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Adenosine and Astrocytes Control Critical Periods of Neural Plasticity. 腺苷和星形胶质细胞控制神经可塑性的关键时期。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-10-01 Epub Date: 2022-10-15 DOI: 10.1177/10738584221126632
Irene Martínez-Gallego, Antonio Rodríguez-Moreno

Windows of plasticity are fundamental for the correct formation of definitive brain circuits; these periods drive sensory and motor learning during development and ultimately learning and memory in adults. However, establishing windows of plasticity also imposes limitations on the central nervous system in terms of its capacity to recover from injury. Recent evidence highlights the important role that astrocytes and adenosine seem to play in controlling the duration of these critical periods of plasticity.

可塑性窗口是正确形成确定的大脑回路的基础;这些时期推动了成人在发育过程中的感觉和运动学习,并最终推动了成人的学习和记忆。然而,建立可塑性窗口也限制了中枢神经系统从损伤中恢复的能力。最近的证据强调了星形胶质细胞和腺苷似乎在控制这些关键可塑期的持续时间方面发挥的重要作用。
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引用次数: 1
Perspectives on Neuroscience and Behavior. 神经科学与行为展望。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-10-01 DOI: 10.1177/10738584231190621
The serendipitous discovery that lithium could treat bipolar disorder (BD) was published in 1949. In 1967, a published diagrammatic display of the clinical course of 88 patients with BP treated with lithium for one to six years depicted lithium’s extremely robust efficacy in preventing BP episodes, but there was also considerable variability across patients. In 1970, a five-month double-blind withdrawal study of lithium was published in which half of stable 50 patients with BD and 34 patients with recurrent depression were switched from lithium to placebo. Relapse occurred in 21 on placebo and none on lithium, which unequivocally demonstrated the robust efficacy of lithium in preventing relapse in BD and recurrent depression. Over the past 53 years, there have been an extensive number of studies attempting to discover the mechanism by which lithium produces such an important therapeutic effect. Now, in an outstanding and penetrating mechanistic study, it has been found that in two mouse models of ankyrin-G (AnkG) deficiency that displayed decreased dendritic complexity and decreased dendritic spine numbers in cortical neurons, lithium treatment corrected both abnormalities in both models. In the cortical neuron culture model with AnkG knockdown, a selective glycogen synthase kinase 3β (GSK3β) inhibitor rescued the spine morphology defects but not the dendritic complexity, and forskolin, which increases cAMP, rescued the dendritic complexity but not the spine morphology. A synergistic effect of both drugs was required to correct both the spine morphology and dendritic complexity (Piguel and others 2023). These findings are an important advance, since the ANK3 gene is linked to BD, single-nucleotide polymorphisms within the ANK3 regulatory domains have been found to be associated with lithium response in patients with BP, and mouse ANK3 knockout models have behavioral features like BD that respond to lithium treatment. Lithium directly or indirectly, through autoinhibition, acts to inhibit GSK3β, and it rescues several behavioral deficits like BD in ANKG knockout mice. In addition, lithium increases cAMP levels in frontal cortex. It should now be possible to assess the effects of lithium in individuals with BP who have genetic AnkG abnormalities to see if they have a more beneficial therapeutic response. Most important, the discovery that lithium’s mechanism of action involves both GSK3β inhibition and increased cAMP can help guide new research to discover alternatives to lithium, because lithium has so many toxic side effects.
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引用次数: 0
Perineuronal Nets: Subtle Structures with Large Implications. 神经元周围网络:具有重大意义的微妙结构。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-10-01 Epub Date: 2022-07-23 DOI: 10.1177/10738584221106346
Héctor Carceller, Yaiza Gramuntell, Patrycja Klimczak, Juan Nacher

Perineuronal nets (PNNs) are specialized structures of the extracellular matrix that surround the soma and proximal dendrites of certain neurons in the central nervous system, particularly parvalbumin-expressing interneurons. Their appearance overlaps the maturation of neuronal circuits and the closure of critical periods in different regions of the brain, setting their connectivity and abruptly reducing their plasticity. As a consequence, the digestion of PNNs, as well as the removal or manipulation of their components, leads to a boost in this plasticity and can play a key role in the functional recovery from different insults and in the etiopathology of certain neurologic and psychiatric disorders. Here we review the structure, composition, and distribution of PNNs and their variation throughout the evolutive scale. We also discuss methodological approaches to study these structures. The function of PNNs during neurodevelopment and adulthood is discussed, as well as the influence of intrinsic and extrinsic factors on these specialized regions of the extracellular matrix. Finally, we review current data on alterations in PNNs described in diseases of the central nervous system (CNS), focusing on psychiatric disorders. Together, all the data available point to the PNNs as a promising target to understand the physiology and pathologic conditions of the CNS.

神经元周围网(PNNs)是细胞外基质的特殊结构,围绕着中枢神经系统中某些神经元的胞体和近端树突,特别是表达细小白蛋白的中间神经元。它们的出现与神经元回路的成熟和大脑不同区域关键时期的闭合重叠,建立了它们的连接,并突然降低了它们的可塑性。因此,PNN的消化,以及其成分的去除或操作,会增强这种可塑性,并在不同损伤的功能恢复以及某些神经和精神疾病的发病机制中发挥关键作用。在这里,我们回顾了PNN的结构、组成和分布,以及它们在整个进化尺度上的变化。我们还讨论了研究这些结构的方法论方法。讨论了PNN在神经发育和成年过程中的功能,以及内在和外在因素对细胞外基质这些特殊区域的影响。最后,我们回顾了中枢神经系统疾病中PNN改变的最新数据,重点是精神疾病。总之,所有可用的数据都表明PNN是了解中枢神经系统生理和病理状况的一个有希望的靶点。
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引用次数: 9
José Manuel Rodríguez Delgado, Walter Freeman, and Psychosurgery: A Study in Contrasts. JoséManuel Rodríguez Delgado,Walter Freeman,《心理外科学:对比研究》。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-10-01 Epub Date: 2022-04-13 DOI: 10.1177/10738584221086603
Joseph J Fins, John S Vernaglia

History has conflated the legacies of José Manuel Rodríguez Delgado and Walter Freeman, midcentury proponents of somatic therapies for neuropsychiatric conditions. Both gained notoriety: Delgado after he appeared on the front page of the New York Times having used his stimoceiver to stop a charging bull in Spain; Freeman as the proponent of lobotomy. Both were the object of critique by the antipsychiatry movement and those who felt that their methods and objectives posed a threat to personal liberty. Using archival sources, we demonstrate that this conflation is a misrepresentation of the historical record and that their methods, objectives, ethics, and philosophical commitments differed widely. Accurate knowledge about historical antecedents is a predicate for ethical analysis and becomes especially relevant information as neuroscience develops circuit-based treatments for conditions such as Parkinson disease, depression, and brain injury. Part of that corrective is to counter the conflation of Delgado's and Freeman's life and work. Appreciating their distinctive legacies can help guide neuropsychiatric research done today that might yet haunt future generations.

历史将JoséManuel Rodríguez Delgado和Walter Freeman的遗产混为一谈,他们是世纪中期神经精神疾病躯体疗法的支持者。两人都声名狼藉:德尔加多在西班牙用刺激器阻止一头冲锋的公牛出现在《纽约时报》头版后;弗里曼是额叶切除术的支持者。两者都是反精神病运动和那些认为自己的方法和目标对个人自由构成威胁的人批评的对象。利用档案资料,我们证明这种混淆是对历史记录的歪曲,他们的方法、目标、伦理和哲学承诺大相径庭。关于历史前因的准确知识是伦理分析的前提,随着神经科学为帕金森病、抑郁症和脑损伤等疾病开发基于电路的治疗方法,这些信息变得尤为重要。纠正措施的一部分是为了对抗德尔加多和弗里曼的生活和工作混为一谈。欣赏它们独特的遗产有助于指导今天进行的可能困扰子孙后代的神经精神研究。
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引用次数: 0
Prefrontal Cortical Control of Anxiety: Recent Advances. 焦虑的前额皮质控制:最新进展。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584211069071
Nancy R Mack, Suixin Deng, Sha-Sha Yang, Yousheng Shu, Wen-Jun Gao

Dysfunction in the prefrontal cortex is commonly implicated in anxiety disorders, but the mechanisms remain unclear. Approach-avoidance conflict tasks have been extensively used in animal research to better understand how changes in neural activity within the prefrontal cortex contribute to avoidance behaviors, which are believed to play a major role in the maintenance of anxiety disorders. In this article, we first review studies utilizing in vivo electrophysiology to reveal the relationship between changes in neural activity and avoidance behavior in rodents. We then review recent studies that take advantage of optical and genetic techniques to test the unique contribution of specific prefrontal cortex circuits and cell types to the control of anxiety-related avoidance behaviors. This new body of work reveals that behavior during approach-avoidance conflict is dynamically modulated by individual cell types, distinct neural pathways, and specific oscillatory frequencies. The integration of these different pathways, particularly as mediated by interactions between excitatory and inhibitory neurons, represents an exciting opportunity for the future of understanding anxiety.

前额皮质功能障碍通常与焦虑症有关,但其机制尚不清楚。趋近-回避冲突任务已广泛用于动物研究,以更好地了解前额皮质内神经活动的变化如何促进回避行为,这被认为在焦虑症的维持中起着重要作用。在本文中,我们首先回顾了利用体内电生理学来揭示啮齿动物神经活动变化与回避行为之间关系的研究。然后,我们回顾了最近的研究,这些研究利用光学和基因技术来测试特定前额皮质回路和细胞类型对控制焦虑相关回避行为的独特贡献。这项新的研究揭示了在接近-回避冲突中的行为是由个体细胞类型、不同的神经通路和特定的振荡频率动态调节的。这些不同通路的整合,特别是由兴奋性和抑制性神经元之间的相互作用所介导的,为未来理解焦虑提供了一个令人兴奋的机会。
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引用次数: 3
Ongoing Brain Activity and Its Role in Cognition: Dual versus Baseline Models. 持续的大脑活动及其在认知中的作用:双基线模型与基线模型。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584221081752
Georg Northoff, Deniz Vatansever, Andrea Scalabrini, Emmanuel A Stamatakis

What is the role of the brain's ongoing activity for cognition? The predominant perspectives associate ongoing brain activity with resting state, the default-mode network (DMN), and internally oriented mentation. This triad is often contrasted with task states, non-DMN brain networks, and externally oriented mentation, together comprising a "dual model" of brain and cognition. In opposition to this duality, however, we propose that ongoing brain activity serves as a neuronal baseline; this builds upon Raichle's original search for the default mode of brain function that extended beyond the canonical default-mode brain regions. That entails what we refer to as the "baseline model." Akin to an internal biological clock for the rest of the organism, the ongoing brain activity may serve as an internal point of reference or standard by providing a shared neural code for the brain's rest as well as task states, including their associated cognition. Such shared neural code is manifest in the spatiotemporal organization of the brain's ongoing activity, including its global signal topography and dynamics like intrinsic neural timescales. We conclude that recent empirical evidence supports a baseline model over the dual model; the ongoing activity provides a global shared neural code that allows integrating the brain's rest and task states, its DMN and non-DMN, and internally and externally oriented cognition.

大脑正在进行的认知活动的作用是什么?主要的观点将正在进行的大脑活动与静息状态、默认模式网络(DMN)和内部导向的心理状态联系起来。这种三合一通常与任务状态、非dmn大脑网络和外向型心理形成对比,共同构成大脑和认知的“双重模型”。然而,与这种二元性相反,我们提出正在进行的大脑活动作为神经元基线;这是建立在Raichle最初对大脑功能默认模式的研究之上的,该研究超出了规范的默认模式大脑区域。这就需要我们所说的“基线模型”。类似于有机体其他部分的内部生物钟,持续的大脑活动可以作为一个内部参考点或标准,为大脑的休息和任务状态提供共享的神经代码,包括它们相关的认知。这种共享的神经代码体现在大脑持续活动的时空组织中,包括其全局信号地形和动态,如内在神经时间尺度。我们得出结论,最近的经验证据支持基线模型优于双重模型;正在进行的活动提供了一个全局共享的神经代码,允许整合大脑的休息和任务状态,它的DMN和非DMN,以及内部和外部导向的认知。
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引用次数: 10
Forthcoming Articles. 即将出版的文章。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584231179065
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引用次数: 0
The Neuroscientist Comments. 神经科学家评论。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584231178681
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引用次数: 0
The Neuroscientist Comments. 神经科学家评论。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584231178682
The NeuroscieNTisT commeNTs ~ The NeuroscieNTisT commeNTs~ The NeuroscieNTisT commeNTs T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s ~ T h e N e u r o s c ie N T is T c o m m e N T s A Dynamic Astrocyte Chloride Reservoir: Regulating Inhibitory Neurotransmission during Sustained Neuronal
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引用次数: 0
Recent Insights on Glutamatergic Dysfunction in Alzheimer's Disease and Therapeutic Implications. 阿尔茨海默病中谷氨酸能功能障碍的最新研究进展及其治疗意义。
IF 5.6 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2023-08-01 DOI: 10.1177/10738584211069897
Priyanka D Pinky, Jeremiah C Pfitzer, Jared Senfeld, Hao Hong, Subhrajit Bhattacharya, Vishnu Suppiramaniam, Irfan Qureshi, Miranda N Reed

Alzheimer's disease (AD) poses a critical public health challenge, and there is an urgent need for novel treatment options. Glutamate, the principal excitatory neurotransmitter in the human brain, plays a critical role in mediating cognitive and behavioral functions; and clinical symptoms in AD patients are highly correlated with the loss of glutamatergic synapses. In this review, we highlight how dysregulated glutamatergic mechanisms can underpin cognitive and behavioral impairments and contribute to the progression of AD via complex interactions with neuronal and neural network hyperactivity, Aβ, tau, glial dysfunction, and other disease-associated factors. We focus on the tripartite synapse, where glutamatergic neurotransmission occurs, and evidence elucidating how the tripartite synapse can be pathologically altered in AD. We also discuss promising therapeutic approaches that have the potential to rescue these deficits. These emerging data support the development of novel glutamatergic drug candidates as compelling approaches for treating AD.

阿尔茨海默病(AD)是一项重大的公共卫生挑战,迫切需要新的治疗方案。谷氨酸是人脑中主要的兴奋性神经递质,在调节认知和行为功能中起着重要作用;AD患者的临床症状与谷氨酸能突触的丧失高度相关。在这篇综述中,我们强调了失调的谷氨酸能机制如何支持认知和行为障碍,并通过与神经元和神经网络多动、Aβ、tau、神经胶质功能障碍和其他疾病相关因素的复杂相互作用促进AD的进展。我们专注于三方突触,谷氨酸神经传递发生的地方,和证据阐明如何三方突触可以在AD病理改变。我们还讨论了有希望的治疗方法,有可能挽救这些缺陷。这些新出现的数据支持开发新的谷氨酸能候选药物作为治疗AD的有力方法。
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引用次数: 5
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Neuroscientist
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