Neurological diseases

神经系统疾病
  • 文章类型: Letter
    空气污染是一个至关重要的全球性问题,其影响范围超出了呼吸健康。显著影响神经和精神疾病。新的证据表明暴露于细颗粒物(PM<2.5µm)之间存在联系,二氧化硫(SO2),和二氧化氮(NO2)和痴呆症的风险增加,老年痴呆症,精神分裂症,多动症,中风,帕金森病,和多发性硬化症。机制途径包括神经炎症,氧化应激,小胶质细胞激活,脑血管功能障碍,和血脑屏障破坏。流行病学研究表明,城市居民的易感性增加,尤其是男人,中年人,已婚人士,空气污染对心理健康的影响。此外,社会经济因素,例如人均GDP,获得卫生资源,绿色空间,和体育设施,调节这些健康结果。应对这一公共卫生挑战需要更严格的工业排放控制,可持续农业实践,促进清洁能源,并将污染暴露史纳入临床评估。提高公众意识和跨学科研究对于减轻空气污染对神经和精神健康的有害影响至关重要。最终为子孙后代争取一个更清洁、更健康的环境。
    Air pollution is a critical global issue with extensive implications beyond respiratory health, significantly affecting neurological and psychiatric disorders. Emerging evidence establishes a link between exposure to fine particulate matter (PM < 2.5 µm), sulfur dioxide (SO2), and nitrogen dioxide (NO2) and heightened risks of dementia, Alzheimer\'s disease, schizophrenia, ADHD, stroke, Parkinson\'s disease, and multiple sclerosis. Mechanistic pathways include neuroinflammation, oxidative stress, microglial activation, cerebrovascular dysfunction, and blood-brain barrier disruption. Epidemiological studies indicate increased susceptibility among urban residents, particularly men, middle-aged individuals, and married persons, to the mental health impacts of air pollution. Additionally, socioeconomic factors, such as GDP per capita, access to health resources, green spaces, and sports facilities, modulate these health outcomes. Addressing this public health challenge necessitates stricter industrial emission controls, sustainable agricultural practices, promotion of cleaner energy sources, and incorporation of pollution exposure history into clinical assessments. Enhanced public awareness and interdisciplinary research are vital for mitigating the detrimental effects of air pollution on neurological and psychiatric health, ultimately striving for a cleaner and healthier environment for future generations.
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  • 文章类型: Journal Article
    过度的氧化应激引发脑血管和神经退行性疾病,导致急性和慢性脑损伤。然而,潜在的机制仍然未知。小热休克蛋白B8(HSPB8)的水平,在大脑中高度表达,已知在脑损伤模型中显著升高。外源性HSPB8保护大脑免受线粒体损伤。这种保护的潜在机制是HSPB8过表达减轻线粒体依赖性凋亡途径;线粒体生物发生,裂变,和线粒体自噬。因此,HSPB8的过表达可能具有作为脑血管和神经退行性疾病的临床治疗潜力。本文综述了HSPB8对脑过度氧化应激保护作用的研究进展。包括线粒体功能障碍和有效信号通路的调节。
    Excessive oxidative stress triggers cerebrovascular and neurodegenerative diseases resulting in acute and chronic brain injury. However, the underlying mechanisms remain unknown. Levels of small heat shock protein B8 (HSPB8), which is highly expressed in the brain, are known to be significantly elevated in cerebral injury models. Exogenous HSPB8 protects the brain against mitochondrial damage. One potential mechanism underlying this protection is that HSPB8 overexpression alleviates the mitochondria-dependent pathways of apoptosis; mitochondrial biogenesis, fission, and mitophagy. Overexpression of HSPB8 may therefore have potential as a clinical therapy for cerebrovascular and neurodegenerative diseases. This review provides an overview of advances in the protective effects of HSPB8 against excessive cerebral oxidative stress, including the modulation of mitochondrial dysfunction and potent signaling pathways.
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  • 文章类型: Journal Article
    微生物群-肠道-大脑轴(MGBA)代表了大脑和肠道之间的复杂通信网络,涉及免疫学,内分泌学,和神经介质。这种双向相互作用是通过迷走神经促进的,交感神经和副交感神经纤维,受下丘脑-垂体-肾上腺(HPA)轴调节。证据表明,肠道微生物群组成的改变,或者生态失调,显著影响神经系统疾病(ND),如焦虑,抑郁症,自闭症,帕金森病(PD),和阿尔茨海默病(AD)。菌群失调可通过神经炎症和小胶质细胞激活影响中枢神经系统(CNS),强调微生物群-肠脑轴(MGBA)在疾病发病机制中的重要性。微生物群通过调节趋化因子和细胞因子来影响免疫系统,影响神经元健康。合生元已显示出通过增强认知功能和减少炎症来治疗ND的希望。肠道菌群在产生神经递质和神经活性化合物中的作用,例如短链脂肪酸(SCFA),对中枢神经系统稳态至关重要。针对MGBA的治疗干预措施,包括饮食调节和合生元补充,为管理神经退行性疾病提供潜在的好处。然而,需要进行更深入的临床研究,以充分了解和利用MGBA在神经系统健康和疾病中的治疗潜力.
    The microbiota-gut-brain axis (MGBA) represents a sophisticated communication network between the brain and the gut, involving immunological, endocrinological, and neural mediators. This bidirectional interaction is facilitated through the vagus nerve, sympathetic and parasympathetic fibers, and is regulated by the hypothalamic-pituitary-adrenal (HPA) axis. Evidence shows that alterations in gut microbiota composition, or dysbiosis, significantly impact neurological disorders (NDs) like anxiety, depression, autism, Parkinson\'s disease (PD), and Alzheimer\'s disease (AD). Dysbiosis can affect the central nervous system (CNS) via neuroinflammation and microglial activation, highlighting the importance of the microbiota-gut-brain axis (MGBA) in disease pathogenesis. The microbiota influences the immune system by modulating chemokines and cytokines, impacting neuronal health. Synbiotics have shown promise in treating NDs by enhancing cognitive function and reducing inflammation. The gut microbiota\'s role in producing neurotransmitters and neuroactive compounds, such as short-chain fatty acids (SCFAs), is critical for CNS homeostasis. Therapeutic interventions targeting the MGBA, including dietary modulation and synbiotic supplementation, offer potential benefits for managing neurodegenerative disorders. However, more in-depth clinical studies are necessary to fully understand and harness the therapeutic potential of the MGBA in neurological health and disease.
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  • 文章类型: Journal Article
    背景:大脑年龄模型,包括估计的大脑年龄和大脑预测的年龄差异(brain-PAD),已经显示出作为监测正常衰老的成像标记的巨大潜力,以及用于识别处于神经退行性疾病诊断前阶段的个体。
    目的:本研究旨在探讨正常老化和轻度认知障碍(MCI)转化者的脑年龄模型及其在MCI转化分类中的价值。
    方法:使用剑桥老龄化和神经科学中心(Cam-CAN)项目(N=609)的结构磁共振成像(MRI)数据构建预训练脑年龄模型。使用基线建立被测大脑年龄模型,来自正常年龄(NA)成年人(n=32)和MCI转换器(n=22)的1年和3年随访MRI数据来自开放获取成像研究系列(OASIS-2)。形态计量学的定量测量包括颅内总体积(TIV),灰质体积(GMV)和皮质厚度。使用支持向量机(SVM)算法根据个体的形态特征计算脑年龄模型。
    结果:具有可比的实际年龄,MCI转换器显示出基于TIV的显着增加(基线:P=0.021;1年随访:P=0.037;3年随访:P=0.001),并且在所有时间点基于GMV的大脑年龄均高于NA成年人。较高的脑PAD评分与较差的整体认知相关。发现基于TIV(AUC=0.698)和基于左GMV的脑年龄(AUC=0.703)的可接受分类性能,这可以在基线上区分MCI转换器和NA成年人。
    结论:这是首次证明MRI告知的大脑年龄模型表现出特定特征模式。在MCI转换器中观察到的更大的基于GMV的脑年龄可能为识别神经变性早期阶段的个体提供新的证据。我们的发现增加了现有定量成像标记的价值,并可能有助于改善疾病监测并加速临床实践中的个性化治疗。
    根据个人的MRI扫描,脑年龄模型显示出作为监测正常衰老(NA)的成像标记的巨大潜力,以及用于识别与年龄相关的神经退行性疾病的诊断前阶段。在这项研究中,我们调查了正常衰老和轻度认知障碍(MCI)转化者的脑年龄模型及其在MCI转化分类中的价值.使用形态计量学的定量测量构建预训练的脑年龄模型,包括颅内总体积(TIV),灰质体积(GMV)和皮质厚度。在相当的实际年龄下,MCI转化者在所有时间点都显示出比NA成人显著增加的脑年龄。较高的大脑年龄与较差的整体认知有关。这是MRI告知的大脑年龄模型表现出特定特征模式的第一个证明。在MCI转换器中观察到的更大的基于GMV的脑年龄可能为识别神经变性早期阶段的个体提供新的证据。我们的发现增加了现有定量成像标记的价值,并可能有助于改善疾病监测并加速临床实践中的个性化治疗。
    BACKGROUND: Brain age model, including estimated brain age and brain-predicted age difference (brain-PAD), has shown great potentials for serving as imaging markers for monitoring normal ageing, as well as for identifying the individuals in the pre-diagnostic phase of neurodegenerative diseases.
    OBJECTIVE: This study aimed to investigate the brain age models in normal ageing and mild cognitive impairments (MCI) converters and their values in classifying MCI conversion.
    METHODS: Pre-trained brain age model was constructed using the structural magnetic resonance imaging (MRI) data from the Cambridge Centre for Ageing and Neuroscience (Cam-CAN) project (N = 609). The tested brain age model was built using the baseline, 1-year and 3-year follow-up MRI data from normal ageing (NA) adults (n = 32) and MCI converters (n = 22) drew from the Open Access Series of Imaging Studies (OASIS-2). The quantitative measures of morphometry included total intracranial volume (TIV), gray matter volume (GMV) and cortical thickness. Brain age models were calculated based on the individual\'s morphometric features using the support vector machine (SVM) algorithm.
    RESULTS: With comparable chronological age, MCI converters showed significant increased TIV-based (Baseline: P = 0.021; 1-year follow-up: P = 0.037; 3-year follow-up: P = 0.001) and left GMV-based brain age than NA adults at all time points. Higher brain-PAD scores were associated with worse global cognition. Acceptable classification performance of TIV-based (AUC = 0.698) and left GMV-based brain age (AUC = 0.703) was found, which could differentiate the MCI converters from NA adults at the baseline.
    CONCLUSIONS: This is the first demonstration that MRI-informed brain age models exhibit feature-specific patterns. The greater GMV-based brain age observed in MCI converters may provide new evidence for identifying the individuals at the early stage of neurodegeneration. Our findings added value to existing quantitative imaging markers and might help to improve disease monitoring and accelerate personalized treatments in clinical practice.
    Based on individual’s MRI scans, brain age model has shown great potentials for serving as imaging markers for monitoring normal ageing (NA), as well as for identifying the ones in the pre-diagnostic phase of age-related neurodegenerative diseases. In this study, we investigated the brain age models in normal ageing and mild cognitive impairments (MCI) converters and their values in classifying MCI conversion. Pre-trained brain age model was constructed using the quantitative measures of morphometry included total intracranial volume (TIV), gray matter volume (GMV) and cortical thickness. With comparable chronological age, MCI converters showed significant increased brain age than NA adults at all time points. Higher brain age were associated with worse global cognition. This is the first demonstration that MRI-informed brain age models exhibit feature-specific patterns. The greater GMV-based brain age observed in MCI converters may provide new evidence for identifying the individuals at the early stage of neurodegeneration. Our findings added value to existing quantitative imaging markers and might help to improve disease monitoring and accelerate personalized treatments in clinical practice.
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  • 文章类型: Journal Article
    成人海马神经发生(AHN)受多种因素影响,如丰富的环境,锻炼,老化,和神经退行性疾病。神经退行性疾病会损害AHN,导致进行性神经元损失和认知能力下降。令人信服的证据表明,从事定期运动的个体表现出更高的蛋白质产量,这些蛋白质对AHN和记忆至关重要。有趣的是,介导运动效应的特定分子在不同的转基因动物模型中显示出促进AHN和认知的有效性。尽管取得了这些进步,运动模拟物诱导AHN的确切机制仍部分了解。最近,一些新的运动分子已经被测试,潜在的机制已经被提出,涉及多个器官之间的相互通信,例如肌肉-大脑串扰,肝脑串扰,和肠脑串扰。在这次审查中,我们将讨论关于运动模拟物对各种神经系统疾病中的AHN和认知的影响和潜在机制的现有证据。机遇,挑战,并对该研究领域的未来发展方向进行了讨论。
    Adult hippocampal neurogenesis (AHN) is affected by multiple factors, such as enriched environment, exercise, ageing, and neurodegenerative disorders. Neurodegenerative disorders can impair AHN, leading to progressive neuronal loss and cognitive decline. Compelling evidence suggests that individuals engaged in regular exercise exhibit higher production of proteins that are essential for AHN and memory. Interestingly, specific molecules that mediate the effects of exercise have shown effectiveness in promoting AHN and cognition in different transgenic animal models. Despite these advancements, the precise mechanisms by which exercise mimetics induce AHN remain partially understood. Recently, some novel exercise molecules have been tested and the underlying mechanisms have been proposed, involving intercommunications between multiple organs such as muscle-brain crosstalk, liver-brain crosstalk, and gut-brain crosstalk. In this review, we will discuss the current evidence regarding the effects and potential mechanisms of exercise mimetics on AHN and cognition in various neurological disorders. Opportunities, challenges, and future directions in this research field are also discussed.
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  • 文章类型: Journal Article
    食物的辛辣特性是由各种辛辣风味物质(SF),如辣椒素,胡椒碱,还有大蒜素.除了它们独特的感官特征,SF还影响健康状况,许多研究将辛辣风味与疾病治疗联系起来。在这次审查中,我们列举了不同类型的SFs,并描述了它们在食品加工中的作用,特别强调批判性地检查它们对人类健康的影响。特别是,提供了对SF增强生理平衡和缓解神经系统疾病的机制的详细见解,并对瞬时受体电位香草素1型(TRPV1)在调节代谢和神经系统稳态中的意义进行了系统分析。此外,增强SFs的可及性和利用率可以潜在地放大生理效应。本综述旨在为食品风味与人类健康的整合提供令人信服的证据。
    The spicy properties of foods are contributed by various spicy flavor substances (SFs) such as capsaicin, piperine, and allicin. Beyond their distinctive sensory characteristics, SFs also influence health conditions and numerous studies have associated spicy flavors with disease treatment. In this review, we enumerate different types of SFs and describe their role in food processing, with a specific emphasis on critically examining their influence on human wellness. Particularly, detailed insights into the mechanisms through which SFs enhance physiological balance and alleviate neurological diseases are provided, and a systematic analysis of the significance of transient receptor potential vanilloid type-1 (TRPV1) in regulating metabolism and nervous system homeostasis is presented. Moreover, enhancing the accessibility and utilization of SFs can potentially amplify the physiological effects. This review aims to provide compelling evidence for the integration of food flavor and human health.
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  • 文章类型: Journal Article
    暴露于神经毒性和重金属(Pb2+,As3+,Mn2+,Cd2+,等)随着时间的推移而增加,并显示出对大脑健康的负面影响。重金属可以通过多种途径穿过血脑屏障(BBB),包括受体或载体介导的转运,被动扩散,或通过大脑内皮细胞的间隙运输。在高浓度下,这些金属已被证明会对BBB造成结构和功能损害,通过诱导氧化应激,离子失调,紧密连接(TJ)损耗,星形胶质细胞/周细胞损伤和间隙连接的干扰。BBB的结构和功能损害导致BBB渗透性增加,最终导致这些重金属在大脑中的积累及其随后的毒性。由于这些影响,重金属与各种神经系统疾病有关。这些重金属的病理效应可以通过螯合有效地减轻。此外,有可能通过抵消与脑和BBB损伤相关的分子机制来治疗相关疾病。
    Exposure to neurotoxic and heavy metals (Pb2+, As3+, Mn2+, Cd2+, etc) has increased over time and has shown to negatively affect brain health. Heavy metals can cross the blood brain barrier (BBB) in various ways including receptor or carrier-mediated transport, passive diffusion, or transport via gaps in the endothelial cells of the brain. In high concentrations, these metals have been shown to cause structural and functional impairment to the BBB, by inducing oxidative stress, ion dyshomeostasis, tight junction (TJ) loss, astrocyte/pericyte damage and interference of gap junctions. The structural and functional impairment of the BBB results in increased BBB permeability, which ultimately leads to accumulation of these heavy metals in the brain and their subsequent toxicity. As a result of these effects, heavy metals are correlated with various neurological disorders. The pathological effects of these heavy metals can be effectively mitigated via chelation. In addition, it is possible to treat the associated disorders by counteracting the molecular mechanisms associated with the brain and BBB impairment.
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  • 文章类型: Journal Article
    由嗜中性粒细胞释放的嗜中性粒细胞胞外陷阱是粘附于颗粒蛋白的网状DNA结构,具有杀菌活性,并且可以是防止病原体传播或消除微生物的重要机制。然而,它们也在其他系统的疾病中发挥重要作用,例如中枢神经系统。我们跟踪了最新进展,并根据已发表的与中性粒细胞胞外诱捕器和神经系统疾病有关的原创和评论文章进行了综述。一般来说,中性粒细胞几乎不能穿透血脑屏障进入脑实质,但是当病理变化如感染时,创伤,或者发生神经变性,中性粒细胞迅速渗透到中枢神经系统以发挥其防御作用。然而,当中性粒细胞在持续的神经炎症后无法控制地释放中性粒细胞胞外陷阱时,它们可能会对宿主产生不利影响。本文综述了神经疾病中中性粒细胞胞外陷阱释放的机制和作用的最新进展。我们还讨论了调节中性粒细胞胞外陷阱释放的分子在神经系统疾病临床应用中的作用。
    Neutrophil extracellular traps released by neutrophils are web-like DNA structures adhered to granulin proteins with bactericidal activity and can be an important mechanism for preventing pathogen dissemination or eliminating microorganisms. However, they also play important roles in diseases of other systems, such as the central nervous system. We tracked the latest advances and performed a review based on published original and review articles related to neutrophil extracellular traps and neurological diseases. Generally, neutrophils barely penetrate the blood-brain barrier into the brain parenchyma, but when pathological changes such as infection, trauma, or neurodegeneration occur, neutrophils rapidly infiltrate the central nervous system to exert their defensive effects. However, neutrophils may adversely affect the host when they uncontrollably release neutrophil extracellular traps upon persistent neuroinflammation. This review focused on recent advances in understanding the mechanisms and effects of neutrophil extracellular traps release in neurological diseases, and we also discuss the role of molecules that regulate neutrophil extracellular traps release in anticipation of clinical applications in neurological diseases.
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  • 文章类型: Journal Article
    亨廷顿蛋白相关蛋白1(HAP1)是第一个与亨廷顿蛋白相互作用的蛋白质。除了大脑,HAP1也在脊髓中表达,背根神经节,内分泌,和消化系统。HAP1具有涉及囊泡运输的多种功能,受体再循环,基因转录,和信号转导。HAP1与几种神经系统疾病密切相关,包括亨廷顿病,老年痴呆症,癫痫,缺血性卒中,和抑郁症。此外,HAP1已被证明参与癌症和糖尿病。本文概述了HAP1的组织分布,细胞定位,功能,并提供了新的观点来研究其在疾病中的作用。
    Huntingtin-associated protein 1 (HAP1) was the first protein discovered to interact with huntingtin. Besides brain, HAP1 is also expressed in the spinal cord, dorsal root ganglion, endocrine, and digestive systems. HAP1 has diverse functions involving in vesicular transport, receptor recycling, gene transcription, and signal transduction. HAP1 is strongly linked to several neurological diseases, including Huntington\'s disease, Alzheimer\'s disease, epilepsy, ischemic stroke, and depression. In addition, HAP1 has been proved to participate in cancers and diabetes mellitus. This article provides an overview of HAP1 regarding the tissue distribution, cell localization, functions, and offers fresh perspectives to investigate its role in diseases.
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  • 文章类型: Journal Article
    背景:虽然血清中神经丝轻链(NfL)浓度的增加与几种神经系统疾病的进展有关,它们在一般成年人口中的分布和影响在很大程度上仍未被探索。当前的研究旨在阐明广泛且具有代表性的人群样本中血清NfL水平与神经系统疾病之间的关系。
    方法:我们利用了2013-2014年国家健康与营养调查(NHANES)周期中1,751名成年人的信息。我们的分析方法包括逻辑回归,平滑曲线拟合,和亚组分析,以确定血清NfL水平和神经系统疾病之间的潜在相关性,包括抑郁症,严重的听力和视力障碍,中风,主观记忆缺陷,和睡眠问题。
    结果:调整混杂因素后,我们发现,较高的血清NfL浓度与抑郁症风险增加显著相关,中风,主观记忆缺陷,和更长的睡眠时间(p<0.05)。亚组分析支持这些发现。此外,BMI显著影响血清NfL水平与主观记忆缺陷之间的关系。
    结论:我们的研究表明,较高的血清NfL水平与几种神经系统疾病的风险升高密切相关。这些发现强调了血清NfL作为早期检测和监测神经系统疾病的关键标志物的作用。强调其在临床和公共卫生环境中的重要性。
    BACKGROUND: While increased neurofilament light chain (NfL) in serum concentrations are linked to the progression of several neurological conditions, their distribution and implications within the general adult population remain largely unexplored. The current research aims to clarify the relationship between serum NfL levels and neurological disorders in a broad and representative population sample.
    METHODS: We utilized information gathered from 1751 adults involved in the 2013-2014 cycle of the National Health and Nutrition Examination Survey . Our analytical approach encompassed logistic regression, smoothed curve fitting, and subgroup analyses to identify potential correlations between serum NfL levels and neurological conditions, such as depression, severe hearing and visual impairments, stroke, subjective memory deficits, and sleep problems.
    RESULTS: After adjusting for all confounders, we found that higher serum NfL levels were significantly associated with increased risks of depression, stroke, subjective memory deficits, and longer sleep duration (p < 0.05). Subgroup analyses supported these findings. Additionally, BMI significantly influenced the relationship between serum NfL levels and long-term subjective memory decline.
    CONCLUSIONS: Our research shows that higher serum NfL levels are strongly related to an elevated risk for several neurological disorders. These findings highlight the role of serum NfL serving as a critical marker for early detection and monitoring of neurological conditions, emphasizing its importance in both clinical and public health settings.
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