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Discovery of novel blood–brain barrier neuropathology in schizophrenia and bipolar disorder midbrain 精神分裂症和双相情感障碍中脑新血脑屏障神经病理的发现。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-18 DOI: 10.1016/j.bbi.2026.106292
Yunting Zhu , Gerardo Mendez Victoriano , Maree J Webster , Frank A. Middleton , Paul T. Massa , Christine Fuller , Cynthia Shannon Weickert
Elevated pro-inflammatory cytokines and increased macrophage densities have been found in ∼ 35–50 % of schizophrenia and bipolar disorder brains. However, the influence of neuroinflammation on the blood–brain barrier (BBB) in these serious mental illnesses remains unclear. Here, we measured and compared multiple BBB-associated molecules in the ventral midbrain, including chemokines, macrophage markers, adhesion molecules, tight junction proteins, and basement membrane proteins in people with schizophrenia (n = 35), or bipolar disorder (n = 34), and controls (n = 33), stratified by inflammatory status. Both mRNA and protein levels of macrophage chemokine (CCL2) and macrophage scavenger receptor (CD163) were significantly elevated in the neuroinflammatory schizophrenia (high) compared to all the low inflammatory subgroups. Adhesion molecule mRNAs (ICAM1 and PECAM1) were increased in both schizophrenia and bipolar disorder high inflammatory subgroups, but PECAM1 protein was only elevated in schizophrenia, while ICAM1 protein was decreased in bipolar disorder. We found lower collagen IV (ColIV) protein levels in bipolar disorder. Tight junction protein claudin-5 (CLDN5) mRNA was elevated in both schizophrenia and bipolar disorder high inflammatory subgroups, while occludin (OCLN) mRNA was decreased in schizophrenia, especially in the high inflammatory subgroup. CLDN5 immunostaining revealed increased fragmented blood vessels with bursts of CLDN5 + processes surrounding and appearing to emanate from endothelial cells in schizophrenia and bipolar disorder high inflammation subgroup. Collectively, the high inflammatory individuals in both schizophrenia and/or bipolar disorder display more signs of BBB alterations, including increased macrophage chemoattraction, changed adhesion molecules, and altered tight junction proteins, though they have distinct molecular signatures of BBB pathology in the midbrain.
在 ~ 35 ~ 50% %的精神分裂症和双相情感障碍患者的大脑中发现了升高的促炎细胞因子和巨噬细胞密度。然而,在这些严重的精神疾病中,神经炎症对血脑屏障(BBB)的影响尚不清楚。在这里,我们测量并比较了精神分裂症患者(n = 35)或双相情感障碍患者(n = 35)和对照组(n = 33)中脑腹侧多种血脑屏障相关分子,包括趋化因子、巨噬细胞标志物、粘附分子、紧密连接蛋白和基底膜蛋白,并按炎症状态分层。与所有低炎症亚组相比,神经炎性精神分裂症(高)患者巨噬细胞趋化因子(CCL2)和清除率受体(CD163)的mRNA和蛋白水平均显著升高。粘附分子mrna (ICAM1和PECAM1)在精神分裂症和双相情感障碍高炎症亚组中均升高,但PECAM1蛋白仅在精神分裂症中升高,而ICAM蛋白在双相情感障碍中降低。我们发现双相情感障碍患者胶原蛋白IV (ColIV)水平较低。紧密连接蛋白CLDN5 (CLDN5) mRNA在精神分裂症和双相情感障碍高炎症亚组中均升高,而occludin (OCLN) mRNA在精神分裂症,特别是在高炎症亚组中均降低。CLDN5免疫染色显示,在精神分裂症和双相情感障碍高炎症患者中,血管碎片增加,伴有CLDN5 + 突的破裂,并似乎来自内皮细胞。总的来说,精神分裂症和/或双相情感障碍的高炎症个体显示出更多血脑屏障改变的迹象,包括巨噬细胞化学吸引增加,粘附分子改变,紧密连接蛋白改变,尽管他们在中脑有不同的血脑屏障病理分子特征。
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引用次数: 0
Post-infection mental illness: Mapping pathways of vulnerability and resilience in VIRAL-MInds 感染后精神疾病:病毒心理中脆弱性和恢复力的路径映射。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-18 DOI: 10.1016/j.bbi.2026.106291
Eva Wachtelaer , Chloë Trippaers , Ole A. Andreassen , Ingrid Torp Johansen , Nils Eiel Steen , Helga Ask , Dana Tzur Bitan , Amit Kramer , Sara Poletti , Federica Colombo , Livia De Picker
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引用次数: 0
Chemogenetic activation of oxytocinergic neurons modulates acute neuroinflammation and improves brain development after pediatric traumatic brain injury 儿童创伤性脑损伤后,催产素能神经元的化学发生激活可调节急性神经炎症并促进脑发育。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.bbi.2026.106293
Marit Knoop , Ece Trak , Marie-Laure Possovre , Yohan van de Looij , Gabriel Schirmbeck , Kelly Ceyzériat , Jean-Luc Pitetti , Eduardo Sanches , Stefano Musardo , Philippe Millet , Stergios Tsartsalis , Benjamin B. Tournier , Camilla Bellone , Stéphane V. Sizonenko , Alice Jacquens , Olivier Baud
Objective: Pediatric traumatic brain injury (TBI) is a leading cause of death and disability in infants, whose neurodevelopmental consequences currently lack effective treatment. Since TBI is associated with neuroinflammation, modulation of the post-injury neuroinflammatory response is a promising strategy. Oxytocin is suggested to possess anti-inflammatory properties, and seems to play a role in clinical interventions that improve brain development in neonates. However, the underlying mechanisms remain unclear, as does its applicability to acute brain injury.
Methods: Here, we assess the effects of chemogenetic activation of oxytocinergic neurons on acute neuroinflammation and on long-term brain development after TBI in postnatal day 7 (P7) male mice. Immunohistochemistry, RNA sequencing, ex-vivo MRI-diffusion tensor imaging, in-vivo functional ultrasound imaging and behavioral assays are used for assessment. Oxytocinergic neurons were chemogenetically activated daily between P7 and P10.
Results: We show that chemogenetic activation of oxytocinergic neurons mitigates the acute neuroinflammatory response to TBI 24 h post-injury, where it reduces the expression of inflammation-related genes, and promotes brain repair and development gene pathways in microglia. In the long-term, early-life oxytocinergic neuron activation improves subcortical and cortical white matter damage after TBI, prevents hyperactivity and loss of social behavior, and restores TBI-induced alterations in resting-state functional connectivity of the isocortex. These effects were found 35 days after the last treatment session.
Conclusions: Our findings enhance the understanding of neuroinflammation modulation by oxytocin, reveal its long-term effects, and support intervention associated with endogenous oxytocin release as a promising neuroprotective strategy in pediatric TBI.
目的:儿童创伤性脑损伤(TBI)是婴儿死亡和残疾的主要原因,其神经发育后果目前缺乏有效的治疗。由于TBI与神经炎症有关,因此调节损伤后的神经炎症反应是一种很有前途的策略。催产素被认为具有抗炎特性,似乎在临床干预中发挥作用,改善新生儿的大脑发育。然而,其潜在机制尚不清楚,其对急性脑损伤的适用性也不清楚。方法:在此,我们评估了催产素神经元的化学激活对出生后第7天(P7)雄性小鼠TBI后急性神经炎症和长期脑发育的影响。免疫组织化学,RNA测序,离体mri弥散张量成像,体内功能超声成像和行为分析用于评估。在P7和P10之间,催产素能神经元每天都被化学激活。结果:我们发现,催产素能神经元的化学发生激活减轻了TBI 24 h损伤后的急性神经炎症反应,减少了炎症相关基因的表达,促进了小胶质细胞中脑修复和发育的基因通路。从长期来看,早期的催产素神经元激活可改善脑外伤后皮层下和皮层白质损伤,防止脑外伤引起的多动和社交行为丧失,并恢复脑外伤引起的同皮层静息状态功能连接的改变。这些效果是在最后一次治疗后35 天发现的。结论:我们的研究结果增强了对催产素调节神经炎症的理解,揭示了其长期效应,并支持内源性催产素释放相关的干预作为一种有希望的儿童TBI神经保护策略。
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引用次数: 0
Midbrain microglial and macrophage mRNAs distinguish neuroinflammatory schizophrenia from bipolar disorder 中脑小胶质细胞和巨噬细胞mrna可区分神经炎性精神分裂症和双相情感障碍。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-16 DOI: 10.1016/j.bbi.2026.106276
Gerardo Mendez-Victoriano , Yunting Zhu , Yasmine Kostoglou , Adam K. Walker , Frank Middleton , Paul T. Massa , Bart J.L. Eggen , Maree J. Webster , Iris E.C. Sommer , Cynthia S. Weickert
<div><h3>Background</h3><div>Increased microglial/macrophage transcripts are found in the midbrains of people with a neuroinflammatory subtype of schizophrenia. However, it is unknown in which immune cell population these transcripts are mostly expressed, nor do we know if transcriptional changes in microglial/macrophage markers are also found in the midbrain of neuroinflammatory bipolar disorder.</div></div><div><h3>Methods</h3><div>Here, we determined the extent of microglial/macrophage changes in the ventral midbrain (at the level of the oculomotor nerve exit) of a large cohort of people with schizophrenia and bipolar disorder, defined as either low or high-inflammation, compared to controls. We aimed to confirm in which cell-type cluster our transcripts were expressed (microglia vs macrophages). First, we mapped the cellular expression of putative microglial/macrophage markers via snRNA-seq. Then, mRNA levels of 11 microglial/macrophage markers were measured and compared via RT-PCR from human post-mortem midbrains of 61 healthy controls, 63 schizophrenia cases, and 33 bipolar disorder cases.</div></div><div><h3>Results</h3><div>7/11 mRNAs (<em>IBA1</em>, <em>CD11B</em>, <em>CX3CR1</em>, <em>P2RY12</em>, <em>CD64</em>, <em>CD40</em>, & <em>TMEM119</em>) were mainly expressed in microglial cell clusters; 2 mRNAs were in the macrophage cell cluster (<em>CD32C, CD86</em>); 1 mRNA was broadly expressed (<em>HEXB</em>), and <em>CD68</em> mRNA was too low to confirm cellular source by snRNA-seq. Across groups, transcripts associated with microglia activation and motility were significantly increased in high-inflammation schizophrenia (<em>IBA1, CD11B</em>; all <em>p</em> ≤ 0.001) and significantly decreased in high-inflammation bipolar disorder (<em>P2RY12</em>, <em>CX3CR1</em>; all <em>p</em> ≤ 0.01) compared to low-inflammation controls. Transcripts associated with microglial and macrophage activation via FcγR-IgG/Immune complex antigen binding were significantly increased in high-inflammatory schizophrenia (<em>CD64</em> & <em>CD32C</em>) and high-inflammatory bipolar disorder (<em>CD32C</em>) (all <em>p</em> ≤ 0.01). Transcripts associated with increased cytokine response (<em>CD40 & CD86</em>) and phagocytosis (<em>CD68</em>) were significantly increased in high-inflammatory schizophrenia and divergently changed in high-inflammatory bipolar disorder (<em>CD40</em> increased<em>/CD86</em> decreased) (all <em>p</em> ≤ 0.05). Overall, the number of CD68 + cells with reactive-like morphology was increased in high-inflammation schizophrenia compared to all the low-inflammation groups (all p ≤ 0.05).</div></div><div><h3>Conclusion</h3><div>Our findings strengthen the contention that microglia and macrophages are activated in schizophrenia and disrupted in bipolar disorder midbrains of high-inflammatory subgroups. This suggests that optimal immune-based treatments targeting schizophrenia and bipolar disorder patients may differ when restor
背景:在精神分裂症神经炎症亚型患者的中脑中发现了增加的小胶质/巨噬细胞转录物。然而,目前尚不清楚这些转录物主要在哪个免疫细胞群中表达,我们也不知道小胶质/巨噬细胞标记物的转录变化是否也存在于神经炎性双相障碍亚群的中脑中。方法:在这里,我们确定了与对照组相比,精神分裂症和双相情感障碍患者(定义为低或高炎症)腹侧中脑(在动眼神经出口水平)小胶质细胞/巨噬细胞变化的程度。我们的目的是确认转录本在哪个细胞簇中表达(小胶质细胞vs巨噬细胞)。首先,我们通过snRNA-seq绘制了假定的小胶质/巨噬细胞标记物的细胞表达图谱。然后,通过RT-PCR检测并比较了61例健康对照、63例精神分裂症患者和33例双相情感障碍患者死后中脑11种小胶质/巨噬细胞标志物的mRNA水平。结果:7/11 mrna (IBA1、CD11B、CX3CR1、P2RY12、CD64、CD40、tmem119)主要在小胶质细胞簇中表达;巨噬细胞簇中的2个mrna (CD32C, CD86);1 mRNA广泛表达(HEXB), CD68 mRNA簇的位置随诊断而变化。在各组中,与低炎症对照相比,高炎症性精神分裂症(IBA1, CD11B;所有p ≤ 0.001)中与小胶质细胞激活和运动相关的转录物显著增加,高炎症性双相情感障碍(P2RY12, CX3CR1;所有p ≤ 0.01)中显著减少。高炎症性精神分裂症(CD64 &CD32C)和高炎症性双相情感障碍(CD32C)中,通过FcγR-IgG/免疫复合物抗原结合激活小胶质细胞和巨噬细胞的相关转录物显著增加(p均 ≤ 0.01)。与细胞因子反应(CD40和CD86)和吞噬(CD68)增加相关的转录本在高炎症性精神分裂症中显著增加,在高炎症性双相情感障碍中呈差异变化(CD40增加/CD86减少)(均p ≤ 0.05)。总体而言,与所有低炎症组相比,高炎症精神分裂症患者中具有反应样形态的CD68 + 细胞数量增加(均p ≤ 0.05)。结论:我们的研究结果加强了小胶质细胞和巨噬细胞在精神分裂症中被激活,在双相情感障碍中脑高炎症亚群中被破坏的观点。这表明针对精神分裂症和双相情感障碍患者的最佳免疫治疗在炎症期间恢复小胶质细胞功能时可能有所不同。
{"title":"Midbrain microglial and macrophage mRNAs distinguish neuroinflammatory schizophrenia from bipolar disorder","authors":"Gerardo Mendez-Victoriano ,&nbsp;Yunting Zhu ,&nbsp;Yasmine Kostoglou ,&nbsp;Adam K. Walker ,&nbsp;Frank Middleton ,&nbsp;Paul T. Massa ,&nbsp;Bart J.L. Eggen ,&nbsp;Maree J. Webster ,&nbsp;Iris E.C. Sommer ,&nbsp;Cynthia S. Weickert","doi":"10.1016/j.bbi.2026.106276","DOIUrl":"10.1016/j.bbi.2026.106276","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Increased microglial/macrophage transcripts are found in the midbrains of people with a neuroinflammatory subtype of schizophrenia. However, it is unknown in which immune cell population these transcripts are mostly expressed, nor do we know if transcriptional changes in microglial/macrophage markers are also found in the midbrain of neuroinflammatory bipolar disorder.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;Here, we determined the extent of microglial/macrophage changes in the ventral midbrain (at the level of the oculomotor nerve exit) of a large cohort of people with schizophrenia and bipolar disorder, defined as either low or high-inflammation, compared to controls. We aimed to confirm in which cell-type cluster our transcripts were expressed (microglia vs macrophages). First, we mapped the cellular expression of putative microglial/macrophage markers via snRNA-seq. Then, mRNA levels of 11 microglial/macrophage markers were measured and compared via RT-PCR from human post-mortem midbrains of 61 healthy controls, 63 schizophrenia cases, and 33 bipolar disorder cases.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;7/11 mRNAs (&lt;em&gt;IBA1&lt;/em&gt;, &lt;em&gt;CD11B&lt;/em&gt;, &lt;em&gt;CX3CR1&lt;/em&gt;, &lt;em&gt;P2RY12&lt;/em&gt;, &lt;em&gt;CD64&lt;/em&gt;, &lt;em&gt;CD40&lt;/em&gt;, &amp; &lt;em&gt;TMEM119&lt;/em&gt;) were mainly expressed in microglial cell clusters; 2 mRNAs were in the macrophage cell cluster (&lt;em&gt;CD32C, CD86&lt;/em&gt;); 1 mRNA was broadly expressed (&lt;em&gt;HEXB&lt;/em&gt;), and &lt;em&gt;CD68&lt;/em&gt; mRNA was too low to confirm cellular source by snRNA-seq. Across groups, transcripts associated with microglia activation and motility were significantly increased in high-inflammation schizophrenia (&lt;em&gt;IBA1, CD11B&lt;/em&gt;; all &lt;em&gt;p&lt;/em&gt; ≤ 0.001) and significantly decreased in high-inflammation bipolar disorder (&lt;em&gt;P2RY12&lt;/em&gt;, &lt;em&gt;CX3CR1&lt;/em&gt;; all &lt;em&gt;p&lt;/em&gt; ≤ 0.01) compared to low-inflammation controls. Transcripts associated with microglial and macrophage activation via FcγR-IgG/Immune complex antigen binding were significantly increased in high-inflammatory schizophrenia (&lt;em&gt;CD64&lt;/em&gt; &amp; &lt;em&gt;CD32C&lt;/em&gt;) and high-inflammatory bipolar disorder (&lt;em&gt;CD32C&lt;/em&gt;) (all &lt;em&gt;p&lt;/em&gt; ≤ 0.01). Transcripts associated with increased cytokine response (&lt;em&gt;CD40 &amp; CD86&lt;/em&gt;) and phagocytosis (&lt;em&gt;CD68&lt;/em&gt;) were significantly increased in high-inflammatory schizophrenia and divergently changed in high-inflammatory bipolar disorder (&lt;em&gt;CD40&lt;/em&gt; increased&lt;em&gt;/CD86&lt;/em&gt; decreased) (all &lt;em&gt;p&lt;/em&gt; ≤ 0.05). Overall, the number of CD68 + cells with reactive-like morphology was increased in high-inflammation schizophrenia compared to all the low-inflammation groups (all p ≤ 0.05).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Our findings strengthen the contention that microglia and macrophages are activated in schizophrenia and disrupted in bipolar disorder midbrains of high-inflammatory subgroups. This suggests that optimal immune-based treatments targeting schizophrenia and bipolar disorder patients may differ when restor","PeriodicalId":9199,"journal":{"name":"Brain, Behavior, and Immunity","volume":"134 ","pages":"Article 106276"},"PeriodicalIF":7.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Altered gene expression associated with postoperative delirium in patients undergoing surgery and anesthesia 基因表达改变与手术和麻醉患者术后谵妄相关。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-14 DOI: 10.1016/j.bbi.2026.106283
Maria Heinrich , Anna-Rosa Krüger , Sreyoshi Chatterjee , Anna Fournier , Florian Lammers-Lietz , Roland Krause , Peter Nürnberg , Reinhard Schneider , Georg Winterer , Maik Pietzner , Claudia Spies
Postoperative delirium is a severe complication associated with poor overall and especially neurocognitive prognosis after anesthesia and surgery. As a systemic phenomenon, peripheral immune response to surgical trauma may play a central role. Although analysis of differential gene expression in peripheral immune cells could provide insights into immune dysregulation in postoperative delirium (POD), no sufficiently powered prospective cohort study has yet been conducted.
We performed gene expression analysis in N = 599 cognitively healthy male and female patients ≥65 years who provided blood samples for microarray-based gene-expression data before major elective surgery and on the first postoperative day. Patients were followed up for delirium until the seventh postoperative day. We identified differentially expressed genes in POD using a multivariable linear regression framework adjusted for sex, age, body mass index, preoperative physical status, duration of anesthesia and operative procedure.
Preoperative gene expression did not differ significantly in patients who were later diagnosed with POD. However, we identified a total of 1,063 unique significantly associated genes which differed in baseline-corrected mRNA abundance among POD patients after surgery (n = 394 upregulated, n = 681 downregulated). This set was significantly enriched for genes related to cellular and humoral immune response, RNA metabolism and platelet function.
Post-, but not preoperative gene expression in peripheral immune cells has been found to be altered in patients with POD. Whereas most enriched pathways were related to immune response and acute phase reaction, few molecular alterations were found, which may reflect nervous system alterations and warrant further investigation.
术后谵妄是一种严重的并发症,与麻醉和手术后不良的整体预后特别是神经认知预后相关。作为一种全身性现象,外周免疫反应对外科创伤可能起核心作用。虽然外周免疫细胞中差异基因表达的分析可以为术后谵妄(POD)的免疫失调提供见解,但尚未进行足够有力的前瞻性队列研究。我们对N = 599名认知健康的≥65 岁的男性和女性患者进行了基因表达分析,这些患者在重大择期手术前和术后第一天提供了基于微阵列的基因表达数据的血液样本。随访患者谵妄情况至术后第7天。我们使用多变量线性回归框架,根据性别、年龄、体重指数、术前身体状况、麻醉持续时间和手术程序进行调整,确定POD中差异表达的基因。术前基因表达在后来诊断为POD的患者中没有显著差异。然而,我们共鉴定出1063个独特的显著相关基因,这些基因在手术后POD患者中基线校正的mRNA丰度不同(n = 394上调,n = 681下调)。这组细胞和体液免疫应答、RNA代谢和血小板功能相关的基因显著富集。POD患者外周血免疫细胞的基因表达在术后而非术前发生改变。虽然大多数富集通路与免疫反应和急性期反应有关,但很少发现分子改变,这可能反映了神经系统的改变,值得进一步研究。
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引用次数: 0
Cytokines, Somatosensory Functioning, and Psychological Distress in Post-Breast Cancer Surgery Pain: A longitudinal study. 细胞因子、体感觉功能和乳腺癌术后疼痛的心理困扰:一项纵向研究。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-13 DOI: 10.1016/j.bbi.2026.106281
De Groote Amber, Meeus Mira, Coppens Lenny, Kumar-Singh Samir, Dams Lore, Mosselmans Jade, Tjalma Wiebren, De Groef An, Mertens Michel Gcam

Approximately 40% of breast cancer (BC) patients experience pain during a curative treatment episode. While the biological impact of surgery and adjuvant therapies is central to pain onset, patients' pain intensity and persistence are further shaped by its interplay with psychosocial factors. Here we explored cytokine levels, somatosensory functioning, and psychological distress as biomarkers for pain in BC patients at one and three months post-surgery. Specifically, we compared these factors in BC patients with and without pain at both time points and examined their associations with pain intensity and their change over time (delta pain). Thirty-seven BC patients were measured at one and three months post-surgery. Pain intensity was assessed using the Visual Analogue Scale. Fifty-six cytokines were measured using a multiplex electrochemiluminescence-based immunoassay, somatosensory functioning through quantitative sensory testing, including thermal detection and pain thresholds, conditioned pain modulation, and temporal summation, and psychological distress (i.e., pain catastrophizing, depression, anxiety, stress, resilience, positive and negative affect) using validated questionnaires. Group comparisons and correlation analyses were conducted between these biopsychosocial factors and (delta) pain intensity. Patients in the pain group displayed higher warmth detection thresholds at the tibialis anterior muscle at both time points. At three months post-surgery, nine cytokines, anxiety and pain catastrophizing were elevated in the pain group. Correlation analysis showed that seven out of the nine elevated cytokines and anxiety positively correlated with pain intensity at three months post-surgery, supporting their potential as candidate biomarkers. Furthermore, Interleukin (IL)-17f, IL-22, IL-33, and granulocyte colony-stimulating factor (at one month) and C-reactive protein (at three months post-surgery) were positively correlated with delta pain intensity. Our findings support novel cytokine candidates for future research.

大约40%的乳腺癌(BC)患者在治愈性治疗期间经历疼痛。虽然手术和辅助治疗的生物学影响是疼痛发作的核心,但患者的疼痛强度和持久性进一步受到其与社会心理因素的相互作用的影响。在这里,我们探讨了细胞因子水平、体感觉功能和心理困扰作为乳腺癌患者术后1个月和3个月疼痛的生物标志物。具体来说,我们比较了两个时间点有疼痛和没有疼痛的BC患者的这些因素,并检查了它们与疼痛强度的关系及其随时间的变化(δ痛)。37例BC患者在术后1个月和3个月进行测量。采用视觉模拟量表评估疼痛强度。使用基于多重电化学发光的免疫分析法测量56种细胞因子,通过定量感觉测试测量体感觉功能,包括热检测和疼痛阈值,条件性疼痛调节和时间累加,以及使用有效问卷测量心理困扰(即疼痛灾难,抑郁,焦虑,压力,恢复力,积极和消极影响)。将这些生物心理社会因素与疼痛强度进行组间比较和相关性分析。疼痛组患者在两个时间点的胫骨前肌温度检测阈值均较高。术后3个月,疼痛组9种细胞因子、焦虑和疼痛灾变均升高。相关分析显示,在术后3个月,9种升高的细胞因子和焦虑中有7种与疼痛强度呈正相关,支持它们作为候选生物标志物的潜力。此外,白细胞介素(IL)-17f、IL-22、IL-33和粒细胞集落刺激因子(术后1个月)和c反应蛋白(术后3个月)与疼痛强度呈正相关。我们的发现为未来的研究提供了新的细胞因子候选物。
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引用次数: 0
Chronic constriction of the sciatic nerve does not induce mood-related comorbidities in female mice 在雌性小鼠中,坐骨神经的慢性收缩不会引起情绪相关的合并症。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-13 DOI: 10.1016/j.bbi.2026.106286
Marion Gaborit , Quentin Leboulleux , Noemie Willem , Coline Sagot , Stephane Doridot , Karin Herbeaux , Melanie Kremer , Amandine Bery , Katia Befort , Dominique Massotte

Background

Neuropathic pain affects around 7–8% of the population and is associated with a high level of lifetime anxio-depressive comorbidities. Despite the higher incidence of the pathology in women, preclinical studies using rodents almost exclusively focused on males so far.

Methods

Sciatic nerve cuffing is a well-characterized model of neuropathy in which anxio-depressive comorbidities develop over time in male mice. In order to examine potential sex-differences in this model, we compared the alterations in the mechanical sensitivity using von Frey testing and used three ethologically relevant tests to explore their well-being (nest building), social behaviour (dyadic social interaction), and depression-like state (splash test) seven weeks after surgery. We also examined sex-related differences in neuroinflammation by quantifying changes in cytokine expression in the brainstem, a region critically involved in descending pain modulation.

Results/conclusion

Both male and female mice developed mechanical hypersensitivity following cuff surgery. However, no alteration in nest building ability, social dyadic interaction or grooming activity was observed in female mice seven weeks after surgery. Our data therefore suggest sex differences in the development of comorbidities associated with mechanical hypersensitivity. In addition, we evidenced in the brainstem sex-related differences in the expression of cytokines relevant to human neuropathy. Altogether, these results emphasize the need for additional comparisons between males and females to better grasp the role of neuroinflammation in pain sensitization and associated comorbidities.
背景:神经性疼痛影响约7-8%的人群,并与高水平的终生焦虑抑郁合并症相关。尽管这种疾病在女性中的发病率更高,但迄今为止,使用啮齿动物进行的临床前研究几乎完全集中在雄性身上。方法:坐骨神经弯曲是一种典型的神经病变模型,其中焦虑抑郁合并症随着时间的推移在雄性小鼠中发展。为了检验该模型中潜在的性别差异,我们使用von Frey测试比较了机械敏感性的变化,并使用三种行为学相关测试来探索手术后七周它们的健康状况(筑巢)、社会行为(二元社会互动)和抑郁状态(飞溅测试)。我们还通过量化脑干中细胞因子表达的变化来研究神经炎症的性别相关差异,脑干是一个与下行疼痛调节密切相关的区域。结果/结论:雄性和雌性小鼠在袖带手术后均出现机械超敏反应。然而,在手术后7周,雌性小鼠的筑巢能力、社会二元互动或梳理活动没有发生变化。因此,我们的数据表明,与机械过敏相关的合并症的发展存在性别差异。此外,我们在脑干中证实了与人类神经病变相关的细胞因子表达的性别差异。总之,这些结果强调需要在男性和女性之间进行额外的比较,以更好地掌握神经炎症在疼痛敏感化和相关合并症中的作用。
{"title":"Chronic constriction of the sciatic nerve does not induce mood-related comorbidities in female mice","authors":"Marion Gaborit ,&nbsp;Quentin Leboulleux ,&nbsp;Noemie Willem ,&nbsp;Coline Sagot ,&nbsp;Stephane Doridot ,&nbsp;Karin Herbeaux ,&nbsp;Melanie Kremer ,&nbsp;Amandine Bery ,&nbsp;Katia Befort ,&nbsp;Dominique Massotte","doi":"10.1016/j.bbi.2026.106286","DOIUrl":"10.1016/j.bbi.2026.106286","url":null,"abstract":"<div><h3>Background</h3><div>Neuropathic pain affects around 7–8% of the population and is associated with a high level of lifetime anxio-depressive comorbidities. Despite the higher incidence of the pathology in women, preclinical studies using rodents almost exclusively focused on males so far.</div></div><div><h3>Methods</h3><div>Sciatic nerve cuffing is a well-characterized model of neuropathy in which anxio-depressive comorbidities develop over time in male mice. In order to examine potential sex-differences in this model, we compared the alterations in the mechanical sensitivity using von Frey testing and used three ethologically relevant tests to explore their well-being (nest building), social behaviour (dyadic social interaction), and depression-like state (splash test) seven weeks after surgery. We also examined sex-related differences in neuroinflammation by quantifying changes in cytokine expression in the brainstem, a region critically involved in descending pain modulation.</div></div><div><h3>Results/conclusion</h3><div>Both male and female mice developed mechanical hypersensitivity following cuff surgery. However, no alteration in nest building ability, social dyadic interaction or grooming activity was observed in female mice seven weeks after surgery. Our data therefore suggest sex differences in the development of comorbidities associated with mechanical hypersensitivity. In addition, we evidenced in the brainstem sex-related differences in the expression of cytokines relevant to human neuropathy. Altogether, these results emphasize the need for additional comparisons between males and females to better grasp the role of neuroinflammation in pain sensitization and associated comorbidities.</div></div>","PeriodicalId":9199,"journal":{"name":"Brain, Behavior, and Immunity","volume":"134 ","pages":"Article 106286"},"PeriodicalIF":7.6,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Neural mechanisms of mindfulness: reduced neural reactivity to social-evaluative threat accounts for mindfulness intervention effects on inflammatory gene expression 正念的神经机制:对社会评价性威胁的神经反应性降低解释了正念干预对炎症基因表达的影响
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.bbi.2026.106284
R.B. Blades , C.C. Boyle , N.I. Eisenberger , S.W. Cole , J.R.T. Korecki , A.J. Fuligni , J.E. Bower
Mindful awareness redirects attention toward the present moment, which may reduce threat-related neural activity and downstream inflammation in response to stress. Social-evaluative threat, where the self is negatively judged by others, is a stressor with potent inflammatory consequences. As part of a randomized controlled trial (NCT05304052), the current study tested whether a mindfulness intervention reduced neural reactivity to social-evaluative threat and reduced downstream pro-inflammatory signaling. Healthy young adults were randomly assigned to a waitlist control group (n = 23) or a 6-week mindfulness intervention (Mindful Awareness Practices; MAPs; n = 26) that has previously been shown to reduce stress and inflammation. Pre- and post-intervention, we collected blood samples and BOLD neuroimaging data during a social-evaluative threat task (modified Montreal Imaging Stress Task; MIST), focusing on activity in three threat-related neural regions: amygdala, dorsal anterior cingulate cortex, and anterior insula. Leukocyte genome-wide RNA profiles were analyzed using promoter-based bioinformatic analyses to infer NF-κB transcription factor activity, a canonical pro-inflammatory signaling pathway. Relative to waitlist control, the MAPs intervention led to reductions in neural threat reactivity. MAPs also reduced NF-κB activity relative to the control condition, and this effect was no longer significant when controlling for changes in neural threat reactivity. Results suggest that reductions in threat-related neural activity may contribute to the beneficial effects of mindfulness on inflammation.
正念意识将注意力重定向到当下,这可能会减少与威胁相关的神经活动和下游炎症反应。社会评价性威胁,即自我受到他人的负面评价,是一种具有强烈炎症后果的压力源。作为一项随机对照试验(NCT05304052)的一部分,目前的研究测试了正念干预是否会降低神经对社会评价威胁的反应性,并减少下游的促炎信号。健康的年轻人被随机分配到等候名单控制组(n = 23)或为期6周的正念干预组(正念意识练习;MAPs; n = 26),这两组先前已被证明可以减轻压力和炎症。在干预前和干预后,我们在社会评估威胁任务(改进的蒙特利尔成像压力任务;MIST)中收集了血液样本和BOLD神经成像数据,重点关注三个与威胁相关的神经区域的活动:杏仁核、背前扣带皮层和前叶岛。使用基于启动子的生物信息学分析来分析白细胞全基因组RNA谱,以推断NF-κB转录因子活性,这是一个典型的促炎症信号通路。与等候名单对照相比,MAPs干预导致神经威胁反应的减少。与对照组相比,MAPs还降低了NF-κB的活性,在控制神经威胁反应的变化时,这种效果不再显著。结果表明,减少与威胁相关的神经活动可能有助于正念对炎症的有益影响。
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引用次数: 0
BMP7 alleviates trigeminal neuralgia by suppressing oxidative stress and activation of satellite glial cells via the NRF2/HO-1 pathway BMP7通过NRF2/HO-1通路抑制氧化应激和卫星神经胶质细胞活化,减轻三叉神经痛。
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.bbi.2026.106277
Meiqin Li , Gaopeng Guan , Xin Li , Dingquan Zou , Wei Zhang , Kai Chen , Yanying Xiao , Yaping Wang , Meng Wang

Background

The trigeminal ganglion (TG) is a central hub for craniofacial injurious messaging, and its abnormal function is closely related to the pathogenesis of trigeminal neuralgia (TN). Bone morphogenetic protein 7 (BMP7), a pleiotropic cytokine with both neuroprotective and anti-inflammatory effects, has been shown to have therapeutic potential for neuropathic pain (NP) and neurodegenerative diseases. However, it remains to be elucidated whether BMP7 is involved in the pathological process of TN through the regulation of TG.

Objective

This study aimed to investigate whether BMP7 alleviates TN by modulating oxidative stress and activation in satellite glial cells (SGCs) of the TG.

Methods

A rat model of TN was established by chronic constriction injury of the distal infraorbital nerve (CCI-dION). Primary rat SGCs were activated with IL-1β to create an in vitro model. The role of BMP7 in regulating oxidative stress was assessed through in vivo knockdown and in vitro overexpression experiments. The NRF2 inhibitor ML385 was employed to validate the essential role of the NRF2/HO-1 pathway in BMP7-mediated SGC functional modulation.

Results

Following successful CCI-dION model establishment, TN rats showed significantly reduced mechanical pain thresholds, aggravated cold allodynia, and increased spontaneous pain behaviors, accompanied by decreased BMP7 expression, enhanced SGC activation, and elevated ROS levels in TG. These pathological phenotypes were consistently reproduced in BMP7-knockdown rats. In IL-1β-stimulated SGCs, BMP7 silencing mimicked pathological changes, while BMP7 overexpression reversed IL-1β effects − a rescue blocked by ML385. Critically, in vivo BMP7 overexpression attenuated CCI-dION-induced pain, oxidative stress, and SGC activation.

Conclusion

This study demonstrates that BMP7 alleviates TN by suppressing oxidative stress and activation of SGCs through activation of the NRF2/HO-1 pathway, highlighting its therapeutic potential for TN treatment.
背景:三叉神经节(trigeminal ganglion, TG)是颅面损伤信息传递的中枢,其功能异常与三叉神经痛(trigeminal neuralgia, TN)的发病密切相关。骨形态发生蛋白7 (Bone morphogenetic protein 7, BMP7)是一种具有神经保护和抗炎作用的多效细胞因子,已被证明在神经性疼痛(NP)和神经退行性疾病中具有治疗潜力。然而,BMP7是否通过调控TG参与TN的病理过程尚不清楚。目的:本研究旨在探讨BMP7是否通过调节TG的卫星胶质细胞(SGCs)的氧化应激和活化来减轻TN。方法:采用慢性缩窄性眶下远端神经(CCI-dION)损伤建立大鼠TN模型。用IL-1β激活原代大鼠SGCs,建立体外模型。通过体内敲除和体外过表达实验评估BMP7在调节氧化应激中的作用。采用NRF2抑制剂ML385验证NRF2/HO-1通路在bmp7介导的SGC功能调节中的重要作用。结果:CCI-dION模型建立成功后,TN大鼠机械性疼痛阈值明显降低,冷异常性疼痛加重,自发性疼痛行为增加,BMP7表达降低,SGC活化增强,TG中ROS水平升高。这些病理表型在bmp7敲除大鼠中一致再现。在IL-1β刺激的SGCs中,BMP7沉默模拟了病理变化,而BMP7过表达逆转了IL-1β的作用,这一作用被ML385阻断。重要的是,体内BMP7过表达可减轻cci - dion诱导的疼痛、氧化应激和SGC激活。结论:本研究表明BMP7通过激活NRF2/HO-1通路,抑制氧化应激和SGCs的激活,从而减轻了TN,突出了其治疗TN的潜力。
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引用次数: 0
Symptomatology of depression and onset of cardiometabolic diseases − A 7-year follow-up study 抑郁症的症状学与心脏代谢疾病的发生-一项为期7年的随访研究
IF 7.6 2区 医学 Q1 IMMUNOLOGY Pub Date : 2026-01-12 DOI: 10.1016/j.bbi.2026.106285
Tahani Alshehri , Yumeng Tian , Ruifang Li-Gao , Jeroen van der Velde , Saskia le Cessie , Frits R. Rosendaal , Brenda W.J.H. Penninx , Yuri Milaneschi , Dennis O. Mook-Kanamori

Background

Our study aimed to investigate the association of depressive mood and two depressive symptom profiles with the risk of cardiometabolic diseases (CMD) and to explore the underlying mechanisms of these associations through CMD-related metabolites and proteins.

Methods

In the Netherlands Epidemiology of Obesity study, depressive mood was measured with the Inventory of Depressive Symptomatology questionnaire, and two depressive symptom profiles, namely atypical energy-related symptom (AES) and melancholic, were created. The AES profile was derived by summing the score of five items: increased sleepiness, increased appetite, weight gain, low energy level and leaden paralysis. The melancholic symptom profile was used as another clinically established symptom profile for comparison with AES. The incidence of CMD (defined as development of cardiovascular diseases or type 2 diabetes (T2D)) was identified during a median follow-up of 6.7 years. Cox proportional hazards models assessed the association between depressive symptom profiles and CMD incidence, adjusted for confounders, while linear regression models examined associations with CMD-related proteins and metabolites identified in the UK Biobank.

Results

Compared to participants without depressive mood, those in the severe depressive mood group had the highest risk of developing CMD, with a hazard ratio (HR) of 1.65 (95% CI: 1.22–2.22). Regarding depressive symptom profiles, individuals with a severe AES profile showed a significantly increased risk of T2D (HR: 2.87, 95% CI: 1.92–4.30) compared to those without symptoms, whereas no significant association was observed for the melancholic symptom profile. The AES profile was more strongly associated with CMD-related metabolites, including glycoprotein acetyls, isoleucine and lipoproteins, and proteins predominantly enriched in the cytokine-cytokine receptor interaction pathway.

Conclusion

The AES profile is specifically associated with the incidence of T2D, and some specific metabolites and proteins were suggested to influence such association. Acknowledging the heterogeneity of depression may aid in tailoring CMD prevention.
本研究旨在探讨抑郁情绪和两种抑郁症状与心血管代谢疾病(CMD)风险的关联,并通过CMD相关代谢物和蛋白质探讨这些关联的潜在机制。方法在荷兰肥胖流行病学研究中,采用抑郁症状量表对抑郁情绪进行测量,并建立非典型能量相关症状(AES)和抑郁症状两种抑郁症状谱。AES概况是通过将五个项目的得分相加得出的:嗜睡增加,食欲增加,体重增加,低能量水平和铅麻痹。忧郁症症状谱作为另一种临床建立的症状谱与AES进行比较。CMD的发病率(定义为心血管疾病或2型糖尿病(T2D)的发展)在中位随访期间确定。Cox比例风险模型评估了抑郁症状特征与CMD发病率之间的关系,并对混杂因素进行了调整,而线性回归模型检查了与英国生物银行中发现的CMD相关蛋白质和代谢物的关系。结果与无抑郁情绪的参与者相比,重度抑郁情绪组发生CMD的风险最高,风险比(HR)为1.65 (95% CI: 1.22-2.22)。在抑郁症状方面,与没有症状的个体相比,重度AES患者患T2D的风险显著增加(HR: 2.87, 95% CI: 1.92-4.30),而忧郁症状没有显著相关性。AES谱与cmd相关的代谢产物,包括糖蛋白乙酰基、异亮氨酸和脂蛋白,以及主要富集于细胞因子-细胞因子受体相互作用途径的蛋白质的相关性更强。结论AES谱与T2D的发病率有一定的相关性,一些特定的代谢物和蛋白质可能影响这种相关性。承认抑郁症的异质性可能有助于定制CMD预防。
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引用次数: 0
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Brain, Behavior, and Immunity
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