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Abnormal brain morphology and morphological brain network in adults with acute mild traumatic brain injury. 成人急性轻度外伤性脑损伤的脑形态及脑形态网络异常。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-07-21 DOI: 10.1097/WNR.0000000000002186
Zhenshan Gao, Qiang Ma, Lifang Zhu, Dejin Kong, Mingyan Ji, Caipeng Gao, Bo Tang, Zhiqiang Dong

Background: Mild traumatic brain injury (mTBI) commonly has long-term cognitive and functional consequences; however, it is not clear whether these adverse outcomes begin in the acute phase of mTBI and are associated with changes in brain morphology and function.

Methods: The current study used T1-weighted MRI to determine whether cortical thickness, gray matter volume (GMV), and morphological brain networks were altered in patients with mTBI within 7 days of injury, and to examine whether these changes were associated with postacute cognitive and emotional abnormalities. Adults aged 18-56 years with mTBI ( n  = 43) and healthy controls ( n  = 37) completed the cognitive, emotional evaluation, and MRI examination, during which patients with mTBI completed symptom reports. Cortical thickness and GMV were estimated using Computational Anatomy Toolbox 12. On this basis, a gray matter covariance network was constructed based on the cortical thickness.

Results: After false discovery rate (FDR) correction, groups differed significantly on the left parahippocampal gyrus and left orbital part of the superior frontal gyrus GMV (mTBI > controls), but no cortical thickness. The network topological properties were also changed in the acute stage of mTBI. The GMV abnormality was related to postacute cognitive and emotional changes in the mTBI group.

Conclusion: The results emphasize that adverse outcomes begin in the acute phase and that the left parahippocampal gyrus and left orbital part of the superior frontal gyrus and related brain network abnormalities may be potential neuroimaging biomarkers explaining acute cognitive and depressive symptoms.

背景:轻度创伤性脑损伤(mTBI)通常具有长期的认知和功能后果;然而,尚不清楚这些不良后果是否始于mTBI的急性期,是否与脑形态和功能的改变有关。方法:本研究使用t1加权MRI来确定mTBI患者在损伤后7天内皮质厚度、灰质体积(GMV)和脑形态网络是否发生改变,并检查这些变化是否与急性后认知和情绪异常有关。年龄18-56岁的mTBI患者(n = 43)和健康对照(n = 37)完成认知、情绪评估和MRI检查,期间mTBI患者完成症状报告。使用计算解剖工具箱12估计皮质厚度和GMV。在此基础上,构建了基于皮层厚度的灰质协方差网络。结果:经错误发现率(FDR)校正后,各组在左侧海马旁回和左侧额上回眶部GMV (mTBI >对照)上有显著差异,但皮质厚度无显著差异。mTBI急性期神经网络拓扑结构也发生改变。mTBI组GMV异常与急性后认知和情绪变化有关。结论:研究结果强调,不良后果始于急性期,左侧海马旁回和左侧额上回眶部及相关脑网络异常可能是解释急性认知和抑郁症状的潜在神经影像学生物标志物。
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引用次数: 0
Exercise promotes neurological recovery by enhancing neuroplasticity and the spinal cord compensation in stroke-affected rats. 运动通过增强脑卒中大鼠神经可塑性和脊髓代偿促进神经系统恢复。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-10-01 Epub Date: 2025-07-21 DOI: 10.1097/WNR.0000000000002201
Xuefei Li, Jiahui Chen, Tingting Li, Ayang Zhao, Wenzhi Li

Purpose of the research: This study aimed to explore the effects of exercise on sensorimotor recovery after stroke, neuroplasticity changes in the brain and spinal cord, and spinal cord compensation mechanisms.

Methods: A rat model of ischemic stroke was induced using the middle cerebral artery occlusion/reperfusion method. A T10 spinal cord injury (SCI) model was induced using a modified Allen procedure. The animals were randomly assigned into: Sham group (S), stroke group (M), stroke+SCI group (MS), stroke+exercise+SCI group (MSI), and stroke+SCI group (MI). Neurological function was assessed poststroke using the modified Neurological Severity Score (mNSS) and Garcia scores. Infarct volumes were evaluated using triphenyl tetrazolium chloride staining, and neuronal damage was assessed using Nissl staining. Tumor necrosis factor-α (TNF-α), interleukin (IL)-10, and IL-1β levels were measured using ELISA. Neuroplasticity markers [GAP43, PSD-95, synapsin I, and brain-derived neurotrophic factor (BDNF)] levels were analyzed using WB, IHC, and ELISA.

Results: Exercise improved neurological function in stroke rats, as evidenced by the enhanced mNSS and Garcia scores in the MS group compared to the M group. Exercise also alleviated neuronal damage, with the MS group showing higher neuron counts and more intact Nissl bodies than the M group. Exercise in the MS group downregulated inflammation (TNF-α down, IL-10 up) compared to the M group. Furthermore, exercise upregulated neuroplasticity markers and BDNF in both the brain and spinal cord. The beneficial effects of exercise on neurological recovery were diminished in the presence of SCI, as evidenced by the impaired recovery in the MSI group.

Conclusions: Exercise enhances stroke recovery by improving neuroplasticity, reducing inflammation, and highlighting the spinal cord's role in compensation. These findings suggest spinal cord-targeted therapies may improve rehabilitation outcomes.

研究目的:本研究旨在探讨运动对脑卒中后感觉运动恢复的影响、脑和脊髓神经可塑性的改变以及脊髓代偿机制。方法:采用大脑中动脉闭塞/再灌注法制备大鼠缺血性脑卒中模型。采用改良Allen方法建立T10脊髓损伤模型。实验动物随机分为:假手术组(S)、中风组(M)、中风+SCI组(MS)、中风+运动+SCI组(MSI)和中风+SCI组(MI)。脑卒中后神经功能评估采用改良神经严重程度评分(mNSS)和加西亚评分。用氯化三苯四氮唑染色评估梗死体积,用尼氏染色评估神经元损伤。采用ELISA法检测肿瘤坏死因子-α (TNF-α)、白细胞介素(IL)-10、IL-1β水平。采用WB、IHC和ELISA分析神经可塑性标志物[GAP43、PSD-95、synapsin I和脑源性神经营养因子(BDNF)]水平。结果:运动改善了脑卒中大鼠的神经功能,MS组的mNSS和Garcia评分较M组提高。运动也减轻了神经元损伤,MS组比M组神经元数量更多,尼氏体更完整。与M组相比,MS组运动可下调炎症反应(TNF-α下调,IL-10上调)。此外,运动还上调了脑和脊髓中的神经可塑性标志物和BDNF。在脊髓损伤存在时,运动对神经恢复的有益作用减弱,MSI组的恢复受损证明了这一点。结论:运动通过改善神经可塑性、减少炎症和突出脊髓在代偿中的作用来促进脑卒中的恢复。这些发现表明脊髓靶向治疗可以改善康复结果。
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引用次数: 0
Ubiquitin-specific peptidase 30-mediated deubiquitination of forkhead box O3 promotes the progression of subarachnoid hemorrhage by regulating cGAS/STING pathway. 泛素特异性肽酶30介导叉头盒O3去泛素化通过调节cGAS/STING通路促进蛛网膜下腔出血的进展。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-11 DOI: 10.1097/WNR.0000000000002192
Guiqiang Zhang, Wenfeng Xu

Background: Subarachnoid hemorrhage (SAH) is a cerebrovascular disease with a very high disability and mortality rate, which brings a huge economic burden to society. It is reported that inhibition of forkhead box O3 (FOXO3) can alleviate brain edema and neuroinflammation after SAH. However, the role and mechanism of FOXO3 in regulating SAH progression need to be further studied.

Methods: Mouse microglia were treated with oxyhemoglobin (OxyHb) to build SAH cell model in vitro. Western blot was used to measure the protein levels of FOXO3, ubiquitin-specific peptidase 30 (USP30), embryonic lethal-abnormal vision like protein 1 (ELAVL1), and pyroptosis-related proteins. Cell proliferation was tested by cell counting kit 8 assay and 5-ethynyl-2' -deoxyuridine assay. Inflammatory factors were detected by ELISA, and cell polarization was evaluated using flow cytometry. Cell pyroptosis was assessed by detecting. Co-immunoprecipitation assay, immunofluorescence colocalization assay, and RNA immunoprecipitation assay were used to evaluate the interaction between FOXO3 and USP30 or ELAVL1.

Results: Downregulation of FOXO3 inhibited inflammation, M1 polarization, and pyroptosis in OxyHb-induced microglia. USP30 promoted FOXO3 expression through deubiquitination. USP30 knockdown suppressed inflammation, M1 polarization, and pyroptosis in OxyHb-induced microglia, and these effects were abolished by FOXO3 overexpression. Also, ELAVL1 interacted with FOXO3 to facilitate its mRNA stability. Meanwhile, USP30 increased FOXO3 expression to activate the cyclic GMP-AMP synthase (cGAS)/stimulator of interferon genes (STING) pathway.

Conclusion: USP30-mediated deubiquitination of FOXO3 contributed to OxyHb-induced microglia inflammation, M1 polarization, and pyroptosis, providing a novel target for the treatment of SAH.

背景:蛛网膜下腔出血(SAH)是致残率和死亡率极高的脑血管疾病,给社会带来巨大的经济负担。据报道,抑制叉头盒O3 (FOXO3)可减轻SAH后脑水肿和神经炎症。然而,FOXO3在调节SAH进展中的作用和机制有待进一步研究。方法:用氧合血红蛋白(OxyHb)处理小鼠小胶质细胞,体外建立SAH细胞模型。Western blot检测FOXO3、泛素特异性肽酶30 (USP30)、胚胎致死性异常视觉样蛋白1 (ELAVL1)和焦热相关蛋白的表达水平。采用细胞计数试剂盒8法和5-乙基-2′-脱氧尿苷法检测细胞增殖。ELISA检测炎症因子,流式细胞术检测细胞极化。检测细胞焦亡情况。采用共免疫沉淀法、免疫荧光共定位法和RNA免疫沉淀法评价FOXO3与USP30或ELAVL1的相互作用。结果:FOXO3的下调抑制了氧化氢诱导的小胶质细胞的炎症、M1极化和焦亡。USP30通过去泛素化促进FOXO3的表达。USP30敲低可抑制氧化氢诱导的小胶质细胞的炎症、M1极化和焦亡,而这些作用被FOXO3过表达消除。此外,ELAVL1与FOXO3相互作用以促进其mRNA的稳定性。同时,USP30增加FOXO3的表达,激活环GMP-AMP合成酶(cGAS)/干扰素基因刺激因子(STING)通路。结论:usp30介导的FOXO3去泛素化参与了oxyhb诱导的小胶质细胞炎症、M1极化和焦亡,为SAH的治疗提供了新的靶点。
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引用次数: 0
The regulatory role of cell cycle exit and neuronal differentiation 1 in the pathogenesis of Parkinson's disease by regulating the nuclear factor kappa B pathway. 细胞周期退出和神经元分化1通过调节核因子κ B通路在帕金森病发病中的调节作用
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-01 DOI: 10.1097/WNR.0000000000002193
Zewei Cong, Chan Li

Objective: This study seeks to investigate the roles and underlying mechanisms of cell cycle exit and neuronal differentiation 1 (CEND1) on Parkinson's disease.

Methods: Real-time quantitative PCR (RT-qPCR) was employed to assess the expression levels of CEND1 in peripheral blood samples of Parkinson's patients. A cell model of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPP + )-induced Parkinson's disease was established in-vitro. 3-[4,5-Dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide assays were used to evaluate the impact of CEND1 on the viability of SH-SY5Y cells induced by MPP + , while flow cytometry was used to assess apoptosis of these cells. The expression of oxidative stress and inflammatory factors in MPP + -treated cells was detected by ELISA. In addition, the effect of CEND1 on Parkinson's disease was interfered by an activator of the nuclear factor kappa B (NF-κB) pathway to clarify the relationship between CEND1 and the NF-κB pathway in a cell model of Parkinson's disease.

Results: CEND1 expression is markedly downregulated in patients with Parkinson's disease and cells of the Parkinson's disease model. Downregulation of CEND1-induced apoptosis, inhibited cell proliferation, and promoted expression of inflammatory factors in MPP + -treated cells; however, high expression of CEND1 inhibited MPP + -induced apoptosis, inflammatory factor release, and oxidative stress. In addition, CEND1 inhibited the activation of the NF-κB pathway induced by MPP + , and phorbol 12-myristate 13-acetate reversed the effect of CEND1 on Parkinson's disease.

Conclusion: CEND1 plays a protective role in the Parkinson's disease cell model by suppressing NF-κB signaling pathway activation, offering a potential target and foundation for the diagnosis and therapy of Parkinson's disease.

目的:本研究旨在探讨细胞周期退出和神经元分化1 (CEND1)在帕金森病中的作用及其机制。方法:采用实时荧光定量PCR (RT-qPCR)检测帕金森病患者外周血中CEND1的表达水平。建立了1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPP+)诱导的帕金森病细胞模型。采用3-[4,5-二甲基噻唑-2-基]-2,5二苯基溴化四唑检测CEND1对MPP+诱导SH-SY5Y细胞活力的影响,采用流式细胞术检测细胞凋亡情况。ELISA法检测MPP+处理细胞中氧化应激和炎症因子的表达。此外,在帕金森病细胞模型中,通过核因子κB (NF-κB)通路激活因子干扰CEND1对帕金森病的作用,阐明CEND1与NF-κB通路之间的关系。结果:CEND1在帕金森病患者和帕金森病模型细胞中表达明显下调。下调cend1诱导细胞凋亡,抑制细胞增殖,促进MPP+处理细胞炎症因子的表达;然而,高表达的CEND1抑制MPP+诱导的细胞凋亡、炎症因子释放和氧化应激。此外,CEND1抑制MPP+诱导的NF-κB通路的激活,12-肉豆蔻酸酯13-乙酸佛波可逆转CEND1对帕金森病的作用。结论:CEND1通过抑制NF-κB信号通路激活,在帕金森病细胞模型中发挥保护作用,为帕金森病的诊断和治疗提供了潜在靶点和基础。
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引用次数: 0
Panax notoginseng saponins regulate the polarization of microglia by inhibiting the hematopoietic progenitor kinase 1 signaling pathway. 三七皂苷通过抑制造血祖激酶1信号通路调节小胶质细胞的极化。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-11 DOI: 10.1097/WNR.0000000000002196
Dan Li, Jiaqi Yin, Yan Zhang, Yujie Zhang, Xin Liu, Jia Liu

Objective: Microglia can be polarized into a proinflammatory M1 phenotype or an anti-inflammatory M2 phenotype. An excess of the M1 phenotype and a deficiency of the M2 phenotype are crucial to the pathological process of ischemic stroke, but the molecular mechanism is still unclear. Although several studies have confirmed the therapeutic effects of PNS (Panax notoginseng saponins) on ischemic stroke, the precise molecular mechanisms of these effects remain poorly understood. The aim of this study was to investigate the molecular mechanism of PNS influencing microglia polarization via hematopoietic progenitor kinase 1 (HPK1) signaling pathway regulation.

Methods: BV2 cells were pretreated with PNS or GNE-1858 (HPK1 inhibitor) and then polarization into M1- and M2-like phenotypes via lipopolysaccharide + interferon-gamma or interleukin (IL)-4, respectively. Detection of M1- and M2-like phenotypes by flow cytometry. The mRNA levels of tumor necrosis factor-alpha, L-1β, Arg1, and IL-10 were measured by real-time PCR. The phosphorylation levels of HPK1, nuclear factor kappa-B (NF-κB), and c-Jun N-terminal kinase (JNK) were detected by western blot.

Results: The phosphorylation levels of HPK1, NF-κB, and JNK gradually increased under the M1 polarization condition. Under the M2 polarization condition, the phosphorylation levels of HPK1, NF-κB, and JNK gradually decreased. Inhibition of HPK1 activity effectively inhibited the activation of NF-κB and JNK during M1 polarization. PNS can inhibit the activation of JNK and NF-κB by inhibiting the activity of HPK1, thereby inhibiting the polarization of M1-like phenotype and promoting the polarization of M2-like phenotype.

Conclusions: This research confirmed that PNS effectively inhibits M1 microglial polarization while stimulating M2 microglial polarization via HPK1, JNK, and NF-κB signaling pathway suppression.

目的:小胶质细胞可分化为促炎M1表型或抗炎M2表型。M1表型过剩和M2表型缺乏对缺血性卒中的病理过程至关重要,但其分子机制尚不清楚。虽然一些研究已经证实了三七皂苷对缺血性脑卒中的治疗作用,但这些作用的确切分子机制仍然知之甚少。本研究旨在探讨PNS通过调节造血祖激酶1 (HPK1)信号通路影响小胶质细胞极化的分子机制。方法:用PNS或GNE-1858 (HPK1抑制剂)预处理BV2细胞,然后分别通过脂多糖+干扰素- γ或白细胞介素(IL)-4极化成M1-和m2样表型。流式细胞术检测M1和m2样表型。实时荧光定量PCR检测肿瘤坏死因子- α、L-1β、Arg1、IL-10 mRNA水平。western blot检测HPK1、核因子κ b (NF-κB)、c-Jun n -末端激酶(JNK)磷酸化水平。结果:M1极化条件下HPK1、NF-κB、JNK磷酸化水平逐渐升高。在M2极化条件下,HPK1、NF-κB和JNK的磷酸化水平逐渐降低。抑制HPK1活性可有效抑制M1极化过程中NF-κB和JNK的激活。PNS可通过抑制HPK1的活性抑制JNK和NF-κB的活化,从而抑制m1样表型的极化,促进m2样表型的极化。结论:本研究证实PNS通过抑制HPK1、JNK、NF-κB信号通路,有效抑制M1小胶质细胞极化,同时刺激M2小胶质细胞极化。
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引用次数: 0
Prediction of possible new drug binding site for ATP-sensitive potassium channel inhibition: bupropion's modulation of hippocampal CA1 neuron excitability. 预测atp敏感钾通道抑制可能的新药物结合位点:安非他酮对海马CA1神经元兴奋性的调节。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-10 DOI: 10.1097/WNR.0000000000002197
Manabu Suzuki, Daisuke Koyama, Shizu Hidema, Shingen Misaka, Ikuo Wada, Yuko Maejima, Kenju Shimomura

Objective: Bupropion, a norepinephrine-dopamine reuptake inhibitor, is widely used as an antidepressant and smoking cessation aid. At high doses, it also inhibits pancreatic β-cell ATP-sensitive potassium (KATP) channels, inducing insulin secretion. KATP channels are also expressed in the brain, and their gain-of-function mutations cause neurological disorders such as developmental delay, epilepsy, and neonatal diabetes (DEND syndrome). This study investigates bupropion's effects on KATP channels in mouse hippocampal CA1 pyramidal neurons.

Methods: The effects of bupropion on neuronal activity were examined in mouse hippocampal CA1 neurons using electrophysiological techniques. Specifically, whole-cell patch-clamp recordings were performed to measure changes in action potential firing frequency and membrane potential in response to bupropion application. To investigate the potential binding mechanism of bupropion to the KATP channel complex, AlphaFold3, an artificial intelligence-based protein structure prediction tool, was utilized.

Results: Electrophysiology revealed that bupropion significantly increased action potential firing frequency and altered membrane potential. AlphaFold3-predicted bupropion binding poses within sulfonylurea receptor 1 's transmembrane domain 0 highlighted key interactions. These structural predictions provide a plausible molecular basis for bupropion's observed electrophysiological effects.

Conclusion: These findings suggest bupropion's potential as a therapeutic strategy for DEND syndrome's neurological manifestations. Further investigation into the precise mechanisms and clinical applicability of these findings is warranted.

目的:安非他酮是一种去甲肾上腺素-多巴胺再摄取抑制剂,被广泛用作抗抑郁药和戒烟辅助药物。在高剂量下,它还抑制胰腺β细胞atp敏感钾(KATP)通道,诱导胰岛素分泌。KATP通道也在大脑中表达,它们的功能获得突变导致神经系统疾病,如发育迟缓、癫痫和新生儿糖尿病(DEND综合征)。本研究探讨了安非他酮对小鼠海马CA1锥体神经元KATP通道的影响。方法:采用电生理技术观察安非他酮对小鼠海马CA1神经元活性的影响。具体来说,采用全细胞膜片钳记录来测量安非他酮应用后动作电位发射频率和膜电位的变化。为了研究安非他酮与KATP通道复合物的潜在结合机制,使用了基于人工智能的蛋白质结构预测工具AlphaFold3。结果:电生理显示安非他酮明显增加动作电位发射频率,改变膜电位。alphafold3预测在磺酰脲受体1的跨膜结构域0内的安非他酮结合位突出了关键的相互作用。这些结构预测为安非他酮观察到的电生理效应提供了合理的分子基础。结论:这些发现提示安非他酮作为治疗DEND综合征神经系统表现的潜在策略。对这些发现的确切机制和临床适用性的进一步调查是有必要的。
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引用次数: 0
Directional sensitivity of the auriculomotor system to transient central and lateralized auditory stimuli. 听觉运动系统对短暂中枢性和偏侧性听觉刺激的方向性敏感性。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-07 DOI: 10.1097/WNR.0000000000002194
Andreas Schroeer, Farah I Corona-Strauss, Ronny Hannemann, Daniel J Strauss

Background: Electromyographic (EMG) activity of auricular muscles in humans has been shown to be sensitive to the direction of auditory stimuli. Specifically, transient auricular EMG responses are significantly influenced by the laterality (left or right) and anteriority (in or outside the visual field) of auditory stimuli. As these factors co-occurred in previous research, this study aimed to isolate their influence, specifically of anteriority.

Methods: EMG signals of several auricular muscles were recorded from 11 participants. Transient auditory stimuli were presented from central (0° and 180°) and lateralized positions behind the participants (±150°).

Results: As previously reported, ipsilateral responses were significantly larger than contralateral responses. Surprisingly, however, responses recorded when stimuli were presented from 180° were also significantly smaller than ipsilateral responses, and approximately as large as contralateral responses. Responses generated by stimuli originating from 0° were extremely small, or almost nonexistent.

Conclusion: The implication of these results is that the main driving force of these responses is the lateralization of the auditory stimuli, while the anteriority appears to be only a secondary, minor contributor in the absence of lateralization. This behavior of the vestigial pinna-orienting system could be interpreted as an attempt to aid sound localization when visual information is not available, by, for example, changing the frequency filter properties of the pinna or by introducing interaural level differences by reorienting one pinna. Future studies investigating the auriculomotor system should be aware that presenting transient stimuli from central locations at 0° or 180° could generate only minor responses.

背景:人类耳廓肌的肌电图(EMG)活动已被证明对听觉刺激的方向敏感。具体来说,瞬态耳肌电图反应显著地受到听觉刺激的侧边性(左或右)和前向性(视野内或视野外)的影响。由于这些因素在以前的研究中共同出现,本研究旨在分离它们的影响,特别是优先性。方法:记录11例被试耳廓肌肌电图信号。短暂的听觉刺激从参与者身后的中心位置(0°和180°)和侧侧位置(±150°)呈现。结果:如前所述,同侧反应明显大于对侧反应。然而,令人惊讶的是,当刺激从180°呈现时,记录的反应也明显小于同侧反应,大约与对侧反应一样大。来自0°的刺激产生的反应非常小,或者几乎不存在。结论:这些结果表明,这些反应的主要驱动力是听觉刺激的偏侧化,而在没有偏侧化的情况下,先验似乎只是次要的、次要的因素。残留的声峰定位系统的这种行为可以解释为在视觉信息不可用时帮助声音定位的一种尝试,例如,通过改变耳廓的频率滤波特性或通过重新定位一个耳廓来引入耳间电平差异。未来对听觉运动系统的研究应该意识到,在0°或180°的中心位置呈现短暂的刺激只能产生轻微的反应。
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引用次数: 0
High-definition transcranial direct current stimulation modulation of brain network connectivity in patients with mild cognitive impairment. 高清晰度经颅直流电刺激对轻度认知障碍患者脑网络连通性的调节作用。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-17 DOI: 10.1097/WNR.0000000000002199
Fangmei He, Libin Wang, Qian Yang, Jue Wang

Background: High-definition transcranial direct current stimulation (HD-tDCS) enhances cognitive function, but its mechanisms and neural basis in mild cognitive impairment (MCI) are unclear. This study investigated whether HD-tDCS modulates cognition in MCI patients and correlates with resting-state functional MRI (rs-fMRI) measured changes in spontaneous brain activity.

Methods: Forty-three patients with MCI were randomized to receive 10 sessions of active HD-tDCS targeting the left dorsolateral prefrontal cortex or sham stimulation. rs-fMRI assessed degree centrality (DC) changes before and after the intervention. Cognitive function was evaluated using the Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA). Paired t-tests, independent t-tests, and analysis of variance were used to analyze DC differences and group-by-time interactions, with age, gender, education, and head motion as covariates.

Results: The HD-tDCS group exhibited significant DC increases in the cerebellum, right inferior temporal gyrus, left middle temporal gyrus, right precentral gyrus, and left dorsolateral superior frontal gyrus, with decreases in the left operculum inferior frontal gyrus, left angular gyrus, left superior parietal gyrus, and right superior occipital gyrus (P < 0.05, AlphaSim corrected). Sham stimulation induced minimal DC changes. No significant MMSE/MoCA improvements occurred in either group (P > 0.05).

Conclusion: HD-tDCS selectively modulates key nodes of cognitive and motor networks in MCI, as demonstrated by targeted DC alterations. Despite the absence of MMSE/MoCA improvements, this network-specific neuromodulation indicates HD-tDCS engages disease-relevant functional circuits. Longer interventions and sensitive cognitive metrics may clarify clinical relevance.

背景:高清晰度经颅直流电刺激(HD-tDCS)可增强认知功能,但其在轻度认知障碍(MCI)中的作用机制和神经基础尚不清楚。本研究探讨了HD-tDCS是否调节MCI患者的认知,并与静息状态功能MRI (rs-fMRI)测量的自发性脑活动变化相关。方法:43例MCI患者随机接受10次针对左背外侧前额皮质的活跃HD-tDCS或假刺激。rs-fMRI评估干预前后的度中心性(DC)变化。认知功能评估采用简易精神状态检查(MMSE)和蒙特利尔认知评估(MoCA)。采用配对t检验、独立t检验和方差分析,以年龄、性别、教育程度和头部运动为协变量,分析DC差异和按时间分组的相互作用。结果:HD-tDCS组小脑、右侧颞下回、左侧颞中回、右侧中央前回、左侧额上回的DC明显增加,左侧额下回、左侧角回、左侧顶叶上回、右侧枕上回的DC明显减少(P < 0.05)。结论:HD-tDCS选择性地调节MCI中认知和运动网络的关键节点,这是通过靶向DC改变来证明的。尽管没有MMSE/MoCA的改善,这种网络特异性神经调节表明HD-tDCS参与疾病相关的功能回路。更长时间的干预和敏感的认知指标可能阐明临床相关性。
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引用次数: 0
MCTR1 alleviates remifentanil-induced hyperalgesia by regulating mitochondrial fission protein DRP1 in rats. MCTR1通过调节线粒体裂变蛋白DRP1减轻瑞芬太尼诱导的大鼠痛觉过敏。
IF 1.7 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-09-03 Epub Date: 2025-07-17 DOI: 10.1097/WNR.0000000000002198
Lijun Gu, Linyao Chen, Yanan Wang, Linglin Gao, Jianwen Ye, Zixuan Xu, Zijun Zhou, Jiehao Sun

Objective: This study aimed to investigate whether Maresin conjugates in tissue regeneration-1 (MCTR1) can alleviate remifentanil-induced hyperalgesia (RIH) by modulating the mitochondrial fission protein dynamin-related protein 1 (DRP1).

Methods: Pain behavioral tests were conducted 24 h before remifentanil infusion and at 4, 8, and 24 h postinfusion. The expression of DRP1 and NR2B was assessed by Western Blot (WB). Additionally, intrathecal injections of MCTR1 were administered to evaluate the effects on RIH development and progression. Behavioral tests were conducted, meanwhile, the levels of DRP1, NR2B in the spinal cord, superoxide, including malondialdehyde (MDA), glutathione, and reactive oxygen species (ROS) in the spinal dorsal horn were measured. Mitochondrial numbers were counted via transmission electron-microscopy.

Results: After remifentanil administration, rats exhibited mechanical allodynia and thermal hyperalgesia, along with an increase in spinal levels of DRP1 and NR2B. However, MCTR1-treated rats showed alleviation of remifentanil-induced mechanical and thermal hyperalgesia, accompanied by reduced NR2B expression. Notably, MCTR1 treatment also led to decreased DRP1 expression and mitochondrial fission, as well as reduced MDA content and ROS production.

Conclusion: MCTR1 exerts a preventive effect on RIH by modulating NR2B activity through the DRP1-mitochondrial-ROS pathway.

目的:本研究旨在探讨Maresin偶联物组织再生-1 (MCTR1)是否通过调节线粒体裂变蛋白动力蛋白相关蛋白1 (DRP1)减轻瑞芬太尼诱导的痛觉过敏(RIH)。方法:在瑞芬太尼输注前24 h和输注后4、8、24 h分别进行疼痛行为测试。Western Blot (WB)检测DRP1和NR2B的表达。此外,鞘内注射MCTR1以评估对RIH发生和进展的影响。进行行为学实验,同时测定脊髓DRP1、NR2B、脊髓背角超氧化物包括丙二醛(MDA)、谷胱甘肽、活性氧(ROS)水平。透射电镜观察线粒体数量。结果:瑞芬太尼给药后,大鼠表现出机械异常性痛和热痛觉过敏,脊髓DRP1和NR2B水平升高。然而,mctr1处理的大鼠显示瑞芬太尼引起的机械和热痛觉过敏减轻,并伴有NR2B表达降低。值得注意的是,MCTR1处理还导致DRP1表达和线粒体分裂降低,MDA含量和ROS生成降低。结论:MCTR1通过drp1 -线粒体- ros通路调节NR2B活性,对RIH具有预防作用。
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引用次数: 0
Puerarin suppresses the oxidative stress and activates the cyclic AMP (cAMP)/cAMP response element binding protein/brain-derived neurotrophic factor signaling pathway in alcohol withdrawal-induced depressive disorder via regulating obesity-associated protein-mediated N6-methyladenosine demethylation. 葛根素通过调节肥胖相关蛋白介导的n6 -甲基腺苷去甲基化,抑制酒精戒断性抑郁症的氧化应激,激活环AMP (cAMP)/cAMP反应元件结合蛋白/脑源性神经营养因子信号通路。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-08-06 Epub Date: 2025-06-03 DOI: 10.1097/WNR.0000000000002179
Yazhong Li, Zhong Liu, Jianhua Ma, Aizhao Tian, Jia Wang, Yang Xu, Jie Yang, Xin Yan

Objective: Puerarin, a bioactive isoflavone glycoside predominantly extracted from the root of the kudzu plant ( Pueraria lobata ), is a traditional Chinese medicinal herb widely used for centuries. Alcohol withdrawal-induced depression (AWIDD), a serious psychiatric disorder, is prevalent in society. This study aimed to investigate the role of puerarin in oxidative stress and cyclic AMP (cAMP)/cAMP response element binding protein (CREB)/brain-derived neurotrophic factor (BDNF) signaling pathway in AWIDD, as well as the underlying mechanism.

Methods: An alcohol withdrawal rat model was established. The levels of superoxide dismutase (SOD), malondialdehyde (MDA), and glutathione peroxidase (GSH-px) were measured using commercial kits. The cAMP level was detected by ELISA. CREB and phospho-CREB protein levels were analyzed by Western blot. BDNF level was assessed by reverse transcription-quantitative PCR. Dot blot was used to assess the total N6-methyladenosine (m 6 A) level. The interaction between obesity-associated protein (FTO) and prostaglandin-endoperoxide synthase 1 (PTGS1) was examined through RNA immunoprecipitation and dual-luciferase reporter assays.

Results: Puerarin decreased oxidative stress and increased the cAMP, p-CREB, and BDNF levels. Besides, puerarin increased FTO-mediated m 6 A demethylation in alcohol withdrawal rats. FTO inhibition increased oxidative stress and decreased the activation of cAMP/CREB/BDNF signaling pathway. Mechanistically, FTO weakened the stability of PTGS1 mRNA via m 6 A demethylation. Overexpression of PTGS1 reversed the reduction in oxidative stress and the activation of the cAMP/CREB/BDNF signaling pathway induced by FTO overexpression.

Conclusion: Puerarin suppressed oxidative stress and activated the cAMP/CREB/BDNF signaling pathway in AWIDD via regulating FTO-mediated m 6 A demethylation.

目的:葛根素是一种具有生物活性的异黄酮苷,主要从葛根植物(葛根)的根中提取,是一种被广泛使用了几个世纪的传统中药。酒精戒断性抑郁症(AWIDD)是一种严重的精神疾病,在社会上十分普遍。本研究旨在探讨葛根素在AWIDD氧化应激和环AMP (cAMP)/cAMP反应元件结合蛋白(CREB)/脑源性神经营养因子(BDNF)信号通路中的作用及其机制。方法:建立酒精戒断大鼠模型。超氧化物歧化酶(SOD)、丙二醛(MDA)和谷胱甘肽过氧化物酶(GSH-px)水平采用商用试剂盒测定。ELISA法检测cAMP水平。Western blot分析CREB和磷酸化CREB蛋白水平。采用逆转录-定量PCR检测BDNF水平。Dot blot法检测总n6 -甲基腺苷(m6A)水平。通过RNA免疫沉淀和双荧光素酶报告基因检测,研究肥胖相关蛋白(FTO)与前列腺素内过氧化物合成酶1 (PTGS1)的相互作用。结果:葛根素降低氧化应激,提高cAMP、p-CREB、BDNF水平。此外,葛根素增加酒精戒断大鼠fto介导的m6A去甲基化。FTO抑制增加氧化应激,降低cAMP/CREB/BDNF信号通路的激活。机制上,FTO通过m6A去甲基化削弱了PTGS1 mRNA的稳定性。PTGS1的过表达逆转了FTO过表达诱导的氧化应激的减少和cAMP/CREB/BDNF信号通路的激活。结论:葛根素通过调控fto介导的m6A去甲基化,抑制AWIDD的氧化应激,激活cAMP/CREB/BDNF信号通路。
{"title":"Puerarin suppresses the oxidative stress and activates the cyclic AMP (cAMP)/cAMP response element binding protein/brain-derived neurotrophic factor signaling pathway in alcohol withdrawal-induced depressive disorder via regulating obesity-associated protein-mediated N6-methyladenosine demethylation.","authors":"Yazhong Li, Zhong Liu, Jianhua Ma, Aizhao Tian, Jia Wang, Yang Xu, Jie Yang, Xin Yan","doi":"10.1097/WNR.0000000000002179","DOIUrl":"10.1097/WNR.0000000000002179","url":null,"abstract":"<p><strong>Objective: </strong>Puerarin, a bioactive isoflavone glycoside predominantly extracted from the root of the kudzu plant ( Pueraria lobata ), is a traditional Chinese medicinal herb widely used for centuries. Alcohol withdrawal-induced depression (AWIDD), a serious psychiatric disorder, is prevalent in society. This study aimed to investigate the role of puerarin in oxidative stress and cyclic AMP (cAMP)/cAMP response element binding protein (CREB)/brain-derived neurotrophic factor (BDNF) signaling pathway in AWIDD, as well as the underlying mechanism.</p><p><strong>Methods: </strong>An alcohol withdrawal rat model was established. The levels of superoxide dismutase (SOD), malondialdehyde (MDA), and glutathione peroxidase (GSH-px) were measured using commercial kits. The cAMP level was detected by ELISA. CREB and phospho-CREB protein levels were analyzed by Western blot. BDNF level was assessed by reverse transcription-quantitative PCR. Dot blot was used to assess the total N6-methyladenosine (m 6 A) level. The interaction between obesity-associated protein (FTO) and prostaglandin-endoperoxide synthase 1 (PTGS1) was examined through RNA immunoprecipitation and dual-luciferase reporter assays.</p><p><strong>Results: </strong>Puerarin decreased oxidative stress and increased the cAMP, p-CREB, and BDNF levels. Besides, puerarin increased FTO-mediated m 6 A demethylation in alcohol withdrawal rats. FTO inhibition increased oxidative stress and decreased the activation of cAMP/CREB/BDNF signaling pathway. Mechanistically, FTO weakened the stability of PTGS1 mRNA via m 6 A demethylation. Overexpression of PTGS1 reversed the reduction in oxidative stress and the activation of the cAMP/CREB/BDNF signaling pathway induced by FTO overexpression.</p><p><strong>Conclusion: </strong>Puerarin suppressed oxidative stress and activated the cAMP/CREB/BDNF signaling pathway in AWIDD via regulating FTO-mediated m 6 A demethylation.</p>","PeriodicalId":19213,"journal":{"name":"Neuroreport","volume":" ","pages":"589-598"},"PeriodicalIF":1.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144226073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Neuroreport
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