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Rahmenbedingungen für eine optimale Medizin sicherstellen – auch in Zukunft 确保能提供最优治疗的环境
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-12 DOI: 10.4414/SYN.2021.01398
C. Quinto
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引用次数: 0
TARDOC noch nicht genehmigt – Chance verpasst! TARDOC尚未批准–错失良机!
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-12 DOI: 10.4414/SYN.2021.01401
Urs Stoffel
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引用次数: 0
Kostendämpfungspolitik: Die Schweizer Gesundheitsversorgung im Fokus von Regulierung und Kostendruck 降低成本政策:瑞士医疗保健成为监管和成本压力的焦点
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-12 DOI: 10.4414/SYN.2021.01399
Yvonne Gilli
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引用次数: 0
Correlation of serum cystatin C with inflammatory cytokines in patients with traumatic brain injury. 外伤性脑损伤患者血清胱抑素C与炎性细胞因子的相关性。
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-01 Epub Date: 2021-04-07 DOI: 10.1002/syn.22201
Jingrong Zou, Haitao Sun, Yang Xiang

Traumatic brain injury (TBI) is a world-wide leading health problem with high morbidity and mortality rates. Emerging studies have demonstrated that TBI is the consequence of a series of inflammatory responses in the body. The alteration of Cystatin C (Cys C) was reported in a variety of chronic inflammatory diseases and was also recommended as a biomarker for predicting renal diseases. In this study, we aimed to investigate the relationship between serum Cys C and TBI, and to evaluate the prognostic role of Cys C in TBI prediction. One hundred and seventy-six patients with TBI were recruited and 102 patients were finally analyzed, with 30 healthy control subjects. The concentrations of Cys C were significantly reduced in the healthy control group compared to the TBI group, and correlated with high GCS scores. The levels of hsCRP, counts of white blood cells, and levels of IL-6 and TNF-α were remarkably elevated in the TBI patients compared with the control group in a severity-dependent manner. Moreover, the concentration of Cys C was negatively correlated with TBI severity and positively correlated with inflammatory factors. In conclusion, serum Cys is an inflammatory cytokine-related factor and might indicate the severity of TBI thus serving as a prognostic biomarker.

外伤性脑损伤(TBI)是世界范围内发病率和死亡率高的主要健康问题。新兴研究表明,创伤性脑损伤是机体一系列炎症反应的结果。胱抑素C (Cystatin C, Cys C)的改变在多种慢性炎症性疾病中都有报道,也被推荐作为预测肾脏疾病的生物标志物。在本研究中,我们旨在探讨血清Cys C与TBI的关系,并评估Cys C在TBI预测中的预后作用。我们招募了176名TBI患者,最终分析了102名患者和30名健康对照者。与TBI组相比,健康对照组的Cys C浓度显著降低,且与高GCS评分相关。与对照组相比,TBI患者的hsCRP水平、白细胞计数、IL-6和TNF-α水平显著升高,且呈严重依赖关系。Cys C浓度与TBI严重程度呈负相关,与炎症因子呈正相关。综上所述,血清Cys是一种炎症细胞因子相关因子,可能指示TBI的严重程度,因此可作为预后生物标志物。
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引用次数: 2
Issue Information 问题信息
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-01 DOI: 10.1002/syn.22169
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引用次数: 0
Prelimbic prefrontal cortical encoding of reward predictive cues. 奖赏预测线索的前边缘前额皮质编码。
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-08-01 Epub Date: 2021-05-03 DOI: 10.1002/syn.22202
Mitchell G Spring, Karan R Soni, Daniel S Wheeler, Robert A Wheeler

Animals appoint incentive value and learn to approach otherwise behaviorally inert stimuli if these stimuli come to predict the delivery of reward. Interestingly, this adaptive Pavlovian learning process has been implicated in behavioral control disorders, such as drug addiction. One brain region implicated in directing conditioned approach behavior is the prelimbic region of the prefrontal cortex. The present study employed in vivo electrophysiology in the prelimbic cortex to characterize the distribution of neural responses to the presence of a cue that had acquired incentive value after being associated with a primary reward. Male rats were trained in a Pavlovian autoshaping task in which a lever was presented prior to reward delivery. Following repeated pairings of lever availability and reward delivery, rats pressed the lever even though reward delivery was not contingent on any interaction with the lever. Neurons in the prelimbic cortex selectively encoded the presentation of the reward-predicting lever. Although the response was heterogeneous, most responsive neurons decreased their firing rate in response to the presence of the lever. These findings characterize the varied responses of prelimbic cortical neurons to reward cues and are consistent with evidence that the role of the prelimbic cortex in reward learning depends on the downstream target.

动物指定激励值,并学会接近行为惰性的刺激,如果这些刺激能预测奖励的传递。有趣的是,这种适应性巴甫洛夫学习过程与行为控制障碍有关,比如吸毒成瘾。一个涉及指导条件接近行为的大脑区域是前额皮质的前边缘区域。本研究采用了大脑前边缘皮层的活体电生理学来表征神经反应的分布,这些神经反应是在与主要奖励相关的线索出现后获得激励价值的。雄性大鼠接受了巴甫洛夫自动塑造任务的训练,在这个任务中,在奖励传递之前,会出现一个杠杆。在杠杆可用性和奖励传递的重复配对之后,大鼠按下了杠杆,即使奖励传递并不取决于与杠杆的任何相互作用。前边缘皮层的神经元选择性地编码奖励预测杠杆的呈现。尽管这种反应是不均匀的,但大多数反应神经元对杠杆的存在都降低了它们的放电速率。这些发现表征了前边缘皮质神经元对奖励线索的不同反应,并与前边缘皮质在奖励学习中的作用取决于下游目标的证据一致。
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引用次数: 3
Rebalancing the extra-judicial scales: Documentary aesthetics and the legacy of the Central Park Five 司法外尺度的再平衡:纪录片美学与中央公园五人组的遗产
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-07-19 DOI: 10.12681/syn.27562
Sofia Baliño Rios
The Central Park jogger case has returned to news headlines with the 2019 Netflix mini-series When They See Us, a dramatised account of the original trials. It has reignited debate over the injustices faced by the Black community in the United States, and led to lawsuits and job resignations on the part of former police investigators and prosecutors. Since the case’s inception, issues of race, media reporting, economics, and the identity of New York City have influenced the trial and its aftermath and have inspired documentaries, books, and the landmark 1990 essay “Sentimental Journeys” by Joan Didion. In this article, I argue that the creators of two of these works, by testing the boundaries of narrative, demonstrate that the case was inexorably tainted by a pervasive feeling of social precarity and racial prejudice which cost five young men several years of their lives, and offer a productive line of enquiry for acknowledging such factors and their influence, if not resolving them.
随着2019年Netflix的迷你剧《当他们看到我们》(When They See Us)的播出,中央公园慢跑者案重新成为新闻头条,这部剧对最初的审判进行了戏剧化的描述。它重新引发了关于美国黑人社区所面临的不公正的辩论,并导致了前警察调查员和检察官的诉讼和辞职。自案件开始以来,种族、媒体报道、经济和纽约市的身份问题影响了审判及其后果,并激发了纪录片、书籍和1990年琼·迪迪安(Joan Didion)里程碑式的文章《感伤之旅》(Sentimental Journeys)。在本文中,我认为其中两部作品的创作者,通过对叙事边界的测试,证明了这个案件被一种普遍存在的社会不稳定感和种族偏见无情地玷污了,这种感觉使五个年轻人失去了几年的生命,并为承认这些因素及其影响提供了一条富有成效的调查路线,如果不能解决这些因素的话。
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引用次数: 0
Retraction Statement: Morphological and functional diversity of intrinsically photosensitive retinal ganglion cells. 撤回声明:固有光敏性视网膜神经节细胞的形态和功能多样性
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-07-12 DOI: 10.1002/syn.22216
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引用次数: 0
Frequency-dependent layer-specific differences in short-term synaptic plasticity in the dorsal and ventral CA1 hippocampal field. 海马背侧和腹侧CA1区短期突触可塑性的频率依赖层特异性差异。
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-07-01 Epub Date: 2021-03-09 DOI: 10.1002/syn.22199
Andriana Koutsoumpa, Costas Papatheodoropoulos

Information from the entorhinal cortex arrives to the hippocampal CA1 microcircuit directly through the temporoammonic path (TA) that terminates in the stratum lacunosum-moleculare (SLM), and indirectly through Schaffer collateral pathway (SC) that terminates in the stratum radiatum (SR). By virtue of this input convergence, CA1 circuitry may act to compare and integrate incoming cortical information. Although a remarkable dorsal-ventral difference in short-term plasticity (STP) has been recently described at SC-CA1 synapses, the corresponding properties at TA-CA1 synapses have not been examined. Here, we report that stimulation of TA in the dorsal hippocampus produces significant facilitation of all conditioned responses evoked by 1-30 Hz, peaking at 20-30 Hz, and significant depression of steady-state responses to 50-100 Hz. Dorsal SC-CA1 synapses display a similar pattern of responses, yet, facilitation peaked at 10 Hz and depression (at 75-100 Hz) is weaker. Strikingly, stimulation of TA in the ventral hippocampus produces facilitation of steady-state responses to 1-30 Hz and highly contrasts with the depression of SC-CA1 synapses. Steady-state responses to 40-100 Hz in the ventral hippocampus depress in both layers similarly. High-frequency TA input (40-100 Hz) to the dorsal hippocampus depresses more in proximal than in distal SLM, while low-frequency (1-3 Hz) TA input to the ventral hippocampus facilitates more in distal than in proximal SLM. The present evidence suggests that direct and indirect entorhinal cortical inputs across the septotemporal extent of hippocampal CA1 field display frequency selectivity both in the radial and transverse axes, and that a rapid information processing may take place through direct ventral hippocampal CA1-EC circuit interactions independently of trisynaptic circuit.

来自内嗅皮层的信息直接通过终止于腔隙-分子层(SLM)的颞氨通路(TA)到达海马CA1微回路,间接通过终止于辐射层(SR)的Schaffer侧枝通路(SC)到达海马CA1微回路。由于这种输入收敛性,CA1电路可以比较和整合输入的皮质信息。尽管最近在SC-CA1突触中发现了显著的背侧-腹侧短期可塑性差异,但TA-CA1突触的相应特性尚未得到研究。在这里,我们报道了在海马背侧刺激TA对1-30 Hz诱发的所有条件反应产生显著的促进作用,在20-30 Hz达到峰值,并显著抑制50-100 Hz的稳态反应。背侧SC-CA1突触表现出类似的反应模式,然而,促进在10 Hz时达到峰值,而抑制(75-100 Hz)较弱。引人注目的是,刺激腹侧海马体的TA会促进1-30 Hz的稳态反应,与SC-CA1突触的抑制形成鲜明对比。在40-100 Hz时,两层海马的稳态反应都受到类似的抑制。背侧海马高频(40-100 Hz) TA输入对近端SLM的抑制作用大于远端SLM,而腹侧海马低频(1-3 Hz) TA输入对远端SLM的抑制作用大于近端SLM。目前的证据表明,直接和间接的内嗅皮层输入在海马CA1场的中隔颞叶范围内在径向和横向轴上都表现出频率选择性,并且可能通过海马腹侧CA1- ec回路的直接相互作用而独立于三突触回路进行快速的信息处理。
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引用次数: 4
Suppression of food restriction-evoked hyperactivity in activity-based anorexia animal model through glutamate transporters GLT-1 at excitatory synapses in the hippocampus. 通过海马兴奋性突触谷氨酸转运体GLT-1抑制活动性厌食症动物模型中食物限制诱发的多动症。
IF 2.3 4区 医学 Q4 NEUROSCIENCES Pub Date : 2021-07-01 Epub Date: 2021-03-16 DOI: 10.1002/syn.22197
Olesia M Bilash, Hannah S Actor-Engel, Ang D Sherpa, Yi-Wen Chen, Chiye Aoki

Severe voluntary food restriction is the defining symptom of anorexia nervosa (AN), but anxiety and excessive exercise are maladaptive symptoms that contribute significantly to the severity of AN and which individuals with AN have difficulty suppressing. We hypothesized that the excitability of hippocampal pyramidal neurons, known to contribute to anxiety, leads to the maladaptive behavior of excessive exercise. Conversely, since glutamate transporter GLT-1 dampens the excitability of hippocampal pyramidal neurons through the uptake of ambient glutamate and suppression of the GluN2B-subunit containing NMDA receptors (GluN2B-NMDARs), GLT-1 may contribute toward dampening excessive exercise. This hypothesis was tested using the mouse model of AN, called activity-based anorexia (ABA), whereby food restriction evokes the maladaptive behavior of excessive wheel running (food restriction-evoked running, FRER). We tested whether individual differences in ABA vulnerability of mice, quantified based on FRER, correlated with individual differences in the levels of GLT-1 at excitatory synapses of the hippocampus. Electron microscopic immunocytochemistry (EM-ICC) was used to quantify GLT-1 levels at the excitatory synapses of the hippocampus. The FRER seen in individual mice varied more than 10-fold, and Pearson correlation analyses revealed a strong negative correlation (p = .02) between FRER and GLT-1 levels at the axon terminals of excitatory synapses and at the surrounding astrocytic plasma membranes. Moreover, synaptic levels of GluN2B-NMDARs correlated strongly with GLT-1 levels at perisynaptic astrocytic plasma membranes. There is at present no accepted pharmacotherapy for AN, and little is known about the etiology of this deadly illness. Current findings suggest that drugs increasing GLT-1 expression may reduce AN severity through the reduction of GluN2B-NMDAR activity.

严重的自愿食物限制是神经性厌食症(AN)的典型症状,但焦虑和过度运动是导致神经性厌食症严重程度的不适应症状,而且患有神经性厌食症的个体难以抑制这些症状。我们假设海马体锥体神经元的兴奋性,已知有助于焦虑,导致过度运动的不适应行为。相反,由于谷氨酸转运体GLT-1通过摄取环境谷氨酸和抑制含有NMDA受体的glun2b亚基(GluN2B-NMDARs)来抑制海马锥体神经元的兴奋性,因此GLT-1可能有助于抑制过度运动。这一假设通过一种名为活动性厌食症(activity-based anorexia, ABA)的小鼠模型进行了验证,在这种模型中,食物限制会引起过度跑轮的不适应行为(食物限制诱发跑轮,FRER)。我们测试了基于FRER量化的小鼠ABA易感性的个体差异是否与海马兴奋性突触GLT-1水平的个体差异相关。电镜免疫细胞化学(EM-ICC)定量测定海马兴奋性突触的GLT-1水平。在单个小鼠中观察到的frr变化超过10倍,Pearson相关分析显示,兴奋性突触轴突末端和周围星形细胞质膜上的frr和GLT-1水平之间存在很强的负相关(p = 0.02)。此外,GluN2B-NMDARs的突触水平与突触周围星形细胞质膜上的GLT-1水平密切相关。目前还没有公认的AN药物治疗方法,对这种致命疾病的病因也知之甚少。目前的研究结果表明,增加GLT-1表达的药物可能通过降低GluN2B-NMDAR活性来降低AN的严重程度。
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引用次数: 5
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Synapse
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