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神经退行性疾病
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樊东升:早诊断、早治疗对渐冻症患者至关重要
Jing Ji Guan Cha Wang· 2025-09-05 08:35
Core Insights - Amyotrophic Lateral Sclerosis (ALS), commonly known as Lou Gehrig's disease, is characterized by the gradual loss of motor neurons in the brain and spinal cord, leading to muscle atrophy and loss of motor function, making it a neurodegenerative disease that is irreversible [1][2] Group 1: Disease Characteristics - ALS is often referred to as the "most cruel rare disease" because, unlike other neurodegenerative diseases such as Alzheimer's, patients retain cognitive and emotional functions while losing physical abilities, resulting in profound psychological pain [2] - The progression of ALS is rapid, with many patients having a life expectancy of only around five years post-diagnosis, making it more aggressive compared to other neurodegenerative diseases [3] Group 2: Available Treatments - Currently, there are limited treatment options for ALS, including riluzole from Sanofi, edaravone from Mitsubishi Pharma, and tofersen injection from Biogen, which is effective for only 2% of patients [3] Group 3: Patient Symptoms and Diagnosis - Early symptoms of ALS may include non-motor symptoms such as insomnia, anxiety, and weight loss, which can precede the onset of motor symptoms [4] - Early diagnosis is crucial, as it allows for timely treatment and can significantly extend survival rates; the average delay in diagnosis has decreased from 10-11 months to as little as 3-6 months due to increased awareness [4] Group 4: Disease Mechanisms and Risk Factors - The exact causes of ALS remain unclear, but several mechanisms have been proposed, including excessive neuronal excitation, insufficient energy metabolism, and oxidative stress [5][6] - Factors such as weight loss, high-altitude exposure, and physical or mental stress can exacerbate the condition, with studies indicating that rapid weight loss correlates with faster disease progression [6][7] Group 5: Misconceptions and Myths - There exists a condition known as "pseudo-ALS" or "ALS-like syndrome," which can be misdiagnosed as ALS but has identifiable causes and can be treated effectively [8] - The placebo effect is a significant concern in ALS treatment, as patients may perceive improvements that are not clinically substantiated [8] Group 6: Future Technologies - Brain-computer interfaces hold promise for improving the quality of life for ALS patients, particularly in late stages where communication becomes severely limited, potentially allowing patients to express thoughts and maintain a connection with the outside world [9]
脑内“换细胞”让患病动物寿命翻倍
Huan Qiu Wang Zi Xun· 2025-08-11 01:45
Core Insights - A groundbreaking study published in Nature demonstrates the use of non-genetically matched healthy precursor cells to replace over half of the diseased microglia in Sandhoff disease mice, extending their lifespan from 135 days to 250 days and restoring motor functions and exploratory behavior to near-normal levels [1][2] Group 1: Research Findings - The study provides a blueprint for "off-the-shelf" cell therapy for currently untreatable neurodegenerative diseases like Tay-Sachs and Sandhoff diseases, which are lysosomal storage disorders characterized by rapid degeneration and early mortality in affected children [1] - The research team employed a "brain-region-specific transplantation" strategy, using low-dose radiation and drugs to temporarily clear existing microglia in the mice's brains before injecting microglial precursor cells from non-matching donors [1][2] - The new cells maintained over 85% of the total microglial cell population in the brain after 8 months and did not spread to other body parts, indicating a successful integration [2] Group 2: Implications for Future Treatments - The approach addresses three major challenges: it does not require systemic toxic preconditioning, avoids gene editing to supplement missing enzymes, and prevents rejection reactions [2] - The components used in the therapy, including radiation doses, microglial-clearing agents, and immunosuppressants, are already approved for other diseases, suggesting a potential for rapid clinical application [2] - The research indicates that similar microglial dysfunctions are present in common neurodegenerative diseases like Alzheimer's and Parkinson's, which could benefit from this therapy if human trials are successful [2]
睡眠不足更易导致四肢肥胖!中心性肥胖与上臂脂肪堆积显著增加神经退行性疾病风险
GLP1减重宝典· 2025-08-09 03:03
Core Viewpoint - Health management has evolved from merely improving physical appearance to enhancing overall quality of life, physiological function, and disease prevention, with a significant focus on body composition and its correlation with brain health [4][5]. Group 1: Research Findings - Central obesity and excess fat in the upper arms are linked to a higher risk of neurodegenerative diseases such as Alzheimer's and Parkinson's, while increased muscle strength may offer protective benefits [7][8]. - A study involving over 410,000 participants revealed that higher muscle strength is associated with a 26% reduction in neurodegenerative disease risk, while central obesity increases risk by 13% and upper arm fat by 18% [7][8]. - Insufficient sleep is shown to significantly increase the likelihood of fat accumulation in the limbs, particularly in men, highlighting the importance of sleep in managing body fat distribution [9][10]. Group 2: Health Management Strategies - The research suggests a "two reductions, one increase" strategy: reducing abdominal and arm fat while increasing muscle strength to lower the risk of neurodegenerative diseases [8][11]. - Maintaining 7-9 hours of quality sleep is crucial for regulating fat distribution and metabolic balance, which can indirectly influence brain health [10][11]. - Practical exercises such as planks, crunches, and weight training can help achieve these health goals, emphasizing the need for a proactive approach to health management [11].
按摩面颈部就能“清洁”大脑?
Ke Ji Ri Bao· 2025-06-11 08:18
Core Insights - The article discusses a potential method for "cleaning" the brain through facial and neck massage, which may help in removing metabolic waste linked to neurodegenerative diseases like Alzheimer's and Parkinson's [1][3] Group 1: Brain Waste Management - The brain operates continuously, accumulating metabolic waste that can lead to neurodegenerative diseases if not cleared [1] - The brain has its own waste disposal system involving cerebrospinal fluid (CSF) that flushes out waste through lymphatic pathways [1][2] - Aging leads to a decline in the efficiency of this waste disposal system, resulting in the accumulation of harmful substances [1] Group 2: Research Findings - Recent research identified a superficial lymphatic network near the skin of the face and neck, which could facilitate the movement of CSF [2] - A mechanical stimulation device was developed that, when applied to the skin, significantly increased the outflow of CSF, achieving up to three times the normal rate [2] - The intensity of the massage is crucial, as excessive force may hinder the desired effect [2][3] Group 3: Implications and Future Research - This non-invasive technique does not involve drugs or surgery, suggesting a simple method for potentially enhancing brain health through skin massage [3] - Further research is needed to determine the effectiveness of this method in preventing diseases like Alzheimer's [3] - The findings open up possibilities for daily facial care routines to contribute to brain health [3]
颜宁发文祝贺!美国两院院士、睡眠领域顶尖学者丹扬教授回国,全职加盟深圳医学科学院
生物世界· 2025-06-02 02:42
Core Viewpoint - The article highlights the significant contributions of Professor Danyang in the field of sleep research and her recent affiliation with Shenzhen Medical Academy, where she will establish a Sleep and Consciousness Laboratory [1][4]. Group 1: Professor Danyang's Background - Professor Danyang graduated from Peking University with a degree in Physics and later pursued a PhD in Biology at Columbia University, followed by postdoctoral research at Rockefeller University and Harvard Medical School [4]. - She has been a faculty member at the University of California, Berkeley since 1997, focusing on the neural circuits that control sleep and the functions of the prefrontal cortex [4][21]. Group 2: Recent Research Contributions - On December 8, 2023, Professor Danyang's team published a study in Cell, revealing that frontal cortical ignition, related to consciousness awareness, is strongly suppressed during NREM sleep in mice due to cholinergic modulation [7][10]. - On January 18, 2024, a study published in Nature Neuroscience demonstrated that microglia can promote sleep through calcium-dependent modulation of norepinephrine transmission, suggesting a protective role for microglia in brain health [12][13]. - On January 17, 2025, a study in Science Advances explored how activation of locus coeruleus noradrenergic neurons rapidly increases homeostatic sleep pressure, indicating a mechanism for sleep regulation [15][17]. Group 3: Implications for Sleep Research - The findings from Professor Danyang's research suggest that understanding the mechanisms of sleep regulation could have implications for addressing sleep disruptions associated with neurodegenerative diseases like Alzheimer's [13]. - The research emphasizes the importance of microglial function in maintaining sleep and brain homeostasis, potentially offering insights into therapeutic strategies for sleep-related disorders [13]. - The studies collectively indicate that the functional fatigue of locus coeruleus neurons may lead to increased sleep pressure, providing a new perspective on the relationship between wakefulness and sleep [17].
一种小分子可精准阻断细胞凋亡
news flash· 2025-05-19 22:04
Core Insights - Scientists from Walter and Eliza Hall Institute in Australia have discovered a small molecule that can selectively inhibit apoptosis, which opens new avenues for treating neurodegenerative diseases such as Parkinson's and Alzheimer's [1] Group 1 - The research findings were published in the latest issue of the journal "Science Advances" [1]
Cell:我国学者揭示大脑“排污网络”的发育和神经调控密码,为阿尔茨海默病等大脑疾病的治疗开辟新方向
生物世界· 2025-05-02 02:15
Core Viewpoint - The research reveals the developmental control mechanism of the meningeal lymphatic system in the brain, highlighting the dynamic regulation by neural activity through specific glial cell subtypes, which provides new insights into the interaction between the nervous and immune systems [3][6][9]. Group 1: Research Findings - The study identifies that neural activity regulates the expression of Vegfc in slc6a11b+ radial astrocytes, which in turn controls the development of mural lymphatic endothelial cells (muLEC) in the meninges [3][5]. - It demonstrates that slc6a11b+ radial astrocytes are the primary source of Vegfc, essential for muLEC development, and that this process is modulated by neural activity [7][9]. - The collaboration between slc6a11b+ radial astrocytes and ccbe1+ fibroblasts ensures that muLEC is restricted to the brain surface, preventing invasion into the brain parenchyma [5][9]. Group 2: Implications for Future Research - The findings suggest that the brain not only processes neural information but also coordinates its microenvironment, providing a new framework for understanding brain-immune interactions [9]. - The research opens avenues for interventions targeting this regulatory network, potentially offering new perspectives on the role of the meningeal lymphatic system in neurodegenerative diseases [9][14]. - It emphasizes the importance of a functional lymphatic network for brain health, indicating that targeting the external lymphatic pathways may enhance treatment efficacy for neurological disorders [14].
帕金森病不只是“抖”,这个假期,留意身边老人的“慢、僵、倒”
Bei Ke Cai Jing· 2025-04-30 08:49
Core Insights - Parkinson's disease is the second most common neurodegenerative disease among the elderly in China, following Alzheimer's disease, with a current patient population of approximately 3.62 million, projected to rise to 5 million by 2030, accounting for about half of the global cases [2][3] Group 1: Disease Characteristics - Parkinson's disease symptoms include both motor and non-motor symptoms, with motor symptoms characterized by slowness, tremors, stiffness, and postural instability, while non-motor symptoms may include constipation, low mood, depression, olfactory dysfunction, and sleep disturbances [3][4] - Non-motor symptoms can appear up to 20 years before the onset of motor symptoms, indicating a higher probability of developing Parkinson's disease [2][3] Group 2: Diagnosis and Treatment - Early diagnosis is crucial for improving patient outcomes, but there are significant challenges in identifying early-stage patients due to misdiagnosis and delayed treatment [3][4] - The latest treatment guidelines recommend that once Parkinson's disease is diagnosed, treatment should begin promptly, regardless of the impact on quality of life, emphasizing the need for long-term management and a collaborative approach involving healthcare providers, patients, caregivers, and society [4]
AI新工具创建大脑代谢组高清3D图谱
Ke Ji Ri Bao· 2025-03-24 08:55
作为原理证明,团队利用MetaVision3D,生成了正常小鼠和罹患阿尔茨海默病、庞贝氏症(一种罕 见的遗传性疾病)的小鼠大脑代谢组的3D交互式图谱。 为绘制这些3D图谱,研究团队使用高科技成像仪,逐层扫描了79个大脑切片。这台仪器可识别并计 数脂肪、碳水化合物等分子,这些分子是实现大脑功能的必需营养素。随后,他们使用AI工具将这些图 像堆叠在一起,重建了整个大脑的代谢组。 研究示意图。图片来源:《自然·代谢》杂志 代谢组是为大脑运作提供能量的数千个分子的集合。这一进展使科学家能更全面地了解代谢在阿尔 茨海默病和其他神经退行性疾病中的作用,从而发现治疗这些疾病的新药。 AI新工具创建大脑代谢组高清3D图谱 研究团队表示,利用该方法可绘制出大脑内数千种分子及其在大脑中精确位置。在线用户可在3D重 建中探索大脑代谢组的各个部分,从而揭示传统2D图谱中看不到的细微差别,为研究受饮食、运动和遗 传影响的细胞代谢和疾病机制提供新见解。例如,科学家可利用该工具探索和检查影响思维、记忆和大 脑健康的分子,包括那些与神经退行性疾病有关的分子。 美国佛罗里达大学研究团队借助超级计算机,创建出一款强大的人工智能(AI)工具 Me ...