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Plasma biomarkers in chronic single moderate/severe traumatic brain injury. 慢性单发中度/重度脑外伤的血浆生物标志物。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-04 DOI: 10.1093/brain/awae318
David Sharp
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引用次数: 0
The Parkinson's disease DJ-1/PARK7 gene controls peripheral neuronal excitability and painful neuropathy 帕金森病 DJ-1/PARK7 基因控制外周神经元兴奋性和痛性神经病变
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-01 DOI: 10.1093/brain/awae341
Sang Hoon Lee, Raquel Tonello, Kihwan Lee, Jueun Roh, Arthur Silveira Prudente, Yong Ho Kim, Chul-Kyu Park, Temugin Berta
Parkinson's disease is a progressive neurodegenerative disease with well-documented motor symptoms as well as less recognised, but significant, non-motor symptoms. These non-motor symptoms include prodromal pain and peripheral neuropathy, the causes of which are unknown. We investigated the role of DJ-1/PARK7, a Parkinson's disease-associated gene, in prodromal pain and peripheral neuropathy. Using DJ-1 deficient mice, we conducted comprehensive sensory tests, cutaneous staining, molecular analyses and electrophysiological studies on mouse and human primary sensory neurons from dorsal root ganglia. We found that these mice exhibited cold hypersensitivity, oxidative stress, and neuropathy of the cutaneous fibres of primary sensory neurones before any motor impairments were observed. Mechanistically, DJ-1 in primary sensory neurones regulated this hypersensitivity and neuropathy via TRPA1 signalling. Interestingly, we discovered that DJ-1 also plays a role in the progression of chemotherapy-induced peripheral neuropathies. Pain and mechanisms associated with these neuropathies were exacerbated in DJ-1 deficient mice but were significantly reduced by the pharmacological activation of DJ-1. Importantly, we also confirmed the expression of DJ-1 and its therapeutic potential in human primary sensory neurons. Thus, we uncover a peripheral mechanism of DJ-1 and propose that it may serve as a new target for developing therapeutic approaches for Parkinson's disease-linked and other painful neuropathies.
帕金森病是一种渐进性神经退行性疾病,除了有明确记载的运动症状外,还伴有较少为人所知但却十分重要的非运动症状。这些非运动症状包括前驱疼痛和周围神经病变,其病因尚不清楚。我们研究了帕金森病相关基因 DJ-1/PARK7 在前驱痛和周围神经病变中的作用。我们利用 DJ-1 缺陷小鼠,对小鼠和人类背根神经节的初级感觉神经元进行了全面的感觉测试、皮肤染色、分子分析和电生理学研究。我们发现,这些小鼠在观察到任何运动障碍之前,就表现出了冷过敏、氧化应激和初级感觉神经元皮肤纤维的神经病变。从机理上讲,初级感觉神经元中的 DJ-1 通过 TRPA1 信号调节这种超敏性和神经病变。有趣的是,我们发现 DJ-1 也在化疗诱发的周围神经病的进展中发挥作用。与这些神经病变相关的疼痛和机制在缺乏 DJ-1 的小鼠中加剧,但通过药物激活 DJ-1 则会显著减轻。重要的是,我们还证实了 DJ-1 在人类原发性感觉神经元中的表达及其治疗潜力。因此,我们发现了 DJ-1 的外周机制,并建议将其作为开发帕金森病相关及其他疼痛性神经病治疗方法的新靶点。
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引用次数: 0
Nifuroxazide rescues the deleterious effects due to CHCHD10-associated MICOS defects in disease models. 在疾病模型中,硝呋沙齐酰胺能挽救与 CHCHD10 相关的 MICOS 缺陷造成的有害影响。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-30 DOI: 10.1093/brain/awae348
Baptiste Ropert, Sylvie Bannwarth, Emmanuelle C Genin, Loan Vaillant-Beuchot, Sandra Lacas-Gervais, Blandine Madji Hounoum, Aurore Bernardin, Nhu Dinh, Alessandra Mauri-Crouzet, Marc-Alexandre D'Elia, Gaelle Augé, Françoise Lespinasse, Audrey Di Giorgio, Willian Meira, Nathalie Bonnefoy, Laurent Monassier, Manuel Schiff, Laila Sago, Devrim Kilinc, Frédéric Brau, Virginie Redeker, Delphine Bohl, Déborah Tribouillard-Tanvier, Vincent Procaccio, Stéphane Azoulay, Jean-Ehrland Ricci, Agnès Delahodde, Véronique Paquis-Flucklinger

The identification of a point mutation (p.Ser59Leu) in the CHCHD10 gene was the first genetic evidence that mitochondrial dysfunction can trigger motor neuron disease. Since then, we have shown that this mutation leads to the disorganization of the MItochondrial contact site and Cristae Organizing System (MICOS) complex that maintains the mitochondrial cristae structure. Here, we generated yeast mutant strains mimicking MICOS instability and used them to test the ability of more than 1600 compounds from 2 repurposed libraries to rescue the growth defect of those cells. Among the hits identified, we selected nifuroxazide, a broad-spectrum antibacterial molecule. We show that nifuroxazide rescues mitochondrial network fragmentation and cristae abnormalities in CHCHD10S59L/+ patient fibroblasts. This molecule also decreases caspase-dependent death of human CHCHD10S59L/+ iPSC-derived motor neurons. Its benefits involve KIF5B-mediated mitochondrial transport enhancement, evidenced by increased axonal movement and syntaphilin degradation in patient-derived motor neurons. Our findings strengthen the MICOS-mitochondrial transport connection. Nifuroxazide and analogues emerge as potential therapeutics for MICOS-related disorders like motor neuron disease. Its impact on syntaphilin hints at broader neurological disorder applicability for nifuroxazide.

CHCHD10 基因点突变(p.Ser59Leu)的发现是线粒体功能障碍可诱发运动神经元疾病的首个遗传学证据。此后,我们发现该突变会导致维持线粒体嵴结构的线粒体接触位点和嵴组织系统(MICOS)复合物发生紊乱。在这里,我们生成了模拟 MICOS 不稳定性的酵母突变株,并用它们来测试 2 个再利用文库中 1600 多种化合物挽救这些细胞生长缺陷的能力。在已发现的化合物中,我们选择了硝呋沙齐,这是一种广谱抗菌分子。我们的研究表明,硝呋沙肼能挽救CHCHD10S59L/+患者成纤维细胞的线粒体网络断裂和嵴异常。这种分子还能减少人类 CHCHD10S59L/+ iPSC 衍生运动神经元的树突酶依赖性死亡。它的益处包括 KIF5B 介导的线粒体转运增强,患者衍生的运动神经元轴突移动和合成萘素降解的增加证明了这一点。我们的研究结果加强了MICOS与线粒体转运之间的联系。硝呋沙齐及类似物有望成为治疗与 MICOS 相关疾病(如运动神经元疾病)的药物。它对合成萘醌的影响暗示了硝呋沙肼在更广泛的神经系统疾病中的适用性。
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引用次数: 0
Supraspinal contributions to defective antagonistic inhibition and freezing of gait in Parkinson's disease. 帕金森病拮抗抑制缺陷和步态冻结的脊髓上部因素
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-29 DOI: 10.1093/brain/awae223
Philipp Klocke, Moritz A Loeffler, Hannah Muessler, Maria-Sophie Breu, Alireza Gharabaghi, Daniel Weiss

The neuromuscular circuit mechanisms of freezing of gait in Parkinson's disease have received little study. Technological progress enables researchers chronically to sense local field potential activity of the basal ganglia in patients while walking. To study subthalamic activity and the circuit processes of supraspinal contributions to spinal motor integration, we recorded local field potentials, surface EMG of antagonistic leg muscles and gait kinematics in patients while walking and freezing. To evaluate the specificity of our findings, we controlled our findings to internally generated volitional stops. We found specific activation-deactivation abnormalities of oscillatory activity of the subthalamic nucleus both before and during a freeze. Furthermore, we were able to show with synchronization analyses that subthalamo-spinal circuits entrain the spinal motor neurons to a defective timing and activation pattern. The main neuromuscular correlates when turning into freezing were as follows: (i) disturbed reciprocity between antagonistic muscles; (ii) increased co-contraction of the antagonists; (iii) defective activation and time pattern of the gastrocnemius muscle; and (iv) increased subthalamo-muscular coherence with the gastrocnemius muscles before the freeze. Beyond the pathophysiological insights into the supraspinal mechanisms contributing to freezing of gait, our findings have potential to inform the conceptualization of future neurorestorative therapies.

对帕金森病患者步态冻结的神经肌肉回路机制研究甚少。随着技术的进步,研究人员能够长期感知患者行走时基底节的局部场电位活动。为了研究丘脑下活动和脊髓上运动整合的回路过程,我们记录了患者行走和冻结时的局部场电位、拮抗腿部肌肉的表面肌电图和步态运动学。为了评估我们研究结果的特异性,我们将研究结果与内部产生的意志停止进行了对照。我们发现,在冻结前和冻结过程中,丘脑下核的振荡活动都存在特定的激活-失活异常。此外,我们还通过同步分析表明,脊髓丘脑下环路将脊髓运动神经元与有缺陷的定时和激活模式相联系。变为冻结时的主要神经肌肉相关性如下:(i)拮抗肌之间的互惠性紊乱;(ii)拮抗肌的共同收缩增加;(iii)腓肠肌的激活和时间模式缺陷;以及(iv)冻结前与腓肠肌的眼下肌-肌肉一致性增加。除了从病理生理学角度揭示导致步态冻结的棘上机制外,我们的研究结果还有可能为未来神经恢复疗法的概念化提供参考。
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引用次数: 0
A comprehensive head-to-head comparison of key plasma phosphorylated tau 217 biomarker tests. 主要血浆磷酸化 tau 217 生物标志物检测的全面正面比较。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-28 DOI: 10.1093/brain/awae346
Noëlle Warmenhoven, Gemma Salvadó, Shorena Janelidze, Niklas Mattsson-Carlgren, Divya Bali, Anna Orduña Dolado, Hartmuth Kolb, Gallen Triana-Baltzer, Nicolas R Barthélemy, Suzanne E Schindler, Andrew J Aschenbrenner, Cyrus A Raji, Tammie L S Benzinger, John C Morris, Laura Ibanez, Jigyasha Timsina, Carlos Cruchaga, Randall J Bateman, Nicholas Ashton, Burak Arslan, Henrik Zetterberg, Kaj Blennow, Alexa Pichet Binette, Oskar Hansson
<p><p>Plasma phosphorylated-tau 217 (p-tau217) is currently the most promising biomarker for reliable detection of Alzheimer's disease (AD) pathology. Various p-tau217 assays have been developed, but their relative performance is unclear. We compared key plasma p-tau217 tests using cross-sectional and longitudinal measures of amyloid-β (Aβ)-PET, tau-PET, and cognition as outcomes, and benchmarked them against cerebrospinal fluid (CSF) biomarker tests. Samples from 998 individuals (mean[range] age 68.5[20.0-92.5], 53% female) from the Swedish BioFINDER-2 cohort, including both cognitively unimpaired and cognitively impaired individuals, were analyzed. Plasma p-tau217 was measured with mass spectrometry (MS) assays (the ratio between phosphorylated and non-phosphorylated [%p-tau217WashU] and p-tau217WashU) as well as with immunoassays (p-tau217Lilly, p-tau217Janssen, p-tau217ALZpath). CSF biomarkers included p-tau217Lilly, the FDA-approved p-tau181/Aβ42Elecsys, and p-tau181Elecsys. All plasma p-tau217 tests exhibited a high ability to detect abnormal Aβ-PET (AUC range: 0.91-0.96) and tau-PET (AUC range: 0.94-0.97). Plasma %p-tau217WashU had the highest performance, with significantly higher AUCs than all the immunoassays (Pdiff<0.007). For detecting Aβ-PET status, %p-tau217WashU had an accuracy of 0.93 (immunoassays: 0.83-0.88), sensitivity of 91% (immunoassays: 84-87%), and a specificity of 94% (immunoassays: 85-89%). Among immunoassays, p-tau217Lilly and plasma p-tau217ALZpath had higher AUCs than plasma p-tau217Janssen for Aβ-PET status (Pdiff<0.006), and p-tau217Lilly outperformed plasma p-tau217ALZpath for tau-PET status (Pdiff=0.025). Plasma %p-tau217WashU exhibited stronger associations with all PET load outcomes compared to immunoassays; baseline Aβ-PET load (R2: 0.72; immunoassays: 0.47-0.58; Pdiff<0.001), baseline tau-PET load (R2: 0.51; immunoassays: 0.38-0.45; Pdiff<0.001), longitudinal Aβ-PET load (R2: 0.53; immunoassays: 0.31-0.38; Pdiff<0.001) and longitudinal tau-PET load (R2: 0.50; immunoassays: 0.35-0.43; Pdiff<0.014). Among immunoassays, plasma p-tau217Lilly was more associated with Aβ-PET load than plasma p-tau217Janssen (Pdiff<0.020) and with tau-PET load than both plasma p-tau217Janssen and plasma p-tau217ALZpath (all Pdiff<0.010). Plasma %p-tau217 also correlated more strongly with baseline cognition (Mini-Mental State Examination[MMSE]) than all immunoassays (R2 %p-tau217WashU: 0.33; immunoassays: 0.27-0.30; Pdiff<0.024). The main results were replicated in an external cohort from Washington University in St Louis (n =219). Finally, p-tau217NULISA showed similar performance to other immunoassays in subsets of both cohorts. In summary, both MS- and immunoassay-based p-tau217 tests generally perform well in identifying Aβ-PET, tau-PET, and cognitive abnormalities, but %p-tau217WashU performed significantly better than all the examined immunoassays. Plasma %p-tau217 may be considered as a stand-alone confirmatory test for AD pa
血浆磷酸化-tau 217(p-tau217)是目前最有希望可靠检测阿尔茨海默病(AD)病理的生物标记物。目前已开发出多种 p-tau217 检测方法,但其相对性能尚不明确。我们使用淀粉样蛋白-β(Aβ)-PET、tau-PET和认知能力的横断面和纵向测量结果比较了主要的血浆p-tau217检测方法,并将它们与脑脊液(CSF)生物标记物检测方法进行了比较。研究人员分析了来自瑞典 BioFINDER-2 队列的 998 名患者(平均年龄[范围]68.5[20.0-92.5],53% 为女性)的样本,其中包括认知功能未受损和认知功能受损的患者。血浆中的p-tau217通过质谱(MS)测定法(磷酸化与非磷酸化的比率[%p-tau217WashU]和p-tau217WashU)以及免疫测定法(p-tau217Lilly、p-tau217Janssen、p-tau217ALZpath)进行测量。脑脊液生物标记物包括p-tau217Lilly、FDA批准的p-tau181/Aβ42Elecsys和p-tau181Elecsys。所有血浆p-tau217检测试剂盒对异常Aβ-PET(AUC范围:0.91-0.96)和tau-PET(AUC范围:0.94-0.97)的检测能力都很高。血浆 %p-tau217WashU 的性能最高,其 AUC 明显高于所有免疫测定(Pdiff
{"title":"A comprehensive head-to-head comparison of key plasma phosphorylated tau 217 biomarker tests.","authors":"Noëlle Warmenhoven, Gemma Salvadó, Shorena Janelidze, Niklas Mattsson-Carlgren, Divya Bali, Anna Orduña Dolado, Hartmuth Kolb, Gallen Triana-Baltzer, Nicolas R Barthélemy, Suzanne E Schindler, Andrew J Aschenbrenner, Cyrus A Raji, Tammie L S Benzinger, John C Morris, Laura Ibanez, Jigyasha Timsina, Carlos Cruchaga, Randall J Bateman, Nicholas Ashton, Burak Arslan, Henrik Zetterberg, Kaj Blennow, Alexa Pichet Binette, Oskar Hansson","doi":"10.1093/brain/awae346","DOIUrl":"10.1093/brain/awae346","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Plasma phosphorylated-tau 217 (p-tau217) is currently the most promising biomarker for reliable detection of Alzheimer's disease (AD) pathology. Various p-tau217 assays have been developed, but their relative performance is unclear. We compared key plasma p-tau217 tests using cross-sectional and longitudinal measures of amyloid-β (Aβ)-PET, tau-PET, and cognition as outcomes, and benchmarked them against cerebrospinal fluid (CSF) biomarker tests. Samples from 998 individuals (mean[range] age 68.5[20.0-92.5], 53% female) from the Swedish BioFINDER-2 cohort, including both cognitively unimpaired and cognitively impaired individuals, were analyzed. Plasma p-tau217 was measured with mass spectrometry (MS) assays (the ratio between phosphorylated and non-phosphorylated [%p-tau217WashU] and p-tau217WashU) as well as with immunoassays (p-tau217Lilly, p-tau217Janssen, p-tau217ALZpath). CSF biomarkers included p-tau217Lilly, the FDA-approved p-tau181/Aβ42Elecsys, and p-tau181Elecsys. All plasma p-tau217 tests exhibited a high ability to detect abnormal Aβ-PET (AUC range: 0.91-0.96) and tau-PET (AUC range: 0.94-0.97). Plasma %p-tau217WashU had the highest performance, with significantly higher AUCs than all the immunoassays (Pdiff&lt;0.007). For detecting Aβ-PET status, %p-tau217WashU had an accuracy of 0.93 (immunoassays: 0.83-0.88), sensitivity of 91% (immunoassays: 84-87%), and a specificity of 94% (immunoassays: 85-89%). Among immunoassays, p-tau217Lilly and plasma p-tau217ALZpath had higher AUCs than plasma p-tau217Janssen for Aβ-PET status (Pdiff&lt;0.006), and p-tau217Lilly outperformed plasma p-tau217ALZpath for tau-PET status (Pdiff=0.025). Plasma %p-tau217WashU exhibited stronger associations with all PET load outcomes compared to immunoassays; baseline Aβ-PET load (R2: 0.72; immunoassays: 0.47-0.58; Pdiff&lt;0.001), baseline tau-PET load (R2: 0.51; immunoassays: 0.38-0.45; Pdiff&lt;0.001), longitudinal Aβ-PET load (R2: 0.53; immunoassays: 0.31-0.38; Pdiff&lt;0.001) and longitudinal tau-PET load (R2: 0.50; immunoassays: 0.35-0.43; Pdiff&lt;0.014). Among immunoassays, plasma p-tau217Lilly was more associated with Aβ-PET load than plasma p-tau217Janssen (Pdiff&lt;0.020) and with tau-PET load than both plasma p-tau217Janssen and plasma p-tau217ALZpath (all Pdiff&lt;0.010). Plasma %p-tau217 also correlated more strongly with baseline cognition (Mini-Mental State Examination[MMSE]) than all immunoassays (R2 %p-tau217WashU: 0.33; immunoassays: 0.27-0.30; Pdiff&lt;0.024). The main results were replicated in an external cohort from Washington University in St Louis (n =219). Finally, p-tau217NULISA showed similar performance to other immunoassays in subsets of both cohorts. In summary, both MS- and immunoassay-based p-tau217 tests generally perform well in identifying Aβ-PET, tau-PET, and cognitive abnormalities, but %p-tau217WashU performed significantly better than all the examined immunoassays. Plasma %p-tau217 may be considered as a stand-alone confirmatory test for AD pa","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Correction to: Quantitative susceptibility mapping at 7 T in COVID-19: brainstem effects and outcome associations. 更正:COVID-19 中 7 T 的定量易感图:脑干效应和结果关联。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-28 DOI: 10.1093/brain/awae332
{"title":"Correction to: Quantitative susceptibility mapping at 7 T in COVID-19: brainstem effects and outcome associations.","authors":"","doi":"10.1093/brain/awae332","DOIUrl":"https://doi.org/10.1093/brain/awae332","url":null,"abstract":"","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142520990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AAV-based TCAP delivery rescues mitochondria dislocation in limb-girdle muscular dystrophy R7. 基于AAV的TCAP递送可挽救肢腰肌营养不良症R7的线粒体错位。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-28 DOI: 10.1093/brain/awae351
Xiaoqing Lv, Shuangwu Liu, Xi Li, He Lv, Kai Shao, Sushan Luo, Dandan Zhao, Chuanzhu Yan, Pengfei Lin

Limb-girdle muscular dystrophy R7 is a rare genetic disease caused by homozygous or compound heterozygous variants in the titin-cap (TCAP) gene that results in the absence of the protein telethonin. The primary pathological features of limb-girdle muscular dystrophy R7 are fiber size variation, nuclear centralization, and abnormal mitochondrial distribution. The mechanisms underlying this disease are unclear, and there is currently no specific treatment for limb-girdle muscular dystrophy R7. This study established a Tcap-deficient mouse model to explore the disease mechanism of mitochondria dislocation and potential therapeutic strategies. We use methods such as proteomics, immunofluorescence, histopathological staining, and western blotting to explore the mechanism of mitochondrial dislocation. Moreover, in the quest for a prospective therapeutic intervention for this disorder, the adeno-associated virus serotype 2/9 was employed to deliver the Tcap gene into the muscles of these mice, facilitating preclinical experimentation. After 2 months and 7 months, the muscular phenotype was evaluated and selected mice were humanely euthanized for subsequent molecular and histological analysis. The phenotype of Tcap-/- mice mimicked that observed in individuals diagnosed with limb-girdle muscular dystrophy R7. This study elucidated the mechanism of mitochondrial dislocation in limb-girdle muscular dystrophy R7. Through our in vitro experiments, we discovered that telethonin aids in preserving the integrity of desmin by preventing truncation at the N-terminus. Additionally, telethonin combined with desmin and colocalized at the Z-disc. Research has shown that the Tcap gene plays a crucial role in controlling the desmin cytoskeleton organization. The absence of telethonin leads to a collapsed desmin cytoskeleton. This causes disorganization of the mitochondrial network, leading to mitochondrial dysfunction. In addition, the study investigated the efficacy of adeno-associated virus (AAV)-mediated Tcap replacement in Tcap-/- mice. By intramuscular delivery of AAV, we observed dramatic improvements in muscle phenotype, muscle pathology, CK levels, muscle magnetic resonance imaging, mitochondrial network organization, and mitochondrial function. The results of this study demonstrated that telethonin deficiency led to desmin cytoskeleton collapse that caused mitochondrial dislocation. AAV-mediated replacement therapy could be a promising safe and efficient treatment option for limb-girdle muscular dystrophy R7. The study highlights the potential of AAV-mediated replacement therapy for specific types of limb-girdle muscular dystrophy.

肢腰肌营养不良症 R7 是一种罕见的遗传病,由 titin-cap(TCAP)基因的同源变异或复合杂合变异引起,导致蛋白质 telethonin 的缺失。肢腰肌营养不良症 R7 的主要病理特征是纤维大小变异、核集中和线粒体分布异常。这种疾病的发病机制尚不清楚,目前也没有治疗肢腰肌营养不良症R7的特效药物。本研究建立了一个Tcap缺陷小鼠模型,以探索线粒体错位的疾病机制和潜在的治疗策略。我们采用蛋白质组学、免疫荧光、组织病理学染色和 Western 印迹等方法来探索线粒体脱位的机制。此外,为了寻找治疗这种疾病的前瞻性干预措施,我们还采用了 2/9 血清型腺相关病毒将 Tcap 基因注入这些小鼠的肌肉,从而促进了临床前实验。2 个月和 7 个月后,对小鼠的肌肉表型进行评估,并对选定的小鼠实施人道安乐死,以进行后续的分子和组织学分析。Tcap-/-小鼠的表型与被诊断患有肢腰肌营养不良症R7的小鼠的表型相似。这项研究阐明了肢腰肌营养不良症R7线粒体脱位的机制。通过体外实验,我们发现 telethonin 能防止 N 端截断,从而有助于保持 desmin 的完整性。此外,telethonin 还能与 desmin 结合,并在 Z 盘处共定位。研究表明,Tcap 基因在控制 desmin 细胞骨架组织方面起着至关重要的作用。telethonin 的缺失会导致 desmin 细胞骨架坍塌。这会导致线粒体网络紊乱,从而导致线粒体功能障碍。此外,该研究还调查了腺相关病毒(AAV)介导的Tcap置换对Tcap-/-小鼠的疗效。通过肌肉注射 AAV,我们观察到肌肉表型、肌肉病理学、CK 水平、肌肉磁共振成像、线粒体网络组织和线粒体功能都有显著改善。这项研究结果表明,telethonin 缺乏会导致 desmin 细胞骨架崩溃,从而引起线粒体错位。AAV介导的替代疗法可能是治疗肢腰肌营养不良症R7的一种安全有效的治疗方案。该研究强调了AAV介导的替代疗法治疗特定类型肢腰肌营养不良症的潜力。
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引用次数: 0
MBNL deficiency in motor neurons disrupts neuromuscular junction maintenance and gait coordination 运动神经元中 MBNL 的缺乏会破坏神经肌肉接头的维持和步态协调
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-26 DOI: 10.1093/brain/awae336
Charles Frison-Roche, Célia Martin Demier, Steve Cottin, Jeanne Lainé, Ludovic Arandel, Marius Halliez, Mégane Lemaitre, Xavière Lornage, Laure Strochlic, Maurice S Swanson, Cécile Martinat, Julien Messéant, Denis Furling, Frédérique Rau
Muscleblind-like proteins (MBNLs) are a family of RNA-binding proteins that play essential roles in the regulation of RNA metabolism. Beyond their canonical role in RNA regulation, MBNL proteins have emerged as key players in the pathogenesis of Myotonic Dystrophy type 1 (DM1). In DM1, sequestration of MBNL proteins by expansion of the CUG repeat RNA leads to functional depletion of MBNL, resulting in deregulated alternative splicing and aberrant RNA processing, which underlie the clinical features of the disease. While attention to MBNL proteins has focused on their functions in skeletal muscle, new evidence suggests that their importance extends to motor neurons (MNs), pivotal cellular components in the control of motor skills and movement. To address this question, we generated conditional double knockout mice in which Mbnl1 and Mbnl2 were specifically deleted in motor neurons (MN-dKO). Adult MN-dKO mice develop gait coordination deficits associated with structural and ultrastructural defects in the neuromuscular junction, indicating that MBNL activity in MNs is crucial for the maintenance of the neuromuscular junction. In addition, transcriptome analysis performed on the spinal cord of MN-dKO mice identified mis-splicing events in genes associated with synaptic transmission and neuromuscular junction homeostasis. In summary, our results highlight the complex roles and regulatory mechanisms of MBNL proteins in MNs for muscle function and locomotion. This work provides valuable insights into fundamental aspects of RNA biology and offers promising avenues for therapeutic intervention in DM1 as well as a range of diseases associated with RNA dysregulation.
肌球蛋白样蛋白(MBNLs)是一个 RNA 结合蛋白家族,在 RNA 代谢调控中发挥着重要作用。除了在 RNA 调节中的典型作用外,MBNL 蛋白还是 1 型肌营养不良症(DM1)发病机制中的关键角色。在 DM1 中,由于 CUG 重复 RNA 的扩增导致 MBNL 蛋白被螯合,从而导致 MBNL 的功能耗竭,造成替代剪接失调和 RNA 处理失常,这也是该疾病临床特征的基础。尽管人们对 MBNL 蛋白的关注主要集中在它们在骨骼肌中的功能上,但新的证据表明,它们的重要性延伸到了运动神经元(MNs)上,MNs 是控制运动技能和运动的关键细胞成分。为了解决这个问题,我们产生了条件性双基因敲除小鼠,在运动神经元中特异性地删除了 Mbnl1 和 Mbnl2(MN-dKO)。成年的 MN-dKO 小鼠会出现步态协调障碍,并伴有神经肌肉接头的结构和超微结构缺陷,这表明运动神经元中的 MBNL 活性对神经肌肉接头的维持至关重要。此外,对 MN-dKO 小鼠脊髓进行的转录组分析还发现了与突触传递和神经肌肉接头稳态相关的基因的错误剪接事件。总之,我们的研究结果突显了 MBNL 蛋白在 MNs 肌肉功能和运动中的复杂作用和调控机制。这项工作为 RNA 生物学的基本方面提供了有价值的见解,并为治疗干预 DM1 以及一系列与 RNA 失调相关的疾病提供了有希望的途径。
{"title":"MBNL deficiency in motor neurons disrupts neuromuscular junction maintenance and gait coordination","authors":"Charles Frison-Roche, Célia Martin Demier, Steve Cottin, Jeanne Lainé, Ludovic Arandel, Marius Halliez, Mégane Lemaitre, Xavière Lornage, Laure Strochlic, Maurice S Swanson, Cécile Martinat, Julien Messéant, Denis Furling, Frédérique Rau","doi":"10.1093/brain/awae336","DOIUrl":"https://doi.org/10.1093/brain/awae336","url":null,"abstract":"Muscleblind-like proteins (MBNLs) are a family of RNA-binding proteins that play essential roles in the regulation of RNA metabolism. Beyond their canonical role in RNA regulation, MBNL proteins have emerged as key players in the pathogenesis of Myotonic Dystrophy type 1 (DM1). In DM1, sequestration of MBNL proteins by expansion of the CUG repeat RNA leads to functional depletion of MBNL, resulting in deregulated alternative splicing and aberrant RNA processing, which underlie the clinical features of the disease. While attention to MBNL proteins has focused on their functions in skeletal muscle, new evidence suggests that their importance extends to motor neurons (MNs), pivotal cellular components in the control of motor skills and movement. To address this question, we generated conditional double knockout mice in which Mbnl1 and Mbnl2 were specifically deleted in motor neurons (MN-dKO). Adult MN-dKO mice develop gait coordination deficits associated with structural and ultrastructural defects in the neuromuscular junction, indicating that MBNL activity in MNs is crucial for the maintenance of the neuromuscular junction. In addition, transcriptome analysis performed on the spinal cord of MN-dKO mice identified mis-splicing events in genes associated with synaptic transmission and neuromuscular junction homeostasis. In summary, our results highlight the complex roles and regulatory mechanisms of MBNL proteins in MNs for muscle function and locomotion. This work provides valuable insights into fundamental aspects of RNA biology and offers promising avenues for therapeutic intervention in DM1 as well as a range of diseases associated with RNA dysregulation.","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142490783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
CACNA1A haploinsufficiency leads to reduced synaptic function and increased intrinsic excitability CACNA1A 单倍性缺失会导致突触功能降低和内在兴奋性增加
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-26 DOI: 10.1093/brain/awae330
Marina P Hommersom, Nina Doorn, Sofía Puvogel, Elly I Lewerissa, Annika Mordelt, Ummi Ciptasari, Franziska Kampshoff, Lieke Dillen, Ellen van Beusekom, Astrid Oudakker, Naoki Kogo, Amalia M Dolga, Monica Frega, Dirk Schubert, Bart P C van de Warrenburg, Nael Nadif Kasri, Hans van Bokhoven
Haploinsufficiency of the CACNA1A gene, encoding the pore-forming α1 subunit of P/Q-type voltage-gated calcium channels, is associated with a clinically variable phenotype ranging from cerebellar ataxia, to neurodevelopmental syndromes with epilepsy and intellectual disability. To understand the pathological mechanisms of CACNA1A loss-of-function variants, we characterized a human neuronal model for CACNA1A haploinsufficiency, by differentiating isogenic induced pluripotent stem cell lines into glutamatergic neurons, and investigated the effect of CACNA1A haploinsufficiency on mature neuronal networks through a combination of electrophysiology, gene expression analysis, and in silico modeling. We observed an altered network synchronization in CACNA1A+/- networks alongside synaptic deficits, notably marked by an augmented contribution of GluA2-lacking AMPA receptors. Intriguingly, these synaptic perturbations coexisted with increased non-synaptically driven activity, as characterized by inhibition of NMDA and AMPA receptors on micro-electrode arrays. Single-cell electrophysiology and gene expression analysis corroborated this increased intrinsic excitability through reduced potassium channel function and expression. Moreover, we observed partial mitigation of the CACNA1A+/- network phenotype by 4-aminopyridine, a therapeutic intervention for episodic ataxia type 2. Positive modulation of KCa2 channels could reverse the CACNA1A+/- network electrophysiological phenotype. In summary, our study pioneers the characterization of a human induced pluripotent stem cell-derived neuronal model for CACNA1A haploinsufficiency, and has unveiled novel mechanistic insights. Beyond showcasing synaptic deficits, this neuronal model exhibited increased intrinsic excitability mediated by diminished potassium channel function, underscoring its potential as a therapeutic discovery platform with predictive validity.
编码 P/Q 型电压门控钙通道孔形成 α1 亚基的 CACNA1A 基因的单倍体缺陷与小脑共济失调、伴有癫痫和智力障碍的神经发育综合征等多种临床表型有关。为了了解 CACNA1A 功能缺失变体的病理机制,我们通过将同源诱导多能干细胞系分化成谷氨酸能神经元,建立了 CACNA1A 单倍体缺失的人类神经元模型,并通过电生理学、基因表达分析和硅建模相结合的方法研究了 CACNA1A 单倍体缺失对成熟神经元网络的影响。我们观察到 CACNA1A+/- 网络中的网络同步性发生了改变,同时出现了突触缺陷,尤其是缺乏 GluA2 的 AMPA 受体的贡献增加。耐人寻味的是,这些突触扰动与非突触驱动活动的增加并存,其特征是微电极阵列上的 NMDA 和 AMPA 受体受到抑制。单细胞电生理学和基因表达分析通过钾通道功能和表达的降低证实了内在兴奋性的增加。此外,我们还观察到 4-aminopyridine 能部分缓解 CACNA1A+/- 网络表型,4-aminopyridine 是对发作性共济失调 2 型的一种治疗干预。正向调节 KCa2 通道可逆转 CACNA1A+/- 网络电生理表型。总之,我们的研究开创性地描述了CACNA1A单倍体缺陷的人类诱导多能干细胞衍生神经元模型,并揭示了新的机理。除了突触缺陷外,该神经元模型还表现出由钾通道功能减弱介导的固有兴奋性增加,突出了其作为具有预测效力的治疗发现平台的潜力。
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引用次数: 0
CCL2 blockade combined with PD-1/P-selectin immunomodulators impedes breast cancer brain metastasis CCL2阻断与PD-1/P-选择素免疫调节剂相结合可阻止乳腺癌脑转移
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-24 DOI: 10.1093/brain/awae347
Sahar Israeli Dangoor, Rami Khoury, Koren Salomon, Sabina Pozzi, Shir Shahar, Adan Miari, Yael Leichtmann-Bardoogo, Neta Bar-Hai, Neta Frommer, Eilam Yeini, Tom Winkler, Nora Balint Lahat, Iris Kamer, Ori Hadad, Kathrin Laue, Henry Brem, Thomas M Hyde, Jair Bar, Iris Barshack, Uri Ben-David, Dana Ishay-Ronen, Ben M Maoz, Ronit Satchi-Fainaro
Over the last two decades, the diagnosis and treatment of breast cancer patients have considerably improved. However, brain metastases remain a major clinical challenge and a leading cause of mortality. Thus, a better understanding of the pathways involved in the metastatic cascade is essential. To this end, we have investigated the reciprocal effects of astrocytes and breast cancer cells, employing traditional 2-dimensional cell culture and our unique 3-dimensional multicellular tumoroid models. Our findings revealed that astrocytes enhance the proliferation, migration, and invasion of breast cancer cells, suggesting a supportive role for astrocytes in breast cancer outgrowth to the brain. Elucidating the key players in astrocyte-breast cancer cells crosstalk, we found that CCL2 is highly expressed in breast cancer brain metastases tissue sections from both patients and mice. Our in vitro and in vivo models further confirmed that CCL2 has a functional role in brain metastasis. Given their aggressive nature, we sought additional immune checkpoints for rationale combination therapy. Among the promising candidates were the adhesion molecule P-selectin, which we have recently shown to play a key role in the crosstalk with microglia cells, and the co-inhibitory receptor PD-1, the main target of currently approved immunotherapies. Finally, combining CCL2 inhibition with immunomodulators targeting either PD-1/PD-L1 or P-selectin/P-Selectin Ligand-1 axes in our human 3-dimensional tumoroid models and in vivo presented more favorable outcomes than each monotherapy. Taken together, we propose that CCL2-CCR2/CCR4 is a key pathway promoting breast cancer brain metastases and a promising target for an immunotherapeutic combination approach.
在过去的二十年里,乳腺癌患者的诊断和治疗水平有了很大提高。然而,脑转移仍然是一项重大的临床挑战,也是导致死亡的主要原因之一。因此,更好地了解转移级联所涉及的途径至关重要。为此,我们采用传统的二维细胞培养和独特的三维多细胞肿瘤模型,研究了星形胶质细胞和乳腺癌细胞的相互影响。我们的研究结果表明,星形胶质细胞能增强乳腺癌细胞的增殖、迁移和侵袭,这表明星形胶质细胞在乳腺癌向脑部生长的过程中起到了支持作用。在阐明星形胶质细胞与乳腺癌细胞之间相互影响的关键因素时,我们发现 CCL2 在患者和小鼠的乳腺癌脑转移组织切片中均有高表达。我们的体外和体内模型进一步证实了 CCL2 在脑转移中的功能性作用。鉴于乳腺癌的侵袭性,我们为合理的联合疗法寻找了更多的免疫检查点。其中有希望的候选者包括粘附分子 P-选择素(我们最近证明它在与小胶质细胞的串扰中发挥了关键作用)和协同抑制受体 PD-1(目前批准的免疫疗法的主要靶点)。最后,在我们的人体三维类肿瘤模型和体内,将 CCL2 抑制与针对 PD-1/PD-L1 或 P-选择素/P-选择素配体-1 轴的免疫调节剂结合使用,会比每种单一疗法带来更有利的结果。综上所述,我们认为CCL2-CCR2/CCR4是促进乳腺癌脑转移的关键通路,也是免疫治疗联合方法的理想靶点。
{"title":"CCL2 blockade combined with PD-1/P-selectin immunomodulators impedes breast cancer brain metastasis","authors":"Sahar Israeli Dangoor, Rami Khoury, Koren Salomon, Sabina Pozzi, Shir Shahar, Adan Miari, Yael Leichtmann-Bardoogo, Neta Bar-Hai, Neta Frommer, Eilam Yeini, Tom Winkler, Nora Balint Lahat, Iris Kamer, Ori Hadad, Kathrin Laue, Henry Brem, Thomas M Hyde, Jair Bar, Iris Barshack, Uri Ben-David, Dana Ishay-Ronen, Ben M Maoz, Ronit Satchi-Fainaro","doi":"10.1093/brain/awae347","DOIUrl":"https://doi.org/10.1093/brain/awae347","url":null,"abstract":"Over the last two decades, the diagnosis and treatment of breast cancer patients have considerably improved. However, brain metastases remain a major clinical challenge and a leading cause of mortality. Thus, a better understanding of the pathways involved in the metastatic cascade is essential. To this end, we have investigated the reciprocal effects of astrocytes and breast cancer cells, employing traditional 2-dimensional cell culture and our unique 3-dimensional multicellular tumoroid models. Our findings revealed that astrocytes enhance the proliferation, migration, and invasion of breast cancer cells, suggesting a supportive role for astrocytes in breast cancer outgrowth to the brain. Elucidating the key players in astrocyte-breast cancer cells crosstalk, we found that CCL2 is highly expressed in breast cancer brain metastases tissue sections from both patients and mice. Our in vitro and in vivo models further confirmed that CCL2 has a functional role in brain metastasis. Given their aggressive nature, we sought additional immune checkpoints for rationale combination therapy. Among the promising candidates were the adhesion molecule P-selectin, which we have recently shown to play a key role in the crosstalk with microglia cells, and the co-inhibitory receptor PD-1, the main target of currently approved immunotherapies. Finally, combining CCL2 inhibition with immunomodulators targeting either PD-1/PD-L1 or P-selectin/P-Selectin Ligand-1 axes in our human 3-dimensional tumoroid models and in vivo presented more favorable outcomes than each monotherapy. Taken together, we propose that CCL2-CCR2/CCR4 is a key pathway promoting breast cancer brain metastases and a promising target for an immunotherapeutic combination approach.","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142489636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Brain
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