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Comment on "Prevalence and Cognitive Bases of Subjective Memory Complaints in Older Adults: Evidence from a Community Sample". 对“老年人主观记忆抱怨的患病率和认知基础:来自社区样本的证据”的评论。
Pub Date : 2014-01-01 Epub Date: 2014-08-13 DOI: 10.1155/2014/240215
Ashima Nehra, Sakshi Chopra, Harsimarpreet Kaur
It was a pleasure reading your paper entitled “Prevalence and Cognitive Bases of Subjective Memory Complaints in Older Adults: Evidence from a Community Sample,” which was published on 27 April 2014. It was a very detailed paper about the incidence of subjective memory complaints (SMCs) in older adults and how importantly SMCs could have a prognostic value in predicting objective memory decline and dementia [1, 2]. It was very interesting to note the process of making subjects as a part of the study, who are drawn from memory clinics, biased in finding a higher prevalence of SMC as subjects are more likely to have memory impairments, whereas, on the other hand, how population based studies may be biased in finding a lower prevalence of SMC's as the subjects are more willing to participate in research and are also healthier than the patient groups (subjects drawn from memory clinics). However, in the methodology, the clear inclusion and exclusion criteria were not mentioned for the subjects who were made a part of the study. There was no mention about any comorbid conditions or disorders as well, which the participants who were included in the study had, as this information can be important for further having any correlations between the existing comorbid conditions/disorders and SMCs. Also, the subjects were divided into two groups, younger adults and older adults, but there was no mention on what criteria this was based. According to the World Health Organization, any person who is 60 years old and above can be called an elderly or an older population [3], so we would like to know why subjects who were 60 years old and above were not included and why 65 years old and above subjects were enrolled. Moreover, in the methods, there were 3 hypotheses of the study, but there was no mention about them being accepted or rejected. The third objective which stated that gender and objective memory would be associated with a greater risk for SMCs in women than in men was rejected after obtaining the results. The same could have been stated in the results and conclusions. The paper was also very comprehensive about the data and results, but nothing was mentioned about the subjects who actually performed low in the objective neuropsychological evaluation, who turned out to have dementia, whether they referred to a neurology clinic after that for any treatment/intervention or not. The future directions and implications of the study could have been highlighted and how the study can be benefitted to the general population to make substantial generalizations would further strengthen the research. Overall, it was a very interesting study, and we hope that these can be done in India as well, soon.
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引用次数: 1
Glial Cell Line-Derived Neurotrophic Factor Family Members Reduce Microglial Activation via Inhibiting p38MAPKs-Mediated Inflammatory Responses. 神经胶质细胞系来源的神经营养因子家族成员通过抑制p38mapks介导的炎症反应减少小胶质细胞的激活。
Pub Date : 2014-01-01 Epub Date: 2014-06-09 DOI: 10.1155/2014/369468
Uta Rickert, Steffen Grampp, Henrik Wilms, Jessica Spreu, Friederike Knerlich-Lukoschus, Janka Held-Feindt, Ralph Lucius

Previous studies have shown that glial cell line-derived neurotrophic factor (GDNF) family ligands (GFL) are potent survival factors for dopaminergic neurons and motoneurons with therapeutic potential for Parkinson's disease. However, little is known about direct influences of the GFL on microglia function, which are known to express part of the GDNF receptor system. Using RT-PCR and immunohistochemistrym we investigated the expression of the GDNF family receptor alpha 1 (GFR alpha) and the coreceptor transmembrane receptor tyrosine kinase (RET) in rat microglia in vitro as well as the effect of GFL on the expression of proinflammatory molecules in LPS activated microglia. We could show that GFL are able to regulate microglia functions and suggest that part of the well known neuroprotective action may be related to the suppression of microglial activation. We further elucidated the functional significance and pathophysiological implications of these findings and demonstrate that microglia are target cells of members of the GFL (GDNF and the structurally related neurotrophic factors neurturin (NRTN), artemin (ARTN), and persephin (PSPN)).

先前的研究表明,神经胶质细胞系来源的神经营养因子(GDNF)家族配体(GFL)是多巴胺能神经元和运动神经元的有效存活因子,具有治疗帕金森病的潜力。然而,关于GFL对小胶质细胞功能的直接影响知之甚少,已知小胶质细胞表达部分GDNF受体系统。采用RT-PCR和免疫组织化学技术,研究了GDNF家族受体α 1 (GFR α)和协同受体跨膜受体酪氨酸激酶(RET)在体外大鼠小胶质细胞中的表达,以及GFL对LPS激活小胶质细胞中促炎分子表达的影响。我们可以证明GFL能够调节小胶质细胞的功能,并提示部分众所周知的神经保护作用可能与抑制小胶质细胞的激活有关。我们进一步阐明了这些发现的功能意义和病理生理意义,并证明小胶质细胞是GFL成员(GDNF和结构相关的神经营养因子neurturin (NRTN), artemin (ARTN)和persephin (PSPN))的靶细胞。
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引用次数: 31
Nicotine-Cadmium Interaction Alters Exploratory Motor Function and Increased Anxiety in Adult Male Mice. 尼古丁-镉相互作用改变成年雄性小鼠的探索性运动功能和焦虑增加。
Pub Date : 2014-01-01 Epub Date: 2014-11-12 DOI: 10.1155/2014/359436
Duyilemi Chris Ajonijebu, Philip Adeyemi Adeniyi, Adeshina Oloruntoba Adekeye, Babawale Peter Olatunji, Azeez Olakunle Ishola, Olalekan Michael Ogundele

In this study we evaluated the time dependence in cadmium-nicotine interaction and its effect on motor function, anxiety linked behavioural changes, serum electrolytes, and weight after acute and chronic treatment in adult male mice. Animals were separated randomly into four groups of n = 6 animals each. Treatment was done with nicotine, cadmium, or nicotine-cadmium for 21 days. A fourth group received normal saline for the same duration (control). Average weight was determined at 7-day interval for the acute (D1-D7) and chronic (D7-D21) treatment phases. Similarly, the behavioural tests for exploratory motor function (open field test) and anxiety were evaluated. Serum electrolytes were measured after the chronic phase. Nicotine, cadmium, and nicotine-cadmium treatments caused no significant change in body weight after the acute phase while cadmium-nicotine and cadmium caused a decline in weight after the chronic phase. This suggests the role of cadmium in the weight loss observed in tobacco smoke users. Both nicotine and cadmium raised serum Ca(2+) concentration and had no significant effect on K(+) ion when compared with the control. In addition, nicotine-cadmium treatment increased bioaccumulation of Cd(2+) in the serum which corresponded to a decrease in body weight, motor function, and an increase in anxiety.

在这项研究中,我们评估了镉-尼古丁相互作用的时间依赖性及其对成年雄性小鼠急性和慢性治疗后运动功能、焦虑相关行为改变、血清电解质和体重的影响。动物随机分为四组,每组n = 6只。用尼古丁、镉或尼古丁-镉治疗21天。第四组在相同时间内给予生理盐水(对照组)。急性(D1-D7)和慢性(D7-D21)治疗期每隔7天测定平均体重。同样,对探索性运动功能(开场测试)和焦虑的行为测试进行评估。慢性期结束后测定血清电解质。尼古丁、镉和尼古丁-镉治疗在急性期后没有引起体重的显著变化,而镉-尼古丁和镉治疗在慢性期后引起体重的下降。这表明镉在烟草使用者体重减轻中所起的作用。与对照组相比,尼古丁和镉均升高了血清Ca(2+)浓度,对K(+)离子无显著影响。此外,尼古丁-镉处理增加了血清中Cd(2+)的生物积累,这与体重、运动功能下降和焦虑增加相对应。
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引用次数: 2
Differential Changes in Postsynaptic Density Proteins in Postmortem Huntington's Disease and Parkinson's Disease Human Brains. 死后亨廷顿氏病和帕金森病人脑突触后密度蛋白的差异变化
Pub Date : 2014-01-01 Epub Date: 2014-01-16 DOI: 10.1155/2014/938530
C Fourie, E Kim, H Waldvogel, J M Wong, A McGregor, R L M Faull, J M Montgomery

NMDA and AMPA-type glutamate receptors and their bound membrane-associated guanylate kinases (MAGUKs) are critical for synapse development and plasticity. We hypothesised that these proteins may play a role in the changes in synapse function that occur in Huntington's disease (HD) and Parkinson's disease (PD). We performed immunohistochemical analysis of human postmortem brain tissue to examine changes in the expression of SAP97, PSD-95, GluA2 and GluN1 in human control, and HD- and PD-affected hippocampus and striatum. Significant increases in SAP97 and PSD-95 were observed in the HD and PD hippocampus, and PSD95 was downregulated in HD striatum. We observed a significant increase in GluN1 in the HD hippocampus and a decrease in GluA2 in HD and PD striatum. Parallel immunohistochemistry experiments in the YAC128 mouse model of HD showed no change in the expression levels of these synaptic proteins. Our human data show that major but different changes occur in glutamatergic proteins in HD versus PD human brains. Moreover, the changes in human HD brains differ from those occurring in the YAC128 HD mouse model, suggesting that unique changes occur at a subcellular level in the HD human hippocampus.

NMDA和ampa型谷氨酸受体及其结合的膜相关鸟苷酸激酶(MAGUKs)对突触的发育和可塑性至关重要。我们假设这些蛋白可能在亨廷顿氏病(HD)和帕金森病(PD)中发生的突触功能变化中发挥作用。我们对人死后脑组织进行了免疫组织化学分析,以检测人类对照组以及HD和pd患者海马和纹状体中SAP97、PSD-95、GluA2和GluN1的表达变化。在HD和PD海马中,SAP97和PSD-95显著升高,PSD95在HD纹状体中下调。我们观察到HD海马中GluN1显著升高,HD和PD纹状体中GluA2显著降低。平行免疫组化实验在YAC128 HD小鼠模型中显示这些突触蛋白的表达水平没有变化。我们的人类数据显示,HD和PD患者大脑中的谷氨酸能蛋白发生了主要但不同的变化。此外,人类HD大脑的变化与YAC128 HD小鼠模型中发生的变化不同,表明HD人类海马的亚细胞水平发生了独特的变化。
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引用次数: 41
Multidisciplinary Interventions in Motor Neuron Disease. 运动神经元疾病的多学科干预。
Pub Date : 2014-01-01 Epub Date: 2014-11-18 DOI: 10.1155/2014/435164
U E Williams, E E Philip-Ephraim, S K Oparah

Motor neuron disease is a neurodegenerative disease characterized by loss of upper motor neuron in the motor cortex and lower motor neurons in the brain stem and spinal cord. Death occurs 2-4 years after the onset of the disease. A complex interplay of cellular processes such as mitochondrial dysfunction, oxidative stress, excitotoxicity, and impaired axonal transport are proposed pathogenetic processes underlying neuronal cell loss. Currently evidence exists for the use of riluzole as a disease modifying drug; multidisciplinary team care approach to patient management; noninvasive ventilation for respiratory management; botulinum toxin B for sialorrhoea treatment; palliative care throughout the course of the disease; and Modafinil use for fatigue treatment. Further research is needed in management of dysphagia, bronchial secretion, pseudobulbar affect, spasticity, cramps, insomnia, cognitive impairment, and communication in motor neuron disease.

运动神经元病是一种神经退行性疾病,其特征是运动皮层的上运动神经元和脑干和脊髓的下运动神经元丧失。患者在发病 2-4 年后死亡。线粒体功能障碍、氧化应激、兴奋毒性和轴突运输受损等复杂的细胞过程相互作用,被认为是神经细胞丧失的致病过程。目前有证据表明,利鲁唑可作为一种疾病调节药物;多学科团队护理方法可用于患者管理;无创通气可用于呼吸管理;肉毒杆菌毒素 B 可用于治疗鼻出血;姑息治疗可贯穿整个病程;莫达非尼可用于疲劳治疗。在运动神经元病的吞咽困难、支气管分泌、假性横纹肌痉挛、痉挛、失眠、认知障碍和交流等方面的治疗还需要进一步研究。
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引用次数: 0
Prevalence and Cognitive Bases of Subjective Memory Complaints in Older Adults: Evidence from a Community Sample. 老年人主观记忆抱怨的患病率和认知基础:来自社区样本的证据。
Pub Date : 2014-01-01 Epub Date: 2014-04-27 DOI: 10.1155/2014/176843
Thomas Fritsch, McKee J McClendon, Maggie S Wallendal, Trevor F Hyde, Janet D Larsen

Objectives. To estimate the prevalence of subjective memory complaints (SMCs) in a sample of community-dwelling, older adults and to examine cognitive bases of these complaints. Participants. 499 community-dwelling adults, 65 and older. Measurements. A telephone survey consisting of cognitive tests and clinical and sociodemographic variables. SMCs were based on subjects' evaluations and subjects' perceptions of others' evaluations. Analysis. Logistic regression was used to model the risk for SMCs as a function of the cognitive, clinical, and sociodemographic variables. We tested for interactions of the cognitive variables with age, education, and gender. Results. 27.1% reported memory complaints. Among the younger age, better objective memory performance predicted lower risk for SMCs, while among the older age, better memory had no effect on risk. Among the better-educated people, better global cognitive functioning predicted lower risk for SMCs, while among the less-educated people, better global cognitive functioning had no effect on SMC risk. When predicting others' perceptions, better objective memory was associated with lower risk for SMCs. Conclusion. Objective memory performance and global cognitive functioning are associated with lower risk for SMCs, but these relationships are the strongest for the younger age and those with more education, respectively. Age and education may affect the ability to accurately appraise cognitive functioning.

目标。评估主观记忆抱怨(SMCs)在社区居住的老年人样本中的患病率,并检查这些抱怨的认知基础。参与者:499名65岁及以上的社区居民。测量。由认知测试和临床及社会人口变量组成的电话调查。SMCs是基于被试的评价和被试对他人评价的感知。分析。逻辑回归用于模拟SMCs的风险,作为认知、临床和社会人口变量的函数。我们测试了认知变量与年龄、教育程度和性别之间的相互作用。结果:27.1%的患者报告有记忆问题。在年轻人中,更好的客观记忆表现预示着更低的SMCs风险,而在老年人中,更好的记忆对风险没有影响。在受教育程度较高的人群中,较好的整体认知功能预示着较低的SMC风险,而在受教育程度较低的人群中,较好的整体认知功能对SMC风险没有影响。在预测他人的认知时,较好的客观记忆与较低的中小脑风险相关。结论。客观记忆表现和整体认知功能与SMCs的低风险相关,但这些关系分别在年龄较小和受教育程度较高的人群中最强。年龄和教育程度可能会影响准确评估认知功能的能力。
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引用次数: 44
Simple Repeat-Primed PCR Analysis of the Myotonic Dystrophy Type 1 Gene in a Clinical Diagnostics Environment. 临床诊断环境下肌强直性营养不良1型基因的简单重复引物PCR分析。
Pub Date : 2013-01-01 Epub Date: 2013-11-11 DOI: 10.1155/2013/857564
Philippa A Dryland, Elaine Doherty, Jennifer M Love, Donald R Love

Myotonic dystrophy type 1 is an autosomal dominant neuromuscular disorder that is caused by the expansion of a CTG trinucleotide repeat in the DMPK gene. The confirmation of a clinical diagnosis of DM-1 usually involves PCR amplification of the CTG repeat-containing region and subsequent sizing of the amplification products in order to deduce the number of CTG repeats. In the case of repeat hyperexpansions, Southern blotting is also used; however, the latter has largely been superseded by triplet repeat-primed PCR (TP-PCR), which does not yield a CTG repeat number but nevertheless provides a means of stratifying patients regarding their disease severity. We report here a combination of forward and reverse TP-PCR primers that allows for the simple and effective scoring of both the size of smaller alleles and the presence or absence of expanded repeat sequences. In addition, the CTG repeat-containing TP-PCR forward primer can target both the DM-1 and Huntington disease genes, thereby streamlining the work flow for confirmation of clinical diagnoses in a diagnostic laboratory.

1型肌强直性营养不良是一种常染色体显性神经肌肉疾病,由DMPK基因中CTG三核苷酸重复扩增引起。确认DM-1的临床诊断通常需要对CTG重复序列包含区域进行PCR扩增,然后对扩增产物进行测定,以推断CTG重复序列的数量。在重复过度扩增的情况下,也使用Southern印迹法;然而,后者在很大程度上已被三重重复引物PCR (TP-PCR)所取代,后者不能产生CTG重复数,但仍然提供了一种根据疾病严重程度对患者进行分层的方法。我们在这里报告了一种正向和反向TP-PCR引物的组合,它允许简单有效地对较小等位基因的大小和扩展重复序列的存在或不存在进行评分。此外,含有CTG重复序列的TP-PCR正向引物可以同时靶向DM-1和亨廷顿病基因,从而简化了诊断实验室临床诊断确认的工作流程。
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引用次数: 11
Bacopa monnieri Phytochemicals Mediated Synthesis of Platinum Nanoparticles and Its Neurorescue Effect on 1-Methyl 4-Phenyl 1,2,3,6 Tetrahydropyridine-Induced Experimental Parkinsonism in Zebrafish. 假马齿苋植物化学物质介导的铂纳米颗粒合成及其对1-甲基4-苯基1,2,3,6四氢吡啶诱导的斑马鱼实验性帕金森病的神经修复作用
Pub Date : 2013-01-01 Epub Date: 2013-03-04 DOI: 10.1155/2013/972391
Jayshree Nellore, Cynthia Pauline, Kanchana Amarnath

Current discovery demonstrates the rapid formation of platinum nanoparticles using leaf extract of a neurobeneficial plant, Bacopa monnieri (BmE). The nanoparticles (BmE-PtNPs) were stabilized and then coated with varied phytochemicals present within the leaf extract. These nanoparticles demonstrated the same activity of Complex I, as that of oxidizing NADH to NAD(+) using a spectrophotometric method. This suggests that BmE-PtNPs are a potential medicinal substance for oxidative stress mediated disease with suppressed mitochondrial complex I, namely, Parkinson's disease (PD). Hence, the neuroprotective potentials of the phytochemical coated nanoparticle were explored in 1-methyl 4-phenyl 1,2,3,6 tetrahydropyridine- (MPTP-)induced experimental Parkinsonism in zebrafish model. BmE-PtNPs pretreatment significantly reversed toxic effects of MPTP by increasing the levels of dopamine, its metabolites, GSH and activities of GPx, catalase, SOD and complex I, and reducing levels of MDA along with enhanced locomotor activity. Taken together, these findings suggest that BmE-PtNPs have protective effect in MPTP-induced neurotoxicity in this model of Parkinson's disease via their dual functions as mitochondrial complex I and antioxidant activity.

目前的发现表明,使用神经有益植物假马齿苋(Bacopa monnieri, BmE)的叶子提取物可以快速形成铂纳米颗粒。纳米颗粒(BmE-PtNPs)被稳定,然后被不同的植物化学物质包裹在叶子提取物中。利用分光光度法,这些纳米颗粒显示了与将NADH氧化为NAD(+)相同的复合物I的活性。这表明BmE-PtNPs是氧化应激介导的线粒体复合体I抑制疾病,即帕金森病(PD)的潜在药物。因此,我们在1-甲基4-苯基1,2,3,6四氢吡啶(MPTP-)诱导的斑马鱼帕金森模型中探讨了植物化学包被纳米颗粒的神经保护作用。BmE-PtNPs预处理通过增加多巴胺及其代谢物、GSH水平以及GPx、过氧化氢酶、SOD和复合物I的活性,降低MDA水平和增强运动活性,显著逆转MPTP的毒性作用。综上所述,这些发现表明BmE-PtNPs通过其线粒体复合物I和抗氧化活性的双重功能对mptp诱导的帕金森病模型的神经毒性具有保护作用。
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引用次数: 72
The Effect of Lipoic Acid Therapy on Cognitive Functioning in Patients with Alzheimer's Disease. 硫辛酸治疗对阿尔茨海默病患者认知功能的影响。
Pub Date : 2013-01-01 Epub Date: 2013-03-30 DOI: 10.1155/2013/454253
Antonietta Fava, Domenico Pirritano, Massimiliano Plastino, Dario Cristiano, Giovanna Puccio, Carmen Colica, Caterina Ermio, Matteo De Bartolo, Gaetano Mauro, Domenico Bosco

Diabetes mellitus (DM) is an important risk factor for Alzheimer's disease (AD). Most diabetic patients have insulin resistance (IR) that is associated with compensatory hyperinsulinemia, one of the mechanisms suggested for increased AD risk in patients with DM. Alpha-lipoic acid (ALA) is a disulfide molecule with antioxidant properties that has positive effects on glucose metabolism and IR. This study evaluated the effect of ALA treatment (600 mg/day) on cognitive performances in AD patients with and without DM. One hundred and twenty-six patients with AD were divided into two groups, according to DM presence (group A) or absence (group B). Cognitive functions were assessed by MMSE, Alzheimer's Disease Assessment Scale-cognitive (ADAS-Cog), Clinician's Interview-Based Impression of Severity (CIBIC), Clinical Dementia Rating (CDR), and Alzheimer's Disease Functional and Change Scale (ADFACS). IR was assessed by HOMA index. At the end of the study, MMSE scores showed a significant improvement in 43% patients of group A (26 subjects) and 23% of group B (15 subjects), compared to baseline (P = .001). Also ADAS-Cog, CIBIC, and ADFACS scores showed a significant improvement in group A versus group B. IR was higher in group A. Our study suggests that ALA therapy could be effective in slowing cognitive decline in patients with AD and IR.

糖尿病(DM)是阿尔茨海默病(AD)的重要危险因素。大多数糖尿病患者存在与代偿性高胰岛素血症相关的胰岛素抵抗(IR),这是糖尿病患者AD风险增加的机制之一。α -硫辛酸(ALA)是一种具有抗氧化特性的二硫分子,对葡萄糖代谢和IR有积极作用。本研究评估ALA治疗(600 mg/天)对合并和不合并DM的AD患者认知能力的影响。126例AD患者根据DM存在(A组)或不存在(B组)分为两组。认知功能通过MMSE、阿尔茨海默病评估量表-认知(ADAS-Cog)、临床医生基于访谈的严重程度印象(CIBIC)、临床痴呆评分(CDR)、阿尔茨海默病功能和变化量表(ADFACS)。采用HOMA指数评价IR。在研究结束时,与基线相比,43%的a组患者(26例)和23%的B组患者(15例)的MMSE评分有显著改善(P = 0.001)。此外,与b组相比,a组的ADAS-Cog、CIBIC和ADFACS评分也有显著改善。a组的IR更高。我们的研究表明,ALA治疗可有效减缓AD和IR患者的认知能力下降。
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引用次数: 57
Amyloid Beta-Protein and Neural Network Dysfunction. 淀粉样蛋白与神经网络功能障碍。
Pub Date : 2013-01-01 Epub Date: 2013-01-30 DOI: 10.1155/2013/657470
Fernando Peña-Ortega

Understanding the neural mechanisms underlying brain dysfunction induced by amyloid beta-protein (Aβ) represents one of the major challenges for Alzheimer's disease (AD) research. The most evident symptom of AD is a severe decline in cognition. Cognitive processes, as any other brain function, arise from the activity of specific cell assemblies of interconnected neurons that generate neural network dynamics based on their intrinsic and synaptic properties. Thus, the origin of Aβ-induced cognitive dysfunction, and possibly AD-related cognitive decline, must be found in specific alterations in properties of these cells and their consequences in neural network dynamics. The well-known relationship between AD and alterations in the activity of several neural networks is reflected in the slowing of the electroencephalographic (EEG) activity. Some features of the EEG slowing observed in AD, such as the diminished generation of different network oscillations, can be induced in vivo and in vitro upon Aβ application or by Aβ overproduction in transgenic models. This experimental approach offers the possibility to study the mechanisms involved in cognitive dysfunction produced by Aβ. This type of research may yield not only basic knowledge of neural network dysfunction associated with AD, but also novel options to treat this modern epidemic.

了解淀粉样β蛋白(Aβ)诱导的脑功能障碍的神经机制是阿尔茨海默病(AD)研究的主要挑战之一。阿尔茨海默病最明显的症状是认知能力严重下降。认知过程,正如任何其他大脑功能一样,源于相互连接的神经元的特定细胞组合的活动,这些神经元基于其内在和突触特性产生神经网络动力学。因此,a β诱导的认知功能障碍,以及可能与ad相关的认知能力下降的起源,必须在这些细胞特性的特定改变及其对神经网络动力学的影响中找到。众所周知,AD与几个神经网络活动的改变之间的关系反映在脑电图(EEG)活动的减慢上。在AD中观察到的脑电图减慢的一些特征,如不同网络振荡的减少,可以在体内和体外由Aβ应用或转基因模型中Aβ过量产生诱导。这种实验方法为研究Aβ产生的认知功能障碍的机制提供了可能。这种类型的研究可能不仅产生与阿尔茨海默病相关的神经网络功能障碍的基本知识,而且为治疗这种现代流行病提供了新的选择。
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引用次数: 30
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Journal of Neurodegenerative Diseases
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