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RNP granules in ALS and neurodegeneration: From multifunctional membraneless organelles to therapeutic opportunities. ALS 和神经变性中的 RNP 颗粒:从多功能无膜细胞器到治疗机会。
Pub Date : 2024-01-01 Epub Date: 2024-05-14 DOI: 10.1016/bs.irn.2024.04.009
Tatyana A Shelkovnikova, Guillaume M Hautbergue

Amyotrophic lateral sclerosis (ALS) and related neurodegenerative diseases are characterised by dysfunction of a host of RNA-binding proteins (RBPs) and a severely disrupted RNA metabolism. Recently, RBP-harbouring phase-separated complexes, ribonucleoprotein (RNP) granules, have come into the limelight as "crucibles" of neuronal pathology in ALS. RNP granules are indispensable for the multitude of regulatory processes underlying cellular RNA metabolism and serve as critical organisers of cellular biochemistry. Neurons, highly specialised cells, heavily rely on RNP granules for efficient trafficking, signalling and stress responses. Multiple RNP granule components, primarily RBPs such as TDP-43 and FUS, are affected by ALS mutations. However, even in the absence of mutations, RBP proteinopathies represent pathophysiological hallmarks of ALS. Given the high local concentrations of RBPs and RNAs, their weakened or enhanced interactions within RNP granules disrupt their homeostasis. Thus, the physiological process of phase separation and RNP granule formation, vital for maintaining the high-functioning state of neuronal cells, becomes their Achilles heel. Here, we will review the recent literature on the causes and consequences of abnormal RNP granule functioning in ALS and related disorders. In particular, we will summarise the evidence for the network-level dysfunction of RNP granules in these conditions and discuss considerations for therapeutic interventions to target RBPs, RNP granules and their network as a whole.

肌萎缩性脊髓侧索硬化症(ALS)和相关神经退行性疾病的特征是大量 RNA 结合蛋白(RBPs)功能失调和 RNA 代谢严重紊乱。最近,与 RBP 相分离的复合物--核糖核蛋白(RNP)颗粒成为 ALS 神经元病理学的 "关键",备受关注。RNP 颗粒对于细胞 RNA 代谢的多种调节过程不可或缺,是细胞生物化学的关键组织者。神经元作为高度特化的细胞,在很大程度上依赖于 RNP 颗粒进行有效的转运、信号传递和应激反应。ALS 基因突变会影响多种 RNP 颗粒成分,主要是 TDP-43 和 FUS 等 RBPs。然而,即使没有突变,RBP 蛋白病也是 ALS 的病理生理特征。由于 RBPs 和 RNAs 的局部浓度很高,它们在 RNP 颗粒内的相互作用减弱或增强,破坏了它们的平衡。因此,对维持神经细胞高功能状态至关重要的相分离和 RNP 颗粒形成的生理过程就成了它们的致命弱点。在此,我们将回顾有关 ALS 及相关疾病中 RNP 颗粒功能异常的原因和后果的最新文献。特别是,我们将总结这些病症中 RNP 颗粒网络级功能障碍的证据,并讨论针对 RBPs、RNP 颗粒及其网络整体的治疗干预措施的考虑因素。
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引用次数: 0
Therapeutic potential of CBD in Autism Spectrum Disorder. CBD 对自闭症谱系障碍的治疗潜力。
Pub Date : 2024-01-01 Epub Date: 2024-06-29 DOI: 10.1016/bs.irn.2024.05.002
João F C Pedrazzi, Lucas Hassib, Frederico R Ferreira, Jaime C Hallak, Elaine Del-Bel, José A Crippa

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition characterized by persistent deficits in social communication and interaction, as well as restricted and repetitive patterns of behavior. Despite extensive research, effective pharmacological interventions for ASD remain limited. Cannabidiol (CBD), a non-psychotomimetic compound of the Cannabis sativa plant, has potential therapeutic effects on several neurological and psychiatric disorders. CBD interacts with the endocannabinoid system, a complex cell-signaling system that plays a crucial role in regulating various physiological processes, maintaining homeostasis, participating in social and behavioral processing, and neuronal development and maturation with great relevance to ASD. Furthermore, preliminary findings from clinical trials indicate that CBD may have a modulatory effect on specific ASD symptoms and comorbidities in humans. Interestingly, emerging evidence suggests that CBD may influence the gut microbiota, with implications for the bidirectional communication between the gut and the central nervous system. CBD is a safe drug with low induction of side effects. As it has a multi-target pharmacological profile, it becomes a candidate compound for treating the central symptoms and comorbidities of ASD.

自闭症谱系障碍(ASD)是一种神经发育疾病,其特点是在社会交流和互动方面存在持续性缺陷,以及行为模式受限和重复。尽管进行了广泛的研究,但针对 ASD 的有效药物干预仍然有限。大麻二酚(CBD)是大麻植物的一种非拟精神化合物,对多种神经和精神疾病具有潜在的治疗效果。大麻素与内源性大麻素系统相互作用,内源性大麻素系统是一个复杂的细胞信号系统,在调节各种生理过程、维持体内平衡、参与社会和行为处理、神经元发育和成熟等方面发挥着至关重要的作用,与 ASD 密切相关。此外,临床试验的初步结果表明,CBD 可能对人类的特定 ASD 症状和合并症具有调节作用。有趣的是,新出现的证据表明,CBD 可能会影响肠道微生物群,从而对肠道和中枢神经系统之间的双向交流产生影响。CBD 是一种安全的药物,副作用小。由于它具有多靶点药理特征,因此成为治疗 ASD 中枢症状和合并症的候选化合物。
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引用次数: 0
Designing and testing treatments for alcohol use disorder. 设计和测试酒精使用障碍的治疗方法。
Pub Date : 2024-01-01 Epub Date: 2024-03-08 DOI: 10.1016/bs.irn.2024.02.004
Katie Witkiewitz, Felicia R Tuchman

This chapter provides a succinct overview of several recommendations for the design and analysis of treatments for AUD with a specific focus on increasing rigor and generalizability of treatment studies in order to increase the reach of AUD treatment. We recommend that researchers always register their trials in a clinical trial registry and make the protocol accessible so that the trial can be replicated in future work, follow CONSORT reporting guidelines when reporting the results of the trial, carefully describe all inclusion and exclusion criteria as well as the randomization scheme, and always use an intent to treat design with attention to analysis of missing data. In addition, we recommend that researchers pay closer attention to recruitment and engagement strategies that increase enrollment and retention of historically marginalized and understudied populations, and we end with a plea for more consideration of implementation science approaches to increase the dissemination and implementation of AUD treatment in real-world settings.

本章简明扼要地概述了针对 AUD 治疗方法的设计和分析提出的若干建议,特别强调要提高治疗研究的严谨性和可推广性,以扩大 AUD 治疗的覆盖范围。我们建议研究人员始终在临床试验登记处登记试验,并公开试验方案,以便在今后的工作中复制试验;在报告试验结果时遵循 CONSORT 报告指南;仔细描述所有纳入和排除标准以及随机化方案;始终采用意向治疗设计,并注意分析缺失数据。此外,我们还建议研究人员更密切地关注招募和参与策略,以增加历史上被边缘化和研究不足人群的入组和保留,最后我们呼吁更多地考虑实施科学方法,以增加 AUD 治疗在现实世界环境中的传播和实施。
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引用次数: 0
Executive dysfunction and cognitive decline, a non-motor symptom of Parkinson's disease captured in animal models. 在动物模型中捕捉帕金森病的非运动症状--执行功能障碍和认知能力下降。
Pub Date : 2024-01-01 Epub Date: 2023-12-28 DOI: 10.1016/bs.irn.2023.12.001
Mahmoud M Iravani, Mohammed Shoaib

The non-motor symptoms of Parkinson's disease (PD) have gained increasing attention in recent years due to their significant impact on patients' quality of life. Among these non-motor symptoms, cognitive dysfunction has emerged as an area of particular interest where the clinical aspects are covered in Chapter 2 of this volume. This chapter explores the rationale for investigating the underlying neurobiology of cognitive dysfunction by utilising translational animal models of PD, from rodents to non-human primates. The objective of this chapter is to review the various animal models of cognition that have explored the dysfunction in animal models of Parkinson's disease. Some of the more advanced pharmacological studies aimed at restoring these cognitive deficits are reviewed, although this chapter highlights the lack of systematic approaches in dealing with this non-motor symptom at the pre-clinical stages.

近年来,帕金森病(PD)的非运动症状因其对患者生活质量的重大影响而日益受到关注。在这些非运动症状中,认知功能障碍已成为一个特别受关注的领域,其临床方面的内容将在本卷的第 2 章中介绍。本章探讨了利用从啮齿动物到非人灵长类动物的帕金森病转化动物模型研究认知功能障碍潜在神经生物学的理由。本章的目的是回顾探索帕金森病动物模型认知功能障碍的各种认知动物模型。本章还回顾了一些旨在恢复这些认知障碍的更先进的药理学研究,尽管本章强调了在临床前阶段缺乏处理这种非运动症状的系统性方法。
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引用次数: 0
Macro and micro-sleep dysfunctions as translational biomarkers for Parkinson's disease. 作为帕金森病转化生物标志物的宏观和微观睡眠功能障碍。
Pub Date : 2024-01-01 Epub Date: 2023-12-01 DOI: 10.1016/bs.irn.2023.08.008
Marcelo M S Lima, Adriano D S Targa, Gustavo Z Dos Santos Lima, Clarissa F Cavarsan, Pablo Torterolo

Sleep disturbances are highly prevalent among patients with Parkinson's disease (PD) and often appear from the early-phase disease or prodromal stages. In this chapter, we will discuss the current evidence addressing the links between sleep dysfunctions in PD, focusing most closely on those data from animal and mathematical/computational models, as well as in human-based studies that explore the electrophysiological and molecular mechanisms by which PD and sleep may be intertwined, whether as predictors or consequences of the disease. It is possible to clearly state that leucine-rich repeat kinase 2 gene (LRRK2) is significantly related to alterations in sleep architecture, particularly affecting rapid eye movement (REM) sleep and non-REM sleep, thus impacting sleep quality. Also, decreases in gamma power, observed after dopaminergic lesions, correlates negatively with the degree of injury, which brings other levels of understanding the impacts of the disease. Besides, abnormal synchronized oscillations among basal ganglia nuclei can be detrimental for information processing considering both motor and sleep-related processes. Altogether, despite clear advances in the field, it is still difficult to definitely establish a comprehensive understanding of causality among all the sleep dysfunctions with the disease itself. Although, certainly, the search for biomarkers is helping in shortening this road towards a better and faster diagnosis, as well as looking for more efficient treatments.

睡眠障碍在帕金森病(PD)患者中非常普遍,通常在疾病早期或前驱阶段就会出现。在本章中,我们将讨论目前有关帕金森病睡眠功能障碍之间联系的证据,重点关注来自动物和数学/计算模型的数据,以及基于人类的研究,这些研究探讨了帕金森病和睡眠之间相互交织的电生理和分子机制,无论是作为疾病的预测因素还是后果。可以明确指出的是,富亮氨酸重复激酶 2 基因(LRRK2)与睡眠结构的改变密切相关,尤其会影响快速眼动(REM)睡眠和非快速眼动睡眠,从而影响睡眠质量。此外,多巴胺能病变后观察到的伽玛功率下降与损伤程度呈负相关,这为了解疾病的影响提供了其他层面的信息。此外,考虑到运动和睡眠相关过程,基底神经节核团之间的异常同步振荡可能对信息处理不利。总之,尽管该领域取得了明显的进展,但要全面了解所有睡眠功能障碍与疾病本身之间的因果关系仍然十分困难。当然,寻找生物标志物有助于缩短这一过程,从而更好、更快地进行诊断,并寻找更有效的治疗方法。
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引用次数: 0
Animal models for studying therapeutic targets and treatments for alcohol use disorder. 研究酒精使用障碍治疗目标和治疗方法的动物模型。
Pub Date : 2024-01-01 Epub Date: 2024-10-24 DOI: 10.1016/bs.irn.2024.08.004
Cristiane Aparecida Favoretto, Thamires Righi, Gustavo Juliate Damaceno Fernandes, Natalia Bonetti Bertagna, Ben Tagami Rodolpho, Nilma do Rocio Lara de Lima Janisset, Caio Jovita-Farias, Giovanna Victória Lopes Costa, Alexia Dos Anjos-Santos, Fernando Bezerra Romualdo da Silva, Rodrigo Molini Leão, Fábio Cardoso Cruz

Over the decades, preclinical models have been developed and refined to investigate the rewarding effects of addictive substances and the neurobiological underpinnings of alcohol and other drug use disorders. This chapter delves into the methodological foundations, advantages, and limitations of leading animal models used to study alcohol use disorders (AUDs). Some models focus on the early stages of alcohol use and abuse. For instance, conditioned place preference assesses associative learning between a specific context and the effects of the drug, while locomotor sensitization measures increased locomotor activity following repeated drug exposure. In contrast, contingent models such as operant and non-operant alcohol self-administration protocols gauge voluntary intake, preference, motivation, and seeking behavior for alcohol solutions among experimental subjects. Additionally, we discuss the chronic intermittent alcohol vapor model, extensively utilized to induce a phenotype resembling dependence through non-contingent inhalation of alcohol vapor, resulting in elevated blood alcohol concentrations. Given the focus on pharmacological treatments for AUDs, we explore how different animal models can be employed to evaluate potential therapies and extrapolate findings to alcohol-related behaviors in humans. This chapter aims to provide readers with a comprehensive understanding of various animal models for AUDs, aiding in the interpretation of preclinical studies and the selection of suitable models for future research endeavors.

几十年来,临床前模型不断发展和完善,以研究成瘾物质的奖赏效应以及酒精和其他药物使用障碍的神经生物学基础。本章将深入探讨用于研究酒精使用障碍(AUDs)的主要动物模型的方法论基础、优势和局限性。有些模型侧重于酒精使用和滥用的早期阶段。例如,条件性地点偏好评估特定情境与药物作用之间的联想学习,而运动敏感化则测量反复接触药物后运动活动的增加。相反,或然模型(如操作性和非操作性酒精自我给药方案)则评估实验对象对酒精溶液的自愿摄入、偏好、动机和寻求行为。此外,我们还讨论了慢性间歇性酒精蒸气模型,该模型被广泛用于通过非偶然吸入酒精蒸气诱导类似依赖的表型,从而导致血液中酒精浓度升高。鉴于对 AUD 药物治疗的关注,我们探讨了如何利用不同的动物模型来评估潜在的疗法,并将研究结果推广到人类与酒精相关的行为中。本章旨在让读者全面了解治疗 AUDs 的各种动物模型,帮助解释临床前研究,并为未来的研究工作选择合适的模型。
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引用次数: 0
Neuroanatomy of the nociceptive system: From nociceptors to brain networks. 痛觉系统的神经解剖学:从痛觉感受器到大脑网络。
Pub Date : 2024-01-01 Epub Date: 2024-11-04 DOI: 10.1016/bs.irn.2024.10.008
Julian C Motzkin, Allan I Basbaum, Andrew J Crowther

This chapter reviews the neuroanatomy of the nociceptive system and its functional organization. We describe three main compartments of the nervous system that underlie normal nociception and the resulting pain percept: Peripheral, Spinal Cord, and Brain. We focus on how ascending nociceptive processing streams traverse these anatomical compartments, culminating in the multidimensional experience of pain. We also describe neuropathic pain conditions, in which nociceptive processing is abnormal, not only because of the primary effects of a lesion or disease affecting peripheral nerves or the central nervous system (CNS), but also due to secondary effects on ascending pathways and brain networks. We discuss how the anatomical components (circuits/networks) reorganize under various etiologies of neuropathic pain and how these changes can give rise to pathological pain states.

本章回顾了痛觉系统的神经解剖学及其功能组织。我们描述了神经系统的三个主要部分,它们是正常痛觉和由此产生的痛觉的基础:外周、脊髓和大脑。我们将重点关注升序痛觉处理流如何穿越这些解剖分区,最终形成多维度的疼痛体验。我们还描述了神经病理性疼痛的情况,在这种情况下,痛觉处理会出现异常,这不仅是由于影响周围神经或中枢神经系统(CNS)的病变或疾病的主要影响,还由于对上升通路和大脑网络的次要影响。我们将讨论在神经病理性疼痛的各种病因下,解剖学成分(回路/网络)是如何重组的,以及这些变化是如何导致病理性疼痛状态的。
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引用次数: 0
From use of omics to systems biology: Identifying therapeutic targets for amyotrophic lateral sclerosis. 从使用 omics 到系统生物学:确定肌萎缩性脊髓侧索硬化症的治疗目标。
Pub Date : 2024-01-01 Epub Date: 2024-05-22 DOI: 10.1016/bs.irn.2024.02.001
Lydia Castelli, Rosario Vasta, Scott P Allen, Rachel Waller, Adriano Chiò, Bryan J Traynor, Janine Kirby

Amyotrophic lateral sclerosis (ALS) is a heterogeneous progressive neurodegenerative disorder with available treatments such as riluzole and edaravone extending survival by an average of 3-6 months. The lack of highly effective, widely available therapies reflects the complexity of ALS. Omics technologies, including genomics, transcriptomic and proteomics have contributed to the identification of biological pathways dysregulated and targeted by therapeutic strategies in preclinical and clinical trials. Integrating clinical, environmental and neuroimaging information with omics data and applying a systems biology approach can further improve our understanding of the disease with the potential to stratify patients and provide more personalised medicine. This chapter will review the omics technologies that contribute to a systems biology approach and how these components have assisted in identifying therapeutic targets. Current strategies, including the use of genetic screening and biosampling in clinical trials, as well as the future application of additional technological advances, will also be discussed.

肌萎缩性脊髓侧索硬化症(ALS)是一种异质性进行性神经退行性疾病,利鲁唑和依达拉奉等现有疗法可将患者的生存期平均延长 3-6 个月。缺乏高效、广泛可用的疗法反映了 ALS 的复杂性。包括基因组学、转录组学和蛋白质组学在内的 Omics 技术有助于确定临床前和临床试验中治疗策略所针对的失调生物通路。将临床、环境和神经影像学信息与全局组学数据相结合,并应用系统生物学方法,可以进一步提高我们对该疾病的认识,从而有可能对患者进行分层,并提供更加个性化的医疗服务。本章将回顾有助于采用系统生物学方法的 omics 技术,以及这些组成部分如何帮助确定治疗目标。本章还将讨论当前的策略,包括在临床试验中使用基因筛选和生物取样,以及未来应用其他先进技术的情况。
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引用次数: 0
New developments in pre-clinical models of ALS to guide translation. 肌萎缩性脊髓侧索硬化症临床前模型的新进展,为转化提供指导。
Pub Date : 2024-01-01 Epub Date: 2024-04-23 DOI: 10.1016/bs.irn.2024.04.008
Lenja De Cock, Valérie Bercier, Ludo Van Den Bosch

Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disorder in which selective death of motor neurons leads to muscle weakness and paralysis. Most research has focused on understanding and treating monogenic familial forms, most frequently caused by mutations in SOD1, FUS, TARDBP and C9orf72, although ALS is mostly sporadic and without a clear genetic cause. Rodent models have been developed to study monogenic ALS, but despite numerous pre-clinical studies and clinical trials, few disease-modifying therapies are available. ALS is a heterogeneous disease with complex underlying mechanisms where several genes and molecular pathways appear to play a role. One reason for the high failure rate of clinical translation from the current models could be oversimplification in pre-clinical studies. Here, we review advances in pre-clinical models to better capture the heterogeneous nature of ALS and discuss the value of novel model systems to guide translation and aid in the development of precision medicine.

肌萎缩侧索硬化症(ALS)是一种进行性神经退行性疾病,运动神经元的选择性死亡会导致肌肉无力和瘫痪。大多数研究都集中在了解和治疗单基因家族病,这种病最常见的病因是 SOD1、FUS、TARDBP 和 C9orf72 的突变,但 ALS 大多是散发性的,没有明确的遗传原因。目前已开发出啮齿类动物模型来研究单基因渐进性脊髓侧索硬化症,但尽管进行了大量临床前研究和临床试验,却鲜有可改变病情的疗法。肌萎缩性脊髓侧索硬化症是一种具有复杂潜在机制的异质性疾病,多个基因和分子通路似乎都在其中发挥作用。现有模型临床转化失败率高的原因之一可能是临床前研究过于简化。在此,我们回顾了临床前模型的进展,以更好地捕捉 ALS 的异质性,并讨论了新型模型系统在指导转化和帮助开发精准医疗方面的价值。
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引用次数: 0
The role of glial cells in amyotrophic lateral sclerosis. 神经胶质细胞在肌萎缩性脊髓侧索硬化症中的作用。
Pub Date : 2024-01-01 Epub Date: 2024-05-20 DOI: 10.1016/bs.irn.2024.04.005
Virenkumar A Pandya, Rickie Patani

Amyotrophic lateral sclerosis (ALS) has traditionally been considered a neuron-centric disease. This view is now outdated, with increasing recognition of cell autonomous and non-cell autonomous contributions of central and peripheral nervous system glia to ALS pathomechanisms. With glial research rapidly accelerating, we comprehensively interrogate the roles of astrocytes, microglia, oligodendrocytes, ependymal cells, Schwann cells and satellite glia in nervous system physiology and ALS-associated pathology. Moreover, we highlight the inter-glial, glial-neuronal and inter-system polylogue which constitutes the healthy nervous system and destabilises in disease. We also propose classification based on function for complex glial reactive phenotypes and discuss the pre-requisite for integrative modelling to advance translation. Given the paucity of life-enhancing therapies currently available for ALS patients, we discuss the promising potential of harnessing glia in driving ALS therapeutic discovery.

肌萎缩性脊髓侧索硬化症(ALS)历来被认为是一种以神经元为中心的疾病。随着人们越来越认识到中枢和周围神经系统胶质细胞对 ALS 发病机制的细胞自主和非细胞自主作用,这种观点现已过时。随着神经胶质研究的迅速发展,我们全面探讨了星形胶质细胞、小胶质细胞、少突胶质细胞、上皮细胞、许旺细胞和卫星胶质细胞在神经系统生理学和 ALS 相关病理学中的作用。此外,我们还强调了神经胶质细胞间、神经胶质细胞-神经元间和系统间的多序列,它们构成了健康的神经系统,并在疾病中失去稳定性。我们还针对复杂的神经胶质反应表型提出了基于功能的分类,并讨论了建立综合模型以推进转化的前提条件。鉴于目前可用于 ALS 患者的提高生活质量的疗法很少,我们讨论了利用神经胶质推动 ALS 治疗发现的巨大潜力。
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引用次数: 0
期刊
International review of neurobiology
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