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The Effects of the Biceps Brachii and Brachioradialis on Elbow Flexor Muscle Strength and Spasticity in Stroke Patients 肱二头肌和肱桡肌对脑卒中患者肘关节屈肌力量和痉挛的影响
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-03-02 DOI: 10.1155/2022/1295908
Binbin Yu, Xintong Zhang, Yihui Cheng, Lingling Liu, YanJiang, Jiayue Wang, Xiao Lu
Objective Muscle weakness and spasticity are common consequences of stroke, leading to a decrease in physical activity. The effective implementation of precision rehabilitation requires detailed rehabilitation evaluation. We aimed to analyze the surface electromyography (sEMG) signal features of elbow flexor muscle (biceps brachii and brachioradialis) spasticity in maximum voluntary isometric contraction (MVIC) and fast passive extension (FPE) in stroke patients and to explore the main muscle groups that affect the active movement and spasticity of the elbow flexor muscles to provide an objective reference for optimizing stroke rehabilitation. Methods Fifteen patients with elbow flexor spasticity after stroke were enrolled in this study. sEMG signals of the paretic and nonparetic elbow flexor muscles (biceps and brachioradialis) were detected during MVIC and FPE, and root mean square (RMS) values were calculated. The RMS values (mean and peak) of the biceps and brachioradialis were compared between the paretic and nonparetic sides. Additionally, the correlation between the manual muscle test (MMT) score and the RMS values (mean and peak) of the paretic elbow flexors during MVIC was analyzed, and the correlation between the modified Ashworth scale (MAS) score and the RMS values (mean and peak) of the paretic elbow flexors during FPE was analyzed. Results During MVIC exercise, the RMS values (mean and peak) of the biceps and brachioradialis on the paretic side were significantly lower than those on the nonparetic side (p < 0.01), and the RMS values (mean and peak) of the bilateral biceps were significantly higher than those of the brachioradialis (p < 0.01). The MMT score was positively correlated with the mean and peak RMS values of the paretic biceps and brachioradialis (r = 0.89, r = 0.91, r = 0.82, r = 0.85; p < 0.001). During FPE exercise, the RMS values (mean and peak) of the biceps and brachioradialis on the paretic side were significantly higher than those on the nonparetic side (p < 0.01), and the RMS values (mean and peak) of the brachioradialis on the paretic side were significantly higher than those of the biceps (p < 0.01). TheMAS score was positively correlated with the mean RMS of the paretic biceps and brachioradialis (r = 0.62, p = 0.021; r = 0.74, p = 0.004), and the MAS score was positively correlated with the peak RMS of the paretic brachioradialis (r = 0.59, p = 0.029) but had no significant correlation with the peak RMS of the paretic biceps (r = 0.49, p > 0.05). Conclusions The results confirm that the biceps is a vital muscle in active elbow flexion and that the brachioradialis plays an important role in elbow flexor spasticity, suggesting that the biceps should be the focus of muscle strength training of the elbow flexors and that the role of the brachioradialis should not be ignored in the treatment of elbow flexor spasticity. This study also confirmed the application value of sEMG in the objective assessment of individual
目的:肌肉无力和痉挛是中风的常见后果,导致身体活动减少。精准康复的有效实施需要详细的康复评估。我们旨在分析脑卒中患者肘关节屈肌(肱二头肌和肱桡肌)在最大自主等长收缩(MVIC)和快速被动伸展(FPE)时痉挛的肌表电(sEMG)信号特征,探讨影响肘关节屈肌主动运动和痉挛的主要肌肉群,为优化脑卒中康复提供客观参考。方法对15例脑卒中后肘关节屈肌痉挛患者进行研究。在MVIC和FPE期间检测麻痹性和非麻痹性肘关节屈肌(肱二头肌和肱桡肌)的肌电信号,并计算均方根(RMS)值。比较双亲侧和非双亲侧肱二头肌和肱桡肌的均方根值(平均值和峰值)。此外,分析MVIC过程中手工肌肉测试(MMT)评分与麻痹性屈肘肌RMS值(均值和峰值)的相关性,以及FPE过程中改良Ashworth量表(MAS)评分与麻痹性屈肘肌RMS值(均值和峰值)的相关性。结果MVIC运动时,患侧肱二头肌和肱桡肌的RMS值(平均值和峰值)显著低于非患侧(p < 0.01),双侧肱二头肌的RMS值(平均值和峰值)显著高于肱桡肌(p < 0.01)。MMT评分与肱二头肌和肱桡肌的均方根值和峰方根值呈正相关(r = 0.89, r = 0.91, r = 0.82, r = 0.85;P < 0.001)。在FPE运动中,麻痹侧肱二头肌和肱桡肌的RMS值(平均值和峰值)显著高于非麻痹侧(p < 0.01),麻痹侧肱桡肌的RMS值(平均值和峰值)显著高于肱二头肌(p < 0.01)。TheMAS评分与肱二头肌和肱桡肌的平均RMS呈正相关(r = 0.62, p = 0.021;r = 0.74, p = 0.004), MAS评分与肱桡肌峰值RMS呈正相关(r = 0.59, p = 0.029),与肱二头肌峰值RMS无显著相关(r = 0.49, p > 0.05)。结论肱二头肌是肘关节主动屈曲的重要肌肉,肱桡肌在肘关节屈曲痉挛中起着重要作用,提示肱二头肌应成为肘关节屈曲肌力量训练的重点,在肘关节屈曲痉挛的治疗中不应忽视肱桡肌的作用。本研究也证实了肌电图在脑卒中患者个体肌力和痉挛的客观评价中的应用价值。
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引用次数: 2
Progression in Time of Dentate Gyrus Granule Cell Layer Widening due to Excitotoxicity Occurs along In Vivo LTP Reinstatement and Contextual Fear Memory Recovery 在体内LTP恢复和情境恐惧记忆恢复过程中,兴奋性毒性引起的齿状回颗粒细胞层增宽的时间进展
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-02-22 DOI: 10.21203/rs.3.rs-1344273/v1
Karina Hernández Mercado, Araceli Martínez Moreno, Luis Francisco Rodríguez Durán, M. Escobar, A. Zepeda
The dentate gyrus (DG) is the gateway of sensory information arriving from the perforant pathway (PP) to the hippocampus. The adequate integration of incoming information into the DG is paramount in the execution of hippocampal-dependent cognitive functions. An abnormal DG granule cell layer (GCL) widening due to granule cell dispersion has been reported under hyperexcitation conditions in animal models as well as in patients with mesial temporal lobe epilepsy, but also in patients with no apparent relation to epilepsy. Strikingly, it is unclear whether the presence and severity of GCL widening along time affect synaptic processing arising from the PP and alter the performance in hippocampal-mediated behaviors. To evaluate the above, we injected excitotoxic kainic acid (KA) unilaterally into the DG of mice and analyzed the evolution of GCL widening at 10 and 30 days post injection (dpi), while analyzing if KA-induced GCL widening affected in vivo long-term potentiation (LTP) in the PP-DG pathway, as well as the performance in learning and memory through contextual fear conditioning. Our results show that at 10 dpi, when a subtle GCL widening was observed, LTP induction, as well as contextual fear memory, were impaired. However, at 30 dpi when a pronounced increase in GCL widening was found, LTP induction and contextual fear memory were already reestablished. These results highlight the plastic potential of the DG to recover some of its functions despite a major structural alteration such as abnormal GCL widening.
齿状回(DG)是感觉信息从穿孔通路(PP)到达海马的门户。将传入的信息充分整合到DG中,对于海马体依赖性认知功能的执行至关重要。在动物模型和内侧颞叶癫痫患者中,以及与癫痫无明显关系的患者中,均报道了在高兴奋条件下,由于颗粒细胞弥散而导致的DG颗粒细胞层(GCL)异常增宽。值得注意的是,目前尚不清楚随着时间的推移,GCL增宽的存在和严重程度是否会影响PP引起的突触加工,并改变海马介导行为的表现。为此,我们将兴奋毒性kainic acid (KA)单侧注射到小鼠DG中,分析注射后10天和30天GCL增宽(dpi)的演变,同时分析KA诱导的GCL增宽是否影响PP-DG通路的体内长期增强(LTP),以及通过情境恐惧条件反射影响学习和记忆的表现。我们的研究结果表明,在10 dpi时,当观察到轻微的GCL扩大时,LTP诱导以及情境恐惧记忆受到损害。然而,在30 dpi时,当发现GCL扩大明显增加时,LTP诱导和情境恐惧记忆已经重建。这些结果强调了DG的可塑性潜力,尽管有重大的结构改变,如异常的GCL扩大,但DG仍能恢复其一些功能。
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引用次数: 0
Preferential Involvement of BRCA1/BARD1, Not Tip60/Fe65, in DNA Double-Strand Break Repair in Presenilin-1 P117L Alzheimer Models 早老素-1 P117L阿尔茨海默病模型中DNA双链断裂修复优先参与BRCA1/BARD1,而非Tip60/Fe65
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-02-21 DOI: 10.1155/2022/3172861
Marcella M. Authiat, Emmanuelle Gruz-Gibelli, Julien Colas, E. Bianchi, Marta Garcia-Arauzo, P. Marin, F. Herrmann, A. Savioz
Recently, we showed that DNA double-strand breaks (DSBs) are increased by the Aβ42-amyloid peptide and decreased by all-trans retinoic acid (RA) in SH-SY5Y cells and C57BL/6J mice. The present work was aimed at investigating DSBs in cells and murine models of Alzheimer's disease carrying the preseniline-1 (PS1) P117L mutation. We observed that DSBs could hardly decrease following RA treatment in the mutated cells compared to the wild-type cells. The activation of the amyloidogenic pathway is proposed in the former case as Aβ42- and RA-dependent DSBs changes were reproduced by an α-secretase and a γ-secretase inhibitions, respectively. Unexpectedly, the PS1 P117L cells showed lower DSB levels than the controls. As the DSB repair proteins Tip60 and Fe65 were less expressed in the mutated cell nuclei, they do not appear to contribute to this difference. On the contrary, full-length BRCA1 and BARD1 proteins were significantly increased in the chromatin compartment of the mutated cells, suggesting that they decrease DSBs in the pathological situation. These Western blot data were corroborated by in situ proximity ligation assays: the numbers of BRCA1-BARD1, not of Fe65-Tip60 heterodimers, were increased only in the mutated cell nuclei. RA also enhanced the expression of BARD1 and of the 90 kDa BRCA1 isoform. The increased BRCA1 expression in the mutated cells can be related to the enhanced difficulty to inhibit this pathway by BRCA1 siRNA in these cells. Overall, our study suggests that at earlier stages of the disease, similarly to PS1 P117L cells, a compensatory mechanism exists that decreases DSB levels via an activation of the BRCA1/BARD1 pathway. This supports the importance of this pathway in neuroprotection against Alzheimer's disease.
最近,我们发现在SH-SY5Y细胞和C57BL/6J小鼠中,a - β42淀粉样肽增加了DNA双链断裂(DSBs),全反式维甲酸(RA)减少了DNA双链断裂(DSBs)。目前的工作旨在研究携带早老素-1 (PS1) P117L突变的阿尔茨海默病细胞和小鼠模型中的DSBs。我们观察到,与野生型细胞相比,突变细胞的DSBs在RA治疗后几乎没有减少。在前一种情况下,α-分泌酶和γ-分泌酶分别抑制了a - β42和ra依赖性DSBs的变化,从而提出了淀粉样蛋白生成途径的激活。出乎意料的是,PS1 P117L细胞的DSB水平低于对照组。由于DSB修复蛋白Tip60和Fe65在突变细胞核中的表达较少,因此它们似乎不会导致这种差异。相反,突变细胞的全长BRCA1和BARD1蛋白在染色质室中显著增加,表明它们在病理情况下降低了dsb。这些Western blot数据被原位接近结扎实验证实:BRCA1-BARD1的数量增加,而非Fe65-Tip60异源二聚体的数量,仅在突变细胞核中增加。RA还增强了BARD1和90 kDa BRCA1亚型的表达。突变细胞中BRCA1表达的增加可能与这些细胞中BRCA1 siRNA抑制该途径的难度增加有关。总的来说,我们的研究表明,在疾病的早期阶段,与PS1 P117L细胞类似,存在一种通过激活BRCA1/BARD1途径降低DSB水平的代偿机制。这支持了该通路在抗阿尔茨海默病的神经保护中的重要性。
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引用次数: 3
Deficient Autophagy in Microglia Aggravates Repeated Social Defeat Stress-Induced Social Avoidance 小胶质细胞的自噬缺陷加重了反复的社会失败压力诱导的社会回避
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2022-02-16 DOI: 10.1155/2022/7503553
Mai Sakai, Zhiqian Yu, Ryo Hirayama, Masaomi Nakasato, Yoshie Kikuchi, Chiaki Ono, H. Komatsu, M. Nakanishi, Hatsumi Yoshii, D. Stellwagen, T. Furuyashiki, M. Komatsu, Hiroaki Tomita
Major depressive disorder (MDD) is associated with repeated exposure to environmental stress. Autophagy is activated under various stress conditions that are associated with several diseases in the brain. This study was aimed at elucidating the autophagy signaling changes in the prefrontal cortex (PFC) under repeated social defeat (RSD) to investigate the involvement of microglial autophagy in RSD-induced behavioral changes. We found that RSD stress, an animal model of MDD, significantly induced initial autophagic signals followed by increased transcription of autophagy-related genes (Atg6, Atg7, and Atg12) in the PFC. Similarly, significantly increased transcripts of ATGs (Atg6, Atg7, Atg12, and Atg5) were confirmed in the postmortem PFC of patients with MDD. The protein levels of the prefrontal cortical LC3B were significantly increased, whereas p62 was significantly decreased in the resilient but not in susceptible mice and patients with MDD. This indicates that enhanced autophagic flux may alleviate stress-induced depression. Furthermore, we identified that FKBP5, an early-stage autophagy regulator, was significantly increased in the PFC of resilient mice at the transcript and protein levels. In addition, the resilient mice exhibited enhanced autophagic flux in the prefrontal cortical microglia, and the autophagic deficiency in microglia aggravated RSD-induced social avoidance, indicating that microglial autophagy involves stress-induced behavioral changes.
重度抑郁症(MDD)与反复暴露于环境压力有关。自噬在各种应激条件下被激活,这些应激条件与大脑中的几种疾病有关。本研究旨在阐明反复社交失败(RSD)下前额叶皮层(PFC)自噬信号的变化,以探讨小胶质细胞自噬在RSD诱导的行为改变中的作用。我们发现,MDD动物模型RSD应激显著诱导PFC中初始自噬信号,随后自噬相关基因(Atg6、Atg7和Atg12)转录增加。同样,在MDD患者死后的PFC中,atg (Atg6、Atg7、Atg12和Atg5)转录显著增加。抗抑郁小鼠和重度抑郁症患者的前额叶皮质LC3B蛋白水平显著升高,而p62蛋白水平显著降低,而易感小鼠和重度抑郁症患者的p62蛋白水平则无显著降低。这表明增强的自噬通量可能减轻应激性抑郁。此外,我们发现FKBP5,一种早期自噬调节因子,在弹性小鼠的PFC中转录物和蛋白水平显著增加。此外,弹性小鼠前额皮质小胶质细胞的自噬通量增强,小胶质细胞自噬不足加剧了rsd诱导的社交回避,表明小胶质细胞自噬涉及应激诱导的行为改变。
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引用次数: 18
Molecular Factors Mediating Neural Cell Plasticity Changes in Dementia Brain Diseases. 痴呆性脑疾病中介导神经细胞可塑性变化的分子因子。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-29 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8834645
Wojciech Kozubski, Kevin Ong, Wioletta Waleszczyk, Matthew Zabel, Jolanta Dorszewska

Neural plasticity-the ability to alter a neuronal response to environmental stimuli-is an important factor in learning and memory. Short-term synaptic plasticity and long-term synaptic plasticity, including long-term potentiation and long-term depression, are the most-characterized models of learning and memory at the molecular and cellular level. These processes are often disrupted by neurodegeneration-induced dementias. Alzheimer's disease (AD) accounts for 50% of cases of dementia. Vascular dementia (VaD), Parkinson's disease dementia (PDD), dementia with Lewy bodies (DLB), and frontotemporal dementia (FTD) constitute much of the remaining cases. While vascular lesions are the principal cause of VaD, neurodegenerative processes have been established as etiological agents of many dementia diseases. Chief among such processes is the deposition of pathological protein aggregates in vivo including β-amyloid deposition in AD, the formation of neurofibrillary tangles in AD and FTD, and the accumulation of Lewy bodies composed of α-synuclein aggregates in DLB and PDD. The main symptoms of dementia are cognitive decline and memory and learning impairment. Nonetheless, accurate diagnoses of neurodegenerative diseases can be difficult due to overlapping clinical symptoms and the diverse locations of cortical lesions. Still, new neuroimaging and molecular biomarkers have improved clinicians' diagnostic capabilities in the context of dementia and may lead to the development of more effective treatments. Both genetic and environmental factors may lead to the aggregation of pathological proteins and altered levels of cytokines, such that can trigger the formation of proinflammatory immunological phenotypes. This cascade of pathological changes provides fertile ground for the development of neural plasticity disorders and dementias. Available pharmacotherapy and disease-modifying therapies currently in clinical trials may modulate synaptic plasticity to mitigate the effects neuropathological changes have on cognitive function, memory, and learning. In this article, we review the neural plasticity changes seen in common neurodegenerative diseases from pathophysiological and clinical points of view and highlight potential molecular targets of disease-modifying therapies.

神经可塑性——改变神经元对环境刺激反应的能力——是学习和记忆的重要因素。短期突触可塑性和长期突触可塑性,包括长期增强和长期抑制,是分子和细胞水平上最具特征的学习记忆模型。这些过程经常被神经退行性痴呆打断。阿尔茨海默病(AD)占痴呆症病例的50%。血管性痴呆(VaD)、帕金森病痴呆(PDD)、路易体痴呆(DLB)和额颞叶痴呆(FTD)构成了剩余的大部分病例。虽然血管病变是VaD的主要原因,但神经退行性过程已被确定为许多痴呆疾病的病因。其中最主要的过程是AD中包括β-淀粉样蛋白沉积在内的病理性蛋白聚集体在体内的沉积,AD和FTD中神经原纤维缠结的形成,DLB和PDD中由α-突触核蛋白聚集体组成的路易小体的积累。痴呆症的主要症状是认知能力下降、记忆和学习障碍。然而,由于临床症状的重叠和皮层病变的不同位置,神经退行性疾病的准确诊断可能是困难的。尽管如此,新的神经成像和分子生物标志物已经提高了临床医生对痴呆症的诊断能力,并可能导致更有效治疗方法的发展。遗传和环境因素都可能导致病理蛋白的聚集和细胞因子水平的改变,从而引发促炎免疫表型的形成。这种级联的病理变化为神经可塑性障碍和痴呆的发展提供了肥沃的土壤。目前临床试验中可用的药物治疗和疾病修饰疗法可能调节突触可塑性,以减轻神经病理改变对认知功能、记忆和学习的影响。在本文中,我们从病理生理和临床角度综述了常见神经退行性疾病中神经可塑性的变化,并强调了疾病修饰治疗的潜在分子靶点。
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引用次数: 12
Sexism-Related Stigma Affects Pain Perception. 与性别歧视相关的耻辱影响疼痛感知。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-27 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6612456
Ming Zhang, Yuqi Zhang, Zhihui Li, Li Hu, Yazhuo Kong

People with stigmatized characteristics tend to be devalued by others in a given society. The negative experiences related to stigma cause individuals to struggle as they would if they were in physical pain and bring various negative outcomes in the way that physical pain does. However, it is unclear whether stigma related to one's identity would affect their perception of physical pain. To address this issue, using sexism-related paradigms, we found that females had reduced pain threshold/tolerance in the Cold Pressor Test (Experiment 1) and an increased rating for nociceptive laser stimuli with fixed intensity (Experiment 2). Additionally, we observed that there was a larger laser-evoked N1, an early laser-evoked P2, and a larger magnitude of low-frequency component in laser-evoked potentials (LEPs) in the stigma condition than in the control condition (Experiment 3). Our study provides behavioral and electrophysiological evidence that sexism-related stigma affects the pain perception of females.

在特定的社会中,具有污名化特征的人往往会被他人贬低。与污名相关的负面经历会让个人挣扎,就像他们在身体疼痛中挣扎一样,并带来各种负面结果,就像身体疼痛一样。然而,目前尚不清楚与一个人的身份相关的耻辱是否会影响他们对身体疼痛的感知。为了解决这一问题,我们使用与性别歧视相关的范式,发现女性在冷压测试(实验1)中疼痛阈值/耐受性降低,在固定强度的伤害性激光刺激(实验2)中评分增加。此外,我们观察到激光诱发的N1更大,激光诱发的P2更早。实验3表明,与性别歧视相关的耻辱感会影响女性的痛觉感知,并从行为学和电生理两方面提供了证据。
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引用次数: 5
Dynamical Mechanisms for Gene Regulation Mediated by Two Noncoding RNAs in Long-Term Memory Formation. 两种非编码rna介导的基因调控在长时记忆形成中的动力学机制。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-25 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6668389
Lijie Hao, Zhuoqin Yang

Noncoding RNAs such as miRNAs and piRNAs have long-lasting effects on the regulation of gene expression involved in long-term synaptic changes. To characterize gene regulation mediated by small noncoding RNAs associated with long-term memory in Aplysia, we consider two noncoding RNAs stimulated by 5-HT into a gene regulatory network motif model, including miR-124 that binds to and inhibits the mRNA of CREB1 and piR-F that facilitates serotonin-dependent DNA methylation to lead to repression of CREB2. Codimension-1 and -2 bifurcation analyses of 5-HT regulating both miR-124 and piR-F and a negative feedback strength for oscillation reveal rich dynamical properties of bistability and oscillations robust to variations in all other parameters. More importantly, we verify three stimulus protocols of 5-HT in experiments by our model and find that application of five pulses of 5-HT leads to a transient decrease of miR-124 but increase of piR-F concentrations, which matters sustained high level of CREB1 concentration associated with long-term memory. Furthermore, we perform bifurcation analyses for the concentrations of miR-124 and piR-F as two parameters to explore dynamical mechanisms underlying the epigenetic regulation in long-term memory formation. This study provides insights into revealing regulatory roles of epigenetic changes in gene expression involving noncoding RNAs associated with synaptic plasticity.

mirna和pirna等非编码rna对参与长期突触变化的基因表达调控具有长期影响。为了表征与长时记忆相关的小非编码rna介导的基因调控,我们将两种受5-HT刺激的非编码rna纳入基因调控网络基元模型,包括结合并抑制CREB1 mRNA的miR-124和促进5-羟色胺依赖性DNA甲基化导致CREB2抑制的piR-F。5-HT调节miR-124和piR-F的Codimension-1和-2分岔分析以及振荡的负反馈强度揭示了双稳定性和振荡对所有其他参数变化的丰富动态特性。更重要的是,我们通过我们的模型在实验中验证了5-HT的三种刺激方案,发现5-HT的五次脉冲的应用导致miR-124的短暂降低,但piR-F浓度的增加,这与持续高水平的CREB1浓度与长期记忆有关。此外,我们对miR-124和piR-F的浓度作为两个参数进行了分岔分析,以探索长期记忆形成中表观遗传调控的动力学机制。这项研究揭示了与突触可塑性相关的非编码rna基因表达的表观遗传变化的调控作用。
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引用次数: 1
A New Neurorehabilitative Postsurgery Intervention for Facial Palsy Based on Smile Observation and Hand-Mouth Motor Synergies. 基于微笑观察和手-口运动协同作用的面瘫术后神经康复干预新方法。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8890541
Elisa De Stefani, Anna Barbot, Chiara Bertolini, Mauro Belluardo, Gioacchino Garofalo, Nicola Bruno, Bernardo Bianchi, Andrea Ferri, Pier Francesco Ferrari

Objective: To perform a preliminary test of a new rehabilitation treatment (FIT-SAT), based on mirror mechanisms, for gracile muscles after smile surgery.

Method: A pre- and postsurgery longitudinal design was adopted to study the efficacy of FIT-SAT. Four patients with bilateral facial nerve paralysis (Moebius syndrome) were included. They underwent two surgeries with free muscle transfers, one year apart from each other. The side of the face first operated on was rehabilitated with the traditional treatment, while the second side was rehabilitated with FIT-SAT. The FIT-SAT treatment includes video clips of an actor performing a unilateral or a bilateral smile to be imitated (FIT condition). In addition to this, while smiling, the participants close their hand in order to exploit the overlapped cortical motor representation of the hand and the mouth, which may facilitate the synergistic activity of the two effectors during the early phases of recruitment of the transplanted muscles (SAT). The treatment was also aimed at avoiding undesired movements such as teeth grinding. Discussion. Results support FIT-SAT as a viable alternative for smile rehabilitation after free muscle transfer. We propose that the treatment potentiates the effect of smile observation by activating the same neural structures responsible for the execution of the smile and therefore by facilitating its production. Closing of the hand induces cortical recruitment of hand motor neurons, recruiting the transplanted muscles, and reducing the risk of associating other unwanted movements such as teeth clenching to the smile movements.

目的:研究一种基于镜像机制的微笑术后细肌康复治疗方法(FIT-SAT)的初步试验。方法:采用术前、术后纵向设计研究FIT-SAT的疗效。包括4例双侧面神经麻痹(莫比乌斯综合征)患者。他们接受了两次免费肌肉移植手术,时间间隔一年。先手术一侧采用传统方法修复,后手术一侧采用FIT-SAT修复。FIT- sat治疗包括演员表演单侧或双侧微笑的视频片段(FIT条件)。除此之外,当参与者微笑时,为了利用手和嘴重叠的皮层运动表征,这可能有助于在移植肌肉募集的早期阶段两种效应器的协同活动(SAT)。这种治疗还旨在避免不必要的运动,如磨牙。讨论。结果支持FIT-SAT作为自由肌肉移植后微笑康复的可行选择。我们提出,这种治疗通过激活负责执行微笑的相同神经结构,从而促进微笑的产生,从而增强了微笑观察的效果。合拢手会刺激手部运动神经元的皮质募集,募集移植的肌肉,并减少其他不必要动作的风险,比如在微笑时咬牙。
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引用次数: 4
Research on Differential Brain Networks before and after WM Training under Different Frequency Band Oscillations. 不同频带振荡下WM训练前后差分脑网络的研究。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6628021
Yin Tian, Huishu Zhou, Huiling Zhang, Tianhao Li

Previous studies have shown that different frequency band oscillations are associated with cognitive processing such as working memory (WM). Electroencephalogram (EEG) coherence and graph theory can be used to measure functional connections between different brain regions and information interaction between different clusters of neurons. At the same time, it was found that better cognitive performance of individuals indicated stronger small-world characteristics of resting-state WM networks. However, little is known about the neural synchronization of the retention stage during ongoing WM tasks (i.e., online WM) by training on the whole-brain network level. Therefore, combining EEG coherence and graph theory analysis, the present study examined the topological changes of WM networks before and after training based on the whole brain and constructed differential networks with different frequency band oscillations (i.e., theta, alpha, and beta). The results showed that after WM training, the subjects' WM networks had higher clustering coefficients and shorter optimal path lengths than before training during the retention period. Moreover, the increased synchronization of the frontal theta oscillations seemed to reflect the improved executive ability of WM and the more mature resource deployment; the enhanced alpha oscillatory synchronization in the frontoparietal and fronto-occipital regions may reflect the enhanced ability to suppress irrelevant information during the delay and pay attention to memory guidance; the enhanced beta oscillatory synchronization in the temporoparietal and frontoparietal regions may indicate active memory maintenance and preparation for memory-guided attention. The findings may add new evidence to understand the neural mechanisms of WM on the changes of network topological attributes in the task-related mode.

先前的研究表明,不同的频带振荡与认知加工,如工作记忆(WM)有关。脑电图相干性和图论可以用来测量不同脑区之间的功能连接和不同神经元簇之间的信息交互。同时发现,个体的认知表现越好,静息状态WM网络的小世界特征越强。然而,通过全脑网络水平的训练,对正在进行的WM任务(即在线WM)中保留阶段的神经同步知之甚少。因此,本研究结合脑电相干性和图论分析,基于全脑检测训练前后WM网络的拓扑变化,构建不同频带振荡(即θ、α和β)的差分网络。结果表明,在记忆保留期,经过WM训练后,被试的WM网络的聚类系数比训练前高,最优路径长度比训练前短。此外,额叶θ波同步度的增加似乎反映了WM执行能力的提高和资源配置的成熟;额顶叶和额枕叶α振荡同步增强可能反映了延迟过程中抑制无关信息和注意记忆引导的能力增强;颞顶叶和额顶叶区域的β振荡同步增强可能表明活跃的记忆维持和记忆引导注意的准备。研究结果为理解任务相关模式下WM对网络拓扑属性变化的神经机制提供了新的证据。
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引用次数: 5
Mitochondrial Dysfunction and Sirtuins: Important Targets in Hearing Loss 线粒体功能障碍和Sirtuins:听力损失的重要靶点
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-03-14 DOI: 10.1155/2021/5520794
Lingjun Zhang, Zhengde Du, S. Gong
Mitochondrial dysfunction has been suggested to be a risk factor for sensorineural hearing loss (SNHL) induced by aging, noise, ototoxic drugs, and gene. Reactive oxygen species (ROS) are mainly derived from mitochondria, and oxidative stress induced by ROS contributes to cochlear damage as well as mitochondrial DNA mutations, which may enhance the sensitivity and severity of hearing loss and disrupt ion homeostasis (e.g., Ca2+ homeostasis). The formation and accumulation of ROS further undermine mitochondrial components and ultimately lead to apoptosis and necrosis. SIRT3–5, located in mitochondria, belong to the family of sirtuins, which are highly conserved deacetylases dependent on nicotinamide adenine dinucleotide (NAD+). These deacetylases regulate diverse cellular biochemical activities. Recent studies have revealed that mitochondrial sirtuins, especially SIRT3, modulate ROS levels in hearing loss pathologies. Although the precise functions of SIRT4 and SIRT5 in the cochlea remain unclear, the molecular mechanisms in other tissues indicate a potential protective effect against hearing loss. In this review, we summarize the current knowledge regarding the role of mitochondrial dysfunction in hearing loss, discuss possible functional links between mitochondrial sirtuins and SNHL, and propose a perspective that SIRT3–5 have a positive effect on SNHL.
线粒体功能障碍被认为是由衰老、噪音、耳毒性药物和基因引起的感音神经性听力损失(SNHL)的危险因素。活性氧(Reactive oxygen species, ROS)主要来源于线粒体,ROS诱导的氧化应激可导致耳蜗损伤和线粒体DNA突变,从而增加听力损失的敏感性和严重程度,并破坏离子稳态(如Ca2+稳态)。ROS的形成和积累进一步破坏线粒体成分,最终导致细胞凋亡和坏死。SIRT3-5位于线粒体中,属于sirtuins家族,是高度保守的依赖于烟酰胺腺嘌呤二核苷酸(NAD+)的去乙酰化酶。这些去乙酰化酶调节多种细胞生化活动。最近的研究表明,线粒体sirtuins,特别是SIRT3,在听力损失病理中调节ROS水平。尽管SIRT4和SIRT5在耳蜗中的确切功能尚不清楚,但其在其他组织中的分子机制表明其对听力损失具有潜在的保护作用。在这篇综述中,我们总结了目前关于线粒体功能障碍在听力损失中的作用的知识,讨论了线粒体sirtuins与SNHL之间可能的功能联系,并提出SIRT3-5对SNHL有积极作用的观点。
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引用次数: 3
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Neural Plasticity
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