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A data science approach to optimize ADHD assessment with the BRIEF-2 questionnaire. 利用数据科学方法优化 BRIEF-2 调查问卷的多动症评估。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-10-08 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0349
Lucía Caselles-Pina, Paula Serna Del Amo, David Aguado, Jorge López-Castromán, Juan de Dios Sanjuán-Antúnez, David Delgado-Gómez

Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder. A key challenge associated with this condition is achieving an early diagnosis. The current study seeks to anticipate and delineate the assessments offered by both parents and teachers concerning a child's behavior and overall functioning with the Behavior Rating Inventory of Executive Function-2 (BRIEF-2). Mothers, fathers, and teachers of 59 children diagnosed or in the process of being assessed for ADHD participated in this study. The responses provided by 59 mothers, 59 fathers, and 57 teachers to the BRIEF-2 questionnaire were collected. The performance of various feature selection techniques, including Lasso, decision trees, random forest, extreme gradient boosting, and forward stepwise regression, was evaluated. The results indicate that Lasso stands out as the optimal method for our dataset, striking an ideal balance between accuracy and interpretability. A repeated validation analysis reveals an average positive correlation exceeding 0.5 between the inattention/hyperactivity scores reported by informants (mother, father, or teacher) and the predictions derived from Lasso. This performance is achieved using only approximately 18% of the BRIEF-2 items. These findings underscore the usefulness of variable selection techniques in accurately characterizing a patient's condition while employing a small subset of assessment items. This efficiency is particularly valuable in time-constrained settings and contributes to improving the comprehension of ADHD.

注意缺陷多动障碍(ADHD)是一种普遍存在的神经发育障碍。与这种疾病相关的一个主要挑战是实现早期诊断。本研究旨在通过 "执行功能行为评定量表-2"(BRIEF-2)对家长和教师提供的有关儿童行为和整体功能的评估进行预测和界定。59 名被诊断为或正在接受多动症评估的儿童的父母和教师参与了本研究。研究收集了 59 位母亲、59 位父亲和 57 位教师对 BRIEF-2 问卷的回答。研究评估了各种特征选择技术的性能,包括 Lasso、决策树、随机森林、极梯度提升和前向逐步回归。结果表明,Lasso 是适用于我们数据集的最佳方法,在准确性和可解释性之间取得了理想的平衡。重复验证分析表明,信息提供者(母亲、父亲或老师)报告的注意力不集中/多动评分与 Lasso 预测结果之间的平均正相关超过 0.5。这一结果仅使用了 BRIEF-2 中约 18% 的项目。这些发现强调了变量选择技术在准确描述患者病情方面的作用,同时只需使用一小部分评估项目。这种效率在时间有限的情况下尤为宝贵,有助于提高对多动症的理解能力。
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引用次数: 0
TTBK2 T3290C mutation in spinocerebellar ataxia 11 interferes with ciliogenesis. 脊髓小脑共济失调症11中的TTBK2 T3290C突变会干扰纤毛的生成。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0353
Ruiqing Luo, Xiaoxia Zeng, Ping Li, Shuai Hu, Xueliang Qi

This study aimed to elucidate the impact of the TTBK2 T3290C mutation (MUT) associated with Spinocerebellar Ataxia 11 (SCA11) on TTBK2 expression, function, and ciliogenesis. Lymphocytes were isolated from peripheral blood samples of SCA11 family members with the MUT and healthy controls (wild-type, WT). HEK-293 cells transfected with either WT or MUT TTBK2 plasmids were used to assess the MUT's impact on TTBK2 protein expression, enzymatic activity, and its binding to Cep164 protein. Mouse embryonic fibroblast cells transfected with WT or MUT TTBK2 plasmids examined the MUT's effect on cilia formation. Clinically, there was no significant difference in the expression of TTBK2 between the SCA11 patients and healthy individuals. The TTBK2 T3290C MUT did not affect protein expression or enzymatic activity but did reduce ciliary formation in embryonic cells and decreased binding affinity to Cep164. Therefore, our data suggested that the TTBK2 T3290C MUT in SCA11 may impair ciliogenesis by weakening the interaction with Cep164.

本研究旨在阐明与脊髓小脑共济失调 11(SCA11)相关的 TTBK2 T3290C 突变(MUT)对 TTBK2 表达、功能和纤毛生成的影响。从患有 MUT 的 SCA11 家族成员和健康对照组(野生型,WT)的外周血样本中分离淋巴细胞。用 WT 或 MUT TTBK2 质粒转染 HEK-293 细胞,以评估 MUT 对 TTBK2 蛋白表达、酶活性及其与 Cep164 蛋白结合的影响。用 WT 或 MUT TTBK2 质粒转染的小鼠胚胎成纤维细胞检测了 MUT 对纤毛形成的影响。在临床上,SCA11 患者和健康人的 TTBK2 表达没有明显差异。TTBK2 T3290C 基因突变不影响蛋白质表达或酶活性,但会减少胚胎细胞中纤毛的形成,并降低与 Cep164 的结合亲和力。因此,我们的数据表明,SCA11 中的 TTBK2 T3290C 基因突变可能会削弱与 Cep164 的相互作用,从而影响纤毛的形成。
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引用次数: 0
In a rodent model of autism, probiotics decrease gut leakiness in relation to gene expression of GABA receptors: Emphasize how crucial the gut-brain axis. 在自闭症啮齿动物模型中,益生菌降低了肠道渗漏,这与 GABA 受体的基因表达有关:强调肠道-大脑轴的重要性。
IF 1.8 4区 医学 Q4 NEUROSCIENCES Pub Date : 2024-10-03 eCollection Date: 2024-01-01 DOI: 10.1515/tnsci-2022-0354
Rawan M Bin-Khattaf, Abeer M Al-Dbass, Mona Alonazi, Ramesa Shafi Bhat, Sooad Al-Daihan, Afaf K El-Ansary

Objective: Rodent models may help investigations on the possible link between autism spectrum disorder and increased permeability of the gastrointestinal (GI) tract since autistic patients frequently manifested GI troubles as comorbidities.

Methods: Forty young male western Albino rats, weighing approximately 60-70 g and aged 3-4 weeks, were used. In each of the six experimental groups, eight animals were treated as follows. The mice in the control group (I) received phosphate-buffered saline orally. For 3 days, the animals in the propionic acid (PPA)-treated groups (II and III) were given an oral neurotoxic dose of PPA (250 mg/kg body weight each day). Group II was euthanized after 3 days; however, Group III was left alive to be euthanized alongside the other groups. The animals were kept at 22 ± 1°C and allowed to access water and normal food as needed. Identical dosages of PPA were given to the rats in the three treatment groups (IV, V, and VI), and for 3 weeks, they were given the following treatments: 0.2 g/kg body weight of pure Bifidobacterium infantis, a probiotic mixture of PROTEXIN®, Somerset, UK and pure Lactobacillus bulgaricus, respectively. The six groups underwent measurements of serum zonulin and occludin as variables associated with leaky gut, glutathione, malondialdehyde, and catalase as oxidative stress-related variables, with gamma-aminobutyric acid (GABA) receptor gene expression.

Results: This study demonstrated the potential effects of pure or mixed probiotics in lowering zonulin and occludin as markers of increased intestinal permeability, enhancing GABA receptor expression, and reducing oxidative stress as neurotoxic effects of PPA.

Conclusions: This study demonstrates that various probiotics protect gut barrier function and could be used to alleviate increased intestinal permeability caused by oxidative stress and impaired GABA signaling as a result of PPA neurotoxicity, addressing the clinical implications of probiotic supplements.

目的:啮齿动物模型可能有助于研究自闭症谱系障碍与胃肠道(GI)渗透性增加之间可能存在的联系,因为自闭症患者经常合并胃肠道疾病:方法:使用 40 只体重约 60-70 克、年龄 3-4 周的年轻雄性西方白化大鼠。在六个实验组中,每组有八只动物接受如下治疗。对照组(I)的小鼠口服磷酸盐缓冲盐水。丙酸(PPA)处理组(II 和 III)的动物连续 3 天口服神经毒性剂量的 PPA(每天 250 毫克/千克体重)。3 天后,II 组动物安乐死;然而,III 组动物仍存活,与其他组动物一起安乐死。将动物饲养在 22 ± 1°C 的环境中,并允许其根据需要获得水和正常食物。给三个处理组(IV、V 和 VI)的大鼠注射相同剂量的 PPA,并连续 3 周进行以下处理:分别给予每公斤体重 0.2 克的纯婴儿双歧杆菌、英国萨默塞特州 PROTEXIN® 的益生菌混合物和纯保加利亚乳杆菌。这六个组别分别测量了与肠道渗漏相关的血清zonulin和occludin变量,与氧化应激相关的谷胱甘肽、丙二醛和过氧化氢酶变量,以及γ-氨基丁酸(GABA)受体基因表达:本研究证明了纯益生菌或混合益生菌在降低作为肠道渗透性增加标志物的 zonulin 和 occludin、增强 GABA 受体表达和减少作为 PPA 神经毒性效应的氧化应激方面的潜在作用:本研究表明,各种益生菌可保护肠道屏障功能,并可用于缓解氧化应激导致的肠道渗透性增加以及 PPA 神经毒性导致的 GABA 信号转导受损,从而解决益生菌补充剂的临床问题。
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引用次数: 0
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 Q4 NEUROSCIENCES 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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Translational Neuroscience
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