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The role of orexin in Parkinson's disease 奥曲肽在帕金森病中的作用
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-23 DOI: 10.1002/jnr.25322
Alisha Braun, Jim Manavis, Akihiro Yamanaka, Youichirou Ootsuka, Peter Blumbergs, Larisa Bobrovskaya

Emerging evidence has implicated the orexin system in non-motor pathogenesis of Parkinson's disease. It has also been suggested the orexin system is involved in the modulation of motor control, further implicating the orexin system in Parkinson's disease. Parkinson's disease is the second most common neurodegenerative disease with millions of people suffering worldwide with motor and non-motor symptoms, significantly affecting their quality of life. Treatments are based solely on symptomatic management and no cure currently exists. The orexin system has the potential to be a treatment target in Parkinson's disease, particularly in the non-motor stage. In this review, the most current evidence on the orexin system in Parkinson's disease and its potential role in motor and non-motor symptoms of the disease is summarized. This review begins with a brief overview of Parkinson's disease, animal models of the disease, and the orexin system. This leads into discussion of the possible roles of orexin neurons in Parkinson's disease and levels of orexin in the cerebral spinal fluid and plasma in Parkinson's disease and animal models of the disease. The role of orexin is then discussed in relation to symptoms of the disease including motor control, sleep, cognitive impairment, psychological behaviors, and the gastrointestinal system. The neuroprotective effects of orexin are also summarized in preclinical models of the disease.

新的证据表明,奥曲肽系统与帕金森病的非运动发病机制有关。还有人认为,奥曲肽系统参与了对运动控制的调节,这进一步说明奥曲肽系统与帕金森病有关。帕金森病是第二大最常见的神经退行性疾病,全世界有数百万人患有该病,并伴有运动和非运动症状,严重影响了他们的生活质量。帕金森病的治疗仅以对症治疗为主,目前尚无根治方法。奥曲肽系统有可能成为帕金森病的治疗目标,尤其是在非运动阶段。本综述总结了帕金森病中奥曲肽系统的最新证据及其在该病运动和非运动症状中的潜在作用。本综述首先简要概述了帕金森病、帕金森病动物模型和奥曲肽系统。随后讨论了奥曲肽神经元在帕金森病中可能发挥的作用,以及帕金森病和帕金森病动物模型脑脊液和血浆中的奥曲肽水平。然后讨论了奥曲肽的作用与疾病症状的关系,包括运动控制、睡眠、认知障碍、心理行为和胃肠系统。此外,还总结了奥曲肽在该疾病临床前模型中的神经保护作用。
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引用次数: 0
Remote ischemic conditioning improves cerebral hemodynamics in symptomatic intracranial atherosclerosis: A PET/CT-guided randomized controlled study 远程缺血调理可改善无症状颅内动脉粥样硬化患者的脑血流动力学:PET/CT 引导的随机对照研究。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-22 DOI: 10.1002/jnr.25324
Hong An, Hongrui Ma, Chuanjie Wu, Chunlei Cui, Longfei Wu, Wenbo Zhao, Bixiao Cui, Sijie Li, Di Wu, Wenli Hu, Xunming Ji

Patients with symptomatic intracranial arterial stenosis (sICAS) suffer embarrassed hemodynamic status and acute ischemic stroke (AIS) recurrence. We aimed to assess the efficacy of remote ischemic conditioning (RIC) on improving this status by evaluating cerebral blood flow (CBF) and cerebral glucose metabolism (CGM) via PET/CT. Adult patients with unilateral sICAS in middle cerebral artery and/or intracranial segment of internal carotid artery-related AIS or transient ischemic attack within 6 months prior to randomization were enrolled. Individuals who received intravenous thrombolysis or endovascular treatment, or sICAS caused by cardiac embolism, small vessel occlusion, or other determined causes were excluded. Twenty-three eligible patients were randomly assigned to standard medical treatment (SMT) (n = 10) or RIC group (n = 13). The RIC protocol consisted of 5 cycles, each for 5-min bilateral upper limb ischemia and 5-min reperfusion period, twice a day, with a total duration of 3 months. Ten healthy volunteers were enrolled as healthy control group. We tested CBF and CGM at the rest stage and the methazolamide-induced stress stage. All patients received PET/CT at baseline and three-month followup. Both CBF and CGM in ipsilateral hemisphere of sICAS patients were significantly decreased at the rest stage and the stress stage (p < .05), which were improved by three-month RIC (p < .05). The lesions decreased notably in RIC group compared to SMT group (p < .05). RIC ameliorated the hemodynamic status and glucose metabolism in regions at high risk of infarction, which might improve the resistance capacity towards ischemic load in sICAS patients.

无症状性颅内动脉狭窄(sICAS)患者的血流动力学状况很差,急性缺血性中风(AIS)复发率很高。我们旨在通过 PET/CT 评估脑血流(CBF)和脑葡萄糖代谢(CGM),评估远程缺血调理(RIC)对改善这种状况的疗效。随机化前6个月内患有大脑中动脉单侧sICAS和/或颈内动脉颅内段相关AIS或短暂性脑缺血发作的成人患者被纳入研究。排除了接受静脉溶栓或血管内治疗的患者,或由心脏栓塞、小血管闭塞或其他确定原因引起的 sICAS 患者。23 名符合条件的患者被随机分配到标准药物治疗(SMT)组(10 人)或 RIC 组(13 人)。RIC方案包括5个周期,每个周期为双侧上肢缺血5分钟和再灌注5分钟,每天两次,总疗程为3个月。10 名健康志愿者作为健康对照组。我们测试了静息阶段和甲氮酰胺诱导应激阶段的 CBF 和 CGM。所有患者均在基线和三个月随访时接受了 PET/CT 检查。在静息阶段和应激阶段,sICAS 患者同侧大脑半球的 CBF 和 CGM 均显著下降(p
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引用次数: 0
Early amyloid-induced changes in microglia gene expression in male APP/PS1 mice 雄性 APP/PS1 小鼠早期淀粉样蛋白诱导的小胶质细胞基因表达变化。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-21 DOI: 10.1002/jnr.25295
Takuya Oshima, Mandy S. J. Kater, Christiaan F. M. Huffels, Evelyn M. Wesseling, Jinte Middeldorp, Elly M. Hol, Mark H. G. Verheijen, August B. Smit, Erik W. G. M. Boddeke, Bart J. L. Eggen

Alzheimer's disease (AD) is a progressive neurodegenerative disease and the most common cause of dementia, characterized by deposition of extracellular amyloid-beta (Aβ) aggregates and intraneuronal hyperphosphorylated Tau. Many AD risk genes, identified in genome-wide association studies (GWAS), are expressed in microglia, the innate immune cells of the central nervous system. Specific subtypes of microglia emerged in relation to AD pathology, such as disease-associated microglia (DAMs), which increased in number with age in amyloid mouse models and in human AD cases. However, the initial transcriptional changes in these microglia in response to amyloid are still unknown. Here, to determine early changes in microglia gene expression, hippocampal microglia from male APPswe/PS1dE9 (APP/PS1) mice and wild-type littermates were isolated and analyzed by RNA sequencing (RNA-seq). By bulk RNA-seq, transcriptomic changes were detected in hippocampal microglia from 6-months-old APP/PS1 mice. By performing single-cell RNA-seq of CD11c-positive and negative microglia from 6-months-old APP/PS1 mice and analysis of the transcriptional trajectory from homeostatic to CD11c-positive microglia, we identified a set of genes that potentially reflect the initial response of microglia to Aβ.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,也是最常见的痴呆症病因,其特征是细胞外淀粉样蛋白-β(Aβ)聚集体的沉积和细胞内磷酸化过度的 Tau。在全基因组关联研究(GWAS)中发现的许多痴呆症风险基因都在小胶质细胞(中枢神经系统的先天免疫细胞)中表达。在淀粉样蛋白小鼠模型和人类 AD 病例中,小胶质细胞的数量会随着年龄的增长而增加。然而,这些小胶质细胞对淀粉样蛋白的最初转录变化尚不清楚。为了确定小胶质细胞基因表达的早期变化,研究人员分离了雄性APPswe/PS1dE9(APP/PS1)小鼠和野生型小鼠的海马小胶质细胞,并对其进行了RNA测序(RNA-seq)分析。通过批量RNA-seq,检测了6个月大的APP/PS1小鼠海马小胶质细胞的转录组变化。通过对6个月大的APP/PS1小鼠的CD11c阳性和阴性小胶质细胞进行单细胞RNA-seq分析,并分析从平衡型小胶质细胞到CD11c阳性小胶质细胞的转录轨迹,我们发现了一组可能反映小胶质细胞对Aβ的初始反应的基因。
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引用次数: 0
Antagonism of metabotropic glutamate receptor type 5 prevents levodopa-induced dyskinesia development in a male rat model of Parkinson's disease: Electrophysiological evidence 拮抗代谢型谷氨酸受体 5 型可预防左旋多巴诱导的帕金森病雄性大鼠模型运动障碍的发展:电生理学证据
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-21 DOI: 10.1002/jnr.25302
Hikaru Kamo, Hirokazu Iwamuro, Ryota Nakamura, Shuko Nojiri, Ayami Okuzumi, Takashi Ogawa, Asuka Nakajima, Nobutaka Hattori, Yasushi Shimo

Levodopa-induced dyskinesia (LID) is a common complication in patients with advanced Parkinson's disease (PD) undergoing treatment with levodopa. Glutamate receptor antagonists can suppress LID; however, the underlying mechanisms remain unclear. Here, we aimed to evaluate the effect of 3-((2-methyl-1,3-thiazol-4-yl)ethynyl)pyridine (MTEP), a metabotropic glutamate receptor 5 (mGluR5) antagonist, on dyskinesia. We recorded the neuronal activity of the entopeduncular nucleus and examined responses to cortical electric stimulation in the control group (n = 6) and three groups of rats (male PD model). Saline was intraperitoneally administered to dopamine lesioned (DL) rats (n = 6), levodopa/benserazide (L/B) was administered to LID rats (n = 8), and L/B combined with MTEP was administered to MTEP rats (n = 6) twice daily for 14 days. We administered L/B to LID and MTEP rats 48 h after the final administration of MTEP to examine the chronic effect of MTEP. The control and DL groups did not have LID. The MTEP group had less LID than the LID group (p < .01) on day 1 and day 18. The control group had a typical triphasic pattern consisting of early excitation (early-Ex), inhibition, and late excitation (late-Ex). However, the inhibition phase disappeared, was partially observed, and was fully suppressed in the DL, LID, and MTEP groups, respectively. The cortico-striato-entopeduncular pathway is important in the pathophysiology of LID. mGluR5 antagonism suppresses LID progression by preventing physiological changes in the cortico-striato-entopeduncular pathway. Future studies are required to validate these results.

左旋多巴诱发的运动障碍(LID)是接受左旋多巴治疗的晚期帕金森病(PD)患者常见的并发症。谷氨酸受体拮抗剂可抑制 LID,但其潜在机制仍不清楚。在此,我们旨在评估代谢型谷氨酸受体 5(mGluR5)拮抗剂 3-((2-甲基-1,3-噻唑-4-基)乙炔基)吡啶(MTEP)对运动障碍的影响。我们记录了对照组(n = 6)和三组大鼠(雄性帕金森病模型)的内视神经核的神经元活动,并检查了它们对皮层电刺激的反应。给多巴胺损伤(DL)大鼠(n = 6)腹腔注射生理盐水,给LID大鼠(n = 8)注射左旋多巴/苄丝肼(L/B),给MTEP大鼠(n = 6)注射左旋多巴/苄丝肼联合MTEP,每天两次,连续14天。我们在给 LID 和 MTEP 大鼠注射 MTEP 48 小时后再注射 L/B,以检查 MTEP 的慢性效应。对照组和 DL 组没有 LID。MTEP 组的 LID 比 LID 组少(p
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引用次数: 0
Large nesting expression in deer mice remains stable under conditions of visual deprivation despite heightened limbic involvement: Perspectives on compulsive-like behavior 鹿小鼠的大嵌套表达在视觉剥夺条件下保持稳定,尽管边缘系统的参与程度有所提高:强迫行为的前景
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-21 DOI: 10.1002/jnr.25320
Harry Marx, Thomas E. Krahe, De Wet Wolmarans

Visual stimuli and limbic activation varyingly influence obsessive-compulsive symptom expression and so impact treatment outcomes. Some symptom phenotypes, for example, covert repugnant thoughts, are likely less sensitive to sensory stimuli compared to symptoms with an extrinsic focus, that is, symptoms related to contamination, safety, and “just-right-perceptions.” Toward an improved understanding of the neurocognitive underpinnings of obsessive-compulsive psychobiology, work in naturalistic animal model systems is useful. Here, we explored the impact of visual feedback and limbic processes on 24 normal (NNB) and large (LNB) nesting deer mice, respectively (as far as possible, equally distributed between sexes). Briefly, after behavioral classification into either the NNB or LNB cohorts, mice of each cohort were separated into two groups each and assessed for nesting expression under either standard light conditions or conditions of complete visual deprivation (VD). Nesting outcomes were assessed in terms of size and neatness. After nesting assessment completion, mice were euthanized, and samples of frontal-cortical and hippocampal tissues were collected to determine serotonin and noradrenaline concentrations. Our results show that LNB, as opposed to NNB, represents an inflexible and excessive behavioral phenotype that is not dependent on visually guided action-outcome processing, and that it associates with increased frontal-cortical and hippocampal noradrenaline concentrations, irrespective of lighting condition. Collectively, the current results are informing of the neurocognitive underpinnings of nesting behavior. It also provides a valuable foundation for continued investigations into the noradrenergic mechanisms that may influence the development and promulgation of excessive, rigid, and inflexible behaviors.

视觉刺激和边缘激活会不同程度地影响强迫症的症状表现,从而影响治疗效果。一些症状表型,例如隐蔽的厌恶想法,与外在症状(即与污染、安全和 "正确认知 "相关的症状)相比,可能对感官刺激不那么敏感。为了更好地理解强迫症心理生物学的神经认知基础,在自然动物模型系统中进行研究是非常有用的。在这里,我们分别探讨了视觉反馈和边缘过程对 24 只正常(NNB)和大型(LNB)筑巢鹿鼠的影响(尽可能平均分配性别)。简而言之,在行为学上将小鼠分为 NNB 或 LNB 两组后,每组小鼠被分成两组,并在标准光照条件或完全视觉剥夺(VD)条件下评估筑巢表达。筑巢结果根据大小和整齐度进行评估。筑巢评估完成后,小鼠被安乐死,并收集额叶皮层和海马组织样本以测定血清素和去甲肾上腺素的浓度。我们的研究结果表明,LNB 与 NNB 相反,代表了一种不依赖于视觉引导的行动-结果处理的不灵活和过度的行为表型,而且无论光照条件如何,它都与额叶皮层和海马去甲肾上腺素浓度的增加有关。总之,目前的研究结果为筑巢行为的神经认知基础提供了信息。它还为继续研究可能影响过度、僵硬和不灵活行为的发展和产生的去甲肾上腺素能机制奠定了宝贵的基础。
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引用次数: 0
Functional neuroanatomy of basal forebrain projections to the basolateral amygdala: Transmitters, receptors, and neuronal subpopulations 基底前脑向杏仁核基底外侧投射的功能神经解剖学:递质、受体和神经元亚群
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-16 DOI: 10.1002/jnr.25318
Alexander Joseph McDonald

The projections of the basal forebrain (BF) to the hippocampus and neocortex have been extensively studied and shown to be important for higher cognitive functions, including attention, learning, and memory. Much less is known about the BF projections to the basolateral nuclear complex of the amygdala (BNC), although the cholinergic innervation of this region by the BF is actually far more robust than that of cortical areas. This review will focus on light and electron microscopic tract-tracing and immunohistochemical (IHC) studies, many of which were published in the last decade, that have analyzed the relationship of BF inputs and their receptors to specific neuronal subtypes in the BNC in order to better understand the anatomical substrates of BF-BNC circuitry. The results indicate that BF inputs to the BNC mainly target the basolateral nucleus of the BNC (BL) and arise from cholinergic, GABAergic, and perhaps glutamatergic BF neurons. Cholinergic inputs mainly target dendrites and spines of pyramidal neurons (PNs) that express muscarinic receptors (MRs). MRs are also expressed by cholinergic axons, as well as cortical and thalamic axons that synapse with PN dendrites and spines. BF GABAergic axons to the BL also express MRs and mainly target BL interneurons that contain parvalbumin. It is suggested that BF-BL circuitry could be very important for generating rhythmic oscillations known to be critical for emotional learning. BF cholinergic inputs to the BNC might also contribute to memory formation by activating M1 receptors located on PN dendritic shafts and spines that also express NMDA receptors.

前脑基底(BF)向海马和新皮层的投射已被广泛研究,并被证明对注意力、学习和记忆等高级认知功能非常重要。尽管前脑基底核对杏仁核基底外侧核复合体(BNC)的胆碱能神经支配实际上远比对皮层区域的神经支配更为强大,但人们对前脑基底核对杏仁核基底外侧核复合体(BNC)的神经支配却知之甚少。本综述将重点讨论光镜和电子显微镜下的束描和免疫组织化学(IHC)研究,其中许多研究发表于过去十年,这些研究分析了 BF 输入及其受体与 BNC 中特定神经元亚型的关系,以便更好地了解 BF-BNC 电路的解剖基质。研究结果表明,BF对BNC的输入主要以BNC基底外侧核(BL)为目标,来源于胆碱能、GABA能以及可能的谷氨酸能BF神经元。胆碱能输入主要针对表达毒蕈碱受体(MRs)的锥体神经元(PNs)的树突和棘突。胆碱能轴突以及与锥体神经元树突和棘突发生突触的皮质和丘脑轴突也表达 MRs。通向 BL 的 BF GABA 能轴突也表达 MRs,主要靶向含有副视蛋白的 BL 中间神经元。这表明,BF-BL 电路对于产生节奏性振荡可能非常重要,而众所周知,节奏性振荡对于情绪学习至关重要。BF 胆碱能对 BNC 的输入也可能通过激活位于 PN 树突轴和棘上的 M1 受体(这些受体也表达 NMDA 受体)而促进记忆的形成。
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引用次数: 0
Repeated finasteride administration promotes synaptic plasticity and produces antidepressant- and anxiolytic-like effects in female rats 重复服用非那雄胺可促进突触可塑性,并对雌性大鼠产生抗抑郁和抗焦虑作用。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-12 DOI: 10.1002/jnr.25306
Jose Nayana, Byrathnahalli S. Shankaranarayana Rao, Bettadapura N. Srikumar

Finasteride is used in female-pattern hair loss, hirsutism, and polycystic ovarian syndrome. It inhibits 5α-reductase, which is an important enzyme in the biosynthesis of neurosteroids. The effects of finasteride treatment on mental health in female patients as well as the effects of repeated/chronic finasteride administration in female rodents are still unknown. Accordingly, in our study, we administered finasteride (10, 30, or 100 mg/Kg, s.c.) for 6 days in female rats and evaluated behavior, plasma steroid levels, and synaptic plasticity. Depression-like behavior was evaluated using forced swim test (FST) and splash test. Anxiety-like behavior was evaluated using novelty-suppressed feeding task (NSFT), elevated plus maze (EPM), open field test (OFT), and light–dark test (LDT). Plasma steroid levels were assessed using ELISA and synaptic plasticity by field potential recordings. We observed that finasteride decreased total immobility duration in FST, indicating antidepressant-like effect and decreased the latency to first bite in NSFT, showing anxiolytic-like effect. We also found a significant increase in plasma estradiol and a significant decrease in plasma corticosterone level. Furthermore, field potential recordings showed that finasteride increased hippocampal long-term potentiation. These results indicate that repeated finasteride administration in female rats may have antidepressant- and anxiolytic-like effect, which might be mediated by enhanced estradiol levels or decreased corticosterone levels. Further studies are required to validate the molecular mechanisms underlying the effects of finasteride in female rats. Understanding the mechanisms will help us in developing novel neurosteroid-based therapeutics in the treatment of neuropsychiatric disorders in women.

非那雄胺用于治疗女性脱发、多毛症和多囊卵巢综合症。它能抑制 5α 还原酶,而 5α 还原酶是神经类固醇生物合成过程中的一种重要酶。非那雄胺治疗对女性患者精神健康的影响,以及对雌性啮齿类动物反复/长期服用非那雄胺的影响尚不清楚。因此,在我们的研究中,我们对雌性大鼠连续6天施用非那雄胺(10、30或100毫克/千克,静脉注射),并对其行为、血浆类固醇水平和突触可塑性进行了评估。通过强迫游泳试验(FST)和飞溅试验评估抑郁样行为。焦虑样行为通过新奇抑制喂食任务(NSFT)、高架加迷宫(EPM)、空场试验(OFT)和光-暗试验(LDT)进行评估。血浆类固醇水平采用酶联免疫吸附法进行评估,突触可塑性采用场电位记录法进行评估。我们观察到,非那雄胺减少了FST的总静止持续时间,显示了抗抑郁样作用;减少了NSFT的首次咬合潜伏期,显示了抗焦虑样作用。我们还发现血浆雌二醇水平明显升高,血浆皮质酮水平明显降低。此外,场电位记录显示非那雄胺可增加海马的长期电位。这些结果表明,雌性大鼠反复服用非那雄胺可能具有类似抗抑郁和抗焦虑的作用,而这种作用可能是通过提高雌二醇水平或降低皮质酮水平来实现的。要验证非那雄胺对雌性大鼠影响的分子机制,还需要进一步的研究。了解这些机制将有助于我们开发基于神经类固醇的新型疗法,用于治疗女性神经精神疾病。
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引用次数: 0
Inflammation in obsessive–compulsive disorder: A literature review and hypothesis-based potential of transcranial photobiomodulation 强迫症中的炎症:文献综述和基于假设的经颅光生物调制潜力。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-08 DOI: 10.1002/jnr.25317
David Richer Araujo Coelho, Joshua D. Salvi, Willians Fernando Vieira, Paolo Cassano

Obsessive–compulsive disorder (OCD) is a disabling neuropsychiatric disorder that affects about 2%–3% of the global population. Despite the availability of several treatments, many patients with OCD do not respond adequately, highlighting the need for new therapeutic approaches. Recent studies have associated various inflammatory processes with the pathogenesis of OCD, including alterations in peripheral immune cells, alterations in cytokine levels, and neuroinflammation. These findings suggest that inflammation could be a promising target for intervention. Transcranial photobiomodulation (t-PBM) with near-infrared light is a noninvasive neuromodulation technique that has shown potential for several neuropsychiatric disorders. However, its efficacy in OCD remains to be fully explored. This study aimed to review the literature on inflammation in OCD, detailing associations with T-cell populations, monocytes, NLRP3 inflammasome components, microglial activation, and elevated proinflammatory cytokines such as TNF-α, CRP, IL-1β, and IL-6. We also examined the hypothesis-based potential of t-PBM in targeting these inflammatory pathways of OCD, focusing on mechanisms such as modulation of oxidative stress, regulation of immune cell function, reduction of proinflammatory cytokine levels, deactivation of neurotoxic microglia, and upregulation of BDNF gene expression. Our review suggests that t-PBM could be a promising, noninvasive intervention for OCD, with the potential to modulate underlying inflammatory processes. Future research should focus on randomized clinical trials to assess t-PBM's efficacy and optimal treatment parameters in OCD. Biomarker analyses and neuroimaging studies will be important in understanding the relationship between inflammatory modulation and OCD symptom improvement following t-PBM sessions.

强迫症(OCD)是一种致残性神经精神障碍,约占全球人口的 2%-3%。尽管有多种治疗方法,但许多强迫症患者的反应并不充分,这凸显了对新治疗方法的需求。最近的研究表明,各种炎症过程与强迫症的发病机制有关,包括外周免疫细胞的改变、细胞因子水平的改变和神经炎症。这些研究结果表明,炎症可能是一个很有希望的干预目标。利用近红外线进行经颅光生物调制(t-PBM)是一种非侵入性神经调制技术,已显示出治疗多种神经精神疾病的潜力。然而,它对强迫症的疗效仍有待充分探索。本研究旨在回顾有关强迫症炎症的文献,详细阐述与 T 细胞群、单核细胞、NLRP3 炎性体成分、小胶质细胞活化以及 TNF-α、CRP、IL-1β 和 IL-6 等促炎细胞因子升高的关联。我们还研究了 t-PBM 在靶向这些强迫症炎症通路方面的假设潜力,重点研究了氧化应激调节、免疫细胞功能调节、促炎细胞因子水平降低、神经毒性小胶质细胞失活和 BDNF 基因表达上调等机制。我们的综述表明,t-PBM 可能是治疗强迫症的一种很有前景的非侵入性干预方法,具有调节潜在炎症过程的潜力。未来的研究应侧重于随机临床试验,以评估 t-PBM 对强迫症的疗效和最佳治疗参数。生物标志物分析和神经影像学研究对于了解炎症调节与 t-PBM 治疗后强迫症症状改善之间的关系非常重要。
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引用次数: 0
Sex differences in functional connectivity and the predictive role of the connectome-based predictive model in Alzheimer's disease 功能连接的性别差异和基于连接体的阿尔茨海默病预测模型的预测作用。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-05 DOI: 10.1002/jnr.25307
Yuqing Li, Wanqiu Zhu, Shanshan Zhou, Hui Li, Ziwen Gao, Ziang Huang, Xiaohu Li, Yongqiang Yu, Xiaoshu Li

Alzheimer's disease (AD) is a neurodegenerative disease characterized by cognitive decline. Sex differences in the progression of AD exist, but the neural mechanisms are not well understood. The purpose of the current study was to explore sex differences in brain functional connectivity (FC) at different stages of AD and their predictive ability on Montreal Cognitive Assessment (MoCA) scores using connectome-based predictive modeling (CPM). Resting-state functional magnetic resonance imaging was collected from 81 AD patients (44 females), 78 amnestic mild cognitive impairment patients (44 females), and 92 healthy controls (50 females). The FC analysis was conducted and the interaction effect between sex and group was investigated using two-factor variance analysis. The CPM was used to predict MoCA scores. There were sex-by-group interaction effects on FC between the left dorsolateral superior frontal gyrus and left middle temporal gyrus, left precuneus and right calcarine fissure surrounding cortex, left precuneus and left middle occipital gyrus, left middle temporal gyrus and left precentral gyrus, and between the left middle temporal gyrus and right cuneus. In the CPM, the positive network predictive model significantly predicted MoCA scores in both males and females. There were significant sex-by-group interaction effects on FC between the left precuneus and left middle occipital gyrus, and between the left middle temporal gyrus and right cuneus could predict MoCA scores in female patients. Our results suggest that there are sex differences in FC at different stages of AD. The sex-specific FC can further predict MoCA scores at individual level.

阿尔茨海默病(AD)是一种以认知能力下降为特征的神经退行性疾病。阿尔茨海默病的进展存在性别差异,但其神经机制尚不十分清楚。本研究的目的是利用基于连接组的预测建模(CPM),探讨在AD不同阶段大脑功能连接(FC)的性别差异及其对蒙特利尔认知评估(MoCA)评分的预测能力。研究人员收集了 81 名注意力缺失症患者(44 名女性)、78 名失忆性轻度认知障碍患者(44 名女性)和 92 名健康对照者(50 名女性)的静息态功能磁共振成像。进行了 FC 分析,并使用双因素方差分析研究了性别和组别之间的交互效应。CPM用于预测MoCA得分。左侧额叶背外侧上回和左侧颞中回、左侧楔前回和右侧钙裂周围皮层、左侧楔前回和左侧枕中回、左侧颞中回和左侧中央前回以及左侧颞中回和右侧楔前回之间的FC存在性别与组别的交互效应。在 CPM 中,阳性网络预测模型能显著预测男性和女性的 MoCA 分数。左侧楔前回和左侧枕中回之间以及左侧颞中回和右侧楔骨之间的FC对女性患者的MoCA评分有明显的性别组交互效应。我们的研究结果表明,在AD的不同阶段,FC存在性别差异。性别特异性FC可进一步预测个体的MoCA评分。
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引用次数: 0
The gut microbiome modulates the susceptibility to traumatic stress in a sex-dependent manner 肠道微生物组以性别依赖的方式调节创伤应激的易感性。
IF 4.2 3区 医学 Q1 Neuroscience Pub Date : 2024-03-04 DOI: 10.1002/jnr.25315
Dan Shen, Liang Chang, Feng Su, Shihao Huang, Hubo Xu, Yue Si, Feng Wang, Yanxue Xue

Post-traumatic stress disorder (PTSD), a psychological condition triggered by exposure to extreme or chronic stressful events, exhibits a sex bias in incidence and clinical manifestations. Emerging research implicates the gut microbiome in the pathogenesis of PTSD and its roles in stress susceptibility. However, it is unclear whether differential gut microbiota contribute to PTSD susceptibility in male and female rats. Here, we utilized the single prolonged stress animal model and employed unsupervised machine learning to classify stressed animals into stress-susceptible subgroups and stress-resilient subgroups. Subsequently, using 16S V3-V4 rDNA sequencing, we investigated the differential gut microbiota alterations between susceptible and resilient individuals in male and female rats. Our findings revealed distinct changes in gut microbiota composition between the sexes at different taxonomic levels. Furthermore, the abundance of Parabacteroides was lower in rats that underwent SPS modeling compared to the control group. In addition, the abundance of Tenericutes in the stress-susceptible subgroup was higher than that in the control group and stress-resilient subgroup, suggesting that Tenericutes may be able to characterize stress susceptibility. What is particularly interesting here is that Cyanobacteria may be particularly associated with anti-anxiety effects in male rats. This study underscores sex-specific variations in gut microbiota composition in response to stress and sex differences should be taken into account when using macrobiotics for neuropsychiatric treatment, highlighting potential targets for PTSD therapeutic interventions.

创伤后应激障碍(PTSD)是一种因遭受极端或慢性应激事件而引发的心理疾病,在发病率和临床表现上都存在性别差异。新近的研究表明,肠道微生物组与创伤后应激障碍的发病机制及其在应激易感性中的作用有关。然而,目前还不清楚不同的肠道微生物群是否会导致雄性和雌性大鼠对创伤后应激障碍的易感性。在这里,我们利用单次长期应激动物模型,并采用无监督机器学习将应激动物分为应激易感亚组和应激抗性亚组。随后,我们利用 16S V3-V4 rDNA 测序技术研究了雌雄大鼠中易受应激影响个体和抗应激个体之间肠道微生物群的不同变化。我们的研究结果表明,在不同的分类水平上,雌雄大鼠的肠道微生物群组成发生了明显的变化。此外,与对照组相比,接受 SPS 模型的大鼠中 Parabacteroides 的丰度较低。此外,应激易感亚组中的Tenericutes丰度高于对照组和应激抗性亚组,这表明Tenericutes可能能够描述应激易感性。特别有趣的是,蓝藻可能与雄性大鼠的抗焦虑作用特别相关。这项研究强调了肠道微生物群组成在应激反应中的性别差异,在使用大生物疗法治疗神经精神疾病时应考虑到性别差异,并突出了创伤后应激障碍治疗干预的潜在目标。
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引用次数: 0
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Journal of Neuroscience Research
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