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The Application of Extended Reality in Treating Children with Autism Spectrum Disorder. 应用扩展现实技术治疗自闭症谱系障碍儿童。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-03-18 DOI: 10.1007/s12264-024-01190-6
Weijia Zhao, Song Xu, Yanan Zhang, Dandan Li, Chunyan Zhu, Kai Wang

Autism Spectrum Disorder (ASD) is a common neurodevelopmental disorder in children, characterized by social interaction, communication difficulties, and repetitive and stereotyped behaviors. Existing intervention methods have limitations, such as requiring long treatment periods and needing to be more convenient to implement. Extended Reality (XR) technology offers a virtual environment to enhance children's social, communication, and self-regulation skills. This paper compares XR theoretical models, application examples, and intervention effects. The study reveals that XR intervention therapy is mainly based on cognitive rehabilitation, teaching, and social-emotional learning theories. It utilizes algorithms, models, artificial intelligence (AI), eye-tracking, and other technologies for interaction, achieving diverse intervention outcomes. Participants showed effective improvement in competency barriers using XR-based multimodal interactive platforms. However, Mixed Reality (MR) technology still requires further development. Future research should explore multimsodal interaction technologies combining XR and AI, optimize models, prioritize the development of MR intervention scenarios, and sustain an optimal intervention level.

自闭症谱系障碍(ASD)是一种常见的儿童神经发育障碍,主要表现为社交互动、沟通困难以及重复和刻板行为。现有的干预方法有其局限性,例如需要较长的治疗时间,实施起来也需要更加方便。扩展现实(XR)技术提供了一个虚拟环境,可以提高儿童的社交、沟通和自我调节能力。本文比较了 XR 的理论模型、应用实例和干预效果。研究显示,XR 干预疗法主要基于认知康复、教学和社会情感学习理论。它利用算法、模型、人工智能(AI)、眼动追踪等技术进行互动,取得了多样化的干预效果。通过使用基于 XR 的多模态互动平台,参与者的能力障碍得到了有效改善。然而,混合现实(MR)技术仍需进一步发展。未来的研究应探索 XR 和人工智能相结合的多模态互动技术,优化模型,优先发展 MR 干预方案,并维持最佳的干预水平。
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引用次数: 0
Tetherless Optical Neuromodulation: Wavelength from Orange-red to Mid-infrared. 无对数光学神经调制:波长从橙红到中红外。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-02-19 DOI: 10.1007/s12264-024-01179-1
Chao Sun, Qi Fan, Rougang Xie, Ceng Luo, Bingliang Hu, Quan Wang

Optogenetics, a technique that employs light for neuromodulation, has revolutionized the study of neural mechanisms and the treatment of neurological disorders due to its high spatiotemporal resolution and cell-type specificity. However, visible light, particularly blue and green light, commonly used in conventional optogenetics, has limited penetration in biological tissue. This limitation necessitates the implantation of optical fibers for light delivery, especially in deep brain regions, leading to tissue damage and experimental constraints. To overcome these challenges, the use of orange-red and infrared light with greater tissue penetration has emerged as a promising approach for tetherless optical neuromodulation. In this review, we provide an overview of the development and applications of tetherless optical neuromodulation methods with long wavelengths. We first discuss the exploration of orange-red wavelength-responsive rhodopsins and their performance in tetherless optical neuromodulation. Then, we summarize two novel tetherless neuromodulation methods using near-infrared light: upconversion nanoparticle-mediated optogenetics and photothermal neuromodulation. In addition, we discuss recent advances in mid-infrared optical neuromodulation.

光遗传学是一种利用光进行神经调控的技术,由于其高时空分辨率和细胞类型特异性,已经彻底改变了神经机制的研究和神经疾病的治疗。然而,传统光遗传学常用的可见光,尤其是蓝光和绿光,在生物组织中的穿透力有限。由于这种限制,必须植入光导纤维进行光传递,尤其是在大脑深部区域,从而导致组织损伤和实验限制。为了克服这些挑战,使用组织穿透力更强的橙红光和红外光已成为一种很有前景的无拴光学神经调控方法。在这篇综述中,我们概述了长波长无拴光学神经调控方法的发展和应用。我们首先讨论了橙红波长响应型罗多普勒蛋白的探索及其在无系光学神经调制中的表现。然后,我们总结了两种使用近红外线的新型无系神经调控方法:上转换纳米粒子介导的光遗传学和光热神经调控。此外,我们还讨论了中红外光神经调制的最新进展。
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引用次数: 0
The Role of KDM2A and H3K36me2 Demethylation in Modulating MAPK Signaling During Neurodevelopment. KDM2A和H3K36me2去甲基化在神经发育过程中调节MAPK信号传导中的作用
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2023-12-07 DOI: 10.1007/s12264-023-01161-3
Zongyao Ren, Haiyan Tang, Wendiao Zhang, Minghui Guo, Jingjie Cui, Hua Wang, Bin Xie, Jing Yu, Yonghao Chen, Ming Zhang, Cong Han, Tianyao Chu, Qiuman Liang, Shunan Zhao, Yingjie Huang, Xuelian He, Kefu Liu, Chunyu Liu, Chao Chen

Intellectual disability (ID) is a condition characterized by cognitive impairment and difficulties in adaptive functioning. In our research, we identified two de novo mutations (c.955C>T and c.732C>A) at the KDM2A locus in individuals with varying degrees of ID. In addition, by using the Gene4Denovo database, we discovered five additional cases of de novo mutations in KDM2A. The mutations we identified significantly decreased the expression of the KDM2A protein. To investigate the role of KDM2A in neural development, we used both 2D neural stem cell models and 3D cerebral organoids. Our findings demonstrated that the reduced expression of KDM2A impairs the proliferation of neural progenitor cells (NPCs), increases apoptosis, induces premature neuronal differentiation, and affects synapse maturation. Through ChIP-Seq analysis, we found that KDM2A exhibited binding to the transcription start site regions of genes involved in neurogenesis. In addition, the knockdown of KDM2A hindered H3K36me2 binding to the downstream regulatory elements of genes. By integrating ChIP-Seq and RNA-Seq data, we made a significant discovery of the core genes' remarkable enrichment in the MAPK signaling pathway. Importantly, this enrichment was specifically linked to the p38 MAPK pathway. Furthermore, disease enrichment analysis linked the differentially-expressed genes identified from RNA-Seq of NPCs and cerebral organoids to neurodevelopmental disorders such as ID, autism spectrum disorder, and schizophrenia. Overall, our findings suggest that KDM2A plays a crucial role in regulating the H3K36me2 modification of downstream genes, thereby modulating the MAPK signaling pathway and potentially impacting early brain development.

智力残疾是一种以认知障碍和适应功能困难为特征的疾病。在我们的研究中,我们在不同程度ID的个体中发现了KDM2A位点的两个新生突变(c.955C>T和c.732C>A)。此外,通过Gene4Denovo数据库,我们发现了另外5例KDM2A从头突变。我们发现的突变显著降低了KDM2A蛋白的表达。为了研究KDM2A在神经发育中的作用,我们使用了2D神经干细胞模型和3D脑类器官。我们的研究结果表明,KDM2A的表达减少会损害神经祖细胞(npc)的增殖,增加细胞凋亡,诱导神经元过早分化,并影响突触成熟。通过ChIP-Seq分析,我们发现KDM2A与神经发生相关基因的转录起始位点区域结合。此外,KDM2A的敲低阻碍了H3K36me2与下游基因调控元件的结合。通过整合ChIP-Seq和RNA-Seq数据,我们发现了MAPK信号通路中核心基因的显著富集。重要的是,这种富集与p38 MAPK通路特异性相关。此外,疾病富集分析将npc和脑类器官的RNA-Seq鉴定的差异表达基因与神经发育障碍(如ID、自闭症谱系障碍和精神分裂症)联系起来。总的来说,我们的研究结果表明,KDM2A在调节下游基因H3K36me2修饰中起着至关重要的作用,从而调节MAPK信号通路,并可能影响早期大脑发育。
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引用次数: 0
Progress and Implications from Genetic Studies of Bipolar Disorder. 双相情感障碍遗传研究的进展和意义。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-01-11 DOI: 10.1007/s12264-023-01169-9
Lingzhuo Kong, Yiqing Chen, Yuting Shen, Danhua Zhang, Chen Wei, Jianbo Lai, Shaohua Hu

With the advancements in gene sequencing technologies, including genome-wide association studies, polygenetic risk scores, and high-throughput sequencing, there has been a tremendous advantage in mapping a detailed blueprint for the genetic model of bipolar disorder (BD). To date, intriguing genetic clues have been identified to explain the development of BD, as well as the genetic association that might be applied for the development of susceptibility prediction and pharmacogenetic intervention. Risk genes of BD, such as CACNA1C, ANK3, TRANK1, and CLOCK, have been found to be involved in various pathophysiological processes correlated with BD. Although the specific roles of these genes have yet to be determined, genetic research on BD will help improve the prevention, therapeutics, and prognosis in clinical practice. The latest preclinical and clinical studies, and reviews of the genetics of BD, are analyzed in this review, aiming to summarize the progress in this intriguing field and to provide perspectives for individualized, precise, and effective clinical practice.

随着基因测序技术(包括全基因组关联研究、多基因风险评分和高通量测序)的发展,在绘制双相情感障碍(BD)遗传模型的详细蓝图方面取得了巨大进步。迄今为止,人们已经发现了一些有趣的遗传线索来解释双相情感障碍的发病过程,以及可用于易感性预测和药物基因干预的遗传关联。已发现的 BD 风险基因,如 CACNA1C、ANK3、TRANK1 和 CLOCK,参与了与 BD 相关的各种病理生理过程。尽管这些基因的具体作用尚未确定,但有关 BD 的基因研究将有助于改善临床实践中的预防、治疗和预后。本综述分析了最新的临床前和临床研究以及 BD 遗传学综述,旨在总结这一引人入胜的领域所取得的进展,并为个体化、精确和有效的临床实践提供展望。
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引用次数: 0
Sodium Leak Channel in Glutamatergic Neurons of the Lateral Parabrachial Nucleus Helps to Maintain Respiratory Frequency Under Sevoflurane Anesthesia. 副腋外侧核谷氨酸能神经元的钠漏通道有助于在七氟醚麻醉下维持呼吸频率
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-05-20 DOI: 10.1007/s12264-024-01223-0
Lin Wu, Donghang Zhang, Yujie Wu, Jin Liu, Jingyao Jiang, Cheng Zhou

The lateral parabrachial nucleus (PBL) is implicated in the regulation of respiratory activity. Sodium leak channel (NALCN) mutations disrupt the respiratory rhythm and influence anesthetic sensitivity in both rodents and humans. Here, we investigated whether the NALCN in PBL glutamatergic neurons maintains respiratory function under general anesthesia. Our results showed that chemogenetic activation of PBL glutamatergic neurons increased the respiratory frequency (RF) in mice; whereas chemogenetic inhibition suppressed RF. NALCN knockdown in PBL glutamatergic neurons but not GABAergic neurons significantly reduced RF under physiological conditions and caused more respiratory suppression under sevoflurane anesthesia. NALCN knockdown in PBL glutamatergic neurons did not further exacerbate the respiratory suppression induced by propofol or morphine. Under sevoflurane anesthesia, painful stimuli rapidly increased the RF, which was not affected by NALCN knockdown in PBL glutamatergic neurons. This study suggested that the NALCN is a key ion channel in PBL glutamatergic neurons that maintains respiratory frequency under volatile anesthetic sevoflurane but not intravenous anesthetic propofol.

外侧腋旁核(PBL)与呼吸活动的调节有关。钠漏通道(NALCN)突变会扰乱呼吸节律,并影响啮齿类动物和人类的麻醉敏感性。在此,我们研究了 PBL 谷氨酸能神经元中的 NALCN 是否能在全身麻醉下维持呼吸功能。我们的研究结果表明,化学基因激活 PBL 谷氨酸能神经元会增加小鼠的呼吸频率(RF),而化学基因抑制则会抑制 RF。在生理条件下,PBL 谷氨酸能神经元中的 NALCN 敲除会显著降低呼吸频率,而 GABA 能神经元中的 NALCN 敲除则不会。在 PBL 谷氨酸能神经元中敲除 NALCN 不会进一步加剧异丙酚或吗啡引起的呼吸抑制。在七氟醚麻醉状态下,疼痛刺激会迅速增加射频,而PBL谷氨酸能神经元中的NALCN敲除并不会影响射频的增加。这项研究表明,NALCN是PBL谷氨酸能神经元中的一个关键离子通道,它在挥发性麻醉剂七氟醚(sevoflurane)而非静脉麻醉剂丙泊酚(propofol)的作用下维持呼吸频率。
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引用次数: 0
Abnormal Innervation, Demyelination, and Degeneration of Spiral Ganglion Neurons as Well as Disruption of Heminodes are Involved in the Onset of Deafness in Cx26 Null Mice. Cx26缺失小鼠耳聋的发生与螺旋神经节神经元的异常神经支配、脱髓鞘和变性以及半结节的破坏有关。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-02-04 DOI: 10.1007/s12264-023-01167-x
Yue Qiu, Le Xie, Xiaohui Wang, Kai Xu, Xue Bai, Sen Chen, Yu Sun

GJB2 gene mutations are the most common causes of autosomal recessive non-syndromic hereditary deafness. For individuals suffering from severe to profound GJB2-related deafness, cochlear implants have emerged as the sole remedy for auditory improvement. Some previous studies have highlighted the crucial role of preserving cochlear neural components in achieving favorable outcomes after cochlear implantation. Thus, we generated a conditional knockout mouse model (Cx26-CKO) in which Cx26 was completely deleted in the cochlear supporting cells driven by the Sox2 promoter. The Cx26-CKO mice showed severe hearing loss and massive loss of hair cells and Deiter's cells, which represented the extreme form of human deafness caused by GJB2 gene mutations. In addition, multiple pathological changes in the peripheral auditory nervous system were found, including abnormal innervation, demyelination, and degeneration of spiral ganglion neurons as well as disruption of heminodes in Cx26-CKO mice. These findings provide invaluable insights into the deafness mechanism and the treatment for severe deafness in Cx26-null mice.

GJB2 基因突变是导致常染色体隐性非综合征遗传性耳聋的最常见原因。对于患有重度到极重度 GJB2 相关性耳聋的患者,人工耳蜗已成为改善听力的唯一治疗方法。之前的一些研究强调了保留人工耳蜗神经元对人工耳蜗植入后取得良好效果的关键作用。因此,我们产生了一种条件性基因敲除小鼠模型(Cx26-CKO),在该模型中,Sox2 启动子驱动的耳蜗支持细胞中的 Cx26 被完全删除。Cx26-CKO小鼠表现出严重的听力损失以及大量毛细胞和Deiter细胞的缺失,这代表了由GJB2基因突变引起的人类耳聋的极端形式。此外,Cx26-CKO小鼠的外周听觉神经系统也出现了多种病理变化,包括神经支配异常、脱髓鞘、螺旋神经节神经元变性以及heminodes中断。这些发现为研究Cx26缺失小鼠的耳聋机制和治疗严重耳聋提供了宝贵的见解。
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引用次数: 0
Dopamine Switches Affective States Under Acute Sleep Deprivation. 多巴胺能切换急性睡眠剥夺状态下的情感状态
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI: 10.1007/s12264-024-01216-z
Zhou-Cai Luo, Tian-Ming Gao
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引用次数: 0
Serum LDL Promotes Microglial Activation and Exacerbates Demyelinating Injury in Neuromyelitis Optica Spectrum Disorder. 血清低密度脂蛋白促进小胶质细胞活化并加剧神经脊髓炎谱系障碍的脱髓鞘损伤
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-01-16 DOI: 10.1007/s12264-023-01166-y
Man Chen, Yun-Hui Chu, Wen-Xiang Yu, Yun-Fan You, Yue Tang, Xiao-Wei Pang, Hang Zhang, Ke Shang, Gang Deng, Luo-Qi Zhou, Sheng Yang, Wei Wang, Jun Xiao, Dai-Shi Tian, Chuan Qin

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune inflammatory demyelinating disease of the central nervous system (CNS) accompanied by blood-brain barrier (BBB) disruption. Dysfunction in microglial lipid metabolism is believed to be closely associated with the neuropathology of NMOSD. However, there is limited evidence on the functional relevance of circulating lipids in CNS demyelination, cellular metabolism, and microglial function. Here, we found that serum low-density lipoprotein (LDL) was positively correlated with markers of neurological damage in NMOSD patients. In addition, we demonstrated in a mouse model of NMOSD that LDL penetrates the CNS through the leaky BBB, directly activating microglia. This activation leads to excessive phagocytosis of myelin debris, inhibition of lipid metabolism, and increased glycolysis, ultimately exacerbating myelin damage. We also found that therapeutic interventions aimed at reducing circulating LDL effectively reversed the lipid metabolic dysfunction in microglia and mitigated the demyelinating injury in NMOSD. These findings shed light on the molecular and cellular mechanisms underlying the positive correlation between serum LDL and neurological damage, highlighting the potential therapeutic target for lowering circulating lipids to alleviate the acute demyelinating injury in NMOSD.

神经脊髓炎视网膜谱系障碍(NMOSD)是一种伴有血脑屏障(BBB)破坏的中枢神经系统(CNS)自身免疫性炎症性脱髓鞘疾病。小胶质细胞脂质代谢功能障碍被认为与 NMOSD 的神经病理学密切相关。然而,关于循环脂质在中枢神经系统脱髓鞘、细胞代谢和小胶质细胞功能中的功能相关性的证据却很有限。在这里,我们发现血清低密度脂蛋白(LDL)与 NMOSD 患者的神经损伤指标呈正相关。此外,我们还在一个 NMOSD 小鼠模型中证实,低密度脂蛋白通过渗漏的 BBB 穿透中枢神经系统,直接激活小胶质细胞。这种激活会导致过度吞噬髓鞘碎片、抑制脂质代谢和增加糖酵解,最终加剧髓鞘损伤。我们还发现,旨在减少循环低密度脂蛋白的治疗干预措施可有效逆转小胶质细胞的脂质代谢功能障碍,并减轻 NMOSD 的脱髓鞘损伤。这些发现揭示了血清低密度脂蛋白与神经损伤之间正相关的分子和细胞机制,突出了降低循环血脂以减轻 NMOSD 急性脱髓鞘损伤的潜在治疗目标。
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引用次数: 0
Aβ-Aggregation-Generated Blue Autofluorescence Illuminates Senile Plaques as well as Complex Blood and Vascular Pathologies in Alzheimer's Disease. Aβ聚集产生的蓝色自发荧光可照亮老年痴呆症的老年斑以及复杂的血液和血管病变。
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-02-12 DOI: 10.1007/s12264-023-01175-x
Hualin Fu, Jilong Li, Chunlei Zhang, Peng Du, Guo Gao, Qiqi Ge, Xinping Guan, Daxiang Cui

Senile plaque blue autofluorescence was discovered around 40 years ago, however, its impact on Alzheimer's disease (AD) pathology has not been fully examined. We analyzed senile plaques with immunohistochemistry and fluorescence imaging on AD brain sections and also Aβ aggregation in vitro. In DAPI or Hoechst staining, the nuclear blue fluorescence could only be correctly assigned after subtracting the blue plaque autofluorescence. The flower-like structures wrapping dense-core blue fluorescence formed by cathepsin D staining could not be considered central-nucleated neurons with defective lysosomes since there was no nuclear staining in the plaque core when the blue autofluorescence was subtracted. Both Aβ self-oligomers and Aβ/hemoglobin heterocomplexes generated blue autofluorescence. The Aβ amyloid blue autofluorescence not only labels senile plaques but also illustrates red cell aggregation, hemolysis, cerebral amyloid angiopathy, vascular plaques, vascular adhesions, and microaneurysms. In summary, we conclude that Aβ-aggregation-generated blue autofluorescence is an excellent multi-amyloidosis marker in Alzheimer's disease.

大约 40 年前,人们就发现了老年斑的蓝色自发荧光,但尚未充分研究其对阿尔茨海默病(AD)病理的影响。我们利用免疫组化和荧光成像技术分析了老年痴呆症大脑切片上的老年斑,以及 Aβ 在体外的聚集情况。在 DAPI 或 Hoechst 染色中,核蓝色荧光只有在减去蓝色斑块自发荧光后才能正确分配。cathepsin D 染色形成的包裹密核蓝色荧光的花状结构不能被认为是溶酶体缺陷的中心核神经元,因为在减去蓝色自发荧光后,斑块核心没有核染色。Aβ 自身配体和 Aβ/血红蛋白异质复合物都会产生蓝色自发荧光。Aβ 淀粉样蛋白蓝色自发荧光不仅能标记老年斑,还能显示红细胞聚集、溶血、脑淀粉样血管病、血管斑、血管粘连和微动脉瘤。总之,我们得出结论,Aβ聚集产生的蓝色自发荧光是阿尔茨海默病中一种极佳的多淀粉样变性标记物。
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引用次数: 0
Closing the Experiment-Modeling-Perturbation Loop in Whole-Brain Neuroscience. 关闭全脑神经科学中的实验-建模-扰动回路
IF 5.9 2区 医学 Q1 NEUROSCIENCES Pub Date : 2024-08-01 Epub Date: 2024-07-16 DOI: 10.1007/s12264-024-01253-8
Misha B Ahrens
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引用次数: 0
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