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Neurobiology of L-proline: From molecules to behavior. l -脯氨酸的神经生物学:从分子到行为。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-16 DOI: 10.1016/j.neuroscience.2025.01.036
Gustavo Almeida Carvalho, Daniel Pereira Cavalcante, Ricardo Cambraia Parreira, Raphaela Almeida Chiareli, Giovanni Ortiz Leoncini, Renato Santiago Gomez, Henning Ulrich, Leonardo Ferreira Caixeta, Onésia Cristina Oliveira-Lima, Mauro Cunha Xavier Pinto

L-proline is an amino acid with a unique cyclic structure, involvement in various physiological processes, such as protein synthesis, collagen production, and neurotransmission. This review explores the complex roles of proline in the central nervous system (CNS), where it contributes to both excitatory and inhibitory neurotransmission. Additionally, L-proline has distinct metabolic functions attributed to its structural properties. The concentration-dependent effects of L-proline indicate its importance in CNS function, with potential implications for health and disease. Studies in animal models suggest that L-proline influences cognitive function and behavior, with dysregulated levels linked to learning and memory deficits. Furthermore, this review addresses the neuropathological consequences of hyperprolinemia, a metabolic disorder marked by elevated L-proline levels in the CNS and examines the potential role of L-proline in neurological and psychiatric disorders. In sum, this work provides a comprehensive perspective on the neurobiological importance of L-proline, underscoring its involvement in neurotransmission, behavioral modulation, and disease pathology.

l -脯氨酸是一种具有独特环状结构的氨基酸,参与多种生理过程,如蛋白质合成、胶原蛋白生成和神经传递。本文综述了脯氨酸在中枢神经系统(CNS)中的复杂作用,其中脯氨酸参与兴奋性和抑制性神经传递。此外,l -脯氨酸由于其结构特性具有独特的代谢功能。l -脯氨酸的浓度依赖性表明它在中枢神经系统功能中的重要性,对健康和疾病有潜在的影响。动物模型研究表明,l -脯氨酸影响认知功能和行为,其水平失调与学习和记忆缺陷有关。此外,本综述探讨了高脯氨酸血症(一种以中枢神经系统中l -脯氨酸水平升高为特征的代谢性疾病)的神经病理后果,并探讨了l -脯氨酸在神经和精神疾病中的潜在作用。总之,这项工作为l -脯氨酸的神经生物学重要性提供了一个全面的视角,强调了它在神经传递、行为调节和疾病病理中的作用。
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引用次数: 0
Role and therapeutic considerations of SIRT1 in epilepsy. SIRT1在癫痫中的作用及治疗注意事项。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-15 DOI: 10.1016/j.neuroscience.2025.01.029
Shasha Zeng, Xiangyi Huang, Shunlin Qu, Qingpeng Hu

Epilepsy is a primary study focus for scientists worldwide due to its prevalence and poor prognosis. Silent information regulator 1 (SIRT1), a nicotinamide adenine dinucleotide-dependent deacetylase, is becoming increasingly recognized for its critical role in the pathophysiology and progression of epilepsy. The treatment of epilepsy remains challenging despite the discovery of numerous factors that contribute to the development of several beneficial medications. In recent years, many microRNAs have been linked to the progression of epilepsy because they target SIRT1 mRNA. SIRT1, which protects from epilepsy, has been reported to be upregulated by several natural compounds and their derivatives. This review will summarize the latest findings about SIRT1's role in epilepsy. Results from the literature indicate that SIRT1 is a promising target for epilepsy therapy.

由于癫痫的患病率和预后不良,癫痫是全世界科学家的主要研究重点。沉默信息调节因子1 (SIRT1)是一种烟酰胺腺嘌呤二核苷酸依赖的去乙酰化酶,在癫痫的病理生理和进展中发挥着重要作用。尽管发现了许多有助于开发几种有益药物的因素,但癫痫的治疗仍然具有挑战性。近年来,许多微小rna与癫痫的进展有关,因为它们靶向SIRT1 mRNA。SIRT1具有预防癫痫的作用,据报道,几种天然化合物及其衍生物可上调SIRT1。本文将对SIRT1在癫痫中的作用的最新发现进行综述。来自文献的结果表明SIRT1是一个有希望的癫痫治疗靶点。
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引用次数: 0
Non-alcoholic fatty liver disease is associated with structural covariance network reconfiguration in cognitively unimpaired adults with type 2 diabetes. 非酒精性脂肪性肝病与认知功能正常的成人2型糖尿病患者的结构协方差网络重构相关
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-15 DOI: 10.1016/j.neuroscience.2025.01.030
Xin Li, Wen Zhang, Yan Bi, Linqing Fu, Jiaming Lu, Jiu Chen, Qian Li, Xinyi Shen, Min Wu, Yi Zhang, Xin Zhang, Zhou Zhang, Zhengyang Zhu, Bing Zhang

Type 2 diabetes (T2D) is often accompanied by non-alcoholic fatty liver disease (NAFLD), both of which are related to brain damage and cognitive impairment. However, cortical structural alteration and its relationship with metabolism and cognition in T2D with NAFLD (T2NAFLD) and without NAFLD (T2noNAFLD) remain unclear. The brain MRI scans, clinical measures and neuropsychological test were evaluated in 50 normal controls (NC), 73 T2noNAFLD, and 58 T2NAFLD. The cortical thickness and graph theory properties of structural covariance network was calculated. Statistical analyses included one-way analysis of covariance with post hoc, partial correlation and mediation analysis. The nonparametric permutation test was performed to evaluate differences in topological properties of structural covariance network. We found T2NAFLD group had worse glucose and lipid profiles, more obesity and more severe insulin resistance, and poorer working memory compared to T2noNAFLD and NC. T2D patients demonstrated increase in cortical thickness compared to NC, but no difference between the two T2D groups. The structural covariance network integration decreased in T2D patients, with T2NAFLD exhibiting more obvious network reconfiguration at node level. Cortical thickness mediated the relationship between post-prandial glucose, waist-hip ratio, and working memory. The findings suggest that cortical thickening may be a compensatory response to reduced network integration, with NAFLD exacerbating regional structural network changes in T2D. This research advances our understanding of how these metabolic comorbidities contribute to cognitive decline, potentially guiding future therapeutic strategies for T2D patients with and without NAFLD.

2型糖尿病(T2D)常伴有非酒精性脂肪性肝病(NAFLD),两者均与脑损伤和认知障碍有关。然而,皮质结构改变及其与t2dm合并NAFLD (T2NAFLD)和非T2NAFLD (T2noNAFLD)代谢和认知的关系尚不清楚。对50例正常对照(NC)、73例非afld和58例T2NAFLD患者进行脑MRI扫描、临床测量和神经心理测试。计算了结构协方差网络的皮质厚度和图论性质。统计分析包括单向事后协方差分析、偏相关分析和中介分析。采用非参数置换检验来评价结构协方差网络拓扑性质的差异。我们发现T2NAFLD组与T2noNAFLD和NC组相比有更差的血糖和脂质谱,更多的肥胖和更严重的胰岛素抵抗,以及更差的工作记忆。与NC相比,T2D患者表现出皮质厚度增加,但两组之间没有差异。T2D患者的结构协方差网络整合降低,T2NAFLD在节点水平表现出更明显的网络重构。皮层厚度介导餐后血糖、腰臀比和工作记忆之间的关系。研究结果表明,皮质增厚可能是对网络整合减少的代偿反应,NAFLD加剧了T2D的区域结构网络变化。这项研究促进了我们对这些代谢合并症如何导致认知能力下降的理解,可能指导未来伴有或不伴有NAFLD的T2D患者的治疗策略。
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引用次数: 0
Scoping review: The effects of diet, physical activity and sleep on motor and physical fatigue in people with multiple sclerosis. 范围综述:饮食、身体活动和睡眠对多发性硬化症患者运动和身体疲劳的影响。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-15 DOI: 10.1016/j.neuroscience.2025.01.032
Madison R Boda, Amy E Rees, Mitchell R Goldsworthy, Nikos Evangelou, Simranjit K Sidhu, Ashleigh E Smith

Physical and motor fatigue are debilitating symptoms common in multiple sclerosis (MS). Lifestyle interventions may be effective in managing MS-related fatigue. This scoping review aims to: (i) identify and summarise lifestyle interventions including those focused on diet, physical activity, and sleep, or multicomponent interventions for physical and motor fatigue management in MS; and (ii) provide recommendations for future research in this area. Database searches of MEDLINE (Ovid), Cochrane (Cochrane Library), Scopus (Elsevier), CINAHL (EBSCOhost), and Embase (Ovid) were conducted. To be included in this scoping review, studies were to be published in a peer reviewed scientific journal, focused on a non-pharmacological lifestyle intervention (physical activity, exercise, sleep, diet, or a combination), and written in English. Forty-one studies were included for analysis. Included participants were predominantly female, living with relapsing-remitting MS, with a median age of 48.3 years. The design of the studies comprised mainly of randomised control trials and pilot/feasibility studies. All included studies incorporated a physical activity intervention, with most examining aerobic/endurance exercise. Most studies reported an effect on improving physical/motor fatigue and a large proportion incorporated an endurance training program. To build on the current evidence and progress MS-fatigue related recommendations, further studies with larger sample sizes and a more inclusive range of MS types are required. Finally, with a gap of research investigating the role of diet and sleep on motor and physical fatigue in MS, research into this field is critically needed.

身体和运动疲劳是多发性硬化症(MS)常见的衰弱症状。生活方式干预可能对管理ms相关疲劳有效。本综述旨在:(i)识别和总结生活方式干预措施,包括那些关注饮食、身体活动和睡眠的干预措施,或多发性硬化症身体和运动疲劳管理的多组分干预措施;(ii)对该领域未来的研究提出建议。检索MEDLINE (Ovid)、Cochrane (Cochrane Library)、Scopus (Elsevier)、CINAHL (EBSCOhost)和Embase (Ovid)数据库。纳入本范围综述的研究将发表在同行评议的科学期刊上,重点关注非药物生活方式干预(身体活动、锻炼、睡眠、饮食或组合),并以英文撰写。41项研究纳入分析。纳入的参与者主要是女性,生活在复发缓解型MS中,中位年龄为48.3 岁。研究的设计主要包括随机对照试验和试点/可行性研究。所有纳入的研究都纳入了身体活动干预,其中大多数是有氧/耐力运动。大多数研究报告了改善身体/运动疲劳的效果,并且很大一部分纳入了耐力训练计划。为了在现有证据和MS疲劳相关建议的基础上取得进展,需要进一步研究更大的样本量和更广泛的MS类型。最后,由于饮食和睡眠对多发性硬化症运动和身体疲劳作用的研究存在空白,因此迫切需要对这一领域进行研究。
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引用次数: 0
Fructose-Driven glycolysis supports synaptic function in subterranean rodent - Gansu Zokor (Eospalax cansus). 果糖驱动的糖酵解支持地下啮齿动物-甘肃鼢鼠的突触功能。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-15 DOI: 10.1016/j.neuroscience.2025.01.025
Meng Li, Tianyi Liu, Yingying Zhang, Maohong Yang, Zhuohang Li, Jianping He, Jingang Li

Several studies indicate that fructose can be used as an energy source for subterranean rodents. However, how subterranean rodents utilize fructose metabolism with no apparent physiological drawbacks remains poorly understood. In the present study, we measured field excitatory postsynaptic potentials (fEPSPs) in hippocampal slices from Gansu zokor and SD rats hippocampi before and 60 min after replacement of 10 mM glucose in the artificial cerebrospinal fluid (ACSF) with 10 mM fructose (gassed with 95 % O2 and 5 % CO2). Subsequently, we performed transcriptome analysis on Gansu zokor brains incubated with ACSF containing 10 mM fructose and determined the contents of fructose, lactate, ATP, and UA. Whole brain RNA and proteins were extracted to detect the transcriptional levels of Glut5, Khk, Aldoc, and Cs and the translational levels of GLUT5, CS, NRF2, and c-FOS. The results showed that Gansu zokor brains exhibit higher levels of GLUT5 protein and Khk mRNA levels than SD rats to facilitate fructose uptake and metabolism, resulting in increased fructose, ATP, and lactate content in the brain during fructose incubation. Stable UA levels during fructose metabolism reduce the risk of oxidative stress and neuroinflammation, and activation of the Nrf2 pathway increases downstream antioxidant capacity, thereby reducing brain damage. Persistent fEPSP signaling suggests that fructose supports excitatory synaptic transmission in the CA1 region of the hippocampus of the Gansu zokor but leads to hippocampal dysfunction in SD rats. The unique insights about fructose metabolism in the brain of Gansu zokor obtained in our study will be useful for further studies on the evolution of subterranean rodents.

一些研究表明,果糖可以作为地下啮齿类动物的能量来源。然而,地下啮齿动物如何利用果糖代谢而没有明显的生理缺陷仍然知之甚少。在本研究中,我们用10 mM果糖(95% O2和5% CO2)替代人工脑脊液(ACSF)中的10 mM葡萄糖之前和60 min后,测量了甘肃大鼠和SD大鼠海马海马片的场兴奋性突触后电位(fEPSPs)。随后,我们对含有10 mM果糖的ACSF孵育的甘肃鼠脑进行转录组分析,并测定果糖、乳酸、ATP和UA的含量。提取全脑RNA和蛋白,检测Glut5、Khk、Aldoc和Cs的转录水平以及Glut5、Cs、NRF2和c-FOS的翻译水平。结果表明,甘肃鼢鼠大脑中GLUT5蛋白和Khk mRNA水平高于SD大鼠,以促进果糖的摄取和代谢,导致果糖孵育期间大脑中果糖、ATP和乳酸含量增加。果糖代谢过程中稳定的UA水平可降低氧化应激和神经炎症的风险,激活Nrf2通路可增加下游抗氧化能力,从而减少脑损伤。持续的fEPSP信号表明果糖支持甘肃河鼠海马CA1区的兴奋性突触传递,但导致SD大鼠海马功能障碍。本研究获得的关于甘肃鼠脑果糖代谢的独特见解将为进一步研究地下啮齿类动物的进化提供有益的依据。
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引用次数: 0
Statistical learning of artificial orthographic regularity arises from coordinated activity across distinct brain regions. 人工正字法规则的统计学习源于不同脑区的协调活动。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-13 DOI: 10.1016/j.neuroscience.2025.01.023
Xiuhong Tong, Yating Lv, Tiantian Wang, Rujun Duan, Shelley Xiuli Tong

The human brain possesses the ability to automatically extract statistical regularities from environmental inputs, including visual-graphic symbols and printed units. However, the specific brain regions underlying the statistical learning of these visual-graphic symbols or artificial orthography remain unclear. This study utilized functional magnetic resonance imaging (fMRI) with an artificial orthography learning paradigm to measure brain activities associated with the statistical learning of radical positional regularities embedded in pseudocharacters containing high (100%), moderate (80%), and low (60%) levels of consistency, along with a series of random abstract figures. Thirty adults passively viewed a continuous stream of these pseudocharacters. fMRI data revealed that the left occipital area and the visual word form area (VWFA) exhibited greater responses at the low consistency level than at the high and moderate levels, suggesting implicit statistical learning of positional regularities. Functional connectivity analysis further revealed significant correlations between the occipital lobe, the VWFA, and other brain regions, such as the middle temporal gyrus (MTG), the superior occipital gyrus (SOG), and the cerebellum. Moreover, neural activity showed a tendency to correlate with behavioural recognition performance. These findings demonstrate that the incidental acquisition of statistical regularities in artificial orthography arises from the coordinated activation of multiple distinct neural circuits.

人类大脑拥有从环境输入中自动提取统计规律的能力,包括视觉图形符号和印刷单位。然而,统计学习这些视觉图形符号或人工正字法的具体大脑区域仍不清楚。本研究利用功能性磁共振成像(fMRI)和人工正字法学习范式来测量与统计学习相关的大脑活动,这些统计学习与包含高(100%)、中等(80%)和低(60%)一致性水平的假字以及一系列随机抽象数字的基本位置规律有关。30个成年人被动地观看这些假角色的连续流。fMRI数据显示,左枕区和视觉词形区(VWFA)在低一致性水平下表现出比高一致性水平和中等一致性水平下更大的反应,表明隐性的位置规律统计学习。功能连通性分析进一步揭示了枕叶、VWFA和其他大脑区域,如颞中回(MTG)、枕上回(SOG)和小脑之间的显著相关性。此外,神经活动显示出与行为识别表现相关的趋势。这些发现表明,人工正字法中统计规律的偶然习得源于多个不同神经回路的协调激活。
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引用次数: 0
Occlusal acuity and bite force in young adults. 年轻人的咬合敏锐度和咬合力。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-12 DOI: 10.1016/j.neuroscience.2025.01.024
Rebeca Sava, Nikola Stanisic, Linn Hindrot, Bruno Chrcanovic, Rajath Sasidharan Pillai, Rosaria Bucci, Peter Svensson, Birgitta Häggman-Henrikson

Occlusal tactile acuity (OTA) and bite force are essential components of the sensorimotor control of oral behaviors. While these variables have been studied independently, it has not yet been revealed whether compressive force impacts the occlusal perception mediated by the mechanoreceptive afferents in the periodontal ligament. The present study examined the effect of repetition and maximum bite force on OTA by testing nine aluminum foils of different thicknesses together with a sham test with no foil, three times each, in randomized order in 36 healthy individuals. In addition, the 40 μm foil was tested three more times at the start of each session to evaluate possible short-term effects. This test session was repeated with and without an interspersed maximum bite force task in between. The results demonstrated that repeated measurements increased OTA significantly (p = 0.033); a change mainly driven by the 40 μm thickness, whereas maximum bite force tests did not affect OTA (p = 0.097). Collectively, the results suggest that the enhanced OTA may be attributed to repetition-mediated learning and neuroplasticity within the pathways related to OTA. Furthermore, the compressive bite force may have induced a short-term change that lasted seconds and was not detected by the subsequent OTA measurements or may have altogether inhibited the facilitatory effect of repeated OTA. This underscores the potential for future research to explore the implications of compressive force and pain on OTA in patient populations, which could provide valuable insights into the adaptive mechanisms of the sensorimotor system in pathological conditions.

咬合触觉敏锐度和咬合力是口腔行为感觉运动控制的重要组成部分。虽然这些变量已被独立研究,但尚未揭示压缩力是否影响由牙周韧带机械感受传入神经介导的咬合感觉。本研究通过对36名健康个体随机进行9种不同厚度的铝箔和无铝箔的假试验,每组3次,考察了重复和最大咬合力对OTA的影响。此外,40 μm箔在每次试验开始时还进行了三次测试,以评估可能的短期效果。在有和没有最大咬合力任务的情况下重复了这个测试过程。结果表明,重复测量显著增加OTA (p = 0.033);这一变化主要受40 μm厚度的驱动,而最大咬合力测试对OTA没有影响(p = 0.097)。综上所述,研究结果表明,OTA的增强可能归因于重复介导的学习和与OTA相关通路中的神经可塑性。此外,压缩咬合力可能会引起持续数秒的短期变化,而随后的OTA测量无法检测到,或者可能完全抑制了重复OTA的促进作用。这强调了未来研究的潜力,探索压缩力和疼痛对患者群体OTA的影响,这可能为病理条件下感觉运动系统的适应机制提供有价值的见解。
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引用次数: 0
Disruptions in cellular communication: Molecular interplay between glutamate/NMDA signalling and MAPK pathways in neurological disorders. 细胞通讯中断:神经系统疾病中谷氨酸/NMDA 信号和 MAPK 通路之间的分子相互作用。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-12 DOI: 10.1016/j.neuroscience.2025.01.021
Sumedha Gupta, Abhishek Kumar Gupta, Sidharth Mehan, Zuber Khan, Ghanshyam Das Gupta, Acharan S Narula

Neurological disorders significantly impact the central nervous system, contributing to a growing public health crisis globally. The spectrum of these disorders includes neurodevelopmental and neurodegenerative diseases. This manuscript reviews the crucial roles of cellular signalling pathways in the pathophysiology of these conditions, focusing primarily on glutaminase/glutamate/NMDA receptor signalling, alongside the mitogen-activated protein kinase (MAPK) pathways-ERK1/2, C-JNK, and P38 MAPK. Activation of these pathways is often correlated with neuronal excitotoxicity, apoptosis, and inflammation, leading to many other pathological conditions such as traumatic brain injury, stroke, and brain tumor. The interplay between glutamate overstimulation and MAPK signalling exacerbates neurodegenerative processes, underscoring the complexity of cellular communication in maintaining neuronal health. Dysfunctional signalling alters synaptic plasticity and neuronal survival, contributing to cognitive impairments in various neurological diseases. The manuscript emphasizes the potential of targeting these signalling pathways for therapeutic interventions, promoting neuroprotection and reducing neuroinflammation. Incorporating insights from precision medicine and innovative drug delivery systems could enhance treatment efficacy. Overall, understanding the intricate mechanisms of these pathways is essential for developing effective strategies to mitigate the impact of neurological disorders and improve patient outcomes. This review highlights the necessity for further exploration into these signalling cascades to facilitate advancements in therapeutic approaches, ensuring better prognoses for individuals affected by neurological conditions.

神经系统疾病严重影响中枢神经系统,导致全球日益严重的公共卫生危机。这些疾病包括神经发育和神经退行性疾病。本文回顾了细胞信号通路在这些疾病的病理生理中的关键作用,主要关注谷氨酰胺酶/谷氨酸/NMDA受体信号通路,以及丝裂原活化蛋白激酶(MAPK)通路- erk1 /2, C-JNK和P38 MAPK。这些通路的激活通常与神经元兴奋性毒性、细胞凋亡和炎症相关,导致许多其他病理情况,如创伤性脑损伤、中风和脑肿瘤。谷氨酸过度刺激和MAPK信号传导之间的相互作用加剧了神经退行性过程,强调了维持神经元健康的细胞通讯的复杂性。功能失调的信号会改变突触可塑性和神经元存活,导致各种神经系统疾病的认知障碍。该手稿强调了靶向这些信号通路的治疗干预,促进神经保护和减少神经炎症的潜力。结合精准医疗和创新药物输送系统的见解可以提高治疗效果。总的来说,了解这些通路的复杂机制对于制定有效的策略来减轻神经系统疾病的影响和改善患者的预后至关重要。这篇综述强调了进一步探索这些信号级联的必要性,以促进治疗方法的进步,确保受神经系统疾病影响的个体有更好的预后。
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引用次数: 0
A systematic review of deep learning in MRI-based cerebral vascular occlusion-based brain diseases. 深度学习在基于mri的脑血管闭塞性脑部疾病中的系统综述。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-11 DOI: 10.1016/j.neuroscience.2025.01.020
Bilal Bayram, Ismail Kunduracioglu, Suat Ince, Ishak Pacal

Neurological disorders, including cerebral vascular occlusions and strokes, present a major global health challenge due to their high mortality rates and long-term disabilities. Early diagnosis, particularly within the first hours, is crucial for preventing irreversible damage and improving patient outcomes. Although neuroimaging techniques like magnetic resonance imaging (MRI) have advanced significantly, traditional methods often fail to fully capture the complexity of brain lesions. Deep learning has recently emerged as a powerful tool in medical imaging, offering high accuracy in detecting and segmenting brain anomalies. This review examines 61 MRI-based studies published between 2020 and 2024, focusing on the role of deep learning in diagnosing cerebral vascular occlusion-related conditions. It evaluates the successes and limitations of these studies, including the adequacy and diversity of datasets, and addresses challenges such as data privacy and algorithm explainability. Comparisons between convolutional neural network (CNN)-based and Vision Transformer (ViT)-based approaches reveal distinct advantages and limitations. The findings emphasize the importance of ethically secure frameworks, the inclusion of diverse datasets, and improved model interpretability. Advanced architectures like U-Net variants and transformer-based models are highlighted as promising tools to enhance reliability in clinical applications. By automating complex neuroimaging tasks and improving diagnostic accuracy, deep learning facilitates personalized treatment strategies. This review provides a roadmap for integrating technical advancements into clinical practice, underscoring the transformative potential of deep learning in managing neurological disorders and improving healthcare outcomes globally.

神经系统疾病,包括脑血管闭塞和中风,由于其高死亡率和长期残疾,对全球健康构成重大挑战。早期诊断,特别是在最初几个小时内,对于预防不可逆转的损害和改善患者预后至关重要。尽管像磁共振成像(MRI)这样的神经成像技术已经取得了显著的进步,但传统的方法往往无法完全捕捉到脑病变的复杂性。深度学习最近成为医学成像的强大工具,在检测和分割大脑异常方面提供了很高的准确性。本文回顾了2020年至2024年间发表的61项基于mri的研究,重点关注深度学习在诊断脑血管闭塞相关疾病中的作用。它评估了这些研究的成功和局限性,包括数据集的充分性和多样性,并解决了数据隐私和算法可解释性等挑战。基于卷积神经网络(CNN)的方法与基于视觉变压器(ViT)的方法的比较显示出明显的优势和局限性。研究结果强调了道德安全框架、包含不同数据集和改进模型可解释性的重要性。U-Net变体和基于变压器的模型等先进架构被强调为提高临床应用可靠性的有前途的工具。通过自动化复杂的神经成像任务和提高诊断准确性,深度学习促进了个性化的治疗策略。这篇综述为将技术进步整合到临床实践提供了路线图,强调了深度学习在管理神经系统疾病和改善全球医疗保健结果方面的变革潜力。
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引用次数: 0
Ameliorative role of bioactive compounds against lead-induced neurotoxicity. 生物活性化合物对铅致神经毒性的改善作用。
IF 2.9 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-01-11 DOI: 10.1016/j.neuroscience.2025.01.018
Venkatesan Neha, Aluru Parithathvi, Herman Sunil Dsouza

Lead (Pb) is an environmental toxin ubiquitously present in the human environment due to anthropogenic activities and industrialization. Lead can enter the human body through various sources and pathways, such as inhalation, ingestion and dermal contact, leading to detrimental health effects. The majority of lead that enters the body is removed by urine or feces; however, under chronic exposure conditions, lead is not efficient, as lead is absorbed and transferred to numerous organs, such as the brain, liver, kidney, muscles, and heart, and it is ultimately stored in mineralizing tissues such as bones and teeth. The central nervous system is the most affected among all the organs and systems affected, as lead is a known neurotoxin. Lead absorption is elevated in the fasting state than in the fed state. Chelation therapy, which is used to treat lead poisoning, has various adverse effects, making this treatment detrimental because it disrupts the levels of other essential elements and redistributes lead to various tissues. One of the main mechanisms by which lead induces toxicity is through the generation of reactive oxygen species. Hence, bioactive compounds that are the source of antioxidants if consumed along with ongoing lead exposure can ameliorate the toxic effects of lead.

铅是由于人类活动和工业化而普遍存在于人类环境中的一种环境毒素。铅可通过吸入、摄入和皮肤接触等多种来源和途径进入人体,对健康产生不利影响。大部分进入人体的铅被尿液或粪便排出;然而,在慢性暴露条件下,铅是无效的,因为铅被吸收并转移到许多器官,如大脑、肝脏、肾脏、肌肉和心脏,并最终储存在矿化组织中,如骨骼和牙齿。在所有受影响的器官和系统中,中枢神经系统受影响最大,因为铅是一种已知的神经毒素。在禁食状态下铅的吸收比在进食状态下要高。用于治疗铅中毒的螯合疗法有各种各样的副作用,使这种治疗有害,因为它破坏了其他基本元素的水平,并将铅重新分配到各种组织中。铅诱导毒性的主要机制之一是通过产生活性氧。因此,作为抗氧化剂来源的生物活性化合物,如果在持续接触铅的情况下摄入,可以改善铅的毒性作用。
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引用次数: 0
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Neuroscience
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