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Applications of transcranial direct current stimulation over vagus nerve on dysphagia after stroke. 经颅直流电刺激迷走神经治疗脑卒中后吞咽困难的应用。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1152/jn.00588.2024
Xinyue Yan, Xiwei Zhang, Chuan Huang, Yujuan Jiang, Chunxiao Wan

Vagus nerve stimulation (VNS) has been commonly employed for the functional rehabilitation of stroke patients. This study aimed to investigate the therapeutic effects of transcranial direct current stimulation on the vagus nerve (TDCSVN) in improving dysphagia in stroke patients. Patients experiencing dysphagia following a stroke were diagnosed with dysphagia by a water swallow test. Swallowing function was evaluated with the standard swallowing scale score and the functional dysphagia scale. Serum levels of interleukin (IL)-1β and IL-8 were measured with enzyme-linked immunosorbent assays. TDCSVN treatment resulted in a significantly greater reduction in both the standard swallowing scale and functional dysphagia scale scores compared to conventional treatment. Furthermore, TDCSVN treatment led to a notable increase in hemoglobin and albumin levels, suggesting a more substantial improvement in dysphagia compared to conventional methods. Additionally, TDCSVN treatment was more effective in decreasing serum levels of IL-1β and IL-8 in dysphagic patients after a stroke. TDCSVN treatment demonstrated a significant inhibitory effect on inflammatory cytokines, resulting in a more pronounced improvement in dysphagia among stroke patients.NEW & NOTEWORTHY The present study demonstrates that transcranial direct current stimulation on the vagus nerve (TDCSVN) treatment shows a significant inhibitory effect on the production of inflammatory factors, resulting in a more pronounced improvement in dysphagia among stroke patients.

迷走神经刺激(VNS)已被广泛应用于脑卒中患者的功能康复。本研究旨在探讨经颅直流电刺激迷走神经(TDCSVN)对脑卒中患者吞咽困难的治疗效果。中风后出现吞咽困难的患者通过吞水试验被诊断为吞咽困难。采用标准吞咽量表评分和功能性吞咽困难量表评估吞咽功能。采用酶联免疫吸附法测定血清白细胞介素(IL)-1β和IL-8水平。与常规治疗相比,TDCSVN治疗导致标准吞咽量表和功能性吞咽困难量表评分的显著降低。此外,TDCSVN治疗导致血红蛋白和白蛋白水平显著升高,表明与传统方法相比,吞咽困难的改善更为显著。此外,TDCSVN治疗在卒中后吞咽困难患者降低血清IL-1β和IL-8水平方面更有效。TDCSVN治疗对炎症细胞因子有显著的抑制作用,导致脑卒中患者吞咽困难的改善更为明显。本研究表明,经颅直流电刺激迷走神经(TDCSVN)治疗对炎症因子的产生有显著的抑制作用,导致脑卒中患者吞咽困难的改善更为明显。
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引用次数: 0
Microglial modulation of neuronal network function and plasticity. 神经网络功能和可塑性的小胶质调节。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00458.2024
Fernando Peña-Ortega

Microglia are the resident immune cells of the central nervous system (CNS), which have been classically viewed as involved in CNS responses to damage and tissue repair. However, microglia are constantly sensing neuronal network activity and changes in the CNS milieu, establishing complex state-dependent microglia-neuron interactions that impact their functions. By doing so, microglia perform a wide range of physiological roles, including brain homeostasis maintenance, control of neural connectivity, network function modulation, as well as functional and morphological plasticity regulation in health and disease. Here, the author reviews recent evidence of the modulations induced by microglia, a highly heterogeneous cell type, on synaptic and intrinsic neuronal properties, and on neuronal network patterns during perinatal development and adulthood. The reviewed evidence clearly indicates that microglia are important, if not essential, for brain function and plasticity in both health and disease.

小胶质细胞是中枢神经系统(CNS)的常驻免疫细胞,一直被认为参与中枢神经系统对损伤和组织修复的反应。然而,小胶质细胞不断感知神经网络活动和中枢神经系统环境的变化,建立复杂的状态依赖的小胶质细胞-神经元相互作用,影响其功能。因此,小胶质细胞在健康和疾病中发挥着广泛的生理作用,包括维持大脑稳态、控制神经连通性、网络功能调节以及功能和形态可塑性调节。在这里,我回顾了最近由小胶质细胞(一种高度异质的细胞类型)诱导的突触和内在神经元特性以及围产期发育和成年期神经元网络模式的调节证据。经过审查的证据清楚地表明,小胶质细胞对于健康和疾病中的大脑功能和可塑性来说,即使不是必不可少的,也是重要的。
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引用次数: 0
Neurovascular coupling: a review of spontaneous neocortical dynamics linking neuronal activity to hemodynamics and what we have learned from the rodent brain. 神经血管耦合:回顾自发的新皮层动力学,将神经元活动与血流动力学联系起来,以及我们从啮齿动物大脑中学到的东西。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00418.2024
Lisa Meyer-Baese, Dieter Jaeger, Shella Keilholz

The brain is a complex neural network whose functional dynamics offer valuable insights into behavioral performance and health. Advances in fMRI have provided a unique window into studying human brain networks, providing us with a powerful tool for clinical research. Yet many questions about the underlying correlates between spontaneous fMRI and neural activity remain poorly understood, limiting the impact of this research. Cross-species studies have proven essential in deepening our understanding of how neuronal activity is coupled to increases in local cerebral blood flow, changes in blood oxygenation, and the measured fMRI signal. In this article, we review some fundamental mechanisms implicated in neurovascular coupling. We then examine neurovascular coupling within the context of spontaneous cortical functional networks and their dynamics, summarizing key findings from mechanistic studies in rodents. In doing so, we highlight the nuances of the neurovascular coupling that ultimately influences the interpretation of derived hemodynamic functional networks, their dynamics, and the neural underpinnings they represent.

大脑是一个复杂的神经网络,其功能动力学为行为表现和健康提供了有价值的见解。功能磁共振成像技术的进步为研究人类大脑网络提供了一个独特的窗口,为临床研究提供了一个强大的工具。然而,关于自发功能磁共振成像和神经活动之间的潜在关联的许多问题仍然知之甚少,这限制了本研究的影响。跨物种研究对于加深我们对神经元活动如何与局部脑血流量增加、血氧变化和测量的功能磁共振成像信号相关联的理解至关重要。在本文中,我们回顾了一些涉及神经血管耦合的基本机制。然后,我们研究了自发皮层功能网络及其动力学背景下的神经血管耦合,总结了啮齿动物机制研究的主要发现。在这样做的过程中,我们强调了神经血管耦合的细微差别,这最终影响了衍生的血流动力学功能网络的解释,它们的动力学,以及它们所代表的神经基础。
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引用次数: 0
Association between resting-state synaptic activity and overall performance in a cognitive visuoconstructive task as revealed by magnetoencephalography.
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-22 DOI: 10.1152/jn.00594.2024
Lisa M James, Arthur C Leuthold, Apostolos P Georgopoulos

Performance of a task involves the engagement of various brain areas, as evidenced by the effects of lesions of particular brain areas and the results of functional neuroimaging and neurophysiological studies. Here, we tested the hypothesis that overall task performance would depend on the level of ongoing, resting-state change in synaptic activity of participating areas, such that the degree of success of the outcome would be higher, the higher the resting-state activation. For that purpose, we used 248-sensor magnetoencephalography (MEG) in healthy people to obtain estimates of resting-state synaptic activity in various areas and then correlated those estimates to the average performance score in three visuospatial tasks assessed outside the MEG session using the Montreal Cognitive Assessment (MoCA), namely, the trails, cube, and clock drawing (TCCD) tasks. We found that the average success score in these tasks covaried positively with the level of resting-state neural activity of three broad area clusters, namely, 1) right cerebellum, occipital, and parietal cortical regions (strongest association), 2) right inferior frontal, middle and posterior temporal regions, and 3) left middle frontal region. The dependence of the outcome of task performance on the activation state of areas in the absence of action, i.e., in resting-state, points to a priming role in facilitating task performance. NEW & NOTEWORTHY Does successful task performance depend on the resting-state, background activity of brain areas involved? We used magnetoencephalography to obtain estimates of this activity that we then correlated with the average score of performing three visuospatial tasks outside the magnetoencephalography session. Task performance correlated positively with resting-state activity mostly in right-sided brain regions, broadly agreeing with existing knowledge from neuropsychological and other studies. These results point to a priming effect of background neural activity on task performance.

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引用次数: 0
Electroacupuncture ameliorated locomotor symptoms in MPTP-induced mice model of Parkinson's disease by regulating autophagy via Nrf2 signaling. 电针通过Nrf2信号调节自噬改善mptp诱导的帕金森病小鼠运动症状
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-02 DOI: 10.1152/jn.00497.2024
Jiping Zhang, Zhiyi Fu, Feng Wen, Peilin Lyu, Shengtao Huang, Xiaowen Cai, Zhinan Zhang, Ying Zhang, Chun Fan, Weitao Man, Xiaomin Sun, Yong Huang

Parkinson's disease (PD) is a prevalent and challenging neurodegenerative disorder, and may involve impaired autophagy. Nuclear factor erythroid-2-related factor 2 (Nrf2) is crucial for regulating autophagy-related genes and maintaining cellular homeostasis. Electroacupuncture (EA), a complementary and alternative therapy for PD, has gained widespread clinical application. In this study, we investigate whether EA at Baihui (GV20) and Taichong (LR3) acupoints modulates autophagy through the Nrf2 pathway, providing neuroprotection in 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced PD mice. Using wild-type and Nrf2 knockout (KO) mice, we examined EA's effects on dopaminergic neuron survival, α-synuclein expression, motor function and the underlying mechanisms. Results showed that EA treatment significantly reduced dopaminergic neuron loss and α-synuclein expression, and improved motor deficits while restoring autophagy, as evidenced by increased autophagy markers (Atg7, LC3II) and decreased p62 levels. Transmission electron microscopy confirmed a rise in autophagosomes and lysosomes in the MPTP + EA group. EA also enhanced nuclear Nrf2 expression and activated Nrf2 signaling. Importantly, Nrf2 KO mice did not exhibit neuroprotection or increased autophagy-related proteins following EA treatment. In conclusion, our research demonstrated that EA ameliorated defective autophagy and activated the Nrf2 signaling pathway, which collectively contribute to its neuroprotective effects against MPTP-induced neurotoxicity.NEW & NOTEWORTHY In this study, we explored the potential mechanism of electroacupuncture (EA) therapy at the GV20 and LR3 acupoints of Parkinson's disease (PD). We demonstrated EA therapy's neuroprotective effect on PD, through ameliorating defective autophagy and activating the nuclear factor erythroid-2-related factor 2 (Nrf2) signaling pathway whereas the regulation of EA on autophagy was absent in Nrf2 knockout (KO) mice. Our study not only provides new insights into the therapeutic mechanisms of EA but also suggests a promising strategy for PD treatment.

帕金森病(PD)是一种普遍且具有挑战性的神经退行性疾病,可能涉及自噬受损。核因子-红细胞2相关因子2 (Nrf2)在调节自噬相关基因,维持细胞稳态中起着至关重要的作用。电针作为PD的一种补充和替代疗法,在临床上得到了广泛的应用。本研究探讨百会穴(GV20)和太中穴(LR3)的EA是否通过Nrf2途径调节自噬,从而对MPTP诱导的PD小鼠提供神经保护作用。我们使用野生型和Nrf2敲除(KO)小鼠,研究了EA对多巴胺能神经元存活、α-突触核蛋白表达、运动功能的影响及其潜在机制。结果显示,EA治疗显著降低了多巴胺能神经元的损失和α-突触核蛋白的表达,改善了运动缺陷,同时恢复了自噬,自噬标志物(Atg7, LC3II)增加,p62水平降低。透射电镜证实MPTP+EA组自噬体和溶酶体增加。EA还增强了核Nrf2的表达,激活了Nrf2信号。重要的是,Nrf2 KO小鼠在EA治疗后没有表现出神经保护或增加自噬相关蛋白。总之,我们的研究表明,EA a改善了有缺陷的自噬并激活了Nrf2信号通路,这些共同有助于其对mptp诱导的神经毒性的神经保护作用。
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引用次数: 0
Increased robustness and adaptation to simultaneous temperature and elevated extracellular potassium in the pyloric rhythm of the crab, Cancer borealis.
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2024-12-30 DOI: 10.1152/jn.00410.2024
Margaret Lee, Eve Marder

Animals must deal with numerous perturbations, oftentimes concurrently. In this study, we examine the effects of two perturbations, high extracellular potassium and elevated temperature, on the resilience of the pyloric rhythm of the crab, Cancer borealis. At control temperatures (11°C), high potassium saline (2.5× K+) depolarizes the neurons of the stomatogastric ganglion (STG), and the pyloric rhythm becomes quiescent. Over minutes, while remaining depolarized in high potassium, the pyloric network neurons adapt, and resume their spiking and bursting activity. We compared adaptation to high potassium applications at 20°C to those seen at 11°C. At 20°C, the intracellular waveforms of the neuronal activity seen in high potassium more closely resemble activity in control saline, and adaptation and recovery occur more rapidly. Spike and burst thresholds were measured using slow ramps of injected current from hyperpolarized to depolarized values of membrane potential in the presence of high potassium and at both temperatures. The maximal burst frequencies in control saline were higher at 20°C and subthreshold bursts occurred at a more hyperpolarized membrane potential at 20°C. In high potassium, subthreshold bursts were seen at 20°C, but not at 11°C, whereas spike thresholds were similar at the two temperatures. At both temperatures, a second application of high potassium showed substantially more rapid adaptation than did the first application. Together, these data show that the adaptation to high potassium saline is enhanced by high temperature.NEW & NOTEWORTHY Multiple applications of high potassium saline to the pyloric rhythm of the crab, Cancer borealis show a history-dependent adaptation process that is enhanced at high temperatures.

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引用次数: 0
Early auditory and adult mating experiences interact with singer identity to shape neural responses to song in female zebra finches. 雌性斑胸草雀的早期听觉和成年交配经历与鸣唱者身份相互作用,形成对鸣唱的神经反应。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-08 DOI: 10.1152/jn.00504.2024
Isabella Catalano, Sarah C Woolley

Social and sensory experiences across the lifespan can shape social interactions; however, experience-dependent plasticity is widely studied within discrete life stages. In the socially monogamous zebra finch, in which females use learned vocal signals to identify individuals and form long-lasting pair bonds, developmental exposure to song is key for females to show species-typical song perception and preferences. Although adult mating experience can still lead to pair-bonding and song preference learning even in birds with limited previous song exposure ("song-naive"), whether similarities in adult behavioral plasticity between normally reared and song-naive females reflect convergent patterns of neural activity is unknown. We investigated this using expression of a marker of neural activity and plasticity [phosphorylated S6 (pS6)] in mated normally reared and song-naive females in response to song from either their mate, a neighbor, or an unfamiliar male. We found that, in portions of a secondary auditory region (the caudomedial nidopallium, NCM) and in dopaminergic neurons of the caudal ventral tegmental area, hearing the mate's song significantly increased pS6 expression in females from both rearing conditions. In contrast, within other NCM subregions, song identity drove different patterns of pS6 expression depending on the rearing condition. These data suggest that developmental experiences can have long-lasting impacts on the neural signatures of behaviors acquired in adulthood and that socially driven behavioral plasticity in adults may arise through both shared and divergent neural circuits depending on an individual's developmental experiences.NEW & NOTEWORTHY Social and sensory experiences across the lifespan can shape social interactions. Female zebra finches form long-lasting social bonds with a male mate and preferences for his song; however, few studies have investigated how neural responses to the mate's song compare to responses to familiar or unfamiliar songs. We found multiple regions that differentially respond to the song of the mate, and, in some of these regions, responses were modulated by the female's previous auditory experience.

整个生命周期的社会和感官经验可以塑造社会互动,然而,经验依赖的可塑性在离散的生命阶段被广泛研究。在社会一夫一妻制的斑胸草雀中,雌性使用习得的声音信号来识别个体并形成持久的配对关系,对歌声的发育暴露是雌性表现出物种典型的歌曲感知和偏好的关键。虽然成年的交配经历仍然可以导致配对结合和歌曲偏好学习,即使在以前的歌曲暴露有限的鸟类中(“song-naïve”),但正常饲养和song-naïve雌性之间成年行为可塑性的相似性是否反映了神经活动的趋同模式尚不清楚。我们利用正常饲养的雌性和song-naïve雌性对配偶、邻居或陌生雄性鸣叫的反应,研究了神经活动和可塑性标志物(磷酸化S6)的表达。我们发现,在次级听觉区域(尾侧绒毛,NCM)和尾侧腹侧被皮层的多巴胺能神经元中,在两种饲养条件下,听到配偶的歌声显著增加了雌性pS6的表达。相比之下,在其他NCM亚区,不同饲养条件下,鸣叫身份驱动pS6的表达模式不同。这些数据表明,发育经历可以对成年后获得的行为的神经特征产生持久的影响,成年人的社会驱动的行为可塑性可能通过共享和不同的神经回路产生,这取决于个体的发育经历。
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引用次数: 0
Motion-onset visually evoked potentials are amplified in the deaf. 聋人的运动诱发视觉诱发电位(vep)被放大。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00527.2024
Siyu Zhu, Xiaohan Bao, Stephen G Lomber

The loss of a sensory modality triggers a phenomenon known as cross-modal plasticity, where areas of the brain responsible for the lost sensory modality are reorganized and repurposed to the benefit of the remaining modalities. After perinatal or congenital deafness, superior visual motion detection abilities have been psychophysically identified in both humans and cats, and this advantage has been causally demonstrated to be mediated by reorganized auditory cortex. In our study, we investigated visually evoked potentials (VEPs) in response to motion-onset stimuli of varying speeds in both hearing and perinatally deafened cats under light anesthesia. Although the peak latencies did not differ between the two groups, we observed significantly greater VEP amplitudes in deaf cats, specifically in the P1 component and the signal power of the overall waveform. Through sigmoidal modeling, we identified that the speed offset and steepness at the threshold for 50% maximum neural activity was unchanged, showing that neuronal activity was modulated by motion speeds in a comparable manner between the hearing and deaf subjects and the deaf had greater potentials at all dot speeds. Our results suggest that the increased cortical activity by the auditory and visual cortices of deaf cats may account for their superior behavioral advantage in motion detection and indicates that cross-modal plasticity plays a significant role in the cortical processing of motion. NEW & NOTEWORTHY The present study investigated cross-modal plasticity after perinatal deafness in cats using motion-onset visually evoked potentials. Deaf animals were observed to have significantly greater evoked potentials in both peak components and the signal power of the overall waveforms. These results are discussed in relation to prior studies on deaf subjects in both human and animal research on evoked potentials and psychophysics.

感觉模态的丧失引发了一种被称为跨模态可塑性的现象,即大脑中负责失去感觉模态的区域被重组并重新利用,以使剩余模态受益。围产期或先天性耳聋后,人类和猫在心理物理上都具有优越的视觉运动检测能力,并且这种优势已被证明是由听觉皮层重组介导的。在我们的研究中,我们研究了轻度麻醉下听觉猫和围耳聋猫在不同速度的运动刺激下的视觉诱发电位(vep)反应。虽然两组之间的峰值潜伏期没有差异,但我们观察到聋猫的VEP幅度明显更大,特别是在P1分量和整体波形的信号功率方面。通过s形模型,我们发现在50%最大神经活动阈值处的速度偏移和陡峭度没有变化,这表明在听力和聋人受试者中,运动速度以类似的方式调节神经元活动,聋人在所有点速度下都有更大的电位。我们的研究结果表明,听觉和视觉皮层活动的增加可能解释了聋猫在运动检测方面的优越行为优势,并表明跨模态可塑性在运动皮层加工中起着重要作用。
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引用次数: 0
The mammalian locomotor CPG: revealing the contents of the black box. 哺乳动物运动CPG:揭示黑盒子的内容。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI: 10.1152/jn.00238.2024
Simon Gosgnach

It has long been known that a neural circuit situated in the spinal cord of mammals is independently capable of generating and modulating locomotor movements. Following its initial discovery over a century ago, a great deal of research has been focused on characterizing this neural circuit to determine how it is able to elicit movement. For much of the 20th century, difficulty in identifying individual component interneurons that comprised this neural circuit resulted in it being considered a powerful but mysterious "black box." In this article, we will review the development of a number of innovative experimental approaches that have brought us to the current state of research in the field, where we are able to identify populations that comprise this neural circuit, pinpoint their specific function, and image their activity in real time during a locomotor task.

人们早就知道,位于哺乳动物脊髓中的神经回路能够独立地产生和调节运动运动。自一个多世纪前首次发现以来,大量的研究都集中在描述这种神经回路,以确定它是如何引发运动的。在20世纪的大部分时间里,很难识别组成这种神经回路的单个中间神经元,这导致它被认为是一个强大但神秘的“黑匣子”。在这篇文章中,我们将回顾一些创新实验方法的发展,这些方法将我们带到该领域的研究现状,我们能够识别组成该神经回路的人群,确定其特定功能,并在运动任务期间实时成像它们的活动。
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引用次数: 0
Causal associations between sleep traits, sleep disorders, and glioblastoma: a two-sample bidirectional Mendelian randomization study. 睡眠特征、睡眠障碍和胶质母细胞瘤之间的因果关系:一项双样本双向孟德尔随机研究。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2024-12-31 DOI: 10.1152/jn.00338.2024
Yuan Chen, Wenjun Yu, Yang Huang, Zijuan Jiang, Juan Deng, Yujuan Qi

Glioblastoma (GBM), a highly aggressive brain tumor predominantly affecting individuals over 40, often co-occurs with sleep disorders. However, the causal relationship remains unclear. This study employed a bidirectional Mendelian randomization (MR) approach to investigate the causal links between sleep traits/disorders and GBM. Sleep trait and disorder data were obtained from the IEU Open GWAS Project, while GBM data came from the Finn cohort. Primary analysis utilized the inverse-variance weighted (IVW) method, complemented by MR-Egger, weighted median, and weighted mode methods. MR pleiotropy residual sum and outlier (MR-PRESSO) was applied to detect potential outliers, and MR-Egger regression explored horizontal pleiotropy, with Cochran's Q test assessing heterogeneity. IVW analysis indicated a significant negative association between sleep duration and GBM risk [odds ratio (OR) = 0.13; 95% confidence interval (CI) = 0.02-0.80; P = 0.027). Conversely, GBM was positively associated with evening chronotype (OR = 1.0094; 95% CI = 1.0034-1.0154; P = 0.002). No significant associations were found for other sleep traits or disorders. Midday napping showed potential pleiotropy, and significant heterogeneity was noted in the reverse analysis. MR-PRESSO identified no outliers. Shorter sleep duration may elevate GBM risk, and GBM might influence circadian preference toward eveningness. Further studies are warranted to validate these findings.NEW & NOTEWORTHY This study employs a bidirectional Mendelian randomization approach to explore the causal relationship between various sleep traits, sleep disorders, and glioblastoma (GBM). We found that shorter sleep duration may increase GBM risk, while GBM may shift individuals toward an evening chronotype. No significant relationships were observed for other sleep traits or any of the sleep disorders. These findings illuminate the complex interplay between sleep and GBM, highlighting the need for further investigation into their correlations.

背景:胶质母细胞瘤(GBM)是一种高度侵袭性的脑肿瘤,主要影响40岁以上的个体,通常伴有睡眠障碍。然而,因果关系尚不清楚。本研究采用双向孟德尔随机化(MR)方法来研究睡眠特征/障碍与GBM之间的因果关系。方法:睡眠特征和睡眠障碍数据来自IEU开放GWAS项目,而GBM数据来自芬兰队列。初步分析采用反方差加权(IVW),辅以MR-Egger、加权中位数和加权模式方法。MR多效性残差和异常值(MR- presso)用于检测潜在的异常值,MR- egger回归研究水平多效性,用Cochran’s Q检验评估异质性。结果:IVW分析显示睡眠时间与GBM风险呈显著负相关(OR=0.13, 95% CI=0.02-0.80, P=0.027)。相反,GBM与夜间睡眠类型呈正相关(OR=1.0094, 95% CI=1.0034-1.0154, P=0.002)。其他睡眠特征或障碍没有发现明显的关联。午间小睡表现出潜在的多效性,在反向分析中发现了显著的异质性。派索先生没有发现异常值。结论:较短的睡眠时间可能会增加GBM的风险,并且GBM可能会影响生物钟对晚上的偏好。需要进一步的研究来证实这些发现。
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