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Prediction of Pharmacoresistance in Drug-Naïve Temporal Lobe Epilepsy Using Ictal EEGs Based on Convolutional Neural Network.
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-27 DOI: 10.1007/s12264-025-01350-2
Yiwei Gong, Zheng Zhang, Yuanzhi Yang, Shuo Zhang, Ruifeng Zheng, Xin Li, Xiaoyun Qiu, Yang Zheng, Shuang Wang, Wenyu Liu, Fan Fei, Heming Cheng, Yi Wang, Dong Zhou, Kejie Huang, Zhong Chen, Cenglin Xu

Approximately 30%-40% of epilepsy patients do not respond well to adequate anti-seizure medications (ASMs), a condition known as pharmacoresistant epilepsy. The management of pharmacoresistant epilepsy remains an intractable issue in the clinic. Its early prediction is important for prevention and diagnosis. However, it still lacks effective predictors and approaches. Here, a classical model of pharmacoresistant temporal lobe epilepsy (TLE) was established to screen pharmacoresistant and pharmaco-responsive individuals by applying phenytoin to amygdaloid-kindled rats. Ictal electroencephalograms (EEGs) recorded before phenytoin treatment were analyzed. Based on ictal EEGs from pharmacoresistant and pharmaco-responsive rats, a convolutional neural network predictive model was constructed to predict pharmacoresistance, and achieved 78% prediction accuracy. We further found the ictal EEGs from pharmacoresistant rats have a lower gamma-band power, which was verified in seizure EEGs from pharmacoresistant TLE patients. Prospectively, therapies targeting the subiculum in those predicted as "pharmacoresistant" individual rats significantly reduced the subsequent occurrence of pharmacoresistance. These results demonstrate a new methodology to predict whether TLE individuals become resistant to ASMs in a classic pharmacoresistant TLE model. This may be of translational importance for the precise management of pharmacoresistant TLE.

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引用次数: 0
The Paraventricular Hypothalamus: A Sorting Center for Visceral and Somatic Pain.
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-27 DOI: 10.1007/s12264-025-01353-z
Li Sun, Shumin Duan
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引用次数: 0
Exploring the Therapeutic Potential of Psychedelics in Chronic Pain Management: A New Frontier in Medicine. 探索致幻剂在慢性疼痛管理中的治疗潜力:医学的新前沿。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-20 DOI: 10.1007/s12264-025-01351-1
Cong Lin, Xue Wang, Xiaohui Wang
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引用次数: 0
Genetic Etiology Link to Brain Function Underlying ADHD Symptoms and its Interaction with Sleep Disturbance: An ABCD Study. ADHD症状与脑功能相关的遗传病因及其与睡眠障碍的相互作用:一项ABCD研究。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-19 DOI: 10.1007/s12264-025-01349-9
Aichen Feng, Dongmei Zhi, Zening Fu, Shan Yu, Na Luo, Vince Calhoun, Jing Sui

Attention deficit hyperactivity disorder (ADHD), a prevalent neurodevelopmental disorder influenced by both genetic and environmental factors, remains poorly understood regarding how its polygenic risk score (PRS) impacts functional networks and symptomology. This study capitalized on data from 11,430 children in the Adolescent Brain Cognitive Development study to explore the interplay between PRSADHD, brain function, and behavioral problems, along with their interactive effects. The results showed that children with a higher PRSADHD exhibited more severe attention deficits and rule-breaking problems, and experienced sleep disturbances, particularly in initiating and maintaining sleep. We also identified the central executive network, default mode network, and sensory-motor network as the functional networks most associated with PRS and symptoms in ADHD cases, with potential mediating roles. Particularly, the impact of PRSADHD was enhanced in children experiencing heightened sleep disturbances, emphasizing the need for early intervention in sleep issues to potentially mitigate subsequent ADHD symptoms.

注意缺陷多动障碍(ADHD)是一种受遗传和环境因素影响的普遍神经发育障碍,其多基因风险评分(PRS)对功能网络和症状的影响尚不清楚。这项研究利用了11430名青少年大脑认知发展研究儿童的数据,探索PRSADHD、大脑功能和行为问题之间的相互作用,以及它们的相互作用。结果显示,PRSADHD较高的儿童表现出更严重的注意力缺陷和违反规则的问题,并经历睡眠障碍,特别是在开始和维持睡眠方面。我们还确定了中央执行网络、默认模式网络和感觉-运动网络是与PRS和ADHD病例症状最相关的功能网络,具有潜在的中介作用。特别是,PRSADHD的影响在经历严重睡眠障碍的儿童中得到加强,强调需要对睡眠问题进行早期干预,以潜在地减轻随后的ADHD症状。
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引用次数: 0
The Role and Mechanisms of Ubiquitin-Proteasome System-Mediated Ferroptosis in Neurological Disorders. 泛素-蛋白酶体系统介导的铁下垂在神经系统疾病中的作用和机制。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-07 DOI: 10.1007/s12264-024-01343-7
Xin Liu, Wei Wang, Qiucheng Nie, Xinjing Liu, Lili Sun, Qiang Ma, Jie Zhang, Yiju Wei

Ferroptosis is a form of cell death elicited by an imbalance in intracellular iron concentrations, leading to enhanced lipid peroxidation. In neurological disorders, both oxidative stress and mitochondrial damage can contribute to ferroptosis, resulting in nerve cell dysfunction and death. The ubiquitin-proteasome system (UPS) refers to a cellular pathway in which specific proteins are tagged with ubiquitin for recognition and degradation by the proteasome. In neurological conditions, the UPS plays a significant role in regulating ferroptosis. In this review, we outline how the UPS regulates iron metabolism, ferroptosis, and their interplay in neurological diseases. In addition, we discuss the future application of small-molecule inhibitors and identify potential drug targets. Further investigation into the mechanisms of UPS-mediated ferroptosis will provide novel insights and strategies for therapeutic interventions and clinical applications in neurological diseases.

铁死亡是一种由细胞内铁浓度失衡引起的细胞死亡形式,导致脂质过氧化作用增强。在神经系统疾病中,氧化应激和线粒体损伤均可导致铁下垂,导致神经细胞功能障碍和死亡。泛素-蛋白酶体系统(ubiquitin-proteasome system, UPS)是一种细胞途径,在该途径中,特定的蛋白质被泛素标记,以供蛋白酶体识别和降解。在神经系统疾病中,UPS在调节铁下垂中起着重要作用。在这篇综述中,我们概述了UPS如何调节铁代谢,铁下垂,以及它们在神经系统疾病中的相互作用。此外,我们还讨论了小分子抑制剂的未来应用,并确定了潜在的药物靶点。进一步研究ups介导的铁下垂机制将为神经系统疾病的治疗干预和临床应用提供新的见解和策略。
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引用次数: 0
Type 2 Diabetes Mellitus Exacerbates Pathological Processes of Parkinson's Disease: Insights from Signaling Pathways Mediated by Insulin Receptors. 2型糖尿病加剧帕金森病的病理过程:胰岛素受体介导的信号通路的见解
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-04 DOI: 10.1007/s12264-024-01342-8
Shufen Liu, Tingting Liu, Jingwen Li, Jun Hong, Ali A Moosavi-Movahedi, Jianshe Wei

Parkinson's disease (PD), a chronic and common neurodegenerative disease, is characterized by the progressive loss of dopaminergic neurons in the dense part of the substantia nigra and abnormal aggregation of alpha-synuclein. Type 2 diabetes mellitus (T2DM) is a metabolic disease characterized by chronic insulin resistance and deficiency in insulin secretion. Extensive evidence has confirmed shared pathogenic mechanisms underlying PD and T2DM, such as oxidative stress caused by insulin resistance, mitochondrial dysfunction, inflammation, and disorders of energy metabolism. Conventional drugs for treating T2DM, such as metformin and glucagon-like peptide-1 receptor agonists, affect nerve repair. Even drugs for treating PD, such as levodopa, can affect insulin secretion. This review summarizes the relationship between PD and T2DM and related therapeutic drugs from the perspective of insulin signaling pathways in the brain.

帕金森病(PD)是一种慢性、常见的神经退行性疾病,其特征是黑质致密部分多巴胺能神经元的进行性丧失和α -突触核蛋白的异常聚集。2型糖尿病(T2DM)是一种以慢性胰岛素抵抗和胰岛素分泌不足为特征的代谢疾病。大量证据证实了PD和T2DM的共同致病机制,如胰岛素抵抗引起的氧化应激、线粒体功能障碍、炎症和能量代谢障碍。治疗T2DM的常规药物,如二甲双胍和胰高血糖素样肽-1受体激动剂,影响神经修复。即使是治疗帕金森病的药物,如左旋多巴,也会影响胰岛素分泌。本文从脑内胰岛素信号通路的角度对PD与T2DM的关系及相关治疗药物进行综述。
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引用次数: 0
To Attack or Not: A Neural Circuit Coding Sexually Dimorphic Aggression. 攻击与否:编码两性二态攻击的神经回路。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-03 DOI: 10.1007/s12264-024-01345-5
Qiuhong Xin, Hailan Hu
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引用次数: 0
Pseudogene Lamr1-ps1 Aggravates Early Spatial Learning Memory Deficits in Alzheimer's Disease Model Mice. 假基因Lamr1-ps1加重阿尔茨海默病模型小鼠早期空间学习记忆缺陷
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-02 DOI: 10.1007/s12264-024-01336-6
Zhuoze Wu, Xiaojie Liu, Yuntai Wang, Zimeng Zeng, Wei Chen, Hao Li

Alzheimer's disease (AD), a neurodegenerative disorder with complex etiologies, manifests through a cascade of pathological changes before clinical symptoms become apparent. Among these early changes, alterations in the expression of non-coding RNAs (ncRNAs) have emerged as pivotal events. In this study, we focused on the aberrant expression of ncRNAs and revealed that Lamr1-ps1, a pseudogene of the laminin receptor, significantly exacerbates early spatial learning and memory deficits in APP/PS1 mice. Through a combination of bioinformatics prediction and experimental validation, we identified the miR-29c/Bace1 pathway as a potential regulatory mechanism by which Lamr1-ps1 influences AD pathology. Importantly, augmenting the miR-29c-3p levels in mice ameliorated memory deficits, underscoring the therapeutic potential of targeting miR-29c-3p in early AD intervention. This study not only provides new insights into the role of pseudogenes in AD but also consolidates a foundational basis for considering miR-29c as a viable therapeutic target, offering a novel avenue for AD research and treatment strategies.

阿尔茨海默病(AD)是一种病因复杂的神经退行性疾病,在临床症状变得明显之前,会出现一连串的病理变化。在这些早期变化中,非编码rna (ncRNAs)表达的改变已成为关键事件。在本研究中,我们重点研究了ncRNAs的异常表达,发现Lamr1-ps1是层粘连蛋白受体的假基因,显著加剧了APP/PS1小鼠的早期空间学习和记忆缺陷。通过生物信息学预测和实验验证相结合,我们发现miR-29c/Bace1通路是Lamr1-ps1影响AD病理的潜在调控机制。重要的是,增加小鼠的miR-29c-3p水平可以改善记忆缺陷,强调了靶向miR-29c-3p在早期AD干预中的治疗潜力。本研究不仅为假基因在AD中的作用提供了新的见解,而且为考虑miR-29c作为可行的治疗靶点奠定了基础,为AD的研究和治疗策略提供了新的途径。
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引用次数: 0
Crosstalk Between the Nervous System and Colorectal Cancer. 神经系统与结直肠癌之间的相互影响
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-06-16 DOI: 10.1007/s12264-024-01238-7
Xi Li, Chunshui Ye, Min Wang, Patrick Kwan, Xin Tian, Yanke Zhang

The nervous system is the dominant regulatory system in the human body. The traditional theory is that tumors lack innervation. However, an increasing number of studies have shown complex bidirectional interactions between tumors and the nervous system. Globally, colorectal cancer (CRC) is the third most common cancer. With the rise of tumor neuroscience, the role of nervous system imbalances in the occurrence and development of CRC has attracted increasing amounts of attention. However, there are still many gaps in the research on the interactions and mechanisms involved in the nervous system in CRC. This article systematically reviews emerging research on the bidirectional relationships between the nervous system and CRC, focusing on the following areas: (1) Effects of the nervous system on colon cancer. (2) Effects of CRC on the nervous system. (3) Treatment of CRC associated with the nervous system.

神经系统是人体最主要的调节系统。传统理论认为肿瘤缺乏神经支配。然而,越来越多的研究表明,肿瘤与神经系统之间存在复杂的双向互动关系。在全球范围内,结直肠癌(CRC)是第三大常见癌症。随着肿瘤神经科学的兴起,神经系统失衡在结直肠癌发生和发展中的作用引起了越来越多的关注。然而,关于 CRC 中神经系统的相互作用和机制的研究仍有许多空白。本文系统回顾了神经系统与 CRC 之间双向关系的新兴研究,重点关注以下几个方面:(1)神经系统对结肠癌的影响。(2) CRC 对神经系统的影响。(3) 与神经系统相关的 CRC 治疗。
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引用次数: 0
Cortical Morphological Networks Differ Between Gyri and Sulci. 神经节和脑室的皮层形态网络存在差异
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-07-23 DOI: 10.1007/s12264-024-01262-7
Qingchun Lin, Suhui Jin, Guole Yin, Junle Li, Umer Asgher, Shijun Qiu, Jinhui Wang

This study explored how the human cortical folding pattern composed of convex gyri and concave sulci affected single-subject morphological brain networks, which are becoming an important method for studying the human brain connectome. We found that gyri-gyri networks exhibited higher morphological similarity, lower small-world parameters, and lower long-term test-retest reliability than sulci-sulci networks for cortical thickness- and gyrification index-based networks, while opposite patterns were observed for fractal dimension-based networks. Further behavioral association analysis revealed that gyri-gyri networks and connections between gyral and sulcal regions significantly explained inter-individual variance in Cognition and Motor domains for fractal dimension- and sulcal depth-based networks. Finally, the clinical application showed that only sulci-sulci networks exhibited morphological similarity reductions in major depressive disorder for cortical thickness-, fractal dimension-, and gyrification index-based networks. Taken together, these findings provide novel insights into the constraint of the cortical folding pattern to the network organization of the human brain.

本研究探讨了由凸回纹和凹沟组成的人类皮层折叠模式如何影响单个受试者形态学脑网络,这种脑网络正成为研究人类大脑连接组的一种重要方法。我们发现,在基于皮层厚度和回旋指数的网络中,陀螺-陀螺网络比凹槽-凹槽网络表现出更高的形态相似性、更低的小世界参数和更低的长期测试-重复可靠性,而在基于分形维度的网络中则观察到相反的模式。进一步的行为关联分析表明,在认知和运动领域,基于分形维度和基于沟深度的网络能显著解释回旋-嵴网络以及回旋和沟区域之间的连接的个体间差异。最后,临床应用表明,对于基于皮质厚度、分形维度和回旋指数的网络,只有沟-沟网络在重度抑郁障碍中表现出形态相似性降低。综上所述,这些发现为了解皮质折叠模式对人脑网络组织的制约提供了新的见解。
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引用次数: 0
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