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Using genetics to parse the structure of psychiatric diagnosis. 用遗传学分析精神诊断的结构。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-23 DOI: 10.1177/10738584251414007
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引用次数: 0
Cortical Mechanisms Contributing to Ketamine-Induced Dissociation. 有助于氯胺酮诱导解离的皮质机制。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1177/10738584251403946
Kallol Bera, Loren L Looger, Alex Proekt, Joseph Cichon

Ketamine is a unique anesthetic agent that induces dissociative anesthesia, characterized by perceptual detachment, analgesia, and altered states of consciousness. Beyond its widespread use in anesthesia, subhypnotic ketamine dosing has emerged as a rapid-acting antidepressant and a valuable model for probing the neural mechanisms underlying consciousness and neuropsychiatric disorders. At the core of its effects are actions on cortical circuits, primarily through NMDA receptor and HCN1 channel antagonism, disinhibition of pyramidal neurons, and altered thalamocortical connectivity. This review brings together emerging findings from ketamine pharmacology, cell type-resolved and region-specific in vivo imaging, and systems neuroscience to define how ketamine alters cortical circuit dynamics to drive dissociation. We further explore the intriguing possibility that ketamine freely diffuses into and concentrates within intracellular compartments and, in doing so, modulates neuronal excitability, intracellular signaling, and an epigenetic state, even following a single dose. A deeper mechanistic understanding of these cortical and cellular processes will not only advance our knowledge of ketamine's complex pharmacology but may also inform new therapeutic strategies for treatment-resistant depression and facilitate the study of diverse states of consciousness.

氯胺酮是一种独特的麻醉剂,可诱导解离性麻醉,其特点是知觉脱离、镇痛和意识状态改变。除了在麻醉中广泛使用外,亚催眠氯胺酮剂量已成为一种速效抗抑郁药,也是探索意识和神经精神疾病背后的神经机制的有价值的模型。其作用的核心是对皮质回路的作用,主要通过NMDA受体和HCN1通道拮抗、锥体神经元的去抑制和丘脑皮质连通性的改变。这篇综述汇集了氯胺酮药理学、细胞类型分辨和区域特异性体内成像以及系统神经科学的新发现,以定义氯胺酮如何改变皮质电路动力学以驱动解离。我们进一步探索了氯胺酮自由扩散并集中在细胞内的可能性,并在此过程中调节神经元兴奋性、细胞内信号传导和表观遗传状态,甚至在单剂量后也是如此。对这些皮层和细胞过程的更深层次的机制理解不仅将提高我们对氯胺酮复杂药理学的认识,而且可能为治疗难治性抑郁症提供新的治疗策略,并促进对不同意识状态的研究。
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引用次数: 0
Novel Protein Networks and Key Drivers of Alzheimer's Disease. 新的蛋白质网络和阿尔茨海默病的关键驱动因素。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-23 DOI: 10.1177/10738584251413540
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引用次数: 0
Heterosynaptic Plasticity: History and Evolution of the Concept in Aplysia and Vertebrates. 异突触可塑性:海陆动物和脊椎动物概念的历史和进化。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-04 DOI: 10.1177/10738584251390787
Alexey Y Malyshev, Ivan V Smirnov, Maxim A Volgushev

Invertebrate and vertebrate experimental models, each providing unique advantages for addressing specific questions, offer a multifaceted and multiscale view of plasticity. Integration of the obtained knowledge is crucial for understanding general principles and specific mechanisms of synaptic plasticity. However, this process is hindered by field-specific discrepancies in terminology and concepts. A profound case of such discrepancy is heterosynaptic plasticity, which refers to distinct experimental phenomena and mechanisms and serves different functional roles in invertebrate and vertebrate nervous systems. In Aplysia research, heterosynaptic facilitation originally referred to several phenomena and mechanisms of synaptic plasticity that mediate simple forms of learning. In vertebrate research, heterosynaptic plasticity originally referred to changes at synapses that were not activated during the induction of long-term potentiation in the hippocampus. Ironically, most of the difference between the wordings comes from the meaning attributed to their common part, the heterosynaptic. Here, we consider these differences and discuss how the phenomena and concepts behind the field-specific terminologies are related and can be compared.

无脊椎动物和脊椎动物的实验模型,每个都为解决特定问题提供了独特的优势,提供了一个多方面和多尺度的可塑性观点。整合所获得的知识对于理解突触可塑性的一般原理和具体机制至关重要。然而,这一进程受到各领域术语和概念差异的阻碍。这种差异的一个深刻例子是异突触可塑性,它是指不同的实验现象和机制,在无脊椎动物和脊椎动物的神经系统中起着不同的功能作用。在applysia的研究中,异突触促进最初是指介导简单学习形式的突触可塑性的几种现象和机制。在脊椎动物研究中,异突触可塑性最初是指在海马长期增强诱导过程中未被激活的突触的变化。具有讽刺意味的是,这些词之间的大部分差异来自于它们共同的部分——异突触的含义。在这里,我们将考虑这些差异,并讨论特定领域术语背后的现象和概念是如何相互关联和比较的。
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引用次数: 0
Kv4.2 Channels at the Crossroads of Excitability, Plasticity, and Synaptic Signaling. 兴奋性、可塑性和突触信号传导十字路口的通道。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-29 DOI: 10.1177/10738584251403956
Michael Andreyanov, Ido Carmi, Shai Berlin

Kv4.2 channels, principal mediators of the neuronal A-type K+ current, are emerging as multifunctional regulators of excitability, plasticity, and synaptic signaling. Beyond their canonical role in shaping backpropagating action potentials, Kv4.2 channels integrate diverse signaling modalities through interactions with calcium channels, scaffolding and auxiliary proteins (DPP6, KChIPs), and posttranslational regulators such as Pin1 and UBE3A. These interactions create a context-dependent network that allows Kv4.2 to function as a molecular break, stabilizing excitability under resting conditions and facilitating plasticity and learning when modulated. Recent advances in molecular and genetic tools are transforming how Kv4.2 can be studied. Next-generation genetically encoded inhibitors, for instance membrane-tethered toxins, offer cell-specific modulation of the channel. Complementary genetically encoded potassium indicators provide important steps toward real-time optical monitoring of potassium dynamics, although improvements remain necessary. After a period of diminished attention, the Kv4.2 channel is reemerging as a significant focus of scientific investigation. Recent breakthroughs, coupled with next-generation technologies, are bound to unravel the complex and multifaceted roles of Kv4.2.

Kv4.2通道是神经元a型K+电流的主要介质,是兴奋性、可塑性和突触信号的多功能调节剂。除了在形成反向传播动作电位方面的典型作用外,Kv4.2通道还通过与钙通道、支架和辅助蛋白(DPP6、KChIPs)以及翻译后调节因子(如Pin1和UBE3A)的相互作用整合了多种信号传导方式。这些相互作用创造了一个依赖于环境的网络,允许Kv4.2作为一个分子断裂,在休息条件下稳定兴奋性,在调节时促进可塑性和学习。分子和遗传工具的最新进展正在改变Kv4.2的研究方式。下一代基因编码抑制剂,例如膜栓毒素,提供细胞特异性通道调节。互补的遗传编码钾指标为钾动态的实时光学监测提供了重要的步骤,尽管仍有必要进行改进。经过一段时间的关注减弱后,Kv4.2通道重新成为科学研究的重要焦点。最近的突破,加上下一代技术,必将揭开Kv4.2复杂而多方面的作用。
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引用次数: 0
Beta Burst Waveform Diversity: A Window onto Cortical Computation. 突发波形多样性:皮质计算的窗口。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-09 DOI: 10.1177/10738584251390779
Holly Rayson, Quentin Moreau, Solene Gailhard, Maciej J Szul, James J Bonaiuto

Neural activity in the beta band is increasingly recognized to occur not as sustained oscillations but as transient burst-like events. These beta bursts are diverse in shape, timing, and spatial distribution, but their precise functional significance remains unclear. Here, we review emerging evidence on beta burst properties, functional roles, and developmental trajectories and propose a new framework in which beta bursts are not homogeneous events but reflect distinct patterns of synaptic input from different brain regions targeting different cortical layers. We argue that burst waveform shape carries mechanistic and computational significance, offering a window into the dynamic integration of specific combinations of cortical and subcortical signals. This perspective repositions beta bursts as transient computational primitives, rather than generic inhibitory signals or averaged rhythms. We conclude by outlining key open questions and research priorities, including the need for improved detection methods, investigation into developmental and clinical biomarkers, and translational applications in neuromodulation and brain-computer interfaces.

越来越多的人认识到,β波段的神经活动不是持续的振荡,而是短暂的突发事件。这些爆发在形状、时间和空间分布上各不相同,但它们的确切功能意义尚不清楚。在此,我们回顾了关于-爆发特性、功能角色和发育轨迹的新证据,并提出了一个新的框架,其中-爆发不是同质事件,而是反映了来自不同大脑区域针对不同皮层的突触输入的不同模式。我们认为,突发波形形状具有机械和计算意义,为皮层和皮层下信号的特定组合的动态集成提供了一个窗口。这种观点将β爆发重新定位为短暂的计算基元,而不是一般的抑制信号或平均节奏。最后,我们概述了关键的开放性问题和研究重点,包括改进检测方法的需要,对发育和临床生物标志物的研究,以及神经调节和脑机接口的转化应用。
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引用次数: 0
Echoes of Pink Noise: A Hypothesized Mechanism for Enhancing Sleep-Dependent Memory Consolidation with Auditory Stimulation. 粉红噪音的回声:听觉刺激增强睡眠依赖性记忆巩固的假设机制。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1177/10738584251403967
Saied Sabaghypour, Farhad Farkhondeh Tale Navi, Laura J Batterink

Emerging evidence highlights the potential role of auditory stimulation in enhancing sleep-dependent memory consolidation. Pink noise appears to be an effective auditory stimulus for enhancing memory consolidation, likely due to its wide-range influence on brain oscillations. However, the specific underlying mechanisms by which pink noise enhances memory consolidation remain unclear. This perspective article presents a novel hypothesis exploring how pink noise, delivered through closed-loop auditory stimulation, may facilitate memory consolidation. Specifically, we suggest that pink noise may reach the hippocampus via the rapid auditory pathway, potentially increasing the likelihood of sharp-wave ripple (SW-R) generation. By increasing hippocampal ripple activity, the overall likelihood of synchronization with spindles and slow oscillations is also increased, enhancing hippocampal-cortical coupling. This suggests that pink noise might indirectly support slow oscillation-ripple-spindle coordination to promote systems-level consolidation and interregional information transfer. This, in turn, could enable long-term memory storage and support abstraction and generalization. Our hypothesis emphasizes a bottom-up mechanism originating from the hippocampus. Although this hypothesis currently lacks direct support from subcortical recordings, it builds on existing knowledge of sleep rhythms, hippocampal auditory pathways, and the known effects of SW-R modulation on memory formation. This perspective offers a framework for future work investigating the mechanisms by which pink noise stimulation can lead to memory enhancement.

新出现的证据强调了听觉刺激在增强睡眠依赖性记忆巩固中的潜在作用。粉红噪音似乎是一种有效的听觉刺激,可以增强记忆巩固,这可能是由于它对大脑振荡的广泛影响。然而,粉红噪音增强记忆巩固的具体潜在机制尚不清楚。这篇前瞻性的文章提出了一个新的假设,探索粉红噪音是如何通过闭环听觉刺激来促进记忆巩固的。具体来说,我们认为粉红噪声可能通过快速听觉通路到达海马体,潜在地增加了锐波纹波(SW-R)产生的可能性。通过增加海马纹波活动,与纺锤波和慢振荡同步的总体可能性也增加了,从而增强了海马-皮质耦合。这表明粉红噪声可能间接支持慢振荡-纹波-纺锤协调,从而促进系统级巩固和区域间信息传递。反过来,这可以实现长期记忆存储,并支持抽象和泛化。我们的假设强调源自海马体的自下而上机制。尽管这一假说目前缺乏皮层下记录的直接支持,但它建立在睡眠节律、海马听觉通路和SW-R调制对记忆形成的已知影响的现有知识之上。这一观点为未来研究粉红噪声刺激导致记忆增强的机制提供了一个框架。
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引用次数: 0
How Do Amyloid Pathology and Aberrant Neuronal Activity Disrupt Plasticity and Memory in Alzheimer's Disease? 淀粉样蛋白病理和异常神经元活动如何破坏阿尔茨海默病的可塑性和记忆?
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-31 DOI: 10.1177/10738584251414384
Jaichandar Subramanian

Alzheimer's disease (AD) is increasingly understood as a disorder of network-state and plasticity-capacity, in which amyloid-β and tau pathologies disrupt the activity-dependent mechanisms that build and stabilize memory engrams. Here, I review how amyloid-β-driven neuronal hyperactivity contributes to plasticity and memory deficits in AD. I also discuss how various cellular pathologies reinforce one another, leading to a cellular environment that is impermissive to plasticity. I relate these cellular and circuit-level disturbances to failures in memory encoding, consolidation, and recall, emphasizing the role of interference arising from coexisting hyper- and hypoactive neuronal populations. Finally, I discuss the relevance and limitations of amyloid mouse models in understanding the cognitive decline in AD.

阿尔茨海默病(AD)被越来越多地理解为一种网络状态和可塑性能力的紊乱,其中淀粉样蛋白-β和tau病理破坏了建立和稳定记忆印迹的活动依赖机制。在这里,我回顾了淀粉样蛋白β驱动的神经元过度活动如何导致AD的可塑性和记忆缺陷。我还讨论了各种细胞病理如何相互加强,导致细胞环境允许可塑性。我将这些细胞和电路水平的干扰与记忆编码、巩固和回忆的失败联系起来,强调了共存的高活性和低活性神经元群所产生的干扰的作用。最后,我讨论了淀粉样蛋白小鼠模型在理解AD认知能力下降方面的相关性和局限性。
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引用次数: 0
NMDA Receptors in Neuropathic Pain: From Mechanisms to Therapeutic Strategies. 神经性疼痛中的NMDA受体:从机制到治疗策略。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-27 DOI: 10.1177/10738584251410528
Xi-Yue Li, Zhi-Min Fang, Sheng-Jie Guo, Lu-Ning Jia, Ting Sun, Jia-Lu Ma, Yi-Li Zheng

Neuropathic pain (NP) is a chronic pain condition caused by nerve damage. Current NP treatments have limited efficacy and significant side effects. Emerging evidence demonstrates that N-methyl-d-aspartate receptors (NMDARs) play a key role in the development of NP, especially in their pre- and postsynaptic functions. This review provides an overview of the mechanistic roles of NMDARs in NP, focusing on their subunit structures and involvement in pain transmission. The interactions between NMDARs and other neurotransmitter receptors are further discussed, emphasizing NMDARs as a promising therapeutic target. Finally, we discuss the pharmacologic mechanisms of NMDARs relevant to pain management and nonpharmacologic interventions, which have not been covered in previous reviews. This review aims to advance future research on NMDAR-mediated mechanisms in NP and promote the development of targeted, low-side effect therapeutic strategies.

神经性疼痛是一种由神经损伤引起的慢性疼痛。目前的NP治疗效果有限,副作用明显。新的证据表明,n -甲基-d-天冬氨酸受体(NMDARs)在NP的发展中起着关键作用,特别是在它们的突触前和突触后功能中。本文综述了NMDARs在NP中的机制作用,重点介绍了它们的亚基结构和参与疼痛传递。进一步讨论了NMDARs与其他神经递质受体之间的相互作用,强调NMDARs是一个有前景的治疗靶点。最后,我们讨论了与疼痛管理和非药物干预相关的NMDARs的药理学机制,这在以前的综述中没有涉及。本文旨在对nmdar介导的NP机制进行进一步研究,并促进开发靶向性、低副作用的治疗策略。
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引用次数: 0
Carlo Martinotti (1859-1918) of Montiglio d'Asti and His Cortical Interneuron from Historical and Modern Perspectives. Carlo Martinotti(1859-1918):从历史和现代的角度看Montiglio d'Asti和他的皮质中间神经元。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-01-05 DOI: 10.1177/10738584251408778
Lazaros C Triarhou

In September 1887, the 28-year-old neuropathologist Carlo Martinotti, an assistant to Camillo Golgi, presented his discovery of a new cell type in the mammalian cerebral cortex at the 12th congress of the Italian Medical Association, held in Pavia. The actual papers were published between 1888 and 1890. This neuron received the eponym "Martinotti cell" by Albert Kölliker and Santiago Ramón y Cajal, while its axon was designated the "Martinotti fiber" by Ramón y Cajal and other pioneer neuroanatomists, including Constantin von Economo and Georg N. Koskinas. Martinotti cells were later found to be inhibitory interneurons scattered throughout cortical layers II to VI, having an axon that ascends and extends rich collaterals into the molecular layer. Based on modern experiments, Martinotti cells have been implicated in a broad spectrum of functions, including regulation of cortical activity, speed of information processing, cortical plasticity, audition, motor learning, sensorimotor integration, and sleep.

1887年9月,卡米洛·高尔基的助手、28岁的神经病理学家卡洛·马蒂诺蒂(Carlo Martinotti)在帕维亚举行的意大利医学协会第12届大会上展示了他在哺乳动物大脑皮层中发现的一种新细胞类型。真正的论文发表于1888年至1890年之间。这个神经元被Albert Kölliker和Santiago Ramón y Cajal命名为“Martinotti细胞”,而其轴突被Ramón y Cajal和其他神经解剖学先驱(包括Constantin von Economo和Georg N. Koskinas)命名为“Martinotti纤维”。后来发现Martinotti细胞是分散在皮层第2至第6层的抑制性中间神经元,其轴突向上延伸丰富的侧枝进入分子层。基于现代实验,Martinotti细胞涉及广泛的功能,包括皮质活动调节、信息处理速度、皮质可塑性、听觉、运动学习、感觉运动整合和睡眠。
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引用次数: 0
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