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Amygdala fMRI-A Critical Appraisal of the Extant Literature. 杏仁核 fMRI--对现有文献的批判性评估。
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241270591
Tim Varkevisser, Elbert Geuze, Jack van Honk

Even before the advent of fMRI, the amygdala occupied a central space in the affective neurosciences. Yet this amygdala-centred view on emotion processing gained even wider acceptance after the inception of fMRI in the early 1990s, a landmark that triggered a goldrush of fMRI studies targeting the amygdala in vivo. Initially, this amygdala fMRI research was mostly confined to task-activation studies measuring the magnitude of the amygdala's response to emotional stimuli. Later, interest began to shift more towards the study of the amygdala's resting-state functional connectivity and task-based psychophysiological interactions. Later still, the test-retest reliability of amygdala fMRI came under closer scrutiny, while at the same time, amygdala-based real-time fMRI neurofeedback gained widespread popularity. Each of these major subdomains of amygdala fMRI research has left its marks on the field of affective neuroscience at large. The purpose of this review is to provide a critical assessment of this literature. By integrating the insights garnered by these research branches, we aim to answer the question: What part (if any) can amygdala fMRI still play within the current landscape of affective neuroscience? Our findings show that serious questions can be raised with regard to both the reliability and validity of amygdala fMRI. These conclusions force us to cast doubt on the continued viability of amygdala fMRI as a core pilar of the affective neurosciences.

甚至在fMRI出现之前,杏仁核就已经占据了情感神经科学的中心位置。然而,这种以杏仁核为中心的情绪处理观点在 20 世纪 90 年代初的 fMRI 出现后得到了更广泛的认可,这一里程碑式的事件引发了针对杏仁核的体内 fMRI 研究热潮。最初,这种杏仁核 fMRI 研究主要局限于任务激活研究,测量杏仁核对情绪刺激的反应程度。后来,人们的兴趣开始更多地转向研究杏仁核的静息状态功能连接和基于任务的心理生理学相互作用。后来,杏仁核 fMRI 的测试重复可靠性受到了更严格的审查,与此同时,基于杏仁核的实时 fMRI 神经反馈技术也得到了广泛的普及。杏仁核 fMRI 研究的每一个主要子领域都在整个情感神经科学领域留下了自己的印记。本综述旨在对这些文献进行批判性评估。通过整合这些研究分支所获得的见解,我们旨在回答以下问题:杏仁核 fMRI 在当前情感神经科学领域还能发挥什么作用(如果有的话)?我们的研究结果表明,杏仁核 fMRI 的可靠性和有效性都存在严重问题。这些结论迫使我们对杏仁核 fMRI 作为情感神经科学的核心支柱是否仍然可行表示怀疑。
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引用次数: 0
Negative Association of Cognitive Performance With Blood Serum Neurotoxicity and Its Modulation by Human Herpes Virus 5 (HHV5) Seropositivity in Healthy Women. 健康女性认知能力与血清神经毒性的负相关以及人类疱疹病毒 5 (HHV5) 血清阳性对其的调节作用
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241258436
Lisa M James, Effie-Photini Tsilibary, Erik J Wanberg, Apostolos P Georgopoulos

Identification of early influences on cognitive decline is of paramount importance in order to stem the impacts of decrements in cognitive functioning and to potentially intervene. Thus, here we focused on 132 healthy adult women (age range 26-98 years) to (a) determine whether factors circulating in serum may exert neurotoxic effects in vitro, (b) evaluate associations between serum neurotoxicity and cognitive performance, and (c) assess the influence of human herpes virus (HHV) seroprevalence and other factors on apoptosis and cognitive performance. The results documented that the addition of serum from healthy adult women to neural cell cultures resulted in apoptosis, indicating the presence of circulating neurotoxic factors in the serum. Furthermore, apoptosis increased with age, and was associated with decreased cognitive performance. Stepwise regression evaluating the influence of 6 HHVs on apoptosis and cognitive function revealed that only HHV5 (cytomegalovirus; CMV) seropositivity was significantly associated with apoptosis and cognitive decline, controlling for age. These findings document neurotoxic effects of serum from healthy women across the adult lifespan and suggest a unique detrimental influence associated with CMV seropositivity.

识别认知功能衰退的早期影响因素对于阻止认知功能衰退的影响并进行潜在干预至关重要。因此,我们以 132 名健康的成年女性(年龄在 26-98 岁之间)为研究对象,目的是:(a)确定血清中的循环因素是否会在体外产生神经毒性效应;(b)评估血清神经毒性与认知能力之间的关联;以及(c)评估人类疱疹病毒(HHV)血清阳性率和其他因素对细胞凋亡和认知能力的影响。研究结果表明,向神经细胞培养物中加入健康成年女性的血清会导致细胞凋亡,这表明血清中存在循环神经毒性因子。此外,细胞凋亡随年龄增长而增加,并与认知能力下降有关。逐步回归评估了 6 种 HHV 对细胞凋亡和认知功能的影响,结果显示,在控制年龄的情况下,只有 HHV5(巨细胞病毒;CMV)血清阳性与细胞凋亡和认知功能下降有显著相关性。这些研究结果表明,健康女性的血清对整个成年期都有神经毒性作用,并表明 CMV 血清阳性具有独特的有害影响。
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引用次数: 0
The Mesocortical System Encodes the Strength of Subsequent Force Generation. 中皮层系统编码后续力量产生的强度
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-30 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241256948
Sho K Sugawara, Yukio Nishimura

Our minds impact motor outputs. Such mind-motor interactions are critical for understanding motor control mechanisms and optimizing motor performance. In particular, incentive motivation strongly enhances motor performance. Dopaminergic neurons located in the ventral midbrain (VM) are believed to be the center of incentive motivation. Direct projections from the VM to the primary motor cortex constitute a mesocortical pathway. However, the functional role of this pathway in humans remains unclear. Recently, we demonstrated the functional role of the mesocortical pathway in human motor control in the context of incentive motivation by using functional magnetic resonance imaging (fMRI). Incentive motivation remarkably improved not only reaction times but also the peak grip force in subsequent grip responses. Although the reaction time has been used as a proxy for incentive motivation mediated by dopaminergic midbrain activity, the premovement activity of the mesocortical pathway is involved in controlling the force strength rather than the initiation of subsequent force generation. In this commentary, we review our recent findings and discuss remaining questions regarding the functional role of the mesocortical pathway in mind-motor interactions.

我们的思维影响着运动输出。这种思维与运动的相互作用对于理解运动控制机制和优化运动表现至关重要。特别是,激励性动机会大大提高运动表现。位于腹侧中脑(VM)的多巴胺能神经元被认为是激励动机的中心。从腹侧中脑到初级运动皮层的直接投射构成了一条中皮层通路。然而,这条通路在人类中的功能作用仍不清楚。最近,我们利用功能性磁共振成像(fMRI)证明了中皮层通路在激励动机背景下人类运动控制中的功能作用。激励不仅显著改善了反应时间,还改善了随后握力反应中的握力峰值。虽然反应时间被用作由中脑多巴胺能活动介导的激励动机的替代物,但中脑皮层通路的运动前活动参与了对力量强度的控制,而不是随后力量产生的启动。在这篇评论中,我们回顾了最近的研究结果,并讨论了有关中脑皮层通路在意念-运动相互作用中的功能作用的其余问题。
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引用次数: 0
Mitochondria-Associated MicroRNAs and Parkinson's Disease. 线粒体相关微RNA与帕金森病
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-24 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241254846
Gayatri Reddy Aaluri, Yashmit Choudhary, Subodh Kumar

Parkinson's Disease (PD) occurs as a result of the progressive loss of dopaminergic neurons within the substantia nigra causing motor and non-motor symptoms and has become more prevalent within the last several decades. With mitochondria being essential to cellular survival, mitochondrial dysfunction contributes to the disease progression by increasing neuron loss through (1) insufficient ATP production and (2) reactive oxygen species generation. MicroRNAs (miRNAs) are small molecules located throughout cells that regulate gene expression, particularly mitochondrial function. Through their own dysregulation, miRNAs offset the delicate balance of mitochondrial function by altering or dysregulating the expression of proteins, increasing neuroinflammation, increasing retention of toxic substances, limiting the removal of reactive oxygen species, and preventing mitophagy. Improper mitochondrial function places cells at increased risk of apoptosis, a major concern in individuals with PD due to their reduced number of dopaminergic neurons. This article has identified the 17 most promising mitochondrial associated miRNAs within PD: hsa-miR-4639-5p, miR-376a, miR-205, miR-421, miR-34b/c, miR-150, miR-7, miR-132, miR-17-5p, miR-20a, miR-93, miR-106, miR-181, miR-193b, miR-128, miR-181a, and miR-124-3p. These miRNAs alter mitochondrial function and synaptic energy by impeding normal gene expression when up or downregulated. However, there is limited research regarding mitochondria-localized miRNAs that are typically seen in other diseases. Mitochondria-localized miRNA may have a greater impact on mitochondrial dysfunction due to their proximity. Further research is needed to determine the location of these miRNAs and to better understand their regulatory capabilities on mitochondrial and synaptic function within PD.

帕金森病(Parkinson's Disease,PD)是由于黑质内的多巴胺能神经元逐渐丧失而引起的运动和非运动症状,在过去几十年中发病率越来越高。线粒体对细胞的存活至关重要,线粒体功能障碍会通过(1)ATP 生成不足和(2)活性氧生成增加神经元的损失,从而导致疾病进展。微小核糖核酸(miRNA)是遍布细胞的小分子,可调节基因表达,尤其是线粒体功能。通过自身失调,miRNAs 可改变或失调蛋白质的表达、增加神经炎症、增加有毒物质的滞留、限制活性氧的清除以及阻止有丝分裂,从而抵消线粒体功能的微妙平衡。线粒体功能失调会增加细胞凋亡的风险,这是帕金森病患者因多巴胺能神经元数量减少而面临的主要问题。本文确定了 17 种最有希望在帕金森病中发现的线粒体相关 miRNA:hsa-miR-4639-5p、miR-376a、miR-205、miR-421、miR-34b/c、miR-150、miR-7、miR-132、miR-17-5p、miR-20a、miR-93、miR-106、miR-181、miR-193b、miR-128、miR-181a 和 miR-124-3p。这些 miRNA 上调或下调时会阻碍正常基因表达,从而改变线粒体功能和突触能量。然而,关于线粒体定位的 miRNA(通常见于其他疾病)的研究却很有限。线粒体定位的 miRNA 由于靠近线粒体,可能会对线粒体功能障碍产生更大的影响。要确定这些 miRNA 的位置并更好地了解它们对线粒体和突触功能在帕金森病中的调控能力,还需要进一步的研究。
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引用次数: 0
Targeting Reactive Astrocytes in Vascular Dementia: Investigation of Neuronal-Astrocyte-Vascular Interactions. 针对血管性痴呆症中的反应性星形胶质细胞:神经元-星形胶质细胞-血管相互作用研究
IF 2.9 Q2 NEUROSCIENCES Pub Date : 2024-05-22 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241255332
Pradoldej Sompol

Historically known as neuronal support cells, astrocytes are now widely studied for their close structural and functional interactions with multiple neural cell types and cerebral vessels where they maintain an ideal environment for optimized brain function. Under pathological conditions, astrocytes become reactive and lose key protective functions. In this commentary, we discuss our recent work in The Journal of Neuroscience (Sompol et al., 2023) that showed Ca2+ dysregulation in reactive astrocytes, as well as hyperactivation of the Ca2+-dependent protein phosphatase calcineurin (CN) and the Nuclear Factor of Activated T Cells (NFATs), in a diet-induced hyperhomocystienemia (HHcy) mouse model of Vascular Contributions to Cognitive Impairment and Dementia (VCID). Intravital multiphoton imaging coupled with whisker stimulation was used to explore astrocyte Ca2+ signaling and neurovascular function under active phase, fully awake conditions. Interestingly, evoked Ca2+ transients in individual astrocytes were greater, even though intercorrelated Ca2+ signaling across networks of astrocytes was impaired in HHcy mice. Blockade of astrocytic CN/NFAT reduced signs of astrocyte reactivity, normalized cerebrovascular function, and improved hippocampal synaptic strength and hippocampal dependent cognition in HHcy mice, revealing a previously unrecognized deficit regarding neuron-astrocyte-vascular interactions. These findings strongly support the use of astrocyte targeting strategies to mitigate pathophysiological changes associated with VCID and other Alzheimer's-related dementias.

星形胶质细胞在历史上被称为神经元支持细胞,现在因其与多种神经细胞类型和脑血管之间密切的结构和功能相互作用而被广泛研究。在病理条件下,星形胶质细胞会发生反应并失去关键的保护功能。在这篇评论中,我们讨论了我们最近在《神经科学杂志》(The Journal of Neuroscience)上发表的研究成果(Sompol 等人,2023 年),该研究显示,在饮食诱导的高胱氨酸血症(HHcy)小鼠认知功能障碍和痴呆(VCID)模型中,反应性星形胶质细胞中的 Ca2+ 失调,以及 Ca2+ 依赖性蛋白磷酸酶钙调磷酸酶(CN)和活化 T 细胞核因子(NFATs)的过度激活。在完全清醒的活跃期条件下,利用内视多光子成像和胡须刺激来探索星形胶质细胞的 Ca2+ 信号传导和神经血管功能。有趣的是,尽管 HHcy 小鼠星形胶质细胞网络间相互关联的 Ca2+ 信号传导受到了损害,但单个星形胶质细胞中诱发的 Ca2+ 瞬时值更大。对星形胶质细胞 CN/NFAT 的阻断减少了星形胶质细胞的反应迹象,使脑血管功能正常化,并改善了 HHcy 小鼠的海马突触强度和海马依赖性认知,揭示了神经元-星形胶质细胞-血管相互作用方面以前未被认识到的缺陷。这些发现有力地支持了使用星形胶质细胞靶向策略来减轻与 VCID 和其他阿尔茨海默氏症相关的痴呆症的病理生理变化。
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引用次数: 0
Unraveling the Connection: Cholesterol, Calcium Signaling, and Neurodegeneration. 解开联系:胆固醇、钙信号和神经退行性变。
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-11 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241252772
Maria Casas, Eamonn J Dickson

Cholesterol and calcium play crucial roles as integral structural components and functional signaling entities within the central nervous system. Disruption in cholesterol homeostasis has been linked to Alzheimer's, Parkinson's, and Huntington's Disease while alterations in calcium signaling is hypothesized to be a key substrate for neurodegeneration across many disorders. Despite the importance of regulated cholesterol and calcium homeostasis for brain health there has been an absence of research investigating the interdependence of these signaling molecules and how they can tune each other's abundance at membranes to influence membrane identity. Here, we discuss the role of cholesterol in shaping calcium dynamics in a neurodegenerative disorder that arises due to mutations in the lysosomal cholesterol transporter, Niemann Pick Type C1 (NPC1). We discuss the molecular mechanisms through which altered lysosomal cholesterol transport influences calcium signaling pathways through remodeling of ion channel distribution at organelle-organelle membrane contacts leading to neurodegeneration. This scientific inquiry not only sheds light on NPC disease but also holds implications for comprehending other cholesterol-associated neurodegenerative disorders.

胆固醇和钙作为中枢神经系统中不可或缺的结构成分和功能信号实体,发挥着至关重要的作用。胆固醇平衡紊乱与阿尔茨海默氏症、帕金森氏症和亨廷顿氏症有关,而钙信号的改变被认为是多种疾病中神经变性的关键基质。尽管调节胆固醇和钙的平衡对大脑健康非常重要,但一直缺乏对这些信号分子的相互依存关系以及它们如何调节彼此在膜上的丰度以影响膜特性的研究。在这里,我们将讨论胆固醇在一种神经退行性疾病中影响钙动力学的作用,这种疾病是由于溶酶体胆固醇转运体尼曼皮克 C1 型(NPC1)发生突变而引起的。我们讨论了溶酶体胆固醇转运改变通过重塑细胞器-细胞器膜接触处的离子通道分布影响钙信号通路从而导致神经退行性疾病的分子机制。这一科学探索不仅揭示了鼻咽癌疾病,而且对理解其他与胆固醇相关的神经退行性疾病具有重要意义。
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引用次数: 0
Reporting Psychiatric Disease Characteristics in Post-Mortem- and Biological Research. 在尸检和生物学研究中报告精神疾病特征。
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-11 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241252632
Karel Scheepstra, Mark Mizee, Dennis Wever, Cheng-Chih Hsiao, Lin Zhang, Dick Swaab, Jörg Hamann, Inge Huitinga

Inflammation is a prominent hypothesis in the neurobiology of depression. In our transcriptomic profiling study of microglia in chronic major depressive disorder (MDD), we revealed a distinct disease-associated microglia (DAM) transcriptomic profile exclusively found in cortical gray matter, that we have designated DepDAM. These DepDAM revealed an immune-suppressed state, with a possible upstream mechanism for microglial suppression, by upregulation of CD200 and CD47 ("don't eat me signals") located on synapses. We extensively report on disease characteristics, such as cause of death, reason for euthanasia, and psychiatric state when deceased. When excluding MDD donors in a euthymic state, the trend of lower CD45 membrane expression on white matter microglia became significant, and the difference in gray matter microglia became larger. For Western blot analysis of CD47 and CD200, both means of the definitely depressed donor groups (MDD-D) increased. This underscores the utmost importance of reporting on patient and episode characteristics, such as severity, episode traits, (type of) suicidality, mode of decease, and state of illness at death in post-mortem- and biological psychiatric research. For psychiatric post-mortem research, we suggest using well-characterized donors (eg, after "psychological autopsy") selected by an experienced clinician.

炎症是抑郁症神经生物学的一个重要假说。在我们对慢性重度抑郁症(MDD)中的小胶质细胞进行的转录组学研究中,我们发现了一种独特的疾病相关小胶质细胞(DAM)转录组学特征,这种特征只存在于皮质灰质中,我们将其命名为 DepDAM。这些DepDAM揭示了一种免疫抑制状态,其可能的上游机制是通过上调位于突触上的CD200和CD47("别吃我的信号")来抑制小胶质细胞。我们广泛报告了疾病特征,如死亡原因、安乐死原因和死亡时的精神状态。当排除处于安乐死状态的 MDD 供体时,白质小胶质细胞 CD45 膜表达较低的趋势变得显著,而灰质小胶质细胞的差异变得更大。在 CD47 和 CD200 的 Western 印迹分析中,绝对抑郁供体组(MDD-D)的平均值均有所增加。这突出表明,在死后和精神病生物学研究中,报告患者和发病特征(如严重程度、发病特征、(类型)自杀、死亡方式和死亡时的疾病状态)至关重要。对于精神疾病的尸检研究,我们建议使用由经验丰富的临床医生挑选的特征明确的供体(例如,经过 "心理解剖")。
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引用次数: 0
Sex Differences in Severity and Risk Factors for Ischemic Stroke in Patients With Hyperlipidemia. 高脂血症患者缺血性脑卒中严重程度和风险因素的性别差异。
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-05-03 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241246745
Emmanuel Imeh-Nathaniel, Samuel Imeh-Nathaniel, Adebobola Imeh-Nathaniel, Oreoluwa Coker-Ayo, Nikhil Kulkarni, Thomas I Nathaniel

Objective: This study aims to determine sex differences in poststroke hypertriglyceridemia (serum triglyceride levels ⩾ 200 mg/dl) and high stroke severity in ischemic stroke patients.

Method: Our study analyzed data from 392 males and 373 females with hypertriglyceridemia. Stroke severity on admission was measured using the National Institute of Health Stroke Scale (NIHSS) with a value ⩽7 indicating a more favorable post-stroke prognosis while a score of >7 indicates poorer post-stroke outcomes. Logistic regression models adjusted for demographic and risk factors. The adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for each clinical risk factor were used to predict the increasing odds of an association of a specific clinical baseline risk factor with the male or female AIS with hypertriglyceridemia.

Results: In the adjusted analysis, male patients with hypertriglyceridemia, diastolic blood pressure (OR = 1.100, 95% CI, 1.034-1.171, P = .002), and Ischemic stroke mortality (OR = 6.474, 95% CI, 3.262-12.847, P < .001) were significantly associated with increased stroke severity. In female patients with hypertriglyceridemia, age (OR = 0.920, 95% CI, 0.866-0.978, P = .008) was associated with reduced stroke severity, while ischemic stroke mortality score (OR = 37.477, 95% CI, 9.636-145.756, P < .001) was associated with increased stroke severity.

Conclusion: Increased ischemic stroke mortality risk score was associated with increased severity in both male and female AIS patients with hypertriglyceridemia. Our findings provide information about sex differences in specific risk factors that can be managed to improve the care of male and female ischemic stroke patients with hypertriglyceridemia.

研究目的本研究旨在确定缺血性中风患者中风后高甘油三酯血症(血清甘油三酯水平⩾ 200 mg/dl)和中风严重程度高的性别差异:我们的研究分析了 392 名男性和 373 名女性高甘油三酯血症患者的数据。入院时的脑卒中严重程度采用美国国立卫生研究院脑卒中量表(NIHSS)进行测量,分值⩽7 表示脑卒中后预后较好,而分值>7 表示脑卒中后预后较差。逻辑回归模型对人口统计学和风险因素进行了调整。每个临床风险因素的调整后几率比(ORs)和95%置信区间(CIs)用于预测特定临床基线风险因素与男性或女性高甘油三酯血症AIS相关性的增加几率:在调整分析中,男性高甘油三酯血症患者、舒张压(OR = 1.100,95% CI,1.034-1.171,P = .002)和缺血性卒中死亡率(OR = 6.474,95% CI,3.262-12.847,P P = .008)与卒中严重程度降低相关,而缺血性卒中死亡率评分(OR = 37.477,95% CI,9.636-145.756,P 结论:男性高甘油三酯血症患者、舒张压(OR = 1.100,95% CI,1.034-1.171,P = .002)和缺血性卒中死亡率(OR = 6.474,95% CI,3.262-12.847,P P = .008)与卒中严重程度降低相关:在患有高甘油三酯血症的男性和女性 AIS 患者中,缺血性卒中死亡风险评分的增加与卒中严重程度的增加有关。我们的研究结果提供了特定风险因素的性别差异信息,可用于改善对男性和女性高甘油三酯血症缺血性卒中患者的护理。
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引用次数: 0
Corticospinal Modulation of Precision Movements. 皮层脊髓对精确运动的调控
IF 3.6 Q2 NEUROSCIENCES Pub Date : 2024-04-27 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241249497
Francesca Marino, Yunuen Moreno-López, Edmund Hollis

Recently we demonstrated a critical role for temporal coding of corticospinal activity in a prehension movement requiring precise forelimb control. Learning of precision isometric pull drives large-scale remodeling of corticospinal motor networks. Optogenetic modulation of corticospinal activity and full transection of the corticospinal tract disrupted critical functions of the network in expert animals resulting in impaired modulation of precise movements. In contrast, we observed more widespread corticospinal co-activation and limited temporal coding on a similar, yet more simplistic prehension task, adaptive isometric pull. Disrupting corticospinal neuron activity had much more limited effects on adaptive isometric pull, which was found to be corticospinal independent by transection of the corticospinal tract. Here we discuss these results in context of known roles for corticospinal and corticostriatal neurons in motor control, as well as some of the questions our study raised.

最近,我们证明了皮质脊髓活动的时间编码在需要精确控制前肢的前伸运动中的关键作用。精确等长牵拉的学习推动了皮质脊髓运动网络的大规模重塑。对皮质脊髓活动的光遗传调制和皮质脊髓束的完全横断破坏了专家动物网络的关键功能,导致精确运动的调制能力受损。相比之下,我们在一项类似但更简单的前伸任务--适应性等长牵拉--中观察到了更广泛的皮质脊髓共激活和有限的时间编码。干扰皮质脊髓神经元活动对适应性等长牵拉的影响要有限得多,而通过横断皮质脊髓束,我们发现适应性等长牵拉与皮质脊髓无关。在此,我们将结合已知的皮质脊髓神经元和皮质神经元在运动控制中的作用来讨论这些结果,以及我们的研究提出的一些问题。
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引用次数: 0
Collateral Damage: Neurological Correlates of Non-Fatal Overdose in the Era of Fentanyl-Xylazine. 附带损害:芬太尼-恶嗪时代非致命性用药过量的神经学相关性。
IF 2.6 Q2 NEUROSCIENCES Pub Date : 2024-04-24 eCollection Date: 2024-01-01 DOI: 10.1177/26331055241247156
Dustin R Todaro, Nora D Volkow, Daniel D Langleben, Zhenhao Shi, Corinde E Wiers

Non-fatal opioid overdoses are associated with significant morbidity. Hypoxic brain injury caused by opioid-induced respiratory depression is a key mechanism of such morbidity. For example, reports describe an amnestic syndrome in opioid users associated with acute injury to the hippocampus, a brain region that is highly susceptible to hypoxic injury. In our recent study we investigated the effects of non-fatal opioid overdose on the hippocampal volume in a well-characterized sample of opioid use disorder (OUD) patients with a history of overdose (OD) compared to those with no prior overdose (NOD). Using structural magnetic resonance imaging (MRI) and voxel-based morphometry, we observed lower hippocampal volume in patients with a history OD than in the NOD group. These findings support an association between non-fatal opioid overdose and hippocampal injury, which we hypothesize contributes to recently reported cases of OUD related amnestic syndrome. Here we review our study findings and the potential pathophysiological mechanisms underlying the acute and delayed hippocampal injury in nonfatal opioid overdose. We also discuss the implications for the risk of overdose and brain injury with the increased prevalence of fentanyl and xylazine contamination of the illicit opioid supply. Lastly, we highlight considerations for clinical management of the underappreciated neurological injury and cognitive dysfunction in OUD patients.

非致命性阿片类药物过量与严重的发病率有关。阿片类药物引起的呼吸抑制造成的缺氧性脑损伤是此类发病率的一个关键机制。例如,有报道称阿片类药物使用者的失忆综合征与海马体的急性损伤有关,而海马体是一个极易受到缺氧损伤的脑区。在我们最近的研究中,我们调查了非致命性阿片类药物过量对海马体积的影响,研究对象是有过量用药史(OD)的阿片类药物使用障碍(OUD)患者,与无过量用药史(NOD)的患者进行了比较。通过结构性磁共振成像(MRI)和基于体素的形态测量,我们观察到有过用药过量史的患者的海马体积低于无用药过量组。这些发现支持了非致命性阿片类药物过量与海马损伤之间的关联,我们推测这是最近报道的与 OUD 相关的失忆综合征病例的原因。在此,我们回顾了我们的研究结果以及非致命性阿片类药物过量导致急性和延迟性海马损伤的潜在病理生理机制。我们还讨论了非法阿片类药物供应中芬太尼和恶嗪污染的增加对过量用药和脑损伤风险的影响。最后,我们强调了对 OUD 患者未得到充分重视的神经损伤和认知功能障碍进行临床管理的注意事项。
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引用次数: 0
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