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From Classical to Emerging Biomarkers of Brain and Central Nervous System Tumors. An Evidence-Based Review with a Focus on Gliomas. 从经典到新兴的脑和中枢神经系统肿瘤生物标志物。以神经胶质瘤为重点的循证综述。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-24 DOI: 10.1007/s10571-025-01642-1
Miguel A Ortega, Oscar Fraile-Martinez, Diego Liviu Boaru, Diego De León-Oliva, Patricia De Castro-Martinez, Cielo Garcia-Montero, Beatriz García-González, Isabel Pérez-González, Majd N Michael Alhaddadin, Silvestra Barrena-Blázquez, Laura Lopez-Gonzalez, María Del Val Toledo-Lobo, Leonel Pekarek, Raúl Diaz Pedrero, Melchor Alvarez-Mon, David Cobo-Prieto, Miguel A Saez
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引用次数: 0
Explainable Hybrid Deep Learning Framework Integrating MobileNetV2, EfficientNetV2B0, and KNN for MRI-Based Brain Tumor Classification. 集成MobileNetV2、EfficientNetV2B0和KNN的可解释混合深度学习框架,用于基于mri的脑肿瘤分类。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-23 DOI: 10.1007/s10571-025-01660-z
Mohammed Jajere Adamu, Li Qiang, Charles Okanda Nyatega, Muhammad Fahad, Ayesha Younis, Adamu Halilu Jabire, Rabiu Sale Zakariyya, Halima Bello Kawuwa

Magnetic resonance imaging (MRI) is central to noninvasive brain tumor assessment, yet clinical uptake of artificial intelligence depends on both accuracy and transparency. This study presents a lightweight and interpretable hybrid framework that fuses features from two efficient convolutional backbones, MobileNetV2 and EfficientNetV2B0, using late fusion with global average pooling and vector concatenation. Classification is performed with a K‑Nearest Neighbors (KNN) head configured with k = 5, Euclidean distance, and distance‑based weighting. The dataset contains 7,023 MRI images drawn from Figshare, SARTAJ, and BR35H. Data were split with a 20% held‑out test set and a validation set equal to 20% of the remaining training pool, yielding 64%/16%/20% train/val/test. Four diagnostic categories were evaluated: Glioma, Meningioma, Pituitary, and Notumor. The confusion matrix shows a compact diagonal, and class‑wise precision, recall, and F1 are consistently high on the test set. A 5‑fold cross‑validation with normality assessment and paired significance testing supports robustness across folds. On the held‑out test set, class‑wise ROC-AUC was 1.00 for all four classes, and overall accuracy was 99.69%. Results should be interpreted in light of the unified dataset; external validation is warranted. Clinical interpretability is supported by class‑wise Grad‑CAM overlays and SHAP analyses, including waterfall plots that quantify individual feature contributions. These findings indicate that a dual‑backbone late‑fusion design coupled with a simple nonparametric classifier delivers strong, balanced performance while providing anatomically plausible case‑level insight into model decisions.

磁共振成像(MRI)是非侵入性脑肿瘤评估的核心,但人工智能的临床应用取决于准确性和透明度。本研究提出了一个轻量级且可解释的混合框架,该框架融合了两个高效卷积主干(MobileNetV2和EfficientNetV2B0)的特征,使用全局平均池化和向量拼接的后期融合。分类是用K = 5、欧氏距离和基于距离的加权配置的K近邻(KNN)头执行的。该数据集包含来自Figshare、SARTAJ和BR35H的7,023张MRI图像。数据被分割成一个20%保留的测试集和一个等于剩余训练池20%的验证集,产生64%/16%/20%训练/val/test。评估了四种诊断类别:胶质瘤、脑膜瘤、垂体瘤和非肿瘤。混淆矩阵显示了一个紧凑的对角线,类的精度、召回率和F1在测试集中一直很高。具有正态性评估和配对显著性检验的5倍交叉验证支持跨折叠的稳健性。在hold - out测试集中,所有四个类别的分类ROC-AUC为1.00,总体准确率为99.69%。结果应根据统一的数据集进行解释;外部验证是必要的。临床可解释性由分类级Grad - CAM叠加和SHAP分析支持,包括量化个体特征贡献的瀑布图。这些发现表明,双骨干后期融合设计与简单的非参数分类器相结合,可以提供强大、平衡的性能,同时为模型决策提供解剖学上合理的案例级洞察力。
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引用次数: 0
Association between Gastroesophageal Reflux and Sleep Disorder: A Systematic Review and Meta-analysis. 胃食管反流与睡眠障碍的关系:一项系统综述和荟萃分析
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-23 DOI: 10.1007/s10571-025-01663-w
Chao Ren, Jun-Jie Zou, Zhen Wang, Jia-Jia Yun, Ya-Lei Li, Yu Yang, Ze-Jiong Li, Meng-Yuan Shen

An association between gastroesophageal reflux disease (GERD) and sleep disorder has been reported. However, the magnitude of this association remains poorly understood. Therefore, we aimed to systematically evaluate this relationship. We conducted a comprehensive search for observational studies in eight databases from their inception to February 28, 2025. The characteristics of each study and pooled risk ratio (RR) with corresponding confidence intervals were calculated. Subgroup analyses were performed to explore sources of heterogeneity. A total of eighteen studies involving 110,417 participants met the inclusion criteria and were included in this meta-analysis. Our findings indicate a statistically significant unidirectional association between GERD and sleep disorder (RR = 2.02, 95% CI 1.71 to 2.37). Subgroup analyses consistently demonstrated an association between sleep disorder and GERD regardless of the diagnostic tools used for either condition (P = 0.32 for GERD diagnosis tools and P = 0.80 for sleep disorder diagnosis tools). Sensitivity analysis indicates that the conclusions are highly stable, and GRADEpro evaluation results have a low level of evidence. This meta-analysis reveals a significant correlation between sleep disorder and GERD. More studies under consistent conditions are needed to validate these findings.

胃食管反流病(GERD)与睡眠障碍之间的关联已被报道。然而,人们对这种关联的重要性仍然知之甚少。因此,我们旨在系统地评估这种关系。我们对8个数据库从建立到2025年2月28日的观察性研究进行了全面检索。计算各研究的特征和合并风险比(RR)及其相应的置信区间。进行亚组分析以探索异质性的来源。共有18项研究,涉及110,417名受试者符合纳入标准,并被纳入本荟萃分析。我们的研究结果表明,GERD与睡眠障碍之间存在统计学上显著的单向关联(RR = 2.02, 95% CI 1.71至2.37)。亚组分析一致表明,无论使用何种诊断工具,睡眠障碍和胃食管反流之间都存在关联(胃食管反流诊断工具的P = 0.32,睡眠障碍诊断工具的P = 0.80)。敏感性分析表明,结论具有较高的稳定性,GRADEpro评价结果的证据水平较低。这项荟萃分析揭示了睡眠障碍与胃反流之间的显著相关性。需要在一致的条件下进行更多的研究来验证这些发现。
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引用次数: 0
The Immuno-Glial Connectome in Alzheimer's Disease: Integrating Central and Peripheral Inflammatory Networks. 阿尔茨海默病的免疫-神经胶质连接组:整合中枢和外周炎症网络。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-22 DOI: 10.1007/s10571-026-01671-4
Prarthana Kalerammana Gopalakrishna, Che Mohd Nasril Che Mohd Nassir, Suruthisya Anandan, Farida Hussan, Krishna Chaitanya Reddy Dandala, Sreenivasulu Sura, Saravanan Jagadeesan, Mohamad Aris Mohd Moklas, Thirupathirao Vishnumukkala, Zaw Myo Hein
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引用次数: 0
FDCA Attenuates Neuronal Ferroptosis and Reduces Hemorrhagic Transformation After Ischemic Stroke with High Glucose. FDCA减轻高糖缺血性脑卒中后神经元铁下垂和减少出血转化。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1007/s10571-025-01664-9
Ruohan Fu, Luyang Xie, Xin Guan, Zhuangzhuang Liang, Qingsong Zhao, Zhangjian Huang, Qinfen Wu, Tao Pang

Hemorrhagic transformation (HT) is a common complication of ischemic stroke that significantly increases the rates of disability and mortality, which could be promoted by hyperglycemia as a risk factor for HT after stroke. Neuronal ferroptosis was implicated as a key contributor to neuronal death during the development of HT which currently has few effective therapies in clinic. The compound fasudil dichloroacetate (FDCA), synthesized with ROCK inhibitor fasudil (F) and PDK inhibitor dichloroacetate (DCA) was previously reported to exhibit neuroprotective effects in ischemic stroke, but whether FDCA could ameliorate HT post-stroke remains unknown. In this study, FDCA was synthesized by combining the Rho kinase inhibitor F with the PDK inhibitor DCA. Rats with acute hyperglycemia and ischemic stroke were divided into the control group, 10 mg/kg FDCA treatment group, 7.875 mg/kg F + 3.6 mg/kg DCA combination treatment group, and other relevant control groups. Our findings demonstrate that FDCA treatment significantly reduced the area of cerebral HT, HT scores, and hemoglobin content in rat brains, improved neurological function, and decreased mortality. Mechanistically, FDCA inhibited neuronal ferroptosis in peri-hematomal region by downregulating the ACSL4 protein expression and the phosphorylation levels of MYPT1 and PDH, while upregulating the GPX4 protein expression. Additionally, FDCA attenuated RSL3-induced neuronal ferroptosis in SH-SY5Y cells in vitro. These results suggest that FDCA holds promise as a potential therapeutic agent for the clinical treatment of HT following ischemic stroke.

出血性转化(HT)是缺血性卒中的常见并发症,可显著增加致残率和死亡率,高血糖可能是卒中后HT的危险因素之一。神经元铁下垂被认为是HT发展过程中神经元死亡的一个关键因素,目前临床上几乎没有有效的治疗方法。由ROCK抑制剂法舒地尔(F)和PDK抑制剂二氯醋酸酯(DCA)合成的化合物法舒地尔二氯醋酸酯(FDCA)在缺血性脑卒中中表现出神经保护作用,但FDCA是否能改善脑卒中后的HT尚不清楚。本研究将Rho激酶抑制剂F与PDK抑制剂DCA结合合成FDCA。将急性高血糖伴缺血性脑卒中大鼠分为对照组、10 mg/kg FDCA治疗组、7.875 mg/kg F + 3.6 mg/kg DCA联合治疗组及其他相关对照组。我们的研究结果表明,FDCA治疗显著减少了大鼠大脑HT的面积、HT评分和血红蛋白含量,改善了神经功能,降低了死亡率。机制上,FDCA通过下调ACSL4蛋白表达和MYPT1、PDH磷酸化水平,上调GPX4蛋白表达,抑制血肿周围区神经元铁下垂。此外,FDCA可减弱rsl3诱导的SH-SY5Y细胞神经元铁下垂。这些结果表明,FDCA有望成为缺血性脑卒中后HT的潜在治疗药物。
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引用次数: 0
Extinction of Nicotine and Cocaine Seeking in Rats Reveals Novel, Unique and Time-Dependent Molecular Adaptations in the Medial Prefrontal Cortex. 大鼠对尼古丁和可卡因寻求的消失揭示了内侧前额叶皮层中新颖、独特和随时间变化的分子适应。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1007/s10571-026-01667-0
Caspar Muenstermann, Sarah J Baracz, Eilish C Heffernan, Nicholas C Lister, Paul D Waters, Kelly J Clemens

Nicotine dependence is characterized by high relapse rates compared to other addictive substances, yet the molecular mechanisms underlying relapse vulnerability during early abstinence remain poorly understood. Here we provide the first integrated transcriptomic and epigenomic profile of nicotine extinction in the medial prefrontal cortex (mPFC). Using RNA-seq and ATAC-seq at 1 and 6 days after nicotine or cocaine self-administration, we uncovered a dynamic and drug-specific molecular response. Nicotine was associated with minimal changes at day 1 but robust transcriptional and chromatin remodelling at day 6, possibly consistent with incubation of craving. Notably, we identified sustained upregulation of the dual specificity phosphatase Dusp4 (first report in nicotine), implicating compensatory regulation of MAPK signalling in abstinence-related plasticity. Chromatin accessibility changes were enriched in intergenic regions containing FOS and JUND motifs, possibly indicative of enhancer-mediated transcriptional control rather than promoter remodelling. Together, these findings highlight nicotine-specific, time-dependent molecular adaptations in the mPFC and identify MAPK phosphatase signalling and enhancer activity as potential targets for relapse prevention during early abstinence.

与其他成瘾物质相比,尼古丁依赖的特点是复发率高,但早期戒断期间易复发的分子机制尚不清楚。在这里,我们提供了尼古丁消失在内侧前额叶皮层(mPFC)的第一个整合转录组学和表观基因组图谱。使用RNA-seq和ATAC-seq在尼古丁或可卡因自我给药后1和6天,我们发现了动态的和药物特异性的分子反应。尼古丁在第1天的变化很小,但在第6天的转录和染色质重塑很强,可能与渴望的潜伏期一致。值得注意的是,我们发现双特异性磷酸酶Dusp4持续上调(首次报道尼古丁),暗示MAPK信号在戒断相关可塑性中的代偿调节。含有FOS和JUND基序的基因间区域染色质可及性变化丰富,可能表明增强子介导的转录控制而不是启动子重塑。总之,这些发现强调了mPFC中尼古丁特异性、时间依赖性的分子适应,并确定了MAPK磷酸酶信号传导和增强子活性是早期戒断期间预防复发的潜在靶点。
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引用次数: 0
Mapping the Central Autonomic Network Nodes Integrating Cardiovascular and Metabolic Control. 整合心血管和代谢控制的中枢自主神经网络节点映射。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1007/s10571-026-01666-1
Paul Allen Williams, Deng-Fu Guo, Alexis Olson, Kamal Rahmouni

The autonomic networks of the central nervous system tightly coordinate metabolic and cardiovascular functions. The frequent coexistence of metabolic and cardiovascular disorders suggests cross talk between neural circuits governing energy balance and cardiovascular regulation. In this study, we used trans-neuronal tracing to define the higher-order neurons involved in the coordination of cardiometabolic regulation in mice. We identified several nuclei that contain neurons associated with a cardiovascular organ (kidney) and metabolic tissues (brown adipose tissue [BAT] or liver), with substantial overlap across regions. Co-projecting neurons (kidney-BAT or kidney-liver) were observed in areas including the cortical, hypothalamic, midbrain, and brainstem regions. Analysis of soma size revealed regional and organ-specific differences, with some nuclei exhibiting multiple morphological phenotypes. Notably, soma size distributions differed significantly between kidney- and BAT-projecting neurons in the motor cortex and locus coeruleus, but not in the paraventricular nucleus or lateral hypothalamus. These findings indicate that while cardiometabolic control involves overlapping neuronal populations, morphological specialization may distinguish neurons regulating cardiovascular versus metabolic functions. Together, this work provides anatomical evidence supporting the integrative organization of autonomic networks that coordinate cardiovascular and metabolic regulation.

中枢神经系统的自主神经网络紧密协调代谢和心血管功能。代谢和心血管疾病的频繁共存表明,控制能量平衡和心血管调节的神经回路之间存在串扰。在这项研究中,我们使用跨神经元追踪来定义参与小鼠心脏代谢调节协调的高阶神经元。我们发现了几个包含与心血管器官(肾脏)和代谢组织(棕色脂肪组织[BAT]或肝脏)相关的神经元的核,这些核在各个区域有大量重叠。在皮质、下丘脑、中脑和脑干等区域观察到共投射神经元(肾- bat或肾-肝)。对体细胞大小的分析揭示了区域和器官特异性差异,一些细胞核表现出多种形态表型。值得注意的是,运动皮层和蓝斑座的肾和bat神经元的体大小分布有显著差异,但室旁核或外侧下丘脑的体大小分布没有显著差异。这些发现表明,虽然心脏代谢控制涉及重叠的神经元群,但形态特化可能区分调节心血管功能和代谢功能的神经元。总之,这项工作提供了解剖学证据,支持协调心血管和代谢调节的自主神经网络的整合组织。
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引用次数: 0
The Function of Microglia in Cognitive Impairment Influenced by Sleep Deprivation. 睡眠剥夺对认知障碍小胶质细胞功能的影响。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-14 DOI: 10.1007/s10571-025-01654-x
Jiping Jiang, Min Li, Yulong Xia, Wei Wei, Sheng Li, Xiao Wu, Sen Li, Houping Xu

Sleep deprivation, resulting from factors such as lifestyle, disease, or environmental influences, directly contributes to cognitive decline. Research has found that the impact of sleep deprivation on microglia may be a key factor in cognitive impairment. The specific mechanisms through which microglia contribute to this process are not yet fully understood. It may act through multiple pathways, including the accumulation of excitatory neurotransmitters, Aβ plaque deposition, neuroinflammation, disrupted autophagy, abnormal cell death, and impaired synaptic plasticity. This review synthesizes evidence from the past two decades on the interplay between microglia, sleep deprivation, and cognitive impairment. It provides a comprehensive overview of associated factors and their operational pathways, analyzes the network of pathological interactions, and identifies possible treatment directions. It also emphasizes the dual functions of microglia in worsening and alleviating cognitive impairment while investigating possible therapeutic strategies targeting microglial function. This review aims to clarify microglial pathways in sleep-loss-related cognitive deficits, thereby advancing the field and providing a foundation for new therapeutic strategies.

生活方式、疾病或环境影响等因素导致的睡眠不足直接导致认知能力下降。研究发现,睡眠不足对小胶质细胞的影响可能是认知障碍的关键因素。小胶质细胞参与这一过程的具体机制尚不完全清楚。它可能通过多种途径起作用,包括兴奋性神经递质积累、Aβ斑块沉积、神经炎症、自噬中断、细胞异常死亡和突触可塑性受损。这篇综述综合了过去二十年来关于小胶质细胞、睡眠剥夺和认知障碍之间相互作用的证据。它提供了相关因素及其操作途径的全面概述,分析了病理相互作用的网络,并确定了可能的治疗方向。它还强调了小胶质细胞在恶化和减轻认知障碍方面的双重功能,同时探讨了针对小胶质细胞功能的可能治疗策略。本文旨在阐明睡眠缺失相关认知缺陷的小胶质细胞通路,从而推动该领域的发展,并为新的治疗策略提供基础。
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引用次数: 0
Molecular Mechanisms and Therapeutic Potential of Degron-Mediated Proteostasis Regulation in Neurodegenerative Diseases. 神经退行性疾病中降解蛋白调控的分子机制和治疗潜力。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-13 DOI: 10.1007/s10571-025-01659-6
D S Nishanth, Urvi Sinha, Tanishque Verma, Bharathi Kalidass, Saravana Prakash Thirumuruganandham, Gothandam Kodiveri Muthukaliannan

Aberrant aggregation of specific proteins-such as amyloid beta, α-synuclein, tau, TDP-43, and PrPSc-is a hallmark anomaly in the brain micro-environment, leading to a cascade of pathological events including neuroinflammation, neuronal death, cognitive impairment, and memory loss. The dysregulation in cellular protein homeostasis promotes pathological protein aggregation and hastening disease progression. Degrons are short amino acid motifs within proteins that are recognized by E3 ubiquitin ligases, which target them for degradation via the ubiquitin-proteasome system or autophagy. Recent studies emphasize that alterations in degron sequences, changes after translation or structural modifications can hinder protein homeostasis, leading to their accumulation and contributing neural toxicity. This review integrates the mechanistic role of degron with their pathological relevance and therapeutic significance in neurodegenerative diseases includes Alzheimer's disease, Parkinson's disease, Sclerosis, frontotemporal dementia, and prion diseases and further investigates the translational potential of degron-targeting techniques, including emerging biotechnological startups developing degron-based therapeutic platforms.

淀粉样蛋白、α-突触核蛋白、tau蛋白、TDP-43和prpsc等特定蛋白的异常聚集是大脑微环境中的一种标志性异常,可导致一系列病理事件,包括神经炎症、神经元死亡、认知障碍和记忆丧失。细胞蛋白稳态失调促进病理性蛋白聚集,加速疾病进展。Degrons是蛋白质中被E3泛素连接酶识别的短氨基酸基序,通过泛素-蛋白酶体系统或自噬将其降解。最近的研究强调,降解蛋白序列的改变、翻译或结构修饰后的改变会阻碍蛋白质的稳态,导致它们的积累并导致神经毒性。本文综述了degron的机制作用及其在阿尔茨海默病、帕金森病、硬化症、额颞叶痴呆和朊病毒疾病等神经退行性疾病中的病理相关性和治疗意义,并进一步探讨了degron靶向技术的转化潜力,包括新兴的生物技术初创公司开发的基于degron的治疗平台。
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引用次数: 0
Genetic Deletion of Cyclophilin D Results in Enhanced Hypoxia Tolerance in Mice. 亲环蛋白D基因缺失导致小鼠缺氧耐受性增强。
IF 4.8 4区 医学 Q3 CELL BIOLOGY Pub Date : 2026-01-09 DOI: 10.1007/s10571-025-01649-8
Yanying Liu, Haiyang Jiang, Lisha Cao, Jiayi Li, Ziya Zhang, Zuoyingjie Dong, Xiao-Ping Wang, Peng-Cheng Wang

Hypoxic preconditioning (HPC) activates intracellular anti-hypoxia molecular defense mechanisms through short-term non-lethal repeated hypoxic stimulation, leading to the subsequent acquisition of high tolerance to lethal hypoxic damage in cells. Cyclophilin D (CypD) regulates the function of mitochondria by controlling the opening of the mitochondrial permeability transition pore. However, the mechanism of action of CypD in hypoxia and HPC is poorly understood. Here, we examined the role of CypD under HPC using both wild-type (WT) and Ppif gene knockout (KO) mice. The results showed that HPC could induce increased hypoxia tolerance in WT and KO mice. Compared to the WT group, KO mice showed a more significant improvement in hypoxia tolerance. Moreover, there are differences in the activation time of HIF-1α and the number of apoptotic cells in the brain tissues of WT and KO mice. Further investigation indicated that proteins related to cell apoptosis, as well as the expression levels of MAPKs, including JNK and ERK, were changed in the brains of mice. The above results demonstrate that the key regulatory role of mitochondrial function-related protein CypD in HPC processes affects cell survival. This study will provide valuable support for the selection of CypD as a key new target for the future treatment of hypoxia and hypoxia-related diseases.

缺氧预处理(HPC)通过短期非致命性的重复缺氧刺激激活细胞内抗缺氧分子防御机制,导致细胞随后获得对致命性缺氧损伤的高耐受性。亲环蛋白D (Cyclophilin D, CypD)通过控制线粒体通透性过渡孔的打开来调节线粒体的功能。然而,CypD在缺氧和HPC中的作用机制尚不清楚。在这里,我们使用野生型(WT)和Ppif基因敲除(KO)小鼠检测了CypD在HPC中的作用。结果表明,HPC可诱导WT和KO小鼠缺氧耐受性增高。与WT组相比,KO小鼠在缺氧耐受性方面表现出更显著的改善。此外,WT和KO小鼠脑组织中HIF-1α的激活时间和凋亡细胞数量也存在差异。进一步的研究表明,小鼠大脑中与细胞凋亡相关的蛋白以及包括JNK和ERK在内的mapk的表达水平发生了变化。上述结果表明,线粒体功能相关蛋白CypD在HPC过程中的关键调控作用影响细胞存活。本研究将为选择CypD作为未来治疗缺氧及缺氧相关疾病的关键新靶点提供有价值的支持。
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引用次数: 0
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