Understanding them to understand ourselves: The importance of NHP research for translational neuroscience

Annabella Lear , Stuart N. Baker , Hannah F. Clarke , Angela C. Roberts , Michael C. Schmid , Wendy Jarrett
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引用次数: 6

Abstract

Studying higher brain function presents fundamental scientific challenges but has great potential for impactful translation to the clinic, supporting the needs of many patients suffering from conditions that relate to neuronal dysfunction. For many key questions relevant to human neurological conditions and clinical interventions, non-human primates (NHPs) remain the only suitable model organism and the only effective way to study the relationship between brain structure and function with the knowledge and tools currently available. Here we present three exemplary studies of current research yielding important findings that are directly translational to human clinical patients but which would be impossible without NHP studies. Our first example shows how studies of the NHP prefrontal cortex are leading to clinically relevant advances and potential new treatments for human neuropsychiatric disorders such as depression and anxiety. Our second example looks at the relevance of NHP research to our understanding of visual pathways and the visual cortex, leading to visual prostheses that offer treatments for otherwise blind patients. Finally, we consider recent advances in treatments leading to improved recovery of movement and motor control in stroke patients, resulting from our improved understanding of brain stem parallel pathways involved in movement in NHPs. The case for using NHPs in neuroscience research, and the direct benefits to human patients, is strong but has rarely been set out directly. This paper reviews three very different areas of neuroscience research, expressly highlighting the unique insights offered to each by NHP studies and their direct applicability to human clinical conditions.

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了解它们,了解我们自己:NHP研究对转化神经科学的重要性
研究高级脑功能提出了基本的科学挑战,但具有巨大的潜力,可以有效地转化为临床,支持许多患有与神经元功能障碍有关的疾病的患者的需求。对于与人类神经系统疾病和临床干预相关的许多关键问题,非人灵长类动物(NHPs)仍然是唯一合适的模式生物,也是利用现有知识和工具研究大脑结构与功能之间关系的唯一有效途径。在这里,我们提出了三项示范性研究,这些研究产生了直接转化为人类临床患者的重要发现,但如果没有NHP研究,这是不可能的。我们的第一个例子表明,对NHP前额叶皮层的研究如何导致临床相关的进展和潜在的人类神经精神疾病(如抑郁症和焦虑症)的新疗法。我们的第二个例子着眼于NHP研究与我们对视觉通路和视觉皮层的理解的相关性,从而导致视觉假体为其他失明患者提供治疗。最后,我们考虑了最近的治疗进展,导致中风患者运动和运动控制的恢复,这是由于我们对NHPs中涉及运动的脑干平行通路的更好理解。在神经科学研究中使用NHPs的案例,以及对人类患者的直接益处,是强有力的,但很少被直接提出。本文回顾了神经科学研究的三个非常不同的领域,明确强调了NHP研究为每个领域提供的独特见解及其对人类临床条件的直接适用性。
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