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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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引用次数: 0
Immediate Effects of Preconditioning Intermittent Theta Burst Stimulation on Lower Extremity Motor Cortex Excitability in Healthy Participants. 预处理间歇θ脉冲刺激对健康参与者下肢运动皮层兴奋性的直接影响
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-22 DOI: 10.31083/j.jin2308160
Li Zhang, Yating Chen, Guilan Huang, Yao Qian, Yu Yao, Lianxin Song, Yi Shao, Nan Jiang, Chengpan Liang, Hewei Wang, Bin Su

Background: Previous studies have found that inhibitory priming with continuous theta burst stimulation (cTBS) can enhance the effect of subsequent excitatory conditioning stimuli with intermittent theta burst stimulation (iTBS) in the upper limbs. However, whether this combined stimulation approach elicits a comparable compensatory response in the lower extremities remains unclear. This study aimed to investigate how cTBS preconditioning modulated the effect of iTBS on motor cortex excitability related to the lower limb in healthy individuals.

Methods: Using a randomised cross-over design, a total of 25 healthy participants (19 females, mean age = 24.80 yr) were recruited to undergo three different TBS protocols (cTBS + iTBS, sham cTBS + iTBS, sham cTBS + sham iTBS) in a random order. Each TBS intervention was administered with one-week intervals. cTBS and iTBS were administered at an intensity of 80% active motor threshold (AMT) delivering a total of 600 pulses. Before intervention (T0), immediately following intervention (T1), and 20 min after intervention (T2), the corticomotor excitability was measured for the tibialis anterior muscle of participants' non-dominant leg using a Magneuro100 stimulator and matched double-cone coil. The average amplitude of the motor-evoked potential (MEP) induced by applying 20 consecutive monopulse stimuli at an intensity of 130% resting motor threshold (RMT) was collected and analysed.

Results: Compare with T0 time, the MEP amplitude (raw and normalised) at T1 and T2 showed a statistically significant increase following the cTBS + iTBS protocol (p < 0.01), but no significant differences were observed in amplitude changes following other protocols (sham cTBS + iTBS and sham cTBS + sham iTBS) (p > 0.05). Furthermore, no statistically significant difference was found among the three protocols at any given time point (p > 0.05).

Conclusions: Preconditioning the lower extremity motor cortex with cTBS prior to iTBS intervention can promptly enhance its excitability in healthy participants. This effect persists for a minimum duration of 20 min.

Clinical trial registration: No: ChiCTR2300069315. Registered 13 March, 2023, https://www.chictr.org.cn.

背景:以前的研究发现,在上肢使用连续θ脉冲刺激(cTBS)进行抑制性引物刺激,可以增强随后使用间歇θ脉冲刺激(iTBS)进行兴奋性调节刺激的效果。然而,这种联合刺激方法是否会在下肢引起类似的代偿反应仍不清楚。本研究旨在探讨 cTBS 预处理如何调节 iTBS 对健康人下肢运动皮层兴奋性的影响:采用随机交叉设计,共招募了 25 名健康参与者(19 名女性,平均年龄 = 24.80 岁),以随机顺序接受三种不同的 TBS 方案(cTBS + iTBS、假 cTBS + iTBS、假 cTBS + 假 iTBS)。cTBS 和 iTBS 的强度为主动运动阈值(AMT)的 80%,共发出 600 个脉冲。在干预前(T0)、干预后立即(T1)和干预后 20 分钟(T2),使用 Magneuro100 刺激器和匹配的双锥线圈测量参与者非优势腿胫骨前肌的皮质运动兴奋性。收集并分析了在强度为静息运动阈值(RMT)130%的条件下连续施加20次单脉冲刺激所诱发的运动诱发电位(MEP)的平均振幅:与 T0 时间相比,采用 cTBS + iTBS 方案后,T1 和 T2 的 MEP 振幅(原始振幅和归一化振幅)在统计学上显著增加(p < 0.01),但采用其他方案(假 cTBS + iTBS 和假 cTBS + 假 iTBS)后,振幅变化无显著差异(p > 0.05)。此外,在任何给定的时间点,三种方案之间均未发现有统计学意义的差异(P > 0.05):结论:在进行 iTBS 干预之前用 cTBS 对下肢运动皮层进行预处理,可以迅速提高健康参与者的兴奋性。临床试验注册:临床试验注册号:ChiCTR2300069315。注册日期:2023 年 3 月 13 日,https://www.chictr.org.cn。
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引用次数: 0
The Exploratory Study of the PTEN-AKT/mTOR Signaling Pathway in the Corresponding Dorsal Root Ganglion during Compensatory Repair via Small Gap Amplification in Sciatic Nerve Injury. 坐骨神经损伤中通过小间隙放大进行补偿性修复时相应背根神经节中 PTEN-AKT/mTOR 信号通路的探索性研究
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-21 DOI: 10.31083/j.jin2308157
Fei Yu, Tiantian Qi, Yusong Yuan, Jian Weng, Tianbing Wang, Yuhui Kou, Hui Zeng
<p><strong>Background: </strong>Peripheral nerve injury is a challenging orthopedic issue in clinical management that often leads to limb dysfunction or even disability in severe cases. A thorough exploration of the repair process of peripheral nerve injury and the underlying mechanism contributes to formulate more effective therapeutic strategies.</p><p><strong>Methods: </strong>In the present study, we established a sciatic nerve transection injury model in Sprague-Dawley (SD) rats. A 12-week compensatory repair of sciatic nerve transection injury using a chitin cannula for small gap anastomosis was then performed via sleeve jointing the proximal common peroneal nerve to the distal tibial nerve and common peroneal nerve, with a 2 mm interval. Compensatory repair via small gap amplification was observed via gross observation of nerve specimen, osmic acid staining, and electrophysiological stimulation of sciatic nerve branches of the tibial and common peroneal nerve. Rat limbs were observed, and the functional recovery of effector muscles of the gastrocnemius and tibialis anterior muscles was assessed through weighing the muscle wet weight, Hematoxylin and Eosin (H&E) staining, and muscle strength detection. H&E staining, Masson staining, and toluidine blue staining were performed to observe the morphological changes of the dorsal root ganglion. Positive expressions of key proteins involved in the Phosphatase and tensin homologue deleted on chromosome ten (PTEN)-protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling pathway, including PTEN, AKT, mTOR, Toll-like receptor 4 (TLR4), and Caspase9 in the dorsal root ganglion during compensatory repair of sciatic nerve after injury via small gap amplification, were detected by immunohistochemical staining.</p><p><strong>Results: </strong>It is found that the compensatory repair of sciatic nerve transection injury using a chitin cannula for small gap anastomosis via sleeve jointing effectively restored the continuity, number of myelinated nerve fibers, and nerve conduction velocity. It promoted toe abduction recovery, improved muscle fiber morphology and increased the wet weight and muscle strength of the gastrocnemius muscle and tibialis anterior muscle. Moreover, it increased the number of neurons and nerve fibers, and improved their morphology. Downregulated PTEN, TLR4, and Caspase9 in the dorsal root ganglia and upregulated AKT and mTOR were observed after small gap amplification than those of the transection injury group, which were closer to those of the control group.</p><p><strong>Conclusions: </strong>Compensatory repair of sciatic nerve transection injury using a chitin cannula for small gap anastomosis via sleeve jointing can restore the morphology and function of the sciatic nerve, effector muscles, and corresponding dorsal root ganglia by activating the PTEN-AKT/mTOR signaling pathway in the dorsal root ganglia. Our findings provide novel therapeutic targets for peripheral ne
背景:周围神经损伤是临床治疗中极具挑战性的骨科问题,通常会导致肢体功能障碍,严重者甚至会致残。深入探讨周围神经损伤的修复过程及其内在机制有助于制定更有效的治疗策略:本研究以 Sprague-Dawley (SD) 大鼠为研究对象,建立了坐骨神经横断损伤模型。然后使用甲壳素套管进行小间隙吻合,将腓总神经近端与胫神经远端和腓总神经进行套接,间距为 2 毫米,对坐骨神经横断损伤进行为期 12 周的代偿性修复。通过对神经标本进行大体观察、渗透酸染色以及对胫神经和腓总神经的坐骨神经分支进行电生理刺激,观察通过小间隙放大进行补偿性修复的效果。观察大鼠肢体,通过称量肌肉湿重、H&E 染色和肌力检测,评估腓肠肌和胫骨前肌效应肌的功能恢复情况。通过 H&E 染色、Masson 染色和甲苯胺蓝染色观察背根神经节的形态变化。免疫组化染色法检测了坐骨神经损伤后通过小间隙扩增进行代偿性修复时背根神经节中参与十号染色体上删除的磷酸酶和天丝蛋白同源物(PTEN)-蛋白激酶B(AKT)/哺乳动物雷帕霉素靶标(mTOR)信号通路的关键蛋白,包括PTEN、AKT、mTOR、Toll样受体4(TLR4)和Caspase9的阳性表达:结果发现,利用甲壳素套管通过套接法进行小间隙吻合,对坐骨神经横断损伤进行代偿性修复,能有效恢复神经的连续性、有髓神经纤维的数量和神经传导速度。它促进了脚趾外展的恢复,改善了肌纤维形态,增加了腓肠肌和胫骨前肌的湿重和肌力。此外,它还增加了神经元和神经纤维的数量,并改善了它们的形态。与横断损伤组相比,小间隙扩增后观察到背根神经节中 PTEN、TLR4 和 Caspase9 下调,AKT 和 mTOR 上调,与对照组比较接近:结论:使用甲壳素套管通过套接进行小间隙吻合,对坐骨神经横断损伤进行补偿性修复,可以通过激活背根神经节中的PTEN-AKT/mTOR信号通路,恢复坐骨神经、效应肌和相应背根神经节的形态和功能。我们的发现为周围神经损伤提供了新的治疗靶点。
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引用次数: 0
Objective Sleep Function is Associated with Hippocampal Subfield Volumes in Community-Dwelling Adults. 客观睡眠功能与社区居住成年人的海马区体积有关。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-21 DOI: 10.31083/j.jin2308159
Niki Mourtzi, Angeliki Tsapanou, Renia Morfakidou, Georgia Angelopoulou, Vasilios Constantinides, Eva Ntanasi, Eirini Mamalaki, Mary Yannakoulia, Efstratios Karavasilis, Foteini Christidi, Georgios Velonakis, Nikolaos Scarmeas

Background: Sleep patterns often shift as people age, a phenomenon frequently associated with the onset of neurodegenerative conditions. Additionally, distinct alterations occur in brain structure as individuals grow older, particularly within the hippocampus, a region known for its role in cognition and sleep regulation. Yet, how exactly do changes in sleep relate to specific subfields within the hippocampus is still unclear.

Methods: We conducted a study involving non-demented healthy adults from the Aiginition Longitudinal Biomarker Investigation Of Neurodegeneration (ALBION) cohort. Participants underwent objective sleep measurements using wrist Actiwatch and WatchPAT devices. Further, all participants underwent the same Magnetic Resonance Imaging (MRI) protocol, including a 3D high resolution T1-weighted sequence, on the same 3.0 Tesla MRI scanner using an eight-channel head coil. The study aimed to examine the relationship between objectively measured sleep metrics and the morphology of twenty-two distinct hippocampal subregions.

Results: In total, 75 non-demented participants with 63 mean years of age were included in the study. Results indicated that a higher frequency of awakenings during sleep was associated with increased volume in the right presubiculum body (beta = 0.630, p False Discovery Rate (FDR) <0.036). Longer sleep duration showed a tendency to be associated with smaller volumes of the right presubiculum body, hinting at a possible negative impact of prolonged sleep on this brain region. Similar trends were observed regarding sleep apnea and the presubiculum body volume. Further analysis based on age stratification revealed that in younger participants, longer sleep duration was linked to decreased volume of the presubiculum body, while a greater number of awakenings was correlated with increased volume of the same region. Among older participants, higher frequencies of awakenings were associated with larger volumes in various hippocampal subfields.

Conclusions: These findings shed light on the complex relationship between sleep characteristics and brain structure, highlighting potential age-related differences. The study provides valuable insights into how sleep disruptions may impact hippocampal morphology and cognitive function of cognitively healthy adults. Further research is warranted to elucidate the underlying mechanisms and implications for neurodegenerative diseases.

背景:睡眠模式通常会随着年龄的增长而改变,这种现象经常与神经退行性疾病的发病有关。此外,随着年龄的增长,大脑结构也会发生明显的变化,尤其是海马区,该区域因其在认知和睡眠调节中的作用而闻名。然而,睡眠的变化究竟与海马内的特定亚区有何关系,目前仍不清楚:我们进行了一项研究,研究对象是来自神经退行性变纵向生物标志物研究(ALBION)队列的非痴呆健康成年人。参与者使用腕式 Actiwatch 和 WatchPAT 设备进行了客观睡眠测量。此外,所有参与者都在同一台使用八通道头部线圈的 3.0 特斯拉核磁共振成像(MRI)扫描仪上接受了相同的核磁共振成像(MRI)方案,包括三维高分辨率 T1 加权序列。研究旨在探讨客观测量的睡眠指标与 22 个不同海马亚区形态之间的关系:共有 75 名平均年龄为 63 岁的非痴呆症患者参与了研究。结果表明,睡眠中觉醒频率越高,右侧管前体的体积越大(β=0.630,p 假发现率(FDR)):这些发现揭示了睡眠特征与大脑结构之间的复杂关系,突出了与年龄有关的潜在差异。该研究为了解睡眠干扰如何影响认知健康的成年人的海马形态和认知功能提供了宝贵的见解。我们有必要开展进一步的研究,以阐明其潜在机制和对神经退行性疾病的影响。
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引用次数: 0
Diffusion- and Perfusion-Weighted Imaging to Detect Neurological Deficits in Acute Focal Cerebral Ischemia in Rabbits. 用弥散加权成像和灌注加权成像检测兔子急性局灶性脑缺血的神经功能缺损。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-21 DOI: 10.31083/j.jin2308156
Yu Zhang, Xuefei Deng, Jiangdong Chu, Qian Zhang, Xiangwei Luo, Xingxing Wang

Purpose: To investigate the relationship of diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI) parameters with dysfunction in acute focal cerebral ischemia (ACI) rabbits.

Methods: The model of ACI in the middle cerebral artery was made using 30 adult male New Zealand rabbits. The dysfunction severities of the ACI rabbits were assessed using Purdy's score. A paired-sample rank sum test was adopted to compare the abnormal signal zone (ASZ) volumes from T2 weighted imaging (T2WI), dynamic susceptibility contrast-enhanced (DSC) imaging, and DWI with a relative cerebral blood flow (rCBF) map; correlations were analyzed between the volume of each ASZ and Purdy's score by Spearman's rank correlation coefficient. The degree of necrotic and apoptotic cells was evaluated in the ASZ from DWI and DSC PWI-DWI mismatch (PDM) zone. Correlations were analyzed between the index of cellular damage and Purdy's score, the volume of ASZs by Spearman's rank correlation coefficient.

Results: The ASZ volumes from DSC-PWI and the rCBF maps were larger than those from DWI (p < 0.001 and p < 0.001, respectively); those from the rCBF map (Z = 0.959, p < 0.001) and DSC-PWI (Z = 0.970, p < 0.001) were positively correlated with DWI; a positive correlation was found between Purdy's score and the ASZ volumes from DSC-PWI (Z = 0.889, p < 0.001), DWI (Z = 0.921, p < 0.001), and rCBF (Z = 0.891, p < 0.001). A significant difference was observed between the ASZ from DWI and the PDM zone in terms of the degree of necrotic (p < 0.001) and apoptotic cells (p < 0.001). The degree of cellular damage in the ASZ of DWI and PDM zone had no relationship with Purdy's score and the volumes of ASZs.

Conclusion: The ASZ volumes from DSC-PWI, rCBF, and particularly DWI reflected the level of dysfunction in rabbits with ACI.

目的:探讨弥散加权成像(DWI)和灌注加权成像(PWI)参数与急性局灶性脑缺血(ACI)兔功能障碍的关系:方法:使用 30 只成年雄性新西兰兔制作大脑中动脉 ACI 模型。方法:使用 30 只成年雄性新西兰兔制作大脑中动脉 ACI 模型,并使用 Purdy 评分法评估 ACI 兔的功能障碍严重程度。采用配对样本秩和检验比较 T2 加权成像(T2WI)、动态感性对比增强成像(DSC)和 DWI 的异常信号区(ASZ)体积与相对脑血流(rCBF)图;采用 Spearman 秩相关系数分析各 ASZ 体积与 Purdy 评分之间的相关性。根据 DWI 和 DSC PWI-DWI 不匹配(PDM)区评估 ASZ 中坏死和凋亡细胞的程度。通过斯皮尔曼秩相关系数分析了细胞损伤指数与Purdy评分、ASZ体积之间的相关性:结果:DSC-PWI和rCBF图的ASZ体积大于DWI的ASZ体积(分别为p < 0.001和p < 0.001);rCBF图的ASZ体积(Z = 0.959,p < 0.001)和DSC-PWI的ASZ体积(Z = 0.970,p < 0.001)与 DWI 呈正相关;Purdy 评分与来自 DSC-PWI(Z = 0.889,p < 0.001)、DWI(Z = 0.921,p < 0.001)和 rCBF(Z = 0.891,p < 0.001)的 ASZ 体积呈正相关。从 DWI 观察到的 ASZ 和 PDM 区在坏死细胞(p < 0.001)和凋亡细胞(p < 0.001)的程度上存在明显差异。DWI和PDM区ASZ的细胞损伤程度与Purdy评分和ASZ体积没有关系:结论:DSC-PWI、rCBF,尤其是 DWI 显示的 ASZ 体积反映了 ACI 兔的功能障碍程度。
{"title":"Diffusion- and Perfusion-Weighted Imaging to Detect Neurological Deficits in Acute Focal Cerebral Ischemia in Rabbits.","authors":"Yu Zhang, Xuefei Deng, Jiangdong Chu, Qian Zhang, Xiangwei Luo, Xingxing Wang","doi":"10.31083/j.jin2308156","DOIUrl":"https://doi.org/10.31083/j.jin2308156","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the relationship of diffusion-weighted imaging (DWI) and perfusion-weighted imaging (PWI) parameters with dysfunction in acute focal cerebral ischemia (ACI) rabbits.</p><p><strong>Methods: </strong>The model of ACI in the middle cerebral artery was made using 30 adult male New Zealand rabbits. The dysfunction severities of the ACI rabbits were assessed using Purdy's score. A paired-sample rank sum test was adopted to compare the abnormal signal zone (ASZ) volumes from T<sub>2</sub> weighted imaging (T<sub>2</sub>WI), dynamic susceptibility contrast-enhanced (DSC) imaging, and DWI with a relative cerebral blood flow (rCBF) map; correlations were analyzed between the volume of each ASZ and Purdy's score by Spearman's rank correlation coefficient. The degree of necrotic and apoptotic cells was evaluated in the ASZ from DWI and DSC PWI-DWI mismatch (PDM) zone. Correlations were analyzed between the index of cellular damage and Purdy's score, the volume of ASZs by Spearman's rank correlation coefficient.</p><p><strong>Results: </strong>The ASZ volumes from DSC-PWI and the rCBF maps were larger than those from DWI (<i>p</i> < 0.001 and <i>p</i> < 0.001, respectively); those from the rCBF map (Z = 0.959, <i>p</i> < 0.001) and DSC-PWI (Z = 0.970, <i>p</i> < 0.001) were positively correlated with DWI; a positive correlation was found between Purdy's score and the ASZ volumes from DSC-PWI (Z = 0.889, <i>p</i> < 0.001), DWI (Z = 0.921, <i>p</i> < 0.001), and rCBF (Z = 0.891, <i>p</i> < 0.001). A significant difference was observed between the ASZ from DWI and the PDM zone in terms of the degree of necrotic (<i>p</i> < 0.001) and apoptotic cells (<i>p</i> < 0.001). The degree of cellular damage in the ASZ of DWI and PDM zone had no relationship with Purdy's score and the volumes of ASZs.</p><p><strong>Conclusion: </strong>The ASZ volumes from DSC-PWI, rCBF, and particularly DWI reflected the level of dysfunction in rabbits with ACI.</p>","PeriodicalId":16160,"journal":{"name":"Journal of integrative neuroscience","volume":"23 8","pages":"156"},"PeriodicalIF":2.5,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Preliminary Finding: N-butyl-phthalide Plays a Neuroprotective Role by Blocking the TLR4/HMGB1 Pathway and Improves Mild Cognitive Impairment Induced by Acute Cerebral Infarction. 初步发现:N-丁基邻苯二甲酸盐通过阻断 TLR4/HMGB1 通路发挥神经保护作用,并改善急性脑梗塞引发的轻度认知功能障碍。
IF 2.5 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-08-21 DOI: 10.31083/j.jin2308158
Hong Zhou, Sijun Li, Cheng Huang, Yingping Chen, Liwen Wang, Junliang Lin, Yuan Lv

Background: Most acute cerebral infarctions (ACI) may develop vascular dementia (VD), which involves almost all types of cognitive impairment. Unfortunately, there is currently no effective treatment for VD. Most patients exhibit mild cognitive impairment (MCI) before the development of VD. N-butyl-phthalide (NBP) is used to treat ACI and improve cognitive function. The oxygen and glucose deprivation (OGD) model of neurons is an in vitro model of ischemia, hypoxia, and cognitive dysfunction.

Methods: We conducted clinical studies and in vitro experiments to investigate the clinical efficacy and mechanism of action of NBP for treating ACI-induced MCI. Patients with ACI-induced MCI were randomly divided into control (Ctrl) and NBP groups. We assessed various indicators, such as clinical efficacy, montreal cognitive assessment scale (MOCA), activities of daily living (ADL), and cerebral infarct size in both groups before and after treatment. We observed the morphology of neurons and detected the survival rate, action potentials (APs), expression of high mobility group box 1 (HMGB1), toll-like receptor 4 (TLR4), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α), and the interaction between TLR4 and HMGB1.

Results: The MOCA and ADL scores increased significantly after treatment in the NBP group. A OGD model of neurons was established, and the neurons were divided into Ctrl and NBP groups. We observed that the survival rate and APs amplitude of the neurons were significantly increased in the NBP group, whereas TNF-α expression was decreased. Furthermore, the interaction between TLR4 and HMGB1 decreased in the NBP group.

Conclusion: NBP plays a neuroprotective role by inhibiting the TLR4/HMGB1 pathway and ameliorating ACI-induced MCI.

背景:大多数急性脑梗塞(ACI)患者可能会发展为血管性痴呆(VD),其中包括几乎所有类型的认知障碍。遗憾的是,目前还没有治疗血管性痴呆的有效方法。大多数患者在发展成血管性痴呆之前会表现出轻度认知障碍(MCI)。邻苯二甲酸正丁酯(NBP)可用于治疗 ACI 并改善认知功能。氧和葡萄糖剥夺(OGD)神经元模型是缺血、缺氧和认知功能障碍的体外模型:我们进行了临床研究和体外实验,以研究 NBP 治疗 ACI 诱导的 MCI 的临床疗效和作用机制。将 ACI 诱导的 MCI 患者随机分为对照组(Ctrl)和 NBP 组。我们评估了两组患者治疗前后的临床疗效、蒙特利尔认知评估量表(MOCA)、日常生活活动(ADL)和脑梗塞面积等各项指标。我们观察了神经元的形态,检测了存活率、动作电位(APs)、高迁移率组盒1(HMGB1)、类收费受体4(TLR4)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)的表达以及TLR4与HMGB1之间的相互作用:结果:治疗后,NBP组的MOCA和ADL评分明显提高。建立神经元OGD模型,将神经元分为Ctrl组和NBP组。我们观察到,NBP 组神经元的存活率和 APs 振幅明显增加,而 TNF-α 的表达减少。此外,NBP 组中 TLR4 与 HMGB1 的相互作用减少:结论:NBP通过抑制TLR4/HMGB1通路发挥神经保护作用,可改善ACI诱导的MCI。
{"title":"A Preliminary Finding: N-butyl-phthalide Plays a Neuroprotective Role by Blocking the TLR4/HMGB1 Pathway and Improves Mild Cognitive Impairment Induced by Acute Cerebral Infarction.","authors":"Hong Zhou, Sijun Li, Cheng Huang, Yingping Chen, Liwen Wang, Junliang Lin, Yuan Lv","doi":"10.31083/j.jin2308158","DOIUrl":"10.31083/j.jin2308158","url":null,"abstract":"<p><strong>Background: </strong>Most acute cerebral infarctions (ACI) may develop vascular dementia (VD), which involves almost all types of cognitive impairment. Unfortunately, there is currently no effective treatment for VD. Most patients exhibit mild cognitive impairment (MCI) before the development of VD. N-butyl-phthalide (NBP) is used to treat ACI and improve cognitive function. The oxygen and glucose deprivation (OGD) model of neurons is an <i>in vitro</i> model of ischemia, hypoxia, and cognitive dysfunction.</p><p><strong>Methods: </strong>We conducted clinical studies and <i>in vitro</i> experiments to investigate the clinical efficacy and mechanism of action of NBP for treating ACI-induced MCI. Patients with ACI-induced MCI were randomly divided into control (Ctrl) and NBP groups. We assessed various indicators, such as clinical efficacy, montreal cognitive assessment scale (MOCA), activities of daily living (ADL), and cerebral infarct size in both groups before and after treatment. We observed the morphology of neurons and detected the survival rate, action potentials (APs), expression of high mobility group box 1 (HMGB1), toll-like receptor 4 (TLR4), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-α), and the interaction between TLR4 and HMGB1.</p><p><strong>Results: </strong>The MOCA and ADL scores increased significantly after treatment in the NBP group. A OGD model of neurons was established, and the neurons were divided into Ctrl and NBP groups. We observed that the survival rate and APs amplitude of the neurons were significantly increased in the NBP group, whereas TNF-α expression was decreased. Furthermore, the interaction between TLR4 and HMGB1 decreased in the NBP group.</p><p><strong>Conclusion: </strong>NBP plays a neuroprotective role by inhibiting the TLR4/HMGB1 pathway and ameliorating ACI-induced MCI.</p>","PeriodicalId":16160,"journal":{"name":"Journal of integrative neuroscience","volume":"23 8","pages":"158"},"PeriodicalIF":2.5,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of integrative neuroscience
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