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The role of social context in cognitive and neurobehavioural outcomes in epilepsy 社会环境在癫痫患者认知和神经行为结果中的作用
IF 38.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-26 DOI: 10.1038/s41582-026-01184-0
Anny Reyes, Robyn M. Busch, Elaine T. Kiriakopoulos, Temitayo Oyegbile-Chidi, Bruce P. Hermann
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引用次数: 0
The Nottingham consensus on dementia risk reduction policy: recommendations from a modified Delphi process 关于降低痴呆风险政策的诺丁汉共识:来自改进的德尔菲过程的建议。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-16 DOI: 10.1038/s41582-025-01173-9
Harriet Demnitz-King, Sube Banerjee, Claudia Cooper, Charlotte Kenten, Rosemary Phillips, Sedigheh Zabihi, Yvonne Birks, Carol Brayne, Sallyann Browning, Camille Carroll, Georgina Charlesworth, Carol AC Coupland, Tom Dening, Ruth Dobson, Isabelle F. Foote, Sarah Foster, Chris Fox, Robert Howard, Jeremy D. Isaacs, Uzma Jaffry, Ivan Koychev, Gill Livingston, David J. Llewellyn, Richard Oakley, Magdalena Opazo Bretón, Martin Orrell, Alastair J. Noyce, Tommy Pouncey, Greta Rait, Janice Ranson, Mohammed Rauf, Vanessa Raymont, Elizabeth L. Sampson, Jonathan M. Schott, Debs Smith, Xin You Tai, Alison Thomson, Sebastian Walsh, Dylan M. Williams, Naaheed Mukadam, Charles R. Marshall, on behalf of The National Institute of Health and Care Research Policy Research Unit in Dementia and Neurodegeneration at Queen Mary University of London (DeNPRU-QM)
Translation of evidence about dementia risk and its reduction into effective, equitable public health policy is a major challenge. To address this challenge, the National Institute for Health and Care Research Policy Research Unit in Dementia and Neurodegeneration at Queen Mary University of London (DeNPRU-QM) convened a multidisciplinary panel of 40 experts from across England, with diverse lived, academic, clinical, policy and advocacy experience, at various career stages, and of diverse gender and ethnicity, to develop actionable policy recommendations for dementia risk reduction. Through a 2-day in-person workshop and a subsequent three-round modified Delphi survey, the panel evaluated and refined statements on dementia prevention. The panel achieved consensus on 56 recommendations in four domains: public health messaging, individual-level interventions, population-level interventions and research commissioning. A key priority across all domains was the need to consider and address health inequalities so that prevention efforts do not exacerbate existing disparities. Our recommendations provide policymakers with a robust foundation for designing and implementing an evidence-based dementia prevention strategy in England and provide guidance that can inform approaches in other countries and contexts. By prioritizing clear communication, targeted intervention and sustained research investment, the recommendations can help to address structural inequities and advance dementia risk reduction. Ongoing cross-sector advocacy will be crucial in driving policy adoption and implementation. Translation of evidence about dementia risk into effective public health policy is a challenge. In this Consensus Statement, Demnitz-King and colleagues present 56 policy recommendations for dementia prevention, providing policymakers with a foundation for designing and implementing evidence-based dementia prevention strategies, prioritizing clear communication, targeted intervention and sustained research investment.
将有关痴呆症风险和减少痴呆症的证据转化为有效、公平的公共卫生政策是一项重大挑战。为了应对这一挑战,伦敦玛丽女王大学国家健康与护理研究所痴呆症和神经退行性疾病政策研究部门(DeNPRU-QM)召集了一个由来自英格兰各地的40名专家组成的多学科小组,他们在不同的职业阶段,具有不同的生活、学术、临床、政策和倡导经验,具有不同的性别和种族,以制定减少痴呆症风险的可操作政策建议。通过为期两天的面对面研讨会和随后的三轮修正德尔菲调查,专家组评估并完善了有关痴呆症预防的陈述。小组就以下四个领域的56项建议达成了共识:公共卫生信息传递、个人层面的干预措施、人口层面的干预措施和研究委托。所有领域的一个关键优先事项是需要考虑和解决保健不平等问题,以使预防工作不会加剧现有的差距。我们的建议为政策制定者在英国设计和实施基于证据的痴呆症预防策略提供了坚实的基础,并为其他国家和环境的方法提供了指导。通过优先考虑明确的沟通、有针对性的干预和持续的研究投资,这些建议可以帮助解决结构性不平等问题,并促进减少痴呆症风险。持续的跨部门宣传对于推动政策的采纳和实施至关重要。
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引用次数: 0
An updated definition of freezing of gait. 步态冻结的更新定义。
IF 38.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-09 DOI: 10.1038/s41582-025-01179-3
Moran Gilat,Jorik Nonnekes,Stewart A Factor,Bastiaan R Bloem,John G Nutt,Nir Giladi,Mark Hallett,Alice Nieuwboer,Fay B Horak,Daniel Weiss,Esther Cubo,Demi Zoetewei,Caroline Moreau,Beomseok Jeon,Tuhin Virmani,Jeffrey M Hausdorff,Alfonso Fasano,Simon J G Lewis,
Freezing of gait (FOG) is among the most debilitating symptoms of Parkinson disease and related disorders, often resulting in falls and a loss of independence. FOG has an episodic and heterogeneous nature that makes it difficult to measure and treat. The field currently lacks a consensus on how to precisely define this phenomenon. For this reason, the International Consortium for Freezing of Gait convened a group of experts to establish an updated 'clinical' definition of FOG for use in the clinical setting and a 'technical' definition for assessors to use when scoring FOG episodes from video recordings as an outcome in fundamental research and clinical trials. Guidelines on how to classify people with Parkinson disease into subgroups of those with or without FOG (non-FOG) are also provided. This position paper presents these new definitions and guidelines, offering a foundation for harmonizing the study and management of FOG.
步态冻结(FOG)是帕金森病和相关疾病中最使人衰弱的症状之一,经常导致跌倒和丧失独立性。FOG具有偶发性和异质性,使其难以测量和治疗。该领域目前对如何精确定义这一现象缺乏共识。出于这个原因,国际步态冻结联盟召集了一组专家,为临床环境中使用的FOG建立了一个更新的“临床”定义,并为评估人员在基础研究和临床试验中从录像中对FOG发作进行评分时使用的“技术”定义。还提供了关于如何将帕金森病患者划分为有或没有FOG(非FOG)的亚组的指南。本立场文件提出了这些新的定义和指导方针,为协调FOG的研究和管理提供了基础。
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引用次数: 0
Genetic insights from Parkinson disease in African and African admixed populations 非洲和非洲混血人群帕金森病的遗传见解。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-02 DOI: 10.1038/s41582-025-01177-5
Mie Rizig, Mohamed Salama
Emerging genomic studies across Africa are revealing how decades of population bias have constrained understanding of disease mechanisms. New evidence in Parkinson disease genetics illustrates how overlooking Africa’s vast genetic diversity not only limits scientific insight but also slows the development of medical and biotechnological innovations that are vital for advancing global health.
非洲各地正在兴起的基因组研究揭示了几十年来的人口偏见如何限制了对疾病机制的理解。帕金森氏病遗传学的新证据表明,忽视非洲巨大的遗传多样性不仅限制了科学洞察力,而且还减缓了对促进全球健康至关重要的医学和生物技术创新的发展。
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引用次数: 0
The global threat of vaccine-preventable neurological diseases 疫苗可预防的神经系统疾病的全球威胁。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-12 DOI: 10.1038/s41582-025-01172-w
Felicia C. Chow, Julia Granerod, Carla Y. Kim, Temesgen Nurye, Kiran T. Thakur
Vaccination is widely considered to be the pre-eminent public health achievement of modern history, but declining coverage resulting from vaccine hesitancy and from interruptions in immunization campaigns in geopolitically unstable regions threatens progress against vaccine-preventable diseases. The global burden of vaccine-preventable neurological diseases is substantial, resulting in acute and chronic complications as well as high case fatality rates. In recent years, outbreaks of dengue, poliomyelitis, measles, pertussis, meningococcal disease and Japanese encephalitis virus have been linked to lack of access to vaccines, overwhelmed health-care systems, misinformation and disinformation regarding vaccine safety, and gaps in vaccination coverage caused by environmental factors and geopolitical conflicts. Coordinated global strategies, including addressing barriers to vaccination and ensuring equitable access; targeted health education about vaccine benefits and risks; integration with other public services; and advances in next-generation vaccine technologies to tackle antimicrobial resistance and non-vaccine serotype replacement, will be crucial to prevent a resurgence of vaccine-preventable neurological diseases, especially in vulnerable populations, to maintain global health security. We are witnessing a worldwide resurgence in vaccine-preventable neurological diseases owing to gaps in vaccination coverage caused by multiple factors, including vaccine hesitancy and geopolitical conflicts. This Review highlights ongoing challenges to controlling vaccine-preventable neurological diseases such as measles, poliomyelitis, Japanese encephalitis and meningitis and considers how collaborative global strategies can facilitate effective immunization policies.
疫苗接种被广泛认为是现代历史上最杰出的公共卫生成就,但由于对疫苗的犹豫和地缘政治不稳定地区免疫运动的中断,覆盖率下降,威胁到疫苗可预防疾病的防治进展。疫苗可预防的神经系统疾病的全球负担很大,导致急性和慢性并发症以及高病死率。近年来,登革热、脊髓灰质炎、麻疹、百日咳、脑膜炎球菌病和日本脑炎病毒的暴发与无法获得疫苗、不堪重负的卫生保健系统、关于疫苗安全性的错误信息和不实信息以及由环境因素和地缘政治冲突造成的疫苗接种覆盖率差距有关。协调全球战略,包括解决疫苗接种障碍和确保公平获取;有针对性地开展关于疫苗益处和风险的健康教育;与其他公共服务相结合;在应对抗菌素耐药性和非疫苗血清型替代的下一代疫苗技术方面取得进展,对于防止疫苗可预防的神经系统疾病(特别是在脆弱人群中)死灰复燃、维护全球卫生安全至关重要。
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引用次数: 0
RNA polyadenylation altered by TDP43 loss of function TDP43功能丧失改变RNA聚腺苷化。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-10 DOI: 10.1038/s41582-025-01178-4
Ian Fyfe
Loss of TDP43 from the nucleus in amyotrophic lateral sclerosis and frontemporal dementia leads to changes in polyadenylation that alter mRNA processing, according to new research.
根据一项新的研究,肌萎缩性侧索硬化症和额颞叶痴呆患者核中TDP43的缺失会导致聚腺苷化的改变,从而改变mRNA的加工。
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引用次数: 0
Physical activity could protect against cognitive decline 体育锻炼可以防止认知能力下降。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-08 DOI: 10.1038/s41582-025-01174-8
Heather Wood
A new study indicates that physical activity reduces cognitive decline, possibly through attenuation of tau accumulation in the brain.
一项新的研究表明,体育活动可以减少认知能力的下降,可能是通过减少大脑中tau蛋白的积累。
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引用次数: 0
α-Synuclein signatures mark Parkinson disease subtypes α-突触核蛋白标记帕金森病亚型。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-08 DOI: 10.1038/s41582-025-01176-6
Heather Wood
Recent research indicates that the brain-first and body-first subtypes of Parkinson disease can be distinguished by patterns of cutaneous α-synuclein deposition.
最近的研究表明,帕金森病的脑优先亚型和体优先亚型可以通过皮肤α-突触核蛋白沉积模式来区分。
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引用次数: 0
Targeting lysosomal damage in Duchenne muscular dystrophy 针对杜氏肌营养不良的溶酶体损伤。
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-08 DOI: 10.1038/s41582-025-01175-7
Heather Wood
A drug that targets lysosomal damage could boost the effects of gene therapy for Duchenne muscular dystrophy, according to new research.
一项新的研究表明,一种针对溶酶体损伤的药物可能会提高杜氏肌营养不良症基因治疗的效果。
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引用次数: 0
Multiscale network perspectives on glioma: from tumour biology to symptoms, survival and treatment 神经胶质瘤的多尺度网络视角:从肿瘤生物学到症状、生存和治疗
IF 33.1 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-12-05 DOI: 10.1038/s41582-025-01171-x
Linda Douw, Jaap C. Reijneveld, Ayan S. Mandal
Adult glioma is associated with a wide range of symptoms and variable survival that are not fully explained by tumour location or subtype. Recent work suggests that the disease may be better understood using a network-based framework, as opposed to more traditional localizationist thinking. In this Review, we describe three major types of network scaffolds relevant in people with glioma: symptom networks, the connectome and tumour biology networks. We summarize current evidence on how symptoms co-occur to form patterns, how gliomas affect structural and functional brain connectivity beyond the lesion and how tumour cells form intricate networks that interact with their surroundings. We then explore the relationships between local and global perspectives within each scaffold, and how these three scaffolds are interrelated, for example, through associations among tumour connectivity, cognitive performance and survival. We examine how current treatments such as surgery, radiotherapy, chemotherapy and anti-seizure medication interact with various network scaffolds. Group-level findings often do not reflect individual variability, and we highlight the need for personalized, longitudinal, multimodal and standardized network studies. Finally, we outline future steps towards integration of these three, and potentially additional network scaffolds, to provide network-informed care to patients with glioma. Emerging evidence suggests that a better understanding of the heterogeneity in symptoms and survival among people with glioma requires a network-based approach. This Review describes three major types of network scaffolds relevant in glioma — symptom networks, the connectome and tumour biology networks — and explores the interactions between each scaffold.
成人胶质瘤与广泛的症状和可变的生存相关,这些症状和生存不能完全由肿瘤位置或亚型来解释。最近的研究表明,使用基于网络的框架可以更好地理解这种疾病,而不是更传统的定位主义思维。在这篇综述中,我们描述了与胶质瘤相关的三种主要类型的网络支架:症状网络、连接组和肿瘤生物学网络。我们总结了目前关于症状如何共同发生形成模式,胶质瘤如何影响病变外的结构和功能脑连接以及肿瘤细胞如何形成与周围环境相互作用的复杂网络的证据。然后,我们探索每个支架内局部和全局视角之间的关系,以及这三个支架如何相互关联,例如,通过肿瘤连接性,认知表现和生存之间的关联。我们研究了目前的治疗方法,如手术、放疗、化疗和抗癫痫药物如何与各种网络支架相互作用。群体水平的研究结果往往不能反映个体差异,我们强调需要个性化、纵向、多模式和标准化的网络研究。最后,我们概述了整合这三种网络支架的未来步骤,以及潜在的其他网络支架,为胶质瘤患者提供网络知情的护理。新出现的证据表明,要更好地了解胶质瘤患者症状和生存的异质性,需要一种基于网络的方法。本综述描述了与胶质瘤相关的三种主要类型的网络支架-症状网络,连接组和肿瘤生物学网络-并探讨了每种支架之间的相互作用。
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Nature Reviews Neurology
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