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The Rostral Ventrolateral Medulla Input to Central Amygdala Regulates Anxiety-Like Behaviors in Mice for Chronic Light Exposure 中央杏仁核的吻侧腹外侧髓质输入调节慢性光暴露小鼠的焦虑样行为。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-05 DOI: 10.1002/cns.70775
Jia-Ni Jing, Xing Tan, Chou Xu, Chao Yuan, Hao Fan, Wei-Zhong Wang

Background

Emerging evidence increasingly links environmental light exposure to the development of anxiety disorder. The rostral ventrolateral medulla (RVLM), a key brainstem center that regulates sympathetic outflow and blood pressure (BP), has been implicated in the autonomic dysregulation frequently observed in anxiety. High blood pressure is a recognized exacerbating factor for anxiety-related pathology. Although aberrant projections from the central amygdala (CeA) to brainstem regions have been reported in multiple mood disorders, it remains unclear whether the CeA receives input from the RVLM and to what extent the RVLM's excitation influences anxiety symptoms induced by chronic light exposure (CL).

Methods

We employed a chronic mild light (250–300 lx) for 4 weeks to induce anxiety-like behaviors in mice. Using a tail-cuff system and ELISA assay, we assessed CL mice's BP and plasma catecholamine levels. Immunofluorescence was utilized to unravel the neuronal c-fos expression in the RVLM and CeA. Combining retrograde virus tracing technology, chemogenetic and optogenetic manipulations in freely moving mice to examine the effects of regulating RVLM-CeA pathway on anxiety-like behaviors induced by chronic light.

Results

Chronic light exposure in mice induces elevated blood pressure and elevated neuronal activity, which are more pronounced in the RVLM than in the CeA. Chemogenetic inhibition of RVLM neurons markedly attenuated CL-induced anxiety-like behaviors. Moreover, optogenetic inhibition of the RVLM→CeA pathway reduced anxiety phenotypes in CL-exposed mice, whereas optogenetic activation of this pathway in normal mice acutely triggered anxiety-like behaviors.

Conclusions

These findings demonstrate that the enhanced excitatory signaling within the RVLM→CeA circuit underlies the development of anxiety-like behaviors induced by chronic light, revealing a novel mechanism by which the RVLM regulates light-related affective dysfunction.

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引用次数: 0
β-Asarone Attenuates Neuroinflammation of Alzheimer's Disease by Activating Autophagy and Suppressing NLRP3 Inflammasome Assembly β-细辛酮通过激活自噬和抑制NLRP3炎性体组装来减轻阿尔茨海默病的神经炎症。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-04 DOI: 10.1002/cns.70771
Zhiwei Xu, Wanying Xu, Jinxin He, Jiahui Qian, Hui Wang, Changyu Li, Xiaojie Zhou

Aim

Alzheimer's Disease (AD) is a neurodegenerative condition with poorly understood mechanisms and few effective treatments. β-asarone has shown potential in AD management, though its molecular actions require further clarification. This study investigates the mechanisms through which β-asarone exerts its effects using both animal and cellular models.

Methods

In vivo, the 3×Tg-AD mice were administered β-asarone for 8 weeks. Learning and memory abilities were assessed via the Morris water maze and step-down tests. Histomorphological examination, immunofluorescence, immunohistochemistry, ELISA, transmission electron microscopy, and Western blotting were employed to detect pathological changes, neuroinflammation, and protein expression of relevant signaling pathway molecules. In vitro, Aβ was used to culture BV-2 cells to mimic the brain microenvironment in Alzheimer's disease; changes in neuroinflammation, autophagy, and NLRP3 inflammasome-related proteins were observed after treatment with β-asarone.

Results

The administration of β-asarone resulted in enhanced cognitive performance in 3×Tg-AD mice, alongside a reduction in microglial apoptosis induced by Aβ. Additionally, β-asarone diminished the accumulation of Aβ and phosphorylated Tau, ultimately supporting neuronal survival. In both the hippocampal tissue and BV-2 cell models, treatment with β-asarone led to a downregulation of neuroinflammatory markers and modulation of autophagy-related proteins (Beclin-1, P62, ATG5, LC3-II/I), while concurrently suppressing components of the NLRP3 inflammasome (NLRP3, ASC, Caspase-1, cleaved Caspase-1). Notably, the autophagy inhibitor 3-MA counteracted the inhibitory effects of β-asarone on NLRP3 activation.

Conclusion

β-Asarone attenuates AD-related neuroinflammation by activating autophagy to inhibit NLRP3 inflammasome assembly.

目的:阿尔茨海默病(AD)是一种神经退行性疾病,机制尚不清楚,有效的治疗方法也很少。β-细辛酮已显示出在AD治疗方面的潜力,尽管其分子作用有待进一步阐明。本研究通过动物和细胞模型探讨了β细辛酮发挥其作用的机制。方法:3×Tg-AD小鼠体内注射β-细辛酮8周。学习和记忆能力通过Morris水迷宫和降压测试进行评估。采用组织形态学检查、免疫荧光、免疫组织化学、ELISA、透射电镜、Western blotting检测病理变化、神经炎症及相关信号通路分子蛋白表达。体外用Aβ培养BV-2细胞模拟阿尔茨海默病脑微环境;观察β-细辛酮治疗后神经炎症、自噬及NLRP3炎性小体相关蛋白的变化。结果:β-细辛酮可增强3×Tg-AD小鼠的认知能力,同时减少a β诱导的小胶质细胞凋亡。此外,β-细辛酮减少了Aβ的积累和磷酸化的Tau,最终支持神经元的存活。在海马组织和BV-2细胞模型中,β-asarone治疗导致神经炎症标志物下调和自噬相关蛋白(Beclin-1, P62, ATG5, LC3-II/I)的调节,同时抑制NLRP3炎症小体的成分(NLRP3, ASC, Caspase-1, cleaved Caspase-1)。值得注意的是,自噬抑制剂3-MA抵消了β-细辛酮对NLRP3激活的抑制作用。结论:β-细辛酮通过激活自噬抑制NLRP3炎性小体组装来减轻ad相关神经炎症。
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引用次数: 0
Targeting the SIRT1-NAT10-GABABR1 Axis: A Novel Epitranscriptomic Approach to Mitigate Sevoflurane-Induced Cognitive Impairment in Aging 靶向SIRT1-NAT10-GABABR1轴:一种减轻七氟醚诱导的衰老认知障碍的新表转录组学方法
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-04 DOI: 10.1002/cns.70762
Xin Xie, Wei Du, Yanmei Zhang, Xiaomin Zhang

Aims

This study investigated how Sirtuin 1 (Sirt1) protects against sevoflurane-induced postoperative cognitive dysfunction (POCD) in aged rats by targeting N-acetyltransferase 10 (NAT10)-mediated mRNA acetylation and mitochondrial homeostasis.

Methods

Aged rats received sevoflurane exposure and AAV-mediated Sirt1/Nat10 manipulation. We assessed autophagy (WB, LC3/TOM20 colocalization), energy metabolism (ROS/ATP, JC-1), and Gababr1 expression (RT-qPCR, immunofluorescence). Cognitive function was evaluated using Y-maze, NORT, and MWM. scRNA-seq identified neuronal subpopulations, while RIP-qPCR/dot blot analyzed Nat10-Gababr1 mRNA interactions. Patch-clamp recordings measured IPSC_slow amplitudes.

Results

Sevoflurane increased NAT10 expression and Gababr1 mRNA ac4C acetylation. Sirt1 overexpression deacetylated NAT10, restoring autophagy (↑LC3-II), reducing ROS, and improving cognition. scRNA-seq revealed SIRT1 enrichment in high-autophagy neurons. Nat10 knockdown decreased Gababr1 expression and cognitive deficits. Electrophysiology confirmed SIRT1-mediated reduction of Baclofen-induced IPSC_slow via NAT10 deacetylation.

Conclusion

SIRT1 alleviates POCD by deacetylating NAT10 to reduce Gababr1 mRNA acetylation, thereby normalizing synaptic inhibition and restoring metabolic-autophagic balance. The SIRT1-NAT10-GABABR1 axis represents a novel therapeutic target for anesthesia-related neurotoxicity.

目的:本研究探讨Sirtuin 1 (Sirt1)如何通过靶向n -乙酰转移酶10 (NAT10)介导的mRNA乙酰化和线粒体稳态来预防七氟醚诱导的老年大鼠术后认知功能障碍(POCD)。方法:老龄大鼠接受七氟醚暴露和aav介导的Sirt1/Nat10操纵。我们评估了自噬(WB、LC3/TOM20共定位)、能量代谢(ROS/ATP、JC-1)和Gababr1表达(RT-qPCR、免疫荧光)。采用y型迷宫、NORT和MWM评估认知功能。scRNA-seq鉴定神经元亚群,而RIP-qPCR/dot blot分析Nat10-Gababr1 mRNA相互作用。膜片钳记录测量IPSC_slow振幅。结果:七氟醚增加NAT10表达和gababr1mrna ac4C乙酰化。Sirt1过表达去乙酰化NAT10,恢复自噬(↑LC3-II),减少ROS,改善认知。scRNA-seq显示SIRT1在高自噬神经元中富集。Nat10敲低可减少Gababr1的表达和认知缺陷。电生理学证实sirt1通过NAT10去乙酰化介导巴氯芬诱导的IPSC_slow的减少。结论:SIRT1通过使NAT10去乙酰化,降低Gababr1 mRNA乙酰化,从而使突触抑制正常化,恢复代谢-自噬平衡,从而缓解POCD。SIRT1-NAT10-GABABR1轴代表了麻醉相关神经毒性的新治疗靶点。
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引用次数: 0
Double-Duty Drugs: Repositioning Antipsychotics to Combat Bacterial Infections 双重作用药物:重新定位抗精神病药物以对抗细菌感染。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-04 DOI: 10.1002/cns.70724
Navid Faraji, Mohammad Abavisani, Negar Ebadpour, Sercan Karav, Prashant Kesharwani, Amirhossein Sahebkar

Introduction

This article provides a comprehensive review of the antibacterial properties of antipsychotics, exploring proposed pathways and mechanisms of action. While experimental evidence supports certain mechanisms, such as efflux pump inhibition, others, including the impact on the respiratory chain in M. tuberculosis and cell wall inhibition, remain insufficiently substantiated.

Methods

Current research primarily relies on in vitro experiments, with limited exploration of in vivo effects. The influence of antipsychotics on gut microbiota poses a significant concern, as alterations may lead to dysbiosis, which has been linked to various illnesses. Additionally, antimicrobial drugs can exert selective pressure, fostering resistance in bacterial strains.

Results

Repositioning antipsychotics as antimicrobials is further complicated by the need for higher doses than those approved for therapeutic use in humans, raising safety concerns. The use of antipsychotics in non-psychotic populations is particularly problematic due to a lack of proven efficacy and potential adverse effects, such as metabolic disturbances, movement disorders, and sleep issues.

Conclusions

These challenges highlight the need for extensive in vivo and clinical studies to evaluate the antibacterial potential of antipsychotics, ensuring safety and efficacy. Careful monitoring and a balanced risk–benefit analysis are essential when considering antipsychotics for antimicrobial purposes.

本文综述了抗精神病药物的抗菌特性,并探讨了其可能的作用途径和机制。虽然实验证据支持某些机制,如外排泵抑制,但其他机制,包括对结核分枝杆菌呼吸链的影响和细胞壁抑制,仍未得到充分证实。方法:目前的研究主要依赖于体外实验,对体内效应的探索有限。抗精神病药物对肠道微生物群的影响引起了极大的关注,因为改变可能导致生态失调,这与各种疾病有关。此外,抗菌药物可以施加选择性压力,促进细菌菌株的耐药性。结果:将抗精神病药物重新定位为抗菌剂进一步复杂化,因为需要比批准用于人类治疗的剂量更高的剂量,引起了安全问题。在非精神病人群中使用抗精神病药物尤其成问题,因为缺乏证实的疗效和潜在的不良反应,如代谢紊乱、运动障碍和睡眠问题。结论:这些挑战突出了需要广泛的体内和临床研究来评估抗精神病药物的抗菌潜力,确保其安全性和有效性。在考虑抗精神病药物用于抗菌目的时,仔细监测和平衡的风险-效益分析是必不可少的。
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引用次数: 0
Altered Salience-Default Mode Network Dynamics in Subclinical Depression: A Preclustering-Based Co-Activation Pattern Analysis 亚临床抑郁症显著性-默认模式网络动力学的改变:基于预聚类的共激活模式分析。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-04 DOI: 10.1002/cns.70736
Bo Zhang, Zhinan Yu, Feifan Yan, Yiwei Sun, Jiao Ye, Xiaoya Liu, Shouliang Qi, Xinhua Wei, Shuang Liu, Dong Ming

Background

Neuroimaging studies frequently report aberrant spontaneous brain activity and functional connectivity within core functional networks, including the default mode network (DMN), frontoparietal network (FPN), and salience network (SN) in subclinical depression (SD). However, the dynamic coordination among these networks remains poorly understood, impeding comprehensive elucidation of the underlying neuropathology of SD.

Methods

Resting-state functional magnetic resonance imaging (fMRI) data were collected from subjects with SD (n = 26) and healthy controls (HCs, n = 33). A preclustering-based co-activation pattern method was developed to investigate the dynamic patterns of network coordination. Finally, machine learning analysis was conducted to evaluate the potential of network dynamics for clinical diagnosis.

Results

Subjects with SD exhibited decreased dwell time in the SN and increased transition frequency from the SN to DMN, which was positively correlated with depressive severity. Furthermore, an ensemble learning model based on SN-DMN dynamic features achieved a classification accuracy of 96.44% in distinguishing SD from HC.

Conclusion

These findings underscore the potential of altered SN-DMN dynamics as candidates for future neuroimaging markers of SD and support a neurocognitive model whereby altered SN-DMN dynamic coordination makes subjects with SD more prone to internal directed attention biases, thereby contributing to self-related depressive symptoms like rumination.

背景:神经影像学研究经常报道亚临床抑郁症(SD)的默认模式网络(DMN)、额顶叶网络(FPN)和突出网络(SN)等核心功能网络中异常的自发脑活动和功能连通性。然而,这些网络之间的动态协调仍然知之甚少,阻碍了对SD潜在神经病理学的全面阐明。方法:收集SD患者(n = 26)和健康对照(hc, n = 33)静息状态功能磁共振成像(fMRI)数据。提出了一种基于预聚类的协同激活模式方法来研究网络协调的动态模式。最后,进行了机器学习分析,以评估网络动力学在临床诊断中的潜力。结果:SD患者在SN中停留时间减少,从SN到DMN的转换频率增加,与抑郁严重程度呈正相关。此外,基于SN-DMN动态特征的集成学习模型对SD和HC的分类准确率达到96.44%。结论:这些发现强调了改变的SN-DMN动力学作为未来SD神经影像学标记的候选潜力,并支持了一种神经认知模型,即改变的SN-DMN动态协调使SD患者更容易产生内部定向注意偏差,从而导致自我相关的抑郁症状,如反刍。
{"title":"Altered Salience-Default Mode Network Dynamics in Subclinical Depression: A Preclustering-Based Co-Activation Pattern Analysis","authors":"Bo Zhang,&nbsp;Zhinan Yu,&nbsp;Feifan Yan,&nbsp;Yiwei Sun,&nbsp;Jiao Ye,&nbsp;Xiaoya Liu,&nbsp;Shouliang Qi,&nbsp;Xinhua Wei,&nbsp;Shuang Liu,&nbsp;Dong Ming","doi":"10.1002/cns.70736","DOIUrl":"10.1002/cns.70736","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Neuroimaging studies frequently report aberrant spontaneous brain activity and functional connectivity within core functional networks, including the default mode network (DMN), frontoparietal network (FPN), and salience network (SN) in subclinical depression (SD). However, the dynamic coordination among these networks remains poorly understood, impeding comprehensive elucidation of the underlying neuropathology of SD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Resting-state functional magnetic resonance imaging (fMRI) data were collected from subjects with SD (<i>n</i> = 26) and healthy controls (HCs, <i>n</i> = 33). A preclustering-based co-activation pattern method was developed to investigate the dynamic patterns of network coordination. Finally, machine learning analysis was conducted to evaluate the potential of network dynamics for clinical diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Subjects with SD exhibited decreased dwell time in the SN and increased transition frequency from the SN to DMN, which was positively correlated with depressive severity. Furthermore, an ensemble learning model based on SN-DMN dynamic features achieved a classification accuracy of 96.44% in distinguishing SD from HC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings underscore the potential of altered SN-DMN dynamics as candidates for future neuroimaging markers of SD and support a neurocognitive model whereby altered SN-DMN dynamic coordination makes subjects with SD more prone to internal directed attention biases, thereby contributing to self-related depressive symptoms like rumination.</p>\u0000 </section>\u0000 </div>","PeriodicalId":154,"journal":{"name":"CNS Neuroscience & Therapeutics","volume":"32 2","pages":""},"PeriodicalIF":5.0,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146117364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preoperative Metabolic Predictors of Granulation Subtypes in Somatotroph Tumors: A Multicenter Retrospective Cohort Study 生长营养肿瘤肉芽亚型术前代谢预测因子:一项多中心回顾性队列研究
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-03 DOI: 10.1002/cns.70774
Le Chen, Jiaming Wang, Ailiang Zeng, Farhana Akter, Shanshan Wang, Shitong Liu, Weiyu Hu, Shun Yao, Konstantinos Margetis, Zongming Wang, Haipeng Liu, Xin Wang

Purpose

Differentiating between sparsely granulated and densely granulated somatotroph tumors (SGSTs and DGSTs) currently relies on postoperative immunohistochemistry. This study aimed to evaluate whether triglyceride (TG), uric acid (UA), and their composite TG–UA index [ln(TG × 1000/UA)] could serve as preoperative indicators for distinguishing granulation subtypes of somatotroph tumors.

Methods

In this multicenter retrospective cohort study, 230 patients with somatotroph tumors were analyzed. Logistic regression and generalized additive models assessed associations and potential nonlinear associations between metabolic indicators and granulation subtypes. Predictive performance was compared between models using UA and TG separately and those using the TG–UA index.

Results

SGSTs were associated with significantly higher TG, growth hormone, insulin-like growth factor 1, and TG–UA index values. The TG–UA index remained an independent predictor of the SGST subtype (OR = 1.514, p = 0.014). Predictive performance was similar between models (p = 0.108).

Conclusion

The TG–UA index is a promising noninvasive biomarker for identifying the SGST subtype in somatotroph tumors. Although limited by its retrospective design and lack of long-term data, this study provides a foundation for future prospective validation.

目的:目前,稀疏颗粒型和密集颗粒型生长发育瘤(SGSTs和DGSTs)的鉴别依赖于术后免疫组织化学。本研究旨在探讨甘油三酯(TG)、尿酸(UA)及其复合TG-UA指数[ln(TG × 1000/UA)]能否作为区分生长发育型肿瘤肉芽亚型的术前指标。方法:在这项多中心回顾性队列研究中,分析了230例生长滋长性肿瘤患者。Logistic回归和广义加性模型评估了代谢指标与肉芽亚型之间的关联和潜在的非线性关联。将分别使用UA和TG的模型与使用TG-UA指数的模型的预测性能进行比较。结果:SGSTs与TG、生长激素、胰岛素样生长因子1和TG- ua指数显著升高相关。TG-UA指数仍然是SGST亚型的独立预测因子(OR = 1.514, p = 0.014)。模型之间的预测性能相似(p = 0.108)。结论:TG-UA指数是一种很有前途的无创生物标志物,可用于鉴定生长发育型肿瘤中SGST亚型。虽然受限于其回顾性设计和缺乏长期数据,本研究为未来的前瞻性验证提供了基础。
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引用次数: 0
Hydrogen-Mediated Activation of the Nrf2/HO-1 Signaling Pathway Improves Cognitive Impairment in Sleep-Deprived Mice 氢介导的Nrf2/HO-1信号通路激活改善睡眠剥夺小鼠的认知障碍
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-01 DOI: 10.1002/cns.70770
QiFan Xiao, ShiRui Zhou, Bin Tang, YuQing Zhu

Aims

This study investigated the effects of hydrogen (H2) on cognitive impairment in sleep-deprived mice mediated by the nuclear factor erythroid 2-related factor 2 (Nrf2)/heme oxygenase-1 (HO-1) signaling pathway.

Methods

A chronic sleep deprivation (SD) model was established using the modified multiple platform method, with 18 h of deprivation daily for 28 consecutive days. Cognitive function was evaluated using the Morris water maze and novel object recognition (NOR) test. Histopathological and biochemical analyses, including hematoxylin and eosin staining, Nissl staining, immunohistochemistry, and enzyme-linked immunosorbent assay, were performed to assess oxidative stress and inflammation-related markers.

Results

The results demonstrated that H2-treated mice showed significantly shorter escape latency, longer target quadrant duration, and higher NOR index compared to controls. Concurrently, Nrf2/HO-1 expression was significantly upregulated, while interleukin-1β and tumor necrosis factor-alpha levels were reduced. Additionally, glutathione peroxidase and superoxide dismutase activities were restored.

Conclusion

These results indicate that H2 alleviates oxidative stress and neuroinflammation through Nrf2/HO-1 pathway activation, mitigating SD-induced cognitive impairment. This research provides a theoretical foundation for potential clinical applications.

目的:研究氢(H2)对核因子-红细胞2相关因子2 (Nrf2)/血红素加氧酶-1 (HO-1)信号通路介导的睡眠剥夺小鼠认知功能障碍的影响。方法:采用改进的多平台法建立慢性睡眠剥夺(SD)模型,每天剥夺18 h,连续28 d。采用Morris水迷宫和新目标识别(NOR)测试评估认知功能。进行组织病理学和生化分析,包括苏木精和伊红染色、尼氏染色、免疫组织化学和酶联免疫吸附测定,以评估氧化应激和炎症相关标志物。结果:结果表明,与对照组相比,h2处理小鼠的逃避潜伏期明显缩短,靶象限持续时间明显延长,NOR指数明显提高。同时,Nrf2/HO-1表达显著上调,而白细胞介素-1β和肿瘤坏死因子- α水平降低。此外,谷胱甘肽过氧化物酶和超氧化物歧化酶活性恢复。结论:H2通过激活Nrf2/HO-1通路减轻氧化应激和神经炎症,减轻sd诱导的认知功能障碍。本研究为潜在的临床应用提供了理论基础。
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引用次数: 0
Aerobic Exercise Promotes Hippocampal Neurogenesis and Ameliorates Cognitive Dysfunction Induced by Unilateral Labyrinthectomy. 有氧运动促进海马神经发生并改善单侧迷路切除引起的认知功能障碍。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-02-01 DOI: 10.1002/cns.70773
Zhanghong Zhou, Xixi Yu, E Tian, Zhaoqi Guo, Jingyu Chen, Jiaqi Guo, Shiyu Shi, Wandi Xu, Ni Zhai, Caijuan Qiao, Yuejin Zhang, Jun Wang, Yisheng Lu, Sulin Zhang

Aims: Vestibular dysfunction is strongly linked to cognitive impairment and dementia risk, yet its underlying mechanisms remain unclear, hindering treatment development. As a primary physical therapy intervention, aerobic exercise improves cognitive dysfunction. Thus, we investigated its potential to reverse cognitive deficits after vestibular dysfunction and explored the neurobiological mechanisms involved.

Methods: Behavioral experiments were conducted to assess the cognitive impairment induced by unilateral labyrinthectomy (UL). Immunofluorescence staining was performed to assess neural stem cell proliferation and newborn neuron maturation in the hippocampal dentate gyrus. Aerobic exercise was applied as an intervention to examine its effects on cognitive and neurogenic recovery. RNA sequencing followed by qRT-PCR was used to characterize transcriptional changes. Pharmacological manipulation is applied to demonstrate the necessity and sufficiency of key candidate genes in mediating the exercise-induced effects.

Results: UL induced significant cognitive dysfunction and hippocampal neurogenesis inhibition, whereas aerobic exercise intervention reversed these impairments. Transcriptomic profiling showed that aerobic exercise normalized UL-disrupted gene expression, with enrichment observed in MHC class I/II-related (H2-K1, H2-Eb1, CD74) and neurodevelopmental (Cntn5, Mid1) pathways. Pharmacological experiments established causality: inhibition of neuroinflammatory signaling with AZD1480 enhanced neurogenesis and improved cognition after UL, whereas LPS-mediated activation of inflammation attenuated the beneficial effects of aerobic exercise.

Conclusion: These findings provide a novel non-pharmacological strategy for cognitive rehabilitation, as well as early cognitive screening and exercise rehabilitation intervention for patients with vestibular disorders.

目的:前庭功能障碍与认知障碍和痴呆风险密切相关,但其潜在机制尚不清楚,阻碍了治疗的发展。作为一种主要的物理治疗干预,有氧运动可以改善认知功能障碍。因此,我们研究了其逆转前庭功能障碍后认知缺陷的潜力,并探讨了其中的神经生物学机制。方法:采用行为学实验评价单侧迷路切除术(UL)所致认知功能障碍。免疫荧光染色观察海马齿状回神经干细胞增殖和新生神经元成熟情况。采用有氧运动作为干预手段,考察其对认知和神经源性恢复的影响。采用RNA测序和qRT-PCR来表征转录变化。应用药理学操作来证明关键候选基因在介导运动诱导效应中的必要性和充分性。结果:UL诱导了显著的认知功能障碍和海马神经发生抑制,而有氧运动干预逆转了这些损伤。转录组学分析显示,有氧运动使ul中断的基因表达正常化,在MHC I/ ii类相关(H2-K1, H2-Eb1, CD74)和神经发育(Cntn5, Mid1)途径中观察到富集。药理学实验建立了因果关系:AZD1480抑制神经炎症信号增强了UL后的神经发生并改善了认知,而lps介导的炎症激活则减弱了有氧运动的有益作用。结论:这些发现为前庭功能障碍患者的认知康复、早期认知筛查和运动康复干预提供了一种新的非药物策略。
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引用次数: 0
Ablation of Unilateral Hippocampal GABAergic Neurons: A Novel Mouse Model of Mesial Temporal Lobe Epilepsy With Hippocampal Sclerosis 单侧海马gaba能神经元消融:海马硬化中颞叶癫痫小鼠新模型。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-31 DOI: 10.1002/cns.70772
Ting Tang, Jinkun Xu, Bin Fu, Chao Geng, Yuhao Li, Yuying Qi, Changkai Hou, Junping He, Yihe Wang, Yumin Luo, Guoguang Zhao

Aims

While various animal models of mesial temporal lobe epilepsy (MTLE) exist, a validated model based solely on hippocampal GABAergic interneuron loss is lacking. We aimed to establish and characterize a novel MTLE with hippocampal sclerosis (HS) model by selective ablation of these neurons.

Methods

Using AAV vectors (flex-DTA or DIO-taCasp3-TEVp), we performed unilateral, partial ablation of GABAergic neurons in the dentate gyrus (DG) or CA1 subregions of VGAT-Cre mice. Spontaneous recurrent seizures (SRS) were monitored by video-EEG. Behavioral tests and histopathological analyses were conducted to assess comorbidities and HS features.

Results

DG-ablated mice all developed SRS, whereas 50%–70% of CA1-ablated mice did. Lethal SRS occurred in around 50% of DG-ablated mice. Both ablation models exhibited sustained SRS from Days 8–28, distinct from kainic acid model severity in some parameters. The model recapitulated anxiety-like behaviors, cognitive deficits, and hallmark HS pathology including gliosis, granule cell dispersion, and mossy fiber sprouting.

Conclusion

Selective unilateral hippocampal GABAergic interneuron loss is sufficient to drive chronic epilepsy with HS. This model provides direct causal evidence and a precise platform for investigating MTLE-HS mechanisms and therapies.

目的:虽然有多种中颞叶癫痫(MTLE)的动物模型,但缺乏一种完全基于海马gaba能中间神经元损失的有效模型。我们旨在通过选择性消融这些神经元来建立并表征一种新的MTLE伴海马硬化(HS)模型。方法:采用AAV载体(flex-DTA或DIO-taCasp3-TEVp),对VGAT-Cre小鼠齿状回(DG)或CA1亚区的gaba能神经元进行单侧、部分消融。视频脑电图监测自发性复发性癫痫发作(SRS)。进行行为测试和组织病理学分析以评估合并症和HS特征。结果:dg消融小鼠均发生SRS, ca1消融小鼠发生SRS的比例为50% ~ 70%。约50%的dg消融小鼠发生致死性SRS。两种消融模型在第8-28天都表现出持续的SRS,在某些参数上与kainic酸模型的严重程度不同。该模型重现了焦虑样行为、认知缺陷和HS标志性病理,包括胶质瘤、颗粒细胞弥散和苔藓纤维发芽。结论:选择性单侧海马gaba能中间神经元丢失足以驱动HS伴慢性癫痫。该模型为研究MTLE-HS机制和治疗提供了直接的因果证据和精确的平台。
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引用次数: 0
An Integrated QSM-Radiomics Nomogram With Clinical and Imaging Markers for Stratifying Cognitive Impairment in Hypertension 综合qsm -放射组学图与临床和影像学标志物对高血压患者认知功能障碍的分层。
IF 5 1区 医学 Q1 NEUROSCIENCES Pub Date : 2026-01-30 DOI: 10.1002/cns.70769
Yu Su, Tingting Liu, Chengjun Dong, Limin Ge, Tianxiang Li, Zhiqing Zhang, Yihan Zhang, Chungao Li, Jie Zhao, Chuansheng Zheng, E. Mark Haacke, Wenjun Wu, Lixia Wang

Background

Hypertensive cognitive impairment is associated with increased iron deposition in deep gray matter. This study aimed to evaluate the potential clinical application of quantitative susceptibility mapping (QSM)-based radiomics for stratifying cognitive impairment in hypertensive patients.

Methods

We prospectively enrolled 178 hypertensive patients who underwent QSM examination and categorized them into cognitive impairment group and normal cognition group. The workflow included: (1) Precise 3D segmentation and susceptibility quantification of the basal ganglia; (2) Initial radiomics feature extraction from the target regions, followed by optimal feature selection via variance thresholding, maximum relevance minimum redundancy (mRMR) algorithm, and LASSO regression; (3) Construction of a multiparametric model integrating radiomics scores and clinical risk factors. The model's performance was assessed by receiver operating characteristic (ROC) curve and its clinical utility for stratification was further evaluated using decision curve analysis (DCA).

Results

The multi-region radiomics model demonstrated superior diagnostic performance in the training cohort (AUC = 0.812), significantly outperforming the QSM and WMH models (AUCs = 0.620 and 0.688, respectively). In the validation cohort, clinically meaningful improvements were observed (ΔAUC = 0.117 and 0.136, respectively). The combined model, which integrated Radscore, susceptibility values, WMH scores, age, and education level, achieved the highest discriminability in both the training (AUC = 0.860) and validation cohorts (AUC = 0.872). DCA further indicated that the nomogram derived from the combined model provided the greatest net clinical benefit for stratifying hypertensive cognitive impairment.

Conclusion

A nomogram integrating QSM-based radiomics with clinical and imaging markers accurately stratified hypertensive cognitive impairment, offering an objective tool for early risk assessment.

背景:高血压认知障碍与深部灰质铁沉积增加有关。本研究旨在评估基于定量易感性制图(QSM)的放射组学在高血压患者认知功能障碍分层中的潜在临床应用。方法:前瞻性纳入178例接受QSM检查的高血压患者,将其分为认知障碍组和认知正常组。工作流程包括:(1)基底节区精确的三维分割和敏感性量化;(2)从目标区域提取放射组学初始特征,然后通过方差阈值分割、mRMR算法和LASSO回归进行最优特征选择;(3)构建放射组学评分与临床危险因素相结合的多参数模型。采用受试者工作特征(ROC)曲线评价模型的性能,采用决策曲线分析(DCA)进一步评价模型在分层中的临床应用。结果:多区域放射组学模型在训练队列中表现出优越的诊断性能(AUC = 0.812),显著优于QSM和WMH模型(AUC分别为0.620和0.688)。在验证队列中,观察到有临床意义的改善(ΔAUC分别= 0.117和0.136)。综合Radscore、敏感性值、WMH评分、年龄和受教育程度的联合模型在训练队列(AUC = 0.860)和验证队列(AUC = 0.872)中具有最高的判别性。DCA进一步表明,由联合模型得出的nomogram为高血压认知障碍分层提供了最大的净临床效益。结论:基于qsm的放射组学与临床和影像学标志物相结合的nomogram可准确分层高血压认知功能障碍,为早期风险评估提供客观工具。
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引用次数: 0
期刊
CNS Neuroscience & Therapeutics
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