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Immune-based Machine learning Prediction of Diagnosis and Illness State in Schizophrenia and Bipolar Disorder 基于免疫的机器学习预测精神分裂症和双相情感障碍的诊断和疾病状态。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-14 DOI: 10.1016/j.bbi.2024.08.013

Background

Schizophrenia and bipolar disorder frequently face significant delay in diagnosis, leading to being missed or misdiagnosed in early stages. Both disorders have also been associated with trait and state immune abnormalities. Recent machine learning-based studies have shown encouraging results using diagnostic biomarkers in predictive models, but few have focused on immune-based markers. Our main objective was to develop supervised machine learning models to predict diagnosis and illness state in schizophrenia and bipolar disorder using only a panel of peripheral kynurenine metabolites and cytokines.

Methods

The cross-sectional I-GIVE cohort included hospitalized acute bipolar patients (n = 205), stable bipolar outpatients (n = 116), hospitalized acute schizophrenia patients (n = 111), stable schizophrenia outpatients (n = 75) and healthy controls (n = 185). Serum kynurenine metabolites, namely tryptophan (TRP), kynurenine (KYN), kynurenic acid (KA), quinaldic acid (QUINA), xanthurenic acid (XA), quinolinic acid (QUINO) and picolinic acid (PICO) were quantified using liquid chromatography-tandem mass spectrometry (LC-MS/MS), while V-plex Human Cytokine Assays were used to measure cytokines (interleukin-6 (IL-6), IL-8, IL-17, IL-12/IL23-P40, tumor necrosis factor-alpha (TNF-ɑ), interferon-gamma (IFN-γ)). Supervised machine learning models were performed using JMP Pro 17.0.0. We compared a primary analysis using nested cross-validation to a split set as sensitivity analysis. Post-hoc, we re-ran the models using only the significant features to obtain the key markers.

Results

The models yielded a good Area Under the Curve (AUC) (0.804, Positive Prediction Value (PPV) = 86.95; Negative Prediction Value (NPV) = 54.61) for distinguishing all patients from controls. This implies that a positive test is highly accurate in identifying the patients, but a negative test is inconclusive. Both schizophrenia patients and bipolar patients could each be separated from controls with a good accuracy (SCZ AUC 0.824; BD AUC 0.802). Overall, increased levels of IL-6, TNF-ɑ and PICO and decreased levels of IFN-γ and QUINO were predictive for an individual being classified as a patient. Classification of acute versus stable patients reached a fair AUC of 0.713. The differentiation between schizophrenia and bipolar disorder yielded a poor AUC of 0.627.

Conclusions

This study highlights the potential of using immune-based measures to build predictive classification models in schizophrenia and bipolar disorder, with IL-6, TNF-ɑ, IFN-γ, QUINO and PICO as key candidates. While machine learning models successfully distinguished schizophrenia and bipolar disorder from controls, the challenges in differentiating schizophrenic from bipolar patients likely reflect shared immunological pathways by the both disorders and confounding by a larger state-specific effect. Larger multi-ce

背景:精神分裂症和躁郁症在诊断上经常面临严重的延误,导致早期漏诊或误诊。这两种疾病还与特质和状态免疫异常有关。最近基于机器学习的研究表明,在预测模型中使用诊断生物标记物取得了令人鼓舞的结果,但很少有人关注基于免疫的标记物。我们的主要目标是开发有监督的机器学习模型,仅使用一组外周犬尿氨酸代谢物和细胞因子来预测精神分裂症和双相情感障碍的诊断和疾病状态:横断面 I-GIVE 队列包括住院的急性双相情感障碍患者(n = 205)、稳定的双相情感障碍门诊患者(n = 116)、住院的急性精神分裂症患者(n = 111)、稳定的精神分裂症门诊患者(n = 75)和健康对照组(n = 185)。采用液相色谱-串联质谱法(LC-MS/MS)对血清犬尿氨酸代谢物,即色氨酸(TRP)、犬尿氨酸(KYN)、犬尿酸(KA)、喹啉二酸(QUINA)、黄脲酸(XA)、喹啉酸(QUINO)和吡啶羧酸(PICO)进行了定量分析、V-plex 人类细胞因子测定法用于检测细胞因子(白细胞介素-6 (IL-6)、IL-8、IL-17、IL-12/IL23-P40、肿瘤坏死因子-α (TNF-ɑ)、干扰素-γ (IFN-γ))。使用 JMP Pro 17.0.0 对机器学习模型进行了监督。 作为敏感性分析,我们比较了使用嵌套交叉验证的主要分析和分裂集。事后,我们仅使用重要特征重新运行模型,以获得关键标记:这些模型在区分所有患者和对照组方面取得了良好的曲线下面积(AUC)(0.804,阳性预测值(PPV)= 86.95;阴性预测值(NPV)= 54.61)。这意味着,阳性检测在鉴别患者方面准确性很高,而阴性检测则无法确定。精神分裂症患者和躁郁症患者都能以较高的准确度从对照组中区分出来(SCZ AUC 0.824;BD AUC 0.802)。总体而言,IL-6、TNF-ɑ 和 PICO 水平的升高以及 IFN-γ 和 QUINO 水平的降低可预测患者的分类。急性期与稳定期患者的分类达到了 0.713 的公平 AUC。区分精神分裂症和躁狂症的AUC为0.627,较差:本研究强调了利用免疫指标建立精神分裂症和双相情感障碍预测分类模型的潜力,IL-6、TNF-ɑ、IFN-γ、QUINO 和 PICO 是主要候选指标。虽然机器学习模型成功地将精神分裂症和双相情感障碍与对照组区分开来,但将精神分裂症患者与双相情感障碍患者区分开来所面临的挑战可能反映了这两种疾病的共同免疫途径,以及更大的特定状态效应的干扰。需要进行更大规模的多中心研究和多领域模型,以提高可靠性并将其应用于临床。
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引用次数: 0
Alpha-synuclein fine-tunes neuronal response to pro-inflammatory cytokines α-突触核蛋白微调神经元对促炎细胞因子的反应
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-14 DOI: 10.1016/j.bbi.2024.08.015

Pro-inflammatory cytokines are emerging as neuroinflammatory mediators in Parkinson’s disease (PD) due to their ability to act through neuronal cytokine receptors. Critical questions persist regarding the role of cytokines in neuronal dysfunction and their contribution to PD pathology. Specifically, the potential synergy of the hallmark PD protein alpha-synuclein (α-syn) with cytokines is of interest. We therefore investigated the direct impact of pro-inflammatory cytokines on neurons and hypothesized that α-syn pathology exacerbates cytokine-induced neuronal deficits in PD.

iPSC-derived cortical neurons (CNs) from healthy controls and patients with α-syn gene locus duplication (SNCA dupl) were stimulated with IL-17A, TNF-α, IFN-γ, or a combination thereof. For rescue experiments, CNs were pre-treated with α-syn anti-oligomerisation compound NPT100-18A prior to IL-17A stimulation. Cytokine receptor expression, microtubule cytoskeleton, axonal transport and neuronal activity were assessed.

SNCA dupl CNs displayed an increased IL-17A receptor expression and impaired IL-17A-mediated cytokine receptor regulation. Cytokines exacerbated the altered distribution of tubulin post-translational modifications in SNCA dupl neurites, with SNCA dupl-specific IL-17A effects. Tau pathology in SNCA dupl CNs was also aggravated by IL-17A and cytokine mix. Cytokines slowed down mitochondrial axonal transport, with IL-17A-mediated retrograde slowing in SNCA dupl only. The pre-treatment of SNCA dupl CNs with NPT100-18A prevented the IL-17A-induced functional impairments in axonal transport and neural activity.

Our work elucidates the detrimental effects of pro-inflammatory cytokines, particularly IL-17A, on human neuronal structure and function in the context of α-syn pathology, suggesting that cytokine-mediated inflammation represents a second hit to neurons in PD which is amenable to disease modifying therapies that are currently in clinical trials.

前炎症细胞因子能够通过神经元细胞因子受体发挥作用,因此正在成为帕金森病(PD)的神经炎症介质。关于细胞因子在神经元功能障碍中的作用及其对帕金森病病理的影响,仍然存在一些关键问题。具体而言,PD标志性蛋白α-突触核蛋白(α-syn)与细胞因子的潜在协同作用令人感兴趣。因此,我们研究了促炎细胞因子对神经元的直接影响,并假设α-syn的病理变化会加剧细胞因子诱导的帕金森病神经元缺陷。在拯救实验中,CNs 在受到 IL-17A 刺激之前先用 α-syn 抗聚合化合物 NPT100-18A 进行预处理。对细胞因子受体表达、微管细胞骨架、轴突运输和神经元活性进行了评估。SNCA dupl CNs的IL-17A受体表达增加,IL-17A介导的细胞因子受体调节受损。细胞因子加剧了SNCA dupl神经元中微管蛋白翻译后修饰分布的改变,并具有SNCA dupl特异性IL-17A效应。IL-17A 和细胞因子的混合作用也加剧了 SNCA dupl 神经元中 Tau 的病理变化。细胞因子减缓了线粒体轴突运输,仅在SNCA dupl中由IL-17A介导的逆行运输减缓了线粒体轴突运输。用NPT100-18A预处理SNCA dupl神经元可防止IL-17A引起的轴突运输和神经活动功能损伤。我们的研究阐明了促炎细胞因子(尤其是 IL-17A)在 α-syn 病理学背景下对人类神经元结构和功能的有害影响,这表明细胞因子介导的炎症是对帕金森病神经元的第二次打击,目前正在临床试验中的疾病调节疗法可以解决这一问题。
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引用次数: 0
Proteomic evidence of depression-associated astrocytic dysfunction in the human male olfactory bulb 人类男性嗅球中与抑郁症相关的星形胶质细胞功能障碍的蛋白质组学证据
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-14 DOI: 10.1016/j.bbi.2024.08.016

The olfactory bulb (OB), a major structure of the limbic system, has been understudied in human investigations of psychopathologies such as depression. To explore more directly the molecular features of the OB in depression, a global comparative proteome analysis was carried out with human post-mortem OB samples from 11 males having suffered from depression and 12 healthy controls. We identified 188 differentially abundant proteins (with adjusted p < 0.05) between depressed cases and controls. Gene ontology and gene enrichment analyses suggested that these proteins are involved in biological processes including the complement and coagulation cascades. Cell type enrichment analysis displayed a significant reduction in several canonical astrocytic proteins in OBs from depressed patients. Furthermore, using RNA-fluorescence in-situ hybridization, we observed a decrease in the percentage of ALDH1L1+ cells expressing canonical astrocytic markers including ALDOC, NFIA, GJA1 (connexin 43) and SLC1A3 (EAAT1). These results are consistent with previous reports of downregulated astrocytic marker expression in other brain regions in depressed patients. We also conducted a comparative phosphoproteomic analysis of OB samples and found a dysregulation of proteins involved in neuronal and astrocytic functions. To determine whether OB astrocytic abnormalities is specific to humans, we also performed proteomics on the OB of socially defeated male mice, a commonly used model of depression. Cell-type specific analysis revealed that in socially defeated animals, the most striking OB protein alterations were associated with oligodendrocyte-lineage cells rather than with astrocytes, highlighting an important species difference. Overall, this study further highlights cerebral astrocytic abnormalities as a consistent feature of depression in humans.

嗅球(OB)是边缘系统的一个主要结构,但在抑郁症等精神病理学的人类研究中,对嗅球的研究一直不足。为了更直接地探索抑郁症患者嗅球的分子特征,我们对 11 名男性抑郁症患者和 12 名健康对照者的死后嗅球样本进行了全局比较蛋白质组分析。我们发现了 188 种不同含量的蛋白质(经调整的 p + 细胞表达典型的星形胶质细胞标志物,包括 ALDOC、NFIA、GJA1(连接蛋白 43)和 SLC1A3(EAAT1))。这些结果与之前关于抑郁症患者其他脑区星形胶质细胞标记表达下调的报道一致。我们还对 OB 样本进行了磷酸化蛋白质组学比较分析,发现涉及神经元和星形胶质细胞功能的蛋白质出现了失调。为了确定OB星形胶质细胞的异常是否是人类特有的,我们还对社交失败的雄性小鼠(一种常用的抑郁症模型)的OB进行了蛋白质组学分析。细胞类型特异性分析表明,在社交失败的动物中,最显著的OB蛋白改变与少突胶质细胞系细胞而非星形胶质细胞有关,这凸显了物种间的重要差异。总之,这项研究进一步强调了大脑星形胶质细胞异常是人类抑郁症的一个一致特征。
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引用次数: 0
LPA3 agonist-producing Bacillus velezensis ADS024 is efficacious in multiple neuroinflammatory disease models 产生 LPA3 激动剂的韦氏芽孢杆菌 ADS024 对多种神经炎症疾病模型具有疗效。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.bbi.2024.08.024

Neuroinflammation is a common component of neurological disorders. In the gut-brain-immune axis, bacteria and their metabolites are now thought to play a role in the modulation of the nervous and immune systems which may impact neuroinflammation. In this respect, commensal bacteria of humans have recently been shown to produce metabolites that mimic endogenous G-protein coupled receptor (GPCR) ligands. To date, it has not been established whether plant commensal bacteria, which may be ingested by animals including humans, can impact the gut-brain-immune axis via GPCR agonism. We screened an isopropanol (IPA) extract of the plant commensal Bacillus velezensis ADS024, a non-engrafting live biotherapeutic product (LBP) with anti-inflammatory properties isolated from human feces, against a panel of 168 GPCRs and identified strong agonism of the lysophosphatidic acid (LPA) receptor LPA3. The ADS024 IPA extracted material (ADS024-IPA) did not agonize LPA2, and only very weakly agonized LPA1. The agonism of LPA3 was inhibited by the reversible LPA1/3 antagonist Ki16425. ADS024-IPA signaled downstream of LPA3 through G-protein-induced calcium release, recruitment of β-arrestin, and recruitment of the neurodegeneration-associated proteins 14–3-3γ, ε and ζ but did not recruit the β isoform. Since LPA3 agonism was previously indirectly implicated in the reduction of pathology in models of Parkinson’s disease (PD) and multiple sclerosis (MS) by use of the nonselective antagonist Ki16425, and since we identified an LPA3-specific agonist within ADS024, we sought to examine whether LPA3 might indeed be part of a broad underlying mechanism to control neuroinflammation. We tested oral treatment of ADS024 in multiple models of neuroinflammatory diseases using three models of PD, two models of MS, and a model each of amyotrophic lateral sclerosis (ALS), Huntington’s disease (HD), and chemo-induced peripheral neuropathy (CIPN). ADS024 treatment improved model-specific functional effects including improvements in motor movement, breathing and swallowing, and allodynia suggesting that ADS024 treatment impacted a universal underlying neuroinflammatory mechanism regardless of the initiating cause of disease. We used the MOG-EAE mouse model to examine early events after disease initiation and found that ADS024 attenuated the increase in circulating lymphocytes and changes in neutrophil subtypes, and ADS024 attenuated the early loss of cell-surface LPA3 receptor expression on circulating white blood cells. ADS024 efficacy was partially inhibited by Ki16425 in vivo suggesting LPA3 may be part of its mechanism. Altogether, these data suggest that ADS024 and its LPA3 agonism activity should be investigated further as a possible treatment for diseases with a neuroinflammatory component.

神经炎症是神经系统疾病的常见组成部分。在肠道-大脑-免疫轴中,细菌及其代谢物目前被认为在神经和免疫系统的调节中发挥作用,这可能会影响神经炎症。在这方面,人类共生细菌最近被证明能产生模拟内源性 G 蛋白偶联受体(GPCR)配体的代谢物。迄今为止,尚未确定动物(包括人类)可能摄入的植物共生细菌是否会通过 GPCR 激动作用影响肠道-大脑-免疫轴。我们针对 168 个 GPCR 进行了植物共生菌 ADS024 的异丙醇(IPA)提取物筛选,发现它对溶血磷脂酸(LPA)受体 LPA3 有很强的激动作用。ADS024 IPA 提取物(ADS024-IPA)对 LPA2 没有激动作用,对 LPA1 的激动作用很弱。可逆的 LPA1/3 拮抗剂 Ki16425 可抑制 LPA3 的激动作用。ADS024-IPA 通过 G 蛋白诱导的钙释放、β-arrestin 的募集、神经变性相关蛋白 14-3-3γ、ε 和 ζ 的募集发出 LPA3 下游信号,但不募集 β β 异构体。由于之前使用非选择性拮抗剂 Ki16425 时,LPA3 的激动作用与帕金森病(PD)和多发性硬化症(MS)模型中病理变化的减少间接相关,而且我们在 ADS024 中发现了一种 LPA3 特异性激动剂,因此我们试图研究 LPA3 是否确实是控制神经炎症的广泛潜在机制的一部分。我们在多个神经炎症疾病模型中测试了 ADS024 的口服治疗,包括三个帕金森病模型、两个多发性硬化症模型以及肌萎缩性脊髓侧索硬化症(ALS)、亨廷顿氏病(HD)和化疗诱导的周围神经病变(CIPN)模型。ADS024 治疗改善了特定模型的功能效应,包括运动、呼吸、吞咽和异动症的改善,这表明 ADS024 治疗影响了一种普遍的潜在神经炎症机制,而不管疾病的起因是什么。我们使用 MOG-EAE 小鼠模型研究了疾病发生后的早期事件,发现 ADS024 可减轻循环淋巴细胞的增加和中性粒细胞亚型的变化,而且 ADS024 可减轻循环白细胞上细胞表面 LPA3 受体表达的早期丧失。ADS024 在体内的部分疗效受到 Ki16425 的抑制,这表明 LPA3 可能是其作用机制的一部分。总之,这些数据表明,ADS024 及其 LPA3 激动活性应作为治疗神经炎症性疾病的一种可能疗法加以进一步研究。
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引用次数: 0
Human cerebrospinal fluid monoclonal CASPR2 autoantibodies induce changes in electrophysiology, functional MRI, and behavior in rodent models 人类脑脊液单克隆 CASPR2 自身抗体可诱导啮齿动物模型的电生理学、功能磁共振成像和行为发生变化。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.bbi.2024.08.027

Anti-contactin associated protein receptor 2 (CASPR2) encephalitis is a severe autoimmune encephalitis with a variable clinical phenotype including behavioral abnormalities, cognitive decline, epileptic seizures, peripheral nerve hyperexcitability and neuropathic pain. The detailed mechanisms of how CASPR2 autoantibodies lead to synaptic dysfunction and clinical symptoms are largely unknown. Aiming for analyses from the molecular to the clinical level, we isolated antibody-secreting cells from the cerebrospinal fluid of two patients with CASPR2 encephalitis. From these we cloned four anti-CASPR2 human monoclonal autoantibodies (mAbs) with strong binding to brain and peripheral nerves. All were highly hypermutated and mainly of the IgG4 subclass. Mutagenesis studies determined selective binding to the discoidin domain of CASPR2. Surface plasmon resonance revealed affinities with dissociation constants KD in the pico- to nanomolar range. CASPR2 mAbs interrupted the interaction of CASPR2 with its binding partner contactin 2 in vitro and were internalized after binding to CASPR2-expressing cells. Electrophysiological recordings of rat hippocampal slices after stereotactic injection of CASPR2 mAbs showed characteristic afterpotentials following electrical stimulation. In vivo experiments with intracerebroventricular administration of human CASPR2 mAbs into mice and rats showed EEG-recorded brain hyperexcitability but no spontaneous recurrent seizures. Behavioral assessment of infused mice showed a subtle clinical phenotype, mainly affecting sociability. Mouse brain MRI exhibited markedly reduced resting-state functional connectivity without short-term structural changes. Together, the experimental data support the direct pathogenicity of CASPR2 autoantibodies. The minimally invasive EEG and MRI techniques applied here may serve as novel objective, quantifiable tools for improved animal models, in particular for subtle neuropsychiatric phenotypes or repeated measurements.

抗接触素相关蛋白受体 2(CASPR2)脑炎是一种严重的自身免疫性脑炎,其临床表型多种多样,包括行为异常、认知能力下降、癫痫发作、周围神经过度兴奋和神经病理性疼痛。CASPR2 自身抗体是如何导致突触功能障碍和临床症状的,其具体机制尚不清楚。为了从分子到临床层面进行分析,我们从两名 CASPR2 脑炎患者的脑脊液中分离出了分泌抗体的细胞。我们从中克隆出了四种抗 CASPR2 的人类单克隆自身抗体(mAbs),它们与大脑和周围神经有很强的结合力。所有这些抗体都是高度高突变的,主要属于 IgG4 亚类。突变研究确定了与 CASPR2 的盘状蛋白结构域的选择性结合。表面等离子共振显示了亲和力,解离常数 KD 在皮摩尔至纳摩尔范围内。CASPR2 mAbs能在体外中断CASPR2与其结合伙伴接触素2的相互作用,并在与表达CASPR2的细胞结合后被内化。立体定向注射 CASPR2 mAbs 后对大鼠海马切片进行的电生理记录显示,电刺激后会出现特征性的后电位。在小鼠和大鼠脑室内注射人 CASPR2 mAbs 的体内实验中,脑电图记录显示大脑过度兴奋,但没有自发的复发性癫痫发作。对输液小鼠的行为评估显示出一种微妙的临床表型,主要影响其社交能力。小鼠大脑核磁共振成像显示静息态功能连接性明显降低,但无短期结构变化。这些实验数据共同支持了CASPR2自身抗体的直接致病性。这里应用的微创脑电图和核磁共振成像技术可作为改进动物模型的新的客观、可量化工具,特别是用于微妙的神经精神表型或重复测量。
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引用次数: 0
Retigabine, a potassium channel opener, restores thalamocortical neuron functionality in a murine model of autoimmune encephalomyelitis 雷替加滨是一种钾通道开放剂,它能在自身免疫性脑脊髓炎小鼠模型中恢复丘脑皮质神经元的功能。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-13 DOI: 10.1016/j.bbi.2024.08.023

Background

Multiple Sclerosis (MS) is an autoimmune neurodegenerative disease, whose primary hallmark is the occurrence of inflammatory lesions in white and grey matter structures. Increasing evidence in MS patients and respective murine models reported an impaired ionic homeostasis driven by inflammatory-demyelination, thereby profoundly affecting signal propagation. However, the impact of a focal inflammatory lesion on single-cell and network functionality has hitherto not been fully elucidated.

Objectives

In this study, we sought to determine the consequences of a localized cortical inflammatory lesion on the excitability and firing pattern of thalamic neurons in the auditory system. Moreover, we tested the neuroprotective effect of Retigabine (RTG), a specific Kv7 channel opener, on disease outcome.

Methods

To resemble the human disease, we focally administered pro-inflammatory cytokines, TNF-α and IFN-γ, in the primary auditory cortex (A1) of MOG35-55 immunized mice. Thereafter, we investigated the impact of the induced inflammatory milieu on afferent thalamocortical (TC) neurons, by performing ex vivo recordings. Moreover, we explored the effect of Kv7 channel modulation with RTG on auditory information processing, using in vivo electrophysiological approaches.

Results

Our results revealed that a cortical inflammatory lesion profoundly affected the excitability and firing pattern of neighboring TC neurons. Noteworthy, RTG restored control-like values and TC tonotopic mapping.

Conclusion

Our results suggest that RTG treatment might robustly mitigate inflammation-induced altered excitability and preserve ascending information processing.

背景:多发性硬化症(MS)是一种自身免疫性神经退行性疾病:多发性硬化症(MS)是一种自身免疫性神经退行性疾病,其主要特征是白质和灰质结构发生炎症病变。有越来越多的证据表明,多发性硬化症患者和相应的小鼠模型会因炎症-脱髓鞘而导致离子平衡受损,从而严重影响信号传播。然而,迄今为止,病灶性炎症病变对单细胞和网络功能的影响尚未完全阐明:在这项研究中,我们试图确定局部皮层炎症病变对听觉系统丘脑神经元兴奋性和发射模式的影响。此外,我们还测试了特异性 Kv7 通道开启剂瑞替加宾(Retigabine,RTG)对疾病结果的神经保护作用:为了与人类疾病相似,我们在 MOG35-55 免疫小鼠的初级听觉皮层(A1)中局部注射促炎细胞因子 TNF-α 和 IFN-γ。之后,我们通过进行体外记录,研究了诱导的炎症环境对丘脑皮质(TC)传入神经元的影响。此外,我们还利用体内电生理学方法探讨了用 RTG 调节 Kv7 通道对听觉信息处理的影响:结果:我们的研究结果表明,皮层炎症病变严重影响了邻近TC神经元的兴奋性和发射模式。值得注意的是,RTG 恢复了控制样值和 TC 音调图谱:我们的研究结果表明,RTG 治疗可有效缓解炎症引起的兴奋性改变,并保留上升信息处理功能。
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引用次数: 0
Gestational administration of Bifidobacterium dentium results in intergenerational modulation of inflammatory, metabolic, and social behavior 妊娠期服用双歧杆菌会导致炎症、代谢和社会行为的代际调节。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1016/j.bbi.2024.08.006

Prenatal stress (PNS) profoundly impacts maternal and offspring health, with enduring effects including microbiome alterations, neuroinflammation, and behavioral disturbances such as reductions in social behavior. Converging lines of evidence from preclinical and clinical studies suggest that PNS disrupts tryptophan (Trp) metabolic pathways and reduces gut Bifidobacteria, a known beneficial bacterial genus that metabolizes Trp. Specifically, previous work from our lab demonstrated that human prenatal mood disorders in mothers are associated with reduced Bifidobacterium dentium in infants at 13 months. Given that Bifidobacterium has been positively associated with neurodevelopmental and other health benefits and is depleted by PNS, we hypothesized that supplementing PNS-exposed pregnant dams with B. dentium would ameliorate PNS-induced health deficits. We measured inflammatory outputs, Trp metabolite levels and enzymatic gene expression in dams and fetal offspring, and social behavior in adult offspring. We determined that B. dentium reduced maternal systemic inflammation and fetal offspring neuroinflammation, while modulating tryptophan metabolism and increasing kynurenic acid and indole-3-propionic acid intergenerationally. Additional health benefits were demonstrated by the abrogation of PNS-induced reductions in litter weight. Finally, offspring of the B. dentium cohort demonstrated increased sociability in males primarily and increased social novelty primarily in females. Together these data illustrate that B. dentium can orchestrate interrelated host immune, metabolic and behavioral outcomes during and after gestation for both dam and offspring and may be a candidate for prevention of the negative sequelae of stress.

产前应激(PNS)会严重影响母体和后代的健康,其持久影响包括微生物组改变、神经炎症和行为紊乱(如社交行为减少)。来自临床前和临床研究的证据表明,PNS 会破坏色氨酸(Trp)代谢途径,减少肠道双歧杆菌(一种代谢 Trp 的已知有益菌属)。具体来说,我们实验室之前的研究表明,人类产前母亲情绪紊乱与 13 个月婴儿体内双歧杆菌减少有关。鉴于双歧杆菌与神经发育和其他健康益处呈正相关,且双歧杆菌会被 PNS 消耗,我们假设,给暴露于 PNS 的孕妇补充双歧杆菌将改善 PNS 引起的健康缺陷。我们测量了母体和胎儿后代的炎症输出、Trp 代谢物水平和酶基因表达,以及成年后代的社会行为。我们发现,地衣芽孢杆菌可减少母体的全身炎症和胎儿后代的神经炎症,同时调节色氨酸代谢,增加犬尿氨酸和吲哚-3-丙酸的代际传递。此外,PNS 引起的胎仔体重减轻也对健康有益。最后,B. dentium 群体的后代主要表现为雄性动物的社会性增强,而雌性动物的社会新颖性增强。这些数据共同说明,在妊娠期间和之后,牙鲍能协调母体和后代相互关联的宿主免疫、代谢和行为结果,可能是预防应激负面后遗症的候选药物。
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引用次数: 0
A pentavalent peptide vaccine elicits Aβ and tau antibodies with prophylactic activity in an Alzheimer’s disease mouse model 一种五价多肽疫苗能在阿尔茨海默病小鼠模型中激发具有预防活性的 Aβ 和 tau 抗体。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1016/j.bbi.2024.08.028

Amyloid-β (Aβ) and hyperphosphorylated tau protein are targets for Alzheimer’s Disease (AD) immunotherapies, which are generally focused on single epitopes within Aβ or tau. However, due to the complexity of both Aβ and tau in AD pathogenesis, a multipronged approach simultaneously targeting multiple epitopes of both proteins could overcome limitations of monotherapies. Herein, we propose an active AD immunotherapy based on a nanoparticle vaccine comprising two Aβ peptides (1–14 and pyroglutamate pE3-14) and three tau peptides (centered on phosphorylated pT181, pT217 and pS396/404). These correspond to both soluble and aggregated targets and are displayed on the surface of immunogenic liposomes in an orientation that maintains reactivity with epitope-specific monoclonal antibodies. Intramuscular immunization of mice with individual epitopes resulted in minimally cross-reactive antibody induction, while simultaneous co-display of 5 antigens (“5-plex”) induced antibodies against all epitopes without immune interference. Post-immune sera recognized plaques and neurofibrillary tangles from human AD brain tissue. Vaccine administration to 3xTg-AD mice using a prophylactic dosing schedule inhibited tau and amyloid pathologies and resulted in improved cognitive function. Immunization was well tolerated and did not induce antigen-specific cellular responses or persistent inflammatory responses in the peripheral or central nervous system. Antibody levels could be reversed by halting monthly vaccinations. Altogether, these results indicate that active immune therapies based on nanoparticle formulations of multiple Aβ and tau epitopes warrant further study for treating early-stage AD.

淀粉样蛋白-β(Aβ)和过度磷酸化的tau蛋白是阿尔茨海默病(AD)免疫疗法的靶点,这些疗法通常针对Aβ或tau的单一表位。然而,由于Aβ和tau在阿尔茨海默病发病机制中的复杂性,同时针对这两种蛋白的多个表位的多管齐下的方法可以克服单一疗法的局限性。在此,我们提出了一种基于纳米颗粒疫苗的主动AD免疫疗法,该疫苗由两种Aβ肽(1-14和焦谷氨酸pE3-14)和三种tau肽(以磷酸化的pT181、pT217和pS396/404为中心)组成。这些多肽既对应可溶性目标,也对应聚集目标,并以一种能与表位特异性单克隆抗体保持反应性的方向显示在免疫脂质体表面。用单个表位对小鼠进行肌肉注射免疫,可诱导出极少量的交叉反应抗体,而同时联合显示 5 种抗原("5-plex")可诱导出针对所有表位的抗体,且不会产生免疫干扰。免疫后血清可识别来自人类AD脑组织的斑块和神经纤维缠结。对 3xTg-AD 小鼠使用预防性给药计划注射疫苗可抑制 tau 和淀粉样蛋白病变,并改善认知功能。免疫接种的耐受性良好,不会诱发抗原特异性细胞反应或外周或中枢神经系统的持续炎症反应。停止每月接种疫苗可逆转抗体水平。总之,这些结果表明,基于多种Aβ和tau表位的纳米颗粒制剂的主动免疫疗法在治疗早期AD方面值得进一步研究。
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引用次数: 0
Prebiotics mitigate the detrimental effects of High-Fat diet on Memory, anxiety and microglia functionality in ageing mice 益生元减轻了高脂饮食对老龄小鼠记忆力、焦虑和小胶质细胞功能的不利影响。
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1016/j.bbi.2024.08.022

Ageing is characterised by a progressive increase in systemic inflammation and especially neuroinflammation. Neuroinflammation is associated with altered brain states that affect behaviour, such as an increased level of anxiety with a concomitant decline in cognitive abilities. Although multiple factors play a role in the development of neuroinflammation, microglia have emerged as a crucial target. Microglia are the only macrophage population in the CNS parenchyma that plays a crucial role in maintaining homeostasis and in the immune response, which depends on the activation and subsequent deactivation of microglia. Therefore, microglial dysfunction has a major impact on neuroinflammation. The gut microbiota has been shown to significantly influence microglia from birth to adulthood in terms of development, proliferation, and function. Diet is a key modulating factor that influences the composition of the gut microbiota, along with prebiotics that support the growth of beneficial gut bacteria. Although the role of diet in neuroinflammation and behaviour has been well established, its relationship with microglia functionality is less explored. This article establishes a link between diet, animal behaviour and the functionality of microglia. The results of this research stem from experiments on mouse behaviour, i.e., memory, anxiety, and studies on microglia functionality, i.e., cytochemistry (phagocytosis, cellular senescence, and ROS assays), gene expression and protein quantification. In addition, shotgun sequencing was performed to identify specific bacterial families that may play a crucial role in the brain function. The results showed negative effects of long-term consumption of a high fat diet on ageing mice, epitomised by increased body weight, glucose intolerance, anxiety, cognitive impairment and microglia dysfunction compared to ageing mice on a control diet. These effects were a consequence of the changes in gut microbiota modulated by the diet. However, by adding the prebiotics fructo- and galacto-oligosaccharides, we were able to mitigate the deleterious effects of a long-term high-fat diet.

老龄化的特点是全身炎症,尤其是神经炎症的逐渐加重。神经炎症与影响行为的大脑状态改变有关,例如焦虑程度增加,同时认知能力下降。虽然多种因素在神经炎症的发展过程中起作用,但小胶质细胞已成为一个重要的靶点。小胶质细胞是中枢神经系统实质中唯一的巨噬细胞群,在维持稳态和免疫反应中发挥着至关重要的作用,而免疫反应取决于小胶质细胞的激活和随后的失活。因此,小胶质细胞功能障碍对神经炎症有重大影响。研究表明,从出生到成年,肠道微生物群对小胶质细胞的发育、增殖和功能都有显著影响。饮食是影响肠道微生物群组成的关键调节因素,而益生元则能支持有益肠道细菌的生长。虽然饮食在神经炎症和行为中的作用已得到充分证实,但其与小胶质细胞功能之间的关系却鲜有探讨。这篇文章在饮食、动物行为和小胶质细胞功能之间建立了联系。研究结果来自于对小鼠行为(即记忆、焦虑)的实验,以及对小胶质细胞功能(即细胞化学(吞噬、细胞衰老和 ROS 检测)、基因表达和蛋白质定量)的研究。此外,还进行了霰弹枪测序,以确定可能在大脑功能中发挥关键作用的特定细菌家族。研究结果表明,长期食用高脂肪饮食对衰老小鼠有负面影响,与食用对照饮食的衰老小鼠相比,表现为体重增加、葡萄糖不耐受、焦虑、认知障碍和小胶质细胞功能障碍。这些影响是饮食调节肠道微生物群变化的结果。然而,通过添加益生元果糖和半乳寡糖,我们能够减轻长期高脂肪饮食的有害影响。
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引用次数: 0
Peripheral, but not central, IGF-1 treatment attenuates stroke-induced cognitive impairment in middle-aged female Sprague Dawley rats: The gut as a therapeutic target 外周而非中枢 IGF-1 治疗可减轻中年雌性 Sprague Dawley 大鼠中风引起的认知障碍:以肠道为治疗靶点
IF 8.8 2区 医学 Q1 IMMUNOLOGY Pub Date : 2024-08-12 DOI: 10.1016/j.bbi.2024.08.008

Stroke results in immediate sensory or motor disability and increases the risk for long term cognitive-affective impairments. Thus, therapies are urgently needed to improve quality of life for stroke survivors, especially women who are at a greater risk for severe stroke after menopause. Most current research on stroke therapies target the central nervous system; however, stroke also impacts peripheral organ systems. Our studies using acyclic (estrogen-deficient) middle aged female Sprague Dawley rats show that this group not only displays worse outcomes after stroke as compared to adult females, but also has lower levels of the neuroprotective peptide Insulin-like Growth Factor (IGF1) in circulation. Intracerebroventricular (ICV) administration of IGF1 to this group decreases infarct volume and improves sensory motor performance in the acute phase. In this study, we show that, despite this neuroprotection, ICV-IGF1 did not reduce peripheral inflammation or improve post stroke cognitive impairment in the chronic phase. In view of the evidence that stroke induces rapid gut dysfunction, we tested whether systemic delivery of IGF1 (intraperitoneal, IP) would promote gut health and consequently improve long-term behavioral outcomes. Surprisingly, while IP-IGF1, delivered 4 h and 24 h after ischemic stroke, did not reduce infarct volume or acute sensory motor impairment, it significantly attenuated circulating levels of pro-inflammatory cytokines, and attenuated stroke-induced cognitive impairment. In addition, IP-IGF1 treatment reduced gut dysmorphology and gut dysbiosis. Our data support the conclusion that therapeutics targeting peripheral targets are critical for long-term stroke recovery, and that gut repair is a novel therapeutic target to improve brain health in aging females.

中风会立即导致感官或运动障碍,并增加长期认知情感障碍的风险。因此,急需改善中风幸存者生活质量的疗法,尤其是绝经后患严重中风风险更大的女性。目前有关中风疗法的研究大多针对中枢神经系统,但中风也会影响外周器官系统。我们利用无环(雌激素缺乏)中年雌性 Sprague Dawley 大鼠进行的研究表明,与成年雌性大鼠相比,这类大鼠不仅中风后的预后更差,而且循环中神经保护肽胰岛素样生长因子 (IGF1) 的水平也更低。脑室内注射(ICV)IGF1 可减少急性期梗死体积并改善感觉运动能力。在本研究中,我们发现尽管 ICV-IGF1 具有神经保护作用,但它并不能减轻外周炎症或改善中风后慢性期的认知障碍。鉴于有证据表明中风会迅速诱发肠道功能障碍,我们测试了全身给药(腹腔注射,IP)IGF1 是否会促进肠道健康,从而改善长期行为结果。令人惊讶的是,虽然在缺血性中风后 4 小时和 24 小时给予 IP-IGF1 并不能减少梗死体积或急性感觉运动损伤,但却能显著降低促炎细胞因子的循环水平,并减轻中风引起的认知障碍。此外,IP-IGF1 治疗还能减少肠道畸形和肠道菌群失调。我们的数据支持这样的结论,即针对外周靶点的疗法对中风的长期恢复至关重要,而肠道修复是改善老年女性大脑健康的新型治疗靶点。
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