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Caffeine, chocolate, and adenosine antagonism in Parkinson’s disease 咖啡因、巧克力和腺苷对帕金森病的拮抗作用
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.24
H. Reichmann
Parkinson’s disease (PD) is the second most common neurodegenerative disorder. It is generally accepted that dopamine replacement therapy substantially improves motor symptoms; however, there is a worldwide tendency to include nutrients in treatment strategies. In the present review, caffeine and chocolate are discussed. Caffeine use seems to postpone the occurrence of PD in men, and perhaps also in women who do not take postmenopausal hormone replacement therapy. There are contradictory data concerning possible caffeine-induced improvements in PD symptoms. Given that the basic action of caffeine is the antagonism of adenosine receptors, adenosine antagonists may be a new option for treating PD patients. Furthermore, PD patients tend to have increased chocolate consumption; this may be causally related to ingredients such as phenylethylamine. Thus, nutrients such as caffeine and chocolate may play an important role in postponing and/or improving symptoms in PD.
帕金森病(PD)是第二常见的神经退行性疾病。人们普遍认为多巴胺替代疗法可显著改善运动症状;然而,世界范围内的趋势是将营养物纳入治疗策略。在本综述中,讨论了咖啡因和巧克力。咖啡因的使用似乎可以延缓男性帕金森病的发生,或许也适用于未接受绝经后激素替代疗法的女性。关于咖啡因可能引起的PD症状改善,有相互矛盾的数据。鉴于咖啡因的基本作用是腺苷受体的拮抗作用,腺苷拮抗剂可能是治疗PD患者的新选择。此外,PD患者倾向于增加巧克力的摄入量;这可能与苯乙胺等成分有因果关系。因此,咖啡因和巧克力等营养物质可能在延缓和/或改善PD症状方面发挥重要作用。
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引用次数: 0
Exploring the causal relationship between dietary macronutrients and neurodegenerative diseases: a bi-directional two-sample Mendelian randomization study 探索饮食宏量营养素与神经退行性疾病之间的因果关系:一项双向双样本孟德尔随机研究
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.12
Tao Wei, Zheng Guo, Zhibin Wang, Xingang Li, Yulu Zheng, Haifeng Hou, Yi Tang
Aim: The associations between dietary macronutrient intake and neurodegenerative diseases (NDDs) have been widely reported; however, the causal effect remains unclear. The current study aimed to estimate the causal relationship between dietary macronutrient intake (i.e., carbohydrate, fat, and protein) and NDDs [e.g., Alzheimer’s disease (AD), Parkinson’s disease (PD), and amyotrophic lateral sclerosis (ALS)]. Methods: Mendelian randomization (MR) was applied to evaluate the causal relationship between dietary macronutrient intake and NDDs. We used the single-nucleotide polymorphisms strongly associated (P < 5 × 10-8) with the exposures from the genome-wide association studies as instrumental variables. Inverse-variance weighted, MR-Egger, weighted median, and the MR pleiotropy residual sum and outlier were used to verify the MR assumptions. Results: Genetically predicted higher carbohydrate intake was associated with an increased risk of ALS [odds ratio (OR), 2.741, 95% confidence interval (CI): 1.419-5.293, P = 0.003). Vulnerability to PD was negatively associated with the relative intake of fat (OR, 0.976, 95%CI: 0.959-0.994, P = 0.012) and protein (OR, 0.987, 95%CI: 0.975-1.000, P = 0.042). The study also identified the causal influence of AD on dietary carbohydrate intake (OR, 1.022, 95%CI: 1.011-1.034, P = 0.001). Conclusion: We found solid evidence supporting the idea that a higher carbohydrate proportion causally increases ALS risk. Genetically predicted higher AD risk is causally associated with increased dietary carbohydrate intake. Vulnerability to PD may have a causal relationship with a decrease in the dietary intake of protein and fat.
目的:膳食宏量营养素摄入与神经退行性疾病(ndd)之间的关系已被广泛报道;然而,因果关系尚不清楚。本研究旨在评估饮食常量营养素摄入(即碳水化合物、脂肪和蛋白质)与ndd(如阿尔茨海默病(AD)、帕金森病(PD)和肌萎缩侧索硬化症(ALS))之间的因果关系。方法:采用孟德尔随机化(MR)方法评价膳食宏量营养素摄入量与ndd之间的因果关系。我们将单核苷酸多态性与全基因组关联研究中的暴露高度相关(P < 5 × 10-8)作为工具变量。使用反方差加权、MR- egger、加权中位数以及MR多效性残差和异常值来验证MR假设。结果:基因预测较高的碳水化合物摄入量与ALS风险增加相关[优势比(OR), 2.741, 95%可信区间(CI): 1.419-5.293, P = 0.003]。PD易感性与脂肪(OR, 0.976, 95%CI: 0.959-0.994, P = 0.012)和蛋白质(OR, 0.987, 95%CI: 0.975-1.000, P = 0.042)的相对摄入量呈负相关。该研究还确定了AD对饮食碳水化合物摄入量的因果影响(OR, 1.022, 95%CI: 1.011-1.034, P = 0.001)。结论:我们发现了确凿的证据支持高碳水化合物比例会增加ALS风险的观点。基因预测较高的AD风险与饮食中碳水化合物摄入量的增加有因果关系。PD易感性可能与饮食中蛋白质和脂肪摄入量的减少有因果关系。
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引用次数: 1
Influence of sleep disruption on protein accumulation in neurodegenerative diseases 睡眠中断对神经退行性疾病中蛋白质积累的影响
Pub Date : 2022-01-01 DOI: 10.20517/and.2021.10
Xiying Wang, Rui Wang, Jiada Li
Abnormal accumulation of disease proteins in the central nervous system is a neuropathological feature in neurodegenerative disorders. Recently, a growing body of evidence has supported a role of disruption of the sleep-wake cycle in disease development, pathological changes and abnormal protein accumulation in neurodegenerative diseases, especially in Alzheimer’s disease and Parkinson’s disease. Sleep deprivation promotes abnormal accumulation of disease proteins. Interestingly, amyloid-β (Aβ) has daily oscillations in human cerebral spinal fluid (CSF) and is cleared more in sleep. Both circadian genes and circadian hormones are associated with disease protein deposition. Recently, the glymphatic pathway and meningeal lymphatics have been shown to play a critical role in Aβ clearance, which is mediated by the aquaporin (AQP-4) water channel on astrocytes. The rate of the clearance of Aβ by the glymphatic pathway is different during the sleep/wake cycle. Most importantly, circadian rhythms facilitate glymphatic clearance of solutes and Aβ in the CSF and interstitial fluid in an AQP-4-dependent manner, which further provides evidence for the involvement of circadian rhythms in disease protein clearance.
疾病蛋白在中枢神经系统的异常积聚是神经退行性疾病的一种神经病理特征。最近,越来越多的证据支持睡眠-觉醒周期的中断在神经退行性疾病,特别是阿尔茨海默病和帕金森病的疾病发展、病理变化和异常蛋白质积累中的作用。睡眠不足会促进疾病蛋白的异常积累。有趣的是,淀粉样蛋白-β (Aβ)在人脑脊液(CSF)中每天都有振荡,并且在睡眠中被清除得更多。昼夜节律基因和昼夜节律激素都与疾病蛋白沉积有关。最近,淋巴通路和脑膜淋巴管已被证明在星形胶质细胞上的水通道AQP-4介导的a β清除中起关键作用。在睡眠/清醒周期中,淋巴通路对Aβ的清除率是不同的。最重要的是,昼夜节律以aqp -4依赖的方式促进脑脊液和间质液中溶质和Aβ的淋巴清除,这进一步为昼夜节律参与疾病蛋白清除提供了证据。
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引用次数: 4
Ferroptotic cells augment T-cell activation and neuroinflammation 嗜铁细胞增强t细胞活化和神经炎症
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.17
Ying Xue, F. Lu, Weimin Wang
Since ferroptosis, a form of cell death characterized by aberrant lipid peroxidation, was proposed 10 years ago, its interaction with the immune system has been revealed gradually. On the one hand, immune cell-secreted cytokines are able to increase or suppress ferroptosis sensitivities of other cell types, such as tumor cells and fibroblasts. On the other hand, ferroptotic cell-released factors have the capacity to modulate the functions of neighboring immune cells, including dendritic cells, macrophages, and T cells. Identifying these immunomodulatory molecules generated during ferroptosis paves the way for developing novel immunotherapy strategies for treating cancer and autoimmune diseases.
铁下垂是一种以异常脂质过氧化为特征的细胞死亡形式,自从10年前被提出以来,它与免疫系统的相互作用逐渐被揭示出来。一方面,免疫细胞分泌的细胞因子能够增加或抑制其他细胞类型,如肿瘤细胞和成纤维细胞对铁下垂的敏感性。另一方面,嗜铁细胞释放因子具有调节邻近免疫细胞功能的能力,包括树突状细胞、巨噬细胞和T细胞。鉴定铁下垂过程中产生的这些免疫调节分子为开发治疗癌症和自身免疫性疾病的新免疫治疗策略铺平了道路。
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引用次数: 1
Modeling neurodegenerative diseases using non-human primates: advances and challenges 用非人类灵长类动物模拟神经退行性疾病:进展和挑战
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.14
Bang Li, Dansha He, Xiao-Jiang Li, Xiangrong Guo
Neurodegenerative diseases (NDs), such as Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), and amyotrophic lateral sclerosis (ALS), are pathologically characterized by progressive loss of selective populations of neurons in the affected brain regions and clinically manifested by cognitive, motor, and psychological dysfunctions. Since aging is the major risk factor for NDs and the elderly population is expected to expand considerably in the coming decades, the prevalence of NDs will significantly increase, leading to a greater medical burden to society and affected families. Despite extensive research on NDs, no effective therapy is available for NDs, largely due to a lack of complete understanding of the pathogenesis of NDs. Although research on small animal and rodent models has provided tremendous knowledge of molecular mechanisms of disease pathogenesis, few translational successes have been reported in clinical trials. In particular, most genetically modified rodent models are unable to recapitulate striking and overt neurodegeneration seen in the patient brains. Non-human primates (NHPs) are the most relevant laboratory animals to humans, and recent studies using NHP neurodegeneration models have uncovered important pathological features of NDs. Here, we review the unique features of NHPs for modeling NDs and new insights into AD, PD, and ALS gained from animal models, highlight the contribution of gene editing techniques to establishing NHP models, and discuss the challenges of investigating NHP models.
神经退行性疾病(NDs),如阿尔茨海默病(AD)、帕金森病(PD)、亨廷顿病(HD)和肌萎缩侧索硬化症(ALS),其病理特征是受影响脑区域选择性神经元群的进行性丧失,临床表现为认知、运动和心理功能障碍。由于老龄化是NDs的主要危险因素,预计未来几十年老年人口将大幅增加,NDs的患病率将显著增加,从而给社会和受影响家庭带来更大的医疗负担。尽管对非传染性疾病进行了广泛的研究,但由于对非传染性疾病的发病机制缺乏全面的了解,目前尚无有效的治疗方法。尽管对小动物和啮齿动物模型的研究提供了大量关于疾病发病机制的分子机制,但在临床试验中很少有转化成功的报道。特别是,大多数转基因啮齿动物模型无法重现患者大脑中明显的神经变性。非人灵长类动物(NHP)是与人类最相关的实验动物,最近使用NHP神经变性模型的研究揭示了NDs的重要病理特征。在这里,我们回顾了NHPs在NDs建模中的独特特征,以及从动物模型中获得的对AD、PD和ALS的新见解,强调了基因编辑技术对建立NHP模型的贡献,并讨论了研究NHP模型的挑战。
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引用次数: 5
Review of evidence implicating the plasminogen activator system in blood-brain barrier dysfunction associated with Alzheimer's disease. 纤溶酶原激活剂系统与阿尔茨海默病相关血脑屏障功能障碍相关的证据综述。
Pub Date : 2022-01-01 Epub Date: 2022-01-29 DOI: 10.20517/and.2022.05
Mei-Yun Tang, Fredric A Gorin, Pamela J Lein

Elucidating the pathogenic mechanisms of Alzheimer's disease (AD) to identify therapeutic targets has been the focus of many decades of research. While deposition of extracellular amyloid-beta plaques and intraneuronal neurofibrillary tangles of hyperphosphorylated tau have historically been the two characteristic hallmarks of AD pathology, therapeutic strategies targeting these proteinopathies have not been successful in the clinics. Neuroinflammation has been gaining more attention as a therapeutic target because increasing evidence implicates neuroinflammation as a key factor in the early onset of AD disease progression. The peripheral immune response has emerged as an important contributor to the chronic neuroinflammation associated with AD pathophysiology. In this context, the plasminogen activator system (PAS), also referred to as the vasculature's fibrinolytic system, is emerging as a potential factor in AD pathogenesis. Evolving evidence suggests that the PAS plays a role in linking chronic peripheral inflammatory conditions to neuroinflammation in the brain. While the PAS is better known for its peripheral functions, components of the PAS are expressed in the brain and have been demonstrated to alter neuroinflammation and blood-brain barrier (BBB) permeation. Here, we review plasmin-dependent and -independent mechanisms by which the PAS modulates the BBB in AD pathogenesis and discuss therapeutic implications of these observations.

阐明阿尔茨海默病(AD)的致病机制以确定治疗靶点一直是几十年来研究的焦点。虽然细胞外淀粉样斑块的沉积和过度磷酸化tau的神经元内神经原纤维缠结历来是阿尔茨海默病病理的两个特征,但针对这些蛋白质病变的治疗策略在临床上并不成功。神经炎症作为一种治疗靶点越来越受到关注,因为越来越多的证据表明神经炎症是阿尔茨海默病早期发病进展的关键因素。外周免疫反应已成为AD病理生理学相关的慢性神经炎症的重要贡献者。在这种情况下,纤溶酶原激活剂系统(PAS),也被称为脉管系统的纤溶系统,正在成为AD发病的一个潜在因素。不断发展的证据表明,PAS在将慢性外周炎症与大脑神经炎症联系起来方面发挥着作用。虽然PAS以其外周功能而闻名,但PAS的成分在大脑中表达,并已被证明可以改变神经炎症和血脑屏障(BBB)渗透。在这里,我们回顾了纤溶蛋白依赖和独立的机制,通过PAS调节血脑屏障在AD的发病机制,并讨论了这些观察结果的治疗意义。
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引用次数: 5
Chronic intracerebroventricular administration is a reliable method in brain studies on monkeys 慢性脑室内给药是一种可靠的猴子脑研究方法
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.02
Lin-Heng Zhang, Hong‐Yi Yang, Jing Wu, Yun Wu, Luwan Wang, Haiyang Tong, Jin Zhang, Wenchao Wang, Rongyao Huang, Jiang-Lei Xu, Jing Su, Xun-Ran Luo, Yong Yin, Shi-Hao Wu, Xinyong Hu
Intracerebroventricular (ICV) administration through cannulas is a direct way to deliver large molecules and substances that are blocked by the blood-brain barrier into the central nervous system (CNS). It is widely used in brain studies on monkeys. However, this method is invasive, as it requires guide cannulas to be implanted into the brain. Whether the long-term implantation of the cannula and the administration of molecule-delivering vehicles, usually saline, can affect the brain by inducing chronic CNS inflammation or even worse brain atrophy, remains an issue to be solved. To answer this question, we investigated inflammatory markers and brain structures on three vehicle-control monkeys who received cannula implantation and one-year ICV saline administration in another study. During the experiment, the monkeys’ cerebrospinal fluid (CSF) samples were collected periodically, and the level of three classic inflammatory markers (IL-1β, IL-6, and TNF-α) were measured by electrochemiluminescence immunoassay. The monkeys’ brain structures were imaged in vivo periodically by 9.4 Tesla magnetic resonance imaging, which can provide the best-resolution magnetic resonance images of living monkeys, and the volume of the hippocampus was measured to evaluate the brain atrophy. The data reveal that, during the administrating period, the long-term levels of the inflammatory markers in the CSF and the volumes of the hippocampus did not change significantly compared with the baseline. These results suggest that the long-term ICV administration of saline through cannulas did not induce chronic neuroinflammation or brain atrophy in these rhesus monkeys, suggesting chronic ICV administration via implanted cannulas is a reliable method in monkey brain research.
脑室内(ICV)给药是将被血脑屏障阻断的大分子和物质直接输送到中枢神经系统(CNS)的一种方法。它被广泛用于猴子的大脑研究。然而,这种方法是侵入性的,因为它需要在大脑中植入引导管。长期植入导管和给予分子递送载体(通常是生理盐水)是否会通过诱导慢性中枢神经系统炎症甚至更严重的脑萎缩来影响大脑,这仍然是一个有待解决的问题。为了回答这个问题,在另一项研究中,我们研究了3只接受插管植入和1年ICV生理盐水治疗的对照组猴子的炎症标志物和大脑结构。实验期间,定期采集猕猴脑脊液(CSF)标本,采用电化学发光免疫法检测3种经典炎症标志物(IL-1β、IL-6、TNF-α)水平。采用9.4特斯拉(Tesla)磁共振成像定期对活体猴子进行脑结构成像,该成像可提供活体猴子最高分辨率的磁共振图像,并测量海马体积以评估脑萎缩情况。数据显示,在给药期间,脑脊液中炎症标志物的长期水平和海马体积与基线相比没有显著变化。这些结果表明,长期通过插管给药生理盐水不会引起恒河猴的慢性神经炎症或脑萎缩,提示通过植入插管给药慢性ICV是一种可靠的猴子脑研究方法。
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引用次数: 0
A sequential deposition of amyloid beta oligomers, plaques and phosphorylated tau occurs throughout life in the canine retina 淀粉样蛋白低聚物、斑块和磷酸化tau蛋白的连续沉积贯穿犬视网膜的整个生命
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.06
U. Habiba, J. Morley, M. Krockenberger, B. Summers, M. Tayebi
Aims: Cerebral amyloid burdens may be found in otherwise cognitively intact adults, often not showing worsening deficits with passing years. Alzheimer’s transgenic rodents have been widely used to investigate this phenomenon, but a spontaneous disorder in other animals, such as dogs that cohabit with humans and thus may have some shared environmental risks, may contribute and offer opportunities not possible in the smaller laboratory animals. In animals, the spontaneous disorder most comparable to Alzheimer’s disease (AD) affects mature to aged dogs and is designated canine cognitive dysfunction. Motivated by AD, many studies have revealed that amyloid progressively accumulates in the canine central nervous system, including the retina. Here, we investigated whether deposits of amyloid and/or tau can be found in the canine retina of neurologically normal animals from the first year of life to the elderly. Suppose canine ocular amyloid and tau are present from early life. In that case, that raises the question of whether similar patterns of accumulation occur in man, whether as part of aging, AD, or other. Methods: This study used eye tissues from 30 dogs with a variety of ophthalmic or other orbital disorders, of which 7/30 were 1-2 years old. Tissues were subdivided into dogs of three different age groups: young (1-5 years old), middle (6-10 years old), and old (≥ 11 years old). Results: Following immunostaining of tissue sections with nanobodies against retinal Aβ1-40 and Aβ1-42 oligomers, and antibodies against Aβ plaques (Aβp) and hyperphosphorylated Tau (p-Tau), our investigations revealed that accumulation of Aβ1-40 and Aβ1-42 oligomers were widespread in the retina in all age groups. In contrast, Aβp were detected in the middle and old age groups but not in the young age group. Furthermore, p-Tau staining was observed in four old dogs only, while other dogs were p-Tau free. Interestingly, both Aβo and Aβp co-localized in the middle and old age groups of dogs. Moreover, diffuse granular p-Tau co-localized with intracellular Aβo in the old age group. Finally, we also observed co-localization of Aβo and Aβp in the retinal vasculature which might be similar to cerebral amyloid angiopathy associated with AD. Conclusion: As far as we know, the presence of amyloid and tau in the canine retina is hitherto unreported. If similar, early-in-life subclinical retinal deposits occur in a human cohort perhaps identified by AD genetic risk factors, following this group may offer the prospect of preclinical therapeutic intervention in imminent dementia, a strategy recognized as likely necessary to impact this burgeoning disorder.
目的:大脑淀粉样蛋白负担可在其他认知完整的成年人中发现,通常不会随着年龄的增长而恶化。阿尔茨海默氏症转基因啮齿动物已被广泛用于研究这一现象,但其他动物(如与人类同居的狗,因此可能有一些共同的环境风险)的自发疾病可能有助于并提供在较小的实验室动物中不可能实现的机会。在动物中,与阿尔茨海默病(AD)最相似的自发性疾病影响成熟到老年的狗,被称为犬类认知功能障碍。在阿尔茨海默病的推动下,许多研究表明淀粉样蛋白在犬的中枢神经系统中逐渐积累,包括视网膜。在这里,我们研究了淀粉样蛋白和/或tau沉积是否可以在从一岁到老年的神经正常动物的犬视网膜中发现。假设犬眼淀粉样蛋白和tau蛋白从幼年就存在。在这种情况下,这就提出了一个问题,即类似的积累模式是否也会发生在人类身上,无论是作为衰老、阿尔茨海默病还是其他原因的一部分。方法:本研究使用30只患有各种眼病或其他眼窝疾病的狗的眼组织,其中7/30为1-2岁。组织被细分为三个不同年龄组:幼犬(1-5岁)、中犬(6-10岁)和老年犬(≥11岁)。结果:用抗视网膜Aβ1-40和Aβ1-42低聚物的纳米体以及抗Aβ斑块(Aβp)和过度磷酸化Tau (p-Tau)的抗体对组织切片进行免疫染色后,我们的研究发现,Aβ1-40和Aβ1-42低聚物的积累在所有年龄组的视网膜中都很普遍。相比之下,Aβp在中老年组中检测到,而在年轻组中未检测到。此外,仅在4只老年犬中观察到p-Tau染色,而其他犬则不含p-Tau。有趣的是,Aβo和Aβp在中老年犬群中都有共定位。此外,弥漫性颗粒状p-Tau与细胞内Aβo共定位。最后,我们还观察到Aβo和Aβp在视网膜血管中的共定位,这可能与AD相关的脑淀粉样血管病相似。结论:据我们所知,犬视网膜中淀粉样蛋白和tau蛋白的存在至今未见报道。如果类似的,早期亚临床视网膜沉积发生在可能由AD遗传风险因素确定的人类队列中,那么跟踪这一组可能为即将发生的痴呆提供临床前治疗干预的前景,这一策略被认为可能是影响这种新兴疾病的必要策略。
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引用次数: 1
Recent developments in understanding brain aging: sex differences, mechanisms, and implications in diseases 理解脑老化的最新进展:性别差异、机制及其对疾病的影响
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.03
Jing Yang, Jing Qu, Huan Ma
Exemplified by the disproportionate cases of Alzheimer’s disease among women, many diseases show considerable sexual disparity in the aging process. Given that such a sex bias varies significantly in different neurological conditions, considering sex differences is necessary for the diagnosis as well as the treatment of neurological disorders. However, currently, relatively few studies have specifically focused on sex differences in brain aging or the general aging process, which has prevented the development of precision medicine for these sex-different diseases. Here, we summarize age-related disparities relating to cognitive function and dysfunction for males and females from human cross-sectional and longitudinal studies. By discussing potential anatomical and physiological bases underlying such differences, we highlight the importance of sex for aging studies in this review, which may hopefully shed light on understanding the precise causes of different brain diseases.
妇女患阿尔茨海默病的比例过高就是一个例子,许多疾病在衰老过程中表现出相当大的性别差异。鉴于这种性别偏见在不同的神经系统疾病中差异很大,考虑性别差异对于神经系统疾病的诊断和治疗是必要的。然而,目前,专门针对大脑衰老中的性别差异或一般衰老过程的研究相对较少,这阻碍了针对这些性别差异疾病的精准医学的发展。在这里,我们从人类横断面和纵向研究中总结了与男性和女性认知功能和功能障碍相关的年龄差异。通过讨论这些差异背后潜在的解剖学和生理学基础,我们强调了性别在衰老研究中的重要性,这可能有助于理解不同脑部疾病的确切原因。
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引用次数: 2
A novel neuroprotective cholinesterase-monoamine oxidase inhibitor for treatment of dementia and depression in Parkinson’s disease 一种新型神经保护胆碱酯酶-单胺氧化酶抑制剂治疗帕金森病痴呆和抑郁
Pub Date : 2022-01-01 DOI: 10.20517/and.2021.09
Wei Liu, Yuqiang Wang, M. Youdim
The current novel therapeutic approach suggests that multi-targeted compounds, with diverse biological activities but a single set of bioavailability and pharmacokinetics, will be significantly more advantageous in the treatment of the complex pathology of Parkinson’s diseases (PD) than traditional therapies. This review introduces a novel cholinesterase (ChE)-monoamine oxidase (MAO) inhibitor, namely MT-031, which was designed by amalgamating the propargyl moiety of the irreversible selective MAO-B inhibitor and neuroprotective/neurorestorative anti-Parkinsonian drug, rasagiline, into the methylamino position of the ChE inhibitor anti-AD drug, rivastigmine. MT-031 possesses neuroprotective, cognition enhancing, anti-depressant, and anti-inflammatory properties both in vitro and in vivo. Altogether, these findings suggest that MT-031 may be a potential treatment for combating PD and associated dementia and depression.
目前新的治疗方法表明,具有多种生物活性但单一生物利用度和药代动力学的多靶点化合物在治疗帕金森病(PD)的复杂病理方面比传统治疗方法具有更大的优势。MT-031在体内和体外均具有神经保护、认知增强、抗抑郁和抗炎特性。总之,这些发现表明MT-031可能是对抗帕金森病和相关痴呆和抑郁症的潜在治疗方法。
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引用次数: 2
期刊
Ageing and neurodegenerative diseases
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