貌似病毒性脑炎的线粒体脑肌病伴乳酸血症和卒中样发作综合征10例分析

我院近6年经肌活检确诊10例线粒体脑肌病伴乳酸血症和卒中样发作综合征(MELAS)[1],均以癫痫发作、发热、头痛、精神异常等急性脑病为首发症状,MRI见颞枕叶病灶,多误诊为病毒性脑炎.     

脑源性神经生长因子通过调节Bax/Bcl表达抑制β-淀粉样蛋白诱导的细胞凋亡

目的 探讨BDNF对凝聚态β-淀粉样蛋白25-35片断(Aβ25-35)诱导细胞损伤特别是凋亡的影响.方法 MTT法观察细胞活力,Annexin V-PI双染色法观察细胞凋亡,Western blotting法检测Bax及Bcl-2表达,应用Trk B受体抑制剂K252a(200 nmol/L)观察50 ng/mL BDNF对20 μmol/L的Aβ25-35诱导细胞损伤的抑制作用机制.结果 MTT检测结果及Annexin V-PI双染色法发现50ng/mL的BDNF预处理可显著地抑制20μmol/L的Aβ25-35诱导的PC12细胞活力的下降及细胞凋亡;Western blotting检测发现50 ng/mL的BDNF对20μmol/L的Aβ25-35诱导的PC12细胞Bax表达升高、Bcl-2表达降低及Bax/Bcl-2比值上调均有明显的抑制作用,该作用可被Trk B受体抑制剂K252a(200 nmol/L)抑制.结论 BDNF对Aβ25-35诱导的细胞损伤特别是细胞凋亡具有保护作用,该保护作用是通过与其特异性受体Trk B结合实现的.

Abstract：

Objective To investigate the effect of BDNF on cell injuries, cell apoptosis especially, induced by 25-35 segment of β-amyloid protein (Aβ25-35) at condensed state in PC12 cells.Methods The viability of PC12 cells, the apoptosis of PC12 cells and the expressions of Bax and Bcl-2 were detected by MTT, Annexin V-PI staining and Western blotting, respectively. Trk B receptor inhibitor K252a (200 nmol/l) was employed to observe the mechanism of 50 ng/ml BDNF on Aβ25-35 (20 μmol/L)-induced cell injury. Results BDNF (50 ng/ml) could significantly prevent the decrease of cell viability and cell apoptosis, and the increase of Bax expression and the decrease of Bcl-2 expression induced by 20 μmol/L Aβ25-35, and prevent the increase of up-regulation of Bax/Bcl-2 ratio; and these effects were blocked by K252a (200 nmol/1). Conclusion BDNF can prevent Aβ25-35-induced cell injury, cell apoptosis especially, by binding to its specific receptor Trk B.     

以头部震颤为首发症状的多系统萎缩1例

本文报告1例以头部震颤为首发症状的多系统萎缩共济失调型。进行相关文献复习, 分析多系统萎缩震颤特点。头部震颤是多系统萎缩少见症状, 并且可以是多系统萎缩的首发症状。