Pub Date : 2024-05-18DOI: 10.1016/j.neuro.2024.05.003
Helena T. Hogberg , Katya Tsaioun , Joshua D. Breidenbach , Bekki Elmore , Julija Filipovska , Natalia Garcia-Reyero , Alan J. Hargreaves , Ojasi Joshi , Elma Omeragic , Shannon Plant , Rebecca Ram , Ishita Virmani , Jennifer Waspe , Donna S. Macmillan
Background
The global coronavirus 2019 (COVID-19) pandemic began in early 2020, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In mid-2020 the CIAO (Modelling the Pathogenesis of COVID-19 Using the Adverse Outcome Pathway Framework) project was established, bringing together over 75 interdisciplinary scientists worldwide to collaboratively investigate the underlying biological mechanisms of COVID-19 and consolidate the data using the Adverse Outcome Pathway (AOP) Framework. Neurological symptoms such as anosmia and encephalitis have been frequently reported to be associated with infection with SARS-CoV-2.
Objective
Within CIAO, a working group was formed to conduct a systematic scoping review of COVID-19 and its related neurological symptoms to determine which key events and modulating factors are most commonly reported and to identify knowledge gaps.
Design
LitCOVID was used to retrieve 86,075 papers of which 10,244 contained relevant keywords. After title and abstract screening, 2,328 remained and their full texts were reviewed based on predefined inclusion and exclusion criteria. 991 studies fulfilled the inclusion criteria and were retrieved to conduct knowledge synthesis.
Results
The majority of publications reported human observational studies. Early key events were less likely to be reported compared to middle and late key events/adverse outcomes. The majority of modulating factors described related to age or sex. Less recognised COVID-19 associated AO or neurological effects of COVID-19 were also identified including multiple sclerosis/demyelination, neurodegeneration/cognitive effects and peripheral neuronal effects.
Conclusion
There were many methodological and reporting issues noted in the reviewed studies. In particular, publication abstracts would benefit from clearer reporting of the methods and endpoints used and the key findings, to ensure relevant papers are included when systematic reviews are conducted. The information extracted from the scoping review may be useful in understanding the mechanisms of neurological effects of COVID-19 and to further develop or support existing AOPs linking COVID-19 and its neurological key events and adverse outcomes. Further evaluation of the less recognised COVID-19 effects is needed.
{"title":"A systematic scoping review of the neurological effects of COVID-19","authors":"Helena T. Hogberg , Katya Tsaioun , Joshua D. Breidenbach , Bekki Elmore , Julija Filipovska , Natalia Garcia-Reyero , Alan J. Hargreaves , Ojasi Joshi , Elma Omeragic , Shannon Plant , Rebecca Ram , Ishita Virmani , Jennifer Waspe , Donna S. Macmillan","doi":"10.1016/j.neuro.2024.05.003","DOIUrl":"10.1016/j.neuro.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p>The global coronavirus 2019 (COVID-19) pandemic began in early 2020, caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In mid-2020 the CIAO (Modelling the Pathogenesis of <strong>C</strong>OV<strong>I</strong>D-19 Using the <strong>A</strong>dverse <strong>O</strong>utcome Pathway Framework) project was established, bringing together over 75 interdisciplinary scientists worldwide to collaboratively investigate the underlying biological mechanisms of COVID-19 and consolidate the data using the Adverse Outcome Pathway (AOP) Framework. Neurological symptoms such as anosmia and encephalitis have been frequently reported to be associated with infection with SARS-CoV-2.</p></div><div><h3>Objective</h3><p>Within CIAO, a working group was formed to conduct a systematic scoping review of COVID-19 and its related neurological symptoms to determine which key events and modulating factors are most commonly reported and to identify knowledge gaps.</p></div><div><h3>Design</h3><p>LitCOVID was used to retrieve 86,075 papers of which 10,244 contained relevant keywords. After title and abstract screening, 2,328 remained and their full texts were reviewed based on predefined inclusion and exclusion criteria. 991 studies fulfilled the inclusion criteria and were retrieved to conduct knowledge synthesis.</p></div><div><h3>Results</h3><p>The majority of publications reported human observational studies. Early key events were less likely to be reported compared to middle and late key events/adverse outcomes. The majority of modulating factors described related to age or sex. Less recognised COVID-19 associated AO or neurological effects of COVID-19 were also identified including multiple sclerosis/demyelination, neurodegeneration/cognitive effects and peripheral neuronal effects.</p></div><div><h3>Conclusion</h3><p>There were many methodological and reporting issues noted in the reviewed studies. In particular, publication abstracts would benefit from clearer reporting of the methods and endpoints used and the key findings, to ensure relevant papers are included when systematic reviews are conducted. The information extracted from the scoping review may be useful in understanding the mechanisms of neurological effects of COVID-19 and to further develop or support existing AOPs linking COVID-19 and its neurological key events and adverse outcomes. Further evaluation of the less recognised COVID-19 effects is needed.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"103 ","pages":"Pages 16-26"},"PeriodicalIF":3.4,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141066030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-17DOI: 10.1016/j.neuro.2024.05.002
C. Morel , J. Paoli , C. Camonin , N. Marchal , N. Grova , H. Schroeder
The valproic acid model has been shown to reproduce ASD-like behaviours observed in patients and is now widely validated for construct, face, and predictivity as ASD model in rat. The literature agrees on using a single exposition to 500 mg/kg of VPA at gestational day 12 to induce ASD phenotype with the intraperitoneal route being the most commonly used. However, some studies validated this model with repeated exposure by using oral route. The way of administration may be of great importance in the induction of the ASD phenotype and a comparison is greatly required. We compared two ASD models, one induced by a unique IP injection of 500 mg/kg of body weight at GD12 and the other one by repeated PO administration of 500 mg/kg of body weight/day between GD11 and GD13. The behavioural phenotypes of the offspring were assessed for the core signs of ASD (impaired social behaviour, stereotypical/repetitive behaviours, sensory/communication deficits) as well as anxiety as comorbidity, at developmental and juvenile stages in both sexes. The VPA IP model induced a more literature-compliant ASD phenotype than the PO one. These results confirmed that the mode of administration as well as the window of VPA exposure are key factors in the ASD-induction phenotype. Interestingly, the effects of VPA administration were similar at the developmental stage between both sexes and then tended to differ later in life.
{"title":"Comparison of predictive validity of two autism spectrum disorder rat models: Behavioural investigations","authors":"C. Morel , J. Paoli , C. Camonin , N. Marchal , N. Grova , H. Schroeder","doi":"10.1016/j.neuro.2024.05.002","DOIUrl":"10.1016/j.neuro.2024.05.002","url":null,"abstract":"<div><p>The valproic acid model has been shown to reproduce ASD-like behaviours observed in patients and is now widely validated for construct, face, and predictivity as ASD model in rat. The literature agrees on using a single exposition to 500 mg/kg of VPA at gestational day 12 to induce ASD phenotype with the intraperitoneal route being the most commonly used. However, some studies validated this model with repeated exposure by using oral route. The way of administration may be of great importance in the induction of the ASD phenotype and a comparison is greatly required. We compared two ASD models, one induced by a unique IP injection of 500 mg/kg of body weight at GD12 and the other one by repeated PO administration of 500 mg/kg of body weight/day between GD11 and GD13. The behavioural phenotypes of the offspring were assessed for the core signs of ASD (impaired social behaviour, stereotypical/repetitive behaviours, sensory/communication deficits) as well as anxiety as comorbidity, at developmental and juvenile stages in both sexes. The VPA IP model induced a more literature-compliant ASD phenotype than the PO one. These results confirmed that the mode of administration as well as the window of VPA exposure are key factors in the ASD-induction phenotype. Interestingly, the effects of VPA administration were similar at the developmental stage between both sexes and then tended to differ later in life.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"103 ","pages":"Pages 39-49"},"PeriodicalIF":3.4,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140957660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.neuro.2024.04.006
Wuhui He , Fan Wu , Hao Xiong , Junbo Zeng , Yiming Gao , Ziyi Cai , Jiaqi Pang , Yiqing Zheng
{"title":"Corrigendum to “Promoting TFEB nuclear localization with curcumin analog C1 attenuates sensory hair cell injury and delays age-related hearing loss in C57BL/6 mice” [Neurotoxicology, 95 (2023) 218–231]","authors":"Wuhui He , Fan Wu , Hao Xiong , Junbo Zeng , Yiming Gao , Ziyi Cai , Jiaqi Pang , Yiqing Zheng","doi":"10.1016/j.neuro.2024.04.006","DOIUrl":"10.1016/j.neuro.2024.04.006","url":null,"abstract":"","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 121-122"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161813X24000378/pdfft?md5=48d40e1333a32813f74f25ae9bf37cc6&pid=1-s2.0-S0161813X24000378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140876946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-01DOI: 10.1016/j.neuro.2024.04.007
OgheneTejiri V. Smith , Samantha H. Penhale , Lauren R. Ott , Danielle L. Rice , Anna T. Coutant , Ryan Glesinger , Tony W. Wilson , Brittany K. Taylor
The refinement of brain morphology extends across childhood, and exposure to environmental toxins during this period may alter typical trends. Radon is a highly common radiologic toxin with a well-established role in cancer among adults. However, effects on developmental populations are understudied in comparison. This study investigated whether home radon exposure is associated with altered brain morphology in youths. Fifty-four participants (6–14 yrs, M=10.52 yrs, 48.15% male, 89% White) completed a T1-weighted MRI and home measures of radon. We observed a significant multivariate effect of home radon concentrations, which was driven by effects on GMV. Specifically, higher home radon was associated with smaller GMV (F=6.800, p=.012, ηp2=.13). Conversely, there was a trending radon-by-age interaction on WMV, which reached significance when accounting for the chronicity of radon exposure (F=4.12, p=.049, ηp2=.09). We found that youths with above-average radon exposure showed no change in WMV with age, whereas low radon was linked with normative, age-related WMV increases. These results suggest that everyday home radon exposure may alter sensitive structural brain development, impacting developmental trajectories in both gray and white matter.
{"title":"Everyday home radon exposure is associated with altered structural brain morphology in youths","authors":"OgheneTejiri V. Smith , Samantha H. Penhale , Lauren R. Ott , Danielle L. Rice , Anna T. Coutant , Ryan Glesinger , Tony W. Wilson , Brittany K. Taylor","doi":"10.1016/j.neuro.2024.04.007","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.007","url":null,"abstract":"<div><p>The refinement of brain morphology extends across childhood, and exposure to environmental toxins during this period may alter typical trends. Radon is a highly common radiologic toxin with a well-established role in cancer among adults. However, effects on developmental populations are understudied in comparison. This study investigated whether home radon exposure is associated with altered brain morphology in youths. Fifty-four participants (6–14 yrs, <em>M</em>=10.52 yrs, 48.15% male, 89% White) completed a T1-weighted MRI and home measures of radon. We observed a significant multivariate effect of home radon concentrations, which was driven by effects on GMV. Specifically, higher home radon was associated with smaller GMV (<em>F=</em>6.800, <em>p</em>=.012, η<sub>p</sub><sup>2</sup>=.13). Conversely, there was a trending radon-by-age interaction on WMV, which reached significance when accounting for the chronicity of radon exposure (<em>F</em>=4.12, <em>p</em>=.049, η<sub>p</sub><sup>2</sup>=.09). We found that youths with above-average radon exposure showed no change in WMV with age, whereas low radon was linked with normative, age-related WMV increases. These results suggest that everyday home radon exposure may alter sensitive structural brain development, impacting developmental trajectories in both gray and white matter.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 114-120"},"PeriodicalIF":3.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161813X2400038X/pdfft?md5=da1c52c225124a583b3fae77562067b2&pid=1-s2.0-S0161813X2400038X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140822865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Obstructive Sleep Apnea (OSA) is a significant health concern characterized by recurrent upper airway blockages during sleep, causing various health issues. There's growing evidence of a link between air pollution and OSA, though research results have been inconsistent. This systematic review and meta-analysis aims to consolidate and examine data on the relationship between air pollution and OSA's risk and severity.
Methods
A literature search across PubMed, EMBASE, and Web of Science was conducted until January 10, 2024. The selection criteria targeted studies involving OSA participants or those at risk, with quantitative air pollution assessments. The Nested Knowledge software facilitated screening and data extraction, while the Newcastle-Ottawa Scale was used for quality assessment. Meta-analyses, utilizing random-effects models, computed pooled odds ratios (ORs) for the OSA risk associated with PM2.5 and NO2 exposure, analyzed using R software version 4.3.
Results
The systematic review included twelve studies, four of which were analyzed in the meta-analysis. The meta-analysis revealed diverse results on the association of PM2.5 and NO2 with OSA risk. PM2.5 exposure showed a pooled OR of 0.987 (95 % CI: 0.836–1.138), indicating no substantial overall impact on OSA risk. Conversely, NO2 exposure was linked to a pooled OR of 1.095 (95 % CI: 0.920–1.270), a non-significant increase in risk. Many studies found a relationship between air pollution exposure and elevated Apnea-Hypopnea Index (AHI) levels, indicating a relationship between air pollution and OSA severity.
Conclusion
The findings suggest air pollutants, especially NO2, might play a role in worsening OSA risk and severity, but the evidence isn't definitive. This highlights the variability of different pollutants' effects and the necessity for more research. Understanding these links is vital for shaping public health policies and clinical approaches to address OSA amidst high air pollution.
背景阻塞性睡眠呼吸暂停(OSA)是一种严重的健康问题,其特点是睡眠时上气道反复阻塞,导致各种健康问题。越来越多的证据表明,空气污染与 OSA 之间存在联系,但研究结果并不一致。本系统综述和荟萃分析旨在整合和研究有关空气污染与 OSA 的风险和严重程度之间关系的数据。方法截至 2024 年 1 月 10 日,在 PubMed、EMBASE 和 Web of Science 上进行了文献检索。选择标准以涉及 OSA 参与者或高危人群的研究为目标,并对空气污染进行了定量评估。Nested Knowledge 软件有助于筛选和提取数据,纽卡斯尔-渥太华量表则用于质量评估。利用随机效应模型进行荟萃分析,计算出与 PM2.5 和二氧化氮暴露相关的 OSA 风险的集合几率比(ORs),并使用 4.3 版 R 软件进行分析。荟萃分析表明,PM2.5 和二氧化氮与 OSA 风险的关联结果各不相同。PM2.5暴露的汇总OR值为0.987(95 % CI:0.836-1.138),表明对OSA风险没有实质性的整体影响。相反,二氧化氮暴露与 1.095 的集合 OR 值(95 % CI:0.920-1.270)有关,风险增加不明显。许多研究发现,空气污染暴露与呼吸暂停-低通气指数(AHI)水平升高之间存在关系,这表明空气污染与 OSA 严重程度之间存在关系。这凸显了不同污染物影响的差异性以及开展更多研究的必要性。了解这些联系对于制定公共卫生政策和临床方法以解决高空气污染中的 OSA 问题至关重要。
{"title":"Association of air pollution with risk and severity of obstructive sleep apnea: A systematic review and meta-analysis","authors":"Tahani Alrahbeni , Jeetendra Kumar Gupta , Anas Alkhouri , Ladi Alik Kumar , Ahmed Mahal , Khalid Al-Mugheed , Prakasini Satapathy , Neelima Kukreti , Mahalaqua Nazli Khatib , Shilpa Gaidhane , Abhay M. Gaidhane , Sarvesh Rustagi , Dibyalochan Mohanty , Bijaya Kumar Padhi","doi":"10.1016/j.neuro.2024.04.005","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.005","url":null,"abstract":"<div><h3>Background</h3><p>Obstructive Sleep Apnea (OSA) is a significant health concern characterized by recurrent upper airway blockages during sleep, causing various health issues. There's growing evidence of a link between air pollution and OSA, though research results have been inconsistent. This systematic review and meta-analysis aims to consolidate and examine data on the relationship between air pollution and OSA's risk and severity.</p></div><div><h3>Methods</h3><p>A literature search across PubMed, EMBASE, and Web of Science was conducted until January 10, 2024. The selection criteria targeted studies involving OSA participants or those at risk, with quantitative air pollution assessments. The Nested Knowledge software facilitated screening and data extraction, while the Newcastle-Ottawa Scale was used for quality assessment. Meta-analyses, utilizing random-effects models, computed pooled odds ratios (ORs) for the OSA risk associated with PM2.5 and NO2 exposure, analyzed using R software version 4.3.</p></div><div><h3>Results</h3><p>The systematic review included twelve studies, four of which were analyzed in the meta-analysis. The meta-analysis revealed diverse results on the association of PM2.5 and NO2 with OSA risk. PM2.5 exposure showed a pooled OR of 0.987 (95 % CI: 0.836–1.138), indicating no substantial overall impact on OSA risk. Conversely, NO2 exposure was linked to a pooled OR of 1.095 (95 % CI: 0.920–1.270), a non-significant increase in risk. Many studies found a relationship between air pollution exposure and elevated Apnea-Hypopnea Index (AHI) levels, indicating a relationship between air pollution and OSA severity.</p></div><div><h3>Conclusion</h3><p>The findings suggest air pollutants, especially NO2, might play a role in worsening OSA risk and severity, but the evidence isn't definitive. This highlights the variability of different pollutants' effects and the necessity for more research. Understanding these links is vital for shaping public health policies and clinical approaches to address OSA amidst high air pollution.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 106-113"},"PeriodicalIF":3.4,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161813X24000366/pdfft?md5=5f2c5555ed413d7fb3b4a1e592556379&pid=1-s2.0-S0161813X24000366-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140649662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09DOI: 10.1016/j.neuro.2024.04.003
Hsiu-Chao Chen , Wen-Wei Feng , Gilbert Audira , Kevin Adi Kurnia , San-Ho Hung , Agnes L. Castillo , Marri Jmelou M. Roldan , Chung-Der Hsiao , Chih-Hsin Hung
Melamine-tainted products have been found in the market and raised issues about food safety. Recent studies done in rodents and humans demonstrated the toxicities of melamine, especially in causing kidney damage and bladder stone formation. However, very few studies assessed its behavior toxicity in organisms, including fish. Therefore, in this study, the researchers aim to determine whether sub-chronic exposure to melamine via oral and systematic administration could induce behavioral abnormality in zebrafish. After 14 days of systematic exposure to melamine at doses of 0.1 and 10 ppm levels, zebrafish were subjected to multiple behavioral assays. Results from both exposure routes showed that melamine indeed slightly increased fish locomotion and altered their exploratory behaviors in the novel tank assay. Furthermore, tightened shoaling formation was also displayed by the treated fish in the waterborne exposure group. However, melamine exposure did not cause any obvious alterations in fish behaviors during other behavioral tests. In addition, in comparison with previously published data on the behavior toxicities of several solvents in zebrafish, our phenomic analysis suggests the relatively low behavior toxicities of melamine via either systematic exposure or oral administration to zebrafish compared to those solvents. Nevertheless, our data indicate that the potential neurotoxicity of chronic low-dose melamine should not be ignored.
{"title":"Evaluation of sub-chronic toxicity of melamine via systematic or oral delivery in adult zebrafish based on behavioral endpoints","authors":"Hsiu-Chao Chen , Wen-Wei Feng , Gilbert Audira , Kevin Adi Kurnia , San-Ho Hung , Agnes L. Castillo , Marri Jmelou M. Roldan , Chung-Der Hsiao , Chih-Hsin Hung","doi":"10.1016/j.neuro.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.003","url":null,"abstract":"<div><p>Melamine-tainted products have been found in the market and raised issues about food safety. Recent studies done in rodents and humans demonstrated the toxicities of melamine, especially in causing kidney damage and bladder stone formation. However, very few studies assessed its behavior toxicity in organisms, including fish. Therefore, in this study, the researchers aim to determine whether sub-chronic exposure to melamine via oral and systematic administration could induce behavioral abnormality in zebrafish. After 14 days of systematic exposure to melamine at doses of 0.1 and 10 ppm levels, zebrafish were subjected to multiple behavioral assays. Results from both exposure routes showed that melamine indeed slightly increased fish locomotion and altered their exploratory behaviors in the novel tank assay. Furthermore, tightened shoaling formation was also displayed by the treated fish in the waterborne exposure group. However, melamine exposure did not cause any obvious alterations in fish behaviors during other behavioral tests. In addition, in comparison with previously published data on the behavior toxicities of several solvents in zebrafish, our phenomic analysis suggests the relatively low behavior toxicities of melamine via either systematic exposure or oral administration to zebrafish compared to those solvents. Nevertheless, our data indicate that the potential neurotoxicity of chronic low-dose melamine should not be ignored.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 68-80"},"PeriodicalIF":3.4,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140548861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09DOI: 10.1016/j.neuro.2024.04.004
Lennart V.J. van Melis, Anneloes M. Peerdeman, Eva H.W. Huiberts, Regina G.D.M. van Kleef, Aart de Groot, Remco H.S. Westerink
Exposure to pesticides, such as carbamates, organophosphates, organochlorines and pyrethroids, has been linked to various health problems, including neurotoxicity. Although most in vivo studies use only male rodents, some studies have shown in vivo sex-specific effects after acute exposure. Since in vivo studies are costly and require a large number of animals, in vitro assays that take sex-specific effects into account are urgently needed. We therefore assessed the acute effects of exposure to different carbamates (methomyl, aldicarb and carbaryl), organophosphates (chlorpyrifos (CPF), chlorpyrifos-oxon (CPO) and 3,5,6-trichloropyridinol), organochlorines (endosulfan, dieldrin and lindane) and pyrethroids (permethrin, alpha-cypermethrin and 3-phenoxy-benzoic acid (3-PBA)) on neuronal network function in sex-separated rat primary cortical cultures using micro-electrode array (MEA) recordings. Our results indicate that exposure to the carbamate carbaryl and the organophosphates CPF and CPO decreased neuronal activity, with CPO being the most potent. Notably, (network) burst patterns differed between CPF and CPO, with CPO inducing fewer, but more intense (network) bursts. Exposure to low micromolar levels of endosulfan induced a hyperexcitation, most likely due to the antagonistic effects on GABA receptors. Interestingly, females were more sensitive to endosulfan than males. Exposure to dieldrin and lindane also increased neuronal activity, albeit less than endosulfan and without sex-specific effects. Exposure to type I pyrethroid permethrin increased neuronal activity, while exposure to type II pyrethroid alpha-cypermethrin strongly decreased neuronal activity. The increase seen after permethrin exposure was more pronounced in males than in females. Together, these results show that acute exposure to different classes of pesticides exerts differential effects on neuronal activity. Moreover, it shows that MEA recordings are suited to detect sex-specific neurotoxic effects in vitro.
接触杀虫剂(如氨基甲酸酯、有机磷、有机氯和拟除虫菊酯)与各种健康问题(包括神经毒性)有关。虽然大多数体内研究只使用雄性啮齿动物,但一些研究显示,急性接触后,体内的性别特异性效应也会产生影响。由于体内研究成本高昂且需要大量动物,因此迫切需要考虑到性别特异性效应的体外检测方法。因此,我们评估了急性接触不同的氨基甲酸酯类(灭多威、涕灭威和西维因)、有机磷类(毒死蜱(CPF)、毒死蜱-氧磷(CPO)和 3,5,6-三氯吡啶醇)、有机氯类(硫丹、狄氏剂和林丹)的影响、和林丹)和拟除虫菊酯(氯菊酯、甲型氯氰菊酯和 3-苯氧基苯甲酸(3-PBA))对大鼠初级皮层神经元网络功能的影响。我们的研究结果表明,接触氨基甲酸酯类西维因以及有机磷类氯化石蜡和氯化石蜡会降低神经元的活性,其中氯化石蜡的作用最强。值得注意的是,CPF 和 CPO 的(网络)突发性模式不同,CPO 诱导的(网络)突发性更少,但更强烈。暴露于低微摩尔水平的硫丹会引起过度兴奋,这很可能是由于硫丹对 GABA 受体的拮抗作用。有趣的是,雌性比雄性对硫丹更敏感。接触狄氏剂和林丹也会增加神经元的活动,尽管其程度低于硫丹,而且没有性别特异性影响。接触 I 型拟除虫菊酯氯菊酯会增加神经元的活性,而接触 II 型拟除虫菊酯甲型氯菊酯则会大大降低神经元的活性。暴露于氯菊酯后,男性的神经元活动增加比女性更明显。这些结果表明,急性接触不同种类的杀虫剂会对神经元活动产生不同的影响。此外,它还表明 MEA 记录适合于体外检测性别特异性神经毒性效应。
{"title":"Effects of acute insecticide exposure on neuronal activity in vitro in rat cortical cultures","authors":"Lennart V.J. van Melis, Anneloes M. Peerdeman, Eva H.W. Huiberts, Regina G.D.M. van Kleef, Aart de Groot, Remco H.S. Westerink","doi":"10.1016/j.neuro.2024.04.004","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.004","url":null,"abstract":"<div><p>Exposure to pesticides, such as carbamates, organophosphates, organochlorines and pyrethroids, has been linked to various health problems, including neurotoxicity. Although most <em>in vivo</em> studies use only male rodents, some studies have shown <em>in vivo</em> sex-specific effects after acute exposure. Since <em>in vivo</em> studies are costly and require a large number of animals, <em>in vitro</em> assays that take sex-specific effects into account are urgently needed. We therefore assessed the acute effects of exposure to different carbamates (methomyl, aldicarb and carbaryl), organophosphates (chlorpyrifos (CPF), chlorpyrifos-oxon (CPO) and 3,5,6-trichloropyridinol), organochlorines (endosulfan, dieldrin and lindane) and pyrethroids (permethrin, alpha-cypermethrin and 3-phenoxy-benzoic acid (3-PBA)) on neuronal network function in sex-separated rat primary cortical cultures using micro-electrode array (MEA) recordings. Our results indicate that exposure to the carbamate carbaryl and the organophosphates CPF and CPO decreased neuronal activity, with CPO being the most potent. Notably, (network) burst patterns differed between CPF and CPO, with CPO inducing fewer, but more intense (network) bursts. Exposure to low micromolar levels of endosulfan induced a hyperexcitation, most likely due to the antagonistic effects on GABA receptors. Interestingly, females were more sensitive to endosulfan than males. Exposure to dieldrin and lindane also increased neuronal activity, albeit less than endosulfan and without sex-specific effects. Exposure to type I pyrethroid permethrin increased neuronal activity, while exposure to type II pyrethroid alpha-cypermethrin strongly decreased neuronal activity. The increase seen after permethrin exposure was more pronounced in males than in females. Together, these results show that acute exposure to different classes of pesticides exerts differential effects on neuronal activity. Moreover, it shows that MEA recordings are suited to detect sex-specific neurotoxic effects <em>in vitro</em>.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 58-67"},"PeriodicalIF":3.4,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0161813X24000354/pdfft?md5=9053abd8fc3e43b553cdbf3844b8007f&pid=1-s2.0-S0161813X24000354-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-09DOI: 10.1016/j.neuro.2024.04.002
Wen Sun , Pengyue Zhao , Shidong Hu , Zhenting Zhao , Boyan Liu , Xingpeng Yang , Jiaqi Yang , Ze Fu , Songyan Li , Wenli Yu
Background
Propofol can increase neurotoxicity in infants but the precise mechanism is still unknown. Our previous study revealed that nuclear FMR1 interacting protein 1 (NUFIP1), a specific ribophagy receptor, can alleviate T cell apoptosis in sepsis. Yet, the effect of NUFIP1-engineered exosomes elicited from human umbilical cord blood mesenchymal stem cells (hUMSCs) on nerve injury induced by propofol remains unclear. This study intended to investigate the effect of NUFIP1-engineered exosomes on propofol-induced nerve damage in neonatal rats.
Methods
Firstly, NUFIP1-engineered exosomes were extracted from hUMSCs serum and their identification was conducted using transmission electron microscopy (TEM), Flow NanoAnalyzer, quantitative real-time polymerase chain reaction (qRT-PCR), and western blot (WB). Subsequently, the optimal exposure duration and concentration of propofol induced apoptosis were determined in SH-SY5Y cell line using WB. Following this, we co-cultured the NUFIP1-engineered exosomes in the knockdown group (NUFIP1-KD) and overexpression group (NUFIP1-OE) with SH-SY5Y cells and assessed their effects on the apoptosis of SH-SY5Y cells using terminal-deoxynucleotidyl transferase mediated nick end labeling (TUNEL) assay, Hoechst 33258 staining, WB, and flow cytometry, respectively. Finally, NUFIP1-engineered exosomes were intraperitoneally injected into neonatal rats, and their effects on the learning and memory ability of neonatal rats were observed through the righting reflex and Morris water maze (MWM) test. Hippocampi were extracted from different groups for hematoxylin-eosin (HE) staining, immunohistochemistry, immunofluorescence, and WB to observe their effects on apoptosis in neonatal rats.
Results
TEM, Flow NanoAnalyzer, qRT-PCR, and WB analyses confirmed that the exosomes extracted from hUMSCs serum exhibited the expected morphology, diameter, surface markers, and expression of target genes. This confirmed the successful construction of NUFIP1-KD and NUFIP1-OE-engineered exosomes. Optimal exposure duration and concentration of propofol were determined to be 24 hours and 100 µg/ml, respectively. Co-culture of NUFIP1 engineered exosomes and SH-SY5Y cells resulted in significant up-regulation of pro-apoptotic proteins Bax and c-Caspase-3 in the KD group, while anti-apoptotic protein Bcl-2 was significantly decreased. The OE group showed the opposite trend. TUNEL apoptosis assay, Hoechst 33258 staining, and flow cytometry yielded consistent results. Animal experiments demonstrated that intraperitoneal injection of NUFIP1-KD engineered exosomes prolonged the righting reflex recovery time of newborn rats, and MWM tests revealed a significant diminution in the time and number of newborn rats entering the platform. HE staining, immunohistochemistry, immunofluorescence, and WB results also indicated a significant enhancement in apoptosis in this group. Conversely, the
{"title":"NUFIP1-engineered exosomes derived from hUMSCs regulate apoptosis and neurological injury induced by propofol in newborn rats","authors":"Wen Sun , Pengyue Zhao , Shidong Hu , Zhenting Zhao , Boyan Liu , Xingpeng Yang , Jiaqi Yang , Ze Fu , Songyan Li , Wenli Yu","doi":"10.1016/j.neuro.2024.04.002","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.002","url":null,"abstract":"<div><h3>Background</h3><p>Propofol can increase neurotoxicity in infants but the precise mechanism is still unknown. Our previous study revealed that nuclear FMR1 interacting protein 1 (NUFIP1), a specific ribophagy receptor, can alleviate T cell apoptosis in sepsis. Yet, the effect of NUFIP1-engineered exosomes elicited from human umbilical cord blood mesenchymal stem cells (hUMSCs) on nerve injury induced by propofol remains unclear. This study intended to investigate the effect of NUFIP1-engineered exosomes on propofol-induced nerve damage in neonatal rats.</p></div><div><h3>Methods</h3><p>Firstly, NUFIP1-engineered exosomes were extracted from hUMSCs serum and their identification was conducted using transmission electron microscopy (TEM), Flow NanoAnalyzer, quantitative real-time polymerase chain reaction (qRT-PCR), and western blot (WB). Subsequently, the optimal exposure duration and concentration of propofol induced apoptosis were determined in SH-SY5Y cell line using WB. Following this, we co-cultured the NUFIP1-engineered exosomes in the knockdown group (NUFIP1-KD) and overexpression group (NUFIP1-OE) with SH-SY5Y cells and assessed their effects on the apoptosis of SH-SY5Y cells using terminal-deoxynucleotidyl transferase mediated nick end labeling (TUNEL) assay, Hoechst 33258 staining, WB, and flow cytometry, respectively. Finally, NUFIP1-engineered exosomes were intraperitoneally injected into neonatal rats, and their effects on the learning and memory ability of neonatal rats were observed through the righting reflex and Morris water maze (MWM) test. Hippocampi were extracted from different groups for hematoxylin-eosin (HE) staining, immunohistochemistry, immunofluorescence, and WB to observe their effects on apoptosis in neonatal rats.</p></div><div><h3>Results</h3><p>TEM, Flow NanoAnalyzer, qRT-PCR, and WB analyses confirmed that the exosomes extracted from hUMSCs serum exhibited the expected morphology, diameter, surface markers, and expression of target genes. This confirmed the successful construction of NUFIP1-KD and NUFIP1-OE-engineered exosomes. Optimal exposure duration and concentration of propofol were determined to be 24 hours and 100 µg/ml, respectively. Co-culture of NUFIP1 engineered exosomes and SH-SY5Y cells resulted in significant up-regulation of pro-apoptotic proteins Bax and c-Caspase-3 in the KD group, while anti-apoptotic protein Bcl-2 was significantly decreased. The OE group showed the opposite trend. TUNEL apoptosis assay, Hoechst 33258 staining, and flow cytometry yielded consistent results. Animal experiments demonstrated that intraperitoneal injection of NUFIP1-KD engineered exosomes prolonged the righting reflex recovery time of newborn rats, and MWM tests revealed a significant diminution in the time and number of newborn rats entering the platform. HE staining, immunohistochemistry, immunofluorescence, and WB results also indicated a significant enhancement in apoptosis in this group. Conversely, the","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 81-95"},"PeriodicalIF":3.4,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140548216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-04DOI: 10.1016/j.neuro.2024.04.001
Luis F. Gonzalez-Cuyar , Gill Nelson , Susan Searles Nielsen , Wendy W. Dlamini , Amelia Keyser-Gibson , C. Dirk Keene , Michael Paulsen , Susan R. Criswell , Natalie Senini , Lianne Sheppard , Shar Samy , Christopher D. Simpson , Marissa G. Baker , Brad A. Racette
Background
Manganese (Mn) is an essential micronutrient as well as a well-established neurotoxicant. Occupational and environmental exposures may bypass homeostatic regulation and lead to increased systemic Mn levels. Translocation of ultrafine ambient airborne particles via nasal neuronal pathway to olfactory bulb and tract may be an important pathway by which Mn enters the central nervous system.
Objective
To measure olfactory tract/bulb tissue metal concentrations in Mn-exposed and non-exposed mineworkers.
Methods
Using inductively coupled plasma-mass spectrometry (ICP-MS), we measured and compared tissue metal concentrations in unilateral olfactory tracts/bulbs of 24 Mn-exposed and 17 non-exposed South African mineworkers. We used linear regression to investigate the association between cumulative Mn exposures and olfactory tract/bulb Mn concentration.
Results
The difference in mean olfactory tract/bulb Mn concentrations between Mn-exposed and non-Mn exposed mineworkers was 0.16 µg/g (95% CI −0.11, 0.42); but decreased to 0.09 µg/g (95% CI 0.004, 0.18) after exclusion of one influential observation. Olfactory tract/bulb metal concentration and cumulative Mn exposure suggested there may be a positive association; for each mg Mn/m3-year there was a 0.05 µg/g (95% CI 0.01, 0.08) greater olfactory tract/bulb Mn concentration overall, but −0.003 (95% CI −0.02, 0.02) when excluding the three influential observations. Recency of Mn exposure was not associated with olfactory tract/bulb Mn concentration.
Conclusions
Our findings suggest that Mn-exposed mineworkers might have higher olfactory tract/bulb tissue Mn concentrations than non-Mn exposed mineworkers, and that concentrations might depend more on cumulative dose than recency of exposure.
背景锰(Mn)是一种必需的微量营养元素,也是一种公认的神经毒物。职业和环境暴露可能会绕过体内平衡调节,导致全身锰含量增加。环境空气中的超细颗粒通过鼻腔神经元途径转移到嗅球和嗅道,这可能是锰进入中枢神经系统的重要途径。方法我们使用电感耦合等离子体质谱仪(ICP-MS)测量并比较了 24 名接触锰的南非矿工和 17 名未接触锰的南非矿工单侧嗅道/嗅球组织中的金属浓度。结果暴露于锰的矿工与未暴露于锰的矿工的平均嗅道/球部锰浓度差异为 0.16 µg/g (95% CI -0.11, 0.42);但在排除一个有影响的观察结果后,差异降至 0.09 µg/g (95% CI 0.004, 0.18)。嗅道/球茎金属浓度与累积锰暴露量可能存在正相关;每毫克锰/立方米-年,嗅道/球茎锰浓度总体上会增加 0.05 微克/克(95% CI 0.01,0.08),但如果排除三个有影响的观测值,则会增加-0.003(95% CI -0.02,0.02)。我们的研究结果表明,与未接触锰的矿工相比,接触锰的矿工的嗅道/球部组织锰浓度可能更高,而且锰浓度可能更多地取决于累积剂量,而不是接触锰的时间。
{"title":"Olfactory tract/bulb metal concentration in Manganese-exposed mineworkers","authors":"Luis F. Gonzalez-Cuyar , Gill Nelson , Susan Searles Nielsen , Wendy W. Dlamini , Amelia Keyser-Gibson , C. Dirk Keene , Michael Paulsen , Susan R. Criswell , Natalie Senini , Lianne Sheppard , Shar Samy , Christopher D. Simpson , Marissa G. Baker , Brad A. Racette","doi":"10.1016/j.neuro.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.neuro.2024.04.001","url":null,"abstract":"<div><h3>Background</h3><p>Manganese (Mn) is an essential micronutrient as well as a well-established neurotoxicant. Occupational and environmental exposures may bypass homeostatic regulation and lead to increased systemic Mn levels. Translocation of ultrafine ambient airborne particles via nasal neuronal pathway to olfactory bulb and tract may be an important pathway by which Mn enters the central nervous system.</p></div><div><h3>Objective</h3><p>To measure olfactory tract/bulb tissue metal concentrations in Mn-exposed and non-exposed mineworkers.</p></div><div><h3>Methods</h3><p>Using inductively coupled plasma-mass spectrometry (ICP-MS), we measured and compared tissue metal concentrations in unilateral olfactory tracts/bulbs of 24 Mn-exposed and 17 non-exposed South African mineworkers. We used linear regression to investigate the association between cumulative Mn exposures and olfactory tract/bulb Mn concentration.</p></div><div><h3>Results</h3><p>The difference in mean olfactory tract/bulb Mn concentrations between Mn-exposed and non-Mn exposed mineworkers was 0.16 µg/g (95% CI −0.11, 0.42); but decreased to 0.09 µg/g (95% CI 0.004, 0.18) after exclusion of one influential observation. Olfactory tract/bulb metal concentration and cumulative Mn exposure suggested there may be a positive association; for each mg Mn/m<sup>3</sup>-year there was a 0.05 µg/g (95% CI 0.01, 0.08) greater olfactory tract/bulb Mn concentration overall, but −0.003 (95% CI −0.02, 0.02) when excluding the three influential observations. Recency of Mn exposure was not associated with olfactory tract/bulb Mn concentration.</p></div><div><h3>Conclusions</h3><p>Our findings suggest that Mn-exposed mineworkers might have higher olfactory tract/bulb tissue Mn concentrations than non-Mn exposed mineworkers, and that concentrations might depend more on cumulative dose than recency of exposure.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 96-105"},"PeriodicalIF":3.4,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-28DOI: 10.1016/j.neuro.2024.03.005
Eva-Maria S. Collins , Ellen V.S. Hessel , Samantha Hughes
Developmental neurotoxicity (DNT) is not routinely evaluated in chemical risk assessment because current test paradigms for DNT require the use of mammalian models which are ethically controversial, expensive, and resource demanding. Consequently, efforts have focused on revolutionizing DNT testing through affordable novel alternative methods for risk assessment. The goal is to develop a DNT in vitro test battery amenable to high-throughput screening (HTS). Currently, the DNT in vitro test battery consists primarily of human cell-based assays because of their immediate relevance to human health. However, such cell-based assays alone are unable to capture the complexity of a developing nervous system. Whole organismal systems that qualify as 3 R (Replace, Reduce and Refine) models are urgently needed to complement cell-based DNT testing. These models can provide the necessary organismal context and be used to explore the impact of chemicals on brain function by linking molecular and/or cellular changes to behavioural readouts. The nematode Caenorhabditis elegans, the planarian Dugesia japonica, and embryos of the zebrafish Danio rerio are all suited to low-cost HTS and each has unique strengths for DNT testing. Here, we review the strengths and the complementarity of these organisms in a novel, integrative context and highlight how they can augment current cell-based assays for more comprehensive and robust DNT screening of chemicals. Considering the limitations of all in vitro test systems, we discuss how a smart combinatory use of these systems will contribute to a better human relevant risk assessment of chemicals that considers the complexity of the developing brain.
{"title":"How neurobehavior and brain development in alternative whole-organism models can contribute to prediction of developmental neurotoxicity","authors":"Eva-Maria S. Collins , Ellen V.S. Hessel , Samantha Hughes","doi":"10.1016/j.neuro.2024.03.005","DOIUrl":"10.1016/j.neuro.2024.03.005","url":null,"abstract":"<div><p>Developmental neurotoxicity (DNT) is not routinely evaluated in chemical risk assessment because current test paradigms for DNT require the use of mammalian models which are ethically controversial, expensive, and resource demanding. Consequently, efforts have focused on revolutionizing DNT testing through affordable novel alternative methods for risk assessment. The goal is to develop a DNT <em>in vitro</em> test battery amenable to high-throughput screening (HTS). Currently, the DNT <em>in vitro</em> test battery consists primarily of human cell-based assays because of their immediate relevance to human health. However, such cell-based assays alone are unable to capture the complexity of a developing nervous system. Whole organismal systems that qualify as 3 R (Replace, Reduce and Refine) models are urgently needed to complement cell-based DNT testing. These models can provide the necessary organismal context and be used to explore the impact of chemicals on brain function by linking molecular and/or cellular changes to behavioural readouts. The nematode <em>Caenorhabditis elegans</em>, the planarian <em>Dugesia japonica</em>, and embryos of the zebrafish <em>Danio rerio</em> are all suited to low-cost HTS and each has unique strengths for DNT testing. Here, we review the strengths and the complementarity of these organisms in a novel, integrative context and highlight how they can augment current cell-based assays for more comprehensive and robust DNT screening of chemicals. Considering the limitations of all <em>in vitro</em> test systems, we discuss how a smart combinatory use of these systems will contribute to a better human relevant risk assessment of chemicals that considers the complexity of the developing brain.</p></div>","PeriodicalId":19189,"journal":{"name":"Neurotoxicology","volume":"102 ","pages":"Pages 48-57"},"PeriodicalIF":3.4,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140326913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}