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解析健康与疾病状态下新陈代谢与神经发育之间的相互作用

Unraveling the Interplay Between Metabolism and Neurodevelopment in Health and Disease.

作者信息

He Yanqing, Xie Kang, Yang Kang, Wang Nianhua, Zhang Longbo

机构信息

Department of Neurosurgery, and National Clinical Research Center of Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China.

Department of Neurosurgery, Xiangya Hospital, Central South University, Jiangxi (National Regional Center for Neurological Diseases), Nanchang, China.

出版信息

CNS Neurosci Ther. 2025 May;31(5):e70427. doi: 10.1111/cns.70427.

Abstract

BACKGROUND

Neurodevelopment is a multifaceted and tightly regulated process essential for the formation, maturation, and functional specialization of the nervous system. It spans critical stages, including cellular proliferation, differentiation, migration, synaptogenesis, and synaptic pruning, which collectively establish the foundation for cognitive, behavioral, and emotional functions. Metabolism serves as a cornerstone for neurodevelopment, providing the energy and substrates necessary for biosynthesis, signaling, and cellular activities.

RESULTS

Key metabolic pathways, including glycolysis, lipid metabolism, and amino acid metabolism, support processes such as cell proliferation, myelination, and neurotransmitter synthesis. Crucial signaling pathways, such as insulin, mTOR, and AMPK, further regulate neuronal growth, synaptic plasticity, and energy homeostasis. Dysregulation of these metabolic processes is linked to a spectrum of neurodevelopmental disorders, including autism spectrum disorders (ASDs), intellectual disabilities, and epilepsy.

CONCLUSIONS

This review investigates the intricate interplay between metabolic processes and neurodevelopment, elucidating the molecular mechanisms that govern brain development and the pathogenesis of neurodevelopmental disorders. Additionally, it highlights potential avenues for the development of innovative strategies aimed at enhancing brain health and function.

摘要

背景

神经发育是一个多方面且受到严格调控的过程,对于神经系统的形成、成熟和功能特化至关重要。它涵盖关键阶段,包括细胞增殖、分化、迁移、突触形成和突触修剪,这些共同为认知、行为和情感功能奠定基础。新陈代谢是神经发育的基石,为生物合成、信号传导和细胞活动提供所需的能量和底物。

结果

关键代谢途径,包括糖酵解、脂质代谢和氨基酸代谢,支持细胞增殖、髓鞘形成和神经递质合成等过程。关键信号通路,如胰岛素、mTOR和AMPK,进一步调节神经元生长、突触可塑性和能量稳态。这些代谢过程的失调与一系列神经发育障碍有关,包括自闭症谱系障碍(ASD)、智力残疾和癫痫。

结论

本综述研究了代谢过程与神经发育之间的复杂相互作用,阐明了控制大脑发育和神经发育障碍发病机制的分子机制。此外,它强调了旨在促进大脑健康和功能的创新策略开发的潜在途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2373/12076066/4f6a0710c128/CNS-31-e70427-g001.jpg

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