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Plasticity of Dendritic Spines Underlies Fear Memory. 树突棘的可塑性是恐惧记忆的基础
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-12-01 Epub Date: 2023-07-22 DOI: 10.1177/10738584231185530
Ja Eun Choi, Bong-Kiun Kaang

The brain has the powerful ability to transform experiences into anatomic maps and continuously integrate massive amounts of information to form new memories. The manner in which the brain performs these processes has been investigated extensively for decades. Emerging reports suggest that dendritic spines are the structural basis of information storage. The complex orchestration of functional and structural dynamics of dendritic spines is associated with learning and memory. Owing to advancements in techniques, more precise observations and manipulation enable the investigation of dendritic spines and provide clues to the challenging question of how memories reside in dendritic spines. In this review, we summarize the remarkable progress made in revealing the role of dendritic spines in fear memory and the techniques used in this field.

大脑具有将经验转化为解剖图并不断整合大量信息以形成新记忆的强大能力。几十年来,人们对大脑执行这些过程的方式进行了广泛研究。最新报告表明,树突棘是信息存储的结构基础。树突棘的功能和结构动态的复杂协调与学习和记忆有关。由于技术的进步,更精确的观察和操作使树突棘的研究成为可能,并为记忆如何驻留在树突棘这一具有挑战性的问题提供了线索。在这篇综述中,我们总结了在揭示树突棘在恐惧记忆中的作用方面所取得的显著进展以及该领域所使用的技术。
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引用次数: 0
The Cerebellum and the Motor Cortex: Multiple Networks Controlling Multiple Aspects of Behavior. 小脑和运动皮层:多个网络控制行为的多个方面
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-12-01 Epub Date: 2023-08-31 DOI: 10.1177/10738584231189435
Danny Adrian Spampinato, Elias Paolo Casula, Giacomo Koch

The cerebellum and its thalamic projections to the primary motor cortex (M1) are well known to play an essential role in executing daily actions. Anatomic investigations in animals and postmortem humans have established the reciprocal connections between these regions; however, how these pathways can shape cortical activity in behavioral contexts and help promote recovery in neuropathological conditions remains not well understood. The present review aims to provide a comprehensive description of these pathways in animals and humans and discuss how novel noninvasive brain stimulation (NIBS) methods can be used to gain a deeper understanding of the cerebellar-M1 connections. In the first section, we focus on recent animal literature that details how information sent from the cerebellum and thalamus is integrated into an broad network of cortical motor neurons. We then discuss how NIBS approaches in humans can be used to reliably assess the connectivity between the cerebellum and M1. Moreover, we provide the latest perspectives on using advanced NIBS approaches to investigate and modulate multiple cerebellar-cortical networks involved in movement behavior and plasticity. Finally, we discuss how these emerging methods have been used in translation research to produce long-lasting modifications of cerebellar-thalamic-M1 to restore cortical activity and motor function in neurologic patients.

众所周知,小脑及其丘脑向初级运动皮层(M1)的投射在执行日常动作中起着至关重要的作用。对动物和死后人类进行的解剖学研究已经确定了这些区域之间的相互联系;然而,这些通路如何在行为环境中影响皮层活动并帮助促进神经病变情况下的恢复,目前仍不十分清楚。本综述旨在全面描述动物和人类的这些通路,并讨论如何利用新型无创脑刺激(NIBS)方法来深入了解小脑-M1 连接。在第一部分中,我们将重点讨论最近的动物文献,这些文献详细介绍了小脑和丘脑发出的信息如何整合到皮层运动神经元的广泛网络中。然后,我们将讨论如何在人体中使用 NIBS 方法来可靠地评估小脑和 M1 之间的连接性。此外,我们还提供了使用先进的 NIBS 方法研究和调节参与运动行为和可塑性的多个小脑-皮层网络的最新视角。最后,我们将讨论如何在转化研究中使用这些新兴方法,对小脑-丘脑-M1 进行长效调节,以恢复神经系统患者的皮质活动和运动功能。
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引用次数: 0
The Control of Cortical Folding: Multiple Mechanisms, Multiple Models. 皮质折叠的控制:多种机制,多种模式。
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-12-01 Epub Date: 2023-08-24 DOI: 10.1177/10738584231190839
Alexandra Moffat, Carol Schuurmans

The cerebral cortex develops through a carefully conscripted series of cellular and molecular events that culminate in the production of highly specialized neuronal and glial cells. During development, cortical neurons and glia acquire a precise cellular arrangement and architecture to support higher-order cognitive functioning. Decades of study using rodent models, naturally gyrencephalic animal models, human pathology specimens, and, recently, human cerebral organoids, reveal that rodents recapitulate some but not all the cellular and molecular features of human cortices. Whereas rodent cortices are smooth-surfaced or lissencephalic, larger mammals, including humans and nonhuman primates, have highly folded/gyrencephalic cortices that accommodate an expansion in neuronal mass and increase in surface area. Several genes have evolved to drive cortical gyrification, arising from gene duplications or de novo origins, or by alterations to the structure/function of ancestral genes or their gene regulatory regions. Primary cortical folds arise in stereotypical locations, prefigured by a molecular "blueprint" that is set up by several signaling pathways (e.g., Notch, Fgf, Wnt, PI3K, Shh) and influenced by the extracellular matrix. Mutations that affect neural progenitor cell proliferation and/or neurogenesis, predominantly of upper-layer neurons, perturb cortical gyrification. Below we review the molecular drivers of cortical folding and their roles in disease.

大脑皮层的发育经历了一系列精心设计的细胞和分子过程,最终形成高度特化的神经元和神经胶质细胞。在发育过程中,大脑皮层神经元和胶质细胞获得了精确的细胞排列和结构,以支持高阶认知功能。数十年来利用啮齿动物模型、自然颅脑动物模型、人类病理标本以及最近的人类脑器质性组织进行的研究表明,啮齿动物再现了人类大脑皮层的部分而非全部细胞和分子特征。啮齿类动物的大脑皮层表面光滑或呈裂脑状,而包括人类和非人灵长类在内的大型哺乳动物的大脑皮层则呈高度折叠/腱脑状,可容纳神经元数量的增加和表面积的扩大。一些基因的进化推动了大脑皮层的回旋,这些基因产生于基因复制或新起源,或通过改变祖先基因或其基因调控区的结构/功能而产生。原发性皮质褶皱出现在刻板的位置,其分子 "蓝图 "由几种信号通路(如 Notch、Fgf、Wnt、PI3K、Shh)预设,并受细胞外基质的影响。影响神经祖细胞增殖和/或神经发生(主要是上层神经元)的突变会扰乱大脑皮层的回旋。下面我们将回顾大脑皮层折叠的分子驱动因素及其在疾病中的作用。
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引用次数: 0
Microglial Dysfunction in Autism Spectrum Disorder. 自闭症谱系障碍中的小胶质细胞功能障碍
IF 3.5 3区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-12-01 Epub Date: 2024-05-07 DOI: 10.1177/10738584241252576
Jian Meng, Lingliang Zhang, Yun-Wu Zhang

Autism spectrum disorder (ASD) is a highly heterogeneous neurodevelopmental disorder with onset in childhood. The molecular mechanisms underlying ASD have not yet been elucidated completely. Evidence has emerged to support a link between microglial dysfunction and the etiology of ASD. This review summarizes current research on microglial dysfunction in neuroinflammation and synaptic pruning, which are associated with altered transcriptomes and autophagy in ASD. Dysbiosis of gut microbiota in ASD and its correlation with microglial dysfunction are also addressed.

自闭症谱系障碍(ASD)是一种发病于儿童期的高度异质性神经发育障碍。自闭症谱系障碍的分子机制尚未完全阐明。已有证据表明,小胶质细胞功能障碍与 ASD 的病因之间存在联系。本综述总结了目前有关神经炎症和突触修剪中的小胶质细胞功能障碍的研究,这些障碍与 ASD 中转录组和自噬的改变有关。此外,还探讨了 ASD 中肠道微生物群的菌群失调及其与微神经胶质细胞功能障碍的相关性。
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引用次数: 0
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
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 3.9 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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