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The challenges to detect, quantify, and characterize viral reservoirs in the current antiretroviral era.
Pub Date : 2024-12-05 eCollection Date: 2024-09-01 DOI: 10.1515/nipt-2024-0017
Hector Gutierrez, Eliseo A Eugenin

A major barrier to cure HIV is the early generation of viral reservoirs in tissues. These viral reservoirs can contain intact or defective proviruses, but both generates low levels of viral proteins contribute to chronic bystander damage even in the ART era. Most viral reservoir detection techniques are limited to blood-based, reactivation, and sequencing assays that lack spatial properties to examine the contribution of the host's microenvironment to latency and cure efforts. Currently, little is known about the contribution of the microenvironment to viral reservoir survival, residual viral expression, and associated inflammation. Only a few spatiotemporal techniques are available, and fewer integrate spatial genomics, transcriptomics, and proteomics into the analysis of the viral reservoir microenvironment-all essential components to cure HIV. During the development of these spatial techniques, many considerations need to be included in the analysis to avoid misinterpretation. This manuscript tries to clarify some critical concepts in viral reservoir detection by spatial techniques and the upcoming opportunities for cure efforts.

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引用次数: 0
Motivational dysregulation with melanocortin 4 receptor haploinsufficiency. 动机失调与黑素皮质素4受体单倍不足。
Pub Date : 2024-11-20 eCollection Date: 2024-09-01 DOI: 10.1515/nipt-2024-0011
Alex M Steiner, Robert F Roscoe, Rosemarie M Booze, Charles F Mactutus

Obesity, by any standard, is a global health crisis. Both genetic and dietary contributions to the development and maintenance of obesity were integral factors of our experimental design. As mutations of the melanocortin 4 receptors (MC4R) are the leading monogenetic cause of obesity, MC4R haploinsufficient rats were fed a range of dietary fat (0-12 %) in a longitudinal design. Physiological and motivational assessments were performed using a locomotor task, a 5-choice sucrose preference task, an operant task with fixed and progressive ratios, as well as a distraction operant task. Dendritic spine morphology of medium spiny neurons (MSNs) of the nucleus accumbens (NAc), cells with ample D1 and D2 receptors, was also assessed. The percentage of lipid deposits in the liver of each rat was also analyzed using the Area Fraction Fractionator probe for stereological measurements. MC4R haploinsufficiency resulted in a phenotypic resemblance for adult-onset obesity that was exacerbated by the consumption of a high-fat diet. Results from the operant tasks indicate that motivational deficits due to MC4R haploinsufficiency were apparent prior to the onset of obesity and exacerbated by dietary fat consumption after obesity was well established. Moreover, MSN morphology shifted to longer spines with smaller head diameters for the MC4R+/- animals under the high-fat diet, suggesting a potential mechanism for the dysregulation of motivation to work for food. Increasing our knowledge of the neural circuitry/mechanisms responsible for the rewarding properties of food has significant implications for understanding energy balance and the development of obesity.

无论以何种标准衡量,肥胖都是一场全球性的健康危机。基因和饮食对肥胖的发展和维持都是我们实验设计的重要因素。由于黑素皮质素4受体(MC4R)突变是肥胖的主要单基因原因,在纵向设计中,MC4R单倍不足的大鼠被喂食一系列膳食脂肪(0-12 %)。生理和动机评估采用运动任务、五选项蔗糖偏好任务、固定和递进比例操作任务以及分心操作任务进行。同时对D1和D2受体丰富的伏隔核(NAc)中棘神经元(MSNs)的树突棘形态进行了观察。使用面积分数分配器探针进行立体测量,还分析了每只大鼠肝脏中脂质沉积的百分比。MC4R单倍不全导致成人发病肥胖的表型相似,而高脂肪饮食的消耗加剧了这种相似。操作性任务的结果表明,由于MC4R单倍体不足导致的动机缺陷在肥胖发生之前是明显的,并且在肥胖确定后因饮食脂肪消耗而加剧。此外,在高脂肪饮食下,MC4R+/-动物的MSN形态转变为更长的脊柱和更小的头部直径,这表明为食物而工作的动机失调的潜在机制。增加我们对负责食物奖励特性的神经回路/机制的知识,对理解能量平衡和肥胖的发展具有重要意义。
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引用次数: 0
Build muscles and protect myelin. 锻炼肌肉,保护髓磷脂。
Pub Date : 2024-10-16 eCollection Date: 2024-09-01 DOI: 10.1515/nipt-2024-0015
Ahana Bose, Kalipada Pahan

Multiple sclerosis (MS) is a chronic and debilitating autoimmune disease of the central nervous system (CNS) in which a CNS-driven immune response destroys myelin, leading to wide range of symptoms including numbness and tingling, vision problems, mobility impairment, etc. Oligodendrocytes are the myelinating cells in the CNS, which are generated from oligodendroglial progenitor cells (OPCs) via differentiation. However, for multiple reasons, OPCs fail to differentiate to oligodendrocytes in MS and as a result, stimulating the differentiation of OPCs to oligodendrocytes is considered beneficial for MS. The β-hydroxy β-methylbutyrate (HMB) is a widely-used muscle-building supplement in human and recently it has been shown that low-dose HMB is capable of stimulating the differentiation of cultured OPCs to oligodendrocytes for remyelination. Moreover, other causes of autoimmune demyelination are the decrease and/or suppression of Foxp3-expressing anti-autoimmune regulatory T cells (Tregs) and upregulation of autoimmune T-helper 1(Th1) and Th17 cells. Experimental autoimmune encephalomyelitis (EAE) is an animal model of MS in which the autoimmune demyelination is nicely visible. It has been reported that in EAE mice, oral HMB upregulates Tregs and decreases Th1 and Th17 responses, leading to remyelination in the CNS. Here, we analyze these newly-described features of HMB, highlighting the putative promyelinating nature of this supplement.

多发性硬化症(MS)是中枢神经系统(CNS)的一种慢性和衰弱性自身免疫性疾病,其中中枢神经系统驱动的免疫反应破坏髓磷脂,导致广泛的症状,包括麻木和刺痛,视力问题,行动障碍等。少突胶质细胞是中枢神经系统中的髓鞘细胞,由少突胶质祖细胞(OPCs)分化而成。然而,由于多种原因,OPCs在多发性硬化症中不能分化为少突胶质细胞,因此,刺激OPCs向少突胶质细胞的分化被认为对MS有益。β-羟基β-甲基丁酸盐(HMB)是一种广泛用于人类肌肉建设的补充剂,最近有研究表明,低剂量的HMB能够刺激培养的OPCs向少突胶质细胞分化并进行髓鞘再生。此外,自身免疫性脱髓鞘的其他原因是foxp3表达的抗自身免疫性调节性T细胞(Tregs)的减少和/或抑制,以及自身免疫性T辅助1(Th1)和Th17细胞的上调。实验性自身免疫性脑脊髓炎(EAE)是多发性硬化症的动物模型,其中自身免疫性脱髓鞘非常明显。据报道,在EAE小鼠中,口服HMB上调Tregs并降低Th1和Th17反应,导致中枢神经系统的髓鞘再生。在这里,我们分析了这些新描述的HMB特征,突出了这种补充剂的推测的髓鞘生长性质。
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引用次数: 0
Cannabis use, oral dysbiosis, and neurological disorders 吸食大麻、口腔菌群失调和神经系统疾病
Pub Date : 2024-08-09 DOI: 10.1515/nipt-2024-0012
Amber A. Hazzard, Marice K McCrorey, Tabinda Salman, Douglas E. Johnson, Zhenwu Luo, Xiaoyu Fu, Andrew P. Keegan, Andreana Benitez, Sylvia Fitting, Wei Jiang
Cannabis (marijuana) is a leafy plant that has medical, recreational, and other uses. Cannabis is socially accepted and widely used throughout the United States. Though cannabis use is increasingly gaining popularity, studies detail the deleterious effects of chronic cannabis smoking on mental health, as well as the immunosuppressive properties of cannabinoids. Additionally, oral dysbiosis induced by cannabis smoking serves as a novel catalyst for neurological abnormalities, potentially possible through microbial translocation via the oral-brain axis. This review summarizes the effects and link of smoking cannabis on neurological abnormalities, immunity, and oral microbiome.
大麻(大麻)是一种多叶植物,具有医疗、娱乐和其他用途。大麻在美国被社会接受并广泛使用。虽然大麻的使用日益普及,但研究详细说明了长期吸食大麻对精神健康的有害影响,以及大麻素的免疫抑制特性。此外,吸食大麻引起的口腔菌群失调是神经系统异常的新型催化剂,有可能通过口腔-大脑轴进行微生物转移。本综述总结了吸食大麻对神经异常、免疫和口腔微生物组的影响和联系。
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引用次数: 0
Biodegradable cannabidiol: a potential nanotherapeutic for neuropathic pain 生物降解大麻二酚:治疗神经性疼痛的潜在纳米疗法
Pub Date : 2024-07-24 DOI: 10.1515/nipt-2024-0008
Sana Qayum, Rebecca R. Schmitt, Janvhi S. Machhar, Sonali Garg, Caroline Bass, V. Muthaiah, Tracey A. Ignatowski, Supriya D. Mahajan
Cannabidiol (CBD) is a promising pharmaceutical agent to treat pain, inflammation, and seizures without the psychoactive effects of delta-9-tetrahydrocannabinol (THC). While CBD is highly lipophilic and can cross the blood-brain barrier (BBB), its bioavailability is limited and clearance is quick, limiting its effectiveness in the brain. To improve its effectiveness, we developed a unique nanoformulation consisting of CBD encapsulated within the biodegradable and biocompatible polymer, methoxy polyethylene glycol-poly(lactic-co-glycolic acid) (mPEG-PLGA). mPEG-PLGA-CBD nanoparticles exhibited negligible cytotoxicity over a range of concentrations in CCK-8 assays performed in human astrocytes and brain microvascular endothelial cells. Furthermore, in an in-vitro BBB model, they exhibited rapid BBB permeability without harming BBB integrity. An in vivo Chronic Constriction Injury animal pain model was employed to study the efficacy of mPEG-PLGA-CBD in doses 1, 3 and 10 mg/kg, and it was found that 45–55 nm CBD nanoparticles with an encapsulation efficiency of 65 % can cross the BBB. Additionally, 3 and 10 mg/kg mPEG-PLGA-CBD nanoformulation provided prolonged analgesia in rats on day 2 and -4 post-injection, which we propose is attributed to the sustained and controlled release of CBD. Future studies are required to understand the pharmacokinetics of this nanoformulation.
大麻二酚(CBD)是一种治疗疼痛、炎症和癫痫发作的前景广阔的药物,它不会产生δ-9-四氢大麻酚(THC)的精神作用。虽然 CBD 具有高度亲脂性,可以穿过血脑屏障 (BBB),但其生物利用度有限,清除速度快,限制了其在大脑中的有效性。为了提高CBD的疗效,我们开发了一种独特的纳米制剂,将CBD封装在可生物降解且生物相容的聚合物甲氧基聚乙二醇-聚(乳酸-共聚乙醇酸)(mPEG-PLGA)中。此外,在体外 BBB 模型中,它们表现出快速的 BBB 渗透性,而不会损害 BBB 的完整性。研究人员利用体内慢性收缩性损伤动物疼痛模型研究了 mPEG-PLGA-CBD(剂量为 1、3 和 10 毫克/千克)的疗效,发现 45-55 纳米 CBD 纳米颗粒的封装效率为 65%,可以穿过生物BB。此外,3 毫克/千克和 10 毫克/千克的 mPEG-PLGA-CBD 纳米制剂可在注射后第 2 天和第 4 天延长大鼠的镇痛时间,我们认为这归功于 CBD 的持续和可控释放。未来的研究需要了解这种纳米制剂的药代动力学。
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引用次数: 0
Something to talk about; crosstalk disruption at the neurovascular unit during HIV infection of the CNS 有话要说;中枢神经系统感染艾滋病毒期间神经血管单元的串联干扰
Pub Date : 2024-07-24 DOI: 10.1515/nipt-2024-0003
Kalpani N U Galpayage Dona, Mohammed M. Benmassaoud, Cassandra D. Gipson, Jay P. McLaughlin, Servio H. Ramirez, Allison M. Andrews
Although treatable with antiretroviral therapy, HIV infection persists in people living with HIV (PLWH). It is well known that the HIV virus finds refuge in places for which antiretroviral medications do not reach therapeutic levels, mainly the CNS. It is clear that as PLWH age, the likelihood of developing HIV-associated neurological deficits increases. At the biochemical level neurological dysfunction is the manifestation of altered cellular function and ineffective intercellular communication. In this review, we examine how intercellular signaling in the brain is disrupted in the context of HIV. Specifically, the concept of how the blood-brain barrier can be a convergence point for crosstalk, is explored. Crosstalk between the cells of the neurovascular unit (NVU) (endothelium, pericytes, astrocytes, microglia and neurons) is critical for maintaining proper brain function. In fact, the NVU allows for rapid matching of neuronal metabolic needs, regulation of blood-brain barrier (BBB) dynamics for nutrient transport and changes to the level of immunosurveillance. This review invites the reader to conceptually consider the BBB as a router or convergence point for NVU crosstalk, to facilitate a better understanding of the intricate signaling events that underpin the function of the NVU during HIV associated neuropathology.
尽管可以通过抗逆转录病毒疗法进行治疗,但艾滋病病毒感染者(PLWH)体内的艾滋病病毒感染依然存在。众所周知,HIV 病毒会在抗逆转录病毒药物达不到治疗水平的部位(主要是中枢神经系统)找到庇护所。显然,随着艾滋病毒感染者年龄的增长,出现与艾滋病毒相关的神经功能障碍的可能性也会增加。在生化层面,神经功能障碍是细胞功能改变和细胞间交流失效的表现。在这篇综述中,我们将探讨在 HIV 感染的情况下,大脑中的细胞间信号传递是如何被破坏的。具体而言,我们将探讨血脑屏障如何成为串扰的汇聚点这一概念。神经血管单元(NVU)细胞(内皮细胞、周细胞、星形胶质细胞、小胶质细胞和神经元)之间的串联对于维持正常的大脑功能至关重要。事实上,神经血管单元可以快速满足神经元的代谢需求,调节血脑屏障(BBB)的营养运输动态,并改变免疫监视水平。本综述希望读者从概念上将血脑屏障视为 NVU 相互交织的路由器或汇聚点,从而更好地理解在 HIV 相关神经病变过程中 NVU 功能所依赖的错综复杂的信号事件。
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引用次数: 0
Sedation with midazolam in the NICU: implications on neurodevelopment 在新生儿重症监护室使用咪达唑仑镇静剂:对神经发育的影响
Pub Date : 2024-07-24 DOI: 10.1515/nipt-2024-0009
Nghi M Nguyen, Gurudutt Pendyala
The developing brain, particularly in premature infants, is highly susceptible to environmental and pharmacological influences. Premature neonates often require prolonged stays in the NICU, where midazolam (MDZ), a benzodiazepine, is commonly used as a sedative, despite concerns raised by the FDA in 2016 regarding its potential neurological complications in infants. Understanding the long-term effects of MDZ on these vulnerable patients is hindered by ethical considerations and limited research. This review emphasizes the vulnerability of premature infants to sedation and anesthesia and outlines how early exposure to MDZ can impact brain development at both molecular and behavioral levels, drawing from clinical and preclinical data. Additionally, we highlighted existing knowledge gaps and suggested avenues for further research to better comprehend the enduring consequences of MDZ exposure on neurodevelopment in this population.
发育中的大脑,尤其是早产儿的大脑,极易受到环境和药物的影响。早产新生儿通常需要在新生儿重症监护室(NICU)长期住院,尽管美国食品和药物管理局(FDA)在 2016 年提出了对苯二氮卓类药物咪达唑仑(MDZ)可能导致婴儿神经系统并发症的担忧,但该药物仍被普遍用作镇静剂。由于伦理方面的考虑和研究有限,了解 MDZ 对这些脆弱患者的长期影响受到了阻碍。本综述强调了早产儿在镇静和麻醉方面的脆弱性,并通过临床和临床前数据概述了早期接触 MDZ 如何在分子和行为层面影响大脑发育。此外,我们还强调了现有的知识差距,并提出了进一步研究的途径,以便更好地理解接触 MDZ 对这一人群神经发育的持久影响。
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引用次数: 0
X-chromosome linked genes associated with myeloid cell CNS trafficking contributes to female–male differences in the disease outcome for neuroinflammatory diseases 与髓系细胞中枢神经系统迁移有关的 X 染色体相关基因导致了神经炎症性疾病的男女发病率差异
Pub Date : 2024-07-12 DOI: 10.1515/nipt-2024-0007
Sopiko Darchiashvili, Ratuja Kulkarni, Ritesh Tandon, Peter Deak, Kayla L. Nguyen, Pooja Jain
Certain diseases such as Multiple Sclerosis (MS), a chronic demyelinating disease, affect more women than men, despite males appearing to be predisposed to infections and malignancies. X-linked genes contribute to increased MS susceptibility. Currently, an immense body of research exists that explores the complexity surrounding underlying risk factors for MS development including X-chromosome-linked inflammatory processes. Female–male disparities in disease susceptibility have been found at both the gene and chromosomal level. Genes such as CXORF21 and DDX3X can escape X-chromosome inactivation (XCI) and contribute to various disease pathogenesis. Additionally, blocking immune cell entry to the central nervous system (CNS) can have a major impact on MS. Prior research on MS has shown that immune cells such as T cells and dendritic cells (DCs) infiltrate the CNS. Due to persistent tissue stress, these cells may induce local inflammation and autoimmunity, subsequent neurodegeneration, and both the onset and progression of MS. Chemokines are signaling proteins which regulate leukocyte trafficking to the site of injury, contributing to cell recruitment, CNS inflammation, and disease severity. Some chemokine receptors (CXCR3) are X-linked and may escape XCI. This review provides an account of the contribution of x-linked genes in MS in relation to the chemotaxis of myeloid cells into CNS and subsequent neuroinflammation. The impact of the X-chromosome on autoimmunity, including XCI and the expression of X-linked genes is evaluated. Collectively, the analyses from this review seek to advance both our understanding of MS and advocate for more patient-specific therapies.
某些疾病,如多发性硬化症(MS),是一种慢性脱髓鞘疾病,尽管男性似乎易患感染和恶性肿瘤,但受其影响的女性却多于男性。X 连锁基因导致多发性硬化症的易感性增加。目前,有大量研究探讨了多发性硬化症发病的潜在风险因素的复杂性,包括与 X 染色体相关的炎症过程。在基因和染色体水平上都发现了疾病易感性的男女差异。CXORF21 和 DDX3X 等基因可逃避 X 染色体失活(XCI),并导致各种疾病的发病机制。此外,阻止免疫细胞进入中枢神经系统(CNS)也会对多发性硬化症产生重大影响。先前对多发性硬化症的研究表明,T 细胞和树突状细胞(DC)等免疫细胞会浸润中枢神经系统。由于持续的组织应激,这些细胞可能会诱发局部炎症和自身免疫,继而导致神经变性以及多发性硬化症的发病和进展。趋化因子是一种信号蛋白,可调节白细胞向损伤部位的迁移,从而促进细胞招募、中枢神经系统炎症和疾病的严重程度。一些趋化因子受体(CXCR3)是 X 连锁的,可能会逃避 XCI。本综述介绍了 X 连锁基因在多发性硬化症中对髓系细胞趋化进入中枢神经系统及随后的神经炎症所起的作用。本文还评估了 X 染色体对自身免疫的影响,包括 XCI 和 X 连锁基因的表达。总之,这篇综述的分析旨在增进我们对多发性硬化症的了解,并倡导更多针对患者的疗法。
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引用次数: 0
Viral-mediated inflammation by Poly I:C induces the chemokine CCL5 in NK cells and its receptors CCR1 and CCR5 in microglia in the neonatal rat cerebellum Poly I:C 病毒介导的炎症诱导新生大鼠小脑 NK 细胞中的趋化因子 CCL5 及其小胶质细胞中的受体 CCR1 和 CCR5
Pub Date : 2024-04-23 DOI: 10.1515/nipt-2024-0002
Miguel Perez-Pouchoulen, Amanda S. Holley, E. Reinl, J. VanRyzin, Amir Mehrabani, Christie Dionisos, Muhammed Mirza, Margaret M. McCarthy
To study the effect of viral inflammation induced by Polyinosinic:polycytidylic acid (PIC) on the cerebellum during a critical period of development in rats. Neonatal rat pups were treated with PIC on postnatal days (PN) 8 and 10 after which we quantified RNA using Nanostring, qRT-PCR and RNAscope and analyzed immune cells through flow cytometry and immunohistochemistry on PN11. Using the same paradigm, we also analyzed play juvenile behavior, anxiety-like behavior, motor balance using the balance beam and the rotarod assays as well as fine motor behavior using the sunflower seed opening test. We determined that male and female pups treated with PIC reacted with a significant increase in CCL5, a chemotactic cytokine that attracts T-cells, eosinophils and basophils to the site of inflammation, at PN11. PIC treatment also increased the expression of two receptors for CCL5, CCR1 and CCR5 in the cerebellar vermis in both males and females at PN11. In-situ hybridization (RNAscope®) for specific transcripts revealed that microglia express both CCL5 receptors under inflammatory and non-inflammatory conditions in both males and females. PIC treatment also increased the total number of CCL5+ cells in the developing cerebellum which were determined to be both natural killer cells and T-cells. There were modest but significant impacts of PIC treatment on large and fine motor skills and juvenile play behavior. Our findings suggest an important role for CCL5 and other immune cells in mediating inflammation in the developing cerebellum that potentially impact the maturation of cerebellar neurons during a critical period of development.
研究多聚胞苷酸(PIC)诱导的病毒性炎症在大鼠发育关键时期对小脑的影响。 新生大鼠在出生后第 8 天和第 10 天接受 PIC 治疗,之后我们使用 Nanostring、qRT-PCR 和 RNAscope 对 RNA 进行了定量,并在出生后第 11 天通过流式细胞术和免疫组化对免疫细胞进行了分析。我们还使用相同的范式分析了幼犬的游戏行为、焦虑样行为、使用平衡木和旋转木马进行的运动平衡测试,以及使用葵花籽开口测试进行的精细运动行为。 我们发现,接受 PIC 处理的雄性和雌性幼犬在 PN11 时 CCL5 的反应明显增加,CCL5 是一种趋化细胞因子,能吸引 T 细胞、嗜酸性粒细胞和嗜碱性粒细胞到炎症部位。PIC 处理还增加了 PN11 期雄性和雌性小脑蚓部的两种 CCL5 受体(CCR1 和 CCR5)的表达。针对特定转录本的原位杂交(RNAscope®)显示,在炎症和非炎症条件下,雄性和雌性小胶质细胞都能表达两种 CCL5 受体。PIC 处理还增加了发育中小脑中 CCL5+ 细胞的总数,这些细胞被确定为自然杀伤细胞和 T 细胞。PIC治疗对大运动技能、精细运动技能和青少年游戏行为的影响不大,但很明显。 我们的研究结果表明,CCL5和其他免疫细胞在介导发育中小脑的炎症中扮演着重要角色,有可能在发育的关键时期影响小脑神经元的成熟。
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引用次数: 0
Sera from people with HIV and depression induce commensurate metabolic alterations in astrocytes: toward precision diagnoses and therapies 艾滋病毒感染者和抑郁症患者的血清会诱导星形胶质细胞发生相应的代谢改变:实现精准诊断和治疗
Pub Date : 2024-03-27 DOI: 10.1515/nipt-2024-0001
A. Laird, Alexandra Anh Le, J. Kulbe, A. Umlauf, Melody Sagarian, Matthew Spencer, Anish Sathe, D. Grelotti, J. Iudicello, Brook Henry, Ronald J. Ellis, J. Fields
People with HIV (PWH) have high rates of depression and neurocognitive impairment (NCI) despite viral suppression on antiretroviral therapy (ART). Mounting evidence suggests that immunometabolic disruptions may contribute to these conditions in some PWH. We hypothesized that metabolic dysfunction in astrocytes is associated with depressive symptoms and cognitive function in PWH. Human astrocytes were exposed to sera from PWH (n=40) with varying degrees of depressive symptomatology and cognitive function. MitoTrackerTM Deep Red FM (MT) was used to visualize mitochondrial activity and glial fibrillary acidic protein (GFAP) as an indicator of astrocyte reactivity using the high-throughput fluorescent microscopy and image analyses platform, CellInsight CX5 (CX5). The Seahorse platform was used to assess glycolytic and mitochondrial metabolism. More severe depression, as indexed by higher Beck's Depression Inventory (BDI-II) scores, was associated with lower MT signal measures. Better cognitive function, as assessed by neuropsychiatric testing t-scores, was associated with increased MT signal measures. GFAP intensity negatively correlated with several cognitive t-scores. Age positively correlated with (higher) MT signal measures and GFAP intensity. Worse depressive symptoms (higher BDI-II scores) were associated with decreased oxygen consumption rate and spare respiratory capacity, concomitant with increased extracellular acidification rate in astrocytes. These findings show that factors in the sera of PWH alter mitochondrial activity in cultured human astrocytes, suggesting that mechanisms that alter mitochondrial and astrocyte homeostasis can be detected peripherally. Thus, in vitro cultures may provide a model to identify neuropathogenic mechanisms of depression or neurocognitive impairment in PWH and test personalized therapeutics for neurologic and psychiatric disorders.
尽管抗逆转录病毒疗法(ART)能抑制病毒,但艾滋病病毒感染者(PWH)的抑郁症和神经认知障碍(NCI)发病率很高。越来越多的证据表明,免疫代谢紊乱可能是导致一些艾滋病病毒感染者出现这些症状的原因。我们假设星形胶质细胞的代谢功能障碍与 PWH 的抑郁症状和认知功能有关。 我们将人类星形胶质细胞暴露于有不同程度抑郁症状和认知功能的 PWH(40 人)的血清中。利用高通量荧光显微镜和图像分析平台 CellInsight CX5 (CX5),使用 MitoTrackerTM Deep Red FM (MT) 观察线粒体活性和作为星形胶质细胞反应性指标的胶质纤维酸性蛋白 (GFAP)。海马平台用于评估糖酵解和线粒体代谢。 贝克抑郁量表(BDI-II)评分越高,抑郁程度越严重,MT信号测量值越低。通过神经精神测试 t 分数评估的较好认知功能与 MT 信号测量值的增加有关。GFAP 强度与几项认知能力 t 分数呈负相关。年龄与(较高的)MT 信号测量值和 GFAP 强度呈正相关。抑郁症状加重(BDI-II 评分升高)与耗氧量和剩余呼吸量减少有关,同时与星形胶质细胞细胞外酸化率升高有关。 这些研究结果表明,PWH 血清中的因子会改变培养的人类星形胶质细胞的线粒体活性,这表明可以从外围检测到改变线粒体和星形胶质细胞平衡的机制。因此,体外培养可为确定 PWH 抑郁症或神经认知障碍的神经致病机制提供模型,并测试神经和精神疾病的个性化疗法。
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NeuroImmune pharmacology and therapeutics
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