首页 > 最新文献

Brain最新文献

英文 中文
Our evolving understanding of the impact of primary HIV infection on brain health 我们对原发性艾滋病毒感染对大脑健康影响的认识在不断发展
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-12 DOI: 10.1093/brain/awae310
Alan Winston, Merle Henderson
This scientific commentary refers to ‘Serum and CSF biomarkers in neurologically asymptomatic patients during primary HIV infection: a randomized study’ by Calcagno et al. (https://doi.org/10.1093/brain/awae271).
本科学评论引用了 Calcagno 等人撰写的 "原发性 HIV 感染期间神经系统无症状患者的血清和脑脊液生物标志物:随机研究" (https://doi.org/10.1093/brain/awae271)。
{"title":"Our evolving understanding of the impact of primary HIV infection on brain health","authors":"Alan Winston, Merle Henderson","doi":"10.1093/brain/awae310","DOIUrl":"https://doi.org/10.1093/brain/awae310","url":null,"abstract":"This scientific commentary refers to ‘Serum and CSF biomarkers in neurologically asymptomatic patients during primary HIV infection: a randomized study’ by Calcagno et al. (https://doi.org/10.1093/brain/awae271).","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142430428","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
Cerebral microbleeds in Taiwanese patients with neuronal intranuclear inclusion disease. 台湾神经元核内包涵体病患者的脑微小出血。
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-12 DOI: 10.1093/brain/awae326
Yi-Chu Liao,Shao-Lun Hsu,Cheng-Tsung Hsiao,Yi-Chung Lee
{"title":"Cerebral microbleeds in Taiwanese patients with neuronal intranuclear inclusion disease.","authors":"Yi-Chu Liao,Shao-Lun Hsu,Cheng-Tsung Hsiao,Yi-Chung Lee","doi":"10.1093/brain/awae326","DOIUrl":"https://doi.org/10.1093/brain/awae326","url":null,"abstract":"","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142431137","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
Dysregulation of protein SUMOylation networks in Huntington's disease R6/2 mouse striatum. 亨廷顿病 R6/2 小鼠纹状体中蛋白质 SUMOylation 网络的失调。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-11 DOI: 10.1093/brain/awae319
Marketta Kachemov, Vineet Vaibhav, Charlene Smith, Niveda Sundararaman, Marie Heath, Devon F Pendlebury, Andrea Matlock, Alice Lau, Eva Morozko, Ryan G Lim, Jack Reidling, Joan S Steffan, Jennifer E Van Eyk, Leslie M Thompson

Huntington's disease (HD) is a neurodegenerative disorder caused by an expanded CAG repeat mutation in the Huntingtin (HTT) gene. The mutation impacts neuronal protein homeostasis and cortical/striatal circuitry. SUMOylation is a post-translational modification with broad cellular effects including via modification of synaptic proteins. Here, we used an optimised SUMO protein-enrichment and mass spectrometry method to identify the protein SUMOylation/SUMO interaction proteome in the context of HD using R6/2 transgenic and non-transgenic (NT) mice. Significant changes in enrichment of SUMOylated and SUMO-interacting proteins were observed, including those involved in presynaptic function, cytomatrix at the active zone scaffolding, cytoskeleton organization, and glutamatergic signaling. Mitochondrial and RNA-binding proteins also showed altered enrichment. Modified SUMO-associated pathways in HD tissue include clathrin-mediated endocytosis signaling, synaptogenesis signaling, synaptic long-term potentiation, and SNARE signaling. To evaluate how modulation of SUMOylation might influence functional measures of neuronal activity in HD cells in vitro, we utilised primary neuronal cultures from R6/2 and NT mice. A receptor internalization assay for the metabotropic glutamate receptor 7 (mGLUR7), a SUMO enriched protein in the mass spec, showed decreased internalization in R6/2 neurons compared to NT. siRNA-mediated knockdown of the E3 SUMO ligase Protein Inhibitor of Activated STAT1 (Pias1), which can SUMO modify mGLUR7, prevented this HD phenotype. In addition, microelectrode array analysis of primary neuronal cultures indicated early hyperactivity in HD cells, while later timepoints demonstrated deficits in several measurements of neuronal activity within cortical neurons. HD phenotypes were rescued at selected timepoints following knockdown of Pias1. Collectively, our results provide a mouse brain SUMOome resource and show that significant alterations occur within the post-translational landscape of SUMO-protein interactions of synaptic proteins in HD mice, suggesting that targeting of synaptic SUMO networks may provide a proteostatic systems-based therapeutic approach for HD and other neurological. Disorders.

亨廷顿氏病(Huntington's disease,HD)是一种神经退行性疾病,由亨廷廷(Huntingtin,HTT)基因中的扩展 CAG 重复突变引起。这种突变会影响神经元蛋白质的稳态和皮质/纹状体回路。SUMOylation 是一种翻译后修饰,具有广泛的细胞效应,包括通过修饰突触蛋白。在这里,我们使用优化的 SUMO 蛋白富集和质谱方法,利用 R6/2 转基因和非转基因(NT)小鼠鉴定了 HD 背景下的蛋白质 SUMOylation/SUMO相互作用蛋白质组。结果发现,SUMO化和SUMO相互作用蛋白的富集发生了显著变化,包括那些参与突触前功能、活性区支架细胞基质、细胞骨架组织和谷氨酸能信号转导的蛋白。线粒体和 RNA 结合蛋白的富集也发生了改变。HD组织中SUMO相关途径的改变包括凝集素介导的内吞信号、突触发生信号、突触长期潜能和SNARE信号。为了评估SUMOylation的调节可能如何影响HD细胞体外神经元活动的功能测量,我们利用了来自R6/2和NT小鼠的原代神经元培养物。siRNA介导的E3 SUMO连接酶活化STAT1蛋白抑制剂(Pias1)敲除可对mGLUR7进行SUMO修饰,从而阻止了这种HD表型。此外,对原代神经元培养物进行的微电极阵列分析表明,HD细胞早期活动亢进,而后期的时间点则显示皮质神经元内神经元活动的几种测量指标存在缺陷。在选定的时间点敲除 Pias1 后,HD 表型得到了挽救。总之,我们的研究结果提供了一个小鼠大脑 SUMOome 资源,并表明在 HD 小鼠中,突触蛋白的 SUMO 蛋白相互作用的翻译后景观发生了重大改变,这表明以突触 SUMO 网络为靶点可能为 HD 和其他神经系统疾病提供一种基于蛋白静态系统的治疗方法。疾病。
{"title":"Dysregulation of protein SUMOylation networks in Huntington's disease R6/2 mouse striatum.","authors":"Marketta Kachemov, Vineet Vaibhav, Charlene Smith, Niveda Sundararaman, Marie Heath, Devon F Pendlebury, Andrea Matlock, Alice Lau, Eva Morozko, Ryan G Lim, Jack Reidling, Joan S Steffan, Jennifer E Van Eyk, Leslie M Thompson","doi":"10.1093/brain/awae319","DOIUrl":"https://doi.org/10.1093/brain/awae319","url":null,"abstract":"<p><p>Huntington's disease (HD) is a neurodegenerative disorder caused by an expanded CAG repeat mutation in the Huntingtin (HTT) gene. The mutation impacts neuronal protein homeostasis and cortical/striatal circuitry. SUMOylation is a post-translational modification with broad cellular effects including via modification of synaptic proteins. Here, we used an optimised SUMO protein-enrichment and mass spectrometry method to identify the protein SUMOylation/SUMO interaction proteome in the context of HD using R6/2 transgenic and non-transgenic (NT) mice. Significant changes in enrichment of SUMOylated and SUMO-interacting proteins were observed, including those involved in presynaptic function, cytomatrix at the active zone scaffolding, cytoskeleton organization, and glutamatergic signaling. Mitochondrial and RNA-binding proteins also showed altered enrichment. Modified SUMO-associated pathways in HD tissue include clathrin-mediated endocytosis signaling, synaptogenesis signaling, synaptic long-term potentiation, and SNARE signaling. To evaluate how modulation of SUMOylation might influence functional measures of neuronal activity in HD cells in vitro, we utilised primary neuronal cultures from R6/2 and NT mice. A receptor internalization assay for the metabotropic glutamate receptor 7 (mGLUR7), a SUMO enriched protein in the mass spec, showed decreased internalization in R6/2 neurons compared to NT. siRNA-mediated knockdown of the E3 SUMO ligase Protein Inhibitor of Activated STAT1 (Pias1), which can SUMO modify mGLUR7, prevented this HD phenotype. In addition, microelectrode array analysis of primary neuronal cultures indicated early hyperactivity in HD cells, while later timepoints demonstrated deficits in several measurements of neuronal activity within cortical neurons. HD phenotypes were rescued at selected timepoints following knockdown of Pias1. Collectively, our results provide a mouse brain SUMOome resource and show that significant alterations occur within the post-translational landscape of SUMO-protein interactions of synaptic proteins in HD mice, suggesting that targeting of synaptic SUMO networks may provide a proteostatic systems-based therapeutic approach for HD and other neurological. Disorders.</p>","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399302","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
Direct interrogation of cortical interneuron circuits in amyotrophic lateral sclerosis. 直接检测肌萎缩性脊髓侧索硬化症的皮层中间神经元回路。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-10 DOI: 10.1093/brain/awae317
Mehdi A J van den Bos, Parvathi Menon, Nathan Pavey, Mana Higashihara, Matthew C Kiernan, Steve Vucic

Cortical hyperexcitability is a key pathogenic feature of amyotrophic lateral sclerosis (ALS), believed to be mediated through complex interplay of cortical interneurons. To date, there has been no technological approach to facilitate the direct capture of cortical interneuron function. Through combination of transcranial magnetic stimulation (TMS) with advanced EEG, the present study examined GABA-ergic dysfunction in ALS, through recording focussed cortical output whilst applying TMS over the primary motor cortex contralateral to the site of symptom onset. Using both a single pulse and novel inhibitory paired-pulse paradigms, TMS-EEG studies were undertaken on 21 ALS patients and results compared to healthy controls. TMS responses captured by EEG form a discrete waveform known as the transcranial evoked potential (TEP), with positive (P) or upward deflections occurring at 30ms (P30), 60 ms (P60) and 190 ms (P190) after TMS stimulus. Negative (N) or downward deflections occur at 44 ms (N44), 100 ms (N100) and 280ms (N280) after T,MS stimulus. The single pulse TEPs recorded in ALS patients demonstrated novel differences suggestive of cortical GABA-ergic dysfunction. When compared to controls, the N100 component was significantly reduced (P<0.05) while the P190 component increased (P<0.05) in ALS patients. Additionally, the N44 component correlated with muscle weakness (r=-0.501, P<0.05). These finding were supported by reduced paired pulse inhibition of TEP components in ALS patients (P60, P<0.01; N100, P<0.005), consistent with dysfunction of cortical interneuronal GABAA-ergic circuits. Further, the reduction in SICI, as reflected by changes in paired-pulse inhibition of the N100 component, was associated with longer disease duration in ALS patients (r=-0.698, P<0.001). In conclusion, intensive and focussed interrogation of the motor cortex utilising novel TMS-EEG combined technologies has established localised dysfunction of GABA-ergic circuits, supporting the notion that cortical hyperexcitability is mediated by cortical disinhibition in ALS. Dysfunction of GABA-ergic circuits correlated with greater clinical disability and disease duration implying pathophysiological significance.

皮层过度兴奋是肌萎缩性脊髓侧索硬化症(ALS)的主要致病特征,据信是通过皮层中间神经元复杂的相互作用介导的。迄今为止,还没有一种技术方法可以直接捕捉大脑皮层中间神经元的功能。本研究将经颅磁刺激(TMS)与先进的脑电图相结合,在症状发作部位对侧的初级运动皮层施加 TMS 的同时,通过记录聚焦皮层输出,检查 ALS 中的 GABA 能功能障碍。利用单脉冲和新型抑制性成对脉冲范式,对 21 名 ALS 患者进行了 TMS-EEG 研究,并将结果与健康对照组进行了比较。由 EEG 捕捉到的 TMS 反应会形成一个离散的波形,称为经颅诱发电位(TEP),在 TMS 刺激后的 30 毫秒(P30)、60 毫秒(P60)和 190 毫秒(P190)出现正(P)或向上偏转。负(N)或向下偏转出现在 TMS 刺激后 44 毫秒(N44)、100 毫秒(N100)和 280 毫秒(N280)处。ALS 患者记录的单脉冲 TEPs 显示了新的差异,提示皮质 GABA 能功能障碍。与对照组相比,N100 分量明显减少(P
{"title":"Direct interrogation of cortical interneuron circuits in amyotrophic lateral sclerosis.","authors":"Mehdi A J van den Bos, Parvathi Menon, Nathan Pavey, Mana Higashihara, Matthew C Kiernan, Steve Vucic","doi":"10.1093/brain/awae317","DOIUrl":"https://doi.org/10.1093/brain/awae317","url":null,"abstract":"<p><p>Cortical hyperexcitability is a key pathogenic feature of amyotrophic lateral sclerosis (ALS), believed to be mediated through complex interplay of cortical interneurons. To date, there has been no technological approach to facilitate the direct capture of cortical interneuron function. Through combination of transcranial magnetic stimulation (TMS) with advanced EEG, the present study examined GABA-ergic dysfunction in ALS, through recording focussed cortical output whilst applying TMS over the primary motor cortex contralateral to the site of symptom onset. Using both a single pulse and novel inhibitory paired-pulse paradigms, TMS-EEG studies were undertaken on 21 ALS patients and results compared to healthy controls. TMS responses captured by EEG form a discrete waveform known as the transcranial evoked potential (TEP), with positive (P) or upward deflections occurring at 30ms (P30), 60 ms (P60) and 190 ms (P190) after TMS stimulus. Negative (N) or downward deflections occur at 44 ms (N44), 100 ms (N100) and 280ms (N280) after T,MS stimulus. The single pulse TEPs recorded in ALS patients demonstrated novel differences suggestive of cortical GABA-ergic dysfunction. When compared to controls, the N100 component was significantly reduced (P<0.05) while the P190 component increased (P<0.05) in ALS patients. Additionally, the N44 component correlated with muscle weakness (r=-0.501, P<0.05). These finding were supported by reduced paired pulse inhibition of TEP components in ALS patients (P60, P<0.01; N100, P<0.005), consistent with dysfunction of cortical interneuronal GABAA-ergic circuits. Further, the reduction in SICI, as reflected by changes in paired-pulse inhibition of the N100 component, was associated with longer disease duration in ALS patients (r=-0.698, P<0.001). In conclusion, intensive and focussed interrogation of the motor cortex utilising novel TMS-EEG combined technologies has established localised dysfunction of GABA-ergic circuits, supporting the notion that cortical hyperexcitability is mediated by cortical disinhibition in ALS. Dysfunction of GABA-ergic circuits correlated with greater clinical disability and disease duration implying pathophysiological significance.</p>","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142387838","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
Somatic instability of the FGF14-SCA27B GAA•TTC repeat reveals a marked expansion bias in the cerebellum FGF14-SCA27B GAA-TTC 重复的体细胞不稳定性揭示了小脑中明显的扩增偏向
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-08 DOI: 10.1093/brain/awae312
David Pellerin, Jean-Loup Méreaux, Susana Boluda, Matt C Danzi, Marie-Josée Dicaire, Claire-Sophie Davoine, David Genis, Guinevere Spurdens, Catherine Ashton, Jillian M Hammond, Brandon J Gerhart, Viorica Chelban, Phuong U Le, Maryam Safisamghabadi, Christopher Yanick, Hamin Lee, Sathiji K Nageshwaran, Gabriel Matos-Rodrigues, Zane Jaunmuktane, Kevin Petrecca, Schahram Akbarian, André Nussenzweig, Karen Usdin, Mathilde Renaud, Céline Bonnet, Gianina Ravenscroft, Mario A Saporta, Jill S Napierala, Henry Houlden, Ira W Deveson, Marek Napierala, Alexis Brice, Laura Molina Porcel, Danielle Seilhean, Stephan Zuchner, Alexandra Durr, Bernard Brais
Spinocerebellar ataxia 27B (SCA27B) is a common autosomal dominant ataxia caused by an intronic GAA•TTC repeat expansion in FGF14. Neuropathological studies have shown that neuronal loss is largely restricted to the cerebellum. Although the repeat locus is highly unstable during intergenerational transmission, it remains unknown whether it exhibits cerebral mosaicism and progressive instability throughout life. We conducted an analysis of the FGF14 GAA•TTC repeat somatic instability across 156 serial blood samples from 69 individuals, fibroblasts, induced pluripotent stem cells, and post-mortem brain tissues from six controls and six patients with SCA27B, alongside methylation profiling using targeted long-read sequencing. Peripheral tissues exhibited minimal somatic instability, which did not significantly change over periods of more than 20 years. In post-mortem brains, the GAA•TTC repeat was remarkably stable across all regions, except in the cerebellar hemispheres and vermis. The levels of somatic expansion in the cerebellar hemispheres and vermis were, on average, 3.15 and 2.72 times greater relative to other examined brain regions, respectively. Additionally, levels of somatic expansion in the brain increased with repeat length and tissue expression of FGF14. We found no significant difference in methylation of wild-type and expanded FGF14 alleles in post-mortem cerebellar hemispheres between patients and controls. In conclusion, our study revealed that the FGF14 GAA•TTC repeat exhibits a cerebellar-specific expansion bias, which may explain the pure cerebellar involvement in SCA27B.
脊髓小脑共济失调 27B(SCA27B)是一种常见的常染色体显性共济失调,由 FGF14 内含 GAA-TTC 重复扩增引起。神经病理学研究表明,神经元缺失主要局限于小脑。虽然该重复位点在代际传递过程中极不稳定,但它是否会在整个生命过程中表现出大脑镶嵌和渐进不稳定性仍是未知数。我们对来自69名患者的156份连续血液样本、成纤维细胞、诱导多能干细胞以及来自6名对照组和6名SCA27B患者的尸检脑组织中的FGF14 GAA-TTC重复位点体细胞不稳定性进行了分析,同时使用靶向长读程测序技术进行了甲基化分析。外周组织显示出极小的体细胞不稳定性,在超过20年的时间里没有显著变化。在尸检后的大脑中,除小脑半球和蚓部外,GAA-TTC 重复序列在所有区域都非常稳定。小脑半球和蚓部的体细胞扩增水平平均分别是其他受检脑区的 3.15 倍和 2.72 倍。此外,大脑中的体细胞扩增水平随重复长度和 FGF14 的组织表达而增加。我们发现,患者和对照组死后小脑半球中野生型和扩增型 FGF14 等位基因的甲基化没有明显差异。总之,我们的研究揭示了FGF14 GAA-TTC重复序列具有小脑特异性扩增偏倚,这可能是SCA27B纯小脑受累的原因。
{"title":"Somatic instability of the FGF14-SCA27B GAA•TTC repeat reveals a marked expansion bias in the cerebellum","authors":"David Pellerin, Jean-Loup Méreaux, Susana Boluda, Matt C Danzi, Marie-Josée Dicaire, Claire-Sophie Davoine, David Genis, Guinevere Spurdens, Catherine Ashton, Jillian M Hammond, Brandon J Gerhart, Viorica Chelban, Phuong U Le, Maryam Safisamghabadi, Christopher Yanick, Hamin Lee, Sathiji K Nageshwaran, Gabriel Matos-Rodrigues, Zane Jaunmuktane, Kevin Petrecca, Schahram Akbarian, André Nussenzweig, Karen Usdin, Mathilde Renaud, Céline Bonnet, Gianina Ravenscroft, Mario A Saporta, Jill S Napierala, Henry Houlden, Ira W Deveson, Marek Napierala, Alexis Brice, Laura Molina Porcel, Danielle Seilhean, Stephan Zuchner, Alexandra Durr, Bernard Brais","doi":"10.1093/brain/awae312","DOIUrl":"https://doi.org/10.1093/brain/awae312","url":null,"abstract":"Spinocerebellar ataxia 27B (SCA27B) is a common autosomal dominant ataxia caused by an intronic GAA•TTC repeat expansion in FGF14. Neuropathological studies have shown that neuronal loss is largely restricted to the cerebellum. Although the repeat locus is highly unstable during intergenerational transmission, it remains unknown whether it exhibits cerebral mosaicism and progressive instability throughout life. We conducted an analysis of the FGF14 GAA•TTC repeat somatic instability across 156 serial blood samples from 69 individuals, fibroblasts, induced pluripotent stem cells, and post-mortem brain tissues from six controls and six patients with SCA27B, alongside methylation profiling using targeted long-read sequencing. Peripheral tissues exhibited minimal somatic instability, which did not significantly change over periods of more than 20 years. In post-mortem brains, the GAA•TTC repeat was remarkably stable across all regions, except in the cerebellar hemispheres and vermis. The levels of somatic expansion in the cerebellar hemispheres and vermis were, on average, 3.15 and 2.72 times greater relative to other examined brain regions, respectively. Additionally, levels of somatic expansion in the brain increased with repeat length and tissue expression of FGF14. We found no significant difference in methylation of wild-type and expanded FGF14 alleles in post-mortem cerebellar hemispheres between patients and controls. In conclusion, our study revealed that the FGF14 GAA•TTC repeat exhibits a cerebellar-specific expansion bias, which may explain the pure cerebellar involvement in SCA27B.","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142385486","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
Myelination potential and injury susceptibility of grey versus white matter human oligodendrocytes 人类灰质和白质少突胶质细胞的髓鞘化潜能和易受伤性
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-08 DOI: 10.1093/brain/awae311
Qiao-Ling Cui, Abdulshakour Mohammadnia, Moein Yaqubi, Chao Weng, Marie-France Dorion, Florian Pernin, Jeffery A Hall, Roy Dudley, JoAnne Stratton, Timothy E Kennedy, Myriam Srour, Jack P Antel
Increasing evidence indicates heterogeneity in functional and molecular properties of oligodendrocyte lineage cells both during development and under pathologic conditions. In multiple sclerosis, remyelination of grey matter lesions exceeds that in white matter. Here we used cells derived from grey matter versus white matter regions of surgically resected human brain tissue samples, to compare the capacities of human A2B5-positive progenitor cells and mature oligodendrocytes to ensheath synthetic nanofibers, and relate differences to the molecular profiles of these cells. For both cell types, the percentage of ensheathing cells was greater for grey matter versus white matter cells. For both grey matter and white matter samples, the percentage of cells ensheathing nanofibers was greater for A2B5-positive cells versus mature oligodendrocytes. Grey matter A2B5-positive cells were more susceptible than white matter A2B5-positive cells to injury induced by metabolic insults. Bulk RNA sequencing indicated that separation by cell type (A2B5-positive vs mature oligodendrocytes) is more significant than by region but segregation for each cell type by region is apparent. Molecular features of grey matter versus white matter derived A2B5-positive and mature oligodendrocytes were lower expression of mature oligodendrocyte genes and increased expression of early oligodendrocyte lineage genes. Genes and pathways with increased expression in grey matter derived cells with relevance for myelination included those related to responses to external environment, cell-cell communication, cell migration, and cell adhesion. Immune and cell death related genes were up-regulated in grey matter derived cells. We observed a significant number of up-regulated genes shared between the stress/injury and myelination processes, providing a basis for these features. In contrast to oligodendrocyte lineage cells, no functional or molecular heterogeneity was detected in microglia maintained in vitro, likely reflecting the plasticity of these cells ex vivo. The combined functional and molecular data indicate that grey matter human oligodendrocytes have increased intrinsic capacity to myelinate but also increased injury susceptibility, in part reflecting their being at a stage earlier in the oligodendrocyte lineage.
越来越多的证据表明,少突胶质细胞系细胞在发育过程中和病理条件下的功能和分子特性存在异质性。在多发性硬化症中,灰质病变部位的再髓鞘化超过了白质。在这里,我们利用从手术切除的人类脑组织样本的灰质区域和白质区域提取的细胞,比较了人类 A2B5 阳性祖细胞和成熟少突胶质细胞包裹合成纳米纤维的能力,并将差异与这些细胞的分子特征联系起来。对这两种细胞类型而言,灰质细胞与白质细胞的包被细胞比例更高。在灰质和白质样本中,A2B5 阳性细胞包被纳米纤维的细胞比例高于成熟少突胶质细胞。灰质 A2B5 阳性细胞比白质 A2B5 阳性细胞更容易受到代谢损伤的影响。大量 RNA 测序表明,按细胞类型(A2B5 阳性细胞与成熟少突胶质细胞)进行的分离比按区域进行的分离更为显著,但每种细胞类型按区域的分离也很明显。灰质与白质衍生的 A2B5 阳性和成熟少突胶质细胞的分子特征是成熟少突胶质细胞基因表达较低,而早期少突胶质细胞系基因表达较高。灰质衍生细胞中与髓鞘化相关的基因和通路表达增加,包括与对外部环境反应、细胞-细胞通讯、细胞迁移和细胞粘附相关的基因和通路。在灰质衍生细胞中,与免疫和细胞死亡相关的基因被上调。我们观察到大量上调基因在应激/损伤和髓鞘化过程中共享,为这些特征提供了依据。与少突胶质细胞系细胞相反,体外培养的小胶质细胞没有发现功能或分子异质性,这可能反映了这些细胞在体内外的可塑性。综合功能和分子数据表明,灰质人类少突胶质细胞具有更强的髓鞘化内在能力,但也具有更强的损伤易感性,这在一定程度上反映了它们处于少突胶质细胞系的早期阶段。
{"title":"Myelination potential and injury susceptibility of grey versus white matter human oligodendrocytes","authors":"Qiao-Ling Cui, Abdulshakour Mohammadnia, Moein Yaqubi, Chao Weng, Marie-France Dorion, Florian Pernin, Jeffery A Hall, Roy Dudley, JoAnne Stratton, Timothy E Kennedy, Myriam Srour, Jack P Antel","doi":"10.1093/brain/awae311","DOIUrl":"https://doi.org/10.1093/brain/awae311","url":null,"abstract":"Increasing evidence indicates heterogeneity in functional and molecular properties of oligodendrocyte lineage cells both during development and under pathologic conditions. In multiple sclerosis, remyelination of grey matter lesions exceeds that in white matter. Here we used cells derived from grey matter versus white matter regions of surgically resected human brain tissue samples, to compare the capacities of human A2B5-positive progenitor cells and mature oligodendrocytes to ensheath synthetic nanofibers, and relate differences to the molecular profiles of these cells. For both cell types, the percentage of ensheathing cells was greater for grey matter versus white matter cells. For both grey matter and white matter samples, the percentage of cells ensheathing nanofibers was greater for A2B5-positive cells versus mature oligodendrocytes. Grey matter A2B5-positive cells were more susceptible than white matter A2B5-positive cells to injury induced by metabolic insults. Bulk RNA sequencing indicated that separation by cell type (A2B5-positive vs mature oligodendrocytes) is more significant than by region but segregation for each cell type by region is apparent. Molecular features of grey matter versus white matter derived A2B5-positive and mature oligodendrocytes were lower expression of mature oligodendrocyte genes and increased expression of early oligodendrocyte lineage genes. Genes and pathways with increased expression in grey matter derived cells with relevance for myelination included those related to responses to external environment, cell-cell communication, cell migration, and cell adhesion. Immune and cell death related genes were up-regulated in grey matter derived cells. We observed a significant number of up-regulated genes shared between the stress/injury and myelination processes, providing a basis for these features. In contrast to oligodendrocyte lineage cells, no functional or molecular heterogeneity was detected in microglia maintained in vitro, likely reflecting the plasticity of these cells ex vivo. The combined functional and molecular data indicate that grey matter human oligodendrocytes have increased intrinsic capacity to myelinate but also increased injury susceptibility, in part reflecting their being at a stage earlier in the oligodendrocyte lineage.","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142385485","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
Quantitative susceptibility mapping at 7 T in COVID-19: brainstem effects and outcome associations. COVID-19的7 T定量易感图:脑干效应和结果关联。
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-07 DOI: 10.1093/brain/awae215
Catarina Rua,Betty Raman,Christopher T Rodgers,Virginia F J Newcombe,Anne Manktelow,Doris A Chatfield,Stephen J Sawcer,Joanne G Outtrim,Victoria C Lupson,Emmanuel A Stamatakis,Guy B Williams,William T Clarke,Lin Qiu,Martyn Ezra,Rory McDonald,Stuart Clare,Mark Cassar,Stefan Neubauer,Karen D Ersche,Edward T Bullmore,David K Menon,Kyle Pattinson,James B Rowe
Post-mortem studies have shown that patients dying from severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection frequently have pathological changes in their CNS, particularly in the brainstem. Many of these changes are proposed to result from para-infectious and/or post-infection immune responses. Clinical symptoms such as fatigue, breathlessness, and chest pain are frequently reported in post-hospitalized coronavirus disease 2019 (COVID-19) patients. We propose that these symptoms are in part due to damage to key neuromodulatory brainstem nuclei. While brainstem involvement has been demonstrated in the acute phase of the illness, the evidence of long-term brainstem change on MRI is inconclusive. We therefore used ultra-high field (7 T) quantitative susceptibility mapping (QSM) to test the hypothesis that brainstem abnormalities persist in post-COVID patients and that these are associated with persistence of key symptoms. We used 7 T QSM data from 30 patients, scanned 93-548 days after hospital admission for COVID-19 and compared them to 51 age-matched controls without prior history of COVID-19 infection. We correlated the patients' QSM signals with disease severity (duration of hospital admission and COVID-19 severity scale), inflammatory response during the acute illness (C-reactive protein, D-dimer and platelet levels), functional recovery (modified Rankin scale), depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder-7). In COVID-19 survivors, the MR susceptibility increased in the medulla, pons and midbrain regions of the brainstem. Specifically, there was increased susceptibility in the inferior medullary reticular formation and the raphe pallidus and obscurus. In these regions, patients with higher tissue susceptibility had worse acute disease severity, higher acute inflammatory markers, and significantly worse functional recovery. This study contributes to understanding the long-term effects of COVID-19 and recovery. Using non-invasive ultra-high field 7 T MRI, we show evidence of brainstem pathophysiological changes associated with inflammatory processes in post-hospitalized COVID-19 survivors.
死后研究显示,因感染严重急性呼吸系统综合征冠状病毒(SARS-CoV-2)而死亡的患者,其中枢神经系统(尤其是脑干)经常发生病理变化。其中许多变化被认为是由副感染和/或感染后免疫反应引起的。据报道,2019 年冠状病毒病(COVID-19)住院后的患者经常会出现疲劳、呼吸困难和胸痛等临床症状。我们认为,这些症状部分是由于脑干关键神经调节核受损所致。虽然脑干受累已在疾病的急性期得到证实,但核磁共振成像上脑干长期变化的证据尚无定论。因此,我们使用超高磁场(7 T)定量易感性图谱(QSM)来验证这样一个假设:COVID 后患者的脑干异常会持续存在,而且这些异常与主要症状的持续存在有关。我们使用了 30 名 COVID-19 患者入院 93-548 天后扫描的 7 T QSM 数据,并将其与 51 名年龄匹配、无 COVID-19 感染史的对照组进行了比较。我们将患者的 QSM 信号与疾病严重程度(入院时间和 COVID-19 严重程度量表)、急性期炎症反应(C 反应蛋白、D-二聚体和血小板水平)、功能恢复(修正的 Rankin 量表)、抑郁(患者健康问卷-9)和焦虑(广泛性焦虑症-7)相关联。在 COVID-19 幸存者中,延髓、脑桥和脑干中脑区域的 MR 易感性增加。具体而言,下延髓网状结构、剑突苍白球和蒙昧体的易感性增加。在这些区域,组织易感性较高的患者急性疾病严重程度较差,急性炎症指标较高,功能恢复也明显较差。这项研究有助于了解 COVID-19 的长期影响和恢复情况。我们使用无创超高场 7 T MRI 显示了 COVID-19 住院后幸存者脑干病理生理变化与炎症过程相关的证据。
{"title":"Quantitative susceptibility mapping at 7 T in COVID-19: brainstem effects and outcome associations.","authors":"Catarina Rua,Betty Raman,Christopher T Rodgers,Virginia F J Newcombe,Anne Manktelow,Doris A Chatfield,Stephen J Sawcer,Joanne G Outtrim,Victoria C Lupson,Emmanuel A Stamatakis,Guy B Williams,William T Clarke,Lin Qiu,Martyn Ezra,Rory McDonald,Stuart Clare,Mark Cassar,Stefan Neubauer,Karen D Ersche,Edward T Bullmore,David K Menon,Kyle Pattinson,James B Rowe","doi":"10.1093/brain/awae215","DOIUrl":"https://doi.org/10.1093/brain/awae215","url":null,"abstract":"Post-mortem studies have shown that patients dying from severe acute respiratory syndrome coronavirus (SARS-CoV-2) infection frequently have pathological changes in their CNS, particularly in the brainstem. Many of these changes are proposed to result from para-infectious and/or post-infection immune responses. Clinical symptoms such as fatigue, breathlessness, and chest pain are frequently reported in post-hospitalized coronavirus disease 2019 (COVID-19) patients. We propose that these symptoms are in part due to damage to key neuromodulatory brainstem nuclei. While brainstem involvement has been demonstrated in the acute phase of the illness, the evidence of long-term brainstem change on MRI is inconclusive. We therefore used ultra-high field (7 T) quantitative susceptibility mapping (QSM) to test the hypothesis that brainstem abnormalities persist in post-COVID patients and that these are associated with persistence of key symptoms. We used 7 T QSM data from 30 patients, scanned 93-548 days after hospital admission for COVID-19 and compared them to 51 age-matched controls without prior history of COVID-19 infection. We correlated the patients' QSM signals with disease severity (duration of hospital admission and COVID-19 severity scale), inflammatory response during the acute illness (C-reactive protein, D-dimer and platelet levels), functional recovery (modified Rankin scale), depression (Patient Health Questionnaire-9) and anxiety (Generalized Anxiety Disorder-7). In COVID-19 survivors, the MR susceptibility increased in the medulla, pons and midbrain regions of the brainstem. Specifically, there was increased susceptibility in the inferior medullary reticular formation and the raphe pallidus and obscurus. In these regions, patients with higher tissue susceptibility had worse acute disease severity, higher acute inflammatory markers, and significantly worse functional recovery. This study contributes to understanding the long-term effects of COVID-19 and recovery. Using non-invasive ultra-high field 7 T MRI, we show evidence of brainstem pathophysiological changes associated with inflammatory processes in post-hospitalized COVID-19 survivors.","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142385358","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
Data-driven neuroanatomical subtypes of primary progressive aphasia 数据驱动的原发性进行性失语症神经解剖亚型
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-07 DOI: 10.1093/brain/awae314
Beatrice Taylor, Martina Bocchetta, Cameron Shand, Emily G Todd, Anthipa Chokesuwattanaskul, Sebastian J Crutch, Jason D Warren, Jonathan D Rohrer, Chris J D Hardy, Neil P Oxtoby
The primary progressive aphasias are rare, language-led dementias, with three main variants: semantic, non-fluent/agrammatic, and logopenic. Whilst semantic variant has a clear neuroanatomical profile, the non-fluent/agrammatic and logopenic variants are difficult to discriminate from neuroimaging. Previous phenotype-driven studies have characterised neuroanatomical profiles of each variant on MRI. In this work we used a machine learning algorithm known as SuStaIn to discover data-driven neuroanatomical “subtype” progression profiles and performed an in-depth subtype–phenotype analysis to characterise the heterogeneity of primary progressive aphasia. Our study included 270 participants with primary progressive aphasia seen for research in the UCL Queen Square Institute of Neurology Dementia Research Centre, with follow-up scans available for 137 participants. This dataset included individuals diagnosed with all three main variants (semantic: n=94, non-fluent/agrammatic: n=109, logopenic: n=51) as well as individuals with un-specified primary progressive aphasia (n=16). A data set of 66 patients (semantic n=37, non-fluent/agrammatic: n=29) from the ALLFTD North American cohort study, was used to validate our results. MRI scans were segmented and SuStaIn was employed on 19 regions of interest to identify neuroanatomical profiles independent of the diagnosis. We assessed the assignment of subtypes and stages, as well as their longitudinal consistency. We discovered four neuroanatomical subtypes of primary progressive aphasia, labelled S1 (left temporal), S2 (insula), S3 (temporoparietal), S4 (frontoparietal), exhibiting robustness to statistical scrutiny. S1 correlated strongly with semantic variant, while S2, S3, and S4 showed mixed associations with the logopenic and non-fluent/agrammatic variants. Notably, S3 displayed a neuroanatomical signature akin to a logopenic only signature, yet a significant proportion of logopenic cases were allocated to S2. The non-fluent/agrammatic variant demonstrated diverse associations with S2, S3, and S4. No clear relationship emerged between any of the neuroanatomical subtypes and the unspecified cases. At first follow up 84% of patients’ subtype assignment was stable, and 91.9% of patients’ stage assignment was stable. We partially validated our findings in the ALLFTD dataset, finding comparable qualitative patterns. Our study, leveraging machine learning on a large primary progressive aphasia dataset, delineated four distinct neuroanatomical patterns. Our findings suggest that separable spatio-temporal neuroanatomical phenotypes do exist within the PPA spectrum, but that these are noisy, particularly for nfvPPA and lvPPA. Furthermore, these phenotypes do not always conform to standard formulations of clinico-anatomical correlation. Understanding the multifaceted profiles of the disease, encompassing neuroanatomical, molecular, clinical, and cognitive dimensions, holds potential implications for clinical decisio
原发性进行性失语症是一种罕见的以语言为主导的痴呆症,主要有三种变体:语义型、非语言/语法型和对数开放型。语义型变体有明确的神经解剖特征,而非流利/语法型和对数开放型变体则很难从神经影像学上区分。以前的表型驱动研究已经描述了每种变体在核磁共振成像上的神经解剖特征。在这项工作中,我们使用了一种名为 SuStaIn 的机器学习算法来发现数据驱动的神经解剖学 "亚型 "进展特征,并进行了深入的亚型表型分析,以描述原发性进行性失语症的异质性。我们的研究包括 270 名在 UCL 皇后广场神经学研究所痴呆症研究中心接受研究的原发性进行性失语症患者,其中 137 名患者接受了后续扫描。该数据集包括被诊断出患有所有三种主要变异的患者(语义型:94人;非语义/语法型:109人;对数开放型:51人)以及未指定原发性进行性失语症患者(16人)。为了验证我们的研究结果,我们使用了来自 ALLFTD 北美队列研究的 66 名患者(语义型:37 人,非流利型/语法型:29 人)的数据集。我们对核磁共振成像扫描进行了分割,并在 19 个感兴趣区使用了 SuStaIn 来识别独立于诊断的神经解剖特征。我们评估了亚型和分期的分配及其纵向一致性。我们发现了原发性进行性失语症的四种神经解剖亚型,分别称为 S1(左颞)、S2(岛叶)、S3(颞顶)和 S4(额顶),这些亚型在统计检查中表现出稳健性。S1 与语义变异密切相关,而 S2、S3 和 S4 则与对数开放性和非流利/语法变异表现出混合关联。值得注意的是,S3 显示的神经解剖学特征类似于只有对数开放变异的特征,但相当一部分对数开放变异病例被分配到 S2 中。非流利语/语法变异与 S2、S3 和 S4 有多种关联。神经解剖亚型与不明病例之间没有明确的关系。在首次随访中,84% 患者的亚型分配是稳定的,91.9% 患者的分期分配是稳定的。我们在 ALLFTD 数据集中部分验证了我们的研究结果,发现了类似的定性模式。我们的研究利用大型原发性进行性失语症数据集上的机器学习,划分出了四种不同的神经解剖模式。我们的研究结果表明,在原发性进行性失语症谱系中确实存在可分离的时空神经解剖表型,但这些表型是嘈杂的,尤其是对 nfvPPA 和 lvPPA 而言。此外,这些表型并不总是符合临床解剖学相关性的标准公式。了解这种疾病的多方面特征,包括神经解剖、分子、临床和认知方面,对临床决策支持具有潜在的意义。
{"title":"Data-driven neuroanatomical subtypes of primary progressive aphasia","authors":"Beatrice Taylor, Martina Bocchetta, Cameron Shand, Emily G Todd, Anthipa Chokesuwattanaskul, Sebastian J Crutch, Jason D Warren, Jonathan D Rohrer, Chris J D Hardy, Neil P Oxtoby","doi":"10.1093/brain/awae314","DOIUrl":"https://doi.org/10.1093/brain/awae314","url":null,"abstract":"The primary progressive aphasias are rare, language-led dementias, with three main variants: semantic, non-fluent/agrammatic, and logopenic. Whilst semantic variant has a clear neuroanatomical profile, the non-fluent/agrammatic and logopenic variants are difficult to discriminate from neuroimaging. Previous phenotype-driven studies have characterised neuroanatomical profiles of each variant on MRI. In this work we used a machine learning algorithm known as SuStaIn to discover data-driven neuroanatomical “subtype” progression profiles and performed an in-depth subtype–phenotype analysis to characterise the heterogeneity of primary progressive aphasia. Our study included 270 participants with primary progressive aphasia seen for research in the UCL Queen Square Institute of Neurology Dementia Research Centre, with follow-up scans available for 137 participants. This dataset included individuals diagnosed with all three main variants (semantic: n=94, non-fluent/agrammatic: n=109, logopenic: n=51) as well as individuals with un-specified primary progressive aphasia (n=16). A data set of 66 patients (semantic n=37, non-fluent/agrammatic: n=29) from the ALLFTD North American cohort study, was used to validate our results. MRI scans were segmented and SuStaIn was employed on 19 regions of interest to identify neuroanatomical profiles independent of the diagnosis. We assessed the assignment of subtypes and stages, as well as their longitudinal consistency. We discovered four neuroanatomical subtypes of primary progressive aphasia, labelled S1 (left temporal), S2 (insula), S3 (temporoparietal), S4 (frontoparietal), exhibiting robustness to statistical scrutiny. S1 correlated strongly with semantic variant, while S2, S3, and S4 showed mixed associations with the logopenic and non-fluent/agrammatic variants. Notably, S3 displayed a neuroanatomical signature akin to a logopenic only signature, yet a significant proportion of logopenic cases were allocated to S2. The non-fluent/agrammatic variant demonstrated diverse associations with S2, S3, and S4. No clear relationship emerged between any of the neuroanatomical subtypes and the unspecified cases. At first follow up 84% of patients’ subtype assignment was stable, and 91.9% of patients’ stage assignment was stable. We partially validated our findings in the ALLFTD dataset, finding comparable qualitative patterns. Our study, leveraging machine learning on a large primary progressive aphasia dataset, delineated four distinct neuroanatomical patterns. Our findings suggest that separable spatio-temporal neuroanatomical phenotypes do exist within the PPA spectrum, but that these are noisy, particularly for nfvPPA and lvPPA. Furthermore, these phenotypes do not always conform to standard formulations of clinico-anatomical correlation. Understanding the multifaceted profiles of the disease, encompassing neuroanatomical, molecular, clinical, and cognitive dimensions, holds potential implications for clinical decisio","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":14.5,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142384346","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
Brain repair mechanisms after cell therapy for stroke. 细胞疗法治疗中风后的大脑修复机制。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-03 DOI: 10.1093/brain/awae204
Ruslan Rust, Lina R Nih, Luca Liberale, Hao Yin, Mohamad El Amki, Lin Kooi Ong, Berislav V Zlokovic

Cell-based therapies hold great promise for brain repair after stroke. While accumulating evidence confirms the preclinical and clinical benefits of cell therapies, the underlying mechanisms by which they promote brain repair remain unclear. Here, we briefly review endogenous mechanisms of brain repair after ischaemic stroke and then focus on how different stem and progenitor cell sources can promote brain repair. Specifically, we examine how transplanted cell grafts contribute to improved functional recovery either through direct cell replacement or by stimulating endogenous repair pathways. Additionally, we discuss recently implemented preclinical refinement methods, such as preconditioning, microcarriers, genetic safety switches and universal (immune evasive) cell transplants, as well as the therapeutic potential of these pharmacologic and genetic manipulations to further enhance the efficacy and safety of cell therapies. By gaining a deeper understanding of post-ischaemic repair mechanisms, prospective clinical trials may be further refined to advance post-stroke cell therapy to the clinic.

细胞疗法为中风后的大脑修复带来了巨大希望。虽然越来越多的证据证实了细胞疗法的临床前和临床益处,但它们促进脑修复的内在机制仍不清楚。在此,我们简要回顾缺血性中风后大脑修复的内源性机制,然后重点探讨不同干细胞和祖细胞来源如何促进大脑修复。具体来说,我们将研究移植细胞如何通过直接细胞替代或刺激内源性修复途径来促进功能恢复。此外,我们还讨论了最近实施的临床前完善方法,如预处理、微载体、基因安全开关和通用(免疫回避)细胞移植,以及这些药理和基因操作的治疗潜力,以进一步提高细胞疗法的疗效和安全性。通过加深对缺血后修复机制的了解,可进一步完善前瞻性临床试验,将中风后细胞疗法推向临床。
{"title":"Brain repair mechanisms after cell therapy for stroke.","authors":"Ruslan Rust, Lina R Nih, Luca Liberale, Hao Yin, Mohamad El Amki, Lin Kooi Ong, Berislav V Zlokovic","doi":"10.1093/brain/awae204","DOIUrl":"10.1093/brain/awae204","url":null,"abstract":"<p><p>Cell-based therapies hold great promise for brain repair after stroke. While accumulating evidence confirms the preclinical and clinical benefits of cell therapies, the underlying mechanisms by which they promote brain repair remain unclear. Here, we briefly review endogenous mechanisms of brain repair after ischaemic stroke and then focus on how different stem and progenitor cell sources can promote brain repair. Specifically, we examine how transplanted cell grafts contribute to improved functional recovery either through direct cell replacement or by stimulating endogenous repair pathways. Additionally, we discuss recently implemented preclinical refinement methods, such as preconditioning, microcarriers, genetic safety switches and universal (immune evasive) cell transplants, as well as the therapeutic potential of these pharmacologic and genetic manipulations to further enhance the efficacy and safety of cell therapies. By gaining a deeper understanding of post-ischaemic repair mechanisms, prospective clinical trials may be further refined to advance post-stroke cell therapy to the clinic.</p>","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141449683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Piezo2 voltage-block regulates mechanical pain sensitivity. Piezo2 电压阻断调节机械痛敏感性。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-03 DOI: 10.1093/brain/awae227
Oscar Sánchez-Carranza, Sampurna Chakrabarti, Johannes Kühnemund, Fred Schwaller, Valérie Bégay, Jonathan Alexis García-Contreras, Lin Wang, Gary R Lewin
<p><p>PIEZO2 is a trimeric mechanically-gated ion channel expressed by most sensory neurons in the dorsal root ganglia. Mechanosensitive PIEZO2 channels are also genetically required for normal touch sensation in both mice and humans. We previously showed that PIEZO2 channels are also strongly modulated by membrane voltage. Specifically, it is only at very positive voltages that all channels are available for opening by mechanical force. Conversely, most PIEZO2 channels are blocked at normal negative resting membrane potentials. The physiological function of this unusual biophysical property of PIEZO2 channels, however, remained unknown. We characterized the biophysical properties of three PIEZO2 ion channel mutations at an evolutionarily conserved arginine (R2756). Using genome engineering in mice we generated Piezo2R2756H/R2756H and Piezo2R2756K/R2756K knock-in mice to characterize the physiological consequences of altering PIEZO2 voltage sensitivity in vivo. We measured endogenous mechanosensitive currents in sensory neurons isolated from the dorsal root ganglia and characterized mechanoreceptor and nociceptor function using electrophysiology. Mice were also assessed behaviourally and morphologically. Mutations at the conserved Arginine (R2756) dramatically changed the biophysical properties of the channel relieving voltage block and lowering mechanical thresholds for channel activation. Piezo2R2756H/R2756H and Piezo2R2756K/R2756K knock-in mice that were homozygous for gain-of-function mutations were viable and were tested for sensory changes. Surprisingly, mechanosensitive currents in nociceptors, neurons that detect noxious mechanical stimuli, were substantially sensitized in Piezo2 knock-in mice, but mechanosensitive currents in most mechanoreceptors that underlie touch sensation were only mildly affected by the same mutations. Single-unit electrophysiological recordings from sensory neurons innervating the glabrous skin revealed that rapidly-adapting mechanoreceptors that innervate Meissner's corpuscles exhibited slightly decreased mechanical thresholds in Piezo2 knock-in mice. Consistent with measurements of mechanically activated currents in isolated sensory neurons essentially all cutaneous nociceptors, both fast conducting Aδ-mechanonociceptors and unmyelinated C-fibre nociceptors were substantially more sensitive to mechanical stimuli and indeed acquired receptor properties similar to ultrasensitive touch receptors in Piezo2 knock-in mice. Mechanical stimuli also induced enhanced ongoing activity in cutaneous nociceptors in Piezo2 knock-in mice and hyper-sensitive PIEZO2 channels were sufficient alone to drive ongoing activity, even in isolated nociceptive neurons. Consistently, Piezo2 knock-in mice showed substantial behavioural hypersensitivity to noxious mechanical stimuli. Our data indicate that ongoing activity and sensitization of nociceptors, phenomena commonly found in human chronic pain syndromes, can be driven by relieving t
PIEZO2 是一种三聚体机械门控离子通道,由背根神经节中的大多数感觉神经元表达。小鼠和人类的正常触觉也需要机械敏感的 PIEZO2 通道。我们之前的研究表明,PIEZO2 通道还受到膜电压的强烈调节。具体来说,只有在电压非常正的情况下,所有通道才能通过机械力打开。相反,大多数 PIEZO2 通道在正常负静息膜电位时会被阻断。然而,PIEZO2 通道的这种不寻常的生物物理特性的生理功能仍然未知。我们研究了三个 PIEZO2 离子通道在进化上保守的精氨酸(R2756)突变的生物物理特性。通过小鼠基因组工程,我们产生了 Piezo2R2756H/R2756H 和 Piezo2R2756K/R2756K 基因敲入小鼠,以鉴定改变体内 PIEZO2 电压敏感性的生理后果。我们测量了从背根神经节分离的感觉神经元中的内源性机械敏感电流,并利用电生理学鉴定了机械感受器和痛觉感受器的功能。还对小鼠进行了行为和形态学评估。保守的精氨酸(R2756)突变极大地改变了通道的生物物理特性,缓解了电压阻滞,降低了通道激活的机械阈值。同源功能增益突变的 Piezo2R2756H/R2756H 和 Piezo2R2756K/R2756K 基因敲入小鼠可以存活,并进行了感觉变化测试。令人惊讶的是,在 Piezo2 基因敲入小鼠中,痛觉感受器(检测有害机械刺激的神经元)中的机械敏感电流大幅敏化,但作为触觉基础的大多数机械感受器中的机械敏感电流仅受到相同突变的轻微影响。对支配无毛皮肤的感觉神经元进行的单单元电生理记录显示,在 Piezo2 基因敲入小鼠体内,支配 Meissner 肉团的快速适应机械感受器的机械阈值略有下降。与分离的感觉神经元中机械激活电流的测量结果一致,基本上所有的皮肤痛觉感受器、快速传导的Aδ-机械痛觉感受器和未髓鞘化的C纤维痛觉感受器对机械刺激都更加敏感,并且在Piezo2基因敲入小鼠体内确实获得了类似于超敏触觉感受器的受体特性。在 Piezo2 基因敲除小鼠的皮肤痛觉感受器中,机械刺激也诱导了更强的持续活动,即使在分离的痛觉神经元中,超敏感的 PIEZO2 通道也足以单独驱动持续活动。同样,Piezo2 基因敲入小鼠在行为上对有害机械刺激表现出极大的过敏性。我们的数据表明,人类慢性疼痛综合征中常见的持续活动和痛觉感受器敏感化现象,可以通过解除 PIEZO2 离子通道的电压阻滞来驱动。事实上,多种有害刺激引起的膜去极化可通过缓解 PIEZO2 通道的电压阻滞而使痛觉感受器敏感。
{"title":"Piezo2 voltage-block regulates mechanical pain sensitivity.","authors":"Oscar Sánchez-Carranza, Sampurna Chakrabarti, Johannes Kühnemund, Fred Schwaller, Valérie Bégay, Jonathan Alexis García-Contreras, Lin Wang, Gary R Lewin","doi":"10.1093/brain/awae227","DOIUrl":"10.1093/brain/awae227","url":null,"abstract":"&lt;p&gt;&lt;p&gt;PIEZO2 is a trimeric mechanically-gated ion channel expressed by most sensory neurons in the dorsal root ganglia. Mechanosensitive PIEZO2 channels are also genetically required for normal touch sensation in both mice and humans. We previously showed that PIEZO2 channels are also strongly modulated by membrane voltage. Specifically, it is only at very positive voltages that all channels are available for opening by mechanical force. Conversely, most PIEZO2 channels are blocked at normal negative resting membrane potentials. The physiological function of this unusual biophysical property of PIEZO2 channels, however, remained unknown. We characterized the biophysical properties of three PIEZO2 ion channel mutations at an evolutionarily conserved arginine (R2756). Using genome engineering in mice we generated Piezo2R2756H/R2756H and Piezo2R2756K/R2756K knock-in mice to characterize the physiological consequences of altering PIEZO2 voltage sensitivity in vivo. We measured endogenous mechanosensitive currents in sensory neurons isolated from the dorsal root ganglia and characterized mechanoreceptor and nociceptor function using electrophysiology. Mice were also assessed behaviourally and morphologically. Mutations at the conserved Arginine (R2756) dramatically changed the biophysical properties of the channel relieving voltage block and lowering mechanical thresholds for channel activation. Piezo2R2756H/R2756H and Piezo2R2756K/R2756K knock-in mice that were homozygous for gain-of-function mutations were viable and were tested for sensory changes. Surprisingly, mechanosensitive currents in nociceptors, neurons that detect noxious mechanical stimuli, were substantially sensitized in Piezo2 knock-in mice, but mechanosensitive currents in most mechanoreceptors that underlie touch sensation were only mildly affected by the same mutations. Single-unit electrophysiological recordings from sensory neurons innervating the glabrous skin revealed that rapidly-adapting mechanoreceptors that innervate Meissner's corpuscles exhibited slightly decreased mechanical thresholds in Piezo2 knock-in mice. Consistent with measurements of mechanically activated currents in isolated sensory neurons essentially all cutaneous nociceptors, both fast conducting Aδ-mechanonociceptors and unmyelinated C-fibre nociceptors were substantially more sensitive to mechanical stimuli and indeed acquired receptor properties similar to ultrasensitive touch receptors in Piezo2 knock-in mice. Mechanical stimuli also induced enhanced ongoing activity in cutaneous nociceptors in Piezo2 knock-in mice and hyper-sensitive PIEZO2 channels were sufficient alone to drive ongoing activity, even in isolated nociceptive neurons. Consistently, Piezo2 knock-in mice showed substantial behavioural hypersensitivity to noxious mechanical stimuli. Our data indicate that ongoing activity and sensitization of nociceptors, phenomena commonly found in human chronic pain syndromes, can be driven by relieving t","PeriodicalId":9063,"journal":{"name":"Brain","volume":null,"pages":null},"PeriodicalIF":10.6,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11449130/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141562648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Brain
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1