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Neurological complications of COVID-19 and SARS-CoV-2 vaccination: an update COVID-19和SARS-CoV-2疫苗接种的神经系统并发症:最新进展
Pub Date : 2023-01-01 DOI: 10.20517/and.2022.29
Huan-yu Meng, Qinming Zhou, Sheng Chen
The respiratory infectious disease COVID-19, which emerged in 2019, has affected the world population over a brief period. In 2020, the disease was declared a pandemic by the World Health Organization. Although most COVID-19 patients primarily develop respiratory symptoms, neurological symptoms have been observed. Neurological symptoms are usually mild and non-specific. However, some patients could experience life-threatening neurological symptoms. With the increase in the incidence of COVID-19, the disease spectrum of patients with central and peripheral nervous system involvement has expanded significantly compared to the previous period. Lack of awareness has caused delays in diagnosis and treatment; therefore, updating the disease spectrum of neurological complications of COVID-19 is necessary. After COVID-19 claimed millions of lives, researchers found that some vaccines may induce autoimmune inflammatory responses in the nervous system via molecular mimicry, leading to SARS-CoV-2 vaccine-related neurological deficits. These neurological complications are often ignored by clinicians, delaying diagnosis and treatment; it is essential to study cases of vaccine-associated neurological complications. Therefore, we summarize the neurological complications of COVID-19 and nervous system adverse reactions caused by SARS-CoV-2 vaccines to help clinicians and public health service personnel understand these rare complications. Avoiding delays in diagnosis and treatment would ensure the safety of COVID-19 patients and SARS-CoV-2 vaccine recipients.
2019年出现的呼吸道传染病COVID-19在短时间内影响了世界人口。2020年,世界卫生组织宣布该疾病为大流行。虽然大多数COVID-19患者主要出现呼吸道症状,但也观察到神经系统症状。神经症状通常是轻微的和非特异性的。然而,一些患者可能会出现危及生命的神经系统症状。随着COVID-19发病率的增加,累及中枢和周围神经系统的患者的疾病谱较前期明显扩大。缺乏认识造成了诊断和治疗的延误;因此,有必要更新COVID-19神经系统并发症的疾病谱。在COVID-19夺去了数百万人的生命后,研究人员发现,一些疫苗可能通过分子模拟在神经系统中诱导自身免疫炎症反应,导致与SARS-CoV-2疫苗相关的神经系统缺陷。这些神经系统并发症往往被临床医生忽视,延误了诊断和治疗;研究疫苗相关的神经系统并发症病例至关重要。因此,我们总结COVID-19的神经系统并发症和SARS-CoV-2疫苗引起的神经系统不良反应,以帮助临床医生和公共卫生服务人员了解这些罕见的并发症。避免延误诊断和治疗将确保COVID-19患者和SARS-CoV-2疫苗接种者的安全。
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引用次数: 0
Pathogen infection in Alzheimer’s disease: pathophysiology and therapeutic strategies 阿尔茨海默病的病原体感染:病理生理学和治疗策略
Pub Date : 2023-01-01 DOI: 10.20517/and.2022.32
Min Xiong, Honglu Yu, Ye Tian, Lanxia Meng, Zhentao Zhang
Alzheimer’s disease (AD) is the most common neurodegenerative disease, which is characterized by the deposition of senile plaques composed of amyloid-β (Aβ) and neurofibrillary tangles (NFTs) composed of hyperphosphorylated tau. Currently, the underlying cellular and molecular mechanisms of AD are still unclear. Growing evidence suggests that pathogen infections prominently promote the development of AD pathology. In this article, we reviewed the effect of multiple infectious pathogens that contribute to AD pathogenesis. Pathogens such as bacteria, viruses, and fungi are detected in the brains of AD patients and are known to be able to promote the development of AD pathology, including Aβ deposition and the formation of tau tangles. Here, we summarized the infectious pathogen-associated mechanisms of AD and provided new insight into the anti-infection remedy for AD.
阿尔茨海默病(AD)是最常见的神经退行性疾病,其特征是由淀粉样蛋白-β (Aβ)组成的老年斑沉积和由过度磷酸化的tau组成的神经原纤维缠结(nft)。目前,AD的潜在细胞和分子机制尚不清楚。越来越多的证据表明,病原体感染显著地促进了AD病理的发展。在本文中,我们综述了多种感染性病原体在AD发病机制中的作用。在AD患者的大脑中检测到细菌、病毒和真菌等病原体,已知它们能够促进AD病理的发展,包括Aβ沉积和tau缠结的形成。本文综述了AD的感染性病原体相关机制,并为AD的抗感染治疗提供了新的思路。
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引用次数: 0
The role of domain alterations in F1Fo-ATPase dysfunction associated to neurodegenerative diseases 结构域改变在与神经退行性疾病相关的f1fo - atp酶功能障碍中的作用
Pub Date : 2023-01-01 DOI: 10.20517/and.2022.28
Miaomiao Zhou, Yuwan Lin, Zhiling Zhang, Yuting Tang, Wenlong Zhang, Hanqun Liu, Guoyou Peng, Jiewen Qiu, Wenyuan Guo, Xiang Chen, P. Xu
Mitochondrial dysfunction can lead to degeneration in the central nervous system. F1Fo-ATPase catalyzes most of the intracellular ATP synthesis which plays an essential role in cellular energy supply. The dimerized assembly of F1Fo-ATPase underlies the rotational catalytic function and regulates the mechanisms of oxidative phosphorylation. F1Fo-ATPase dysfunction is involved in a variety of neurological diseases, including epilepsy, Alzheimer's disease, and Parkinson’s disease. Dysregulated expression, activity, and localization of F1Fo-ATPase subunits and the interactions with pathogenic proteins result in decreased F1Fo-ATPase activity and ATP production, and aggravated oxidative stress.
线粒体功能障碍可导致中枢神经系统退化。f1fo -ATP酶催化细胞内大部分ATP合成,在细胞能量供应中起着至关重要的作用。f1fo - atp酶的二聚体组装具有旋转催化功能,并调节氧化磷酸化的机制。f1fo - atp酶功能障碍与多种神经系统疾病有关,包括癫痫、阿尔茨海默病和帕金森病。f1fo -ATP酶亚基的表达、活性和定位失调以及与致病蛋白的相互作用导致f1fo -ATP酶活性和ATP生成降低,并加重氧化应激。
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引用次数: 1
Repurposing multiples sclerosis disease-modifying drugs for Parkinson's disease 重新利用多发性硬化症治疗帕金森病的药物
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.08
Tingyu Cao, Qiang Liu, Xiaodong Zhu
Parkinson’s disease (PD) is an age-related neurodegenerative disease mainly affecting the elderly population. Despite recent progresses in pharmacologic therapies and surgical interventions such as deep brain stimulation, current PD therapies are limited to relieving disease symptoms rather than stopping disease progression, highlighting an urgent yet unmet need for disease-modifying interventions. Neuroinflammation has been proposed as a pivotal contributing factor that drives the initiation and progression of PD pathology. Owing to the revolution in disease-modifying drugs (DMDs) that successfully change the course of multiple sclerosis (MS), a central nervous system inflammatory autoimmune disease, it has become tempting to repurpose MS DMDs as new treatment options for PD. This review summarizes the ongoing and completed studies of MS DMDs in PD as a potential opportunity to address this unmet need. Future clinical trials are warranted to further evaluate the efficacy of DMDs in patients with PD.
帕金森病(PD)是一种主要影响老年人的与年龄相关的神经退行性疾病。尽管最近在药物治疗和手术干预(如深部脑刺激)方面取得了进展,但目前的PD治疗仅限于缓解疾病症状,而不是阻止疾病进展,这凸显了对疾病改善干预的迫切需求。神经炎症已被认为是驱动PD病理发生和发展的关键因素。由于疾病修饰药物(dmd)的革命成功地改变了多发性硬化症(MS)的病程,这是一种中枢神经系统炎症性自身免疫性疾病,将MS dmd作为PD的新治疗选择变得很有吸引力。这篇综述总结了正在进行的和已经完成的PD中MS dmd的研究,作为解决这一未满足需求的潜在机会。未来的临床试验需要进一步评估dmd对PD患者的疗效。
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引用次数: 0
Identification of PLA2G6 variants in a Chinese patient with Parkinson's disease 中国帕金森病患者PLA2G6变异的鉴定
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.06
Xinyue Deng, Wen Zheng, Yan Yang, Zhijian Yang, Huan Li, Zhi Song, Jiangang Wang, H. Deng, L. Yuan
Parkinson’s disease (PD) is a clinical syndrome and a heterogeneous group of neurodegenerative conditions with variable pathologies and clinical sub-entities, characterized by motor symptoms and non-motor features. PD represents an outcome of the combination of genes and other risk or protective factors. Patients with variants in the phospholipase A2 group VI gene (PLA2G6) can present complex Parkinsonian phenotypes. This study reported a PD patient with typical motor symptoms of PD, including bradykinesia, gait disturbance, rigidity, and rest tremor, who also suffered from nocturia, constipation, and sleeping problems. Two PLA2G6 variants, c.402C>T and c.2327_2328del, were identified in the patient by whole exome sequencing followed by Sanger sequencing. The transition c.402C>T was predicted to generate an alternative acceptor splice site, though the minigene splicing assay showed negative in vitro outcomes. The novel variant c.2327_2328del was predicted to result in a truncated protein. These two variants may be pathogenic in PD or increase the susceptibility to PD individually or collaboratively. This discovery may enrich the genetic landscape of PLA2G6-associated PD and confirm the notion of prioritizing whole exome sequencing analysis in patients with PD.
帕金森病(PD)是一种临床综合征,是一组异质性的神经退行性疾病,具有不同的病理和临床亚实体,以运动症状和非运动特征为特征。帕金森病是基因和其他危险因素或保护因素共同作用的结果。磷脂酶A2组VI基因(PLA2G6)变异的患者可呈现复杂的帕金森表型。本研究报告了1例PD患者的典型运动症状,包括运动迟缓、步态障碍、僵直和静止性震颤,同时伴有夜尿症、便秘和睡眠问题。通过全外显子组测序和Sanger测序,在患者中鉴定出两个PLA2G6变体c.402C>T和c.2327_2328del。预计c.402C>T的转变会产生另一个受体剪接位点,尽管minigene剪接实验显示体外结果为阴性。新变异c.2327_2328del预计会导致一个截断的蛋白质。这两种变异可能在PD中致病,或单独或共同增加PD的易感性。这一发现可能丰富了pla2g6相关PD的遗传图谱,并证实了优先考虑PD患者全外显子组测序分析的概念。
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引用次数: 0
The role of the tubular endoplasmic reticulum in the axonal degeneration associated with neurodegenerative disorders 小管内质网在神经退行性疾病相关轴突变性中的作用
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.12
Panpan Wang, Murad Al-Nusaif, Weidong Le
Neurodegenerative disorders represent a group of aging-related diseases affecting the different parts of the central nervous system. Axonal degeneration is among the leading causes of morbidity and disease progression in Alzheimer's disease (AD), Parkinson's disease (PD), amyotrophic lateral sclerosis (ALS), and other neurogenerative disorders. The unique structures of axons may make them particularly vulnerable to internal homeostasis. The axonal endoplasmic reticulum (ER) has emerged as one of the most important hallmarks in those neurodegenerative disorders associated with dysfunction of axonal transport, lipid synthesis, calcium dynamics, and interactions with other organelles. In this review, we summarize the role of tubular ER and its resident proteins in axonal degeneration, which emerges as an early pathological event in the axonal degeneration process. We also discuss the potential relationship between autophagy and tubular ER. With this review, we can consolidate the recent research advances in the role of tubular ER in axonal degeneration associated with several major neurodegenerative disorders and improve our understanding of axon pathophysiology and potential target therapies.
神经退行性疾病是一组影响中枢神经系统不同部分的与年龄有关的疾病。轴突变性是阿尔茨海默病(AD)、帕金森病(PD)、肌萎缩侧索硬化症(ALS)和其他神经变性疾病发病和疾病进展的主要原因之一。轴突的独特结构可能使它们特别容易受到内部稳态的影响。轴突内质网(ER)已成为与轴突运输、脂质合成、钙动力学和与其他细胞器相互作用功能障碍相关的神经退行性疾病的最重要标志之一。在这篇综述中,我们总结了管状内质网及其驻留蛋白在轴突变性中的作用,轴突变性是轴突变性过程中的早期病理事件。我们还讨论了自噬与小管内质网之间的潜在关系。通过这篇综述,我们可以巩固最近关于管状内质网在几种主要神经退行性疾病相关的轴突变性中的作用的研究进展,并提高我们对轴突病理生理和潜在靶向治疗的认识。
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引用次数: 0
A new Perspective on Parkinson's disease: exploring the involvement of intestine and vagus lysates in α-synucleinopathy propagation 帕金森病的新视角:探讨肠道和迷走神经裂解物在α-突触核蛋白病传播中的作用
Pub Date : 2023-01-01 DOI: 10.20517/and.2023.07
R. Ullah, V. Dawson, T. Dawson
In Parkinson's disease (PD), the accumulation of misfolded α-synuclein (α-syn) in the brain is a major characteristic of the pathology. α-Syn formation and aggregation may originate in the enteric nervous system and pathologic α-syn can be transmitted to the central nervous system via the vagus nerve. In this commentary, we summarize the findings of Yang et al.[1] in which they report on the ability of a Parkinson’s disease patient's intestinal and vagus lysates containing pathologic α-syn to template endogenous rat α-syn culminating in the spread of pathologic α-syn, deposition of pathologic α-syn, and neuroinflammation in different brain regions and neurodegeneration of dopamine neurons. These observations are discussed with other studies supporting the significance of the gastrointestinal system in PD pathogenesis and future directions of research are highlighted.
在帕金森病(PD)中,错误折叠的α-突触核蛋白(α-syn)在大脑中的积累是该疾病的一个主要病理特征。α-Syn的形成和聚集可能起源于肠神经系统,病理性α-Syn可通过迷走神经传递到中枢神经系统。在这篇评论中,我们总结了Yang等人[1]的研究结果,他们报道了帕金森病患者含有病理性α-syn的肠道和迷走神经溶解物能够模版内源性大鼠α-syn,最终导致病理性α-syn的扩散、病理性α-syn的沉积、不同脑区神经炎症和多巴胺神经元的神经变性。这些观察结果与其他支持胃肠系统在PD发病机制中的重要性的研究进行了讨论,并强调了未来的研究方向。
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引用次数: 0
Electroneurography abnormality in Parkinson’s disease: a potential biomarker to help diagnosis 帕金森氏病的神经电图异常:帮助诊断的潜在生物标志物
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.04
Yiying Hu
Parkinson’s disease (PD) is a common neurodegenerative disease, pathologically characterized by the progressive degeneration of dopaminergic neurons in the substantia nigra. Although various biomarkers and imaging criteria for PD have been established, objective and reliable evaluation methods are still lacking. Electroneurography, as an objective measurement of evoked compound muscle action potentials, is used to assess the integrity of the peripheral nerve and is important in the diagnosis and differential diagnosis of PD with neuromuscular injury. Moreover, it provides references for the evaluation and quantification of the motor function in PD. Here, we summarize recent advances in clinical research of electroneurography in PD, including the peripheral nerve conduction velocity, needle electromyography, surface electromyography, and motion unit number estimation. The potential values of electroneurography in PD diagnosis are also involved.
帕金森病(PD)是一种常见的神经退行性疾病,病理特征为黑质多巴胺能神经元进行性变性。虽然已经建立了各种PD的生物标志物和影像学标准,但仍然缺乏客观可靠的评估方法。神经电图作为诱发复合肌动作电位的一种客观测量方法,用于评估周围神经的完整性,在PD合并神经肌肉损伤的诊断和鉴别诊断中具有重要意义。为帕金森病运动功能的评价和量化提供参考。本文综述了近年来PD的神经电图临床研究进展,包括周围神经传导速度、针肌电图、表面肌电图和运动单位数估计。神经电图在帕金森病诊断中的潜在价值也被提及。
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引用次数: 0
One-year self-reported neurological sequelae in older COVID-19 survivors 老年COVID-19幸存者自我报告的一年神经系统后遗症
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.10
Li Jiang, Xiao-yu Liu, Xiao-Qin Yan, Yu-Hui Liu, Yan-Jiang Wang, Ying Yang, Ling-Ru Wang
Aim: With the increasing number of patients recovered from COVID-19, the long-term health consequences of this disease have attracted much attention. Neurological complications are commonly seen in the acute phase of COVID-19, especially in older adults. This study aimed to investigate the long-term neurological sequelae in older COVID-19 survivors. Methods: A total of 1438 COVID-19 survivors were recruited in this study. One year after hospital discharge, information about self-reported symptoms of the central and peripheral nervous system was collected. Comparisons of these neurological symptoms between COVID-19 survivors with severe and nonsevere cases were performed. Results: A total of 139 (53.46%) COVID-19 survivors with severe cases and 328 (27.84%) survivors with nonsevere cases reported at least one neurological symptom one year after discharge. Most of these neurological symptoms were symptoms of the central nervous system. Specifically, 126 (48.46%) survivors with severe cases and 306 (25.98%) survivors with nonsevere cases reported at least one CNS symptom. The most frequently reported symptoms were memory deficit [234 (16.27%)] and attention deficit [80 (5.56%)]. Disease severity was associated with increased risks of long-term neurological sequelae of COVID-19. Conclusion: This study demonstrated that neurological sequelae of COVID-19 are common one year after patient discharge, suggesting that the effects of COVID-19 on the neurological system are prolonged.
目的:随着COVID-19患者康复人数的增加,该疾病的长期健康后果引起了人们的广泛关注。神经系统并发症常见于COVID-19急性期,尤其是老年人。本研究旨在调查老年COVID-19幸存者的长期神经系统后遗症。方法:本研究共招募1438名COVID-19幸存者。出院一年后,收集患者自我报告的中枢和周围神经系统症状信息。对重症和非重症COVID-19幸存者之间的这些神经症状进行了比较。结果:重症患者139例(53.46%),非重症患者328例(27.84%)出院后1年出现至少1种神经系统症状。这些神经症状大多是中枢神经系统的症状。具体来说,126例(48.46%)重症幸存者和306例(25.98%)非重症幸存者报告了至少一种中枢神经系统症状。最常见的症状是记忆缺陷[234例(16.27%)]和注意力缺陷[80例(5.56%)]。疾病严重程度与COVID-19长期神经系统后遗症的风险增加相关。结论:本研究显示COVID-19神经系统后遗症在患者出院1年后较为常见,提示COVID-19对神经系统的影响是延长的。
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引用次数: 2
Selective expression of neurodegenerative diseases-related mutant p150Glued in midbrain dopaminergic neurons causes progressive degeneration of nigrostriatal pathway. 神经退行性疾病相关突变体p150glue在中脑多巴胺能神经元中的选择性表达导致黑质纹状体通路进行性变性。
Pub Date : 2022-01-01 Epub Date: 2022-04-27 DOI: 10.20517/and.2022.07
Jia Yu, Carmelo Sgobio, Xuan Yang, Yu Peng, Xi Chen, Lixin Sun, Hoon Shim, Huaibin Cai

Aim: Missense mutations of dynactin subunit p150Glued have been associated with multiple neurodegenerative diseases, including Perry syndrome, characterized by inherited parkinsonism, depression, weight loss, and hypoventilation. The current study investigated how the pathogenic mutant p150Glued affects the integrity and function of the nigrostriatal dopaminergic (DA) pathway in vivo.

Methods: Using a tetracycline-controlled transcriptional regulation system, transgenic mouse models were generated with selective overexpression of wild-type, motor neuron disease-related G59S mutant, or Perry syndrome-related G71R mutant human p150Glued in midbrain DA neurons. A series of behavioral, neuropathological, neurochemical, electrochemical, and biochemical studies were performed on the mice to examine and compare the pathogenic impact of the two mutant p150Glued on the survival and function of midbrain DA neurons.

Results: Compared with non-transgenic control mice, transgenic mice overexpressing wild-type human p150Glued showed neither motor phenotypes nor pathological, functional, or biochemical abnormalities of the nigrostriatal DA pathway. Transgenic mice overexpressing G59S mutant p150Glued displayed weight loss, motor deficits, early-onset defects in dopamine transmission, and early-onset loss of DA neurons and axons. Transgenic mice overexpressing G71R p150Glued mutant exhibited hyperactivities, impaired motor coordination, early-onset dysfunction of dopamine uptake, and late-onset loss of DA neurons and axons. In addition, overexpression of either G59S or G71R mutant p150Glued in midbrain DA neurons preferentially downregulated the expression of dopamine transporter at dopaminergic axon terminals. Furthermore, G59S mutant p150Glued rather than G71R mutant p150Glued formed aggregates in midbrain DA neurons in vivo, and the aggregates trapped dynein/dynactin, co-localized with lysosomes, and upregulated ubiquitination.

Conclusion: These findings demonstrate that selective expression of either G59S or G71R mutant p150Glued in mouse midbrain DA neurons leads to progressive degeneration of the nigrostriatal DA pathway and indicate that G59S and G71R mutant p150Glued exhibit differential pathogenic impact on the survival and function of midbrain DA neurons in vivo.

目的:dynactin亚基p150glue的错义突变与多种神经退行性疾病有关,包括以遗传性帕金森病、抑郁症、体重减轻和通气不足为特征的Perry综合征。本研究旨在研究致病性突变体p150glue如何在体内影响黑质纹状体多巴胺能(DA)通路的完整性和功能。方法:采用四环素控制的转录调控系统,在中脑DA神经元中选择性过表达野生型、运动神经元疾病相关的G59S突变体或Perry综合征相关的G71R突变体人p150glut,建立转基因小鼠模型。我们对小鼠进行了一系列行为学、神经病理学、神经化学、电化学和生化研究,以检验和比较两种突变体p150glue对中脑DA神经元存活和功能的致病影响。结果:与非转基因对照小鼠相比,过表达野生型人p150glue的转基因小鼠既没有出现运动表型,也没有出现黑质纹状体DA通路的病理、功能和生化异常。过表达G59S突变体p150glue的转基因小鼠表现出体重减轻、运动缺陷、早发性多巴胺传递缺陷、早发性DA神经元和轴突缺失。过表达G71R p150glue突变体的转基因小鼠表现出多动症、运动协调性受损、早发性多巴胺摄取功能障碍和晚发性DA神经元和轴突缺失。此外,G59S或G71R突变体p150glue在中脑DA神经元中的过表达可优先下调多巴胺能轴突末端多巴胺转运体的表达。此外,G59S突变体p150glue比G71R突变体p150glue在体内中脑DA神经元中形成聚集体,聚集体捕获动力蛋白/动力蛋白,与溶酶体共定位,并上调泛素化。结论:G59S或G71R突变体p150glue在小鼠中脑DA神经元中的选择性表达可导致黑质纹状体DA通路进行性变性,表明G59S和G71R突变体p150glue在体内对中脑DA神经元的存活和功能有不同的致病影响。
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引用次数: 0
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Ageing and neurodegenerative diseases
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