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Emerging evidence on the effects of electrode arrangements and other parameters on the application of transcutaneous spinal direct current stimulation. 关于电极排列和其他参数对经皮脊髓直流电刺激应用影响的新证据。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00441.2024
Andrea Gigliotti, Hugo M Pereira

Transcutaneous spinal direct current stimulation (TSDCS) has the potential to modulate spinal circuits and induce functional changes in humans. Nevertheless, differences across studies on basic parameters used and obtained metrics represent a confounding factor. Computer simulations are instrumental in improving the application of the TSDCS technique. Their findings allow a better interpretation of the tissue conductivities heterogeneity. Emerging findings indicate the electric field is maximal in the segments located between the electrodes, and that factors such as the depth of the targeted area, and location of the electrodes on low conductive points, such as the spinous processes, may impact the electric field generated in the spinal cord, with consequences for thoracic versus lumbar or cervical applications. Recently, growing attention has been directed toward the importance of the TSDCS reference electrode's position and its influence on the current field properties at the targeted site. This review highlights the influence of dosage, polarity, and electrode position on the variety of TSDCS results in healthy and some clinical populations. Based on the available evidence, we suggest that although the current dosage appears to have a negligible effect, the variety of electrode montages and configurations of TSDCS can significantly impact the electric field distributions and potentially explain the conflicting results of experimental studies. Future human trials should systematically and thoughtfully evaluate the location of TSDCS electrodes based on the targeted neural structures.

经皮脊髓直流电刺激(TSDCS)具有调节脊髓回路和诱导人类功能变化的潜力。然而,不同研究在使用的基本参数和获得的指标上的差异是一个混杂因素。计算机模拟有助于提高TSDCS技术的应用。他们的发现可以更好地解释组织电导率的异质性。新的研究结果表明,电场在电极之间的部分是最大的,并且诸如目标区域的深度和电极在低导电性点(如棘突)上的位置等因素可能会影响脊髓中产生的电场,从而对胸椎、腰椎或颈椎的应用产生影响。近年来,人们越来越关注TSDCS参比电极位置的重要性及其对靶点电流场特性的影响。这篇综述强调了剂量、极性和电极位置对健康人群和一些临床人群TSDCS结果多样性的影响。根据现有的证据,我们认为尽管电流剂量的影响似乎可以忽略不计,但TSDCS的各种电极蒙太奇和配置可以显著影响电场分布,并可能解释实验研究中相互矛盾的结果。未来的人体试验应该基于目标神经结构系统地、深思熟虑地评估TSDCS电极的位置。
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引用次数: 0
Transspinal stimulation downregulates flexion reflex pathways during walking in healthy humans. 经脊髓刺激可下调健康人行走时的屈曲反射通路。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-08 DOI: 10.1152/jn.00453.2024
Maria Knikou, Abdullah M Sayed Ahmad

The phase-dependent modulation pattern of the tibialis anterior (TA) flexion reflex was characterized during treadmill walking while transspinal stimulation was delivered at 15, 30, and 50 Hz above and below paresthesia in healthy participants. The flexion reflex was elicited following medial arch foot stimulation with a 30 ms (300 Hz) pulse train. During treadmill walking, the flexion reflex was evoked in the right leg every 3-5 steps, and stimuli were randomly dispersed across the step cycle that was divided into 16 equal bins. For each participant, condition and bin of the step cycle, the flexion reflex was measured as the area of the linear EMG envelope starting 20 ms after the end of the pulse train up to 200 ms and was normalized to the maximum locomotor TA EMG activity. The unconditioned flexion reflex was modulated in a phase-dependent manner. Transspinal stimulation, regardless frequency, or intensity produced pronounced flexion reflex depression during walking that coincided with an unchanged slope and intercept, computed from the linear relationship between the flexion reflex and background EMG activity. These findings suggest that transspinal stimulation above and below paresthesia intensities at 15, 30, and 50 Hz downregulates the flexion reflex. Based on our recently reported absent effects on the soleus H-reflex under similar conditions and our current findings we propose that transspinal stimulation downregulates flexion and not extension reflex pathways. More research is needed to delineate whether similar neuromodulation effects are present in flexion and extension reflexes after spinal cord injury in humans.NEW & NOTEWORTHY Transspinal stimulation over the thoracolumbar region above and below paresthesia intensities at 15, 30, and 50 Hz produces a generalized depression of the tibialis anterior flexion reflex during walking in healthy participants. This finding supports strong actions of transspinal stimulation on spinal neuronal networks engaged in walking. This finding may be helpful for recovery of walking after spinal cord injury in humans because suppression of exaggerated flexion reflexes enables smooth stance-to-swing transition and foot clearance.

在跑步机上行走时,健康参与者在15、30和50 Hz以上和低于感觉异常的频率下进行经脊髓刺激时,胫骨前肌(TA)屈曲反射的相位依赖调节模式被表征。用30 ms (300 Hz)脉冲序列刺激内侧足弓引起屈曲反射。在跑步机上行走时,每走3 ~ 5步右腿就会产生一次屈曲反射,刺激随机分散在16个相等的步循环中。对于每个参与者,条件和步进循环的bin,弯曲反射被测量为脉冲序列结束后20毫秒至200毫秒的线性肌电信号包络面积,并被归一化为最大运动TA肌电信号活动。非条件屈曲反射以相位依赖的方式被调制。经脊髓刺激,无论频率或强度如何,都会在行走过程中产生明显的屈曲反射抑制,并且根据屈曲反射和背景肌电图活动之间的线性关系计算,其斜率和截距不变。这些发现表明,在15、30和50 Hz的感觉异常强度以上和以下的经脊髓刺激可下调屈曲反射。基于我们最近报道的在类似条件下对比目鱼h反射没有影响和我们目前的发现,我们提出经脊髓刺激下调屈曲反射通路而不是伸展反射通路。人类脊髓损伤后的屈伸反射是否存在类似的神经调节作用,还需要更多的研究来描述。
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引用次数: 0
The discharge characteristics of motor units innervating functionally paralyzed muscles. 支配功能性瘫痪肌肉的运动单元放电特性。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2024-12-20 DOI: 10.1152/jn.00389.2024
Daniela Souza De Oliveira, Marco Carbonaro, Brent James Raiteri, Alberto Botter, Matthias Ponfick, Alessandro Del Vecchio

For individuals with motor complete spinal cord injury (SCI), previous works have shown that spared motor neurons below the injury level can still be voluntarily controlled. In this study, we investigated the behavior of these neurons after SCI by analyzing neural and spatial properties of individual motor units using high-density surface electromyography (HDsEMG) and ultrasound imaging. The dataset for this study is based on motor unit data from our previous work (Oliveira et al. Brain 147: 3583-3595, 2024). Eight participants with chronic motor complete SCI and twelve uninjured controls attempted multiple hand movements, guided by a virtual hand, while we recorded forearm muscle activity. We analyzed the common synaptic input to motor neurons with a factorization method and found two dominant motor unit modes in both the SCI and control groups. Each mode was strongly correlated with the virtual hand's flexion or extension movements. The delay between flexion and extension movements and the motor unit modes was similar between groups, suggesting preserved common input to motor neurons after SCI. We classified motor units into task-modulated or nonmodulated (i.e., tonic or irregularly firing) based on their discharge patterns and phase difference with virtual hand kinematics and found a higher proportion of nonmodulated motor units in the SCI group. At the motor unit action potential level, we found larger motor unit territories after SCI. Finally, we observed distinct movements of paralyzed muscles with concurrent HDsEMG and ultrasound imaging, indicating the presence of highly functional motor units with distinct spared territories after SCI.NEW & NOTEWORTHY Here, we observed a similar pattern of motor unit activation during attempted hand movements in individuals with complete SCI, who cannot move their fingers, and in a control group, who performed the prescribed movements. Despite differences in individual motor unit behavior between these groups, such as a higher proportion of nonmodulated motor units in SCI, movement intention can still be decoded from paralyzed muscles.

对于运动完全性脊髓损伤(SCI)的个体,以往的研究表明,损伤水平以下的备用运动神经元仍然可以被自愿控制。在这项研究中,我们通过高密度表面肌电图(HDsEMG)和超声成像分析单个运动单元的神经和空间特性来研究脊髓损伤后这些神经元的行为。本研究的数据集基于我们以前工作中的运动单元数据(Oliveira et al., 2024)。8名患有慢性运动性完全性脊髓损伤的参与者和12名未受伤的对照组在虚拟手的指导下进行了多次手部运动,同时我们记录了前臂肌肉的活动。我们用因式分解方法分析了运动神经元的共同突触输入,发现在脊髓损伤组和对照组中有两种主要的运动单元模式。每种模式都与虚拟手的屈伸运动密切相关。各组屈伸运动和运动单元模式之间的延迟相似,表明脊髓损伤后运动神经元保留了共同输入。我们根据放电模式和虚拟手运动学的相位差将运动单元分为任务调制或非调制(即强直或不规则放电),并发现SCI组中非调制运动单元的比例更高。在运动单元动作电位水平上,我们发现脊髓损伤后运动单元区域变大。最后,我们通过并发HDsEMG和超声成像观察到瘫痪肌肉的明显运动,表明脊髓损伤后存在具有明显保留区域的高功能运动单元。
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引用次数: 0
Evidence for a coregulation of decision-making and movement generation. 决策和运动产生共同调节的证据。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-19 DOI: 10.1152/jn.00018.2025
Thomas R Reppert
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引用次数: 0
Influence of the variability in motor unit discharge times and neural drive on force steadiness during submaximal contractions with a hand muscle. 运动单元放电时间的变化和神经驱动对手部肌肉亚极大收缩时力稳定性的影响。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00333.2024
Taylor Tvrdy, Mélanie Henry, Roger M Enoka

Our purpose was to compare the influence of the spectral content of motor unit recordings on the calculation of electromechanical delay and on the prediction of force fluctuations from measures of the variability in discharge times and neural drive during steady isometric contractions with the first dorsal interosseus muscle. Participants (n = 42; 60 ± 13 yr) performed contractions at 5% and 20% MVC. After satisfying the inclusion criteria, high-density surface EMG recordings from a subset of 23 participants were decomposed into the discharge times of 530 motor units. The force and cumulative spike train (CST) signals were cross-correlated with a novel filtering approach to determine the electromechanical delay. Force and CST signals were bandpass filtered with three bandwidths (0.75-5 Hz, 0.75-2 Hz, and 2-5 Hz) to determine the influence of spectral content on the precision of the electromechanical delay measurement. Subsequently, the variability in the discharge times of motor units was quantified as the coefficient of variation for interspike interval (CVISI), and the variability in neural drive was represented as the standard deviation of the cumulative spike train (SDCST). The main findings were that all frequencies (0.75-5 Hz) were needed to determine the electromechanical delay and that the force fluctuations were best explained by measures of variability in both discharge times and neural drive (CVISI and SDCST) at 5% MVC force but only the variability in neural drive (SDCST) at 20% MVC force. These findings indicate that the source of the force fluctuations during the steady submaximal contractions with the hand muscle differed for the two target forces.NEW & NOTEWORTHY The fluctuations in force during steady submaximal contractions can be caused by either or both the variability in discharge times of individual motor units and in the neural drive. After careful alignment of the force and discharge times within an optimal bandwidth (0.75-5 Hz), the fluctuations in force at the lower target force were strongly correlated with both measures of variability, whereas those at the higher target force were best explained by the variability in neural drive.

我们的目的是比较运动单元记录的频谱内容对机电延迟计算的影响,以及通过测量放电时间的变异性和第一背骨间肌在稳定等距收缩期间的神经驱动来预测力波动。参与者(n = 42;60±13年)在5%和20%的MVC下进行宫缩。在满足纳入标准后,将23名参与者的高密度表面肌电记录分解为530个运动单元的放电次数。采用一种新的滤波方法,将力和累积尖峰串信号相互关联,以确定机电延迟。采用3种带宽(0.75 ~ 5hz, 0.75 ~ 2hz, 2 ~ 5hz)对力和CST信号进行带通滤波,以确定频谱含量对机电延迟测量精度的影响。随后,将运动单元放电次数的变异性量化为脉冲间隔变异系数(CVISI),将神经驱动的变异性量化为累积脉冲序列的标准差(SDCST)。主要发现是需要所有频率(0.75 - 5 Hz)来确定机电延迟,并且力波动最好通过在5% MVC力下放电时间和神经驱动(CVISI和SDCST)的变异性来解释,但只有在20% MVC力下神经驱动(SDCST)的变异性。这些结果表明,在稳定的次极大收缩过程中,两种目标力的波动来源是不同的。
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引用次数: 0
Ramping dynamics in the frontal cortex unfold over multiple timescales during motor planning. 运动规划过程中额叶皮层的斜坡动力学在多个时间尺度上展开。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-02-01 Epub Date: 2025-01-17 DOI: 10.1152/jn.00234.2024
Rifqi O Affan, Ian M Bright, Luke N Pemberton, Nathanael A Cruzado, Benjamin B Scott, Marc W Howard

Plans are formulated and refined throughout the period leading up to their execution, ensuring that the appropriate behaviors are enacted at the appropriate times. Although existing evidence suggests that memory circuits convey the passage of time through diverse neuronal responses, it remains unclear whether the neural circuits involved in planning exhibit analogous temporal dynamics. Using publicly available data, we analyzed how activity in the mouse frontal motor cortex evolves during motor planning. Individual neurons exhibited diverse ramping activity throughout a delay interval that preceded a planned movement. The collective activity of these neurons was useful for making temporal predictions that became increasingly precise as the movement time approached. This temporal diversity gave rise to a spectrum of encoding patterns, ranging from stable to dynamic representations of the upcoming movement. Our results indicate that ramping activity unfolds over multiple timescales during motor planning, suggesting a shared mechanism in the brain for processing temporal information related to both memories from the past and plans for the future. NEW & NOTEWORTHY Neuronal responses in the cortex are diverse, but the nature and functional consequences of this diversity remain ambiguous. We identified a specific pattern of temporal heterogeneity in the mouse frontal motor cortex, whereby the firing of different neurons ramps up at varying speeds before the execution of a movement. Our decoding analyses reveal that this heterogeneity in ramping dynamics enables precise and reliable encoding of movement plans and time across various timescales.

计划在执行之前的整个过程中被制定和完善,以确保在适当的时间制定适当的行为。虽然现有证据表明,记忆回路通过不同的神经元反应传递时间的流逝,但尚不清楚参与计划的神经回路是否表现出类似的时间动态。利用公开可用的数据,我们分析了小鼠额叶运动皮层在运动规划过程中的活动演变。单个神经元在计划运动之前的延迟间隔内表现出不同的斜坡活动。这些神经元的集体活动有助于进行时间预测,随着运动时间的临近,预测变得越来越精确。这种时间的多样性产生了一系列的编码模式,从稳定到动态的表示即将到来的运动。我们的研究结果表明,在运动规划过程中,斜坡活动在多个时间尺度上展开,这表明大脑中有一个共同的机制来处理与过去记忆和未来计划相关的时间信息。
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引用次数: 0
Collothalamic projections to the human amygdala: hemispheric asymmetry modulates trait anxiety.
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-01-31 DOI: 10.1152/jn.00033.2024
Robert D Rafal, Kristin Koller

In 19 people probabilistic DTI tractography was used to visualize the topographic relationships between three white matter components of a fascicle, the supraventricular temporal bundle, that traverses above the temporal horn of the lateral ventricle: collothalamic auditory and visual projections to the amygdala via the posterior thalamus, and the amygdalofugal stria terminalis. This bundle constitutes a subcortical, 'low road' pathway that transmits threat signals to the amygdala, and that projects signals that bias orienting toward visual threat to the bed nucleus of the stria terminalis. The course of the visual streamline passes below the brachium of the superior colliculus through the position two thalamic nuclei that have been shown to both receive afferents from the superficial layers of the superior colliculus and to also project to the amygdala: the suprageniculate nucleus and the inferior pulvinar. The visual streamline passes laterally dorsal to the auditory streamline and both collothalamic streamlines then traverse together above the temporal horn of the lateral ventricle, dorsal to the stria terminalis, with the auditory streamline dorsal to visual streamline, and entering the lateral amygdala dorsal and medial to it. Individual differences in the degree of hemispheric asymmetry of the fractional anisotropy of the visual streamline, but not the auditory streamline, predicted trait anxiety: weaker left hemisphere connectivity relative to those in the right hemisphere, was associated with higher trait anxiety. There was no correlation between individual differences in the microstructure of either the stria terminalis or the ventral amygdalofugal pathway and trait anxiety.

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引用次数: 0
Cognitive effect of passively induced kinesthetic perception associated with virtual body augmentation modulates spinal reflex. 与虚拟人体增强相关的被动诱导动觉感知的认知效应会调节脊髓反射。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-11-12 DOI: 10.1152/jn.00042.2024
Kohsuke Okada, Megumi Okawada, Masaki Yoneta, Wataru Kuwahara, Kei Unai, Michiyuki Kawakami, Tetsuya Tsuji, Fuminari Kaneko

The virtual movement of an augmented body, perceived as part of oneself, forms the basis of kinesthetic perception induced by visual stimulation (KINVIS). KINVIS is a visually induced virtual kinesthetic perception that clinically suppresses spasticity. The present study hypothesized that central neural network activity during KINVIS affects subcortical neural circuits. The present study aimed to elucidate whether reciprocal and presynaptic inhibition occurs during KINVIS. Seventeen healthy participants were recruited (mean age: 27.9 ± 3.6 yr), and their soleus Hoffmann-reflexes (H-reflexes) were recorded by peripheral nerve stimulation while perceiving the dorsiflexion kinesthetic illusion in the right-side foot (seated in a comfortable chair). Two control conditions were set to observe the same foot video without the kinesthetic illusion while focusing on the static foot image. Unconditioned H-reflex and two types of conditioned H-reflexes were measured: Ia (reciprocal inhibition) and D1 (presynaptic inhibition). Reciprocal Ia and D1 inhibition of the soleus muscle was significantly enhanced during the kinesthetic illusion compared with the condition without kinesthetic illusion (a post hoc analysis using the Bonferroni test: Ia inhibition, P = 0.002; D1 inhibition, P = 0.049). This study indicates that kinesthetic illusion elicits an inhibitory effect on the monosynaptic reflex loop of Ia afferents, potentially inhibiting the hyperexcitability of the stretch reflex. These findings demonstrate that brain activity associated with visually induced kinesthetic illusions acts on spinal inhibition circuits. These insights may be valuable in clinical rehabilitation practice, specifically for the treatment of spasticity.NEW & NOTEWORTHY Neural effects in visual-induced kinesthetic illusion expand into the spinal reflex. Kinesthetic illusion inhibits the monosynaptic reflex in an antagonistic muscle via reciprocal and presynaptic inhibition. Visually induced kinesthetic illusion is a suitable treatment for spasticity in patients with stroke.

被视为自身一部分的增强体的虚拟运动,构成了视觉刺激诱导的动觉感知(KINVIS)的基础。KINVIS 是一种视觉诱导的虚拟动觉感知,在临床上可抑制痉挛。本研究假设 KINVIS 期间的中枢神经网络活动会影响皮层下神经回路。本研究旨在阐明在 KINVIS 过程中是否会出现互抑和突触前抑制。研究人员招募了 17 名健康参与者(平均年龄:27.9 ± 3.6 岁),通过外周神经刺激记录了他们的比目鱼肌霍夫曼反射(H-反射),同时感知右侧脚背屈运动错觉(坐在舒适的椅子上)。设置了两个对照条件,即观察相同的脚部视频,但不出现运动错觉,同时将注意力集中在静态脚部图像上。测量了非条件 H 反射和两种条件 H 反射:Ia(相互抑制)和 D1(突触前抑制)。与没有动觉幻觉的情况相比,在动觉幻觉期间比目鱼肌的 Ia 和 D1 相互抑制明显增强(使用 Bonferroni 检验进行事后分析:Ia 抑制,p = 0.002;D1 抑制,p = 0.049)。这项研究表明,运动错觉会对 Ia 传入的单突触反射回路产生抑制作用,从而可能抑制拉伸反射的过度兴奋性。这些研究结果表明,与视觉诱导的动觉幻觉相关的大脑活动会对脊髓抑制回路产生作用。这些见解可能对临床康复实践,特别是痉挛的治疗很有价值。
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引用次数: 0
Recovery from spreading depolarization is slowed by aging and accelerated by antioxidant treatment in locusts. 蝗虫从扩散去极化中恢复的速度因老化而减慢,而抗氧化剂处理则加速。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-12 DOI: 10.1152/jn.00487.2024
R Meldrum Robertson, Yuyang Wang

Spreading depolarization (SD) temporarily shuts down neural processing in mammals and insects. Age is a critical factor for predicting the consequences of SD in humans. We investigated the effect of aging in an insect model of SD and explored the contribution of oxidative stress. Aging slowed the recovery of intact locusts from asphyxia. We monitored SD by recording the DC potential across the blood-brain barrier in response to bath application of the Na+/K+-ATPase inhibitor, ouabain. Ouabain induced changes to the DC potential that could be separated into two distinct components: a slow, permanent negative shift, like the negative ultraslow potential recorded in mammals and human patients, and rapid, reversible negative DC shifts (SD events). Aging had no effect on the slow shift but increased the duration of SD events. This was accompanied by a decrease in the rate of recovery of DC potential at the end of the SD event. An attempt to generate oxidative stress using rotenone was unsuccessful, but pretreatment with the antioxidant, N-acetylcysteine amide, had opposite effects to those of aging, reducing duration, and increasing rate of recovery, suggesting that it prevented oxidative damage occurring during the ouabain treatment. The antioxidant also reduced the rate of the slow negative shift. We propose that the aging locust nervous system is more vulnerable to stress due to a prior accumulation of oxidative damage. Our findings strengthen the notion that insects provide useful models for the investigation of cellular and molecular mechanisms underlying SD in mammals.NEW & NOTEWORTHY Anoxia and similar energetic crises trigger a shutdown of central neural processing in a process of spreading depolarization (SD) that is generally pathological in mammals and protective in insects. We show that older animals are slower to recover from SD in an insect model. Moreover, preventing oxidative stress with an antioxidant speeds recovery. These findings demonstrate the role of oxidative stress in contributing to the vulnerability of the aging insect central nervous system (CNS) in energetic emergencies.

扩散性去极化(SD)暂时关闭了哺乳动物和昆虫的神经处理。年龄是预测SD对人类影响的关键因素。我们研究了衰老对SD昆虫模型的影响,并探讨了氧化应激的作用。衰老减缓了完整蝗虫从窒息中恢复的速度。我们通过记录通过血脑屏障的直流电位来监测SD,这是对Na+/K+- atp酶抑制剂瓦巴因的反应。瓦巴因引起的直流电位变化可以分为两个不同的部分:缓慢的、永久的负移,如哺乳动物和人类患者中记录的负超低电位,以及快速的、可逆的直流负移(SD事件)。衰老对慢移没有影响,但增加了SD事件的持续时间。这伴随着SD事件结束时直流电位恢复速率的下降。用鱼藤酮产生氧化应激的尝试没有成功,但用抗氧化剂n -乙酰半胱氨酸酰胺预处理具有与衰老相反的作用,缩短了持续时间,提高了恢复速度,这表明它可以防止瓦巴因治疗期间发生的氧化损伤。抗氧化剂也降低了缓慢负转移的速率。我们认为,老化的蝗虫神经系统更容易受到压力,由于事先积累的氧化损伤。我们的发现加强了昆虫为研究哺乳动物SD的细胞和分子机制提供有用模型的观点。
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引用次数: 0
Insulin activates parasympathetic hepatic-related neurons of the paraventricular nucleus of the hypothalamus through mTOR signaling. 胰岛素通过mTOR信号激活下丘脑室旁核的副交感肝相关神经元。
IF 2.1 3区 医学 Q3 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-12 DOI: 10.1152/jn.00284.2024
Karoline Martins Dos Santos, Sandy E Saunders, Vagner R Antunes, Carie R Boychuk

Integration of autonomic and metabolic regulation, including hepatic function, is a critical role played by the brain's hypothalamic region. Specifically, the paraventricular nucleus of the hypothalamus (PVN) regulates autonomic functions related to metabolism, such as hepatic glucose production. Although insulin can act directly on hepatic tissue to inhibit hepatic glucose production, recent evidence implicates that central actions of insulin within PVN also regulate glucose metabolism. However, specific central circuits responsible for insulin signaling with relation to hepatic regulation are poorly understood. As a heterogeneous nucleus essential to controlling parasympathetic motor output with notable expression of insulin receptors, PVN is an appealing target for insulin-dependent modulation of parasympathetic activity. Here, we tested the hypothesis that insulin activates hepatic-related PVN (PVNhepatic) neurons through a parasympathetic pathway. Using transsynaptic retrograde tracing, labeling within PVN was first identified 24 h after its expression in the dorsal motor nucleus of the vagus (DMV) and 72 h after hepatic injection. Critically, nearly all labeling in medial PVN was abolished after a left vagotomy, indicating that PVNhepatic neurons in this region are part of a central circuit innervating parasympathetic motor neurons. Insulin also significantly increased the firing frequency of PVNhepatic neurons in this subregion. Mechanistically, rapamycin pretreatment inhibited insulin-dependent activation of PVNhepatic neurons. Therefore, central insulin signaling can activate a subset of PVNhepatic neurons that are part of a unique parasympathetic network in control of hepatic function. Taken together, PVNhepatic neurons related to parasympathetic output regulation could serve as a key central network in insulin's ability to control hepatic functions.NEW & NOTEWORTHY Increased peripheral insulin concentrations are known to decrease hepatic glucose production through both direct actions on hepatocytes and central autonomic networks. Despite this understanding, how (and in which brain regions) insulin exerts its action is still obscure. Here, we demonstrate that insulin activates parasympathetic hepatic-related PVN neurons (PVNhepatic) and that this effect relies on mammalian target of rapamycin (mTOR) signaling, suggesting that insulin modulates hepatic function through autonomic pathways involving insulin receptor intracellular signaling cascades.

包括肝功能在内的自主和代谢调节的整合是大脑下丘脑区域发挥的关键作用。具体来说,下丘脑室旁核(PVN)调节与代谢相关的自主神经功能,如肝糖的产生。虽然胰岛素可以直接作用于肝组织抑制肝脏葡萄糖的产生,但最近的证据表明,胰岛素在PVN内的中枢作用也调节葡萄糖代谢。然而,与肝脏调节有关的负责胰岛素信号传导的特定中枢回路却知之甚少。PVN是控制副交感神经运动输出所必需的异质核,具有显著的胰岛素受体表达,是胰岛素依赖性副交感神经活动调节的一个有吸引力的靶点。在这里,我们测试了胰岛素通过副交感神经通路激活肝脏相关PVN (pvnliver)神经元的假设。通过跨突触逆行示踪,在DMV中表达24 h和肝注射72 h后,PVN内首次发现标记。关键的是,左侧迷走神经切断术后,几乎所有内侧PVN的标记都被取消了,这表明该区域的pvnliver神经元是支配副交感神经运动神经元的中枢回路的一部分。胰岛素也显著增加了该亚区pvnliver神经元的放电频率。机制上,雷帕霉素预处理抑制胰岛素依赖性pvnliver神经元的激活。因此,中枢胰岛素信号可以激活pvnliver神经元的一个子集,这些神经元是控制肝功能的独特副交感神经网络的一部分。综上所述,与副交感神经输出调节相关的pvnliver神经元可能是胰岛素控制肝功能的关键中枢网络。
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