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Harnessing Intelligence from Brain Cells In Vitro. 利用体外脑细胞的智力。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-03-13 DOI: 10.1177/10738584251321438
Brett J Kagan, Forough Habibollahi, Brad Watmuff, Azin Azadi, Finn Doensen, Alon Loeffler, Seung Hoon Byun, Bram Servais, Candice Desouza, Kwaku Dad Abu-Bonsrah, Nicole Kerlero de Rosbo

Harnessing intelligence from brain cells in vitro requires a multidisciplinary approach integrating wetware, hardware, and software. Wetware comprises the in vitro brain cells themselves, where differentiation from induced pluripotent stem cells offers ethical scalability; hardware typically involves a life support system and a setup to record the activity from and deliver stimulation to the brain cells; and software is required to control the hardware and process the signals coming from and going to the brain cells. This review provides a broad summary of the foundational technologies underpinning these components, along with outlining the importance of technology integration. Of particular importance is that this new technology offers the ability to extend beyond traditional methods that assess primarily the survival and spontaneous activity of neural cultures. Instead, the focus returns to the core function of neural tissue: the neurocomputational ability to process information and respond accordingly. Therefore, this review also covers work that, despite the relatively early state of current technology, has provided novel and meaningful understandings in the field of neuroscience along with opening exciting avenues for future research.

利用体外脑细胞的智能需要多学科的方法,将湿软件、硬件和软件集成在一起。Wetware包括体外脑细胞本身,其中诱导多能干细胞的分化提供了伦理可扩展性;硬件通常包括一个生命支持系统和一个记录脑细胞活动并将刺激传递给脑细胞的装置;并且需要软件来控制硬件和处理来自和进入脑细胞的信号。本文概述了支撑这些组件的基础技术,并概述了技术集成的重要性。特别重要的是,这项新技术提供了超越传统方法的能力,传统方法主要评估神经培养物的存活和自发活动。相反,焦点回到了神经组织的核心功能:处理信息并做出相应反应的神经计算能力。因此,本综述还涵盖了尽管当前技术处于相对早期的状态,但在神经科学领域提供了新颖而有意义的理解,并为未来的研究开辟了令人兴奋的途径的工作。
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引用次数: 0
Exploring Cortical Interneurons in Substance Use Disorder: From Mechanisms to Therapeutic Perspectives. 物质使用障碍的皮质中间神经元研究:从机制到治疗角度。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-01-08 DOI: 10.1177/10738584241310156
Sai Shi, Tianzhen Chen, Hang Su, Min Zhao

Interneurons (INs) play a crucial role in the regulation of neural activity within the medial prefrontal cortex (mPFC), a brain region critically involved in executive functions and behavioral control. In recent preclinical studies, dysregulation of INs in the mPFC has been implicated in the pathophysiology of substance use disorder, characterized by vulnerability to chronic drug use. Here, we explore the diversity of mPFC INs and their connectivity and roles in vulnerability to addiction. We also discuss how these INs change over time with drug exposure. Finally, we focus on noninvasive brain stimulation as a therapeutic approach for targeting INs in substance use disorder, highlighting its potential to restore neural circuits.

中间神经元(INs)在调节内侧前额叶皮层(mPFC)内的神经活动中起着至关重要的作用,而内侧前额叶皮层是大脑执行功能和行为控制的关键区域。在最近的临床前研究中,mPFC中INs的失调与物质使用障碍的病理生理有关,其特征是易受慢性药物使用的影响。在这里,我们探讨了mPFC INs的多样性及其在成瘾脆弱性中的连通性和作用。我们还讨论了这些INs如何随药物暴露而随时间变化。最后,我们将重点放在非侵入性脑刺激作为药物使用障碍中靶向INs的治疗方法上,强调其恢复神经回路的潜力。
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引用次数: 0
Connectivity in the Human Cerebral Cortex: A Fundamental Problem and a Possible Explanation for the Cognitive Power of Vertebrates. 人类大脑皮层的连通性:脊椎动物认知能力的一个基本问题和可能的解释。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-05-31 DOI: 10.1177/10738584251337656
R Douglas Fields

Recent electron microscopy reveals that weak synaptic connectivity predominates in the human cerebral cortex, raising the question of how information is transmitted by action potentials in these neural networks. Differences in field potential oscillations (brainwaves) and glia between vertebrates and invertebrates provide a possible answer that can also account for the incomparable increase in the cognitive ability of vertebrates.

最近的电子显微镜显示,弱突触连接在人类大脑皮层中占主导地位,这提出了信息如何通过这些神经网络中的动作电位传递的问题。脊椎动物和无脊椎动物之间的场电位振荡(脑电波)和神经胶质的差异提供了一个可能的答案,也可以解释脊椎动物认知能力的无与伦比的增长。
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引用次数: 0
Sleep Patterns and Human Brain Health. 睡眠模式与人类大脑健康
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-01-30 DOI: 10.1177/10738584241309850
Anders M Fjell, Kristine B Walhovd

It is a widely held opinion that sleep is important for human brain health. Here we examine the evidence for this view, focusing on normal variations in sleep patterns. We discuss the functions of sleep and highlight the paradoxical implications of theories seeing sleep as an adaptive capacity versus the theory that sleep benefits clearance of metabolic waste from the brain. We also evaluate the proposition that sleep plays an active role in consolidation of memories. Finally, we review research on possible effects of chronic sleep deprivation on brain health. We find that the evidence for a causal role of sleep in human brain health is surprisingly weak relative to the amount of attention to sleep in science and society. While there are well-established associations between sleep parameters and aspects of brain health, results are generally not consistent across studies and measures, and it is not clear to what extent alterations in sleep patterns represent symptoms or causes. Especially, the proposition that long sleep (>8 hours) in general is beneficial for long-term brain health in humans seems to lack empirical support. We suggest directions for future research to establish a solid foundation of knowledge about a role of sleep in brain health based on longitudinal studies with frequent sampling, attention to individual differences, and more ecologically valid intervention studies.

人们普遍认为睡眠对人类大脑健康很重要。在这里,我们研究了支持这一观点的证据,重点关注睡眠模式的正常变化。我们讨论了睡眠的功能,并强调了将睡眠视为一种适应能力的理论与睡眠有助于清除大脑代谢废物的理论的矛盾含义。我们还评估了睡眠在巩固记忆中起积极作用的命题。最后,我们回顾了长期睡眠剥夺对大脑健康可能影响的研究。我们发现,与科学界和社会对睡眠的关注程度相比,睡眠对人类大脑健康有因果关系的证据出奇地薄弱。虽然睡眠参数和大脑健康的各个方面之间有明确的联系,但研究和测量的结果通常不一致,而且尚不清楚睡眠模式的改变在多大程度上代表了症状或原因。特别是,长时间睡眠(8小时左右)对人类长期大脑健康有益的主张似乎缺乏经验支持。我们建议未来的研究方向是建立关于睡眠在大脑健康中的作用的坚实基础,基于频繁采样的纵向研究,关注个体差异,以及更多生态有效的干预研究。
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引用次数: 0
Forthcoming Articles. 即将出版的文章。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-09-13 DOI: 10.1177/10738584251376250
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引用次数: 0
GLP-1 agonists: Good for what ails you? GLP-1激动剂:对你有什么好处?
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-09-13 DOI: 10.1177/10738584251379859
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引用次数: 0
Microglial Regulation of Neural Networks in Neuropsychiatric Disorders. 神经精神疾病中神经网络的小胶质调节。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub 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.

小胶质细胞是中枢神经系统中重要的先天免疫细胞,在脑神经元的产生和发育中起着至关重要的作用,并介导一系列免疫和炎症反应。小胶质细胞的形态转变与其功能密切相关。随着单细胞测序技术的出现,人们越来越认识到小胶质细胞亚型的多样性。小胶质细胞和神经网络之间复杂的相互作用对精神疾病和神经退行性疾病具有重要意义。深入研究小胶质细胞在阿尔茨海默病、抑郁症和癫痫等神经系统疾病中的作用,可以为理解疾病的发病机制和探索新的治疗策略提供有价值的见解,从而解决与中枢神经系统疾病相关的问题。
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引用次数: 0
Astrocyte synchronization and behavior. 星形胶质细胞同步和行为。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-09-13 DOI: 10.1177/10738584251376249
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引用次数: 0
The brain in Spain: The legacy of Santiago Ramón y Cajal. 西班牙的大脑:圣地亚哥的遗产Ramón y Cajal。
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub Date: 2025-01-19 DOI: 10.1177/10738584241297663
Emmanuel Drouin, Ricardo Martínez Murillo, Patrick Hautecoeur

The legacy of Santiago Ramón y Cajal, Spain's first Nobel laureate neuroscientist recognized as the founding father of modern neuroscience, is to be preserved in a new museum in Madrid: the National Museum of Natural Sciences (MNCN), one of the most important scientific research institutes in the country sciences in the scope of natural sciences of the Spanish National Research Council. For a boy who dreamed of being an artist but started his career apprenticed to first a barber and then a cobbler, Santiago Ramón y Cajal made a distinguished mark in science. One of Cajal's most important contributions to our understanding of the brain was his discovery of the direction of the information flow within neurons and in neural circuits, which he called the "dynamic polarization law," without a doubt the founding principle of neurosciences. The exposition planned by the MNCN is a perfect occasion to show the academy and, it is hoped, the general public at large the beautiful organization of the nervous system as first acknowledged by modern science. With the highly motivated organizers of this well-planned initiative, neuroscientists at the Cajal Institute are confident that this sample of the Cajal legacy will also be taken as an esthetic experience for those who approach it for the first time. It might be that science and art often go together.

圣地亚哥Ramón y卡哈尔,西班牙第一位诺贝尔奖得主神经科学家,被公认为现代神经科学之父,他的遗产将被保存在马德里的一个新博物馆:国家自然科学博物馆(MNCN),这是西班牙国家研究委员会自然科学范围内最重要的科学研究机构之一。对于一个梦想成为艺术家的男孩来说,圣地亚哥Ramón y卡哈尔的职业生涯开始于一个理发师,然后是一个鞋匠,他在科学上取得了杰出的成就。卡哈尔对我们理解大脑最重要的贡献之一是他发现了神经元和神经回路中信息流的方向,他称之为“动态极化定律”,毫无疑问,这是神经科学的基本原理。由MNCN计划的展览是一个完美的机会,向学术界和广大公众展示现代科学首次承认的神经系统的美丽组织。卡哈尔研究所的神经科学家们对这个精心策划的项目的组织者充满信心,他们相信,卡哈尔遗产的这个样本也会被那些第一次接近它的人当作一种审美体验。也许科学和艺术经常相伴而行。
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引用次数: 0
Targeting the TRPM4 Channel for Neurologic Diseases: Opportunity and Challenge. 靶向TRPM4通道治疗神经疾病:机遇与挑战
IF 3.9 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-10-01 Epub 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.

暂态受体电位美拉他汀4 (TRPM4)通道作为一种单价阳离子通道,是暂态受体电位家族中独特的成员。异常TRPM4活性已在各种神经系统疾病中被发现,如中风、脊髓损伤、创伤性脑损伤、多发性硬化症、肌萎缩侧索硬化症、病理性疼痛和癫痫。脑缺氧/缺血和炎症后,TRPM4上调和活性增强导致神经元、血管内皮细胞和星形胶质细胞死亡。通过TRPM4增强离子内流导致细胞体积增大和肿瘤。缺氧时,TRPM4激活后的膜电位去极化以及TRPM4与n -甲基-d-天冬氨酸受体的相互作用加剧了兴奋性毒性。重要的是,TRPM4在健康神经元中的表达和活性仍然很低,使其成为理想的药物靶点。目前抑制或调节TRPM4通道的方法存在各种局限性,这妨碍了对神经系统中TRPM4生理学的解释,并可能阻碍其转化为治疗。在这篇综述中,我们讨论了TRPM4的病理生理作用以及调节TRPM4活性的不同抑制剂对神经系统疾病的潜在治疗作用。
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