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Causal association between plant foods intake and Alzheimer's disease: a Mendelian randomization study. 植物性食品摄入量与阿尔茨海默病之间的因果关系:孟德尔随机研究。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-02-12 DOI: 10.1080/1028415X.2024.2312685
Xinmin Deng, Jingyi Zhu, Jingtao Liang, Wen Chang, Xiaofeng Lv, Rui Lai

Background: Alzheimer's disease (AD) is a degenerative disease of the nervous system. Observational studies have found an association between plant food intake and AD. However, it is unclear whether this association is influenced by confounding factors. We aimed to explore the causal relationship between plant-based diet and the risk of AD using two-sample Mendelian randomization.

Materials and methods: We obtained datasets of exposure from the IEU Open GWAS project, including dried fruit intake, fresh fruit intake, raw vegetable intake, cooked vegetable intake, and cereal intake. The summary data for AD were obtained from a large GWAS meta-analysis containing 71,880 cases and 383,378 controls.

Results: Increased intake of dried fruits was associated with a reduced risk of AD (IVW: OR = 0.88, 95CI = 0.82-0.95). No causal association was found between the intake of other foods and AD.

Conclusion: This MR study suggests that genetically predicted increased intake of dried fruits is a causal protective factor for AD.

背景:阿尔茨海默病(AD)是一种神经系统退行性疾病。观察性研究发现,植物性食物摄入量与阿尔茨海默病之间存在关联。然而,这种关联是否受混杂因素的影响尚不清楚。我们旨在利用双样本孟德尔随机法探讨植物性饮食与AD风险之间的因果关系:我们从 IEU Open GWAS 项目中获得了暴露数据集,包括干果摄入量、新鲜水果摄入量、生蔬菜摄入量、熟蔬菜摄入量和谷物摄入量。AD的汇总数据来自一项大型GWAS荟萃分析,其中包括71 880例病例和383 378例对照:结果:干果摄入量的增加与 AD 风险的降低有关(IVW:OR = 0.88,95CI = 0.82-0.95)。其他食物的摄入量与注意力缺失症之间没有因果关系:这项磁共振研究表明,根据基因预测,干果摄入量的增加是AD的一个因果保护因素。
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引用次数: 0
Is there a link between the inflammatory potential of a diet and mental health among patients with migraine? Findings from a cross-sectional survey. 偏头痛患者饮食中的炎症潜能与心理健康之间有联系吗?一项横断面调查的结果。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-02-06 DOI: 10.1080/1028415X.2024.2312305
Fatemeh Sadat Navab, Amir Hadi, Ibtesam Jahlan, Gholamreza Askari, Fariborz Khorvash, Arman Arab

Aims: In this study, we aimed to evaluate the relationship between the dietary inflammatory index (DII) and mental health outcomes among patients with migraine headaches.

Methods: In this cross-sectional study, 262 subjects were included. The dietary intakes were collected using a validated 168-item semi-quantitative food frequency questionnaire. Items were scored according to their inflammatory potential, so a higher DII indicated a more pro-inflammatory diet. The association between DII and the mental health of participants was investigated using multinomial logistic regression and odds ratio (OR) with a corresponding 95% confidence interval (CI) was reported.

Results: Overall, 224 women and 38 men, with a mean (standard error) DII of -2.96 (0.06), age of 36.1 (0.53) years, and BMI of 25.55 (0.21) kg/m2, comprised our study population. DII was positively associated with a higher risk of depression in patients with the highest adherence to a pro-inflammatory diet compared to those with the lowest adherence (OR = 1.76; 95%CI: 1.04, 3.00; Ptrend = 0.035). Adjustments for age, sex, marital status, smoking status, migraine headache index score, number of family members, mean arterial pressure, medication, physical activity, and BMI intensified the association in a way that the risk of depression was 2.03 times higher in patients with the highest adherence to a pro-inflammatory diet compared to those with the lowest adherence to a pro-inflammatory diet (OR = 2.03; 95%CI: 1.18, 3.49; Ptrend = 0.011).

Conclusion: Our findings suggest that depression was positively associated with adherence to a pro-inflammatory diet. However, no significant association was observed between anxiety and stress with DII.

目的:本研究旨在评估偏头痛患者的饮食炎症指数(DII)与心理健康结果之间的关系:在这项横断面研究中,共纳入了 262 名受试者。方法:在这项横断面研究中,共纳入了 262 名受试者,使用经过验证的 168 项半定量食物频率问卷收集他们的膳食摄入量。根据炎症潜能值对项目进行评分,因此 DII 值越高,表示饮食越有利于炎症。采用多项式逻辑回归法研究了 DII 与参与者心理健康之间的关系,并报告了几率比(OR)及相应的 95% 置信区间(CI):研究对象中共有 224 名女性和 38 名男性,DII 平均值(标准误差)为 -2.96 (0.06),年龄为 36.1 (0.53)岁,体重指数为 25.55 (0.21) kg/m2。与坚持亲炎饮食的最低人群相比,坚持亲炎饮食程度最高的人群患抑郁症的风险更高,而DII与之呈正相关(OR = 1.76; 95%CI: 1.04, 3.00; Ptrend = 0.035)。对年龄、性别、婚姻状况、吸烟状况、偏头痛指数评分、家庭成员数量、平均动脉压、药物治疗、体力活动和体重指数进行调整后,抑郁的风险在坚持促炎饮食最多的患者中是坚持促炎饮食最少的患者的2.03倍(OR = 2.03;95%CI:1.18,3.49;Ptrend = 0.011):我们的研究结果表明,抑郁与是否坚持促炎饮食呈正相关。结论:我们的研究结果表明,抑郁与是否坚持促炎饮食呈正相关,但焦虑和压力与 DII 之间没有明显的关联。
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引用次数: 0
Calorie restriction protects against acute systemic LPS-induced inflammation. 限制热量可防止急性全身性 LPS 引起的炎症。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-02-22 DOI: 10.1080/1028415X.2024.2316448
Vanessa-Fernanda da Silva, Vitor Gayger-Dias, Rafaela Sampaio da Silva, Thomas Michel Sobottka, Anderson Cigerce, Lílian Juliana Lissner, Krista Minéia Wartchow, Letícia Rodrigues, Caroline Zanotto, Fernanda Carolina Telles da Silva Fróes, Marina Seady, André Quincozes-Santos, Carlos-Alberto Gonçalves

Caloric restriction (CR) has been proposed as a nutritional strategy to combat chronic diseases, including neurodegenerative diseases, as well as to delay aging. However, despite the benefits of CR, questions remain about its underlying mechanisms and cellular and molecular targets.Objective: As inflammatory processes are the basis or accompany chronic diseases and aging, we investigated the protective role of CR in the event of an acute inflammatory stimulus.Methods: Peripheral inflammatory and metabolic parameters were evaluated in Wistar rats following CR and/or acute lipopolysaccharide (LPS) administration, as well as glial changes (microglia and astrocytes), in two regions of the brain (hippocampus and hypothalamus) involved in the inflammatory response. We used a protocol of 30% CR, for 4 or 8 weeks. Serum and brain parameters were analyzed by biochemical or immunological assays.Results: Benefits of CR were observed during the inflammatory challenge, where the partial reduction of serum interleukin-6, mediated by CR, attenuated the systemic response. In the central nervous system (CNS), specifically in the hippocampus, CR attenuated the response to the LPS, as evaluated by tumor necrosis factor alpha (TNFα) levels. Furthermore, in the hippocampus, CR increased the glutathione (GSH) levels, resulting in a better antioxidant response.Discussion: This study contributes to the understanding of the effects of CR, particularly in the CNS, and expands knowledge about glial cells, emphasizing their importance in neuroprotection strategies.

热量限制(CR)被认为是一种防治慢性疾病(包括神经退行性疾病)和延缓衰老的营养策略。然而,尽管热量限制有诸多益处,但其潜在机制以及细胞和分子靶点仍存在疑问:由于炎症过程是慢性疾病和衰老的基础或伴随因素,我们研究了 CR 在急性炎症刺激下的保护作用:方法:我们评估了 Wistar 大鼠在服用 CR 和/或急性脂多糖(LPS)后的外周炎症和代谢参数,以及参与炎症反应的大脑两个区域(海马和下丘脑)的神经胶质变化(小胶质细胞和星形胶质细胞)。我们采用了 30% CR 的方案,持续 4 或 8 周。通过生化或免疫学检测分析了血清和大脑参数:结果:在炎症挑战期间观察到了 CR 的益处,在 CR 的介导下,血清白细胞介素-6 部分减少,从而减轻了全身反应。在中枢神经系统(CNS)中,特别是在海马体中,CR减轻了对LPS的反应,肿瘤坏死因子α(TNFα)水平可对此进行评估。此外,在海马中,CR提高了谷胱甘肽(GSH)的水平,从而改善了抗氧化反应:这项研究有助于人们了解 CR 的作用,尤其是在中枢神经系统中的作用,并扩展了有关神经胶质细胞的知识,强调了神经胶质细胞在神经保护策略中的重要性。
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引用次数: 0
Natural compounds for oxidative stress and neuroprotection in schizophrenia: composition, mechanisms, and therapeutic potential. 用于精神分裂症氧化应激和神经保护的天然化合物:成分、机制和治疗潜力。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-03-11 DOI: 10.1080/1028415X.2024.2325233
Anam N Khan, Rahul D Jawarkar, Magdi E A Zaki, Aamal A Al Mutairi

Objective: An imbalance between the generation of reactive oxygen species (ROS) and the body's antioxidant defense mechanisms is believed to be a critical factor in the development of schizophrenia (SCZ) like neurological illnesses. Understanding the roles of ROS in the development of SCZ and the potential activity of natural antioxidants against SCZ could lead to more effective therapeutic options for the prevention and treatment of the illness.

Methods: SCZ is a mental disorder characterised by progressive impairments in working memory, attention, and executive functioning. In present investigation, we summarized the experimental findings for understanding the role of oxidative stress (OS) in the development of SCZ and the potential neuroprotective effects of natural antioxidants in the treatment of SCZ.

Results: Current study supports the use of the mentioned antioxidant natural compounds as a potential therapeutic candidates for the treatment of OS mediated neurodegeneration in SCZ.

Discussion: Elevated levels of harmful ROS and reduced antioxidant defense mechanisms are indicative of increased oxidative stress (OS), which is associated with SCZ. Previous research has shown that individuals with SCZ, including non-medicated, medicated, first-episode, and chronic patients, exhibit decreased levels of total antioxidants and GSH. Additionally, they have reduced antioxidant enzyme levels such as catalase (CAT), glutathione (GPx), and, superoxide dismutase (SOD) and lower serum levels of brain-derived neurotrophic factor (BDNF) in their brain tissue. The mentioned natural antioxidants may assist in reducing oxidative damage in individuals with SCZ and increasing BDNF expression in the brain, potentially improving cognitive function and learning ability.

研究目的活性氧(ROS)的生成与机体抗氧化防御机制之间的失衡被认为是精神分裂症(SCZ)等神经系统疾病发病的关键因素。了解ROS在SCZ发病过程中的作用以及天然抗氧化剂对SCZ的潜在活性,可为预防和治疗该病提供更有效的治疗方案:SCZ是一种以工作记忆、注意力和执行功能的进行性损害为特征的精神障碍。在本研究中,我们总结了实验结果,以了解氧化应激(OS)在SCZ发病中的作用,以及天然抗氧化剂在治疗SCZ中的潜在神经保护作用:目前的研究支持使用上述抗氧化天然化合物作为治疗OS介导的SCZ神经变性的潜在候选疗法:有害ROS水平的升高和抗氧化防御机制的降低表明氧化应激(OS)增加,而氧化应激与SCZ有关。先前的研究表明,SCZ 患者(包括未服药、服药、首次发病和慢性患者)表现出总抗氧化剂和 GSH 水平下降。此外,他们的抗氧化酶水平也有所降低,如过氧化氢酶(CAT)、谷胱甘肽(GPx)和超氧化物歧化酶(SOD),脑组织中脑源性神经营养因子(BDNF)的血清水平也有所降低。上述天然抗氧化剂可能有助于减少 SCZ 患者的氧化损伤,增加脑源性神经营养因子的表达,从而改善认知功能和学习能力。
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引用次数: 0
Nutrition is associated with differences in multisensory integration in healthy older adults. 营养与健康老年人多感官综合能力的差异有关。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-02-22 DOI: 10.1080/1028415X.2024.2316446
Alan O'Dowd, Deirdre M A O'Connor, Rebecca J Hirst, Annalisa Setti, Rose Anne Kenny, Fiona N Newell

Diet can influence cognitive functioning in older adults and is a modifiable risk factor for cognitive decline. However, it is unknown if an association exists between diet and lower-level processes in the brain underpinning cognition, such as multisensory integration. We investigated whether temporal multisensory integration is associated with daily intake of fruit and vegetables (FV) or products high in fat/sugar/salt (FSS) in a large sample (N = 2,693) of older adults (mean age = 64.06 years, SD = 7.60; 56% female) from The Irish Longitudinal Study on Ageing (TILDA). Older adults completed a Food Frequency Questionnaire from which the total number of daily servings of FV and FSS items respectively was calculated. Older adults' susceptibility to the Sound Induced Flash Illusion (SIFI) measured the temporal precision of audio-visual integration, which included three audio-visual Stimulus Onset Asynchronies (SOAs): 70, 150 and 230 ms. Older adults who self-reported a higher daily consumption of FV were less susceptible to the SIFI at the longest versus shortest SOAs (i.e. increased temporal precision) compared to those reporting the lowest daily consumption (p = .013). In contrast, older adults reporting a higher daily consumption of FSS items were more susceptible to the SIFI at the longer versus shortest SOAs (i.e. reduced temporal precision) compared to those reporting the lowest daily consumption (p < .001). The temporal precision of multisensory integration is differentially associated with levels of daily consumption of FV versus products high in FSS, consistent with broader evidence that habitual diet is associated with brain health.

饮食会影响老年人的认知功能,也是导致认知能力下降的一个可改变的风险因素。然而,饮食与大脑中支持认知的较低级过程(如多感官整合)之间是否存在关联尚不清楚。我们调查了爱尔兰老龄化纵向研究(TILDA)的一个大样本(样本数 = 2,693)中老年人(平均年龄 = 64.06 岁,SD = 7.60;56% 为女性)的颞叶多感觉统合是否与每天摄入的水果和蔬菜(FV)或高脂肪/高糖/高盐产品(FSS)有关。老年人填写了一份食物频率调查问卷,并从中分别计算出每日食物摄入量(FV)和食物摄入量(FSS)的总份数。老年人对声音诱发闪光幻觉(SIFI)的易感性测量了视听整合的时间精度,包括三种视听刺激起始不同步(SOAs):70、150 和 230 毫秒。与那些自报每天摄入量最低的老年人相比,那些自报每天摄入量较高的老年人在最长和最短 SOAs 时对 SIFI 的易感性较低(即时间精度提高)(p = .013)。相比之下,报告每日消费 FSS 项目较多的老年人与报告每日消费最少的老年人相比,在最长和最短 SOAs 中更容易受到 SIFI 的影响(即时间精度降低)(p = 0.013)。
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引用次数: 0
Examining the association of breakfast skipping with sleep disturbance, mental health, and health-related quality of life: data from the 2018 Korean community health survey. 研究不吃早餐与睡眠障碍、心理健康和健康相关生活质量的关系:2018 年韩国社区健康调查数据。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 Epub Date: 2024-03-11 DOI: 10.1080/1028415X.2024.2324233
Sung Min Jung, Mee-Ri Lee

Objectives: This study aimed to explore the relationship between breakfast skipping and its effects on sleep disorders, mental health, and health-related quality of life among Korean adults.Methods: Utilizing data from the 2018 Korea Community Health Survey, this cross-sectional analysis included 173,272 adults aged 19 years and older. Instruments used for assessment included the Patient Health Questionnaire-9 for depression, the EuroQol 5-dimension (EQ-5D) for health-related quality of life, and the Pittsburgh Sleep Quality Index for sleep disorders. The complex sample logistic regression analysis was employed to adjust for potential confounders.Results: Breakfast skipping was found to be significantly associated with delayed mid-sleep time, an increased propensity for daytime sleepiness, and a notable decline in sleep quality. Additionally, it was linked to a significant increase in depression risk, compromised health-related quality of life, and elevated stress levels across both genders. All five dimensions of the EQ-5D were negatively impacted by breakfast skipping.Discussion: The findings highlight the detrimental effects of skipping breakfast on sleep patterns, mental health, and overall quality of life, stressing the importance of regular breakfast consumption for enhancing these health outcomes. The study suggests the need for further research to uncover the mechanisms behind these associations and to devise targeted interventions to mitigate the negative impacts of breakfast skipping.

研究目的本研究旨在探讨韩国成年人不吃早餐与早餐对睡眠障碍、心理健康和与健康相关的生活质量的影响之间的关系:这项横断面分析利用了 2018 年韩国社区健康调查的数据,纳入了 173272 名 19 岁及以上的成年人。用于评估的工具包括针对抑郁症的患者健康问卷-9、针对健康相关生活质量的EuroQol 5维度(EQ-5D)以及针对睡眠障碍的匹兹堡睡眠质量指数。采用复杂样本逻辑回归分析来调整潜在的混杂因素:结果发现:不吃早餐与中途睡眠时间延迟、白天嗜睡倾向增加以及睡眠质量明显下降有显著关联。此外,不吃早餐还与抑郁风险显著增加、健康相关生活质量下降以及男女压力水平升高有关。不吃早餐对 EQ-5D 的所有五个维度都有负面影响:讨论:研究结果凸显了不吃早餐对睡眠模式、心理健康和整体生活质量的不利影响,强调了规律食用早餐对提高这些健康结果的重要性。研究表明,有必要开展进一步研究,以揭示这些关联背后的机制,并制定有针对性的干预措施,以减轻不吃早餐的负面影响。
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引用次数: 0
Vitamin C improved anxiety and depression like behavior induced by chronic unpredictable mild stress in adolescent rats by influencing on oxidative stress balance, neurotransmitter systems, and inflammatory response. 维生素 C 通过影响氧化应激平衡、神经递质系统和炎症反应,改善了青少年大鼠在长期不可预测的轻度应激下诱发的焦虑和抑郁行为。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-28 DOI: 10.1080/1028415X.2024.2389499
Maha Masoudi, Mehrnoush Goodarzi, Mohammad Amin Rahmani, Mojgan Rajabi, Mobina Mahdizadeh, Moein Gharaei Torbati, Farimah Beheshti

Objectives: Stress is an adaptive response to different events in daily life that could strain physically, emotionally, or psychologically. Adolescence is an important developmental period due to physical, psychological, and social maturation. The aim of our study is to state whether chronic unpredictable mild stress (CUMS) during adolescence in male rats can cause anxiety and depression in adulthood and whether vitamin C (Vit C) can prevent this problem or not.Methods: For this purpose, we performed behavioral tests, including open field test, elevated plus maze, and forced swimming test. In addition, we investigated the metabolism of serotonin, the level of inflammation, oxidative stress and brain-derived neurotrophic factor (BDNF) in the brain cortex tissue of animals.Results: Results indicated that CUMS exacerbates mood-related behaviors by affecting the brain oxidative stress balance, inflammatory response, and serotonin metabolism. Moreover, we found that CUMS-Vit C co-treatment could significantly reverse CUMS-induced complications by restoration of the mentioned biochemical parameters.Discussion: Taken together, we would like to suggest the use of Vit C supplementation as a safe, inexpensive, and effective strategy for the management of CUMS.

目的:压力是对日常生活中不同事件的一种适应性反应,这些事件可能会对身体、情绪或心理造成压力。青春期是身体、心理和社会成熟的重要发展时期。我们的研究旨在说明雄性大鼠青春期的慢性不可预测轻度应激(CUMS)是否会导致其成年后的焦虑和抑郁,以及维生素 C(Vit C)是否能预防这一问题:为此,我们进行了行为测试,包括开阔地测试、高架迷宫和强迫游泳测试。此外,我们还研究了动物大脑皮层组织中的血清素代谢、炎症水平、氧化应激和脑源性神经营养因子(BDNF):结果:研究结果表明,CUMS会影响大脑氧化应激平衡、炎症反应和血清素代谢,从而加剧情绪相关行为。此外,我们还发现 CUMS-Vit C 联合治疗可通过恢复上述生化参数显著逆转 CUMS 引起的并发症:综上所述,我们建议将补充维生素 C 作为治疗 CUMS 的一种安全、廉价且有效的策略。
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引用次数: 0
Accumbal serotonin hypofunction and dopamine hyperfunction due to chronic stress and palatable food intake in rats. 慢性应激和适口食物摄入导致大鼠体内累积的血清素功能减退和多巴胺功能亢进。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-28 DOI: 10.1080/1028415X.2024.2417922
C García-Luna, E Espitia-Bautista, E Alvarez-Salas, P Soberanes-Chávez, P de Gortari

ABSTRACTFeeding is regulated by energy homeostatic and pleasure-induced rewarding signals. Palatable food intake modifies serotonergic (5-HT) and dopaminergic (DA) pathways in nucleus accumbens, inducing neuronal maladaptations that favor hyperphagia for high-energy dense food and consequent obesity. Chronic stress is an environmental condition that increases the preference for palatable food by modulating brain DA and 5-HT metabolism. Objective: To evaluate the association between changes in accumbal 5-HT and DA metabolism and the effects of chronic stress, palatable food intake and their interaction with satiety/hunger condition. Methods: Wistar rats were housed in pairs (non-stressed) or individually (stressed), fed with chow or chocolate milk plus chow (Ch) for 2 weeks (4 groups); then 6 animals/group were 48 h fasted or maintained ad libitum; the rest were fasted and re-fed for 2 h either with chow or Ch. Results: Rats with prolonged high-energy density food intake and re-fed with chow showed reduced 5-HT metabolism, although there was no association with animals' feeding behavior. In contrast, after re-fed with palatable food, stressed chow-fed rats had increased 5-HT turnover, which decreased in Ch re-fed rats, supporting that palatable food might induce positive mood changes related to high extracellular 5-HT in limbic regions. Discussion: Rats with prolonged palatable food intake exhibited high accumbal DA turnover independently of stress exposure, supporting its relation with the development of high-energy dense food hyperphagia. As accumbal 5-HT and DA metabolism changed due to fasting or re-feeding, alterations could represent the interaction of energy homeostatic and hedonic feeding signaling in animals.

摘要进食受能量平衡和快感诱导的奖赏信号调节。适口食物的摄入会改变脑核中的5-羟色胺能(5-HT)和多巴胺能(DA)通路,诱发神经元适应不良,从而导致对高能量高密度食物的过度摄食,进而导致肥胖。慢性压力是一种环境条件,它通过调节大脑 DA 和 5-HT 代谢来增加对美味食物的偏好。研究目的评估蓄积性 5-HT 和 DA 代谢的变化与慢性应激、适口食物摄入量的影响及其与饱腹感/饥饿状态的相互作用之间的关联。研究方法Wistar大鼠成对饲养(非应激)或单独饲养(应激),用饲料或巧克力牛奶加饲料(Ch)喂养2周(4组);然后每组6只大鼠禁食48小时或保持自由进食;其余大鼠禁食后再用饲料或Ch喂养2小时:长时间摄入高能量密度食物并重新喂食饲料的大鼠表现出5-羟色胺代谢减少,但与动物的摄食行为无关。与此相反,重新喂食适口食物后,应激大鼠的5-羟色胺代谢增加,而重新喂食Ch的大鼠的5-羟色胺代谢减少,这证明适口食物可能会诱发积极的情绪变化,这与边缘区域细胞外的高5-羟色胺有关。讨论长期摄入适口食物的大鼠表现出较高的累积DA周转率,而与应激暴露无关,这证明其与高能量高密度食物摄入过多有关。由于禁食或再进食会导致蓄积性5-羟色胺和DA代谢发生变化,这种变化可能代表了动物体内能量平衡和享乐性进食信号的相互作用。
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引用次数: 0
Safety and efficacy of sodium benzoate for patients with mild Alzheimer's disease: a systematic review and meta-analysis. 苯甲酸钠对轻度阿尔茨海默病患者的安全性和有效性:系统回顾和荟萃分析。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-25 DOI: 10.1080/1028415X.2024.2415867
Mohamed Ezzat M Mansour, Ahmed Hamdy G Ali, Mohamed Hazem M Ibrahim, Ahella Ismail A Mousa, Ahmed Said Negida

Objective: Alzheimer's disease (AD) is the most common neurodegenerative disorder. A key factor in its pathogenesis is the dysfunction of the N-methyl-D-aspartate (NMDA) receptor due to D-serine degradation by D-amino acid oxidase. Benzoate has been suggested to enhance NMDA receptor function, potentially benefiting early-phase AD. This study aimed to synthesize evidence from randomized clinical trials (RCTs) on the safety and efficacy of sodium benzoate in AD patients.

Methods: We followed PRISMA statement guidelines during the accommodation of this systematic review and meta-analysis. A computer literature search (PubMed, Scopus, Web of Science, and Cochrane Central) was conducted. We included RCTs that compared sodium benzoate with placebo regarding cognitive functions. The primary outcome measure was the Alzheimer's disease assessment scale-cognitive subscale, pooled as the mean difference between the two groups from baseline to the endpoint. The secondary outcomes measures are the clinician's interview-based impression of change plus caregiver input, catalase, and superoxide dismutase antioxidants.

Results: Three RCTs (described in four articles) with 306 patients were included in this study. Sodium benzoate significantly improved the ADAS-cog score compared with placebo (MD -2.13 points, 95% CI [-3.35 to -0.90]; P= 0.0007).

Conclusion: Sodium benzoate is a safe drug that may improve cognitive function in patients with early-stage Alzheimer's disease. However, the significant effect arises primarily from one small study, highlighting the need for caution in interpretation. Further research with larger sample sizes and longer durations is necessary to validate these findings and assess safety and efficacy.

目的:阿尔茨海默病(AD)是最常见的神经退行性疾病。其发病机制的一个关键因素是 N-甲基-D-天冬氨酸(NMDA)受体因 D-氨基酸氧化酶降解 D-丝氨酸而功能失调。有人认为苯甲酸盐能增强NMDA受体的功能,从而可能有益于早期AD。本研究旨在综合随机临床试验(RCT)中有关苯甲酸钠对AD患者安全性和有效性的证据:在本系统综述和荟萃分析过程中,我们遵循了 PRISMA 声明指南。我们进行了计算机文献检索(PubMed、Scopus、Web of Science 和 Cochrane Central)。我们纳入了将苯甲酸钠与安慰剂进行认知功能比较的 RCT。主要结果指标是阿尔茨海默病评估量表-认知分量表,汇总为两组患者从基线到终点的平均差异。次要结果指标是临床医生基于访谈的变化印象加上护理人员的意见、过氧化氢酶和超氧化物歧化酶抗氧化剂:本研究共纳入了三项 RCT(在四篇文章中有所描述),共 306 名患者。与安慰剂相比,苯甲酸钠能明显改善ADAS-cog评分(MD -2.13分,95% CI [-3.35 to -0.90];P= 0.0007):苯甲酸钠是一种安全的药物,可改善早期阿尔茨海默病患者的认知功能。然而,其显著效果主要来自于一项小型研究,因此在解释时需要谨慎。有必要进行样本量更大、持续时间更长的进一步研究,以验证这些发现并评估其安全性和有效性。
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引用次数: 0
Small organism models for mode of action research on anti-ageing and nootropic herbs, foods, and formulations. 抗衰老和滋补草药、食品和配方作用模式研究的小型生物模型。
IF 3.6 4区 医学 Q2 NEUROSCIENCES Pub Date : 2024-10-21 DOI: 10.1080/1028415X.2024.2409128
Jalagam Anjaneyulu, Ashwini Godbole

With global increase in ageing population along with increasing age-related neurodegenerative diseases (NDs), development of sustainable, safe and effective solutions for promoting healthy ageing and preventing diseases has become a priority. Traditional healthcare systems/medicines prescribe several herbs, foods and formulations to promote healthy ageing and prevent and/or treat age-related diseases. However, the scientific data elucidating their mechanism of action is very limited and deeper research using different models is warranted for timely and wider use. The clinical studies and research with higher model organisms, although useful, have several practical, technical, and financial limitations. Conversely, small organism models like Yeast, Roundworm, Fruit fly, and Zebrafish, which have genetic similarities to humans, can replicate the disease features and provide behavioural, cellular and molecular insights. The common features of ageing and NDs, like amyloid protein aggregations, oxidative stress, energy dysregulation, inflammation and neurodegeneration can be mimicked in the small organism models for Alzheimer's, Parkinson's, Huntington's diseases, and Amyotrophic Lateral Sclerosis. This review focuses on small organism model- based research unveiling interesting modes of action and synergistic effects of herbal extracts, foods, and formulations, which are indicated especially for healthy ageing and management of NDs. This will provide leads for the quick and sustainable development of scientifically evaluated solutions for clinically relevant, age-related conditions.

随着全球老龄人口的增加以及与年龄相关的神经退行性疾病(NDs)的增多,开发可持续、安全和有效的解决方案以促进健康老龄化和预防疾病已成为当务之急。传统医疗保健系统/医学开出了多种草药、食物和配方,以促进健康老龄化,预防和/或治疗与老年有关的疾病。然而,阐明其作用机制的科学数据非常有限,需要利用不同的模型进行更深入的研究,以便及时和更广泛地使用。使用高等模式生物进行的临床研究虽然有用,但在实际操作、技术和资金方面存在一些限制。相反,酵母、蛔虫、果蝇和斑马鱼等与人类基因相似的小型生物模型可以复制疾病特征,并提供行为、细胞和分子方面的见解。衰老和 NDs 的共同特征,如淀粉样蛋白聚集、氧化应激、能量失调、炎症和神经退行性变,都可以在阿尔茨海默氏症、帕金森氏症、亨廷顿氏病和肌萎缩侧索硬化症的小生物模型中模拟出来。本综述侧重于基于小生物模型的研究,揭示草药提取物、食品和制剂的有趣作用模式和协同效应,尤其适用于健康老龄化和非传染性疾病的管理。这将为针对临床相关的、与年龄有关的疾病快速、可持续地开发经过科学评估的解决方案提供线索。
{"title":"Small organism models for mode of action research on anti-ageing and nootropic herbs, foods, and formulations.","authors":"Jalagam Anjaneyulu, Ashwini Godbole","doi":"10.1080/1028415X.2024.2409128","DOIUrl":"https://doi.org/10.1080/1028415X.2024.2409128","url":null,"abstract":"<p><p>With global increase in ageing population along with increasing age-related neurodegenerative diseases (NDs), development of sustainable, safe and effective solutions for promoting healthy ageing and preventing diseases has become a priority. Traditional healthcare systems/medicines prescribe several herbs, foods and formulations to promote healthy ageing and prevent and/or treat age-related diseases. However, the scientific data elucidating their mechanism of action is very limited and deeper research using different models is warranted for timely and wider use. The clinical studies and research with higher model organisms, although useful, have several practical, technical, and financial limitations. Conversely, small organism models like Yeast, Roundworm, Fruit fly, and Zebrafish, which have genetic similarities to humans, can replicate the disease features and provide behavioural, cellular and molecular insights. The common features of ageing and NDs, like amyloid protein aggregations, oxidative stress, energy dysregulation, inflammation and neurodegeneration can be mimicked in the small organism models for Alzheimer's, Parkinson's, Huntington's diseases, and Amyotrophic Lateral Sclerosis. This review focuses on small organism model- based research unveiling interesting modes of action and synergistic effects of herbal extracts, foods, and formulations, which are indicated especially for healthy ageing and management of NDs. This will provide leads for the quick and sustainable development of scientifically evaluated solutions for clinically relevant, age-related conditions.</p>","PeriodicalId":19423,"journal":{"name":"Nutritional Neuroscience","volume":" ","pages":"1-19"},"PeriodicalIF":3.6,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142471194","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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Nutritional Neuroscience
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