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Potential molecular link between the β-amyloid precursor protein (APP) and hypoxanthine-guanine phosphoribosyltransferase (HGprt) enzyme in Lesch-Nyhan disease and cancer. β-淀粉样蛋白前体蛋白(APP)和次黄嘌呤-鸟嘌呤磷酸核糖基转移酶(HGprt)酶在Lesch-Nyhan病和癌症中的潜在分子联系。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-10-28 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021030
Khue Vu Nguyen

Lesch-Nyhan disease (LND) is a rare X-linked inherited neurogenetic disorders of purine metabolic in which the cytoplasmic enzyme, hypoxanthine-guanine phosphoribosyltransferase (HGprt) is defective. Despite having been characterized over 60 years ago, however, up to now, there is no satisfactory explanation of how deficits in enzyme HGprt can lead to LND with the development of the persistent and severe self-injurious behavior. Recently, a role for epistasis between the mutated hypoxanthine phosphoribosyltransferase 1 (HPRT1) and the β-amyloid precursor protein (APP) genes affecting the regulation of alternative APP pre-mRNA splicing in LND has been demonstrated. Furthermore, there were also some reported cases of LND developing thrombosis while APP is an important regulator of vein thrombosis and controls coagulation. Otherwise, the surface expression of HGprt enzyme was also observed in several somatic tissue cancers while APP and the APP-like protein-2 (APLP2) are deregulated in cancer cells and linked to increased tumor cell proliferation, migration, and invasion. The present review provides a discussion about these findings and suggests a potential molecular link between APP and HGprt via epistasis between HPRT1 and APP genes affecting the regulation of alternative APP pre-mRNA splicing. As a perspective, expression vectors for HGprt enzyme and APP are constructed as described in Ref. # 24 (Nguyen KV, Naviaux RK, Nyhan WL (2020) Lesch-Nyhan disease: I. Construction of expression vectors for hypoxanthine-guanine phosphoribosyltransferase (HGprt) enzyme and amyloid precursor protein (APP). Nucleosides Nucleotides Nucleic Acids 39: 905-922), and they could be used as tools for clarification of these issues. In addition, these expression vectors, especially the one with the glycosyl-phosphatidylinositol (GPI) anchor can be used as a model for the construction of expression vectors for any protein targeting to the cell plasma membrane for studying intermolecular interactions and could be therefore useful in the vaccines as well as antiviral drugs development (studying intermolecular interactions between the spike glycoprotein of the severe acute respiratory syndrome coronavirus 2, SARS-CoV-2, as well as its variants and the angiotensin-converting enzyme 2, ACE2, in coronavirus disease 2019 (COVID-19) [43],[44], for example).

Lesch-Nyhan病(LND)是一种罕见的嘌呤代谢的x连锁遗传神经遗传性疾病,其中细胞质酶,次黄嘌呤-鸟嘌呤磷酸化核糖转移酶(HGprt)存在缺陷。尽管HGprt酶缺陷在60多年前就已被发现,但到目前为止,关于HGprt酶缺陷如何导致LND并伴随持续和严重自伤行为的发展,还没有令人满意的解释。最近,突变的次黄嘌呤磷酸核糖基转移酶1 (HPRT1)和β-淀粉样蛋白前体蛋白(APP)基因之间的上位作用影响了LND中APP前mrna选择性剪接的调节。此外,还有一些LND形成血栓的报道,而APP是静脉血栓形成的重要调节剂,可以控制凝血。此外,HGprt酶的表面表达也在几种体细胞组织癌中被观察到,而APP和APP样蛋白-2 (APLP2)在癌细胞中被解除调控,并与肿瘤细胞增殖、迁移和侵袭增加有关。本文对这些发现进行了讨论,并提出APP和HGprt之间的潜在分子联系是通过HPRT1和APP基因之间的上位作用来影响APP前mrna剪接的调节。为此,参照文献# 24 (Nguyen KV, Naviaux RK, Nyhan WL(2020))构建HGprt酶和APP表达载体。Lesch-Nyhan病:I.次黄嘌呤-鸟嘌呤磷酸核糖基转移酶(HGprt)酶和淀粉样前体蛋白(APP)表达载体的构建。核苷(Nucleotides Nucleic Acids, 39: 905-922),它们可以作为澄清这些问题的工具。此外,这些表达载体,特别是具有糖基磷脂酰肌醇(GPI)锚点的表达载体,可作为构建任何靶向细胞膜的蛋白表达载体的模型,用于研究分子间相互作用,因此可用于疫苗和抗病毒药物的开发(研究严重急性呼吸综合征冠状病毒2,SARS-CoV-2的刺突糖蛋白,以及其变体和血管紧张素转换酶2 (ACE2)在2019冠状病毒病(COVID-19)中的作用[43],[44]。
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引用次数: 4
Neuroethics: what the study of brain disorders can tell about moral behavior. 神经伦理学:大脑疾病研究对道德行为的启示。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-10-25 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021029
Carmelo M Vicario, Chiara Lucifora

The growing interest in the study of morality has led to the birth of a new discipline in the field of moral philosophy called Neuroethics, a multidisciplinary approach that aims to combine philosophy and neuroscience. In this editorial, we explored the relevance of clinical models affected by neurological/psychiatric disorders to learn more about mechanisms sub-serving ethical behaviour at neural and cognitive level.

随着人们对道德研究的兴趣与日俱增,道德哲学领域诞生了一门新学科--神经伦理学,这是一种旨在将哲学与神经科学相结合的多学科方法。在这篇社论中,我们探讨了受神经/精神疾病影响的临床模型的相关性,以便从神经和认知层面了解更多服务于道德行为的机制。
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引用次数: 0
Automatic parcellation of resting-state cortical dynamics by iterative community detection and similarity measurements. 基于迭代群落检测和相似性测量的静息状态皮质动态自动分割。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-09-10 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021028
Tien-Wen Lee, Gerald Tramontano
To investigate the properties of a large-scale brain network, it is a common practice to reduce the dimension of resting state functional magnetic resonance imaging (rs-fMRI) data to tens to hundreds of nodes. This study presents an analytic streamline that incorporates modular analysis and similarity measurements (MOSI) to fulfill functional parcellation (FP) of the cortex. MOSI is carried out by iteratively dividing a module into sub-modules (via the Louvain community detection method) and unifying similar neighboring sub-modules into a new module (adjacent sub-modules with a similarity index <0.05) until the brain modular structures of successive runs become constant. By adjusting the gamma value, a parameter in the Louvain algorithm, MOSI may segment the cortex with different resolutions. rs-fMRI scans of 33 healthy subjects were selected from the dataset of the Rockland sample. MOSI was applied to the rs-fMRI data after standardized pre-processing steps. The results indicate that the parcellated modules by MOSI are more homogeneous in content. After reducing the grouped voxels to representative neural nodes, the network structures were explored. The resultant network components were comparable with previous reports. The validity of MOSI in achieving data reduction has been confirmed. MOSI may provide a novel starting point for further investigation of the network properties of rs-fMRI data. Potential applications of MOSI are discussed.
为了研究大规模脑网络的特性,将静息状态功能磁共振成像(rs-fMRI)数据降维到几十到几百个节点是一种常见的做法。本研究提出了一种分析流线,结合模块化分析和相似性测量(MOSI)来实现皮质的功能分割(FP)。MOSI是通过将一个模块迭代划分为子模块(通过Louvain社区检测方法),并将相似的相邻子模块统一为一个新的模块(具有相似指数的相邻子模块)来实现的
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引用次数: 2
Ventrolateral ventromedial hypothalamic nucleus GABA neuron adaptation to recurring Hypoglycemia correlates with up-regulated 5'-AMP-activated protein kinase activity. 腹外侧下丘脑核GABA神经元对复发性低血糖的适应与5'-AMP激活的蛋白激酶活性上调有关。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-09-03 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021027
Abdulrahman Alhamyani, Prabhat R Napit, Haider Ali, Mostafa Mh Ibrahim, Karen P Briski

Gamma-aminobutyric acid (GABA) acts on ventromedial hypothalamic targets to suppress counter-regulatory hormone release, thereby lowering blood glucose. Maladaptive up-regulation of GABA signaling is implicated in impaired counter-regulatory outflow during recurring insulin-induced hypoglycemia (RIIH). Ventromedial hypothalamic nucleus (VMN) GABAergic neurons express the sensitive energy gauge 5'-AMP-activated protein kinase (AMPK). Current research used high-neuroanatomical resolution single-cell microdissection tools to address the premise that GABAergic cells in the VMNvl, the primary location of 'glucose-excited' metabolic-sensory neurons in the VMN, exhibit attenuated sensor activation during RIIH. Data show that during acute hypoglycemia, VMNvl glutamate decarboxylase65/67 (GAD)-immunoreactive neurons maintain energy stability, yet a regional subset of this population exhibited decreased GAD content. GABA neurons located along the rostrocaudal length of the VMNvl acclimated to RIIH through a shift to negative energy imbalance, e.g. increased phosphoAMPK expression, alongside amplification/gain of inhibition of GAD profiles. Acquisition of negative GAD sensitivity may involve altered cellular receptivity to noradrenergic input via α2-AR and/or β1-AR. Suppression of VMNvl GABA nerve cell signaling during RIIH may differentiate this neuroanatomical population from other, possibly non-metabolic-sensory GABA neurons in the MBH. Data here also provide novel evidence that VMNvl GABA neurons are direct targets of glucocorticoid control, and show that glucocorticoid receptors may inhibit RIIH-associated GAD expression in rostral VMNvl GABAergic cells through AMPK-independent mechanisms.

γ-氨基丁酸(GABA)作用于下丘脑腹内侧靶点,抑制反调节激素的释放,从而降低血糖。在胰岛素诱发的反复低血糖(RIIH)中,GABA 信号的不适应性上调与反调节外流受损有关。下丘脑中内侧核(VMN)GABA能神经元表达敏感的能量调节因子5'-AMPK。目前的研究使用了高神经解剖分辨率的单细胞显微切割工具,以解决VMNvl(VMN中 "葡萄糖激发 "代谢感觉神经元的主要位置)中的GABA能细胞在RIIH期间表现出传感器激活减弱的前提。数据显示,在急性低血糖期间,VMNvl 谷氨酸脱羧酶 65/67 (GAD) 免疫反应神经元能保持能量稳定,但该群体的一个区域亚群显示出 GAD 含量下降。沿着 VMNvl 的喙尾长度分布的 GABA 神经元适应 RIIH 的方式是转向负能量失衡,例如增加磷酸-AMPK 的表达,同时扩大/增加 GAD 的抑制。对 GAD 负敏感性的获得可能涉及细胞对通过 α2-AR 和/或 β1-AR 输入的去甲肾上腺素能的接受能力的改变。在 RIIH 期间抑制 VMNvl GABA 神经细胞信号传导可能会将这一神经解剖群与 MBH 中其他可能是非代谢感觉型 GABA 神经元区分开来。本文的数据还提供了新的证据,证明 VMNvl GABA 神经元是糖皮质激素控制的直接靶点,并表明糖皮质激素受体可通过 AMPK 依赖性机制抑制喙 VMNvl GABA 能细胞中与 RIIH 相关的 GAD 表达。
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引用次数: 0
The beneficial effects of physical exercise on visuospatial working memory in preadolescent children. 体育锻炼对青春期前儿童视觉空间工作记忆的有益影响。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-09-02 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021026
Laura Serra, Sara Raimondi, Carlotta di Domenico, Silvia Maffei, Anna Lardone, Marianna Liparoti, Pierpaolo Sorrentino, Carlo Caltagirone, Laura Petrosini, Laura Mandolesi

The relationship between physical exercise and improvement in specific cognitive domains in children and adolescents who play sport has been recently reported, although the effects on visuospatial abilities have not yet been well explored. This study is aimed at evaluating in school-age children practicing artistic gymnastics the visuospatial memory by using a table version of the Radial Arm Maze (table-RAM) and comparing their performances with those ones who do not play any sport. The visuospatial performances of 14 preadolescent girls practicing artistic gymnastics aged between 7 and 10 years and those of 14 preadolescent girls not playing any sport were evaluated in the table-RAM forced-choice paradigm that allows disentangling short-term memory from working memory abilities. Data showed that the gymnasts obtained better performances than control group mainly in the parameters evaluating working memory abilities, such as within-phase errors and spatial span. Our findings emphasizing the role of physical activity on cognitive performances impel to promote physical exercise in educational and recreational contexts as well as to analyse the impact of other sports besides gymnastics on cognitive functioning.

尽管体育锻炼对视觉空间能力的影响尚未得到很好的探索,但最近有报道称,体育锻炼与儿童和青少年特定认知领域的改善之间的关系。本研究旨在运用桌型桡臂迷宫(table- ram)评估学龄儿童在艺术体操训练中的视觉空间记忆,并将其表现与不做任何运动的儿童进行比较。采用表- ram强迫选择范式,对14名7 ~ 10岁从事艺术体操训练的青春期前女孩和14名不从事任何体育运动的青春期前女孩的视觉空间表现进行了评价。数据显示,体操运动员主要在评价工作记忆能力的参数,如相内误差和空间跨度方面的表现优于对照组。我们的研究结果强调了体育活动对认知表现的作用,这推动了在教育和娱乐环境中促进体育锻炼,并分析了体操以外的其他运动对认知功能的影响。
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引用次数: 11
Neurosurgery and artificial intelligence. 神经外科和人工智能。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-08-06 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021025
Mohammad Mofatteh

Neurosurgeons receive extensive and lengthy training to equip themselves with various technical skills, and neurosurgery require a great deal of pre-, intra- and postoperative clinical data collection, decision making, care and recovery. The last decade has seen a significant increase in the importance of artificial intelligence (AI) in neurosurgery. AI can provide a great promise in neurosurgery by complementing neurosurgeons' skills to provide the best possible interventional and noninterventional care for patients by enhancing diagnostic and prognostic outcomes in clinical treatment and help neurosurgeons with decision making during surgical interventions to improve patient outcomes. Furthermore, AI is playing a pivotal role in the production, processing and storage of clinical and experimental data. AI usage in neurosurgery can also reduce the costs associated with surgical care and provide high-quality healthcare to a broader population. Additionally, AI and neurosurgery can build a symbiotic relationship where AI helps to push the boundaries of neurosurgery, and neurosurgery can help AI to develop better and more robust algorithms. This review explores the role of AI in interventional and noninterventional aspects of neurosurgery during pre-, intra- and postoperative care, such as diagnosis, clinical decision making, surgical operation, prognosis, data acquisition, and research within the neurosurgical arena.

神经外科医生要接受广泛而漫长的培训,以掌握各种技术技能,而神经外科需要大量的术前、术中和术后临床数据收集、决策、护理和恢复工作。近十年来,人工智能(AI)在神经外科中的重要性显著增加。人工智能在神经外科领域大有可为,它可以补充神经外科医生的技能,通过提高临床治疗的诊断和预后结果,为患者提供最佳的介入和非介入治疗,并帮助神经外科医生在手术干预期间做出决策,从而改善患者的预后。此外,人工智能在临床和实验数据的生产、处理和存储方面发挥着举足轻重的作用。在神经外科中使用人工智能还可以降低手术治疗的相关成本,为更多人提供高质量的医疗保健服务。此外,人工智能和神经外科可以建立一种共生关系,人工智能有助于推动神经外科的发展,而神经外科则可以帮助人工智能开发更好、更强大的算法。本综述探讨了人工智能在神经外科术前、术中和术后护理的介入和非介入方面的作用,如神经外科领域的诊断、临床决策、手术操作、预后、数据采集和研究。
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引用次数: 0
Nutrition and cognition across the lifetime: an overview on epigenetic mechanisms. 终生营养与认知:表观遗传机制综述。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-07-15 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021024
Arianna Polverino, Pierpaolo Sorrentino, Matteo Pesoli, Laura Mandolesi

The functioning of our brain depends on both genes and their interactions with environmental factors. The close link between genetics and environmental factors produces structural and functional cerebral changes early on in life. Understanding the weight of environmental factors in modulating neuroplasticity phenomena and cognitive functioning is relevant for potential interventions. Among these, nutrition plays a key role. In fact, the link between gut and brain (the gut-brain axis) is very close and begins in utero, since the Central Nervous System (CNS) and the Enteric Nervous System (ENS) originate from the same germ layer during the embryogenesis. Here, we investigate the epigenetic mechanisms induced by some nutrients on the cognitive functioning, which affect the cellular and molecular processes governing our cognitive functions. Furthermore, epigenetic phenomena can be positively affected by specific healthy nutrients from diet, with the possibility of preventing or modulating cognitive impairments. Specifically, we described the effects of several nutrients on diet-dependent epigenetic processes, in particular DNA methylation and histones post-translational modifications, and their potential role as therapeutic target, to describe how some forms of cognitive decline could be prevented or modulated from the early stages of life.

我们大脑的功能既取决于基因,也取决于它们与环境因素的相互作用。遗传和环境因素之间的密切联系会在生命早期产生大脑结构和功能上的变化。了解环境因素在调节神经可塑性现象和认知功能中的重要性,与潜在的干预措施有关。其中,营养起着关键作用。事实上,肠道和大脑(肠-脑轴)之间的联系非常紧密,并且在子宫内就开始了,因为中枢神经系统(CNS)和肠神经系统(ENS)在胚胎发生时起源于同一胚层。在此,我们研究了一些营养物质对认知功能的表观遗传机制,这些机制影响着我们认知功能的细胞和分子过程。此外,饮食中的特定健康营养素可能对表观遗传现象产生积极影响,并可能预防或调节认知障碍。具体来说,我们描述了几种营养素对饮食依赖性表观遗传过程的影响,特别是DNA甲基化和组蛋白翻译后修饰,以及它们作为治疗靶点的潜在作用,以描述如何从生命的早期阶段预防或调节某些形式的认知衰退。
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引用次数: 7
The association of self-reported physical activity on human sensory long-term potentiation. 自我报告的体力活动与人类感觉长时程增强的关系。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-05-24 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021023
Damien Moore, Paul D Loprinzi

Exercise has been shown to enhance synaptic plasticity, therefore, potentially affecting memory. While the mechanism(s) responsible for this relationship have been explored in animal models, current research suggests that exercise may possess the ability to induce synaptic long-term potentiation (LTP). Most of the LTP mechanistic work has been conducted in animal models using invasive procedures. For that reason, the purpose of the present experiment was to investigate whether self-reported exercise is related to human sensory LTP-like responses. Nineteen participants (MAGE = 24 years; 52.6% male) completed the study. Long-term potentiation-like responses were measured by incorporating a non-invasive method that assess the change in potentiation of the N1b component produced from the visual stimulus paradigm presented bilaterally in the visual field. Results demonstrated that those with higher levels of moderate-to-vigorous physical activity (MVPA) had a greater N1b change from baseline to the early time period assessment, r = -0.43, p = 0.06. Our findings provide some suggestive evidence of an association between self-reported MVPA and LTP-like responses. Additional work is needed to support that the potentiation of the human sensory N1b component in the observed study is due to the exercise-induced synaptic changes similar to that detailed in prior animal research.

运动已被证明可以增强突触的可塑性,因此可能会影响记忆。虽然这种关系的机制已经在动物模型中进行了探索,但目前的研究表明,运动可能具有诱导突触长期增强(LTP)的能力。大多数LTP机制的研究都是在动物模型中使用侵入性手术进行的。因此,本实验的目的是研究自我报告的运动是否与人类感觉ltp样反应有关。19名参与者(年龄= 24岁;52.6%(男性)完成了研究。通过采用非侵入性方法来测量长期增强样反应,该方法评估了在视野中双侧呈现的视觉刺激范式产生的N1b成分的增强变化。结果显示,中高强度体力活动(MVPA)水平较高的患者从基线到早期评估的N1b变化更大,r = -0.43, p = 0.06。我们的研究结果为自我报告的MVPA和ltp样反应之间的关联提供了一些暗示性证据。在观察到的研究中,人类感觉N1b成分的增强是由于运动引起的突触变化,这与之前的动物研究中详细描述的相似,需要进一步的工作来支持。
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引用次数: 3
Cannabis in the management of PTSD: a systematic review. 大麻在PTSD治疗中的应用:系统综述。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2021-05-13 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021022
Yasir Rehman, Amreen Saini, Sarina Huang, Emma Sood, Ravneet Gill, Sezgi Yanikomeroglu

Introduction: Existing reviews exploring cannabis effectiveness have numerous limitations including narrow search strategies. We systematically explored cannabis effects on PTSD symptoms, quality of life (QOL), and return to work (RTW). We also investigated harm outcomes such as adverse effects and dropouts due to adverse effects, inefficacy, and all-cause dropout rates.

Methods: Our search in MEDLINE, EMBASE, PsycInfo, CINAHL, Web of Science, CENTRAL, and PubMed databases, yielded 1 eligible RCT and 10 observational studies (n = 4672). Risk of bias (RoB) was assessed with the Cochrane risk of bias tool and ROBINS-I.

Results: Evidence from the included studies was mainly based on non-randomized studies with no comparators. Results from unpooled, high RoB studies showed that cannabis was associated with a reduction in overall PTSD symptoms and improved QOL. Dry mouth, headaches, and psychoactive effects such as agitation and euphoria were the commonly reported adverse effects. In most studies, cannabis was well tolerated, but small proportions of patients experienced a worsening of PTSD symptoms.

Conclusion: Evidence in the current study primarily stems from low quality and high RoB observational studies. Further RCTs investigating cannabis effects on PTSD treatment should be conducted with larger sample sizes and explore a broader range of patient-important outcomes.

现有的评论探索大麻的有效性有许多局限性,包括狭窄的搜索策略。我们系统地探讨了大麻对PTSD症状、生活质量(QOL)和重返工作(RTW)的影响。我们还调查了危害结果,如不良反应和因不良反应而退学、无效和全因退学率。方法:我们在MEDLINE、EMBASE、PsycInfo、CINAHL、Web of Science、CENTRAL和PubMed数据库中检索,获得1项符合条件的RCT和10项观察性研究(n = 4672)。采用Cochrane偏倚风险工具和ROBINS-I评估偏倚风险(RoB)。结果:纳入研究的证据主要基于没有比较物的非随机研究。非汇总的高RoB研究结果表明,大麻与总体创伤后应激障碍症状的减少和生活质量的改善有关。口干舌燥、头痛和精神反应,如躁动和兴奋是常见的不良反应。在大多数研究中,大麻耐受性良好,但一小部分患者经历了PTSD症状的恶化。结论:目前研究中的证据主要来自低质量和高RoB的观察性研究。进一步研究大麻对创伤后应激障碍治疗效果的随机对照试验应该以更大的样本量进行,并探索更广泛的对患者重要的结果。
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引用次数: 14
Effect of alcohol on the central nervous system to develop neurological disorder: pathophysiological and lifestyle modulation can be potential therapeutic options for alcohol-induced neurotoxication. 酒精对中枢神经系统发展为神经系统疾病的影响:病理生理和生活方式的调节可能是酒精诱导的神经毒性的潜在治疗选择。
IF 3.1 Q2 NEUROSCIENCES Pub Date : 2021-04-09 eCollection Date: 2021-01-01 DOI: 10.3934/Neuroscience.2021021
Zinia Pervin, Julia M Stephen

The central nervous system (CNS) is the major target for adverse effects of alcohol and extensively promotes the development of a significant number of neurological diseases such as stroke, brain tumor, multiple sclerosis (MS), Alzheimer's disease (AD), and amyotrophic lateral sclerosis (ALS). Excessive alcohol consumption causes severe neuro-immunological changes in the internal organs including irreversible brain injury and it also reacts with the defense mechanism of the blood-brain barrier (BBB) which in turn leads to changes in the configuration of the tight junction of endothelial cells and white matter thickness of the brain. Neuronal injury associated with malnutrition and oxidative stress-related BBB dysfunction may cause neuronal degeneration and demyelination in patients with alcohol use disorder (AUD); however, the underlying mechanism still remains unknown. To address this question, studies need to be performed on the contributing mechanisms of alcohol on pathological relationships of neurodegeneration that cause permanent neuronal damage. Moreover, alcohol-induced molecular changes of white matter with conduction disturbance in neurotransmission are a likely cause of myelin defect or axonal loss which correlates with cognitive dysfunctions in AUD. To extend our current knowledge in developing a neuroprotective environment, we need to explore the pathophysiology of ethanol (EtOH) metabolism and its effect on the CNS. Recent epidemiological studies and experimental animal research have revealed the association between excessive alcohol consumption and neurodegeneration. This review supports an interdisciplinary treatment protocol to protect the nervous system and to improve the cognitive outcomes of patients who suffer from alcohol-related neurodegeneration as well as clarify the pathological involvement of alcohol in causing other major neurological disorders.

中枢神经系统(CNS)是酒精不良反应的主要靶点,并广泛促进许多神经系统疾病的发展,如中风、脑瘤、多发性硬化症(MS)、阿尔茨海默病(AD)和肌萎缩侧索硬化症(ALS)。过量饮酒会导致内脏发生严重的神经免疫变化,包括不可逆的脑损伤,还会与血脑屏障(BBB)的防御机制发生反应,进而导致内皮细胞紧密连接的结构和大脑白质厚度的变化。与营养不良和氧化应激相关的血脑屏障功能障碍相关的神经元损伤可能导致酒精使用障碍(AUD)患者的神经元变性和脱髓鞘;然而,其潜在机制仍然未知。为了解决这个问题,需要研究酒精对导致永久性神经元损伤的神经退行性变病理关系的作用机制。此外,酒精诱导的白质分子变化和神经传递传导障碍可能是髓鞘缺陷或轴突损失的原因,这与AUD的认知功能障碍有关。为了扩展我们目前在开发神经保护环境方面的知识,我们需要探索乙醇(EtOH)代谢的病理生理学及其对中枢神经系统的影响。最近的流行病学研究和实验动物研究揭示了过量饮酒与神经退行性变之间的联系。这篇综述支持一项跨学科的治疗方案,以保护神经系统,改善酒精相关神经退行性变患者的认知结果,并阐明酒精在导致其他主要神经疾病中的病理作用。
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引用次数: 0
期刊
AIMS Neuroscience
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