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Targeting the TRPM4 Channel for Neurologic Diseases: Opportunity and Challenge.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-26 DOI: 10.1177/10738584251318979
Gayathri Rajamanickam, Zhenyu Hu, Ping Liao

As a monovalent cation channel, the transient receptor potential melastatin 4 (TRPM4) channel is a unique member of the transient receptor potential family. Abnormal TRPM4 activity has been identified in various neurologic disorders, such as stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, amyotrophic lateral sclerosis, pathologic pain, and epilepsy. Following brain hypoxia/ischemia and inflammation, TRPM4 up-regulation and enhanced activity contribute to the cell death of neurons, vascular endothelial cells, and astrocytes. Enhanced ionic influx via TRPM4 leads to cell volume increase and oncosis. Depolarization of membrane potential following TRPM4 activation and interaction between TRPM4 and N-methyl-d-aspartate receptors exacerbate excitotoxicity during hypoxia. Importantly, TRPM4 expression and activity remain low in healthy neurons, making it an ideal drug target. Current approaches to inhibit or modulate the TRPM4 channel have various limitations that hamper the interpretation of TRPM4 physiology in the nervous system and potentially hinder their translation into therapy. In this review, we discuss the pathophysiologic roles of TRPM4 and the different inhibitors that modulate TRPM4 activity for potential treatment of neurologic diseases.

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引用次数: 0
The mind-machine connection: adaptive information processing and new technologies promoting mental health in older adults.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-19 DOI: 10.1177/10738584251318948
S S Magalhães, A M Lucas-Ochoa, A M Gonzalez-Cuello, E Fernández-Villalba, M B Pereira Toralles, M T Herrero

The human brain demonstrates an exceptional adaptability, which encompasses the ability to regulate emotions, exhibit cognitive flexibility, and generate behavioral responses, all supported by neuroplasticity. Brain-computer interfaces (BCIs) employ adaptive algorithms and machine learning techniques to adapt to variations in the user's brain activity, allowing for customized interactions with external devices. Older adults may experience cognitive decline, which could affect the ability to learn and adapt to new technologies such as BCIs, but both (human brain and BCI) demonstrate adaptability in their responses. The human brain is skilled at quickly switching between tasks and regulating emotions, while BCIs can modify signal-processing algorithms to accommodate changes in brain activity. Furthermore, the human brain and BCI participate in knowledge acquisition; the first one strengthens cognitive abilities through exposure to new experiences, and the second one improves performance through ongoing adjustment and improvement. Current research seeks to incorporate emotional states into BCI systems to improve the user experience, despite the exceptional emotional regulation abilities of the human brain. The implementation of BCIs for older adults could be more effective, inclusive, and beneficial in improving their quality of life. This review aims to improve the understanding of brain-machine interfaces and their implications for mental health in older adults.

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引用次数: 0
Microglial Regulation of Neural Networks in Neuropsychiatric Disorders.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-11 DOI: 10.1177/10738584251316558
Zi-Lin Cao, Li-Xia Zhu, Hong-Mei Wang, Li-Juan Zhu

Microglia serve as vital innate immune cells in the central nervous system, playing crucial roles in the generation and development of brain neurons, as well as mediating a series of immune and inflammatory responses. The morphologic transitions of microglia are closely linked to their function. With the advent of single-cell sequencing technology, the diversity of microglial subtypes is increasingly recognized. The intricate interactions between microglia and neuronal networks have significant implications for psychiatric disorders and neurodegenerative diseases. A deeper investigation of microglia in neurologic diseases such as Alzheimer disease, depression, and epilepsy can provide valuable insights in understanding the pathogenesis of diseases and exploring novel therapeutic strategies, thereby addressing issues related to central nervous system disorders.

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引用次数: 0
The conceptual and practical organization of mental illness.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 DOI: 10.1177/10738584241311109
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引用次数: 0
Forthcoming Articles.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 DOI: 10.1177/10738584241309778
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引用次数: 0
The Importance of Cajal's and Lorente de Nó's Neuroscience to the Birth of Cybernetics. 卡哈尔和洛伦特·德Nó的神经科学对控制论诞生的重要性。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 Epub Date: 2023-07-05 DOI: 10.1177/10738584231179932

The beginnings of cybernetics were marked by the publication of two papers in 1943. In the first one, Rosenblueth, Wiener, and Bigelow claimed that purposeful behavior is a circular process controlled by negative feedback. In the second seminal paper, McCulloch and Pitts proposed that neurons are interconnected working as logical operators. Both articles raised human-machine analogies and mathematically formulated cognitive mechanisms. These ideas ignited the interest of von Neumann, who was developing the first stored-program computer. Thus, after a preliminary meeting in 1945, a series of meetings were held between 1946 and 1953. The role of the Spanish neurophysiologist Rafael Lorente de Nó in the beginnings of cybernetics is attested not only by his participation in the core members of these Macy conferences but also for his previous description of reverberating circuits formed by a closed chain of internuncial neurons. This was the first neurobiologic demonstration of a feedback loop. Most researchers considered the central nervous system as a mere reflex organ until then; nevertheless, he demonstrated a self-sustained central activity in the nervous system, supporting the idea of self-regulating mechanisms as a key concept not just in machines but also in the brain.

1943年发表的两篇论文标志着控制论的开端。在第一个理论中,Rosenblueth、Wiener和Bigelow声称,有目的的行为是一个由负反馈控制的循环过程。在第二篇开创性的论文中,麦卡洛克和皮茨提出,神经元是相互连接的,作为逻辑运算符工作。这两篇文章都提出了人机类比和数学表述的认知机制。这些想法引起了冯·诺伊曼的兴趣,他当时正在开发第一台存储程序计算机。因此,在1945年举行初步会议之后,在1946年至1953年期间举行了一系列会议。西班牙神经生理学家Rafael Lorente de Nó在控制论初期的作用不仅体现在他参与了梅西会议的核心成员,还体现在他之前对内部神经元封闭链形成的回响回路的描述上。这是第一个反馈回路的神经生物学论证。在此之前,大多数研究人员认为中枢神经系统仅仅是一个反射器官;然而,他证明了神经系统中自我维持的中枢活动,支持了自我调节机制不仅是机器的关键概念,也是大脑的关键概念。
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引用次数: 0
Novel Biomarkers of FTD-ALS.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 DOI: 10.1177/10738584241308752
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引用次数: 0
Excitation-Inhibition Balance, Neural Criticality, and Activities in Neuronal Circuits. 神经元回路中的兴奋抑制平衡、神经临界和活动。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 Epub Date: 2024-01-31 DOI: 10.1177/10738584231221766

Neural activities in local circuits exhibit complex and multilevel dynamic features. Individual neurons spike irregularly, which is believed to originate from receiving balanced amounts of excitatory and inhibitory inputs, known as the excitation-inhibition balance. The spatial-temporal cascades of clustered neuronal spikes occur in variable sizes and durations, manifested as neural avalanches with scale-free features. These may be explained by the neural criticality hypothesis, which posits that neural systems operate around the transition between distinct dynamic states. Here, we summarize the experimental evidence for and the underlying theory of excitation-inhibition balance and neural criticality. Furthermore, we review recent studies of excitatory-inhibitory networks with synaptic kinetics as a simple solution to reconcile these two apparently distinct theories in a single circuit model. This provides a more unified understanding of multilevel neural activities in local circuits, from spontaneous to stimulus-response dynamics.

局部回路中的神经活动呈现出复杂和多层次的动态特征。单个神经元会不规则地激增,这被认为是由于接受了均衡的兴奋性和抑制性输入,即所谓的兴奋-抑制平衡。集群神经元尖峰的时空级联在大小和持续时间上各不相同,表现为具有无尺度特征的神经雪崩。神经临界假说认为,神经系统是在不同的动态状态之间的转换过程中运行的。在此,我们总结了兴奋-抑制平衡和神经临界的实验证据和基本理论。此外,我们还回顾了最近对具有突触动力学的兴奋-抑制网络的研究,这是一种在单一电路模型中调和这两种看似不同理论的简单解决方案。这使我们对局部电路中从自发到刺激-反应动力学的多层次神经活动有了更统一的认识。
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引用次数: 0
Transfer of Tactile Learning to Untrained Body Parts: Emerging Cortical Mechanisms. 将触觉学习转移到未经训练的身体部位:新出现的皮层机制
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 Epub Date: 2024-05-30 DOI: 10.1177/10738584241256277

Pioneering investigations in the mid-19th century revealed that the perception of tactile cues presented to the surface of the skin improves with training, which is referred to as tactile learning. Surprisingly, tactile learning also occurs for body parts and skin locations that are not physically involved in the training. For example, after training of a finger, tactile learning transfers to adjacent untrained fingers. This suggests that the transfer of tactile learning follows a somatotopic pattern and involves brain regions such as the primary somatosensory cortex (S1), in which the trained and untrained body parts and skin locations are represented close to each other. However, other results showed that transfer occurs between body parts that are not represented close to each other in S1-for example, between the hand and the foot. These and similar findings have led to the suggestion of additional cortical mechanisms to explain the transfer of tactile learning. Here, different mechanisms are reviewed, and the extent to which they can explain the transfer of tactile learning is discussed. What all of these mechanisms have in common is that they assume a representational or functional relationship between the trained and untrained body parts and skin locations. However, none of these mechanisms alone can explain the complex pattern of transfer results, and it is likely that different mechanisms interact to enable transfer, perhaps in concert with higher somatosensory and decision-making areas.

19 世纪中叶的开创性研究表明,对皮肤表面触觉线索的感知会随着训练的进行而提高,这被称为触觉学习。令人惊讶的是,触觉学习也会发生在没有参与训练的身体部位和皮肤位置。例如,在对手指进行训练后,触觉学习会转移到相邻的未经训练的手指上。这表明,触觉学习的迁移遵循体位模式,涉及初级体感皮层(S1)等脑区,在这些脑区中,受过训练和未受过训练的身体部位和皮肤位置彼此靠近。然而,其他研究结果表明,迁移发生在身体部位之间,而这些部位在 S1 中的表现并不接近--例如,在手和脚之间。这些研究结果和类似的研究结果促使人们提出了更多的皮层机制来解释触觉学习的迁移。在此,我们将对不同的机制进行回顾,并讨论它们在多大程度上可以解释触觉学习的迁移。所有这些机制的共同点是,它们都假定训练过和未训练过的身体部位和皮肤位置之间存在表征或功能关系。然而,这些机制都无法单独解释复杂的迁移结果模式,很可能是不同的机制相互作用促成了迁移,也许是与高级躯体感觉和决策区域协同作用。
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引用次数: 0
Chronic Fatigue Syndrome: Pulling Back the Curtains.
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-02-01 DOI: 10.1177/10738584241308723
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引用次数: 0
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