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Altered Topological Properties of Grey Matter Structural Covariance Networks in Complete Thoracic Spinal Cord Injury Patients: A Graph Theoretical Network Analysis. 完全胸椎脊髓损伤患者灰质结构协方差网络拓扑特性的改变:图理论网络分析。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-01 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8815144
Wen-Li Wang, Yu-Lin Li, Mou-Xiong Zheng, Xu-Yun Hua, Jia-Jia Wu, Fei-Fei Yang, Nan Yang, Xia He, Li-Juan Ao, Jian-Guang Xu

Purpose: This study is aimed at investigating brain structural changes and structural network properties in complete spinal cord injury (SCI) patients, as well as their relationship with clinical variables.

Materials and methods: Structural MRI of brain was acquired in 24 complete thoracic SCI patients (38.50 ± 11.19 years, 22 males) within the first postinjury year, while 26 age- and gender-matched healthy participants (38.38 ± 10.63 years, 24 males) were enrolled as control. The voxel-based morphometry (VBM) approach and graph theoretical network analysis based on cross-subject grey matter volume- (GMV-) based structural covariance networks (SCNs) were conducted to investigate the impact of SCI on brain structure. Partial correlation analysis was performed to explore the relationship between the GMV of structurally changed brain regions and SCI patients' clinical variables, including injury duration, injury level, Visual Analog Scale (VAS), American Spinal Injury Association Impairment Scale (AIS), International Classification of Functioning, Disability and Health (ICF) scale, Self-rating Depression Scale (SDS), and Self-rating Anxiety Scale (SAS), after removing the effects of age and gender.

Results: Compared with healthy controls, SCI patients showed higher SDS score (t = 4.392 and p < 0.001). In the VBM analysis, significant GMV reduction was found in the left middle frontal cortex, right superior orbital frontal cortex (OFC), and left inferior OFC. No significant difference was found in global network properties between SCI patients and healthy controls. In the regional network properties, significantly higher betweenness centrality (BC) was noted in the right anterior cingulum cortex (ACC) and left inferior OFC and higher nodal degree and efficiency in bilateral middle OFCs, while decreased BC was noted in the right putamen in SCI patients. Only negative correlation was found between GMV of right middle OFC and SDS score in SCI patients (r = -0.503 and p = 0.017), while no significant correlation between other abnormal brain regions and any of the clinical variables (all p > 0.05).

Conclusions: SCI patients would experience depressive and/or anxious feelings at the early stage. Their GMV reduction mainly involved psychology-cognition related rather than sensorimotor brain regions. The efficiency of regional information transmission in psychology-cognition regions increased. Greater GMV reduction in psychology region was related with more severe depressive feelings. Therefore, early neuropsychological intervention is suggested to prevent psychological and cognitive dysfunction as well as irreversible brain structure damage.

目的:本研究旨在探讨完全性脊髓损伤(SCI)患者脑结构变化、结构网络特性及其与临床变量的关系。材料与方法:对24例完全性胸椎脊髓损伤患者(38.50±11.19岁,男性22例)损伤后第一年内进行脑结构MRI检查,同时选取26例年龄和性别匹配的健康受试者(38.38±10.63岁,男性24例)作为对照组。采用基于体素的形态测量(VBM)方法和基于跨学科灰质体积(GMV)的结构协方差网络(SCNs)的图论网络分析来研究脊髓损伤对脑结构的影响。采用偏相关分析,探讨脑结构改变区GMV与损伤持续时间、损伤程度、视觉模拟量表(VAS)、美国脊髓损伤协会损伤量表(AIS)、国际功能、残疾与健康分类量表(ICF)、抑郁自评量表(SDS)、焦虑自评量表(SAS)等临床变量在剔除年龄和性别影响后的关系。结果:与健康对照组相比,脊髓损伤患者SDS评分较高(t = 4.392, p < 0.001)。在VBM分析中,发现左侧额叶中皮质、右侧眶额上皮质和左侧眶额下皮质GMV明显减少。脊髓损伤患者与健康对照组的全局网络特性无显著差异。在区域网络特性上,右侧前扣带皮质(ACC)和左侧下OFC的中间中心性(between - centrality, BC)显著提高,双侧中OFC的节度和效率显著提高,而脊髓损伤患者右侧壳核的BC显著降低。脊髓损伤患者仅右中OFC GMV与SDS评分呈负相关(r = -0.503, p = 0.017),其他异常脑区与临床变量均无显著相关性(p > 0.05)。结论:脊髓损伤患者在早期会有抑郁和/或焦虑的感觉。他们的GMV减少主要涉及与心理认知相关的脑区,而不是感觉运动脑区。心理认知区域信息传递效率提高。心理区GMV降低越大,抑郁情绪越严重。因此,建议早期进行神经心理干预,以预防心理和认知功能障碍以及不可逆的脑结构损伤。
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引用次数: 6
Neuroprotective Effects of ZiBuPiYin Recipe on db/db Mice via PI3K-Akt Signaling Pathway by Activating Grb2. 滋补脾饮方通过激活Grb2激活PI3K-Akt信号通路对db/db小鼠的神经保护作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-30 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8825698
Wei-Ming Ren, Ze-Bin Weng, Xin Li, Li-Bin Zhan

Background: Diabetes-associated cognitive decline (DACD) is one of the nervous system dysfunctions induced by diabetes mellitus with cognitive impairment as the major symptom. In a previous preliminary proteomic study, we found that endoplasmic reticulum processing and PI3K-Akt signaling pathway might be impaired in DACD pathogenesis. In addition, growth factor receptor-bound protein 2 might be a crucial protein as a molecular target of the neuroprotective effects of ZiBuPiYin recipe (ZBPYR).

Methods: In this study, 6-8 weeks aged db/db mice were treated with excipients or ZBPYR for 6 weeks. Body weight and RBG were recorded weekly. Oral glucose tolerance and insulin tolerance tests were used to assess insulin sensitivity. Morris water maze (MWM) tests were used to assess memory function. The expression of Grb2, Gab2, Akt, and GSK3β in mouse hippocampus and cerebral cortex were analyzed by Western blotting.

Results: ZBPYR not only significantly reduced RGB and improved glucose tolerance and insulin resistance, but also improved spatial cognition in DACD mice. The expression of Grb2 and Gab2 in hippocampus and cerebral cortex of db/db mice was upregulated after treated with ZBPYR, and then affected the PI3K/Akt signaling pathway, and inhibited GSK3β overactivity.

Conclusions: This study showed that ZBPYR could enhance the memory and learning ability of db/db mice. Such neuroprotective effect might be related to the activation of Grb2-PI3K/Akt signaling which might provide a novel therapeutic target for the clinical treatment of DACD.

背景:糖尿病相关性认知衰退(daca)是糖尿病引起的以认知功能障碍为主要症状的神经系统功能障碍之一。在之前的初步蛋白质组学研究中,我们发现内质网加工和PI3K-Akt信号通路可能在daca发病过程中受损。此外,生长因子受体结合蛋白2可能是滋补脾饮神经保护作用的重要分子靶点。方法:6 ~ 8周龄db/db小鼠分别给予辅料或ZBPYR治疗6周。每周记录体重和RBG。采用口服葡萄糖耐量和胰岛素耐量试验评估胰岛素敏感性。Morris水迷宫(Morris water maze, MWM)测试记忆功能。Western blotting分析小鼠海马和大脑皮层中Grb2、Gab2、Akt和GSK3β的表达。结果:ZBPYR不仅能显著降低RGB,改善葡萄糖耐量和胰岛素抵抗,还能改善daca小鼠的空间认知能力。ZBPYR处理后,db/db小鼠海马和大脑皮层中Grb2和Gab2的表达上调,进而影响PI3K/Akt信号通路,抑制GSK3β过活性。结论:ZBPYR可增强db/db小鼠的记忆和学习能力。这种神经保护作用可能与激活Grb2-PI3K/Akt信号有关,可能为临床治疗daca提供新的治疗靶点。
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引用次数: 3
Effect of Cognitive Function on Balance and Posture Control after Stroke. 脑卒中后认知功能对平衡和姿势控制的影响。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-28 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6636999
Hui-Xian Yu, Zhao-Xia Wang, Chang-Bin Liu, Pei Dai, Yue Lan, Guang-Qing Xu

Hemiplegic gait is the most common sequela of stroke. Patients with hemiplegic gait are at a risk of falling because of poor balance. The theory of cognitive-motor networks paved the way for a new field of research. However, the mechanism of the relationship of cognition with gait or posture control networks is unclear because of the dynamic characteristics of walking and changing postures. To explore differences in the balance function and fall risk between patients with and without cognitive impairment after stroke, we utilized the Berg balance scale, Timed "Up and Go" test, and 10 m walking test. Patients were divided into two groups: the observation group (16 patients, female 6 and male 10), comprising patients with cognitive impairment after stroke, and the control group (16 patients, female 7 and male 9), comprising patients without cognitive impairment after stroke. We found that patients with cognitive impairment had worse balance function and a higher risk of falls. They needed a longer time to turn around or sit down. Our findings indicated that posture control in turning around and sitting down required more cognitive resources in daily life.

偏瘫步态是中风最常见的后遗症。偏瘫患者由于平衡能力差,有摔倒的危险。认知-运动网络理论为一个新的研究领域铺平了道路。然而,由于行走和姿势变化的动态特性,认知与步态或姿势控制网络的关系机制尚不清楚。为了探讨脑卒中后认知障碍患者与非认知障碍患者平衡功能和跌倒风险的差异,我们采用Berg平衡量表、定时“Up and Go”测试和10米步行测试。患者分为两组:观察组16例,女性6例,男性10例,包括脑卒中后认知功能障碍患者;对照组16例,女性7例,男性9例,包括脑卒中后无认知功能障碍患者。我们发现认知障碍患者的平衡功能更差,摔倒的风险更高。他们需要更长的时间才能转身或坐下。我们的研究结果表明,在日常生活中,转身和坐下时的姿势控制需要更多的认知资源。
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引用次数: 12
An Adaptive EEG Feature Extraction Method Based on Stacked Denoising Autoencoder for Mental Fatigue Connectivity. 基于堆叠去噪自编码器的脑电特征提取方法。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3965385
Zhongliang Yu, Lili Li, Wenwei Zhang, Hangyuan Lv, Yun Liu, Umair Khalique

Mental fatigue is a common psychobiological state elected by prolonged cognitive activities. Although, the performance and the disadvantage of the mental fatigue have been well known, its connectivity among the multiareas of the brain has not been thoroughly studied yet. This is important for the clarification of the mental fatigue mechanism. However, the common method of connectivity analysis based on EEG cannot get rid of the interference from strong noise. In this paper, an adaptive feature extraction model based on stacked denoising autoencoder has been proposed. The signal to noise ratio of the extracted feature has been analyzed. Compared with principal component analysis, the proposed method can significantly improve the signal to noise ratio and suppress the noise interference. The proposed method has been applied on the analysis of mental fatigue connectivity. The causal connectivity among the frontal, motor, parietal, and visual areas under the awake, fatigue, and sleep deprivation conditions has been analyzed, and different patterns of connectivity between conditions have been revealed. The connectivity direction under awake condition and sleep deprivation condition is opposite. Moreover, there is a complex and bidirectional connectivity relationship, from the anterior areas to the posterior areas and from the posterior areas to the anterior areas, under fatigue condition. These results imply that there are different brain patterns on the three conditions. This study provides an effective method for EEG analysis. It may be favorable to disclose the underlying mechanism of mental fatigue by connectivity analysis.

精神疲劳是由于长期的认知活动而产生的一种常见的心理生理状态。尽管人们对精神疲劳的表现和危害已经了解得很清楚,但对其在大脑多区域间的连通性研究还不够深入。这对阐明精神疲劳的机制具有重要意义。然而,常用的基于脑电图的连通性分析方法无法消除强噪声的干扰。本文提出了一种基于叠置去噪自编码器的自适应特征提取模型。分析了提取的特征的信噪比。与主成分分析方法相比,该方法能显著提高信号的信噪比,抑制噪声干扰。该方法已应用于心理疲劳连通性分析。在清醒、疲劳和睡眠剥夺条件下,分析了额叶、运动、顶叶和视觉区域之间的因果联系,揭示了不同条件下的不同连接模式。清醒状态和睡眠剥夺状态下的连接方向相反。此外,在疲劳状态下,从前区到后区,从后区到前区存在复杂的双向连接关系。这些结果表明,在这三种情况下存在不同的大脑模式。本研究为脑电图分析提供了一种有效的方法。通过连通性分析有助于揭示心理疲劳的潜在机制。
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引用次数: 5
Distinction of High- and Low-Frequency Repetitive Transcranial Magnetic Stimulation on the Functional Reorganization of the Motor Network in Stroke Patients. 高低频重复经颅磁刺激对脑卒中患者运动网络功能重组的影响。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8873221
Zhiwei Guo, Yu Jin, Xi Bai, Binghu Jiang, Lin He, Morgan A McClure, Qiwen Mu

Objective: To investigate the functional reorganization of the motor network after repetitive transcranial magnetic stimulation (rTMS) in stroke patients with motor dysfunction and the distinction between high-frequency rTMS (HF-rTMS) and low-frequency rTMS (LF-rTMS).

Methods: Thirty-three subcortical stroke patients were enrolled and assigned to the HF-rTMS group, LF-rTMS group, and sham group. Each patient of rTMS groups received either 10.0 Hz rTMS over the ipsilesional primary motor cortex (M1) or 1.0 Hz rTMS over the contralesional M1 for 10 consecutive days. A resting-state functional magnetic resonance imaging (fMRI) scan and neurological examinations were performed at baseline and after rTMS. The motor network and functional connectivities intramotor network with the core brain regions including the bilateral M1, premotor area (PMA), and supplementary motor area (SMA) were calculated. Comparisons of functional connectivities and Pearson correlation analysis between functional connectivity changes and behavioral improvement were calculated.

Results: Significant motor improvement was found after rTMS in all groups which was larger in two rTMS groups than in the sham group. The functional connectivities of the motor network were significantly increased in bilateral M1, SMA, and contralesional PMA after real rTMS. These changes were only detected in the regions of the ipsilesional hemisphere in the HF-rTMS group and in the regions of the contralesional hemisphere in the LF-rTMS group. Significantly changed functional connectivities of the intramotor network were found between the ipsilesional M1 and SMA and contralesional PMA, between contralesional M1 and contralesional SMA, between contralesional SMA and ipsilesional SMA and contralesional PMA in the HF-rTMS group in which the changed connectivity between ipsilesional M1 and contralesional PMA was obviously correlated with the motor improvement. In addition, the functional connectivity of the intramotor network between ipsilesional M1 and contralesional PMA was significantly higher in the HF-rTMS group than in the LF-rTMS group.

Conclusion: Both HF-rTMS and LF-rTMS have a positive effect on motor recovery in patients with subcortical stroke and could promote the reorganization of the motor network. HF-rTMS may contribute more to the functional connectivity reorganization of the ipsilesional motor network and realize greater benefit to the motor recovery.

目的:探讨重复经颅磁刺激(rTMS)对脑卒中运动功能障碍患者运动网络的功能重组及高频rTMS (HF-rTMS)与低频rTMS (LF-rTMS)的区别。方法:将33例皮质下脑卒中患者分为HF-rTMS组、LF-rTMS组和假手术组。rTMS组的每名患者分别在同侧初级运动皮层(M1)上接受10.0 Hz rTMS或在对侧M1上接受1.0 Hz rTMS,连续10天。静息状态功能磁共振成像(fMRI)扫描和神经学检查分别在基线和rTMS后进行。计算运动网络和与双侧M1、运动前区(PMA)、辅助运动区(SMA)等核心脑区运动内网络的功能连接。计算功能连通性变化与行为改善之间的功能连通性比较和Pearson相关分析。结果:各组大鼠经rTMS后运动功能均有明显改善,且两组均较假手术组改善明显。在真正的rTMS后,双侧M1、SMA和对侧PMA的运动网络的功能连接显著增加。这些变化仅在HF-rTMS组的同侧半球区域和LF-rTMS组的对侧半球区域检测到。在HF-rTMS组中,同侧M1、SMA与对照性PMA之间、对照性M1与对照性SMA之间、对照性SMA与同侧SMA与对照性PMA之间的运动内网络功能连通性显著改变,其中同侧M1与对照性PMA之间连通性的改变与运动改善明显相关。此外,高频rtms组同侧M1和对侧PMA之间的运动内网络的功能连通性显著高于低频rtms组。结论:高频rtms和低频rtms对皮质下脑卒中患者的运动恢复均有积极作用,并能促进运动网络的重组。高频rtms可能更有助于同侧运动网络的功能连接重组,对运动恢复有更大的益处。
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引用次数: 15
Gamma Oscillations Facilitate Effective Learning in Excitatory-Inhibitory Balanced Neural Circuits. 伽马振荡促进兴奋抑制平衡神经回路的有效学习
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6668175
Kwan Tung Li, Junhao Liang, Changsong Zhou

Gamma oscillation in neural circuits is believed to associate with effective learning in the brain, while the underlying mechanism is unclear. This paper aims to study how spike-timing-dependent plasticity (STDP), a typical mechanism of learning, with its interaction with gamma oscillation in neural circuits, shapes the network dynamics properties and the network structure formation. We study an excitatory-inhibitory (E-I) integrate-and-fire neuronal network with triplet STDP, heterosynaptic plasticity, and a transmitter-induced plasticity. Our results show that the performance of plasticity is diverse in different synchronization levels. We find that gamma oscillation is beneficial to synaptic potentiation among stimulated neurons by forming a special network structure where the sum of excitatory input synaptic strength is correlated with the sum of inhibitory input synaptic strength. The circuit can maintain E-I balanced input on average, whereas the balance is temporal broken during the learning-induced oscillations. Our study reveals a potential mechanism about the benefits of gamma oscillation on learning in biological neural circuits.

神经回路中的γ振荡被认为与大脑的有效学习有关,但其潜在机制尚不清楚。本文旨在研究尖峰计时依赖可塑性(STDP)这一典型的学习机制如何与神经回路中的γ振荡相互作用,形成网络动力学特性和网络结构。我们研究了一个具有三重 STDP、异突触可塑性和递质诱导可塑性的兴奋-抑制(E-I)整合-发射神经元网络。我们的研究结果表明,在不同的同步水平下,可塑性的表现各不相同。我们发现伽马振荡有利于受刺激神经元之间的突触电位,因为它形成了一种特殊的网络结构,即兴奋性输入突触强度总和与抑制性输入突触强度总和相关。该电路能平均维持E-I平衡输入,而在学习诱导的振荡中,这种平衡会在时间上被打破。我们的研究揭示了伽马振荡对生物神经回路学习的潜在机制。
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引用次数: 0
Excitability and Threshold Mechanism for Enhanced Neuronal Response Induced by Inhibition Preceding Excitation. 抑制先于兴奋诱导神经元反应增强的兴奋性和阈值机制
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6692411
Hanqing Ma, Bing Jia, Yuye Li, Huaguang Gu

Postinhibitory facilitation (PIF) of neural firing presents a paradoxical phenomenon that the inhibitory effect induces enhancement instead of reduction of the firing activity, which plays important roles in sound location of the auditory nervous system, awaited theoretical explanations. In the present paper, excitability and threshold mechanism for the PIF phenomenon is presented in the Morris-Lecar model with type I, II, and III excitabilities. Firstly, compared with the purely excitatory stimulations applied to the steady state, the inhibitory preceding excitatory stimulation to form pairs induces the firing rate increased for type II and III excitabilities instead of type I excitability, when the interval between the inhibitory and excitatory stimulation within each pair is suitable. Secondly, the threshold mechanism for the PIF phenomenon is acquired. For type II and III excitabilities, the inhibitory stimulation induces subthreshold oscillations around the steady state. During the middle and ending phase of the ascending part and the beginning phase of the descending part within a period of the subthreshold oscillations, the threshold to evoke an action potential by an excitatory stimulation becomes weaker, which is the cause for the PIF phenomenon. Last, a theoretical estimation for the range of the interval between the inhibitory and excitatory stimulation for the PIF phenomenon is acquired, which approximates half of the intrinsic period of the subthreshold oscillations for the relatively strong stimulations and becomes narrower for the relatively weak stimulations. The interval for the PIF phenomenon is much shorter for type III excitability, which is closer to the experiment observation, due to the shorter period of the subthreshold oscillations. The results present the excitability and threshold mechanism for the PIF phenomenon, which provide comprehensive and deep explanations to the PIF phenomenon.

神经发射的抑制后促进(PIF)是一种自相矛盾的现象,即抑制作用会引起发射活动的增强而非减弱,它在听觉神经系统的声音定位中起着重要作用,有待理论解释。本文在具有 I、II 和 III 型兴奋性的 Morris-Lecar 模型中提出了 PIF 现象的兴奋性和阈值机制。首先,与稳定状态下的纯兴奋性刺激相比,当每对兴奋性刺激中抑制性刺激和兴奋性刺激之间的间隔合适时,抑制性刺激先于兴奋性刺激形成对,会诱导Ⅱ型和Ⅲ型兴奋性的发射率增加,而不是Ⅰ型兴奋性的发射率增加。其次,获得了 PIF 现象的阈值机制。对于 II 型和 III 型兴奋性,抑制性刺激会引起稳定状态附近的阈下振荡。在阈下振荡期间的上升部分的中间和结束阶段以及下降部分的开始阶段,兴奋性刺激唤起动作电位的阈值变弱,这就是 PIF 现象的原因。最后,对 PIF 现象的抑制性刺激和兴奋性刺激之间的时间间隔范围进行了理论估算,在相对强的刺激下,时间间隔近似于阈下振荡固有周期的一半,而在相对弱的刺激下,时间间隔变窄。由于阈下振荡周期较短,III 型兴奋性的 PIF 现象间隔更短,更接近实验观察结果。这些结果提出了 PIF 现象的兴奋性和阈值机制,为 PIF 现象提供了全面而深刻的解释。
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引用次数: 0
The Role of Neuroglial Crosstalk and Synaptic Plasticity-Mediated Central Sensitization in Acupuncture Analgesia. 神经胶质细胞串联和突触可塑性介导的中枢敏化在针刺镇痛中的作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8881557
Zhongxi Lyu, Yongming Guo, Yinan Gong, Wen Fan, Baomin Dou, Ningcen Li, Shenjun Wang, Yuan Xu, Yangyang Liu, Bo Chen, Yi Guo, Zhifang Xu, Xiaowei Lin

Although pain is regarded as a global public health priority, analgesic therapy remains a significant challenge. Pain is a hypersensitivity state caused by peripheral and central sensitization, with the latter considered the culprit for chronic pain. This study summarizes the pathogenesis of central sensitization from the perspective of neuroglial crosstalk and synaptic plasticity and underlines the related analgesic mechanisms of acupuncture. Central sensitization is modulated by the neurotransmitters and neuropeptides involved in the ascending excitatory pathway and the descending pain modulatory system. Acupuncture analgesia is associated with downregulating glutamate in the ascending excitatory pathway and upregulating opioids, 𝛾-aminobutyric acid, norepinephrine, and 5-hydroxytryptamine in the descending pain modulatory system. Furthermore, it is increasingly appreciated that neurotransmitters, cytokines, and chemokines are implicated in neuroglial crosstalk and associated plasticity, thus contributing to central sensitization. Acupuncture produces its analgesic action by inhibiting cytokines, such as interleukin-1β, interleukin-6, and tumor necrosis factor-α, and upregulating interleukin-10, as well as modulating chemokines and their receptors such as CX3CL1/CX3CR1, CXCL12/CXCR4, CCL2/CCR2, and CXCL1/CXCR2. These factors are regulated by acupuncture through the activation of multiple signaling pathways, including mitogen-activated protein kinase signaling (e.g., the p38, extracellular signal-regulated kinases, and c-Jun-N-terminal kinase pathways), which contribute to the activation of nociceptive neurons. However, the responses of chemokines to acupuncture vary among the types of pain models, acupuncture methods, and stimulation parameters. Thus, the exact mechanisms require future clarification. Taken together, inhibition of central sensitization modulated by neuroglial plasticity is central in acupuncture analgesia, providing a novel insight for the clinical application of acupuncture analgesia.

尽管疼痛被视为全球公共卫生的优先事项,但镇痛治疗仍是一项重大挑战。疼痛是一种由外周和中枢敏化引起的超敏状态,后者被认为是慢性疼痛的罪魁祸首。本研究从神经胶质细胞串联和突触可塑性的角度总结了中枢敏化的发病机制,并强调了针灸的相关镇痛机制。中枢敏化受神经递质和神经肽的调节,它们参与了升序兴奋通路和降序疼痛调节系统。针刺镇痛与下调上升兴奋通路中的谷氨酸和上调下降疼痛调节系统中的类阿片、𝛾-氨基丁酸、去甲肾上腺素和 5-羟色胺有关。此外,人们越来越认识到,神经递质、细胞因子和趋化因子与神经胶质细胞的串联和相关可塑性有关,因此有助于中枢敏化。针灸通过抑制白细胞介素-1β、白细胞介素-6 和肿瘤坏死因子-α 等细胞因子,上调白细胞介素-10,以及调节趋化因子及其受体,如 CX3CL1/CX3CR1、CXCL12/CXCR4、CCL2/CCR2 和 CXCL1/CXCR2,产生镇痛作用。这些因子通过激活多种信号通路,包括丝裂原活化蛋白激酶信号通路(如p38、细胞外信号调节激酶和c-Jun-N-末端激酶通路)受针刺调节,从而促进痛觉神经元的激活。然而,趋化因子对针灸的反应因疼痛模型类型、针灸方法和刺激参数而异。因此,确切的机制还需要进一步明确。综上所述,神经胶质细胞可塑性对中枢敏化的抑制是针刺镇痛的核心,为针刺镇痛的临床应用提供了新的见解。
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引用次数: 0
The Generation and Modulation of Distinct Gamma Oscillations with Local, Horizontal, and Feedback Connections in the Primary Visual Cortex: A Model Study on Large-Scale Networks. 初级视觉皮层中与局部、水平和反馈连接有关的不同伽马振荡的产生和调制:大规模网络模型研究
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8874516
Chuanliang Han, Tian Wang, Yujie Wu, Yang Li, Yi Yang, Liang Li, Yizheng Wang, Dajun Xing

Gamma oscillation (GAMMA) in the local field potential (LFP) is a synchronized activity commonly found in many brain regions, and it has been thought as a functional signature of network connectivity in the brain, which plays important roles in information processing. Studies have shown that the response property of GAMMA is related to neural interaction through local recurrent connections (RC), feed-forward (FF), and feedback (FB) connections. However, the relationship between GAMMA and long-range horizontal connections (HC) in the brain remains unclear. Here, we aimed to understand this question in a large-scale network model for the primary visual cortex (V1). We created a computational model composed of multiple excitatory and inhibitory units with biologically plausible connectivity patterns for RC, FF, FB, and HC in V1; then, we quantitated GAMMA in network models at different strength levels of HC and other connection types. Surprisingly, we found that HC and FB, the two types of large-scale connections, play very different roles in generating and modulating GAMMA. While both FB and HC modulate a fast gamma oscillation (around 50-60 Hz) generated by FF and RC, HC generates a new GAMMA oscillating around 30 Hz, whose power and peak frequency can also be modulated by FB. Furthermore, response properties of the two GAMMAs in a network with both HC and FB are different in a way that is highly consistent with a recent experimental finding for distinct GAMMAs in macaque V1. The results suggest that distinct GAMMAs are signatures for neural connections in different spatial scales and they might be related to different functions for information integration. Our study, for the first time, pinpoints the underlying circuits for distinct GAMMAs in a mechanistic model for macaque V1, which might provide a new framework to study multiple gamma oscillations in other cortical regions.

局部场电位(LFP)中的伽马振荡(GAMMA)是一种常见于许多脑区的同步活动,它被认为是大脑中网络连接的功能特征,在信息处理中发挥着重要作用。研究表明,GAMMA 的响应特性与通过局部递归连接(RC)、前馈连接(FF)和反馈连接(FB)进行的神经交互有关。然而,GAMMA 与大脑长程水平连接(HC)之间的关系仍不清楚。在这里,我们的目的是在初级视觉皮层(V1)的大规模网络模型中了解这一问题。我们创建了一个由多个兴奋和抑制单元组成的计算模型,该模型中V1的RC、FF、FB和HC具有生物学上可信的连接模式;然后,我们对网络模型中不同强度水平的HC和其他连接类型的GAMMA进行了量化。令人惊讶的是,我们发现 HC 和 FB 这两种大规模连接类型在产生和调节 GAMMA 的过程中发挥着截然不同的作用。FB和HC都能调节由FF和RC产生的快速伽马振荡(约50-60赫兹),而HC则能产生约30赫兹的新伽马振荡,其功率和峰值频率也可由FB调节。此外,在同时具有 HC 和 FB 的网络中,两种 GAMMA 的响应特性是不同的,这与最近在猕猴 V1 中发现的不同 GAMMA 的实验结果高度一致。这些结果表明,不同的 GAMMA 是不同空间尺度神经连接的特征,它们可能与不同的信息整合功能有关。我们的研究首次在猕猴V1的机理模型中指出了不同GAMMAs的基础回路,这可能为研究其他皮层区域的多重伽马振荡提供了一个新的框架。
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引用次数: 0
Pharmacological Neuroenhancement: Current Aspects of Categorization, Epidemiology, Pharmacology, Drug Development, Ethics, and Future Perspectives. 药理神经强化:当前的分类、流行病学、药理学、药物开发、伦理和未来展望。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-01-13 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8823383
Johanna Daubner, Muhammad Imran Arshaad, Christina Henseler, Jürgen Hescheler, Dan Ehninger, Karl Broich, Oliver Rawashdeh, Anna Papazoglou, Marco Weiergräber

Recent pharmacoepidemiologic studies suggest that pharmacological neuroenhancement (pNE) and mood enhancement are globally expanding phenomena with distinctly different regional characteristics. Sociocultural and regulatory aspects, as well as health policies, play a central role in addition to medical care and prescription practices. The users mainly display self-involved motivations related to cognitive enhancement, emotional stability, and adaptivity. Natural stimulants, as well as drugs, represent substance abuse groups. The latter comprise purines, methylxanthines, phenylethylamines, modafinil, nootropics, antidepressants but also benzodiazepines, β-adrenoceptor antagonists, and cannabis. Predominant pharmacodynamic target structures of these substances are the noradrenergic/dopaminergic and cholinergic receptor/transporter systems. Further targets comprise adenosine, serotonin, and glutamate receptors. Meta-analyses of randomized-controlled studies in healthy individuals show no or very limited verifiability of positive effects of pNE on attention, vigilance, learning, and memory. Only some members of the substance abuse groups, i.e., phenylethylamines and modafinil, display positive effects on attention and vigilance that are comparable to caffeinated drinks. However, the development of new antidementia drugs will increase the availability and the potential abuse of pNE. Social education, restrictive regulatory measures, and consistent medical prescription practices are essential to restrict the phenomenon of neuroenhancement with its social, medical, and ethical implications. This review provides a comprehensive overview of the highly dynamic field of pharmacological neuroenhancement and elaborates the dramatic challenges for the medical, sociocultural, and ethical fundaments of society.

最近的药物流行病学研究表明,药理神经强化(pNE)和情绪强化是一种全球性的现象,具有明显不同的地区特征。除医疗保健和处方实践外,社会文化和监管方面以及卫生政策也发挥着核心作用。使用者主要表现出与认知增强、情绪稳定和适应能力有关的自我参与动机。天然兴奋剂和毒品是药物滥用群体的代表。后者包括嘌呤、甲基黄嘌呤、苯乙胺、莫达非尼、促智药、抗抑郁药以及苯二氮卓、β-肾上腺素受体拮抗剂和大麻。这些物质的主要药效学靶标结构是去甲肾上腺素能/多巴胺能和胆碱能受体/转运系统。其他靶点包括腺苷、5-羟色胺和谷氨酸受体。对健康人进行的随机对照研究的元分析表明,五羟色胺对注意力、警觉性、学习和记忆力的积极影响没有或非常有限。只有一些药物滥用类药物,即苯乙胺类药物和莫达非尼类药物对注意力和警觉性的积极影响可与含咖啡因的饮料相媲美。然而,新型抗痴呆药物的开发将增加苯乙胺的供应量和潜在的滥用可能性。社会教育、限制性监管措施和一致的医疗处方做法对于限制神经增强现象及其社会、医疗和伦理影响至关重要。本综述全面概述了极具活力的药理神经强化领域,并阐述了该领域对医疗、社会文化和社会伦理基础的巨大挑战。
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引用次数: 0
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