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Amelioration of behavioral and histological impairments in somatosensory cortex injury rats by limbal mesenchymal stem cell transplantation. 通过移植肢体间充质干细胞改善体感皮层损伤大鼠的行为和组织学损伤。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0346
Ali Derakhshani, Farahnaz Taheri, Nima Geraminia, Lily Mohammadipoor-Ghasemabad, Mansoureh Sabzalizadeh, Farzaneh Vafee, Mohammad Reza Afarinesh, Vahid Sheibani

Introduction: Cortical lesions can cause major sensory and motor impairments, representing a significant challenge in neuroscience and clinical medicine. Limbal mesenchymal stem cells (LMSCs), renowned for their remarkable ability to proliferate and distinct characteristics within the corneal epithelium, offer a promising opportunity for regenerative treatments. This study aimed to assess whether the transplantation of LMSCs could improve tactile ability in rats with lesions of the barrel cortex.

Methods: In this experimental study, we divided 21 rats into three groups: a control group, a lesion group with cortical cold lesion induction but no stem cell treatment, and a group receiving LMSC transplantation following cold lesion induction. We conducted 3-week sensory assessments using a texture discrimination test and an open-field test. We also performed Nissl staining to assess changes on the cellular level.

Results: Rats in the LMSC transplantation group demonstrated significant improvements in their ability to discrimination textures during the second and third weeks compared to those in the lesion group. The open-field test results showed an increased exploratory behavior of rats in the LMSC transplantation group by the third week compared to the lesion group. Additionally, Nissl staining revealed cellular alterations in the damaged cortex, with a significant distinction observed between rats in the LMSCs and lesion group.

Conclusion: The findings suggest that LMSC transplantation enhances sensory recovery in rats with cortical lesions, particularly their ability to discriminate textures. LMSC transplantation benefits brain tissue reparation after a cold lesion on the somatosensory cortex.

简介皮层病变可导致严重的感觉和运动障碍,是神经科学和临床医学的重大挑战。角膜缘间充质干细胞(LMSCs)以其显著的增殖能力和在角膜上皮内的独特特征而闻名,为再生治疗提供了一个充满希望的机会。本研究旨在评估移植 LMSCs 能否改善桶状皮层受损大鼠的触觉能力:在这项实验研究中,我们将21只大鼠分为三组:对照组、皮质冷损伤诱导但未接受干细胞治疗的损伤组和冷损伤诱导后接受LMSC移植的损伤组。我们使用质地辨别测试和开阔地测试对大鼠进行了为期3周的感官评估。我们还进行了Nissl染色,以评估细胞水平的变化:结果:与病变组相比,LMSC 移植组大鼠在第二周和第三周辨别纹理的能力明显提高。开阔地测试结果显示,与病变组相比,LMSC 移植组大鼠在第三周时的探索行为有所增加。此外,Nissl染色显示受损皮层的细胞发生了改变,LMSCs移植组大鼠与病变组大鼠之间存在显著差异:结论:研究结果表明,LMSC 移植能增强大脑皮层受损大鼠的感觉恢复能力,尤其是对纹理的分辨能力。LMSC移植有利于躯体感觉皮层冷损伤后的脑组织修复。
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引用次数: 0
Activating α7nAChR suppresses systemic inflammation by mitigating neuroinflammation of the medullary visceral zone in sepsis in a rat model. 在大鼠脓毒症模型中,激活α7nAChR可减轻髓质内脏区的神经炎症,从而抑制全身炎症。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-14 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0345
Lin Peng, Hongbing Li, Cheng Zhang, Weiwei Jiang

Our previous studies have shown that activating α7nAChRs suppresses systemic inflammation and immunity through the cholinergic anti-inflammatory pathway (CAP) in early sepsis. Now that the medullary visceral zone (MVZ) is the center of CAP and responsible for regulating systemic inflammation, what changes will occur in MVZ's pathology and function in sepsis, especially when interfering with α7nAChRs? Does activation of MVZ's α7nAChRs contribute to the inhibition of systemic inflammation? To clarify these issues, we explored the systemic inflammation and immunity state by detecting serum levels of TNF-α, IL-6, HMGB1, sCD14, and CD4+CD25+Treg and TH17 lymphocytes percentage, meanwhile, we analyzed the apoptosis of cholinergic and catecholaminergic neurons and the expressions of tyrosine hydroxylase (TH) and choline acetyltransferase (CHAT) in MVZ in sepsis and the interfering effects on α7nAChRs. In this study, we found that in sepsis, serum TNF-α, IL-6, HMGB1, sCD14, CD4+CD25+Treg, and TH17 lymphocytes significantly increased and the ratio of Treg/TH17 significantly decreased, cholinergic and catecholaminergic neurons underwent apoptosis with low expressions of TH and CHAT in MVZ; activation of α7nAChRs not only significantly decreased the levels of septic serum TNF-α, IL-6, HMGB1, sCD14, and TH17 lymphocytes (P < 0.05), but also significantly reduced cholinergic and catecholaminergic neurons' apoptosis, and promoted expressions of TH/CHAT. Our study reveals that sepsis undermines MVZ through neuroinflammation which contributes to the uncontrolled systemic inflammation. Activating central α7nAChRs is not only helpful to restore MVZ's structure and function but also beneficial to subside the inflammatory storm in sepsis. Even if MVZ is damaged in sepsis, cholinergic neurons in MVZ still regulate the systemic inflammation stably.

我们之前的研究表明,在脓毒症早期,激活α7nAChRs 可通过胆碱能抗炎途径(CAP)抑制全身炎症和免疫。既然内脏髓质区(MVZ)是 CAP 的中心并负责调节全身炎症,那么在脓毒症中,尤其是在干扰 α7nAChRs 时,内脏髓质区的病理和功能会发生什么变化?激活 MVZ 的 α7nAChRs 是否有助于抑制全身炎症?为了弄清这些问题,我们通过检测血清中 TNF-α、IL-6、HMGB1、sCD14 的水平以及 CD4+CD25+Treg 和 TH17 淋巴细胞的百分比,同时探讨了全身炎症和免疫状态、同时,我们还分析了脓毒症患者MVZ中胆碱能神经元和儿茶酚胺能神经元的凋亡、酪氨酸羟化酶(TH)和胆碱乙酰转移酶(CHAT)的表达以及对α7nAChRs的干扰作用。本研究发现,脓毒症患者血清TNF-α、IL-6、HMGB1、sCD14、CD4+CD25+Treg和TH17淋巴细胞显著增加,Treg/TH17比例显著下降,胆碱能和儿茶酚胺能神经元凋亡,MVZ中TH和CHAT表达量较低;激活α7nAChRs不仅能显著降低败血症血清TNF-α、IL-6、HMGB1、sCD14和TH17淋巴细胞的水平(P < 0.05),还能明显减少胆碱能神经元和儿茶酚胺能神经元的凋亡,促进 TH/CHAT 的表达。我们的研究揭示了脓毒症通过神经炎症破坏中枢神经鞘膜积液,从而导致全身炎症失控。激活中枢α7nAChRs不仅有助于恢复MVZ的结构和功能,还有利于缓解败血症的炎症风暴。即使脓毒症患者的中枢胆碱能神经元受损,中枢胆碱能神经元仍能稳定地调节全身炎症。
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引用次数: 0
Thyroid hormone T3 induces Fyn modification and modulates palmitoyltransferase gene expression through αvβ3 integrin receptor in PC12 cells during hypoxia. 缺氧时甲状腺激素T3通过αvβ3整合素受体诱导Fyn修饰并调节PC12细胞中棕榈酰基转移酶基因的表达。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-07 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0347
Elisabed Kvergelidze, Tamar Barbakadze, Judit Bátor, Irine Kalandadze, David Mikeladze

Thyroid hormones (THs) are essential in neuronal and glial cell development and differentiation, synaptogenesis, and myelin sheath formation. In addition to nuclear receptors, TH acts through αvβ3-integrin on the plasma membrane, influencing transcriptional regulation of signaling proteins that, in turn, affect adhesion and survival of nerve cells in various neurologic disorders. TH exhibits protective properties during brain hypoxia; however, precise intracellular mechanisms responsible for the preventive effects of TH remain unclear. In this study, we investigated the impact of TH on integrin αvβ3-dependent downstream systems in normoxic and hypoxic conditions of pheochromocytoma PC12 cells. Our findings reveal that triiodothyronine (T3), acting through αvβ3-integrin, induces activation of the JAK2/STAT5 pathway and suppression of the SHP2 in hypoxic PC12 cells. This activation correlates with the downregulation of the expression palmitoyltransferase-ZDHHC2 and ZDHHC9 genes, leading to a subsequent decrease in palmitoylation and phosphorylation of Fyn tyrosine kinase. We propose that these changes may occur due to STAT5-dependent epigenetic silencing of the palmitoyltransferase gene, which in turn reduces palmitoylation/phosphorylation of Fyn with a subsequent increase in the survival of cells. In summary, our study provides the first evidence demonstrating the involvement of integrin-dependent JAK/STAT pathway, SHP2 suppression, and altered post-translational modification of Fyn in protective effects of T3 during hypoxia.

甲状腺激素(TH)在神经元和神经胶质细胞的发育和分化、突触生成和髓鞘形成过程中至关重要。除核受体外,甲状腺激素还通过质膜上的αvβ3-整合素发挥作用,影响信号蛋白的转录调控,进而影响各种神经系统疾病中神经细胞的粘附和存活。在脑缺氧时,TH 具有保护作用;然而,TH 发挥预防作用的确切细胞内机制仍不清楚。在本研究中,我们研究了三碘甲状腺原氨酸在常氧和缺氧条件下对嗜铬细胞瘤 PC12 细胞整合素 αvβ3 依赖性下游系统的影响。我们的研究结果表明,三碘甲状腺原氨酸(T3)通过αvβ3-整合素作用于缺氧的PC12细胞,诱导激活JAK2/STAT5通路并抑制SHP2。这种激活与棕榈酰基转移酶-ZDHHC2 和 ZDHHC9 基因表达的下调有关,从而导致棕榈酰化和 Fyn 酪氨酸激酶磷酸化的减少。我们认为,这些变化可能是由于 STAT5 依赖性表观遗传沉默了棕榈酰基转移酶基因,进而减少了 Fyn 的棕榈酰化/磷酸化,从而提高了细胞的存活率。总之,我们的研究首次提供了证据,证明缺氧时整合素依赖性 JAK/STAT 通路、SHP2 抑制和 Fyn 翻译后修饰的改变参与了 T3 的保护作用。
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引用次数: 0
Corrigendum to "The ACE2/Ang-(1-7)/MasR axis alleviates brain injury after cardiopulmonary resuscitation in rabbits by activating PI3K/Akt signaling". 对 "ACE2/Ang-(1-7)/MasR 轴通过激活 PI3K/Akt 信号转导减轻兔子心肺复苏后的脑损伤 "的更正。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-08-06 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0986
Jing Cheng, Hong Yang, Fang Chen, Li Qiu, Fang Chen, Yanhua Du, Xiangping Meng

[This corrects the article DOI: 10.1515/tnsci-2022-0334.].

[此处更正文章 DOI:10.1515/tnsci-2022-0334]。
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引用次数: 0
Acute ischemic STROKE - from laboratory to the Patient's BED (STROKELABED): A translational approach to reperfusion injury. Study Protocol. 急性缺血性脑卒中--从实验室到患者床前(STROKELABED):再灌注损伤的转化方法。研究方案。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-12 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0344
Alessandro Sodero, Emilia Conti, Benedetta Piccardi, Cristina Sarti, Vanessa Palumbo, James Kennedy, Anna Maria Gori, Betti Giusti, Enrico Fainardi, Patrizia Nencini, Anna Letizia Allegra Mascaro, Francesco Saverio Pavone, Marzia Baldereschi

Cerebral edema (CE) and hemorrhagic transformation (HT) are frequent and unpredictable events in patients with acute ischemic stroke (AIS), even when an effective vessel recanalization has been achieved. These complications, related to blood-brain barrier (BBB) disruption, remain difficult to prevent or treat and may offset the beneficial effect of recanalization, and lead to poor outcomes. The aim of this translational study is to evaluate the association of circulating and imaging biomarkers with subsequent CE and HT in stroke patients with the dual purpose of investigating possible predictors as well as molecular dynamics underpinning those events and functional outcomes. Concurrently, the preclinical study will develop a new mouse model of middle cerebral artery (MCA) occlusion and recanalization to explore BBB alterations and their potentially harmful effects on tissue. The clinical section of the study is based on a single-center observational design enrolling consecutive patients with AIS in the anterior circulation territory, treated with recanalization therapies from October 1, 2015 to May 31, 2020. The study will employ an innovative evaluation of routine CT scans: in fact, we will assess and quantify the presence of CE and HT after stroke in CT scans at 24 h, through the quantification of anatomical distortion (AD), a measure of CE and HT. We will investigate the relationship of AD and several blood biomarkers of inflammation and extracellular matrix, with functional outcomes at 3 months. In parallel, we will employ a newly developed mouse model of stroke and recanalization, to investigate the emergence of BBB changes 24 h after the stroke onset. The close interaction between clinical and preclinical research can enhance our understanding of findings from each branch of research, enabling a deeper interpretation of the underlying mechanisms of reperfusion injury following recanalization treatment for AIS.

脑水肿(CE)和出血性转化(HT)是急性缺血性脑卒中(AIS)患者经常发生且难以预测的事件,即使已实现有效的血管再通。这些并发症与血脑屏障(BBB)破坏有关,仍然难以预防或治疗,并可能抵消血管再通的有益效果,导致不良预后。这项转化研究的目的是评估循环和成像生物标志物与中风患者后续 CE 和 HT 的相关性,其双重目的是调查可能的预测因素以及这些事件和功能结果的分子动力学基础。同时,临床前研究将开发一种新的小鼠大脑中动脉 (MCA) 闭塞和再通路模型,以探索 BBB 改变及其对组织的潜在有害影响。该研究的临床部分采用单中心观察设计,连续招募前循环区域的AIS患者,在2015年10月1日至2020年5月31日期间接受再通疗法治疗。该研究将对常规 CT 扫描进行创新性评估:事实上,我们将通过量化解剖变形(AD)这一 CE 和 HT 的测量指标,评估和量化中风后 24 小时 CT 扫描中是否存在 CE 和 HT。我们将研究 AD 和血液中的几种炎症和细胞外基质生物标志物与 3 个月后功能预后的关系。与此同时,我们还将采用一种新开发的中风和再狭窄小鼠模型,研究中风发生 24 小时后出现的 BBB 变化。临床研究与临床前研究之间的密切互动可以加强我们对各研究分支的研究结果的理解,从而更深入地解读AIS再通治疗后再灌注损伤的内在机制。
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引用次数: 0
Comorbidity in spinal cord injury in Iran: A narrative review. 伊朗脊髓损伤的并发症:叙述性综述。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-07-05 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0343
Taher Taheri, Saereh Hosseindoost, Hadi Kazemi, Seyedehalia Kamali, Pirhossein Kolivand, Zeinab Gharaylou

Spinal cord injury (SCI) is a severe medical condition that affects millions of people worldwide each year. In Iran, an estimated 9 out of every 100,000 individuals experience traumatic SCI occurrences. Long-term disabilities and comorbidities stemming from SCI often necessitate multiple therapeutic interventions. The aim of this study is to evaluate the morbidity in Iranian SCI patients. In this study, a four-step process was used to select, extract, analyze, and synthesize relevant literature. The search covered 750 records from five databases, resulting in 25 articles included in the review. These articles, published between 2000 and 2023, utilized cross-sectional, qualitative, or cohort designs. The findings explored the prevalence, risk factors, and consequences of comorbidities associated with SCI, categorized into four themes: physical, sexual, psychological, and metabolic morbidity. Physical morbidity refers to medical conditions or complications affecting body functions or structures in SCI patients. The most frequently reported cases include pressure ulcers, pain, osteoporosis, fractures, impaired pulmonary function, renal failure, and obesity. Metabolic morbidity includes conditions such as vitamin D deficiency and cardiometabolic risk factors. Psychological morbidity encompasses depression, anxiety, and adjustment disorders. Sexual morbidity refers to conditions or complications affecting the sexual function or satisfaction of SCI patients. This narrative literature review offers a comprehensive examination of various aspects of SCI in Iranian patients. The review identifies numerous challenges and difficulties faced by SCI patients while also highlighting protective factors that can improve their well-being. Additionally, the review acknowledges gaps and limitations within the current literature and suggests possible avenues for future research.

脊髓损伤(SCI)是一种严重的疾病,每年影响着全球数百万人。在伊朗,估计每 10 万人中就有 9 人经历过创伤性 SCI。由于 SCI 导致的长期残疾和并发症,往往需要采取多种治疗干预措施。本研究旨在评估伊朗 SCI 患者的发病率。在本研究中,采用了四步流程来选择、提取、分析和综合相关文献。搜索涵盖了五个数据库中的 750 条记录,最终有 25 篇文章被纳入综述。这些文章发表于 2000 年至 2023 年之间,采用了横断面、定性或队列设计。研究结果探讨了与 SCI 相关的合并症的发病率、风险因素和后果,并将其分为四个主题:身体、性、心理和代谢发病率。身体发病率是指影响 SCI 患者身体功能或结构的医疗状况或并发症。最常见的病例包括压疮、疼痛、骨质疏松症、骨折、肺功能受损、肾功能衰竭和肥胖。代谢性发病包括维生素 D 缺乏和心脏代谢风险因素等情况。心理疾病包括抑郁症、焦虑症和适应障碍。性发病率指的是影响 SCI 患者性功能或满意度的病症或并发症。这篇叙述性文献综述全面考察了伊朗 SCI 患者的各个方面。综述指出了 SCI 患者面临的众多挑战和困难,同时也强调了可改善他们福祉的保护性因素。此外,该综述还承认了当前文献中存在的差距和局限性,并提出了未来研究的可能途径。
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引用次数: 0
Adaptation of the layer V supraspinal motor corticofugal projections from the primary (M1) and premotor (PM) cortices after CNS motor disorders in non-human primates: A survey. 非人灵长类中枢神经系统运动失调后,来自初级(M1)和运动前(PM)皮质的第 V 层棘上运动皮质-耳廓投射的适应性:调查。
IF 2.1 4区 医学 Q3 Neuroscience Pub Date : 2024-06-07 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0342
Eric M Rouiller

Motor commands are transmitted from the motor cortical areas to effectors mostly via the corticospinal (CS) projection. Several subcortical motor nuclei also play an important role in motor control, the subthalamic nucleus, the red nucleus, the reticular nucleus and the superior colliculus. These nuclei are influenced by motor cortical areas via respective corticofugal projections, which undergo complex adaptations after motor trauma (spinal cord/motor cortex injury) or motor disease (Parkinson), both in the absence or presence of putative treatments, as observed in adult macaque monkeys. A dominant effect was a nearly complete suppression of the corticorubral projection density and a strong downregulation of the corticoreticular projection density, with the noticeable exception in the latter case of a considerable increase of projection density following spinal cord injury, even enhanced when an anti-NogoA antibody treatment was administered. The effects were diverse and less prominent on the corticotectal and corticosubthalamic projections. The CS projection may still be the major efferent pathway through which motor adaptations can take place after motor trauma or disease. However, the parallel supraspinal motor corticofugal projections may also participate in connectional adaptations supporting the functional recovery of motor abilities, representing potential targets for future clinical strategies, such as selective electrical neurostimulations.

运动指令主要通过皮质脊髓(CS)投射从运动皮质区域传递到效应器。几个皮层下运动核也在运动控制中发挥重要作用,它们是眼下核、红核、网状核和上丘。在运动创伤(脊髓/运动皮层损伤)或运动疾病(帕金森病)后,这些核团通过各自的皮质突触受到运动皮层区域的影响,在没有或存在假定治疗的情况下,这些核团都会发生复杂的适应性变化,正如在成年猕猴身上观察到的那样。最主要的影响是皮质ubral投射密度几乎完全被抑制,皮质ticular投射密度强烈下调,但脊髓损伤后投射密度明显增加,甚至在使用抗NogoA抗体治疗后还有所增加。对皮质直节投射和皮质丘脑下投射的影响是多样的,而且不那么突出。CS投射可能仍然是运动创伤或疾病后发生运动适应的主要传出途径。然而,平行的脊髓上运动皮质-耳廓投射也可能参与连接适应,支持运动能力的功能恢复,是未来临床策略(如选择性神经电刺激)的潜在目标。
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引用次数: 0
Retraction of "Effect of C-phycocyanin on HDAC3 and miRNA-335 in Alzheimer's disease". 撤回 "C-花青素对阿尔茨海默病中 HDAC3 和 miRNA-335 的影响 "一文。
IF 2.1 4区 医学 Q3 Neuroscience Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0808
Zhengyu Li, Li Gan, Si Yan, Yufang Yan, Wei Huang

[This retracts the article DOI: 10.1515/tnsci-2020-0101.].

[此文撤稿,DOI: 10.1515/tnsci-2020-0101.]。
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引用次数: 0
Suanzaoren decoction exerts its antidepressant effect via the CaMK signaling pathway. 川芎煎剂通过 CaMK 信号通路发挥抗抑郁作用。
IF 2.1 4区 医学 Q3 Neuroscience Pub Date : 2024-05-08 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0341
Xiaofang Zhang, Jiyuan Guo, Ce Zhang, Wenhua Wang, Shuailin Du, Xusheng Tian

Calmodulin-dependent protein kinases (CaMKs) are widely regarded as "memory molecules" due to their role in controlling numerous neuronal functions in the brain, and the CaMK signaling pathway plays a crucial role in controlling synaptic plasticity. Suanzaoren decoction (SZRD) can improve depression-like behavior and thus has potential benefits in the clinical treatment of depression; however, its mechanism of action is not fully understood. In this study, we found that key proteins in the CaMK signaling pathway were regulated by the decoction used to treat depression. The purpose of this research was to ascertain if the SZRD's therapeutic efficacy in the treatment of depression is associated with the modulation of key proteins in the CaMK signaling pathway. A rat model of depression was created by exposing the animals to chronic, unexpected, mild stress. Model rats were given intragastric administration of SZRD or fluoxetine every morning once a day. Protein and mRNA relative expression levels of CaM, CaMK I, and CaMK IV in the hippocampus were measured by Western blot, quantitative polymerase chain reaction, and immunohistochemistry in the hippocampus. Our findings demonstrated that SZRD significantly improved the mood of depressed rats. This indicates that SZRD, by modulating the CaMK signaling system, may alleviate depressive symptoms and lessen work and life-related pressures.

钙调蛋白依赖性蛋白激酶(Calmodulin-dependent protein kinases,CaMKs)被广泛认为是 "记忆分子",因为它们在控制大脑中多种神经元功能方面发挥着作用,而CaMK信号通路在控制突触可塑性方面发挥着至关重要的作用。川芎煎剂(SZRD)可以改善抑郁样行为,因此在临床治疗抑郁症方面具有潜在的益处;然而,其作用机制尚未完全清楚。在本研究中,我们发现用于治疗抑郁症的煎剂调节了 CaMK 信号通路中的关键蛋白。本研究的目的是确定深海鳕鱼煎剂治疗抑郁症的疗效是否与 CaMK 信号通路中关键蛋白的调节有关。我们通过让大鼠长期处于意外的轻微压力下,建立了抑郁症大鼠模型。每天早上给模型大鼠胃内注射一次 SZRD 或氟西汀。通过Western印迹、定量聚合酶链反应和海马免疫组化法测定了海马中CaM、CaMK I和CaMK IV的蛋白和mRNA相对表达水平。我们的研究结果表明,SZRD 能明显改善抑郁大鼠的情绪。这表明,通过调节 CaMK 信号系统,SZRD 可减轻抑郁症状,减轻工作和生活压力。
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引用次数: 0
FT4-to-FT3 ratio is a novel prognostic marker in subacute combined spinal cord degeneration patients. FT4-FT3比值是亚急性合并脊髓变性患者预后的新标志。
IF 2.1 4区 医学 Q3 Neuroscience Pub Date : 2024-05-03 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0340
Song Luo, Xiao-Rui Wang, Li-Juan Yang, Liang-Yu Zou

Objectives: The FT4-to-FT3 ratio (FFR) variations in patients with subacute combined spinal cord degeneration (SCSD) as a potentially useful prognostic indicator are still unknown. This study aimed to investigate the changes of FFR as a potentially valuable prognostic predictor in patients with SCSD.

Methods: This study included 144 consecutive SCSD patients who received standard diagnostic and therapeutic procedures between January 2015 and December 2021 and were admitted to the Department of Neurology at the First Affiliated Hospital of Bengbu Medical University. At the time of admission, we gathered data on all patients' demographics, daily routines, previous chronic conditions, medication histories, and other clinical details. For the purpose of measuring FFR, blood samples were specifically taken within 48 h of admission. The degree of neurological impairment of patients was assessed using the functional disability scale at the time of admission. At 6 months following discharge, the Modified Rankin Scale (mRS) was used to evaluate the clinical prognosis. To evaluate the relationship between the FFR and the risks of a poor outcome (mRS > 2), univariate and multivariate logistic regression analysis was utilized. The significance of the FT4/FT3 ratio in predicting the clinical outcomes in SCSD patients 6 months after discharge was assessed using the area under curve-receiver operating characteristic (AUC-ROC).

Results: About 90 patients (62.5%) of the 144 patients had poor outcomes, while 54 (37.5%) had favorable outcomes. Higher FFR at admission was independently linked to higher odds of a poor outcome, according to a logistic analysis. With an optimized cutoff value of >2.843, the FFR exhibited the maximum accuracy for predicting a poor outcome, according to the AUC‒ROC curve (AUC 0.731, P < 0.001; sensitivity, 77.8%; specificity, 83.3%). FFR was identified as an independent predictor of poor outcomes by multivariate logistic regression (OR, 2.244; 95% CI, 1.74-2.90; P < 0.001).

Conclusions: We discovered that in patients who had a bad result 6 months after discharge, the FFR had dramatically increased at the time of admission, providing a unique prognostic marker in patients with SCSD.

目的:亚急性合并脊髓退行性变(SCSD)患者的FT4-FT3比值(FFR)变化作为一种潜在的有用预后指标尚不清楚。本研究旨在调查 FFR 的变化,以此作为亚急性合并脊髓变性患者潜在的有价值的预后预测指标:本研究纳入了 2015 年 1 月至 2021 年 12 月期间在蚌埠医学院第一附属医院神经内科接受标准诊断和治疗的 144 例连续 SCSD 患者。入院时,我们收集了所有患者的人口统计学资料、日常生活习惯、既往慢性病史、用药史和其他临床细节。为了测量 FFR,我们专门在入院 48 小时内采集了血液样本。入院时使用功能障碍量表评估患者的神经功能受损程度。出院后 6 个月,采用改良兰金量表(mRS)评估临床预后。为了评估 FFR 与不良预后风险(mRS > 2)之间的关系,采用了单变量和多变量逻辑回归分析。使用曲线下面积-接收者操作特征(AUC-ROC)评估了FT4/FT3比值在预测SCSD患者出院6个月后临床预后方面的意义:结果:在144名患者中,约90名患者(62.5%)预后不佳,54名患者(37.5%)预后良好。根据逻辑分析,入院时FFR越高,预后越差。根据 AUC-ROC 曲线(AUC 0.731,P <0.001;灵敏度 77.8%;特异性 83.3%),FFR 的优化截断值大于 2.843 时,预测不良预后的准确性最高。多变量逻辑回归确定 FFR 是不良预后的独立预测因子(OR,2.244;95% CI,1.74-2.90;P <0.001):我们发现,在出院 6 个月后结果不佳的患者中,入院时的 FFR 显著增加,为 SCSD 患者提供了一个独特的预后标志。
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Translational Neuroscience
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