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Neural Network Excitation/Inhibition: A Key to Empathy and Empathy Impairment. 神经网络兴奋/抑制:移情和移情障碍的关键。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-12-01 Epub Date: 2024-02-12 DOI: 10.1177/10738584231223119
Yuanhong Tang, Chunjian Wang, Qingquan Li, Gang Liu, Da Song, Zhenzhen Quan, Yan Yan, Hong Qing

Empathy is an ability to fully understand and feel the mental states of others. We emphasize that empathy is elicited by the transmission of pain, fear, and sensory information. In clinical studies, impaired empathy has been observed in most psychiatric conditions. However, the precise impairment mechanism of the network systems on the pathogenesis of empathy impairment in psychiatric disorders is still unclear. Multiple lines of evidence suggest that disturbances in the excitatory/inhibitory balance in neurologic disorders are key to empathetic impairment in psychiatric disorders. Therefore, we here describe the roles played by the anterior cingulate cortex- and medial prefrontal cortex-dependent neural circuits and their impairments in psychiatric disorders, including anxiety, depression, and autism. In addition, we review recent studies on the role of microglia in neural network excitation/inhibition imbalance, which contributes to a better understanding of the neural network excitation/inhibition imbalance and may open up innovative psychiatric therapies.

移情是一种充分理解和感受他人心理状态的能力。我们强调,移情是由疼痛、恐惧和感官信息的传递引起的。在临床研究中,大多数精神疾病都会导致移情能力受损。然而,网络系统对精神疾病共情障碍发病机制的确切损害机制仍不清楚。多种证据表明,神经系统疾病中兴奋/抑制平衡的紊乱是精神疾病中移情障碍的关键。因此,我们在此描述了前扣带回皮层和内侧前额叶皮层依赖的神经回路在焦虑症、抑郁症和自闭症等精神疾病中所扮演的角色及其损伤。此外,我们还回顾了最近关于小胶质细胞在神经网络兴奋/抑制失衡中的作用的研究,这有助于更好地理解神经网络兴奋/抑制失衡,并可能开辟创新的精神疗法。
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引用次数: 0
Oxytocin in Human Social Network Cooperation. 人类社会网络合作中的催产素。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-29 DOI: 10.1177/10738584241293366
Xiaochun Han, Yina Ma

Human society is organized in structured social networks upon which large-scale cooperation among genetically unrelated individuals is favored and persists. Such large-scale cooperation is crucial for the success of the human species but also one of the most puzzling challenges. Recent work in social and behavioral neuroscience has linked human cooperation to oxytocin, an evolutionarily ancient and structurally preserved hypothalamic neuropeptide. This review aims to elucidate how oxytocin promotes nonkin cooperation in social networks by reviewing its effects at three distinct levels: individual cooperation, the formation of interpersonal relationships, and the establishment of heterogeneous network structures. We propose oxytocin as a proximate mechanism for fostering large-scale cooperation in human societies. Specifically, oxytocin plays an important role in facilitating network-wide cooperation in human societies by 1) increasing individual cooperation, mitigating noncooperation motives, and facilitating the enforcement of cooperative norms; 2) fostering interpersonal bonding and synchronization; and 3) facilitating the formation of heterogeneous network structures.

人类社会是在结构化的社会网络中组织起来的,在这种网络中,基因无关的个体之间的大规模合作受到青睐并得以持续。这种大规模的合作对人类物种的成功至关重要,但也是最令人费解的挑战之一。最近在社会和行为神经科学方面的研究将人类合作与催产素联系起来,催产素是一种进化上古老且结构上保存完好的下丘脑神经肽。本文旨在从个体合作、人际关系的形成和异质网络结构的建立三个不同层面来阐述催产素如何促进社会网络中的非亲属合作。我们认为催产素是促进人类社会大规模合作的近似机制。具体而言,催产素在促进人类社会网络范围内的合作中发挥着重要作用,其作用如下:1)增加个体合作,减轻非合作动机,促进合作规范的执行;2)促进人际联系和同步;3)促进异质网络结构的形成。
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引用次数: 0
Hidden in the white matter: Current views on interstitial white matter neurons. 隐藏在白质中:目前对白质间质神经元的看法。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-04 DOI: 10.1177/10738584241282969
Maximilian Fischer, Maria Kukley

The mammalian brain comprises two structurally and functionally distinct compartments: the gray matter (GM) and the white matter (WM). In humans, the WM constitutes approximately half of the brain volume, yet it remains significantly less investigated than the GM. The major cellular elements of the WM are neuronal axons and glial cells. However, the WM also contains cell bodies of the interstitial neurons, estimated to number 10 to 28 million in the adult bat brain, 67 million in Lar gibbon brain, and 450 to 670 million in the adult human brain, representing as much as 1.3%, 2.25%, and 3.5% of all neurons in the cerebral cortex, respectively. Many studies investigated the interstitial WM neurons (IWMNs) using immunohistochemistry, and some information is available regarding their electrophysiological properties. However, the functional role of IWMNs in physiologic and pathologic conditions largely remains unknown. This review aims to provide a concise update regarding the distribution and properties of interstitial WM neurons, highlight possible functions of these cells as debated in the literature, and speculate about other possible functions of the IWMNs and their interactions with glial cells. We hope that our review will inspire new research on IWMNs, which represent an intriguing cell population in the brain.

哺乳动物的大脑由两个结构和功能截然不同的部分组成:灰质(GM)和白质(WM)。在人类中,白质约占大脑体积的一半,但对它的研究却远远少于灰质。白质的主要细胞成分是神经元轴突和胶质细胞。然而,WM 还包含间隙神经元的细胞体,据估计,成年蝙蝠大脑中的间隙神经元数量为 1,000 万至 2,800 万个,长臂猿大脑中的间隙神经元数量为 6,700 万个,而成年人类大脑中的间隙神经元数量为 4.5 亿至 6.7 亿个,分别占大脑皮层所有神经元的 1.3%、2.25% 和 3.5%。许多研究使用免疫组化方法对间质 WM 神经元(IWMNs)进行了调查,并获得了一些有关其电生理特性的信息。然而,IWMNs 在生理和病理状态下的功能作用在很大程度上仍然未知。本综述旨在提供有关间质 WM 神经元分布和特性的最新简明信息,强调文献中争论的这些细胞的可能功能,并推测 IWMNs 的其他可能功能及其与神经胶质细胞的相互作用。我们希望我们的综述能激发对 IWMNs 的新研究,它们代表了大脑中一个有趣的细胞群。
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引用次数: 0
Empathic pain: Underlying neural mechanism. 共鸣痛:潜在的神经机制
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-04 DOI: 10.1177/10738584241283435
Ming-Ming Zhang, Tao Chen

Empathy is usually regarded as the ability to perceive the emotional state of others, which is an altruistic motivation to promote prosocial behavior and thus plays a key role in human life and social development. Empathic pain-the capacity to feel and understand the pain of others-constitutes a significant aspect in the study of empathy behaviors. For an extended duration, investigations into empathic pain have predominantly centered on human neuroimaging studies. Fortunately, recent advancements have witnessed the utilization of animal models in the exploration of the fundamental neural underpinnings of empathic pain. There is substantial evidence implicating multiple brain regions and neural networks in the generation and maintenance of empathic pain. Nevertheless, further elucidation of the neural mechanisms underlying empathic pain is warranted. This review provides a concise overview of prior studies on the neural mechanisms of empathic pain, outlining the pertinent brain regions, neural pathways, synaptic mechanisms, and associated molecules while also delving into future prospects.

移情通常被认为是感知他人情绪状态的能力,是促进亲社会行为的利他动机,因此在人类生活和社会发展中起着关键作用。移情痛苦--感受和理解他人痛苦的能力--是移情行为研究的一个重要方面。长期以来,对共情痛的研究主要集中在人类神经影像学研究上。幸运的是,最近的进步见证了利用动物模型探索移情痛的基本神经基础。有大量证据表明,共情痛的产生和维持与多个脑区和神经网络有关。尽管如此,我们仍有必要进一步阐明移情痛的神经机制。这篇综述简明扼要地概述了之前关于移情痛神经机制的研究,概述了相关的脑区、神经通路、突触机制和相关分子,同时还深入探讨了未来的前景。
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引用次数: 0
Critical Windows: Exploring the Association Between Perinatal Trauma, Epigenetics, and Chronic Pain. 关键之窗:探索围产期创伤、表观遗传学和慢性疼痛之间的关联。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2023-05-22 DOI: 10.1177/10738584231176233
Zoe N Kodila, Sandy R Shultz, Glenn R Yamakawa, Richelle Mychasiuk

Chronic pain is highly prevalent and burdensome, affecting millions of people worldwide. Although it emerges at any point in life, it often manifests in adolescence. Given that adolescence is a unique developmental period, additional strains associated with persistent and often idiopathic pain lead to significant long-term consequences. While there is no singular cause for the chronification of pain, epigenetic modifications that lead to neural reorganization may underpin central sensitization and subsequent manifestation of pain hypersensitivity. Epigenetic processes are particularly active during the prenatal and early postnatal years. We demonstrate how exposure to various traumas, such as intimate partner violence while in utero or adverse childhood experiences, can significantly influence epigenetic regulation within the brain and in turn modify pain-related processes. We provide compelling evidence that the burden of chronic pain is likely initiated early in life, often being transmitted from mother to offspring. We also highlight two promising prophylactic strategies, oxytocin administration and probiotic use, that have the potential to attenuate the epigenetic consequences of early adversity. Overall, we advance understanding of the causal relationship between trauma and adolescent chronic pain by highlighting epigenetic mechanisms that underlie this transmission of risk, ultimately informing how to prevent this rising epidemic.

慢性疼痛发病率高、负担重,影响着全球数百万人。虽然慢性疼痛出现在人生的任何阶段,但它通常在青春期表现出来。鉴于青春期是一个特殊的发育时期,与持续性疼痛(通常是特发性疼痛)相关的额外压力会导致严重的长期后果。虽然疼痛的慢性化没有单一的原因,但导致神经重组的表观遗传学改变可能是中枢敏感化和随后痛觉过敏症表现的基础。表观遗传过程在产前和产后早期尤为活跃。我们展示了暴露于各种创伤(如子宫内的亲密伴侣暴力或不良童年经历)是如何显著影响大脑内的表观遗传调控并进而改变疼痛相关过程的。我们提供了令人信服的证据,证明慢性疼痛的负担很可能在生命早期就已开始,而且往往会从母亲传给后代。我们还强调了两种很有前景的预防策略,即催产素的应用和益生菌的使用,它们有可能减轻早期逆境的表观遗传后果。总之,我们通过强调这种风险传播的表观遗传学机制,加深了人们对创伤与青少年慢性疼痛之间因果关系的理解,最终为如何预防这种日益流行的疾病提供了参考。
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引用次数: 0
BDNF: New Views of an Old Player in Traumatic Brain Injury. BDNF:创伤性脑损伤中老角色的新观点。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2023-04-17 DOI: 10.1177/10738584231164918
Lauren P Giesler, Richelle Mychasiuk, Sandy R Shultz, Stuart J McDonald

Traumatic brain injury is a common health problem affecting millions of people each year. BDNF has been investigated in the context of traumatic brain injury due to its crucial role in maintaining brain homeostasis. Val66Met is a functional single-nucleotide polymorphism that results in a valine-to-methionine amino acid substitution at codon 66 in the BDNF prodomain, which ultimately reduces secretion of BDNF. Here, we review experimental animal models as well as clinical studies investigating the role of the Val66Met single-nucleotide polymorphism in traumatic brain injury outcomes, including cognitive function, motor function, neuropsychiatric symptoms, and nociception. We also review studies investigating the role of BDNF on traumatic brain injury pathophysiology as well as circulating BDNF as a biomarker of traumatic brain injury.

脑外伤是一种常见的健康问题,每年影响数百万人。由于 BDNF 在维持脑平衡中的关键作用,人们一直在研究脑外伤中的 BDNF。Val66Met 是一种功能性单核苷酸多态性,会导致 BDNF 原域中第 66 个密码子上的氨基酸发生缬氨酸到蛋氨酸的置换,最终减少 BDNF 的分泌。在此,我们回顾了有关 Val66Met 单核苷酸多态性在创伤性脑损伤结果(包括认知功能、运动功能、神经精神症状和痛觉)中作用的实验动物模型和临床研究。我们还回顾了有关 BDNF 对创伤性脑损伤病理生理学作用的研究,以及作为创伤性脑损伤生物标志物的循环 BDNF。
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引用次数: 0
Autonomic Dysreflexia in Spinal Cord Injury: Mechanisms and Prospective Therapeutic Targets. 脊髓损伤的自主神经反射障碍:机制与前瞻性治疗目标。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2023-12-12 DOI: 10.1177/10738584231217455
Cameron T Trueblood, Anurag Singh, Marissa A Cusimano, Shaoping Hou

High-level spinal cord injury (SCI) often results in cardiovascular dysfunction, especially the development of autonomic dysreflexia. This disorder, characterized as an episode of hypertension accompanied by bradycardia in response to visceral or somatic stimuli, causes substantial discomfort and potentially life-threatening symptoms. The neural mechanisms underlying this dysautonomia include a loss of supraspinal control to spinal sympathetic neurons, maladaptive plasticity of sensory inputs and propriospinal interneurons, and excessive discharge of sympathetic preganglionic neurons. While neural control of cardiovascular function is largely disrupted after SCI, the renin-angiotensin system (RAS), which mediates blood pressure through hormonal mechanisms, is up-regulated after injury. Whether the RAS engages in autonomic dysreflexia, however, is still controversial. Regarding therapeutics, transplantation of embryonic presympathetic neurons, collected from the brainstem or more specific raphe regions, into the injured spinal cord may reestablish supraspinal regulation of sympathetic activity for cardiovascular improvement. This treatment reduces the occurrence of spontaneous autonomic dysreflexia and the severity of artificially triggered dysreflexic responses in rodent SCI models. Though transplanting early-stage neurons improves neural regulation of blood pressure, hormonal regulation remains high and baroreflex dysfunction persists. Therefore, cell transplantation combined with selected RAS inhibition may enhance neuroendocrine homeostasis for cardiovascular recovery after SCI.

高度脊髓损伤(SCI)通常会导致心血管功能障碍,尤其是出现自主神经反射障碍。这种障碍的特征是在内脏或躯体刺激下出现高血压并伴有心动过缓,会造成严重不适,并可能出现危及生命的症状。这种自律神经失调症的神经机制包括脊髓上交感神经元失去控制、感觉输入和本体脊髓中间神经元的适应性可塑性不良以及交感神经节前神经元过度放电。虽然损伤后对心血管功能的神经控制在很大程度上被破坏,但通过激素机制调节血压的肾素-血管紧张素系统(RAS)在损伤后会上调。然而,RAS 是否参与自律神经反射障碍仍存在争议。在治疗方面,将从脑干或更特殊的剑突区域收集的胚胎交感神经前区神经元移植到损伤的脊髓中,可重建脊髓上交感神经活动的调节,从而改善心血管状况。在啮齿类 SCI 模型中,这种治疗方法可减少自发性自主神经反射障碍的发生,并减轻人为触发的反射障碍反应的严重程度。虽然移植早期神经元能改善神经对血压的调节,但激素调节仍然很高,而且气压反射功能障碍依然存在。因此,细胞移植与选择性 RAS 抑制相结合可增强神经内分泌平衡,促进 SCI 后心血管的恢复。
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引用次数: 0
The Endoplasmic Reticulum and Its Contacts: Emerging Roles in Axon Development, Neurotransmission, and Degeneration. 内质网及其联系:轴突发育、神经传递和退化中的新作用
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2023-03-24 DOI: 10.1177/10738584231162810
Marijn Kuijpers, Phuong T Nguyen, Volker Haucke

The neuronal endoplasmic reticulum (ER) consists of a dynamic, tubular network that extends all the way from the soma into dendrites, axons, and synapses. This morphology gives rise to an enormous membrane surface area that, through the presence of tethering proteins, lipid transfer proteins, and ion channels, plays critical roles in local calcium regulation, membrane dynamics, and the supply of ions and lipids to other organelles. Here, we summarize recent advances that highlight the various roles of the neuronal ER in axonal growth, repair, and presynaptic function. We review the variety of contact sites between the ER and other axonal organelles and describe their influence on neurodevelopment and neurotransmission.

神经元内质网(ER)由一个动态的管状网络组成,从体细胞一直延伸到树突、轴突和突触。这种形态产生了巨大的膜表面积,通过系链蛋白、脂质转移蛋白和离子通道的存在,ER 在局部钙调节、膜动力学以及向其他细胞器供应离子和脂质方面发挥着关键作用。在此,我们总结了最近的研究进展,强调了神经元ER在轴突生长、修复和突触前功能中的各种作用。我们回顾了ER与其他轴突细胞器之间的各种接触点,并描述了它们对神经发育和神经传递的影响。
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引用次数: 0
α-Synuclein: Multiple pathogenic roles in trafficking and proteostasis pathways in Parkinson's disease. α-突触核蛋白:在帕金森病的转运和蛋白稳态途径中的多重致病作用
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2024-02-29 DOI: 10.1177/10738584241232963
Annie J Zalon, Drew J Quiriconi, Caleb Pitcairn, Joseph R Mazzulli

Parkinson's disease (PD) is a common age-related neurodegenerative disorder characterized by the loss of dopaminergic neurons in the midbrain. A hallmark of both familial and sporadic PD is the presence of Lewy body inclusions composed mainly of aggregated α-synuclein (α-syn), a presynaptic protein encoded by the SNCA gene. The mechanisms driving the relationship between α-syn accumulation and neurodegeneration are not completely understood, although recent evidence indicates that multiple branches of the proteostasis pathway are simultaneously perturbed when α-syn aberrantly accumulates within neurons. Studies from patient-derived midbrain cultures that develop α-syn pathology through the endogenous expression of PD-causing mutations show that proteostasis disruption occurs at the level of synthesis/folding in the endoplasmic reticulum (ER), downstream ER-Golgi trafficking, and autophagic-lysosomal clearance. Here, we review the fundamentals of protein transport, highlighting the specific steps where α-syn accumulation may intervene and the downstream effects on proteostasis. Current therapeutic efforts are focused on targeting single pathways or proteins, but the multifaceted pathogenic role of α-syn throughout the proteostasis pathway suggests that manipulating several targets simultaneously will provide more effective disease-modifying therapies for PD and other synucleinopathies.

帕金森病(PD)是一种常见的与年龄相关的神经退行性疾病,其特征是中脑多巴胺能神经元的丧失。家族性和散发性帕金森病的特征之一是出现路易体包涵体,主要由SNCA基因编码的突触前蛋白α-突触核蛋白(α-syn)聚集而成。尽管最近的证据表明,当α-syn在神经元内异常聚集时,蛋白稳态通路的多个分支会同时受到干扰,但驱动α-syn聚集与神经变性之间关系的机制尚未完全明了。来自患者中脑培养物的研究表明,蛋白稳态的破坏发生在内质网(ER)的合成/折叠、ER-高尔基体的下游运输以及自噬-溶酶体的清除等层面。在此,我们回顾了蛋白质转运的基本原理,强调了α-syn累积可能干预的具体步骤以及对蛋白稳态的下游影响。目前的治疗工作主要集中在针对单一途径或蛋白,但α-syn在整个蛋白稳态途径中的多方面致病作用表明,同时操纵多个靶点将为帕金森病和其他突触核蛋白病提供更有效的疾病调节疗法。
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引用次数: 0
The Azalea Hypothesis of Alzheimer Disease: A Functional Iron Deficiency Promotes Neurodegeneration. 阿尔茨海默病的杜鹃花假说:功能性缺铁促进神经退行性变
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-10-01 Epub Date: 2023-08-20 DOI: 10.1177/10738584231191743
Steven M LeVine

Chlorosis in azaleas is characterized by an interveinal yellowing of leaves that is typically caused by a deficiency of iron. This condition is usually due to the inability of cells to properly acquire iron as a consequence of unfavorable conditions, such as an elevated pH, rather than insufficient iron levels. The causes and effects of chlorosis were found to have similarities with those pertaining to a recently presented hypothesis that describes a pathogenic process in Alzheimer disease. This hypothesis states that iron becomes sequestered (e.g., by amyloid β and tau), causing a functional deficiency of iron that disrupts biochemical processes leading to neurodegeneration. Additional mechanisms that contribute to iron becoming unavailable include iron-containing structures not undergoing proper recycling (e.g., disrupted mitophagy and altered ferritinophagy) and failure to successfully translocate iron from one compartment to another (e.g., due to impaired lysosomal acidification). Other contributors to a functional deficiency of iron in patients with Alzheimer disease include altered metabolism of heme or altered production of iron-containing proteins and their partners (e.g., subunits, upstream proteins). A review of the evidence supporting this hypothesis is presented. Also, parallels between the mechanisms underlying a functional iron-deficient state in Alzheimer disease and those occurring for chlorosis in plants are discussed. Finally, a model describing the generation of a functional iron deficiency in Alzheimer disease is put forward.

杜鹃花的黄化病的特征是叶片脉间发黄,通常是由于缺铁引起的。这种情况通常是由于细胞在 pH 值升高等不利条件下无法正常获得铁元素,而不是铁元素含量不足。研究发现,萎黄病的原因和影响与最近提出的描述阿尔茨海默病致病过程的假说有相似之处。该假说认为,铁被淀粉样蛋白 β 和 tau 等螯合,造成功能性缺铁,从而破坏生化过程,导致神经变性。导致铁缺乏的其他机制包括含铁结构未进行适当的再循环(例如,有丝分裂吞噬功能紊乱和铁蛋白吞噬功能改变),以及未能成功地将铁从一个区室转运到另一个区室(例如,由于溶酶体酸化功能受损)。导致阿尔茨海默病患者功能性缺铁的其他因素还包括血红素代谢的改变或含铁蛋白及其伙伴(如亚基、上游蛋白)的生成发生改变。本文回顾了支持这一假设的证据。此外,还讨论了阿尔茨海默病功能性缺铁状态的基本机制与植物叶绿素缺乏症的基本机制之间的相似之处。最后,提出了一个描述阿尔茨海默病功能性缺铁的模型。
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