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Repetitive Transcranial Magnetic Stimulation Modulates Brain Connectivity in Children with Self-limited Epilepsy with Centrotemporal Spikes 重复经颅磁刺激可调节自限性癫痫患儿大脑的连接性,并伴有颞中棘波
Pub Date : 2024-09-02 DOI: 10.1101/2024.08.27.24312648
Xiwei She, Wendy Qi, Kerry C. Nix, Miguel Menchaca, Christopher C. Cline, Wei Wu, Zihuai He, Fiona M. Baumer
Objective Interictal epileptiform discharges (IEDs) alter brain connectivity in children with epilepsy; this connectivity change may be a mechanism by which epilepsy induces cognitive deficits. Here, we test whether repetitive transcranial magnetic stimulation (rTMS), a non-invasive neuromodulation technique, modulates connectivity and reduces IEDs in children with epilepsy.
目的发作间期癫痫样放电(IED)会改变癫痫患儿的大脑连通性;这种连通性的改变可能是癫痫诱发认知障碍的一种机制。在此,我们测试了重复经颅磁刺激(rTMS)这种非侵入性神经调节技术是否能调节癫痫患儿的连接性并减少 IED。
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引用次数: 0
Safety and Efficacy of Metformin for Idiopathic Intracranial Hypertension. A U.S-Based Real-World Data Retrospective Multicenter Cohort Study 二甲双胍治疗特发性颅内高压的安全性和有效性。一项基于美国真实世界数据的回顾性多中心队列研究
Pub Date : 2024-09-02 DOI: 10.1101/2024.09.01.24312907
Ahmed Y. Azzam, Mahmoud Nassar, Ahmed Saad Al Zomia, Adam Elswedy, Mahmoud M. Morsy, Adham A. Mohamed, Osman Elamin, Omar S. Elsayed, Mohammed A. Azab, Muhammed Amir Essibayi, Jin Wu, Adam A. Dmytirw, David J. Altschul
Introduction Idiopathic intracranial hypertension (IIH) remains a challenging condition to manage, with limited therapeutic options. This study investigated the potential of metformin as a novel treatment for IIH, exploring its effects on disease outcomes and safety profile.
导言:特发性颅内高压(IIH)仍然是一种具有挑战性的疾病,治疗方案有限。本研究探讨了二甲双胍作为一种新型治疗方法治疗 IIH 的潜力,并探讨了其对疾病预后和安全性的影响。
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引用次数: 0
Phosphatidylethanolamines are the main lipid class altered in red blood cells from patients with VPS13A disease/chorea-acanthocytosis 磷脂酰乙醇胺是 VPS13A 病/毛细血管扩张症患者红细胞中发生改变的主要脂质类别
Pub Date : 2024-09-01 DOI: 10.1101/2024.09.01.24312543
Kevin Peikert, Adrian Spranger, Gabriel Miltenberger-Miltenyi, Hannes Glaß, Björn Falkenburger, Christian Klose, Donatienne Tyteca, Andreas Hermann
Background VPS13A disease (chorea-acanthocytosis) is an ultra-rare disorder caused by loss of function mutations in VPS13A characterized by striatal degeneration and by red blood cell (RBC) acanthocytosis. VPS13A is a bridge-like protein mediating bulk lipid transfer at membrane contact sites.
背景 VPS13A 病(舞蹈棘细胞增多症)是由 VPS13A 功能缺失突变引起的一种超罕见疾病,以纹状体变性和红细胞(RBC)棘细胞增多为特征。VPS13A 是一种桥状蛋白,在膜接触部位介导大量脂质转移。
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引用次数: 0
Expanding the spectrum of white matter abnormalities in Wolfram syndrome: A retrospective review 扩大沃尔夫拉姆综合征白质异常的范围:回顾性综述
Pub Date : 2024-09-01 DOI: 10.1101/2024.08.31.24312796
Justin Simo, Heather M. Lugar, Elka Miller, Adi Wilf-Yarkoni, Yael Goldberg, Ayça Kocaağa, Shoichi Ito, Sirio Cocozza, Giulio Frontino, Cristina Baldoli, Aziz Benbachir, Catherine Ashton, Guy Rouleau, Tamara Hershey, Yann Nadjar, Roberta La Piana
Background and Objectives Wolfram syndrome (WFS) is a genetic disorder mainly caused by pathogenic variants in the WFS1 gene. It is characterized clinically by optic atrophy (OA), diabetes mellitus (DM), sensorineural hearing loss (SNHL), diabetes insipidus (DI), and variable neurological/psychiatric symptoms. WFS typically manifests before age 20 and progresses into adulthood. Classical neuroradiological features include cerebellar and/or brainstem atrophy as well as white matter abnormalities ranging from small, ovoid lesions to diffuse, symmetrical changes along the visual pathway. Following the identification of multifocal, progressive white matter abnormalities that prompted the consideration of multiple sclerosis (MS) in two molecularly confirmed WFS subjects, we sought to verify whether MS-like lesions constitute a novel WFS-associated MRI pattern.
背景和目的 沃尔夫勒姆综合征(WFS)是一种遗传性疾病,主要由 WFS1 基因的致病变异引起。其临床特征为视神经萎缩(OA)、糖尿病(DM)、感音神经性听力损失(SNHL)、糖尿病性尿崩症(DI)以及不同的神经/精神症状。WFS通常在20岁之前出现,并发展到成年。典型的神经放射学特征包括小脑萎缩和/或脑干萎缩,以及白质异常,小到卵圆形病变,大到沿视觉通路的弥漫性对称性改变。在两名经分子确诊的 WFS 受试者身上发现多灶性、进行性白质异常并考虑多发性硬化症(MS)后,我们试图验证 MS 样病变是否构成一种新型的 WFS 相关 MRI 模式。
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引用次数: 0
Global and regional burden of ischemic stroke disease from 1990 to 2021: an age-period cohort analysis 1990 至 2021 年缺血性中风疾病的全球和地区负担:年龄段队列分析
Pub Date : 2024-08-31 DOI: 10.1101/2024.08.29.24312683
Weimin Zhu, Xiaxia He, Daochao Huang, Yiqing Jiang, Weijun Hong, Shaofa Ke, En Wang, Feng Wang, Xianwei Wang, Renfei Shan, Suzhi Liu, Yinghe Xu, Yongpo Jiang
Background Ischemic stroke is a major global public health concern. This study evaluates the burden of ischemic stroke in 2021, analyzes trends since 1990, and predicts future burdens.
背景 缺血性脑卒中是全球关注的重大公共卫生问题。本研究评估了 2021 年缺血性中风的负担,分析了自 1990 年以来的趋势,并预测了未来的负担。
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引用次数: 0
Monitoring seizure cycles with seizure diaries 用发作日记监测发作周期
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.28.24312758
Ashley Reynolds, Rachel E. Stirling, Samuel Håkansson, Philippa Karoly, Alan Lai, David B. Grayden, Mark J. Cook, Ewan Nurse, Andre Peterson
Objective The periodicity of seizures, ranging from circadian to circannual cycles, is increasingly recognized as a significant opportunity to advance epilepsy management. Current methods for detecting seizure cycles rely on intrusive techniques or specialised biomarkers, limiting their accessibility.
目的 癫痫发作的周期性(从昼夜周期到年周期)越来越被认为是促进癫痫管理的一个重要机会。目前检测癫痫发作周期的方法依赖于侵入性技术或专门的生物标志物,这限制了它们的可及性。
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引用次数: 0
Phase I/II Trial of Brogidirsen: Dual-Targeting Antisense Oligonucleotides for Exon 44 Skipping in Duchenne Muscular Dystrophy Brogidirsen的I/II期试验:双靶向反义寡核苷酸用于杜氏肌营养不良症的第 44 号外显子跳接治疗
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.28.24312624
Hirofumi Komaki, Eri Takeshita, Katsuhiko Kunitake, Takami Ishizuka, Yuko Shimizu-Motohashi, Akihiko Ishiyama, Masayuki Sasaki, Chihiro Yonee, Shinsuke Maruyama, Eisuke Hida, Yoshitsugu Aoki
Duchenne muscular dystrophy (DMD) is a severe muscle disorder caused by mutations in the DMD gene, resulting in dystrophin loss. Exon-skipping using antisense oligonucleotides (ASO) is a promising approach that partially restores dystrophin by correcting the frameshift during pre-mRNA splicing. However, a weakness of the current approach is that it is mutation-specific and has poor efficacy. To address these, we aim to develop brogidirsen, a new dual-targeting ASO that targets two sequences in exon 44 of the DMD using phosphorodiamidate morpholino oligomer. Here, we conducted an open-label, dose-escalation, Phase I/II trial to evaluate the safety, pharmacokinetics, and activity of brogidirsen, administered intravenously to six ambulant patients with DMD amenable to exon 44 skipping. The study consisted of a dose-escalation part to determine the optimal doses, followed by extended treatment with 40 mg/kg or 80 mg/kg weekly dose for 24 weeks. There were no serious adverse events related to brogidirsen. The results indicated a dose-dependent increase in dystrophin levels, reaching 10.27% and 15.79% of the normal level in the two cohorts. Motor functional tests suggested a trend toward maintaining or slightly improving motor function. There was a dose-dependent increase in Cmax and AUC0–t. High-throughput proteomic assays revealed that serum proteins such as PADI2, TTN, MYOM2, and MYLPF were observed to reduce, suggesting them as biomarkers for therapeutic effects. Notably, in vitro assays using urine-derived cells from patients with DMD support brogidirsen’s high efficacy in the first-in-human studies. These promising results warrant a subsequent multinational trial for DMD.
杜氏肌营养不良症(DMD)是一种严重的肌肉疾病,由 DMD 基因突变引起,导致肌营养不良蛋白缺失。使用反义寡核苷酸(ASO)进行外显子跳接是一种很有前景的方法,它可以通过纠正前 mRNA 剪接过程中的帧移位来部分恢复肌营养不良蛋白。然而,目前这种方法的一个弱点是它具有突变特异性,而且疗效不佳。为了解决这些问题,我们旨在开发一种新型双靶向 ASO--brogidirsen,它利用磷酸二酰胺吗啉寡聚体靶向 DMD 第 44 号外显子中的两个序列。在此,我们进行了一项开放标签、剂量递增的 I/II 期试验,以评估 Brogidirsen 的安全性、药代动力学和活性,并对六名适合跳过 44 号外显子的 DMD 患者进行静脉给药。研究包括剂量递增部分,以确定最佳剂量,然后延长治疗时间,每周剂量为 40 毫克/千克或 80 毫克/千克,持续 24 周。没有出现与博吉德森有关的严重不良事件。研究结果表明,肌营养不良蛋白水平呈剂量依赖性增长,在两组患者中分别达到正常水平的10.27%和15.79%。运动功能测试表明,运动功能有保持或略有改善的趋势。Cmax和AUC0-t的增加呈剂量依赖性。高通量蛋白质组检测显示,PADI2、TTN、MYOM2 和 MYLPF 等血清蛋白减少,表明它们是治疗效果的生物标志物。值得注意的是,使用来自 DMD 患者的尿源细胞进行的体外试验证明,在首次人体试验中,溴吉森具有很高的疗效。这些令人鼓舞的结果证明了随后针对 DMD 的多国试验是有必要的。
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引用次数: 0
SAHVAI-3D and 4D: A New, Automated Subarachnoid Hemorrhage Volumetric Artificial Intelligence (SAHVAI) Measurement Approach Using Non-Contrast Head CT Scans SAHVAI-3D 和 4D:使用非对比度头部 CT 扫描的新型蛛网膜下腔出血容积自动人工智能(SAHVAI)测量方法
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.24312799
Melina Wirtz, Saif Salman, Yujia Wei, Vishal Patel, Rohan Sharma, Vikash Gupta, Qiangqiang Gu, Benoit Dherin, Sanjana Reddy, Rabih Tawk, Bradley J Erickson, William David Freeman
Objectives To automate subarachnoid hemorrhage volume (SAHV) calculation (SAHVAI-SAHV Artificial Intelligence) and create 3D volumetric images (SAHVAI-3D) using non-contrast head CT (NCCT) imaging data in aneurysmal subarachnoid hemorrhage (SAH) patients. We also defined SAHVAI-4D, representing SAHV over time. The aim was to compare automated SAHVAI volumes to manual SAHV methods and computation times, explore these imaging biomarkers’ potential in identifying at-risk brain regions for delayed cerebral ischemia (DCI), and explore potential insights in future neurotherapeutic interventions for SAH patient recovery.
目的 利用动脉瘤性蛛网膜下腔出血(SAH)患者的非对比头部 CT(NCCT)成像数据,自动计算蛛网膜下腔出血量(SAHV)(SAHVAI-SAHV 人工智能)并创建三维容积图像(SAHVAI-3D)。我们还定义了代表 SAHV 随时间变化的 SAHVAI-4D。我们的目的是比较自动 SAHVAI 容量与手动 SAHV 方法和计算时间,探索这些成像生物标志物在识别延迟性脑缺血(DCI)高危脑区方面的潜力,并探索未来神经治疗干预对 SAH 患者康复的潜在启示。
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引用次数: 0
The NeuroBioBank Whole-Genome Catalog: Sequencing from human brain donors with central nervous system disorders NeuroBioBank 全基因组目录:对患有中枢神经系统疾病的人脑捐献者进行测序
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.24312734
Daniel Hupalo, Jacob L. McCauley, Lissette Gomez, Anthony J. Griswold, Gabriela Hoher, Ioanna Konidari, Jose Lorenzo, Griffin S. Parker, Julianna Pascual, Amanda R. Sandford, Patrice L. Whitehead, David A. Davis, Susanna Garamszegi, S. Humayun Gultekin, Xiaoyan Sun, Regina T. Vontell, Michael Chatigny, Darren Chernicky, Myrtha M. Constant, Isabelle G. Darling, David J. Ennulat, John M. Esposito, Kiely Morris, Elisabeth S. Lawton, Neda R. Morakabati, Phyllis Oduor, Allison P. Rodgers, Lorelle A. Sang, Kathleen M. Sullivan, Catalina J. Tabit, Tori Turpin, Aya Zeabi, Tina Zheng, Sabina Berretta, Torsten Klengel, Derek H. Oakley, W. Brad Ruzicka, Thomas Blanchard, Eric Ho, Robert Johnson, Alexandra LeFevre, Maxwell Bustamante, Vahram Haroutunian, Pavel Katsel, Christine Marino, Stephen Panopoulos, Dushyant P. Purohit, Michael Wysocki, Jill R. Glausier, David .A. Lewis, Rashed M. Nagra, Camille Alba, Julianna Martin, Elizabeth Rice, John Rosenberger, Grace Smith, Gauthaman Sukumar, Miranda Tompkins, Matthew Wilkerson, Clifton L. Dalgard, William K. Scott
Central nervous system diseases are a prevailing cause of morbidity and mortality worldwide, and are influenced by environmental and biological factors including genetic risk. Here we generated genome-wide genetic data on a large cohort of brain tissue donors with in-depth clinical and neuropathological phenotyping, allowing for broad investigations into the risk and mechanisms of these neurological, neurodevelopmental, and psychiatric conditions. This resource consists of 9,663 donors with array-based genotyping and 9,543 donors with whole-genome sequencing completed. The clinical diagnoses of these donors include 148 central nervous system diseases clustered in 15 broad categories by ICD-10 coding. These donors were collected by six repositories comprising the NIH NeuroBioBank, with an average participant age of 60 years. While primarily older individuals of European descent, the cohort also contains younger donors and individuals from non-European backgrounds. Variants detected by Whole-Genome Sequencing (WGS) were called genome-wide and annotated to describe their functional impact, resulting in 171,121,209 unique mutations and 1,078,774 non-silent mutations. This whole-genome resource has been made available in the NIMH Data Archive (nda.nih.gov) and accompanying deep demographic and phenotypic descriptions are available at the NeuroBioBank Portal (neurobiobank.nih.gov). To illustrate an application of this resource, we replicated the strong association observed in previous studies between pathogenic CAG repeat expansions in the HTT gene with the clinical diagnosis of Huntington’s disease.
中枢神经系统疾病是全球发病率和死亡率的主要原因,受环境和生物因素(包括遗传风险)的影响。在这里,我们生成了一大批脑组织供体的全基因组遗传数据,并进行了深入的临床和神经病理学表型分析,从而可以对这些神经、神经发育和精神疾病的风险和机制进行广泛的研究。这一资源包括 9,663 名已完成阵列基因分型的供体和 9,543 名已完成全基因组测序的供体。这些供体的临床诊断包括 148 种中枢神经系统疾病,按 ICD-10 编码分为 15 大类。这些供体是由美国国立卫生研究院神经生物库的六个库收集的,参与者的平均年龄为 60 岁。虽然主要是欧洲后裔的老年人,但队列中也有年轻的捐献者和非欧洲背景的人。通过全基因组测序(WGS)检测到的变异被称为全基因组变异,并对其进行注释以描述其功能影响,结果发现了171,121,209个独特变异和1,078,774个非沉默变异。这一全基因组资源已在美国国立卫生研究院数据档案馆(nda.nih.gov)中公布,并可在神经生物银行门户网站(neurobiobank.nih.gov)上获得相应的深度人口统计和表型描述。为了说明这一资源的应用,我们复制了之前研究中观察到的 HTT 基因中致病性 CAG 重复扩增与亨廷顿氏病临床诊断之间的密切联系。
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引用次数: 0
Digital language markers distinguish frontal from right anterior temporal lobe atrophy in frontotemporal dementia 数字语言标记区分额颞叶痴呆症中的额叶和右颞叶前部萎缩
Pub Date : 2024-08-30 DOI: 10.1101/2024.08.29.24312807
Jet M.J. Vonk, Brittany T. Morin, Janhavi Pillai, David Rosado Rolon, Rian Bogley, David Paul Baquirin, Zoe Ezzes, Boon Lead Tee, Jessica DeLeon, Lisa Wauters, Sladjana Lukic, Maxime Montembeault, Kyan Younes, Zachary Miller, Adolfo M. García, Maria Luisa Mandelli, Virginia E. Sturm, Bruce L. Miller, Maria Luisa Gorno-Tempini
Background and Objectives Within frontotemporal dementia (FTD), the behavioral variant (bvFTD) characterized by frontal atrophy, and semantic behavioral variant (sbvFTD) characterized by right anterior temporal lobe (rATL) atrophy, present diagnostic challenges due to overlapping symptoms and neuroanatomy. Accurate differentiation is crucial for clinical trial inclusion targeting TDP-43 proteinopathies. This study investigated whether automated speech analysis can distinguish between FTD-related rATL and frontal atrophy, potentially offering a non-invasive diagnostic tool.
背景和目的 在额颞叶痴呆症(FTD)中,以额叶萎缩为特征的行为变异型(bvFTD)和以右前颞叶(rATL)萎缩为特征的语义行为变异型(sbvFTD)由于症状和神经解剖学上的重叠,给诊断带来了挑战。准确的鉴别对于纳入针对TDP-43蛋白病的临床试验至关重要。本研究调查了自动语音分析是否能区分与FTD相关的rATL和额叶萎缩,从而提供一种非侵入性诊断工具。
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引用次数: 0
期刊
medRxiv - Neurology
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