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Predicting Upcoming Events Occurring in the Space Surrounding the Hand. 预测即将发生的事件发生在周围的空间的手。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-20 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6649135
Maria L Rangel, Lidiane Souza, Erika C Rodrigues, José M Oliveira, Michelle F Miranda, Antonio Galves, Claudia D Vargas

Predicting upcoming sensorimotor events means creating forward estimates of the body and the surrounding world. This ability is a fundamental aspect of skilled motor behavior and requires an accurate and constantly updated representation of the body and the environment. To test whether these prediction mechanisms could be affected by a peripheral injury, we employed an action observation and electroencephalogram (EEG) paradigm to assess the occurrence of prediction markers in anticipation of observed sensorimotor events in healthy and brachial plexus injury (BPI) participants. Nine healthy subjects and six BPI patients watched a series of video clips showing an actor's hand and a colored ball in an egocentric perspective. The color of the ball indicated whether the hand would grasp it (hand movement), or the ball would roll toward the hand and touch it (ball movement), or no event would occur (no movement). In healthy participants, we expected to find distinct electroencephalographic activation patterns (EEG signatures) specific to the prediction of the occurrence of each of these situations. Cluster analysis from EEG signals recorded from electrodes placed over the sensorimotor cortex of control participants showed that predicting either an upcoming hand movement or the occurrence of a tactile event yielded specific neural signatures. In BPI participants, the EEG signals from the sensorimotor cortex contralateral to the dominant hand in the hand movement condition were different compared to the other conditions. Furthermore, there were no differences between ball movement and no movement conditions in the sensorimotor cortex contralateral to the dominant hand, suggesting that BPI blurred specifically the ability to predict upcoming tactile events for the dominant hand. These results highlight the role of the sensorimotor cortex in creating estimates of both actions and tactile interactions in the space around the body and suggest plastic effects on prediction coding following peripheral sensorimotor loss.

预测即将到来的感觉运动事件意味着创造对身体和周围世界的预估。这种能力是熟练运动行为的一个基本方面,需要对身体和环境进行准确和不断更新的表征。为了检验这些预测机制是否会受到外周损伤的影响,我们采用动作观察和脑电图(EEG)范式来评估健康和臂丛损伤(BPI)参与者对观察到的感觉运动事件的预测标记的发生。9名健康受试者和6名BPI患者观看了一系列视频片段,从自我中心的角度展示了演员的手和一个彩色球。球的颜色表示手是否会抓住它(手的运动),或者球会滚向手并触摸它(球的运动),或者没有任何事件发生(没有运动)。在健康参与者中,我们期望找到不同的脑电图激活模式(EEG特征),具体到预测每种情况的发生。从放置在对照组感觉运动皮层上的电极记录的脑电图信号的聚类分析表明,预测即将到来的手部运动或触觉事件的发生都会产生特定的神经特征。在BPI实验中,手运动条件下对侧优势手感觉运动皮层的脑电图信号与其他条件下不同。此外,在优势手对侧的感觉运动皮层中,球运动和无运动条件没有差异,这表明BPI特别模糊了优势手预测即将到来的触觉事件的能力。这些结果强调了感觉运动皮层在创造对身体周围空间的动作和触觉相互作用的估计方面的作用,并提出了外周感觉运动丧失后预测编码的可塑性效应。
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引用次数: 5
Bibliometric Study of Pain after Spinal Cord Injury. 脊髓损伤后疼痛的文献计量学研究。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-19 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6634644
Yi-Zu Wang, Cheng-Cheng Wu, Xue-Qiang Wang

Background: The prevalence of comorbid pain after spinal cord injury (SCI) is relatively high in clinical observations and has continued to increase over time. Neuropathic pain (70.14%) is the most popular subject in academic journals after SCI. However, studies that used the bibliometric method to analyze comorbid pain after SCI are still lacking. This study is aimed at combining and integrating acquired information to analyze the global trends of research on the comorbidity of pain after SCI in the last three decades (1990-2019).

Methods: Systematic works of literature published from 1990 to 2019 were obtained from the Web of Science Core Collection. CiteSpace software was used to analyze the relationship of publication year with the country, institution, journals, authors, references, and keywords. The regression analysis is used to evaluate the percentage of the category increase or decrease over time significantly. IBM SPSS Statistics was used in the statistical analysis.

Results: A total of 730 publications were included in the analysis. A remarkable increase in the number of publications was observed in the study period (P < 0.05). A total of 202 academic journals focused on the categories of clinical neurology, neurosciences, and rehabilitation, and the annual growth rate of articles in these three categories was statistically significant (P < 0.05). The USA (356, 48.77%) and the University of Miami (64, 8.77%) were the country and institution with the highest number of publications, respectively. Spinal Cord, which was the main journal for research on pain after SCI, had the most publications (88, 12.05%). Burst keywords showed that the individual, inflammation, and central sensitization with pain after SCI are the research development trends and focus in this research field.

Conclusions: Overall, this study provides the latest research direction for pain after SCI. This historical overview of research into pain after SCI will be a useful basis for further research into development trends, focus issues, cooperators, and cooperative institutions.

背景:在临床观察中,脊髓损伤(SCI)后共病性疼痛的患病率相对较高,并且随着时间的推移持续增加。神经性疼痛(70.14%)是SCI之后学术期刊最热门的主题。然而,使用文献计量学方法分析脊髓损伤后共病疼痛的研究仍然缺乏。本研究旨在结合和整合已获得的信息,分析近三十年(1990-2019)全球脊髓损伤后疼痛合并症的研究趋势。方法:系统检索Web of Science核心馆藏1990 - 2019年发表的文献。采用CiteSpace软件分析出版年份与国家、机构、期刊、作者、参考文献、关键词的关系。回归分析用于评估类别随时间显著增加或减少的百分比。采用IBM SPSS Statistics进行统计分析。结果:共纳入730篇文献。研究期间论文发表数量显著增加(P < 0.05)。临床神经病学、神经科学、康复类共计202种学术期刊,这3个类别的文章年增长率均有统计学意义(P < 0.05)。美国(356篇,48.77%)和迈阿密大学(64篇,8.77%)分别是发表论文数量最多的国家和机构。脊髓是研究脊髓损伤后疼痛的主要期刊,发表论文最多(88篇,12.05%)。突发关键词显示,个体、炎症、中枢致敏与脊髓损伤后疼痛是该研究领域的研究发展趋势和重点。结论:总的来说,本研究为脊髓损伤后疼痛提供了最新的研究方向。对脊髓损伤后疼痛研究的历史回顾将为进一步研究发展趋势、焦点问题、合作者和合作机构提供有益的基础。
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引用次数: 14
Cortical Representations of Transversus Abdominis and Multifidus Muscles Were Discrete in Patients with Chronic Low Back Pain: Evidence Elicited by TMS. 慢性腰痛患者腹横肌和多裂肌的皮质表征是离散的:经颅磁刺激引发的证据。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-18 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6666024
Xin Li, Howe Liu, Le Ge, Yifeng Yan, Wai Leung Ambrose Lo, Le Li, Chuhuai Wang

Introduction: The transversus abdominis (TVA) and multifidus (MF) muscles are the main segmental spinal stabilizers that are controlled by the primary motor cortex of the brain. However, relocations of the muscle representation in the motor cortex may occur after chronic lower back pain (cLBP); it still needs more evidence to be proven. The current study was aimed at applying transcranial magnetic stimulation (TMS) to investigate the changes of representation of TVA and MF muscles at the cortical network in individuals with cLBP.

Methods: Twenty-four patients with cLBP and 12 age-matched healthy individuals were recruited. Responses of TVA and MF to TMS during muscle contraction were monitored and mapped over the contralateral cortex using a standardized grid cap. Maps of the center of gravity (CoG), area, volume, and latency were analyzed, and the asymmetry index was also computed and compared.

Results: The locations of MF CoG in cLBP individuals were posterior and lateral to the CoG locations in healthy individuals. In the healthy group, the locations of TVA and MF CoG were closed to each other in both the left and right hemispheres. In the cLBP group, these two locations were next to each other in the right hemisphere but discrete in the left hemisphere. In the cLBP group, the cortical motor map of TVA and MF were mutually symmetric in five out of eleven (45.5%) subjects and leftward asymmetric in four out of ten (40.0%) subjects.

Conclusions: Neural representations of TVA and MF muscles were closely organized in both the right and left motor cortices in the healthy group but were discretely organized in the left motor cortex in the cLBP group. This provides strong support for the neural basis of pathokinesiology and clinical treatment of cLBP.

腹横肌(TVA)和多裂肌(MF)是主要的节段性脊柱稳定器,由大脑初级运动皮层控制。然而,慢性下背痛(cLBP)后,运动皮层肌肉表征的重新定位可能发生;这还需要更多的证据来证明。本研究旨在应用经颅磁刺激(TMS)研究cLBP患者皮层网络中TVA和MF肌肉表征的变化。方法:招募24例cLBP患者和12例年龄匹配的健康人。在肌肉收缩期间监测TVA和MF对TMS的反应,并使用标准化网格帽在对侧皮质上绘制图。分析重心(CoG)、面积、体积和潜伏期的图,并计算和比较不对称指数。结果:cLBP患者MF - CoG的位置位于健康人的后部和外侧。健康组左、右半球TVA和MF CoG位置相近。在cLBP组中,这两个位置在右半球彼此相邻,但在左半球离散。在cLBP组中,11名受试者中有5名(45.5%)的TVA和MF皮层运动图相互对称,10名受试者中有4名(40.0%)的TVA和MF皮层运动图向左不对称。结论:TVA和MF肌肉的神经表征在健康组的左右运动皮质中组织紧密,而在cLBP组的左运动皮质中组织分散。这为cLBP的病理动力学和临床治疗的神经基础提供了有力的支持。
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引用次数: 6
Research on Recognition of Motor Imagination Based on Connectivity Features of Brain Functional Network. 基于大脑功能网络连接特征的运动想象识别研究。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-12 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6655430
Zhizeng Luo, Ronghang Jin, Hongfei Shi, Xianju Lu

Feature extraction is essential for classifying different motor imagery (MI) tasks in a brain-computer interface. To improve classification accuracy, we propose a novel feature extraction method in which the connectivity increment rate (CIR) of the brain function network (BFN) is extracted. First, the BFN is constructed on the basis of the threshold matrix of the Pearson correlation coefficient of the mu rhythm among the channels. In addition, a weighted BFN is constructed and expressed by the sum of the existing edge weights to characterize the cerebral cortex activation degree in different movement patterns. Then, on the basis of the topological structures of seven mental tasks, three regional networks centered on the C3, C4, and Cz channels are constructed, which are consistent with correspondence between limb movement patterns and cerebral cortex in neurophysiology. Furthermore, the CIR of each regional functional network is calculated to form three-dimensional vectors. Finally, we use the support vector machine to learn a classifier for multiclass MI tasks. Experimental results show a significant improvement and demonstrate the success of the extracted feature CIR in dealing with MI classification. Specifically, the average classification performance reaches 88.67% which is higher than other competing methods, indicating that the extracted CIR is effective for MI classification.

特征提取对于脑机接口中不同运动图像(MI)任务的分类至关重要。为了提高分类的准确性,我们提出了一种新颖的特征提取方法,即提取脑功能网络(BFN)的连接增量率(CIR)。首先,根据通道间 mu 节律的皮尔逊相关系数的阈值矩阵构建 BFN。此外,还构建了加权 BFN,并用现有边缘权重之和表示,以表征不同运动模式下大脑皮层的激活程度。然后,根据七种心理任务的拓扑结构,构建了以 C3、C4 和 Cz 通道为中心的三个区域网络,这与神经生理学中肢体运动模式与大脑皮层的对应关系是一致的。此外,我们还计算了每个区域功能网络的 CIR,形成三维向量。最后,我们使用支持向量机来学习多分类 MI 任务的分类器。实验结果表明,提取的特征 CIR 在处理 MI 分类方面取得了显著的改进和成功。具体来说,平均分类性能达到了 88.67%,高于其他竞争方法,这表明提取的 CIR 对 MI 分类是有效的。
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引用次数: 0
The Histone Modifications of Neuronal Plasticity. 神经元可塑性的组蛋白修饰。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6690523
Huixia Geng, Hongyang Chen, Haiying Wang, Lai Wang

Nucleosomes composed of histone octamer and DNA are the basic structural unit in the eukaryote chromosome. Under the stimulation of various factors, histones will undergo posttranslational modifications such as methylation, phosphorylation, acetylation, and ubiquitination, which change the three-dimensional structure of chromosomes and affect gene expression. Therefore, the combination of different states of histone modifications modulates gene expression is called histone code. The formation of learning and memory is one of the most important mechanisms for animals to adapt to environmental changes. A large number of studies have shown that histone codes are involved in the formation and consolidation of learning and memory. Here, we review the most recent literature of histone modification in regulating neurogenesis, dendritic spine dynamic, synapse formation, and synaptic plasticity.

核小体由组蛋白八聚体和DNA组成,是真核生物染色体的基本结构单元。在多种因素的刺激下,组蛋白会发生甲基化、磷酸化、乙酰化、泛素化等翻译后修饰,改变染色体的三维结构,影响基因表达。因此,组合不同状态的组蛋白修饰调控基因表达称为组蛋白编码。学习记忆的形成是动物适应环境变化的重要机制之一。大量研究表明,组蛋白编码参与了学习和记忆的形成和巩固。在这里,我们回顾了组蛋白修饰在调节神经发生、树突脊柱动力学、突触形成和突触可塑性方面的最新文献。
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引用次数: 11
Impaired Limb Functional Outcome of Peripheral Nerve Regeneration Is Marked by Incomplete Recovery of Paw Muscle Atrophy and Brain Functional Connectivity in a Rat Forearm Nerve Repair Model. 在大鼠前臂神经修复模型中,周围神经再生的肢体功能受损结果以爪肌萎缩和脑功能连接的不完全恢复为标志。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6689476
Qiyuan Bao, Qi Liu, Jun Wang, Yuhui Shen, Weibin Zhang

Skilled sensorimotor deficit is an unsolved problem of peripheral nerve injury (PNI) led by limb trauma or malignancies, despite the improvements in surgical techniques of peripheral nerve anastomosis. It is now accepted that successful functional recovery of PNI relies tremendously on the multilevel neural plasticity from the muscle to the brain. However, animal models that recapitulate these processes are still lacking. In this report, we developed a rat model of PNI to longitudinally assess peripheral muscle reinnervation and brain functional reorganization using noninvasive imaging technology. Based on such model, we compared the longitudinal changes of the rat forepaw intrinsic muscle volume and the seed-based functional connectivity of the sensorimotor cortex after nerve repair. We found that the improvement of skilled limb function and the recovery of paw intrinsic muscle following nerve regeneration are incomplete, which correlated with the functional connectivity between the primary motor cortex and dorsal striatum. Our results were highly relevant to the clinical observations and provided a framework for future investigations that aim to study the peripheral central sensorimotor circuitry underlying skilled limb function recovery after PNI.

尽管周围神经吻合手术技术不断进步,但肢体创伤或恶性肿瘤导致的周围神经损伤(PNI)仍存在技术性感觉运动障碍。目前公认PNI的成功功能恢复在很大程度上依赖于从肌肉到大脑的多层次神经可塑性。然而,概括这些过程的动物模型仍然缺乏。在本报告中,我们建立了一个大鼠PNI模型,利用无创成像技术纵向评估周围肌肉再神经支配和脑功能重组。在此基础上,我们比较了神经修复后大鼠前爪固有肌肉体积的纵向变化和感觉运动皮层基于种子的功能连通性。我们发现,神经再生后熟练肢体功能的改善和足部固有肌的恢复是不完全的,这与初级运动皮层和背纹状体之间的功能连通性有关。我们的结果与临床观察高度相关,并为未来的研究提供了框架,旨在研究PNI后熟练肢体功能恢复的外围中枢感觉运动电路。
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引用次数: 1
Motor Sequence Learning across Multiple Sessions Is Not Facilitated by Targeting Consolidation with Posttraining tDCS in Patients with Progressive Multiple Sclerosis. 进行性多发性硬化症患者训练后tDCS的目标巩固不能促进多期运动序列学习。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6696341
Harald Seelmann-Eggebert, Muriel Stoppe, Florian Then Bergh, Joseph Classen, Jost-Julian Rumpf

Compared to relapsing-remitting multiple sclerosis (MS), progressive MS is characterized by a lack of spontaneous recovery and a poor response to pharmaceutical immunomodulatory treatment. These patients may, therefore, particularly benefit from interventions that augment training-induced plasticity of the central nervous system. In this cross-sectional double-blind cross-over pilot study, effects of transcranial direct current stimulation (tDCS) on motor sequence learning were examined across four sessions on days 1, 3, 5, and 8 in 16 patients with progressive MS. Active or sham anodal tDCS of the primary motor cortex was applied immediately after each training session. Participants took part in two experiments separated by at least four weeks, which differed with respect to the type of posttraining tDCS (active or sham). While task performance across blocks of training and across sessions improved significantly in both the active and sham tDCS experiment, neither online nor offline motor learning was modulated by the type of tDCS. Accordingly, the primary endpoint (task performance on day 8) did not differ between stimulation conditions. In sum, patients with progressive MS are able to improve performance in an ecologically valid motor sequence learning task through training. However, even multisession posttraining tDCS fails to promote motor learning in progressive MS.

与复发缓解型多发性硬化症(MS)相比,进行性MS的特点是缺乏自发恢复和对药物免疫调节治疗的不良反应。因此,这些患者可能特别受益于增强训练诱导的中枢神经系统可塑性的干预措施。在这项横断双盲交叉先导研究中,16名进展性多发性硬化症患者在第1、3、5和8天进行了四次经颅直流电刺激(tDCS)对运动序列学习的影响,在每次训练后立即对初级运动皮层进行活动或假阳极tDCS。参与者参加了两个实验,间隔至少四周,这两个实验在训练后tDCS的类型(活动或假)方面有所不同。虽然在主动和假tDCS实验中,跨训练块和跨会话的任务表现都有显著改善,但在线和离线运动学习都没有受到tDCS类型的调节。因此,主要终点(第8天的任务表现)在不同的刺激条件下没有差异。总之,进行性MS患者能够通过训练提高在生态有效的运动序列学习任务中的表现。然而,即使是多次训练后的tDCS也不能促进进展性多发性硬化症的运动学习。
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引用次数: 2
Role of BDNF-mTORC1 Signaling Pathway in Female Depression. BDNF-mTORC1信号通路在女性抑郁症中的作用
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-09 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6619515
Xianquan An, Xiaoxiao Yao, Bingjin Li, Wei Yang, Ranji Cui, Guoqing Zhao, Yang Jin

Depression is a common psychological and mental disorder, characterized by low mood, slow thinking and low will, and even suicidal tendencies in severe cases. It imposes a huge mental and economic burden on patients and their families, and its prevention and treatment have become an urgent public health problem. It is worth noting that there is a significant gender difference in the incidence of depression. Studies have shown that females are far more likely to suffer from depression than males, confirming a close relationship between estrogen and the onset of depression. Moreover, recent studies suggest that the brain-derived neurotrophic factor- (BDNF-) mammalian target of rapamycin complex-1 (mTORC1) signaling pathway is a crucial target pathway for improving depression and mediates the rapid antidepressant-like effects of various antidepressants. However, it is not clear whether the BDNF-mTORC1 signaling pathway mediates the regulation of female depression and how to regulate female depression. Hence, we focused on the modulation of estrogen-BDNF-mTORC1 signaling in depression and its possible mechanisms in recent years.

抑郁症是一种常见的心理和精神障碍,其特点是情绪低落、思维迟钝、意志低落,严重者甚至有自杀倾向。它给患者及其家属带来了巨大的精神和经济负担,其预防和治疗已成为一个紧迫的公共卫生问题。值得注意的是,抑郁症的发病率存在显著的性别差异。研究表明,女性比男性更容易患抑郁症,这证实了雌激素与抑郁症发病之间的密切关系。此外,最近的研究表明,脑源性神经营养因子- (BDNF-)哺乳动物雷帕霉素复合物-1 (mTORC1)信号通路是改善抑郁症的重要靶点通路,并介导各种抗抑郁药的快速抗抑郁样作用。然而,BDNF-mTORC1信号通路是否介导女性抑郁的调节以及如何调节女性抑郁尚不清楚。因此,近年来我们重点研究了雌激素- bdnf - mtorc1信号在抑郁症中的调节及其可能的机制。
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引用次数: 15
Connectivity Analysis during Rubber Hand Illusion-A Pilot TMS-EEG Study in a Patient with SCI. 橡胶手错觉的连通性分析——脊髓损伤患者的TMS-EEG先导研究。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-08 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6695530
Vanessa N Frey, Aljoscha Thomschewski, Patrick B Langthaler, Alexander B Kunz, Yvonne Höller, Eugen Trinka, Raffaele Nardone

Background: Bodily self-perception is an important concept for several neurological disorders, including spinal cord injury (SCI). Changing one's bodily self-perception, e.g., via rubber hand illusion (RHI), induces alterations of bottom-up and top-down pathways and with this the connectivity between involved brain areas. We aim to examine whether (1) this process can be manipulated by changing cortical excitability, (2) connectivity between relevant brain areas differ when the RHI cannot be evoked, and (3) how this projection differs in a patient with SCI.

Method: We applied RHI and facilitatory theta burst stimulation (TBS) on the right primary somatosensory cortex (S1) of 18 healthy participants and one patient with incomplete, cervical SCI. During RHI, we recorded high-density electroencephalography (HD-EEG) and extracted directed and nondirected connectivity measures.

Results: There is no difference in connectivity between sham and real TBS or in the effectivity of RHI. We observed a higher laterality in the patient, i.e., higher connectivity of the right and lower of the left hemisphere. Besides this, connectivity patterns do not differ between healthy participants and the patient.

Conclusion: This connectivity pattern might represent a neuroplastic response in the attempt to overcome the functional impairment of the patient resulting in a similar overall connectivity pattern to the healthy participants, yet with a higher sensitivity towards RHI and a higher laterality. The cortico-cortical communication was not altered depending on whether the illusion was provoked or not; hence, the perceptory illusion could not be observed in the EEG analysis.

背景:身体自我知觉是包括脊髓损伤(SCI)在内的一些神经系统疾病的重要概念。改变一个人的身体自我知觉,例如,通过橡胶手错觉(RHI),引起自下而上和自上而下通路的改变,从而改变了相关大脑区域之间的连接。我们的目的是研究(1)这一过程是否可以通过改变皮质兴奋性来控制,(2)当RHI不能被唤起时,相关脑区之间的连通性是不同的,以及(3)脊髓损伤患者的这种投射是如何不同的。方法:对18名健康受试者和1名不完全性颈椎脊髓损伤患者的右侧初级体感觉皮质(S1)进行RHI和促进性θ波爆发刺激(TBS)。在RHI期间,我们记录了高密度脑电图(HD-EEG),并提取了定向和非定向连接测量。结果:假TBS和真TBS的连通性和RHI的有效性没有差异。我们观察到患者侧偏性较高,即右半球和左半球下部的连通性较高。除此之外,连接模式在健康参与者和患者之间没有区别。结论:这种连接模式可能代表了一种神经可塑性反应,试图克服患者的功能损伤,导致与健康参与者相似的整体连接模式,但对RHI的敏感性更高,偏侧性更高。皮质-皮质间的交流不会因错觉是否被激发而改变;因此,在脑电图分析中无法观察到感知错觉。
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引用次数: 0
Secretagogin Mediates the Regulatory Effect of Electroacupuncture on Hypothalamic-Pituitary-Adrenal Axis Dysfunction in Surgical Trauma. 分泌素介导电针对外科创伤下丘脑-垂体-肾上腺轴功能障碍的调节作用。
IF 3.1 4区 医学 Q2 Medicine Pub Date : 2021-02-04 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8881136
Mizhen Zhang, Jingxian Sun, Yu Wang, Zhanzhuang Tian

Electroacupuncture (EA) improves hypothalamic-pituitary-adrenal (HPA) axis disorder by reducing corticotropin-releasing hormone (CRH) synthesis and release in the paraventricular nucleus (PVN). However, the potential mechanism underlying CRH regulation remains unclear. Secretagogin (SCGN) is closely related to stress and is involved in regulating the release of CRH. We hypothesized that SCGN in the PVN might trigger the HPA system and be involved in EA-mediated modulation of HPA dysfunction caused by surgical trauma. Serum CRH and adrenocorticotropic hormone (ACTH) and plasma corticosterone (CORT) levels at 6 h and 24 h after hepatectomy were determined by radioimmunoassay. CRH and SCGN protein levels in the PVN were detected by western blot and immunofluorescence, and CRH and SCGN mRNA levels in the PVN were determined by means of real-time polymerase chain reaction (RT-PCR) and in situ hybridization (ISH). Our studies showed that serum CRH, ACTH, and CORT levels and PVN CRH expression were significantly increased at 6 h and 24 h after hepatectomy in the hepatectomy group compared with the control group, and those in the EA+hepatectomy group were decreased compared with those in the hepatectomy group. The protein and mRNA levels of SCGN in the PVN were also increased after hepatectomy, and their expression in the EA+hepatectomy group was decreased compared with that in the hepatectomy group. When SCGN expression in the PVN was functionally knocked down by a constructed CsCI virus, we found that SCGN knockdown decreased the serum CRH, ACTH, and CORT levels in the SCGN shRNA+hepatectomy group compared with the hepatectomy group, and it also attenuated CRH expression in the PVN. In summary, our findings illustrated that EA normalized HPA axis dysfunction after surgical trauma by decreasing the transcription and synthesis of SCGN.

电针(EA)通过减少室旁核(PVN)促肾上腺皮质激素释放激素(CRH)的合成和释放,改善下丘脑-垂体-肾上腺(HPA)轴紊乱。然而,CRH调控的潜在机制尚不清楚。促分泌素(SCGN)与应激密切相关,参与调节CRH的释放。我们假设PVN中的SCGN可能触发HPA系统,并参与ea介导的手术创伤引起的HPA功能障碍的调节。采用放射免疫法测定肝切除术后6 h和24 h血清促肾上腺皮质激素(CRH)、促肾上腺皮质激素(ACTH)和血浆皮质酮(CORT)水平。采用western blot和免疫荧光法检测PVN中CRH和SCGN蛋白水平,采用实时聚合酶链反应(RT-PCR)和原位杂交(ISH)法检测PVN中CRH和SCGN mRNA水平。我们的研究显示,肝切除术组在肝切除术后6 h、24 h血清CRH、ACTH、CORT水平及PVN CRH表达均较对照组显著升高,EA+肝切除术组较肝切除术组显著降低。肝切除术后PVN中SCGN的蛋白和mRNA水平也有所升高,EA+肝切除术组SCGN的表达较肝切除术组有所降低。当构建CsCI病毒功能性敲除PVN中SCGN的表达时,我们发现SCGN shRNA+肝切除术组与肝切除术组相比,SCGN敲除降低了血清CRH、ACTH和CORT水平,同时也降低了PVN中CRH的表达。总之,我们的研究结果表明,EA通过降低SCGN的转录和合成,使手术创伤后HPA轴功能障碍正常化。
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引用次数: 5
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Neural Plasticity
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