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Episodic memory in animals? 动物的情景记忆?
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-11-21 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0383
Thomas R Zentall

Episodic memory refers to the recall of memories concerned with unique, personal past experiences. It has been differentiated from semantic or rule learning that may be associatively learned. Episodic memory has the quality of mentally traveling back in time to recover a memory. Episodic memory is believed to be related to language and consciousness, and for this reason, has been thought to be unique to humans. Having episodic memory generally allows one to describe what happened, where it happened, and when it happened. For some time, research has focused on these three properties, and research with animals indicates that several species do have the capacity to behaviorally report the what, where, and when of an event. But such evidence is not sufficient to conclude that animals have episodic memory. Instead, to better distinguish episodic memory from semantic or rule learning, an organism should be able to respond appropriately to an unexpected question about an event that was incidentally rather than explicitly encoded. Using this criterion, there is growing evidence that several species do have such an ability. Furthermore, it is proposed that episodic memory serves to enable future planning, and animals show some evidence for that as well.

情景记忆指的是对独特的、个人的过去经历的回忆。它已经与语义学习或规则学习区分开来,后者可以通过联想学习。情景记忆具有在精神上回到过去以恢复记忆的特性。情景记忆被认为与语言和意识有关,因此被认为是人类独有的。拥有情景记忆通常可以让一个人描述发生了什么,在哪里发生,什么时候发生。一段时间以来,研究一直集中在这三个特性上,对动物的研究表明,一些物种确实有能力用行为报告事件的内容、地点和时间。但是这些证据不足以得出动物有情景记忆的结论。相反,为了更好地区分情景记忆与语义或规则学习,生物体应该能够对偶然而不是明确编码的事件的意外问题做出适当的反应。根据这一标准,越来越多的证据表明,一些物种确实具有这种能力。此外,有人提出情景记忆有助于制定未来计划,动物也有证据证明这一点。
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引用次数: 0
A novel dynamic nomogram based on clinical features and laboratory indicators for diagnosis of post-neurosurgery intracranial infection. 基于临床特征和实验室指标的神经外科术后颅内感染诊断新动态图。
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-10-07 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0382
Minjie Tang, Qingwen Lin, Kengna Fan, Zeqin Zhang, Weiqing Zhang, Qi Wang, Tianbin Chen, Qishui Ou, Xiaofeng Liu

Objective: Intracranial infection is a serious complication after neurosurgery. However, the early diagnosis of post-neurosurgical intracranial infection (PNICI) remains challenging. The purpose of this study was to compare clinical characteristics and common laboratory indicators in patients with and without intracranial infections after neurosurgery and construct a diagnostic model of PNICI and assess its diagnostic efficacy.

Methods: A total of 623 patients who underwent neurosurgery from January 2018 to October 2021 were enrolled and divided into a training set and a validation set. SPSS 22.0 software was used to compare the differences in basic information and laboratory examination results between the two groups to screen out valuable indicators. Subsequently, a nomogram for the diagnosis of PNICI was established. Then, the receiver operating characteristic (ROC) curve, calibration diagram, and decision curve analysis (DCA) were performed to evaluate the discriminative ability, consistency, and clinical usefulness of the nomogram.

Results: The diagnostic model of PNICI consisted of seven variables: meningeal irritation, fever, postoperative drainage, cerebrospinal fluid (CSF) white blood cells, CSF chlorine, the CSF/blood glucose ratio, and blood neutrophil percentage. The model achieved an area under the ROC curve of 0.958 in the training set and 0.966 in the validation set. At the optimal cutoff of 0.397, the training set demonstrated 90.4% sensitivity and 90.8% specificity. The calibration curves and DCA curves of the nomogram demonstrated that the model exhibited good goodness of fit and showed a net benefit from its use.

Conclusions: We developed an easily applicable nomogram using routinely available indicators. This tool enables early risk stratification for PNICI, facilitating timely interventions that may reduce infection-related complications. However, multicenter prospective validation data are required to further confirm the clinical utility.

目的:颅内感染是神经外科手术后的严重并发症。然而,神经外科术后颅内感染(PNICI)的早期诊断仍然具有挑战性。本研究的目的是比较神经外科术后颅内感染患者与非颅内感染患者的临床特征及常用实验室指标,构建PNICI诊断模型并评估其诊断效果。方法:纳入2018年1月至2021年10月期间接受神经外科手术的623例患者,分为训练集和验证集。采用SPSS 22.0软件比较两组患者基本信息及实验室检查结果的差异,筛选出有价值的指标。随后,建立了诊断PNICI的nomogram。然后,通过受试者工作特征(ROC)曲线、校正图和决策曲线分析(DCA)来评价nomogram鉴别能力、一致性和临床应用价值。结果:PNICI诊断模型由脑膜刺激、发热、术后引流、脑脊液白细胞、脑脊液氯、脑脊液/血糖比、血中性粒细胞百分比7个变量组成。模型在训练集的ROC曲线下面积为0.958,在验证集的ROC曲线下面积为0.966。在0.397的最佳截止点,训练集的灵敏度为90.4%,特异性为90.8%。模态图的校正曲线和DCA曲线表明,该模型具有良好的拟合优度和净效益。结论:我们使用常规可用的指标开发了一种易于应用的nomogram。该工具可实现PNICI的早期风险分层,促进及时干预,减少感染相关并发症。然而,需要多中心前瞻性验证数据来进一步证实临床应用。
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引用次数: 0
The role of melatonin in affecting cognitive dysfunction in acute sleep deprivation mice through the nuclear factor kappaB pathway and oxidative stress. 褪黑素通过核因子κ b通路和氧化应激影响急性睡眠剥夺小鼠认知功能障碍的作用。
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-10-07 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0379
Wenting Li, Quan Chen, Haipeng Fu

Objective: Acute sleep deprivation (ASD) is prevalent in contemporary society. This study explored the mechanism of melatonin affecting cognitive dysfunction (CD) in ASD mice through the nuclear factor kappaB (NF-κB) pathway and oxidative stress.

Methods: The ASD mouse model was established and treated with low-dose and high-dose melatonin, a NF-κB inhibitor PDTC, or lipopolysaccharide (LPS), with their spatial memory, spontaneous activity, and anxiety assessed. Hippocampal morphology and neuronal status were observed via HE and Nissl staining. Superoxide dismutase (SOD) activity and levels of hippocampal CA1 region postsynaptic density protein 95 (PSD95), phosphorylated (p)-p65, and p-IκB proteins; acetylcholinesterase (AChE), acetylcholine (ACh), malondialdehyde (MDA), and reactive oxygen species (ROS); and IL-4, IL-10, tumor necrosis factor [TNF]-α, and IL-1β levels were determined by western blot and ELISA kits.

Results: ASD mice exhibited reduced learning and memory abilities and spontaneous activities, loosely-arranged cells in the hippocampal CA1 region, unclear cell body boundaries, enlarged gaps, severe neuronal damage, and reduced PSD95 protein level. There were increases in AChE, p-p65, p-IκB, TNF-α, IL-1β, MDA, and ROS levels, decrements in ACh, IL-4, and IL-10 levels and SOD activity in the hippocampal CA1 region of ASD mice. Melatonin or PDTC inhibited the NF-κB pathway, down-regulated TNF-α, IL-1β, MDA, and ROS and up-regulated IL-4 and IL-10 and SOD activity in the hippocampal CA1 region of ASD mice, and improved the learning and memory abilities. LPS-induced NF-κB pathway activation partially averted melatonin's beneficial effects on ASD mice.

Conclusion: Melatonin ameliorated ASD-induced CD in mice by modulating the NF-κB pathway and oxidative stress.

目的:急性睡眠剥夺(ASD)在当代社会普遍存在。本研究通过核因子κ b (NF-κB)通路和氧化应激机制探讨褪黑素对ASD小鼠认知功能障碍(CD)的影响机制。方法:建立ASD小鼠模型,分别给予低剂量和高剂量褪黑素、NF-κB抑制剂PDTC或脂多糖(LPS)治疗,评估其空间记忆、自发活动和焦虑水平。HE染色、尼氏染色观察海马形态及神经元状态。海马CA1区突触后密度蛋白95 (PSD95)、磷酸化(p)-p65和p- i - κ b蛋白的活性和水平;乙酰胆碱酯酶(AChE)、乙酰胆碱(ACh)、丙二醛(MDA)和活性氧(ROS);采用western blot和ELISA试剂盒检测IL-4、IL-10、肿瘤坏死因子(TNF) -α、IL-1β水平。结果:ASD小鼠表现为学习记忆能力和自发活动减弱,海马CA1区细胞排列松散,细胞体边界不清,间隙增大,神经元损伤严重,PSD95蛋白水平降低。ASD小鼠海马CA1区AChE、p-p65、p- i - κ b、TNF-α、IL-1β、MDA、ROS水平升高,ACh、IL-4、IL-10水平降低,SOD活性降低。褪黑素或PDTC抑制了NF-κB通路,下调了ASD小鼠海马CA1区TNF-α、IL-1β、MDA、ROS活性,上调了IL-4、IL-10和SOD活性,提高了学习记忆能力。lps诱导的NF-κB通路激活部分避免了褪黑素对ASD小鼠的有益作用。结论:褪黑素通过调节NF-κB通路和氧化应激改善asd诱导的小鼠CD。
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引用次数: 0
DIA-based proteomics reveals anti-inflammatory role of DL-3-n-butylphthalide in cerebral small vessel disease-induced brain injury in hypertensive rat. 基于dia的蛋白质组学揭示dl -3-正丁苯酞在高血压大鼠脑血管病所致脑损伤中的抗炎作用。
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-08-29 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0381
Juan Sun, Zhe Su, Yingxiao Ji, Fangming Wang, Jingru Zhao, Jian Zhang, Litao Li

Objectives: Excessive neuroinflammatory responses represent a key pathological mechanism in cerebral small vessel disease (CSVD). Dl-3-n-butylphthalide (NBP), a compound previously demonstrated to possess anti-inflammatory properties in ischemic stroke, was investigated for its potential therapeutic effects in a rodent model of CSVD. This study aimed to elucidate the neuroprotective mechanisms of NBP in CSVD pathogenesis.

Methods: Forty-week-old spontaneously hypertensive rats were selected as a CSVD rodent model to determine the neuroprotective effects of NBP. Cognitive ability was assessed using the Morris water maze after 28 weeks of treatment. Pathological changes in the brain tissue were observed through immunohistochemistry. Data-independent acquisition (DIA) mass spectrometry was executed to identify the probable targets of NBP in CSVD. Based on the proteomics results, the expression of the toll-like receptor 4 (TLR4)/nuclear factor kappa-B (NF-κB) signaling pathway in the rat hippocampus was evaluated by western blotting and quantitative real-time polymerase chain reaction (qRT-PCR).

Results: NBP treatment ameliorated the cognitive abilities and pathological changes in CSVD. DIA proteomics revealed 262 differentially expressed hippocampal proteins, with bioinformatics analysis highlighting acute inflammatory response as a primary target. Furthermore, western blotting and qRT-PCR results confirmed these results and showed that after treatment with NBP, TLR4 regulated NF-κB pathway and inflammatory factors decreased.

Conclusions: Our findings demonstrated that NBP exerts neuroprotection in CSVD probably by suppressing TLR4/MyD88/NF-κB-mediated neuroinflammation. This study provides the evidence of NBP's therapeutic mechanisms in CSVD, suggesting its potential as a targeted anti-inflammatory treatment.

目的:过度的神经炎症反应是脑血管病(CSVD)的一个关键病理机制。dl -3-n-丁苯酞(NBP)是一种先前被证明在缺血性卒中中具有抗炎特性的化合物,研究了其在啮齿动物CSVD模型中的潜在治疗作用。本研究旨在阐明NBP在CSVD发病中的神经保护机制。方法:选择40周龄自发性高血压大鼠作为CSVD啮齿动物模型,观察NBP的神经保护作用。治疗28周后采用Morris水迷宫评估认知能力。免疫组化观察脑组织病理变化。采用数据独立采集(DIA)质谱法确定CSVD中NBP的可能靶点。基于蛋白质组学分析结果,采用western blotting和定量实时聚合酶链反应(qRT-PCR)技术检测大鼠海马组织中toll样受体4 (TLR4)/核因子κ b (NF-κB)信号通路的表达。结果:NBP治疗可改善CSVD患者的认知能力和病理改变。DIA蛋白质组学揭示了262种差异表达的海马蛋白,生物信息学分析强调急性炎症反应是主要目标。western blotting和qRT-PCR结果证实了上述结果,发现NBP治疗后,TLR4调节NF-κB通路,炎症因子降低。结论:我们的研究结果表明NBP可能通过抑制TLR4/MyD88/NF-κ b介导的神经炎症在CSVD中发挥神经保护作用。本研究为NBP治疗CSVD的机制提供了证据,提示其作为靶向抗炎治疗的潜力。
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引用次数: 0
Alleviating the NF-κB/NLRP3 pathway-mediated pyroptosis and ameliorating the cognitive function of aged mice post partial hepatectomy by increasing the Bmal1 level via subanesthetic doses of ketamine. 通过亚麻醉剂量氯胺酮增加Bmal1水平减轻NF-κB/NLRP3途径介导的衰老小鼠肝部分切除术后的焦亡和改善认知功能
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-08-20 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0370
Wenbin Zeng, Xiaoming Lei, Hongtao Liu, Simin Zheng, Qianru Wang, Xiaoli Niu
<p><strong>Background: </strong>As a non-competitive blocker of the <i>N</i>-methyl-d-aspartate receptor, ketamine is widely used for anesthesia and pain relief in clinical settings. However, certain neurological side effects may appear if it is used for the long term. According to clinical observations, anesthetic doses of ketamine trigger postoperative neurocognitive dysfunction in elderly patients, while subanesthetic doses of ketamine suppress the postoperative neuronal pyroptosis in the hippocampus, ameliorating the cognitive function. There is a certain link between brain and muscle arnt-like 1 (Bmal1) and the postoperative cognitive functions of elderly patients. Meanwhile, the Bmal1 activity can be intensified by subanesthetic doses of ketamine. How subanesthetic doses of ketamine act on the postoperative cognitive functions of elderly patients via Bmal1 is to be further investigated.</p><p><strong>Methodology: </strong>To expound how different doses of ketamine affect the cognitive functions of 15-month-old mice (No.: C57BL/6) receiving partial hepatectomy (PH), the following assays were conducted: (1) Morris Water Maze tests were made on mice on days1, 3, and 7 post-surgery; (2) histopathological analyses (by Nissl and Tunel staining) as well as western blotting, immunofluorescence, immunohistochemical, and ELISA assays were carried out on the hippocampal tissue samples collected from the mice 3 days post-surgery. Furthermore, to verify the critical role of the Bmal1 gene in the subanesthetic doses of ketamine-based improvement of cognitive function in aged mice post-surgery, the survey on 15-month-old mice (No.: C57BL/6) with inactivated Bmal1 gene was continued. Through the aforementioned assays, the modulation mechanism of subanesthetic doses of ketamine in ameliorating postoperative cognitive functions of aged mice was elucidated.</p><p><strong>Results: </strong>As revealed through this investigation, subanesthetic doses of ketamine compared with the sham group effectively enhanced mice's memory and learning ability, increased the expression of p-NR2B and BDNF proteins, mitigated neuronal pathologic injuries and neuroinflammation in aged mice post-surgery, upregulated the gene expression of Bmal1, and inhibited the hippocampal neuronal pyroptosis mediated by the NF-κB/NLRP3 signaling pathway. These effects are contrary to those of anesthetic doses of ketamine. Furthermore, for mice with an inactivated Bmal1 gene, injecting subanesthetic doses of ketamine helped to alleviate neuronal pathological injuries and neuroinflammation in the hippocampal tissues, suppress the expression of cytokines pertaining to the NF-κB/NLRP3 signaling pathway, and improve postoperative memory and learning competence of the mice.</p><p><strong>Conclusion: </strong>Subanesthetic doses of ketamine can elevate the expressed level of Bmal1, dampening the NF-κB/NLRP3 pathway-mediated cell pyroptosis, alleviating neuroinflammation, and improving the postoperativ
背景:氯胺酮作为n-甲基-d-天冬氨酸受体的非竞争性阻滞剂,在临床中广泛用于麻醉和镇痛。然而,如果长期使用,可能会出现某些神经系统副作用。根据临床观察,麻醉剂量氯胺酮可引发老年患者术后神经认知功能障碍,而亚麻醉剂量氯胺酮可抑制术后海马神经元焦亡,改善认知功能。脑肌类蛋白1 (Bmal1)与老年患者术后认知功能存在一定联系。同时,亚麻醉剂量的氯胺酮可以增强Bmal1的活性。亚麻醉剂量氯胺酮如何通过Bmal1影响老年患者术后认知功能有待进一步研究。方法:探讨不同剂量氯胺酮对15月龄小鼠认知功能的影响。(1)术后第1、3、7天对小鼠进行Morris水迷宫实验;(2)对术后3 d小鼠海马组织进行组织病理学分析(Nissl和Tunel染色)、免疫印迹、免疫荧光、免疫组织化学和酶联免疫吸附试验。此外,为了验证Bmal1基因在亚麻醉剂量氯胺酮改善老年小鼠术后认知功能中的关键作用,对15个月大的小鼠(No。C57BL/6), Bmal1基因失活。通过上述实验,阐明亚麻醉剂量氯胺酮对老年小鼠术后认知功能改善的调节机制。结果:本研究发现,与sham组相比,亚麻醉剂量氯胺酮可有效增强小鼠的记忆和学习能力,增加p-NR2B和BDNF蛋白的表达,减轻老年小鼠术后神经元病理损伤和神经炎症,上调Bmal1基因表达,抑制NF-κB/NLRP3信号通路介导的海马神经元焦亡。这些效果与氯胺酮的麻醉剂量相反。此外,对于Bmal1基因失活的小鼠,注射亚麻醉剂量的氯胺酮有助于减轻海马组织神经元病理损伤和神经炎症,抑制NF-κB/NLRP3信号通路相关细胞因子的表达,改善小鼠术后记忆和学习能力。结论:亚麻醉剂量氯胺酮可提高Bmal1表达水平,抑制NF-κB/NLRP3途径介导的细胞焦亡,减轻神经炎症,改善老年小鼠术后认知功能。本研究结果为探索使用亚麻醉剂量氯胺酮改善老年患者术后认知功能和临床预防术后神经认知障碍提供了一种新的途径。
{"title":"Alleviating the NF-κB/NLRP3 pathway-mediated pyroptosis and ameliorating the cognitive function of aged mice post partial hepatectomy by increasing the Bmal1 level via subanesthetic doses of ketamine.","authors":"Wenbin Zeng, Xiaoming Lei, Hongtao Liu, Simin Zheng, Qianru Wang, Xiaoli Niu","doi":"10.1515/tnsci-2025-0370","DOIUrl":"10.1515/tnsci-2025-0370","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;As a non-competitive blocker of the &lt;i&gt;N&lt;/i&gt;-methyl-d-aspartate receptor, ketamine is widely used for anesthesia and pain relief in clinical settings. However, certain neurological side effects may appear if it is used for the long term. According to clinical observations, anesthetic doses of ketamine trigger postoperative neurocognitive dysfunction in elderly patients, while subanesthetic doses of ketamine suppress the postoperative neuronal pyroptosis in the hippocampus, ameliorating the cognitive function. There is a certain link between brain and muscle arnt-like 1 (Bmal1) and the postoperative cognitive functions of elderly patients. Meanwhile, the Bmal1 activity can be intensified by subanesthetic doses of ketamine. How subanesthetic doses of ketamine act on the postoperative cognitive functions of elderly patients via Bmal1 is to be further investigated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology: &lt;/strong&gt;To expound how different doses of ketamine affect the cognitive functions of 15-month-old mice (No.: C57BL/6) receiving partial hepatectomy (PH), the following assays were conducted: (1) Morris Water Maze tests were made on mice on days1, 3, and 7 post-surgery; (2) histopathological analyses (by Nissl and Tunel staining) as well as western blotting, immunofluorescence, immunohistochemical, and ELISA assays were carried out on the hippocampal tissue samples collected from the mice 3 days post-surgery. Furthermore, to verify the critical role of the Bmal1 gene in the subanesthetic doses of ketamine-based improvement of cognitive function in aged mice post-surgery, the survey on 15-month-old mice (No.: C57BL/6) with inactivated Bmal1 gene was continued. Through the aforementioned assays, the modulation mechanism of subanesthetic doses of ketamine in ameliorating postoperative cognitive functions of aged mice was elucidated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;As revealed through this investigation, subanesthetic doses of ketamine compared with the sham group effectively enhanced mice's memory and learning ability, increased the expression of p-NR2B and BDNF proteins, mitigated neuronal pathologic injuries and neuroinflammation in aged mice post-surgery, upregulated the gene expression of Bmal1, and inhibited the hippocampal neuronal pyroptosis mediated by the NF-κB/NLRP3 signaling pathway. These effects are contrary to those of anesthetic doses of ketamine. Furthermore, for mice with an inactivated Bmal1 gene, injecting subanesthetic doses of ketamine helped to alleviate neuronal pathological injuries and neuroinflammation in the hippocampal tissues, suppress the expression of cytokines pertaining to the NF-κB/NLRP3 signaling pathway, and improve postoperative memory and learning competence of the mice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Subanesthetic doses of ketamine can elevate the expressed level of Bmal1, dampening the NF-κB/NLRP3 pathway-mediated cell pyroptosis, alleviating neuroinflammation, and improving the postoperativ","PeriodicalId":23227,"journal":{"name":"Translational Neuroscience","volume":"16 1","pages":"20250370"},"PeriodicalIF":2.2,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plasma tissue factor as a promising marker in multiple sclerosis: Evidence from a two-sample Mendelian randomization study. 血浆组织因子作为多发性硬化症有希望的标志物:来自两样本孟德尔随机化研究的证据。
IF 2.2 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-08-16 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0378
Rui Pan, Aiqi Wang, Yaqi Li, Qizhi Xie, Meihua Lin, Jiayi Li, Xiaolei Shi

Background: Multiple sclerosis (MS) is a major demyelinating disorder that affects the central nervous system. A growing body of evidence has revealed the involvement of coagulation pathway in the pathogenesis of MS. However, the causal association between coagulation factors and MS is still unclear.

Method: A two-sample Mendelian randomization (MR) analysis was conducted. Genetic variants for plasma coagulation factors were identified as instrumental variables. Summary-level statistics for MS were collected from a large-scale genome-wide association study, including 47,429 cases and 68,374 controls. Primary MR analysis was performed using the inverse-variance weighting (IVW) approach. False discovery rate (FDR)-adjusted method was applied to adjust for multiple testing. MR-Egger, weighted median, simple mode, weighted mode, and MR-pleiotropy residual sum and outlier (MR-PRESSO) methods were used as sensitivity analysis approaches.

Results: A causal effect of higher plasma tissue factor (TF) levels on the risk of MS onset was identified using IVW method (OR: 1.215, 95% CI 1.108-1.333, P < 0.001, P FDR < 0.001). Complementary analysis using weighted median (OR: 1.262, 95% CI: 1.119-1.423, P < 0.001), weighted mode (OR: 1.238, 95% CI: 1.100-1.394, P = 0.012), and MR-PRESSO (OR: 1.215, 95% CI: 1.125-1.313, P = 0.003) methods yielded consistent results. Null associations were found for other plasma coagulation factors with MS.

Conclusions: The study demonstrates a suggestive association between TF and MS. Increasing plasma TF was associated with an increase in MS risk. TF should be a promising biomarker and new target for MS.

背景:多发性硬化症(MS)是一种影响中枢神经系统的主要脱髓鞘疾病。越来越多的证据表明,凝血途径参与MS的发病机制,但凝血因子与MS之间的因果关系尚不清楚。方法:采用双样本孟德尔随机化(MR)分析。血浆凝血因子的遗传变异被确定为工具变量。MS的汇总统计数据来自一项大规模全基因组关联研究,包括47,429例病例和68,374例对照。主要MR分析采用逆方差加权(IVW)方法进行。采用错误发现率(FDR)校正方法对多重检验进行校正。采用MR-Egger、加权中位数、简单模式、加权模式和mr -多效性残差和离群值(MR-PRESSO)方法作为敏感性分析方法。结果:采用IVW方法确定了较高的血浆组织因子(TF)水平与MS发病风险的因果关系(OR: 1.215, 95% CI 1.108-1.333, P < 0.001, P FDR < 0.001)。采用加权中位数(OR: 1.262, 95% CI: 1.119-1.423, P < 0.001)、加权模式(OR: 1.238, 95% CI: 1.100-1.394, P = 0.012)和MR-PRESSO (OR: 1.215, 95% CI: 1.125-1.313, P = 0.003)方法进行的补充分析得出了一致的结果。其他血浆凝血因子与MS无关联。结论:该研究表明TF和MS之间存在提示性的关联。血浆TF升高与MS风险增加相关。TF有望成为一种有前景的生物标志物和MS的新靶点。
{"title":"Plasma tissue factor as a promising marker in multiple sclerosis: Evidence from a two-sample Mendelian randomization study.","authors":"Rui Pan, Aiqi Wang, Yaqi Li, Qizhi Xie, Meihua Lin, Jiayi Li, Xiaolei Shi","doi":"10.1515/tnsci-2025-0378","DOIUrl":"10.1515/tnsci-2025-0378","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is a major demyelinating disorder that affects the central nervous system. A growing body of evidence has revealed the involvement of coagulation pathway in the pathogenesis of MS. However, the causal association between coagulation factors and MS is still unclear.</p><p><strong>Method: </strong>A two-sample Mendelian randomization (MR) analysis was conducted. Genetic variants for plasma coagulation factors were identified as instrumental variables. Summary-level statistics for MS were collected from a large-scale genome-wide association study, including 47,429 cases and 68,374 controls. Primary MR analysis was performed using the inverse-variance weighting (IVW) approach. False discovery rate (FDR)-adjusted method was applied to adjust for multiple testing. MR-Egger, weighted median, simple mode, weighted mode, and MR-pleiotropy residual sum and outlier (MR-PRESSO) methods were used as sensitivity analysis approaches.</p><p><strong>Results: </strong>A causal effect of higher plasma tissue factor (TF) levels on the risk of MS onset was identified using IVW method (OR: 1.215, 95% CI 1.108-1.333, <i>P</i> < 0.001, <i>P</i> <sub>FDR</sub> < 0.001). Complementary analysis using weighted median (OR: 1.262, 95% CI: 1.119-1.423, <i>P</i> < 0.001), weighted mode (OR: 1.238, 95% CI: 1.100-1.394, <i>P</i> = 0.012), and MR-PRESSO (OR: 1.215, 95% CI: 1.125-1.313, <i>P</i> = 0.003) methods yielded consistent results. Null associations were found for other plasma coagulation factors with MS.</p><p><strong>Conclusions: </strong>The study demonstrates a suggestive association between TF and MS. Increasing plasma TF was associated with an increase in MS risk. TF should be a promising biomarker and new target for MS.</p>","PeriodicalId":23227,"journal":{"name":"Translational Neuroscience","volume":"16 1","pages":"20250378"},"PeriodicalIF":2.2,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12413626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanism study on the attenuation of cerebral ischemia-reperfusion injury by LBP extract through regulation of SIRT1/PGC-1α axis. LBP提取物通过调节SIRT1/PGC-1α轴减轻脑缺血再灌注损伤的机制研究。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-07-11 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0377
Qingfeng Niu, Jiahui Peng, Yujia Zhou, Xiaowen Li, Ouya Liu, Cheng Xin, Ping Liu, Changchun Hei, Xiao Yang

Objective: This study aims to determine if Lycium barbarum polysaccharides (LBP) extract attenuate oxidative stress by regulating the SIRT1/PGC-1α axis, potentially ameliorating oxygen-glucose deprivation/reperfusion (OGD/R)-induced neuronal damage.

Methods: A cellular hypoxia/reoxygenation model (OGD/R) using HT22 cells was established to simulate cerebral ischemia-reperfusion injury. Cells were allocated into four groups: normal (Control), hypoxia (OGD/R), LBP extract-treated (OGD/R + LBP at 25, 50, 100 μg/mL), and SIRT1-inhibited (OGD/R + S100). Western blot and qPCR were performed to detect the expression of pathway-related factors, oxidative stress, mitochondrial function, and apoptosis-related factors.

Results: Compared to the Control group, the OGD/R group exhibited significantly reduced cell survival, increased LDH release, apoptosis rate, and reactive oxygen species (ROS) levels. After intervention with LBP extract, cell survival increased, LDH release, ROS levels, and apoptosis rates reduced. The above injuries were associated with the inhibition of the SIRT1/PGC-1α pathway. LBP extract can attenuate the hypoxia-reperfusion-induced inhibition of the SIRT1/PGC-1α pathway and reverse the resulting high levels of oxidative stress and apoptosis, ultimately ameliorating cellular injury.

Conclusion: LBP extract's protective effects against ischemia-reperfusion injury in HT22 cells appear linked to the modulation of the SIRT1/PGC-1α pathway and a reduction in oxidative stress.

目的:本研究旨在确定枸杞多糖(LBP)提取物是否通过调节SIRT1/PGC-1α轴减轻氧化应激,从而可能改善氧葡萄糖剥夺/再灌注(OGD/R)诱导的神经元损伤。方法:采用HT22细胞建立细胞缺氧/再氧合模型(OGD/R),模拟脑缺血再灌注损伤。将细胞分为正常组(对照组)、缺氧组(OGD/R)、LBP提取物处理组(OGD/R + LBP浓度分别为25、50、100 μg/mL)和sirt1抑制组(OGD/R + S100)。Western blot和qPCR检测通路相关因子、氧化应激、线粒体功能、凋亡相关因子的表达。结果:与对照组相比,OGD/R组细胞存活率显著降低,LDH释放量、凋亡率和活性氧(ROS)水平显著升高。LBP提取物干预后,细胞存活增加,LDH释放,ROS水平降低,凋亡率降低。上述损伤均与SIRT1/PGC-1α通路的抑制有关。枸杞多糖提取物可以减弱缺氧再灌注诱导的SIRT1/PGC-1α通路的抑制,逆转由此导致的高水平氧化应激和凋亡,最终改善细胞损伤。结论:枸杞多糖提取物对HT22细胞缺血再灌注损伤的保护作用可能与调节SIRT1/PGC-1α通路和降低氧化应激有关。
{"title":"Mechanism study on the attenuation of cerebral ischemia-reperfusion injury by LBP extract through regulation of SIRT1/PGC-1α axis.","authors":"Qingfeng Niu, Jiahui Peng, Yujia Zhou, Xiaowen Li, Ouya Liu, Cheng Xin, Ping Liu, Changchun Hei, Xiao Yang","doi":"10.1515/tnsci-2025-0377","DOIUrl":"10.1515/tnsci-2025-0377","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to determine if <i>Lycium barbarum</i> polysaccharides (LBP) extract attenuate oxidative stress by regulating the SIRT1/PGC-1α axis, potentially ameliorating oxygen-glucose deprivation/reperfusion (OGD/R)-induced neuronal damage.</p><p><strong>Methods: </strong>A cellular hypoxia/reoxygenation model (OGD/R) using HT22 cells was established to simulate cerebral ischemia-reperfusion injury. Cells were allocated into four groups: normal (Control), hypoxia (OGD/R), LBP extract-treated (OGD/R + LBP at 25, 50, 100 μg/mL), and SIRT1-inhibited (OGD/R + S100). Western blot and qPCR were performed to detect the expression of pathway-related factors, oxidative stress, mitochondrial function, and apoptosis-related factors.</p><p><strong>Results: </strong>Compared to the Control group, the OGD/R group exhibited significantly reduced cell survival, increased LDH release, apoptosis rate, and reactive oxygen species (ROS) levels. After intervention with LBP extract, cell survival increased, LDH release, ROS levels, and apoptosis rates reduced. The above injuries were associated with the inhibition of the SIRT1/PGC-1α pathway. LBP extract can attenuate the hypoxia-reperfusion-induced inhibition of the SIRT1/PGC-1α pathway and reverse the resulting high levels of oxidative stress and apoptosis, ultimately ameliorating cellular injury.</p><p><strong>Conclusion: </strong>LBP extract's protective effects against ischemia-reperfusion injury in HT22 cells appear linked to the modulation of the SIRT1/PGC-1α pathway and a reduction in oxidative stress.</p>","PeriodicalId":23227,"journal":{"name":"Translational Neuroscience","volume":"16 1","pages":"20250377"},"PeriodicalIF":1.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144638085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Antidepressant and neuromodulatory potential of hydroalcoholic extract of Helianthus annuus florets in mouse models of depression. 向日葵花水酒精提取物对抑郁症小鼠模型的抗抑郁作用和神经调节作用。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-06-24 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0376
Km Kajal, Tarique Anwer, Ankit Verma, Mohammad Firoz Alam, Saeed Alshahrani, Muhanad Alhujaily, Mohammed Naffaa Alruwaili, Ali Assiry, Abdullah Saleh Salem Alrashah

Background: Depression is a pervasive neuropsychiatric disorder having significant social and economic impacts and often linked to imbalances in neurotransmitter systems. Traditional herbal medicines have garnered attention for their potential antidepressant effects, with limited research on Helianthus annuus (sunflower) as a therapeutic option.

Objectives: The present study was carried out to investigate the anti-depressant and neuromodulatory potential of hydroalcoholic extract of Helianthus annuus (H. annuus) florets in mouse models of depression.

Methods: Depression was induced in rats by the forced swim test (FST) and tail suspension test (TST). The hydroalcoholic extract of H. annuus was used as the test drug given in the doses of 200 and 400 mg/kg, whereas fluoxetine was used as the standard drug.

Results: The results revealed that the H. annuus extract decreased the immobility time significantly as reflected in FST and TST. Treatment with H. annuus extract also demonstrated significant improvement in the swimming and climbing times as reflected in FST. Administration of H. annuus extract significantly improved neurotransmitter levels such as serotonin, dopamine, and norepinephrine, which were significantly lowered in depression control rats. The mean value of thiobarbituric acid reactive substances was significantly lowered after the administration of H. annuus extract. Additionally, the levels of glutathione, superoxide dismutase, and catalase were significantly increased after the administration of H. annuus extract. Additionally, the mean value of inflammatory cytokines, for example, tumour necrosis factor alpha and interleukin-6 were reduced significantly in groups treated with H. annuus extract.

Conclusions: The results suggest that H. annuus extract exhibited significant antidepressant and neuromodulatory potential by ameliorating behavioural parameters, oxidative stress, and inflammatory markers.

背景:抑郁症是一种普遍的神经精神障碍,具有显著的社会和经济影响,通常与神经递质系统失衡有关。传统草药因其潜在的抗抑郁作用而引起了人们的关注,但对向日葵作为治疗选择的研究有限。目的:研究向日葵花水酒精提取物对抑郁症小鼠模型的抗抑郁作用和神经调节作用。方法:采用强迫游泳实验(FST)和悬尾实验(TST)诱导大鼠抑郁。以黄花水仙水醇提取物为试验药物,剂量分别为200和400 mg/kg,氟西汀为标准药物。结果:从FST和TST的变化可以看出,黄荆提取物显著降低了小鼠的静止时间。从FST中可以看出,黄芪提取物对游泳和攀爬时间也有显著的改善。黄荆提取物能显著提高抑郁对照组大鼠血清素、多巴胺和去甲肾上腺素等神经递质水平。给药后,硫代巴比妥酸活性物质的平均值显著降低。此外,给药后,谷胱甘肽、超氧化物歧化酶和过氧化氢酶的水平显著升高。此外,炎症细胞因子的平均值,如肿瘤坏死因子α和白细胞介素-6显著降低各组的黄芪提取物。结论:黄荆提取物通过改善行为参数、氧化应激和炎症指标,显示出显著的抗抑郁和神经调节潜力。
{"title":"Antidepressant and neuromodulatory potential of hydroalcoholic extract of <i>Helianthus annuus</i> florets in mouse models of depression.","authors":"Km Kajal, Tarique Anwer, Ankit Verma, Mohammad Firoz Alam, Saeed Alshahrani, Muhanad Alhujaily, Mohammed Naffaa Alruwaili, Ali Assiry, Abdullah Saleh Salem Alrashah","doi":"10.1515/tnsci-2025-0376","DOIUrl":"10.1515/tnsci-2025-0376","url":null,"abstract":"<p><strong>Background: </strong>Depression is a pervasive neuropsychiatric disorder having significant social and economic impacts and often linked to imbalances in neurotransmitter systems. Traditional herbal medicines have garnered attention for their potential antidepressant effects, with limited research on <i>Helianthus annuus</i> (sunflower) as a therapeutic option.</p><p><strong>Objectives: </strong>The present study was carried out to investigate the anti-depressant and neuromodulatory potential of hydroalcoholic extract of <i>Helianthus annuus</i> (<i>H. annuus</i>) florets in mouse models of depression.</p><p><strong>Methods: </strong>Depression was induced in rats by the forced swim test (FST) and tail suspension test (TST). The hydroalcoholic extract of <i>H. annuus</i> was used as the test drug given in the doses of 200 and 400 mg/kg, whereas fluoxetine was used as the standard drug.</p><p><strong>Results: </strong>The results revealed that the <i>H. annuus</i> extract decreased the immobility time significantly as reflected in FST and TST. Treatment with <i>H. annuus</i> extract also demonstrated significant improvement in the swimming and climbing times as reflected in FST. Administration of <i>H. annuus</i> extract significantly improved neurotransmitter levels such as serotonin, dopamine, and norepinephrine, which were significantly lowered in depression control rats. The mean value of thiobarbituric acid reactive substances was significantly lowered after the administration of <i>H. annuus</i> extract. Additionally, the levels of glutathione, superoxide dismutase, and catalase were significantly increased after the administration of <i>H. annuus</i> extract. Additionally, the mean value of inflammatory cytokines, for example, tumour necrosis factor alpha and interleukin-6 were reduced significantly in groups treated with <i>H. annuus</i> extract.</p><p><strong>Conclusions: </strong>The results suggest that <i>H. annuus</i> extract exhibited significant antidepressant and neuromodulatory potential by ameliorating behavioural parameters, oxidative stress, and inflammatory markers.</p>","PeriodicalId":23227,"journal":{"name":"Translational Neuroscience","volume":"16 1","pages":"20250376"},"PeriodicalIF":1.8,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sex-dimorphic growth hormone-releasing hormone (Ghrh) receptor regulation of ventromedial hypothalamic nucleus Ghrh neuron estrogen receptor variant gene expression. 两性二态生长激素释放激素(Ghrh)受体调节下丘脑腹内侧核Ghrh神经元雌激素受体变异基因表达。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-06-14 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0373
Subash Sapkota, Karen P Briski

Estradiol shapes systemic glucose homeostasis by action on ventromedial hypothalamic nucleus (VMN) targets. The neuropeptide transmitter growth hormone-releasing hormone (Ghrh) governs counterregulatory neurochemical marker mRNA expression in dorsomedial VMN (VMNdm) Ghrh/steroidogenic factor-1 (SF-1/Nr5a1) neurons. The current research used tools for in vivo gene silencing and single-cell laser catapult microdissection/multiplex qPCR to determine if VMN Ghrh receptor (Ghrh-R) regulates nuclear and/or membrane estrogen receptor (ER) gene transcription in those neurons. Intra-VMN Ghrh-R siRNA correspondingly up- or down-regulated baseline VMNdm Ghrh/SF-1 neuron ER-alpha (ERα) or G protein-coupled estrogen receptor-1 (GPER) transcripts in male rats; neither mRNA was affected by gene silencing in females. In each sex, hypoglycemic repression of these ER gene profiles was averted by Ghrh-R gene knockdown. Both sexes exhibited diminished baseline VMNdm Ghrh/SF-1 neuron ER-beta (ERβ) gene expression following Ghrh-R gene knockdown. ERβ mRNA was diminished (male) or unaffected (female) by hypoglycemia; Ghrh-R siRNA pretreatment enhanced transcript levels in hypoglycemic rats of either sex. Aromatase gene expression is higher in male versus female VMNdm Ghrh/SF-1 neurons and is inhibited by hypoglycemia in male rats alone. Ghrh-R gene knockdown augmented aromatase mRNA levels in each sex irrespective of glucose status. Results document glucose-dependent Ghrh-R control of VMNdm Ghrh/SF-1 neuron ERα (female), ERβ (both sexes), and GPER (both sexes) gene expression. Ongoing studies aim to characterize mechanisms that cause a hypoglycemia-associated gain of regulatory control or switch in direction (stimulatory-to-inhibitory) of control. Outcomes identify VMNdm Ghrh/SF-1 neurons as a putative neuroestradiol source in each sex and implicate Ghrh-R in hypoglycemic repression of this neurosteroid profile in males.

雌二醇通过对下丘脑腹内侧核(VMN)靶点的作用来塑造全身葡萄糖稳态。神经肽递质生长激素释放激素(Ghrh)调控背内侧VMN (VMNdm) Ghrh/甾体生成因子-1 (SF-1/Nr5a1)神经元的反调节性神经化学标志物mRNA表达。目前的研究使用体内基因沉默和单细胞激光弹射显微解剖/多重qPCR工具来确定VMN Ghrh受体(Ghrh- r)是否调节这些神经元的核和/或膜雌激素受体(ER)基因转录。雄性大鼠vmn内Ghrh- r siRNA相应上调或下调VMNdm Ghrh/SF-1神经元er - α (ERα)或G蛋白偶联雌激素受体-1 (GPER)转录;两种mRNA均不受雌性基因沉默的影响。在两性中,通过敲低Ghrh-R基因,避免了这些内质网基因谱的低血糖抑制。Ghrh- r基因敲除后,男女VMNdm Ghrh/SF-1神经元er - β (er - β)基因的基线表达均降低。ERβ mRNA因低血糖而减少(男性)或未受影响(女性);Ghrh-R siRNA预处理可提高两性低血糖大鼠的转录物水平。芳香酶基因在雄性大鼠的VMNdm Ghrh/SF-1神经元中的表达高于雌性,并且仅在雄性大鼠中被低血糖抑制。Ghrh-R基因敲低增强了两性中芳香化酶mRNA水平,与葡萄糖状态无关。结果显示葡萄糖依赖性Ghrh- r控制VMNdm Ghrh/SF-1神经元ERα(女性)、ERβ(两性)和GPER(两性)基因表达。正在进行的研究旨在描述导致低血糖相关的调节控制增益或控制方向转换(刺激到抑制)的机制。结果表明VMNdm Ghrh/SF-1神经元在两性中都是一个假定的神经雌二醇来源,并暗示Ghrh- r在男性中对这种神经类固醇谱的降糖抑制中起作用。
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引用次数: 0
Functional remapping in networks of the Parkinsonian brain: A preclinical neuroimaging perspective with clinical correlates. 帕金森病脑网络功能重定位:临床前神经影像学视角与临床相关性。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2025-06-14 eCollection Date: 2025-01-01 DOI: 10.1515/tnsci-2025-0374
Zhuo Wang, Michael W Jakowec, Giselle M Petzinger, Daniel P Holschneider

Parkinson's disease (PD) is increasingly understood as a neurodegenerative condition whose pathology extends beyond the direct and indirect basal ganglia pathways. Clinically, patients are all too painfully aware of dysfunction not only of motor circuits but also of somatosensory, autonomic, cognitive, and emotional systems. Functional neuroimaging studies have begun to document a functional reorganization in the PD brain across a wide number of networks. In particular, the cerebellar-thalamocortical, as well as the fronto-striatal circuit, have been shown to undergo functional reorganization. In this narrative review, citing preclinical as well as clinical neuroimaging studies, our objective is to highlight trends and discuss the relevance of cerebral adaptive changes. It remains clear that not all changes contribute to the normalization of functions. Parsing differences between functional "compensation," "silencing," or "maladaptation" in neural circuits is important. A necessary next step in neurorehabilitation is the question of whether compensatory cerebral changes can be enhanced. In this regard, physical exercise remains of interest, given that in patients, exercise may allow some degree of symptom improvement and possibly slow the course of the disease. Future interventions may wish to integrate neuroimaging findings as potential targets to support neuroplastic changes.

帕金森病(PD)越来越被认为是一种神经退行性疾病,其病理范围超出了直接和间接基底神经节通路。临床上,病人都非常痛苦地意识到不仅运动回路功能障碍,而且体感、自主神经、认知和情绪系统功能障碍。功能性神经影像学研究已经开始记录PD脑在许多网络中的功能重组。特别是,小脑-丘脑皮层,以及额纹状体回路,已被证明经历功能重组。在这篇叙述性回顾中,引用临床前和临床神经影像学研究,我们的目标是强调趋势并讨论大脑适应性变化的相关性。很明显,并不是所有的变化都有助于函数的规范化。分析神经回路中功能“补偿”、“沉默”或“适应不良”之间的差异是很重要的。神经康复的一个必要的下一步是是否可以增强代偿性大脑变化的问题。在这方面,体育锻炼仍然值得关注,因为对患者来说,运动可能会在一定程度上改善症状,并可能减缓疾病的进程。未来的干预可能希望整合神经影像学发现作为支持神经可塑性改变的潜在目标。
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引用次数: 0
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Translational Neuroscience
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