Neuropsychiatric disorders

神经精神障碍
  • 文章类型: Journal Article
    Ectodomain shedding (ES) is a fundamental process involving the proteolytic cleavage of membrane-bound proteins, leading to the release of soluble extracellular fragments (shed ectodomains) with potential paracrine and autocrine signaling functions. In the central nervous system (CNS), ES plays pivotal roles in brain development, axonal regulation, synapse formation, and disease pathogenesis, spanning from cancer to Alzheimer\'s disease. Recent evidence also suggests its potential involvement in neurodevelopmental conditions like autism and schizophrenia. Past investigations of ES in the CNS have primarily relied on cell culture supernatants or cerebrospinal fluid (CSF) samples, but these methods have limitations, offering limited insights into how ES is modulated in the intact brain parenchyma. In this study, we introduce a methodology for analyzing shed ectodomains globally within rodent brain samples. Through biochemical tissue subcellular separation, mass spectrometry, and bioinformatic analysis, we show that the brain\'s soluble fraction sheddome shares significant molecular and functional similarities with in vitro neuronal and CSF sheddomes. This approach provides a promising means of exploring ES dynamics in the CNS, allowing for the evaluation of ES at different developmental stages and pathophysiological states. This methodology has the potential to help us deepen our understanding of ES and its role in CNS function and pathology, offering new insights and opportunities for research in this field.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    感染在精神疾病的病因中的含义是一个感兴趣的领域。
    我们旨在初步研究弓形虫与精神病之间的关系。
    T.在精神病患者的样本中测量了刚地免疫球蛋白M(IgM)和免疫球蛋白G(IgG)抗体,一级亲属(FDR),和健康志愿者(HV)进行比较。使用社会科学统计软件包(SPSS)通过描述性统计以频率和百分比的形式分析数据。
    样品尺寸为10。男人和女人是平等的。都来自农村背景。四名精神病患者中有一名患有抗T.与FDR和HV三种抗体中没有一种抗体相比。弓形虫IgG抗体阳性的患者诊断为急性和短暂性精神障碍(ATPD)。
    这个来自全球这一地区的开创性试点项目突出了未来进一步工作的相关领域,以便对精神病的适当管理有一个更新的理解。
    UNASSIGNED: Implication of infection in etiology of psychotic disorders is an area of interest.
    UNASSIGNED: We aimed to explore the relationship between Toxoplasma gondii and psychotic disorders in a preliminary study.
    UNASSIGNED: T. gondii immunoglobulin M (IgM) and immunoglobulin G (IgG) antibodies were measured in a sample of patients with psychotic disorders, first-degree relatives (FDR), and healthy volunteers (HV) and compared. Data were analyzed by descriptive statistics in the forms of frequency and percentage using Statistical Package for the Social Sciences (SPSS).
    UNASSIGNED: Sample size was 10. Men and women were equal. All were from rural background. One patient with psychotic disorder out of the four had anti-T. gondii IgG antibodies in comparison to none among the three each of the FDR and HV. The patient with positive Toxoplasma IgG antibody status had the diagnosis of acute and transient psychotic disorder (ATPD).
    UNASSIGNED: This pioneering pilot project from this part of the globe highlights a pertinent area for further work in the future in order to have a newer understanding in proper management of psychotic disorder.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    TRPV1通道是多模态阳离子通道,主要位于由炎症介质激活的初级传入神经元,辣椒素(辣椒中的活性成分),和有害的热量。TRPV1通道拮抗剂是潜在的新型镇痛剂,但是发现它们也会产生热稳态损失和对有害热的反应,从而阻碍了它们的发展。最近对TRPV1通道的研究结果表明,有可能开发出抑制疼痛而不影响有害热感的TRPV1通道拮抗剂。TRPV1通道也存在于中枢神经系统(CNS)中,并且与学习有关,记忆,和行为。已经提出TRPV1通道调节剂在治疗神经和精神病症中具有可能的治疗潜力。然而,在使用TRPV1通道调节剂治疗神经精神疾病的治疗方面取得进展之前,需要进一步了解TRPV1通道在CNS中的作用.
    TRPV1 channels are polymodal cation channels located predominantly on primary afferent neurons that are activated by inflammatory mediators, capsaicin (the active component in chili peppers), and noxious heat. TRPV1 channel antagonists are potential new analgesic agents, but their development has been hindered by the finding that they also produce loss of thermal homeostasis and response to noxious heat. Results from recent studies of the TRPV1 channel indicate that it might be possible to develop TRPV1 channel antagonists that inhibit pain without affecting noxious heat sensation. TRPV1 channels are also present in the central nervous system (CNS) and have been implicated in learning, memory, and behaviour. TRPV1 channel modulators have been proposed to have possible therapeutic potential in the treatment of neurological and psychiatric conditions. However, further understanding of the role of TRPV1 channels in the CNS is required before therapeutic advances in the treatment of neuropsychiatric conditions with TRPV1 channel modulators can be made.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    神经和神经精神疾病对公共卫生构成重大挑战,需要全面了解其发病机理的分子机制。近年来,焦点已经转向复杂的非编码RNA(ncRNA)世界,一类不编码蛋白质但在基因调控和细胞过程中起关键作用的RNA分子。这篇综述探讨了ncRNAs在神经和神经精神疾病背景下的新兴意义。揭示了它们的不同功能和监管机制。各种ncRNAs的失调,包括microRNAs(miRNAs),长链非编码RNA(lncRNA),和环状RNAs(circRNAs),与阿尔茨海默病等疾病的病理生理学有关,帕金森病,精神分裂症,和情绪障碍。这篇综述深入研究了这些ncRNAs在调节关键细胞过程中发挥的特殊作用。包括突触可塑性,神经炎症,和细胞凋亡,提供他们对疾病进展的影响的细微差别的理解。此外,它讨论了在神经和神经精神疾病中靶向ncRNAs的潜在诊断和治疗意义。特异性ncRNA特征的鉴定为早期疾病检测的新型生物标志物的开发带来了希望。而ncRNA表达的操作提供了创新的治疗途径。还考虑了该领域的挑战和未来方向,强调需要继续研究以解开神经和神经精神疾病背景下ncRNA介导的调控网络的复杂性。这篇综述旨在提供对当前知识状态的全面概述,并激发对大脑复杂景观中ncRNAs迷人领域的进一步探索。
    Neurological and neuropsychiatric disorders pose substantial challenges to public health, necessitating a comprehensive understanding of the molecular mechanisms underlying their pathogenesis. In recent years, the focus has shifted toward the intricate world of non-coding RNAs (ncRNAs), a class of RNA molecules that do not encode proteins but play pivotal roles in gene regulation and cellular processes. This review explores the emerging significance of ncRNAs in the context of neurological and neuropsychiatric disorders, shedding light on their diverse functions and regulatory mechanisms. The dysregulation of various ncRNAs, including microRNAs (miRNAs), long non-coding RNAs (lncRNAs), and circular RNAs (circRNAs), has been implicated in the pathophysiology of conditions such as Alzheimer\'s disease, Parkinson\'s disease, schizophrenia, and mood disorders. This review delves into the specific roles these ncRNAs play in modulating key cellular processes, including synaptic plasticity, neuroinflammation, and apoptosis, providing a nuanced understanding of their impact on disease progression. Furthermore, it discusses the potential diagnostic and therapeutic implications of targeting ncRNAs in neurological and neuropsychiatric disorders. The identification of specific ncRNA signatures holds promise for the development of novel biomarkers for early disease detection, while the manipulation of ncRNA expression offers innovative therapeutic avenues. Challenges and future directions in the field are also considered, highlighting the need for continued research to unravel the complexities of ncRNA-mediated regulatory networks in the context of neurological and neuropsychiatric disorders. This review aims to provide a comprehensive overview of the current state of knowledge and stimulate further exploration into the fascinating realm of ncRNAs in the brain\'s intricate landscape.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    神经精神和神经系统疾病构成了巨大的全球健康负担,强调创新治疗方法的必要性。芬戈莫德(FTY720),一种治疗多发性硬化症的常用药物,对各种神经精神和神经系统疾病显示出有希望的疗效。芬戈莫德通过靶向多个细胞和分子过程发挥其神经保护作用,如细胞凋亡,氧化应激,神经炎症,和自噬。通过调节鞘氨醇-1-磷酸受体活性,免疫细胞运输和神经元功能的关键调节剂,它还影响突触活动并增强记忆形成。在海马中,芬戈莫德降低谷氨酸水平并增加GABA水平,提示在调节突触传递和神经元兴奋性方面的潜在作用。一起来看,芬戈莫德已成为一种有前途的神经精神和神经系统疾病的神经保护剂。其广泛的细胞和分子效应,包括细胞凋亡的调节,氧化应激,神经炎症,自噬,和突触可塑性,为这些衰弱的条件提供了全面的治疗方法。有必要进一步研究以充分阐明芬戈莫德的作用机制,并优化其在神经精神和神经系统疾病治疗中的应用。
    Neuropsychiatric and neurological disorders pose a significant global health burden, highlighting the need for innovative therapeutic approaches. Fingolimod (FTY720), a common drug to treat multiple sclerosis, has shown promising efficacy against various neuropsychiatric and neurological disorders. Fingolimod exerts its neuroprotective effects by targeting multiple cellular and molecular processes, such as apoptosis, oxidative stress, neuroinflammation, and autophagy. By modulating Sphingosine-1-Phosphate Receptor activity, a key regulator of immune cell trafficking and neuronal function, it also affects synaptic activity and strengthens memory formation. In the hippocampus, fingolimod decreases glutamate levels and increases GABA levels, suggesting a potential role in modulating synaptic transmission and neuronal excitability. Taken together, fingolimod has emerged as a promising neuroprotective agent for neuropsychiatric and neurological disorders. Its broad spectrum of cellular and molecular effects, including the modulation of apoptosis, oxidative stress, neuroinflammation, autophagy, and synaptic plasticity, provides a comprehensive therapeutic approach for these debilitating conditions. Further research is warranted to fully elucidate the mechanisms of action of fingolimod and optimize its use in the treatment of neuropsychiatric and neurological disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    大脑的复杂分布动力学通常使用一组有限的手动选择的统计属性进行量化,留下了替代动力学特性可能优于给定应用程序报告的特性的可能性。这里,我们通过系统地比较不同的,来自静息状态功能磁共振成像(rs-fMRI)数据的区域内活动和区域间功能耦合的可解释特征,使用4种神经精神疾病的病例对照比较演示我们的方法。我们的发现通常支持使用线性时间序列分析技术进行rs-fMRI病例对照分析,同时还确定了量化信息动态功能磁共振成像结构的新方法。虽然功能磁共振成像动力学的简单统计表示表现出奇的好(例如,单个大脑区域内的属性),将区域内属性与区域间耦合相结合,总体上提高了性能,强调分布式,神经精神疾病中功能磁共振成像动力学的多方面变化。全面的,这里介绍的数据驱动方法能够系统地识别和解释多元时间序列数据的定量动态特征,具有超越神经成像的适用性,适用于涉及复杂时变系统的各种科学问题。
    The brain\'s complex distributed dynamics are typically quantified using a limited set of manually selected statistical properties, leaving the possibility that alternative dynamical properties may outperform those reported for a given application. Here, we address this limitation by systematically comparing diverse, interpretable features of both intra-regional activity and inter-regional functional coupling from resting-state functional magnetic resonance imaging (rs-fMRI) data, demonstrating our method using case-control comparisons of four neuropsychiatric disorders. Our findings generally support the use of linear time-series analysis techniques for rs-fMRI case-control analyses, while also identifying new ways to quantify informative dynamical fMRI structures. While simple statistical representations of fMRI dynamics performed surprisingly well (e.g., properties within a single brain region), combining intra-regional properties with inter-regional coupling generally improved performance, underscoring the distributed, multifaceted changes to fMRI dynamics in neuropsychiatric disorders. The comprehensive, data-driven method introduced here enables systematic identification and interpretation of quantitative dynamical signatures of multivariate time-series data, with applicability beyond neuroimaging to diverse scientific problems involving complex time-varying systems.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    绞股蓝(Thunb。)牧野是一种多年生爬行草本植物,属于葫芦科,在传统东方医学中有着悠久的使用历史。绞股蓝皂苷是绞股蓝中的主要生物活性化合物。由于绞股蓝皂甙的药用价值,含有绞股蓝皂甙的功能性食品和补充剂得到了推广和消费,尤其是在亚洲社区。本文综述了绞股蓝皂苷对神经系统疾病的药理特性及其可能作用机制的研究进展。迄今为止,临床前研究已经证明了绞股蓝皂苷在缓解抑郁症等神经精神疾病方面的疗效,帕金森病,老年痴呆症,继发性痴呆,中风,视神经炎,等。药理学研究发现,绞股蓝皂甙可以调节各种主要的信号通路,如NF-κB,Nrf2,AKT,ERK1/2,有助于神经保护特性。然而,绞股蓝皂苷的临床研究缺乏,目前对这些化合物的研究主要是在体外和动物身上进行的。未来的研究重点是分离和纯化新型绞股蓝皂甙,以及探索其生物活性潜在分子机制的研究是必要的。这可以作为进一步临床试验的基础,以改善人类健康。
    Gynostemma pentaphyllum (Thunb.) Makino is a perennial creeping herb belonging to the Cucurbitaceae family that has a long history of usage in traditional oriental medicine. Gypenosides are the primary bioactive compounds in Gynostemma pentaphyllum. Because of the medicinal value of gypenosides, functional food and supplements containing gypenosides have been promoted and consumed with popularity, especially among Asian communities. This review presented the progress made in the research of pharmacological properties of gypenosides on diseases of the nervous system and their possible mechanism of action. To date, preclinical studies have demonstrated the therapeutic effects of gypenosides in alleviating neuropsychiatric disorders like depression, Parkinson\'s disease, Alzheimer\'s disease, secondary dementia, stroke, optic neuritis, etc. Pharmacological studies have discovered that gypenosides can modulate various major signaling pathways like NF-κB, Nrf2, AKT, ERK1/2, contributing to the neuroprotective properties. However, there is a dearth of clinical research on gypenosides, with current investigations on the compounds being mainly conducted in vitro and on animals. Future studies focusing on isolating and purifying novel gypenosides and investigations on exploring the potential molecular mechanism underlying their biological activities are warranted, which may serve as a foundation for further clinical trials for the betterment of human health.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    痕量胺相关受体1(TAAR1)是一种正在研究中的新型药物靶标,用于治疗几种神经精神疾病。已经在患有精神分裂症和代谢紊乱的患者中发现了TAAR1单核苷酸变体(SNV)。然而,在地理上不同的人群中,变异的频率和这种变异的功能效应是未知的。在这项研究中,我们旨在使用基因型和表型数据库(dbGaP)描述TAAR1SNV在5个不同WHO区域的分布,并使用现有的TAAR1结构数据进行了关键计算分析,以确定影响配体结合和/或功能区域的SNV.我们的分析显示19个正构,9个信号传导和16个微开关SNV假设严重影响激动剂诱导的TAAR1激活。这些SNV可以不成比例地影响来自离散区域的群体,并且在遗传和地理上不同的群体中差异地影响TAAR1靶向治疗剂的活性。值得注意的是,我们的数据集提供了直系SNVD1033.32N(仅在东南亚地区和西太平洋地区发现)和T1945.42A(仅在东南亚地区发现),和2个信号SNV(V1253.54A/T2526.36A,在非洲地区和常见的发现,分别),所有这些先前已经证明影响配体诱导的TAAR1功能。此外,使用SIFT4G进行生物信息学分析,MutationTaster2、PROVEAN和MutationAssessor预测所有16个微动开关SNV都具有破坏性,并可能进一步影响TAAR1的激动剂激活,从而可能影响临床结果。了解TAAR1功能的遗传基础和临床人群中常见突变的影响对于安全有效地利用新的和现有的药物疗法非常重要。
    Trace Amine Associated Receptor 1 (TAAR1) is a novel pharmaceutical target under investigation for the treatment of several neuropsychiatric conditions. TAAR1 single nucleotide variants (SNV) have been found in patients with schizophrenia and metabolic disorders. However, the frequency of variants in geographically diverse populations and the functional effects of such variants are unknown. In this study, we aimed to characterise the distribution of TAAR1 SNVs in five different WHO regions using the Database of Genotypes and Phenotypes (dbGaP) and conducted a critical computational analysis using available TAAR1 structural data to identify SNVs affecting ligand binding and/or functional regions. Our analysis shows 19 orthosteric, 9 signalling and 16 micro-switch SNVs hypothesised to critically influence the agonist induced TAAR1 activation. These SNVs may non-proportionally influence populations from discrete regions and differentially influence the activity of TAAR1-targeting therapeutics in genetically and geographically diverse populations. Notably, our dataset presented with orthosteric SNVs D1033.32N (found only in the South-East Asian Region and Western Pacific Region) and T1945.42A (found only in South-East Asian Region), and 2 signalling SNVs (V1253.54A/T2526.36A, found in African Region and commonly, respectively), all of which have previously demonstrated to influence ligand induced functions of TAAR1. Furthermore, bioinformatics analysis using SIFT4G, MutationTaster 2, PROVEAN and MutationAssessor predicted all 16 micro-switch SNVs are damaging and may further influence the agonist activation of TAAR1, thereby possibly impacting upon clinical outcomes. Understanding the genetic basis of TAAR1 function and the impact of common mutations within clinical populations is important for the safe and effective utilisation of novel and existing pharmacotherapies.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    基底外侧杏仁核(BLA)是位于颞叶内侧的杏仁核的亚区域,它与广泛的大脑区域相连,以实现不同的功能。最近,越来越多的研究集中在BLA参与许多神经精神障碍从神经回路的角度来看,病毒追踪方法的快速发展和越来越多的特定神经调制技术的帮助。然而,如何将这种回路水平的临床前干预转化为临床治疗,使用非侵入性或小侵入性操作,使患有神经精神疾病的患者受益,仍然是一个不可避免的需要考虑的问题.在这次审查中,我们总结了BLA参与的回路在包括阿尔茨海默病在内的神经精神疾病中的作用,围手术期神经认知障碍,精神分裂症,焦虑症,抑郁症,创伤后应激障碍,自闭症谱系障碍,疼痛联想情感状态和认知功能障碍。此外,我们为临床翻译提供未来方向和挑战的见解。
    The basolateral amygdala (BLA) is the subregion of the amygdala located in the medial of the temporal lobe, which is connected with a wide range of brain regions to achieve diverse functions. Recently, an increasing number of studies have focused on the participation of the BLA in many neuropsychiatric disorders from the neural circuit perspective, aided by the rapid development of viral tracing methods and increasingly specific neural modulation technologies. However, how to translate this circuit-level preclinical intervention into clinical treatment using noninvasive or minor invasive manipulations to benefit patients struggling with neuropsychiatric disorders is still an inevitable question to be considered. In this review, we summarized the role of BLA-involved circuits in neuropsychiatric disorders including Alzheimer\'s disease, perioperative neurocognitive disorders, schizophrenia, anxiety disorders, depressive disorders, posttraumatic stress disorders, autism spectrum disorders, and pain-associative affective states and cognitive dysfunctions. Additionally, we provide insights into future directions and challenges for clinical translation.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:某些罕见结节性硬化症(TSC)患者的耐药性癫痫(DRE)可能受益于切除性癫痫手术。此外,相关的神经精神障碍(TAND)在TSC患者中很常见;然而,关于手术如何影响神经精神合并症的长期数据很少.
    方法:采用两种回顾性方法对发病年龄<18岁的TSC和DRE患儿进行鉴定。研究组(手术)通过瑞典国家癫痫手术登记(n=17)确定,自1990年以来在全国范围内进行登记,自1995年以来进行前瞻性患者登记。通过搜索从瑞典南部三级医院检索的医疗记录来确定参考组(非手术)(n=52)。邀请符合条件的参与者完成经过验证的TAND寿命清单。那些没有完成清单的人,从来没有DRE,或年龄<7岁的患者被排除在研究之外。参照组与研究组在推定的混杂因素方面保持平衡,按以下分层顺序:调查时的DRE,癫痫发作的年龄,随访年龄,和性爱。
    结果:在平衡过程之后,两组均由13名参与者组成.研究组和参照组从癫痫发作到调查的中位时间分别为18.5年(范围:7.75-40.25)和16.0年(7.33-33.5),分别。从手术到调查的中位时间为13年(范围:4-22)。在行为问题上没有发现显著差异,自闭症谱系障碍的诊断或症状,或者群体之间的智力残疾,不管手术。无癫痫发作的个体(n=11)在社交技能方面表现更好(p=0.016),智力技能(p=0.029),和总体TAND评分(p=0.005)比非无癫痫组(n=15)。
    结论:这是第一项评估TSC患者癫痫手术后长期随访中TAND合并症的研究。我们没有发现输卵管切除术后TAND合并症的不良反应的证据。然而,需要一项更大的研究,以便更好地调整混杂因素。根据以前的研究,与未控制的癫痫组相比,无癫痫个体在大多数TAND领域的症状较少,表明症状不太严重。
    BACKGROUND: Drug-resistant epilepsy (DRE) in selected individuals with the rare tuberous sclerosis complex (TSC) may benefit from resective epilepsy surgery. Furthermore, associated neuropsychiatric disorders (TAND) are common in patients with TSC; however, long-term data on how surgery affects neuropsychiatric comorbidities are sparse.
    METHODS: Two retrospective approaches were used to identify children with TSC and DRE with onset at < 18 years of age. The study group (surgical) was identified through the Swedish National Epilepsy Surgery Registry (n = 17), a registry with complete national coverage since 1990 and prospective patient enrolment since 1995. The reference group (non-surgical) was identified by searching medical records retrieved from the tertiary hospital of Southern Sweden (n = 52). Eligible participants were invited to complete the validated TAND lifetime checklist. Those who did not complete the checklist, never had DRE, or were aged < 7 years old were excluded from the study. The reference group was balanced with the study group for putative confounders, in the following hierarchical order: DRE at the survey, age at seizure onset, age at follow-up, and sex.
    RESULTS: After the balancing procedure, both groups comprised 13 participants. The median time from epilepsy onset to the survey was 18.5 (range: 7.75-40.25) and 16.0 (7.33-33.5) years in the study and reference groups, respectively. The median time from surgery to the survey was 13 years (range: 4-22). No significant differences were found in behavioural problems, autism spectrum disorder diagnosis or symptoms, or intellectual disability between the groups, regardless of surgery. Seizure-free individuals (n = 11) performed better in social skills (p = 0.016), intellectual skills (p = 0.029), and overall TAND scores (p = 0.005) than the non-seizure-free group (n = 15).
    CONCLUSIONS: This is the first study to evaluate TAND comorbidities during the long-term follow-up after epilepsy surgery in patients with TSC. We found no evidence of the adverse effects of TAND comorbidities after tuberectomy. However, a larger study that allows for a better adjustment for confounders is needed. Following previous studies, seizure-free individuals had fewer symptoms within most TAND domains compared with the group with uncontrolled epilepsy, indicating less severe symptomatology.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

公众号