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Development of small molecules for disrupting pathological amyloid aggregation in neurodegenerative diseases 神经退行性疾病中破坏病理性淀粉样蛋白聚集的小分子研究进展
Pub Date : 2023-08-29 DOI: 10.20517/and.2023.25
Tianyi Cao, Xiang Li, Dan Li, Youqi Tao
Neurodegenerative diseases (NDs), encompassing Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS), are often characterized by the formation of pathological amyloid aggregates, predominantly composed of proteins like amyloid-β, tau, α-synuclein, TDP-43, and others. These amyloid aggregates inflict significant neuronal harm and incite inflammation. This review underscores the potential of small molecules as innovative therapeutic interventions, designed to influence the formation, stability, and breakdown of these pathological amyloid aggregates, which could potentially modify the disease’s progression and minimize its neurotoxic effects. This review first sketches the pathways and mechanisms involved in amyloid aggregation, followed by an in-depth analysis of recent advances in formulating small molecules that directly target these damaging aggregates. This includes various strategies such as inhibiting fibril formation, fostering off-pathway non-toxic oligomers or amorphous aggregates, disaggregating established pathological amyloid fibrils, and enhancing the protein quality control system to combat amyloid aggregation. In the end, this review identifies the challenges and opportunities involved in transitioning these molecules into effective treatments, focusing on critical factors such as penetration of the blood-brain barrier, target specificity, and safety considerations. This review, thus, presents a comprehensive overview of the potential role of small molecules in tackling NDs typified by amyloid aggregation.
神经退行性疾病(ndds),包括阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS),通常以形成病理性淀粉样蛋白聚集体为特征,主要由淀粉样蛋白-β、tau、α-突触核蛋白、TDP-43等蛋白质组成。这些淀粉样蛋白聚集体造成严重的神经元损伤并引发炎症。本综述强调了小分子作为创新治疗干预的潜力,旨在影响这些病理性淀粉样蛋白聚集体的形成、稳定性和分解,这可能潜在地改变疾病的进展并最大限度地减少其神经毒性作用。本文首先概述了淀粉样蛋白聚集的途径和机制,然后深入分析了直接针对这些破坏性聚集的小分子的最新进展。这包括各种策略,如抑制原纤维形成,培养非通路无毒低聚物或无定形聚集体,分解已建立的病理性淀粉样原纤维,以及加强蛋白质质量控制系统以对抗淀粉样聚集。最后,本综述确定了将这些分子转化为有效治疗所涉及的挑战和机遇,重点关注诸如穿透血脑屏障,靶标特异性和安全性考虑等关键因素。因此,这篇综述全面概述了小分子在解决以淀粉样蛋白聚集为典型的ndds中的潜在作用。
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引用次数: 0
Animal models for research on neurodegenerative diseases 神经退行性疾病研究的动物模型
Pub Date : 2023-08-28 DOI: 10.20517/and.2023.24
Xiao-Jiang Li
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引用次数: 0
Immunological, oxidative, and structural factors and their responses to regulatory t lymphocyte therapy in amyotrophic lateral sclerosis 免疫、氧化和结构因素及其对肌萎缩性侧索硬化症调节性t淋巴细胞治疗的反应
Pub Date : 2023-08-23 DOI: 10.20517/and.2023.14
D. Beers, Jason R. Thonhoff, Aaron D. Thome, Alireza Faridar, Weihua Zhao, Shixiang Wen, S. Appel
Aim: Amyotrophic lateral sclerosis (ALS) is a systemic disease in which multiple dysfunctional pathways converge, culminating as this devastating disease. Immunological, oxidative, and structural analytes in cross-sectional and longitudinal patient sera samples were investigated and evaluated for their responses following autologous regulatory T lymphocyte (Treg)/IL-2 therapy. Methods: This retrospective cohort study was conducted at Houston Methodist Hospital and Massachusetts General Hospital in adults with sporadic ALS. Cross-sectional and longitudinal sera levels for each of the immunological (CCL2, IL-18), oxidative (4-HNE, MDA), and structural analytes (Nf-L, pNf-H) were assayed by ELISAs, and correlated with disease progression and clinical outcomes. Results: CCL2 and IL-18 levels were elevated in patients, especially rapidly progressing patients. 4-HNE was elevated in a subset of patients, whereas MDA was elevated in cross-sectional and longitudinally studied subjects. Nf-L was elevated in rapidly progressing patients, whereas pNf-H was decreased in these same patients. In the eleven patients assayed longitudinally, only three patients had increased levels of Nf-L or pNf-H; no patient had increased levels of both neurofilaments. Treg/IL-2 therapy suppressed levels of CCL2, IL-18, and 4-HNE. Conclusions: In these cohorts of patients with sporadic ALS, CCL2, IL-18, and 4-HNE accurately reflected disease progression on and off therapy; MDA was elevated but did not respond to therapy. The cross-sectional and longitudinal data were complementary. Nf-L and pNf-H did not reliably and consistently reflect disease progression. Immunological and oxidative pathological factors accurately reflected therapeutic responses in these pathways and are candidates to target clinical trial endpoints.
目的:肌萎缩性侧索硬化症(ALS)是一种全身性疾病,其中多种功能失调的通路汇合,最终成为这种毁灭性的疾病。研究人员调查了横断面和纵向患者血清样本中的免疫、氧化和结构分析,并评估了他们在自体调节性T淋巴细胞(Treg)/IL-2治疗后的反应。方法:本回顾性队列研究在休斯顿卫理公会医院和马萨诸塞州总医院对散发性ALS成人患者进行。通过elisa检测免疫(CCL2, IL-18),氧化(4-HNE, MDA)和结构分析(Nf-L, pNf-H)的横断面和纵向血清水平,并与疾病进展和临床结果相关。结果:CCL2和IL-18水平在患者中升高,特别是快速进展的患者。4-HNE在一部分患者中升高,而MDA在横断面和纵向研究对象中升高。Nf-L在快速进展的患者中升高,而pNf-H在这些患者中降低。在纵向分析的11例患者中,只有3例患者Nf-L或pNf-H水平升高;没有患者同时出现两种神经丝的水平升高。Treg/IL-2治疗抑制CCL2、IL-18和4-HNE水平。结论:在这些散发性ALS患者队列中,CCL2、IL-18和4-HNE准确反映了治疗前后的疾病进展;MDA升高,但对治疗无反应。横断面和纵向数据是互补的。Nf-L和pNf-H不能可靠和一致地反映疾病进展。免疫和氧化病理因素准确地反映了这些途径中的治疗反应,是临床试验终点的候选对象。
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引用次数: 0
Research progress on the role of PGC1α in mitochondrial dysfunction associated with Alzheimer’s disease PGC1α在阿尔茨海默病相关线粒体功能障碍中的作用研究进展
Pub Date : 2023-07-31 DOI: 10.20517/and.2023.04
Zhi-qiang Li, Han Lin, Xiao-ping Huang, Shen-Qing Zhang, Xiao Shu, Xinan Wu
The transcriptional coactivator Peroxisome Proliferator-Activated Receptor Gamma Coactivator 1-alpha (PGC1α) holds significant importance in the regulation of mitochondrial function during the pathogenesis of Alzheimer’s Disease (AD). PGC1α is highly expressed in the brain and has the ability to upregulate mitochondrial biogenesis. It modulates various metabolic pathways, such as the β-oxidation of fatty acids, which is important for generating ATP, and glycolysis, which supplies energy and protects against oxidative stress. The dysregulation of PGC1α can lead to alterations in energy metabolism in the brain, involving mitochondrial dysfunction and consequently decreasing cognitive function and neuronal pathologies. In the early stage of AD, the little amyloid-β protein (Aβ) induces the production of ROS, which upregulates the expression of PGC1α, resulting in increasing mitochondrial biogenesis, fatty acid oxidation and its mRNA expression. However, with the development of AD, a load of Aβ and neurofibrillary tangles ultimately lead to mitochondrial dysfunction, impaired mitochondrial respiration, reduced ATP production, and affect the behavioral brain function in AD. It provides a new idea for improvement or treatment of AD symptoms by activating PGC1α.
转录辅助激活因子过氧化物酶体增殖物激活受体γ辅助激活因子1- α (PGC1α)在阿尔茨海默病(AD)发病过程中对线粒体功能的调节具有重要意义。PGC1α在大脑中高度表达,具有上调线粒体生物发生的能力。它调节各种代谢途径,如脂肪酸的β-氧化,这对产生ATP很重要,糖酵解,提供能量和防止氧化应激。PGC1α的失调可导致大脑能量代谢的改变,包括线粒体功能障碍,从而降低认知功能和神经元病理。在AD早期,小淀粉样蛋白β (Aβ)诱导ROS的产生,从而上调PGC1α的表达,导致线粒体生物发生、脂肪酸氧化及其mRNA表达增加。然而,随着AD的发展,大量的a β和神经原纤维缠结最终导致线粒体功能障碍,线粒体呼吸受损,ATP产生减少,并影响AD患者的行为脑功能。激活PGC1α为改善或治疗AD症状提供了新的思路。
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引用次数: 0
Role of MeCP2 in oligodendrocyte lineage cells in Rett syndrome: review and inference MeCP2在Rett综合征少突胶质细胞谱系细胞中的作用:综述和推断
Pub Date : 2023-07-19 DOI: 10.20517/and.2023.13
Zhen Zhang, Peng Li, Yongchang Chen
Rett syndrome (RTT) is a neurodevelopmental disorder primarily caused by mutations in the MECP2 gene. Neuronal damage is the main factor contributing to RTT, and the loss of MeCP2 function can result in reduced neuronal somas size, decreased dendritic abundance, and impaired neuronal function. While specific restoration of MeCP2 expression in neurons has been reported to partially rescue the behavioral phenotype and prolong the lifespan of mice, it cannot provide a complete cure. Therefore, other cells may be involved in the development of RTT. Although imaging and autopsy findings have revealed decreased white matter volume and corpus callosum thickness in RTT patients, the mechanisms underlying the development of white matter abnormalities remain unclear. These abnormalities are predominantly caused by damage to mature oligodendrocytes. This review provides an overview of the proliferation, differentiation, and function of oligodendrocyte lineage cells and elucidates the role of MeCP2 in these cells.
Rett综合征(RTT)是一种主要由MECP2基因突变引起的神经发育障碍。神经元损伤是导致RTT的主要因素,MeCP2功能的丧失可导致神经元体大小减小,树突丰度下降,神经元功能受损。虽然有报道称,在神经元中特异性地恢复MeCP2的表达可以部分地挽救小鼠的行为表型,延长小鼠的寿命,但它不能完全治愈。因此,其他细胞可能参与了RTT的发生。尽管影像学和尸检结果显示RTT患者的白质体积和胼胝体厚度减少,但白质异常发展的机制尚不清楚。这些异常主要是由成熟少突胶质细胞损伤引起的。本文综述了少突胶质细胞系细胞的增殖、分化和功能,并阐明了MeCP2在这些细胞中的作用。
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引用次数: 0
Cannabinoid modulations of pain- and stress-related circuits 大麻素对疼痛和压力相关回路的调节
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.19
Ying Wang, Qingyu Wang, Li Tang, Xia Zhang
In the past decade, significant advancements have been made in understanding the brain regions and neuronal circuits regulating neurological behaviors. The endocannabinoid (eCB) system, which is ubiquitously distributed in the brain and extensively involved in synaptic modulation, has been believed to play potential roles in neuronal circuit processes and related disorders. Although eCB-based pharmacological studies have made some clinical achievements, they still often encounter conflicting reports or undesired effects due to global manipulation of manifold brain regions and neuronal circuits, which impede the therapeutic application of eCB-based medications. In this review, we are devoted to discussing the versatile forms of eCB-mediated synaptic plasticity and dissecting currently well-studied specific cannabinoid circuits involved in behavioral domains which are closely linked to the organism’s survival and life quality, such as pain perception and stress-related emotion disorders. By gaining new insights into selective cannabinoid control in circuits, we can potentially mitigate the drawbacks of traditional pharmacology and facilitate the development of precision medicine with novel therapeutic strategies and drug discoveries.
在过去的十年中,在理解大脑区域和神经回路调节神经行为方面取得了重大进展。endocannabinoid (eCB)系统普遍存在于大脑中,广泛参与突触调节,被认为在神经元回路过程和相关疾病中发挥潜在作用。尽管基于脑脊液的药理学研究取得了一些临床成果,但由于脑多区域和神经元回路的全局操纵,仍然经常遇到相互矛盾的报道或不良效果,这阻碍了基于脑脊液的药物的治疗应用。在这篇综述中,我们致力于讨论ecb介导的突触可塑性的多种形式,并剖析目前被充分研究的特定大麻素回路,这些回路涉及与生物体生存和生活质量密切相关的行为领域,如疼痛感知和压力相关的情绪障碍。通过获得对电路中选择性大麻素控制的新见解,我们可以潜在地减轻传统药理学的缺点,并通过新的治疗策略和药物发现促进精准医学的发展。
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引用次数: 0
Can alpha-synuclein be both the cause and a consequence of Parkinson's disease? 突触核蛋白是帕金森氏症的病因和结果吗?
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.05
Kang Chen, Yu-jie Guo, P. Lei, D. Finkelstein
Alpha-synuclein (α-syn) is a presynaptic and nuclear protein that has been inextricably linked to Parkinson’s disease (PD). It regulates the presynaptic activities of neurons, but its aggregation and spreading have been associated with a group of diseases termed synucleinopathies. Here, we examined the commonly held view that α-syn caused disease and explored the concept that α-syn aggregation may be a consequence of pathobiology. Future therapies may need to encompass α-syn both a cause and consequence of the disease process.
α-突触核蛋白(α-syn)是一种突触前和核蛋白,与帕金森病(PD)有着千丝万缕的联系。它调节神经元的突触前活动,但它的聚集和扩散与一组称为突触核蛋白病的疾病有关。在这里,我们检验了普遍认为α-syn引起疾病的观点,并探讨了α-syn聚集可能是病理生物学结果的概念。未来的治疗可能需要将α-syn纳入疾病过程的原因和结果。
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引用次数: 1
Amyloid-β-targeted therapies for Alzheimer's disease: currently and in the future 淀粉样蛋白β靶向治疗阿尔茨海默病:目前和未来
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.16
Cai Huimin, Fu Xiaofeng, Quan Shuiyue, Ren Ziye, Chu Changbiao, Jia Longfei
Alzheimer’s disease (AD) is common and devastating. However, current symptomatic treatments are unable to alter the progression of the disease. Fortunately, many ongoing trials of disease-modifying therapies may provide new insights into the treatment and prevention of AD. Due to the long-held amyloid cascade hypothesis, the development of pharmacotherapies targeting amyloid-β (Aβ) has been a major focus in AD research. The recent positive results and approval of several anti- Aβ monoclonal antibodies seem to be a milestone for AD treatment. In this review, we highlight the rationale and status of different Aβ-targeted therapies for AD, including those now on the market and those in clinical trials. We also discuss the challenges and future perspectives of Aβ-targeted therapies for AD.
阿尔茨海默病(AD)是一种常见且具有破坏性的疾病。然而,目前的对症治疗无法改变疾病的进展。幸运的是,许多正在进行的疾病改善疗法的试验可能为阿尔茨海默病的治疗和预防提供新的见解。由于长期以来的淀粉样蛋白级联假说,针对淀粉样蛋白β (a β)的药物治疗的开发一直是阿尔茨海默病研究的主要焦点。最近一些抗a β单克隆抗体的阳性结果和批准似乎是AD治疗的一个里程碑。在这篇综述中,我们重点介绍了不同的a β靶向治疗AD的基本原理和现状,包括那些已经上市的和正在临床试验的治疗方法。我们还讨论了a β靶向治疗AD的挑战和未来前景。
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引用次数: 0
Benefits of physical exercise on Alzheimer's disease: an epigenetic view 体育锻炼对阿尔茨海默病的益处:一种表观遗传学观点
Pub Date : 2023-01-01 DOI: 10.20517/and.2022.37
Song Li
Increasing lines of evidence have indicated the beneficial impacts of exercise on the neurodegeneration and cognitive decline of Alzheimer’s disease (AD). While general mechanisms underlying the positive effects, including the elevated neurotrophins level, improved neurogenesis and neuroplasticity, restored angiogenesis and autophagy, and reduced neuroinflammation, have been well documented, the epigenetic mechanisms of exercise on AD, however, are still inconclusive. Exercise can regulate the expression of those AD-related genes or proteins through various epigenetic modulations, thereafter rescuing AD pathologies and improving cognitive deficits of AD. In this review, we briefly summarized recent research advances in the beneficial impacts of exercise on cognition and AD and discussed the underlying mechanisms from an epigenetic point of view, including DNA methylation, histone modifications, and non-coding RNAs. A deep understanding of how exercise epigenetically promotes cognitive and pathological recoveries in AD is crucial for the future discovery of precise exercise procedures or exercise-like remedies to treat this disease.
越来越多的证据表明,运动对阿尔茨海默病(AD)的神经变性和认知能力下降有有益的影响。虽然积极作用的一般机制,包括神经营养因子水平升高,神经发生和神经可塑性改善,血管生成和自噬恢复,神经炎症减少,已经得到了很好的证明,但运动对阿尔茨海默病的表观遗传机制仍然没有定论。运动可以通过各种表观遗传调节AD相关基因或蛋白的表达,从而挽救AD的病理,改善AD的认知缺陷。在这篇综述中,我们简要总结了运动对认知和AD有益影响的最新研究进展,并从表观遗传学的角度讨论了潜在的机制,包括DNA甲基化、组蛋白修饰和非编码rna。深入了解运动如何在表观遗传学上促进阿尔茨海默病的认知和病理恢复,对于未来发现精确的运动程序或类似运动的疗法来治疗这种疾病至关重要。
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引用次数: 0
Newly identified transmembrane protein 106B amyloid fibrils in the human brain: pathogens or by-products? 人脑中新发现的跨膜蛋白106B淀粉样原纤维:病原体还是副产品?
Pub Date : 2023-01-01 DOI: 10.20517/and.2022.30
Yun Fan, Wanbing Zhao, Y. Ni, Yiqi Liu, Yilin Tang, Yimin Sun, Feng-tao Liu, Wenbo Yu, Jianjun Wu, Jian Wang
Neurodegenerative diseases (NDs) such as Alzheimer’s disease (AD) and Parkinson’s disease (PD) constitute a spectrum of diseases characterized by the abnormal aggregation of specific amyloid fibrillar proteins; these include β-amyloid (Aβ) and tau in the form of the extracellular Aβ plaques and neuronal neurofibrillary tangles in AD and fibrillar α-synuclein aggregation in the form of Lewy bodies and Lewy neurites in PD. Transmembrane protein 106B (TMEM106B) is a type II transmembrane lysosomal protein that participates in lysosome morphology, localization, acidification, and trafficking; t is involved in the pathogenesis of several NDs, especially frontotemporal lobular degeneration with TAR DNA-binding protein immunoreactive inclusions (FTLD-TDP). Studies from four independent research groups revealed that the luminal domain of TMEM106B (120-254aa) forms amyloid fibrils in several brain regions in patients with a series of NDs and neurologically normal older adults. Given its potentially critical roles in the pathogenesis of NDs and brain aging, this surprising finding has focused attention on TMEM106B and suggested that it is nearly as fundamental as other pathogenic amyloid proteins (e.g., Aβ, tau, α-syn); nevertheless, new questions surrounding TMEM106B must be asked. In this review,we firstly introduce the physiological function of TMEM106B and its involvement in NDs. Then, we elucidate the identification and cryo-electronic microscopic structure of TMEM106B fibrils and analyze the factors that contribute to the polymorphism of TMEM106B fibrils. Finally, the potential pathogenic role of TMEM106B fibrils is discussed, and the future directions for TMEM106 research in NDs are briefly summarized.
神经退行性疾病(NDs),如阿尔茨海默病(AD)和帕金森病(PD)构成了一个以特异性淀粉样蛋白纤维异常聚集为特征的疾病谱系;其中包括阿尔茨海默病中以细胞外β斑块和神经元神经原纤维缠结形式出现的β-淀粉样蛋白(Aβ)和tau蛋白,以及PD中以路易小体和路易神经突形式出现的纤维状α-突触核蛋白聚集。跨膜蛋白106B (TMEM106B)是一种II型跨膜溶酶体蛋白,参与溶酶体形态、定位、酸化和运输;它参与了几种NDs的发病机制,特别是伴有TAR dna结合蛋白免疫反应性包涵体(FTLD-TDP)的额颞叶变性。来自四个独立研究小组的研究表明,TMEM106B (120-254aa)的管腔结构域在一系列ndds患者和神经正常的老年人的几个脑区形成淀粉样蛋白原纤维。鉴于其在NDs和脑衰老发病机制中的潜在关键作用,这一令人惊讶的发现将注意力集中在TMEM106B上,并表明它几乎与其他致病性淀粉样蛋白(如Aβ, tau, α-syn)一样重要;然而,围绕TMEM106B的新问题必须提出。本文首先介绍了TMEM106B的生理功能及其在NDs中的作用。然后,我们阐明了TMEM106B原纤维的鉴定和低温电镜结构,并分析了导致TMEM106B原纤维多态性的因素。最后,讨论了TMEM106B原纤维的潜在致病作用,并对TMEM106在NDs中的未来研究方向进行了简要总结。
{"title":"Newly identified transmembrane protein 106B amyloid fibrils in the human brain: pathogens or by-products?","authors":"Yun Fan, Wanbing Zhao, Y. Ni, Yiqi Liu, Yilin Tang, Yimin Sun, Feng-tao Liu, Wenbo Yu, Jianjun Wu, Jian Wang","doi":"10.20517/and.2022.30","DOIUrl":"https://doi.org/10.20517/and.2022.30","url":null,"abstract":"Neurodegenerative diseases (NDs) such as Alzheimer’s disease (AD) and Parkinson’s disease (PD) constitute a spectrum of diseases characterized by the abnormal aggregation of specific amyloid fibrillar proteins; these include β-amyloid (Aβ) and tau in the form of the extracellular Aβ plaques and neuronal neurofibrillary tangles in AD and fibrillar α-synuclein aggregation in the form of Lewy bodies and Lewy neurites in PD. Transmembrane protein 106B (TMEM106B) is a type II transmembrane lysosomal protein that participates in lysosome morphology, localization, acidification, and trafficking; t is involved in the pathogenesis of several NDs, especially frontotemporal lobular degeneration with TAR DNA-binding protein immunoreactive inclusions (FTLD-TDP). Studies from four independent research groups revealed that the luminal domain of TMEM106B (120-254aa) forms amyloid fibrils in several brain regions in patients with a series of NDs and neurologically normal older adults. Given its potentially critical roles in the pathogenesis of NDs and brain aging, this surprising finding has focused attention on TMEM106B and suggested that it is nearly as fundamental as other pathogenic amyloid proteins (e.g., Aβ, tau, α-syn); nevertheless, new questions surrounding TMEM106B must be asked. In this review,we firstly introduce the physiological function of TMEM106B and its involvement in NDs. Then, we elucidate the identification and cryo-electronic microscopic structure of TMEM106B fibrils and analyze the factors that contribute to the polymorphism of TMEM106B fibrils. Finally, the potential pathogenic role of TMEM106B fibrils is discussed, and the future directions for TMEM106 research in NDs are briefly summarized.","PeriodicalId":93251,"journal":{"name":"Ageing and neurodegenerative diseases","volume":"167 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74218973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Ageing and neurodegenerative diseases
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