首页 > 最新文献

Neuropsychiatry最新文献

英文 中文
Regulation Effects of XPJY Decoction on Antioxidative and Mitochondrial Functions in Intracerebral and Extra Brain Tissue of CUMS Rats XPJY汤对CUMS大鼠脑内外组织抗氧化及线粒体功能的调节作用
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000562
Yang Li, Qingjie Yuan, Yao Yu, Zhong-Hui Zhao, Rongjuan Guo
Background and objectives The treatment of somatic symptoms of depression is a medical problem nowadays. More and more evidences show that oxidative stress and mitochondrial dysfunction may be an important pathogenesis of depression and are closely related to somatic symptoms. Currently, studies on oxidative stress and mitochondrial function are mostly concentrated in the brain, with less attention paid to peripheral tissues, and classical SSRIs are not direct antioxidants in treatment. XingPiJieYu (XPJY) Decoction is one of the most widely used clinical formulas of traditional Chinese medicine. Our study aims to exploring whether it has antioxidative and mitochondrial effects on intracerebral and extra brain tissue. Materials and Methods The rat model of depression was established by CUMS (chronic unpredictable mild stress, CUMS) for 6 weeks. They were randomly divided into six groups: control group, CUMS group, CUMS+XPJY (3.6g/kg/d, 7.2g/kg/d, 14.4g/kg/d) groups, CUMS+ sertraline (4.5mg/kg/d) group. We used sucrose preference test and forced swimming test to verify the success of the depression model. The contents of CK and SDH in orbital blood were measured weekly as well as the following assay index were measured on 14th day and 42th day, including MDA, ATP and mtDNA in hippocampus, prefrontal cortex, liver, small intestine and gastrocnemius muscle. Results At the 14th day, the sucrose preference ratio was decreased. Besides, the immobility time prolonged at the 42nd day. CUMS increased MDA content in hippocampus, prefrontal cortex and gastrocnemius muscle, but decreased mtDNA content in prefrontal cortex at the 14th day; CUMS decreased serum SDH level at the 35th day, but elevated serum CK level at the 42nd day; CUMS increased MDA content in hippocampus, prefrontal cortex, liver and gastrocnemius muscle, while decreased ATP and mtDNA content in hippocampus, prefrontal cortex, liver, small intestine and gastrocnemius muscle at the 42nd day. XPJY decoction at 14.4g/kg, the efficacy trend of which was better than the other drug groups, could prevent the depressive behavior caused by CUMS, reduce the serum CK content and the MDA content of the tissues mentioned above, and increase serum SDH content as well as ATP, mtDNA content in tissues. Conclusion CUMS could induce oxidative stress and mitochondrial dysfunction in hippocampus, PFC, liver, small intestine and gastrocnemius muscle in rats. Early application of sertraline can effectively prevent mtDNA damage in hippocampus, PFC and liver, but its regulation on MDA and ATP is not obvious. However, XPJY decoction plays an significant role in antioxidation by means of improving mitochondrial function, eliminating inflammation and increasing 5-HT content. This research provides an important theoretical basis for the clinical application of XPJY.
背景与目的抑郁症躯体症状的治疗是当今的医学难题。越来越多的证据表明,氧化应激和线粒体功能障碍可能是抑郁症的重要发病机制,并与躯体症状密切相关。目前关于氧化应激和线粒体功能的研究多集中在脑部,对外周组织的关注较少,经典的SSRIs也不是治疗的直接抗氧化剂。醒脾解郁汤是临床应用最广泛的中药方剂之一。我们的研究旨在探讨它是否对脑内和脑外组织具有抗氧化和线粒体作用。材料与方法采用慢性不可预知轻度应激(CUMS, chronic unpredictable mild stress)建立大鼠抑郁模型,持续6周。随机分为6组:对照组、CUMS组、CUMS+XPJY (3.6g/kg/d、7.2g/kg/d、14.4g/kg/d)组、CUMS+舍曲林(4.5mg/kg/d)组。我们使用蔗糖偏好测试和强迫游泳测试来验证抑郁模型的成功。每周测定眼眶血CK和SDH含量,并于第14天和第42天测定海马、前额叶皮质、肝脏、小肠和腓肠肌的MDA、ATP和mtDNA含量。结果第14天,蔗糖偏好比降低。静止时间在第42天延长。第14天,CUMS增加海马、前额叶皮层和腓肠肌MDA含量,降低前额叶皮层mtDNA含量;CUMS在第35天降低了血清SDH水平,但在第42天升高了血清CK水平;第42天,CUMS增加了海马、前额叶皮层、肝脏和腓肠肌中MDA含量,降低了海马、前额叶皮层、肝脏、小肠和腓肠肌中ATP和mtDNA含量。XPJY煎剂剂量为14.4g/kg,其疗效趋势优于其他药物组,可预防CUMS所致抑郁行为,降低血清CK含量及上述组织MDA含量,提高血清SDH含量及组织ATP、mtDNA含量。结论CUMS可诱导大鼠海马、PFC、肝脏、小肠和腓肠肌氧化应激和线粒体功能障碍。早期应用舍曲林可有效预防海马、PFC和肝脏mtDNA损伤,但对MDA和ATP的调节作用不明显。而XPJY汤通过改善线粒体功能、消除炎症、增加5-HT含量等方式发挥显著的抗氧化作用。本研究为XPJY的临床应用提供了重要的理论依据。
{"title":"Regulation Effects of XPJY Decoction on Antioxidative and Mitochondrial Functions in Intracerebral and Extra Brain Tissue of CUMS Rats","authors":"Yang Li, Qingjie Yuan, Yao Yu, Zhong-Hui Zhao, Rongjuan Guo","doi":"10.4172/Neuropsychiatry.1000562","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000562","url":null,"abstract":"Background and objectives The treatment of somatic symptoms of depression is a medical problem nowadays. More and more evidences show that oxidative stress and mitochondrial dysfunction may be an important pathogenesis of depression and are closely related to somatic symptoms. Currently, studies on oxidative stress and mitochondrial function are mostly concentrated in the brain, with less attention paid to peripheral tissues, and classical SSRIs are not direct antioxidants in treatment. XingPiJieYu (XPJY) Decoction is one of the most widely used clinical formulas of traditional Chinese medicine. Our study aims to exploring whether it has antioxidative and mitochondrial effects on intracerebral and extra brain tissue. Materials and Methods The rat model of depression was established by CUMS (chronic unpredictable mild stress, CUMS) for 6 weeks. They were randomly divided into six groups: control group, CUMS group, CUMS+XPJY (3.6g/kg/d, 7.2g/kg/d, 14.4g/kg/d) groups, CUMS+ sertraline (4.5mg/kg/d) group. We used sucrose preference test and forced swimming test to verify the success of the depression model. The contents of CK and SDH in orbital blood were measured weekly as well as the following assay index were measured on 14th day and 42th day, including MDA, ATP and mtDNA in hippocampus, prefrontal cortex, liver, small intestine and gastrocnemius muscle. Results At the 14th day, the sucrose preference ratio was decreased. Besides, the immobility time prolonged at the 42nd day. CUMS increased MDA content in hippocampus, prefrontal cortex and gastrocnemius muscle, but decreased mtDNA content in prefrontal cortex at the 14th day; CUMS decreased serum SDH level at the 35th day, but elevated serum CK level at the 42nd day; CUMS increased MDA content in hippocampus, prefrontal cortex, liver and gastrocnemius muscle, while decreased ATP and mtDNA content in hippocampus, prefrontal cortex, liver, small intestine and gastrocnemius muscle at the 42nd day. XPJY decoction at 14.4g/kg, the efficacy trend of which was better than the other drug groups, could prevent the depressive behavior caused by CUMS, reduce the serum CK content and the MDA content of the tissues mentioned above, and increase serum SDH content as well as ATP, mtDNA content in tissues. Conclusion CUMS could induce oxidative stress and mitochondrial dysfunction in hippocampus, PFC, liver, small intestine and gastrocnemius muscle in rats. Early application of sertraline can effectively prevent mtDNA damage in hippocampus, PFC and liver, but its regulation on MDA and ATP is not obvious. However, XPJY decoction plays an significant role in antioxidation by means of improving mitochondrial function, eliminating inflammation and increasing 5-HT content. This research provides an important theoretical basis for the clinical application of XPJY.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders 介质单极射频真空疗法治疗智力发育障碍患者慢性便秘的疗效观察
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000552
Alfonso Javier Ibanez Vera, Andrea Ginestra Puyalto, Maria Angeles Isarria Vivancos, D. Diaz, Alex, er Achal, abaso, Rafael Lomas Vega
Aim Chronic constipation is a high prevalence complication in patients with intellectual developmental disorders due to medication intake and physical activity reduction. Several manual therapy techniques have achieved good results at its treatment, being these a considerable option as no adverse effects have been shown. Nevertheless, the use of electrotherapy devices has not been studied on chronic constipation treatment. These may be considered as a potential tool which may supplement treatment. Thermotherapy by dielectric monopolar radiofrequency (DMR) linked to vacuum therapy could activate local blood irrigation at the colon level and peristaltic movements due to mechanic push-pull. The aim of this study is therefore to prove the efficacy of DMR linked to vacuum therapy for the treatment of chronic constipation in intellectual developmental disorders patients. Methods Nineteen patients which met the inclusion criteria were chosen. Number of stools and shape of them (Bristol Stool Questionnaire) were measured in a period of 14 days, when patients received their common care techniques for chronic constipation. After that, patients received 14 days of DMR linked to vacuum therapy treatment. The same variables were measured in the meantime so as to observe possible differences. Results DMR linked to vacuum therapy proved an improvement in number of stools per day and the shape/quality of them. No adverse results were observed. Conclusion DMR linked to vacuum treatment seems effective for the treatment of chronic constipation in intellectual developmental disorders patients.
目的慢性便秘是智力发育障碍患者中由于药物摄入和体力活动减少而导致的高发并发症。几种手工治疗技术在其治疗中取得了良好的效果,由于没有显示出不良反应,因此这些是相当大的选择。然而,使用电疗装置治疗慢性便秘还没有研究。这些可能被认为是一种潜在的工具,可以补充治疗。电介质单极射频(DMR)热疗与真空治疗相结合,可以激活结肠水平的局部血液冲洗和机械推拉的蠕动运动。因此,本研究的目的是证明DMR与真空疗法联合治疗智力发育障碍患者慢性便秘的疗效。方法选择符合纳入标准的患者19例。在14天的时间里,当患者接受慢性便秘的常见护理技术时,测量了大便的数量和形状(布里斯托大便问卷)。之后,患者接受为期14天的DMR真空治疗。同时测量相同的变量,以观察可能的差异。结果DMR与真空疗法相结合,证明了每天排便次数和排便形状/质量的改善。未观察到不良结果。结论DMR联合真空治疗可有效治疗智力发育障碍患者的慢性便秘。
{"title":"Effects of Dielectric Monopolar Radiofrequency with Vacuumtherapy in the Treatment of Chronic Constipation in Patients with Intellectual Developmental Disorders","authors":"Alfonso Javier Ibanez Vera, Andrea Ginestra Puyalto, Maria Angeles Isarria Vivancos, D. Diaz, Alex, er Achal, abaso, Rafael Lomas Vega","doi":"10.4172/Neuropsychiatry.1000552","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000552","url":null,"abstract":"Aim Chronic constipation is a high prevalence complication in patients with intellectual developmental disorders due to medication intake and physical activity reduction. Several manual therapy techniques have achieved good results at its treatment, being these a considerable option as no adverse effects have been shown. Nevertheless, the use of electrotherapy devices has not been studied on chronic constipation treatment. These may be considered as a potential tool which may supplement treatment. Thermotherapy by dielectric monopolar radiofrequency (DMR) linked to vacuum therapy could activate local blood irrigation at the colon level and peristaltic movements due to mechanic push-pull. The aim of this study is therefore to prove the efficacy of DMR linked to vacuum therapy for the treatment of chronic constipation in intellectual developmental disorders patients. Methods Nineteen patients which met the inclusion criteria were chosen. Number of stools and shape of them (Bristol Stool Questionnaire) were measured in a period of 14 days, when patients received their common care techniques for chronic constipation. After that, patients received 14 days of DMR linked to vacuum therapy treatment. The same variables were measured in the meantime so as to observe possible differences. Results DMR linked to vacuum therapy proved an improvement in number of stools per day and the shape/quality of them. No adverse results were observed. Conclusion DMR linked to vacuum treatment seems effective for the treatment of chronic constipation in intellectual developmental disorders patients.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study 音乐疗法减少阿尔茨海默病患者的悲伤和增加快乐:一项初步研究
Pub Date : 2019-01-01 DOI: 10.4172/NEUROPSYCHIATRY.1000546
J. E. D. L. R. Ortí, M. Pardo, Maria Benllochi, E. Drehmer, J. L. Platero, Alej, Robert D. Salazar, David Sancho, M. M. Rodriguez
Background Alzheimer’s disease (AD) is an irreversible neuro-degenerative dementia that causes emotional disorders such as anxiety and depression associated with low well-being and changes of state of mind. The aim of the present study was to assess the impact of a music therapy protocol as a tool to improve basic emotions in AD. Methods It is an analytical, experimental and prospective study. 30 Alzheimer patients of a mild level with an average age of 76,28 ± 4,6 years, participated in the study. Participants were randomly assigned either to a Control Group (n=15) or an Intervention Group (n=15) that received music therapy twice a week during three months (24 sessions). Due to some limitations of the work, it is only a pilot study. Results The data showed that no significant differences exist between pre and post values in the control group (that did not receive music therapy) in any basic emotion measure (fear, happiness, anger and sadness). However, in the intervention group (that received music therapy for three months) a significant improvement can be observed in all the emotions comparing pre and post intervention (more happiness and less fear, anger and sadness). Moreover, the result comparing control and intervention group between them in post-session showed that the patients of the intervention groups had a significant improvement in happiness and sadness after the application of music therapy. Conclusions An intervention using music therapy increases the state of happiness and decreases sadness in mild Alzheimer sufferers.
阿尔茨海默病(AD)是一种不可逆的神经退行性痴呆,可导致焦虑和抑郁等情绪障碍,并伴有低幸福感和精神状态变化。本研究的目的是评估音乐治疗方案作为一种改善AD患者基本情绪的工具的影响。方法采用分析性、实验性和前瞻性研究相结合的方法。研究对象为轻度阿尔茨海默病患者30例,平均年龄76(28±4.6)岁。参与者被随机分配到对照组(n=15)或干预组(n=15),干预组在三个月内每周接受两次音乐治疗(24次)。由于工作的局限性,这只是一项初步研究。结果对照组(未接受音乐治疗)在任何基本情绪测量(恐惧、快乐、愤怒和悲伤)中,前后值均无显著差异。然而,在干预组(接受音乐治疗三个月)中,与干预前后相比,所有情绪都有了显著的改善(更多的快乐,更少的恐惧、愤怒和悲伤)。此外,对照组和干预组在治疗后的对比结果显示,干预组患者在应用音乐治疗后的快乐和悲伤方面均有显著改善。结论:音乐疗法能提高轻度阿尔茨海默病患者的幸福感,减少其悲伤感。
{"title":"Music Therapy Decreases Sadness and Increases Happiness in Alzheimer Patients: A Pilot Study","authors":"J. E. D. L. R. Ortí, M. Pardo, Maria Benllochi, E. Drehmer, J. L. Platero, Alej, Robert D. Salazar, David Sancho, M. M. Rodriguez","doi":"10.4172/NEUROPSYCHIATRY.1000546","DOIUrl":"https://doi.org/10.4172/NEUROPSYCHIATRY.1000546","url":null,"abstract":"Background Alzheimer’s disease (AD) is an irreversible neuro-degenerative dementia that causes emotional disorders such as anxiety and depression associated with low well-being and changes of state of mind. The aim of the present study was to assess the impact of a music therapy protocol as a tool to improve basic emotions in AD. Methods It is an analytical, experimental and prospective study. 30 Alzheimer patients of a mild level with an average age of 76,28 ± 4,6 years, participated in the study. Participants were randomly assigned either to a Control Group (n=15) or an Intervention Group (n=15) that received music therapy twice a week during three months (24 sessions). Due to some limitations of the work, it is only a pilot study. Results The data showed that no significant differences exist between pre and post values in the control group (that did not receive music therapy) in any basic emotion measure (fear, happiness, anger and sadness). However, in the intervention group (that received music therapy for three months) a significant improvement can be observed in all the emotions comparing pre and post intervention (more happiness and less fear, anger and sadness). Moreover, the result comparing control and intervention group between them in post-session showed that the patients of the intervention groups had a significant improvement in happiness and sadness after the application of music therapy. Conclusions An intervention using music therapy increases the state of happiness and decreases sadness in mild Alzheimer sufferers.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Parasitic Worms for the Treatment of Neurodegeneration 寄生虫治疗神经退行性变
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000547
Katarzyna Donskow Lysoniewska, M. Doligalska, K. Gąsiorowski, J. Leszek
ABSTRACT It is well established now that helminths mainly nematodes influence immune responses and provide protection and even inhibition of chronic inflammatory disorders. Nematode infection may be a consequence of the stimulation of specific immune responses including expansion of CD4 (+) Tregs that actively contribute to a shift in immune response and gut microbiota. However, there is growing evidence for alternative CD8 (+) T cell fates influencing CD4 (+) T-cell-mediated responses in the context of allergy and autoimmunity including neurodegeneration spectrum disorders. It seems to be that CD8 (+) iTregs play a unique role in restoring immune homeostasis. The article discusses the current status and prospects of clinical use of immunomodulatory parasitic worms in the treatment of autoimmune and inflammatory diseases, including MS and AD. Here, we present our current understanding about effect diversity of CD8 (+) iTregs to effector cells and possible contribution of nematode factors to this process.
目前已经确定蠕虫(主要是线虫)影响免疫反应,并提供保护甚至抑制慢性炎症疾病。线虫感染可能是刺激特异性免疫反应的结果,包括CD4 (+) treg的扩增,这积极促进了免疫反应和肠道微生物群的转变。然而,越来越多的证据表明,在过敏和自身免疫(包括神经退行性谱系疾病)的背景下,CD8 (+) T细胞命运会影响CD4 (+) T细胞介导的反应。似乎CD8 (+) iTregs在恢复免疫稳态中起着独特的作用。本文就免疫调节寄生虫在治疗多发性硬化症、阿尔茨海默病等自身免疫性疾病和炎症性疾病中的临床应用现状及前景进行了综述。在这里,我们介绍了我们目前对CD8 (+) iTregs对效应细胞的作用多样性的理解以及线虫因子在这一过程中的可能贡献。
{"title":"Parasitic Worms for the Treatment of Neurodegeneration","authors":"Katarzyna Donskow Lysoniewska, M. Doligalska, K. Gąsiorowski, J. Leszek","doi":"10.4172/Neuropsychiatry.1000547","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000547","url":null,"abstract":"ABSTRACT It is well established now that helminths mainly nematodes influence immune responses and provide protection and even inhibition of chronic inflammatory disorders. Nematode infection may be a consequence of the stimulation of specific immune responses including expansion of CD4 (+) Tregs that actively contribute to a shift in immune response and gut microbiota. However, there is growing evidence for alternative CD8 (+) T cell fates influencing CD4 (+) T-cell-mediated responses in the context of allergy and autoimmunity including neurodegeneration spectrum disorders. It seems to be that CD8 (+) iTregs play a unique role in restoring immune homeostasis. The article discusses the current status and prospects of clinical use of immunomodulatory parasitic worms in the treatment of autoimmune and inflammatory diseases, including MS and AD. Here, we present our current understanding about effect diversity of CD8 (+) iTregs to effector cells and possible contribution of nematode factors to this process.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"9 1","pages":"2022-2036"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Chemobrain as a Product of Growing Success in Chemotherapy - Focus on Glia as both a Victim and a Cure. 化疗脑作为化疗日益成功的产物——关注神经胶质细胞既是受害者也是治愈者。
Pub Date : 2019-01-01 DOI: 10.4172/NEUROPSYCHIATRY.1000565
P. Walczak, M. Janowski
Chemotherapy-induced cognitive impairment or chemobrain is a frequent consequence of cancer treatment with many psychiatric features. Ironically, the increasing efficacy of chemotherapy leaves growing number of patients alive with chemobrain. Therefore, there is an urgent need for strategies capable of returning cancer survivors back to their pre-morbid quality of life. Molecular mechanisms of chemobrain are largely unknown. Over the last decade there was a lot of emphasis in preclinical research on inflammatory consequences of chemotherapy and oxidative stress but so far none of these approaches were translated into clinical scenario. The co-administration of chemotherapy with protective agents was evaluated preclinically but it should be introduced with caution as potential interference was not yet studied and that could blunt therapeutic efficacy. Stem cell-based regenerative medicine approach has so far been exploited very sparsely in the context of chemobrain and the focus was on indirect mechanisms or neuronal replacement in the hippocampus. However, there is evidence for widespread white matter abnormalities in patients with chemobrain. This is quite logical considering life-long proliferation and turnover of glial cells, which makes them vulnerable to chemotherapeutic agents. Feasibility of glia replacement has been established in mice with global dysmyelination where profound therapeutic effect has been observed but only in case of global cell engraftment (across the entire brain). While global glia replacement has been achieved in mice translation to clinical setting might be challenging due to much larger brain size. Therefore, a lot of attention should be directed towards the route of administration to accomplish widespread cell delivery. Techniques facilitating that broad cell distribution including intra-arterial and intrathecal methods should be considered as very compelling options. Summarizing, chemobrain is a rapidly growing medical problem and global glia replacement should be considered as worthwhile therapeutic strategy.
化疗引起的认知障碍或化学脑是具有许多精神特征的癌症治疗的常见后果。具有讽刺意味的是,化疗的效果越来越好,却让越来越多的患者存活下来。因此,迫切需要能够使癌症幸存者恢复其发病前生活质量的策略。化学脑的分子机制在很大程度上是未知的。在过去的十年中,有很多强调在临床前研究化疗和氧化应激的炎症后果,但到目前为止,这些方法都没有转化为临床场景。化疗与保护剂的联合使用在临床前进行了评估,但引入时应谨慎,因为潜在的干扰尚未研究,可能会降低治疗效果。到目前为止,基于干细胞的再生医学方法在化学脑的背景下很少被利用,重点是海马的间接机制或神经元替代。然而,有证据表明,在化学脑患者中存在广泛的白质异常。考虑到胶质细胞的终身增殖和周转,这使得它们容易受到化疗药物的影响,这是相当合乎逻辑的。神经胶质细胞替代的可行性已经在全脑髓鞘发育异常的小鼠中建立起来,在这种情况下观察到深刻的治疗效果,但只有在全脑细胞植入的情况下(整个大脑)。虽然已经在小鼠身上实现了全神经胶质细胞替代,但由于小鼠的大脑体积更大,将其转化为临床环境可能具有挑战性。因此,大量的注意力应该指向给药途径,以实现广泛的细胞递送。促进广泛细胞分布的技术,包括动脉内和鞘内方法,应该被认为是非常有说服力的选择。综上所述,化学脑是一个快速发展的医学问题,全球胶质细胞替代应被视为有价值的治疗策略。
{"title":"Chemobrain as a Product of Growing Success in Chemotherapy - Focus on Glia as both a Victim and a Cure.","authors":"P. Walczak, M. Janowski","doi":"10.4172/NEUROPSYCHIATRY.1000565","DOIUrl":"https://doi.org/10.4172/NEUROPSYCHIATRY.1000565","url":null,"abstract":"Chemotherapy-induced cognitive impairment or chemobrain is a frequent consequence of cancer treatment with many psychiatric features. Ironically, the increasing efficacy of chemotherapy leaves growing number of patients alive with chemobrain. Therefore, there is an urgent need for strategies capable of returning cancer survivors back to their pre-morbid quality of life. Molecular mechanisms of chemobrain are largely unknown. Over the last decade there was a lot of emphasis in preclinical research on inflammatory consequences of chemotherapy and oxidative stress but so far none of these approaches were translated into clinical scenario. The co-administration of chemotherapy with protective agents was evaluated preclinically but it should be introduced with caution as potential interference was not yet studied and that could blunt therapeutic efficacy. Stem cell-based regenerative medicine approach has so far been exploited very sparsely in the context of chemobrain and the focus was on indirect mechanisms or neuronal replacement in the hippocampus. However, there is evidence for widespread white matter abnormalities in patients with chemobrain. This is quite logical considering life-long proliferation and turnover of glial cells, which makes them vulnerable to chemotherapeutic agents. Feasibility of glia replacement has been established in mice with global dysmyelination where profound therapeutic effect has been observed but only in case of global cell engraftment (across the entire brain). While global glia replacement has been achieved in mice translation to clinical setting might be challenging due to much larger brain size. Therefore, a lot of attention should be directed towards the route of administration to accomplish widespread cell delivery. Techniques facilitating that broad cell distribution including intra-arterial and intrathecal methods should be considered as very compelling options. Summarizing, chemobrain is a rapidly growing medical problem and global glia replacement should be considered as worthwhile therapeutic strategy.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"9 1 1","pages":"2207-2216"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial 针刺治疗非语言自闭症儿童:随机对照试验
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000551
W. Chen, Gang Liu, H. Liu, Z. Huang, S. Yang, Ju Huang, S. Zeng, Jing Huang, Qian Wu
Objective To study the efficacy, safety, and the alterations of brain neurochemical of short-term acupuncture for children with non-verbal autism spectrum disorder. Methods Study design: randomized, simple-blind, controlled trial. Non-verbal autistic children were randomly assigned to acupuncture group (n=24) or control group (n=19). The acupuncture group received 20 sessions for two acupoints on head [Temporal Anterior Oblique (MS6) under 2/5 and Temporal Posterior Oblique (MS7) under 2/5] over 4 weeks. Primary outcome measures comprised of Autism Treatment Evaluation Checklist (ATEC), Reynell Developmental Language Scale (RDLS), Pediatric Evaluation Disability Inventory (PEDI) and Clinical Global Impression-Improvement (CGI-I) scale. Secondary outcome measures included Gesell Development Diagnosis Scale (GDDS)/ Wechsler Preschool and Primary Scale of Intelligence-Fourth edition (WPPSI-IV)/Wechsler Intelligence Scale for Children-Fourth edition (WISC-IV), brain Magnetic Resonance Spectroscopy (MRS) and Weekly Parental Report. Results There were significant ameliorations in the self-care (p=0.045) and self-care assistant (p=0.019) domains of PEDI, and CGI-I (p=0.003) in the acupuncture group, in contrast to control group. The significantly better social initiation (P=0.003), receptive language (p=0.002), pointing (p=0.036), imitation (p=0.025), and motor skills (p=0.036) were also revealed, regarding the Weekly Parental Report. As for the brain MRS, the acupuncture group showed significantly decreased the ratio of Choline /Creatine (p=0.037) at the left grey matter of Inferior frontal gurus and increased the concentrations of Creatine (p=0.036) at the right grey matter of superior temporal gurus. Mild side effects of irritability at initial sessions during acupuncture were found. Conclusion A short-term intensive acupuncture for selected points is helpful to improve specific functions of non-verbal autistic children, especially for self-care ability, which may be due to regulating cellular renewal and energy metabolism after acupuncture.
目的探讨短期针刺治疗儿童非言语自闭症谱系障碍的疗效、安全性及脑神经化学变化。方法研究设计:随机、单盲、对照试验。将非语言自闭症儿童随机分为针刺组(n=24)和对照组(n=19)。针刺组接受头部2个穴位[2/5下颞前斜(MS6)和2/5下颞后斜(MS7)] 20次,疗程4周。主要评价指标包括自闭症治疗评估表(ATEC)、雷尔发育语言量表(RDLS)、儿童评估残疾量表(PEDI)和临床总体印象改善量表(CGI-I)。次要观察指标包括格塞尔发育诊断量表(GDDS)/韦氏学前和初级智力量表-第四版(WPPSI-IV)/韦氏儿童智力量表-第四版(WISC-IV)、脑磁共振波谱(MRS)和每周家长报告。结果与对照组相比,针刺组患者在自我护理(p=0.045)、自我护理辅助(p=0.019)、gi - i (p=0.003)方面均有显著改善。在社交启动(P=0.003)、接受性语言(P= 0.002)、指向(P= 0.036)、模仿(P= 0.025)和运动技能(P= 0.036)方面,每周父母报告也显示出明显更好的表现。脑MRS方面,针刺组显著降低额下大师左侧灰质胆碱/肌酸比值(p=0.037),升高颞上大师右侧灰质肌酸浓度(p=0.036)。在针灸的初始阶段发现了轻微的易怒副作用。结论短期穴位强化针刺有助于改善非言语自闭症儿童的特定功能,尤其是生活自理能力,这可能与针刺后调节细胞更新和能量代谢有关。
{"title":"Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial","authors":"W. Chen, Gang Liu, H. Liu, Z. Huang, S. Yang, Ju Huang, S. Zeng, Jing Huang, Qian Wu","doi":"10.4172/Neuropsychiatry.1000551","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000551","url":null,"abstract":"Objective To study the efficacy, safety, and the alterations of brain neurochemical of short-term acupuncture for children with non-verbal autism spectrum disorder. Methods Study design: randomized, simple-blind, controlled trial. Non-verbal autistic children were randomly assigned to acupuncture group (n=24) or control group (n=19). The acupuncture group received 20 sessions for two acupoints on head [Temporal Anterior Oblique (MS6) under 2/5 and Temporal Posterior Oblique (MS7) under 2/5] over 4 weeks. Primary outcome measures comprised of Autism Treatment Evaluation Checklist (ATEC), Reynell Developmental Language Scale (RDLS), Pediatric Evaluation Disability Inventory (PEDI) and Clinical Global Impression-Improvement (CGI-I) scale. Secondary outcome measures included Gesell Development Diagnosis Scale (GDDS)/ Wechsler Preschool and Primary Scale of Intelligence-Fourth edition (WPPSI-IV)/Wechsler Intelligence Scale for Children-Fourth edition (WISC-IV), brain Magnetic Resonance Spectroscopy (MRS) and Weekly Parental Report. Results There were significant ameliorations in the self-care (p=0.045) and self-care assistant (p=0.019) domains of PEDI, and CGI-I (p=0.003) in the acupuncture group, in contrast to control group. The significantly better social initiation (P=0.003), receptive language (p=0.002), pointing (p=0.036), imitation (p=0.025), and motor skills (p=0.036) were also revealed, regarding the Weekly Parental Report. As for the brain MRS, the acupuncture group showed significantly decreased the ratio of Choline /Creatine (p=0.037) at the left grey matter of Inferior frontal gurus and increased the concentrations of Creatine (p=0.036) at the right grey matter of superior temporal gurus. Mild side effects of irritability at initial sessions during acupuncture were found. Conclusion A short-term intensive acupuncture for selected points is helpful to improve specific functions of non-verbal autistic children, especially for self-care ability, which may be due to regulating cellular renewal and energy metabolism after acupuncture.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Short-Term But Not Long Term Exercise Ameliorates Depressive Behavior in Mice 短期而非长期运动可以改善小鼠的抑郁行为
Pub Date : 2019-01-01 DOI: 10.4172/NEUROPSYCHIATRY.1000557
Hiroki Yashima, Ayako Matsushita, K. Kinoshita, Y. Muroi, T. Ishii
Objective Voluntary exercise has been reported to reduce depression- and anxiety-like behaviors in an animal model of depressive disorder (DD). However, the degree of appropriate voluntary exercise to improve depression-like behavior remains unknown. In the present study, we examined the effects of two different terms of voluntary exercise, short (3 days)- and long (14 days)-term freewheel running, on depression-like behavior and new cell proliferation in the dentate gyrus (DG) in a DD mouse model generated by exposure to chronic mild stress (CMS), and then compared the antidepressant effects with those of ketamine. Methods Freewheel running was used as the voluntary exercise. DD model mice, which were generated by subjecting mice to CMS for 4 weeks (CMS mice), were allowed free access to a running wheel for 3 or 14 days. Next, we examined the effects of voluntary freewheel running and ketamine on depression-like behavior in CMS mice using the forced-swim test (FST). New cell proliferation in the DG of the hippocampus was immunohistochemically analyzed by enumerating the number of 5-bromo-2’-deoxyuridine (BrdU)-labeled cells following administration of BrdU (100 mg/kg, twice a day for 3 days). Results Short-term freewheel running showed an antidepressant effect in CMS mice in the FST, which was comparable to that of ketamine, but did not affect new cell proliferation in the DG. In contrast, long-term freewheel running increased new cell proliferation in the DG, but did not improve depressive behavior in the FST. Conclusion Short-term but not long-term voluntary exercise in CMS mice resulted in improvement of depression- like behavior similar to antidepressant ketamine, and appeared to be independent of exercise-induced stimulation of new cell proliferation in the DG.
据报道,在抑郁症(DD)动物模型中,自愿运动可以减少抑郁和焦虑样行为。然而,适当的自愿运动对改善抑郁样行为的程度仍然未知。在本研究中,我们研究了两种不同的自愿运动,短期(3天)和长期(14天)的自由跑,对暴露于慢性轻度应激(CMS)的DD小鼠模型中齿状回(DG)的抑郁样行为和新细胞增殖的影响,然后将其与氯胺酮的抗抑郁作用进行了比较。方法采用自由轮跑作为自愿运动。CMS小鼠治疗4周后生成的DD模型小鼠(CMS小鼠),分别在转轮上自由活动3天和14天。接下来,我们使用强迫游泳试验(FST)检查了自愿自由跑动和氯胺酮对CMS小鼠抑郁样行为的影响。在给予BrdU (100 mg/kg,每天2次,连续3天)后,通过计数5-溴-2 ' -脱氧尿苷(BrdU)标记的细胞数量,免疫组织化学分析海马DG中新细胞的增殖情况。结果短期飞轮跑对CMS小鼠FST的抗抑郁作用与氯胺酮相当,但不影响DG中新细胞的增殖。相比之下,长期自由轮运动增加了DG中新细胞的增殖,但没有改善FST中的抑郁行为。结论CMS小鼠短期而非长期自愿运动可改善抑郁样行为,与抗抑郁药氯胺酮相似,且似乎与运动诱导的DG新细胞增殖的刺激无关。
{"title":"Short-Term But Not Long Term Exercise Ameliorates Depressive Behavior in Mice","authors":"Hiroki Yashima, Ayako Matsushita, K. Kinoshita, Y. Muroi, T. Ishii","doi":"10.4172/NEUROPSYCHIATRY.1000557","DOIUrl":"https://doi.org/10.4172/NEUROPSYCHIATRY.1000557","url":null,"abstract":"Objective Voluntary exercise has been reported to reduce depression- and anxiety-like behaviors in an animal model of depressive disorder (DD). However, the degree of appropriate voluntary exercise to improve depression-like behavior remains unknown. In the present study, we examined the effects of two different terms of voluntary exercise, short (3 days)- and long (14 days)-term freewheel running, on depression-like behavior and new cell proliferation in the dentate gyrus (DG) in a DD mouse model generated by exposure to chronic mild stress (CMS), and then compared the antidepressant effects with those of ketamine. Methods Freewheel running was used as the voluntary exercise. DD model mice, which were generated by subjecting mice to CMS for 4 weeks (CMS mice), were allowed free access to a running wheel for 3 or 14 days. Next, we examined the effects of voluntary freewheel running and ketamine on depression-like behavior in CMS mice using the forced-swim test (FST). New cell proliferation in the DG of the hippocampus was immunohistochemically analyzed by enumerating the number of 5-bromo-2’-deoxyuridine (BrdU)-labeled cells following administration of BrdU (100 mg/kg, twice a day for 3 days). Results Short-term freewheel running showed an antidepressant effect in CMS mice in the FST, which was comparable to that of ketamine, but did not affect new cell proliferation in the DG. In contrast, long-term freewheel running increased new cell proliferation in the DG, but did not improve depressive behavior in the FST. Conclusion Short-term but not long-term voluntary exercise in CMS mice resulted in improvement of depression- like behavior similar to antidepressant ketamine, and appeared to be independent of exercise-induced stimulation of new cell proliferation in the DG.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Landau Kleffner Syndrome: An Unusual Case With Progressive Ataxia Prior To Language Regression And Autistic-Like Behaviors 朗道·克莱夫纳综合征:一个不寻常的在语言退化和自闭症样行为之前出现进行性共济失调的病例
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000553
W. Chen, Si-da Yang, Yuan-yuan Gao, Shuoyan Ning, B. Peng, Ya Ni Zhang, Y. Zhong, Ke-lu Zheng, S. Ou
Objective To report a case with Landau-Kleffner syndrome (LKS) presenting with unusual clinical features. Methods The clinical features of the case including clinical manifestations, serial electroencephalography (EEG) outcomes, neuroimaging findings, neuropsychological outcomes, interventional approaches and long-term follow-up outcomes, were analyzed. Results This previously normal girl (3y10m), presented with progressive ataxia as an onset symptom, ensued with cognitive impairments and language regressions (characterized by verbal auditory agnosia and expressive aphasia), and autistic-like behaviors. She had no evidence of clinical seizures, with normal brain and spine MRI scans, intact auditory exams and normal brain auditory evoked potential, although the sleep- activated inter-ictal epileptiform discharges of EEG were revealed. The patient showed gradual resolution of symptoms with long-term high-dose steroids plus intravenous immunoglobulin (IVIG) regimens, in consistence with the gradual improvement of the outcomes of serial EEGs. She recovered and returned to normal kindergarten 1y1m after the onset of the disease, consistent with the normal EEG results. Her full-scale intelligence quotient (IQ) was 71 score, with verbal IQ 66 and performance IQ 81 respectively, tested at the time of 1y3m after the onset. The long-term prognosis of the case was good as she had good academic performance and was a monitor of the class at the time of her long-term follow-up of 5y8m after the onset. Conclusion LKS is heterogeneity entity, especially for those with the atypical onset such as ataxia, as well as absence of clinical seizures. The combination of long-term high-dose steroid plus IVIG regimens may be especially effective in LKS.
目的报告1例兰多-克莱夫纳综合征(LKS)的临床表现。方法分析该病例的临床特点,包括临床表现、系列脑电图(EEG)结果、神经影像学表现、神经心理学结果、介入方式及长期随访结果。结果本例正常女孩(3y10m),以进行性共济失调为首发症状,随后出现认知障碍和语言退化(以言语听觉失认和表达性失语为特征),并出现自闭症样行为。她没有临床癫痫发作的证据,脑部和脊柱MRI扫描正常,听觉检查完整,脑听觉诱发电位正常,尽管脑电图显示睡眠激活的间期癫痫样放电。患者在长期高剂量类固醇加静脉注射免疫球蛋白(IVIG)治疗后症状逐渐缓解,与连续脑电图结果的逐渐改善一致。患儿发病后1y1m恢复正常,并返回正常幼儿园,脑电图正常。在发病后13m进行全面智商(IQ)测试,总分71分,语言智商66分,表现智商81分。该病例长期预后良好,学习成绩良好,发病后5年8月长期随访时为班级班长。结论LKS具有异质性,发病不典型如共济失调、无临床发作者尤为明显。长期大剂量类固醇加IVIG联合治疗LKS可能特别有效。
{"title":"Landau Kleffner Syndrome: An Unusual Case With Progressive Ataxia Prior To Language Regression And Autistic-Like Behaviors","authors":"W. Chen, Si-da Yang, Yuan-yuan Gao, Shuoyan Ning, B. Peng, Ya Ni Zhang, Y. Zhong, Ke-lu Zheng, S. Ou","doi":"10.4172/Neuropsychiatry.1000553","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000553","url":null,"abstract":"Objective To report a case with Landau-Kleffner syndrome (LKS) presenting with unusual clinical features. Methods The clinical features of the case including clinical manifestations, serial electroencephalography (EEG) outcomes, neuroimaging findings, neuropsychological outcomes, interventional approaches and long-term follow-up outcomes, were analyzed. Results This previously normal girl (3y10m), presented with progressive ataxia as an onset symptom, ensued with cognitive impairments and language regressions (characterized by verbal auditory agnosia and expressive aphasia), and autistic-like behaviors. She had no evidence of clinical seizures, with normal brain and spine MRI scans, intact auditory exams and normal brain auditory evoked potential, although the sleep- activated inter-ictal epileptiform discharges of EEG were revealed. The patient showed gradual resolution of symptoms with long-term high-dose steroids plus intravenous immunoglobulin (IVIG) regimens, in consistence with the gradual improvement of the outcomes of serial EEGs. She recovered and returned to normal kindergarten 1y1m after the onset of the disease, consistent with the normal EEG results. Her full-scale intelligence quotient (IQ) was 71 score, with verbal IQ 66 and performance IQ 81 respectively, tested at the time of 1y3m after the onset. The long-term prognosis of the case was good as she had good academic performance and was a monitor of the class at the time of her long-term follow-up of 5y8m after the onset. Conclusion LKS is heterogeneity entity, especially for those with the atypical onset such as ataxia, as well as absence of clinical seizures. The combination of long-term high-dose steroid plus IVIG regimens may be especially effective in LKS.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Validity of the Diagnostic Interview CRIDI -Autism Spectrum Disorders as a Gold Standard for the Assessment of Autism in Latinos and Mexicans 诊断访谈CRIDI -自闭症谱系障碍作为评估拉美裔和墨西哥裔自闭症金标准的有效性
Pub Date : 2019-01-01 DOI: 10.4172/NEUROPSYCHIATRY.1000550
Lilia Albores Gallo, Jose Juan Escoto Lopez, G. T. Suarez, Belen Carmona Ruiz, Marco Antonio Solis Bravo, Liliana Guadalupe Tapia Guillen, Tania Rizo, Emmanuel Sarmiento Hern, ez, Gabriela Villareal-Valdes, Fern, A. Mir, K. Morales, Isis Suarez Ponce de Leon, Eunice Borrayo Magana, Alej, R. Hern, ez Duarte, America Catalan Nava, Ricardo Escudero Monteverde, Aymara Gatica Hern, Y. Rodriguez, Enrique Navarro Luna, J. Dozal, Marianela Moreno de Ibarra, R. A. Estevez, J. A. Alonzo, Sofia Arce Hern, W. González, J. Granados, Lexma Guerra, L. V. Amado, M. Peretto, J. Salazar
Objective To validate the Criteria Diagnostic Interview (CRIDI-ASD/DSM-5), a cost-effective clinical assessment tool for the diagnosis of Autism Spectrum Disorders (ASD) in children and adolescents of Mexico, Latin America or Hispanics living in the US. Method The CRIDI-ASD/DSM-5 is a semi-structured observational interview based on the criteria of DSM-5. It consists of questions organized in the two dimensions: 1.- Deficits in social communication and interaction, 2.- Restricted and stereotyped patterns of behavior and interests and unusual sensory reactivity. We conducted an observational, validity study. Results The final sample consisted of 88 children seeking for a diagnosis of autism, or ADHD, between 18 months to 18 years of age. Participants were assessed with ADI-R, MINI-KID, K-SADS, VEANHi and CRIDI-ASD/DSM-5 Interview. Cronbach’s alpha for the total items was 0.91. Interrater reliability for the recorded interviews assessed by two different evaluators (N=40) ranged from ICC 0.74-.99 (M=0.86). Discriminant validity between ASD and ADHD was demonstrated through the t-Student test, showing significant higher mean raw scores for the ASD Group. Kappa coefficients between ASD diagnosis through ADI-R and/or K-SADS and/or Clinical Interview and the dichotomous result (ASD vs. no-ASD) of the CRIDI-ASD/DSM-5 Interview was k=0.82, with a Sensitivity of 92% and Specificity of 95%. Conclusion The CRIDI-ASD/DSM-5 is a valid, brief and cost-effective instrument for the diagnosis of ASD in Spanish-speaking children and adolescents.
目的验证标准诊断访谈(CRIDI-ASD/DSM-5)在墨西哥、拉丁美洲或居住在美国的西班牙裔儿童和青少年中诊断自闭症谱系障碍(ASD)的经济有效的临床评估工具。方法CRIDI-ASD/DSM-5是基于DSM-5标准的半结构化观察性访谈。它由两个维度组织的问题组成:1。-社会沟通和互动方面的缺陷;-行为和兴趣受到限制和刻板的模式,以及不寻常的感觉反应。我们进行了一项观察性的有效性研究。结果最后的样本包括88名寻求自闭症或ADHD诊断的儿童,年龄在18个月到18岁之间。采用ADI-R、MINI-KID、K-SADS、VEANHi和CRIDI-ASD/DSM-5访谈对参与者进行评估。总条目的Cronbach 's alpha为0.91。由两个不同的评估者(N=40)评估的记录访谈的互估者信度范围为ICC 0.74- 0.99(M = 0.86)。通过t-Student检验证明了ASD和ADHD之间的判别效度,显示ASD组的平均原始分数显着更高。通过ADI-R和/或k - sads和/或临床访谈诊断ASD与CRIDI-ASD/DSM-5访谈的二分类结果(ASD vs.无ASD)之间的Kappa系数为k=0.82,敏感性为92%,特异性为95%。结论CRIDI-ASD/DSM-5是诊断西班牙语儿童和青少年ASD的有效、简便、经济的工具。
{"title":"Validity of the Diagnostic Interview CRIDI -Autism Spectrum Disorders as a Gold Standard for the Assessment of Autism in Latinos and Mexicans","authors":"Lilia Albores Gallo, Jose Juan Escoto Lopez, G. T. Suarez, Belen Carmona Ruiz, Marco Antonio Solis Bravo, Liliana Guadalupe Tapia Guillen, Tania Rizo, Emmanuel Sarmiento Hern, ez, Gabriela Villareal-Valdes, Fern, A. Mir, K. Morales, Isis Suarez Ponce de Leon, Eunice Borrayo Magana, Alej, R. Hern, ez Duarte, America Catalan Nava, Ricardo Escudero Monteverde, Aymara Gatica Hern, Y. Rodriguez, Enrique Navarro Luna, J. Dozal, Marianela Moreno de Ibarra, R. A. Estevez, J. A. Alonzo, Sofia Arce Hern, W. González, J. Granados, Lexma Guerra, L. V. Amado, M. Peretto, J. Salazar","doi":"10.4172/NEUROPSYCHIATRY.1000550","DOIUrl":"https://doi.org/10.4172/NEUROPSYCHIATRY.1000550","url":null,"abstract":"Objective To validate the Criteria Diagnostic Interview (CRIDI-ASD/DSM-5), a cost-effective clinical assessment tool for the diagnosis of Autism Spectrum Disorders (ASD) in children and adolescents of Mexico, Latin America or Hispanics living in the US. Method The CRIDI-ASD/DSM-5 is a semi-structured observational interview based on the criteria of DSM-5. It consists of questions organized in the two dimensions: 1.- Deficits in social communication and interaction, 2.- Restricted and stereotyped patterns of behavior and interests and unusual sensory reactivity. We conducted an observational, validity study. Results The final sample consisted of 88 children seeking for a diagnosis of autism, or ADHD, between 18 months to 18 years of age. Participants were assessed with ADI-R, MINI-KID, K-SADS, VEANHi and CRIDI-ASD/DSM-5 Interview. Cronbach’s alpha for the total items was 0.91. Interrater reliability for the recorded interviews assessed by two different evaluators (N=40) ranged from ICC 0.74-.99 (M=0.86). Discriminant validity between ASD and ADHD was demonstrated through the t-Student test, showing significant higher mean raw scores for the ASD Group. Kappa coefficients between ASD diagnosis through ADI-R and/or K-SADS and/or Clinical Interview and the dichotomous result (ASD vs. no-ASD) of the CRIDI-ASD/DSM-5 Interview was k=0.82, with a Sensitivity of 92% and Specificity of 95%. Conclusion The CRIDI-ASD/DSM-5 is a valid, brief and cost-effective instrument for the diagnosis of ASD in Spanish-speaking children and adolescents.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Dual Way of Suppressive Action of Antibodies to Serotonin Modulating Anticonsolidation Protein on Drug Addiction in Rats 血清素调节抗巩固蛋白抗体对大鼠药物成瘾的双重抑制作用
Pub Date : 2019-01-01 DOI: 10.4172/Neuropsychiatry.1000555
Mekhtiev Aa, Asadova Shm
Objective Analysis of engagement of serotonin-modulating anticonsolidation protein (SMAP) in formation of drug addiction to morphine in self-administration model in the rats via application of the anti-SMAP antibodies.  Methods Indirect ELISA-test, morphine self-administration model, conditioned model of alternative running, conditioned model of instrumental differentiation. Results Upregulation of SMAP by 67% in the brain cingulate cortex of the rats with stable level of morphine intake, while no changes of SMAP level were noticed in hypothalamus. Intramuscular administration of the anti-SMAP antibodies to the rats with stable level of morphine intake leads to significant suppression of morphine consumption for 8 days. Administration of non-immune γ-globulins does not have any effect on morphine consumption. Intra-cerebral administration of the anti-SMAP antibodies leads to significant acceleration and strengthening of memory formation in complicated conditioned alternative running and instrumental differentiation models. Conclusion Application of the anti-SMAP antibodies induces suppression of elaborated drug addiction in the rats, first, through blockade of intra-cellular transduction of serotonin signal in the concerned nervous cells and, second, due to formation of negative memory on inefficacy of lever pressing to get bright positive emotions after morphine self-administration.
目的探讨血清素调节抗巩固蛋白(SMAP)抗体在吗啡依赖模型大鼠体内的作用。方法间接elisa法、吗啡自给药模型、交替跑动条件模型、工具分化条件模型。结果吗啡稳定剂量大鼠扣带皮层SMAP水平上调67%,下丘脑SMAP水平未见变化。对吗啡摄入水平稳定的大鼠肌内注射抗smap抗体,可显著抑制吗啡摄入8天。非免疫γ-球蛋白的施用对吗啡的消耗没有任何影响。脑内注射抗smap抗体可显著加速和加强复杂条件交替跑步和仪器分化模型中的记忆形成。结论抗smap抗体对大鼠复杂药物成瘾的抑制作用,一是通过阻断相关神经细胞内5 -羟色胺信号的转导,二是通过吗啡自给药后杠杆加压获得明亮积极情绪无效而形成负性记忆。
{"title":"Dual Way of Suppressive Action of Antibodies to Serotonin Modulating Anticonsolidation Protein on Drug Addiction in Rats","authors":"Mekhtiev Aa, Asadova Shm","doi":"10.4172/Neuropsychiatry.1000555","DOIUrl":"https://doi.org/10.4172/Neuropsychiatry.1000555","url":null,"abstract":"Objective Analysis of engagement of serotonin-modulating anticonsolidation protein (SMAP) in formation of drug addiction to morphine in self-administration model in the rats via application of the anti-SMAP antibodies.  Methods Indirect ELISA-test, morphine self-administration model, conditioned model of alternative running, conditioned model of instrumental differentiation. Results Upregulation of SMAP by 67% in the brain cingulate cortex of the rats with stable level of morphine intake, while no changes of SMAP level were noticed in hypothalamus. Intramuscular administration of the anti-SMAP antibodies to the rats with stable level of morphine intake leads to significant suppression of morphine consumption for 8 days. Administration of non-immune γ-globulins does not have any effect on morphine consumption. Intra-cerebral administration of the anti-SMAP antibodies leads to significant acceleration and strengthening of memory formation in complicated conditioned alternative running and instrumental differentiation models. Conclusion Application of the anti-SMAP antibodies induces suppression of elaborated drug addiction in the rats, first, through blockade of intra-cellular transduction of serotonin signal in the concerned nervous cells and, second, due to formation of negative memory on inefficacy of lever pressing to get bright positive emotions after morphine self-administration.","PeriodicalId":49013,"journal":{"name":"Neuropsychiatry","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70328856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Neuropsychiatry
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1