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The digital twin in neuroscience: from theory to tailored therapy 神经科学中的数字孪生:从理论到定制疗法
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-18 DOI: 10.3389/fnins.2024.1454856
Lucius Samo Fekonja, Robert Schenk, Emily Schröder, Rosario Tomasello, Samo Tomšič, Thomas Picht
Digital twins enable simulation, comprehensive analysis and predictions, as virtual representations of physical systems. They are also finding increasing interest and application in the healthcare sector, with a particular focus on digital twins of the brain. We discuss how digital twins in neuroscience enable the modeling of brain functions and pathology as they offer an in-silico approach to studying the brain and illustrating the complex relationships between brain network dynamics and related functions. To showcase the capabilities of digital twinning in neuroscience we demonstrate how the impact of brain tumors on the brain’s physical structures and functioning can be modeled in relation to the philosophical concept of plasticity. Against this technically derived backdrop, which assumes that the brain’s nonlinear behavior toward improvement and repair can be modeled and predicted based on MRI data, we further explore the philosophical insights of Catherine Malabou. Malabou emphasizes the brain’s dual capacity for adaptive and destructive plasticity. We will discuss in how far Malabou’s ideas provide a more holistic theoretical framework for understanding how digital twins can model the brain’s response to injury and pathology, embracing Malabou’s concept of both adaptive and destructive plasticity which provides a framework to address such yet incomputable aspects of neuroscience and the sometimes seemingly unfavorable dynamics of neuroplasticity helping to bridge the gap between theoretical research and clinical practice.
数字孪生作为物理系统的虚拟代表,能够进行模拟、综合分析和预测。在医疗保健领域,数字孪生也受到越来越多的关注和应用,尤其是大脑数字孪生。我们将讨论神经科学中的数字孪生如何实现大脑功能和病理建模,因为它们提供了一种研究大脑和说明大脑网络动力学与相关功能之间复杂关系的室内方法。为了展示数字孪生在神经科学中的功能,我们展示了如何根据可塑性的哲学概念来模拟脑肿瘤对大脑物理结构和功能的影响。在此技术背景下,我们进一步探讨了凯瑟琳-马拉博(Catherine Malabou)的哲学见解。马拉博强调大脑具有适应性和破坏性可塑性的双重能力。我们将讨论马拉博的观点在多大程度上为理解数字双胞胎如何模拟大脑对损伤和病理的反应提供了一个更全面的理论框架,马拉博的适应性和破坏性可塑性概念为解决神经科学中难以计算的方面以及神经可塑性有时看似不利的动态提供了一个框架,有助于弥合理论研究与临床实践之间的差距。
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引用次数: 0
Dual-factor model of sleep and diet: a new approach to understanding central fatigue 睡眠与饮食双因素模型:了解中枢疲劳的新方法
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-18 DOI: 10.3389/fnins.2024.1465568
Yifei Zhang, Zehan Zhang, Qingqian Yu, Bijuan Lan, Qinghuan Shi, Yan Liu, Weiyue Zhang, Feng Li
BackgroundNumerous studies have recently examined the impact of dietary factors such as high-fat diets on fatigue. Our study aims to investigate whether high-fat diet (HFD) alone or combined with alternate-day fasting (ADF) can lead to the central fatigue symptoms and to investigate the potential integration of dietary and sleep variables in the development of central fatigue models.MethodsSeventy-five male Wistar rats were divided into five groups: control, HFD, HFD + ADF, modified multiple platform method (MMPM), and MMPM+HFD + ADF. Each group underwent a 21-day modeling period according to their respective protocol. Their behavioral characteristics, fatigue biochemical markers, hippocampal pathological changes, mitochondrial ultrastructure, and oxidative stress damage were analyzed.ResultsOur findings demonstrate that using only HFD did not cause central fatigue, but combining it with ADF did. This combination led to reduced exercise endurance, decreased locomotor activity, impaired learning and memory abilities, along with alterations in serum levels of alanine aminotransferase (ALT), creatine kinase (CK), and lactate (LAC), as well as hippocampal pathological damage and other central fatigue symptoms. Moreover, the MMPM+HFD + ADF method led to the most obvious central fatigue symptoms in rats, including a variety of behavioral changes, alterations in fatigue-related biochemical metabolic markers, prominent pathological changes in hippocampal tissue, severe damage to the ultrastructure of mitochondria in hippocampal regions, changes in neurotransmitters, and evident oxidative stress damage. Additionally, it was observed that rats subjected to HFD + ADF, MMPM, and MMPM+HFD + ADF modeling method exhibited significant brain oxidative stress damage.ConclusionWe have demonstrated the promotive role of dietary factors in the development of central fatigue and have successfully established a more stable and clinically relevant animal model of central fatigue by integrating dietary and sleep factors.
背景最近有许多研究探讨了高脂饮食等饮食因素对疲劳的影响。我们的研究旨在探讨高脂饮食(HFD)单独或结合隔日禁食(ADF)是否会导致中枢疲劳症状,并探讨在中枢疲劳模型的开发过程中整合饮食和睡眠变量的可能性。每组都按照各自的方案进行了为期 21 天的建模。结果我们的研究结果表明,仅使用 HFD 不会导致中枢疲劳,但将其与 ADF 结合使用则会导致中枢疲劳。这种组合导致运动耐力下降、运动活动减少、学习和记忆能力受损、血清中丙氨酸氨基转移酶(ALT)、肌酸激酶(CK)和乳酸(LAC)水平改变,以及海马病理损伤和其他中枢疲劳症状。此外,MMPM+HFD+ADF方法导致的大鼠中枢疲劳症状最为明显,包括各种行为变化、与疲劳相关的生化代谢标志物的改变、海马组织的突出病理变化、海马区线粒体超微结构的严重破坏、神经递质的变化以及明显的氧化应激损伤。结论我们证明了膳食因素在中枢疲劳发生中的促进作用,并通过整合膳食和睡眠因素,成功建立了一种更稳定、更符合临床的中枢疲劳动物模型。
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引用次数: 0
Inclusion, reporting and analysis of demographic variables in chronobiology and sleep research.
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1421026
Selma Tir, Rhiannon White, Manuel Spitschan

Many aspects of sleep and circadian physiology are sensitive to participant-level characteristics. While recent research robustly highlights the importance of considering participant-level demographic information, the extent to which this information is consistently collected, and reported in the literature, remains unclear. This article investigates study sample characteristics within the published sleep and chronobiology research over the past 40 years. 6,777 articles were identified and a random sample of 20% was included. The reporting of sample size, age, sex, gender, ethnicity, level of education, socio-economic status, and profession of the study population was scored, and any reported aggregate summary statistics for these variables were recorded. We observed a significant upward trend in the reporting and analysis of demographic variables in sleep and chronobiology research. However, we found that while > 90% of studies reported age or sex, all other variables were reported in < 25% of cases. Reporting quality was highly variable, indicating an opportunity to standardize reporting guidelines for participant-level characteristics to facilitate Meta analyses.

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引用次数: 0
Corrigendum: Diagnosis for autism spectrum disorder children using T1-based gray matter and arterial spin labeling-based cerebral blood flow network metrics.
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1480497
Mingyang Liu, Weibo Yu, Dandan Xu, Miaoyan Wang, Bo Peng, Haoxiang Jiang, Yakang Dai

[This corrects the article DOI: 10.3389/fnins.2024.1356241.].

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引用次数: 0
Study of a precise treatment protocol for patients with consciousness disorders based on the brain network analysis of functional magnetic resonance imaging.
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1443478
Pingzhi Wang, Jie Xiang, Yan Niu, Jing Wei, Caiqin Lan, Xiangping Li, Liying Xu, Yajie Yin, Hongxiong Wang, Tao Zhang, Lei Yang, Hao Xing, Shasha Fan, Qing Niu, Huicong Kang, Ying Liang

Objective: How to conduct objective and accurate individualized assessments of patients with disorders of consciousness (DOC) and carry out precision rehabilitation treatment technology is a major rehabilitation problem that needs to be solved urgently.

Methods: In this study, a multi-layer brain network was constructed based on functional magnetic resonance imaging (fMRI) to analyze the structural and functional brain networks of patients with DOC at different levels and to find regulatory targets (imaging markers) with recovery potential for DOC. Then repeated transcranial magnetic stimulation (rTMS) was performed in DOC patients to clinically validate.

Results: The brain network connectivity of DOC patients with different consciousness states is different, and the most obvious brain regions appeared in the olfactory cortex and precuneus. rTMS stimulation could effectively improve the consciousness level of DOC patients and stimulate the occipital lobe (specific regions found in this study) and the dorsolateral prefrontal cortex (DLPFC), and both parts had a good consciousness recovery effect.

Conclusion: In clinical work, personalized stimulation regimen treatment combined with the brain network characteristics of DOC patients can improve the treatment effect.

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引用次数: 0
Influencing factors of glymphatic system during perioperative period 围手术期影响消化系统的因素
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.3389/fnins.2024.1428085
Rui Dong, Wenjie Liu, Yuqiang Han, Zimo Wang, Linhao Jiang, Liwei Wang, Xiaoping Gu
The glymphatic system is a functional cerebrospinal fluid circulatory system that uses peri-arterial space for inflow of cerebrospinal fluid and peri-venous space for efflux of cerebrospinal fluid from brain parenchyma. This brain-wide fluid transport pathway facilitates the exchange between cerebrospinal fluid and interstitial fluid and clears metabolic waste from the metabolically active brain. Multiple lines of work show that the glymphatic system is crucial to normal brain functions, and the dysfunction of the glymphatic system is closely associated with various neurological disorders, including aging, neurodegeneration, and acute brain injury. Currently, it is common to explore the functional and molecular mechanisms of the glymphatic system based on animal models. The function of glymphatic system during perioperative period is affected by many factors such as physiological, pathological, anesthetic and operative methods. To provide a reference for the interpretation of the results of glymphatic system studies during perioperative period, this article comprehensively reviews the physiological and pathological factors that interfere with the function of the glymphatic system during perioperative period, investigates the effects of anesthetic drugs on glymphatic system function and the potential underlying mechanisms, describes operative methods that interfere with the function of the glymphatic system, and potential intervention strategies based on the glymphatic system. Future, these variables should be taken into account as critical covariates in the design of functional studies on the glymphatic system.
脑 glymphatic 系统是一个功能性脑脊液循环系统,它利用动脉周围空间流入脑脊液,利用静脉周围空间从脑实质流出脑脊液。这种全脑液体运输途径促进了脑脊液和间质之间的交换,并清除了代谢活跃的大脑中的代谢废物。多项研究表明,脑 glymphatic 系统对大脑的正常功能至关重要,而脑 glymphatic 系统的功能障碍与各种神经系统疾病(包括衰老、神经变性和急性脑损伤)密切相关。目前,以动物模型为基础探索甘泳系统的功能和分子机制是常见的研究方法。围手术期的甘回流系统功能受生理、病理、麻醉和手术方法等多种因素的影响。为了给围术期血气系统研究结果的解读提供参考,本文全面回顾了围术期干扰血气系统功能的生理和病理因素,探讨了麻醉药物对血气系统功能的影响及其潜在的内在机制,介绍了干扰血气系统功能的手术方法以及基于血气系统的潜在干预策略。未来,在设计有关甘液系统的功能研究时,应将这些变量作为关键的协变量加以考虑。
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引用次数: 0
Top-down modulation of dichotic listening affects interhemispheric connectivity: an electroencephalography study 自上而下调节二分听影响大脑半球间的连接:脑电图研究
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.3389/fnins.2024.1424746
Osama Elyamany, Jona Iffland, Denise Lockhofen, Saskia Steinmann, Gregor Leicht, Christoph Mulert
IntroductionDichotic listening (DL) has been extensively used as a task to investigate auditory processing and hemispheric lateralisation in humans. According to the “callosal relay model,” the typical finding of a right ear advantage (REA) occurs because the information coming from the right ear has direct access to the left dominant hemisphere while the information coming from the left ear has to cross via the corpus callosum. The underlying neuroanatomical correlates and neurophysiological mechanisms have been described using diffusion tensor imaging (DTI) and lagged phase synchronization (LPS) of the interhemispheric auditory pathway. During the non-forced condition of DL, functional connectivity (LPS) of interhemispheric gamma-band coupling has been described as a relevant mechanism related to auditory perception in DL. In this study, we aimed to extend the previous results by exploring the effects of top-down modulation of DL (forced-attention condition) on interhemispheric gamma-band LPS.MethodsRight-handed healthy participants (n = 31; 17 females) performed three blocks of DL with different attention instructions (no-attention, left-ear attention, right-ear attention) during simultaneous EEG recording with 64 channels. Source analysis was done with exact low-resolution brain electromagnetic tomography (eLORETA) and functional connectivity between bilateral auditory areas was assessed as LPS in the gamma-band frequency range.ResultsTwenty-four participants (77%) exhibited a right-ear advantage in the no-attention block. The left- and right-attention conditions significantly decreased and increased right-ear reports, respectively. Similar to the previous studies, functional connectivity analysis (gamma-band LPS) showed significantly increased connectivity between left and right Brodmann areas (BAs) 41 and 42 during left ear reports in contrast with right ear reports. Our new findings notably indicated that the right-attention condition exhibited significantly higher connectivity between BAs 42 compared with the no-attention condition. This enhancement of connectivity was more pronounced during the perception of right ear reports.DiscussionOur results are in line with previous reports describing gamma-band synchronization as a relevant neurophysiological mechanism involved in the interhemispheric connectivity according to the callosal relay model. Moreover, we newly added some evidence of attentional effects on this interhemispheric connectivity, consistent with the attention-executive model. Our results suggest that reciprocal inhibition could be involved in hemispheric lateralization processes.
引言 二分听(DL)已被广泛用作研究人类听觉加工和半球侧化的一项任务。根据 "胼胝体中继模型",右耳优势(REA)的典型发现是由于来自右耳的信息可以直接进入左侧优势半球,而来自左耳的信息则必须通过胼胝体。我们利用大脑半球间听觉通路的弥散张量成像(DTI)和滞后相位同步(LPS)描述了其潜在的神经解剖相关性和神经生理学机制。在 DL 的非强迫条件下,半球间伽马带耦合的功能连接(LPS)被描述为与 DL 听觉感知相关的机制。本研究旨在通过探讨自上而下调节 DL(强迫注意条件)对半球间伽玛波段 LPS 的影响来扩展之前的研究结果。方法:右手健康的参与者(n = 31;17 名女性)在 64 个通道的同步脑电图记录过程中进行了三个区块的 DL,并使用了不同的注意指令(无注意、左耳注意、右耳注意)。通过精确低分辨率脑电磁断层扫描(eLORETA)进行了声源分析,并以伽马频段频率范围内的 LPS 评估了双侧听觉区域之间的功能连接性。左侧和右侧注意力条件分别显著减少和增加了右耳报告。与之前的研究类似,功能连通性分析(伽马波段 LPS)显示,在左耳报告时,左右布罗德曼区(BA)41 和 42 之间的连通性明显增加,与右耳报告形成鲜明对比。我们的新发现尤其表明,与无注意力条件相比,右侧注意力条件下 BA 42 之间的连通性明显提高。我们的结果与之前的报告一致,根据胼胝体中继模型,伽玛波段同步是大脑半球间连接的相关神经生理机制。此外,我们还新增了一些证据,证明注意对这种半球间连接的影响,这与注意执行模型是一致的。我们的研究结果表明,相互抑制可能参与了半球侧化过程。
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引用次数: 0
Analyzing the transient response dynamics of long-term depression in the mouse auditory cortex in vitro through multielectrode-array-based spatiotemporal recordings 通过基于多电极阵列的时空记录分析小鼠听觉皮层体外长期抑制的瞬态响应动力学
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-12 DOI: 10.3389/fnins.2024.1448365
Ryo Furukawa, Kouta Kume, Takashi Tateno
In the auditory cortex, synaptic plasticity, including long-term potentiation (LTP) and long-term depression (LTD), plays crucial roles in information processing and adaptation to the auditory environment. Previous rodent studies have shown lifelong cortical map plasticity, even beyond the critical period of development. While thalamocortical synapses exhibit LTD during the critical period, little is known about LTD in the cortico-cortical connections of the adult mouse auditory cortex. Here, we investigated the transient response dynamics of LTD in layers 2–5 of the mouse auditory cortex following tetanic stimulation (TS) to layer 4. To characterize LTD properties, we developed a recording protocol to monitor activity levels at multiple sites, including those more than 0.45 mm from the TS site. This allowed us to distinguish LTD-induced reductions in neural excitability from other types, including neural activity depletion. Our findings revealed that LTD induced in layer 4 persisted for over 40-min post-TS, indicating robust cortico-cortical LTD. Using electrophysiological data and a modified synaptic model, we identified key receptors involved in synaptic plasticity and their effects on response dynamics, proposing a method for studying LTD in the mature mouse auditory cortex. Particularly, by employing a simple dynamical model, we analyzed and discussed the involvement of key receptors during the transient period of LTD. This study expands our understanding of synaptic plasticity in the mature mouse auditory cortex beyond the critical period, potentially informing future treatments for hearing disorders.
在听觉皮层中,突触可塑性(包括长期延时(LTP)和长期抑制(LTD))在信息处理和适应听觉环境中起着至关重要的作用。以往的啮齿类动物研究表明,皮层图谱的可塑性是终身的,甚至超过了发育的关键时期。虽然丘脑皮层突触在临界期表现出LTD,但人们对成年小鼠听觉皮层的皮层-皮层连接中的LTD知之甚少。在这里,我们研究了小鼠听皮层 2-5 层在第 4 层受到四次刺激(TS)后的 LTD 瞬时反应动态。为了描述LTD的特性,我们制定了一个记录方案来监测多个部位的活动水平,包括距离TS部位0.45毫米以上的部位。这使我们能够将LTD诱导的神经兴奋性降低与其他类型(包括神经活动耗竭)区分开来。我们的研究结果表明,在第四层诱导的LTD在TS后持续了40多分钟,这表明皮质-皮质LTD具有很强的稳定性。利用电生理数据和改进的突触模型,我们确定了参与突触可塑性的关键受体及其对反应动力学的影响,提出了一种研究成熟小鼠听皮层LTD的方法。特别是,通过使用一个简单的动力学模型,我们分析并讨论了LTD瞬时期关键受体的参与。这项研究拓展了我们对成熟小鼠听皮层临界期之外的突触可塑性的理解,有可能为未来治疗听力障碍提供参考。
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引用次数: 0
Bibliometric and visualized analysis of the application of artificial intelligence in stroke 对人工智能在中风中的应用进行文献计量和可视化分析
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.3389/fnins.2024.1411538
Fangyuan Xu, Ziliang Dai, Yu Ye, Peijia Hu, Hongliang Cheng
BackgroundStroke stands as a prominent cause of mortality and disability worldwide, posing a major public health concern. Recent years have witnessed rapid advancements in artificial intelligence (AI). Studies have explored the utilization of AI in imaging analysis, assistive rehabilitation, treatment, clinical decision-making, and outcome and risk prediction concerning stroke. However, there is still a lack of systematic bibliometric analysis to discern the current research status, hotspots, and possible future development trends of AI applications in stroke.MethodsThe publications on the application of AI in stroke were retrieved from the Web of Science Core Collection, spanning 2004–2024. Only articles or reviews published in English were included in this study. Subsequently, a manual screening process was employed to eliminate literature not pertinent to the topic. Visualization diagrams for comprehensive and in-depth analysis of the included literature were generated using CiteSpace, VOSviewer, and Charticulator.ResultsThis bibliometric analysis included a total of 2,447 papers, and the annual publication volume shows a notable upward trajectory. The most prolific authors, countries, and institutions are Dukelow, Sean P., China, and the University of Calgary, respectively, making significant contributions to the advancement of this field. Notably, stable collaborative networks among authors and institutions have formed. Through clustering and citation burst analysis of keywords and references, the current research hotspots have been identified, including machine learning, deep learning, and AI applications in stroke rehabilitation and imaging for early diagnosis. Moreover, emerging research trends focus on machine learning as well as stroke outcomes and risk prediction.ConclusionThis study provides a comprehensive and in-depth analysis of the literature regarding AI in stroke, facilitating a rapid comprehension of the development status, cooperative networks, and research priorities within the field. Furthermore, our analysis may provide a certain reference and guidance for future research endeavors.
背景中风是导致全球死亡和残疾的一个主要原因,是一个重大的公共卫生问题。近年来,人工智能(AI)发展迅速。已有研究探索了人工智能在影像分析、辅助康复、治疗、临床决策、卒中预后和风险预测等方面的应用。然而,目前仍缺乏系统的文献计量学分析,以了解人工智能在脑卒中应用方面的研究现状、热点及未来可能的发展趋势。方法从科学网核心数据库中检索有关人工智能在脑卒中应用方面的文献,时间跨度为 2004-2024 年。本研究只收录用英文发表的文章或综述。随后,我们采用人工筛选的方法剔除了与主题无关的文献。使用 CiteSpace、VOSviewer 和 Charticulator 生成了可视化图表,以便对收录的文献进行全面深入的分析。发表论文最多的作者、国家和机构分别是杜克洛(Dukelow, Sean P.)、中国和卡尔加里大学,他们为该领域的发展做出了重要贡献。值得注意的是,作者和机构之间形成了稳定的合作网络。通过对关键词和参考文献的聚类和引文猝发分析,确定了当前的研究热点,包括机器学习、深度学习、人工智能在脑卒中康复和成像早期诊断中的应用。此外,新出现的研究趋势主要集中在机器学习以及中风预后和风险预测方面。结论本研究对有关中风人工智能的文献进行了全面深入的分析,有助于快速了解该领域的发展现状、合作网络和研究重点。此外,我们的分析还可为未来的研究工作提供一定的参考和指导。
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引用次数: 0
New insights in lipid metabolism: potential therapeutic targets for the treatment of Alzheimer’s disease 脂质代谢的新发现:治疗阿尔茨海默病的潜在治疗靶点
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-11 DOI: 10.3389/fnins.2024.1430465
Yuan Cao, Lin-Wei Zhao, Zi-Xin Chen, Shao-Hua Li
Alzheimer’s disease (AD) is increasingly recognized as being intertwined with the dysregulation of lipid metabolism. Lipids are a significant class of nutrients vital to all organisms, playing crucial roles in cellular structure, energy storage, and signaling. Alterations in the levels of various lipids in AD brains and dysregulation of lipid pathways and transportation have been implicated in AD pathogenesis. Clinically, evidence for a high-fat diet firmly links disrupted lipid metabolism to the pathogenesis and progression of AD, although contradictory findings warrant further exploration. In view of the significance of various lipids in brain physiology, the discovery of complex and diverse mechanisms that connect lipid metabolism with AD-related pathophysiology will bring new hope for patients with AD, underscoring the importance of lipid metabolism in AD pathophysiology, and promising targets for therapeutic intervention. Specifically, cholesterol, sphingolipids, and fatty acids have been shown to influence amyloid-beta (Aβ) accumulation and tau hyperphosphorylation, which are hallmarks of AD pathology. Recent studies have highlighted the potential therapeutic targets within lipid metabolism, such as enhancing apolipoprotein E lipidation, activating liver X receptors and retinoid X receptors, and modulating peroxisome proliferator-activated receptors. Ongoing clinical trials are investigating the efficacy of these strategies, including the use of ketogenic diets, statin therapy, and novel compounds like NE3107. The implications of these findings suggest that targeting lipid metabolism could offer new avenues for the treatment and management of AD. By concentrating on alterations in lipid metabolism within the central nervous system and their contribution to AD development, this review aims to shed light on novel research directions and treatment approaches for combating AD, offering hope for the development of more effective management strategies.
人们越来越认识到,阿尔茨海默病(AD)与脂质代谢失调密切相关。脂质是一类对所有生物都至关重要的重要营养物质,在细胞结构、能量储存和信号传递中发挥着至关重要的作用。AD 大脑中各种脂质水平的改变以及脂质途径和运输的失调都与 AD 的发病机制有关。在临床上,有证据表明高脂饮食将脂质代谢紊乱与 AD 的发病和进展紧密联系在一起,尽管研究结果相互矛盾,但仍值得进一步探讨。鉴于各种脂质在大脑生理中的重要作用,发现脂质代谢与AD相关病理生理学之间复杂多样的关联机制将为AD患者带来新的希望,强调脂质代谢在AD病理生理学中的重要性,并有望成为治疗干预的靶点。具体而言,胆固醇、鞘脂和脂肪酸已被证明会影响淀粉样β(Aβ)的积累和tau过度磷酸化,而这正是AD病理学的标志。最近的研究强调了脂质代谢中的潜在治疗靶点,如增强脂蛋白E脂化、激活肝X受体和视黄醇X受体,以及调节过氧化物酶体增殖物激活受体。目前正在进行的临床试验正在研究这些策略的疗效,包括使用生酮饮食、他汀类药物治疗以及 NE3107 等新型化合物。这些研究结果表明,针对脂质代谢的研究可以为治疗和控制注意力缺失症提供新的途径。通过集中研究中枢神经系统内脂质代谢的改变及其对注意力缺失症发展的贡献,本综述旨在阐明对抗注意力缺失症的新研究方向和治疗方法,为制定更有效的管理策略带来希望。
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引用次数: 0
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Frontiers in Neuroscience
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