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Frontiers | Exposure to biodiesel exhaust is less harmful than exposure to mineral diesel exhaust on blood-brain barrier integrity in a murine model 前沿 | 在小鼠模型中,暴露于生物柴油废气比暴露于矿物柴油废气对血脑屏障完整性的危害更小
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-02 DOI: 10.3389/fnins.2024.1440118
Michael L. Nesbit, Colleen K. Ko, John C. Mamo, Virginie Lam, Katherine R. Landwehr, Alexander Larcombe, Ryusuke Takechi
Emerging data suggest that air pollution is a persistent source of neuroinflammation, reactive oxygen species (ROS), and neuropathology that contributes to central nervous system (CNS) disorders. Previous research using animal models has shown that exposure to diesel exhaust causes considerable disruption of the blood-brain barrier (BBB), leading to marked neuroinflammation. However, the effects of biodiesel exhaust on cerebrovascular integrity and neuroinflammation have not been explored previously. Therefore, in this study, 8-week-old BALB/c mice were exposed to biodiesel exhaust (derived from canola biodiesel or tallow biodiesel) and compared with control mice that were exposed to air or mineral diesel exhaust. Consistently with previous findings, the integrity of the BBB was significantly disrupted by exposure to mineral diesel exhaust. Tallow and canola biodiesel exhaust exposure resulted in no BBB disruption. Moreover, both tallow and canola biodiesels significantly attenuated oxidative stress in the brain. The data collectively suggest that biodiesel exhaust may exert significantly less detrimental effects on brain function, compared to mineral diesel.
新出现的数据表明,空气污染是神经炎症、活性氧(ROS)和神经病理学的持续来源,可导致中枢神经系统(CNS)疾病。以前利用动物模型进行的研究表明,接触柴油废气会对血脑屏障(BBB)造成严重破坏,导致明显的神经炎症。然而,生物柴油废气对脑血管完整性和神经炎症的影响还没有被研究过。因此,本研究将 8 周大的 BALB/c 小鼠暴露于生物柴油废气(来自油菜籽生物柴油或牛脂生物柴油),并与暴露于空气或矿物柴油废气的对照组小鼠进行比较。与之前的研究结果一致,暴露于矿物柴油废气会严重破坏生物BB的完整性。牛脂和菜籽生物柴油废气接触不会导致 BBB 破坏。此外,牛脂和油菜籽生物柴油都能显著减轻大脑中的氧化应激。这些数据共同表明,与矿物柴油相比,生物柴油废气对大脑功能的有害影响可能要小得多。
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引用次数: 0
Accuracy optimized neural networks do not effectively model optic flow tuning in brain area MSTd 精度优化神经网络不能有效模拟脑区 MSTd 的视流调谐
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-02 DOI: 10.3389/fnins.2024.1441285
Oliver W. Layton, Scott T. Steinmetz
Accuracy-optimized convolutional neural networks (CNNs) have emerged as highly effective models at predicting neural responses in brain areas along the primate ventral stream, but it is largely unknown whether they effectively model neurons in the complementary primate dorsal stream. We explored how well CNNs model the optic flow tuning properties of neurons in dorsal area MSTd and we compared our results with the Non-Negative Matrix Factorization (NNMF) model, which successfully models many tuning properties of MSTd neurons. To better understand the role of computational properties in the NNMF model that give rise to optic flow tuning that resembles that of MSTd neurons, we created additional CNN model variants that implement key NNMF constraints – non-negative weights and sparse coding of optic flow. While the CNNs and NNMF models both accurately estimate the observer's self-motion from purely translational or rotational optic flow, NNMF and the CNNs with nonnegative weights yield substantially less accurate estimates than the other CNNs when tested on more complex optic flow that combines observer translation and rotation. Despite its poor accuracy, NNMF gives rise to tuning properties that align more closely with those observed in primate MSTd than any of the accuracy-optimized CNNs. This work offers a step toward a deeper understanding of the computational properties and constraints that describe the optic flow tuning of primate area MSTd.
精确优化的卷积神经网络(CNN)已成为预测灵长类动物腹侧流脑区神经反应的高效模型,但它们是否能有效模拟互补的灵长类动物背侧流中的神经元,目前还不得而知。我们探索了 CNN 对 MSTd 背侧区域神经元的视流调谐特性的建模效果,并将我们的结果与非负矩阵因式分解(NNMF)模型进行了比较,后者成功地模拟了 MSTd 神经元的许多调谐特性。为了更好地理解 NNMF 模型中的计算特性在产生类似于 MSTd 神经元的视流调谐方面所起的作用,我们创建了更多的 CNN 模型变体,这些变体实现了 NNMF 的关键约束条件--非负权重和视流稀疏编码。虽然 CNN 和 NNMF 模型都能从纯粹的平移或旋转视流中准确估计出观察者的自我运动,但在对结合了观察者平移和旋转的更复杂视流进行测试时,NNMF 和具有非负权重的 CNN 得到的估计结果的准确性大大低于其他 CNN。尽管 NNMF 的准确度较低,但它比任何准确度优化的 CNN 都更接近灵长类 MSTd 的调谐特性。这项工作为深入理解描述灵长类区域 MSTd 光流调谐的计算特性和约束条件迈出了一步。
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引用次数: 0
Two decades of progress in glioma methylation research: the rise of temozolomide resistance and immunotherapy insights 胶质瘤甲基化研究二十年的进展:替莫唑胺耐药性的增加和免疫疗法的启示
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-02 DOI: 10.3389/fnins.2024.1440756
Xianhao Huo, Haoyuan Li, Yixiang Xing, Wenqing Liu, Pengfei Chen, Fang Du, Lijuan Song, Zhenhua Yu, Xiangmei Cao, Jihui Tian
AimsThis study aims to systematically analyze the global trends in glioma methylation research using bibliometric methodologies. We focus on identifying the scholarly trajectory and key research interests, and we utilize these insights to predict future research directions within the epigenetic context of glioma.MethodsWe performed a comprehensive literature search of the Web of Science Core Collection (WoSCC) to identify articles related to glioma methylation published from January 1, 2004, to December 31, 2023. The analysis included full-text publications in the English language and excluded non-research publications. Analysis and visualization were performed using GraphPad Prism, CiteSpace, and VOSviewer software.ResultsThe search identified 3,744 publications within the WoSCC database, including 3,124 original research articles and 620 review articles. The research output gradually increased from 2004 to 2007, followed by a significant increase after 2008, which peaked in 2022. A minor decline in publication output was noted during 2020–2021, potentially linked to the coronavirus disease 2019 pandemic. The United States and China were the leading contributors, collectively accounting for 57.85% of the total research output. The Helmholtz Association of Germany, the German Cancer Research Center (DKFZ), and the Ruprecht Karls University of Heidelberg were the most productive institutions. The Journal of Neuro-Oncology led in terms of publication volume, while Neuro-Oncology had the highest Impact Factor. The analysis of publishing authors revealed Michael Weller as the most prolific contributor. The co-citation network analysis identified David N. Louis's article as the most frequently cited. The keyword analysis revealed “temozolomide,” “expression,” “survival,” and “DNA methylation” as the most prominent keywords, while “heterogeneity,” “overall survival,” and “tumor microenvironment” showed the strongest citation bursts.ConclusionsThe findings of this study illustrate the increasing scholarly interest in glioma methylation, with a notable increase in research output over the past two decades. This study provides a comprehensive overview of the research landscape, highlighting the importance of temozolomide, DNA methylation, and the tumor microenvironment in glioma research. Despite its limitations, this study offers valuable insights into the current research trends and potential future directions, particularly in the realm of immunotherapy and epigenetic editing techniques.
目的本研究旨在利用文献计量学方法系统分析胶质瘤甲基化研究的全球趋势。方法我们对科学网核心文献集(WoSCC)进行了全面的文献检索,以确定2004年1月1日至2023年12月31日期间发表的与胶质瘤甲基化相关的文章。分析包括英文全文出版物,不包括非研究性出版物。结果在WoSCC数据库中搜索到3744篇论文,包括3124篇原创研究文章和620篇综述文章。研究成果从 2004 年到 2007 年逐渐增加,2008 年后显著增加,到 2022 年达到顶峰。2020-2021年期间,论文数量略有下降,这可能与2019年冠状病毒疾病大流行有关。美国和中国是主要的贡献者,合计占研究总产出的 57.85%。德国亥姆霍兹协会、德国癌症研究中心(DKFZ)和海德堡鲁普雷希特-卡尔斯大学是成果最多的机构。神经肿瘤学杂志》的发表量居首位,而《神经肿瘤学》的影响因子最高。通过对发表论文的作者进行分析,发现迈克尔-韦勒(Michael Weller)是最多产的撰稿人。共同引用网络分析显示,David N. Louis 的文章被引用的次数最多。关键词分析显示,"替莫唑胺"、"表达"、"生存 "和 "DNA 甲基化 "是最突出的关键词,而 "异质性"、"总体生存 "和 "肿瘤微环境 "则显示出最强的引用爆发。本研究全面概述了研究现状,强调了替莫唑胺、DNA 甲基化和肿瘤微环境在胶质瘤研究中的重要性。尽管存在局限性,但本研究为当前的研究趋势和未来的潜在方向提供了宝贵的见解,尤其是在免疫疗法和表观遗传编辑技术领域。
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引用次数: 0
Frontiers | Transcutaneous spinal cord stimulation modulates quiet standing in healthy adults: stimulation site and cognitive style matter 前沿 | 经皮脊髓刺激可调节健康成年人的安静站立:刺激部位和认知方式很重要
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-09-02 DOI: 10.3389/fnins.2024.1467182
Natalia Shamantseva, Olga Timofeeva, Varvara Semenova, Irina Andreeva, Tatiana Moshonkina
The study explored the effects of transcutaneous electrical spinal cord stimulation (tES) on postural control. Subjects were divided into field-dependent (FD) and field-independent (FI) groups according to their cognitive style. FD subjects use an exteroceptive afferent stream for spatial orientation, while FI subjects use an interoceptive stream. In darkness, vertical posture is maintained by head-trunk stabilization in FD subjects and by independent movements of body segments in FI subjects. Previously, we showed that tES at the L1-L2 vertebral level decreased postural stability in FD subjects. Now, stimulation was applied at the T11-T12 vertebral level (midline, above the left or right dorsal roots). Quiet standing was assessed using stabilometry in 18 FD and FI participants. Participants stood on a force platform in soundproof chamber with eyes closed during tES. Midline and left tES significantly improved postural stability by up to 28% in FD participants, while posture did not change significantly in FI participants. Pronounced differences between the effects of T11-T12 and L1-L2 stimulation are associated with selective topographical activation of proximal and distal leg muscles during tES of the lumbar enlargement. This study highlights the importance of considering cognitive style in postural control research.
该研究探讨了经皮脊髓电刺激(tES)对姿势控制的影响。受试者根据其认知风格被分为场依赖(FD)组和场非依赖(FI)组。场依赖型受试者使用外感知传入流进行空间定位,而场独立型受试者则使用内感知流。在黑暗中,FD 受试者通过头-躯干稳定来保持垂直姿势,而 FI 受试者则通过身体各部分的独立运动来保持垂直姿势。在此之前,我们曾研究发现,在 L1-L2 椎体水平施加 tES 会降低 FD 受试者的姿势稳定性。现在,我们在 T11-T12 椎体水平(中线,左或右背根上方)施加刺激。对 18 名 FD 和 FI 受试者的静态站立进行了稳定度评估。参与者在 tES 期间闭眼站立在隔音室的受力平台上。中线和左侧 tES 能明显改善 FD 参与者的姿势稳定性,改善幅度高达 28%,而 FI 参与者的姿势没有明显变化。T11-T12和L1-L2刺激效果之间的明显差异与腰部扩大的tES期间腿部近端和远端肌肉的选择性地形激活有关。这项研究强调了在姿势控制研究中考虑认知风格的重要性。
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引用次数: 0
A predictive propensity measure to enter REM sleep 进入快速动眼期睡眠的预测倾向测量法
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-30 DOI: 10.3389/fnins.2024.1431407
Alexander G. Ginsberg, Madelyn Esther C. Cruz, Franz Weber, Victoria Booth, Cecilia G. Diniz Behn
IntroductionDuring sleep periods, most mammals alternate multiple times between rapid-eye-movement (REM) sleep and non-REM (NREM) sleep. A common theory proposes that these transitions are governed by an “hourglass-like” homeostatic need to enter REM sleep that accumulates during the inter-REM interval and partially discharges during REM sleep. However, markers or mechanisms for REM homeostatic pressure remain undetermined. Recently, an analysis of sleep in mice demonstrated that the cumulative distribution function (CDF) of the amount of NREM sleep between REM bouts correlates with REM bout duration, suggesting that time in NREM sleep influences REM sleep need. Here, we build on those results and construct a predictive measure for the propensity to enter REM sleep as a function of time in NREM sleep since the previous REM episode.MethodsThe REM propensity measure is precisely defined as the probability to enter REM sleep before the accumulation of an additional pre-specified amount of NREM sleep.ResultsAnalyzing spontaneous sleep in mice, we find that, as NREM sleep accumulates between REM bouts, the REM propensity exhibits a peak value and then decays to zero with further NREM accumulation. We show that the REM propensity at REM onset predicts features of the subsequent REM bout under certain conditions. Specifically, during the light phase and for REM propensities occurring before the peak in propensity, the REM propensity at REM onset is correlated with REM bout duration, and with the probability of the occurrence of a short REM cycle called a sequential REM cycle. Further, we also find that proportionally more REM sleep occurs during sequential REM cycles, supporting a correlation between high values of our REM propensity measure and high REM sleep need.DiscussionThese results support the theory that a homeostatic need to enter REM sleep accrues during NREM sleep, but only for a limited range of NREM sleep accumulation.
导言:在睡眠期间,大多数哺乳动物都会在快速动眼(REM)睡眠和非快速动眼(NREM)睡眠之间交替多次。一种常见的理论认为,这些转换是由进入快速动眼期睡眠的 "沙漏式 "同态需要控制的,这种同态需要在快速动眼期间歇期间积累,并在快速动眼期睡眠期间部分释放。然而,快速眼动静态压力的标记或机制仍未确定。最近,一项对小鼠睡眠的分析表明,REM间歇期NREM睡眠量的累积分布函数(CDF)与REM间歇期持续时间相关,这表明NREM睡眠时间会影响REM睡眠需求。结果通过分析小鼠的自发睡眠,我们发现,随着快速动眼期之间快速动眼期睡眠的积累,快速动眼期倾向呈现一个峰值,然后随着快速动眼期的进一步积累衰减为零。我们发现,在某些条件下,快速动眼期开始时的快速动眼期倾向能预测随后快速动眼期的特征。具体来说,在光照阶段以及在快速眼动倾向峰值之前出现的快速眼动倾向,快速眼动开始时的快速眼动倾向与快速眼动阵列持续时间相关,也与被称为连续快速眼动周期的短快速眼动周期出现的概率相关。此外,我们还发现,在连续快速眼动周期中发生的快速眼动睡眠比例更高,这支持了我们的快速眼动倾向测量值高与快速眼动睡眠需求高之间的相关性。
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引用次数: 0
Pupillometry and autonomic nervous system responses to cognitive load and false feedback: an unsupervised machine learning approach 瞳孔测量和自律神经系统对认知负荷和错误反馈的反应:一种无监督机器学习方法
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-30 DOI: 10.3389/fnins.2024.1445697
Evgeniia I. Alshanskaia, Galina V. Portnova, Krystsina Liaukovich, Olga V. Martynova
ObjectivesPupil dilation is controlled both by sympathetic and parasympathetic nervous system branches. We hypothesized that the dynamic of pupil size changes under cognitive load with additional false feedback can predict individual behavior along with heart rate variability (HRV) patterns and eye movements reflecting specific adaptability to cognitive stress. To test this, we employed an unsupervised machine learning approach to recognize groups of individuals distinguished by pupil dilation dynamics and then compared their autonomic nervous system (ANS) responses along with time, performance, and self-esteem indicators in cognitive tasks.MethodsCohort of 70 participants were exposed to tasks with increasing cognitive load and deception, with measurements of pupillary dynamics, HRV, eye movements, and cognitive performance and behavioral data. Utilizing machine learning k-means clustering algorithm, pupillometry data were segmented to distinct responses to increasing cognitive load and deceit. Further analysis compared clusters, focusing on how physiological (HRV, eye movements) and cognitive metrics (time, mistakes, self-esteem) varied across two clusters of different pupillary response patterns, investigating the relationship between pupil dynamics and autonomic reactions.ResultsCluster analysis of pupillometry data identified two distinct groups with statistically significant varying physiological and behavioral responses. Cluster 0 showed elevated HRV, alongside larger initial pupil sizes. Cluster 1 participants presented lower HRV but demonstrated increased and pronounced oculomotor activity. Behavioral differences included reporting more errors and lower self-esteem in Cluster 0, and faster response times with more precise reactions to deception demonstrated by Cluster 1. Lifestyle variations such as smoking habits and differences in Epworth Sleepiness Scale scores were significant between the clusters.ConclusionThe differentiation in pupillary dynamics and related metrics between the clusters underlines the complex interplay between autonomic regulation, cognitive load, and behavioral responses to cognitive load and deceptive feedback. These findings underscore the potential of pupillometry combined with machine learning in identifying individual differences in stress resilience and cognitive performance. Our research on pupillary dynamics and ANS patterns can lead to the development of remote diagnostic tools for real-time cognitive stress monitoring and performance optimization, applicable in clinical, educational, and occupational settings.
目的瞳孔的放大受交感神经和副交感神经系统分支的控制。我们假设,瞳孔大小在认知负荷下的动态变化以及额外的错误反馈可以预测个体行为,同时还可以预测心率变异性(HRV)模式和眼球运动,从而反映出对认知压力的特定适应性。为了验证这一点,我们采用了一种无监督的机器学习方法来识别以瞳孔放大动态区分的个体群体,然后比较他们的自律神经系统(ANS)反应以及认知任务中的时间、绩效和自尊指标。方法70名参与者暴露于认知负荷和欺骗不断增加的任务中,测量瞳孔动态、心率变异、眼球运动以及认知绩效和行为数据。利用机器学习 k-means 聚类算法,瞳孔测量数据被分割成对不断增加的认知负荷和欺骗的不同反应。结果对瞳孔测量数据的聚类分析确定了两个不同的组别,其生理和行为反应的差异具有统计学意义。第 0 组显示心率变异升高,同时初始瞳孔较大。第 1 组参与者的心率变异较低,但眼球运动活动明显增加。行为差异包括第 0 组参与者报告的错误更多,自尊心更低,而第 1 组参与者的反应时间更快,对欺骗的反应更精确。各组之间的生活方式差异,如吸烟习惯和埃普沃思嗜睡量表得分的差异都很显著。结论 各组之间瞳孔动态和相关指标的差异强调了自律神经调节、认知负荷以及对认知负荷和欺骗反馈的行为反应之间复杂的相互作用。这些发现凸显了瞳孔测量与机器学习相结合在识别压力复原力和认知表现的个体差异方面的潜力。我们对瞳孔动态和自律神经系统模式的研究可以开发出适用于临床、教育和职业环境的实时认知压力监测和性能优化的远程诊断工具。
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引用次数: 0
Hyperactive mTORC1 in striatum dysregulates dopamine receptor expression and odor preference behavior 纹状体中亢进的 mTORC1 能失调多巴胺受体的表达和气味偏好行为
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-30 DOI: 10.3389/fnins.2024.1461178
Lin Chen, Ryo Saito, Shoko Noda-Narita, Hidetoshi Kassai, Atsu Aiba
Mechanistic target of rapamycin (mTOR) plays an important role in brain development and synaptic plasticity. Dysregulation of the mTOR pathway is observed in various human central nervous system diseases, including tuberous sclerosis complex, autism spectrum disorder (ASD), and neurodegenerative diseases, including Parkinson’s disease and Huntington’s disease. Numerous studies focused on the effects of hyperactivation of mTOR on cortical excitatory neurons, while only a few studies focused on inhibitory neurons. Here we generated transgenic mice in which mTORC1 signaling is hyperactivated in inhibitory neurons in the striatum, while cortical neurons left unaffected. The hyperactivation of mTORC1 signaling increased GABAergic inhibitory neurons in the striatum. The transgenic mice exhibited the upregulation of dopamine receptor D1 and the downregulation of dopamine receptor D2 in medium spiny neurons in the ventral striatum. Finally, the transgenic mice demonstrated impaired motor learning and dysregulated olfactory preference behavior, though the basic function of olfaction was preserved. These findings reveal that the mTORC1 signaling pathway plays an essential role in the development and function of the striatal inhibitory neurons and suggest the critical involvement of the mTORC1 pathway in the locomotor abnormalities in neurodegenerative diseases and the sensory defects in ASD.
雷帕霉素机制靶标(mTOR)在大脑发育和突触可塑性中发挥着重要作用。在结节性硬化综合症、自闭症谱系障碍(ASD)和神经退行性疾病(包括帕金森病和亨廷顿病)等多种人类中枢神经系统疾病中,都能观察到 mTOR 通路的失调。大量研究都集中于mTOR过度激活对大脑皮层兴奋性神经元的影响,而只有少数研究关注抑制性神经元。在这里,我们产生了转基因小鼠,在这种小鼠中,mTORC1 信号在纹状体的抑制性神经元中被过度激活,而皮质神经元则不受影响。mTORC1信号的过度激活增加了纹状体中的GABA能抑制神经元。转基因小鼠腹侧纹状体中刺神经元的多巴胺受体 D1 上调,多巴胺受体 D2 下调。最后,虽然嗅觉的基本功能得以保留,但转基因小鼠的运动学习能力受损,嗅觉偏好行为失调。这些发现揭示了mTORC1信号通路在纹状体抑制性神经元的发育和功能中起着至关重要的作用,并提示mTORC1通路在神经退行性疾病的运动异常和ASD的感觉缺陷中起着关键作用。
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引用次数: 0
An overview of systematic reviews of acupuncture for Parkinson’s disease 针灸治疗帕金森病的系统综述
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-30 DOI: 10.3389/fnins.2024.1415008
Hua Xue, Hong-xian He, Dan Wu, Wen-hui Fan, Ya-xin Li
BackgroundMany systematic reviews (SRs) have reported the efficacy of acupuncture in improving Parkinson’s disease (PD), but the quality of evidence is unknown. Therefore, it is necessary to comprehensively summarize and objectively evaluate the evidence of acupuncture for PD.MethodsSeven databases were searched to retrieve SRs on the acupuncture for PD. Two reviewers independently completed literature retrieval, screening, and data extraction. The methodological quality, risk of bias (RoB), evidence quality of the included SRs were assessed by the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR 2), the Risk of Bias in Systematic Reviews (ROBIS), the Grading of Recommendations Assessment, Development and Evaluation (GRADE) tool.ResultsA total of 24 SRs were included. According to AMSTAR 2, 6 (25%) were rated as high quality, 6 (25%) were rated as moderate quality, and 12 (50%) were rated as very low quality. The application of the ROBIS tool showed that 12 (25%) SRs were at low risk of bias. The results of GRADE showed that 8 (7.62%) outcomes provided high quality evidence, 23 (21.9%) outcomes provided moderate quality evidence, 42 (40%) outcomes provided low quality evidence, and 32 (30.48%) outcomes provided very low quality evidence.ConclusionThe overview indicates that acupuncture shows promise as a treatment for PD, although the evidence is limited and inconclusive due to methodological flaws and the heterogeneity of existing studies. Future research should focus on fully reporting methodological details and following review guidelines to produce more reliable and consistent evidence on the effectiveness of acupuncture for PD.Systematic review registrationhttps://inplasy.com, identifier INPLASY202480049.
背景许多系统综述(SR)报道了针灸在改善帕金森病(PD)方面的疗效,但证据的质量尚不清楚。因此,有必要对针灸治疗帕金森病的证据进行全面总结和客观评价。方法检索了七个数据库,以检索有关针灸治疗帕金森病的系统综述。两名审稿人独立完成文献检索、筛选和数据提取。采用系统综述方法学质量评估2(AMSTAR 2)、系统综述偏倚风险(ROBIS)和建议评估、发展和评价分级(GRADE)工具对纳入的SR进行方法学质量、偏倚风险(RoB)和证据质量评估。根据 AMSTAR 2,6 篇(25%)被评为高质量,6 篇(25%)被评为中等质量,12 篇(50%)被评为极低质量。ROBIS 工具的应用表明,12 项(25%)SR 的偏倚风险较低。GRADE结果显示,8项(7.62%)结果提供了高质量证据,23项(21.9%)结果提供了中等质量证据,42项(40%)结果提供了低质量证据,32项(30.48%)结果提供了极低质量证据。未来的研究应注重充分报告方法学细节,并遵循综述指南,以获得更可靠、更一致的有关针灸治疗PD有效性的证据。系统综述注册https://inplasy.com,标识符为INPLASY202480049。
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引用次数: 0
Ergogenic effects of spinal cord stimulation on exercise performance following spinal cord injury 脊髓刺激对脊髓损伤后运动表现的促进作用
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-29 DOI: 10.3389/fnins.2024.1435716
Daniel D. Hodgkiss, Alison M. M. Williams, Claire S. Shackleton, Soshi Samejima, Shane J. T. Balthazaar, Tania Lam, Andrei V. Krassioukov, Tom E. Nightingale
Cervical or upper-thoracic spinal cord injury (SCI, ≥T6) often leads to low resting blood pressure (BP) and impaired cardiovascular responses to acute exercise due to disrupted supraspinal sympathetic drive. Epidural spinal cord stimulation (invasive, ESCS) and transcutaneous spinal cord stimulation (non-invasive, TSCS) have previously been used to target dormant sympathetic circuits and modulate cardiovascular responses. This case series compared the effects of cardiovascular-optimised ESCS and TSCS versus sham ESCS and TSCS on modulating cardiovascular responses and improving submaximal upper-body exercise performance in individuals with SCI. Seven males with a chronic, motor-complete SCI between C6 and T4 underwent a mapping session to identify cardiovascular responses to spinal cord stimulation. Subsequently, four participants (two ESCS and two TSCS) completed submaximal exercise testing. Stimulation parameters (waveform, frequency, intensity, epidural electrode array configuration, and transcutaneous electrode locations in the lumbosacral region) were optimised to elevate cardiovascular responses (CV-SCS). A sham condition (SHAM-SCS) served as a comparison. Participants performed arm-crank exercise to exhaustion at a fixed workload corresponding to above ventilatory threshold, on separate days, with CV-SCS or SHAM-SCS. At rest, CV-SCS increased BP and predicted left ventricular cardiac contractility and total peripheral resistance. During exercise, CV-SCS increased time to exhaustion and peak oxygen pulse (a surrogate for stroke volume), relative to SHAM-SCS. Ratings of perceived exertion also tended to be lower with CV-SCS than SHAM-SCS. Comparable improvements in time to exhaustion with ESCS and TSCS suggest that both approaches could be promising ergogenic aids to support exercise performance or rehabilitation, along with reducing fatigue during activities of daily living in individuals with SCI.
颈椎或上胸椎脊髓损伤(SCI,≥T6)通常会导致静息血压(BP)偏低,并因脊髓上交感神经驱动力紊乱而影响心血管对急性运动的反应。硬膜外脊髓刺激(侵入性,ESCS)和经皮脊髓刺激(非侵入性,TSCS)曾被用于针对休眠交感神经回路和调节心血管反应。本病例系列比较了心血管优化的 ESCS 和 TSCS 与假 ESCS 和 TSCS 对调节心血管反应和改善 SCI 患者亚极限上肢运动表现的效果。七名男性脊髓损伤患者在C6和T4之间患有慢性完全运动性脊髓损伤,他们接受了映射治疗,以确定心血管对脊髓刺激的反应。随后,四名参与者(两名 ESCS 和两名 TSCS)完成了亚极限运动测试。对刺激参数(波形、频率、强度、硬膜外电极阵列配置和腰骶部经皮电极位置)进行了优化,以提高心血管反应(CV-SCS)。假条件(SHAM-SCS)作为对比。参与者在不同的日子里,分别在 CV-SCS 或 SHAM-SCS 条件下,以高于通气阈值的固定工作量进行曲臂运动,直至筋疲力尽。静息时,CV-SCS 可增加血压,预测左心室心脏收缩力和总外周阻力。与 SHAM-SCS 相比,在运动过程中,CV-SCS 增加了力竭时间和氧脉搏峰值(每搏量的代用指标)。与 SHAM-SCS 相比,CV-SCS 的体力感觉评分也更低。ESCS 和 TSCS 对力竭时间的改善效果相当,这表明这两种方法都是很有前途的人体工程学辅助方法,可用于支持运动表现或康复,以及减轻 SCI 患者在日常生活活动中的疲劳。
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引用次数: 0
Characterization of cortical volume and whole-brain functional connectivity in Parkinson’s disease patients: a MRI study combined with physiological aging brain changes 帕金森病患者皮质体积和全脑功能连接的特征:结合大脑生理衰老变化的核磁共振成像研究
IF 4.3 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-08-29 DOI: 10.3389/fnins.2024.1451948
Shuaiwen Wang, Xiaoli Chen, Yanli Zhang, Yulin Gao, Lubin Gou, Junqiang Lei
This study employed multiple MRI features to comprehensively evaluate the abnormalities in morphology, and functionality associated with Parkinson’s disease (PD) and distinguish them from normal physiological changes. For investigation purposes, three groups: 32 patients with PD, 42 age-matched healthy controls (HCg1), and 33 young and middle-aged controls (HCg2) were designed. The aim of the current study was to differentiate pathological cortical changes in PD from age-related physiological cortical volume changes. Integrating these findings with functional MRI changes to characterize the effects of PD on whole-brain networks. Cortical volumes in the bilateral temporal lobe, frontal lobe, and cerebellum were significantly reduced in HCg1 compared to HCg2. Although no significant differences in cortical volume were observed between PD patients and HCg1, the PD group exhibited pronounced abnormalities with significantly lower mean connectivity values compared to HCg1. Conversely, physiological functional changes in HCg1 showed markedly higher mean connectivity values than in HCg2. By integrating morphological and functional assessments, as well as network characterization of physiological aging, this study further delineates the distinct characteristics of pathological changes in PD.
本研究采用多种核磁共振成像特征来全面评估帕金森病(PD)相关的形态和功能异常,并将其与正常生理变化区分开来。研究设计了三组:32 名帕金森病患者、42 名年龄匹配的健康对照组(HCg1)和 33 名中青年对照组(HCg2)。本研究的目的是区分帕金森病的病理皮质变化和与年龄相关的生理性皮质体积变化。将这些发现与功能性核磁共振成像(MRI)变化相结合,以描述帕金森病对全脑网络的影响。与HCg2相比,HCg1患者双侧颞叶、额叶和小脑的皮质体积显著减少。虽然皮质体积在帕金森病患者和 HCg1 之间没有观察到明显差异,但帕金森病组表现出明显的异常,平均连接值明显低于 HCg1。相反,HCg1 的生理功能变化显示出明显高于 HCg2 的平均连接值。通过整合形态和功能评估以及生理衰老的网络特征,本研究进一步划分了帕金森病病理变化的不同特征。
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引用次数: 0
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Frontiers in Neuroscience
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