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Deletion of Phospholipase C β1 in the Thalamic Reticular Nucleus Induces Absence Seizures 丘脑网状核中磷脂酶C β1缺失诱导癫痫发作
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-04-30 DOI: 10.5607/en22007
Bomi Chang, Junweon Byun, Ko Keun Kim, Seung Eun Lee, Boyoung Lee, Key‐Sun Kim, Hoon Ryu, Hee-Sup Shin, Eunji Cheong
Absence seizures are caused by abnormal synchronized oscillations in the thalamocortical (TC) circuit, which result in widespread spike-and-wave discharges (SWDs) on electroencephalography (EEG) as well as impairment of consciousness. Thalamic reticular nucleus (TRN) and TC neurons are known to interact dynamically to generate TC circuitry oscillations during SWDs. Clinical studies have suggested the association of Plcβ1 with early-onset epilepsy, including absence seizures. However, the brain regions and circuit mechanisms related to the generation of absence seizures with Plcβ1 deficiency are unknown. In this study, we found that loss of Plcβ1 in mice caused spontaneous complex-type seizures, including convulsive and absence seizures. Importantly, TRN-specific deletion of Plcβ1 led to the development of only spontaneous SWDs, and no other types of seizures were observed. Ex vivo slice patch recording demonstrated that the number of spikes, an intrinsic TRN neuronal property, was significantly reduced in both tonic and burst firing modes in the absence of Plcβ1. We conclude that the loss of Plcβ1 in the TRN leads to decreased excitability and impairs normal inhibitory neuronal function, thereby disrupting feedforward inhibition of the TC circuitry, which is sufficient to cause hypersynchrony of the TC system and eventually leads to spontaneous absence seizures. Our study not only provides a novel mechanism for the induction of SWDs in Plcβ1-deficient patients but also offers guidance for the development of diagnostic and therapeutic tools for absence epilepsy.
失神性癫痫发作是由丘脑皮质(TC)回路中的异常同步振荡引起的,这会导致脑电图(EEG)上广泛的棘波放电(SWD)以及意识障碍。丘脑网状核(TRN)和TC神经元在SWD过程中动态相互作用,产生TC电路振荡。临床研究表明Plcβ1与早发性癫痫(包括失神性癫痫)有关。然而,与Plcβ1缺乏症引起缺席性癫痫发作有关的大脑区域和回路机制尚不清楚。在这项研究中,我们发现小鼠Plcβ1的缺失会导致自发的复杂型癫痫发作,包括抽搐和缺席癫痫发作。重要的是,TRN特异性Plcβ1缺失仅导致自发性SWD的发展,未观察到其他类型的癫痫发作。离体切片补片记录表明,在缺乏Plcβ1的情况下,作为TRN神经元固有特性的尖峰数量在紧张和突发放电模式下都显著减少。我们的结论是,TRN中Plcβ1的缺失导致兴奋性降低,并损害正常的抑制性神经元功能,从而破坏TC电路的前馈抑制,这足以导致TC系统的超同步,并最终导致自发缺席癫痫发作。我们的研究不仅为Plcβ1缺陷患者诱发SWD提供了一种新的机制,而且为开发缺席癫痫的诊断和治疗工具提供了指导。
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引用次数: 0
The Indirect Effect of Prefrontal Gray Matter Volume on Suicide Attempts among Individuals with Major Depressive Disorder 额前灰质体积对重度抑郁症患者自杀未遂的间接影响
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-04-08 DOI: 10.5607/en22008
June Kang, A. Kim, Y. Kang, Kyu-Man Han, B. Ham
Trait impulsivity is a known risk factor for suicidality, and the prefrontal cortex plays a key role in impulsivity and its regulation. However, the relationship between trait impulsivity, neural basis, and suicidality has been inconsistent. Therefore, this study aimed to explore the relationship between impulsivity and its structural correlates (prefrontal gray matter volume), suicidal ideation, and actual suicide attempts. A total of 87 individuals with major depressive disorder participated in study, and the gray matter volume of the prefrontal regions was extracted from T1 images based on region of interest masks. The variables for the mediation models were selected based on correlation analysis and tested for their ability to predict suicide attempts, with impulsivity and suicidal ideation as the mediation variables and gray matter volume as the independent variable. A significant correlation was observed between suicidal ideation and the left dorsolateral prefrontal cortex and right dorsomedial prefrontal cortex. The dual-mediation model revealed a significant indirect relationship between gray matter volume in both regions and suicide attempts mediated by motor impulsivity and suicidal ideation. The counterintuitive positive relationship between gray matter volume and suicidality was also discussed.
特质冲动是已知的自杀风险因素,前额叶皮层在冲动及其调节中起着关键作用。然而,特质冲动性、神经基础和自杀之间的关系一直不一致。因此,本研究旨在探讨冲动与其结构相关因素(前额叶灰质体积)、自杀意念和实际自杀企图之间的关系。共有87名重度抑郁症患者参与了这项研究,并基于感兴趣区域掩码从T1图像中提取了前额叶区域的灰质体积。基于相关性分析选择中介模型的变量,并测试其预测自杀企图的能力,以冲动和自杀意念为中介变量,灰质体积为自变量。自杀意念与左背外侧前额叶皮层和右背内侧前额叶皮层之间存在显著相关性。双中介模型揭示了两个区域的灰质体积与由运动冲动和自杀意念介导的自杀企图之间的显著间接关系。还讨论了灰质体积与自杀之间的反直觉正相关关系。
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引用次数: 1
Invertebrate Model Organisms as a Platform to Investigate Rare Human Neurological Diseases 无脊椎动物模型生物作为研究罕见人类神经系统疾病的平台
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-02-28 DOI: 10.5607/en22003
Ji-Hye Lee
Patients suffering from rare human diseases often go through a painful journey for finding a definite molecular diagnosis prerequisite of appropriate cures. With a novel variant isolated from a single patient, determination of its pathogenicity to end such “diagnostic odyssey” requires multi-step processes involving experts in diverse areas of interest, including clinicians, bioinformaticians and research scientists. Recent efforts in building large-scale genomic databases and in silico prediction platforms have facilitated identification of potentially pathogenic variants causative of rare human diseases of a Mendelian basis. However, the functional significance of individual variants remains elusive in many cases, thus requiring incorporation of versatile and rapid model organism (MO)-based platforms for functional analyses. In this review, the current scope of rare disease research is briefly discussed. In addition, an overview of invertebrate MOs for their key features relevant to rare neurological diseases is provided, with the characteristics of two representative invertebrate MOs, Drosophila melanogaster and Caenorhabditis elegans, as well as the challenges against them. Finally, recently developed research networks integrating these MOs in collaborative research are portraited with an array of bioinformatical analyses embedded. A comprehensive survey of MO-based research activities provided in this review will help us to design a well-structured analysis of candidate genes or potentially pathogenic variants for their roles in rare neurological diseases in future.
患有罕见人类疾病的患者往往要经历一段痛苦的旅程,才能找到确切的分子诊断,找到合适的治疗方法。从一名患者身上分离出一种新的变体,要确定其致病性以结束这种“诊断之旅”,需要多步骤的过程,涉及不同领域的专家,包括临床医生、生物信息学家和研究科学家。最近在建立大规模基因组数据库和计算机预测平台方面的努力,促进了在孟德尔基础上识别导致罕见人类疾病的潜在致病性变体。然而,在许多情况下,单个变体的功能意义仍然难以捉摸,因此需要结合多功能和快速的基于模式生物(MO)的平台进行功能分析。在这篇综述中,简要讨论了目前罕见病的研究范围。此外,还概述了无脊椎动物MOs与罕见神经疾病相关的关键特征,以及两种具有代表性的无脊椎动物MOs,黑腹果蝇和秀丽隐杆线虫的特征,以及它们面临的挑战。最后,最近开发的将这些MO整合到合作研究中的研究网络,嵌入了一系列生物信息学分析。本综述中提供的对基于MO的研究活动的全面调查将有助于我们设计一个结构良好的候选基因或潜在致病性变体的分析,以了解它们在未来罕见神经疾病中的作用。
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引用次数: 1
Conformation-specific Antibodies Targeting Aggregated Forms of α-synuclein Block the Propagation of Synucleinopathy 靶向聚集型α-突触核蛋白的构象特异性抗体阻断突触核病的传播
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-02-28 DOI: 10.5607/en21039
Minsun Choi, Tae-kyung Kim, Jinhyung Ahn, Jun Sung Lee, Byung Chul Jung, Sungwon An, Dongin Kim, Min Jae Lee, I. Mook-Jung, S. H. Lee, Seung-Jae Lee
Abnormal aggregation of α-synuclein is a key element in the pathogenesis of several neurodegenerative diseases, including Parkinson’s disease (PD), dementia with Lewy bodies, and multiple system atrophy. α-synuclein aggregation spreads through various brain regions during the course of disease progression, a propagation that is thought to be mediated by the secretion and subsequent uptake of extracellular α-synuclein aggregates between neuronal cells. Thus, aggregated forms of this protein have emerged as promising targets for disease-modifying therapy for PD and related diseases. Here, we generated and characterized conformation-specific antibodies that preferentially recognize aggregated forms of α-synuclein. These antibodies promoted phagocytosis of extracellular α-synuclein aggregates by microglial cells and interfered with cell-to-cell propagation of α-synuclein. In an α-synuclein transgenic model, passive immunization with aggregate-specific antibodies significantly ameliorated pathological phenotypes, reducing α-synuclein aggregation, gliosis, inflammation, and neuronal loss. These results suggest that conformation-specific antibodies targeting α-synuclein aggregates are promising therapeutic agents for PD and related synucleinopathies.
α-突触核蛋白的异常聚集是几种神经退行性疾病发病机制的关键因素,包括帕金森病(PD)、路易体痴呆和多系统萎缩。在疾病进展过程中,α-突触核蛋白聚集通过大脑各个区域传播,这种传播被认为是由神经元细胞之间分泌和随后摄取细胞外α-突触蛋白聚集介导的。因此,这种蛋白质的聚集形式已成为PD和相关疾病的疾病修饰治疗的有前途的靶点。在这里,我们产生并表征了构象特异性抗体,该抗体优先识别聚集形式的α-突触核蛋白。这些抗体促进了小胶质细胞对细胞外α-突触核蛋白聚集体的吞噬作用,并干扰了α-突触蛋白的细胞间繁殖。在α-突触核蛋白转基因模型中,用聚集物特异性抗体的被动免疫显著改善了病理表型,减少了α-突触蛋白聚集、胶质增生、炎症和神经元损失。这些结果表明,针对α-突触核蛋白聚集体的构象特异性抗体是治疗PD和相关突触核蛋白疾病的有前途的药物。
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引用次数: 3
Interleukin 13 on Microglia is Neurotoxic in Lipopolysaccharide-injected Striatum in vivo 小胶质细胞上的白细胞介素13在体内对脂多糖注射纹状体具有神经毒性
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-02-28 DOI: 10.5607/en21032
Ah Reum Hong, Jae Geun Jang, Y. Chung, So-Yoon Won, Byung Kwan Jin
To explore the potential function of interleukin-13 (IL-13), lipopolysaccharide (LPS) or PBS as a control was unilaterally microinjected into striatum of rat brain. Seven days after LPS injection, there was a significant loss of neurons and microglial activation in the striatum, visualized by immunohistochemical staining against neuronal nuclei (NeuN) and the OX-42 (complement receptor type 3, CR3), respectively. In parallel, IL-13 immunoreactivity was increased as early as 3 days and sustained up to 7 days post LPS injection, compared to PBS-injected control and detected exclusively within microglia. Moreover, GFAP immunostaining and blood brain barrier (BBB) permeability evaluation showed the loss of astrocytes and disruption of BBB, respectively. By contrast, treatment with IL-13 neutralizing antibody (IL-13NA) protects NeuN+ neurons against LPS-induced neurotoxicity in vivo. Accompanying neuroprotection, IL-13NA reduced loss of GFAP+ astrocytes and damage of BBB in LPS-injected striatum. Intriguingly, treatment with IL-13NA produced neurotrophic factors (NTFs) on survived astrocytes in LPS-injected rat striatum. Taken together, the present study suggests that LPS induces expression of IL-13 on microglia, which contributes to neurodegeneration via damage on astrocytes and BBB disruption in the striatum in vivo.
为了探讨白细胞介素13(IL-13)的潜在功能,将脂多糖(LPS)或PBS作为对照单方向微注射到大鼠大脑纹状体中。LPS注射7天后,纹状体中的神经元和小胶质细胞活性显著丧失,分别通过针对神经元细胞核(NeuN)和OX-42(补体受体3型,CR3)的免疫组织化学染色可见。同时,与PBS注射的对照组相比,IL-13免疫反应性早在LPS注射后3天就增加,并持续到7天,并且仅在小胶质细胞中检测到。此外,GFAP免疫染色和血脑屏障(BBB)通透性评估分别显示星形胶质细胞的损失和BBB的破坏。相反,用IL-13中和抗体(IL-13NA)治疗可以保护NeuN+神经元免受LPS诱导的体内神经毒性。伴随着神经保护作用,IL-13NA减少了LPS注射纹状体中GFAP+星形胶质细胞的损失和血脑屏障的损伤。有趣的是,用IL-13NA治疗在LPS注射的大鼠纹状体中存活的星形胶质细胞上产生神经营养因子(NTFs)。总之,本研究表明,LPS诱导小胶质细胞上IL-13的表达,这通过在体内损伤星形胶质细胞和破坏纹状体的血脑屏障而导致神经退行性变。
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引用次数: 1
Diffusion MRI Connections in the Octopus Brain 章鱼大脑的扩散MRI连接
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-02-28 DOI: 10.5607/en21047
R. Jacobs
Using high angle resolution diffusion magnetic resonance imaging (HARDI) with fiber tractography analysis we map out a meso-scale connectome of the Octopus bimaculoides brain. The brain of this cephalopod has a qualitatively different organization than that of vertebrates, yet it exhibits complex behavior, an elaborate sensory system and high cognitive abilities. Over the last 60 years wide ranging and detailed studies of octopus brain anatomy have been undertaken, including classical histological sectioning/staining, electron microscopy and neuronal tract tracing with injected dyes. These studies have elucidated many neuronal connections within and among anatomical structures. Diffusion MRI based tractography utilizes a qualitatively different method of tracing connections within the brain and offers facile three-dimensional images of anatomy and connections that can be quantitatively analyzed. Twenty-five separate lobes of the brain were segmented in the 3D MR images of each of three samples, including all five sub-structures in the vertical lobe. These parcellations were used to assay fiber tracings between lobes. The connectivity matrix constructed from diffusion MRI data was largely in agreement with that assembled from earlier studies. The one major difference was that connections between the vertical lobe and more basal supra-esophageal structures present in the literature were not found by MRI. In all, 92 connections between the 25 different lobes were noted by diffusion MRI: 53 between supra-esophageal lobes and 26 between the optic lobes and other structures. These represent the beginnings of a mesoscale connectome of the octopus brain.
利用高角度分辨率扩散磁共振成像(HARDI)和纤维束状图分析,我们绘制了章鱼大脑的中尺度连接体。这种头足类动物的大脑与脊椎动物的大脑有质的不同,但它表现出复杂的行为,复杂的感觉系统和高认知能力。在过去的60年里,人们对章鱼的大脑解剖进行了广泛而详细的研究,包括经典的组织切片/染色、电子显微镜和注射染料的神经束示踪。这些研究阐明了解剖结构内部和结构之间的许多神经元连接。基于弥散性磁共振成像的神经束造影利用一种定性不同的方法来追踪大脑内部的连接,并提供便于定量分析的解剖结构和连接的三维图像。在三个样本的3D MR图像中,分别分割了25个独立的脑叶,包括垂叶中的所有五个子结构。这些包裹被用来测定叶之间的纤维示踪。由扩散MRI数据构建的连接矩阵与早期研究的结果基本一致。一个主要的区别是,竖叶和更基础的食管上结构之间的连接在文献中没有被MRI发现。总的来说,扩散MRI记录了25个不同脑叶之间的92个连接:53个连接在食管上叶之间,26个连接在视叶和其他结构之间。这些代表了章鱼大脑中尺度连接体的开始。
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引用次数: 3
Alendronate Enhances Functional Recovery after Spinal Cord Injury 阿仑膦酸钠促进脊髓损伤后功能恢复
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2022-02-28 DOI: 10.5607/en21030
Yuna Choi, T. Shin
Spinal cord injury is a destructive disease characterized by motor/sensory dysfunction and severe inflammation. Alendronate is an anti-inflammatory molecule and may therefore be of benefit in the treatment of the inflammation associated with spinal cord injury. This study aimed to evaluate whether alendronate attenuates motor/sensory dysfunction and the inflammatory response in a thoracic spinal cord clip injury model. Alendronate was intraperitoneally administered at 1 mg/kg/day or 5 mg/kg/day from day (D) 0 to 28 post-injury (PI). The histopathological evaluation showed an alleviation of the inflammatory response, including the infiltration of inflammatory cells, and a decrease in gliosis. Alendronate also led to reductions in the levels of inflammation-related molecules, including mitogen-activated protein kinase, p53, pro-inflammatory cytokines, and pro-inflammatory mediators. Neuro-behavioral assessments, including the Basso, Beattie, and Bresnahan scale for locomotor function, the von Frey filament test, the hot plate test, and the cold stimulation test for sensory function, and the horizontal ladder test for sensorimotor function improved significantly in the alendronate-treated group at D28PI. Taken together, these results suggest that alendronate treatment can inhibit the inflammatory response in spinal cord injury thus improving functional responses.
脊髓损伤是一种破坏性疾病,其特征是运动/感觉功能障碍和严重炎症。阿仑膦酸盐是一种抗炎分子,因此可能对治疗脊髓损伤相关的炎症有益。本研究旨在评估阿仑膦酸盐是否能减轻胸段脊髓夹损伤模型中的运动/感觉功能障碍和炎症反应。阿仑膦酸盐从损伤后第0天(D)至第28天(PI)以1mg/kg/天或5mg/kg/天腹膜内给药。组织病理学评估显示炎症反应减轻,包括炎症细胞浸润,胶质增生减少。阿仑膦酸盐还导致炎症相关分子水平降低,包括促分裂原活化蛋白激酶、p53、促炎细胞因子和促炎介质。阿仑膦酸盐治疗组在D28PI时的神经行为评估,包括运动功能的Basso、Beattie和Bresnahan量表、感觉功能的von Frey细丝测试、热板测试和冷刺激测试,以及感觉运动功能的水平梯测试,均显著改善。总之,这些结果表明阿仑膦酸盐治疗可以抑制脊髓损伤的炎症反应,从而改善功能反应。
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引用次数: 0
Correlation between Alteration of Sharp-wave Ripple Coupled Cortical Oscillation and Long-term Memory Deficit in Alzheimer Disease Model Mice. 阿尔茨海默病模型小鼠锐波纹波耦合皮质振荡改变与长期记忆缺陷的关系
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-12-31 DOI: 10.5607/en21046
Hyunwoo Yang, Yong Jeong

Alzheimer's disease (AD) is the most common cause of dementia, characterized by prominent episodic memory dysfunction. Recent studies have suggested that there is a sequential mechanism in the memory deficit, with long-term ones preceding short-term ones. However, there is lack of explanation for these symptoms. Interaction between the hippocampus and retrosplenial cortex (RSC) during slow-wave sleep (SWS) is a crucial step for successful long-term memory formation. In particular, sharp-wave ripple (SWR) is a principal hippocampus oscillation that coordinates with RSC activity. To determine the relationship between memory dysfunction and SWR-related oscillation changes in AD, we implanted local field potential electrodes in the hippocampus and RSC of AD model mice (APP/PS1). We found that the SWR-coupled ripple wave increased in the RSC, while the amplitude of the SWR was preserved. In addition, the corresponding delta power in hippocampus and RSC was elevated, together with altered delta synchrony in AD mice. All these findings showed a significant correlation with long-term memory deficits measured in contextual fear conditions. Our study suggests that altered SWR-coupled oscillations are a possible underlying mechanism of episodic memory dysfunction in AD mice.

阿尔茨海默病(AD)是痴呆症最常见的病因,其特征是显著的情景记忆功能障碍。最近的研究表明,记忆缺陷存在一个顺序机制,长期缺陷先于短期缺陷。然而,缺乏对这些症状的解释。慢波睡眠(SWS)期间海马与脾后皮层(RSC)之间的相互作用是成功形成长期记忆的关键步骤。特别是,锐波纹波(SWR)是与RSC活动协调的主要海马振荡。为了确定AD记忆功能障碍与swr相关振荡变化之间的关系,我们在AD模型小鼠(APP/PS1)海马和RSC植入局部场电位电极。我们发现,在RSC中,SWR耦合纹波增加,而SWR的幅值保持不变。此外,AD小鼠海马和RSC相应的delta功率升高,同时delta同步改变。所有这些发现都显示了在情境恐惧条件下测量的长期记忆缺陷的显著相关性。我们的研究表明,swr耦合振荡的改变可能是AD小鼠情景记忆功能障碍的潜在机制。
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引用次数: 4
Validation of the Thyrotoxicosis-associated Insomnia Model Induced by Thyroxine through Sympathetic Stimulation: Face, Construct and Predictive Perspectives. 甲状腺素通过交感神经刺激诱发甲状腺毒症相关失眠模型的验证:面部、结构和预测视角。
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-12-31 DOI: 10.5607/en21023
Zhifu Ai, Hongwei He, Tingting Wang, Liling Chen, Chunhua Huang, Changlian Chen, Pengfei Xu, Genhua Zhu, Ming Yang, Yonggui Song, Dan Su

Insomnia has become a common central nervous system disease. At present, the pathogenesis of insomnia is not clear. Animal models can help us understand the pathogenesis of the disease and can be used in transformational medicine. Therefore, it is very necessary to establish an appropriate model of insomnia. Clinical data show that insomnia patients with high levels of thyroxine and often accompanied by cardiovascular problems, a common mechanism underlying all of these physiological disruptions is the sympathetic nervous system. Combined with the characteristics of chronic onset of clinical insomnia, an insomnia model induced by long-term intraperitoneal injection of thyroid hormone has been created in our laboratory. In this paper, the insomnia-like state of the model was evaluated based on three validity criteria. Face validity has been demonstrated in metabolism, the Morris water maze, electrocardiogram (ECG) and electroencephalogram (EEG). Structure validity has been proved by the results of targeted metabolomics. After treatment with diazepam, a commonly used clinical anti-insomnia drug, the above physiological and pathological disorders were reversed. The results of comprehensive analysis show that the established thyrotoxicosis-associated insomnia model meets the validity requirement to establish an appropriate animal model of insomnia. The model presented in this article might help to study pathogenetic mechanisms of clinical insomnia, as well as to test promising methods of insomnia treatment.

失眠已成为一种常见的中枢神经系统疾病。目前,失眠的发病机制尚不清楚。动物模型可以帮助我们了解疾病的发病机制,并可用于转化医学。因此,建立一个合适的失眠模型是非常必要的。临床数据显示,失眠患者甲状腺素水平高,常伴有心血管疾病,所有这些生理紊乱的共同机制是交感神经系统。结合临床失眠的慢性起病特点,本实验室建立了长期腹腔注射甲状腺激素致失眠模型。本文基于三个效度标准对模型的类失眠状态进行评价。面部效度在代谢、Morris水迷宫、心电图和脑电图中得到证实。靶向代谢组学的结果证明了结构的有效性。经临床常用抗失眠药物地西泮治疗后,上述生理病理障碍均得到逆转。综合分析结果表明,所建立的甲亢相关性失眠模型符合建立合适的失眠动物模型的效度要求。该模型有助于研究临床失眠的发病机制,并对失眠治疗方法进行探索。
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引用次数: 3
Association between Changes in Cortical Thickness and Functional Connectivity in Male Patients with Alcohol-dependence. 男性酒精依赖患者皮质厚度变化与功能连通性的关系
IF 2.4 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2021-12-31 DOI: 10.5607/en21036
Shin-Eui Park, Yeong-Jae Jeon, Hyeon-Man Baek

Many studies have reported structural or functional brain changes in patients with alcohol-dependence (ADPs). However, there has been an insufficient number of studies that were able to identify functional changes along with structural abnormalities in ADPs. Since neuronal cell death can lead to abnormal brain function, a multimodal approach combined with structural and functional studies is necessary to understand definitive neural mechanisms. Here, we explored regional difference in cortical thickness and their impact on functional connection along with clinical relevance. Fifteen male ADPs who have been diagnosed by the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5) underwent highresolution T1 and resting-state functional magnetic resonance imaging (MRI) scans together with 15 male healthy controls (HCs). The acquired MRI data were post-processed using the Computational Anatomy Toolbox (CAT 12) and CONN-fMRI functional connectivity (FC) toolbox with Statistical Parametric Mapping (SPM 12). When compared with male HCs, the male ADPs showed significantly reduced cortical thickness in the left postcentral gyrus (PoCG), an area responsible for altered resting-state FC patterns in male ADPs. Statistically higher FCs in PoCG-cerebellum (Cb) and lower FCs in PoCG-supplementary motor area (SMA) were observed in male ADPs. In particular, the FCs with PoCG-Cb positively correlated with alcohol use disorders identification test (AUDIT) scores in male ADPs. Our findings suggest that the association of brain structural abnormalities and FC changes could be a characteristic difference in male ADPs. These findings can be useful in understanding the neural mechanisms associated with anatomical, functional and clinical features of individuals with alcoholism.

许多研究已经报道了酒精依赖(ADPs)患者的大脑结构或功能变化。然而,能够识别adp的功能变化和结构异常的研究数量不足。由于神经元细胞死亡可导致脑功能异常,因此需要结合结构和功能研究的多模式方法来了解明确的神经机制。在这里,我们探讨了皮质厚度的区域差异及其对功能连接的影响以及临床相关性。经精神障碍诊断与统计手册5 (DSM-5)诊断的15名男性adp与15名男性健康对照(hc)一起接受了高分辨率T1和静息状态功能磁共振成像(MRI)扫描。使用计算解剖学工具箱(CAT 12)和统计参数映射(SPM 12)的CONN-fMRI功能连接(FC)工具箱对获得的MRI数据进行后处理。与男性hc相比,男性adp的左中央后回(PoCG)皮质厚度显著降低,该区域负责改变男性adp的静息状态FC模式。在统计学上,男性ADPs的pocg -小脑(Cb)的FCs较高,而pocg -辅助运动区(SMA)的FCs较低。特别是,在男性adp中,带有PoCG-Cb的FCs与酒精使用障碍识别测试(AUDIT)得分呈正相关。我们的研究结果表明,脑结构异常和FC变化的关联可能是男性adp的特征差异。这些发现有助于理解与酒精中毒个体的解剖、功能和临床特征相关的神经机制。
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引用次数: 2
期刊
Experimental Neurobiology
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