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Human Immunodeficiency Virus (HIV-1) Targets Astrocytes via Cell-Free and Cell-Associated Infection. 人类免疫缺陷病毒(HIV-1)通过无细胞感染和细胞相关感染攻击星形胶质细胞
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-19 DOI: 10.31083/j.jin2309172
Roberta S Dos Reis, Stephen Susa, Marc C E Wagner, Velpandi Ayyavoo

Background: Infection of astrocytes by Human Immunodeficiency Virus (HIV-1) remains a topic of debate, with conflicting data, yet instances of astrocytes containing viral DNA have been observed in vivo. In this study, we aimed to elucidate potential routes through which astrocytes could be infected and their ability to produce infectious particles using primary human astrocytes.

Methods: We infected primary astrocytes derived from either neuroprogenitor cells (NPCs) or induced pluripotent stem cells (iPSCs) that express both C-X-C chemokine receptor type 4 (CXCR4) and the C-C chemokine receptor type 5 (CCR5) coreceptors, using either cell-free HIV-1 virus directly or cell-associated virus indirectly through infected macrophages and microglia.

Results: Low-level infectivity by cell-free viruses was primarily attributed to a defect in the entry process. Bypassing HIV-specific receptor-mediated entry using pseudotyped viruses resulted in productive infection and the release of infectious particles.

Conclusions: These findings suggest that astrocytes may be one of the potential sources of neurotoxicity in HIV-associated neurocognitive disorders (HAND) and could possibly act as reservoirs for HIV in the central nervous system (CNS).

背景:人类免疫缺陷病毒(HIV-1)感染星形胶质细胞仍是一个争论不休的话题,数据相互矛盾,但在体内已观察到星形胶质细胞含有病毒 DNA 的实例。在这项研究中,我们旨在利用原代人类星形胶质细胞阐明星形胶质细胞可能的感染途径及其产生感染性颗粒的能力:我们使用无细胞 HIV-1 病毒直接感染了从神经祖细胞(NPC)或诱导多能干细胞(iPSC)提取的原代星形胶质细胞,这些细胞同时表达 C-X-C 趋化因子受体 4 型(CXCR4)和 C-C 趋化因子受体 5 型(CCR5)核心受体:结果:无细胞病毒的低水平感染性主要归因于进入过程中的缺陷。使用伪型病毒绕过艾滋病毒特异性受体介导的进入过程,可产生感染并释放感染性颗粒:这些研究结果表明,星形胶质细胞可能是艾滋病相关神经认知障碍(HAND)的潜在神经毒性来源之一,并有可能成为中枢神经系统(CNS)中的艾滋病病毒库。
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引用次数: 0
Relationships between Serum Lipid, Uric Acid Levels and Mild Cognitive Impairment in Parkinson's Disease and Multiple System Atrophy. 帕金森病和多系统萎缩患者血清脂质、尿酸水平与轻度认知功能障碍之间的关系
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-18 DOI: 10.31083/j.jin2309168
Xiaoqiao Ren, Pan Wang, Hao Wu, Shuai Liu, Jinhong Zhang, Xiyu Li, Yong Ji, Zhihong Shi

Background: Mild cognitive impairment is one of the non-motor symptoms in Parkinson's disease (PD) and multiple system atrophy (MSA). Few studies have previously been conducted on the correlation between serum uric acid (SUA) and lipid levels and mild cognitive impairment in PD and MSA.

Methods: Participants included 149 patients with PD and 99 patients with MSA. The Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) were used to evaluate cognitive function. Evaluations were conducted on SUA and lipid levels, which included triglyceride, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C) and total cholesterol (TC).

Results: Patients with PD and MSA diagnosed with mild cognitive impairment demonstrated multiple cognitive domain impairment when compared with patients with normal cognition. Attentional impairment was more pronounced in patients with MSA when compared with PD (p = 0.001). In PD, the risk of mild cognitive impairment was lower in the highest quartiles and secondary quartile of SUA than in the lowest quartiles (odds ratio [OR] = 0.281, 95% confidence intervals [CI]: 0.097-0.810, p = 0.019; and OR = 0.317, 95% CI: 0.110-0.911, p = 0.033). In MSA, the risk of mild cognitive impairment was lower in the third and highest quartile of SUA than in the lowest quartile (OR = 0.233, 95% CI: 0.063-0.868, p = 0.030; and OR = 0.218, 95% CI: 0.058-0.816, p = 0.024). In patients with PD, the MoCA scores were negatively correlated with TC levels (r = -0.226, p = 0.006) and positively correlated with SUA levels (r = 0.206, p = 0.012). In MSA, the MoCA scores were positively correlated with SUA levels (r = 0.353, p = 0.001).

Conclusions: Lower SUA levels and higher TC levels are a possible risk factor for the risk and severity of mild cognitive impairment in PD. Lower SUA levels are a possible risk factor for the risk and severity of mild cognitive impairment in MSA.

背景:轻度认知障碍是帕金森病(PD)和多系统萎缩(MSA)的非运动症状之一。关于帕金森病和多系统萎缩症患者血清尿酸(SUA)和血脂水平与轻度认知障碍之间的相关性,此前鲜有研究:参与者包括 149 名 PD 患者和 99 名 MSA 患者。评估认知功能时使用了迷你精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)。对 SUA 和血脂水平进行评估,包括甘油三酯、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和总胆固醇(TC):与认知能力正常的患者相比,被诊断为轻度认知障碍的帕金森病和澳门金沙在线娱乐平台障碍患者表现出多个认知领域的障碍。与帕金森病患者相比,MSA 患者的注意力损伤更为明显(p = 0.001)。在帕金森病患者中,SUA最高四分位数和次高四分位数的轻度认知障碍风险低于最低四分位数(几率比[OR] = 0.281,95%置信区间[CI]:0.097-0.810):0.097-0.810, p = 0.019; OR = 0.317, 95% CI: 0.110-0.911, p = 0.033)。在 MSA 中,SUA 的第三和最高四分位数的轻度认知障碍风险低于最低四分位数(OR = 0.233,95% CI:0.063-0.868,p = 0.030;OR = 0.218,95% CI:0.058-0.816,p = 0.024)。在PD患者中,MoCA评分与TC水平呈负相关(r = -0.226,p = 0.006),与SUA水平呈正相关(r = 0.206,p = 0.012)。在 MSA 中,MoCA 分数与 SUA 水平呈正相关(r = 0.353,p = 0.001):结论:较低的 SUA 水平和较高的 TC 水平可能是导致帕金森病轻度认知障碍风险和严重程度的危险因素。较低的 SUA 水平可能是导致 MSA 轻度认知障碍的风险和严重程度的风险因素。
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引用次数: 0
The Role of Osteopontin (OPN) in Regulating Microglia Phagocytosis in Nervous System Diseases. 成骨细胞蛋白(OPN)在神经系统疾病中调控小胶质细胞吞噬功能的作用》(The Role of Osteopontin (OPN) in Regulating Microglia Phagocytosis in Nervous System Diseases.
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-18 DOI: 10.31083/j.jin2309169
Pengpeng Li, Zhengxin Tao, Xudong Zhao

Phagocytosis is the process by which certain cells or organelles internalise foreign substances by engulfing them and then digesting or disposing of them. Microglia are the main resident phagocytic cells in the brain. It is generally believed that microglia/macrophages play a role in guiding the brain's repair and functional recovery processes. However, the resident and invading immune cells of the central nervous system can also exacerbate tissue damage by stimulating inflammation and engulfing viable neurons. The functional consequences of microglial phagocytosis remain largely unexplored. Overall, phagocytosis is considered a beneficial phenomenon in acute brain injury because it eliminates dead cells and induces an anti-inflammatory response. Osteopontin (OPN) is a phosphorylated glycoprotein induced by injury in various tissues, including brain tissue. In acute brain injuries such as hemorrhagic stroke and ischemic stroke, OPN is generally believed to have anti-inflammatory effects. OPN can promote the reconstruction of the blood-brain barrier and up-regulate the scavenger receptor CD36. But in chronic diseases such as Alzheimer's disease (AD) and amyotrophic lateral sclerosis (ALS), OPN can cause microglia to engulf neurons and worsen disease progression. We explored the role of OPN in promoting microglial phagocytosis in nervous system disorders.

吞噬是指某些细胞或细胞器通过吞噬外来物质并将其消化或处理掉的过程。小胶质细胞是大脑中主要的常驻吞噬细胞。一般认为,小胶质细胞/巨噬细胞在引导大脑修复和功能恢复过程中发挥作用。然而,中枢神经系统的常驻和入侵免疫细胞也会通过刺激炎症和吞噬有活力的神经元来加剧组织损伤。小胶质细胞吞噬作用的功能性后果在很大程度上仍有待探索。总体而言,吞噬作用被认为是急性脑损伤中的一种有益现象,因为它能清除死亡细胞并诱导抗炎反应。骨化蛋白(OPN)是一种磷酸化糖蛋白,在包括脑组织在内的各种组织中受到损伤时会诱导产生。一般认为,在出血性中风和缺血性中风等急性脑损伤中,OPN 具有抗炎作用。OPN 可促进血脑屏障的重建,并上调清道夫受体 CD36。但在阿尔茨海默病(AD)和肌萎缩性脊髓侧索硬化症(ALS)等慢性疾病中,OPN可导致小胶质细胞吞噬神经元,并使疾病恶化。我们探讨了 OPN 在神经系统疾病中促进小胶质细胞吞噬的作用。
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引用次数: 0
PX-478 Alleviated the Autism Spectrum Disorder Progression of Offspring Rats Induced by Prenatal Hypoxia. PX-478能缓解产前缺氧诱导的后代大鼠自闭症谱系障碍的进展。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-14 DOI: 10.31083/j.jin2309165
Ying Yang, Jie Chen, Tingyu Li, Ying Dai

Background: Autism spectrum disorder (ASD) is a neurodevelopmental condition characterized by deficits in social interaction, communication, repetitive behaviors, and narrow interests. This study aimed to investigate the impact of the Hypoxia-inducible factor-1 alpha (HIF-1α) inhibitor (PX-478) on ASD-like behaviors in rat offspring exposed to prenatal hypoxia (PH).

Methods: Pregnant rats were randomly assigned to control or PH groups, with the latter experiencing six hours of hypoxia on the 17th day of gestation. Offspring were further treated with PX-478 treatment initiated at one week (+1 w) or three weeks (+3 w) after birth. Hippocampal histology was assessed using hematoxylin and eosin (HE) staining, while protein levels of HIF-1α and phosphatase and tensin homolog (PTEN) were analyzed via western blotting. The concentration of vascular endothelial growth factor (VEGF) was measured using an Enzyme-Linked Immunosorbent Assay (ELISA) kit.

Results: PX-478 treatment significantly improved spatial memory, learning, and social ability, while reducing anxiety-like behavior in PH-exposed offspring rats. HE staining revealed that PX-478 treatment decreased the number of hippocampal neurons necrosis in offspring. However, PX-478 treatment at one week post-birth led to decreased body weight and elevated levels of alkaline phosphatase (ALP) and Alanine aminotransferase (ALT) in offspring rats, whereas no significant effect was observed after three weeks of treatment. Additionally, PX-478 treatment resulted in reduced HIF-1α protein levels in the hippocampus and VEGF concentration in the serum of PH-exposed offspring rats, along with elevated PTEN protein levels.

Conclusions: The findings suggest that PX-478 treatment attenuated autism-like behavior in offspring. HIF-1α might play an important role in autism-like behavior induced by prenatal hypoxia, which may be realized by inhibiting PTEN activity.

背景:自闭症谱系障碍(ASD)是一种神经发育性疾病,以社会交往、沟通、重复行为和兴趣狭窄等方面的缺陷为特征。本研究旨在探讨缺氧诱导因子-1α(HIF-1α)抑制剂(PX-478)对暴露于产前缺氧(PH)的大鼠后代的自闭症样行为的影响:方法:将妊娠大鼠随机分配到对照组或PH组,后者在妊娠第17天缺氧6小时。后代在出生后一周(+1 w)或三周(+3 w)开始接受PX-478治疗。海马组织学采用苏木精和伊红(HE)染色法进行评估,而HIF-1α和磷酸酶与天丝同源物(PTEN)的蛋白水平则通过Western印迹法进行分析。使用酶联免疫吸附试验(ELISA)试剂盒测定血管内皮生长因子(VEGF)的浓度:结果:PX-478能明显改善PH暴露后代大鼠的空间记忆、学习和社交能力,同时减少其焦虑行为。HE 染色显示,PX-478 治疗可减少子代大鼠海马神经元坏死的数量。然而,PX-478在大鼠出生后一周的处理会导致后代大鼠体重下降、碱性磷酸酶(ALP)和丙氨酸氨基转移酶(ALT)水平升高,而在处理三周后则没有观察到明显的影响。此外,PX-478 还能降低 PH 暴露后代大鼠海马中的 HIF-1α 蛋白水平和血清中的血管内皮生长因子浓度,同时升高 PTEN 蛋白水平:结论:研究结果表明,PX-478治疗可减轻后代的自闭症样行为。HIF-1α可能在产前缺氧诱导的自闭症样行为中发挥了重要作用,而这种作用可能是通过抑制PTEN活性实现的。
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引用次数: 0
Research Progress on the Relationship between Parkinson's Disease and REM Sleep Behavior Disorder. 帕金森病与快速眼动睡眠行为障碍之间关系的研究进展。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-14 DOI: 10.31083/j.jin2309166
Yu Zhou, Xiaoli Liu, Bin Xu

An individual's quality of life is greatly affected by Parkinson's disease (PD), a prevalent neurological degenerative condition. Rapid eye movement (REM) sleep behavior disorder (RBD) is a prominent non-motor symptom commonly associated with PD. Previous studies have shown a close relationship between PD and RBD. In addition to being a prodromal symptom of PD, RBD has a major negative impact on the prognosis of PD patients. This intrinsic connection indicates that there is a bidirectional relationship between PD and RBD. This paper provides a comprehensive review of the pathological mechanism related to PD and RBD, including the α-synuclein pathological deposition, abnormal iron metabolism, neuroinflammation, glymphatic system dysfunction and dysbiosis of the gut microbiota. Increasing evidence has shown that RBD patients have the same pathogenic mechanisms that underlie PD, but relatively little research has been done on how RBD contributes to PD progression. Therefore, a more thorough investigation is warranted to characterise how RBD affects the course of PD, in order to prepare for future therapeutic trials.

帕金森病(Parkinson's disease,PD)是一种常见的神经系统退行性疾病,严重影响患者的生活质量。快速眼动(REM)睡眠行为障碍(RBD)是帕金森病常见的一种突出的非运动症状。以往的研究表明,帕金森病与快速眼动睡眠障碍之间存在密切关系。RBD 不仅是帕金森病的前驱症状,而且对帕金森病患者的预后有很大的负面影响。这种内在联系表明,PD 和 RBD 之间存在双向关系。本文全面综述了与帕金森病和RBD相关的病理机制,包括α-突触核蛋白病理沉积、铁代谢异常、神经炎症、淋巴系统功能障碍和肠道微生物群失调。越来越多的证据表明,RBD 患者具有与帕金森病相同的致病机制,但关于 RBD 如何导致帕金森病进展的研究相对较少。因此,有必要进行更深入的调查,以确定 RBD 如何影响帕金森病的病程,从而为未来的治疗试验做好准备。
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引用次数: 0
From the Eyes to the Suffering Brain: Can Eye Tracking be Considered as a Significant Digital Biomarker for Neurological Diseases? 从眼睛到痛苦的大脑:眼动追踪能否被视为神经系统疾病的重要数字生物标记?
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-14 DOI: 10.31083/j.jin2309167
Sonja Cecchetti, Upal Roy, Marco Cavallo
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引用次数: 0
Alzheimer's Disease and Effects of ABCA7 Polymorphisms: A Review. 阿尔茨海默病与 ABCA7 多态性的影响:综述。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-06 DOI: 10.31083/j.jin2309164
Vaia Gialama, Vasileios Siokas, Ioannis Liampas, Zisis Tsouris, Polyxeni Stamati, Paraskevi Aslanidou, Antonios Provatas, Vana Tsimourtou, Georgia Xiromerisiou, Dimitrios P Bogdanos, Efthimios Dardiotis

Alzheimer's Disease (AD) is a progressive neurodegenerative disease and the main cause of dementia. Its etiology remains largely unclear, though genetic and environmental factors appear to confer susceptibility to AD development. This study assessed the role of ATP-binding Cassette A Subfamily 7 (ABCA7) genetic polymorphisms, as ongoing research suggests they have a role in the development of AD. We conducted a PubMed, Google Scholar, and Scopus search to identify and assess all AD studies examining ABCA7 variants in different populations and ethnicities. The last search was conducted on February 8, 2023. Inclusion and exclusion criteria were applied and only the studies that met the inclusion criteria were included in this review. Seventeen studies were finally included. According to the results, ABCA7 variants infer different risks for AD among populations with different ancestries. African American populations show a higher risk for AD, carrying the five novel variants rs115550680, rs142076058, rs10405305, rs3764647, and rs567222111. Asian populations also have an increased risk for AD, harboring three variants. ABCA7 genetic variability contributes to AD development and shows racial disparities. African American and Asian populations seem to be at greater risk of developing AD. These results may assist future research efforts for the early and accurate diagnosis of AD. Moreover, further exploration of the mechanisms of ABCA7 in the context of AD could identify potential therapeutic targets.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,也是痴呆症的主要病因。虽然遗传和环境因素似乎会导致阿尔茨海默病的易感性,但其病因在很大程度上仍不清楚。本研究评估了ATP结合盒式A亚家族7(ABCA7)基因多态性的作用,因为目前的研究表明它们在AD的发展中起着一定的作用。我们对PubMed、Google Scholar和Scopus进行了搜索,以确定并评估在不同人群和种族中检查ABCA7变体的所有AD研究。最后一次搜索于 2023 年 2 月 8 日进行。采用了纳入和排除标准,只有符合纳入标准的研究才被纳入本综述。最终纳入了 17 项研究。研究结果表明,ABCA7变体在不同血统的人群中推断出不同的AD风险。携带 rs115550680、rs142076058、rs10405305、rs3764647 和 rs567222111 这五个新型变异体的非裔美国人罹患注意力缺失症的风险较高。亚洲人患渐冻症的风险也有所增加,其中有三个变异体。ABCA7 基因变异导致了注意力缺失症的发展,并显示出种族差异。非裔美国人和亚裔人群罹患注意力缺失症的风险似乎更高。这些结果可能有助于未来的研究工作,从而早期准确诊断出注意力缺失症。此外,进一步探索ABCA7在AD中的作用机制,还能发现潜在的治疗靶点。
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引用次数: 0
Mechanisms Underlying Obesity-induced Aβ Accumulation in Alzheimer's Disease: A Qualitative Review. 阿尔茨海默病中肥胖诱导 Aβ 累积的机制:定性综述。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-09-05 DOI: 10.31083/j.jin2309163
Wei Wen, Shu-Ming Huang, Bo Zhang

Epidemiological studies show that individuals with obesity are more likely to develop Alzheimer's disease (AD) than those who do not have obesity. However, the mechanisms underlying the relationship between obesity and AD are not entirely unclear. Here, we have reviewed and analyzed relevant articles published in the literature and found that obesity has correlation or potential increase in the levels of β-amyloid (Aβ) protein, which may explain why people with obesity are more likely to suffer from AD. Additionally, the published findings point to the roles of obesity-related metabolic disorders, such as diabetes, inflammation, oxidative stress, and imbalance in gut microbiota in Aβ accumulation caused by obesity. Therefore, in-depth experimental and clinical studies on these mechanisms in the future may help shed light on appropriate prevention and treatment strategies for AD, such as dietary changes and regular exercise to reverse or prevent obesity and related metabolic disorders.

流行病学研究表明,肥胖症患者比非肥胖症患者更容易罹患阿尔茨海默病(AD)。然而,肥胖与阿尔茨海默病之间的关系机制并不完全清楚。在此,我们对文献中发表的相关文章进行了回顾和分析,发现肥胖与β淀粉样蛋白(Aβ)水平的增加有相关性或潜在性,这或许可以解释为什么肥胖者更容易罹患阿兹海默症。此外,已发表的研究结果还指出,与肥胖相关的代谢紊乱(如糖尿病、炎症、氧化应激和肠道微生物群失衡)在肥胖导致的 Aβ 累积中也发挥了作用。因此,未来对这些机制进行深入的实验和临床研究可能有助于阐明适当的AD预防和治疗策略,如通过改变饮食和定期锻炼来逆转或预防肥胖及相关代谢紊乱。
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引用次数: 0
Change of Cerebral Hemodynamic Signals during the Process of Swallowing Water, Acetic Acid Solution and Salt Solution in Healthy Adults: An fNIRS Study. 健康成年人吞咽水、醋酸溶液和盐溶液过程中脑血流动力学信号的变化:一项 fNIRS 研究。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-30 DOI: 10.31083/j.jin2309162
Jiliang Kang, Junyue Lu, Shuang Gong, Yan Yu, Mengbi Gu, Siyang Wu, Min Tang, Youliang Wen

Background: The aim of this preliminary study was to investigate the similarities and differences in cortical activation patterns during the swallowing of water, acetic acid solution and salt solution in healthy adults using functional near-infrared spectroscopy (fNIRS).

Methods: Eighteen right-handed healthy adults were recruited and fNIRS was used to measure changes in concentrations of oxygenated hemoglobin (HbO2) and deoxygenated hemoglobin (HbR) in 35 channels during the swallowing of water, acetic acid solution and salt solution. The task-based experiment used a block-design in which participants alternated between resting blocks of 30 s and task blocks (swallowing water, acetic acid solution, or salt solution) of 30 s, repeated six times. Participants remained still during the resting blocks and performed a swallowing action every 6 s during the task blocks. Data preprocessing was conducted using NirSpark software and statistical analyses were performed using either one-sample or paired t-tests to compare differences in cortical activation in healthy participants between swallowing a water and acetic acid solution, as well as swallowing a water and salt solution.

Results: Compared to the resting state, nine brain regions, including primary somatosensory cortex (S1), primary motor cortex (M1), dorsolateral prefrontal cortex (DLPFC), Wernicke's area, premotor cortex (PMC), supplementary motor area (SMA), inferior frontal cortex (IFC), orbitofrontal cortex (OFC) and frontopolar area, were commonly activated during the process of swallowing water, acetic acid solution, and salt solution. The DLPFC, Broca's area, PMC and SMA showed higher activation levels during the swallowing of acetic acid solution when compared to swallowing water, with statistically significant differences (p < 0.05). The frontopolar area and OFC exhibited higher activation during the swallowing of salt solution when compared to water, also with statistically significant differences (p < 0.05).

Conclusions: Multiple brain regions were activated during the swallowing of water, acetic acid solution and salt solution in healthy adults. Moreover, swallowing acetic acid solution leads to stronger activation of DLPFC, Broca's area, PMC and SMA, while swallowing salt solution leads to stronger activation of the frontopolar area and OFC.

研究背景这项初步研究的目的是利用功能性近红外光谱(fNIRS)调查健康成年人在吞咽水、醋酸溶液和盐溶液时大脑皮层激活模式的异同:方法:招募了 18 名右手健康的成年人,使用 fNIRS 测量吞咽水、醋酸溶液和盐溶液时 35 个通道中氧合血红蛋白(HbO2)和脱氧血红蛋白(HbR)浓度的变化。任务型实验采用分块设计,参与者在 30 秒的休息块和 30 秒的任务块(吞咽水、醋酸溶液或盐溶液)之间交替进行,重复六次。参与者在休息区块期间保持静止,在任务区块期间每 6 秒钟做一次吞咽动作。使用 NirSpark 软件进行数据预处理,并使用单样本或配对 t 检验进行统计分析,以比较健康参与者在吞咽水和醋酸溶液以及吞咽水和盐溶液时大脑皮层激活的差异:与静息状态相比,初级体感皮层(S1)、初级运动皮层(M1)、背外侧前额叶皮层(DLPFC)、韦尼克区、前运动皮层(PMC)、辅助运动区(SMA)、下额叶皮层(IFC)、眶额叶皮层(OFC)和前极区等九个脑区在吞咽水、醋酸溶液和盐溶液的过程中被普遍激活。与吞咽水相比,吞咽醋酸溶液时 DLPFC、Broca 区、PMC 和 SMA 的激活水平更高,差异有统计学意义(P < 0.05)。与吞咽水相比,吞咽盐溶液时额极区和OFC表现出更高的激活水平,差异也有统计学意义(P < 0.05):结论:健康成年人在吞咽水、醋酸溶液和盐溶液时多个脑区被激活。此外,吞咽醋酸溶液会导致 DLPFC、Broca 区、PMC 和 SMA 的更强激活,而吞咽盐溶液则会导致额极区和 OFC 的更强激活。
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引用次数: 0
Using Dual-Target rTMS, Single-Target rTMS, or Sham rTMS on Post-Stroke Cognitive Impairment. 使用双靶向经颅磁刺激、单靶向经颅磁刺激或假经颅磁刺激治疗脑卒中后认知障碍
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-23 DOI: 10.31083/j.jin2308161
Bingshan Xu, Chunrong Lin, Yiwen Wang, Hong Wang, Yao Liu, Xiaojun Wang

Background: The clinical application of 10 Hz repetitive transcranil magnetic stimulation (rTMS) remains limited despite its demonstrated effectiveness in enhancing cortical excitability and improving cognitive function. The present study used a novel stimulus target [left dorsolateral prefrontal cortex + primary motor cortex] to facilitate the enhancement of cognitive function through the bidirectional promotion of cognitive and motor functions; Methods: Post-stroke cognitive impairment patients (n = 48) were randomly assigned to receive either dual-target, single-target, or sham rTMS for 4 weeks. Before and after 4 weeks of treatment, participants were asked to complete the Montreal Cognitive Assessment (MoCA) test, the Modified Barthel Index (MBI), the Trail-making Test (TMT), and the Digital Span Test (DST). In addition, the levels of brain-derived neurotrophic factor (BDNF) and vascular endothelial growth factor (VEGF) in serum were also measured.

Results: After adjusting for pre-intervention (baseline) MoCA scores, the post-intervention MoCA scores varied significantly. After post-hoc analysis, differences existed between the post-treatment scores of the dual-target rTMS group and the sham rTMS group (the experimental group scores were significantly higher), and between those of the dual-target rTMS group and the single-target rTMS group (the dual-target rTMS scores were significantly higher). The serum VEGF levels of the dual-target rTMS group were significantly higher those that of the sham rTMS group.

Conclusions: The present study presented data showing that a dual-target rTMS therapy is effective for Post-stroke cognitive impairment (PSCI). The stimulation exhibited remarkable efficacy, suggesting that dual-target stimulation (left dorsolateral prefrontal cortex+motor cortex (L-DLPFC+M1)) holds promise as a potential target for TMS therapy in individuals with cognitive impairment after stroke.

Clinical trial registration: No: ChiCTR220066184. Registered 26 November, 2022, https://www.chictr.org.cn.

背景:尽管10赫兹重复经颅磁刺激(rTMS)在增强大脑皮层兴奋性和改善认知功能方面的有效性已得到证实,但其临床应用仍然有限。本研究使用了一个新的刺激靶点 [左侧背外侧前额叶皮层 + 初级运动皮层],通过双向促进认知和运动功能来提高认知功能;方法:脑卒中后认知障碍患者(n = 48)被随机分配接受双靶点、单靶点或假经颅磁刺激治疗 4 周。在接受治疗 4 周之前和之后,参与者需要完成蒙特利尔认知评估(MoCA)测试、改良巴特尔指数(MBI)、寻迹测试(TMT)和数字跨度测试(DST)。此外,还测量了血清中脑源性神经营养因子(BDNF)和血管内皮生长因子(VEGF)的水平:经调整干预前(基线)MoCA评分后,干预后的MoCA评分差异显著。经过事后分析,双靶向经颅磁刺激组和假经颅磁刺激组的治疗后得分存在差异(实验组得分明显更高),双靶向经颅磁刺激组和单靶向经颅磁刺激组的治疗后得分也存在差异(双靶向经颅磁刺激组得分明显更高)。双目标经颅磁刺激组的血清血管内皮生长因子水平明显高于假经颅磁刺激组:本研究提供的数据显示,双靶向经颅磁刺激疗法对卒中后认知障碍(PSCI)有效。本研究数据显示,双靶点经颅磁刺激疗法对脑卒中后认知障碍(PSCI)有效,刺激效果显著,表明双靶点刺激(左侧背外侧前额叶皮层+运动皮层(L-DLPFC+M1))有望成为脑卒中后认知障碍患者接受经颅磁刺激疗法的潜在靶点:临床试验注册号:ChiCTR220066184。注册时间:2022年11月26日,https://www.chictr.org.cn。
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Journal of integrative neuroscience
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