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Neuronal Death: Now You See It, Now You Don't. 神经元死亡现在你看到了,现在你看不到了。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2024-09-24 DOI: 10.1177/10738584241282632
Trevor Balena, Kevin Staley

Fatally injured neurons may necrose and rupture immediately, or they may initiate a programmed cell death pathway and then wait for microglial phagocytosis. Biochemical and histopathologic assays of neuronal death assess the numbers of neurons awaiting phagocytosis at a particular time point after injury. This number varies with the fraction of neurons that have necrosed vs initiated programmed cell death, the time elapsed since injury, the rate of phagocytosis, and the assay's ability to detect neurons at different stages of programmed cell death. Many of these variables can be altered by putatively neurotoxic and neuroprotective interventions independent of the effects on neuronal death. This complicates analyses of neurotoxicity and neuroprotection and has likely contributed to difficulties with clinical translation of neuroprotective strategies after brain injury. Time-resolved assays of neuronal health, such as ongoing expression of transgenic fluorescent proteins, are a useful means of avoiding these problems.

致命损伤的神经元可能会立即坏死和破裂,也可能会启动程序性细胞死亡途径,然后等待小胶质细胞的吞噬。神经元死亡的生化和组织病理学检测可评估受伤后特定时间点等待吞噬的神经元数量。这一数量随神经元坏死与启动程序性细胞死亡的比例、受伤后的时间、吞噬率以及检测处于程序性细胞死亡不同阶段的神经元的能力而变化。这些变量中的许多变量都可能因假定的神经毒性和神经保护干预措施而改变,而与对神经元死亡的影响无关。这使得神经毒性和神经保护的分析变得复杂,很可能导致脑损伤后神经保护策略难以临床转化。对神经元健康进行时间分辨检测,如持续表达转基因荧光蛋白,是避免这些问题的有效方法。
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引用次数: 0
Neurite density in autism: new lessons from MRI. 自闭症的神经突密度:MRI的新教训。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1177/10738584251358733a
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引用次数: 0
Mapping emotional responses across the brain. 绘制整个大脑的情绪反应图。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-08-01 Epub Date: 2025-07-16 DOI: 10.1177/10738584251358734
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引用次数: 0
Gustav Oppenheim (1882-1937) and the Discovery of Cerebral Amyloid Angiopathy. 古斯塔夫-奥本海姆(1882-1937 年)与脑淀粉样血管病的发现。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2024-05-14 DOI: 10.1177/10738584241251828
Anthony Maurice Ness, Judd Aiken

The discovery of cerebral amyloid angiopathy (CAA) is frequently attributed to Dr. Gustav Oppenheim-a man who has been largely passed over in history. Oppenheim's clinical and neuropathologic research covered a variety of disorders, but his name is best known for his work on senile dementia and CAA. Although Oppenheim was in fact not the first to discover CAA, his neuropathologic observations and inferences on neurodegenerative disease proved to be remarkably faithful to our modern understanding of neurodegenerative diseases. As a neurologist, he served in the First World War and was later subjected to religious persecutions in the leadup to the Holocaust but was not fortunate enough to emigrate before his death. The life, social impact, and previously overlooked contributions to science and medicine by Oppenheim are detailed.

脑淀粉样血管病(CAA)的发现常常归功于古斯塔夫-奥本海姆(Gustav Oppenheim)博士--一个在历史上被忽略的人。奥本海姆的临床和神经病理学研究涉及多种疾病,但他的名字因研究老年痴呆症和 CAA 而最为人熟知。虽然奥本海姆事实上并不是第一个发现 CAA 的人,但他对神经退行性疾病的神经病理学观察和推断,被证明非常忠实于我们现代对神经退行性疾病的理解。作为一名神经病学家,他参加了第一次世界大战,后来在大屠杀前夕受到宗教迫害,但生前没有幸运地移居国外。书中详细介绍了奥本海姆的生平、社会影响以及以前被忽视的对科学和医学的贡献。
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引用次数: 0
Beyond simple organoids: An assembloid model of the human spinothalamic tract in a dish. 超越简单的类器官:人类脊髓丘脑束在培养皿中的组装体模型。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2025-05-26 DOI: 10.1177/10738584251344119
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引用次数: 0
Vagus Nerve and Gut-Brain Communication. 迷走神经与肠脑交流
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2024-07-23 DOI: 10.1177/10738584241259702
Yiyang Wang, Chenxi Duan, Xinyi Du, Ying Zhu, Lihua Wang, Jun Hu, Yanhong Sun

The vagus nerve, as an important component of the gut-brain axis, plays a crucial role in the communication between the gut and brain. It influences food intake, fat metabolism, and emotion by regulating the gut-brain axis, which is closely associated with the development of gastrointestinal, psychiatric, and metabolism-related disorders. In recent years, significant progress has been made in understanding the vagus-mediated regulatory pathway, highlighting its profound implications in the development of many diseases. Here, we summarize the latest advancements in vagus-mediated gut-brain pathways and the novel interventions targeting the vagus nerve. This will provide valuable insights for future research on treatment of obesity and gastrointestinal and depressive disorders based on vagus nerve stimulation.

迷走神经作为肠脑轴的重要组成部分,在肠道和大脑之间的交流中发挥着至关重要的作用。它通过调节肠脑轴影响食物摄入、脂肪代谢和情绪,而肠脑轴与胃肠道、精神和代谢相关疾病的发生密切相关。近年来,人们在了解迷走神经介导的调节途径方面取得了重大进展,凸显了它在许多疾病的发生发展中的深远影响。在此,我们总结了迷走神经介导的肠道-大脑通路的最新进展以及针对迷走神经的新型干预措施。这将为未来基于迷走神经刺激治疗肥胖症、胃肠道疾病和抑郁症的研究提供有价值的见解。
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引用次数: 0
Brain network organization in depression. 抑郁症的大脑网络组织。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2025-05-26 DOI: 10.1177/10738584251344118
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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 : 2025-06-01 Epub 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
Exploring the Consistent Roles of Motor Areas Across Voluntary Movement and Locomotion. 探索运动区在自主运动和运动中的一致作用
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2024-07-23 DOI: 10.1177/10738584241263758
Nicolas Fortier-Lebel, Toshi Nakajima

Multiple cortical motor areas are critically involved in the voluntary control of discrete movement (e.g., reaching) and gait. Here, we outline experimental findings in nonhuman primates with clinical reports and research in humans that explain characteristic movement control mechanisms in the primary, supplementary, and presupplementary motor areas, as well as in the dorsal premotor area. We then focus on single-neuron activity recorded while monkeys performed motor sequences consisting of multiple discrete movements, and we consider how area-specific control mechanisms may contribute to the performance of complex movements. Following this, we explore the motor areas in cats that we have considered as analogs of those in primates based on similarities in their cortical surface topology, anatomic connections, microstimulation effects, and activity patterns. Emphasizing that discrete movement and gait modification entail similar control mechanisms, we argue that single-neuron activity in each area of the cat during gait modification is compatible with the function ascribed to the activity in the corresponding area in primates, recorded during the performance of discrete movements. The findings that demonstrate the premotor areas' contribution to locomotion, currently unique to the cat model, should offer highly valuable insights into the control mechanisms of locomotion in primates, including humans.

多个皮层运动区在离散运动(如伸手)和步态的自主控制中起着至关重要的作用。在此,我们概述了非人灵长类动物的实验结果、临床报告和人类研究,这些结果解释了初级、辅助和前辅助运动区以及背侧前运动区的特征性运动控制机制。然后,我们将重点放在猴子执行由多个离散动作组成的运动序列时记录到的单神经元活动上,并考虑特定区域的控制机制可能如何促进复杂动作的执行。随后,我们探讨了猫的运动区,根据其皮层表面拓扑、解剖连接、微刺激效应和活动模式的相似性,我们认为猫的运动区与灵长类动物的运动区类似。我们强调离散运动和步态改变需要类似的控制机制,并认为猫在步态改变过程中每个区域的单神经元活动与灵长类动物在进行离散运动时记录到的相应区域活动的功能是一致的。这些研究结果表明了前运动区对运动的贡献,这在目前的猫模型中是独一无二的,这些研究结果将对包括人类在内的灵长类动物的运动控制机制提供非常有价值的启示。
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引用次数: 0
Navigating Central Oxytocin Transport: Known Realms and Uncharted Territories. 中枢催产素运输导航:已知领域和未知领域。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-06-01 Epub Date: 2024-08-07 DOI: 10.1177/10738584241268754
Deniz Parmaksiz, Yongsoo Kim

Complex mechanisms govern the transport and action of oxytocin (Oxt), a neuropeptide and hormone that mediates diverse physiologic processes. While Oxt exerts site-specific and rapid effects in the brain via axonal and somatodendritic release, volume transmission via CSF and the neurovascular interface can act as an additional mechanism to distribute Oxt signals across distant brain regions on a slower timescale. This review focuses on modes of Oxt transport and action in the CNS, with particular emphasis on the roles of perivascular spaces, the blood-brain barrier (BBB), and circumventricular organs in coordinating the triadic interaction among circulating blood, CSF, and parenchyma. Perivascular spaces, critical conduits for CSF flow, play a pivotal role in Oxt diffusion and distribution within the CNS and reciprocally undergo Oxt-mediated structural and functional reconstruction. While the BBB modulates the movement of Oxt between systemic and cerebral circulation in a majority of brain regions, circumventricular organs without a functional BBB can allow for diffusion, monitoring, and feedback regulation of bloodborne peripheral signals such as Oxt. Recognition of these additional transport mechanisms provides enhanced insight into the systemic propagation and regulation of Oxt activity.

催产素(Oxt)是一种介导多种生理过程的神经肽和激素,其运输和作用机制十分复杂。催产素在大脑中通过轴突和体支释放产生特定部位的快速效应,而通过脑脊液和神经血管界面的体积传输则是一种额外的机制,可以在较慢的时间尺度上将催产素信号分布到远处的脑区。这篇综述将重点讨论 Oxt 在中枢神经系统中的传输和作用模式,特别强调血管周围空间、血脑屏障 (BBB) 和环周器官在协调循环血液、CSF 和实质之间的三重相互作用中的作用。血管周围间隙是脑脊液流动的重要通道,在中枢神经系统内的奥克斯扩散和分布中起着关键作用,并在奥克斯介导下进行结构和功能重建。虽然在大多数脑区,BBB 可调节 Oxt 在全身循环和脑循环之间的移动,但没有功能性 BBB 的环周器官也可实现对 Oxt 等血载外周信号的扩散、监测和反馈调节。认识到这些额外的运输机制,就能更深入地了解 Oxt 活动的全身传播和调节。
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