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亨廷顿病中海马神经发生、认知缺陷和情感障碍。

Hippocampal neurogenesis, cognitive deficits and affective disorder in Huntington's disease.

机构信息

Florey Neuroscience Institutes, Melbourne Brain Centre, University of Melbourne, Melbourne, VIC 3010, Australia.

出版信息

Neural Plast. 2012;2012:874387. doi: 10.1155/2012/874387. Epub 2012 Jun 27.

DOI:10.1155/2012/874387
PMID:22830053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3394391/
Abstract

Huntington's disease (HD) is a neurodegenerative disorder caused by a tandem repeat expansion encoding a polyglutamine tract in the huntingtin protein. HD involves progressive psychiatric, cognitive, and motor symptoms, the selective pathogenesis of which remains to be mechanistically elucidated. There are a range of different brain regions, including the cerebral cortex and striatum, known to be affected in HD, with evidence for hippocampal dysfunction accumulating in recent years. In this review we will focus on hippocampal abnormalities, in particular, deficits of adult neurogenesis. We will discuss potential molecular mechanisms mediating disrupted hippocampal neurogenesis, and how this deficit of cellular plasticity may in turn contribute to specific cognitive and affective symptoms that are prominent in HD. The generation of transgenic animal models of HD has greatly facilitated our understanding of disease mechanisms at molecular, cellular, and systems levels. Transgenic HD mice have been found to show progressive behavioral changes, including affective, cognitive, and motor abnormalities. The discovery, in multiple transgenic lines of HD mice, that adult hippocampal neurogenesis and synaptic plasticity is disrupted, may help explain specific aspects of cognitive and affective dysfunction. Furthermore, these mouse models have provided insight into potential molecular mediators of adult neurogenesis deficits, such as disrupted serotonergic and neurotrophin signaling. Finally, a number of environmental and pharmacological interventions which are known to enhance adult hippocampal neurogenesis have been found to have beneficial affective and cognitive effects in mouse models, suggesting common molecular targets which may have therapeutic utility for HD and related diseases.

摘要

亨廷顿病(HD)是一种神经退行性疾病,由亨廷顿蛋白中串联重复扩展编码多聚谷氨酰胺链引起。HD 涉及进行性精神、认知和运动症状,其选择性发病机制仍有待在机制上阐明。有一系列不同的大脑区域,包括大脑皮层和纹状体,已知在 HD 中受到影响,近年来积累了关于海马功能障碍的证据。在这篇综述中,我们将重点关注海马异常,特别是成年神经发生的缺陷。我们将讨论介导海马神经发生中断的潜在分子机制,以及这种细胞可塑性的缺陷如何反过来导致 HD 中突出的特定认知和情感症状。HD 的转基因动物模型的产生极大地促进了我们对分子、细胞和系统水平疾病机制的理解。转基因 HD 小鼠被发现表现出进行性行为改变,包括情感、认知和运动异常。在多种转基因 HD 小鼠系中发现,成年海马神经发生和突触可塑性被破坏,这可能有助于解释认知和情感功能障碍的特定方面。此外,这些小鼠模型为成年神经发生缺陷的潜在分子介质提供了深入了解,例如,5-羟色胺能和神经营养因子信号的中断。最后,已知许多能够增强成年海马神经发生的环境和药理学干预措施在小鼠模型中具有有益的情感和认知作用,这表明存在共同的分子靶点,可能对 HD 和相关疾病具有治疗用途。

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本文引用的文献

1
Dysregulation of synaptic proteins, dendritic spine abnormalities and pathological plasticity of synapses as experience-dependent mediators of cognitive and psychiatric symptoms in Huntington's disease.突触蛋白失调、树突棘异常以及突触的病理性重塑作为亨廷顿病中经验依赖性认知和精神症状的中介物。
Neuroscience. 2013 Oct 22;251:66-74. doi: 10.1016/j.neuroscience.2012.05.043. Epub 2012 May 24.
2
Selective serotonin reuptake inhibitors (SSRIs): therapeutic drug monitoring and pharmacological interactions.选择性 5-羟色胺再摄取抑制剂(SSRIs):治疗药物监测和药物相互作用。
Curr Med Chem. 2012;19(12):1846-63. doi: 10.2174/092986712800099749.
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Combination of antidepressants in the treatment of major depressive disorder: a systematic review and meta-analysis.抗抑郁药联合治疗重性抑郁障碍:系统评价和荟萃分析。
J Clin Psychopharmacol. 2012 Apr;32(2):278-81. doi: 10.1097/JCP.0b013e318248581b.
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Effect of enhanced voluntary physical exercise on brain levels of monoamines in Huntington disease mice.增强的自愿体育锻炼对亨廷顿病小鼠大脑单胺水平的影响。
PLoS Curr. 2011 Nov 8;3:RRN1281. doi: 10.1371/currents.RRN1281.
5
Huntington's disease knock-in male mice show specific anxiety-like behaviour and altered neuronal maturation.亨廷顿病基因敲入雄性小鼠表现出特定的焦虑样行为和神经元成熟改变。
Neurosci Lett. 2012 Jan 24;507(2):127-32. doi: 10.1016/j.neulet.2011.11.063. Epub 2011 Dec 9.
6
Deficits in spermatogenesis but not neurogenesis are alleviated by chronic testosterone therapy in R6/1 Huntington's disease mice.慢性睾丸素治疗可减轻 R6/1 亨廷顿病小鼠的生殖细胞发生缺陷,但不能减轻神经发生缺陷。
J Neuroendocrinol. 2012 Feb;24(2):341-56. doi: 10.1111/j.1365-2826.2011.02238.x.
7
No change in progenitor cell proliferation in the hippocampus in Huntington's disease.亨廷顿病中海马祖细胞增殖无变化。
Neuroscience. 2011 Dec 29;199:577-88. doi: 10.1016/j.neuroscience.2011.09.010. Epub 2011 Sep 14.
8
Pathophysiology of Huntington's disease: time-dependent alterations in synaptic and receptor function.亨廷顿病的病理生理学:突触和受体功能的时变改变。
Neuroscience. 2011 Dec 15;198:252-73. doi: 10.1016/j.neuroscience.2011.08.052. Epub 2011 Aug 27.
9
Disturbance of real space navigation in moderately advanced but not in early Huntington's disease.中度而非早期亨廷顿病患者真实空间导航障碍。
J Neurol Sci. 2012 Jan 15;312(1-2):86-91. doi: 10.1016/j.jns.2011.08.016. Epub 2011 Aug 27.
10
Effects of environmental enrichment and voluntary exercise on neurogenesis, learning and memory, and pattern separation: BDNF as a critical variable?环境丰富和自愿运动对神经发生、学习和记忆以及模式分离的影响:BDNF 是关键变量吗?
Semin Cell Dev Biol. 2011 Jul;22(5):536-42. doi: 10.1016/j.semcdb.2011.07.002. Epub 2011 Jul 7.