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Frequency-Specific Alterations of Fractional Amplitude of Low-Frequency Fluctuations in Adult-Onset Hypothyroidism. 成年甲状腺功能减退症患者低频波动分振幅的频率特异性变化
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-05-31 DOI: 10.31083/j.jin2306111
Qian Shi, Yalan Han, Jing Tian, Gang Huang, Limin Tian, Rui Qin, Jiancang Cao, Lianping Zhao

Background: The neuropathophysiological mechanisms of brain damage underlying hypothyroidism remain unclear. Fractional amplitude of low-frequency fluctuations (fALFF) has been established as a reliable indicator for investigation of abnormal spontaneous brain activity that occurs at specific frequencies in different types of mental disorder. However, the changes of fALFF in specific frequency bands in hypothyroidism have not yet been investigated.

Methods: Fifty-three hypothyroid patients and 39 healthy controls (HCs) underwent thyroid-related hormone levels tests, neuropsychological assessment, and magnetic resonance imaging (MRI) scans. The fALFF in the standard band (0.01-0.1 Hz), slow-4 (0.027-0.073 Hz), and slow-5 bands (0.01-0.027 Hz) were analyzed. An analysis of Pearson correlation was conducted between fALFF, thyroid-related hormone levels, and neuropsychological scores in hypothyroid patients.

Results: Compared to HCs, within the routine band, hypothyroidism group showed significantly decreased fALFF in left lingual gyrus, middle temporal gyrus (MTG), precentral gyrus, calcarine cortex, and right inferior occipital gyrus; within the slow-5 band, the hypothyroidism group exhibited decreased fALFF in left lingual gyrus, MTG, superior temporal gyrus, postcentral gyrus, and paracentral lobule, and increased fALFF in supplementary motor area (SMA) and right middle frontal gyrus; additionally, fALFF in the left lingual gyrus within the routine and slow-5 bands were negatively correlated with the level of thyroid stimulating hormone.

Conclusions: In this study, the slow-5 frequency band exhibits better sensitivity than the standard band in detecting fALFF values. A decrease of fALFF values in the lingual gyrus and MTG was observed in both the standard and slow-5 bands and might present potential neuroimaging biomarkers for hypothyroidism.

Clinical trial registration: No: ChiCTR2000028966. Registered 9 January, 2020, https://www.chictr.org.cn.

背景:甲状腺功能减退症导致脑损伤的神经病理生理机制仍不清楚。低频波动分数振幅(fALFF)已被确定为一种可靠的指标,可用于研究不同类型精神障碍患者在特定频率下出现的异常自发脑活动。然而,甲状腺功能减退症患者特定频段的 fALFF 变化尚未得到研究:53名甲减患者和39名健康对照组(HCs)接受了甲状腺相关激素水平检测、神经心理学评估和磁共振成像(MRI)扫描。对标准波段(0.01-0.1 Hz)、慢-4 波段(0.027-0.073 Hz)和慢-5 波段(0.01-0.027 Hz)的 fALFF 进行了分析。对甲状腺功能减退症患者的fALFF、甲状腺相关激素水平和神经心理学评分进行了皮尔逊相关性分析:与普通人群相比,在常规波段内,甲减患者左侧舌回、颞中回(MTG)、中央前回、钙皮质和右侧枕下回的 fALFF 明显降低;在慢-5 波段内,甲减患者左侧舌回、颞中回(MTG)、中央前回、钙皮质和右侧枕下回的 fALFF 明显降低;在慢-5波段中,甲减组人的左舌回、颞中回、颞上回、中央后回和中央小叶旁的fALFF减少,而辅助运动区(SMA)和右额中回的fALFF增加;此外,常规波段和慢-5波段中左舌回的fALFF与促甲状腺激素水平呈负相关。结论在这项研究中,慢-5 频段在检测 fALFF 值方面比标准频段表现出更高的灵敏度。在标准频段和慢5频段中均观察到舌回和MTG的fALFF值下降,这可能是甲状腺功能减退症的潜在神经影像生物标记物:临床试验注册号:ChiCTR2000028966。注册时间:2020年1月9日,https://www.chictr.org.cn。
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引用次数: 0
Effective Connectivity of Default Mode Network Subsystems in Parkinson's Disease with Mild Cognitive Impairment Based on Spectral Dynamic Causal Modeling. 基于频谱动态因果建模的帕金森病伴轻度认知障碍患者默认模式网络子系统的有效连接性。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-05-30 DOI: 10.31083/j.jin2306110
TianTian Pan, Hang Qu, Yu Pan, Wei Wang, Yi Zhao

Objective: The objective of this study is to compare the differences in effective connectivity within the default mode network (DMN) subsystems between patients with Parkinson's disease with mild cognitive impairment (PD-MCI) and patients with Parkinson's disease with normal cognition (PD-CN). The mechanisms underlying DMN dysfunction in PD-MCI patients and its association with clinical cognitive function in PD-MCI are aimed to be investigated.

Methods: The spectral dynamic causal model (spDCM) was employed to analyze the effective connectivity of functional magnetic resonance imaging (fMRI) data in the resting state for the DMN subsystems, which include the medial prefrontal cortex (MPFC), posterior cingulate cortex (PCC), left and right angular gyrus (LAG, RAG) in 23 PD-MCI and 22 PD-CN patients, respectively. The effective connectivity values of DMN subsystems in the two groups were statistically analyzed using a two-sample t-test. The Spearman correlation analysis was used to test the correlation between the effective connectivity values of the subsystems with significant differences between the two groups and the clinical cognitive function (as measured by Montreal Cognitive Assessment Scale (MoCA) score).

Results: Statistical analysis revealed significant differences in the effective connections of MPFC-LAG and LAG-PCC between the two patient groups (MPFC-LAG: t = -2.993, p < 0.05; LAG-PCC: t = 2.174, p < 0.05).

Conclusions: The study findings suggest that abnormal strength and direction of effective connections between DMN subsystems are found in PD-MCI patients.

研究目的本研究旨在比较帕金森病伴轻度认知障碍患者(PD-MCI)和帕金森病伴正常认知患者(PD-CN)默认模式网络(DMN)子系统内有效连接性的差异。旨在研究帕金森病轻度认知障碍(PD-MCI)患者DMN功能障碍的机制及其与帕金森病轻度认知障碍(PD-MCI)临床认知功能的关系:方法:采用频谱动态因果模型(spDCM)分析了23例PD-MCI和22例PD-CN患者静息状态下功能磁共振成像(fMRI)数据的有效连接性,DMN子系统包括内侧前额叶皮层(MPFC)、后扣带回皮层(PCC)、左右角回(LAG、RAG)。两组患者 DMN 子系统的有效连接值采用双样本 t 检验进行统计分析。斯皮尔曼相关分析用于检验两组之间存在显著差异的子系统有效连接值与临床认知功能(以蒙特利尔认知评估量表(MoCA)评分为标准)之间的相关性:统计分析显示,MPFC-LAG和LAG-PCC的有效连接在两组患者之间存在显著差异(MPFC-LAG:t = -2.993,p < 0.05;LAG-PCC:t = 2.174,p < 0.05):研究结果表明,PD-MCI 患者的 DMN 子系统之间有效连接的强度和方向存在异常。
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引用次数: 0
Parkinson's Disease and Mitotherapy-Based Approaches towards α-Synucleinopathies. 帕金森病和基于有丝分裂疗法的α-突触核蛋白病治疗方法
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-05-29 DOI: 10.31083/j.jin2306109
Vidhi Bhatt, Halak Shukla, Anand Krishna Tiwari

Parkinson's disease (PD) is a neurodegenerative disorder characterized by the progressive loss of dopaminergic neurons in the substantia nigra pars compacta region of the midbrain and the formation of intracellular protein aggregates known as Lewy bodies, of which a major component is the protein α-synuclein. Several studies have suggested that mitochondria play a central role in the pathogenesis of PD, encompassing both familial and sporadic forms of the disease. Mitochondrial dysfunction is attributed to bioenergetic impairment, increased oxidative stress, damage to mitochondrial DNA, and alteration in mitochondrial morphology. These alterations may contribute to improper functioning of the central nervous system and ultimately lead to neurodegeneration. The perturbation of mitochondrial function makes it a potential target, worthy of exploration for neuroprotective therapies and to improve mitochondrial health in PD. Thus, in the current review, we provide an update on mitochondria-based therapeutic approaches toward α-synucleinopathies in PD.

帕金森病(Parkinson's disease,PD)是一种神经退行性疾病,其特征是中脑黑质部位多巴胺能神经元逐渐丧失,细胞内蛋白质聚集形成路易体,其中主要成分是蛋白质α-突触核蛋白。多项研究表明,线粒体在帕金森病的发病机制中起着核心作用,包括家族性和散发性帕金森病。线粒体功能障碍可归因于生物能量损伤、氧化应激增加、线粒体 DNA 损伤和线粒体形态改变。这些改变可能导致中枢神经系统功能失调,并最终导致神经退行性变。线粒体功能的紊乱使其成为一个潜在的靶点,值得探索神经保护疗法和改善帕金森病线粒体健康的方法。因此,在本综述中,我们提供了基于线粒体的治疗方法的最新进展,以治疗帕金森病中的α-突触核蛋白病。
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引用次数: 0
EEG Activity during Pursuit and Saccade Visual Strategies to Predict the Arrival Position of a Target. 预测目标到达位置的追逐和慢动作视觉策略期间的脑电图活动。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-05-29 DOI: 10.31083/j.jin2306108
Ryo Koshizawa, Kazuma Oki, Masaki Takayose

Background: In this study, we used electroencephalogram (EEG) to investigate the activity pattern of the cerebral cortex related to visual pursuit and saccade strategies to predict the arrival position of a visual target. In addition, we clarified the differences in the EEG of those who could predict the arrival position well using the saccade strategy compared to those who were not proficient.

Methods: Sixteen participants performed two tasks: the "Pursuit Strategy Task (PST)" and the "Saccade Strategy Task (SST)" while undergoing EEG. For the PST, the participants were instructed to follow the target with their eyes throughout its trajectory and indicate when it reached the final point. For the SST, the participants were instructed to shift their gaze to the end point of arrival once they had predicted it.

Results: Low beta EEG activity at the Oz, Cz, and CP2 electrodes was significantly higher during the SST than during the PST. In addition, low beta EEG activity at P7 electrode was significantly higher in the group showing a small position error (PE) than in the group showing a large PE at response.

Conclusions: EEG activity at the Oz, Cz, and CP2 electrodes during the SST may reflect visuospatial attention to the moving target, the tracking of moving targets, and the focus on the final destination position. In addition, EEG activity at P7 electrode may more accurately detect the speed and direction of the moving target by the small PE group at response.

研究背景在这项研究中,我们使用脑电图(EEG)研究了与视觉追随和囊状运动策略有关的大脑皮层活动模式,以预测视觉目标的到达位置。此外,我们还阐明了使用囊回策略能够很好预测到达位置的人与不熟练者的脑电图差异:16 名参与者在接受脑电图检查的同时完成了两项任务:"追逐策略任务(PST)"和 "囊闪策略任务(SST)"。在 "追逐策略任务 "中,受试者被要求用眼睛追随目标的整个轨迹,并在目标到达终点时作出指示。在 SST 中,受试者被要求在预测到终点后将视线转移到终点:在 SST 期间,Oz、Cz 和 CP2 电极的低β脑电活动明显高于 PST 期间。此外,位置误差(PE)较小的小组 P7 电极的低β脑电活动明显高于反应时位置误差较大的小组:结论:在 SST 过程中,Oz、Cz 和 CP2 电极的脑电活动可能反映了对移动目标的视觉空间注意、对移动目标的追踪以及对最终目的地位置的关注。此外,P7电极上的脑电活动可能会更准确地检测小PE组在反应时移动目标的速度和方向。
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引用次数: 0
The Role of Microglia with Mitochondrial Dysfunction and Its Therapeutic Prospects in Alzheimer's Disease. 小胶质细胞在线粒体功能障碍中的作用及其在阿尔茨海默病中的治疗前景。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-30 DOI: 10.31083/j.jin2305091
Yuanyuan Li, Tong Li, Tiantian Chen, Chunhua Li, Wenhui Yu, Yunlong Xu, Xuehui Zeng, Fuxiang Zheng

Alzheimer's disease (AD), a primary cause of dementia, is rapidly emerging as one of the most financially taxing, lethal, and burdensome diseases of the 21st century. Increasing evidence suggests that microglia-mediated neuroinflammation plays a key role in both the initiation and progression of AD. Recently, emerging evidence has demonstrated mitochondrial dysfunction, particular in microglia where precedes neuroinflammation in AD. Multiple signaling pathways are implicated in this process and pharmaceutical interventions are potentially involved in AD treatment. In this review, advance over the last five years in the signaling pathways and pharmaceutical interventions are summarized and it is proposed that targeting the signaling pathways in microglia with mitochondrial dysfunction could represent a novel direction for AD treatment.

阿尔茨海默病(AD)是痴呆症的主要病因之一,它正迅速成为 21 世纪经济负担最重、致死率最高、负担最重的疾病之一。越来越多的证据表明,小胶质细胞介导的神经炎症在阿尔茨海默病的发生和发展中起着关键作用。最近,新出现的证据表明,线粒体功能障碍,尤其是小胶质细胞的线粒体功能障碍,在 AD 神经炎症之前就已存在。在这一过程中涉及多种信号通路,药物干预也可能参与到注意力缺失症的治疗中。本综述总结了过去五年来在信号通路和药物干预方面取得的进展,并提出针对线粒体功能障碍的小胶质细胞的信号通路可能代表着一种治疗 AD 的新方向。
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引用次数: 0
Bridging the Gap: Translational Medicine and Novel Therapies in Neuromuscular Diseases. 弥合差距:神经肌肉疾病的转化医学和新疗法。
IF 1.8 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-30 DOI: 10.31083/j.jin2305094
Massimiliano Filosto
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引用次数: 0
Photobiomodulation Therapy: A Novel Therapeutic Approach to Alzheimer's Disease Made Possible by the Evidence of a Brain-Gut Interconnection. 光生物调节疗法:光生物调节疗法:一种治疗阿尔茨海默氏症的新方法,因有证据表明大脑与肠道之间存在相互联系而成为可能。
IF 1.8 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-30 DOI: 10.31083/j.jin2305092
Guillaume Blivet, François J Roman, Benjamin Lelouvier, Céline Ribière, Jacques Touchon

The evidence of brain-gut interconnections in Alzheimer's disease (AD) opens novel avenues for the treatment of a pathology for which no definitive treatment exists. Gut microbiota and bacterial translocation may produce peripheral inflammation and immune modulation, contributing to brain amyloidosis, neurodegeneration, and cognitive deficits in AD. The gut microbiota can be used as a potential therapeutic target in AD. In particular, photobiomodulation (PBM) can affect the interaction between the microbiota and the immune system, providing a potential explanation for its restorative properties in AD-associated dysbiosis. PBM is a safe, non-invasive, non-ionizing, and non-thermal therapy that uses red or near-infrared light to stimulate the cytochrome c oxidase (CCO, complex IV), the terminal enzyme of the mitochondrial electron transport chain, resulting in adenosine triphosphate synthesis. The association of the direct application of PBM to the head with an abscopal and a systemic treatment through simultaneous application to the abdomen provides an innovative therapeutic approach to AD by targeting various components of this highly complex pathology. As a hypothesis, PBM might have a significant role in the therapeutic options available for the treatment of AD.

阿尔茨海默病(AD)中脑-肠相互关联的证据为治疗这种尚无明确疗法的病症开辟了新的途径。肠道微生物群和细菌转位可能会产生外周炎症和免疫调节,导致脑淀粉样变性、神经变性和认知障碍。肠道微生物群可作为治疗 AD 的潜在靶点。特别是,光生物调节(PBM)可以影响微生物群与免疫系统之间的相互作用,为其在与AD相关的菌群失调中的恢复特性提供了潜在的解释。光调节疗法是一种安全、非侵入性、非电离、非热疗法,它使用红光或近红外线刺激线粒体电子传递链的终端酶--细胞色素 c 氧化酶(CCO,复合体 IV),从而促进三磷酸腺苷的合成。将 PBM 直接应用于头部和腹部,并通过同时应用于腹部进行全身治疗,针对这一高度复杂病理的不同组成部分,提供了一种创新的 AD 治疗方法。作为一种假设,PBM 可能会在治疗 AD 的治疗方案中发挥重要作用。
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引用次数: 0
Measuring Human Auditory Evoked Fields with a Flexible Multi-Channel OPM-Based MEG System. 利用基于 OPM 的灵活多通道 MEG 系统测量人类听觉诱发电场
IF 1.8 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-30 DOI: 10.31083/j.jin2305093
Xin Zhang, Yan Chang, Hui Wang, Yin Zhang, Tao Hu, Xiao-Yu Feng, Ming-Kang Zhang, Ze-Kun Yao, Chun-Qiao Chen, Jia-Yu Xu, Fang-Yue Fu, Qing-Qian Guo, Jian-Bing Zhu, Hai-Qun Xie, Xiao-Dong Yang

Background: Magnetoencephalography (MEG) is a non-invasive imaging technique for directly measuring the external magnetic field generated from synchronously activated pyramidal neurons in the brain. The optically pumped magnetometer (OPM) is known for its less expensive, non-cryogenic, movable and user-friendly custom-design provides the potential for a change in functional neuroimaging based on MEG.

Methods: An array of OPMs covering the opposite sides of a subject's head is placed inside a magnetically shielded room (MSR) and responses evoked from the auditory cortices are measured.

Results: High signal-to-noise ratio auditory evoked response fields (AEFs) were detected by a wearable OPM-MEG system in a MSR, for which a flexible helmet was specially designed to minimize the sensor-to-head distance, along with a set of bi-planar coils developed for background field and gradient nulling. Neuronal current sources activated in AEF experiments were localized and the auditory cortices showed the highest activities. Performance of the hybrid optically pumped magnetometer-magnetoencephalography/electroencephalography (OPM-MEG/EEG) system was also assessed.

Conclusions: The multi-channel OPM-MEG system performs well in a custom built MSR equipped with bi-planar coils and detects human AEFs with a flexible helmet. Moreover, the similarities and differences of auditory evoked potentials (AEPs) and AEFs are discussed, while the operation of OPM-MEG sensors in conjunction with EEG electrodes provides an encouraging combination for the exploration of hybrid OPM-MEG/EEG systems.

背景:脑磁图(MEG)是一种无创成像技术,可直接测量大脑中同步激活的锥体神经元产生的外部磁场。光学泵浦磁力计(OPM)以其价格低廉、无致冷剂、可移动和用户友好的定制设计而著称,为基于 MEG 的功能性神经成像提供了变革的可能性:方法:将覆盖受试者头部两侧的 OPM 阵列置于磁屏蔽室(MSR)内,测量从听觉皮层诱发的反应:在磁屏蔽室内,通过可穿戴 OPM-MEG 系统检测到了高信噪比的听觉诱发反应场 (AEF),为此专门设计了一个灵活的头盔,以尽量减少传感器到头部的距离,同时还开发了一套双平面线圈,用于背景场和梯度归零。在 AEF 实验中激活的神经元电流源被定位,听觉皮层显示出最高的活动。此外,还评估了光学泵浦磁力计-脑磁图/脑电图(OPM-MEG/EEG)混合系统的性能:结论:多通道 OPM-MEG 系统在配备双平面线圈的定制 MSR 中表现良好,并能在灵活的头盔中检测到人体 AEF。此外,还讨论了听觉诱发电位 (AEP) 和 AEF 的异同,而 OPM-MEG 传感器与脑电图电极的结合使用为探索 OPM-MEG/EEG 混合系统提供了令人鼓舞的组合。
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引用次数: 0
Nipah Virus Neurotropism: Insights into Blood-Brain Barrier Disruption. 尼帕病毒的神经滋生:血脑屏障破坏的启示。
IF 1.8 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-29 DOI: 10.31083/j.jin2305090
Mazen M Jamil Al-Obaidi, AbdulRahman Muthanna, Mohd Nasir Mohd Desa

The genome of the Nipah virus (NiV) encodes a variety of structural proteins linked to a diverse array of symptoms, including fevers, headaches, somnolence, and respiratory impairment. In instances of heightened severity, it can also invade the central nervous system (CNS), resulting in more pronounced problems. This work investigates the effects of NiV on the blood-brain barrier (BBB), the vital physiological layer responsible for safeguarding the CNS by regulating the passage of chemicals into the brain selectively. To achieve this, the researchers (MMJAO, AM and MNMD) searched a variety of databases for relevant articles on NiV and BBB disruption, looking for evidence of work on inflammation, immune response (cytokines and chemokines), tight junctions (TJs), and basement membranes related to NiV and BBB. Based on these works, it appears that the affinity of NiV for various receptors, including Ephrin-B2 and Ephrin-B3, has seen many NiV infections begin in the respiratory epithelium, resulting in the development of acute respiratory distress syndrome. The virus then gains entry into the circulatory system, offering it the potential to invade brain endothelial cells (ECs). NiV also has the ability to infect the leukocytes and the olfactory pathway, offering it a "Trojan horse" strategy. When NiV causes encephalitis, the CNS generates a strong inflammatory response, which makes the blood vessels more permeable. Chemokines and cytokines all have a substantial influence on BBB disruption, and NiV also has the ability to affect TJs, leading to disturbances in the structural integrity of the BBB. The pathogen's versatility is also shown by its capacity to impact multiple organ systems, despite particular emphasis on the CNS. It is of the utmost importance to comprehend the mechanisms by which NiV impacts the integrity of the BBB, as such comprehension has the potential to inform treatment approaches for NiV and other developing viral diseases. Nevertheless, the complicated pathophysiology and molecular pathways implicated in this phenomenon have offered several difficult challenges to researchers to date, underscoring the need for sustained scientific investigation and collaboration in the ongoing battle against this powerful virus.

尼帕病毒(NiV)的基因组编码多种结构蛋白,与发烧、头痛、嗜睡和呼吸障碍等多种症状有关。严重时,它还会侵入中枢神经系统(CNS),导致更明显的问题。这项研究调查了镍伏对血脑屏障(BBB)的影响,血脑屏障是负责保护中枢神经系统的重要生理层,它通过有选择性地调节化学物质进入大脑的通道来保护中枢神经系统。为此,研究人员(MMJAO、AM 和 MNMD)在各种数据库中搜索与 NiV 和 BBB 破坏有关的文章,寻找与 NiV 和 BBB 有关的炎症、免疫反应(细胞因子和趋化因子)、紧密连接 (TJ) 和基底膜方面的工作证据。根据这些研究,NiV 与各种受体(包括 Ephrin-B2 和 Ephrin-B3)的亲和力似乎使许多 NiV 感染始于呼吸道上皮细胞,导致急性呼吸窘迫综合征的发生。病毒随后进入循环系统,有可能侵入脑内皮细胞(ECs)。NiV 还能感染白细胞和嗅觉通路,为其提供了一种 "特洛伊木马 "策略。当 NiV 引起脑炎时,中枢神经系统会产生强烈的炎症反应,使血管更易渗透。趋化因子和细胞因子对 BBB 破坏都有很大影响,NiV 还能影响 TJ,导致 BBB 结构完整性紊乱。病原体的多变性还表现在它有能力影响多个器官系统,尽管它特别强调中枢神经系统。理解 NiV 影响 BBB 完整性的机制至关重要,因为这种理解有可能为 NiV 和其他发展中病毒性疾病的治疗方法提供依据。然而,迄今为止,这一现象所涉及的复杂病理生理学和分子途径给研究人员带来了一些困难的挑战,这突出表明在与这一强大病毒的持续斗争中需要持续的科学调查和合作。
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引用次数: 0
The Complexity of Neuropathic Pain and Central Sensitization: Exploring Mechanisms and Therapeutic Prospects. 神经性疼痛和中枢敏化的复杂性:探索机制与治疗前景
IF 1.8 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-04-25 DOI: 10.31083/j.jin2305089
Yan-Chao Ma, Ze-Biao Kang, Yong-Qiang Shi, Wen-Yi Ji, Wen-Ming Zhou, Wei Nan

Neuropathic pain is a common pain syndrome, which seriously affects the quality of life of patients. The mechanism of neuropathic pain is complex. Peripheral tissue injury can trigger peripheral sensitization; however, what really plays a key role is the sensitization of the central nervous system. Central sensitization is a key factor in the perception of chronic pain. Central sensitization refers to the increased sensitivity of the central nervous system to pain treatment, which is related to the change of the functional connection mode of the neural network. The current study aims to reveal the basic molecular mechanisms of central sensitization, including the involvement of P2 purine X4 receptor and brain-derived neurotrophic factor. In terms of treatment, although there are drugs and physical therapy, the accuracy of targeting is limited and the efficacy needs to be further improved. Future therapeutic strategies may involve the development of new drugs designed to specifically inhibit the central sensitization process. This article focuses on the effector molecules involved in central sensitization, aiming to elucidate the pathogenesis of neuropathic pain and provide a basis for the development of more effective treatment models.

神经病理性疼痛是一种常见的疼痛综合征,严重影响患者的生活质量。神经病理性疼痛的发病机制十分复杂。外周组织损伤可引发外周敏化,但真正起关键作用的是中枢神经系统的敏化。中枢敏化是感知慢性疼痛的关键因素。中枢敏化是指中枢神经系统对疼痛治疗的敏感性增加,这与神经网络功能连接模式的改变有关。本研究旨在揭示中枢敏化的基本分子机制,包括 P2 嘌呤 X4 受体和脑源性神经营养因子的参与。在治疗方面,虽然有药物和物理疗法,但靶向准确性有限,疗效有待进一步提高。未来的治疗策略可能包括开发专门抑制中枢敏化过程的新药。本文将重点关注参与中枢敏化的效应分子,旨在阐明神经病理性疼痛的发病机制,为开发更有效的治疗模型提供依据。
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引用次数: 0
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