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An event-based opto-tactile skin. 基于事件的光触觉皮肤。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 eCollection Date: 2025-01-01 DOI: 10.3389/fnins.2025.1735068
Mohammadreza Koolani, Simeon Bamford, Petr Trunin, Simon F Müller-Cleve, Matteo Lo Preti, Fulvio Mastrogiovanni, Lucia Beccai, Chiara Bartolozzi

This paper presents a neuromorphic, event-driven tactile sensing system for soft, large-area skin, based on the Dynamic Vision Sensors (DVS) integrated with a flexible silicone optical waveguide skin. Instead of repetitively scanning embedded photoreceivers, this design uses a stereo vision setup comprising two DVS cameras looking sideways through the skin. Such a design produces events as changes in brightness are detected, and estimates press positions on the 2D skin surface through triangulation, utilizing Density-Based Spatial Clustering of Applications with Noise (DBSCAN) to find the center of mass of contact events resulting from pressing actions. The system is evaluated over a 4,620 mm probed area of the skin using a meander raster scan. Across 95 % of the presses visible to both cameras, the press localization achieved a Root-Mean-Squared Error (RMSE) of 4.66 mm. The results highlight the potential of this approach for wide-area flexible and responsive tactile sensors in soft robotics and interactive environments. Moreover, we examined how the system performs when the amount of event data is strongly reduced. Using stochastic down-sampling, the event stream was reduced to 1/1,024 of its original size. Under this extreme reduction, the average localization error increased only slightly (from 4.66 mm to 9.33 mm), and the system still produced valid press localizations for 85 % of the trials. This reduction in pass rate is expected, as some presses no longer produce enough events to form a reliable cluster for triangulation. These results show that the sensing approach remains functional even with very sparse event data, which is promising for reducing power consumption and computational load in future implementations. The system exhibits a detection latency distribution with a characteristic width of 31 ms.

本文提出了一种基于动态视觉传感器(DVS)与柔性硅光波导皮肤集成的神经形态、事件驱动的柔软大面积皮肤触觉传感系统。与重复扫描嵌入式光电接收器不同,该设计使用了一个立体视觉装置,该装置由两个分布式交换机摄像机组成,通过皮肤向侧面观察。这样的设计在检测到亮度变化时产生事件,并通过三角测量估计2D皮肤表面的按压位置,利用基于密度的带噪声应用空间聚类(DBSCAN)来找到按压动作引起的接触事件的质心。该系统在4,620毫米的皮肤探测区域使用弯曲光栅扫描进行评估。在两台相机都能看到的95%的压力机中,压力机定位的均方根误差(RMSE)为4.66 mm。结果突出了这种方法在软机器人和交互式环境中用于广域柔性和响应性触觉传感器的潜力。此外,我们还研究了当事件数据量大幅减少时系统的性能。使用随机下采样,事件流被减少到其原始大小的1/ 1024。在这种极端的减少下,平均定位误差仅略有增加(从4.66 mm增加到9.33 mm),并且系统在85%的试验中仍然产生有效的压力机定位。这种通过率的降低是意料之中的,因为一些压力机不再产生足够的事件来形成可靠的三角测量集群。这些结果表明,即使在非常稀疏的事件数据下,传感方法仍然有效,这有望在未来的实现中降低功耗和计算负荷。该系统具有特征宽度为31 ms的检测延迟分布。
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引用次数: 0
A narrative review of functional near-infrared spectroscopy (fNIRS) applications in hearing loss, tinnitus and vestibular disorders. 功能性近红外光谱(fNIRS)在听力损失、耳鸣和前庭疾病中的应用综述。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 eCollection Date: 2025-01-01 DOI: 10.3389/fnins.2025.1703917
Davide Brotto, Gaia Lucarini, Valeria Del Vecchio, Nicole Galoforo, Elisa Lovato, Benedetta Colavolpe, Giusy Melcarne, Gino Marioni, Judit Gervain, Anna Rita Fetoni, Patrizia Trevisi

Introduction: Functional near-infrared spectroscopy (fNIRS) has emerged as a promising neuroimaging modality for investigating cortical activity in auditory and vestibular domains. Its portability, device compatibility, and motion tolerance make it particularly suited for use in populations that are challenging to study with conventional neuroimaging techniques, such as infants and cochlear implant (CI) users. The present study aims to explore the potential and limitations of this neuroimaging technique in the audiological and vestibular fields, offering an integrated perspective across pediatric, adult and elderly populations.

Methods: A narrative review of studies using fNIRS in hearing loss, tinnitus, and vestibular disorders was conducted through searches in PubMed and Scopus up to March 2025. Studies were included if they employed fNIRS to investigate cortical responses in individuals with diagnosed hearing loss, chronic tinnitus or to investigate vestibular function.

Results: A total of 60 studies were reviewed: 36 on hearing loss, 11 on tinnitus, and 13 on vestibular disorders. In hearing research, fNIRS successfully identified cortical activation patterns related to auditory perception, speech processing, and cross-modal plasticity in CI users across development, adulthood and aging. The technique showed prognostic potential in predicting CI outcomes and monitoring listening effort and cognitive load. In tinnitus research, fNIRS consistently demonstrate hyper-activation in the auditory cortex and altered functional connectivity with frontal-limbic networks, reflecting sensory, cognitive, and emotional involvement. The technique was sensitive to treatment effects following interventions such as transcranial stimulation, acupuncture, and cochlear implantation. In vestibular research, fNIRS enabled the mapping of cortical networks involved in balance control and multisensory integration during various stimulation paradigms, including caloric testing, motion platforms, and optic flow in virtual environments. Although current applications are mostly exploratory, findings suggest fNIRS can capture vestibular-related cortical activity in real-world conditions.

Conclusion: fNIRS offers a valuable, non-invasive, and ecologically valid method for investigating auditory and vestibular function across the lifespan. In hearing and tinnitus research, it shows strong potential for clinical translation, especially if methodological standardization is achieved. Applications in vestibular research remain preliminary but promising.

功能近红外光谱(fNIRS)已成为研究听觉和前庭皮层活动的一种有前途的神经成像方式。它的便携性、设备兼容性和运动容忍度使其特别适合于传统神经成像技术研究具有挑战性的人群,如婴儿和人工耳蜗(CI)用户。本研究旨在探讨这种神经成像技术在听力学和前庭领域的潜力和局限性,为儿童、成人和老年人提供综合视角。方法:通过PubMed和Scopus检索到2025年3月,对使用fNIRS治疗听力损失、耳鸣和前庭疾病的研究进行叙述性回顾。如果研究使用fNIRS来调查诊断为听力损失、慢性耳鸣的个体的皮质反应或调查前庭功能,则纳入研究。结果:共回顾了60项研究:听力损失36项,耳鸣11项,前庭功能障碍13项。在听力研究中,fNIRS成功地识别了与听觉感知、语音处理和跨模态可塑性相关的皮层激活模式。该技术在预测CI结果和监测听力努力和认知负荷方面显示出预后潜力。在耳鸣研究中,fNIRS持续显示听觉皮层的过度激活和前额边缘网络功能连接的改变,反映了感觉、认知和情感的参与。该技术对经颅刺激、针灸和人工耳蜗植入等干预措施的治疗效果敏感。在前庭研究中,fNIRS能够在各种刺激模式下绘制涉及平衡控制和多感觉整合的皮层网络,包括热量测试、运动平台和虚拟环境中的光流。虽然目前的应用大多是探索性的,但研究结果表明,fNIRS可以捕捉到现实世界中前庭相关的皮层活动。结论:fNIRS为研究听觉和前庭功能提供了一种有价值的、非侵入性的、生态有效的方法。在听力和耳鸣研究中,它显示出强大的临床转化潜力,特别是如果方法标准化实现。在前庭研究中的应用仍处于初步阶段,但前景广阔。
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引用次数: 0
MicroRNA profiling in post-mortem spinal cord of C9ORF72-related ALS patients reveals molecular pathways involved in motor neuron degeneration. c9orf72相关ALS患者死后脊髓的MicroRNA分析揭示了参与运动神经元变性的分子途径。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1741065
Giorgia Farinazzo, Eleonora Giagnorio, Matteo Marcuzzo, Marco Cattaneo, Claudia Malacarne, Paola Cavalcante, Silvia Bonanno, Emanuela Maderna, Viviana Pensato, Cinzia Gellera, Gianluca Marucci, Samanta Mazzetti, Erika Salvi, Giuseppe Lauria, Stefania Marcuzzo

Introduction: Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder causing progressive motor neuron death in cortex, brainstem and spinal cord. The most common genetic cause is the G4C2 hexanucleotide repeat expansion in the non-coding region of exon 1 of C9ORF72, accounting for ~40% of familial and ~7% of sporadic ALS. RNA dysregulation is increasingly recognized as a key contributor to ALS pathogenesis. This study aimed to identify specific microRNAs (miRNAs) involved in motor neuron degeneration in C9ORF72-ALS.

Methods: We profiled 754 miRNAs in human post-mortem spinal cord tissue from C9ORF72-ALS patients and healthy donors. Laser capture microdissection isolated ventral horn regions, and in silico target prediction identified potential genes and pathways regulated by differentially expressed miRNAs. Target genes were validated by Real time PCR.

Results: Two subsets of miRNAs were exclusively expressed in ventral horn regions: miR-200b-3p and miR-346 in C9ORF72-ALS patients, and miR-30d-5p, miR-106b-5p and miR-135a-5p in healthy donors. Target prediction and molecular analysis identified putative genes and pathways linked to cell death, inflammation, protein metabolism, DNA modification, excitotoxicity, autophagy and vesicles trafficking.

Discussion: This study identifies specific miRNAs and their target genes as key molecules in motor neuron degeneration in C9ORF72-ALS. Restoring their expression could represent a therapeutic approach for ALS.

简介:肌萎缩性侧索硬化症(ALS)是一种致死性神经退行性疾病,导致皮层、脑干和脊髓的运动神经元进行性死亡。最常见的遗传原因是C9ORF72外显子1非编码区G4C2六核苷酸重复扩增,占家族性ALS的约40%,散发性ALS的约7%。RNA失调越来越被认为是ALS发病的关键因素。本研究旨在鉴定参与C9ORF72-ALS运动神经元退行性变的特异性microRNAs (miRNAs)。方法:我们分析了来自C9ORF72-ALS患者和健康供体的人死后脊髓组织中的754种mirna。激光捕获显微解剖分离腹角区域,并在计算机靶标预测中确定了由差异表达的miRNAs调节的潜在基因和途径。目的基因通过Real - time PCR验证。结果:两个mirna亚群在腹角区独家表达:C9ORF72-ALS患者的miR-200b-3p和miR-346,健康供者的miR-30d-5p, miR-106b-5p和miR-135a-5p。靶标预测和分子分析确定了与细胞死亡、炎症、蛋白质代谢、DNA修饰、兴奋毒性、自噬和囊泡运输相关的假定基因和途径。讨论:本研究确定了C9ORF72-ALS患者运动神经元退行性变的关键分子是特异性mirna及其靶基因。恢复它们的表达可能是治疗ALS的一种方法。
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引用次数: 0
Exploring the role of gut microbiota in potential mechanism of ketogenic diet in alleviating Parkinson's disease symptoms. 探讨肠道菌群在生酮饮食减轻帕金森病症状的潜在机制中的作用。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1678894
Xian-Mu Luo, Jun Luo, Qian Zhang, Ling-Yong Zeng, Bin Liu, Chun-Ling Chi

Background: Current clinical research suggests that the ketogenic diet (KD) intervention can alleviate Parkinson's disease (PD) symptoms. However, the underlying mechanisms remain unclear. This pilot study explored the potential link between KD-induced clinical improvements and gut microbiota alterations.

Methods: We engaged 27 PD patients in a 12-week ketogenic dietary trial (16 completed) and employed 16S rRNA sequencing to analyze gut microbiota differences compared to 27 healthy controls.

Results: Baseline analysis revealed distinct dysbiosis in PD patients, characterized by increased abundance of Enterobacteriaceae. Following the 12-week intervention, patients exhibited significant improvements in both motor (MDS-UPDRS Part III, p < 0.001) and non-motor symptoms (NMSS, p < 0.0001). These clinical improvements were accompanied by specific microbial shifts: a significant increase in Enterococcus and Synergistota, and a decrease in Alloprevotella.

Conclusion: These findings suggest that the therapeutic effects of the ketogenic diet in PD are associated with specific remodeling of the gut microbiota, particularly the enrichment of potential beneficial taxa and reduction of pro-inflammatory genera.

Clinical trial registration: https://www.chictr.org.cn/index.html, Unique Identifier: ChiCTR2100045394.

背景:目前的临床研究表明,生酮饮食(KD)干预可以缓解帕金森病(PD)的症状。然而,潜在的机制仍不清楚。这项初步研究探讨了kd诱导的临床改善和肠道菌群改变之间的潜在联系。方法:我们对27名PD患者进行了为期12周的生酮饮食试验(16名完成),并采用16S rRNA测序分析了与27名健康对照者相比肠道微生物群的差异。结果:基线分析显示PD患者明显的生态失调,其特征是肠杆菌科的丰度增加。经过12周的干预,患者表现出运动(MDS-UPDRS第三部分,p p 肠球菌和协同菌)的显著改善,Alloprevotella的减少。结论:这些研究结果表明,生酮饮食对PD的治疗作用与肠道微生物群的特异性重塑有关,特别是潜在有益类群的富集和促炎属的减少。临床试验注册:https://www.chictr.org.cn/index.html,唯一标识符:ChiCTR2100045394。
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引用次数: 0
Perceptual punctuation: fixational eye movements reveal segmentation of auditory streams. 感知标点:注视的眼球运动揭示了听觉流的分割。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-23 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1731980
Vincenzo Rizzuto, Oren Kadosh, Roberto Montanari, Yoram Bonneh

Introduction: Perception operates as rhythmically structured sampling in which temporal predictions determine when incoming signals are weighted. Fixational eye movements carry opposing consequences, enhancing acuity yet inducing brief peri-saccadic suppression, suggesting that their timing is paced by expected, salient rhythms. Auditory scenes can be parsed into competing streams that unfold over time. If fixation dynamics are shaped by temporal expectation, and auditory streaming imposes a percept-dependent temporal structure on otherwise identical acoustics, then fixational eye movements might provide a window into how listeners parse sound over time. We asked whether fixational eye movements reflect the perceived rather than the physical temporal organization of an ambiguous ABA- pattern.

Methods: While listeners fixated and either attended High, Low, or All tones (Experiment 1, n = 15) or freely reported their percept (Experiment 2, n = 15), we recorded binocular eye position (500 Hz) and quantified microsaccade (MS) dynamics and eye-velocity spectra.

Results: Across both experiments, eye-velocity spectra showed a percept-dependent redistribution between 2 and 4 Hz, with relative power shifting with the instructed/reported stream. A normalized 4-2 Hz index (ΔPSD) separated Low-tone from High-tone percepts across procedures. Time-resolved analyses further revealed within-trial waxing-and-waning of 2 vs. 4 Hz dominance, consistent with bistable fluctuations in maintaining a stream. Moreover, microsaccade reaction time (msRT), aligned to the onset of the sound sequence, differed significantly depending on the percept.

Discussion: These findings extend oculomotor inhibition beyond discrete events, positioning fixation dynamics as a sensitive, report-free marker of auditory scene organization. We discuss mechanistic links to temporal attention and active sensing, and implications for a multisensory timing framework.

简介:感知操作作为有节奏的结构化采样,其中时间预测决定何时对输入信号进行加权。注视性眼球运动带来相反的结果,增强了敏锐度,但引起了短暂的眼球周围抑制,这表明它们的时间是由预期的显著节奏所决定的。听觉场景可以被解析成随着时间展开的竞争流。如果注视动态是由时间预期形成的,并且听觉流在其他方面相同的声学上施加了一种感知依赖的时间结构,那么注视眼运动可能为听众如何随着时间的推移解析声音提供了一个窗口。我们询问眼动是否反映了一种模糊的ABA模式的感知而不是物理时间组织。方法:当听众注视并聆听高、低或全音调(实验1,n = 15)或自由报告他们的感知(实验2,n = 15)时,我们记录了双眼位置(500 Hz)并量化了微跳(MS)动态和眼速度谱。结果:在两个实验中,眼速度谱在2和4 Hz之间表现出感知依赖的重新分布,相对功率随指示/报告流而变化。标准化的4-2 Hz指数(ΔPSD)将整个过程中的低音感知从高音感知中分离出来。时间分辨分析进一步揭示了试验内2和4赫兹优势的起伏,与维持流的双稳态波动一致。此外,微跳反应时间(msRT)与声音序列的开始一致,根据感知显著不同。讨论:这些发现将动眼肌抑制扩展到离散事件之外,将注视动力学定位为听觉场景组织的敏感、无需报告的标记。我们讨论了时间注意和主动感知的机制联系,以及对多感官定时框架的影响。
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引用次数: 0
ASXL3 gene variants causing Bainbridge-Ropers syndrome: clinical and genetic analysis of four Chinese patients. 引起Bainbridge-Ropers综合征的ASXL3基因变异:4例中国患者的临床和遗传分析
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 eCollection Date: 2025-01-01 DOI: 10.3389/fnins.2025.1739877
Qi Yang, Qiang Zhang, Xunzhao Zhou, Shang Yi, Zailong Qin, Sheng Yi, Sheng He, Jingsi Luo

Bainbridge-Ropers syndrome (BRPS, OMIM #615485) is a rare, heterogeneous autosomal dominant genetic disease that is mainly characterized by intellectual disability (ID) of varying degrees, developmental delay (DD), language impairments, failure to thrive, behavioral issues, hypotonia, feeding difficulties, and distinctive craniofacial features. It is caused by heterozygous pathogenic variants in the additional sex combs-like 3 (ASXL3, OMIM #615115) gene. In this study, four Chinese patients were diagnosed with BRPS caused by ASXL3 variants through whole exome sequencing. We detected two novel and two previously reported variants of the ASXL3 gene (NM_030632.3) in these 4 unrelated Chinese patients: two novel variants, namely, c.1276del (p.Val426*) and c.3750del (p.Glu1251Asnfs*5), and two recurrent variants, namely, c.4330C>T (p.Arg1444*) and c.4336_4337delAG (p.Arg1446fs*2). All four patients had a clinical profile similar to that associated with BRPS. Compared with previously reported cases of BRPS, these patients exhibited novel complications, including long eyelashes, congenital laryngeal cartilage hypoplasia and dextrocardia. These findings broaden our understanding of the mutational and clinical spectrum of BRPS, emphasizing the importance of long-term monitoring and vigilance regarding potential complications, such as cardiac abnormalities, in BRPS patients.

Bainbridge-Ropers综合征(BRPS, ommi# 615485)是一种罕见的异质常染色体显性遗传疾病,主要表现为不同程度的智力障碍(ID)、发育迟缓(DD)、语言障碍、发育不良、行为问题、张力低下、进食困难和独特的颅面特征。它是由额外的性梳状3 (ASXL3, omim# 615115)基因的杂合致病变异引起的。在本研究中,通过全外显子组测序,4例中国患者被诊断为ASXL3变异引起的BRPS。我们在这4例无亲属关系的中国患者中检测到两个新的和两个先前报道的ASXL3基因(NM_030632.3)变异:两个新的变异,即c.1276del (p.Val426*)和c.3750del (p.Glu1251Asnfs*5),以及两个复发变异,即c.4330C>T (p.Arg1444*)和c.4336_4337delAG (p.Arg1446fs*2)。所有4例患者的临床特征与BRPS相关的相似。与先前报道的BRPS病例相比,这些患者出现了新的并发症,包括长睫毛,先天性喉软骨发育不全和右心。这些发现拓宽了我们对BRPS突变和临床谱的理解,强调了长期监测和警惕BRPS患者潜在并发症(如心脏异常)的重要性。
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引用次数: 0
Altered gut fungal microbiota and associated mycotoxins in juvenile rat offspring induced by maternal immune activation with Poly I:C. 母体Poly I:C免疫激活诱导幼年大鼠子代肠道真菌菌群及相关真菌毒素的改变
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1702092
Fuchun Zhong, Menglu Zeng, Huiyu Chen, Yanfang Lu, Zhenju Cao, Fei Xue, Shuangyan Yang, Lirong Yang, Xinyu Yang, Wei Lin, Anying Shen, Yueqing Su

Background: Maternal immune activation (MIA) is a risk factor for neurodevelopmental disorders (NDDs) in offspring. While MIA-induced changes in the gut bacterial communities of offspring and their metabolites have been linked to behavioral abnormalities, the effects of MIA on the gut fungal communities and their mycotoxin-associated metabolites in offspring remain poorly characterized.

Methods: In this study, MIA was modeled in pregnant rats through intraperitoneal injection of 5 mg/kg Poly I:C on gestational day 15. The model's efficacy was validated using behavioral assessments, including the open-field test, elevated plus maze, and Morris water maze. Internal transcribed spacer (ITS) sequencing and untargeted metabolomics analysis were employed to detect the alterations of gut fungal microbiota and mycotoxin levels.

Results: Poly I:C-exposed offspring exhibited increased anxiety and cognitive deficits. Meanwhile, Poly I:C induces sex-related differences in gut fungal communities and mycotoxin levels in juvenile offspring rats. Several fungal genera and mycotoxins were significantly correlated with variations in anxiety-like behaviors and spatial learning performance.

Discussion: Our findings suggest that MIA-induced behavioral deficits in offspring are accompanied by sex-specific disruptions in gut fungal composition and mycotoxin metabolism, which highlights the need for further intervention studies to establish causality and elucidate the underlying mechanisms of gut fungi and mycotoxins in NDDs.

背景:母体免疫激活(MIA)是后代神经发育障碍(ndd)的危险因素。虽然MIA诱导的后代肠道细菌群落及其代谢物的变化与行为异常有关,但MIA对后代肠道真菌群落及其真菌毒素相关代谢物的影响仍不清楚。方法:在妊娠第15天,通过腹腔注射5 mg/kg Poly I:C建立妊娠大鼠MIA模型。通过行为学评估,包括空地测试、高架迷宫和Morris水迷宫,验证了模型的有效性。采用内部转录间隔序列(ITS)测序和非靶向代谢组学分析检测肠道真菌菌群和霉菌毒素水平的变化。结果:Poly I: c暴露的后代表现出焦虑和认知缺陷增加。同时,Poly I:C诱导幼代大鼠肠道真菌群落和霉菌毒素水平的性别相关差异。一些真菌属和真菌毒素与焦虑样行为和空间学习表现的变化显著相关。讨论:我们的研究结果表明,mia诱导的后代行为缺陷伴随着肠道真菌组成和真菌毒素代谢的性别特异性中断,这突出了需要进一步的干预研究来建立因果关系并阐明ndd中肠道真菌和真菌毒素的潜在机制。
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引用次数: 0
Comparative effect of vortioxetine and sertraline on clinical and inflammatory profile in Parkinson's disease with comorbid depression. 沃替西汀与舍曲林对帕金森病伴抑郁患者临床及炎症的影响比较
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1761550
Marika Alborghetti, Camilla Moliterni, Edoardo Bianchini, Domiziana Rinaldi, Daniela Caissutti, Antonella Capozzi, Fabiana Giada Radicati, Antonella Moschillo, Martina Marino, Isabella Berardelli, Marco Salvetti, Ferdinando Nicoletti, Roberta Misasi, Francesco Ernesto Pontieri

Background: Preclinical and clinical studies suggest that the multimodal antidepressant vortioxetine may offer a valuable therapeutic option in the treatment of depression associated with neurological disorders, including Parkinson's disease (PD).

Objectives: To compare the effect of vortioxetine and the SSRI sertraline in the treatment of PD and comorbid depression, placing emphasis on peripheral inflammation markers.

Methods: This is an observational longitudinal study. We have recruited 33 patients affected by PD with comorbid depression, evaluated for motor and non-motor symptoms, depression, and peripheral and soluble markers of inflammation at baseline and at the end of antidepressant treatment. Patients were divided into two groups treated with either vortioxetine (10-20 mg/day) or sertraline (50 mg/day) for 4 months. A group of 12 healthy controls was also used for comparative purposes.

Results: At baseline PD patients showed a higher number of "classical" monocytes and a lower number of "non-classical" monocytes and myeloid dendritic cells (mDCs). The number and activity of DCs generated from isolated monocytes were also lower in PD patients. While both sertraline and vortioxetine treatment further reduced the number of mDCs, only vortioxetine had a restorative effect on CD40- and CD54-expressing DCs and their function. Both drugs display an antidepressant activity, but vortioxetine was superior to sertraline in improving cognitive function, anxiety, anhedonia, and apathy.

Conclusion: These data evaluate for the first time the immunomodulatory effects of two different treatments in PD patients with comorbid depression, highlighting the greater immunomodulatory capacity of vortioxetine.

临床前和临床研究表明,多模式抗抑郁药沃替西汀可能为治疗包括帕金森病(PD)在内的神经系统疾病相关抑郁症提供有价值的治疗选择。目的:比较vortioxetine和SSRI舍曲林治疗PD和共病抑郁症的效果,重点关注外周炎症标志物。方法:这是一项观察性纵向研究。我们招募了33名患有帕金森病并伴有抑郁症的患者,在基线和抗抑郁治疗结束时评估运动和非运动症状、抑郁、周围和可溶性炎症标志物。患者分为两组,分别使用沃替西汀(10-20 mg/天)或舍曲林(50 mg/天)治疗4 个月。一组12人的健康对照也用于比较目的。结果:在基线时,PD患者显示出更多的“经典”单核细胞和更少的“非经典”单核细胞和骨髓树突状细胞(mDCs)。PD患者分离的单核细胞产生的dc的数量和活性也较低。虽然曲林和沃替西汀治疗都进一步减少了mDCs的数量,但只有沃替西汀对表达CD40和cd54的dc及其功能有恢复作用。两种药物都显示出抗抑郁活性,但沃替西汀在改善认知功能、焦虑、快感缺乏和冷漠方面优于舍曲林。结论:这些数据首次评价了两种不同治疗方法对PD合并抑郁患者的免疫调节作用,突出了沃替西汀更强的免疫调节能力。
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引用次数: 0
Cortical excitability and brain function in patients with insomnia: a pilot transcranial magnetic stimulation and functional near-infrared spectroscopy study. 失眠患者的皮质兴奋性和脑功能:经颅磁刺激和功能性近红外光谱研究。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 eCollection Date: 2025-01-01 DOI: 10.3389/fnins.2025.1736601
Jiali Luo, Qi Chen

Background: Insomnia significantly impairs well-being, cognitive function, and social functioning, yet subjective psychological assessments often yield equivocal results regarding the extent of this impairment. Neural function may underlie this discrepancy and offer a more precise foundation for guiding treatment. This study therefore employed non-invasive transcranial magnetic stimulation (TMS) and functional near-infrared spectroscopy (fNIRS) to investigate cortical excitability and brain activity patterns in patients with short-term insomnia disorder (SID) and chronic insomnia disorder (CID), aiming to identify associated neural function changes.

Methods: We recruited 30 patients with SID and 30 with CID. For all participants, cortical excitability was assessed by measuring the resting motor threshold (RMT) via single-pulse TMS. fNIRS was utilized to measure the concentrations of oxy-hemoglobin (Oxy-Hb) and functional connectivity in the cerebral cortex during a verbal fluency task (VFT).

Results: Our study revealed that patients with SID had significantly lower RMT and higher cortical activation in the hemodynamic responses of Oxy-Hb in the bilateral dorsolateral prefrontal cortex (DLPFC), the left medial prefrontal cortex (mPFC), and the right temporal lobe (TL) than CID patients during the 60 s task period. The CID group showed significantly lower average inter-channel connectivity strength compared to the SID group. Moreover, the CID group exhibited significantly lower connectivity from the right DLPFC to the left DLPFC and the left mPFC compared to the SID group. For the SID patient group, we found that the RMT was negatively correlated with mean Oxy-Hb changes in the left mPFC. Conversely, functional connectivity between the left DLPFC and TL showed a positive correlation with RMT. Furthermore, diminished connectivity between the left TL and mPFC was associated with elevated cortical excitability.

Conclusion: Patients with CID demonstrated lower cortical excitability, decreased brain activity, and reduced task-related functional connectivity relative to the SID group. This finding indicates distinct neurological profiles between short-term and chronic insomnia, a distinction that will be critical for tailoring effective neuromodulatory interventions.

背景:失眠显著损害幸福感、认知功能和社会功能,然而主观的心理评估往往对这种损害的程度产生模棱两可的结果。神经功能可能是这种差异的基础,并为指导治疗提供更精确的基础。因此,本研究采用无创经颅磁刺激(TMS)和功能性近红外光谱(fNIRS)研究短期失眠症(SID)和慢性失眠症(CID)患者的皮质兴奋性和大脑活动模式,旨在确定相关的神经功能变化。方法:我们招募了30例SID和30例CID患者。对所有参与者,通过单脉冲经颅磁刺激测量静息运动阈值(RMT)来评估皮质兴奋性。fNIRS用于测量语言流畅性任务(VFT)期间大脑皮层的氧血红蛋白(Oxy-Hb)浓度和功能连接。结果:我们的研究显示,与CID患者相比,SID患者在60 s任务期内,双侧背外侧前额叶皮层(DLPFC)、左侧内侧前额叶皮层(mPFC)和右侧颞叶(TL)的氧- hb血流动力学反应中RMT显著降低,皮质活化程度更高。与SID组相比,CID组的平均通道间连接强度显着降低。此外,与SID组相比,CID组从右侧DLPFC到左侧DLPFC和左侧mPFC的连通性明显较低。对于SID患者组,我们发现RMT与左侧mPFC的平均Oxy-Hb变化呈负相关。相反,左DLPFC和TL之间的功能连通性与RMT呈正相关。此外,左左颞叶和内侧前额叶之间的连通性减弱与皮层兴奋性升高有关。结论:与SID组相比,CID患者表现出较低的皮质兴奋性,大脑活动减少,任务相关功能连通性降低。这一发现表明了短期失眠和慢性失眠之间不同的神经系统特征,这一区别对于制定有效的神经调节干预措施至关重要。
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引用次数: 0
Abnormal functional activity in the cerebellar crus can distinguish patients with migraine with comorbid insomnia. 小脑足部异常功能活动可区分偏头痛合并失眠患者。
IF 3.2 3区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-22 eCollection Date: 2026-01-01 DOI: 10.3389/fnins.2026.1745862
Yingsheng Zhang, Changlin Wang, Wei Gui, Xiaojun Feng, Yu Wang

Background: Migraine is a prevalent neurological disorder that is frequently observed in clinical practice and is commonly comorbid with insomnia. Insomnia can exacerbate and precipitate migraine attacks, with both conditions exerting a reciprocal influence on one another. The cerebellar crus is significantly associated with the pathophysiology of migraine and insomnia. The relationship between cerebellar crus functional alterations and migraine-associated insomnia remains unclear. This study utilizes resting-state functional magnetic resonance imaging (rs-fMRI) to examine functional alterations in the cerebellar crus of patients with migraine and concurrent insomnia.

Methods: Participants underwent resting-state functional magnetic resonance imaging. Subsequently, the disparity in amplitude of low-frequency fluctuations (ALFF) values among groups was analyzed, followed by functional connectivity (FC) investigations employing the cerebellum crus as seed regions.

Results: Migraine patients frequently experience neuropsychological disorders and insomnia, which are interconnected. Both migraine with insomnia (MwI) and migraine without insomnia (MwoI) groups demonstrated elevated amplitude of low-frequency fluctuations (ALFF) in the left Crus I and II compared to the healthy controls (HC) group, with the MwI group exhibiting more pronounced alterations. Additionally, both patient groups showed decreased FC between the left Crus I and the right middle temporal gyrus (MTG) and inferior temporal gyrus (ITG) relative to the HC group. The MwoI group showed significantly lower FC compared to both the HC and MwI groups. A significant negative correlation was observed between ALFF in the left Crus I/II and Pittsburgh Sleep Quality Index (PSQI) scores in the MwoI group. Conversely, in the combined migraine cohort, FC between the left Crus I and the right MTG/ITG showed a positive correlation with PSQI scores.

Conclusion: This study identified a correlation between aberrant functional activity in the left Crus I/II and migraine comorbidity with insomnia. These findings provide fresh perspectives on the neural mechanisms underlying the migraine-insomnia relationship, thereby facilitating the identification of potential neuroimaging biomarkers and the exploration of targeted interventions for this patient subgroup.

背景:偏头痛是一种常见的神经系统疾病,在临床实践中经常观察到,通常与失眠合并症。失眠会加剧和诱发偏头痛发作,这两种情况相互影响。小脑小腿与偏头痛和失眠的病理生理有显著关系。小脑小腿功能改变与偏头痛相关性失眠之间的关系尚不清楚。本研究利用静息状态功能磁共振成像(rs-fMRI)检查偏头痛并发失眠患者小脑小腿的功能改变。方法:对参与者进行静息状态功能磁共振成像。随后,我们分析了各组之间低频波动(ALFF)值的振幅差异,然后利用小腿小脑作为种子区进行功能连接(FC)调查。结果:偏头痛患者经常出现神经心理障碍和失眠,这两者是相互关联的。与健康对照(HC)组相比,伴有失眠的偏头痛(MwI)组和不伴有失眠的偏头痛(MwoI)组均表现出左小腿I和II的低频波动(ALFF)幅度升高,其中MwI组表现出更明显的变化。此外,与HC组相比,两组患者均表现出左一号脚与右颞中回(MTG)和颞下回(ITG)之间的FC减少。与HC和MwI组相比,MwoI组的FC明显降低。MwoI组左小腿I/II ALFF与匹兹堡睡眠质量指数(PSQI)评分呈显著负相关。相反,在合并偏头痛队列中,左小腿I和右MTG/ITG之间的FC与PSQI评分呈正相关。结论:本研究确定了左小腿I/II功能活动异常与偏头痛伴失眠的合并症之间的相关性。这些发现为偏头痛-失眠关系的神经机制提供了新的视角,从而促进了潜在神经成像生物标志物的识别,并探索了针对该患者亚组的靶向干预措施。
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引用次数: 0
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Frontiers in Neuroscience
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