Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(14), С. 4258 - 4258
Опубликована: Июль 21, 2024
Acute
ischemic
stroke
(AIS)
remains
a
major
cause
of
mortality
and
long-term
disability
worldwide,
driven
by
complex
multifaceted
etiological
factors.
Metabolic
dysregulation,
gastrointestinal
microbiome
alterations,
systemic
inflammation
are
emerging
as
significant
contributors
to
AIS
pathogenesis.
This
review
addresses
the
critical
need
understand
how
these
factors
interact
influence
risk
outcomes.
We
aim
elucidate
roles
dysregulated
adipokines
in
obesity,
impact
gut
microbiota
disruptions,
neuroinflammatory
cascade
initiated
lipopolysaccharides
(LPS)
AIS.
Dysregulated
obesity
exacerbate
inflammatory
responses,
increasing
severity.
Disruptions
subsequent
LPS-induced
neuroinflammation
further
link
Advances
neuroimaging
biomarker
development
have
improved
diagnostic
precision.
Here,
we
highlight
for
approach
management,
integrating
metabolic,
microbiota,
insights.
Potential
therapeutic
strategies
targeting
pathways
could
significantly
improve
prevention
treatment.
Future
research
should
focus
on
elucidating
developing
targeted
interventions
mitigate
impacts
metabolic
imbalances,
Frontiers in Cellular Neuroscience,
Год журнала:
2024,
Номер
18
Опубликована: Фев. 21, 2024
Traumatic
brain
injury
(TBI)
is
a
public
health
burden
affecting
millions
of
people.
Sustained
neuroinflammation
after
TBI
often
associated
with
poor
outcome.
As
result,
increased
attention
has
been
placed
on
the
role
immune
cells
in
post-injury
recovery.
Microglia
are
highly
dynamic
and
play
key
neuroinflammatory
response.
Therefore,
microglia
represent
malleable
target
that
could
substantially
influence
long-term
outcome
TBI.
This
review
highlights
cell
specific
pathophysiology.
have
manipulated
via
genetic
deletion,
drug
inhibition,
pharmacological
depletion
various
pre-clinical
models.
Notably,
colony
stimulating
factor
1
(CSF1)
its
receptor
(CSF1R)
gained
much
traction
recent
years
as
microglia.
CSF1R
transmembrane
tyrosine
kinase
essential
for
proliferation,
differentiation,
survival.
Small
molecule
inhibitors
targeting
result
swift
effective
rodents.
Moreover,
discontinuation
sufficient
repopulation.
Attention
summarizing
studies
incorporate
inhibition
Indeed,
affects
multiple
aspects
pathophysiology,
including
neuroinflammation,
oxidative
stress,
functional
recovery
measurable
astrocytes,
peripheral
cells,
neurons.
Taken
together,
data
highlight
an
important
sustaining
increasing
risk
which
lends
to
neuronal
damage
behavioral
deficits
chronically
Ultimately,
insights
from
critical
understanding
temporospatial
develop
mediating
pathophysiology
Advanced Science,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 9, 2024
Abstract
Microglia
are
critically
involved
in
post‐stroke
inflammation
affecting
neurological
outcomes.
Lipid
droplet
(LD)
accumulation
microglia
results
a
dysfunctional
and
pro‐inflammatory
state
the
aged
brain
worsens
outcome
of
neuroinflammatory
neurodegenerative
diseases.
However,
role
LD‐rich
(LDRM)
under
stroke
conditions
is
unknown.
Using
vitro
vivo
models,
herein
patterns
microglial
LD
their
corresponding
inflammatory
signaling
cascades
studied.
Interactions
between
temporal
spatial
dynamics
lipid
profiles
phenotypes
different
regions
found.
Hence,
display
enhanced
levels
elevated
perilipin
2
(PLIN2)
expression
when
exposed
to
hypoxia
or
stroke.
Such
LDRM
exhibit
high
TNF‐α,
IL‐6,
IL‐1β
as
well
phenotype
differentially
expressed
metabolism‐related
genes.
These
post‐ischemic
alterations
result
distinct
with
dynamics,
especially
regard
cholesteryl
ester
triacylglycerol
levels,
further
exacerbating
inflammation.
The
present
study
sheds
new
light
on
dynamic
changes
aggregation
ischemia,
demonstrating
mutual
mechanism
function,
which
contributes
progression
injury.
medRxiv (Cold Spring Harbor Laboratory),
Год журнала:
2025,
Номер
unknown
Опубликована: Янв. 10, 2025
Abstract
Despite
vulnerability
to
microstructural
tissue
damage
following
mild
traumatic
brain
injury
(mTBI),
key
subcortical
regions
have
been
overlooked
in
quantitative
susceptibility
mapping
(QSM)
studies.
Alterations
composition
the
functionally
and
structurally
distinct
hippocampal
subfields
basal
ganglia
may
reflect
symptomatology,
better
characterisation
of
these
is
needed
in-crease
our
understanding
mTBI
pathophysiology.
To
address
this
issue,
we
used
magnetic
source-separated
QSM
quantify
spatial
distributions
positive
(iron-related)
negative
(myelin-,
protein-,
calcium-related)
across
10
substructures
16
segmentations
25
male
participants
with
acute
(<
14
days)
sports-related
(sr-mTBI).
Additional
variables
interest
including
age,
severity,
days
since
at
time
resonance
imaging
(MRI)
scan
were
also
correlated
both
values.
Primary
analyses
indicated
no
significant
difference
values
between
sr-mTBI
controls
for
ROIs.
For
sign
values,
was
significantly
less
cornu
ammonis
4
(CA4)
region
only
(
p
FDR
<
0.05).
In
line
known
linear
relationship
iron
deposition
age
deep
grey
matter
sites,
particularly
within
first
three
decades
life,
relationships
observed
putamen,
caudate,
red
nucleus,
parabrachial
pigmented
ventral
pallidum
Positive
absolute
fimbria,
extended
amygdala
0.05),
suggesting
age-related
calcifications
regions.
A
indicating
potential
changes
myelin
content
region.
No
associations
be-tween
any
other
variable
signed
The
results
study
contribute
to,
extend,
prior
literature
regarding
temporal
kinetics
biomagnetic
substrates
as
a
function
ageing.
Decreased
after
CA4
suggests
injury-related
effects
on
or
cell
loss;
interesting
finding
light
well-established
pathology
chronic
encephalopathy
(CTE).
lack
between-group
differences
suggest
that
alterations
not
be
quantifiable
stage
ROIs
masked
by
common
feature
all
young
cohort.
Future
research
should
consider
use
longitudinal
designs
mitigate
influence
factors.
CNS Neuroscience & Therapeutics,
Год журнала:
2023,
Номер
29(11), С. 3446 - 3459
Опубликована: Июнь 2, 2023
Traumatic
brain
injury
(TBI)
is
a
leading
cause
of
long-term
disability
in
young
adults
and
induces
complex
neuropathological
processes.
Cellular
autonomous
intercellular
changes
during
the
subacute
phase
contribute
substantially
to
neuropathology
TBI.
However,
underlying
mechanisms
remain
elusive.
In
this
study,
we
explored
dysregulated
cellular
signaling
TBI.Single-cell
RNA-sequencing
data
(GSE160763)
TBI
were
analyzed
explore
cell-cell
communication
Upregulated
neurotrophic
factor
was
validated
mouse
model
Primary
cell
cultures
lines
used
as
vitro
models
examine
potential
affecting
signaling.Single-cell
analysis
revealed
that
microglia
astrocytes
most
affected
cells
Cell-cell
demonstrated
mediated
by
non-canonical
factors
midkine
(MDK),
pleiotrophin
(PTN),
prosaposin
(PSAP)
microglia/astrocytes
upregulated
Time-course
profiling
showed
MDK,
PTN,
PSAP
expression
primarily
TBI,
major
source
MDK
PTN
after
studies
enhanced
activated
microglia.
Moreover,
promoted
proliferation
neural
progenitors
derived
from
human-induced
pluripotent
stem
(iPSCs)
neurite
growth
iPSC-derived
neurons,
whereas
exclusively
stimulated
growth.The
played
crucial
role
neuroregeneration.
Frontiers in Immunology,
Год журнала:
2023,
Номер
14
Опубликована: Ноя. 29, 2023
Hypoxic-ischemic
brain
injury
poses
a
significant
threat
to
the
neural
niche
within
central
nervous
system.
In
response
this
pathological
process,
microglia,
as
innate
immune
cells
in
system,
undergo
rapid
morphological,
molecular
and
functional
changes.
Here,
we
comprehensively
review
these
dynamic
changes
microglial
hypoxic-ischemic
under
conditions,
including
stroke,
chronic
intermittent
hypoxia
neonatal
injury.
We
focus
on
regulation
of
signaling
pathways
further
describe
process
microenvironment
remodeling
tissue
regeneration
mediated
by
microglia
after
CNS Neuroscience & Therapeutics,
Год журнала:
2023,
Номер
30(3)
Опубликована: Сен. 16, 2023
Abstract
Ischemic
stroke
refers
to
the
sudden
loss
of
blood
flow
in
a
specific
area
brain.
It
is
fifth
leading
cause
mortality
and
permanent
disability.
The
transcription
factor
nuclear
erythroid
2‐related
2
(Nrf2)
controls
production
several
antioxidants
protective
proteins
it
has
been
investigated
as
possible
pharmaceutical
target
for
reducing
harmful
oxidative
events
brain
ischemia.
Each
cell
type
exhibits
different
roles
behaviors
phases
post‐stroke,
which
comprehensive
yet
important
understand
optimize
management
strategies
goals
care
patients.
In
this
review,
we
comprehensively
summarize
effects
Nrf2
experimental
ischemic
stroke,
emphasizing
role
types
including
neurons,
astrocytes,
oligodendrocytes,
microglia,
endothelial
cells
during
acute
chronic
providing
insights
on
neuroprotective
each
throughout
long
term
care.
We
also
highlight
importance
targeting
clinical
settings
while
considering
variety
factors
such
age,
drug
dosage,
delivery
route,
time
administration.