molecular pathways

分子途径
  • 文章类型: Journal Article
    识别和管理神经系统疾病的过程面临挑战,促使新方法的研究,以提高诊断的准确性。在这项研究中,我们进行了系统的文献综述,以确定基于遗传和分子途径的机器学习(ML)模型在治疗神经系统疾病中的意义.根据研究的目标,开发了搜索策略,以使用数字图书馆提取研究。我们遵循严格的研究选择标准。共有24项研究符合纳入标准并被纳入审查。我们根据神经系统疾病对研究进行了分类。纳入的研究强调了治疗神经系统疾病的多种方法和出色的结果。研究结果强调了现有模型的潜力,根据个人情况提出个性化干预措施。这些发现提供了性能更好的方法,可以处理遗传学和分子数据以产生有效的结果。此外,我们讨论了未来的研究方向和挑战,强调在现实世界的临床环境中推广现有模型的需求。这项研究有助于提高神经系统疾病诊断和管理领域的知识。
    The process of identification and management of neurological disorder conditions faces challenges, prompting the investigation of novel methods in order to improve diagnostic accuracy. In this study, we conducted a systematic literature review to identify the significance of genetics- and molecular-pathway-based machine learning (ML) models in treating neurological disorder conditions. According to the study\'s objectives, search strategies were developed to extract the research studies using digital libraries. We followed rigorous study selection criteria. A total of 24 studies met the inclusion criteria and were included in the review. We classified the studies based on neurological disorders. The included studies highlighted multiple methodologies and exceptional results in treating neurological disorders. The study findings underscore the potential of the existing models, presenting personalized interventions based on the individual\'s conditions. The findings offer better-performing approaches that handle genetics and molecular data to generate effective outcomes. Moreover, we discuss the future research directions and challenges, emphasizing the demand for generalizing existing models in real-world clinical settings. This study contributes to advancing knowledge in the field of diagnosis and management of neurological disorders.
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  • 文章类型: Journal Article
    背景:尽管在化疗和放疗方面取得了进步,但胶质瘤对有效治疗提出了重大挑战。胶质瘤干细胞(GSC),肿瘤中的一个子集,有助于抵抗,肿瘤异质性,和可塑性。最近的研究揭示了GSCs在治疗抗性中的作用,由DNA修复机制和细胞状态之间的动态转换驱动。耐药机制可能涉及不同的细胞途径,其中大多数是最近在文献中报道的。尽管取得了进展,由于GSCs的高可塑性,靶向治疗方法缺乏共识。
    目的:分析针对GSC介导的神经胶质瘤对放疗和化疗耐药的靶向治疗,关注潜在机制。
    方法:在主要医学数据库中进行了系统搜索(PubMed,Embase,和Cochrane图书馆)至2023年9月30日。搜索策略利用相关医学主题标题术语和与包括“神经胶质瘤干细胞”相关的关键词,“放射治疗”,“化疗”,\"阻力\",和“靶向治疗”。这篇综述中包含的研究是针对GSC介导的放疗抵抗(RTR)分子机制的靶向治疗的出版物。
    结果:在对66项关于干细胞治疗SCI的研究的全面回顾中,最初确定了452篇论文,选择203进行全文分析。其中,由于各种原因,在排除168之后,201被认为是合格的。研究的时间细分说明了这一趋势:2005-2010年(33.3%),2011-2015年(36.4%),和2016-2022年(30.3%)。主要GSC型号,特别是U87(33.3%),U251(15.2%),和T98G(15.2%),在研究中脱颖而出,反映其代表性的胶质瘤特点。通路分析表明,主要集中在磷酸肌醇3激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(mTOR)(27.3%)和Notch(12.1%)通路,表明它们在抗性发展中的关键作用。具有mTOR的靶向分子(18.2%),CHK1/2(15.2%),和ATP结合盒G2(12.1%)作为常见的靶标强调了它们在克服GSC介导的抗性中的重要性。各种治疗剂,特别是RNA抑制剂/短发夹RNA(27.3%),抑制剂(例如,LY294002,NVP-BEZ235)(24.2%),和单克隆抗体(例如,西妥昔单抗)(9.1%),在靶向治疗中表现出多功能性。在20项研究(60.6%)中,对化疗耐药反应最常见的影响是替莫唑胺耐药减少(51.5%),其次是卡莫司汀耐药性(9.1%)和多柔比星耐药性(3.0%)下降,而对RTR的耐药性在42.4%的研究中降低。
    结论:GSCs在介导放射抗性和化学抗性中起着复杂的作用,强调考虑到GSC人群的异质性和动态肿瘤微环境的精确治疗的必要性,以提高胶质母细胞瘤患者的预后。
    BACKGROUND: Gliomas pose a significant challenge to effective treatment despite advancements in chemotherapy and radiotherapy. Glioma stem cells (GSCs), a subset within tumors, contribute to resistance, tumor heterogeneity, and plasticity. Recent studies reveal GSCs\' role in therapeutic resistance, driven by DNA repair mechanisms and dynamic transitions between cellular states. Resistance mechanisms can involve different cellular pathways, most of which have been recently reported in the literature. Despite progress, targeted therapeutic approaches lack consensus due to GSCs\' high plasticity.
    OBJECTIVE: To analyze targeted therapies against GSC-mediated resistance to radio- and chemotherapy in gliomas, focusing on underlying mechanisms.
    METHODS: A systematic search was conducted across major medical databases (PubMed, Embase, and Cochrane Library) up to September 30, 2023. The search strategy utilized relevant Medical Subject Heading terms and keywords related to including \"glioma stem cells\", \"radiotherapy\", \"chemotherapy\", \"resistance\", and \"targeted therapies\". Studies included in this review were publications focusing on targeted therapies against the molecular mechanism of GSC-mediated resistance to radiotherapy resistance (RTR).
    RESULTS: In a comprehensive review of 66 studies on stem cell therapies for SCI, 452 papers were initially identified, with 203 chosen for full-text analysis. Among them, 201 were deemed eligible after excluding 168 for various reasons. The temporal breakdown of studies illustrates this trend: 2005-2010 (33.3%), 2011-2015 (36.4%), and 2016-2022 (30.3%). Key GSC models, particularly U87 (33.3%), U251 (15.2%), and T98G (15.2%), emerge as significant in research, reflecting their representativeness of glioma characteristics. Pathway analysis indicates a focus on phosphoinositide 3-kinase/protein kinase B/mammalian target of rapamycin (mTOR) (27.3%) and Notch (12.1%) pathways, suggesting their crucial roles in resistance development. Targeted molecules with mTOR (18.2%), CHK1/2 (15.2%), and ATP binding cassette G2 (12.1%) as frequent targets underscore their importance in overcoming GSC-mediated resistance. Various therapeutic agents, notably RNA inhibitor/short hairpin RNA (27.3%), inhibitors (e.g., LY294002, NVP-BEZ235) (24.2%), and monoclonal antibodies (e.g., cetuximab) (9.1%), demonstrate versatility in targeted therapies. among 20 studies (60.6%), the most common effect on the chemotherapy resistance response is a reduction in temozolomide resistance (51.5%), followed by reductions in carmustine resistance (9.1%) and doxorubicin resistance (3.0%), while resistance to RTR is reduced in 42.4% of studies.
    CONCLUSIONS: GSCs play a complex role in mediating radioresistance and chemoresistance, emphasizing the necessity for precision therapies that consider the heterogeneity within the GSC population and the dynamic tumor microenvironment to enhance outcomes for glioblastoma patients.
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  • 文章类型: Journal Article
    现有文献中广泛报道了植入物相关淋巴瘤,如间变性大细胞淋巴瘤,但乳腺植入物相关鳞状细胞癌(BIA-SCC)自1992年首例病例以来受到的学术关注有限.因此,这项研究旨在对乳房植入物与BIA-SCC之间的未充分挖掘关联进行定性综合.利用PubMed进行了系统评价,WebofScience,和Cochrane数据库来识别所有目前报告的BIA-SCC病例。此外,我们进行了文献综述,以确定可能导致BIA-SCC的潜在生化机制.使用NIH质量评估工具对研究进行了质量审查。从最初的246篇论文中,11符合纳入质量标准,共检查14名年龄在40至81岁之间的患者。BIA-SCC在各种各样的植入物中发现,包括那些光滑和有纹理的表面,以及那些充满盐水和硅胶的。这种情况显着表现出积极的临床进展倾向,诊断后6个月内的死亡率约为21.4%。我们的文献综述显示,慢性炎症,由病原体和植入物等各种外部因素驱动,可以通过表观遗传修饰和免疫系统改变引发致癌作用。这包括外来体和巨噬细胞极化的影响,展示BIA-SCC发病机制的潜在途径。该研究强调了对BIA-SCC进行进一步调查的迫切需要,一个迄今为止在学术领域没有得到充分解决的主题。这就需要进行早期筛查和干预以改善术后结果。虽然审查受限于对病例报告和系列的依赖,它为未来的研究工作提供了宝贵的参考。
    There is extensive coverage in the existing literature on implant-associated lymphomas like anaplastic large-cell lymphoma, but breast implant-associated squamous cell carcinoma (BIA-SCC) has received limited scholarly attention since its first case in 1992. Thus, this study aims to conduct a qualitative synthesis focused on the underexplored association between breast implants and BIA-SCC. A systematic review was conducted utilizing the PubMed, Web of Science, and Cochrane databases to identify all currently reported cases of BIA-SCC. Additionally, a literature review was performed to identify potential biochemical mechanisms that could lead to BIA-SCC. Studies were vetted for quality using the NIH quality assessment tool. From an initial pool of 246 papers, 11 met the quality criteria for inclusion, examining a total of 14 patients aged between 40 and 81 years. BIA-SCC was found in a diverse range of implants, including those with smooth and textured surfaces, as well as those filled with saline and silicone. The condition notably manifested a proclivity for aggressive clinical progression, as evidenced by a mortality rate approximating 21.4% within a post-diagnostic interval of six months. Our literature review reveals that chronic inflammation, driven by various external factors such as pathogens and implants, can initiate carcinogenesis through epigenetic modifications and immune system alterations. This includes effects from exosomes and macrophage polarization, showcasing potential pathways for the pathogenesis of BIA-SCC. The study highlights the pressing need for further investigation into BIA-SCC, a subject hitherto inadequately addressed in the academic sphere. This necessitates the urgency for early screening and intervention to improve postoperative outcomes. While the review is confined by its reliance on case reports and series, it serves as a valuable reference for future research endeavors.
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  • 文章类型: Journal Article
    结直肠癌(结肠和直肠)目前被认为是西方社会最普遍的恶性肿瘤之一。结直肠癌(CRC)发展的发病机制和病因学机制仍然复杂且异质性。正常人肠细胞的稳态和功能受到microRNA的高度调节。因此,这些分子的突变和失活似乎与结直肠肿瘤的进展有关,这并不奇怪。最近的研究报道了与邻近正常组织相比,腺瘤和CRC中microRNA表达的显着变化。已提出这种观察到的偏差与疾病的进展和存活以及最佳治疗和耐药性的选择相关。MicroRNAs可以在驱动致癌作用的途径调节过程中发挥致癌或肿瘤抑制作用。通常,致癌microRNAs称为oncomirs,靶和沉默内源性抑癌基因。另一方面,抑瘤microRNAs在下调与细胞生长和恶性能力相关的基因中至关重要.通过广泛评估稳健的研究,我们强调并区分了一组离散的microRNAs,它们可以通过沉默在信号通路中至关重要的特定驱动基因来调节肿瘤进展,包括Wnt/b-catenin,表皮生长因子受体,P53,错配修复DNA修复,和转化生长因子β。
    Colorectal carcinoma (colon and rectum) is currently considered among the most prevalent malignancies of Western societies. The pathogenesis and etiological mechanisms underlying colorectal cancer (CRC) development remain complex and heterogeneous. The homeostasis and function of normal human intestinal cells is highly regulated by microRNAs. Therefore, it is not surprising that mutations and inactivation of these molecules appear to be linked with progression of colorectal tumors. Recent studies have reported significant alterations of microRNA expression in adenomas and CRCs compared with adjacent normal tissues. This observed deviation has been proposed to correlate with the progression and survival of disease as well as with choice of optimal treatment and drug resistance. MicroRNAs can adopt either oncogenic or tumor-suppressive roles during regulation of pathways that drive carcinogenesis. Typically, oncogenic microRNAs termed oncomirs, target and silence endogenous tumor-suppressor genes. On the other hand, tumor-suppressive microRNAs are critical in downregulating genes associated with cell growth and malignant capabilities. By extensively evaluating robust studies, we have emphasized and distinguished a discrete set of microRNAs that can modulate tumor progression by silencing specific driver genes crucial in signaling pathways including Wnt/b-catenin, epidermal growth factor receptor, P53, mismatch repair DNA repair, and transforming-growth factor beta.
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  • 文章类型: Journal Article
    癌症可能需要数年才能发展,在它的开始和发展过程中。所有典型的上皮癌都有很长的潜伏期,有时20年或更长时间,如果它们被临床检测到,不同的基因可能包括无限的突变。长链非编码RNA(LncRNA)是调节许多生物过程的RNA的子集,包括RNA加工,表观遗传控制,和信号转导。目前的研究表明,lncRNAs,在癌症中失调,在疾病的发展和传播中发挥重要作用。LncRNAs与在肿瘤扩散和生长中起作用的特定蛋白质的过表达有关。此外,通过翻译抑制,microRNAs(miRNAs)特异性调节基因表达序列。除此之外,称为miRNA的非编码RNA,长度约为22个核苷酸,通过防止翻译或降解信使RNA(mRNA)以序列特异性方式控制基因表达。槲皮素似乎在改变miRNA和lncRNA表达中具有重要作用,这与癌基因产生的变化有关,肿瘤抑制剂,和癌症产生的蛋白质。槲皮素除了其通常的抗氧化或抗炎作用外,还可能改变与癌症预防相关的最早的表观遗传修饰。关于槲皮素如何调节miRNAs和lncRNAs以将其用作癌症治疗策略的更深入的信息将是有益的。这里,我们了解了在各种恶性肿瘤中,槲皮素调节miRNAs和lncRNAs的潜力。
    Cancer can take years to develop, both at its beginning and during its development. All typical epithelial cancers have a long latency period, sometimes 20 years or more, and if they are clinically detected, distinct genes may include infinite mutations. Long non-coding RNAs (LncRNAs) are a subset of RNAs that regulate many biological processes, including RNA processing, epigenetic control, and signal transduction. Current studies show that lncRNAs, which are dysregulated in cancer, play a significant function in the growth and spread of the illness. LncRNAs have been connected to the overexpression of specific proteins that function in tumors\' spread and growth. Moreover, through translational inhibition, microRNAs (miRNAs) regulates gene expression sequence specifically. Apart from that, non-coding RNAs known as miRNAs, with a length of around 22 nucleotides, controls gene expressions in a sequence-specific way either by preventing translation or degrading messenger RNA (mRNA). Quercetin appears to have a significant role in altering miRNA and lncRNA expression, which is linked to variations in the production of oncogenes, tumor suppressors, and proteins produced from cancer. Quercetin may change the earliest epigenetic modifications related to cancer prevention in addition to its usual antioxidant or anti-inflammatory effects. It would be beneficial to have more in-depth information on how Quercetin modulates miRNAs and lncRNAs to use it as a cancer therapeutic strategy. Here, we go through what is known about Quercetin\'s potential to modulate miRNAs and lncRNAs in various malignancies.
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  • 文章类型: Journal Article
    由于多发性硬化症(MS)的可用方法和药物的局限性和障碍,仍然无法治疗该疾病,但只能帮助加速从攻击中恢复,在模型生物中正在探索使用天然存在的分子作为MS的潜在安全和有效的治疗方法。MS是一种涉及大脑和脊髓的毁灭性疾病,其症状差异很大。多种分子途径参与该疾病的发病机理。本综述展示了利用自然资源打击MS的最新进展。通过破译与疾病发病机制有关的分子途径,发现了大量潜在的治疗剂,可能会彻底改变MS的治疗。因此,未来可以设想新的希望,旨在为寻找新的安全替代品铺平道路,以改善MS患者的生活。
    Driven by the limitations and obstacles of the available approaches and medications for multiple sclerosis (MS) that still cannot treat the disease, but only aid in accelerating the recovery from its attacks, the use of naturally occurring molecules as a potentially safe and effective treatment for MS is being explored in model organisms. MS is a devastating disease involving the brain and spinal cord, and its symptoms vary widely. Multiple molecular pathways are involved in the pathogenesis of the disease. The present review showcases the recent advancements in harnessing nature\'s resources to combat MS. By deciphering the molecular pathways involved in the pathogenesis of the disease, a wealth of potential therapeutic agents is uncovered that may revolutionize the treatment of MS. Thus, a new hope can be envisioned in the future, aiming at paving the way toward identifying novel safe alternatives to improve the lives of patients with MS.
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  • 文章类型: Journal Article
    这篇综合综述探讨了子宫内膜异位症的遗传贡献及其对改进诊断技术的潜在影响。该综述首先定义了子宫内膜异位症并讨论了其患病率,强调需要更深入地了解病情的遗传基础。它强调了最近的全基因组关联研究(GWAS),这些研究已经确定了与子宫内膜异位症相关的特定遗传变异。揭示所涉及的分子途径和机制。这篇综述涉及不同人群和种族的遗传异质性,强调在诊断方法中考虑群体特异性标志物的重要性。它探讨了遗传见解的诊断意义,包括潜在的基因标记用于精确和早期检测,以及风险预测。该综述还深入研究了遗传信息与临床参数和影像学发现的整合,以及探索多组学方法以全面了解子宫内膜异位症。它讨论了遗传和表观遗传生物标志物的最新研究,他们作为诊断工具的潜力,以及需要在独立队列中进行验证。这篇综述强调了新基因组技术的影响,比如下一代测序,提高诊断准确性和个性化管理。它确定了将遗传发现转化为诊断工具的挑战和未来方向,并强调了遗传见解在子宫内膜异位症诊断中的转化潜力。这篇综述为未来的研究提供了路线图,并强调了遗传见解在提高子宫内膜异位症患者的诊断精度和个性化护理方面的重要性。
    This comprehensive review explores the genetic contributions to endometriosis and their potential impact on improving diagnostic techniques. The review begins by defining endometriosis and discussing its prevalence, emphasizing the need for a deeper understanding of the genetic basis of the condition. It highlights recent genome-wide association studies (GWAS) that have identified specific genetic variants associated with endometriosis, shedding light on the molecular pathways and mechanisms involved. The review addresses genetic heterogeneity across different populations and ethnicities, emphasizing the importance of considering population-specific markers in diagnostic approaches. It explores the diagnostic implications of genetic insights, including the potential use of genetic markers for precise and early detection, as well as risk prediction. The review also delves into the integration of genetic information with clinical parameters and imaging findings, and the exploration of multi-omics approaches for a comprehensive understanding of endometriosis. It discusses recent studies on genetic and epigenetic biomarkers, their potential as diagnostic tools, and the need for validation in independent cohorts. The review highlights the impact of new genomic technologies, such as next-generation sequencing, in improving diagnostic accuracy and personalized management. It identifies the challenges and future directions in translating genetic findings into diagnostic tools and emphasizes the transformative potential of genetic insights in endometriosis diagnosis. This review provides a roadmap for future research and underscores the significance of genetic insights in improving diagnostic precision and personalized care for individuals with endometriosis.
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  • 文章类型: Journal Article
    称为microRNA(miRNA)的短非编码RNA通过抑制翻译或降解信使RNA来控制基因表达。miRNA对许多生物学功能至关重要,它们表达的失调与癌症的出现密切相关。单个miRNA控制多个基因表达,允许它同时控制许多细胞信号通路。因此,miRNA可用作治疗靶标以及用于不同癌症的预后和诊断的生物标志物。最近的研究表明,像姜黄素这样的天然化合物,白藜芦醇和槲皮素通过调节一种和/或多种miRNA发挥其促凋亡和/或抗增殖作用,抑制癌细胞的生长,诱导细胞凋亡,或增加常规癌症治疗的有效性。这里,我们总结了姜黄素控制miRNAs表达的最新进展,并强调了这些草药作为治疗和预防癌症的可行策略的重要性。
    Short non-coding RNAs called microRNAs (miRNAs) control gene expression by either inhibiting translation or degrading messenger RNA. MiRNAs are crucial for many biological functions, and the deregulation of their expression is strongly linked to the emergence of cancer. A single miRNA controls several gene expressions, allowing it to simultaneously control a number of cellular signaling pathways. As a result, miRNAs may be used as therapeutic targets as well as biomarkers for the prognosis and diagnosis of different cancers. Recent research has shown that natural compounds like curcumin, resveratrol and quercetin exert their pro-apoptotic and/or anti-proliferative impacts by modulating one and/or more miRNAs, which inhibits the growth of cancer cells, induces apoptosis, or increases the effectiveness of conventional cancer therapies. Here, we summarize the most recent developments in curcumin\'s control over the expression of miRNAs and emphasize the significance of these herbal remedies as a viable strategy in the treatment and prevention of cancer.
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  • 文章类型: Journal Article
    食管腺癌(EAC)的发病率迅速增加,并与预后不良有关。Barrett食管(BE)是已知的食管腺癌的前体。这篇综述旨在探讨巴雷特食管,食管腺癌,以及从前者到后者的发展。定义的概述,诊断,流行病学,并列出了两个实体的风险因素,特别关注文献中的辩论领域。本文综述了Barrett食管向食管腺癌的进展,并讨论了相关的分子通路。巴雷特食管的定义仍存在争议,没有国际共识。这个,除了其他因素,建立巴雷特食管的真正患病率具有挑战性。发育不良的程度可能是一个组织学挑战,但指导临床管理是必要的。BE向EAC的进展可能是由炎症途径驱动的,胃蛋白酶暴露,生长因子途径的上调,和线粒体变化。通过连续的内窥镜评估来维持监测,较短的间隔建议高风险的特征。
    Esophageal adenocarcinoma (EAC) is rapidly increasing in incidence and is associated with a poor prognosis. Barrett\'s esophagus (BE) is a known precursor of esophageal adenocarcinoma. This review aims to explore Barrett\'s esophagus, esophageal adenocarcinoma, and the progression from the former to the latter. An overview of the definition, diagnosis, epidemiology, and risk factors for both entities are presented, with special attention being given to the areas of debate in the literature. The progression from Barrett\'s esophagus to esophageal adenocarcinoma is reviewed and the relevant molecular pathways are discussed. The definition of Barrett\'s esophagus remains debated and without international consensus. This, alongside other factors, has made establishing the true prevalence of Barrett\'s esophagus challenging. The degree of dysplasia can be a histological challenge, but is necessary to guide clinical management. The progression of BE to EAC is likely driven by inflammatory pathways, pepsin exposure, upregulation of growth factor pathways, and mitochondrial changes. Surveillance is maintained through serial endoscopic evaluation, with shorter intervals recommended for high-risk features.
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  • 文章类型: Journal Article
    帕金森病是一种神经退行性疾病,其进展和临床特点与神经炎症过程具有密切的双向、多层次的关系。在这种情况下,有必要了解这种神经炎症-PD联系的机制.这个系统的搜索是,特此,进行的重点是已经描述了与PD中神经炎症相关的四个水平(遗传,细胞,组织病理学和临床行为)通过咨询PubMed,谷歌学者,Scielo和Redalyc搜索引擎,包括临床研究,评论文章,书籍章节和案例研究。最初,包括585,772篇文章,and,在应用纳入和排除标准后,获得了84篇文章,其中包含有关神经炎症与基因改变的多水平关联的信息,分子,细胞,PD的组织和神经解剖表达以及临床行为表现。
    Parkinson\'s disease is a neurodegenerative disease whose progression and clinical characteristics have a close bidirectional and multilevel relationship with the process of neuroinflammation. In this context, it is necessary to understand the mechanisms involved in this neuroinflammation-PD link. This systematic search was, hereby, conducted with a focus on the four levels where alterations associated with neuroinflammation in PD have been described (genetic, cellular, histopathological and clinical-behavioral) by consulting the PubMed, Google Scholar, Scielo and Redalyc search engines, including clinical studies, review articles, book chapters and case studies. Initially, 585,772 articles were included, and, after applying the inclusion and exclusion criteria, 84 articles were obtained that contained information about the multilevel association of neuroinflammation with alterations in gene, molecular, cellular, tissue and neuroanatomical expression as well as clinical-behavioral manifestations in PD.
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