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Electroacupuncture alleviates diabetes-induced mechanical allodynia and downregulates bradykinin B1 receptor expression in spinal cord dorsal horn. 电针可减轻糖尿病引起的机械痛觉并下调脊髓背角缓激肽B1受体的表达。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-07 Epub Date: 2024-06-05 DOI: 10.1097/WNR.0000000000002059
Hengyu Chi, Qunqi Hu, Xiang Li, Yurong Kang, Yu Zheng, Mingjian Jiang, Xinnan Xu, Xiaoxiang Wang, Xiaofen He

Objective: Diabetic neuropathic pain (DNP) is one of the most prevalent symptoms of diabetes. The alteration of proteins in the spinal cord dorsal horn (SCDH) plays a significant role in the genesis and the development of DNP. Our previous study has shown electroacupuncture could effectively relieve DNP. However, the potential mechanism inducing DNP's genesis and development remains unclear and needs further research.

Methods: This study established DNP model rats by intraperitoneally injecting a single high-dose streptozotocin; 2 Hz electroacupuncture was used to stimulate Zusanli (ST36) and Kunlun (BL60) of DNP rats daily from day 15 to day 21 after streptozotocin injection. Behavioral assay, quantitative PCR, immunofluorescence staining, and western blotting were used to study the analgesic mechanism of electroacupuncture.

Results: The bradykinin B1 receptor (B1R) mRNA, nuclear factor-κB p65 (p65), substance P, and calcitonin gene-related peptide (CGRP) protein expression were significantly enhanced in SCDH of DNP rats. The paw withdrawal threshold was increased while body weight and fasting blood glucose did not change in DNP rats after the electroacupuncture treatment. The expression of B1R, p65, substance P, and CGRP in SCDH of DNP rats was also inhibited after the electroacupuncture treatment.

Conclusion: This work suggests that the potential mechanisms inducing the allodynia of DNP rats were possibly related to the increased expression of B1R, p65, substance P, and CGRP in SCDH. Downregulating B1R, p65, substance P, and CGRP expression levels in SCDH may achieve the analgesic effect of 2 Hz electroacupuncture treatment.

目的:糖尿病神经病理性疼痛(DNP)是糖尿病最常见的症状之一。脊髓背角(SCDH)蛋白质的改变在 DNP 的发生和发展中起着重要作用。我们之前的研究表明,电针可以有效缓解 DNP。然而,诱导 DNP 发生和发展的潜在机制仍不清楚,有待进一步研究:方法:本研究通过腹腔注射大剂量链脲佐菌素,建立 DNP 模型大鼠;在注射链脲佐菌素后第 15 天至第 21 天,每天用 2 赫兹电针刺激 DNP 大鼠的足三里(ST36)和昆仑(BL60)。采用行为测定、定量 PCR、免疫荧光染色和 Western 印迹等方法研究电针的镇痛机制:结果:缓激肽 B1 受体(B1R)mRNA、核因子-κB p65(p65)、P 物质和降钙素基因相关肽(CGRP)蛋白在 DNP 大鼠 SCDH 中的表达显著增强。电针治疗后,DNP大鼠爪退缩阈值升高,体重和空腹血糖无变化。电针治疗后,DNP 大鼠 SCDH 中 B1R、p65、P 物质和 CGRP 的表达也受到抑制:结论:这项研究表明,诱导 DNP 大鼠异动症的潜在机制可能与 SCDH 中 B1R、p65、P 物质和 CGRP 的表达增加有关。降低SCDH中B1R、p65、P物质和CGRP的表达水平可能会达到2 Hz电针治疗的镇痛效果。
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引用次数: 0
Connectome-based prediction of cognitive performance in patients with temporal lobe epilepsy. 基于连接组预测颞叶癫痫患者的认知表现。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-07 Epub Date: 2024-06-03 DOI: 10.1097/WNR.0000000000002064
Lu Qin, Liya Pan, Zirong Chen, Qin Zhou, Xia Zhou, Jinou Zheng

Objective: Temporal lobe epilepsy (TLE) patients often exhibit varying degrees of cognitive impairments. This study aims to predict cognitive performance in TLE patients by applying a connectome-based predictive model (CPM) to whole-brain resting-state functional connectivity (RSFC) data.

Methods: A CPM was established and leave-one-out cross-validation was employed to decode the cognitive performance of patients with TLE based on the whole-brain RSFC.

Results: Our findings indicate that cognitive performance in TLE can be predicted through the internal and network connections of the parietal lobe, limbic lobe, and cerebellum systems. These systems play crucial roles in cognitive control, emotion processing, and social perception and communication, respectively. In the subgroup analysis, CPM successfully predicted TLE patients with and without focal to bilateral tonic-clonic seizures (FBCTS). Additionally, significant differences were noted between the two TLE patient groups and the normal control group.

Conclusion: This data-driven approach provides evidence for the potential of predicting brain features based on the inherent resting-state brain network organization. Our study offers an initial step towards an individualized prediction of cognitive performance in TLE patients, which may be beneficial for diagnosis, prognosis, and treatment planning.

目的:颞叶癫痫(TLE)患者通常表现出不同程度的认知障碍。本研究旨在通过对全脑静息态功能连接(RSFC)数据应用基于连接组的预测模型(CPM)来预测颞叶癫痫患者的认知表现:方法:建立一个CPM,并根据全脑RSFC数据进行leave-one-out交叉验证,对TLE患者的认知能力进行解码:我们的研究结果表明,可以通过顶叶、边缘叶和小脑系统的内部和网络连接来预测TLE患者的认知表现。这些系统分别在认知控制、情绪处理、社会感知和交流中发挥着关键作用。在亚组分析中,CPM 成功预测了有局灶性至双侧强直阵挛发作(FBCTS)和无局灶性至双侧强直阵挛发作(FBCTS)的 TLE 患者。此外,两组 TLE 患者与正常对照组之间也存在明显差异:结论:这一数据驱动方法为根据固有的静息态大脑网络组织预测大脑特征的潜力提供了证据。我们的研究为个性化预测系统性精神障碍患者的认知能力迈出了第一步,这可能有利于诊断、预后和治疗计划的制定。
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引用次数: 0
The silent information regulator 1 agonist SRT1720 reduces experimental intracerebral hemorrhagic brain injury by regulating the blood-brain barrier integrity. 沉默信息调节因子1激动剂SRT1720通过调节血脑屏障的完整性减轻实验性脑出血脑损伤。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-07 Epub Date: 2024-06-14 DOI: 10.1097/WNR.0000000000002052
Gebeili Xing, Lei Mu, Bing Han, Runxiu Zhu

Intracerebral hemorrhage (ICH) is a significant public health matter that has no effective treatment. ICH-induced destruction of the blood-brain barrier (BBB) leads to neurological deterioration. Astrocytic sonic hedgehog (SHH) alleviates brain injury by maintaining the integrity of the BBB after ICH. Silent information regulator 1 (SIRT1) is neuroprotective in several central nervous system diseases via BBB regulation. It is also a possible influential factor of the SHH signaling pathway. Nevertheless, the role of SIRT1 on BBB and the underlying pathological process associated with the SHH signaling pathway after ICH remain unclear. We established an intracerebral hemorrhagic mouse model by collagenase injection. SRT1720 (a selective agonist of SIRT1) was used to evaluate the effect of SIRT1 on BBB integrity after ICH. SIRT1 expression was reduced in the mouse brain after ICH. SRT1720 attenuated neurobehavioral impairments and brain edema of ICH mouse. After ICH induction, SRT1720 improved BBB integrity and tight junction expressions in the mouse brain. The SHH signaling pathway-related factors smoothened and glioma-associated oncogene homolog-1 were increased with the intervention of SRT1720, while cyclopamine (a specific inhibitor of the SHH signaling pathway) reversed these effects. These findings suggest that SIRT1 protects from ICH by altering BBB permeability and tight junction expression levels. This process is associated with the SHH signaling pathway, suggesting that SIRT1 may be a potential therapeutic target for ICH.

脑内出血(ICH)是一个重大的公共卫生问题,目前尚无有效的治疗方法。ICH 引起的血脑屏障(BBB)破坏会导致神经功能衰退。星形胶质细胞声刺猬(SHH)通过维持 ICH 后 BBB 的完整性来缓解脑损伤。沉默信息调节因子 1(SIRT1)通过 BBB 调节作用对多种中枢神经系统疾病具有神经保护作用。它也可能是 SHH 信号通路的一个影响因素。然而,SIRT1 对 BBB 的作用以及 ICH 后与 SHH 信号通路相关的潜在病理过程仍不清楚。我们通过注射胶原酶建立了脑出血小鼠模型。我们使用 SRT1720(SIRT1 的选择性激动剂)来评估 SIRT1 对 ICH 后 BBB 完整性的影响。ICH 后小鼠脑内 SIRT1 表达减少。SRT1720 可减轻 ICH 小鼠的神经行为障碍和脑水肿。在诱导 ICH 后,SRT1720 改善了小鼠脑中 BBB 的完整性和紧密连接的表达。在SRT1720的干预下,SHH信号通路相关因子smoothened和胶质瘤相关癌基因同源物-1增加,而环胺(SHH信号通路的特异性抑制剂)则逆转了这些效应。这些研究结果表明,SIRT1 可通过改变 BBB 的通透性和紧密连接表达水平来预防 ICH。这一过程与 SHH 信号通路有关,表明 SIRT1 可能是 ICH 的潜在治疗靶点。
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引用次数: 0
Locus coeruleus activation contributes to masseter muscle overactivity induced by chronic restraint stress in mice. 小鼠慢性束缚应激导致的咀嚼肌过度活动是由神经节激活引起的。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-07 Epub Date: 2024-06-21 DOI: 10.1097/WNR.0000000000002058
Yang Liu, Ji Chen, Qiang Li, Yan-Xia Guo, Yong-Jin Chen, Ya-Juan Zhao

It is commonly accepted that exposure to stress may cause overactivity in the orofacial muscles, leading to consistent muscle pain, which is the main symptom of temporomandibular disorders. The central neural mechanism underlying this process, however, remains unclear. The locus coeruleus is considered to play an important role in stress-related behavioral changes. Therefore, the present study was designed to examine the role of locus coeruleus neurons in masseter overactivity induced by stress. C57BL/6 mice were subjected to chronic restraint stress for 14 days to establish an animal model. The behavioral changes and the electromyography of the masseter muscle in mice were measured. The expression of Fos in locus coeruleus was observed by immunofluorescence staining to assess neuronal activation. A chemogenetic test was used to inhibit locus coeruleus neuronal activity, and the behavioral changes and electromyography of the masseter muscle were observed again. The results exhibited that chronic restraint stress could induce anxiety-like behavior, overactivity of the masseter muscle, and significant activation of locus coeruleus neurons in mice. Furthermore, inhibition of noradrenergic neuron activity within the locus coeruleus could alleviate stress-induced anxiety behavior and masseter muscle overactivity. Activation of noradrenergic neurons in locus coeruleus induced by stress may be one of the central regulatory mechanisms for stress-induced anxiety-like behaviors and overactivity of masseter muscles.

人们普遍认为,压力可能会导致口面部肌肉过度活跃,从而引起持续的肌肉疼痛,这也是颞下颌关节紊乱症的主要症状。然而,这一过程的中枢神经机制仍不清楚。人们认为,在与应激相关的行为变化中,大脑皮层的小脑位置起着重要作用。因此,本研究旨在探讨神经元在应激诱导的颌下肌过度活动中的作用。对 C57BL/6 小鼠进行为期 14 天的慢性束缚应激以建立动物模型。对小鼠的行为变化和颌间肌肌电图进行了测量。用免疫荧光染色法观察Fos在小鼠神经节中的表达,以评估神经元的激活情况。采用化学遗传试验抑制小鼠神经元的活动,并再次观察小鼠的行为变化和腓肠肌肌电图。结果表明,慢性束缚应激可诱发小鼠的焦虑样行为、颌下肌过度活动和局灶神经元的显著激活。此外,抑制小鼠大脑局灶内去甲肾上腺素能神经元的活动可减轻应激诱发的焦虑行为和咀嚼肌过度活动。应激诱导的神经元激活可能是应激诱导焦虑行为和颌下肌过度活动的中枢调节机制之一。
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引用次数: 0
Increased prevalence of vertebrobasilar dolichoectasia in Parkinson's disease and its effect on white matter microstructure and network. 帕金森病患者椎基底动脉栓塞的发病率增加及其对白质微结构和网络的影响。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1097/WNR.0000000000002046
Sichen Li, Yuxia Zhu, Hongyu Lai, Xiaohui Da, Ting Liao, Xi Liu, Fen Deng, Lifen Chen

This study aimed to investigate the prevalence of vertebrobasilar dolichoectasia (VBD) in Parkinson's disease (PD) patients and analyze its role in gray matter changes, white matter (WM) microstructure and network alterations in PD. This is a cross-sectional study including 341 PD patients. Prevalence of VBD in these PD patients was compared with general population. Diffusion tensor imaging and T1-weighted imaging analysis were performed among 174 PD patients with or without VBD. Voxel-based morphometry analysis was used to estimate gray matter volume changes. Tract-based spatial statistics and region of interest-based analysis were used to evaluate WM microstructure changes. WM network analysis was also performed. Significantly higher prevalence of VBD in PD patients was identified compared with general population. Lower fractional anisotropy and higher diffusivity, without significant gray matter involvement, were found in PD patients with VBD in widespread areas. Decreased global and local efficiency, increased hierarchy, decreased degree centrality at left Rolandic operculum, increased betweenness centrality at left postcentral gyrus and decreased average connectivity strength between and within several modules were identified in PD patients with VBD. VBD is more prevalent in PD patients than general population. Widespread impairments in WM microstructure and WM network involving various motor and nonmotor PD symptom-related areas are more prominent in PD patients with VBD compared with PD patients without VBD.

本研究旨在调查帕金森病(PD)患者椎基底动脉粥样硬化(VBD)的患病率,并分析其在帕金森病灰质变化、白质(WM)微结构和网络改变中的作用。这是一项横断面研究,包括 341 名帕金森病患者。这些帕金森氏症患者的 VBD 患病率与普通人群进行了比较。对174名伴有或不伴有VBD的帕金森病患者进行了弥散张量成像和T1加权成像分析。基于体素的形态计量分析用于估算灰质体积的变化。基于切面的空间统计和基于兴趣区域的分析用于评估 WM 微观结构的变化。此外,还进行了 WM 网络分析。结果发现,与普通人群相比,帕金森病患者的 VBD 患病率明显更高。在广泛区域存在 VBD 的帕金森病患者中,分数各向异性较低,扩散率较高,但灰质并未明显受累。在患有 VBD 的帕金森病患者中,发现了整体和局部效率降低、层次增加、左侧 Rolandic Operculum 的度中心性降低、左侧中央后回的间中心性增加以及多个模块之间和模块内部的平均连接强度降低。与普通人群相比,VBD在帕金森病患者中更为普遍。与无VBD的帕金森病患者相比,有VBD的帕金森病患者的WM微结构和涉及各种运动和非运动帕金森病症状相关区域的WM网络的广泛损伤更为突出。
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引用次数: 0
Melatonin mitigates cisplatin-induced cognitive impairment in rats and improves hippocampal dendritic spine density. 褪黑素可减轻顺铂诱导的大鼠认知障碍并改善海马树突棘密度。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1097/WNR.0000000000002049
Shahd Qutifan, Tareq Saleh, Nisreen Abu Shahin, Maha ELBeltagy, Fatimah Obeidat, Duaa Qattan, Heba Kalbouneh, Noor A Barakat, Mohammad Alsalem

Cisplatin-induced cognitive impairment (chemobrain) affects a considerable percentage of cancer patients and has no established pharmacological treatment. Chemobrain can be associated with neuroinflammation and oxidative stress. Melatonin, a pineal hormone, is known to have antioxidant, anti-inflammatory and neuroprotective potential. In this study, we investigated cisplatin-induced cognitive impairment in rats and whether melatonin can improve or reverse this impairment. Behavioral testing involved measuring working memory using the novel location recognition test (NLRT) under conditions of cisplatin or cisplatin + melatonin treatment, followed by the collection of rats' brains. The brains were subsequently stained with Golgi-Cox stain and then the hippocampus area CA3 of each one was examined, and dendritic spine density was calculated. Treatment with cisplatin resulted in deficits in the rats' performance in the NLRT (P < 0.05). These deficits were prevented by the coadministration of melatonin (P < 0.05). Cisplatin also reduced the density of dendritic spines in the hippocampus (P < 0.0001), specifically CA3 area, while the coadministration of melatonin significantly reversed this reduction (P < 0.001). This study showed that melatonin can ameliorate cisplatin-induced spatial memory deficits and dendritic spines density abnormalities in rats. Given that melatonin is a safe and wildly used supplement, it is feasible to explore its use as a palliative intervention in cancer treatment.

顺铂诱发的认知障碍(化疗脑)影响着相当一部分癌症患者,目前尚无成熟的药物治疗方法。化脑可能与神经炎症和氧化应激有关。褪黑激素是一种松果体激素,具有抗氧化、抗炎和保护神经的作用。在这项研究中,我们调查了顺铂诱导的大鼠认知功能损害,以及褪黑激素是否能改善或逆转这种损害。行为测试包括在顺铂或顺铂+褪黑激素治疗条件下使用新位置识别测试(NLRT)测量工作记忆,然后收集大鼠大脑。随后用高尔基-考克斯染色法对大鼠大脑进行染色,然后检查每只大鼠的海马CA3区,并计算树突棘密度。顺铂治疗会导致大鼠在 NLRT 中的表现出现缺陷(P<0.05)。
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引用次数: 0
The miR-23b-3p from adipose-derived stem cell exosomes alleviate inflammation in mice experiencing kainic acid-induced epileptic seizures. 脂肪源性干细胞外泌体中的 miR-23b-3p 可减轻凯尼酸诱发的癫痫小鼠的炎症反应。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-09 DOI: 10.1097/WNR.0000000000002044
Xue Yang, Xiaxin Yang, Anqi Sun, Si Chen, Xiaotang Wang, Xiuhe Zhao

Epilepsy is a common neurologic disorder. While a good clinical solution is still missing, studies have confirmed that exosomes (Exos) derived from adipose-derived stem cells (ADSCs) had a therapeutic effect on various diseases, including neurological diseases. Therefore, this study aimed to reveal whether ADSC-Exo treatment could improve kainic acid (KA)-induced seizures in epileptic mice. ADSCs and Exos were isolated. Mice were generated with KA-induced epileptic seizures. ELISA was used to detect inflammatory factor expression. Luciferase reporter analysis detection showed a relationship among miR-23b-3p, STAT1, and glyoxylate reductase 1 (GlyR1). ADSC-Exos had a protective effect on KA-induced seizures by inhibiting inflammatory factor expression and the M1 microglia phenotype. The result showed that miR-23b-3p played an important role in the Exo-mediated protective effect in KA-induced seizures in epileptic mice by regulating STAT1 and GlyR1. Luciferase reporter analysis confirmed that miR-23b-3p interacted with the 3'-UTR of STAT1 and GlyR1. The miR-23b-3p inhibited M1 microglia-mediated inflammatory factor expression in microglial cells by regulating STAT1 and GlyR1. The downregulation of miR-23b-3p decreased the protective effect of ADSC-Exos on KA-induced seizures in epileptic mice. The miR-23b-3p from ADSC-Exos alleviated inflammation in mice with KA-induced epileptic seizures.

癫痫是一种常见的神经系统疾病。虽然目前还没有很好的临床解决方案,但已有研究证实,从脂肪源性干细胞(ADSCs)中提取的外泌体(Exos)对包括神经系统疾病在内的多种疾病有治疗作用。因此,本研究旨在揭示ADSC-Exo治疗是否能改善凯尼酸(KA)诱导的癫痫小鼠癫痫发作。研究分离了 ADSCs 和 Exos。生成 KA 诱导癫痫发作的小鼠。用ELISA检测炎症因子的表达。荧光素酶报告分析检测显示了 miR-23b-3p、STAT1 和乙醛酸还原酶 1 (GlyR1) 之间的关系。ADSC-Exos 通过抑制炎症因子的表达和 M1 小胶质细胞表型,对 KA 诱导的癫痫发作有保护作用。研究结果表明,miR-23b-3p通过调节STAT1和GlyR1,在Exo介导的对KA诱导的癫痫小鼠发作的保护作用中发挥了重要作用。荧光素酶报告分析证实,miR-23b-3p 与 STAT1 和 GlyR1 的 3'-UTR 相互作用。miR-23b-3p 通过调节 STAT1 和 GlyR1 抑制了 M1 小胶质细胞介导的小胶质细胞炎症因子的表达。miR-23b-3p 的下调降低了 ADSC-Exos 对 KA 诱导的癫痫小鼠癫痫发作的保护作用。来自 ADSC-Exos 的 miR-23b-3p 减轻了 KA 诱导的癫痫小鼠的炎症反应。
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引用次数: 0
Danshen injection mitigated the cerebral ischemia/reperfusion injury by suppressing neuroinflammation via the HIF-1α/CXCR4/NF-κB signaling pathway. 丹参注射液通过HIF-1α/CXCR4/NF-κB信号通路抑制神经炎症,从而减轻脑缺血再灌注损伤。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1097/WNR.0000000000002043
Gao Chen, Zhan Jin, Xi Wang, Qi-Hui Yu, Gao-Bo Hu

Danshen injection (DI) is effective in treating cardiovascular and cerebrovascular diseases, including ischemic stroke (IS), including IS, but its mechanism is unclear. A middle cerebral artery occlusion model was used to simulate ischemia/reperfusion (I/R) injury in SD rats. Overexpression of hypoxia-inducible factor 1α (HIF-1α) was achieved by AAV-HIF-1α. Rats were treated with DI or saline. Neurological scores and infarction rates were assessed. I/R damage was examined by HE, 2,3,5-triphenyltetrazolium and Nissl stainings. Expression levels of relative proteins [TNF-α, IL-6, IL-1β, SOD, MDA, ROS, HIF-1α, CXC chemokine receptor 4 (CXCR4) and NF-κB] were measured. DI treatment improved neurological scores and reduced infarction rates, suggesting that it inhibits inflammation and oxidative stress. The expression levels of HIF-1α, CXCR4 and NF-κB were decreased. However, the effectiveness of DI on inflammation inhibition was lost after HIF-1α overexpression. DI may directly target HIF-1α to suppress neuroinflammation and reduce I/R injury by suppressing the HIF-1α/CXCR4/NF-κB signaling pathway.

丹参注射液对包括缺血性中风(IS)在内的心脑血管疾病有很好的治疗效果,但其作用机制尚不清楚。研究采用大脑中动脉闭塞模型模拟 SD 大鼠的缺血再灌注损伤。通过AAV-HIF-1α实现了缺氧诱导因子1α(HIF-1α)的过表达。大鼠接受 DI 或生理盐水治疗。评估神经系统评分和梗死率。通过 HE、2,3,5-三苯基四氮唑和 Nissl 染色检查 I/R 损伤。测量了相关蛋白质[TNF-α、IL-6、IL-1β、SOD、MDA、ROS、HIF-1α、CXC趋化因子受体4(CXCR4)和NF-κB]的表达水平。DI 治疗改善了神经系统评分,降低了梗死率,这表明它抑制了炎症和氧化应激。HIF-1α、CXCR4和NF-κB的表达水平有所下降。然而,HIF-1α过表达后,DI抑制炎症的效果就消失了。DI可能直接靶向HIF-1α,通过抑制HIF-1α/CXCR4/NF-κB信号通路来抑制神经炎症和减轻I/R损伤。
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引用次数: 0
Gastrodin combined with electroacupuncture prevents the development of cerebral ischemia via rebalance of brain-derived neurotrophic factor and interleukin-6 in stroke model rats. 天麻素联合电针通过重新平衡脑源性神经营养因子和白细胞介素-6防止中风模型大鼠脑缺血的发生。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1097/WNR.0000000000002050
Min Liu, Rujie Gong, Lina Ding, Yingdi Zhao, Xili Yan, Liangbin Shi, Yegui Zhang, Zhiliang Xu

Traditional Chinese medicine (TCM) has long been used to treat various diseases, including cerebral ischemia. The specific molecular mechanism of TCM in the treatment of cerebral ischemia, however, is still unclear. This study investigated the effects of gastrodin, electroacupuncture and their combination on cerebral ischemic rats. We used Nissl staining, immunohistochemical staining and immunoblotting to detect the expression changes of brain-derived neurotrophic factor (BDNF) and interleukin-6 (IL-6) in the frontal cortex. The results showed that the combination therapy of gastrodin and electroacupuncture significantly increased the number of Nissl-positive neurons and improved cell morphology compared with other groups. Mechanistically, we found that the combination of gastrodin and electroacupuncture treatment group can restore the abnormal morphology of neuronal cells caused by cerebral ischemia by rebalancing the expression levels of BDNF and IL-6. Our research indicates that gastrodin combined with electroacupuncture has a significant protective effect on cerebral ischemic injury in rats, possibly by regulating the expression of BDNF and IL-6. This combination therapy is superior to single-drug or electroacupuncture therapy.

长期以来,中医一直被用于治疗包括脑缺血在内的各种疾病。然而,中医药治疗脑缺血的具体分子机制尚不清楚。本研究探讨了天麻素、电针及其组合对脑缺血大鼠的影响。我们采用Nissl染色法、免疫组织化学染色法和免疫印迹法检测了脑源性神经营养因子(BDNF)和白细胞介素-6(IL-6)在额叶皮层的表达变化。结果显示,与其他组相比,胃复安和电针联合治疗能显著增加Nissl阳性神经元的数量,并改善细胞形态。从机理上讲,我们发现天麻素联合电针治疗组可以通过重新平衡BDNF和IL-6的表达水平来恢复脑缺血导致的神经元细胞的异常形态。我们的研究表明,天麻素联合电针对大鼠脑缺血损伤有显著的保护作用,可能是通过调节BDNF和IL-6的表达。这种联合疗法优于单一药物或电针疗法。
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引用次数: 0
Interhemispheric functional in age-related macular degeneration patient: a resting-state functional MRI study. 老年性黄斑变性患者的半球间功能:静息态功能磁共振成像研究。
IF 1.6 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-01 Epub Date: 2024-05-15 DOI: 10.1097/WNR.0000000000002045
Yi-Jing Jiang, Ping-Hong Lai, Xin Huang

Age-related macular degeneration (AMD) is a prevalent disease leading to severe visual impairment in the elderly population. Despite this, the pathogenesis of AMD remains largely unexplored. The application of resting-state functional MRI (rs-fMRI) allows for the detection of coherent intrinsic brain activities along with the interactions taking place between the two hemispheres. In the frame of our study, we utilize voxel-mirrored homotopic connectivity (VMHC) as an rs-fMRI method to carry out a comparative analysis of functional homotopy between the two hemispheres with the aim of further understanding the pathogenesis of AMD patients. In our study, we utilized the VMHC method to explore levels of brain activity in individuals diagnosed with AMD, planning to investigate potential links with their clinical characteristics. We extended our invitation to 20 AMD patients and 20 healthy controls from Jiangxi Provincial People's Hospital to participate in this research. rs-fMRIs were captured for each participant, and associated neural activity levels were examined using the VMHC method. Remarkably, our comparative examination with the healthy control group revealed significantly reduced VMHC in the cuneus, superior occipital lobe, precentral gyrus, and superior parietal lobule in the patient cohort. Utilizing the VMHC method allows us to identify discrepancies in the visual pathways of AMD patients compared with standard controls, potentially explaining the common challenges among AMD patients with object recognition, face recognition, and reading.

老年性黄斑变性(AMD)是一种导致老年人群严重视力损伤的常见疾病。尽管如此,老年黄斑变性的发病机理在很大程度上仍未得到探索。应用静息态功能磁共振成像(rs-fMRI)可以检测大脑固有的连贯活动以及两个半球之间的相互作用。在我们的研究框架中,我们利用体素映射同位连接(VMHC)作为一种rs-fMRI方法,对两个半球之间的功能同位性进行比较分析,旨在进一步了解AMD患者的发病机制。在我们的研究中,我们利用 VMHC 方法探讨了确诊为 AMD 患者的大脑活动水平,并计划研究其与临床特征之间的潜在联系。我们邀请了江西省人民医院的20名AMD患者和20名健康对照者参与这项研究。我们为每位参与者采集了rs-fMRI,并使用VMHC方法检测了相关的神经活动水平。值得注意的是,我们与健康对照组的对比检查发现,患者群中楔叶、枕叶上部、中央前回和顶叶上部的 VMHC 明显减少。利用VMHC方法,我们可以发现AMD患者的视觉通路与标准对照组的差异,这可能解释了AMD患者在物体识别、人脸识别和阅读方面面临的共同挑战。
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