Department of Brain Repair and Rehabilitation, NMR Unit, UCL Institute of Neurology, London WC1N 3BG, United Kingdom.
J Neurosci. 2010 Nov 10;30(45):15030-3. doi: 10.1523/JNEUROSCI.3330-10.2010.
Mitochondrial dysfunction contributes to the pathogenesis of many neurological diseases, including multiple sclerosis (MS), but is not directly measurable in vivo. We modeled N-acetyl-aspartate (NAA), which reflects axonal structural integrity and mitochondrial metabolism, with imaging measures of axonal structural integrity (axial diffusivity and cord cross-sectional area) to extract its mitochondrial metabolic contribution. Lower residual variance in NAA, reflecting reduced mitochondrial metabolism, was associated with greater clinical disability in MS, independent of structural damage.
线粒体功能障碍是许多神经疾病(包括多发性硬化症)发病机制的原因,但在体内无法直接测量。我们用反映轴突结构完整性和线粒体代谢的 N-乙酰天门冬氨酸(NAA)建立模型,用轴突结构完整性的影像学测量(轴向扩散和脊髓横截面积)来提取其线粒体代谢的贡献。NAA 的残余方差降低,反映线粒体代谢减少,与多发性硬化症的更大临床残疾相关,与结构损伤无关。