HD, Huntington's disease

  • 文章类型: Journal Article
    近年来,科学研究已经确定神经和免疫系统具有共享的分子信号传导成分。免疫细胞的天然蛋白质,它们也存在于大脑中,在神经系统中具有神经元功能,它们会影响突触可塑性,轴突再生,神经发生,和神经传递。某些天然免疫分子,如主要组织相容性复合物I(MHC-I),配对免疫球蛋白受体B(PirB),toll样受体(TLR),分化簇-3ζ(CD3ζ),CD4共受体,和T细胞受体β(TCR-β)在神经元中的表达已被广泛记录。在这次审查中,我们提供了我们的观点,并讨论了T细胞受体β亚基在调节中枢神经系统神经元功能中的可能作用。基于Syken和Shatz之前的发现。,2003;Nishiyori等人。,2004年;罗德里格斯等。,1993年和Komal等人。,2014年;我们讨论了在选定的大脑区域中TCR-β亚基的限制性表达是否可能与神经系统疾病的病理学有关,以及它们的表达异常增强是否可以被认为是衰老或神经退行性疾病如亨廷顿病(HD)的合适生物标志物。
    In recent years scientific research has established that the nervous and immune systems have shared molecular signaling components. Proteins native to immune cells, which are also found in the brain, have neuronal functions in the nervous system where they affect synaptic plasticity, axonal regeneration, neurogenesis, and neurotransmission. Certain native immune molecules like major histocompatibility complex I (MHC-I), paired immunoglobulin receptor B (PirB), toll-like receptor (TLR), cluster of differentiation-3 zeta (CD3ζ), CD4 co-receptor, and T-cell receptor beta (TCR-β) expression in neurons have been extensively documented. In this review, we provide our opinion and discussed the possible roles of T-cell receptor beta subunits in modulating the function of neurons in the central nervous system. Based on the previous findings of Syken and Shatz., 2003; Nishiyori et al., 2004; Rodriguez et., 1993 and Komal et., 2014; we discuss whether restrictive expression of TCR-β subunits in selected brain regions could be involved in the pathology of neurological disorders and whether their aberrant enhancement in expression may be considered as a suitable biomarker for aging or neurodegenerative diseases like Huntington\'s disease (HD).
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  • 文章类型: Journal Article
    阿尔茨海默病(AD),老年人痴呆症最突出的形式,没有治愈方法。专注于减少淀粉样蛋白β或过度磷酸化Tau蛋白的策略在临床试验中大部分失败。迫切需要新的治疗目标和策略。新出现的数据表明,为了应对环境压力,线粒体启动综合应激反应(ISR),被证明对健康衰老和神经保护有益。这里,我们回顾了一些数据,这些数据表明,参与氧化磷酸化的线粒体电子传递复合物是小分子靶向治疗的中心,可以诱导有益的线粒体ISR.具体来说,线粒体复合物I的部分抑制已被用作多种人类疾病的新策略,包括AD,一些小分子正在临床试验中进行测试。我们讨论了目前对这种违反直觉的方法所涉及的分子机制的理解。由于这一战略也被证明可以提高健康和寿命,开发安全有效的复合物I抑制剂可以促进健康衰老,延缓与年龄相关的神经退行性疾病的发作。
    Alzheimer\'s disease (AD), the most prominent form of dementia in the elderly, has no cure. Strategies focused on the reduction of amyloid beta or hyperphosphorylated Tau protein have largely failed in clinical trials. Novel therapeutic targets and strategies are urgently needed. Emerging data suggest that in response to environmental stress, mitochondria initiate an integrated stress response (ISR) shown to be beneficial for healthy aging and neuroprotection. Here, we review data that implicate mitochondrial electron transport complexes involved in oxidative phosphorylation as a hub for small molecule-targeted therapeutics that could induce beneficial mitochondrial ISR. Specifically, partial inhibition of mitochondrial complex I has been exploited as a novel strategy for multiple human conditions, including AD, with several small molecules being tested in clinical trials. We discuss current understanding of the molecular mechanisms involved in this counterintuitive approach. Since this strategy has also been shown to enhance health and life span, the development of safe and efficacious complex I inhibitors could promote healthy aging, delaying the onset of age-related neurodegenerative diseases.
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  • 文章类型: Journal Article
    中风被认为是死亡和神经残疾的主要原因,这给个人和社区带来了巨大的负担。迄今为止,中风的有效治疗方法受到其复杂病理机制的限制。自噬是指溶酶体参与的细胞内降解过程。自噬通过消除受损或非必需的细胞成分在维持细胞的稳态和存活中起关键作用。越来越多的证据支持自噬保护神经元细胞免受缺血性损伤。然而,在某些情况下,自噬激活诱导细胞死亡并加重缺血性脑损伤。已经发现多种天然衍生的化合物调节自噬并发挥针对中风的神经保护作用。在目前的工作中,我们综述了调节自噬的天然化合物的最新进展,并讨论了它们在卒中治疗中的潜在应用.
    Stroke is considered a leading cause of mortality and neurological disability, which puts a huge burden on individuals and the community. To date, effective therapy for stroke has been limited by its complex pathological mechanisms. Autophagy refers to an intracellular degrading process with the involvement of lysosomes. Autophagy plays a critical role in maintaining the homeostasis and survival of cells by eliminating damaged or non-essential cellular constituents. Increasing evidence support that autophagy protects neuronal cells from ischemic injury. However, under certain circumstances, autophagy activation induces cell death and aggravates ischemic brain injury. Diverse naturally derived compounds have been found to modulate autophagy and exert neuroprotection against stroke. In the present work, we have reviewed recent advances in naturally derived compounds that regulate autophagy and discussed their potential application in stroke treatment.
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  • 文章类型: Journal Article
    18kDa转运蛋白(TSPO),以前被称为外周苯二氮卓受体,主要定位于类固醇生成细胞的线粒体外膜。在生理条件下脑TSPO表达相对较低,但响应神经胶质细胞激活而上调。作为神经炎症的主要指标,TSPO与许多神经精神疾病和神经退行性疾病的发病机制和进展有关。包括阿尔茨海默病(AD),肌萎缩侧索硬化(ALS),帕金森病(PD),多发性硬化症(MS),重度抑郁症(MDD)和强迫症(OCD)。在这种情况下,已经开发了许多TSPO靶向的正电子发射断层扫描(PET)示踪剂。其中,几种放射性配体已进入临床研究。在这次审查中,我们将概述TSPOPET示踪剂的最新发展,专注于放射性配体设计,放射性同位素标记,药代动力学,和PET成像评价。此外,我们会考虑目前的限制,以及TSPO放射性药物未来应用的翻译潜力。这篇综述旨在不仅提出当前TSPOPET成像中的挑战,同时也为TSPO靶向PET示踪剂的发现工作提供了新的视角。应对这些挑战将促进TSPO在与中枢神经系统疾病相关的神经炎症的临床研究中的翻译。
    The 18 kDa translocator protein (TSPO), previously known as the peripheral benzodiazepine receptor, is predominately localized to the outer mitochondrial membrane in steroidogenic cells. Brain TSPO expression is relatively low under physiological conditions, but is upregulated in response to glial cell activation. As the primary index of neuroinflammation, TSPO is implicated in the pathogenesis and progression of numerous neuropsychiatric disorders and neurodegenerative diseases, including Alzheimer\'s disease (AD), amyotrophic lateral sclerosis (ALS), Parkinson\'s disease (PD), multiple sclerosis (MS), major depressive disorder (MDD) and obsessive compulsive disorder (OCD). In this context, numerous TSPO-targeted positron emission tomography (PET) tracers have been developed. Among them, several radioligands have advanced to clinical research studies. In this review, we will overview the recent development of TSPO PET tracers, focusing on the radioligand design, radioisotope labeling, pharmacokinetics, and PET imaging evaluation. Additionally, we will consider current limitations, as well as translational potential for future application of TSPO radiopharmaceuticals. This review aims to not only present the challenges in current TSPO PET imaging, but to also provide a new perspective on TSPO targeted PET tracer discovery efforts. Addressing these challenges will facilitate the translation of TSPO in clinical studies of neuroinflammation associated with central nervous system diseases.
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  • 文章类型: Journal Article
    基因治疗正在迅速成为一种强大的治疗策略,用于广泛的神经退行性疾病。包括阿尔茨海默病(AD),帕金森病(PD)和亨廷顿病(HD)。一些早期临床试验未能取得满意的治疗效果。现在,提高效力的努力集中在三个主要领域:识别新的媒介,新的治疗靶点,和可靠的转基因传递途径。这些方法正在临床前和临床试验中密切评估,这可能最终为患者提供强有力的治疗。这里,我们讨论了基因治疗神经退行性疾病的进展和挑战,突出有前途的技术,目标,和未来的前景。
    Gene therapy is rapidly emerging as a powerful therapeutic strategy for a wide range of neurodegenerative disorders, including Alzheimer\'s disease (AD), Parkinson\'s disease (PD) and Huntington\'s disease (HD). Some early clinical trials have failed to achieve satisfactory therapeutic effects. Efforts to enhance effectiveness are now concentrating on three major fields: identification of new vectors, novel therapeutic targets, and reliable of delivery routes for transgenes. These approaches are being assessed closely in preclinical and clinical trials, which may ultimately provide powerful treatments for patients. Here, we discuss advances and challenges of gene therapy for neurodegenerative disorders, highlighting promising technologies, targets, and future prospects.
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  • 文章类型: Journal Article
    如今,纳米技术正在彻底改变从制造到健康的不同领域的方法。碳纳米管(CNT)作为纳米医学中的有希望的候选物,在开发中枢神经系统病变的新型实体方面具有巨大的潜力。由于其优异的物理化学特性和与神经元和神经元回路接口的能力。然而,大多数研究主要集中在碳纳米管的药物递送和生物成像应用上,而忽视了它们本身作为治疗药物的应用前景。目前,相关评论尚未公布。本文总结了碳纳米管作为内在治疗药物在体外和体内的生物医学和治疗应用的最新进展。本文还对碳纳米管介导的生物医学效应的生物学机制和碳纳米管的潜在毒性进行了深入的讨论。预计在不久的将来,CNT将在疾病治疗中进一步开发神经学应用。
    Nowadays, nanotechnology is revolutionizing the approaches to different fields from manufacture to health. Carbon nanotubes (CNTs) as promising candidates in nanomedicine have great potentials in developing novel entities for central nervous system pathologies, due to their excellent physicochemical properties and ability to interface with neurons and neuronal circuits. However, most of the studies mainly focused on the drug delivery and bioimaging applications of CNTs, while neglect their application prospects as therapeutic drugs themselves. At present, the relevant reviews are not available yet. Herein we summarized the latest advances on the biomedical and therapeutic applications of CNTs in vitro and in vivo for neurological diseases treatments as inherent therapeutic drugs. The biological mechanisms of CNTs-mediated bio-medical effects and potential toxicity of CNTs were also intensely discussed. It is expected that CNTs will exploit further neurological applications on disease therapy in the near future.
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  • 文章类型: Journal Article
    亨廷顿病(HD)患者表现出运动障碍,随着疾病的进展,精神障碍和认知障碍。睡眠/觉醒周期异常在HD患者中很常见,有延迟睡眠发作的报告。白天的疲劳,和褪黑激素分泌的延迟模式,所有这些都表明昼夜节律功能障碍。HD的小鼠模型证实了在中央昼夜节律时钟(视交叉上核)中发现的病理生理学的昼夜节律被破坏。重要的是,昼夜节律功能障碍在疾病早期表现,甚至在出现典型的运动症状之前,在患者和小鼠模型中。因此,我们假设昼夜节律功能障碍可能与疾病病理相互作用并加剧HD症状.如果正确,早期干预可能使患者受益,延缓疾病进展.该假设的一个检验是确定旨在加强这种内在定时系统的光疗法是否可以延迟小鼠模型中的疾病进展。因此,我们确定了蓝色波长富集光对两种HD模型的影响:BACHD和Q175小鼠.两种模型在3个月的日常光照周期开始时都接受了6小时的蓝光。治疗后,两种基因型均表现出运动活动节律的改善,而睡眠行为没有显着变化。严重的,与未处理的对照相比,两个系的处理的小鼠均表现出改善的运动性能。关注Q175基因型,我们试图使用NanoString基因表达测定来确定该治疗是否改变了已知受HD影响的脑区的信号通路.我们发现几种HD相关标志物的表达在处理小鼠的纹状体和皮质中发生了改变。我们的研究表明,加强昼夜节律系统可以延迟临床前模型中HD的进展。这项工作表明,在管理HD和其他神经退行性疾病的治疗时应考虑照明条件。
    Patients with Huntington\'s disease (HD) exhibit movement disorders, psychiatric disturbance and cognitive impairments as the disease progresses. Abnormal sleep/wake cycles are common among HD patients with reports of delayed sleep onset, fatigue during the day, and a delayed pattern of melatonin secretion all of which suggest circadian dysfunction. Mouse models of HD confirm disrupted circadian rhythms with pathophysiology found in the central circadian clock (suprachiasmatic nucleus). Importantly, circadian dysfunction manifests early in disease, even before the classic motor symptoms, in both patients and mouse models. Therefore, we hypothesize that the circadian dysfunction may interact with the disease pathology and exacerbate the HD symptoms. If correct, early intervention may benefit patients and delay disease progression. One test of this hypothesis is to determine whether light therapy designed to strengthen this intrinsic timing system can delay the disease progression in mouse models. Therefore, we determined the impact of blue wavelength-enriched light on two HD models: the BACHD and Q175 mice. Both models received 6 h of blue-light at the beginning of their daily light cycle for 3 months. After treatment, both genotypes showed improvements in their locomotor activity rhythm without significant change to their sleep behavior. Critically, treated mice of both lines exhibited improved motor performance compared to untreated controls. Focusing on the Q175 genotype, we sought to determine whether the treatment altered signaling pathways in brain regions known to be impacted by HD using NanoString gene expression assays. We found that the expression of several HD relevant markers was altered in the striatum and cortex of the treated mice. Our study demonstrates that strengthening the circadian system can delay the progression of HD in pre-clinical models. This work suggests that lighting conditions should be considered when managing treatment of HD and other neurodegenerative disorders.
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  • 文章类型: Journal Article
    The circadian disruption seen in patients of Huntington\'s disease (HD) is recapitulated in the R6/2 mouse model. As the disease progresses, the activity of R6/2 mice increases dramatically during the rest (light) period and decreases during the active (dark) period, eventually leading to a complete disintegration of rest-activity rhythms by the age of ~16 weeks. The suprachiasmatic nucleus controls circadian rhythms by entraining the rest-activity rhythms to the environmental light-dark cycle. Since R6/2 mice can shift their rest-activity rhythms in response to a jet-lag paradigm and also respond positively to bright light therapy (1000 lx), we investigated whether or not a prolonged day length exposure could reduce their daytime activity and improve their behavioural circadian rhythms. We found that a long-day photoperiod (16 h light/8 h dark cycle; 100 lx) significantly improved the survival of R6/2 female mice by 2.4 weeks, compared to mice kept under standard conditions (12 h light/12 h dark cycle). Furthermore, a long-day photoperiod improved the nocturnality of R6/2 female mice. Mice kept under long-day photoperiod also maintained acrophase in activity rhythms (a parameter of rhythmicity strength) in phase with that of WT mice, even if they were symptomatic. By contrast, a short-day photoperiod (8 h light/16 h dark cycle) was deleterious to R6/2 female mice and further reduced the survival by ~1 week. Together, our results support the idea that light therapy may be beneficial for improving circadian dysfunction in HD patients.
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  • 文章类型: Journal Article
    亨廷顿病(HD),除纹状体外的脑区神经变性的存在最近引起了人们的注意。杏仁核就是这样一个区域,迄今为止,仅在8项结构磁共振成像研究中对此进行了研究,但是发现不一致。这是迄今为止最大的MRI研究,检查了HD参与者中手动追踪的杏仁核体积以及杏仁核体积与HD临床测量的关系。我们的研究包括35名健康对照参与者,和35组症状前,和36名有症状的HD参与者。当将症状前和症状性HD组与对照组进行比较时,HD患者的杏仁核体积显著低于对照组,有症状HD患者的杏仁核体积显著低于症状前HD患者.在检查杏仁核体积与HD临床测量值之间的关系时,杏仁核体积明显变小与运动和认知体征恶化相关.对于接近疾病发作的症状前HD参与者,杏仁核体积较小也与较高水平的焦虑症状相关.这些发现表明,杏仁核在症状前和症状性HD中受到影响,并且杏仁核与运动症状发作前HD的临床特征有关。
    In Huntington\'s disease (HD), the presence of neurodegeneration in brain regions other than the striatum has been recently gaining attention. The amygdala is one such area, which has been investigated in only eight structural magnetic resonance imaging studies to date, but with inconsistent findings. This is the largest MRI study to date examining manually traced amygdala volumes in HD participants and the relationship of amygdala volumes to clinical measures of HD. Our study included 35 healthy control participants, and groups of 35 pre-symptomatic, and 36 symptomatic HD participants. When comparing the pre-symptomatic and symptomatic HD groups together against the control group, amygdala volumes were significantly lower in HD than controls and in symptomatic HD than pre-symptomatic HD. When examining relationships between amygdala volumes and clinical measures of HD, significantly smaller amygdala volumes were associated with worse motor and cognitive signs. For pre-symptomatic HD participants who were close to disease onset, smaller amygdala volumes were also associated with higher levels of anxiety symptoms. These findings suggest that the amygdala is affected in pre-symptomatic and symptomatic HD, and that the amygdala is related to the clinical profile of HD before onset of motor symptoms.
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  • 文章类型: Journal Article
    已知进行性皮质下变化发生在亨廷顿病(HD)中,遗传性神经退行性疾病.关于HD中全脑灰质变化的发生和内聚性的了解较少。
    我们旨在检测灰质结构协方差网络中的网络完整性变化,并检查与临床评估的关系。
    显色前HD(n=30)的结构磁共振成像数据,HD患者(n=30)和对照组(n=30)用于基于一种新技术识别十个结构协方差网络,该技术使用灰质的协方差和FSL中的独立成分分析。根据年龄和性别研究群体差异。为了探索我们的方法在检查灰质变化方面是否有效,还进行了基于区域体素的分析.
    与对照组相比,显眼前HD和HD患者在两个网络中显示网络完整性下降。一个网络包括尾状核,前扣带回皮质和前扣带回皮质(HD中p<0.001,HD前p=0.003)。另一个网络包含海马体,前置电机,感觉运动,和岛叶皮质(HDp<0.001,HD前p=0.023)。此外,仅在HD患者中,在包括舌回的网络中观察到网络完整性下降,卡内霉素,楔子,和枕骨外侧皮质(p=0.032)。网络完整性的变化与运动和神经心理学评估得分显着相关。在预告片HD中,基于体素的分析显示基底神经节明显的体积损失,但在皮质区域不太突出。
    我们的结果表明,结构协方差可能是揭示早期灰质变化的一种敏感方法,特别是对于有预见性的HD。
    Progressive subcortical changes are known to occur in Huntington\'s disease (HD), a hereditary neurodegenerative disorder. Less is known about the occurrence and cohesion of whole brain grey matter changes in HD.
    We aimed to detect network integrity changes in grey matter structural covariance networks and examined relationships with clinical assessments.
    Structural magnetic resonance imaging data of premanifest HD (n = 30), HD patients (n = 30) and controls (n = 30) was used to identify ten structural covariance networks based on a novel technique using the co-variation of grey matter with independent component analysis in FSL. Group differences were studied controlling for age and gender. To explore whether our approach is effective in examining grey matter changes, regional voxel-based analysis was additionally performed.
    Premanifest HD and HD patients showed decreased network integrity in two networks compared to controls. One network included the caudate nucleus, precuneous and anterior cingulate cortex (in HD p < 0.001, in pre-HD p = 0.003). One other network contained the hippocampus, premotor, sensorimotor, and insular cortices (in HD p < 0.001, in pre-HD p = 0.023). Additionally, in HD patients only, decreased network integrity was observed in a network including the lingual gyrus, intracalcarine, cuneal, and lateral occipital cortices (p = 0.032). Changes in network integrity were significantly associated with scores of motor and neuropsychological assessments. In premanifest HD, voxel-based analyses showed pronounced volume loss in the basal ganglia, but less prominent in cortical regions.
    Our results suggest that structural covariance might be a sensitive approach to reveal early grey matter changes, especially for premanifest HD.
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