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Global patterns linking total meat supply to dementia incidence: A population-based ecological study. 全球肉类供应总量与痴呆症发病率之间的联系模式:一项基于人群的生态学研究。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-06-05 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025012
Wenpeng You

Dementia cases are projected to triple globally by 2050, largely driven by an aging population. While aging remains the primary risk factor, emerging evidence suggests that diet, including total meat supply, may influence dementia risk. This study investigates the relationship between total meat supply (red and white meat) and dementia incidence using data from 204 countries. Bivariate correlations revealed a significant positive association between total meat supply and dementia incidence globally (r = 0.59, p < 0.001), with a stronger effect observed in low- and middle-income countries (z = 3.92, p < 0.001). Partial correlation analyses and multiple regression models, controlling for aging, economic status, genetic predisposition, and urbanization, confirmed that meat supply remained a significant predictor of dementia (Beta = 0.20, p < 0.001). Aging showed the strongest influence (Beta = 0.79, p < 0.001), underscoring its dominant role. Regional analyses suggested socio-economic disparities, dietary habits, and limited access to diverse nutrition as factors amplifying the association in developing regions. These findings identify total meat supply as a modifiable dietary factor contributing to dementia risk, particularly in resource-constrained settings. Implementing tailored dietary interventions may help reduce dementia incidence globally, especially in vulnerable populations.

预计到2050年,全球痴呆症病例将增加两倍,主要原因是人口老龄化。虽然衰老仍然是主要的风险因素,但新出现的证据表明,饮食,包括肉类供应总量,可能会影响痴呆症的风险。本研究使用来自204个国家的数据调查了肉类供应总量(红肉和白肉)与痴呆症发病率之间的关系。双变量相关性显示,全球肉类总供应量与痴呆症发病率之间存在显著正相关(r = 0.59, p < 0.001),在低收入和中等收入国家观察到更强的影响(z = 3.92, p < 0.001)。偏相关分析和多元回归模型,控制了年龄、经济地位、遗传易感性和城市化,证实肉类供应仍然是痴呆症的重要预测因子(Beta = 0.20, p < 0.001)。年龄的影响最大(Beta = 0.79, p < 0.001),表明年龄在其中起主导作用。区域分析表明,社会经济差异、饮食习惯和获得多样化营养的机会有限是扩大发展中地区这种联系的因素。这些发现表明,肉类供应总量是导致痴呆风险的可改变饮食因素,特别是在资源有限的环境中。实施量身定制的饮食干预措施可能有助于减少全球,特别是弱势群体的痴呆症发病率。
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引用次数: 0
Infantile neuroaxonal dystrophy: Molecular mechanisms and pathogenesis of PLA2G6-associated neurodegeneration. 婴儿神经轴突营养不良:pla2g6相关神经变性的分子机制和发病机制。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025011
María González-Sánchez, María Jesús Ramírez-Expósito, José Manuel Martínez-Martos

Infantile neuroaxonal dystrophy (INAD), also known as PLA2G6-associated neurodegeneration (PLAN), is a rare, early-onset, autosomal recessively inherited neurodegenerative disease belonging to the group of neurodegenerations with brain iron accumulation (NBIA). The main cause of this disease is bi-allelic mutations in the PLA2G6 gene, which codes for the enzyme phospholipase A2 type VI. Clinically, it manifests with progressive neurodevelopmental impairment, psychomotor regression, movement disorders, and pyramidal signs. Initially described in the 1950s, the classical form presents in the first two years of life, although later-onset variants are recognized. At the neuropathological level, INAD is characterized by the presence of neuroaxonal spheroids, which are dilations of degenerated axons, located mainly in the white matter, basal ganglia, and cerebellum. INAD is considered a rare or ultra-rare disease, with an estimated prevalence of approximately 1 per million individuals. Diagnosis requires a comprehensive evaluation combining clinical with neuroimaging studies, mainly magnetic resonance imaging (MRI), and genetic analysis. MRI may reveal early cerebellar atrophy and a low-intensity signal in the globus pallidus on iron-sensitive sequences, indicative of iron accumulation. Currently, there is no curative treatment for INAD, so management focuses on providing palliative care and symptom control using a multidisciplinary approach. However, various therapeutic strategies are being investigated, including gene therapy to correct the genetic defect, as well as approaches to modulate pathological pathways such as lipid peroxidation and iron accumulation.

婴儿神经轴突营养不良(INAD),也称为pla2g6相关神经退行性疾病(PLAN),是一种罕见的早发性常染色体隐性遗传神经退行性疾病,属于脑铁积累性神经退行性疾病(NBIA)。该疾病的主要原因是编码磷脂酶A2型VI的PLA2G6基因双等位基因突变。临床表现为进行性神经发育障碍、精神运动减退、运动障碍和锥体体征。最初描述于20世纪50年代,经典形式出现在生命的头两年,尽管晚发病的变体是公认的。在神经病理水平上,INAD以神经轴突球体的存在为特征,这是退化轴突的扩张,主要位于白质、基底节区和小脑。INAD被认为是一种罕见或超罕见疾病,估计患病率约为百万分之一。诊断需要结合临床和神经影像学研究,主要是磁共振成像(MRI)和遗传分析进行综合评估。MRI可显示早期小脑萎缩和白球铁敏感序列低强度信号,提示铁积累。目前,对INAD没有根治性治疗,因此管理的重点是通过多学科方法提供姑息治疗和症状控制。然而,各种治疗策略正在研究中,包括纠正遗传缺陷的基因治疗,以及调节脂质过氧化和铁积累等病理途径的方法。
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引用次数: 0
Distinct neural mechanisms of alpha binaural beats and white noise for cognitive enhancement in young adults. 双耳节拍和白噪声对年轻人认知增强的不同神经机制。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-05-20 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025010
Aini Ismafairus Abd Hamid, Nurfaten Hamzah, Siti Mariam Roslan, Nur Alia Amalin Suhardi, Muhammad Riddha Abdul Rahman, Faiz Mustafar, Hazim Omar, Asma Hayati Ahmad, Elza Azri Othman, Ahmad Nazlim Yusoff

Young adulthood is a critical period marked by significant cognitive demands, requiring efficient brain function to manage academic, professional, and social challenges. Many young adults struggle with focus, stress management, and information processing. Emerging research suggests that auditory stimulation, specifically binaural beats and white noise, may enhance cognitive abilities and address these challenges. This exploratory study investigates the immediate effects of alpha binaural beats (ABB) and alpha binaural beats combined with white noise (AWN) on brain connectivity in young adults using functional magnetic resonance imaging (fMRI). Twenty-nine participants (n = 14 ABB, n = 15 AWN; mean age ≈ 22.14 years) were randomly assigned to receive either ABB or AWN during fMRI scans. Using dynamic independent component analysis (dyn-ICA), we examined the modulation of functional brain circuits during auditory stimulation. Preliminary findings revealed distinct and overlapping patterns of brain connectivity modulation of ABB and AWN. ABB primarily modulated connectivity within circuits involving frontoparietal, visual-motor, and multisensory regions, potentially enhancing cognitive flexibility, attentional control, and multisensory processing. Conversely, AWN primarily modulated connectivity in salience and default mode networks, with notable effects in limbic or reward regions, suggesting enhancements in focused attention and emotional processing. These preliminary results demonstrate that ABB and AWN differentially modulate brain networks on an immediate timescale. ABB may promote cognitive adaptability, while AWN enhances focused attention and emotional stability. Although behavioral effects were not assessed, these findings provide a neurobiological basis for understanding how these stimuli impact brain circuits. These preliminary findings may aid the development of personalized strategies for cognitive and emotional well-being. Given the exploratory nature, small sample size, and lack of concurrent behavioral data, these findings should be interpreted cautiously. Future research with rigorous designs, including control groups and behavioral measures, is needed to explore the long-term effects and applications of these interventions in various settings.

青年期是认知需求显著的关键时期,需要有效的大脑功能来应对学术、专业和社会挑战。许多年轻人在集中注意力、压力管理和信息处理方面挣扎。新兴研究表明,听觉刺激,特别是双耳节拍和白噪音,可能会提高认知能力,并解决这些挑战。本探索性研究利用功能性磁共振成像(fMRI)研究了α双耳节拍(ABB)和α双耳节拍联合白噪声(AWN)对年轻人大脑连通性的直接影响。29名参与者(n = 14 ABB, n = 15 AWN;平均年龄≈22.14岁),在fMRI扫描期间随机分配接受ABB或AWN。利用动态独立分量分析(dyn-ICA),研究了听觉刺激对脑功能回路的调节。初步发现ABB和AWN的脑连接调节模式不同且重叠。ABB主要在涉及额顶叶、视觉运动和多感觉区域的电路中调制连接,潜在地增强认知灵活性、注意力控制和多感觉处理。相反,AWN主要调节显著性和默认模式网络的连通性,对边缘或奖励区域有显著影响,表明注意力集中和情绪处理得到增强。这些初步结果表明,ABB和AWN在即时时间尺度上对大脑网络进行了不同的调节。ABB可能促进认知适应性,而AWN可能增强注意力集中和情绪稳定性。虽然没有评估行为影响,但这些发现为理解这些刺激如何影响大脑回路提供了神经生物学基础。这些初步发现可能有助于制定个性化的认知和情感健康策略。考虑到探索性、小样本量和缺乏并发行为数据,这些发现应该谨慎解释。未来的研究需要严格的设计,包括对照组和行为措施,以探索这些干预措施在各种环境中的长期影响和应用。
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引用次数: 0
Neuromodulation techniques in combination for a short-intensive treatment of depression and anxiety: a case report. 神经调节技术联合短期强化治疗抑郁和焦虑:1例报告。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-05-14 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025009
Fiammetta Iannuzzo, Federica Donia, Lorenzo Bette, Fabrizio Turiaco, Antonio Bruno

Neuromodulation techniques have emerged as valuable strategies for patients with depression and anxiety who do not respond to traditional therapies. Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) treatments are heterogeneous; however, they all share an average duration of at least 10 days, thus requiring significant patient commitment to maintain adequate compliance. Here we describe a 68-year-old woman who suffered from depression and generalized anxiety disorder and underwent a short-intensive combined protocol, thus highlighting its effectiveness and good tolerability.

神经调节技术已经成为对传统疗法无效的抑郁症和焦虑症患者的宝贵策略。重复经颅磁刺激(rTMS)和经颅直流电刺激(tDCS)治疗是异质的;然而,它们的平均持续时间至少为10天,因此需要大量的患者承诺来维持足够的依从性。在这里,我们描述了一位患有抑郁症和广泛性焦虑症的68岁女性,并接受了短时间强化的联合治疗方案,从而突出了其有效性和良好的耐受性。
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引用次数: 0
Interleukin-6 targeting antibodies for the treatment of Myelin Oligodendrocyte Glycoprotein Antibody-associated Disease (MOGAD): A review of current literature. 白细胞介素-6靶向抗体治疗髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD):当前文献综述
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-05-08 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025008
Siddarth R Ganesh, Orion Yedidia, Krupa Pandey, Carmenrita Infortuna, Charitha Madiraju, Florian P Thomas, Fortunato Battaglia

Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) is an autoimmune inflammatory demyelinating disorder that can manifest as optic neuritis, transverse myelitis, and acute disseminated encephalomyelitis. Although typically monophasic, relapsing cases are more common in adults. Current treatments include corticosteroids, intravenous immunoglobulin, immune-suppressive drugs, and plasma exchange, but there is emerging interest in the use of interleukin-6 (IL-6) inhibitors to prevent relapses such as tocilizumab and satralizumab. This review analyzed 24 studies on IL-6 inhibitors for MOGAD, including case reports, case series, and retrospective studies with at least one MOGAD patient. Tocilizumab demonstrated significant efficacy, with most studies reporting reduced annualized relapse rates (ARR), prolonged relapse-free periods, and improved neurological outcomes, including stabilization or recovery of vision, motor function, and magnetic resonance imaging (MRI) lesion resolution. Satralizumab also showed potential, though data were more limited. While IL-6 inhibitors appear beneficial for steroid-dependent or treatment-resistant MOGAD, the existing data are limited to small, observational studies. Larger controlled trials are needed to establish their long-term efficacy and safety.

髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)是一种自身免疫性炎症性脱髓鞘疾病,可表现为视神经炎、横断性脊髓炎和急性播散性脑脊髓炎。虽然典型的单相,但复发病例在成人中更常见。目前的治疗方法包括皮质类固醇、静脉注射免疫球蛋白、免疫抑制药物和血浆交换,但人们对使用白细胞介素-6 (IL-6)抑制剂(如托珠单抗和萨特利珠单抗)来预防复发越来越感兴趣。本综述分析了24项关于IL-6抑制剂治疗MOGAD的研究,包括病例报告、病例系列和至少1例MOGAD患者的回顾性研究。Tocilizumab显示出显著的疗效,大多数研究报告降低了年化复发率(ARR),延长了无复发期,改善了神经学预后,包括视力、运动功能和磁共振成像(MRI)病变分辨率的稳定或恢复。尽管数据有限,但Satralizumab也显示出潜力。虽然IL-6抑制剂似乎对类固醇依赖或治疗抵抗性MOGAD有益,但现有数据仅限于小型观察性研究。需要更大规模的对照试验来确定它们的长期有效性和安全性。
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引用次数: 0
Enhancing cognition and well-being by treating the malocclusion unilateral posterior crossbite: preliminary evidence by a single case study. 通过治疗单侧后牙合错提高认知和幸福感:单病例研究的初步证据。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-04-25 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025007
Laura Mandolesi, Noemi Passarello, Eillyn Leiva Ramirez, Deny Menghini, Patrizia Turriziani, Teresa Vallelonga, Francesco Aristei, Angela Galeotti, Stefano Vicari, Vito Crincoli, Maria Grazia Piancino

Scientific investigations have increasingly revealed the intricate connection between masticatory function and cognitive functioning, as well as psychological well-being. Addressing malocclusions, such as the common unilateral posterior crossbite, during early developmental stages, emerges as an effective strategy for gaining health. This study aims to evaluate the efficacy of treating unilateral posterior crossbite by utilizing a function generating bite (FGB) appliance in a 12-year-old child, focusing on its impact on specific cognitive domains. Through meticulous pre- and post-treatment assessments, encompassing global cognitive activity (Colored Progressive Matrices), verbal and spatial working memory (Digit Span and Corsi Block-Tapping Test), and graphic fluency (modified Five Points Test), this research aims to elucidate the cognitive benefits associated with FGB treatment. Results unveil that a mere seven-month application of FGB effectively rectified the malocclusion while concurrently yielding notable improvements in the cognitive abilities under scrutiny. Additionally, post-treatment observations revealed enhanced well-being and sleep quality, further emphasizing the multifaceted benefits of such interventions. Although this study presents findings from a singular case, it serves as a catalyst for further exploration into the intricate interplay between masticatory function and cognitive performance. Such endeavors are vital for advancing holistic healthcare practices that integrate dental care with cognitive and psychological considerations, thereby fostering comprehensive well-being and optimal development.

科学研究越来越多地揭示了咀嚼功能与认知功能以及心理健康之间的复杂联系。在早期发育阶段处理错颌,如常见的单侧后牙合,是获得健康的有效策略。本研究旨在评估使用功能生成咬合(FGB)矫治器治疗12岁儿童单侧后牙合的疗效,重点关注其对特定认知领域的影响。通过细致的治疗前和治疗后评估,包括全球认知活动(彩色递进矩阵),语言和空间工作记忆(数字广度和Corsi积木测试),以及图形流畅性(改进五点测试),本研究旨在阐明FGB治疗相关的认知益处。结果表明,仅仅七个月的FGB应用有效地纠正了错颌,同时在审查下产生显著的认知能力改善。此外,治疗后观察显示,幸福感和睡眠质量有所提高,进一步强调了此类干预措施的多方面益处。虽然本研究的发现来自一个单一的案例,但它为进一步探索咀嚼功能和认知表现之间复杂的相互作用提供了催化剂。这样的努力对于推进整体医疗保健实践至关重要,这些实践将牙科保健与认知和心理考虑相结合,从而促进全面的健康和最佳的发展。
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引用次数: 0
Epigenetic modulation of human neurobiological disorders: Lesch-Nyhan disease as a model disorder. 人类神经生物学疾病的表观遗传调节:Lesch-Nyhan病作为一种模式疾病。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025005
Khue Vu Nguyen

Epigenetics is the study of how cells control gene activity without changing the DNA sequence. Epigenetic changes affect how genes are turned on and off or expressed, and thus help regulate how cells in different parts of the body use the same genetic code. Errors in the epigenetic process can not only lead to abnormal gene activity or inactivity, but can also influence alternative splicing (AS) and could cause human diseases. Understanding of how epigenetic defects can affect human health, especially for neurological disorders, could suggest targets for therapeutic interventions. For such a purpose, the Lesch-Nyhan disease (LND) has been selected as a valuable model to study the genetic-epigenetic interplay, especially to explore the epistasis between the housekeeping hypoxanthine phosphoribosyltransferase 1 (HPRT1) and β-amyloid precursor protein (APP) genes. This review is structured as follows: we begin with an overview about the monogenetic neurological disorders associated with epigenetic changes; next, the current knowledge on HPRT1 and APP genes is provided; then, the epistasis between HPRT1 and APP genes related to the neurobehavioral syndrome in LND is described; and finally, we present the construction of expression vectors to study intermolecular interactions between the hypoxanthine-guanine phosphoribosyltransferase (HGprt) enzyme and APP in LND. Information obtained from such expression vectors would be useful for future directions to design therapies through epigenetic interventions.

表观遗传学是研究细胞如何在不改变DNA序列的情况下控制基因活性的学科。表观遗传变化影响基因的开启、关闭或表达方式,从而有助于调节身体不同部位的细胞如何使用相同的遗传密码。表观遗传过程中的错误不仅会导致基因异常活性或不活性,而且还会影响选择性剪接(AS)并可能导致人类疾病。了解表观遗传缺陷如何影响人类健康,特别是神经系统疾病,可以为治疗干预提供目标。为此,Lesch-Nyhan病(LND)被选为一个有价值的模型来研究遗传-表观遗传相互作用,特别是探索内源性次黄嘌呤磷酸核糖基转移酶1 (HPRT1)和β-淀粉样前体蛋白(APP)基因之间的上位性。这篇综述的结构如下:我们首先概述了与表观遗传变化相关的单基因神经系统疾病;接下来,介绍HPRT1和APP基因的最新知识;然后,描述了LND中与神经行为综合征相关的HPRT1和APP基因之间的上位性;最后,构建表达载体,研究LND中次黄嘌呤-鸟嘌呤磷酸核糖基转移酶(HGprt)与APP的分子间相互作用。从这些表达载体中获得的信息将有助于未来通过表观遗传干预设计治疗方法。
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引用次数: 0
A review on recent advances in Alzheimer's disease: The role of synaptic plasticity. 阿尔茨海默病研究进展:突触可塑性的作用。
IF 2.7 Q2 NEUROSCIENCES Pub Date : 2025-04-15 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025006
Nour Kenaan, Zuheir Alshehabi

Alzheimer's Disease (AD) remains a significant global health challenge, characterized by progressive neurodegeneration and a decline in cognitive abilities such as memory and learning. Despite being the main cause of dementia worldwide, the precise mechanisms that underlie neuronal dysfunction and synaptic plasticity impairment in AD remain elusive. However, while genetic mutations, dietary factors, and immune dysregulation are implicated in AD pathogenesis, the current therapeutic approaches are largely centered around acetylcholinesterase inhibitors (AChEIs). Nevertheless, this cholinergic hypothesis of AD is no longer satisfactory in describing this disease and has demonstrated a limited efficacy. Hence, new treatment approaches should be developed, and that requires us to view AD from a new perspective. Herein, in our review, we present the latest studies that discussed possible AD pathologies and pharmacotherapies. Additionally, we highlight that the emerging treatments that precisely targets brain regions associated with enhancing neuroplasticity have delivered promising results and seem to be more effective than older treatments. Finally, by viewing AD as a complex interplay of various factors that ultimately cause synaptic dysfunction and cognitive decline, we can develop more effective therapeutic interventions and ultimately alleviate the significant burden of this debilitating disease for both patients and their families.

阿尔茨海默病(AD)仍然是一个重大的全球健康挑战,其特征是进行性神经变性和认知能力(如记忆和学习)下降。尽管阿尔茨海默氏症是全球范围内痴呆症的主要原因,但其神经元功能障碍和突触可塑性损伤的确切机制仍然难以捉摸。然而,虽然基因突变、饮食因素和免疫失调与阿尔茨海默病的发病有关,但目前的治疗方法主要集中在乙酰胆碱酯酶抑制剂(AChEIs)上。然而,这种阿尔茨海默病的胆碱能假说在描述这种疾病时已不再令人满意,并且已证明其疗效有限。因此,应该开发新的治疗方法,这需要我们从新的角度来看待AD。在此,在我们的回顾中,我们介绍了讨论AD可能的病理和药物治疗的最新研究。此外,我们强调,精确靶向与增强神经可塑性相关的大脑区域的新兴治疗方法已经取得了令人鼓舞的结果,似乎比旧的治疗方法更有效。最后,通过将AD视为最终导致突触功能障碍和认知能力下降的各种因素的复杂相互作用,我们可以开发更有效的治疗干预措施,并最终减轻这种使人衰弱的疾病对患者及其家人的重大负担。
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引用次数: 0
Gluten and its relationship with inflammation and Parkinson's Disease: A literature review. 麸质及其与炎症和帕金森病的关系:文献综述。
IF 3.1 Q2 NEUROSCIENCES Pub Date : 2025-03-31 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025004
Zohaer Muttalib, Dana Aboukhalil, Chisom Nwosu, Dave D Manguerra, Jimmy Wen, Ubaid Ansari, Meraj Alam, Ihab Abed, Ethan Tabaie, Ahmed Salem, Forshing Lui

Parkinson's Disease is a neurodegenerative central nervous system (CNS) disease that primarily affects the dopaminergic cells of the Substantia Nigra in the midbrain and causes a diverse array of symptoms, including dystonia, a loss of balance, difficulty initiating movements, akinesia, muscle spasms, and tremors. It has long been known that environmental and commercial compounds are linked to an increased risk of Parkinson's Disease. Of importance, gluten, a complex polysaccharide, has been hypothesized to cause some of the symptoms related to Parkinson's Disease. It is hypothesized that gluten causes a chronic inflammatory state which may lead to plaque formation and neuronal cell death in the substantia nigra, alongside the symptoms of Parkinson's Disease. This literature review hopes to explore the relationship gluten has as an inflammatory molecule and its role in the production and prolongation of the disease processes in Parkinson's Disease.

帕金森病是一种神经退行性中枢神经系统(CNS)疾病,主要影响中脑黑质的多巴胺能细胞,并引起多种症状,包括肌张力障碍、平衡丧失、启动运动困难、运动障碍、肌肉痉挛和震颤。人们早就知道,环境和商业化合物与帕金森病风险增加有关。重要的是,谷蛋白,一种复杂的多糖,已经被假设会引起一些与帕金森病相关的症状。据推测,谷蛋白引起慢性炎症状态,可能导致黑质斑块形成和神经元细胞死亡,以及帕金森病的症状。本文献综述希望探讨谷蛋白作为炎症分子在帕金森病发病和病程延长中的作用。
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引用次数: 0
The role of tetrahydrocannabivarin (THCV) in metabolic disorders: A promising cannabinoid for diabetes and weight management. 四氢大麻素(THCV)在代谢紊乱中的作用:一种有前途的大麻素用于糖尿病和体重管理。
IF 3.1 Q2 NEUROSCIENCES Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.3934/Neuroscience.2025003
Scott Mendoza

Disorders of the metabolism, including obesity and type 2 diabetes, represent significant global health challenges due to their rising prevalence and associated complications. Despite existing therapeutic strategies, including lifestyle interventions, pharmacological treatments, and surgical options, limitations such as poor adherence, side effects, and accessibility issues call attention to the need for novel solutions. Tetrahydrocannabivarin (THCV), a non-psychoactive cannabinoid derived from Cannabis sativa, has emerged as a promising agent to manage metabolic disorders. Unlike tetrahydrocannabinol (THC), THCV exhibits an antagonistic function on the CB1 receptor and a partial agonist function on the CB2 receptor, thus enabling appetite suppression, enhanced glucose regulation, and increased energy expenditure. Preclinical studies demonstrated that THCV improves insulin sensitivity, promotes glucose uptake, and restores insulin signaling in metabolic tissues. Additionally, THCV reduces lipid accumulation and improves the mitochondrial activity in adipocytes and hepatocytes, shown through both cell-based and animal research. Animal models further revealed THCV's potential to suppress appetite, prevent hepatosteatosis, and improve metabolic homeostasis. Preliminary human trials support these findings, thereby showing that THCV may modulate appetite and glycemic control, though larger-scale studies are necessary to confirm its clinical efficacy and safety. THCV's unique pharmacological profile positions it as a possible therapeutic candidate to address the multifaceted challenges of obesity and diabetes. Continued research should concentrate on optimizing formulations, undertaking well-designed clinical studies, and addressing regulatory hurdles to unlock its full potential.

代谢紊乱,包括肥胖和2型糖尿病,由于其发病率和相关并发症不断上升,构成了重大的全球健康挑战。尽管现有的治疗策略,包括生活方式干预、药物治疗和手术选择,但依从性差、副作用和可及性问题等局限性促使人们关注对新解决方案的需求。四氢大麻素(THCV)是一种从大麻中提取的非精神活性大麻素,已成为治疗代谢紊乱的有前途的药物。与四氢大麻酚(THC)不同,THCV对CB1受体具有拮抗作用,对CB2受体具有部分激动剂作用,从而抑制食欲,增强葡萄糖调节,增加能量消耗。临床前研究表明,THCV可改善胰岛素敏感性,促进葡萄糖摄取,并恢复代谢组织中的胰岛素信号。此外,通过基于细胞和动物的研究表明,THCV可以减少脂肪细胞和肝细胞的脂质积累,提高线粒体活性。动物模型进一步揭示了THCV抑制食欲、预防肝纤维化和改善代谢稳态的潜力。初步的人体试验支持这些发现,因此表明THCV可能调节食欲和血糖控制,尽管需要更大规模的研究来证实其临床疗效和安全性。THCV独特的药理学特征使其成为解决肥胖和糖尿病多方面挑战的可能治疗候选药物。持续的研究应集中于优化配方,进行精心设计的临床研究,并解决监管障碍,以释放其全部潜力。
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引用次数: 0
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AIMS Neuroscience
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