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Early-Onset Psychosis and Gray and White Matter Volume Abnormalities. 早发精神病与灰质和白质体积异常。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-08-01 DOI: 10.1177/10738584241260360a
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引用次数: 0
Mapping the Iceberg of Autonomic Recovery: Mechanistic Underpinnings of Neuromodulation following Spinal Cord Injury. 绘制自主神经恢复的冰山:脊髓损伤后神经调节的机制基础。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 Epub Date: 2023-01-11 DOI: 10.1177/10738584221145570
Soshi Samejima, Claire Shackleton, Tiev Miller, Chet T Moritz, Thomas M Kessler, Klaus Krogh, Rahul Sachdeva, Andrei V Krassioukov

Spinal cord injury leads to disruption in autonomic control resulting in cardiovascular, bowel, and lower urinary tract dysfunctions, all of which significantly reduce health-related quality of life. Although spinal cord stimulation shows promise for promoting autonomic recovery, the underlying mechanisms are unclear. Based on current preclinical and clinical evidence, this narrative review provides the most plausible mechanisms underlying the effects of spinal cord stimulation for autonomic recovery, including activation of the somatoautonomic reflex and induction of neuroplastic changes in the spinal cord. Areas where evidence is limited are highlighted in an effort to guide the scientific community to further explore these mechanisms and advance the clinical translation of spinal cord stimulation for autonomic recovery.

脊髓损伤会导致自律神经控制紊乱,造成心血管、肠道和下尿路功能障碍,所有这些都会大大降低与健康相关的生活质量。虽然脊髓刺激有望促进自律神经的恢复,但其潜在机制尚不清楚。根据目前的临床前和临床证据,本综述提供了脊髓刺激促进自律神经恢复的最合理机制,包括激活躯体自律神经反射和诱导脊髓神经可塑性变化。文中强调了证据有限的领域,旨在引导科学界进一步探索这些机制,推动脊髓刺激促进自律神经恢复的临床转化。
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引用次数: 0
The Mesencephalic Locomotor Region: Multiple Cell Types, Multiple Behavioral Roles, and Multiple Implications for Disease. 间脑运动区:多种细胞类型、多种行为作用和对疾病的多种影响。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 Epub Date: 2022-12-28 DOI: 10.1177/10738584221139136
Dimitri Ryczko

The mesencephalic locomotor region (MLR) controls locomotion in vertebrates. In humans with Parkinson disease, locomotor deficits are increasingly associated with decreased activity in the MLR. This brainstem region, commonly considered to include the cuneiform and pedunculopontine nuclei, has been explored as a target for deep brain stimulation to improve locomotor function, but the results are variable, from modest to promising. However, the MLR is a heterogeneous structure, and identification of the best cell type to target is only beginning. Here, I review the studies that uncovered the role of genetically defined MLR cell types, and I highlight the cells whose activation improves locomotor function in animal models of Parkinson disease. The promising cell types to activate comprise some glutamatergic neurons in the cuneiform and caudal pedunculopontine nuclei, as well as some cholinergic neurons of the pedunculopontine nucleus. Activation of MLR GABAergic neurons should be avoided, since they stop locomotion or evoke bouts flanked with numerous stops. MLR is also considered a potential target in spinal cord injury, supranuclear palsy, primary progressive freezing of gait, or stroke. Better targeting of the MLR cell types should be achieved through optimized deep brain stimulation protocols, pharmacotherapy, or the development of optogenetics for human use.

间脑运动区(MLR)控制着脊椎动物的运动。在帕金森病患者中,运动障碍越来越多地与间脑运动区活动减少有关。这一脑干区域通常被认为包括楔状核和足底核,已被探索作为深部脑刺激的目标,以改善运动功能,但结果各不相同,有的效果一般,有的则很有希望。然而,MLR 是一种异质结构,确定最佳靶向细胞类型的工作才刚刚开始。在此,我回顾了揭示基因定义的 MLR 细胞类型的作用的研究,并重点介绍了激活后可改善帕金森病动物模型运动功能的细胞。有望激活的细胞类型包括楔状核和尾部足突核中的一些谷氨酸能神经元,以及足突核中的一些胆碱能神经元。应避免激活 MLR GABA 能神经元,因为它们会使运动停止或诱发多次停止的阵发性运动。MLR 也被认为是脊髓损伤、核上性麻痹、原发性进行性步态冻结或中风的潜在靶点。应通过优化脑深部刺激方案、药物疗法或开发供人类使用的光遗传学来更好地靶向 MLR 细胞类型。
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引用次数: 0
A new mechanism for the antidepressant effects of ketamine. 氯胺酮抗抑郁作用的新机制。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 DOI: 10.1177/10738584241250305a
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引用次数: 0
Reversal of rotenone-induced mild mitochondrial dysfunction and manic- and depressive-like behavior. 逆转鱼藤酮诱导的轻度线粒体功能障碍以及躁狂和抑郁样行为。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 DOI: 10.1177/10738584241250305
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引用次数: 0
Threat Memory in the Sensory Cortex: Insights from Olfaction. 感觉皮层中的威胁记忆:来自嗅觉的启示。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 Epub Date: 2023-01-26 DOI: 10.1177/10738584221148994
Wen Li, Donald A Wilson

The amygdala has long held the center seat in the neural basis of threat conditioning. However, a rapidly growing literature has elucidated extra-amygdala circuits in this process, highlighting the sensory cortex for its critical role in the mnemonic aspect of the process. While this literature is largely focused on the auditory system, substantial human and rodent findings on the olfactory system have emerged. The unique nature of the olfactory neuroanatomy and its intimate association with emotion compels a review of this recent literature to illuminate its special contribution to threat memory. Here, integrating recent evidence in humans and animal models, we posit that the olfactory (piriform) cortex is a primary and necessary component of the distributed threat memory network, supporting mnemonic ensemble coding of acquired threat. We further highlight the basic circuit architecture of the piriform cortex characterized by distributed, auto-associative connections, which is prime for highly efficient content-addressable memory computing to support threat memory. Given the primordial role of the piriform cortex in cortical evolution and its simple, well-defined circuits, we propose that olfaction can be a model system for understanding (transmodal) sensory cortical mechanisms underlying threat memory.

长期以来,杏仁核在威胁条件反射的神经基础中一直占据中心位置。然而,越来越多的文献阐明了这一过程中杏仁核以外的回路,强调了感觉皮层在这一过程的记忆方面所起的关键作用。虽然这些文献主要集中于听觉系统,但也出现了大量关于嗅觉系统的人类和啮齿动物研究成果。由于嗅觉神经解剖学的独特性及其与情感的密切联系,我们不得不对这些最新文献进行回顾,以阐明其对威胁记忆的特殊贡献。在此,我们综合了人类和动物模型的最新证据,认为嗅觉(梨状皮层)是分布式威胁记忆网络的主要和必要组成部分,支持对获得的威胁进行记忆性集合编码。我们进一步强调了以分布式自动关联连接为特征的梨状皮层基本电路结构,它是支持威胁记忆的高效内容可寻址记忆计算的首要条件。鉴于梨状皮层在皮层进化中的原始作用及其简单、定义明确的电路,我们建议将嗅觉作为一个模型系统,用于理解威胁记忆的(跨模态)感觉皮层机制。
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引用次数: 0
Genetics and Molecular Biology of Memory Suppression. 记忆抑制的遗传学和分子生物学。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-06-01 Epub Date: 2022-12-15 DOI: 10.1177/10738584221138527
Nathaniel C Noyes, Ronald L Davis

The brain is designed not only with molecules and cellular processes that help to form memories but also with molecules and cellular processes that suppress the formation and retention of memory. The latter processes are critical for an efficient memory management system, given the vast amount of information that each person experiences in their daily activities and that most of this information becomes irrelevant with time. Thus, efficiency dictates that the brain should have processes for selecting the most critical information for storage and suppressing the irrelevant or forgetting it later should it escape the initial filters. Such memory suppressor molecules and processes are revealed by genetic or pharmacologic insults that lead to enhanced memory expression. We review here the predominant memory suppressor molecules and processes that have recently been discovered. They are diverse, as expected, because the brain is complex and employs many different strategies and mechanisms to form memories. They include the gene-repressive actions of small noncoding RNAs, repressors of protein synthesis, cAMP-mediated gene expression pathways, inter- and intracellular signaling pathways for normal forgetting, and others. A deep understanding of memory suppressor molecules and processes is necessary to fully comprehend how the brain forms, stabilizes, and retrieves memories and to reveal how brain disorders disrupt memory.

大脑不仅设计有助于形成记忆的分子和细胞过程,还设计有抑制记忆形成和保留的分子和电池过程。考虑到每个人在日常活动中经历的大量信息,以及这些信息中的大部分与时间无关,后一个过程对于高效的记忆管理系统至关重要。因此,效率决定了大脑应该有选择最关键信息进行存储的过程,并抑制不相关的信息,或者在以后逃离最初的过滤器时忘记这些信息。这种记忆抑制分子和过程是通过遗传或药理学损伤来揭示的,这些损伤导致记忆表达增强。我们在此回顾最近发现的主要记忆抑制分子和过程。正如预期的那样,它们是多样化的,因为大脑是复杂的,并采用许多不同的策略和机制来形成记忆。它们包括小的非编码RNA的基因抑制作用、蛋白质合成的抑制剂、cAMP介导的基因表达途径、正常遗忘的细胞间和细胞内信号通路等。深入了解记忆抑制分子和过程对于充分理解大脑如何形成、稳定和检索记忆以及揭示大脑疾病如何破坏记忆是必要的。
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引用次数: 0
Adult Hippocampal Neurogenesis in the Human Brain: Updates, Challenges, and Perspectives. 人脑中的成年海马神经发生:最新进展、挑战和前景》。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-05-17 DOI: 10.1177/10738584241252581
Sophie Simard, Natalie Matosin, Naguib Mechawar

The existence of neurogenesis in the adult human hippocampus has been under considerable debate within the past three decades due to the diverging conclusions originating mostly from immunohistochemistry studies. While some of these reports conclude that hippocampal neurogenesis in humans occurs throughout physiologic aging, others indicate that this phenomenon ends by early childhood. More recently, some groups have adopted next-generation sequencing technologies to characterize with more acuity the extent of this phenomenon in humans. Here, we review the current state of research on adult hippocampal neurogenesis in the human brain with an emphasis on the challenges and limitations of using immunohistochemistry and next-generation sequencing technologies for its study.

在过去的三十年中,由于主要来自免疫组化研究的不同结论,关于成年人类海马神经发生的存在一直存在很大争议。其中一些报告得出结论认为,人类海马的神经发生贯穿整个生理衰老过程,而另一些报告则指出,这种现象在儿童早期就已经结束。最近,一些研究小组采用了下一代测序技术,以更清晰地描述这一现象在人类中的程度。在此,我们回顾了人脑中成年海马神经发生的研究现状,重点介绍了使用免疫组化和新一代测序技术进行研究的挑战和局限性。
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引用次数: 0
Oxygen and the Spark of Human Brain Evolution: Complex Interactions of Metabolism and Cortical Expansion across Development and Evolution. 氧气与人类大脑进化的火花:新陈代谢与皮质扩展在发育和进化过程中的复杂互动。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-04-01 Epub Date: 2022-12-08 DOI: 10.1177/10738584221138032
Andrea I Luppi, Fernando E Rosas, MaryAnn P Noonan, Pedro A M Mediano, Morten L Kringelbach, Robin L Carhart-Harris, Emmanuel A Stamatakis, Anthony C Vernon, Federico E Turkheimer

Scientific theories on the functioning and dysfunction of the human brain require an understanding of its development-before and after birth and through maturation to adulthood-and its evolution. Here we bring together several accounts of human brain evolution by focusing on the central role of oxygen and brain metabolism. We argue that evolutionary expansion of human transmodal association cortices exceeded the capacity of oxygen delivery by the vascular system, which led these brain tissues to rely on nonoxidative glycolysis for additional energy supply. We draw a link between the resulting lower oxygen tension and its effect on cytoarchitecture, which we posit as a key driver of genetic developmental programs for the human brain-favoring lower intracortical myelination and the presence of biosynthetic materials for synapse turnover. Across biological and temporal scales, this protracted capacity for neural plasticity sets the conditions for cognitive flexibility and ongoing learning, supporting complex group dynamics and intergenerational learning that in turn enabled improved nutrition to fuel the metabolic costs of further cortical expansion. Our proposed model delineates explicit mechanistic links among metabolism, molecular and cellular brain heterogeneity, and behavior, which may lead toward a clearer understanding of brain development and its disorders.

关于人脑功能和失调的科学理论需要了解人脑的发育--从出生前到出生后,从成熟到成年--及其进化过程。在这里,我们通过关注氧气和大脑新陈代谢的核心作用,汇集了关于人脑进化的几种说法。我们认为,人类跨模态关联皮层的进化扩张超过了血管系统的供氧能力,这导致这些脑组织依赖非氧化糖酵解来提供额外能量。我们将由此导致的较低氧张力及其对细胞结构的影响联系起来,并认为这是人类大脑遗传发育程序的一个关键驱动因素--它有利于降低皮层内的髓鞘化程度,并有利于突触周转所需的生物合成材料的存在。在整个生物和时间尺度上,这种神经可塑性的长期能力为认知灵活性和持续学习创造了条件,支持复杂的群体动力学和代际学习,而代际学习反过来又使营养得到改善,从而为皮质进一步扩张的代谢成本提供燃料。我们提出的模型在新陈代谢、分子和细胞大脑异质性以及行为之间建立了明确的机理联系,这可能有助于人们更清楚地了解大脑发育及其疾病。
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引用次数: 0
Emerging Roles of Neuronal Extracellular Vesicles at the Synapse. 神经元胞外小泡在突触中的新作用
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-04-01 Epub Date: 2023-03-21 DOI: 10.1177/10738584231160521
Ashley J Mason, Christopher Deppmann, Bettina Winckler

Extracellular vesicles (EVs) are secreted from most, if not all, cell types and are implicated in short- and long-distance signaling throughout the body. EVs are also secreted from neurons and represent an emergent neuronal communication platform. Understanding the functional implications of EV signaling to recipient neurons and glia requires understanding the cell biology involved in EV biogenesis, cargo loading, secretion, uptake, and signal transduction in the recipient cell. Here we review these major questions of EV biology while highlighting recent new insights and examples within the nervous system, such as modulating synaptic function or morphogenesis in recipient neurons.

细胞外囊泡(EVs)是从大多数细胞类型(如果不是所有细胞类型的话)分泌出来的,与整个机体的短距离和长距离信号传递有关。EVs 也从神经元分泌,是一种新兴的神经元通信平台。要了解 EV 信号对受体神经元和胶质细胞的功能影响,就必须了解 EV 在受体细胞中的生物发生、货物装载、分泌、摄取和信号转导所涉及的细胞生物学。在此,我们回顾了 EV 生物学的这些主要问题,同时重点介绍了最近在神经系统中的新发现和实例,如调节受体神经元的突触功能或形态发生。
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引用次数: 0
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Neuroscientist
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