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继发于单纯疱疹病毒脑炎的抗NMDAR和抗GABA_(BR)双阳性自身免疫性脑炎1例报告及文献复习 被引量:1
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作者 赵仲艳 徐志育 +3 位作者 吴婵姬 赵二义 黄丹 黄仕雄 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2024年第1期236-242,共7页
目的:分析1例单纯疱疹病毒性脑炎(HSVE)继发抗N-甲基-D-天冬氨酸受体(NMDAR)和抗γ-氨基丁酸B型受体(GABA_(BR))双阳性自身免疫性脑炎(AE)患者的临床表现及诊疗经过,以提高临床医生对该类病的认识。方法:收集1例HSVE继发抗NMDAR和抗GABA... 目的:分析1例单纯疱疹病毒性脑炎(HSVE)继发抗N-甲基-D-天冬氨酸受体(NMDAR)和抗γ-氨基丁酸B型受体(GABA_(BR))双阳性自身免疫性脑炎(AE)患者的临床表现及诊疗经过,以提高临床医生对该类病的认识。方法:收集1例HSVE继发抗NMDAR和抗GABA_(BR)双阳性AE患者的临床资料,对其诊断和治疗经过进行总结,并结合相关文献进行复习。结果:患者,男性,36岁,以头痛起病,随后出现肢体抽搐,并进展为意识障碍。入院后脑脊液常规生化检测异常,脑脊液单纯疱疹病毒1型(HSV-1) IgG抗体阳性,脑脊液和血清NMDAR抗体检测阳性,头部磁共振成像(MRI)检查提示右侧枕叶白质异常信号,诊断为HSVE继发抗NMDAR脑炎。数月后患者出现精神行为异常、认知障碍和睡眠障碍等症状,血清NMDAR抗体和GABA_(BR)抗体均阳性,诊断为HSVE继发抗NMDAR脑炎和抗GABA_(BR)脑炎。给予激素冲击和静脉注射免疫球蛋白(IVIG)治疗后,患者病情好转出院。随访1年,患者精神症状完全消失,遗留轻度认知功能障碍。结论:HSVE抗病毒治疗有效的恢复期患者临床症状再度恶化时,应高度怀疑继发AE的可能,应尽快完善自身免疫性抗体检测,以期早期诊断,早期治疗,以改善患者预后。 展开更多
关键词 单纯疱疹病毒性脑炎 n-甲基-d-门冬氨酸受体抗体 抗γ-氨基丁酸B型受体抗体 自身免疫性脑炎
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Effect of Xingnaojing Injection(醒脑静注射液)on Hippocampal N-methyl-D-aspartic Acid Receptors of Focal Cerebral Ischemia in Rats 被引量:7
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作者 沈思钰 蔡定芳 +3 位作者 陈伟华 刘静 陈虎 应健 《Chinese Journal of Integrated Traditional and Western Medicine》 2003年第1期49-52,共4页
Objective: To observe and elucidate the neuroprotective effect of Xingnaojing (XNJ) injection on hippocampal N-methyl-D-aspartic acid (NMDA) receptors of focal cerebral ischemia in rats. Methods: Cerebral ischemia was... Objective: To observe and elucidate the neuroprotective effect of Xingnaojing (XNJ) injection on hippocampal N-methyl-D-aspartic acid (NMDA) receptors of focal cerebral ischemia in rats. Methods: Cerebral ischemia was established by occluding the middle cerebral artery with an intraluminal suture technique in rats. Neurological deficit score, infarct volume and quantity of NMDA receptors were estimated in all groups and compared. Results: After being treated with XNJ, the score decreased in the initial 6 hours and infarct volume decreased in 24 hours. And within 24 hours, the quantity of NMDA receptors obviously decreased compared with the model group (P<0. 01) It indicated that XNJ could ameliorate neurological behavior of middle cerebral artery occlusion rats and down-regulate the expression of hippocampal NMDA receptors. Conclusion: The neuroprotective effect of XNJ on focal cerebral ischemia is possibly related to down-regulating the expression of NMDA receptors in rats. 展开更多
关键词 Xingnaojing injection focal cerebral ischemia n-methyl-d-aspartic acid receptor nEURO-PROTECTIOn
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Effect of Chronic Noise Exposure on Expression of N-Methyl-D-Aspartic Acid Receptor 2B and Tau Phosphorylation in Hippocampus of Rats 被引量:4
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作者 CUI Bo WU Ming Quan +3 位作者 ZHU Li Xing SHE Xiao Jun MA Qiang LIU Hong Tao 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2013年第3期163-168,共6页
Objective To study the effect of chronic noise exposure on expression of N-methyI-D-aspartic acid receptor 2B (NR2B) and tau phosphorylation in hippocampus of rats. Methods Twenty-four male SD rats were divided in c... Objective To study the effect of chronic noise exposure on expression of N-methyI-D-aspartic acid receptor 2B (NR2B) and tau phosphorylation in hippocampus of rats. Methods Twenty-four male SD rats were divided in control group and chronic noise exposure group. NR2B expression and tau phosphorylation in hippocampus of rats were detected after chronic noise exposure (100 dB SPL white noise, 4 h/dx30d) and their mechanisms underlying neuronal apoptosis in hippocampus of rats with TUNEL staining. Results The NR2B expression decreased significantly after chronic noise exposure which resulted in tau hyperphosphorylation and neural apoptosis in hippocampus of rats. Immunohistochemistry showed that the tau hyperphosphorylation was most prominent in dentate gyrus (DG) and CA1 region of rat hippocampus. Conclusion The abnormality of neurotransmitter system, especially Glu and NR2B containing NMDA receptor, and tau hyperphosphorylation in hippocampus of rats, may play a role in chronic noise-induced neural apoptosis and cognition impairment. 展开更多
关键词 noise n-methyI-d-aspartic acid receptor 2B subunit Tau hyperphosphorylation APOPTOSIS
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Water-soluble lipopolymer delivery of N-methyl-D-aspartic acid receptor 2B siRNA relieves chronic neuropathic pain in rats 被引量:1
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作者 Jianhua Lu Yuanxiang Tao +4 位作者 Xue Yang Weifeng Tu Hao Chen Jiaxiang Xiong Chungui Hu 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第29期2279-2283,共5页
Spinal dorsal horn N-Methyl-D-aspartic acid receptor 2B (NR2B) overexpression plays an important role in the production and maintenance of neuropathic pain. Because small interfering RNA (siRNA) can inhibit NR2B e... Spinal dorsal horn N-Methyl-D-aspartic acid receptor 2B (NR2B) overexpression plays an important role in the production and maintenance of neuropathic pain. Because small interfering RNA (siRNA) can inhibit NR2B expression, siRNA may provide a novel approach to treat neuropathic pain and possibly nerve injury. However, an efficient and safe vector for NR2B siRNA has not been discovered. This study shows that a water soluble lipopolymer (WSLP) comprised of low molecular weight polyethyleneimine (PEI) and cholesterol can deliver siRNA targeting NR2B for the treatment of neuropathic pain. Results show that intrathecal injection of WSLP/siRNA complexes for 3 days inhibit NR2B gene expression with reductions in mRNA and protein levels by 59% and 54%, respectively, compared with control rats (P 〈 0.01). Injection of WSLP complexed with scrambled siRNA, or PEI with siRNA did not show this inhibitory effect. Moreover, injection of WSLP/siRNA complexes significantly relieved neuropathic pain at 3, 7, 12, and 21 days, while injection of WSLP with scrambled siRNA or PEI with siRNA did not. These results demonstrate that WSLP can efficiently deliver siRNA targeting NR2B in vivo and relieve neuropathic pain. 展开更多
关键词 water soluble lipopolymer n-methyl-d-aspartic acid receptor 2B small interfering RnA peripheral nerve injury neuropathic pain
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Subcellular distribution of N-methyl-D-aspartic acid receptor subunit 1 in neural stem cells within subventricular zone of adult rats 被引量:2
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作者 Zhining Li Wenlong Lv +3 位作者 Hongyan Dong Hongbin Fan Ruiguo Dong Tiejun Xu 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第28期2188-2192,共5页
The subcellular localization of N-methyI-D-aspartic acid receptor subunit 1 in neural stem cells of the subventricular zone of adult rats was detected using electron microscopy, following immunohistochemistry and immu... The subcellular localization of N-methyI-D-aspartic acid receptor subunit 1 in neural stem cells of the subventricular zone of adult rats was detected using electron microscopy, following immunohistochemistry and immunogold-silver double staining. Results confirmed the presence of neural stem cells in the subventricular zone, which is a key neurogenic region in the central nervous system of adult mammals. The expression of N-methyI-D-aspartic acid receptor subunit 1 was higher than that of nestin and mainly distributed in the cell membrane, cytoplasm, rough endoplasmic reticulum and Golgi complex of neural stem cells. 展开更多
关键词 n-methyI-d-aspartic acid receptor subunit 1 subventricular zone neural stem cells pre-embedding double labeled immunoelectron microscopy ULTRASTRUCTURE neural regeneration
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The calmodulin-dependent protein kinase II inhibitor KN-93 protects rat cerebral cortical neurons from N-methyl-D-aspartic acid-induced injury 被引量:3
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作者 Xuewen Liu Cui Ma +5 位作者 Ruixian Xing Weiwei Zhang Buxian Tian Xidong Li Qiushi Li Yanhui Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第2期111-120,共10页
In this study, primary cultured cerebral cortical neurons of Sprague-Dawley neonatal rats were treated with 0.25, 0.5, and 1.0 μM calmodulin-dependent protein kinase II inhibitor KN-93 after 50 μM N-methyI-D-asparti... In this study, primary cultured cerebral cortical neurons of Sprague-Dawley neonatal rats were treated with 0.25, 0.5, and 1.0 μM calmodulin-dependent protein kinase II inhibitor KN-93 after 50 μM N-methyI-D-aspartic acid-induced injury. Results showed that, compared with N-methyi-D- aspartic acid-induced injury neurons, the activity of cells markedly increased, apoptosis was significantly reduced, leakage of lactate dehydrogenase decreased, and intracellular Ca2+ concentrations in neurons reduced after KN-93 treatment. The expression of caspase-3, phosphorylated calmodulin-dependent protein kinase II and total calmodulin-dependent protein kinase II protein decreased after KN-93 treatment. And the effect was apparent at a dose of 1.0 pM KN-93. Experimental findings suggest that KN-93 can induce a dose-dependent neuroprotective effect, and that the underlying mechanism may be related to the down-regulation of caspase-3 and calmodulin- dependent protein kinase II expression. 展开更多
关键词 neural regeneration brain injury calmodulin-dependent protein kinase II Kn-93 n-methyi-d-aspartic acid caspase-3 calcium ion apoptosis nEUROPROTECTIOn grant-supported paper photographs-containing paper nEUROREGEnERATIOn
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血必净对抗NMDA受体脑炎模型小鼠脑组织损伤及脑脊液中Th17/Treg免疫失衡的改善作用 被引量:1
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作者 陈琳 闫丽敏 +3 位作者 邢槐杰 陈敏 黎晓艳 曾超胜 《吉林大学学报(医学版)》 CAS CSCD 北大核心 2024年第3期697-707,共11页
目的:探讨血必净对抗N-甲基-D-天门冬氨酸(NMDA)受体脑炎模型小鼠脑组织损伤及脑脊液(CSF)中辅助性T淋巴细胞17(Th17)/调节性T淋巴细胞(Treg)免疫失衡的影响,阐明其治疗作用。方法:60只健康雄性C57BL/6J小鼠随机分为对照组、模型组、低... 目的:探讨血必净对抗N-甲基-D-天门冬氨酸(NMDA)受体脑炎模型小鼠脑组织损伤及脑脊液(CSF)中辅助性T淋巴细胞17(Th17)/调节性T淋巴细胞(Treg)免疫失衡的影响,阐明其治疗作用。方法:60只健康雄性C57BL/6J小鼠随机分为对照组、模型组、低剂量血必净组和高剂量血必净组,每组15只。除对照组外,其余3组小鼠均给予抗原注射与免疫刺激结合法建立抗NMDA受体脑炎模型,低和高剂量血必净组小鼠分别给予腹腔注射5和10 mL·kg-1血必净注射液。采用HE染色观察各组小鼠脑组织病理形态表现,TUNEL法检测各组小鼠脑组织海马CA1区神经元凋亡率,酶联免疫吸附试验(ELISA)法检测各组小鼠血清中白细胞介素(IL)-6、IL-10、IL-17和转化生长因子β(TGF-β)水平,流式细胞术检测各组小鼠CSF中Th17和Treg细胞百分率,Western blotting法检测各组小鼠脑组织中维甲酸相关核孤儿受体(RORγt)、叉头状转录因子3(Foxp3)、IL-10和IL-17蛋白表达水平,免疫组织化学染色法检测各组小鼠脑组织中IL-17和Foxp3阳性细胞率。结果:HE染色,对照组小鼠脑组织海马CA1区结构清晰,未见明显病变;与对照组比较,模型组小鼠脑组织海马CA1区部分锥体细胞呈三角形固缩浓染,顶树突拉长,少数神经细胞脱失,组织稀疏;与模型组比较,低和高剂量血必净组小鼠脑组织海马CA1区细胞损伤减小,形态恢复正常,排列较为整齐,且高剂量血必净组小鼠脑组织海马CA1区损伤的改善情况更明显。TUNEL法,与对照组比较,模型组小鼠脑组织海马CA1区神经元凋亡率明显升高(P<0.05);与模型组比较,低和高剂量血必净组小鼠脑组织海马CA1区神经元凋亡率明显降低(P<0.05);与低剂量血必净组比较,高剂量血必净组小鼠脑组织海马CA1区神经元凋亡率明显降低(P<0.05)。ELISA法,与对照组比较,模型组小鼠血清中IL-6和IL-17水平明显升高(P<0.05),IL-10和TGF-β水平明显降低(P<0.05);与模型组比较,低和高剂量血必净组小鼠血清中IL-6和IL-17水平明显降低(P<0.05),IL-10和TGF-β水平明显升高(P<0.05);与低剂量血必净组比较,高剂量血必净组小鼠血清中IL-6和IL-17水平明显降低(P<0.05),IL-10和TGF-β水平明显升高(P<0.05)。流式细胞术,与对照组比较,模型组小鼠CSF中CD4+IL-17A+Th17细胞百分率明显升高(P<0.05),CD25+Foxp3+Treg细胞百分率明显降低(P<0.05);与模型组比较,低和高剂量血必净组小鼠CSF中CD4+IL-17A+Th17细胞百分率明显降低(P<0.05),CD25+Foxp3+Treg细胞百分率明显升高(P<0.05);与低剂量血必净组比较,高剂量血必净组小鼠CSF中CD4+IL-17A+Th17细胞百分率明显降低(P<0.05),CD25+Foxp3+Treg细胞百分率明显升高(P<0.05)。Western blotting法,与对照组比较,模型组小鼠脑组织中RORγt和IL-17蛋白表达水平明显升高(P<0.05),Foxp3和IL-10蛋白表达水平明显降低(P<0.05);与模型组比较,低和高剂量血必净组小鼠脑组织中RORγt及IL-17蛋白表达水平明显降低(P<0.05),Foxp3和IL-10蛋白表达水平明显升高(P<0.05);与低剂量血必净组比较,高剂量血必净组小鼠脑组织中RORγt和IL-17蛋白表达水平明显降低(P<0.05),Foxp3和IL-10蛋白表达水平明显升高(P<0.05)。免疫组织化学染色法,与对照组比较,模型组小鼠脑组织中IL-17阳性细胞率明显升高(P<0.05),Foxp3阳性细胞率明显降低(P<0.05);与模型组比较,低和高剂量血必净组小鼠脑组织中IL-17阳性细胞率明显降低(P<0.05),Foxp3阳性细胞率明显升高(P<0.05);与低剂量血必净组比较,高剂量血必净组小鼠脑组织中IL-17阳性细胞率明显降低(P<0.05),Foxp3阳性细胞率明显升高(P<0.05)。结论:血必净能够有效改善抗NMDA受体脑炎小鼠脑组织损伤,调控细胞因子水平,干预抗NMDA受体脑炎小鼠Th17/Treg免疫失衡现象。 展开更多
关键词 n-甲基-d-天门冬氨酸受体脑炎 血必净 神经元凋亡 辅助性T淋巴细胞17 调节性T淋巴细胞 免疫失衡
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抗NMDAR脑炎中B细胞相关免疫病理机制与治疗进展
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作者 杨素格 韩松 +5 位作者 常忠正 徐营营 周晓艳 魏艳 程玲 王允 《医学综述》 CAS 2024年第9期1025-1030,共6页
抗N-甲基-D-天冬氨酸受体(NMDAR)脑炎是自身免疫性脑炎中最常见的类型之一,其发病机制与B细胞介导的体液免疫反应产生的抗NMDAR抗体有关。抗NMDAR脑炎患者B细胞表面受体互补决定区3存在特异性核酸排列顺序。CXC趋化因子配体13、白细胞介... 抗N-甲基-D-天冬氨酸受体(NMDAR)脑炎是自身免疫性脑炎中最常见的类型之一,其发病机制与B细胞介导的体液免疫反应产生的抗NMDAR抗体有关。抗NMDAR脑炎患者B细胞表面受体互补决定区3存在特异性核酸排列顺序。CXC趋化因子配体13、白细胞介素-6、白细胞介素-17在B细胞迁移和浸润过程中起重要作用。目前,临床已开始使用利妥昔单抗和托珠单抗治疗抗NMDAR脑炎。未来,深入研究抗NMDAR脑炎中B细胞成熟和克隆分化的分子机制,有助于寻找抗NMDAR脑炎的生物标志物,为疾病的早期诊断和靶向治疗提供理论支持。 展开更多
关键词 n-甲基-d-天冬氨酸受体脑炎 B细胞 B细胞库 细胞因子 单克隆抗体
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NMDA受体与α_(2)肾上腺素受体参与神经精神疾病的分子机制研究进展
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作者 章文欣 周冬雨 +6 位作者 韩奕 季然 艾琳 谢安 翟晓静 曹君利 张红星 《中国药理学通报》 CAS CSCD 北大核心 2024年第12期2206-2212,共7页
谷氨酸与去甲肾上腺素及其对应受体分别构成谷氨酸能系统和去甲肾上腺素能系统,二者在多种神经精神疾病过程中发挥重要作用,并且存在密切对话。该文回顾了高级中枢神经系统中谷氨酸受体——N-甲基-D-天冬氨酸受体(Nmethyl-D-aspartate r... 谷氨酸与去甲肾上腺素及其对应受体分别构成谷氨酸能系统和去甲肾上腺素能系统,二者在多种神经精神疾病过程中发挥重要作用,并且存在密切对话。该文回顾了高级中枢神经系统中谷氨酸受体——N-甲基-D-天冬氨酸受体(Nmethyl-D-aspartate receptor,NMDA-R)和肾上腺素受体——α_(2)肾上腺素受体(alpha 2 adrenergic receptor,α_(2)-AR)参与神经精神疾病的具体分子机制,以及二者可能的对话机制,对深入认识两种受体相关神经精神疾病的神经生物学机制、药物研发和优化临床治疗方案具有重要意义。 展开更多
关键词 nmda受体 α_(2)肾上腺素受体 脑源性营养因子 抑郁症 阿尔茨海默病 神经生物学
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AMPA与NMDA抗体重叠的自身免疫性脑炎合并眼阵挛-肌阵挛综合征1例报告
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作者 江佳佳 杨伊 +5 位作者 王文暄 刘雅菁 尹梓曈 冯双浩 李小艳 卜晖 《中风与神经疾病杂志》 CAS 2024年第4期369-371,共3页
眼阵挛-肌阵挛综合征(OMS)是一种少见的神经系统综合征,与肿瘤相关,常见于儿童,成人少见,其特征是不自主、无节律、混乱、多向的眼球不自主运动,通常伴有四肢和躯干肌阵挛性抽搐、共济失调。抗α-氨基-3-羟基-5-甲基-4-异唑丙酸受体(AMP... 眼阵挛-肌阵挛综合征(OMS)是一种少见的神经系统综合征,与肿瘤相关,常见于儿童,成人少见,其特征是不自主、无节律、混乱、多向的眼球不自主运动,通常伴有四肢和躯干肌阵挛性抽搐、共济失调。抗α-氨基-3-羟基-5-甲基-4-异唑丙酸受体(AMPAR)与抗N-甲基-D-天冬氨酸受体(NMDAR)抗体重叠的自身免疫性脑炎合并眼阵挛-肌阵挛综合征的病例报道更为少见,对其临床表现及治疗缺乏全面的认识。现报道1例AMPAR与NMDAR抗体重叠的自身免疫性脑炎合并眼阵挛-肌阵挛综合征患者,并基于此病例对国内外相关文献进行复习,以期提高临床医生的认识。 展开更多
关键词 自身免疫性脑炎 α-氨基-3-羟基-5-甲基-4-异唑丙酸 n-甲基-d-天冬氨酸 边缘性脑炎 重叠综合征 眼阵挛-肌阵挛综合征
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1例抗NMDA受体脑炎合并自身免疫性多腺综合征病人的护理
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作者 宋学梅 曹猛 +1 位作者 项丽君 张晓梅 《全科护理》 2024年第17期3353-3356,共4页
总结1例抗NMDA(N-methyl-D aspartate)受体脑炎合并自身免疫性多腺综合征病人的护理。护理要点包括:重视两种疾病的相互影响,为病人实行个体化的血糖管理方案,加强低血糖的防范与处理;为病人提供充足的肠内营养支持并做好营养管道的维护... 总结1例抗NMDA(N-methyl-D aspartate)受体脑炎合并自身免疫性多腺综合征病人的护理。护理要点包括:重视两种疾病的相互影响,为病人实行个体化的血糖管理方案,加强低血糖的防范与处理;为病人提供充足的肠内营养支持并做好营养管道的维护;根据病人疾病的临床表现做好自主神经功能障碍的护理,安全规范地应用镇静药物;组建多学科团队早期开展康复治疗,促进病人功能恢复。经过83 d的治疗和护理,病人病情好转至下级医院继续行康复治疗,随访1年,病人生活自理能力评分60分。 展开更多
关键词 nmda受体脑炎 自身免疫性多腺综合征 1型糖尿病 自主神经功能障碍 护理
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抗NMDAR抗体自身免疫性脑炎1例
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作者 吴雪 《中国医药科学》 2024年第14期195-198,共4页
自身免疫性脑炎(AE)是指由自身免疫所介导的脑炎,涉及多种自身免疫性抗体,临床表现也不尽相同,在过去多为排他性诊断。多数AE患者查头颅磁共振成像(MRI)可见异常信号,易被误诊为颅脑肿瘤。部分AE可能合并相关肿瘤,这种被称为副肿瘤性AE... 自身免疫性脑炎(AE)是指由自身免疫所介导的脑炎,涉及多种自身免疫性抗体,临床表现也不尽相同,在过去多为排他性诊断。多数AE患者查头颅磁共振成像(MRI)可见异常信号,易被误诊为颅脑肿瘤。部分AE可能合并相关肿瘤,这种被称为副肿瘤性AE,在临床上存在漏诊可能。随着国内外多项相关研究的开展以及各种相关文章的发表,临床工作者对AE的认识更为完善。本案例较为典型,可以帮助临床工作者对AE进一步认识和学习。 展开更多
关键词 自身免疫性脑炎 n-甲基-d-天冬氨酸受体 免疫治疗 副肿瘤性自身免疫性脑炎
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MRI阳性或阴性抗NMDAR脑炎免疫治疗维持方案与患者预后的关系
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作者 王柯黙 严翠华 +1 位作者 姜荆 刘学伍 《精准医学杂志》 2024年第6期486-490,共5页
目的分析不同颅脑磁共振(MRI)表现的抗N-甲基-D-天冬氨酸受体(NMDAR)脑炎的免疫治疗维持方案与患者预后的关系。方法收集2016年1月—2021年1月于齐鲁医院确诊的抗NMDAR脑炎94例患者的诊治和随访资料,比较本病相关MRI结果阳性组(M组,35例... 目的分析不同颅脑磁共振(MRI)表现的抗N-甲基-D-天冬氨酸受体(NMDAR)脑炎的免疫治疗维持方案与患者预后的关系。方法收集2016年1月—2021年1月于齐鲁医院确诊的抗NMDAR脑炎94例患者的诊治和随访资料,比较本病相关MRI结果阳性组(M组,35例)和阴性组(N组,59例)患者发病特点,以及免疫治疗的维持方案与患者远期预后的关系。结果经过为期4~73个月的随访,M组患者中位fCASE为1(0,3)分,24例出现症状学预后不良;N组患者中位fCASE为0(0,1)分,21例出现症状学预后不良;N组患者的预后好于M组(P<0.05)。M组中,行长期(疗程≥6个月)免疫治疗的患者症状学预后更好(P<0.05);N组患者短期(疗程<6个月)与长期免疫治疗效果无显著差异(P>0.05)。结论颅脑MRI发现相关责任病灶的自身免疫性脑炎患者预后相对较差,应采用更长期的免疫治疗维持方案。 展开更多
关键词 n-甲基-d-门冬氨酸受体脑炎 磁共振成像 免疫疗法 预后
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Gamma-aminobutyric acid A receptor and N-methyl-D-aspartate receptor subunit expression in rat spiral ganglion neurons 被引量:2
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作者 Xiaolan Tang Meng Gao Shuang Feng Jiping Su 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第13期1020-1024,共5页
BACKGROUND: Gamma-aminobutyric acid A (GABAA) and N-methyl-D-aspartate (NMDA) receptors are significant receptors in the central nervous system. An understanding of GABAA and NMDA receptor expression in spiral ga... BACKGROUND: Gamma-aminobutyric acid A (GABAA) and N-methyl-D-aspartate (NMDA) receptors are significant receptors in the central nervous system. An understanding of GABAA and NMDA receptor expression in spiral ganglion neurons (SGN) provides information for the functional role of these receptors in the auditory system. OBJECTIVE: To investigate mRNA expression of GABAA receptor (GABAAR) and NMDA receptor (NMDAR) subunits in the rat SGN. DESIGN, TIME AND SETTING: This in vitro, molecular biological study was performed at the Laboratory of Otolaryngology-Head and Neck Surgery, Guangxi Medical University, China from July 2007 to May 2008. MATERIALS: Reverse Transcriptase Kit and Taq DNA polymerase were purchased from Fermentas Burlington, ON, Canada; GABAAR and NMDAR primers were purchased from Shanghai Sangon, Shanghai, China. METHODS: SGN from 3-5 day postnatal Wistar rats was collected for primary cultures, mRNA expression of GABAAR and NMDAR subunits in the SGN was determined by reverse transcription polymerase chain reaction. MAIN OUTCOME MEASURES: Expression levels of GABAAR and NMDAR subunits were determined by quantitative analysis. RESULTS: GABAAR subunits (αl 6, β1 3, and y1 3) and NMDAR subunits (NR1, NR2A, NR2B, NR2C, NR2D, NR3A, and NR3B) were detected in the SGN. In α subunit genes of GABAAR, α1 and α3 expression was similar (P 〉 0.05) and greater than the other subunits. Of the β subunit genes, β1 subunit mRNA levels were greater than β2 and β3. Of the y subunit genes, y2 subunit mRNA levels were greater than y1 and y3. NR1 mRNA expression was the greatest of NMDAR subunits. CONCLUSION: GABAAR subunits (α1 6, β1-3, and y1-3) and NMDAR subunits (NR1, NR2A, NR2B, NR2C, NR2D, NR3A, and NR3B) were expressed in the rat SGN. Through comparison of GABAAR and NMDAR subunit expression, possible GABAAR combinations, as well as highly expressed subunit combinations, were estimated, which provided information for pharmacological and electrophysiological characteristics of GABAAR in the auditory system. 展开更多
关键词 spiral ganglion neuron gamma-aminobutyric acid A receptor n-methyl d-aspartate receptor reverse transcription polymerase chain reaction neural regeneration
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Estrogen affects neuropathic pain through upregulating N-methyl-D-aspartate acid receptor 1 expression in the dorsal root ganglion of rats 被引量:8
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作者 Chao Deng Ya-juan Gu +1 位作者 Hong Zhang Jun Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2017年第3期464-469,共6页
Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in t... Estrogen affects the generation and transmission of neuropathic pain,but the specific regulatory mechanism is still unclear.Activation of the N-methyl-D-aspartate acid receptor 1(NMDAR1) plays an important role in the production and maintenance of hyperalgesia and allodynia.The present study was conducted to determine whether a relationship exists between estrogen and NMDAR1 in peripheral nerve pain.A chronic sciatic nerve constriction injury model of chronic neuropathic pain was established in rats.These rats were then subcutaneously injected with 17β-estradiol,the NMDAR1 antagonist D(-)-2-amino-5-phosphonopentanoic acid(AP-5),or both once daily for 15 days.Compared with injured drug na?ve rats,rats with chronic sciatic nerve injury that were administered estradiol showed a lower paw withdrawal mechanical threshold and a shorter paw withdrawal thermal latency,indicating increased sensitivity to mechanical and thermal pain.Estrogen administration was also associated with increased expression of NMDAR1 immunoreactivity(as assessed by immunohistochemistry) and protein(as determined by western blot assay) in spinal dorsal root ganglia.This 17β-estradiol-induced increase in NMDAR1 expression was blocked by co-administration with AP-5,whereas AP-5 alone did not affect NMDAR1 expression.These results suggest that 17β-estradiol administration significantly reduced mechanical and thermal pain thresholds in rats with chronic constriction of the sciatic nerve,and that the mechanism for this increased sensitivity may be related to the upregulation of NMDAR1 expression in dorsal root ganglia. 展开更多
关键词 nerve regeneration peripheral nerve injury ESTROGEn 17Β-ESTRAdIOL n-rnethyl-d-aspartic acid receptor 1 pain sciatic nerve chronic constriction injury neuropathic pain d(-)-2-amino-5-phosphonopentanoic acid dorsal root ganglion spinal cord IMMUnOREACTIVITY western blot assay neural regeneration
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N-methyl-D-aspartate receptor subunit 1 protein expression in the hippocampus and temporal cortex of kainic acid-induced epilepsy rats
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作者 Zan Wang Hongyu Jiang Suisheng Wu Hongmei Meng Li Ji Li Cui Weihong Lin 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第14期1045-1049,共5页
BACKGROUND: The N-methyl-D-aspartate receptor subunit 1 (NMDAR1) contributes to the incidence of epilepsy. However, the relationship between epilepsy-induced brain injury and NMDAR1 remains poorly understood. OBJEC... BACKGROUND: The N-methyl-D-aspartate receptor subunit 1 (NMDAR1) contributes to the incidence of epilepsy. However, the relationship between epilepsy-induced brain injury and NMDAR1 remains poorly understood. OBJECTIVE: To investigate changes in NMDAR1 protein expression in the hippocampus and temporal cortex of kainic acid-induced epilepsy rats. DESIGN, TIME AND SETFING: A randomized, controlled, animal experiment was performed at the Department of Physiology and Department of Pathology, Basic Medical College of Jilin University from March 2002 to March 2003. MATERIALS: Rabbit anti-NMDAR1 antibody was purchased from Wuhan Boster Biological Technology, China. METHODS: A total of 80 healthy, male, Wistar rats, aged 22 weeks, were randomly assigned to sham-surgery (n = 10) and model (n = 70) groups. Epilepsy models were established by injecting kainic acid (1μL) into the right amygdala, and rats were sacrificed at 2, 6, 24, 72 hours, and 7, 15, 30 days after surgery, with 10 animals at each time point. The rats in the sham-surgery group were injected with 1μL phosphate buffered saline into the right amygdala. MAIN OUTCOME MEASURES: NMDAR1 protein expression in the hippocampus and temporal cortex at 2, 6, 24, 72 hours and 7, 15, 30 days after epilepsy was detected using immunohistochemistry and flow cytometry analysis. RESULTS: In the sham-surgery group, a few NMDARl-positive cells were distributed in the hippocampus and temporal cortex. In the model group, NMDARl-positive cells were increased in the hippocampus and temporal cortex at 2 hours following kainic acid-induced epilepsy. They were significantly increased at 6 hours, and slightly decreased at 7 days (CA3 region and temporal cortex), but remained greater than the sham-surgery group. This continued until day 30 (P 〈 0.01 ). In addition, there were more NMDAR1 positive cells in the hippocampal CA3 and dentate gyrus than the temporal cortex (P 〈 0.01). CONCLUSION: In epilepsy model rats, NMDAR1 protein expression was upregulated in the hippocampus and temporal cortex, and in particular in the hippocampal CA3 and dentate gyrus. NMDAR1 may participate in epilepsy and the excitation process of the epileptic brain. 展开更多
关键词 kainic acid EPILEPSY n-methyI-d-aspartate receptor RAT SUBUnIT neural regeneration
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N-methyl-D-aspartate (NMDA) mediates vascular relaxation via nitric oxide (NO) in rats but not in mice
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作者 Francesco Crespi 《Advances in Bioscience and Biotechnology》 2010年第4期340-344,共5页
Amperometric studies have indicated that substance P as well as NMDA stimulates release of NO in rat aortic rings. These data have been confirmed by functional observations of vaso-relaxant action of NMDA within norad... Amperometric studies have indicated that substance P as well as NMDA stimulates release of NO in rat aortic rings. These data have been confirmed by functional observations of vaso-relaxant action of NMDA within noradrenaline pre-contracted aortic rings, supporting the presence of NMDA receptor in rat aortic rings. It is known that the enzyme endothelial NO synthase (eNOS) mediates vasodilatation not only in rats, but also in C57BL6 mice aortic ring, indicating that in this blood vessel NO is the endogenous endothelium-derived vasodilator. In this work, amperometry together with specifically nitrites insensitive micro-biosensors have been applied to examine the effect of NMDA and substance P upon NO release in rat and in two strains of mice aortic rings. The electrochemical data monitored demonstrate that NMDA mediates vascular relaxation via NO in rats but not in mice. These results are supported by functional data, therefore they suggest that NMDA receptors are “not responding” within these experimental conditions in mice aortic rings. 展开更多
关键词 nITRIC Oxide AMPEROMETRY Carbon Fibre Micro-Electrodes MICE RATS Aortic Rings n-methyl- d-ASPARTATE Substance P
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加味四逆散抗应激性抑郁效应及其海马NMDA受体通道机制的初步研究 被引量:24
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作者 吴丽丽 严灿 +3 位作者 丁胜元 徐志伟 曾纯 兰金鑫 《中国药理学通报》 CAS CSCD 北大核心 2007年第11期1425-1431,共7页
目的研究加味四逆散(JWSNS)抗应激性抑郁效应及其海马N-甲基-D-天冬氨酸(N-methyl-D-aspartate,NMDA)受体通道的机制。方法采用慢性轻度不可预计应激(chronicmild unpredictable stress,CMUS)制作大鼠抑郁症模型。在造模前后测量基础糖... 目的研究加味四逆散(JWSNS)抗应激性抑郁效应及其海马N-甲基-D-天冬氨酸(N-methyl-D-aspartate,NMDA)受体通道的机制。方法采用慢性轻度不可预计应激(chronicmild unpredictable stress,CMUS)制作大鼠抑郁症模型。在造模前后测量基础糖水消耗量和体重的变化;离体海马脑片TTC染色检测各组大鼠海马损伤情况以及JWSNS含药血清的保护作用;运用细胞贴附式膜片钳记录模式检测大鼠海马NMDA受体通道开放概率和平均开放时间的变化,Tillvision图像处理系统检测海马神经元细胞内游离Ca2+浓度。结果CMUS可引起大鼠糖水偏爱度下降(P<0.01),JWSNS和MK801可提高应激性抑郁症大鼠糖水偏爱度(P<0.01,P<0.05),但对大鼠的体重无影响。JWSNS、20%JWSNS含药血清和MK801均能明显升高应激性抑郁症大鼠海马光密度值,降低海马脑片损伤百分率(P<0.05,P<0.01)。模型组大鼠海马NMDA受体通道开放概率明显增高(P<0.05),而JWSNS、MK801能明显降低海马NMDA受体通道开放概率(P<0.05,P<0.01);对NMDA受体通道平均开放时间无明显影响。JWSNS、MK801能明显降低应激性抑郁症大鼠海马神经元内升高的游离Ca2+浓度(P<0.01)。结论JWSNS具有抗抑郁作用,NMDA受体可能是其药理学作用靶点之一,调控海马神经元NMDA受体的功能状态可能是JWSNS发挥抗抑郁效应的直接作用机制之一。 展开更多
关键词 应激 抑郁症 海马 n-甲基-d-天冬氨酸 受体 加味四逆散
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音乐对大鼠学习和记忆以及海马NMDA受体表达的影响 被引量:16
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作者 王增贤 王晓亚 +3 位作者 王怀经 李振中 王越 邢子英 《第四军医大学学报》 北大核心 2004年第24期2237-2240,共4页
目的 :研究音乐对大鼠空间学习和记忆及海马内NMDA受体表达的影响 .方法 :用Morris水迷宫行为检测法 ,检测音乐刺激后大鼠学习和记忆能力的变化 ;免疫组化和PCR技术 ,检测海马NMDA受体及编码NMDA受体mRNA的表达 .结果 :音乐刺激后 ,大... 目的 :研究音乐对大鼠空间学习和记忆及海马内NMDA受体表达的影响 .方法 :用Morris水迷宫行为检测法 ,检测音乐刺激后大鼠学习和记忆能力的变化 ;免疫组化和PCR技术 ,检测海马NMDA受体及编码NMDA受体mRNA的表达 .结果 :音乐刺激后 ,大鼠信息游泳和选择游泳的逃避潜伏期缩短 ,选择游泳选择正确率提高 ,其变化以持续音乐刺激组最明显 ,生后音乐组次之 ,对照组最小 ;音乐刺激后海马神经元NMDA受体及其mRNA表达增加 .结论 :音乐刺激能提高大鼠空间记忆能力 ,增强海马神经元NMDA受体及编码NMDA受体的mRNA表达 . 展开更多
关键词 学习 记忆 受体 n-甲基-d-天冬氨酸 音乐 大鼠
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石杉碱甲对血管性痴呆小鼠海马NMDA受体及mRNA表达的影响 被引量:9
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作者 吕佩源 宋春风 +3 位作者 樊敬峰 尹昱 王伟斌 梁翠萍 《中国医院药学杂志》 CAS CSCD 北大核心 2005年第9期800-802,共3页
目的:观测石杉碱甲对血管性痴呆小鼠海马神经元N-甲基D-天门冬氨酸(NMDA)受体免疫组化和原位杂交变化的影响,探讨石杉碱甲干预作用的机制。方法:双侧颈总动脉线结,反复缺血-再灌注法制备模型,药物组用石杉碱甲溶液灌胃,跳台试验和水迷... 目的:观测石杉碱甲对血管性痴呆小鼠海马神经元N-甲基D-天门冬氨酸(NMDA)受体免疫组化和原位杂交变化的影响,探讨石杉碱甲干预作用的机制。方法:双侧颈总动脉线结,反复缺血-再灌注法制备模型,药物组用石杉碱甲溶液灌胃,跳台试验和水迷宫试验观测其行为学改变,采用免疫组化和原位杂交技术观测小鼠海马神经元NMDA受体及其mRNA的表达变化。结果:在跳台试验中,模型组小鼠学习阶段的反应时间延长、错误次数增加,记忆阶段的潜伏时间缩短、错误次数增加;水迷宫试验中,其学习阶段的游全程时间延长和错误次数增加,记忆阶段的游全程时间延长和错误次数增加(与假手术组相比,P<0.01)。石杉碱甲明显改善了模型小鼠上述学习、记忆成绩(P<0.01)。同时,药物组海马的NMDA受体及其mRNA表达也较模型组的表达明显增高(P<0.01),且海马两者的表达在药物组与假手术组间差异无显著性。结论:石杉碱甲改善血管性痴呆小鼠学习、记忆成绩与其恢复海马低水平的NMDA受体及其mRNA有关。 展开更多
关键词 血管性痴呆 n-甲基 d-天门冬氨酸 石杉碱甲 免疫组化 原位杂交
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