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LANCL1 as the Key Immune Marker in Neuropathic Pain LANCL1作为神经性疼痛的关键免疫标志物
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-25 DOI: 10.1155/2022/9762244
Yu Shi, Xuefei Zhang, Q. Fang, Hongrui Zhan, Xianglong Wang, Xi-yan Huang, Tao Fan, Wei Liu, Wen-Tao Wu
Objective This study is to explore key immune markers and changes of immune microenvironment in neuropathic pain (NeuP). Method The data sets of GSE145199 and GSE145226 in Gene Expression Omnibus (GEO) database was used to analyze, and the key immune markers were verified by GSE70006 and GSE91396, and the infiltration degree of immune cells in different samples were analyzed by CIBERSORT analysis package. Results In this study, we found a key immune marker, namely, LANCL1. Regulatory axis closely related to LANCL1 has also been found, namely, miR-6325/LANCL1 axis. In the immune infiltration analysis, we also found that the LANCL1 is positively correlated with T cells CD4 naïve (r = 0.880, p < 0.05). Conclusion In this study, we found that LANCL1 may be a protective factor for NeuP, and the miR-6325/LANCL1 axis may be involved in the occurrence and development of NeuP. Cascade reactions including mast cells, macrophages, and T cells may be an important reason for the aggravation of nerve damage.
目的探讨神经性疼痛(NeuP)的关键免疫标志物及免疫微环境的变化。方法利用GEO数据库中GSE145199和GSE145226的数据集进行分析,通过GSE70006和GSE91396对关键免疫标记进行验证,并通过CIBERSORT分析包分析不同样品中免疫细胞的浸润程度。结果在本研究中,我们发现了一个关键的免疫标记,即LANCL1。还发现了与LANCL1密切相关的调控轴,即miR-6325/LANCL1轴。在免疫浸润分析中,我们还发现LANCL1与T细胞CD4 naïve呈正相关(r = 0.880, p < 0.05)。在本研究中,我们发现LANCL1可能是NeuP的保护因子,miR-6325/LANCL1轴可能参与了NeuP的发生发展。包括肥大细胞、巨噬细胞和T细胞在内的级联反应可能是神经损伤加重的重要原因。
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引用次数: 2
Revealing the Neuroimaging Mechanism of Acupuncture for Poststroke Aphasia: A Systematic Review 揭示针刺治疗脑卒中后失语的神经影像学机制:系统综述
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-21 DOI: 10.1155/2022/5635596
Boxuan Li, Shizhe Deng, Bo-lin Sang, Weiming Zhu, Bifang Zhuo, Menglong Zhang, Chenyang Qin, Yuanhao Lyu, Yuzheng Du, Zhihong Meng
Background Aphasia is a common symptom in stroke patients, presenting with the impairment of spontaneous speech, repetition, naming, auditory comprehension, reading, and writing function. Multiple rehabilitation methods have been suggested for the recovery of poststroke aphasia, including medication treatment, behavioral therapy, and stimulation approach. Acupuncture has been proven to have a beneficial effect on improving speech functions in repetition, oral speech, reading, comprehension, and writing ability. Neuroimaging technology provides a visualized way to explore cerebral neural activity, which helps reveal the therapeutic effect of acupuncture therapy. In this systematic review, we aim to reveal and summarize the neuroimaging mechanism of acupuncture therapy on poststroke aphasia to provide the foundation for further study. Methods Seven electronic databases were searched including PubMed, Web of Science, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, the Wanfang databases, and the Chinese Scientific Journal Database. After screening the studies according to the inclusion and exclusion criteria, we summarized the neuroimaging mechanism of acupuncture on poststroke aphasia, as well as the utilization of acupuncture therapy and the methodological characteristics. Result After searching, 885 articles were retrieved. After removing the literature studies, animal studies, and case reports, 16 studies were included in the final analysis. For the acupuncture type, 10 studies used manual acupuncture and 5 studies used electroacupuncture, while body acupuncture (10 studies), scalp acupuncture (7 studies), and tongue acupuncture (8 studies) were applied for poststroke aphasia patients. Based on blood oxygen level-dependent (BOLD) and diffusion tensor imaging (DTI) technologies, 4 neuroimaging analysis methods were used including amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), seed-based analysis, and independent component analysis (ICA). Two studies reported the instant acupuncture effect, and 14 studies reported the constant acupuncture's effect on poststroke aphasia patients. 5 studies analyzed the correlation between the neuroimaging outcomes and the clinical language scales. Conclusion In this systematic review, we found that the mechanism of acupuncture's effect might be associated with the activation and functional connectivity of language-related brain areas, such as brain areas around Broca's area and Wernicke's area in the left inferior temporal gyrus, supramarginal gyrus, middle frontal gyrus, and inferior frontal gyrus. However, these studies were still in the preliminary stage. Multicenter randomized controlled trials (RCT) with large sample sizes were needed to verify current evidence, as well as to explore deeply the neuroimaging mechanisms of acupuncture's effects.
失语是脑卒中患者的常见症状,表现为自发言语、重复、命名、听觉理解、阅读和写作功能的损害。脑卒中后失语症的康复有多种方法,包括药物治疗、行为治疗和刺激治疗。针灸已被证明对提高重复、口语、阅读、理解和写作能力的语言功能有有益的影响。神经成像技术提供了一种可视化的方法来探索大脑神经活动,有助于揭示针灸治疗的治疗效果。本综述旨在揭示和总结针刺治疗脑卒中后失语的神经影像学机制,为进一步研究提供基础。方法检索PubMed、Web of Science、Embase、Cochrane中央对照试验库、中国国家知识基础设施、万方数据库、中国科学期刊数据库等7个电子数据库。根据纳入标准和排除标准对研究进行筛选后,总结针刺治疗脑卒中后失语的神经影像学机制、针刺治疗的应用及方法学特点。结果检索到文献885篇。在剔除文献研究、动物研究和病例报告后,16项研究被纳入最终分析。针刺类型采用手针10项,电针5项,体针(10项)、头皮针(7项)、舌针(8项)治疗脑卒中后失语症。基于血氧水平依赖(BOLD)和扩散张量成像(DTI)技术,采用低频波动幅度(ALFF)、区域均匀性(ReHo)、种子分析(seed-based analysis)和独立成分分析(ICA) 4种神经影像学分析方法。两项研究报告了即时针灸效果,14项研究报告了持续针灸对中风后失语症患者的影响。5项研究分析了神经影像学结果与临床语言量表的相关性。结论针刺的作用机制可能与左颞下回、边缘上回、额中回、额下回等与语言相关的脑区Broca’s区和Wernicke’s区周围的脑区激活和功能连接有关。然而,这些研究仍处于初步阶段。需要大样本量的多中心随机对照试验(RCT)来验证现有证据,并深入探讨针刺作用的神经影像学机制。
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引用次数: 4
Dexmedetomidine Mitigates Microglial Activation Associated with Postoperative Cognitive Dysfunction by Modulating the MicroRNA-103a-3p/VAMP1 Axis 右美托咪定通过调节MicroRNA-103a-3p/VAMP1轴减轻与术后认知功能障碍相关的小胶质细胞激活
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-19 DOI: 10.1155/2022/1353778
Zhichao Wu, Han Wang, Zuan Shi, Yalan Li
Surgery-induced microglial activation is critical in mediating postoperative cognitive dysfunction (POCD) in elderly patients, where the important protective effect of dexmedetomidine has been indicated. However, the mechanisms of action of dexmedetomidine during the neuroinflammatory response that underlies POCD remain largely unknown. We found that lipopolysaccharide (LPS) induced substantial inflammatory responses in primary and BV2 microglial cells. The screening of differentially expressed miRNAs revealed that miR-103a-3p was downregulated in these cell culture models. Overexpression of miR-103a-3p mimics and inhibitors suppressed and enhanced the release of inflammatory factors, respectively. VAMP1 expression was upregulated in LPS-treated primary and BV-2 microglial cells, and it was validated as a downstream target of miR-103-3p. VAMP1-knockdown significantly inhibited the LPS-induced inflammatory response. Dexmedetomidine treatment markedly inhibited LPS-induced inflammation and the expression of VAMP1, and miR-103a-3p expression reversed this inhibition. Moreover, dexmedetomidine mitigated microglial activation and the associated inflammatory response in a rat model of surgical trauma that mimicked POCD. In this model, dexmedetomidine reversed miR-103a-3p and VAMP1 expression; this effect was abolished by miR-103a-3p overexpression. Taken together, the data show that miR-103a-3p/VAMP1 is critical for surgery-induced microglial activation of POCD.
手术诱导的小胶质细胞激活是介导老年患者术后认知功能障碍(POCD)的关键,右美托咪定在这方面具有重要的保护作用。然而,右美托咪定在POCD背后的神经炎症反应中的作用机制在很大程度上仍然未知。我们发现脂多糖(LPS)在原代和BV2小胶质细胞中诱导了大量的炎症反应。筛选差异表达的mirna发现,miR-103a-3p在这些细胞培养模型中下调。过表达miR-103a-3p模拟物和抑制剂分别抑制和增强炎症因子的释放。VAMP1在lps处理的原代和BV-2小胶质细胞中表达上调,并被证实是miR-103-3p的下游靶点。vamp1敲低显著抑制lps诱导的炎症反应。右美托咪定治疗显著抑制lps诱导的炎症和VAMP1的表达,miR-103a-3p的表达逆转了这种抑制。此外,右美托咪定在模拟POCD的手术创伤大鼠模型中减轻了小胶质细胞的激活和相关的炎症反应。在该模型中,右美托咪定逆转了miR-103a-3p和VAMP1的表达;过表达miR-103a-3p可消除这种作用。综上所述,数据表明miR-103a-3p/VAMP1对于手术诱导的POCD小胶质细胞激活至关重要。
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引用次数: 2
Growth Hormone Increases BDNF and mTOR Expression in Specific Brain Regions after Photothrombotic Stroke in Mice 生长激素增加小鼠光血栓性中风后特定脑区BDNF和mTOR的表达
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-15 DOI: 10.1155/2022/9983042
Sonia Sanchez-Bezanilla, Daniel J. Beard, R. Hood, N. Åberg, P. Crock, F. Walker, M. Nilsson, J. Isgaard, L. Ong
Aims We have shown that growth hormone (GH) treatment poststroke increases neuroplasticity in peri-infarct areas and the hippocampus, improving motor and cognitive outcomes. We aimed to explore the mechanisms of GH treatment by investigating how GH modulates pathways known to induce neuroplasticity, focusing on association between brain-derived neurotrophic factor (BDNF) and mammalian target of rapamycin (mTOR) in the peri-infarct area, hippocampus, and thalamus. Methods Recombinant human growth hormone (r-hGH) or saline was delivered (0.25 μl/hr, 0.04 mg/day) to mice for 28 days, commencing 48 hours after photothrombotic stroke. Protein levels of pro-BDNF, total-mTOR, phosphorylated-mTOR, total-p70S6K, and phosporylated-p70S6K within the peri-infarct area, hippocampus, and thalamus were evaluated by western blotting at 30 days poststroke. Results r-hGH treatment significantly increased pro-BDNF in peri-infarct area, hippocampus, and thalamus (p < 0.01). r-hGH treatment significantly increased expression levels of total-mTOR in the peri-infarct area and thalamus (p < 0.05). r-hGH treatment significantly increased expression of total-p70S6K in the hippocampus (p < 0.05). Conclusion r-hGH increases pro-BDNF within the peri-infarct area and regions that are known to experience secondary neurodegeneration after stroke. Upregulation of total-mTOR protein expression in the peri-infarct and thalamus suggests that this might be a pathway that is involved in the neurorestorative effects previously reported in these animals and warrants further investigation. These findings suggest region-specific mechanisms of action of GH treatment and provide further understanding for how GH treatment promotes neurorestorative effects after stroke.
我们已经证明,脑卒中后生长激素(GH)治疗增加了梗死周围区域和海马的神经可塑性,改善了运动和认知结果。我们的目的是通过研究生长激素如何调节已知的诱导神经可塑性的途径来探索生长激素的治疗机制,重点研究脑源性神经营养因子(BDNF)和哺乳动物雷帕霉素靶蛋白(mTOR)在梗死周围区、海马和丘脑中的关联。方法在光血栓性脑卒中后48 h,给药小鼠重组人生长激素(r-hGH)或生理盐水(0.25 μl/hr, 0.04 mg/day) 28 d。脑卒中后30天,采用western blotting检测梗死周围区、海马和丘脑中pro-BDNF、总mtor、磷酸化mtor、总p70s6k和磷酸化p70s6k的蛋白水平。结果r-hGH显著提高了梗死周围区、海马和丘脑中bdnf的表达(p < 0.01)。r-hGH显著提高梗死周围区和丘脑总mtor表达水平(p < 0.05)。r-hGH处理显著增加海马总p70s6k的表达(p < 0.05)。结论r-hGH增加脑卒中后梗死周围区域和已知发生继发性神经退行性变的区域的bdnf。梗死周围和丘脑中总mtor蛋白表达的上调表明,这可能是一种参与先前在这些动物中报道的神经恢复作用的途径,值得进一步研究。这些发现提示了生长激素治疗的区域特异性作用机制,并为生长激素治疗如何促进脑卒中后神经恢复作用提供了进一步的理解。
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引用次数: 1
Cognitive Dysfunction following Cerebellar Stroke: Insights Gained from Neuropsychological and Neuroimaging Research 脑卒中后的认知功能障碍:从神经心理学和神经影像学研究中获得的见解
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-15 DOI: 10.1155/2022/3148739
Qi Liu, Chang-bin Liu, Yu Chen, Yumei Zhang
Although the cerebellum has been consistently noted in the process of cognition, the pathophysiology of this link is still under exploration. Cerebellar stroke, in which the lesions are focal and limited, provides an appropriate clinical model disease for studying the role of the cerebellum in the cognitive process. This review article targeting the cerebellar stroke population (1) describes a cognitive impairment profile, (2) identifies the cerebellar structural alterations linked to cognition, and (3) reveals possible mechanisms of cerebellar cognition using functional neuroimaging. The data indicates the disruption of the cerebro-cerebellar loop in cerebellar stroke and its contribution to cognitive dysfunctions. And the characteristic of cognitive deficits are mild, span a broad spectrum, dominated by executive impairment. The consideration of these findings could contribute to deeper and more sophisticated insights into the cognitive function of the cerebellum and might provide a novel approach to cognitive rehabilitation. The goal of this review is to spread awareness of cognitive impairments in cerebellar disorders.
虽然小脑在认知过程中一直被注意到,但这种联系的病理生理学仍在探索中。小脑卒中的病变是局灶性和局限性的,为研究小脑在认知过程中的作用提供了一种合适的临床模型疾病。这篇针对小脑卒中人群的综述文章(1)描述了认知障碍概况,(2)确定了与认知相关的小脑结构改变,(3)利用功能性神经影像学揭示了小脑认知的可能机制。数据表明小脑卒中中脑-小脑回路的破坏及其对认知功能障碍的贡献。认知缺陷的特征是轻微的,范围广泛,以执行能力障碍为主。对这些发现的考虑可能有助于对小脑的认知功能有更深入和更复杂的了解,并可能为认知康复提供一种新的方法。这篇综述的目的是传播认知障碍在小脑疾病的认识。
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引用次数: 4
Enriched Environment Effects on Myelination of the Central Nervous System: Role of Glial Cells 富集环境对中枢神经系统髓鞘形成的影响:胶质细胞的作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-14 DOI: 10.1155/2022/5766993
Zhen-Kun Gao, Xin-Ya Shen, Yu Han, Yi-Sha Guo, Mei Yuan, Xia Bi
Myelination is regulated by various glial cells in the central nervous system (CNS), including oligodendrocytes (OLs), microglia, and astrocytes. Myelination of the CNS requires the generation of functionally mature OLs from OPCs. OLs are the myelin-forming cells in the CNS. Microglia play both beneficial and detrimental roles during myelin damage and repair. Astrocyte is responsible for myelin formation and regeneration by direct interaction with oligodendrocyte lineage cells. These glial cells are influenced by experience-dependent activities such as environmental enrichment (EE). To date, there are few studies that have investigated the association between EE and glial cells. EE with a complex combination of sensorimotor, cognitive, and social stimulation has a significant effect on cognitive impairment and brain plasticity. Hence, one mechanism through EE improving cognitive function may rely on the mutual effect of EE and glial cells. The purpose of this paper is to review recent research into the efficacy of EE for myelination and glial cells at cellular and molecular levels and offers critical insights for future research directions of EE and the treatment of EE in cognitive impairment disease.
髓鞘形成受中枢神经系统(CNS)中多种胶质细胞的调控,包括少突胶质细胞(OLs)、小胶质细胞和星形胶质细胞。中枢神经系统的髓鞘形成需要OPCs生成功能成熟的ol。ol是中枢神经系统中的髓磷脂形成细胞。小胶质细胞在髓磷脂损伤和修复过程中起着有益和有害的作用。星形胶质细胞通过与少突胶质细胞系细胞的直接相互作用,负责髓磷脂的形成和再生。这些神经胶质细胞受到经验依赖活动的影响,如环境富集(EE)。迄今为止,很少有研究调查情感表达与神经胶质细胞之间的关系。情感表达与感觉运动、认知和社会刺激的复杂组合对认知障碍和大脑可塑性有显著影响。因此,情感表达改善认知功能的一种机制可能依赖于情感表达和神经胶质细胞的相互作用。本文旨在从细胞和分子水平综述近期关于情感表达对髓鞘细胞和胶质细胞的作用的研究,并为情感表达未来的研究方向以及情感表达在认知障碍疾病中的治疗提供重要见解。
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引用次数: 3
Identifying Key Biomarkers and Immune Infiltration in Female Patients with Ischemic Stroke Based on Weighted Gene Co-Expression Network Analysis 基于加权基因共表达网络分析的女性缺血性卒中患者关键生物标志物和免疫浸润识别
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-08 DOI: 10.1155/2022/5379876
Haipeng Xu, Kelin He, Rong Hu, Yanzhi Ge, Xinyun Li, F. Ni, Bei Que, Yi Chen, Ruijie Ma
Stroke is one of the leading causes of death and disability worldwide. Evidence shows that ischemic stroke (IS) accounts for nearly 80 percent of all strokes and that the etiology, risk factors, and prognosis of this disease differ by gender. Female patients may bear a greater burden than male patients. The immune system may play an important role in the pathophysiology of females with IS. Therefore, it is critical to investigate the key biomarkers and immune infiltration of female IS patients to develop effective treatment methods. Herein, we used weighted gene co-expression network analysis (WGCNA) to determine the key modules and core genes in female IS patients using the GSE22255, GSE37587, and GSE16561 datasets from the GEO database. Subsequently, we performed functional enrichment analysis and built a protein-protein interaction (PPI) network. Ten genes were selected as the true central genes for further investigation. After that, we explored the specific molecular and biological functions of these hub genes to gain a better understanding of the underlying pathogenesis of female IS patients. Moreover, the “Cell type Identification by Estimating Relative Subsets of RNA Transcripts (CIBERSORT)” was used to examine the distribution pattern of immune subtypes in female patients with IS and normal controls, revealing a new potential target for clinical treatment of the disease.
中风是全世界导致死亡和残疾的主要原因之一。有证据表明,缺血性中风(IS)占所有中风的近80%,其病因、危险因素和预后因性别而异。女性患者可能比男性患者承受更大的负担。免疫系统可能在IS女性的病理生理中发挥重要作用。因此,研究女性is患者的关键生物标志物和免疫浸润对制定有效的治疗方法至关重要。本文采用加权基因共表达网络分析(WGCNA),利用GEO数据库中的GSE22255、GSE37587和GSE16561数据集,确定女性IS患者的关键模块和核心基因。随后,我们进行了功能富集分析,并建立了蛋白质-蛋白质相互作用(PPI)网络。选出10个基因作为真正的中心基因进行进一步研究。之后,我们探索了这些枢纽基因的特定分子和生物学功能,以更好地了解女性IS患者的潜在发病机制。此外,利用“Cell type Identification by Estimating Relative Subsets of RNA Transcripts (CIBERSORT)”检测女性IS患者和正常对照中免疫亚型的分布模式,揭示了临床治疗该疾病的新的潜在靶点。
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引用次数: 2
The Role of the P1 Latency in Auditory and Speech Performance Evaluation in Cochlear Implanted Children P1潜伏期在人工耳蜗植入儿童听觉和言语表现评价中的作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-05 DOI: 10.1155/2022/6894794
Shan Xiong, Liwei Jiang, Yu Wang, T. Pan, Furong Ma
Auditory deprivation affects normal age-related changes in the central auditory maturation. Cochlear implants (CIs) have already become the best treatment strategy for severe to profound hearing impairment. However, it is still hard to evaluate the speech-language outcomes of the pediatric CI recipients because of hearing-impaired children with limited speech-language abilities. The cortical auditory evoked potential (CAEP) provides a window into the development of the auditory cortical pathways. This preliminary study is aimed at assessing electrophysical characteristics of P1-N1 of electrically CAEP in children with CIs and at exploring whether these changes could be accounted for in auditory and speech outcomes of these patients. CAEP responses were recorded in 48 children with CIs in response to electrical stimulus to determine the presence of the P1-N1 response. Speech perception and speech intelligibility of the implanted children were further evaluated with the categories of auditory performance (CAP) test and speech intelligibility rating (SIR) test, respectively, to explore the relationship between the latency of P1-N1 and auditory and speech performance. This study found that P1 and N1 of the intracochlear CAEP were reliably evoked in children fitted with CIs and that the latency of the P1 as opposed to that of N1 was negative in relation to the wearing time of the cochlear implant. Moreover, the latency of the P1 produced significantly negative scores in both CAP and SIR tests, which indicates that P1 latency may be reflective of the auditory performance and speech intelligibility of pediatric CI recipients. These results suggest that the latency of P1 could be used for the objective assessment of auditory and speech function evaluation in cochlear-implanted children, which would be helpful in clinical decision-making regarding intervention for young hearing-impaired children.
听觉剥夺影响正常年龄相关的中枢听觉成熟变化。人工耳蜗(CIs)已经成为重度到重度听力障碍的最佳治疗策略。然而,由于听力受损的儿童语言能力有限,因此评估儿童CI接受者的语言结果仍然很困难。皮层听觉诱发电位(CAEP)为研究听觉皮层通路的发育提供了一个窗口。本初步研究旨在评估CIs患儿电CAEP P1-N1的电物理特征,并探讨这些变化是否可以解释这些患者的听觉和言语预后。记录48例CIs患儿对电刺激的CAEP反应,以确定是否存在P1-N1反应。采用听力表现(CAP)测试和言语可理解性评分(SIR)测试分别对植入儿童的言语感知和言语可理解性进行评估,探讨P1-N1潜伏期与听觉和言语表现的关系。本研究发现,耳蜗内CAEP的P1和N1在安装CIs的儿童中被可靠地诱发,并且P1的潜伏期相对于N1的潜伏期与人工耳蜗佩戴时间呈负相关。此外,P1潜伏期在CAP和SIR测试中均产生显著负得分,这表明P1潜伏期可能反映了儿童CI受者的听觉表现和言语可理解性。上述结果提示,P1潜伏期可用于客观评价人工耳蜗植入儿童的听觉和言语功能评价,有助于临床对幼龄听障儿童进行干预决策。
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引用次数: 2
BMRMI Reduces Depressive Rumination Possibly through Improving Abnormal FC of Dorsal ACC BMRMI可能通过改善背侧ACC异常FC来减轻抑郁反刍
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-04-04 DOI: 10.1155/2022/8068988
Ming-hao Yang, Zhiqiang Guo, Xueyu Lv, Zhu-Qing Zhang, Wei-dong Wang, Jian Wang, L. Hong, Ying-Na Lin, ChunTing Liu
Rumination is a common symptom of major depressive disorder (MDD) and has been characterized as a vulnerability factor for the onset or recurrence of MDD. However, the neurobiological mechanisms underlying rumination and appropriate treatment strategies remain unclear. In the current study, we used resting-state functional magnetic resonance imaging to investigate the effects of body-mind relaxation meditation induction (BMRMI) intervention in MDD with rumination. To this aim, we have recruited 25 MDD and 24 healthy controls (HCs). Changes in functional connectivity (FC) of the anterior cingulate cortex (ACC) subregion and the scores of clinical measurements were examined using correlation analysis. At baseline, MDD showed stronger FC between the right dorsal ACC (dACC) and right superior frontal gyrus than did the HC group. Compared to baseline, the HC group showed a significantly enhanced FC between the right dACC and right superior frontal gyrus, and the MDD group demonstrated a significantly weaker FC between the left dACC and right middle frontal gyrus (MFG) after the intervention. Furthermore, the FC between the right dACC and right superior frontal gyrus was positively associated with rumination scores across all participants at baseline. The above results indicate that BMRMI may regulate self-referential processing and cognitive function through modulating FC of the dACC in MDD with rumination.
反刍是重度抑郁障碍(MDD)的常见症状,被认为是MDD发病或复发的易感因素。然而,反刍的神经生物学机制和适当的治疗策略仍不清楚。本研究采用静息状态功能磁共振成像技术,探讨身心放松冥想诱导(BMRMI)干预对重度抑郁症伴反刍的影响。为此,我们招募了25名重度抑郁症患者和24名健康对照者。采用相关分析方法检测前扣带皮层(ACC)亚区功能连通性(FC)的变化与临床测量得分的关系。在基线时,MDD显示右侧背侧ACC (dACC)和右侧额上回之间的FC比HC组更强。与基线相比,HC组干预后右侧dACC与右侧额上回之间的FC显著增强,MDD组干预后左侧dACC与右侧额上回(MFG)之间FC显著减弱。此外,在所有参与者中,在基线时,右dACC和右额上回之间的FC与反刍得分呈正相关。上述结果表明,BMRMI可能通过调节MDD伴反刍的dACC的FC来调节自我参照加工和认知功能。
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引用次数: 1
Arterial Tortuosity and Its Correlation with White Matter Hyperintensities in Acute Ischemic Stroke 急性缺血性脑卒中动脉扭曲及其与白质高信号的相关性
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-03-24 DOI: 10.1155/2022/4280410
Ke Shang, Xiao Chen, Chang Cheng, Xiang Luo, Shabei Xu, Wei Wang, Chenchen Liu
Introduction The association between arterial tortuosity and acute ischemic stroke (AIS) has been reported, but showing inconsistent results. We hypothesized that tortuosity of extra- and intracranial large arteries might be higher in AIS patients. Furthermore, we explored the correlation between artery tortuosity and white matter hyperintensity (WMH) severity in AIS patients. Methods 166 AIS patients identified as large artery atherosclerosis, and 83 control subjects were enrolled. All subjects received three-dimensional computed tomography angiography (CTA). Arterial tortuosity was evaluated using the tortuosity index. WMHs were evaluated using magnetic resonance imaging in all AIS patients. Results AIS patients showed significantly increased arterial tortuosity index relative to controls, including left carotid artery (CA) (p = 0.001), right CA (p < 0.001), left common carotid artery (CCA) (p < 0.001), right CCA (p < 0.001), left internal carotid artery (p = 0.001), right internal carotid artery (p = 0.01), left extracranial internal carotid artery (EICA) (p < 0.001), right EICA (p = 0.01), and vertebral artery dominance (VAD) (p = 0.001). The tortuosity of all above arteries was associated with the presence of AIS. AIS patients with moderate or severe WMHs had a higher tortuosity index in left CA (p = 0.005), left CCA (p = 0.003), left EICA (p = 0.07), and VAD (p = 0.001). In addition, the tortuosity of left EICA and VAD was associated with WMH severity in AIS patients. Conclusions Increased extra- and intracranial large arteries tortuosity is associated with AIS. The tortuosity of left carotid artery system and vertebral artery may be the independent risk factors for WMH severity in AIS patients. Clinical Trial Registration. This trial is registered with NCT03122002 (http://www.clinicaltrials.gov).
动脉扭曲与急性缺血性脑卒中(AIS)之间的关系已有报道,但结果不一致。我们假设AIS患者的颅外和颅内大动脉扭曲程度可能更高。此外,我们探讨了AIS患者动脉扭曲与白质高强度(WMH)严重程度的相关性。方法选取大动脉粥样硬化AIS患者166例,对照组83例。所有受试者均接受三维计算机断层血管造影(CTA)。采用弯曲指数评价动脉弯曲程度。对所有AIS患者的wmh进行磁共振成像评估。结果AIS患者动脉扭曲指数明显高于对照组,包括左颈动脉(CA) (p = 0.001)、右颈动脉(p < 0.001)、左颈总动脉(CCA) (p < 0.001)、右颈总动脉(p < 0.001)、左颈内动脉(p = 0.001)、右颈内动脉(p = 0.01)、左颈颅外动脉(EICA) (p < 0.001)、右颈外动脉(p = 0.01)和椎动脉优势(VAD) (p = 0.001)。所有以上动脉的扭曲都与AIS的存在有关。AIS中重度WMHs患者左CA (p = 0.005)、左CCA (p = 0.003)、左EICA (p = 0.07)、VAD (p = 0.001)扭曲指数较高。此外,AIS患者的左EICA和VAD扭曲程度与WMH严重程度相关。结论颅内外大动脉曲度增加与AIS有关。左侧颈动脉系统和椎动脉的扭曲可能是AIS患者WMH严重程度的独立危险因素。临床试验注册。本试验注册号为NCT03122002 (http://www.clinicaltrials.gov)。
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引用次数: 4
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Neural Plasticity
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