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Genetically engineered pig models of neurological diseases 神经系统疾病的基因工程猪模型
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.13
Caijuan Li, Jun Li, L. Lai, Shihua Li, Sen Yan
Genetically modified animal models are commonly used for in vivo studies of human diseases. Mice are the most common animal models used in biomedical research, which have provided important insights into disease pathogenesis and are widely used to find treatments for diseases. However, due to the differences in the anatomical structure and physiological function between human and mouse brains, most genetically modified mouse models cannot fully recapitulate the overt and selective neuronal loss seen in age-dependent neurodegeneration diseases. While non-human primates (NHP) are closer to humans and have been used to model human disease, these models are difficult to be utilized at a large scale due to various limitations including their high costs, prolonged breeding time, community concerns for use of NHP, and high ethical standards. As an important animal resource in agriculture, pigs are also used as animal models in biomedical research. The central nervous system of pigs is highly similar to that of humans, making pig models suitable for investigating neurological diseases. The relatively short breeding period, large litter size, and established somatic cell transfer technology are advantages over NHP for using pigs to model human diseases. The recent development of gene editing tools allows one to more efficiently generate pig models that can precisely mimic genetic mutations in neurological diseases. In this review, we summarize recent advances in the use of pigs for modeling human neurological diseases, including new approaches for generating genetically modified pig models.
转基因动物模型通常用于人类疾病的体内研究。小鼠是生物医学研究中最常用的动物模型,它提供了对疾病发病机制的重要见解,并被广泛用于寻找疾病的治疗方法。然而,由于人类和小鼠大脑的解剖结构和生理功能的差异,大多数转基因小鼠模型不能完全再现年龄依赖性神经退行性疾病中明显和选择性的神经元损失。虽然非人灵长类动物(NHP)与人类更接近,并已被用于模拟人类疾病,但由于各种限制,包括成本高、繁殖时间长、社区对NHP使用的担忧以及道德标准高,这些模型难以大规模使用。猪作为一种重要的农业动物资源,也被用作生物医学研究的动物模型。猪的中枢神经系统与人类高度相似,这使得猪模型适合研究神经系统疾病。相对于NHP,相对较短的繁殖周期、较大的产仔量和已建立的体细胞转移技术是利用猪来模拟人类疾病的优势。基因编辑工具的最新发展使人们能够更有效地生成能够精确模拟神经系统疾病基因突变的猪模型。在这篇综述中,我们总结了利用猪来模拟人类神经系统疾病的最新进展,包括产生转基因猪模型的新方法。
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引用次数: 2
Tau-targeting therapy in Alzheimer’s disease: critical advances and future opportunities tau靶向治疗阿尔茨海默病:关键进展和未来机遇
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.16
Yi-Bo Guo, Song Li, Ling-Hui Zeng, Jun Tan
Alzheimer’s disease (AD) is a progressive neurodegenerative disorder characterized by two pathological hallmark lesions: extracellular plaques composed of β-amyloid (Aβ) peptide and intracellular neurofibrillary tangles made up of highly phosphorylated tau protein. Over the past two decades, most disease-modifying therapies against AD have been developed mainly on the basis of the amyloid cascade hypothesis with a focus on Aβ. However, these agents yielded only limited benefits against disease progression, which prompts us to revitalize the long-neglected tau hypothesis. Tau protein is a microtubule-associated protein, which can stabilize microtubules, regulate microtubule assembly, and affect the morphology and growth of neuronal axons. Much more importantly, the degree of tau pathology is more closely related to cognitive decline in AD patients than that of Aβ pathology. Therefore, tau-targeting therapy seems to be a promising approach to combat AD. This review describes the research progress of tau-targeting therapy in AD, with an emphasis on immunotherapy. The current challenges and future perspectives in this field are also discussed.
阿尔茨海默病(AD)是一种进行性神经退行性疾病,以两种病理特征病变为特征:由β-淀粉样蛋白(a β)肽组成的细胞外斑块和由高度磷酸化的tau蛋白组成的细胞内神经原纤维缠结。在过去的二十年中,大多数针对AD的疾病改善疗法主要是基于淀粉样蛋白级联假说,重点是a β。然而,这些药物对疾病进展的益处有限,这促使我们重新审视长期被忽视的tau假说。Tau蛋白是一种微管相关蛋白,可以稳定微管,调节微管组装,影响神经元轴突的形态和生长。更重要的是,与Aβ病理相比,tau病理程度与AD患者认知能力下降的关系更为密切。因此,tau靶向治疗似乎是一种很有前途的治疗AD的方法。本文综述了tau靶向治疗阿尔茨海默病的研究进展,重点介绍了免疫治疗。讨论了该领域目前面临的挑战和未来的展望。
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引用次数: 6
Oxidative stress-mediated inflammation promotes the pathogenesis of amyotrophic lateral sclerosis 氧化应激介导的炎症促进肌萎缩性侧索硬化的发病机制
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.26
S. Appel
Neuroinflammation in amyotrophic lateral sclerosis (ALS) is characterized by activation of monocytes/macrophages and T lymphocytes in the periphery and microglia and astrocytes within the central nervous system. This review emphasizes the role of oxidative stress in promoting systemic inflammation and the early stages of neurodegeneration. Motor axon terminals of ALS patients have significantly increased intraluminal calcium and dysfunctional mitochondria, increasing the formation of lipid peroxides and ferroptosis programmed cell death. Serum lipid peroxides and acute phase proteins are elevated, and regulatory T lymphocytes (Tregs) are dysfunctional, impairing immune-mediated neuroprotection. Macrophages are pro-inflammatory; the expression of genes involved in inflammation is increased in peripheral monocytes/macrophages of ALS patients. Suppressing these multiple components of inflammation is an important therapeutic goal and provides an opportunity to interrupt the self-propagating cytotoxic cycle. Two clinical trials with autologous infusions of ex vivo expanded Tregs have been safe and well tolerated, with promising clinical results associated with suppression of pro-inflammatory lipid peroxides.
肌萎缩侧索硬化症(ALS)的神经炎症以外周单核/巨噬细胞和T淋巴细胞以及中枢神经系统的小胶质细胞和星形胶质细胞的激活为特征。这篇综述强调了氧化应激在促进全身性炎症和早期神经变性中的作用。肌萎缩侧索硬化症患者的运动轴突终末明显增加腔内钙和线粒体功能障碍,增加脂质过氧化物的形成和铁质凋亡程序性细胞死亡。血清脂质过氧化物和急性期蛋白升高,调节性T淋巴细胞(Tregs)功能失调,损害免疫介导的神经保护。巨噬细胞是促炎细胞;ALS患者外周血单核/巨噬细胞中与炎症相关的基因表达增加。抑制这些炎症的多种成分是一个重要的治疗目标,并提供了一个机会来中断自我繁殖的细胞毒性循环。两项自体输注体外扩增Tregs的临床试验安全且耐受性良好,具有抑制促炎脂质过氧化物的良好临床结果。
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引用次数: 2
Rat models of major neurodegenerative disorders 主要神经退行性疾病大鼠模型
Pub Date : 2022-01-01 DOI: 10.20517/and.2022.19
A. Novati, Elisabeth Singer-Mikosch, L. Yu-Taeger, E. Clemensson, H. Nguyen
No single animal model can recapitulate all the features of a particular human disease on its own. Historically, rats have been used to study neurobiology and underlying functional networks. Likewise, rat models have been created to study neurodegenerative mechanisms and therapeutic interventions. In the last decades, a shift towards the use of mice has been observed in many research fields, not least because of the comparatively easier genetic manipulation of mice. However, with the full sequence of the rat genome being available, advances in genetic manipulation of the rat, and advanced test regimens and biomarkers at hand, the rat presents itself once more as a valuable model organism for studying neurodegenerative disorders. This review provides an overview of currently available, well-characterized rat models of Alzheimer’s disease, Parkinson’s disease, and Huntington’s disease, as well as their advantages for studying neurodegenerative disorders and evaluating therapeutic interventions.
没有一个单一的动物模型可以概括一种特定人类疾病的所有特征。历史上,老鼠一直被用来研究神经生物学和潜在的功能网络。同样,已经创建了大鼠模型来研究神经退行性机制和治疗干预。在过去的几十年里,在许多研究领域已经观察到转向使用老鼠,尤其是因为老鼠的基因操作相对容易。然而,随着大鼠基因组的完整序列的可用,大鼠基因操作的进步,以及先进的测试方案和生物标志物的出现,大鼠再次成为研究神经退行性疾病的有价值的模型生物。本文综述了目前可用的、具有良好特征的阿尔茨海默病、帕金森病和亨廷顿病大鼠模型,以及它们在研究神经退行性疾病和评估治疗干预方面的优势。
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引用次数: 2
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
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
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
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
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Ageing and neurodegenerative diseases
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