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Behavioral and Brain Mechanisms of Active Avoidance and Their Relevance to Anxiety Disorders. 主动回避的行为和脑机制及其与焦虑障碍的相关性。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2025_593
Hannah McManus, Mohammed R Milad

Avoidance behaviors are paramount for the survival of all species. While adaptive in response to genuine danger, avoidance can become maladaptive when generalized or persistent in the absence of threat. In anxiety disorders, maladaptive avoidance behaviors frequently arise and impede everyday life for individuals with these mental health conditions. Given the central role of avoidance in anxiety disorders, understanding the neural circuits that underly these behaviors is essential for developing both targeted and effective treatments. This review explores avoidance through both a behavioral and neural mechanistic lens, while also examining the current behavioral and pharmacological treatments aimed at addressing avoidance. Understanding of the neural underpinnings of avoidance, psychotherapy, and pharmacotherapy may improve clinical care and outcomes for those suffering with anxiety disorders.

回避行为对所有物种的生存至关重要。虽然对真实危险的反应是适应性的,但如果在没有威胁的情况下普遍化或持续存在,回避就会变得不适应。在焦虑症中,适应不良的回避行为经常出现,并阻碍了这些心理健康状况的个体的日常生活。考虑到逃避在焦虑症中的核心作用,了解这些行为背后的神经回路对于开发有针对性和有效的治疗方法至关重要。这篇综述通过行为和神经机制的角度探讨了回避,同时也检查了当前旨在解决回避的行为和药物治疗。了解逃避、心理治疗和药物治疗的神经基础可能会改善焦虑症患者的临床护理和结果。
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引用次数: 0
Correction to: Hearing Loss and Alzheimer Disease. 更正:听力损失和阿尔茨海默病。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/978-3-031-84920-6_577
Arianna Di Stadio, Mickie J Hamiter, Dalila Roccamatisi, Anil K Lalwani
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引用次数: 0
From Natural Behavior to Drug Screening: Invertebrates as Models to Study Mechanisms Associated with Alcohol Use Disorders. 从自然行为到药物筛选:无脊椎动物作为研究酒精使用障碍相关机制的模型。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2022_413
Henrike Scholz

Humans consume ethanol-containing beverages, which may cause an uncontrollable or difficult-to-control intake of ethanol-containing liquids and may result in alcohol use disorders. How the transition at the molecular level from "normal" ethanol-associated behaviors to addictive behaviors occurs is still unknown. One problem is that the components contributing to normal ethanol intake and their underlying molecular adaptations, especially in neurons that regulate behavior, are not clear. The fruit fly Drosophila melanogaster and the earthworm Caenorhabditis elegans show behavioral similarities to humans such as signs of intoxication, tolerance, and withdrawal. Underlying the phenotypic similarities, invertebrates and vertebrates share mechanistic similarities. For example in Drosophila melanogaster, the dopaminergic neurotransmitter system regulates the positive reinforcing properties of ethanol and in Caenorhabditis elegans, serotonergic neurons regulate feeding behavior. Since these mechanisms are fundamental molecular mechanisms and are highly conserved, invertebrates are good models for uncovering the basic principles of neuronal adaptation underlying the behavioral response to ethanol. This review will focus on the following aspects that might shed light on the mechanisms underlying normal ethanol-associated behaviors. First, the current status of what is required at the behavioral and cellular level to respond to naturally occurring levels of ethanol is summarized. Low levels of ethanol delay the development and activate compensatory mechanisms that in turn might be beneficial for some aspects of the animal's physiology. Repeated exposure to ethanol however might change brain structures involved in mediating learning and memory processes. The smell of ethanol is already a key component in the environment that is able to elicit behavioral changes and molecular programs. Minimal networks have been identified that regulate normal ethanol consumption. Other environmental factors that influence ethanol-induced behaviors include the diet, dietary supplements, and the microbiome. Second, the molecular mechanisms underlying neuronal adaptation to the cellular stressor ethanol are discussed. Components of the heat shock and oxidative stress pathways regulate adaptive responses to low levels of ethanol and in turn change behavior. The adaptive potential of the brain cells is challenged when the organism encounters additional cellular stressors caused by aging, endosymbionts or environmental toxins or excessive ethanol intake. Finally, to underline the conserved nature of these mechanisms between invertebrates and higher organisms, recent approaches to identify drug targets for ethanol-induced behaviors are provided. Already approved drugs regulate ethanol-induced behaviors and they do so in part by interfering with cellular stress pathways. In addition, invertebrates have been used to identify new compounds targeting molecules involved in the re

人类饮用含乙醇的饮料,可能会导致无法控制或难以控制含乙醇液体的摄入量,并可能导致酒精使用障碍。从与乙醇相关的 "正常 "行为到成瘾行为的分子水平转变是如何发生的,目前尚不清楚。其中一个问题是,导致正常乙醇摄入的成分及其潜在的分子适应,尤其是调节行为的神经元中的分子适应,尚不清楚。果蝇和蚯蚓的行为与人类相似,如中毒、耐受和戒断。在表型相似的基础上,无脊椎动物和脊椎动物在机理上也有相似之处。例如,在黑腹果蝇中,多巴胺能神经递质系统调节乙醇的正强化特性,而在草履虫中,5-羟色胺能神经元调节摄食行为。由于这些机制都是基本的分子机制,而且高度保守,因此无脊椎动物是揭示神经元适应乙醇行为反应基本原理的良好模型。本综述将着重从以下几个方面揭示乙醇相关行为的正常机制。首先,总结了在行为和细胞水平上对自然发生的乙醇水平做出反应所需的条件的现状。低水平的乙醇会延缓代偿机制的发展并激活这些机制,而这些机制反过来又可能对动物生理的某些方面有益。然而,反复接触乙醇可能会改变大脑结构,从而影响学习和记忆过程。乙醇的气味已经是环境中能够引起行为变化和分子程序的关键成分。目前已发现调节正常乙醇消耗的最小网络。影响乙醇诱导行为的其他环境因素包括饮食、膳食补充剂和微生物组。其次,讨论了神经元适应细胞压力源乙醇的分子机制。热休克和氧化应激途径的成分调节对低水平乙醇的适应性反应,进而改变行为。当生物体遇到由衰老、内寄生虫或环境毒素或摄入过量乙醇引起的额外细胞压力时,脑细胞的适应潜力就会受到挑战。最后,为了强调这些机制在无脊椎动物和高等生物之间的共存性,本文提供了近期确定乙醇诱导行为的药物靶点的方法。已经获得批准的药物可以调节乙醇诱导的行为,它们部分是通过干扰细胞应激途径来实现的。此外,无脊椎动物也被用来鉴定针对参与乙醇戒断症状调节的分子的新化合物。这篇综述主要强调了过去 5 年中有关黑腹果蝇的研究进展,但也提供了有趣的秀丽隐杆线虫(Caenorhabditis elegans)和蜜蜂(Apis mellifera)的实例作为支持。
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引用次数: 0
Alcohol-Induced Changes in Brain Microstructure: Uncovering Novel Pathophysiological Mechanisms of AUD Using Translational DTI in Humans and Rodents. 酒精诱导的大脑微观结构变化:利用人类和啮齿动物的平移DTI揭示AUD的新病理生理机制。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2025_585
Wolfgang H Sommer, Santiago Canals

Alcohol use disorder (AUD) induces significant structural alterations in both gray and white matter, contributing to cognitive and functional impairments. This chapter presents a translational neuroimaging approach using diffusion-weighted MRI in humans and rodents to uncover novel pathophysiological mechanisms underlying AUD. Our studies demonstrate that increased mean diffusivity (MD) in gray matter reflects microglial reactivity and reduced extracellular space tortuosity, leading to enhanced volume neurotransmission. In white matter, fractional anisotropy (FA) reductions indicate progressive deterioration of key tracts, particularly the fimbria/fornix, linked to impaired cognitive flexibility. Importantly, longitudinal analyses reveal that white matter degeneration continues during early abstinence, suggesting that neuroinflammation and demyelination persist beyond alcohol cessation. Finally, we discuss how neuromodulatory interventions, such as transcranial magnetic stimulation (TMS), may promote recovery by enhancing myelin plasticity. These findings provide crucial insights into AUD's neurobiological underpinnings and highlight potential therapeutic targets for improving treatment outcomes.

酒精使用障碍(AUD)引起灰质和白质的显著结构改变,导致认知和功能障碍。本章介绍了在人类和啮齿动物中使用弥散加权MRI的转化神经成像方法,以揭示AUD背后的新病理生理机制。我们的研究表明,灰质中平均弥散性(MD)的增加反映了小胶质细胞的反应性和细胞外空间扭曲的减少,导致体积神经传递增强。在白质中,分数各向异性(FA)减少表明关键神经束的进行性恶化,特别是与认知灵活性受损有关的脑毡/穹窿。重要的是,纵向分析显示,在早期戒酒期间,白质变性仍在继续,这表明神经炎症和脱髓鞘在戒酒后仍然存在。最后,我们讨论了神经调节干预,如经颅磁刺激(TMS),如何通过增强髓鞘可塑性来促进恢复。这些发现为AUD的神经生物学基础提供了重要的见解,并强调了改善治疗结果的潜在治疗靶点。
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引用次数: 0
Gestational Opioid Exposure: From Morphine to MOUD - How Opioids Impact Offspring Development and Maternal Care. 妊娠期阿片类药物暴露:从吗啡到吗啡-阿片类药物如何影响后代发育和孕产妇护理。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_570
Jecenia Duran, Sonia Khalid, Lauren Richardson, Kelly Bosse, Susanne Brummelte

Opioid use disorder (OUD) continues to be a global problem, with particularly high opioid usage rates in the United States. One major contributor to this crisis has been the high rate of opioid prescriptions, which has increased access to opioids and contributed to many vulnerable individuals becoming dependent or addicted. Many of these affected people are women of reproductive age, which in turn results in many women using or abusing opioids during pregnancy and thus many infants being exposed to illicit opioids. OUD is typically treated with either methadone or buprenorphine (BUP), two effective opioid-based medications for OUD (MOUD). BUP has recently gained more attention and replaced methadone as the "gold standard" of treatment since its unique pharmacodynamic properties seem to result in better compliance, less withdrawal symptoms, and improved infant outcomes compared to methadone. However, the effects of BUP exposure on the long-term outcome of the offspring and mother-infant dyad are not fully understood. This chapter will review the current state of the literature regarding effects of gestational opioid exposure on offspring outcomes, focusing on morphine as a commonly used illicit substance and BUP as a widely used MOUD. Collectively, the literature reviewed here highlights the need for future research into the impact of gestational opioid use on mothers, their care behavior, and their subsequent mother-infant bonds.

阿片类药物使用障碍(OUD)仍然是一个全球性问题,美国的阿片类药物使用率特别高。造成这一危机的一个主要因素是阿片类药物处方率高,这增加了获得阿片类药物的机会,并导致许多弱势群体依赖或成瘾。这些受影响的人中有许多是育龄妇女,这反过来导致许多妇女在怀孕期间使用或滥用阿片类药物,从而使许多婴儿接触非法阿片类药物。OUD通常用美沙酮或丁丙诺啡(BUP)治疗,这是两种有效的阿片类药物治疗OUD (mod)。BUP最近获得了更多的关注,并取代美沙酮成为治疗的“金标准”,因为其独特的药效学特性似乎比美沙酮更能使依从性更好,戒断症状更少,并且改善了婴儿的预后。然而,BUP暴露对后代和母婴的长期结局的影响尚不完全清楚。本章将回顾关于妊娠期阿片类药物暴露对后代结局影响的文献现状,重点关注吗啡作为一种常用的非法物质和BUP作为一种广泛使用的mod。总的来说,本文回顾的文献强调了未来研究阿片类药物对母亲、她们的护理行为和随后的母婴关系的影响的必要性。
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引用次数: 0
Neurodevelopmental Pathways from Temperamental Fear to Anxiety. 从喜怒无常的恐惧到焦虑的神经发育途径。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_571
Eunkyung Shin, Koraly Pérez-Edgar

Early indicators of anxiety risk can appear as early as infancy, informing developmental pathways in which individual differences in temperament elevate the likelihood of future anxiety disorders. Clarifying the mechanisms that connect these early biological predispositions to later anxiety offers a foundation for designing targeted early intervention and prevention efforts. In this chapter, we aim to describe the association between fearful temperament and the development of anxiety disorders, highlighting how the interplay between biological and environmental factors shape vulnerability to anxiety from early in life. We describe (a) fearful temperament as a potential marker for vulnerability to anxiety, (b) neural mechanisms underlying fearful temperament and anxiety through detection and regulation processes, (c) internal and external factors that moderate the association between fearful temperament and anxiety, focusing on attentional bias and parental factors to understand distinct etiological process.

焦虑风险的早期指标可能早在婴儿时期就出现了,这为发育途径提供了信息,在发育途径中,性格的个体差异提高了未来焦虑障碍的可能性。阐明这些早期生物倾向与后来的焦虑之间的联系机制,为设计有针对性的早期干预和预防工作提供了基础。在本章中,我们旨在描述恐惧气质与焦虑症发展之间的联系,强调生物和环境因素之间的相互作用如何从生命早期就形成对焦虑的脆弱性。我们描述了(a)恐惧气质作为焦虑易感性的潜在标志;(b)恐惧气质和焦虑通过检测和调节过程的神经机制;(c)调节恐惧气质和焦虑之间关联的内外因素,重点关注注意偏见和父母因素,以了解不同的病因过程。
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引用次数: 0
Achieving Inclusion in Pharmacological Clinical Trials for Alzheimer's Disease. 实现纳入阿尔茨海默病的药理临床试验。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_522
Doris Molina-Henry, Rema Raman

Participant recruitment and retention into randomized controlled trials (RCTs) is a growing and evolving science. It varies dramatically by discipline given the important and key choices that must be made based on the unique trial design considerations. In the field of Alzheimer's Disease (AD) therapeutics, recruitment goals, approaches, and strategies vary based on the disease stage of the target population which can range from asymptomatic adults with biomarker evidence of the disease to end-stage symptom management. This chapter discusses existing barriers and provides recommendations to achieve inclusive and timely recruitment in multi-center AD trials. It proposes an evidence-based recruitment framework anchored on culturally cognizant and participant focused study level and study site level efforts.

随机对照试验(RCT)的参与者招募和保留是一门不断发展和演变的科学。鉴于必须根据独特的试验设计考虑因素做出重要而关键的选择,各学科的情况也大不相同。在阿尔茨海默病(AD)治疗领域,招募目标、方法和策略因目标人群所处的疾病阶段而异,目标人群可从有疾病生物标志物证据的无症状成人到终末期症状管理者。本章讨论了现有的障碍,并提出了在多中心AD试验中实现包容性和及时招募的建议。它提出了一个循证招募框架,该框架立足于文化认知和以参与者为中心的研究层面和研究机构层面的工作。
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引用次数: 0
Genetic Vulnerability to Social Anxiety Disorder. 社交焦虑症的遗传易感性。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_544
Janna Marie Bas-Hoogendam

Most anxiety disorders 'run within families': people suffering from an anxiety disorder often have family members who are highly anxious as well. In this chapter, we explore recent work devoted to unraveling the complex interplay between genes and environment in the development of anxiety. We review studies focusing on the genetic vulnerability to develop social anxiety disorder (SAD), as SAD is one of the most prevalent anxiety disorders, with an early onset, a chronic course, and associated with significant life-long impairments. More insight into the development of SAD is thus of uttermost importance.First, we will discuss family studies, twin studies, and large-sized population-based registry studies and explain what these studies can reveal about the genetic vulnerability to develop anxiety. Next, we describe the endophenotype approach; in this context, we will summarize results from the Leiden Family Lab study on Social Anxiety Disorder. Subsequently, we review the relationship between the heritable trait 'behavioral inhibition' and the development of SAD, and highlight the relevance of this work for the development and improvement of preventative and therapeutic interventions for socially anxious youth.

大多数焦虑症都是 "家族遗传":焦虑症患者的家人往往也有高度焦虑的倾向。在本章中,我们将探讨近期致力于揭示基因与环境在焦虑症发展过程中复杂相互作用的研究。我们回顾了有关社交焦虑症(SAD)遗传易感性的研究,因为社交焦虑症是最常见的焦虑症之一,发病早,病程长,并伴有严重的终生障碍。首先,我们将讨论家族研究、双生子研究和大型人群登记研究,并解释这些研究能揭示焦虑症的遗传易感性。接下来,我们将介绍内表型方法;在此背景下,我们将总结莱顿家庭实验室关于社交焦虑症的研究结果。随后,我们将回顾遗传性状 "行为抑制 "与社交焦虑症之间的关系,并强调这项工作对于开发和改进针对社交焦虑症青少年的预防和治疗干预措施的意义。
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引用次数: 0
Music in the Air and in the Body: An Interoceptive System's Perspective on Musical Emotions, Awareness, and Time. 空气中和身体里的音乐:从互感系统的角度看音乐情感、意识和时间。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_517
Clemens Wöllner

Performing and perceiving music requires the integration of multimodal information, including sensations of one's own body. Research on musical engagement investigated emotional responses and the peripheral physiological activations involved, as well as bodily action tendencies, effects on time perception, and the role of awareness and focus of attention. The concept of interoception dedicates a central role to the insular cortex, as suggested by Craig and others, and offers a unifying framework for studying music as an activity that has always had a key role for individuals, groups, societies, with a strong bodily component. Chances and challenges of an interoceptive perspective on music are discussed.

演奏和感知音乐需要整合多模态信息,包括自身身体的感觉。关于音乐参与的研究调查了情绪反应和相关的外周生理激活,以及身体动作倾向、对时间感知的影响、意识和注意力集中的作用。正如克雷格等人所建议的那样,"内感知 "的概念赋予了岛叶皮层核心作用,并为研究音乐提供了一个统一的框架,音乐作为一种活动,对个人、群体和社会始终起着关键作用,并具有强烈的身体成分。本文讨论了从感知间视角研究音乐的机遇与挑战。
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引用次数: 0
Interoception, Insula, and Autonomic Integration: Relevance to the Expression and Treatment of Psychiatric Symptoms. 互感、脑岛和自律神经整合:与精神症状的表现和治疗的相关性》。
Q3 Neuroscience Pub Date : 2025-01-01 DOI: 10.1007/7854_2024_518
Hugo D Critchley, Joel Patchitt

The mind is embodied, and this is relevant to mental health and psychiatric illness. Interoception is the body-to-brain axis of sensory information flow and its representation at the neural and psychological levels. Interoception is the purported basis for motivation and emotion, and as an inescapable stream of information about the health and functioning of the whole organism, it is proposed to be the foundation to the conscious unitary sense of self. Correspondingly, this central representation of internal state is relevant to understanding the expression of psychological symptoms and behaviours and ultimately psychiatric disorders. Here we review interoception, particularly from a cardiovascular perspective, and how understanding theoretical neural and psychological aspects of interoception relates to perceptions, thoughts, and feelings. We examine how perturbations in interoceptive processing are expressed in mental symptoms and psychiatric disorders and show how this knowledge may yield new treatment targets.

心灵是具身的,这与心理健康和精神疾病息息相关。内感知是身体到大脑的感官信息流轴,是其在神经和心理层面的表征。内感知据称是动机和情感的基础,作为有关整个机体健康和功能的不可避免的信息流,它被认为是有意识的统一自我意识的基础。相应地,这种内部状态的核心表征与理解心理症状和行为的表现以及最终的精神疾病有关。在此,我们回顾了内感知,尤其是从心血管角度回顾了内感知的理论神经和心理方面与知觉、思想和情感的关系。我们将研究内感知处理过程中的干扰是如何在精神症状和精神障碍中表现出来的,并展示这些知识是如何产生新的治疗目标的。
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引用次数: 0
期刊
Current topics in behavioral neurosciences
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