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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Transthyretin variants impact blood-nerve barrier and neuroinflammation in amyloidotic neuropathy

http://hdl.handle.net/2237/0002013546
http://hdl.handle.net/2237/0002013546
a446fabb-98ca-4776-b7ba-b7d90b37a459
名前 / ファイル ライセンス アクション
ATTRv_inflam_manuscript.pdf ATTRv_inflam_manuscript.pdf (518 KB)
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Figure1.pdf Figure1.pdf (741 KB)
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Figure6.pdf Figure6.pdf (216 KB)
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Figure7.pdf Figure7.pdf (308 KB)
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Supplementary_Materials_clean_20241123.pdf Supplementary_Materials_clean_20241123.pdf (483 KB)
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Supplementary_Figure1.pdf Supplementary_Figure1.pdf (137 KB)
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Supplementary_Figure2.pdf Supplementary_Figure2.pdf (168 KB)
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アイテムタイプ itemtype_ver1(1)
公開日 2025-10-14
タイトル
タイトル Transthyretin variants impact blood-nerve barrier and neuroinflammation in amyloidotic neuropathy
言語 en
著者 Chao, Chi-Chao

× Chao, Chi-Chao

en Chao, Chi-Chao

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Yang, Wei-Kang

× Yang, Wei-Kang

en Yang, Wei-Kang

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Yeh, Ti-Yen

× Yeh, Ti-Yen

en Yeh, Ti-Yen

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Kan, Yu-Yu

× Kan, Yu-Yu

en Kan, Yu-Yu

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Wang, Yi-Shiang

× Wang, Yi-Shiang

en Wang, Yi-Shiang

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Lee, Kuan-Jung

× Lee, Kuan-Jung

en Lee, Kuan-Jung

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Hu, Chieh-Ju

× Hu, Chieh-Ju

en Hu, Chieh-Ju

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Tang, Tsz-Yi

× Tang, Tsz-Yi

en Tang, Tsz-Yi

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Ide, Toshihiro

× Ide, Toshihiro

en Ide, Toshihiro

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Hsueh, Hsueh-Wen

× Hsueh, Hsueh-Wen

en Hsueh, Hsueh-Wen

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Lin, Cheng-Chen

× Lin, Cheng-Chen

en Lin, Cheng-Chen

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Shy, Horng-Tzer

× Shy, Horng-Tzer

en Shy, Horng-Tzer

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Lee, Ming-Jen

× Lee, Ming-Jen

en Lee, Ming-Jen

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Tzeng, Shiou-Ru

× Tzeng, Shiou-Ru

en Tzeng, Shiou-Ru

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Katsuno, Masahisa

× Katsuno, Masahisa

en Katsuno, Masahisa

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Koike, Haruki

× Koike, Haruki

en Koike, Haruki

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Hsieh, Sung-Tsang

× Hsieh, Sung-Tsang

en Hsieh, Sung-Tsang

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アクセス権
アクセス権 embargoed access
アクセス権URI http://purl.org/coar/access_right/c_f1cf
権利
権利情報 This is a pre-copyedited, author-produced version of an article accepted for publication in [BRAIN] following peer review. The version of record [Chi-Chao Chao, Wei-Kang Yang, Ti-Yen Yeh, Yu-Yu Kan, Yi-Shiang Wang, Kuan-Jung Lee, Chieh-Ju Hu, Tsz-Yi Tang, Toshihiro Ide, Hsueh-Wen Hsueh, Cheng-Chen Lin, Horng-Tzer Shy, Ming-Jen Lee, Shiou-Ru Tzeng, Masahisa Katsuno, Haruki Koike, Sung-Tsang Hsieh, Transthyretin variants impact blood–nerve barrier and neuroinflammation in amyloidotic neuropathy, Brain, Volume 148, Issue 7, July 2025, Pages 2537–2550, https://doi.org/10.1093/brain/awaf028] is available online at: https://doi.org/10.1093/brain/awaf028.
言語 en
内容記述
内容記述タイプ Abstract
内容記述 Hereditary transthyretin amyloidosis with polyneuropathy (ATTRv-PN) is a neurodegenerative disease caused by mutations in the gene encoding transthyretin (TTR). Although amyloid deposition is pathognomonic for diagnosis, this pathology in nervous tissues cannot fully account for nerve degeneration, implying additional pathophysiology for neurodegeneration, which, however, has not yet been elucidated fully. In this study, neuroinflammation in ATTRv-PN was investigated by examining nerve morphometry, the blood–nerve barrier and macrophage infiltration in the sural nerves of ATTRv-PN patients and the sciatic nerves of a complementary mouse system, i.e. the humanized knock-in hTTRA97S mouse. The direct effects of mutant TTR proteins were evaluated in these hTTRA97S mice in vivo and in a human umbilical vein endothelial cell (HUVEC) model in vitro. This case–control and cross-sectional study included 19 patients [17 men; 62.9 ± 3.9 years of age; familial amyloid polyneuropathy (FAP) stage 1, n = 11; FAP stage 2, n = 7; FAP stage 3, n = 1] with p.Ala117Ser (A97S) and 46 patients (39 men; 65.3 ± 11.4 years of age; FAP stage 1, n = 31; FAP stage 2, n = 12; FAP stage 3, n = 3) with p.Val50Met (V30M). Both genotypes had elevated protein in the CSF: 88.9% (16 cases in 18 patients) in A97S and 51.1% (23 cases in 45 patients) in V30M. The myelinated nerve fibres in sural nerves were markedly depleted in ATTRv-PN, and the myelinated nerve fibre density was inversely correlated with CSF protein, implying leakage of the blood–nerve barrier. The tight junction ultrastructure of the endoneurial microvessels in sural nerves was impaired, as indicated by the reduced expression of zonula occludens-1 (ZO-1). The cultured HUVECs that were not transfected with any TTR gene variant presented reduced ZO-1 expression when exposed to mutant recombinant TTR of A97S or V30M compared with wild-type TTR. Increased infiltration of macrophages with expression of the inflammasome maker, NLR family pyrin domain containing 3 (NLRP3), suggested that polarization to the pro-inflammatory M1 lineage was robust in the sural nerves of ATTRv-PN patients and the sciatic nerves of hTTRA97S mice compared with those of controls and wild-type mice. In parallel, the mRNA expression of interleukin-1β was greater in the sural nerves of ATTRv-PN than in those of the controls. In conclusion, the disrupted blood–nerve barrier attributable to mutant TTR protein resulting in an increased CSF protein level was associated with nerve degeneration in ATTRv-PN via the infiltration of inflammatory macrophages and the production of inflammatory cytokines.
言語 en
出版者
出版者 Oxford University Press
言語 en
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
関連情報
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1093/brain/awaf028
収録物識別子
収録物識別子タイプ PISSN
収録物識別子 0006-8950
書誌情報 en : BRAIN

巻 148, 号 7, p. 2537-2550, 発行日 2025-07
ファイル公開日
日付 2026-07-01
日付タイプ Available
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