Pub Date : 2025-12-30DOI: 10.1177/10738584251404010
Junli Wang, Junhua Li
The glymphatic system is a recently discovered brain clearance pathway that removes metabolic waste, including toxic proteins, via cerebrospinal fluid flow along perivascular spaces. It helps maintain neural homeostasis, and its dysfunction is linked to neurodegenerative diseases like Alzheimer's. Emerging evidence suggests that physical exercise can enhance glymphatic function and promote cerebral clearance, offering a potential nonpharmacological approach to support brain health. In rodent studies, voluntary wheel running has been shown to increase glymphatic flux, likely through improvements in cerebrospinal fluid circulation, vascular pulsatility, and the exchange of interstitial fluid along perivascular routes. Exercise also upregulates the expression and polarization of aquaporin 4 on astrocytic endfeet, which is essential for directing fluid movement and facilitating efficient glymphatic transport, potentially reducing the accumulation of neurotoxic proteins such as β-amyloid and tau. Beyond these direct effects, exercise-induced enhancements in cerebral blood flow, arterial compliance, and sleep quality may indirectly optimize the physiological environment for glymphatic clearance. Together, these mechanisms suggest that regular physical activity is an established, noninvasive intervention to maintain cerebral homeostasis, accelerate metabolic waste removal, and support long-term cognitive function. This review summarizes evidence linking exercise to glymphatic function and its role in brain waste clearance and cognitive function.
{"title":"The Role of Exercise in Regulating Brain Health and Aging through Glymphatic Function.","authors":"Junli Wang, Junhua Li","doi":"10.1177/10738584251404010","DOIUrl":"https://doi.org/10.1177/10738584251404010","url":null,"abstract":"<p><p>The glymphatic system is a recently discovered brain clearance pathway that removes metabolic waste, including toxic proteins, via cerebrospinal fluid flow along perivascular spaces. It helps maintain neural homeostasis, and its dysfunction is linked to neurodegenerative diseases like Alzheimer's. Emerging evidence suggests that physical exercise can enhance glymphatic function and promote cerebral clearance, offering a potential nonpharmacological approach to support brain health. In rodent studies, voluntary wheel running has been shown to increase glymphatic flux, likely through improvements in cerebrospinal fluid circulation, vascular pulsatility, and the exchange of interstitial fluid along perivascular routes. Exercise also upregulates the expression and polarization of aquaporin 4 on astrocytic endfeet, which is essential for directing fluid movement and facilitating efficient glymphatic transport, potentially reducing the accumulation of neurotoxic proteins such as β-amyloid and tau. Beyond these direct effects, exercise-induced enhancements in cerebral blood flow, arterial compliance, and sleep quality may indirectly optimize the physiological environment for glymphatic clearance. Together, these mechanisms suggest that regular physical activity is an established, noninvasive intervention to maintain cerebral homeostasis, accelerate metabolic waste removal, and support long-term cognitive function. This review summarizes evidence linking exercise to glymphatic function and its role in brain waste clearance and cognitive function.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"10738584251404010"},"PeriodicalIF":3.9,"publicationDate":"2025-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145858873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-06-26DOI: 10.1177/10738584251337652
Andrew Strohman, Wynn Legon
The subgenual (sACC) and pregenual (pACC) anterior cingulate and anterior midcingulate (aMCC) cortices are structurally and functionally distinct subregions of the cingulate cortex with critical roles in pain processing. These regions may be promising therapeutic targets using non-invasive neuromodulation techniques, including transcranial magnetic stimulation (TMS), transcranial electrical stimulation (TES), and low-intensity focused ultrasound (LIFU). In this review, we synthesize emerging evidence on the function and connectivity of these subregions in both acute and chronic pain, highlighting their differential roles in the sensory, affective, and autonomic contributions to pain processing. We compare the strengths and limitations of the different non-invasive neuromodulatory methods for accessing these deep midline structures and examine how technique-specific and target-specific effects influence analgesic outcomes. We also explore the influence of placebo mechanisms and stimulation context on therapeutic effects. Finally, we discuss emerging strategies such as personalized connectivity-based targeting to overcome anatomical and technical limitations to advance precision non-invasive neuromodulation for pain.
{"title":"Neuromodulation of the Cingulate Cortex for Pain.","authors":"Andrew Strohman, Wynn Legon","doi":"10.1177/10738584251337652","DOIUrl":"10.1177/10738584251337652","url":null,"abstract":"<p><p>The subgenual (sACC) and pregenual (pACC) anterior cingulate and anterior midcingulate (aMCC) cortices are structurally and functionally distinct subregions of the cingulate cortex with critical roles in pain processing. These regions may be promising therapeutic targets using non-invasive neuromodulation techniques, including transcranial magnetic stimulation (TMS), transcranial electrical stimulation (TES), and low-intensity focused ultrasound (LIFU). In this review, we synthesize emerging evidence on the function and connectivity of these subregions in both acute and chronic pain, highlighting their differential roles in the sensory, affective, and autonomic contributions to pain processing. We compare the strengths and limitations of the different non-invasive neuromodulatory methods for accessing these deep midline structures and examine how technique-specific and target-specific effects influence analgesic outcomes. We also explore the influence of placebo mechanisms and stimulation context on therapeutic effects. Finally, we discuss emerging strategies such as personalized connectivity-based targeting to overcome anatomical and technical limitations to advance precision non-invasive neuromodulation for pain.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"611-629"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-17DOI: 10.1177/10738584251395520
{"title":"Beyond the synapse: neuron-to-neuron crosstalk via nanotubes.","authors":"","doi":"10.1177/10738584251395520","DOIUrl":"https://doi.org/10.1177/10738584251395520","url":null,"abstract":"","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":"31 6","pages":"562"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-08-14DOI: 10.1177/10738584251360724
John Shannonhouse, Yan Zhang, Hyeonwi Son, Eungyung Kim, Deoksoo Han, Joon Tae Park, Yu Shin Kim
Primary somatosensory neurons, glial cells in the peripheral ganglia, and neural circuits in the spinal cord function as dynamic network circuits that transmit information to the brain. Although a variety of methods and techniques have been used to study individual neurons or tissue explants, the number of neurons that can be monitored is limited. Imaging intact primary sensory neurons, such as those in the dorsal root ganglion and trigeminal ganglia, and the spinal cord in vivo using fluorescent calcium markers helps overcome the limitations of previous methods and techniques by allowing researchers to monitor tens to thousands of cells simultaneously. This allows researchers to conduct experiments to elucidate somatosensory mechanisms and responses to axonal injury that were previously difficult or impossible to observe. Using this approach, researchers have studied dynamic neural network circuits, connectivity, responses to soft and deep touch, heat, cold, chemicals, inflammation, and injury, and they have repeatedly imaged individual neurons over long periods of time. Approaches include using calcium-sensitive fluorescent dyes and genetically encoded markers, performing terminal exposure surgeries, using chambers designed to monitor large numbers of cells or repeatedly imaging small numbers of cells, and imaging animals with or without anesthesia. This review discusses the advantages and disadvantages of in vivo calcium imaging for studying somatosensory and axonal injury in peripheral sensory ganglia and the dorsal spinal cord, as well as anticipated future directions.
{"title":"Lessons from the use of in vivo cellular calcium imaging in primary sensory neurons and spinal cord.","authors":"John Shannonhouse, Yan Zhang, Hyeonwi Son, Eungyung Kim, Deoksoo Han, Joon Tae Park, Yu Shin Kim","doi":"10.1177/10738584251360724","DOIUrl":"10.1177/10738584251360724","url":null,"abstract":"<p><p>Primary somatosensory neurons, glial cells in the peripheral ganglia, and neural circuits in the spinal cord function as dynamic network circuits that transmit information to the brain. Although a variety of methods and techniques have been used to study individual neurons or tissue explants, the number of neurons that can be monitored is limited. Imaging intact primary sensory neurons, such as those in the dorsal root ganglion and trigeminal ganglia, and the spinal cord in vivo using fluorescent calcium markers helps overcome the limitations of previous methods and techniques by allowing researchers to monitor tens to thousands of cells simultaneously. This allows researchers to conduct experiments to elucidate somatosensory mechanisms and responses to axonal injury that were previously difficult or impossible to observe. Using this approach, researchers have studied dynamic neural network circuits, connectivity, responses to soft and deep touch, heat, cold, chemicals, inflammation, and injury, and they have repeatedly imaged individual neurons over long periods of time. Approaches include using calcium-sensitive fluorescent dyes and genetically encoded markers, performing terminal exposure surgeries, using chambers designed to monitor large numbers of cells or repeatedly imaging small numbers of cells, and imaging animals with or without anesthesia. This review discusses the advantages and disadvantages of in vivo calcium imaging for studying somatosensory and axonal injury in peripheral sensory ganglia and the dorsal spinal cord, as well as anticipated future directions.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"591-610"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12605308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-17DOI: 10.1177/10738584251395521
{"title":"Neurosteroids as therapeutics.","authors":"","doi":"10.1177/10738584251395521","DOIUrl":"https://doi.org/10.1177/10738584251395521","url":null,"abstract":"","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":"31 6","pages":"563"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-05-29DOI: 10.1177/10738584251337664
Kohgaku Eguchi
Phosphoinositides (PIs) are essential regulators of neuronal function, playing pivotal roles in processes such as synaptic transmission, membrane excitability, and long-term synaptic plasticity. The seven PI isoforms, including PI(4)P, PI(4,5)P2, and PI(3,4,5)P2, exhibit distinct subcellular distributions that are tightly regulated by specific kinases and phosphatases. These isoforms contribute to key neuronal processes by modulating protein interactions and signaling pathways. Recent advances in visualization techniques, such as biosensor-based live imaging and SDS-digested freeze-fracture replica labeling, have provided new insights into the spatial distributions and dynamic behaviors of PI isoforms in neurons, particularly at synapses.However, significant questions remain, such as how specific PI isoforms coordinate signaling events in distinct subcellular compartments and how these lipids influence critical neuronal processes like vesicular trafficking and synaptic plasticity. Addressing these challenges will require the continued development of advanced imaging technologies, which are essential for mapping nanoscale distributions of PIs and their dynamic roles in neuronal processes. Here, I will review current findings, advancements in visualization methodologies, and key research directions. This review will be helpful for understanding the roles of PIs in neuronal physiology, their broad impacts on neuronal signaling, and the technological breakthroughs needed to uncover these complex processes.
{"title":"Phosphoinositides: Nanoscale Effects on Neuronal Membranes.","authors":"Kohgaku Eguchi","doi":"10.1177/10738584251337664","DOIUrl":"10.1177/10738584251337664","url":null,"abstract":"<p><p>Phosphoinositides (PIs) are essential regulators of neuronal function, playing pivotal roles in processes such as synaptic transmission, membrane excitability, and long-term synaptic plasticity. The seven PI isoforms, including PI(4)P, PI(4,5)P<sub>2</sub>, and PI(3,4,5)P<sub>2</sub>, exhibit distinct subcellular distributions that are tightly regulated by specific kinases and phosphatases. These isoforms contribute to key neuronal processes by modulating protein interactions and signaling pathways. Recent advances in visualization techniques, such as biosensor-based live imaging and SDS-digested freeze-fracture replica labeling, have provided new insights into the spatial distributions and dynamic behaviors of PI isoforms in neurons, particularly at synapses.However, significant questions remain, such as how specific PI isoforms coordinate signaling events in distinct subcellular compartments and how these lipids influence critical neuronal processes like vesicular trafficking and synaptic plasticity. Addressing these challenges will require the continued development of advanced imaging technologies, which are essential for mapping nanoscale distributions of PIs and their dynamic roles in neuronal processes. Here, I will review current findings, advancements in visualization methodologies, and key research directions. This review will be helpful for understanding the roles of PIs in neuronal physiology, their broad impacts on neuronal signaling, and the technological breakthroughs needed to uncover these complex processes.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"576-590"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-02-19DOI: 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.
{"title":"The mind-machine connection: adaptive information processing and new technologies promoting mental health in older adults.","authors":"S S Magalhães, A M Lucas-Ochoa, A M Gonzalez-Cuello, E Fernández-Villalba, M B Pereira Toralles, M T Herrero","doi":"10.1177/10738584251318948","DOIUrl":"10.1177/10738584251318948","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"630-641"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143450732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Although intracerebral hemorrhage (ICH) and cerebral small vessel disease (cSVD) have long been considered distinct clinical entities, emerging evidence reveals significant overlap in their etiologies and imaging markers. This review aims to explore the relationship between ICH and cSVD, suggesting that ICH may represent an acute manifestation of small vessel disease. ICH is primarily caused by cerebral amyloid angiopathy and hypertension, while cSVD is mainly attributed to cerebral amyloid angiopathy and arteriolosclerosis. Hypertension-induced arteriolosclerosis is one of the most common pathologic changes in cSVD. This overlap in etiology suggests a close relationship between ICH and cSVD. In patients with ICH, multiple imaging markers of cSVD are often observed. Recent studies suggest that enlarged perivascular spaces, one of the imaging markers of cSVD, may serve as a pathway for hematoma expansion. Additionally, diffusion-weighted imaging lesions are frequently observed in patients with ICH. These lesions are likely to be based on underlying cSVD and may evolve into other cSVD markers, such as white matter hyperintensity, lacunar infarctions, or microbleeds. These findings highlight the complex interplay between ICH and cSVD, suggesting that ICH could be considered an acute expression of cSVD rather than an entirely separate entity.
{"title":"Intracerebral Hemorrhage: An Acute Manifestation of Small Vessel Disease?","authors":"Li-Li Tang, Yu-Jia Jin, Xue Qun Chen, Peiran Jiang, Feng Gao, Lu-Sha Tong","doi":"10.1177/10738584251364772","DOIUrl":"10.1177/10738584251364772","url":null,"abstract":"<p><p>Although intracerebral hemorrhage (ICH) and cerebral small vessel disease (cSVD) have long been considered distinct clinical entities, emerging evidence reveals significant overlap in their etiologies and imaging markers. This review aims to explore the relationship between ICH and cSVD, suggesting that ICH may represent an acute manifestation of small vessel disease. ICH is primarily caused by cerebral amyloid angiopathy and hypertension, while cSVD is mainly attributed to cerebral amyloid angiopathy and arteriolosclerosis. Hypertension-induced arteriolosclerosis is one of the most common pathologic changes in cSVD. This overlap in etiology suggests a close relationship between ICH and cSVD. In patients with ICH, multiple imaging markers of cSVD are often observed. Recent studies suggest that enlarged perivascular spaces, one of the imaging markers of cSVD, may serve as a pathway for hematoma expansion. Additionally, diffusion-weighted imaging lesions are frequently observed in patients with ICH. These lesions are likely to be based on underlying cSVD and may evolve into other cSVD markers, such as white matter hyperintensity, lacunar infarctions, or microbleeds. These findings highlight the complex interplay between ICH and cSVD, suggesting that ICH could be considered an acute expression of cSVD rather than an entirely separate entity.</p>","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":" ","pages":"564-575"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-11-17DOI: 10.1177/10738584251394963
{"title":"4-D brain mapping: A new tool to unravel the mystery of MS.","authors":"","doi":"10.1177/10738584251394963","DOIUrl":"https://doi.org/10.1177/10738584251394963","url":null,"abstract":"","PeriodicalId":49753,"journal":{"name":"Neuroscientist","volume":"31 6","pages":"561"},"PeriodicalIF":3.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}