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Acknowledgement to Reviewers 鸣谢审稿人
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-12-10 DOI: 10.1111/bpa.13220

Each year hundreds of reviewers contribute their expertise to peer review, a process that contributes critically to the quality of the Brain Pathology. The editors at Brain Pathology would like to extend their gratitude to those who have provided their time and energy to review manuscripts for our journal over the last year. We are well aware that our journal can only exist thanks to your concerted efforts to provide concise, accurate, and thoughtful reviews. Below is a list of all of you who completed at least one review, and agreed to have your name published. We also thank those reviewers who choose not to have their names published.

Ahrendsen, Jared

Alexandrescu, Sanda

Auer, Roland

Ayton, Scott

Battini, Jean-Luc

Bieniek, Kevin

Bockmayr, Michael

Cai, Jinquan

Carare, Roxana

Cullell, N

Del Bigio, Marc

Dudek, Ed

Englert, Benjamin

Evelson, Pablo

Falkenburger, Björn

Ferrer, Isidre

Gilani, Ahmed

Giustetto, Maurizio

Glatzel, Markus

Gu, Yan

Guo, Jifeng

Guzman, Samuel

Han, Lei

Hawkins, Cynthia

Herms, Jochen

Highley, Robin

Horbinski, Craig

Irwin, David

Joseph, Jeffrey

Joutel, Anne

Kovacs, Gabor

Lammens, Martin

Langdon, Kristopher

Leske, Henning

Levine, Adrian

Li, Jianrong

Liu, Ying

Marklund, Niklas

Mechtler, Karl

Meinhardt, Jenny

Munoz, David

Nasrallah, MacLean

Nicolas, Gael

Nordin, Angelica

Piao, Yueshan

Pittella, José

Popa-Wagner, Aurel

Priller, Josef

Puig, Berta

Reimann, Jens

Rosi, Susanna

Rozemuller, Annemieke

Rushing, Elisabeth

Saleeb, Rola

Satomi, Kaishi

Schulz-Schaeffer, Walter J

Sepulveda-Falla, Diego

Shelkovnikova, Tatyana A

Springer, Wolfdieter

Tan, Jieqiong

Troakes, Claire

Vazquez-Manrique, Rafael

Vinters, Harry

Wakabayashi, Koichi

Wang, Yanjiang

Wang, Yu

Xu, Yuqiao

Yao, Yu

Zhao, Junli

Zheng, Danfeng

Zimmermann, Marina

每年都有数以百计的审稿人为同行评审贡献自己的专业知识,这一过程对《脑病理学》的质量起着至关重要的作用。脑病理学》的编辑们在此向去年为本刊审稿付出时间和精力的人士表示感谢。我们深知,我们的期刊之所以能够存在,离不开大家的共同努力,提供简洁、准确、周到的审稿意见。以下是所有至少完成过一次审稿并同意发表姓名的审稿人名单。我们还要感谢那些选择不公开姓名的审稿人。Ahrendsen, JaredAlexandrescu, SandaAuer, RolandAyton, ScottBattini, Jean-LucBieniek, KevinBockmayr, MichaelCai, JinquanCarare, RoxanaCullell, NDel Bigio, MarcDudek, EdEnglert, BenjaminEvelson, PabloFalkenburger, BjörnFerrer, IsidreGilani, AhmedGiustetto、MaurizioGlatzel, MarkusGu, YanGuo, JifengGuzman, SamuelHan, LeiHawkins, CynthiaHerms, JochenHighley, RobinHorbinski, CraigIrwin, DavidJoseph, JeffreyJoutel, AnneKovacs, GaborLammens, MartinLangdon, KristopherLeske, HenningLevine, AdrianLi, JianrongLiu, YingMarklund、NiklasMechtler、KarlMeinhardt、JennyMunoz、DavidNasrallah、MacLeanNicolas、GaelNordin、AngelicaPiao、YueshanPittella、JoséPopa-Wagner、AurelPriller、JosefPuig、BertaReimann、JensRosi、SusannaRozemuller、AnnemiekeRushing、ElisabethSaleeb、RolaSatomi、KaishiSchulz-Schaeffer,Walter JSepulveda-Falla,DiegoShelkovnikova,Tatyana ASpringer,WolfdieterTan,JieqiongTroakes,ClaireVazquez-Manrique,RafaelVinters,HarryWakabayashi,KoichiWang,YanjiangWang,YuXu,YuqiaoYao,YuZhao,JunliZheng,DanfengZimmermann,Marina
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引用次数: 0
A 63-year-old woman with parietal scalp surface rugged 63岁女性,头皮顶骨表面凹凸不平。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-12-06 DOI: 10.1111/bpa.13224
Zhiwei Shen, Siqi Tao
<p>A 63-year-old woman presented with a 2-month history of a rugged surface on the left parietal scalp. She reported slight pain when pressing the skin over the irregular area. Computed tomography (CT) showed mottling and small patchy destruction of the left parietal bone. Cranial contrast magnetic resonance imaging (MRI) revealed a homogeneously-enhanced, en plaque mass, measuring 59 × 22 mm. The MRI also showed that the mass had infiltrated the parietal bone, and the dural tail sign was present (Figure 1). Blood tests ruled out anemia (hemoglobin 10.6 g/dL), hypercalcemia (serum calcium: 2.25 mmol/L), and renal insufficiency (serum creatinine: 54 μmol/L). She denied having headaches, vomiting, epileptic seizures, and paresthesia. No other lesions were found during physical examination or imaging studies. On the basis of the radiological features of the lesion, en plaque meningioma was highly suspected, and the patient was advised to undergo tumor resection. Intraoperatively, the tumor was located in the epidural space and was completely resected via a left-sided parietal approach. The invaded bone was excised, and titanium mesh was used to restore the cranial bone defect. Postoperatively, the patient had no neurological deficits and was discharged on postoperative day 5 (Box 1).</p><p>Hematoxylin and eosin (H&E) staining showed a large number of cells with eccentrically located nuclei and prominent large nucleoli resembling plasma cells in the parietal lobe mass (Figure 2A). Immunohistochemical staining revealed tumor cells positive for cluster of differentiation (CD) 56 (Figure 2B), multiple myeloma oncogene 1 (MuM-1) (Figure 2C), lambda immunoglobulin light chains (Figure 2D), CD79a, but negative for side-to-side kappa immunoglobulin light chains (Figure 2E). The Ki-67 proliferation index was 15% (Figure 2F). In situ hybridization for Epstein–Barr virus encoded RNA was negative. Additionally, the tumor was negative for CD138, CD38, CD19, CD30, and cyclin D1 with immunohistochemical staining.</p><p>Plasma cell neoplasm.</p><p>The unexpected pathological diagnosis prompted a referral to hematology. In the hematology department, our patient underwent further evaluation, including urinalysis for Bence-Jones protein, PET, and bone marrow examination. The results of immunoglobulin testing were normal, and bone marrow examination revealed that the plasma cell percentage was 8.5%. Postoperative PET/CT revealed postoperative changes after resection of the left parietal tumor; no significant increase in glucose metabolism was observed in the whole-body images. All of above supported the diagnosis of plasmacytoma.</p><p>According to the International Consensus Classification of mature lymphoid neoplasms, plasmacytoma is defined as a localized neoplasm of clonal plasma cells without evidence of multiple myeloma. The diagnostic criteria are as follows: (1) biopsy-proven clonal plasma cell neoplasm of bone or extramedullary site; (2) no clonal B cells;
我们报告一例63岁的女性患者谁提出了一个崎岖的表面在左顶叶头皮。术前头部影像显示颅内肿块并破坏左顶骨。
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引用次数: 0
DistSNE: Distributed computing and online visualization of DNA methylation-based central nervous system tumor classification 分布式计算和基于DNA甲基化的中枢神经系统肿瘤分类的在线可视化。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-27 DOI: 10.1111/bpa.13228
Kai Schmid, Jannik Sehring, Attila Németh, Patrick N. Harter, Katharina J. Weber, Abishaa Vengadeswaran, Holger Storf, Christian Seidemann, Kapil Karki, Patrick Fischer, Hildegard Dohmen, Carmen Selignow, Andreas von Deimling, Stefan Grau, Uwe Schröder, Karl H. Plate, Marco Stein, Eberhard Uhl, Till Acker, Daniel Amsel

The current state-of-the-art analysis of central nervous system (CNS) tumors through DNA methylation profiling relies on the tumor classifier developed by Capper and colleagues, which centrally harnesses DNA methylation data provided by users. Here, we present a distributed-computing-based approach for CNS tumor classification that achieves a comparable performance to centralized systems while safeguarding privacy. We utilize the t-distributed neighborhood embedding (t-SNE) model for dimensionality reduction and visualization of tumor classification results in two-dimensional graphs in a distributed approach across multiple sites (DistSNE). DistSNE provides an intuitive web interface (https://gin-tsne.med.uni-giessen.de) for user-friendly local data management and federated methylome-based tumor classification calculations for multiple collaborators in a DataSHIELD environment. The freely accessible web interface supports convenient data upload, result review, and summary report generation. Importantly, increasing sample size as achieved through distributed access to additional datasets allows DistSNE to improve cluster analysis and enhance predictive power. Collectively, DistSNE enables a simple and fast classification of CNS tumors using large-scale methylation data from distributed sources, while maintaining the privacy and allowing easy and flexible network expansion to other institutes. This approach holds great potential for advancing human brain tumor classification and fostering collaborative precision medicine in neuro-oncology.

目前通过DNA甲基化分析中枢神经系统(CNS)肿瘤的最先进的分析依赖于Capper及其同事开发的肿瘤分类器,该分类器集中利用用户提供的DNA甲基化数据。在这里,我们提出了一种基于分布式计算的中枢神经系统肿瘤分类方法,在保护隐私的同时实现了与集中式系统相当的性能。我们利用t分布邻域嵌入(t-SNE)模型在二维图中以跨多个站点的分布式方法进行肿瘤分类结果的降维和可视化(DistSNE)。DistSNE提供了一个直观的web界面(https://gin-tsne.med.uni-giessen.de),用于用户友好的本地数据管理和基于甲基组的联合肿瘤分类计算,用于DataSHIELD环境中的多个合作者。自由访问的web界面支持方便的数据上传,结果审查和汇总报告生成。重要的是,通过分布式访问其他数据集来增加样本量,使DistSNE能够改进聚类分析并增强预测能力。总的来说,DistSNE可以使用来自分布式来源的大规模甲基化数据对中枢神经系统肿瘤进行简单快速的分类,同时保持隐私,并允许轻松灵活的网络扩展到其他机构。这种方法在推进人类脑肿瘤分类和促进神经肿瘤学的协作精准医学方面具有巨大的潜力。
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引用次数: 0
Structural changes of CA1 pyramidal neurons after stroke in the contralesional hippocampus 脑卒中后对侧海马CA1锥体神经元的结构变化。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-27 DOI: 10.1111/bpa.13222
Paula Merino-Serrais, Sergio Plaza-Alonso, Farida Hellal, Susana Valero-Freitag, Asta Kastanauskaite, Nikolaus Plesnila, Javier DeFelipe

Significant progress has been made with regard to understanding how the adult brain responds after a stroke. However, a large number of patients continue to suffer lifelong disabilities without adequate treatment. In the present study, we have analyzed possible microanatomical alterations in the contralesional hippocampus from the ischemic stroke mouse model tMCAo 12–14 weeks after transient middle cerebral artery occlusion. After individually injecting Lucifer yellow into pyramidal neurons from the CA1 field of the hippocampus, we performed a detailed three-dimensional analysis of the neuronal complexity, dendritic spine density, and morphology. We found that, in both apical (stratum radiatum) and basal (stratum oriens) arbors, CA1 pyramidal neurons in the contralesional hippocampus of tMCAo mice have a significantly higher neuronal complexity, as well as reduced spine density and alterations in spine volume and spine length. Our results show that when the ipsilateral hippocampus is dramatically damaged, the contralesional hippocampus exhibits several statistically significant selective alterations. However, these alterations are not as significant as expected, which may help to explain the recovery of hippocampal function after stroke. Further anatomical and physiological studies are necessary to better understand the modifications in the “intact” contralesional lesioned brain regions, which are probably fundamental to recover functions after stroke.

在了解中风后成人大脑的反应方面已经取得了重大进展。然而,大量患者在没有适当治疗的情况下继续遭受终身残疾。在本研究中,我们分析了短暂性大脑中动脉闭塞后12-14周缺血性脑卒中小鼠模型tMCAo对侧海马可能的微观解剖改变。将路西法黄单独注射到海马CA1区锥体神经元后,我们对神经元复杂性、树突棘密度和形态进行了详细的三维分析。我们发现,在根尖(辐射层)和基底(东方层),tMCAo小鼠对侧海马CA1锥体神经元的神经元复杂性显著增加,脊柱密度降低,脊柱体积和脊柱长度发生改变。我们的研究结果表明,当同侧海马体严重受损时,对侧海马体表现出几种统计上显著的选择性改变。然而,这些改变并不像预期的那样显著,这可能有助于解释中风后海马功能的恢复。进一步的解剖学和生理学研究是必要的,以更好地了解“完整的”对侧损伤脑区域的改变,这可能是中风后功能恢复的基础。
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引用次数: 0
Reduced neurogenesis in human hippocampus with Alzheimer's disease 阿尔茨海默病患者海马神经发生减少。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-27 DOI: 10.1111/bpa.13225
Yan Cao, Pan Liu, Hongfei Bian, Sixuan Jin, Jiaqi Liu, Ning Yu, Huan Cui, Fengrun Sun, Xiaojing Qian, Wenying Qiu, Chao Ma

Adult hippocampal neurogenesis (AHN), essential for the plasticity of hippocampal structure and function, may be disrupted in Alzheimer‘s disease (AD). However, the relationship between the changes in AHN and AD-related pathology in humans remains uncertain. By utilizing advanced immunostaining techniques, we could identify multiple biomarkers representing different stages of AHN in postmortem human hippocampal tissue that exhibited various AD-related neuropathological changes. In this study, we observed a significant presence of neurogenic cells in the hippocampus's dentate gyrus (DG) region in 30 individuals, including 14 individuals diagnosed with AD-related neuropathological changes and the remaining 16 individuals without any neurological diseases. Further investigation revealed that patients with AD exhibited pronounced astrogliosis and reduced neurogenesis. Specifically, the number of neuroblasts, immature and early mature granule cells decreased significantly as AD advanced. Although the number of neural stem cells (NSCs) remained unchanged in AD patients compared with mentally healthy individuals, they tended to be more quiescent state regulated by Notch and bone morphogenetic protein (BMP) signaling pathways. These abnormalities were strongly associated with the neuropathological alterations in AD patients. These research findings provide potential insights into the underlying mechanisms that underpin the pathogenesis of AD.

成人海马神经发生(AHN)对海马结构和功能的可塑性至关重要,可能在阿尔茨海默病(AD)中被破坏。然而,AHN的变化与人类ad相关病理之间的关系仍然不确定。通过利用先进的免疫染色技术,我们可以在死后的人类海马组织中识别出代表AHN不同阶段的多种生物标志物,这些生物标志物表现出各种与ad相关的神经病理改变。在本研究中,我们观察到30例个体海马齿状回(DG)区存在显著的神经源性细胞,其中14例被诊断为ad相关神经病理改变,其余16例未患任何神经系统疾病。进一步的研究表明,AD患者表现出明显的星形胶质细胞增生和神经发生减少。具体来说,随着AD的进展,神经母细胞、未成熟颗粒细胞和早期成熟颗粒细胞的数量显著减少。尽管与精神健康个体相比,AD患者的神经干细胞(NSCs)数量保持不变,但它们更倾向于由Notch和骨形态发生蛋白(BMP)信号通路调控的静止状态。这些异常与AD患者的神经病理改变密切相关。这些研究结果为阿尔茨海默病的发病机制提供了潜在的见解。
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引用次数: 0
Primary visual cortex pathology in ALS patients with C9ORF72 expansion 肌萎缩侧索硬化症患者C9ORF72扩增的原发视觉皮层病理。
IF 5.8 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-27 DOI: 10.1111/bpa.13229
Matthew D. Cykowski, Anithachristy S. Arumanayagam, Suzanne Z. Powell, Stanley H. Appel

Poly-GA and poly-GP immunofluorescence studies show conspicuous dipeptide repeat pathology in layers IV and II of primary visual cortex in C9ALS patients.

Poly-GA和poly-GP免疫荧光研究显示C9ALS患者原发性视觉皮层第IV层和第II层有明显的二肽重复病理。
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引用次数: 0
Two novel tumours with NTRK2 fusion in the methylation class of extraventricular neurocytomas, including one intraventricular 两个新的肿瘤与NTRK2融合在甲基化类脑室外神经细胞瘤,包括一个脑室内。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-23 DOI: 10.1111/bpa.13223
Emmanuelle Uro-Coste, Arnault Tauziede-Espariat, Charlotte Dubucs, Dan Christian Chiforeanu, Aurore Siegfried, Yvan Nicaise, Luc Bauchet, Laurent Riffaud, Franck Bielle, Alexandre Vasiljevic, Romain Appay, Solène Evrard, Pascale Varlet, Valérie Rigau, The Biopathology RENOCLIP-LOC network

We report here about two novel tumours classified as extraventricular neurocytomas (EVN) using DNA-methylation profiling, associated with NTRK2 fusions instead of the usual FGFR1 alterations so far attributed to this tumoural entity. We present the second detailed case of an intraventricular presentation in the MC EVN. Our findings broaden the spectrum of MC EVN and have implications in terms of diagnosis, therapy and terminology.

我们在此报告了两种新型肿瘤,使用dna甲基化分析分类为室外神经细胞瘤(EVN),与NTRK2融合相关,而不是迄今为止归因于这种肿瘤实体的通常FGFR1改变。我们提出第二个详细的病例脑室内的表现在MC EVN。我们的发现拓宽了MC EVN的范围,并在诊断、治疗和术语方面具有重要意义。
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引用次数: 0
Degeneration of olivospinal tract in the upper cervical spinal cord of multiple system atrophy patients: Reappraisal of Helweg's triangular tract 多系统萎缩患者上颈脊髓橄榄脊髓束变性:Helweg三角束的重新评估。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-16 DOI: 10.1111/bpa.13226
Takashi Ando, Yuichi Riku, Akio Akagi, Hiroaki Miyahara, Takashi Uematsu, Ikuko Aiba, Jun Sone, Masahisa Katsuno, Mari Yoshida, Yasushi Iwasaki

Multiple system atrophy (MSA) is an adult-onset neurodegenerative disorder that presents with variable combinations of autonomic dysfunction, cerebellar ataxia, parkinsonism, and pyramidal signs. The inferior olivary nucleus is targeted in MSA, with a phenotype of olivopontocerebellar atrophy in particular, and involvement of the olivocerebellar tract is well known. However, degeneration of the olivospinal tract has not been studied in MSA. We examined 97 spinal cords from consecutively autopsied patients with MSA. Myelin staining revealed that 22 cords (22.7%) had small, bilateral, triangular-shaped tract degeneration in the boundary of the anterior and lateral funiculi, which appeared continuously from C1 to C5. The anatomical pathway of the degenerated tract was consistent with the description of the olivospinal tract provided by Helweg in 1888. The MSA patients showing degeneration of this tract were younger at disease onset (average: 56.4 ± 8.7 years, range: 42–74), and had longer disease duration (average: 10.1 ± 4.8 years, range: 2–25) and more severe olivopontocerebellar changes compared to other MSA patients. Quantitative analyses revealed that patients with olivospinal tract degeneration had a lower neuronal density in the inferior olivary nucleus compared to other patients. Microglial density in this tract was negatively correlated with the neuronal density in the inferior olivary nucleus. The densities of glial cytoplasmic inclusions in the inferior olivary nucleus and in the olivospinal tract were strongly correlated with each other. Neurologically healthy controls (n = 22) and disease controls with Lewy body disease (n = 30), amyotrophic lateral sclerosis (n = 30), and progressive supranuclear palsy (n = 30) did not present the olivospinal tract degeneration. Our results indicate an impairment of the neural connection between the inferior olivary nucleus and the spinal cord in MSA patients, which may develop in a descending manner.

多系统萎缩(MSA)是一种成人发病的神经退行性疾病,表现为自主神经功能障碍、小脑性共济失调、帕金森病和锥体体征的不同组合。下橄榄核是MSA的靶点,特别是橄榄桥小脑萎缩,橄榄小脑束的受累是众所周知的。然而,在MSA中尚未对橄榄脊髓束退变进行研究。我们检查了97例连续尸检的MSA患者的脊髓。髓鞘染色显示22条索(22.7%)在前索和外侧索交界处有小的双侧三角形束变性,从C1到C5连续出现。退变脊髓束的解剖路径与Helweg在1888年提供的橄榄脊髓束描述一致。与其他MSA患者相比,MSA患者发病年龄较轻(平均:56.4±8.7岁,范围:42-74岁),病程较长(平均:10.1±4.8年,范围:2-25岁),橄榄桥小脑病变更严重。定量分析显示,与其他患者相比,橄榄脊髓束变性患者的下橄榄核神经元密度较低。本束小胶质细胞密度与下橄榄核神经元密度呈负相关。下橄榄核和橄榄脊髓束内的胶质细胞质包涵体密度呈强相关。神经健康对照组(n = 22)和路易体病(n = 30)、肌萎缩性侧索硬化症(n = 30)和进行性核上性麻痹(n = 30)的疾病对照组(n = 30)均未出现橄榄脊髓束变性。我们的研究结果表明MSA患者下橄榄核与脊髓之间的神经连接受损,可能以下行方式发展。
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引用次数: 0
Automated analysis of gray matter damage in aged mice reveals impaired remyelination in the cuprizone model 老年小鼠灰质损伤的自动分析揭示了铜松模型中髓鞘再生受损。
IF 6.4 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-05 DOI: 10.1111/bpa.13218
Stefan Gingele, Thiemo M. Möllenkamp, Florian Henkel, Lara-Jasmin Schröder, Martin W. Hümmert, Thomas Skripuletz, Martin Stangel, Viktoria Gudi

Multiple sclerosis is a chronic autoimmune disease of the central nervous system characterized by myelin loss, axonal damage, and glial scar formation. Still, the underlying processes remain unclear, as numerous pathways and factors have been found to be involved in the development and progression of the disease. Therefore, it is of great importance to find suitable animal models as well as reliable methods for their precise and reproducible analysis. Here, we describe the impact of demyelination on clinically relevant gray matter regions of the hippocampus and cerebral cortex, using the previously established cuprizone model for aged mice. We could show that bioinformatic image analysis methods are not only suitable for quantification of cell populations, but also for the assessment of de- and remyelination processes, as numerous objective parameters can be considered for reproducible measurements. After cuprizone-induced demyelination, subsequent remyelination proceeded slowly and remained incomplete in all gray matter areas studied. There were regional differences in the number of mature oligodendrocytes during remyelination suggesting region-specific differences in the factors accounting for remyelination failure, as, even in the presence of oligodendrocytes, remyelination in the cortex was found to be impaired. Upon cuprizone administration, synaptic density and dendritic volume in the gray matter of aged mice decreased. The intensity of synaptophysin staining gradually restored during the subsequent remyelination phase, however the expression of MAP2 did not fully recover. Microgliosis persisted in the gray matter of aged animals throughout the remyelination period, whereas extensive astrogliosis was of short duration as compared to white matter structures. In conclusion, we demonstrate that the application of the cuprizone model in aged mice mimics the impaired regeneration ability seen in human pathogenesis more accurately than commonly used protocols with young mice and therefore provides an urgently needed animal model for the investigation of remyelination failure and remyelination-enhancing therapies.

多发性硬化症是一种中枢神经系统的慢性自身免疫性疾病,其特征是髓鞘丢失、轴突损伤和神经胶质瘢痕形成。尽管如此,潜在的过程仍不清楚,因为已经发现许多途径和因素与疾病的发展和进展有关。因此,找到合适的动物模型以及可靠的方法进行精确和可重复的分析具有重要意义。在这里,我们描述了脱髓鞘对海马和大脑皮层临床相关灰质区域的影响,使用之前为老年小鼠建立的Cupizone模型。我们可以证明,生物信息学图像分析方法不仅适用于细胞群的量化,还适用于去髓鞘和髓鞘再形成过程的评估,因为可以考虑许多客观参数进行可重复的测量。在铜松诱导的脱髓鞘后,随后的髓鞘再形成进展缓慢,并且在所研究的所有灰质区域中仍然不完全。在髓鞘再形成过程中,成熟少突胶质细胞的数量存在区域差异,这表明导致髓鞘再形成失败的因素存在区域特异性差异,因为即使存在少突胶质,皮层的髓鞘再形成也会受损。给药后,老龄小鼠灰质中的突触密度和树突体积降低。突触素染色的强度在随后的髓鞘再形成阶段逐渐恢复,但MAP2的表达没有完全恢复。在整个髓鞘再生期,老年动物的灰质中持续存在微胶质细胞增生,而与白质结构相比,广泛的星形胶质细胞增生持续时间较短。总之,我们证明,在老年小鼠中应用Cupizone模型比在年轻小鼠中常用的方案更准确地模拟了人类发病机制中出现的再生能力受损,因此为研究髓鞘再形成失败和髓鞘再形成增强疗法提供了急需的动物模型。
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引用次数: 0
Concomitant progressive supranuclear palsy and Lewy body pathology presenting with circumscribed visual memory loss: A clinicopathological case 伴有进行性核上性麻痹和路易体病理学表现为局限性视觉记忆丧失:一例临床病理病例。
IF 5.8 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-11-05 DOI: 10.1111/bpa.13219
Christopher Kobylecki, Jennifer C. Thompson, Andrew C. Robinson, Federico Roncaroli, Julie S. Snowden, David M. Mann

A 70-year-old man presented to the clinic with impairment of visual memory and marked predominantly right sided mesial temporal lobe atrophy on imaging. He died 6 years following symptom onset and neuropathological examination showed concomitant progressive supranuclear palsy and Lewy body pathology. Although he did not fulfil clinical criteria for either condition at presentation, we propose that interactions between the two pathologies in mesial temporal regions could result in this atypical clinical phenotype.

一名70岁的男性因视觉记忆受损而就诊,影像学上主要表现为右侧近中颞叶萎缩。他在症状出现6年后死亡,神经病理学检查显示伴有进行性核上性麻痹和路易体病理。尽管他在出现这两种情况时都不符合临床标准,但我们认为中颞区两种病理之间的相互作用可能导致这种非典型临床表型。
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Brain Pathology
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