Differentiation of MS lesions through analysis of microvascular distribution DOI Creative Commons
Linda Sundvall, Irene Klærke Mikkelsen, Simon F. Eskildsen

и другие.

Imaging Neuroscience, Год журнала: 2024, Номер 2, С. 1 - 16

Опубликована: Янв. 1, 2024

Abstract Conventional MRI is crucial for diagnosing multiple sclerosis (MS) but lacks precision, leading to the clinico-radiological paradox and misdiagnosis risk, especially when confronted with unspecific lesions not related MS. Advancements in perfusion-weighted imaging (PWI) an algorithm designed diseases anticipated contrast agent extravasation offer insight into microvascular impairment flow heterogeneity. Our study aimed assess these factors MS patients their association clinically relevant white matter injury disease course. We evaluated 60 adults (WML), including 50 diagnosed or syndromes 10 non-diseased symptomatic controls (SC) WML. included conventional three-dimensional (3D) T2-weighted fluid-attenuated inversion recovery (T2-FLAIR), 3D magnetization-prepared two rapid acquisition gradient-echo (MP2RAGE), post-contrast T1-weighted (T1) images, Dynamic Susceptibility Contrast (DSC) PWI at 3T. WML masks of “unspecific T2-FLAIR lesions”, “MS T1-lesions” were manually outlined validated by a neuroradiologist. DSC-derived parameters analyzed healthy-appearing tissue. showed increased heterogeneity vasodilation compared SC, as well within group. T1-lesions exhibited more homogenized flow. findings suggest that DSC-PWI, combined lesion delineation, can provide differentiation from WML, highlighting potential pathology previously overlooked

Язык: Английский

The Crucial Role of the Blood–Brain Barrier in Neurodegenerative Diseases: Mechanisms of Disruption and Therapeutic Implications DOI Open Access
Sehwan Kim, Un Ju Jung, Sang Ryong Kim

и другие.

Journal of Clinical Medicine, Год журнала: 2025, Номер 14(2), С. 386 - 386

Опубликована: Янв. 9, 2025

The blood-brain barrier (BBB) is a crucial structure that maintains brain homeostasis by regulating the entry of molecules and cells from bloodstream into central nervous system (CNS). Neurodegenerative diseases such as Alzheimer's Parkinson's disease, well ischemic stroke, compromise integrity BBB. This leads to increased permeability infiltration harmful substances, thereby accelerating neurodegeneration. In this review, we explore mechanisms underlying BBB disruption, including oxidative stress, neuroinflammation, vascular dysfunction, loss tight junction integrity, in patients with neurodegenerative diseases. We discuss how breakdown contributes neurotoxicity, abnormal accumulation pathological proteins, all which exacerbate neuronal damage facilitate disease progression. Furthermore, potential therapeutic strategies aimed at preserving or restoring function, anti-inflammatory treatments, antioxidant therapies, approaches enhance integrity. Given role neurodegeneration, maintaining its represents promising approach slow prevent progression

Язык: Английский

Процитировано

0

Exendin-4 improves cerebral ischemia by relaxing microvessels, rapidly increasing cerebral blood flow after reperfusion DOI
Yujie Chen, Lei Wang,

Yutong Zhou

и другие.

Basic Research in Cardiology, Год журнала: 2025, Номер unknown

Опубликована: Март 23, 2025

Язык: Английский

Процитировано

0

Inter-organ communication: pathways and targets to cardioprotection and neuro-protection. A report from the 12th Hatter Cardiovascular Institute workshop DOI Creative Commons
L. Bruce Pearce, Carlos Galán‐Arriola, Robert M. Bell

и другие.

Basic Research in Cardiology, Год журнала: 2024, Номер unknown

Опубликована: Дек. 16, 2024

Abstract A long-standing aim in the setting of various pathologies including acute myocardial infarction, chronic kidney disease (CKD), and ischaemic stroke, has been to identify successful approaches augment cellular organ protection. Although continual evolution refinement ideas over past few decades allowed field progress, we are yet realise clinical translation this concept. The 12th Hatter Cardiovascular Workshop identified a number important points key questions for future research relating cardio- neuro-protection interorgan communication. Specific topics that were discussed include ‘cardio-metabolic-renal’ axis protection, parasympathetic signalling hypothesis, role coronary microvasculature RISK pathway cardioprotection, extracellular vesicles way forward, studies remote conditioning, new experimental models cardio-oncology investigations.

Язык: Английский

Процитировано

1

A role for fibroblast and mural cell subsets in models of neuropathic pain. DOI Creative Commons
Sara Villa‐Hernández, Julia M. Vlachaki Walker, Zoe Hore

и другие.

bioRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Дек. 13, 2024

Neuropathic pain is a particularly intractable type of chronic that can result from physical nerve damage due to surgery or entrapment. Here, we present data which suggest particular subclass fibroblast and mural cells may be implicated in the sensory neuron dysfunction characteristic this state. In mouse model traumatic painful neuropathy, used RNA sequencing, cell sorting tissue clearing study mesenchymal lineage cells. We show Pdgfrb+ fibroblasts are increased number for at least two months post-nerve express high levels known putative pro-algesic mediators, further upregulated neuropathy. go on demonstrate human pericyte line releases selection these mediators protein level. Moreover, conditioned media stimulated pericytes induces intra-cellular changes induced pluripotent stem derived neurons; (phosphorylation transcription factor STAT3) have been previously linked activation. summary, our indicate abnormalities should considered when developing novel strategies tackle neuropathic pain.

Язык: Английский

Процитировано

0

Differentiation of MS lesions through analysis of microvascular distribution DOI Creative Commons
Linda Sundvall, Irene Klærke Mikkelsen, Simon F. Eskildsen

и другие.

Imaging Neuroscience, Год журнала: 2024, Номер 2, С. 1 - 16

Опубликована: Янв. 1, 2024

Abstract Conventional MRI is crucial for diagnosing multiple sclerosis (MS) but lacks precision, leading to the clinico-radiological paradox and misdiagnosis risk, especially when confronted with unspecific lesions not related MS. Advancements in perfusion-weighted imaging (PWI) an algorithm designed diseases anticipated contrast agent extravasation offer insight into microvascular impairment flow heterogeneity. Our study aimed assess these factors MS patients their association clinically relevant white matter injury disease course. We evaluated 60 adults (WML), including 50 diagnosed or syndromes 10 non-diseased symptomatic controls (SC) WML. included conventional three-dimensional (3D) T2-weighted fluid-attenuated inversion recovery (T2-FLAIR), 3D magnetization-prepared two rapid acquisition gradient-echo (MP2RAGE), post-contrast T1-weighted (T1) images, Dynamic Susceptibility Contrast (DSC) PWI at 3T. WML masks of “unspecific T2-FLAIR lesions”, “MS T1-lesions” were manually outlined validated by a neuroradiologist. DSC-derived parameters analyzed healthy-appearing tissue. showed increased heterogeneity vasodilation compared SC, as well within group. T1-lesions exhibited more homogenized flow. findings suggest that DSC-PWI, combined lesion delineation, can provide differentiation from WML, highlighting potential pathology previously overlooked

Язык: Английский

Процитировано

0