in Chagas' disease.

一些感染克氏锥虫的患者会发展成慢性恰加斯病,而另一些患者则终生无症状。尽管控制疾病进展的病理机制尚不清楚,但周围神经系统退化和再生之间的平衡似乎导致了不同的临床结果。本文综述了与克氏绦虫反式唾液酸酶(又称寄生虫源性神经营养因子)诱导的宿主神经系统再生相关的宿主-寄生虫相互作用的某些新方面。PDNF在克氏绦虫感染中发挥多种作用,从免疫抑制到哺乳动物神经营养因子的功能模仿和细胞凋亡的抑制。PDNF与神经营养蛋白Trk受体的亲和力提供了细胞存活机制的持续激活,从而导致神经保护和神经元修复,抵抗细胞毒性损伤和增强神经新生。这种独特的pdnf诱导的再生反应可能会延长寄生虫在感染组织中的持久性,同时减少恰加斯病的神经病理学。
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引用次数: 8
Baylisascaris Procyonis Neural Larva Migrans in an Infant in New York City. 纽约市一个婴儿的贝氏蛔虫原yonis神经幼虫迁移。
Pub Date : 2010-01-01 DOI: 10.4303/jnp/N100502
Jason E Perlman, Kevin R Kazacos, Gavin H Imperato, Rajen U Desai, Susan K Schulman, Jon Edwards, Lucy R Pontrelli, Fabiana S Machado, Herbert B Tanowitz, Norman A Saffra

Neural larva migrans (NLM) with eosinophilic meningoencephalitis secondary to raccoon roundworm (Baylisascaris procyonis) infection has been reported in rural and suburban areas of North America and Europe with extant raccoon populations. Most cases have occurred in infants less than two years of age exposed to areas of raccoon fecal contamination. Here, we present a case of Baylisascaris-induced NLM from the densely populated borough of Brooklyn in New York City and alert urban pediatricians to consider this cause of clinical neurologic disease even in areas not typically thought to be associated with endemic risk factors. Infected raccoons also occur in urban settings, and urban children may be exposed to environmental areas or materials contaminated with their feces and the parasite's eggs.

据报道,在北美和欧洲现存浣熊种群的农村和郊区,有神经迁移幼虫(NLM)继发于浣熊蛔虫感染的嗜酸性脑膜脑炎。大多数病例发生在暴露于浣熊粪便污染地区的两岁以下婴儿中。在这里,我们报告了一例来自纽约市人口稠密的布鲁克林区贝利蛔虫引起的NLM病例,并提醒城市儿科医生即使在通常不被认为与地方性危险因素相关的地区,也要考虑这种临床神经系统疾病的病因。受感染的浣熊也发生在城市环境中,城市儿童可能接触到被其粪便和寄生虫卵污染的环境区域或材料。
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引用次数: 24
Increasing Intracerebral Infections Caused by Free-Living Amebae in the United States and Worldwide 在美国和世界范围内,由自由生活的阿米巴虫引起的脑内感染日益增加
Pub Date : 2010-01-01 DOI: 10.4303/JNP/N100801
J. Diaz
Free-living amebae of the genera Acanthamoeba, Balamuthia, Naegleria, and Sappinia are rare causes of infectious diseases in humans with the exception of Acanthamoeba keratitis (AK) which is reported in millions of soft contact lens wearers worldwide each year. Unlike several Acanthamoeba species, only one species of Naegleria, N. fowleri, is known to infect humans by causing an acute, fulminant, usually lethal, central nervous system (CNS) infection, known as primary amebic meningoencephalitis (PAM). Balamuthia mandrillaris, another opportunistic, free-living ameba, is, like Acanthamoeba spp., capable of causing skin lesions and granulomatous amebic encephalitis (GAE) in individuals with compromised or competent immune systems, who inhale infective cysts or develop indolent, granulomatous skin lesions in soil-contaminated wounds. Lastly, Sappinia pedata, a recently identified free-living ameba that lives in soil and animal and reptile feces, has caused a single case of nongranulomatous amebic encephalitis in an immunocompetent Texas farmer. CNS infections caused by these ubiquitous organisms remain rare, but are, nevertheless, increasing today in the US and worldwide due to a combination of environmental and host susceptibility factors. The purpose of this review will be to describe the current epidemiology, pathophysiology, clinical manifestations, diagnosis, management, and prevention of free-living amebic infections of the CNS.
自由生活的棘阿米巴属变形虫、Balamuthia、Naegleria和Sappinia是人类传染性疾病的罕见原因,除了棘阿米巴角膜炎(AK),每年全世界有数百万软性隐形眼镜佩戴者报道。与几种棘阿米巴原虫不同,已知只有一种纳格里亚原虫,即福氏奈格里亚原虫,通过引起急性、暴发性、通常致命的中枢神经系统感染(称为原发性阿米巴脑膜脑炎)来感染人类。Balamuthia mandrillaris是另一种机会性的、自由生活的阿米巴原虫,与棘阿米巴原虫一样,能够在免疫系统受损或正常的个体中引起皮肤损伤和肉芽肿性阿米巴脑炎(GAE),这些个体吸入感染性囊肿或在土壤污染的伤口中产生惰性、肉芽肿性皮肤病变。最后,最近发现的一种生活在土壤、动物和爬行动物粪便中的自由生活的阿米巴(Sappinia pedata)在德克萨斯州一名免疫能力良好的农民中引起了一例非肉芽肿性阿米巴脑炎。由这些无处不在的生物引起的中枢神经系统感染仍然很少见,但是,由于环境和宿主易感性因素的结合,今天在美国和世界范围内正在增加。本综述的目的是描述当前的流行病学,病理生理,临床表现,诊断,管理和预防中枢神经系统的自由生活阿米巴感染。
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引用次数: 13
Validity of Modelling Cerebral Malaria in Mice: Argument and Counter Argument 小鼠脑疟疾模型的有效性:论证与反论证
Pub Date : 2010-01-01 DOI: 10.4303/JNP/N100601
A. Taylor-Robinson
The clinical manifestations of Plasmodium falciparum infection of humans that are collectively recognised as cerebral malaria produce profound changes in mental status and induce coma. The histopathological hallmark of this encephalopathy is the sequestration of cerebral capillaries and venules with both infected and uninfected erythrocytes. The underlying cause of cerebral malaria is the subject of vigorous debate. A major reason for this is that human brain tissue is only available post mortem. In order to dissect the pathology of this acute disease, therefore, a number of models using murine malarias have been developed. While these have undoubtedly proved useful in helping to identify immunological mechanisms involved, recognition of the differences between the pathological processes during cerebral malaria in mice and man has led to some researchers questioning the validity of extrapolating findings from mouse models to the human condition with a view to informing therapeutic interventions. In turn, this has provoked lively debate within the malaria research community. This commentary sets out our current understanding of cerebral disease in humans and evaluates what meaningful contribution the study of mouse models has made to this knowledge.
人类感染恶性疟原虫的临床表现被统称为脑型疟疾,其精神状态发生深刻变化并诱发昏迷。这种脑病的组织病理学特征是感染和未感染红细胞的脑毛细血管和小静脉的隔离。脑型疟疾的根本原因是激烈辩论的主题。造成这种情况的一个主要原因是人类的脑组织只有在死后才能得到。因此,为了解剖这种急性疾病的病理,已经开发了许多使用小鼠疟疾的模型。虽然这些无疑证明有助于确定所涉及的免疫机制,但认识到小鼠和人类脑疟疾期间病理过程之间的差异,导致一些研究人员质疑将小鼠模型的发现外推到人类状况的有效性,从而为治疗干预提供信息。反过来,这在疟疾研究界引发了激烈的争论。这篇评论阐述了我们目前对人类大脑疾病的理解,并评估了小鼠模型研究对这一知识的有意义的贡献。
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引用次数: 14
Trypanosoma cruzi-Induced Central Nervous System Alterations: From the Entry of Inflammatory Cells to Potential Cognitive and Psychiatric Abnormalities 克氏锥虫诱导的中枢神经系统改变:从炎症细胞的进入到潜在的认知和精神异常
Pub Date : 2010-01-01 DOI: 10.4303/JNP/N100901
A. A. Silva, G. Pereira, A. S. Souza, Rafael Rodrigues Silva, M. Rocha, J. Lannes-Vieira
Trypanosoma cruzi, a protozoan parasite and the causative agent of Chagas disease, is capable of inducing meningoencephalitis. Independent of the progression from acute to chronic myocarditis observed in immunocompetent T. cruzi-infected patients, inflammation of the central ner- vous system (CNS) self-resolves during acute infection. In contrast, in chronically infected immunocompromised Cha- gas disease patients, the CNS is a major site of reactivation, which can lead to severe and frequently fatal meningoen- cephalitis. More than one hundred years after the discovery of Chagas disease, many questions concerning the molecu- lar mechanisms involved in the induction and resolution of T. cruzi-provoked meningoencephalitis remain unanswered. The study of murine models that reproduce crucial aspects of T. cruzi-elicited CNS inflammation has not only shed light on some of these questions, but it has also raised additional ones. Here, we discuss our results in the context of the cur- rent literature, questioning the involvement of CNS alter- ations caused by the inflammation and parasite in the behav- ioral abnormalities observed during T. cruzi infection.
克氏锥虫是一种原生动物寄生虫,是恰加斯病的病原体,能够诱发脑膜脑炎。在免疫正常的克氏锥虫感染患者中观察到的从急性到慢性心肌炎的独立进展,中枢神经系统(CNS)炎症在急性感染期间自行消退。相反,在慢性感染免疫功能低下的Cha- gas病患者中,中枢神经系统是再激活的主要部位,可导致严重且经常致命的脑膜原-脑炎。在发现恰加斯病一百多年后,关于克鲁兹锥虫引起的脑膜脑炎的诱导和解决的分子机制的许多问题仍然没有答案。对重现T. cruzi引起的中枢神经系统炎症的关键方面的小鼠模型的研究不仅阐明了这些问题中的一些,而且还提出了其他问题。在这里,我们在当前文献的背景下讨论了我们的结果,质疑炎症和寄生虫引起的中枢神经系统改变是否参与了克氏锥虫感染期间观察到的行为异常。
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引用次数: 30
Circulating Antigen Levels Follow Post-Treatment Evolution of Subarachnoid Neurocysticercosis 循环抗原水平跟踪蛛网膜下腔神经囊虫病治疗后的演变
Pub Date : 2010-01-01 DOI: 10.4303/JNP/N100804
H. García, P. Dorny, Yesenia Castillo, E. Pretell, Silvia Rodriguez, L. Mija, Armando E. Gonzalez, R. Gilman, V. Tsang, J. Brandt
Subarachnoid neurocysticercosis carries poor prognosis and high mortality. Besides neuroimaging, there are no available monitoring tools. We examined antigen levels in sequential serum samples of a patient who required four courses of antiparasitic treatment. Antigen levels decreased in parallel to parasite resolution. Antigen detection may contribute to monitoring treatment of subarachnoid neurocysticercosis.
蛛网膜下腔神经囊虫病预后差,死亡率高。除了神经成像,没有可用的监测工具。我们检查抗原水平的顺序血清样本的病人谁需要四个疗程的抗寄生虫治疗。抗原水平下降与寄生虫溶解平行。抗原检测有助于蛛网膜下腔神经囊虫病的监测治疗。
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引用次数: 12
Host Cell Preference of Toxoplasma gondii Cysts in Murine Brain: A Confocal Study. 小鼠脑内刚地弓形虫囊的宿主细胞偏好:共聚焦研究。
Pub Date : 2010-01-01 DOI: 10.4303/jnp/N100505
T C Melzer, H J Cranston, L M Weiss, S K Halonen

Toxoplasma gondii is a protozoan parasite that is widely prevalent in humans and typically results in a chronic infection characterized by cysts located predominantly in the central nervous system. In immunosuppressed hosts, such as patients with HIV infection, the infection can be reactivated from the cysts in the brain resulting in a severe and potentially fatal encephalitis. Studies suggest that the chronic infection may also have neuropathological and behavioral effects in immune competent hosts. An improved understanding of tissue cyst behavior is of importance for understanding both the reactivation as well as the neurophysiological consequences of chronic infection. In vivo studies have identified neurons as host cells for cysts but in vitro studies have found that astrocytes can also foster development of the cysts. In this study we have addressed the question of which neural cell tissue cysts of T. gondii reside during chronic infection using a mouse model. Mice were infected with Me49 Strain T. gondii and the intracellular localization of the cysts analyzed during the development and establishment of a chronic infection at 1, 2, and 6 months post infection. Brains were fixed, cryosectioned, and stained with FITC-Dolichos biflorans to identify the Toxoplasma cysts and they were labeled with cell specific antibodies to neurons or astrocytes and then analyzed using confocal fluorescence microscopy. Cysts were found to occur almost exclusively in neurons throughout chronic infection. No cysts were identified in astrocytes, using the astrocyte marker, GFAP. Astrocyte interactions with neuronal-cysts, however, were frequently observed.

刚地弓形虫是一种在人类中广泛流行的原生动物寄生虫,通常导致以主要位于中枢神经系统的囊肿为特征的慢性感染。在免疫抑制的宿主中,如感染艾滋病毒的患者,感染可以从大脑中的囊肿中重新激活,导致严重且可能致命的脑炎。研究表明,慢性感染还可能对免疫能力强的宿主产生神经病理和行为影响。提高对组织囊肿行为的理解对于理解慢性感染的再激活以及神经生理后果都是重要的。体内研究已经确定神经元是囊肿的宿主细胞,但体外研究发现星形胶质细胞也可以促进囊肿的发展。在这项研究中,我们已经解决了弓形虫的神经细胞组织囊肿驻留在慢性感染小鼠模型的问题。小鼠感染Me49株弓形虫,并在感染后1、2和6个月分析囊肿在慢性感染的发展和建立过程中的细胞内定位。固定大脑,冷冻切片,FITC-Dolichos biflorans染色鉴定弓形虫囊肿,并用神经元或星形胶质细胞特异性抗体标记,然后用共聚焦荧光显微镜分析。在整个慢性感染过程中,发现囊肿几乎只发生在神经元中。使用星形胶质细胞标记物GFAP,未发现星形胶质细胞内有囊肿。然而,星形胶质细胞与神经元囊肿的相互作用经常被观察到。
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引用次数: 99
Baylisascaris Procyonis Induced Diffuse Unilateral Subacute Neuroretinitis in New York City. 纽约贝氏蛔虫引起的弥漫性单侧亚急性神经视网膜炎。
Pub Date : 2010-01-01 DOI: 10.4303/jnp/N100401
Norman A Saffra, Jason E Perlman, Rajen U Desai, Kevin R Kazacos, Christina M Coyle, Fabiana S Machado, Sanjay R Kedhar, Michael Engelbert, Herbert B Tanowitz

Diffuse unilateral subacute neuroretinitis (DUSN) secondary to raccoon roundworm (Baylisascaris procyonis) infection has been reported in rural and suburban areas of North America and Europe with extant raccoon populations. Here, we present a case of Baylisascaris-induced DUSN from the densely populated borough of Brooklyn in New York City and alert urban ophthalmologists to consider this etiology even in areas not typically thought to be associated with endemic risk factors. Infected raccoons also occur in urban settings, and urban patients may be exposed in surrounding areas. Most patients with Baylisascaris ocular larva migrans-DUSN will not have concomitant neurologic disease; this fact and larval neurotropism are both misconceptions regarding this infection.

在北美和欧洲存在浣熊种群的农村和郊区报道了由浣熊蛔虫感染继发的弥漫性单侧亚急性神经视网膜炎(DUSN)。在这里,我们报告了一例来自纽约市人口稠密的布鲁克林区贝利蛔虫引起的DUSN,并提醒城市眼科医生即使在通常不被认为与地方性危险因素相关的地区也要考虑这种病因。受感染的浣熊也发生在城市环境中,城市患者可能在周围地区暴露。大多数贝氏蛔虫眼部幼虫迁移- dusn患者不会伴有神经系统疾病;这一事实和幼虫嗜神经性都是对这种感染的误解。
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引用次数: 12
期刊
Journal of neuroparasitology
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