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Biological Sex Disparities in Alzheimer's Disease. 阿尔茨海默病的生物性别差异。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_545
Jawza A Almutairi, Emma J Kidd

Alzheimer's disease is a highly complex and multifactorial neurodegenerative disorder, with age being the most significant risk factor. The incidence of Alzheimer's disease doubles every 5 years after the age of 65. Consequently, one of the major challenges in Alzheimer's disease research is understanding how the brain changes with age. Gaining insights into these changes could help identify individuals who are more prone to developing Alzheimer's disease as they age. Over the past 25 years, studies on brain aging have examined thousands of human brains to explore the neuronal basis of age-related cognitive decline. However, most of these studies have focused on adults over 60, often neglecting the critical menopause transition period. During menopause, women experience a substantial decline in ovarian sex hormone production, with a decrease of about 90% in estrogen levels. Estrogen is known for its neuroprotective effects, and its significant loss during menopause affects various biological systems, including the brain. Importantly, despite known differences in dementia risk between sexes, the impact of biological sex and sex hormones on brain aging and the development of Alzheimer's disease remains underexplored.

阿尔茨海默病是一种高度复杂的多因素神经退行性疾病,年龄是最重要的风险因素。65 岁以后,阿尔茨海默病的发病率每 5 年翻一番。因此,阿尔茨海默病研究的主要挑战之一是了解大脑如何随着年龄的增长而发生变化。深入了解这些变化有助于确定哪些人随着年龄的增长更容易患上阿尔茨海默病。在过去的 25 年中,有关大脑衰老的研究已经检查了数千个人的大脑,以探索与年龄相关的认知能力衰退的神经元基础。然而,这些研究大多侧重于 60 岁以上的成年人,往往忽略了关键的更年期过渡期。在更年期,女性的卵巢性激素分泌量大幅下降,雌激素水平下降约 90%。众所周知,雌激素具有保护神经的作用,更年期雌激素的大量流失会影响包括大脑在内的各种生物系统。重要的是,尽管已知两性在痴呆症风险方面存在差异,但生物性别和性激素对大脑衰老和阿尔茨海默氏症发展的影响仍未得到充分探索。
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引用次数: 0
The Emerging Role of Brain Mitochondria in Fear and Anxiety. 大脑线粒体在恐惧和焦虑中的新作用。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_537
Alessandro Chioino, Carmen Sandi

The functional complexity of brain circuits underlies the broad spectrum of behaviors, cognitive functions, and their associated disorders. Mitochondria, traditionally known for their role in cellular energy metabolism, are increasingly recognized as central to brain function and behavior. This review examines how mitochondria are pivotal in linking cellular energy processes with the functioning of neural circuits that govern fear and anxiety. Following an introductory section in which we summarize current knowledge about fear and anxiety neural circuits, we provide a brief summary of mitochondria fundamental roles (e.g., from energy production and calcium buffering to their involvement in reactive oxygen species (ROS) generation, mitochondrial dynamics, and signaling), particularly emphasizing their contribution to synaptic plasticity, neurodevelopment, and stress response mechanisms. The review's core focuses on the current state of knowledge regarding how mitochondrial function and dysfunction impact the neural substrates of fear and anxiety. Furthermore, we explore the implications of mitochondrial alterations in the context of posttraumatic stress disorder (PTSD) and anxiety disorders, underscoring the potential of mitochondrial pathways as new therapeutic targets. Integrating insights from genetic, biochemical, neurobiological, behavioral, and clinical studies, we propose a model in which mitochondrial function is critical for regulating the neural circuits that underpin fear and anxiety behaviors, highlighting how mitochondrial dysfunction can lead to their pathological manifestations. This integration emphasizes the potential for developing novel treatments targeting the biological roots of fear, anxiety, and related disorders. By merging mitochondrial biology with behavioral and circuit neuroscience, we enrich our neurobiological understanding of fear and anxiety, uncovering promising avenues for therapeutic intervention.

大脑回路的功能复杂性是各种行为、认知功能及其相关疾病的基础。线粒体传统上因其在细胞能量代谢中的作用而闻名,但人们越来越认识到线粒体是大脑功能和行为的核心。本综述将探讨线粒体是如何将细胞能量代谢过程与支配恐惧和焦虑的神经回路功能联系起来的。在引言部分,我们总结了当前有关恐惧和焦虑神经回路的知识,然后简要概述了线粒体的基本作用(例如,从能量生产和钙缓冲到参与活性氧(ROS)生成、线粒体动力学和信号传导),特别强调了线粒体对突触可塑性、神经发育和应激反应机制的贡献。这篇综述的核心重点是线粒体功能和功能障碍如何影响恐惧和焦虑的神经基质的知识现状。此外,我们还探讨了线粒体改变对创伤后应激障碍(PTSD)和焦虑症的影响,强调了线粒体通路作为新治疗靶点的潜力。综合遗传学、生物化学、神经生物学、行为学和临床研究的观点,我们提出了一个线粒体功能对于调节支撑恐惧和焦虑行为的神经回路至关重要的模型,强调了线粒体功能障碍如何导致其病理表现。这种整合强调了针对恐惧、焦虑和相关疾病的生物学根源开发新型疗法的潜力。通过将线粒体生物学与行为和回路神经科学相结合,我们丰富了对恐惧和焦虑的神经生物学理解,为治疗干预发现了前景广阔的途径。
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引用次数: 0
Sensory Processing and Anxiety: Within and Beyond the Autism Spectrum. 感觉加工和焦虑:自闭症谱系内外。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_557
Alisa R Zoltowski, Caitlin A Convery, Ekomobong Eyoh, Emily Plump, Molly Sullivan, Eshani R Arumalla, Jennifer M Quinde-Zlibut, Bahar Keceli-Kaysili, Brianna Lewis, Carissa J Cascio

In this article, we briefly overview how the expression, measurement, and treatment of anxiety in autism may be different from the general population. We review the literature on links between sensory processing differences and anxiety, which show transdiagnostic patterns but are an especially prominent feature of anxiety in autism. Specifically, we focus on how the sense of interoception, i.e., how we perceive sensory information from within our bodies, contributes to anxiety in autism. We present new findings integrating multimodal interoceptive measures and total anxiety symptoms in a sample of n = 38 non-autistic and n = 43 autistic individuals, ages 8-55 years. Using principal components analysis, we found two components relating to interoceptive confusion (i.e., self-reported ability to localize and interpret interoceptive cues): one component that closely relates to anxiety symptoms and one component that is distinct from anxiety. Interoceptive perception (i.e., performance on a lab-based task) was uniformly related to interoceptive confusion when distinguished from anxiety but showed complex relations with total anxiety symptoms. Combined, these findings suggest meaningful subtypes of interoceptive difficulties and their interrelationship with anxiety. We present conclusions and future directions for consideration of individual differences, toward creating a personalized understanding of anxiety-interoception links.

在这篇文章中,我们简要概述了自闭症患者焦虑的表达、测量和治疗与一般人群的不同之处。我们回顾了关于感觉处理差异和焦虑之间联系的文献,这些联系显示出跨诊断模式,但这是自闭症焦虑的一个特别突出的特征。具体来说,我们关注的是内感受感,即我们如何从身体内部感知感官信息,是如何导致自闭症患者焦虑的。我们在8-55岁的n = 38名非自闭症患者和n = 43名自闭症患者的样本中提出了整合多模态内感受性测量和总焦虑症状的新发现。通过主成分分析,我们发现了与内感受性混淆(即自我报告的定位和解释内感受性线索的能力)相关的两个成分:一个成分与焦虑症状密切相关,另一个成分与焦虑截然不同。当与焦虑区分开来时,内感受性知觉(即在实验室任务上的表现)与内感受性困惑一致相关,但与总焦虑症状表现出复杂的关系。综上所述,这些发现提示了有意义的内感受困难亚型及其与焦虑的相互关系。我们提出结论和考虑个体差异的未来方向,以建立对焦虑-内感受联系的个性化理解。
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引用次数: 0
Understanding Alcohol Consumption and Its Antecedents and Consequences in Daily Life: The Why and the How. 了解日常生活中的酒精消费及其前因后果:为什么以及如何。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_486
Dominic Reichert, Sarah Brüßler, Markus Reichert, Ulrich Ebner-Priemer

Most of the scientific research on alcohol consumption behavior in humans is laboratory-based, as reflected by the ratio of laboratory vs. real-life contributions to this handbook. Studies in daily life, although having a long history in addiction research (Shiffman et al., Ann Behav Med 16:203-209, 1994), are in the minority. This is surprising, given that patients with substance use disorders are suffering in daily life and not in the laboratory setting. In other words, drinking patterns and symptoms of alcohol use disorder evolve not in the lab but in daily life, where patients show difficulties in limiting their alcohol intake accompanied with all kinds of related problems. The ultimate goal of all interventions, independent of being tailored toward restricted drinking or abstinence, is again an altered behavior in real life. Translated to practice, patients' behavior in the lab may not translate to daily life, often showing minimal ecological validity. Therefore, we have to question to which degree lab-based research findings translate into daily life. Fortunately, the current digital revolution provided us with more and more tools, enabling us to monitor, analyze, and change behavior in human everyday life. Our chapter does not intend to give a comprehensive overview of the daily life research on alcohol consumption over the last few decades as others do (Morgenstern et al., Alcohol Res Curr Rev 36:109, 2014; Piasecki, Alcohol Clin Exp Res 43:564-577, 2019; Shiffman, Psychol Asses 21:486-497, 2009; Votaw and Witkiewitz, Clin Psychol Sci 9:535-562, 2021; Wray et al., Alcohol Res Curr Rev 36:19-27, 2014). Instead, we aim at the following: first, to highlight the key advantages of ecological momentary assessment to motivate scientists to add daily life research components to their laboratory research and, second, to provide some guidance on how to begin with daily life research.

有关人类饮酒行为的大多数科学研究都是以实验室为基础的,本手册中实验室与现实生活的研究比例就反映了这一点。对日常生活的研究虽然在成瘾研究中历史悠久(Shiffman 等人,Ann Behav Med 16:203-209,1994 年),但毕竟是少数。鉴于药物使用障碍患者在日常生活中而不是在实验室环境中饱受折磨,这种情况令人惊讶。换句话说,饮酒模式和酒精使用障碍的症状不是在实验室而是在日常生活中演变而来的,在日常生活中,患者很难限制自己的酒精摄入量,并伴有各种相关问题。不论是限制饮酒还是戒酒,所有干预措施的最终目标都是改变现实生活中的行为。在实践中,患者在实验室中的行为可能无法转化为日常生活中的行为,往往显示出最低的生态有效性。因此,我们不得不质疑基于实验室的研究成果在多大程度上能转化为日常生活。幸运的是,当前的数字革命为我们提供了越来越多的工具,使我们能够监测、分析和改变人类日常生活中的行为。我们这一章并不打算像其他文章(Morgenstern等人,Alcohol Res Curr Rev 36:109,2014;Piasecki,Alcohol Clin Exp Res 43:564-577,2019;Shiffman,Psychol Asses 21:486-497,2009;Votaw和Witkiewitz,Clin Psychol Sci 9:535-562,2021;Wray等人,Alcohol Res Curr Rev 36:19-27,2014)那样全面概述过去几十年来有关酒精消费的日常生活研究。相反,我们的目标如下:首先,强调生态学瞬间评估的关键优势,以激励科学家在实验室研究中增加日常生活研究内容;其次,就如何开始日常生活研究提供一些指导。
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引用次数: 0
Role of Metabolism on Alcohol Preference, Addiction, and Treatment. 代谢在酒精偏好、成瘾和治疗中的作用。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2023_422
María Elena Quintanilla, Yedy Israel

Studies presented in this chapter show that: (1) in the brain, ethanol is metabolized by catalase to acetaldehyde, which condenses with dopamine forming salsolinol; (2) acetaldehyde-derived salsolinol increases the release of dopamine mediating, via opioid receptors, the reinforcing effects of ethanol during the acquisition of ethanol consumption, while (3) brain acetaldehyde does not influence the maintenance of chronic ethanol intake, it is suggested that a learned cue-induced hyperglutamatergic system takes precedence over the dopaminergic system. However, (4) following a prolonged ethanol deprivation, the generation of acetaldehyde in the brain again plays a role, contributing to the increase in ethanol intake observed during ethanol re-access, called the alcohol deprivation effect (ADE), a model of relapse behavior; (5) naltrexone inhibits the high ethanol intake seen in the ADE condition, suggesting that acetaldehyde-derived salsolinol via opioid receptors also contributes to the relapse-like drinking behavior. The reader is referred to glutamate-mediated mechanisms that trigger the cue-associated alcohol-seeking and that also contribute to triggering relapse.

本章的研究表明:(1)在大脑中,乙醇被过氧化氢酶代谢为乙醛,乙醛与多巴胺缩合形成salsolinol;(2)乙醛衍生的salsolinol增加了多巴胺的释放,通过阿片受体介导乙醇在乙醇摄入过程中的强化作用,而(3)脑乙醛不影响慢性乙醇摄入的维持,这表明习得性线索诱导的高谷氨酸能系统优先于多巴胺能系统。然而,(4)在长时间的乙醇剥夺之后,大脑中乙醛的产生再次发挥作用,导致乙醇重新获得期间观察到的乙醇摄入量增加,称为酒精剥夺效应(ADE),这是一种复发行为模型;(5)纳曲酮抑制ADE条件下的高乙醇摄入量,提示乙醛衍生的沙索林醇通过阿片受体也有助于复发样饮酒行为。读者是指谷氨酸介导的机制,触发线索相关的酒精寻求,也有助于触发复发。
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引用次数: 0
Theoretical Frameworks and Mechanistic Aspects of Alcohol Addiction: Alcohol Addiction as a Reward Deficit/Stress Surfeit Disorder. 酒精成瘾的理论框架和机制方面:酒精成瘾作为一种奖励缺陷/压力过度障碍。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2023_424
George F Koob, Leandro Vendruscolo

Alcohol use disorder (AUD) can be defined by a compulsion to seek and take alcohol, the loss of control in limiting intake, and the emergence of a negative emotional state when access to alcohol is prevented. Alcohol use disorder impacts multiple motivational mechanisms and can be conceptualized as a disorder that includes a progression from impulsivity (positive reinforcement) to compulsivity (negative reinforcement). Compulsive drug seeking that is associated with AUD can be derived from multiple neuroadaptations, but the thesis argued herein is that a key component involves the construct of negative reinforcement. Negative reinforcement is defined as drug taking that alleviates a negative emotional state. The negative emotional state that drives such negative reinforcement is hypothesized to derive from the dysregulation of specific neurochemical elements that are involved in reward and stress within basal forebrain structures that involve the ventral striatum and extended amygdala, respectively. Specific neurochemical elements in these structures include decreases in reward neurotransmission (e.g., decreases in dopamine and opioid peptide function in the ventral striatum) and the recruitment of brain stress systems (e.g., corticotropin-releasing factor [CRF]) in the extended amygdala, which contributes to hyperkatifeia and greater alcohol intake that is associated with dependence. Glucocorticoids and mineralocorticoids may play a role in sensitizing the extended amygdala CRF system. Other components of brain stress systems in the extended amygdala that may contribute to the negative motivational state of withdrawal include norepinephrine in the bed nucleus of the stria terminalis, dynorphin in the nucleus accumbens, hypocretin and vasopressin in the central nucleus of the amygdala, and neuroimmune modulation. Decreases in the activity of neuropeptide Y, nociception, endocannabinoids, and oxytocin in the extended amygdala may also contribute to hyperkatifeia that is associated with alcohol withdrawal. Such dysregulation of emotional processing may also significantly contribute to pain that is associated with alcohol withdrawal and negative urgency (i.e., impulsivity that is associated with hyperkatifeia during hyperkatifeia). Thus, an overactive brain stress response system is hypothesized to be activated by acute excessive drug intake, to be sensitized during repeated withdrawal, to persist into protracted abstinence, and to contribute to the compulsivity of AUD. The combination of the loss of reward function and recruitment of brain stress systems provides a powerful neurochemical basis for a negative emotional state that is responsible for the negative reinforcement that at least partially drives the compulsivity of AUD.

酒精使用障碍(AUD)可以定义为强迫寻求和服用酒精,在限制摄入量时失去控制,以及在禁止接触酒精时出现消极情绪状态。酒精使用障碍影响多种动机机制,可以被概念化为一种障碍,包括从冲动性(正强化)到强迫性(负强化)的进展。与AUD相关的强迫性药物寻求可能源于多种神经适应,但本文认为其中一个关键成分涉及负强化的构建。负强化被定义为缓解消极情绪状态的药物服用。导致这种负强化的消极情绪状态被假设为来自特定神经化学元素的失调,这些神经化学元素分别涉及到前脑基底结构中的腹侧纹状体和延伸杏仁核,这些结构与奖励和压力有关。这些结构中的特定神经化学元素包括奖励神经传递的减少(例如,腹侧纹状体中多巴胺和阿片肽功能的减少)和扩展杏仁核中脑应激系统的募集(例如,促肾上腺皮质激素释放因子[CRF]),这有助于与依赖相关的过度饮酒和更多的酒精摄入量。糖皮质激素和矿物皮质激素可能在扩大杏仁核CRF系统的增敏中发挥作用。延伸杏仁核中脑应激系统的其他组成部分可能导致戒断的负性动机状态,包括终纹床核中的去甲肾上腺素、伏隔核中的动啡素、杏仁核中央核中的下丘脑分泌素和加压素,以及神经免疫调节。延伸的杏仁核中神经肽Y、伤害感觉、内源性大麻素和催产素活性的降低也可能导致与酒精戒断相关的高katifeia。这种情绪处理的失调也可能显著地导致与酒精戒断和负性急迫性相关的疼痛(即,在过度紧张期间与过度紧张相关的冲动性)。因此,过度活跃的脑应激反应系统被假设为在急性过量药物摄入时被激活,在反复戒断期间被敏感化,持续到长期戒断,并有助于AUD的强迫性。奖励功能的丧失和脑应激系统的增加的结合为负性情绪状态提供了强大的神经化学基础,负性情绪状态负责负强化,至少部分驱动了AUD的强迫性。
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引用次数: 0
The Life and Legacy of Arthur D. Craig, Jr.: A Pioneer in Interoception. 小阿瑟·d·克雷格的一生和遗产:心灵感应的先驱。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_574
Anders Blomqvist, Jonathan O Dostrovsky

A.D. (Bud) Craig (1951-2023) redefined the concept of interoception and provided a novel, revolutionary understanding of the neural basis for human awareness. In unsurpassed anatomical-physiological studies in monkeys, Craig showed that the insular cortex is the primary sensory cortex for interoception, or the image of the "material me" that provides a homeostatic representation of the physiological condition of the body. He showed that the insula contains a postero-anteriorly organized somatotopic map of the interoceptive sensations, and that it encodes both the localization and the intensity discrimination of interoceptive sensations. In seminal work in humans, he demonstrated that the interoceptive feelings are re-represented, and multimodally integrated, in anterior portions of the insula in sequence of increasingly homeostatically efficient representations that integrate all salient neural activity. He further showed that subjective awareness is associated with activation of the anterior insular cortex and suggested that this brain region also is critical for fluid intelligence and the perception of time. His work has led to a paradigm shift in our understanding of interoception and how interoceptive sensations underlie consciousness, a topic that long has been considered elusive, or even beyond our comprehension.

ad . (Bud) Craig(1951-2023)重新定义了内感受的概念,并对人类意识的神经基础提供了一种新颖的、革命性的理解。在对猴子进行的无与伦比的解剖生理学研究中,克雷格表明,岛叶皮层是内感受的主要感觉皮层,或者是“物质我”的图像,它提供了身体生理状态的稳态表征。他指出,脑岛包含一个内感受感觉的后前组织体位图,它编码内感受感觉的定位和强度区分。在人类的开创性工作中,他证明了内感受被重新表征,并以多模态整合,在脑岛的前部,按照不断增加的动态有效表征的顺序,整合了所有显著的神经活动。他进一步表明,主观意识与前岛叶皮层的激活有关,并表明这一大脑区域对流体智力和时间感知也至关重要。他的工作导致了我们对内感受的理解范式的转变,以及内感受是如何构成意识的基础的,这是一个长期以来被认为难以捉摸的话题,甚至超出了我们的理解。
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引用次数: 0
Perceptual Dysfunction in Eating Disorders. 饮食失调症的感知功能障碍。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_470
Erin E Reilly, Tiffany A Brown, Guido K W Frank

Eating disorders (EDs) are characterized by abnormal responses to food and weight-related stimuli and are associated with significant distress, impairment, and poor outcomes. Because many of the cardinal symptoms of EDs involve disturbances in perception of one's body or abnormal affective or cognitive reactions to food intake and how that affects one's size, there has been longstanding interest in characterizing alterations in sensory perception among differing ED diagnostic groups. Within the current review, we aimed to critically assess the existing research on exteroceptive and interoceptive perception and how sensory perception may influence ED behavior. Overall, existing research is most consistent regarding alterations in taste, visual, tactile, and gastric-specific interoceptive processing in EDs, with emerging work indicating elevated respiratory and cardiovascular sensitivity. However, this work is far from conclusive, with most studies unable to speak to the precise etiology of observed perceptual differences in these domains and disentangle these effects from affective and cognitive processes observed within EDs. Further, existing knowledge regarding perceptual disturbances in EDs is limited by heterogeneity in methodology, lack of multimodal assessment protocols, and inconsistent attention to different ED diagnoses. We propose several new avenues for improving neurobiology-informed research on sensory processing to generate actionable knowledge that can inform the development of innovative interventions for these serious disorders.

进食障碍(ED)的特征是对食物和体重相关刺激的异常反应,并与严重的痛苦、损伤和不良后果相关。由于进食障碍的许多主要症状涉及对自身身体的感知障碍或对食物摄入的异常情感或认知反应,以及食物摄入如何影响自身体型,因此,人们长期以来一直对不同进食障碍诊断群体的感知变化特征感兴趣。在本综述中,我们旨在批判性地评估有关外部感知和内部感知以及感知如何影响 ED 行为的现有研究。总体而言,现有研究对 ED 患者味觉、视觉、触觉和胃特异性内感知处理的改变最为一致,新的研究表明呼吸和心血管敏感性有所提高。然而,这些研究还远未得出结论,大多数研究无法说明在这些领域观察到的感知差异的确切病因,也无法将这些影响与在 EDs 中观察到的情感和认知过程区分开来。此外,由于研究方法不尽相同、缺乏多模态评估方案以及对不同 ED 诊断的关注不一致,有关 ED 感知障碍的现有知识非常有限。我们提出了几条新的途径来改进以神经生物学为基础的感觉处理研究,以产生可操作的知识,为这些严重疾病的创新干预措施的开发提供依据。
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引用次数: 0
Neural Markers of Treatment Response in Pediatric Anxiety and PTSD. 儿童焦虑和创伤后应激障碍治疗反应的神经标志物。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_547
Dana E Díaz, Hannah C Becker, Kate D Fitzgerald

Pediatric anxiety disorders and post-traumatic stress disorder (PTSD) are associated with elevated threat sensitivity and impaired emotion regulation, accompanied by dysfunction in the neural circuits involved in these processes. Despite established treatments like cognitive behavioral therapy (CBT) and selective serotonin reuptake inhibitors, many children do not achieve remission, underscoring the importance of understanding the neurobiological underpinnings of these disorders. This review synthesizes current research on the neural predictors of treatment response and the neurofunctional changes associated with treatment in pediatric anxiety and PTSD during threat and reward processing. Several key findings emerged. First, enhanced threat/safety discrimination in the amygdala predicted better outcomes of pediatric anxiety and PTSD treatments. Second, differences in pretreatment activation within the lateral prefrontal and dorsal anterior cingulate cortices predicted treatment response, likely reflecting baseline executive control differences. Third, post-CBT decreases in activation in default mode, visuo-attentional, and sensorimotor areas may support treatment-related increases in task engagement. Finally, functional connectivity between the amygdala and other limbic, prefrontal, and default mode network nodes predicts treatment response in anxiety and PTSD, highlighting its potential as a biomarker for therapeutic efficacy. Understanding these neurofunctional markers could lead to more targeted interventions, optimizing treatment planning and potentially leading to the development of "pretreatment" strategies to enhance the efficacy of existing treatments. This review highlights the necessity for future research to establish more direct links between neuroimaging findings and clinical outcomes to facilitate the translation of these findings into clinical practice.

儿童焦虑症和创伤后应激障碍(PTSD)与威胁敏感性升高和情绪调节受损有关,并伴有参与这些过程的神经回路功能障碍。尽管现有的治疗方法如认知行为疗法(CBT)和选择性血清素再摄取抑制剂,但许多儿童并没有达到缓解,这强调了理解这些疾病的神经生物学基础的重要性。本文综述了目前关于儿童焦虑和创伤后应激障碍在威胁和奖励加工过程中治疗反应的神经预测因子以及与治疗相关的神经功能变化的研究进展。出现了几个关键的发现。首先,杏仁核中威胁/安全歧视的增强预示着儿童焦虑和创伤后应激障碍治疗的更好结果。其次,前额外侧和前扣带背侧皮质的预处理激活差异预测了治疗反应,可能反映了基线执行控制的差异。第三,cbt后默认模式、视觉注意和感觉运动区域的激活减少可能支持治疗相关的任务参与增加。最后,杏仁核与其他边缘、前额叶和默认模式网络节点之间的功能连通性预测了焦虑和创伤后应激障碍的治疗反应,突出了其作为治疗效果生物标志物的潜力。了解这些神经功能标记可能会导致更有针对性的干预,优化治疗计划,并可能导致“预处理”策略的发展,以提高现有治疗的疗效。这篇综述强调了未来研究在神经影像学发现和临床结果之间建立更直接联系的必要性,以促进这些发现转化为临床实践。
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引用次数: 0
Understanding How Acute Alcohol Impacts Neural Encoding in the Rodent Brain. 了解急性酒精如何影响啮齿动物大脑的神经编码
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_479
Christopher C Lapish

Alcohol impacts neural circuitry throughout the brain and has wide-ranging effects on the biophysical properties of neurons in these circuits. Articulating how these wide-ranging effects might eventually result in altered computational properties has the potential to provide a tractable working model of how alcohol alters neural encoding. This chapter reviews what is currently known about how acute alcohol influences neural activity in cortical, hippocampal, and dopaminergic circuits as these have been the primary focus of understanding how alcohol alters neural computation. While other neural systems have been the focus of exhaustive work on this topic, these brain regions are the ones where in vivo neural recordings are available, thus optimally suited to make the link between changes in neural activity and behavior. Rodent models have been key in developing an understanding of how alcohol impacts the function of these circuits, and this chapter therefore focuses on work from mice and rats. While progress has been made, it is critical to understand the challenges and caveats associated with experimental procedures, especially when performed in vivo, which are designed to answer this question and if/how to translate these data to humans. The hypothesis is discussed that alcohol impairs the ability of neural circuits to acquire states of neural activity that are transiently elevated and characterized by increased complexity. It is hypothesized that these changes are distinct from the traditional view of alcohol being a depressant of neural activity in the forebrain.

酒精会影响整个大脑的神经回路,并对这些回路中神经元的生物物理特性产生广泛的影响。阐明这些广泛的影响如何最终导致计算特性的改变,有可能为酒精如何改变神经编码提供一个可行的工作模型。本章回顾了目前已知的急性酒精如何影响皮层、海马和多巴胺能回路中神经活动的情况,因为这些回路一直是了解酒精如何改变神经计算的主要焦点。虽然其他神经系统也是这一课题的研究重点,但这些脑区可以进行活体神经记录,因此最适合将神经活动的变化与行为联系起来。啮齿动物模型是了解酒精如何影响这些回路功能的关键,因此本章将重点介绍小鼠和大鼠的研究工作。虽然已经取得了进展,但了解与实验程序相关的挑战和注意事项至关重要,尤其是在体内进行的实验程序,这些程序旨在回答这一问题,以及是否/如何将这些数据转化为人类数据。我们讨论的假设是,酒精会损害神经回路获得神经活动状态的能力,而这种状态会暂时性升高,并以复杂性增加为特征。假设认为,这些变化不同于酒精抑制前脑神经活动的传统观点。
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Current topics in behavioral neurosciences
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