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Maternal immune activation by toll-like receptor 7 agonist during mid-gestation increases susceptibility to blood-brain barrier leakage after puberty 妊娠中期toll样受体7激动剂对母体免疫的激活增加了青春期后血脑屏障渗漏的易感性
Pub Date : 2024-08-23 DOI: 10.1016/j.bbii.2024.100081
Julietta A. Sheng , Jonathan R. Christenson , Luke A. Schwerdtfeger , Stuart A. Tobet

Maternal immune activation (MIA), a maternal stressor, increases risk for neuropsychiatric diseases, such as Major Depressive Disorder in offspring. MIA of toll-like receptor 7 (TLR7) initiates an immune response in mother and fetuses in a sex-selective manner. The paraventricular nucleus of the hypothalamus (PVN), a brain region that is sexually dimorphic and regulates hypothalamic-pituitary-adrenal (HPA) stress responses, have been tied to stress-related behaviors (i.e., depression, anxiety, social impairments). The current study characterized the sex-selective impact of mid-gestational TLR7 activation on PVN vasculature of adult offspring based on a prior study of excess prenatal glucocorticoid stress. The PVN of offspring were evaluated to determine if fetal MIA impacted vascular leakage in the brains of adult mice with or without restraint stress. Timed-pregnant female mice were administered the TLR7 agonist Resiquimod (RQ) or saline vehicle on embryonic day (E) 12.5. Basal and restraint stress-induced corticosterone was measured to examine changes in stress response. Mice were perfused transcardially with fluorescein isothiocyanate (FITC) to assess blood vessel integrity. Sections with FITC-labeled blood vessels through the PVN of offspring were immunolabeled for Glial Fibrillary Acidic Protein (GFAP; astrocytic end feet) and IBA-1 (microglia). MIA with RQ led to elevated levels of plasma corticosterone 60-minutes after restraint in offspring, suggesting prenatal RQ impairs glucocorticoid negative feedback. Blood-brain barrier integrity was assessed. Adult offspring of RQ injected dams showed greater leakage in the PVN (greater in males than females). GFAP+ colocalization with FITC-labeled vessels was lower in the PVN of offspring from RQ treated dams, potentially contributing to the observed increased FITC leakage. Microglia were examined in relation to the vasculature as an indicator of a neuroimmune response. Data show IBA-1+ cells greater in size and number in the PVN with closer proximity to blood vessels after maternal injection of RQ in a male-selective manner. Microglia were unchanged in females from RQ-treated dams but were smaller in size after restraint. This study provides support for sex-selective influences of fetal immune antecedents for altered brain vascular and blood brain barrier development and adult neuroendocrine function that could indicate a PVN locus for increased susceptibility for adult disorders.

母体免疫激活(MIA)是一种母体应激源,会增加后代患神经精神疾病(如重度抑郁症)的风险。收费样受体 7(TLR7)的母体免疫激活以性别选择的方式在母体和胎儿中启动免疫反应。下丘脑室旁核(PVN)是一个具有性别双态性的脑区,它调节下丘脑-垂体-肾上腺(HPA)的应激反应。目前的研究基于之前对产前过量糖皮质激素应激的研究,描述了妊娠中期TLR7激活对成年后代PVN血管的性别选择性影响。我们对后代小鼠的视网膜血管进行了评估,以确定胎儿 MIA 是否会影响有或无束缚应激的成年小鼠大脑中的血管渗漏。在胚胎第(E)12.5天给定时怀孕的雌性小鼠注射TLR7激动剂Resiquimod (RQ)或生理盐水。测量基础和束缚应激诱导的皮质酮,以检查应激反应的变化。用异硫氰酸荧光素(FITC)对小鼠进行经心灌注,以评估血管的完整性。用 FITC 标记的血管切片通过子代 PVN 对神经胶质纤维酸性蛋白(GFAP;星形胶质细胞终末)和 IBA-1(小胶质细胞)进行免疫标记。使用 RQ 的 MIA 会导致后代在抑制 60 分钟后血浆皮质酮水平升高,这表明产前 RQ 会损害糖皮质激素负反馈。对血脑屏障的完整性进行了评估。注射了 RQ 的母鼠的成年后代在 PVN 中表现出更大的渗漏(雄性比雌性更大)。在经 RQ 处理的母鼠后代的 PVN 中,GFAP+与 FITC 标记血管的共定位较低,这可能是导致观察到的 FITC 渗漏增加的原因。作为神经免疫反应的一个指标,小胶质细胞与血管的关系接受了检测。数据显示,母体注射 RQ 后,PVN 中 IBA-1+ 细胞的大小和数量增加,且更接近血管,具有雄性选择性。经 RQ 处理的雌性母鼠体内的小胶质细胞没有变化,但在抑制后体积变小。这项研究支持胎儿免疫前体对脑血管和血脑屏障发育以及成人神经内分泌功能改变的性别选择性影响,这可能表明PVN位点增加了成人疾病的易感性。
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引用次数: 0
Disrupted sleep, disrupted metabolism: A potential link between circadian rhythms and tumorigenesis 睡眠紊乱,新陈代谢紊乱:昼夜节律与肿瘤发生之间的潜在联系
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100070
Sarah Asif, Martha U. Gillette
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引用次数: 0
Theoretico-conceptual frameworks for psychoneuroimmunology 心理神经免疫学的理论概念框架
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100066
Colten Jording, Steven A. Hoffman

This article examines the theoretico/conceptual foundations of psychoneuroimmunology (PNI). A materialist/mechanist foundation appears to predominate in the field. We suggest that a complementarity framework might be a better lens for examining different neuro-immune and psychological connections, including psychological function and dysfunction as related to neurophysiological and immunological dynamics. Through this examination, it is hypothesized that PNI would best work with a complementarity foundation, as opposed to materialism, mechanism, or dualistic interactionism. At the very least, this examination gives us a deeper respect for showing the complexity of consciousness and health. An appropriate view of the mind-body relation should provide a sound theoretical framework for PNI research serving to bridge new dynamics between the neuro-immune and the psychological.

本文探讨了心理神经免疫学(PNI)的理论/概念基础。唯物主义/机械论基础似乎在该领域占主导地位。我们认为,互补性框架可能是研究不同神经免疫和心理联系的更好视角,包括与神经生理学和免疫学动态相关的心理功能和功能障碍。通过这一研究,我们假设,相对于唯物主义、机制或二元互动论,互补性基础将是 PNI 的最佳工作基础。至少,这种研究让我们对意识和健康的复杂性有了更深的尊重。适当的身心关系观点应能为 PNI 研究提供一个合理的理论框架,从而在神经免疫和心理之间架起一座新的动态桥梁。
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引用次数: 0
Integrating Traditional Chinese Medicine and Artificial Intelligence for insomnia: A promising frontier 中医与人工智能结合治疗失眠:前景广阔的前沿领域
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100071
Abdulqadir J. Nashwan , Asad Gul Rao

Insomnia, a common condition that significantly impacts health and daily life, is often treated with medications that can have adverse effects. Traditional Chinese Medicine (TCM) offers non-drug therapies for insomnia, but their diverse methods and efficacy require systematic evaluation. This letter explores the integration of TCM and Artificial Intelligence (AI) to enhance insomnia treatment. AI can personalize treatment plans, provide predictive analytics, monitor progress, and enhance research, potentially increasing the efficacy of TCM interventions. This combined approach promises more effective, personalized, and adaptive treatments for insomnia.

失眠是一种严重影响健康和日常生活的常见疾病,通常采用药物治疗,但药物可能会产生不良反应。传统中医为失眠症提供了非药物疗法,但其方法和疗效各不相同,需要进行系统评估。这封信探讨了中医与人工智能(AI)的结合,以加强失眠治疗。人工智能可以个性化治疗方案、提供预测分析、监测进展和加强研究,从而有可能提高中医干预措施的疗效。这种综合方法有望为失眠症提供更有效、个性化和适应性更强的治疗。
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引用次数: 0
Linguistic diversity, pathogen protection, and COVID-19 disparity 语言多样性、病原体保护和 COVID-19 的差异
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100065
Yong Ming Li

Social distancing is a concept adapted on modern society’s understanding of infectious diseases, but there may be an additional mechanism restricting the transmission of airborne pathogens in early human evolution. Linguistic diversity may be an ancient mechanism of social distancing and could explain, at least partially, the variability of COVID-19 infection rates among the different ethnic groups within the same region. A shared common language could break the traditional barrier of linguistic diversity and promote pandemics. This hypothesis suggests that human linguistic behavior could have a significant impact on group’s immunity and survival. Linguistic distance should be considered in pandemic research and control. Future study is warranted to investigate the spread of infectious diseases through shared language and the advantage of linguistic diversity in the prevention of infectious diseases.

社会距离是一个适应现代社会对传染病的理解的概念,但在早期人类进化过程中,可能还有一种限制空气传播病原体的机制。语言多样性可能是一种古老的社会隔离机制,至少可以部分解释同一地区不同民族之间 COVID-19 感染率的差异。共同的语言可以打破语言多样性的传统障碍,促进流行病的发生。这一假设表明,人类的语言行为可能会对群体的免疫力和生存产生重大影响。在大流行病研究和控制中应考虑语言距离。未来的研究还需要调查传染病通过共同语言传播的情况,以及语言多样性在预防传染病方面的优势。
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引用次数: 0
Comparison of ozone therapy and routine medical treatment effect on disease severity and serum level changes of IL-33 in patients with remitting-relapsing multiple sclerosis: A parallelled randomised clinical trial 比较臭氧疗法和常规药物治疗对缓解-复发性多发性硬化症患者疾病严重程度和血清 IL-33 水平变化的影响:平行随机临床试验
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100067
Ebrahim Kouchaki , Nazanin Arabzadeh , Hossein Akbari , MohammadHosein Sheybani-Arani , Fatemeh Khajavi-Mayvan , Hassan Nikoueinejad

Introduction

IL-33 is an inflammatory cytokine involved in the pathogenesis of Multiple sclerosis (MS) as an autoimmune inflammatory disease. Ozone therapy has been shown to improve the symptoms of the disease in previous studies. Given the limitations of previous studies, we investigated the effect of adding ozone therapy to conventional medical treatment in remitting-relapsing multiple sclerosis (RR-MS) patients from the points of disease severity and blood levels of IL-33.

Methods

This clinical trial was performed on 66 RR-MS patients, among whom 55 finished the study. The patients were divided randomly into two groups; one group (intervention) received ozone therapy in addition to the routine medical treatment, and the other group (control) received only routine medical treatment. The level of IL-33 was measured by ELISA, and the severity of the disease was measured by an expanded disability status scale (EDSS) in all patients before and after the treatment. Finally, the relationship between the serum levels of IL-33 and EDSS score with the type of treatment was evaluated. The research project was registered at the International Center for the Registration of Clinical Trials in Iran (IRCT20171105037262N3).

Results

Our findings showed that the serum levels of IL-33 in the ozone plus medical-treated group significantly decreased compared to the medical-treated group (P<0.001). The EDSS score also decreased significantly in the ozone plus medical-treated group compared to the medical-treated group (P=0.019).

Conclusion

Ozone therapy reduces the severity of RR-MS. Such an effect may be influenced by modifying IL-33 levels.

导言IL-33是一种炎症细胞因子,与多发性硬化症(MS)这种自身免疫性炎症疾病的发病机制有关。以往的研究表明,臭氧疗法可改善该病的症状。鉴于以往研究的局限性,我们从疾病的严重程度和血液中 IL-33 的水平出发,研究了在常规药物治疗的基础上对缓解-复发型多发性硬化症(RR-MS)患者进行臭氧治疗的效果。患者被随机分为两组,一组(干预组)在常规治疗的基础上接受臭氧治疗,另一组(对照组)仅接受常规治疗。所有患者在治疗前后的 IL-33 水平均通过酶联免疫吸附法测定,疾病严重程度则通过残疾状况扩展量表(EDSS)测量。最后,还评估了血清中 IL-33 水平和 EDSS 评分与治疗类型之间的关系。研究项目已在伊朗临床试验注册国际中心注册(IRCT20171105037262N3)。结果我们的研究结果表明,与药物治疗组相比,臭氧加药物治疗组的血清 IL-33 水平显著下降(P<0.001)。臭氧加药物治疗组的 EDSS 评分也比药物治疗组明显降低(P=0.019)。臭氧疗法可减轻 RR-MS 的严重程度,这种效果可能受 IL-33 水平变化的影响。
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引用次数: 0
Sleep-pain circuits: New insights and implications 睡眠-疼痛回路:新见解和新影响
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100080
Dongdong Yang, Meng Zhao, Jiaxiu Du, Yu Shi
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引用次数: 0
Lifestyle medicine for healthy cognitive aging: A narrative review 健康认知老龄化的生活方式医学:叙述性综述
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100077
Matthew Halma , Paul Marik , Suzanne Gazda , Jack Tuszynski

Many countries across the globe are experiencing aging populations, which brings into question the fitness and capacity of these populations. Rates of neurodegenerative diseases worldwide are increasing, even after adjusting for increasing lifespans. This worrying trend motivates taking steps in the population to prevent dementia. This review summarizes the work on lifestyle medicine based prevention of dementia and cognitive decline using multiple modalities and interventions. Our results bring hope to those seeking to stay cognitively healthy in advanced age through combinations of diet, exercise, and mindfulness based interventions. Leveraging cheap and scalable interventions is an important strategy for alleviating the expected tide of neurodegenerative illnesses. This review covers the potential lifestyle and dietary interventions which can alleviate Alzheimer’s disease burden, paving the way for population level preventative approaches for neurodegenerative disease.

全球许多国家都在经历人口老龄化,这使人们对这些人口的体质和能力产生了怀疑。全球神经退行性疾病的发病率正在上升,即使在对寿命延长进行调整后也是如此。这一令人担忧的趋势促使人们采取措施预防痴呆症。本综述总结了以生活方式医学为基础,采用多种方式和干预措施预防痴呆症和认知能力下降的工作。我们的研究结果为那些希望通过饮食、运动和正念等干预措施保持晚年认知健康的人们带来了希望。利用廉价且可扩展的干预措施是缓解神经退行性疾病预期趋势的重要策略。本综述涵盖了可减轻阿尔茨海默病负担的潜在生活方式和饮食干预措施,为神经退行性疾病的人群预防方法铺平了道路。
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引用次数: 0
Modulation effects of imagery acupuncture and no-touch double-blinded placebo acupuncture, a cross-over pilot study 意象针灸和无触点双盲安慰剂针灸的调节作用,一项交叉试验研究
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100068
Nobuari Takakura , Valeria Sacca , Miho Takayama , Qiao Kong , Tomohiro Tanaka , Takahiro Yamada , Konomi Imanishi , Amy Katherine Ursitti , Meixuan Zhu , Hiroyoshi Yajima , Jian Kong

Both imagery and acupuncture are the oldest medical practices. Recently, we have developed a new treatment modality, video-guided acupuncture imagery treatment (VGAIT), which combines acupuncture and imagery. In this crossover study, we investigated the modulation effects of video-guided acupuncture imagery treatment compared with placebo acupuncture using no-touch double-blind placebo acupuncture needles and a no-treatment resting control. Pressure pain threshold and electroencephalogram (EEG) data were collected before and after each intervention. 12 healthy participants completed the study. Results showed that pressure pain thresholds were significantly increased after VGAIT compared to the resting control condition. In addition, we found that VGAIT, but not the no-touch placebo acupuncture or the resting control, significantly increased alpha and beta band power. Our findings demonstrate the potential of VGAIT as a remote therapeutic method (e-health treatment option) for pain and the value of no-touch double-blind placebo acupuncture in acupuncture research.

意象和针灸都是最古老的医疗方法。最近,我们开发了一种新的治疗模式--视频引导针灸意象治疗(VGAIT),它将针灸和意象结合在一起。在这项交叉研究中,我们使用无接触双盲安慰剂针灸针和无治疗静息对照组,研究了视频引导针灸意象治疗与安慰剂针灸相比的调节作用。在每次干预前后都收集了压痛阈值和脑电图(EEG)数据。12 名健康参与者完成了这项研究。结果显示,与静息对照组相比,VGAIT 治疗后的压痛阈值明显提高。此外,我们还发现 VGAIT 能显著提高阿尔法和贝塔波段的功率,而无触碰安慰剂针灸或静息对照组则不能。我们的研究结果证明了 VGAIT 作为远程疼痛治疗方法(电子健康治疗方案)的潜力,以及无触点双盲安慰剂针灸在针灸研究中的价值。
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引用次数: 0
The sixth sense: a commentary on: A body–brain circuit that regulates body inflammatory responses 第六感调节身体炎症反应的体脑回路
Pub Date : 2024-07-01 DOI: 10.1016/j.bbii.2024.100074
Neil A. Harrison, Ning Quan
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引用次数: 0
期刊
Brain Behavior and Immunity Integrative
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