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Barriers and brain fog 障碍和脑雾
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-14 DOI: 10.1038/s41583-024-00809-x
Sian Lewis
One of the long-term sequelae associated with SARS-CoV-2 infection is ‘brain fog’, which is shown in this study to be linked to systemic inflammation and leakiness of the blood–brain barrier.
与 SARS-CoV-2 感染相关的长期后遗症之一是 "脑雾",这项研究表明,这与全身炎症和血脑屏障渗漏有关。
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引用次数: 0
How the brain’s primary processing units compute to give rise to intelligence 大脑的初级处理单元是如何计算产生智能的?
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-13 DOI: 10.1038/s41583-024-00810-4
Ning-long Xu
Ning-long Xu discusses a 1999 paper that outlined a mechanism by which cortical pyramidal neurons integrate layer-specific inputs.
徐宁龙讨论了 1999 年的一篇论文,该论文概述了皮层锥体神经元整合特定层输入的机制。
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引用次数: 0
Fear bypasses the amygdala 恐惧会绕过杏仁核。
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-08 DOI: 10.1038/s41583-024-00808-y
Sian Lewis
Innate fear-like responses are thought to involve the amygdala, but here a tetra-synaptic pathway is identified that mediates odour-evoked innate fear in mice.
人们认为先天性恐惧样反应涉及杏仁核,但这里发现了一条四突触通路,该通路介导气味诱发的小鼠先天性恐惧。
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引用次数: 0
Overnight neuronal plasticity and adaptation to emotional distress 隔夜神经元可塑性和对情绪困扰的适应性
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-05 DOI: 10.1038/s41583-024-00799-w
Yesenia Cabrera, Karin J. Koymans, Gina R. Poe, Helmut W. Kessels, Eus J. W. Van Someren, Rick Wassing
Expressions such as ‘sleep on it’ refer to the resolution of distressing experiences across a night of sound sleep. Sleep is an active state during which the brain reorganizes the synaptic connections that form memories. This Perspective proposes a model of how sleep modifies emotional memory traces. Sleep-dependent reorganization occurs through neurophysiological events in neurochemical contexts that determine the fates of synapses to grow, to survive or to be pruned. We discuss how low levels of acetylcholine during non-rapid eye movement sleep and low levels of noradrenaline during rapid eye movement sleep provide a unique window of opportunity for plasticity in neuronal representations of emotional memories that resolves the associated distress. We integrate sleep-facilitated adaptation over three levels: experience and behaviour, neuronal circuits, and synaptic events. The model generates testable hypotheses for how failed sleep-dependent adaptation to emotional distress is key to mental disorders, notably disorders of anxiety, depression and post-traumatic stress with the common aetiology of insomnia. Sleep is an active state during which the synaptic connections that form memories are remodelled. In this Perspective, Wassing and colleagues discuss how failures in sleep-dependent adaptation to emotionally distressing experiences might be a key contributor to post-traumatic stress disorder and related conditions.
睡一觉就好了 "等说法指的是通过一夜酣睡来解决痛苦经历。睡眠是一种活跃的状态,在此期间,大脑会重组形成记忆的突触连接。本视角提出了一个关于睡眠如何改变情绪记忆痕迹的模型。依赖睡眠的重组是通过神经化学环境中的神经生理事件发生的,这些事件决定了突触生长、存活或被修剪的命运。我们讨论了非快速眼动睡眠期间低水平的乙酰胆碱和快速眼动睡眠期间低水平的去甲肾上腺素如何为情感记忆神经元表征的可塑性提供了一个独特的机会之窗,从而解决相关的困扰。我们从三个层面整合了睡眠促进的适应:经验和行为、神经元回路和突触事件。该模型提出了一些可检验的假设,说明依赖睡眠对情绪困扰的适应失败如何成为精神障碍的关键,特别是焦虑症、抑郁症和创伤后应激障碍,其共同病因是失眠。
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引用次数: 0
Preparatory activity and the expansive null-space 准备活动和广阔的虚无空间。
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-05 DOI: 10.1038/s41583-024-00796-z
Mark M. Churchland, Krishna V. Shenoy
The study of the cortical control of movement experienced a conceptual shift over recent decades, as the basic currency of understanding shifted from single-neuron tuning towards population-level factors and their dynamics. This transition was informed by a maturing understanding of recurrent networks, where mechanism is often characterized in terms of population-level factors. By estimating factors from data, experimenters could test network-inspired hypotheses. Central to such hypotheses are ‘output-null’ factors that do not directly drive motor outputs yet are essential to the overall computation. In this Review, we highlight how the hypothesis of output-null factors was motivated by the venerable observation that motor-cortex neurons are active during movement preparation, well before movement begins. We discuss how output-null factors then became similarly central to understanding neural activity during movement. We discuss how this conceptual framework provided key analysis tools, making it possible for experimenters to address long-standing questions regarding motor control. We highlight an intriguing trend: as experimental and theoretical discoveries accumulate, the range of computational roles hypothesized to be subserved by output-null factors continues to expand. How does motor-cortex activity well before movement not drive motor outputs? In this Review, Churchland and Shenoy detail how searching for answers transitioned the understanding of neural activity during movement from single-neuron tuning towards population-level factors and revealed an essential computational role of output-null factors.
近几十年来,大脑皮层对运动控制的研究经历了一次概念转变,因为理解的基本货币从单神经元调谐转向了群体水平因素及其动态。这一转变得益于人们对递归网络的理解日趋成熟,而递归网络的机制通常是以群体水平因子来描述的。通过从数据中估算因子,实验人员可以测试网络启发的假设。此类假设的核心是 "输出无效 "因子,它们不直接驱动电机输出,但对整体计算至关重要。在这篇综述中,我们将重点介绍输出无效因子假说是如何受到运动皮层神经元在运动开始前的运动准备过程中处于活跃状态这一古老观察结果的启发的。我们讨论了输出无效因子如何成为理解运动过程中神经活动的类似核心。我们将讨论这一概念框架如何提供关键的分析工具,使实验人员有可能解决有关运动控制的长期问题。我们强调了一个引人入胜的趋势:随着实验和理论发现的不断积累,假定输出无效因子所起的计算作用的范围也在不断扩大。
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引用次数: 0
MMP8 and stress susceptibility MMP8 和应激易感性
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-04 DOI: 10.1038/s41583-024-00804-2
Darran Yates
Increased levels of matrix metalloproteinase 8, expressed by circulating myeloid cells, may have a role in stress-induced changes in social behaviour in mice.
循环髓系细胞表达的基质金属蛋白酶8水平升高,可能与压力诱导的小鼠社会行为变化有关。
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引用次数: 0
Social representation 社会代表性
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-04 DOI: 10.1038/s41583-024-00803-3
Katherine Whalley
Populations of neurons in the mouse hippocampus use distinct representational strategies to encode familiarity and episodic social memory.
小鼠海马体中的神经元群使用不同的表征策略来编码熟悉度和情节性社会记忆。
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引用次数: 0
Comparison between transposed arteriovenous fistulas and arteriovenous graft for the hemodialysis patients: A meta-analysis and systematic review. 血液透析患者转位动静脉瘘与动静脉移植的比较:荟萃分析和系统综述。
1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-03-01 Epub Date: 2022-06-16 DOI: 10.1177/11297298221102875
Qian-Hui Tang, Han Yang, Jing Chen, Qiu-Ning Lin, Zhong Qin, Ming Hu, Xiao Qin

It is challenging for a surgeon to determine the appropriate vascular access for hemodialysis patients whose cephalic vein is usually inaccessible. The purpose of the study is to compare the complications and patency rates between transposed arteriovenous fistulas (tAVF) and arteriovenous graft (AVG) for the hemodialysis patients. Studies were recruited from PubMed, Cochrane library, EMBASE, the web of science databases, and reviewing reference lists of related studies from the inception dates to September 2, 2021. Statistical analyses were conducted using the statistical tool Review Manager version5.3 (Cochrane Collaboration, London, UK). I2 > 50% was defined as a high degree of heterogeneity, and then a random-effects model was used. Otherwise, the fixed-effects model was used. Odds ratio with its 95% confidence interval (95% CI) was used. Thirty-three trials (26 retrospective studies, four randomized controlled trials, two prospective trials, and one controlled-comparative study) with 6430 enrolled participants were identified in our analysis. The results showed that tAVF was accompanied with lower thrombosis rate (103/1184 (8.69%) vs 257/1367 (18.80%); I2 = 45%; 95% CI, 0.34 (0.26, 0.45)) and infection rate (43/2031 (2.12%) vs 180/2147 (8.38%); I2 = 0%; 95% CI, 0.20 (0.14, 0.30)) than arteriovenous graft. The significantly better primary patency rates, secondary patency rates, and primary assisted patency rates during follow-up were found in tAVF. However, the failure rate and the prevalence of hematoma were significantly lower in AVG group. No evidence showed the rate of overall mortality, steal syndrome, and aneurysm reduced in tAVF. Our results showed that tAVF is a promising vascular access technique for hemodialysis patients whose cephalic vein is inaccessible. Our data showed that tAVF has less thrombosis, infection risk, and better patency rates when compared with AVG. However, more attentions need to be paid to transposed arteriovenous fistulas maturation and hematoma.

血液透析患者的头静脉通常无法进入,对于外科医生来说,确定合适的血管通路是一项挑战。本研究旨在比较血液透析患者转位动静脉瘘(tAVF)和动静脉移植(AVG)的并发症和通畅率。研究从 PubMed、Cochrane 图书馆、EMBASE、web of science 数据库中收集,并查阅了自开始日期至 2021 年 9 月 2 日的相关研究参考文献列表。统计分析使用统计工具 Review Manager 5.3 版(Cochrane Collaboration,英国伦敦)进行。I2>50%定义为高度异质性,然后使用随机效应模型。否则采用固定效应模型。使用了带有 95% 置信区间 (95% CI) 的比值比。我们在分析中确定了 33 项试验(26 项回顾性研究、4 项随机对照试验、2 项前瞻性试验和 1 项对照比较研究),共 6430 名参与者。结果显示,与动静脉移植相比,tAVF 的血栓形成率(103/1184 (8.69%) vs 257/1367 (18.80%);I2 = 45%;95% CI, 0.34 (0.26, 0.45))和感染率(43/2031 (2.12%) vs 180/2147 (8.38%);I2 = 0%;95% CI, 0.20 (0.14, 0.30))更低。在随访中发现,tAVF的一次通畅率、二次通畅率和一次辅助通畅率均明显优于动静脉移植术。但 AVG 组的失败率和血肿发生率明显较低。没有证据显示 tAVF 的总死亡率、盗血综合征和动脉瘤发生率降低。我们的研究结果表明,对于头静脉无法进入的血液透析患者来说,tAVF 是一种很有前途的血管通路技术。我们的数据显示,与 AVG 相比,tAVF 的血栓形成和感染风险更低,通畅率更好。然而,转位动静脉瘘的成熟和血肿问题还需引起更多关注。
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引用次数: 0
Olfactory neurons can feel the (heart) beat 嗅觉神经元能感受到(心脏)跳动。
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-02-26 DOI: 10.1038/s41583-024-00801-5
Katherine Whalley
Blood pressure pulsations modulate the activity of neurons in the rodent olfactory bulb via the mechanosensitive ion channel PIEZO2
血压脉动通过机械敏感性离子通道 PIEZO2 调节啮齿动物嗅球神经元的活动
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引用次数: 0
Linking activity dyshomeostasis and sleep disturbances in Alzheimer disease 将阿尔茨海默病的活动失调与睡眠障碍联系起来
IF 34.7 1区 医学 Q1 NEUROSCIENCES Pub Date : 2024-02-19 DOI: 10.1038/s41583-024-00797-y
Inna Slutsky
The presymptomatic phase of Alzheimer disease (AD) starts with the deposition of amyloid-β in the cortex and begins a decade or more before the emergence of cognitive decline. The trajectory towards dementia and neurodegeneration is shaped by the pathological load and the resilience of neural circuits to the effects of this pathology. In this Perspective, I focus on recent advances that have uncovered the vulnerability of neural circuits at early stages of AD to hyperexcitability, particularly when the brain is in a low-arousal states (such as sleep and anaesthesia). Notably, this hyperexcitability manifests before overt symptoms such as sleep and memory deficits. Using the principles of control theory, I analyse the bidirectional relationship between homeostasis of neuronal activity and sleep and propose that impaired activity homeostasis during sleep leads to hyperexcitability and subsequent sleep disturbances, whereas sleep disturbances mitigate hyperexcitability via negative feedback. Understanding the interplay among activity homeostasis, neuronal excitability and sleep is crucial for elucidating the mechanisms of vulnerability to and resilience against AD pathology and for identifying new therapeutic avenues. Altered network activity during sleep is observed in some individuals with Alzheimer disease and in mouse models of the disorder. In this Perspective, Inna Slutsky proposes that hyperexcitability and sleep disturbances in Alzheimer disease result from disruption of the mechanisms that maintain activity homeostasis in the brain.
阿尔茨海默病(AD)的无症状阶段始于淀粉样蛋白-β在大脑皮层的沉积,开始于认知能力下降出现之前的十年或更早。痴呆症和神经退行性变的发展轨迹是由病理负荷和神经回路对病理影响的恢复力决定的。在本《视角》中,我将重点介绍最近的研究进展,这些进展揭示了神经回路在老年痴呆症早期阶段容易过度兴奋,尤其是当大脑处于低觉醒状态(如睡眠和麻醉)时。值得注意的是,这种过度兴奋性在出现睡眠和记忆障碍等明显症状之前就已显现。我利用控制论的原理,分析了神经元活动平衡与睡眠之间的双向关系,并提出睡眠期间活动平衡受损会导致过度兴奋和随后的睡眠障碍,而睡眠障碍则会通过负反馈缓解过度兴奋。了解神经元活动平衡、神经元兴奋性和睡眠之间的相互作用,对于阐明AD病理学的脆弱性和恢复力机制以及确定新的治疗途径至关重要。
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引用次数: 0
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Nature Reviews Neuroscience
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