Annals of Neurology,
Journal Year:
2021,
Volume and Issue:
89(5), P. 895 - 910
Published: March 16, 2021
Blood
tests
to
monitor
disease
activity,
attack
severity,
or
treatment
impact
in
neuromyelitis
optica
spectrum
disorder
(NMOSD)
have
not
been
developed.
This
study
investigated
the
relationship
between
serum
glial
fibrillary
acidic
protein
(sGFAP)
concentration
and
NMOSD
activity
assessed
of
inebilizumab
treatment.N-MOmentum
was
a
prospective,
multicenter,
double-blind,
placebo-controlled,
randomized
clinical
trial
adults
with
NMOSD.
sGFAP
levels
were
measured
by
single-molecule
arrays
(SIMOA)
1,260
serial
attack-related
samples
from
215
N-MOmentum
participants
(92%
aquaporin
4-immunoglobulin
G-seropositive)
control
(from
healthy
donors
patients
relapsing-remitting
multiple
sclerosis).At
baseline,
62
(29%)
exhibited
high
concentrations
(≥170
pg/ml;
≥2
standard
deviations
above
donor
mean
concentration)
more
likely
experience
an
adjudicated
than
lower
baseline
(hazard
ratio
[95%
confidence
interval],
3.09
[1.6-6.1],
p
=
0.001).
Median
(interquartile
range
[IQR])
increased
within
1
week
(baseline:
168.4,
IQR
128.9-449.7
attack:
2,160.1,
302.7-9,455.0
pg/ml,
0.0015)
correlated
severity
(median
fold
change
[FC],
minor
attacks:
1.06,
0.9-7.4;
major
34.32,
8.7-107.5,
0.023).
increase
occurred
primarily
placebo-treated
(FC:
20.2,
4.4-98.3,
0.001)
observed
inebilizumab-treated
1.1,
0.8-24.6,
>
0.05).
Five
(28%)
elevated
reported
neurological
symptoms
leading
nonadjudicated
assessments.Serum
GFAP
may
serve
as
biomarker
risk,
effects.
ANN
NEUROL
2021;89:895-910.
Translational Neurodegeneration,
Journal Year:
2019,
Volume and Issue:
8(1)
Published: March 1, 2019
Abnormal
aggregation
of
brain
α-synuclein
is
a
central
step
in
the
pathogenesis
Parkinson's
disease
(PD),
thus,
it
reliable
to
promote
clearance
prevent
and
treat
PD.
Recent
studies
have
revealed
an
essential
role
glymphatic
system
meningeal
lymphatic
vessels
macromolecules,
however,
their
pathophysiological
aspects
remain
elusive.Meningeal
drainage
18-week-old
A53T
mice
was
blocked
via
ligating
deep
cervical
lymph
nodes.
Six
weeks
later,
functions
PD-like
phenotypes
were
systemically
analyzed.Glymphatic
influx
cerebrospinal
fluid
tracer
reduced
mice,
accompanied
with
perivascular
impaired
polarization
aquaporin
4
expression
substantia
nigra.
Cervical
ligation
aggravated
dysfunction
causing
more
severe
accumulation
α-synuclein,
glial
activation,
inflammation,
dopaminergic
neuronal
loss
motor
deficits.The
results
suggest
that
may
be
aggravating
factor
PD
pathology.
Annual Review of Immunology,
Journal Year:
2020,
Volume and Issue:
38(1), P. 597 - 620
Published: April 26, 2020
Neuroimmunology,
albeit
a
relatively
established
discipline,
has
recently
sparked
numerous
exciting
findings
on
microglia,
the
resident
macrophages
of
central
nervous
system
(CNS).
This
review
addresses
meningeal
immunity,
less-studied
aspect
neuroimmune
interactions.
The
meninges,
triple
layer
membranes—the
pia
mater,
arachnoid
and
dura
mater—surround
CNS,
encompassing
cerebrospinal
fluid
produced
by
choroid
plexus
epithelium.
Unlike
adjacent
brain
parenchyma,
meninges
contain
wide
repertoire
immune
cells.
These
constitute
which
is
primarily
concerned
with
surveillance
and—according
to
recent
evidence—also
participates
in
postinjury
CNS
recovery,
chronic
neurodegenerative
conditions,
even
higher
function.
Meningeal
immunity
come
under
spotlight
owing
characterization
lymphatic
vessels
draining
CNS.
Here,
we
current
state
our
understanding
its
effects
healthy
diseased
brains.
Journal of Neuroscience,
Journal Year:
2021,
Volume and Issue:
41(37), P. 7698 - 7711
Published: Sept. 15, 2021
Throughout
the
body,
lymphatic
fluid
movement
supports
critical
functions
including
clearance
of
excess
and
metabolic
waste.
The
glymphatic
system
is
analog
in
CNS.
As
such,
plays
a
key
role
regulating
directional
interstitial
movement,
waste
clearance,
and,
potentially,
brain
immunity.
enables
bulk
CSF
from
subarachnoid
space
along
periarterial
spaces,
where
it
mixes
with
within
parenchyma
before
ultimately
exiting
via
perivenous
spaces.
This
review
focuses
on
important
questions
about
structure
this
system,
why
needs
transport
unexplored
aspects
transport.
We
provide
evidence
that
astrocytes
blood
vessels
determine
shape
perivascular
space,
controlling
fluid.
Glymphatic
has
potential
to
alter
local
as
well
global
signaling
molecules
metabolites.
also
highlight
for
cross
talk
among
cardiovascular
gastrointestinal
tract,
system.
Much
remains
be
studied,
but
we
propose
glymphatic/lymphatic
acts
cornerstone
between
body.
Nature Communications,
Journal Year:
2020,
Volume and Issue:
11(1)
Published: Jan. 17, 2020
Abstract
The
mechanisms
behind
molecular
transport
from
cerebrospinal
fluid
to
dural
lymphatic
vessels
remain
unknown.
This
study
utilized
magnetic
resonance
imaging
along
with
tracer
visualize
clearance
pathways
human
lymphatics
in
vivo.
In
18
subjects
suspicion
of
various
types
disorders,
3D
T2-Fluid
Attenuated
Inversion
Recovery,
T1-black-blood,
and
T1
gradient
echo
acquisitions
were
obtained
prior
intrathecal
administration
the
contrast
agent
gadobutrol
(0.5
ml,
1
mmol/ml),
serving
as
a
tracer.
Propagation
was
followed
sequences
at
3,
6,
24
48
h
after
injection.
escaped
into
parasagittal
dura
superior
sagittal
sinus
areas
nearby
entry
cortical
cerebral
veins.
findings
demonstrate
that
trans-arachnoid
passage
does
occur
suggest
may
serve
bridging
link
between
brain
vessels.
Gut Microbes,
Journal Year:
2022,
Volume and Issue:
14(1)
Published: July 28, 2022
Alterations
in
the
gut
microbiota
composition
have
been
associated
with
a
range
of
neurodevelopmental,
neurodegenerative,
and
neuropsychiatric
disorders.
The
microbes
transform
metabolize
dietary-
host-derived
molecules
generating
diverse
group
metabolites
local
systemic
effects.
bi-directional
communication
between
brain
residing
gut,
so-called
gut–brain
axis,
consists
network
immunological,
neuronal,
endocrine
signaling
pathways.
Although
full
variety
mechanisms
crosstalk
is
yet
to
be
established,
existing
data
demonstrates
that
single
metabolite
or
its
derivatives
are
likely
among
key
inductors
within
axis
communication.
However,
more
research
needed
understand
molecular
underlying
how
alter
functions,
examine
if
different
interventional
approaches
targeting
could
used
prevention
treatment
neurological
disorders,
as
reviewed
herein.Abbreviations:4-EPS
4-ethylphenylsulfate;
5-AVA(B)
5-aminovaleric
acid
(betaine);
Aβ
Amyloid
beta
protein;
AhR
Aryl
hydrocarbon
receptor;
ASD
Autism
spectrum
disorder;
BBB
Blood–brain
barrier;
BDNF
Brain-derived
neurotrophic
factor;
CNS
Central
nervous
system;
GABA
ɣ-aminobutyric
acid;
GF
Germ-free;
MIA
Maternal
immune
activation;
SCFA
Short-chain
fatty
3M-4-TMAB
3-methyl-4-(trimethylammonio)butanoate;
4-TMAP
4-(trimethylammonio)pentanoate;
TMA(O)
Trimethylamine(-N-oxide);
TUDCA
Tauroursodeoxycholic
ZO
Zonula
occludens
proteins