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Enhancement of hippocampal-dependent spatial memory by Ashwagandha (Withania somnifera) characterized by activation of NMDA receptors against monosodium glutamate-induced neurotoxicity in rats. 通过激活NMDA受体对抗谷氨酸钠诱导的大鼠神经毒性,Ashwagandha增强海马依赖性空间记忆。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-09-18 DOI: 10.1080/00207454.2023.2255372
Rawand H Al-Dmour, Nafe M Al-Tawarah, Nesrin Mwafi, Banan M Alkhataybeh, Khaled M Khleifat, Amjad Tarawneh, Anas O Satari, Sahem M Alkharabsheh, Layla Albustanji

Background and aim: Monosodium glutamate (MSG) is used in food-additives, and the Food and Drug Administration has placed it under intense scrutiny following several reports that it causes glutamate neurotoxicity. Ashwagandha (ASH) roots are traditionally used for memory enhancement. This study aimed to evaluate the nootropic activity of ASH as well as its therapeutic anti-amnesic activity against MSG-induced hippocampal-dependent spatial memory impairment and hippocampal-NMDAR modulation.

Method: A total of 36 rats were divided equally into six groups (n = 6 in each group); the rats in the normal and negative groups were administered daily doses of normal saline and MSG (300 mg/kg), respectively, for 21 days. Two nootropic groups were administered ASH at 300 and 500 mg/kg o.p., respectively, for 21 days. Two other treatment groups were administered daily doses of MSG 300 mg/kg o.p. as well as 300 mg/kg and 500 mg/kg o.p. of ASH for 21 days. The rats' spatial memory was assessed for five days using the MWM. Additionally, NMDAR were measured quantitatively by immunohistochemistry.

Results: We found that the rats in the nootropic groups showed significantly enhanced nootropic activity characterized by improved hippocampal-dependent spatial memory, as well as increases in the level of NMDAR in the Cornu Ammonis 1 region of their hippocampus. Moreover, we elucidated the therapeutic potential of ASH to protect against the depression of spatial memory caused by MSG-induced neurotoxicity.

Conclusion: Further, we elucidated a strong correlation between NMDAR-positive cells in the hippocampus and enhancement of spatial learning induced by long-term administration of ASH as well as a strong correlation between NMDAR positive cells in the hippocampus and depression of spatial learning induced by long-term administration of ASH and MSG.

背景和目的:味精(MSG)被用于食品添加剂,在几份报告称它会导致谷氨酸神经毒性后,美国食品和药物管理局(fda)对其进行了严格审查。Ashwagandha (ASH)根传统上用于增强记忆。本研究旨在评估ASH的促智活性及其对msg诱导的海马依赖性空间记忆障碍和海马- nmdar调节的治疗性抗遗忘活性。方法:36只大鼠随机分为6组,每组6只;正常组和阴性组大鼠分别给予生理盐水和味精(300 mg/kg)每日剂量,连续21 d。两组小鼠分别以300和500 mg/kg / p的剂量给予促智剂,疗程21 d。另外2个治疗组每天给予MSG 300 mg/kg o.p.,以及ASH 300 mg/kg和500 mg/kg o.p.,持续21 d。用MWM对大鼠进行为期5天的空间记忆评估。免疫组织化学定量测定NMDAR。结果:我们发现,促智组大鼠的促智活性显著增强,其特点是海马依赖空间记忆改善,海马海马角区NMDAR水平升高。此外,我们阐明了ASH对msg诱导的神经毒性引起的空间记忆抑制的治疗潜力。结论:我们进一步阐明了海马NMDAR阳性细胞与长期给药ASH诱导的空间学习能力增强之间的强相关性,以及海马NMDAR阳性细胞与长期给药ASH和味精诱导的空间学习能力下降之间的强相关性。
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引用次数: 0
Histone demethylases in neurodevelopment and neurodegenerative diseases. 组蛋白去甲基化酶在神经发育和神经退行性疾病中的作用。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-11-01 DOI: 10.1080/00207454.2023.2276656
Haiying Wang, Beiyi Guo, Xiaoqiang Guo

Neurodevelopment can be precisely regulated by epigenetic mechanisms, including DNA methylations, noncoding RNAs, and histone modifications. Histone methylation was a reversible modification, catalyzed by histone methyltransferases and demethylases. So far, dozens of histone lysine demethylases (KDMs) have been discovered, and they (members from KDM1 to KDM7 family) are important for neurodevelopment by regulating cellular processes, such as chromatin structure and gene transcription. The role of KDM5C and KDM7B in neural development is particularly important, and mutations in both genes are frequently found in human X-linked mental retardation (XLMR). Functional disorders of specific KDMs, such as KDM1A can lead to the development of neurodegenerative diseases, including Alzheimer's disease (AD) and Parkinson's disease (PD). Several KDMs can serve as potential therapeutic targets in the treatment of neurodegenerative diseases. At present, the function of KDMs in neurodegenerative diseases is not fully understood, so more comprehensive and profound studies are needed. Here, the role and mechanism of histone demethylases were summarized in neurodevelopment, and the potential of them was introduced in the treatment of neurodegenerative diseases.

神经发育可以通过表观遗传学机制精确调控,包括DNA甲基化、非编码RNA和组蛋白修饰。组蛋白甲基化是一种可逆的修饰,由组蛋白甲基转移酶和去甲基化酶催化。到目前为止,已经发现了数十种组蛋白赖氨酸去甲基酶(KDMs),它们(KDM1至KDM7家族的成员)通过调节染色质结构和基因转录等细胞过程对神经发育很重要。KDM5C和KDM7B在神经发育中的作用尤为重要,这两个基因的突变经常在人类X连锁智力障碍(XLMR)中发现。特定KDM的功能性疾病,如KDM1A,可导致神经退行性疾病的发展,包括阿尔茨海默病(AD)和帕金森病(PD)。几种KDM可以作为治疗神经退行性疾病的潜在治疗靶点。目前,KDMs在神经退行性疾病中的作用尚不完全清楚,因此需要进行更全面、更深入的研究。本文综述了组蛋白去甲基化酶在神经发育中的作用和机制,并介绍了其在神经退行性疾病治疗中的潜力。
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引用次数: 0
Effect of pyridoxine or cobalamin supplementation on apoptosis and cell cycle progression in a human glioblastoma cell line. 补充吡哆醇或钴胺素对人胶质母细胞瘤细胞系凋亡和细胞周期进展的影响。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-10-03 DOI: 10.1080/00207454.2023.2263815
Carolina A Martínez-Mendiola, José A Estrada, Luis Á Zapi-Colín, Gerson G Contreras-Chávez, Irazú Contreras

Glioblastoma is the most aggressive type of brain tumor, with current therapies failing to significantly improve patient survival. Vitamins have important effects on cellular processes that are relevant for tumor development and progression.

Aim: The present study explored the effect of pyridoxine or cobalamin supplementation on the viability and cell cycle progression of human glioblastoma cell line U-87 MG.

Method: Cell cultures were treated with increasing concentrations of pyridoxine or cobalamin for 24-72 h. After supplementation, cell viability and cell cycle progression were assessed by spectrophotometry and flow cytometry. Analysis of Bcl-2 and active caspase 3 expression in supplemented cells was performed by western blot.

Result: The results show that pyridoxine supplementation decreases cell viability in a dose and time dependent manner. Loss of viability in pyridoxin-supplemented cells is probably related to less cell cycle progression, higher active caspase 3 expression and apoptosis. In addition, Bcl-2 expression did not appear to be altered by vitamin supplementation, but active caspase 3 expression was significantly increased in pyridoxine-, but not cobalamin-supplemented cells, furthermore, cobalamin inhibited the pyridoxine cytotoxicity in the cell viability assay when combined.

Conclusion: The results suggest that pyridoxine supplementation promotes apoptosis in human glioblastoma-derived cells and may be useful to enhance the effect of cytotoxic therapies in vivo.

胶质母细胞瘤是最具侵袭性的脑肿瘤,目前的治疗方法未能显著提高患者的生存率。维生素对与肿瘤发展和进展相关的细胞过程具有重要影响。目的:本研究探讨补充吡哆醇或钴胺素对人胶质母细胞瘤细胞系U-87生存能力和细胞周期进展的影响 MG。方法:用增加浓度的吡哆醇或钴胺素处理细胞培养物24-72 h.补充后,通过分光光度法和流式细胞术评估细胞活力和细胞周期进展。通过蛋白质印迹分析补充的细胞中Bcl-2和活性胱天蛋白酶3的表达。结果:结果表明,补充吡哆醇以剂量和时间依赖的方式降低细胞活力。补充吡啶毒素的细胞中活力的丧失可能与细胞周期进展较少、活性胱天蛋白酶3表达较高和细胞凋亡有关。此外,Bcl-2的表达似乎没有被维生素补充所改变,但活性胱天蛋白酶3的表达在补充了吡哆醇的细胞中显著增加,而在补充了钴胺素的细胞中则没有,此外,在细胞活力测定中,当联合使用钴胺素时,可抑制吡哆醇对细胞的细胞毒性。结论:补充吡哆醇可促进人胶质母细胞瘤衍生细胞的凋亡,并可能有助于增强体内细胞毒性治疗的效果。
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引用次数: 0
Interactome analysis implicates class II transactivator (CIITA) in depression and other neuroinflammatory disorders. 相互作用分析提示II类反式激活因子(CIITA)在抑郁症和其他神经炎性疾病中的作用。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-11-17 DOI: 10.1080/00207454.2023.2279502
Kishore Nagasubramanian, Krishnakant Gupta

Purpose: Inappropriate inflammatory responses within the nervous system (neuroinflammation) have been implicated in several neurological conditions. Class II transactivator (CIITA), a principal regulator of the major histocompatibility complex II (MHCII), is known to play essential roles in inflammation. Hence, CIITA and its interactors could be potentially involved in multiple neurological disorders. However, the molecular mechanisms underlying CIITA-mediated neuroinflammation (NI) are yet to be understood.

Materials and methods: In this regard, we analyzed the potential involvement of CIITA and its interactome in the regulation of neuroinflammation. In the present study, using various computational tools, we aimed (1) to identify NI-related proteins, (2) to filter the critical interactors in the CIITA-NI network, and (3) to analyze the protein-disease interactions and the associated molecular pathways through which CIITA could influence neuroinflammation.

Results: CIITA was found to interact with P T GS2, GSK3B, and NR3C1 and may influence depressive disorders. Further, the IL4/IL13 pathway was found to be potentially underlying the CIITA-interactomemediated effects on neurological disorders. Moreover, CIITA was found to be connected to genes associated with depressive disorder through IL4, wherein CIITA was found to be potentially involved in depressive disorders through IL-4/IL-13 and hippo pathways. However, the present study is based on the existing data on protein interactomes and could be re-evaluated as newer interactions are discovered. Also, the functional mechanisms of CIITA's roles in neuroinflammation must be evaluated further.

Conclusion: Notwithstanding these limitations, the results presented here, could form a basis for further experimental studies to assess CIITA as a potential therapeutic target in managing depression and other neuroinflammatory disorders.

神经系统内不适当的炎症反应(神经炎症)与几种神经疾病有关。II类反式激活剂(CIITA)是主要组织相容性复合体II(MHCII)的主要调节因子,已知在炎症中发挥重要作用。因此,CIITA及其相互作用者可能与多种神经系统疾病有关。然而,CIITA介导的神经炎症(NI)的分子机制尚不清楚。在这方面,我们分析了CIITA及其相互作用组在神经炎症调节中的潜在参与。在本研究中,我们使用各种计算工具,旨在1)识别NI相关蛋白,2)过滤CIITA-NI网络中的关键相互作用因子,以及3)分析蛋白质与疾病的相互作用以及CIITA可能影响神经炎症的相关分子途径。CIITA被发现与PTGS2、GSK3B和NR3C1相互作用,并可能影响抑郁障碍。此外,发现IL4/IL13通路可能是CIITA相互作用组介导的神经系统疾病影响的潜在基础。此外,发现CIITA通过IL4与抑郁症相关基因相连,其中CIITA可能通过IL-4/IL-13和河马途径参与抑郁症。然而,目前的研究是基于蛋白质相互作用的现有数据,随着新的相互作用的发现,可以重新评估。此外,CIITA在神经炎症中作用的功能机制必须进一步评估。尽管存在这些局限性,但本文的结果可以为进一步的实验研究奠定基础,以评估CIITA作为治疗抑郁症和其他神经炎症疾病的潜在治疗靶点。
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引用次数: 0
Insights into the advances in therapeutic drugs for neuroinflammation-related diseases. 对神经炎症相关疾病治疗药物进展的见解。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-09-21 DOI: 10.1080/00207454.2023.2260088
Bozhi Luo

Studies have shown that neurodegenerative diseases such as AD and PD are related to neuroinflammation. Neuroinflammation is a common inflammatory condition that can lead to a variety of dysfunction in the body. At present, it is no medications specifically approved to prevent or cure neuroinflammation, so even though many drugs can temporarily control the neurological symptoms of neuroinflammation, but no one can reverse the progress of neuroinflammation, let al.one completely cure neuroinflammation. Therefore, it is urgent to develop new drug development for neuroinflammation treatment. In this review, we highlight the therapeutic advancement in the field of neurodegenerative disorders, by focusing on the impact of neuroinflammation treatment has on these conditions, and the effective drugs for the treatment of neuroinflammation and neurodegenerative diseases and their latest research progress are reviewed according to the related signaling pathway, as well as the prospect of their clinical application is also discussed. The purpose of this review is to enable specialists to better understand the mechanisms underlying neuroinflammation and anti-inflammatory drugs, promote the development of therapeutic drugs for neuroinflammation and neurodegenerative diseases, and further provide therapeutic references for clinical neurologists.

研究表明,AD和PD等神经退行性疾病与神经炎症有关。神经炎症是一种常见的炎症性疾病,可导致身体的各种功能障碍。目前,还没有专门批准的药物来预防或治疗神经炎症,因此,尽管许多药物可以暂时控制神经炎症的神经症状,但没有人能够逆转神经炎症的进展,更不用说完全治愈神经炎症了。因此,开发治疗神经炎症的新药迫在眉睫。在这篇综述中,我们通过关注神经炎症治疗对这些疾病的影响,强调了神经退行性疾病领域的治疗进展,并根据相关信号通路综述了治疗神经炎症和神经退行性病变的有效药物及其最新研究进展,并对其临床应用前景进行了展望。这篇综述的目的是让专家更好地了解神经炎症和抗炎药的潜在机制,促进神经炎症和神经退行性疾病治疗药物的开发,并进一步为临床神经学家提供治疗参考。
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引用次数: 0
Efficacy and safety of intravenous thrombolytic therapy in patients over eighty years. 静脉溶栓治疗80岁以上患者的疗效和安全性。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-10-26 DOI: 10.1080/00207454.2023.2260086
Vedat Ali Yürekli, Burak Gürel, Nihat Şengeze, Mustafa Adanır, Cengiz Baloğlu

Introduction: Intravenous thrombolytic therapy (IVTT) is licensed for patients under 80 years in many countries. In this study, we aimed to demonstrate functional results and complication rates of IVTT in patients over eighty years and whether there is a difference in efficacy and safety between low dose and standard dose recombinant tissue plasminogen activator (rTPA).

Methods: A retrospective observational study of patients over eighty who admitted to Suleyman Demirel University Faculty of Medicine Hospital between August 2016 and April 2021 and to Isparta City Hospital between April 2017 and April 2021 and diagnosed with acute ischemic stroke were conducted. Third month modified rankin scores (mRS) and mortality rates of patients and hemorrhagic transformations were determined.

Results: There were 29 patients in IVTT group and 25 patients in non-IVTT group. By the third month, it was observed that functional independence (mRS 0-2) ratio was increased more in IVTT group, but it wasn't statistically significant (p: 0.087). In mortality and symptomatic intracerebral hemorrhage rates, there wasn't statistically significant difference between IVTT and non-IVTT groups and low dose and standard dose rTPA groups by the third month.

Conclusion: The efficacy and complication rates of IVTT in patients over 80 years were found similar to not receive IVTT. These results support the safety of IVTT in patients over 80 years. In low or standard dose rTPA preference, we observed that there was not statistically significance in efficacy and safety. We believe that these results will be supported by studies with larger number of patients.

引言:静脉溶栓治疗(IVTT)在许多国家被许可用于80岁以下的患者。在本研究中,我们旨在证明IVTT在80岁以上患者中的功能结果和并发症发生率,以及低剂量和标准剂量重组组织纤溶酶原激活剂(rTPA)之间的疗效和安全性是否存在差异2016年8月至2021年4月,并于2017年4月至2021年间前往伊斯帕塔市医院,诊断为急性缺血性中风。测定患者的第三个月改良rankin评分(mRS)和死亡率以及出血性转化。结果:IVTT组29例,非IVTT组25例。到第三个月,观察到IVTT组的功能独立性(mRS 0-2)比率增加更多,但没有统计学意义(p:0.087)。在死亡率和症状性脑出血率方面,IVTT组和非IVTT组以及低剂量和标准剂量rTPA组到第三月没有统计学意义的差异。结论:80岁以上患者接受IVTT的疗效和并发症发生率与未接受IVTT相似。这些结果支持IVTT在80岁以上患者中的安全性。在低剂量或标准剂量rTPA偏好中,我们观察到疗效和安全性没有统计学意义。我们相信,这些结果将得到对更多患者的研究的支持。
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引用次数: 0
Extracranial internal carotid aneurysm treated with a covered stent in an infant. 应用覆膜支架治疗婴儿颅外颈内动脉瘤。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-11-09 DOI: 10.1080/00207454.2023.2277665
David Dimitris Chlorogiannis, Athina Maria Aloizou, Theodore Mavridis, Angeliki Gkaifyllia, Maria Politi, Wolfgang Reith, Panagiotis Papanagiotou

Background: Extracranial internal carotid aneurysms consist a rare pathology with an overall incidence less than 1% in the general population, and warrant treatment due to their association with cerebrovascular events and neurological complications. The incidence is even lower in the pediatric population.

Case report: A 14-month infant presented in our clinic with neck swelling of unknown origin, with subsequent MR imaging revealing an extracranial internal carotid aneurysm. Due to the patient's age and risk of surgical complications, the decision to proceed with endovascular repair with stent placement and complete exclusion of the aneurysm from the circulation was made, after multidisciplinary consultation.

Results: In the pediatric population, pediatric population, endovascular stent placement can be considered at least as a last resort treatment when surgical access harbors significant risks or is impossible.

颅外颈内动脉瘤是一种罕见的病理,在普通人群中总发病率低于1%,由于其与脑血管事件和神经并发症有关,因此需要治疗。儿科人群的发病率更低。在我们诊所,一名14个月大的婴儿出现不明原因的颈部肿胀,随后的MR成像显示颅内颈内动脉瘤。由于患者的年龄和手术并发症的风险,在多学科会诊后,决定进行血管内修复,植入支架并将动脉瘤完全排除在循环之外。在儿科人群中,当手术进入存在重大风险或不可能时,血管内支架置入至少可以被视为最后的治疗手段。
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引用次数: 0
Decreased anxiety-like behavior in a selectively bred high nicotine-preferring rat line. 选择性繁殖的高尼古丁偏好大鼠系中焦虑样行为的减少。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-11-15 DOI: 10.1080/00207454.2023.2279505
Merve Bayoglu, Meliha Ozturk Bintepe, Lutfiye Kanit, Burcu Balkan, Oguz Gozen, Ersin O Koylu, Aysegul Keser

Genetic vulnerability contributes significantly to the individual variability observed in nicotine dependence. Selective breeding for sensitivity to a particular effect of abused drugs has produced rodent lines useful for studying genetic vulnerability to drug addiction. Previous research showed that anxiety-related personality traits are associated with nicotine dependence. Therefore, we examined the differences in anxiety-like behavior between a high nicotine-preferring rat line and their controls. At the beginning of the study, all rats, naïve to any drug, were exposed sequentially to open field arena, marble-burying and elevated plus-maze paradigms. In the second step, all rats received nicotine in drinking water for 7 weeks. Behavioral tests were rerun on the final 2 weeks of chronic nicotine treatment. Elevated plus-maze testings under basal condition and during chronic nicotine treatment showed that the time spent on the open arms, preference for being in the open arms, and the latency to enter the closed arms were higher, whereas open arm avoidance index was lower in nicotine-preferring rats compared to the controls. In the open field test, nicotine-preferring rats spent longer time in the central zone and excreted less fecal pellets; they buried less marbles in the marble-burying test. These findings indicate a lower level of anxiety-like behavior in nicotine-preferring rat line under basal conditions and during chronic nicotine treatment. We conclude that lower anxiety level in nicotine-preferring rat line is consistent with novelty-seeking personality type and may increase vulnerability to nicotine dependence in this rat line.

遗传脆弱性是尼古丁依赖个体变异性的重要原因。对滥用药物的特定影响敏感的选择性育种产生了可用于研究药物成瘾遗传易感性的啮齿动物系。先前的研究表明,焦虑相关的人格特征与尼古丁依赖有关。因此,我们研究了高尼古丁偏好大鼠系与其对照组在焦虑样行为方面的差异。在研究开始时,所有对任何药物都不敏感的大鼠都被依次暴露在开阔场地、大理石掩埋和高架迷宫模式下。在第二步中,所有大鼠在饮用水中接受尼古丁治疗7周。在慢性尼古丁治疗的最后两周重新进行了行为测试。在基础条件下和慢性尼古丁治疗期间的强化加迷宫测试表明,与对照组相比,喜欢尼古丁的大鼠在张开双臂上花费的时间、对张开双臂的偏好以及进入闭合双臂的潜伏期更高,而张开双臂的避避指数更低。在野外试验中,喜欢尼古丁的大鼠在中心区停留的时间更长,排泄的粪便颗粒更少;在大理石掩埋测试中,他们掩埋的大理石较少。这些发现表明,在基础条件下和慢性尼古丁治疗期间,偏好尼古丁的大鼠系的焦虑样行为水平较低。我们得出的结论是,偏好尼古丁的大鼠系中较低的焦虑水平与寻求新奇的人格类型一致,并可能增加该大鼠系对尼古丁依赖的易感性。
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引用次数: 0
Understanding corticomotor mechanisms for activation of non-target muscles during unilateral isometric contractions of leg muscles after stroke. 了解卒中后腿部肌肉单侧等长收缩过程中非靶肌肉激活的皮质运动机制。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-10-03 DOI: 10.1080/00207454.2023.2263817
Brice T Cleland, Matt Giffhorn, Arun Jayaraman, Sangeetha Madhavan

Purpose: Muscle activation often occurs in muscles ipsilateral to a voluntarily activated muscle and to a greater extent after stroke. In this study, we measured muscle activation in non-target, ipsilateral leg muscles and used transcranial magnetic stimulation (TMS) to provide insight into whether corticomotor pathways contribute to involuntary activation.

Materials and methods: Individuals with stroke performed unilateral isometric ankle dorsiflexion, ankle plantarflexion, knee extension, and knee flexion. To quantify involuntary muscle activation in non-target muscles, muscle activation was measured during contractions from the ipsilateral tibialis anterior (TA), medial gastrocnemius (MG), rectus femoris (RF), and biceps femoris (BF) and normalized to resting muscle activity. To provide insight into mechanisms of involuntary non-target muscle activation, TMS was applied to the contralateral hemisphere, and motor evoked potentials (MEPs) were recorded.

Results: We found significant muscle activation in nearly every non-target muscle during isometric unilateral contractions. MEPs were frequently observed in non-target muscles, but greater non-target MEP amplitude was not associated with greater non-target muscle activation.

Conclusions: Our results suggest that non-target muscle activation occurs frequently in individuals with chronic stroke. The lack of association between non-target TMS responses and non-target muscle activation suggests that non-target muscle activation may have a subcortical or spinal origin. Non-target muscle activation has important clinical implications because it may impair torque production, out-of-synergy movement, and muscle activation timing.

目的:肌肉激活通常发生在主动激活肌肉的同侧肌肉中,在中风后更大程度上。在这项研究中,我们测量了非目标同侧腿部肌肉的肌肉激活,并使用经颅磁刺激(TMS)来深入了解皮质运动途径是否有助于非自愿激活。材料和方法:中风患者进行单侧等长踝关节背屈、踝关节跖屈、膝关节伸展和膝关节屈曲。为了量化非目标肌肉中的非自主肌肉激活,在同侧胫骨前肌(TA)、腓肠肌内侧肌(MG)、股直肌(RF)和股二头肌(BF)收缩期间测量肌肉激活,并将其标准化为静息肌肉活动。为了深入了解非自主非目标肌肉激活的机制,对侧半球应用TMS,并记录运动诱发电位(MEP)。结果:我们发现,在等长单侧收缩过程中,几乎每一块非目标肌肉都有显著的肌肉激活。在非目标肌肉中经常观察到MEP,但较大的非目标MEP振幅与较大的非靶肌肉激活无关。结论:我们的研究结果表明,非靶向肌肉激活在慢性中风患者中频繁发生。非靶向TMS反应和非靶向肌肉激活之间缺乏关联,这表明非靶向肌激活可能起源于皮质下或脊柱。非目标肌肉激活具有重要的临床意义,因为它可能会损害扭矩产生、非协同运动和肌肉激活时间。
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引用次数: 0
Safety and effectiveness of nusinersen, a treatment for spinal muscular atrophy, in 524 patients: results from an interim analysis of post-marketing surveillance in Japan. 524例脊髓性肌萎缩症治疗药物nusinersen的安全性和有效性:来自日本上市后监测的中期分析结果
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2023-09-07 DOI: 10.1080/00207454.2023.2251662
Yosuke Tachibana, Ryusuke Sato, Haruki Makioka, Misuzu Hoshino, Mingshou Jin

Purpose: Nusinersen is an antisense oligonucleotide approved for the treatment of spinal muscular atrophy (SMA). A post-marketing surveillance (PMS) has been ongoing (August 2017-August 2025) in all patients in Japan who were administered nusinersen intrathecally in real-world clinical settings. We report the interim analysis results for safety and effectiveness.

Methods: This interim analysis was conducted using data collected from 524 patients whose case report forms were obtained at least once by May 30, 2022. Collected data included patient demographics and adverse events (AEs) for safety, and motor function assessments and Clinical Global Impressions of Improvement (CGI-I) for effectiveness.

Results: Of the 524 patients in the safety analysis set, 522 patients who were diagnosed with SMA were included in the effectiveness analysis (infantile-onset SMA [n = 153, 29.3%], later-onset SMA [n = 369, 70.7%]). The median duration of treatment was 785.0 (range 1-1549) days. AEs occurred in 35.9% of patients (49.0% in infantile-onset SMA and 30.6% in later-onset SMA). Nusinersen treatment significantly improved Hammersmith Infant Neurological Examination scores in patients with infantile-onset SMA and Hammersmith Functional Motor Scale-Expanded scores in patients with later-onset SMA for up to nearly 3 years. Based on CGI-I assessments, 98.5-100% of patients receiving nusinersen 'improved' or remain 'unchanged'.

Conclusions: This interim analysis of the large-scale, all-case PMS in patients who were administered nusinersen in Japan supports the safety and effectiveness of nusinersen. The benefit-risk balance of nusinersen treatment remains favorable.

目的:Nusinersen是一种被批准用于治疗脊髓性肌萎缩症(SMA)的反义寡核苷酸。2017年8月至2025年8月,日本所有患者在现实世界的临床环境中接受鞘内注射,目前正在进行上市后监测(PMS)。我们报告安全性和有效性的中期分析结果。方法:本中期分析收集524例患者的数据,这些患者在2022年5月30日之前至少获得一次病例报告表。收集的数据包括患者人口统计数据和不良事件(ae)的安全性,以及运动功能评估和临床总体改善印象(CGI-I)的有效性。结果:524例纳入安全性分析的患者中,522例被诊断为SMA的患者被纳入有效性分析(婴儿期SMA [n = 153, 29.3%],晚发型SMA [n = 369, 70.7%])。治疗的中位持续时间为785.0天(范围1-1549天)。35.9%的患者发生不良反应(婴儿期发病的SMA为49.0%,晚发病的SMA为30.6%)。Nusinersen治疗可显著提高婴儿期SMA患者的Hammersmith婴儿神经学检查评分和晚发型SMA患者的Hammersmith功能运动量表扩展评分,持续时间长达近3年。根据CGI-I评估,98.5-100%接受nusinersen的患者“改善”或保持“不变”。结论:这项对日本服用nusinersen的大规模、全病例经前综合症患者的中期分析支持nusinersen的安全性和有效性。nusinersen治疗的收益-风险平衡仍然是有利的。
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International Journal of Neuroscience
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