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The neuro-glial coagulonome: the thrombin receptor and coagulation pathways as major players in neurological diseases 被引量:6
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作者 Shany G.Gofrit Efrat Shavit-Stein 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第12期2043-2053,共11页
The neuro-glial interface extends far beyond mechanical support alone and includes interactions through coagulation cascade proteins. Here, we systematically review the evidence indicating that synaptic and node of Ra... The neuro-glial interface extends far beyond mechanical support alone and includes interactions through coagulation cascade proteins. Here, we systematically review the evidence indicating that synaptic and node of Ranvier glia cell components modulate synaptic transmission and axonal conduction by a coagulation cascade protein system, leading us to propose the concept of the neuro-glial coagulonome. In the peripheral nervous system, the main thrombin receptor protease activated receptor 1 (PAR1) is located on the Schwann microvilli at the node of Ranvier and at the neuromuscular junction. PAR1 activation effects can be both neuroprotective or harmful, depending on thrombin activity levels. Low physiological levels of thrombin induce neuroprotective effects in the Schwann cells which are mediated by the endothelial protein C receptor. High levels of thrombin induce conduction deficits, as found in experimental autoimmune neuritis, the animal model for Guillaine-Barre syndrome. In the central nervous system, PAR1 is located on the peri-synaptic astrocyte end-feet. Its activation by high thrombin levels is involved in the pathology of primary inflammatory brain diseases such as multiple sclerosis, as well as in other central nervous system insults, including trauma, neoplasms, epilepsy and vascular injury. Following activation of PAR1 by high thrombin levels the seizure threshold is lowered. On the other hand, PAR1 activation by lower levels of thrombin in the central nervous system protects against a future ischemic insult. This review presents the known structure and function of the neuro-glial coagulonome, focusing on coagulation, thrombin and PAR1 in a pathway which may be either physiological (neuroprotective) or detrimental in peripheral nervous system and central nervous system diseases. Understanding the neuro-glial coagulonome may open opportunities for novel pharmacological interventions in neurological diseases. 展开更多
关键词 THROMBIN PROTEASE activated receptor 1 PROTEASE nexin 1 GLIA node of ranvier SYNAPSE epilepsy GLIOBLASTOMA Guillaine-Barre syndrome
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抗神经束蛋白186抗体阳性的郎飞结区/结旁疾病的临床特点(附1例报告)
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作者 董思语 孙美 +3 位作者 陈聪 王静 金庆文 程虹 《临床神经病学杂志》 CAS 2024年第1期37-40,共4页
目的 探讨抗神经束蛋白186(NF186)抗体阳性的郎飞结区/结旁疾病(NPP)的临床特点。方法 回顾性分析1例抗NF186抗体阳性的NPP致颅神经损害患者的临床资料。结果 患者为70岁男性,1个月前突发言语、吞咽困难,糖皮质激素治疗好转后停药。患者... 目的 探讨抗神经束蛋白186(NF186)抗体阳性的郎飞结区/结旁疾病(NPP)的临床特点。方法 回顾性分析1例抗NF186抗体阳性的NPP致颅神经损害患者的临床资料。结果 患者为70岁男性,1个月前突发言语、吞咽困难,糖皮质激素治疗好转后停药。患者5 d前再次出现言语、吞咽、咀嚼、鼓腮、转头和抬头动作费力,并进行性加重。肢体EMG检查正常,血清及CSF抗NF186抗体阳性。给予糖皮质激素治疗疗效不明显,改用血浆交换治疗后症状明显改善。结论 抗NF186抗体阳性的NPP发病年龄较晚、病情较重,可伴颅神经受损,常规糖皮质激素治疗效果可能不佳,血浆交换治疗有效。 展开更多
关键词 抗神经束蛋白抗体 颅神经损害 郎飞结 血浆交换
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Direct contacts of microglia on myelin sheath and Ranvier’s node in the corpus callosum in rats 被引量:1
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作者 Jingdong Zhang Xinglong Yang +2 位作者 You Zhou Howard Fox Huangui Xiong 《The Journal of Biomedical Research》 CAS CSCD 2019年第3期192-200,共9页
Over the recent years, it has been found that microglia pseudopodia contact synapses, detect sick ones and prune them, even in adult animals. Myelinated nerves also carry out plasticity in which microglia remove myeli... Over the recent years, it has been found that microglia pseudopodia contact synapses, detect sick ones and prune them, even in adult animals. Myelinated nerves also carry out plasticity in which microglia remove myelin debris by phagocytosis. However, it remains unknown whether microglia explore structures on nerve fibers, such as Ranvier’s node(RN) or myelin sheath, before they become debris. By double or triple staining RNs or myelin sheathes and microglia in healthy rat corpus callosum, this study unveiled direct contacts of microglia pseudopodia with RNs and with para-and inter-nodal myelin sheathes, which was then verified by electron microscopic observations. Our data indicated that microglia also explore unmyelinated nerve fibers. Furthermore, we used the animals with matured white matter;therefore, microglia may be actively involved in plasticity of matured white matter tracts as it does for synapse pruning, instead of only passively phagocytize myelin debris. 展开更多
关键词 ranvier’s node MYELIN SHEATH MICROGLIA contact matured white matter TRACT
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伴颅神经受累的抗接触蛋白相关蛋白1抗体阳性的郎飞结旁疾病1例报告
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作者 贾佳 金莉蓉 +1 位作者 杜鹏 范薇 《中国临床医学》 2022年第2期303-306,F0003,共5页
1病例资料1.1患者病史患者女性,61岁,主因“双下肢乏力3个月余,四肢远端麻木2个月”于2021年11月30日于上海市徐汇区中心医院神经内科住院。患者8月下旬起无明显诱因下出现双下肢乏力,可独自行走,自感运动耐量下降,休息后未见好转。9月... 1病例资料1.1患者病史患者女性,61岁,主因“双下肢乏力3个月余,四肢远端麻木2个月”于2021年11月30日于上海市徐汇区中心医院神经内科住院。患者8月下旬起无明显诱因下出现双下肢乏力,可独自行走,自感运动耐量下降,休息后未见好转。9月初自觉四肢末端麻木,下肢麻木逐渐加重,从足底上升至膝部。9月23日就诊当地医院,查头颈MRI发现:(1)双侧大脑半球白质内多发小缺血灶;(2)双侧筛窦及右侧上颌窦炎;(3)颈椎间盘轻度突出。予营养神经(B族维生素)、中药、针灸、理疗治疗(具体不详),症状无好转。既往有高血压、肾结石手术史,否认糖尿病病史、酗酒、中毒、长期素食等,否认家族史。 展开更多
关键词 抗接触蛋白相关蛋白1 慢性炎性脱髓鞘性多发性神经病 郎飞结
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Delayed treatment of secondary degeneration following acute optic nerve transection using a combination of ion channel inhibitors
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作者 Nathanael J.Yates Marcus K.Giacci +5 位作者 Ryan L. O'Hare Doig Wissam Chiha Bethany E. Ashworth Jade Kenna Carole A. Bartlett Melinda Fitzgerald 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第2期307-316,共10页
Studies have shown that a combined application of several ion channel inhibitors immediately after central nervous system injury can inhibit secondary degeneration. However, for clinical use, it is necessary to determ... Studies have shown that a combined application of several ion channel inhibitors immediately after central nervous system injury can inhibit secondary degeneration. However, for clinical use, it is necessary to determine how long after injury the combined treatment of several ion channel inhibitors can be delayed and efficacy maintained. In this study, we delivered Ca^2+ entry-inhibiting P2X7 receptor antagonist oxidized-ATP and AMPA receptor antagonist YM872 to the optic nerve injury site via an iPRECIO-@ pump immediately, 6 hours, 24 hours and 7 days after partial optic nerve transection surgery. In addition, all of the ion channel inhibitor treated rats were administered with calcium channel antagonist lomerizine hydrochloride. It is important to note that as a result of implantation of the particular pumps required for programmable delivery of therapeutics directly to the injury site, seromas occurred in a significant proportion of animals, indicating infection around the pumps in these animals. Improvements in visual function were observed only when treatment was delayed by 6 hours; phosphorylated Tau was reduced when treatment was delayed by 24 hours or 7 days. Improvements in structure of node/paranode of Ranvier and reductions in oxidative stress indicators were also only observed when treatment was delayed for 6 hours, 24 hours, or 7 days. Benefits of ion channel inhibitors were only observed with time-delayed treatment, suggesting that delayed therapy of Ca^2+ ion channel inhibitors produces better neuroprotective effects on secondary degeneration, at least in the presence of seromas. 展开更多
关键词 nerve regeneration optic nerve injury neurotrauma secondary degeneration seromas calcium channel inhibitor node of ranvier Tau phosphorylation lipid peroxidation oxidative stress neural regeneration
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慢性炎性脱髓鞘性多发性神经病郎飞结/结旁疾病患者中枢神经和自主神经受累临床特征分析
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作者 任雨婷 潘华 +6 位作者 牛松涛 陈娜 张磊 翦凡 陈彬 王新高 张在强 《北京医学》 CAS 2022年第3期197-202,208,共7页
目的分析慢性炎性脱髓鞘性多发性神经病郎飞结/结旁疾病患者中枢神经系统受累(central nervous system involvement,CNSI)和自主神经损伤(autonomic nerve injury,ANI)的特点,评估其电生理检查的亚临床损害特征。方法回顾性分析2018年9... 目的分析慢性炎性脱髓鞘性多发性神经病郎飞结/结旁疾病患者中枢神经系统受累(central nervous system involvement,CNSI)和自主神经损伤(autonomic nerve injury,ANI)的特点,评估其电生理检查的亚临床损害特征。方法回顾性分析2018年9月至2021年5月北京天坛医院确诊的10例郎飞结/结旁疾病患者的临床特点、功能评分和电生理检查,分别评估瞬目反射(blink reflex,BR)、面神经传导(facial nerve conduction,FNC)、交感皮肤反应(sympathetic skin response,SSR)和心率变异性(heart rate variation,HRV)对CNSI以及ANI的评估价值。结果CNSI组MRC总分(MRC-sum score)显著低于非中枢神经系统受累(non-CNS involvement,NCNSI)组(33.5分比55.8分,P=0.016),CNSI组总体神经病变限制性量表(overall neuropathy limitation scale,ONLS)评分和改良Rankin量表(modified Rankin scale,MRS)评分显著高于NCNSI组(5.5分比1.8分,P=0.015;3.5分比1.1分,P=0.005)。临床症状与BR Kappa系数为0.20(P=0.350),临床症状与FNC Kappa系数为0.18(P=0.440),临床症状与SSR检查Kappa系数为–0.54(P=0.100),临床症状与HRV检查Kappa系数为0.10(P=0.760)。年龄与口轮匝肌潜伏期、SSR下肢潜伏期和最大值/最小值(E/I)具有相关性(r=–0.740,P=0.009;r=0.615,P=0.011;r=–0.779,P=0.013)。病程与E/I、SSR上肢潜伏期和下肢潜伏期具有相关性(r=0.722,P=0.028;r=–0.548,P=0.019;r=–0.695,P=0.003)。13项小纤维神经病和症状问卷(small fiber neuropathy and symptoms inventory questionnaire,SFN–SIQ)与SSR下肢潜伏期和下肢波幅具有相关性(r=0.781,P=0.022;r=–0.878,P=0.004)。结论郎飞结/结旁疾病患者CNSI和ANI并不少见,CNSI临床症状更重,运动功能损害更明显,BR和FNC可反映CNSI亚临床损害特征,SSR可反映ANI并评估其严重程度,下肢检测异常更具敏感性。 展开更多
关键词 郎飞结病 结旁疾病 瞬目反射 面神经传导 交感皮肤反应 心率变异性
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神经元电生理学等效电路模型及参数特性研究 被引量:1
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作者 周霆 《浙江大学学报(理学版)》 CAS CSCD 2013年第3期285-290,共6页
从考虑神经元轴突朗飞结的电缆模型入手,根据脑磁图和电磁场理论的"场路一致性"原理,讨论了应该从著名的Hodgkin-Huxley一阶静态等效电路扩展为二阶动态电路的合理性和必要性,并通过具体的计算实例进一步研究电生理学材料参... 从考虑神经元轴突朗飞结的电缆模型入手,根据脑磁图和电磁场理论的"场路一致性"原理,讨论了应该从著名的Hodgkin-Huxley一阶静态等效电路扩展为二阶动态电路的合理性和必要性,并通过具体的计算实例进一步研究电生理学材料参数膜电容C和电感L的频率特性,实验结果表明,有髓神经元纤维轴向信号传递速度越快,其电容和电感值就越小. 展开更多
关键词 朗飞结 场路一致性 动态电路 电生理学材料参数
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