metabotropic glutamate receptor 5

代谢型谷氨酸受体 5
  • 文章类型: Journal Article
    I组代谢型谷氨酸受体(mGluRs)调节突触后神经元兴奋性和癫痫发生。我们使用细胞外记录和碘化丙啶染色,研究了I组mGluRs在没有内嗅皮层的离体大鼠海马切片CA1区域的低细胞外Mg2浓度([Mg2]o)诱导的癫痫样活性和神经元细胞死亡中的作用。暴露于无Mg2+的人工脑脊液可以在大鼠海马切片的CA1区域诱导发作间癫痫样活动。MPEP,一种mGluR5拮抗剂,显着抑制低[Mg2]o诱导的癫痫样活动的尖峰放电,而LY367385,一种mGluR1拮抗剂,没有。DHPG,一组1mGluR激动剂,显著增加癫痫样活动的尖峰放电。U73122,一种PLC抑制剂,抑制了尖峰发射。Thapsigargin,一种ERCa2+-ATP酶拮抗剂,显着抑制癫痫样活动的尖峰放电和幅度。IP3受体拮抗剂2-APB和ryanodine受体拮抗剂丹曲林均显着抑制了尖峰放电。PKC抑制剂如白屈菜红碱和GF109203X,显著增加了尖峰发射。氟芬那酸,一种相对特异性的TRPC1、4、5通道拮抗剂,显著抑制了尖峰发射,而SKF96365,一种相对非特异性的TRPC通道拮抗剂,没有。MPEP显着降低了CA1区域的低[Mg2]oDMEM诱导的神经元细胞死亡,但LY367385没有。我们建议mGluR5通过PLC参与大鼠海马切片CA1区域的低[Mg2]诱发的发作间癫痫样活动,从细胞内储存和PKC和TRPC通道释放Ca2+,这可能与神经元细胞死亡有关。
    Group I metabotropic glutamate receptors (mGluRs) modulate postsynaptic neuronal excitability and epileptogenesis. We investigated roles of group I mGluRs on low extracellular Mg2+ concentration ([Mg2+]o)-induced epileptiform activity and neuronal cell death in the CA1 regions of isolated rat hippocampal slices without the entorhinal cortex using extracellular recording and propidium iodide staining. Exposure to Mg2+-free artificial cerebrospinal fluid can induce interictal epileptiform activity in the CA1 regions of rat hippocampal slices. MPEP, a mGluR 5 antagonist, significantly inhibited the spike firing of the low [Mg2+]o-induced epileptiform activity, whereas LY367385, a mGluR1 antagonist, did not. DHPG, a group 1 mGluR agonist, significantly increased the spike firing of the epileptiform activity. U73122, a PLC inhibitor, inhibited the spike firing. Thapsigargin, an ER Ca2+-ATPase antagonist, significantly inhibited the spike firing and amplitude of the epileptiform activity. Both the IP3 receptor antagonist 2-APB and the ryanodine receptor antagonist dantrolene significantly inhibited the spike firing. The PKC inhibitors such as chelerythrine and GF109203X, significantly increased the spike firing. Flufenamic acid, a relatively specific TRPC 1, 4, 5 channel antagonist, significantly inhibited the spike firing, whereas SKF96365, a relatively non-specific TRPC channel antagonist, did not. MPEP significantly decreased low [Mg2+]o DMEM-induced neuronal cell death in the CA1 regions, but LY367385 did not. We suggest that mGluR 5 is involved in low [Mg2+]oinduced interictal epileptiform activity in the CA1 regions of rat hippocampal slices through PLC, release of Ca2+ from intracellular stores and PKC and TRPC channels, which could be involved in neuronal cell death.
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  • 文章类型: Journal Article
    背景:阐明导致双相情感障碍(BD)的生物学机制是改善诊断和治疗发展的关键。随着越来越多的证据表明代谢型谷氨酸受体5(mGlu5)与BD的病理有关,在这里,因此,我们检验了以下假设:最近发现的mGlu5缺陷与BD情绪处理过程中的大脑功能差异有关。
    方法:使用带有[18F]FPEB的正电子发射断层扫描(PET)来测量mGlu5受体的可用性,并在参与者完成情绪处理任务时进行功能成像(fMRI)。对62名个体(33±12岁,45%女性)完成PET和fMRI,包括BD患者(n=18),重度抑郁症(MDD:n=20),和精神病学健康比较(HC:n=25)。
    结果:与以前的一些报告一致,相对于MDD和HC,BD组在恐惧处理过程中显示出更大的激活,特别是在右侧额叶和顶叶脑区。在BD,(而不是MDD或HC)较低的前额叶mGlu5可用性与恐惧过程中双侧前/后中央回回和cuneus的更大激活有关。此外,BD中与mGlu5相关的前额叶大脑活动增加与精神运动功能困难(r≥0.904,p≤0.005)和注意力困难(r≥0.809,p≤0.028)相关.
    结论:适度的样本量是主要的限制。
    结论:BD的前额叶mGlu5缺陷与恐惧过程中皮质激活增加有关,这反过来又与冲动和注意力困难有关。这些数据进一步暗示了BD特有的mGlu5相关机制。更一般地,这些数据表明,整合PET和fMRI可以提供新的机械见解。
    BACKGROUND: Elucidating biological mechanisms contributing to bipolar disorder (BD) is key to improved diagnosis and treatment development. With converging evidence implicating the metabotropic glutamate receptor 5 (mGlu5) in the pathology of BD, here, we therefore test the hypothesis that recently identified deficits in mGlu5 are associated with functional brain differences during emotion processing in BD.
    METHODS: Positron emission tomography (PET) with [18F]FPEB was used to measure mGlu5 receptor availability and functional imaging (fMRI) was performed while participants completed an emotion processing task. Data were analyzed from 62 individuals (33 ± 12 years, 45 % female) who completed both PET and fMRI, including individuals with BD (n = 18), major depressive disorder (MDD: n = 20), and psychiatrically healthy comparisons (HC: n = 25).
    RESULTS: Consistent with some prior reports, the BD group displayed greater activation during fear processing relative to MDD and HC, notably in right lateralized frontal and parietal brain regions. In BD, (but not MDD or HC) lower prefrontal mGlu5 availability was associated with greater activation in bilateral pre/postcentral gyri and cuneus during fear processing. Furthermore, greater prefrontal mGlu5-related brain activity in BD was associated with difficulties in psychomotor function (r≥0.904, p≤0.005) and attention (r≥0.809, p≤0.028).
    CONCLUSIONS: The modest sample size is the primary limitation.
    CONCLUSIONS: Deficits in prefrontal mGlu5 in BD were linked to increased cortical activation during fear processing, which in turn was associated with impulsivity and attentional difficulties. These data further implicate an mGlu5-related mechanism unique to BD. More generally these data suggest integrating PET and fMRI can provide novel mechanistic insights.
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  • 文章类型: Journal Article
    许多发现证实,代谢型谷氨酸受体(mGluRs)与吗啡诱导的条件性位置偏爱(CPP)有关。在这里,我们专注于mGluR5在伏隔核(NAc)中作为谷氨酸作用的主要位点对吗啡的奖励作用的作用。首先,我们研究了NAc内施用mGluR5拮抗剂3-((2-甲基-1,3-噻唑-4-基)乙炔基)吡啶盐酸盐(MTEP;1、3和10μg/μl盐水)对吗啡CPP的消光和恢复阶段的影响。此外,为了确定吗啡CPP中mGluR5的下游信号级联,通过蛋白质印迹法测定NAc和海马(HPC)中基质相互作用分子(STIM1和2)的蛋白质水平.行为数据表明,在3和10μg的高剂量下,MTEP对mGluR5的阻断促进了吗啡诱导的CPP的消失,并减弱了对吗啡的恢复。分子结果表明,吗啡导致HPC中STIM蛋白的水平升高,并增加STIM1的水平而不影响NAc中的STIM2。此外,在恢复阶段,NAc内微量注射MTEP(10μg)可降低NAc和HPC中的STIM1,并降低HPC中的STIM2。总的来说,我们的数据显示,吗啡可部分通过激活mGluR5和调节STIM蛋白来增加谷氨酸介导的传递,从而促进脑奖赏功能.因此,这些结果凸显了mGluR5拮抗剂在吗啡使用障碍中的治疗潜力.
    Numerous findings confirm that the metabotropic glutamate receptors (mGluRs) are involved in the conditioned place preference (CPP) induced by morphine. Here we focused on the role of mGluR5 in the nucleus accumbens (NAc) as a main site of glutamate action on the rewarding effects of morphine. Firstly, we investigated the effects of intra-NAc administrating mGluR5 antagonist 3-((2-Methyl-1,3-thiazol-4-yl) ethynyl) pyridine hydrochloride (MTEP; 1, 3, and 10 μg/μl saline) on the extinction and the reinstatement phase of morphine CPP. Moreover, to determine the downstream signaling cascades of mGluR5 in morphine CPP, the protein levels of stromal interaction molecules (STIM1 and 2) in the NAc and hippocampus (HPC) were measured by western blotting. The behavioral data indicated that the mGluR5 blockade by MTEP at the high doses of 3 and 10 μg facilitated the extinction of morphine-induced CPP and attenuated the reinstatement to morphine in extinguished rats. Molecular results showed that the morphine led to increased levels of STIM proteins in the HPC and increased the level of STIM1 without affecting STIM2 in the NAc. Furthermore, intra-NAc microinjection of MTEP (10 μg) in the reinstatement phase decreased STIM1 in the NAc and HPC and reduced the STIM2 in the HPC. Collectively, our data show that morphine could facilitate brain reward function in part by increasing glutamate-mediated transmission through activation of mGluR5 and modulation of STIM proteins. Therefore, these results highlight the therapeutic potential of mGluR5 antagonists in morphine use disorder.
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  • 文章类型: Journal Article
    在左旋多巴引起的运动障碍(LID)中经常观察到伽马振荡,表现为皮质纹状体投射中的宽带(60-120Hz)和窄带(80-110Hz)伽马活性。我们研究了伽玛振荡与运动障碍严重程度的电生理机制和相关性,在评估非诺班的管理时,选择性代谢型谷氨酸受体5(mGluR5)拮抗剂,在调节运动障碍相关的γ活性。我们在纹状体(Str)和初级运动皮层(M1)中同时进行了电生理记录,连同异常非自愿运动量表评分(AIM)。相位-振幅耦合(PAC),电源,连贯性,对电生理数据进行了格兰杰因果关系分析。研究结果表明,在帕金森状态下,从M1到Str的方向性增加了β振荡。在状态运动障碍期间,升高的宽带γ活性受Str中θ活性的相位调节,而M1→Str伽马因果关系介导Str中的窄带伽马振荡。纹状体伽马功率(周期性和非周期性功率),周期性功率,峰值频率,在记录天数(第30、33、36、39和42天)重复左旋多巴注射后80分钟(对应于运动障碍高峰)的PAC逐渐增加,与总AIM相关。此外,PAC的时间依赖性抛物线趋势,在第42天注射左旋多巴后,从20到120分钟观察到峰值频率和伽马功率,这也与相应的AIM相关。Fenobam有效缓解运动障碍,抑制M1-Str方向性增强的伽马振荡,并减少Str中的PAC。伽马振荡的时间特性提供了用于对LID严重性进行分类的参数。拮抗纹状体mGluR5,一个有希望的运动障碍治疗靶点,通过调节伽马活性发挥其作用。
    Gamma oscillations have been frequently observed in levodopa-induced dyskinesia (LID), manifest as broadband (60-120 Hz) and narrowband (80-110 Hz) gamma activity in cortico-striatal projection. We investigated the electrophysiological mechanisms and correlation of gamma oscillations with dyskinesia severity, while assessing the administration of fenobam, a selective metabotropic glutamate receptor 5 (mGluR5) antagonist, in regulating dyskinesia-associated gamma activity. We conducted simultaneous electrophysiological recordings in Striatum (Str) and primary motor cortex (M1), together with Abnormal Involuntary Movement Scale scoring (AIMs). Phase-amplitude coupling (PAC), power, coherence, and Granger causality analyses were conducted for electrophysiological data. The findings demonstrated increased beta oscillations with directionality from M1 to Str in parkinsonian state. During on-state dyskinesia, elevated broadband gamma activity was modulated by the phase of theta activity in Str, while M1 → Str gamma causality mediated narrowband gamma oscillations in Str. Striatal gamma power (both periodic and aperiodic power), periodic power, peak frequency, and PAC at 80 min (corresponding to the peak dyskinesia) after repeated levodopa injections across recording days (day 30, 33, 36, 39, and 42) increased progressively, correlating with total AIMs. Additionally, a time-dependent parabolic trend of PAC, peak frequency and gamma power was observed after levodopa injection on day 42 from 20 to 120 min, which also correlated with corresponding AIMs. Fenobam effectively alleviates dyskinesia, suppresses enhanced gamma oscillations in the M1-Str directionality, and reduces PAC in Str. The temporal characteristics of gamma oscillations provide parameters for classifying LID severity. Antagonizing striatal mGluR5, a promising therapeutic target for dyskinesia, exerts its effects by modulating gamma activity.
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  • 文章类型: Journal Article
    代谢型谷氨酸受体5(mGluR5)的表达受到发育调节,并在神经精神疾病和疾病中发生显着变化。通过荧光成像可视化mGluR5是生物医学应用中非常需要的创新技术。然而,目前可获得的化学探针存在实质性问题。在这项研究中,我们已经成功开发了双光子荧光探针,mGlu-5-TP,基于mGluR5拮抗剂的结构6-甲基-2-(苯基乙炔基)吡啶(MPEP)。由于这种基于拮抗剂的探针选择性识别mGluR5,因此在脂多糖(LPS)引发的细胞内炎症期间,已检测到mGluR5在活SH-SY5Y人神经母细胞瘤细胞上的高表达。特别重要的是,探针可以与双光子荧光显微镜一起使用,以实现Aβ纤维处理的神经元细胞中mGluR5的实时可视化,从而建立与阿尔茨海默病(AD)进展的联系。这些结果表明,该探针可能是研究神经系统中mGluR5相关疾病的有价值的成像工具。
    The expression of metabotropic glutamate receptor 5 (mGluR5) is subject to developmental regulation and undergoes significant changes in neuropsychiatric disorders and diseases. Visualizing mGluR5 by fluorescence imaging is a highly desired innovative technology for biomedical applications. Nevertheless, there are substantial problems with the chemical probes that are presently accessible. In this study, we have successfully developed a two-photon fluorogenic probe, mGlu-5-TP, based on the structure of mGluR5 antagonist 6-methyl-2-(phenylethynyl)pyridine (MPEP). Due to this antagonist-based probe selectively recognizes mGluR5, high expression of mGluR5 on living SH-SY5Y human neuroblastoma cells has been detected during intracellular inflammation triggered by lipopolysaccharides (LPS). Of particular significance, the probe can be employed along with two-photon fluorescence microscopy to enable real-time visualization of the mGluR5 in Aβ fiber-treated neuronal cells, thereby establishing a connection to the progression of Alzheimer\'s disease (AD). These results revealed that the probe can be a valuable imaging tool for studying mGluR5-related diseases in the nervous system.
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  • 文章类型: Journal Article
    了解双相情感障碍(BD)和重度抑郁症(MDD)的独特神经生物学机制对于准确诊断和发现新颖,更有效的靶向治疗至关重要。先前的扩散加权MRI研究表明,这些疾病中存在一些常见的额颞叶皮质边缘系统白质(WM)异常。然而,对于更精确的诊断和治疗的发展至关重要的是识别区分异常。有希望的候选者包括在钩束(UF)的BD中观察到的更突出的额颞叶WM异常,这些异常与额叶-杏仁核功能连通性有关,自杀率在BD中尤其高。先前的工作还显示BD与MDD中代谢型谷氨酸受体5(mGlu5)异常的分化,这可能是一种影响额颞叶系统的机制。然而,以前没有将WM和mGlu5之间的关联作为BD的差异进行检查。使用多模式神经成像方法,我们检查了这些疾病的WM完整性改变及其与mGluR5水平的关联。
    患有BD(N=21)的个人,MDD(N=10),和HC(N=25)参与结构和弥散加权MRI扫描,并用[18F]FPEBPET成像定量mGlu5可用性。使用全脑分析来评估跨BD和MDD相对于HC的皮质边缘WM物质分数各向异性(FA);测试异常与mGlu5可用性的关联。
    在这两种疾病中均观察到FA皮质边缘减少,仅在BD中观察到UFWM完整性改变。在BD,较低的UFFA与较低的杏仁核mGlu5可用性相关(p<0.05)。
    这些新的初步研究结果表明,较低的UFFA和较低的杏仁核mGlu5水平之间存在重要关联,这可能代表了一种特定于疾病的神经机制,其中mGluR5与该疾病的额颞叶连接异常有关。
    UNASSIGNED: Understanding distinct neurobiological mechanisms underlying bipolar disorder (BD) and major depressive disorder (MDD) is crucial for accurate diagnosis and the discovery of novel and more effective targeted treatments. Previous diffusion-weighted MRI studies have suggested some common frontotemporal corticolimbic system white matter (WM) abnormalities across the disorders. However, critical to the development of more precise diagnosis and treatment is identifying distinguishing abnormalities. Promising candidates include more prominent frontotemporal WM abnormalities observed in BD in the uncinate fasciculus (UF) that have been associated with frontal-amygdala functional dysconnectivity, and with suicide that is especially high in BD. Prior work also showed differentiation in metabotropic glutamate receptor 5 (mGlu5) abnormalities in BD versus MDD, which could be a mechanism affected in the frontotemporal system. However, associations between WM and mGlu5 have not been examined previously as a differentiator of BD. Using a multimodal neuroimaging approach, we examined WM integrity alterations in the disorders and their associations with mGluR5 levels.
    UNASSIGNED: Individuals with BD (N = 21), MDD (N = 10), and HC (N = 25) participated in structural and diffusion-weighted MRI scanning, and imaging with [18F]FPEB PET for quantification of mGlu5 availability. Whole-brain analyses were used to assess corticolimbic WM matter fractional anisotropy (FA) across BD and MDD relative to HC; abnormalities were tested for associations with mGlu5 availability.
    UNASSIGNED: FA corticolimbic reductions were observed in both disorders and altered UF WM integrity was observed only in BD. In BD, lower UF FA was associated with lower amygdala mGlu5 availability (p < .05).
    UNASSIGNED: These novel preliminary findings suggest important associations between lower UF FA and lower amygdala mGlu5 levels that could represent a disorder-specific neural mechanism in which mGluR5 is associated with the frontotemporal dysconnectivity of the disorder.
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  • 文章类型: Journal Article
    背景:代谢型谷氨酸受体5(mGluR5)参与调节整合脑功能和突触传递。异常的mGluR5信号传导和相关的突触衰竭在阿尔茨海默病(AD)的最初病理生理机制中起着关键作用。该研究旨在探讨mGluR5的可用性与AD的生物标志物和认知功能之间的关系。
    方法:我们用mGluR5示踪剂[18F]PSS232检查了35名个体,以评估mGluR5的可用性。并用[18F]FlorbetapirPET评估整体淀粉样蛋白沉积,和[18F]FDGPET评估葡萄糖代谢。测量了一部分个体中的血浆神经丝光(NfL)和p-tau181水平(n=27)。研究了AD组和正常对照(NC)组之间的mGluR5可用性的差异。mGluR5可用性与淀粉样蛋白沉积的关联,葡萄糖代谢,灰质体积(GMV),神经心理学评估分数,和血浆生物标志物进行了分析。
    结果:与NC相比,AD患者海马和海马旁回的mGluR5利用率显著降低。在AD组中,整体淀粉样蛋白沉积与mGluR5的可用性呈正相关,而在NC组中呈相反相关。在总体和分层分析中,mGluR5的可用性与区域葡萄糖代谢呈正相关。海马和海马旁回中mGluR5的可用性与内侧颞叶的GMV密切相关,血浆p-tau181或NfL水平,和全球认知表现。
    结论:[18F]PSS232PET可以量化mGluR5可用性在AD进展中的变化。mGluR5的可用性不仅与AD的神经病理学生物标志物相关,而且与神经退行性生物标志物和认知表现相关。mGluR5可能是一种新型的神经退行性生物标志物,mGluR5是否可能成为AD的潜在治疗靶点还有待进一步研究。
    Metabotropic glutamate receptor 5 (mGluR5) is involved in regulating integrative brain function and synaptic transmission. Aberrant mGluR5 signaling and relevant synaptic failure play a key role in the initial pathophysiological mechanism of Alzheimer\'s disease (AD). The study aims to investigate the association between mGluR5 availability and AD\'s biomarkers and cognitive function.
    We examined 35 individuals with mGluR5 tracer [18F]PSS232 to assess mGluR5 availability, and with [18F]Florbetapir PET to assess global amyloid deposition, and [18F]FDG PET to assess glucose metabolism. The plasma neurofilament light (NfL) and p-tau181 levels in a subset of individuals were measured (n = 27). The difference in mGluR5 availability between the AD and normal control (NC) groups was explored. The associations of mGluR5 availability with amyloid deposition, glucose metabolism, gray matter volume (GMV), neuropsychological assessment scores, and plasma biomarkers were analyzed.
    The mGluR5 availability was significantly reduced in AD patients\' hippocampus and parahippocampal gyrus compared to NCs. Global amyloid deposition was positively associated with mGluR5 availability in the AD group and reversely associated in the NC group. The mGluR5 availability was positively correlated with regional glucose metabolism in the overall and stratified analyses. The availability of mGluR5 in the hippocampus and parahippocampal gyrus demonstrated a strong relationship with the GMV of the medial temporal lobe, plasma p-tau181 or NfL levels, and global cognitive performance.
    [18F]PSS232 PET can quantify the changes of mGluR5 availability in the progression of AD. mGluR5 availability correlated not only with neuropathological biomarkers of AD but also with neurodegenerative biomarkers and cognitive performance. mGluR5 may be a novel neurodegenerative biomarker, and whether mGluR5 could be a potential therapeutic target for AD needs to be further studied.
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  • 文章类型: Journal Article
    女性经历创伤后应激障碍(PTSD)的可能性是男性的两倍,然而,导致这种更大风险的具体因素尚不完全清楚.我们的临床和最近的临床前发现表明,代谢型谷氨酸受体5(mGlu5)在PTSD中的作用以及男性和女性之间的不同参与。
    这里,我们通过使用mGlu5受体特异性放射性示踪剂量化受体可用性,进一步研究mGlu5受体可用性是否可能导致PTSD易感性的个体和性别差异,[18F]FPEB,在创伤性足休克暴露(FE)之前和之后,雄性(n=16)和雌性(n=16)大鼠的正电子发射断层扫描以及评估应激增强的恐惧学习(SEFL)易感性,与无休克对照组相比(CON;n=7男性;n=8女性)。
    总的来说,与CON相比,FE大鼠表现出更大的恐惧泛化(p<.001)。Further,在基线(p=.003)和试验后(p=.005)更高的mGlu5受体可用性与SEFL表型的表达显著相关。值得注意的是,FE雌性大鼠表现出转向更被动的应对(即,冻结),并显示出更大的SEFL敏感性(p=0.01),并且相对于其FE雄性大鼠对应物具有较低的基线mGlu5可用性(p=0.03)。
    结果与PTSD中更高的mGlu5受体可用性的临床发现一致,并增加了越来越多的证据表明这些受体与PTSD的病理生理学以及该疾病易感性的性别差异有关。
    UNASSIGNED: Females are twice as likely to experience post-traumatic stress disorder (PTSD) than males, yet specific factors contributing to this greater risk are not fully understood. Our clinical and recent preclinical findings suggest a role for the metabotropic glutamate receptor 5 (mGlu5) in PTSD and differential involvement between males and females.
    UNASSIGNED: Here, we further investigate whether mGlu5 receptor availability may contribute to individual and sex differences in PTSD susceptibility by quantifying receptor availability using the mGlu5 receptor-specific radiotracer, [18F]FPEB, and positron emission tomography in male (n = 16) and female (n = 16) rats before and after traumatic footshock exposure (FE) and assessment of stress-enhanced fear learning (SEFL) susceptibility, as compared with no-shock controls (CON; n = 7 male; n = 8 female).
    UNASSIGNED: Overall, FE rats displayed greater fear generalization as compared with CON (p < .001). Further, greater mGlu5 receptor availability at baseline (p = .003) and post-test (p = .005) was significantly associated with expression of the SEFL phenotype. Notably, FE female rats displayed a shift to more passive coping (ie, freezing), and displayed greater SEFL susceptibility (p = .01), and had lower baseline mGlu5 availability (p = .03) relative to their FE male rat counterparts.
    UNASSIGNED: Results are consistent with clinical findings of higher mGlu5 receptor availability in PTSD, and add to growing evidence implicating these receptors in the pathophysiology of PTSD and sex-differences in susceptibility for this disorder.
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  • 文章类型: Case Reports
    神经元表面抗体综合征(NSAS)包括越来越多的自身免疫性神经系统疾病,其主要临床表现为自身免疫性脑炎(AE)。NSAS中记录最广泛的形式是抗N-甲基-D-天冬氨酸受体(NMDAR)自身免疫。相比之下,其他NSAS,如抗代谢型谷氨酸受体-5(mGluR5)自身免疫,不太常见,特征不全面,特别是在儿科病例中。
    在这种情况下,我们介绍了一例7岁女孩在造血干细胞移植(HSCT)后表现出异常行为的病例.她接受了抗mGluR5AE的诊断,她的脑电图(EEG)在觉醒期间显示出更多的广义慢波。治疗包括静脉注射丙种球蛋白和甲基强的松龙,其次是口服泼尼松片。左乙拉西坦被引入作为脉冲类固醇治疗期间的抗癫痫治疗。值得注意的是,治疗后异常行为明显改善。
    据我们所知,这是首次报道HSCT后涉及抗mGluR5AE的罕见儿科NSAS.增强我们对这种情况的理解和表征可能会促进其在儿童中的识别和治疗。血清抗体检测可以早期识别和治疗抗mGluR5AE。
    Neuronal surface antibody syndromes (NSAS) encompass a growing set of autoimmune neurological disorders, with their predominant clinical presentation being autoimmune encephalitis (AE). The most extensively documented form within NSAS is anti-N-methyl-D-aspartate receptor (NMDAR) autoimmunity. In contrast, other NSAS, such as anti-metabotropic glutamate receptor-5 (mGluR5) autoimmunity, are less common and less comprehensively characterized, particularly in pediatric cases.
    In this instance, we present the case of a 7-year-old girl who exhibited abnormal behaviors following hematopoietic stem cell transplantation (HSCT). She received a diagnosis of anti-mGluR5 AE, and her Electroencephalogram (EEG) displayed an increased number of generalized slow waves during wakefulness. Treatment involved intravenous administration of gamma globulin and methylprednisolone, followed by oral prednisone tablets. Levetiracetam was introduced as an antiepileptic therapy during the pulse steroid therapy. Notably, the abnormal behaviors exhibited significant improvement after treatment.
    To the best of our knowledge, this is the first report of rare pediatric NSAS involving anti-mGluR5 AE following HSCT. Enhancing our understanding and characterization of this condition may facilitate its recognition and treatment in children. Serum antibody testing could enable early identification and treatment of anti-mGluR5 AE.
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  • 文章类型: Journal Article
    大量的流行病学研究表明,帕金森病(PD)和癌症之间存在联系,这表明PD相关蛋白可能介导癌症的发展。这里,我们研究了PD相关蛋白α-突触核蛋白在体内和体外调节肝癌进展中的潜在作用。我们发现α-突触核蛋白与代谢型谷氨酸受体5(mGluR5)和γ-突触核蛋白呈负相关,通过分析来自癌症基因组图谱数据库的数据,肝癌患者和过表达α-突触核蛋白的肝癌细胞。此外,上调的α-突触核蛋白抑制了生长,迁移,和入侵。发现α-突触核蛋白与mGluR5和γ-突触核蛋白相关,截短的α-突触核蛋白的N端对相互作用至关重要。此外,过表达的α-突触核蛋白通过α-突触核蛋白依赖性自噬溶酶体途径(ALP)降解mGluR5和γ-突触核蛋白对肝癌细胞产生抑制作用。始终如一,鱼藤酮诱导PD大鼠模型的体内实验也证实,通过靶向mGluR5/α-突触核蛋白/γ-突触核蛋白复合物在肝癌组织中上调α-突触核蛋白抑制肿瘤发生,涉及mGluR5和γ-突触核蛋白的ALP依赖性降解。这些发现可以深入了解PD相关蛋白α-突触核蛋白与mGluR5/α-突触核蛋白/γ-突触核蛋白复合物在PD和肝癌之间的远距离通讯中的重要作用。为肝癌的治疗提供了新的治疗策略。
    Numerous epidemiological studies suggest a link between Parkinson\'s disease (PD) and cancer, indicating that PD-associated proteins may mediate the development of cancer. Here, we investigated a potential role of PD-associated protein α-synuclein in regulating liver cancer progression in vivo and in vitro. We found the negative correlation of α-synuclein with metabotropic glutamate receptor 5 (mGluR5) and γ-synuclein by analyzing the data from The Cancer Genome Atlas database, liver cancer patients and hepatoma cells with overexpressed α-synuclein. Moreover, upregulated α-synuclein suppressed the growth, migration, and invasion. α-synuclein was found to associate with mGluR5 and γ-synuclein, and the truncated N-terminal of α-synuclein was essential for the interaction. Furthermore, overexpressed α-synuclein exerted the inhibitory effect on hepatoma cells through the degradation of mGluR5 and γ-synuclein via α-synuclein-dependent autophagy-lysosomal pathway (ALP). Consistently, in vivo experiments with rotenone-induced rat model of PD also confirmed that, upregulated α-synuclein in liver cancer tissues through targeting on mGluR5/α-synuclein/γ-synuclein complex inhibited tumorigenesis involving in ALP-dependent degradation of mGluR5 and γ-synuclein. These findings give an insight into an important role of PD-associated protein α-synuclein accompanied by the complex of mGluR5/α-synuclein/γ-synuclein in distant communications between PD and liver cancer, and provide a new strategy in therapeutics for the treatment of liver cancer.
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