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Relationship between carotid intima-media thickness and white matter hyperintensities in non-stroke adults: a systematic review 非中风成人颈动脉内膜厚度与白质高密度之间的关系:系统性综述
Pub Date : 2024-06-06 DOI: 10.3389/fnana.2024.1394766
Syeda Humayra, N. Yahya, Chai Jia Ning, Mohd Asyiq Al-Fard bin Mohd Raffali, I. A. Mir, Abdul Latiff Mohamed, H. A. Manan
Literature suggests a common pathophysiological ground between carotid atherosclerosis (CAS) and white matter alterations in the brain. However, the association between carotid intima-media thickness (CIMT) and white matter hyperintensities (WMH) has not been conclusively reported. The current systematic review explores and reports the relationship between CIMT and WMH among asymptomatic/non-stroke adults.A recent literature search on PubMed, SCOPUS, and Web of Science databases was conducted in compliance with the PRISMA protocol. The pre-defined Population-Intervention-Comparison-Outcome-Study (PICOS) criteria included observational studies investigating the CIMT-WMH association among non-stroke adults undergoing magnetic resonance imaging and carotid ultrasound.Out of 255 potential results, 32 studies were critically assessed for selection, and finally, 10 articles were included, comprising 5,116 patients (females = 60.2%; males = 39.8%) aged between 36–71 years. The included studies earned high quality ratings (6–9) based on the Newcastle-Ottawa-Scale criteria. Qualitative synthesis showed a significantly parallel relationship between increased CIMT and greater WMH burden in 50% of the studies. In addition, significant risk factors related to the CIMT-WMH association included older age, hypertension, depression, migraine, Hispanic ethnicity, and apolipoprotein E (ɛ4) in postmenopausal women.Overall, the cumulative evidence showed a consistent CIMT-WMH association in asymptomatic middle-aged and older non-stroke adults, indicating that CAS may contribute to the progression of pathologically hyperintense white matter in the brain. However, further research is warranted to infer the plausible relationship between CIMT and WMH in the absence of stroke.
文献表明,颈动脉粥样硬化(CAS)与脑白质改变之间存在共同的病理生理基础。然而,颈动脉内膜厚度(CIMT)与脑白质高密度(WMH)之间的关系尚未有确切报道。本系统性综述探讨并报告了无症状/非中风成人的颈动脉内膜厚度(CIMT)与白质增厚(WMH)之间的关系。在 255 项潜在结果中,对 32 项研究进行了严格的评估筛选,最终纳入了 10 篇文章,包括 5116 名年龄在 36-71 岁之间的患者(女性 = 60.2%;男性 = 39.8%)。根据纽卡斯尔-渥太华量表标准,纳入的研究均获得了较高的质量评级(6-9)。定性综述显示,50%的研究中,CIMT增大与WMH负荷增加之间存在明显的平行关系。此外,与 CIMT-WMH 相关的重要风险因素包括年龄偏大、高血压、抑郁、偏头痛、西班牙裔和绝经后妇女的载脂蛋白 E(ɛ4)。总体而言,累积的证据显示,在无症状的中老年非卒中成人中,CIMT 与 WMH 的关系是一致的,这表明 CAS 可能会导致大脑中病理性高密度白质的进展。然而,在没有中风的情况下,要推断 CIMT 与 WMH 之间的合理关系,还需要进一步的研究。
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引用次数: 0
Direct comparison of Hoxb8-driven reporter distribution in the brains of four transgenic mouse lines: towards a spinofugal projection atlas 直接比较四种转基因小鼠品系大脑中 Hoxb8 驱动的报告基因分布:建立脊柱投影图谱
Pub Date : 2024-05-16 DOI: 10.3389/fnana.2024.1400015
Bridget N. Barraclough, W. T. Stubbs, Manon Bohic, Aman Upadhyay, Victoria E. Abraira, Matt S. Ramer
Hox genes govern rostro-caudal identity along the developing spinal cord, which has a well-defined division of function between dorsal (sensory) and ventral (motor) halves. Here we exploit developmental Hoxb8 expression, normally restricted to the dorsal cord below the obex, to genetically label spinal cord-to-brain (“spinofugal”) axons.We crossed two targeted (knock-in) and two non-targeted recombinase-expressing lines (Hoxb8-IRES-Cre and Hoxb8-T2AFlpO; Hoxb8-Cre and Hoxb8-FlpO, respectively) with appropriate tdtomato-expressing reporter strains. Serial sectioning, confocal and superresolution microscopy, as well as light-sheet imaging was used to reveal robust labeling of ascending axons and their terminals in expected and unexpected regions.This strategy provides unprecedented anatomical detail of ascending spinal tracts anterior to the brainstem, and reveals a previously undescribed decussating tract in the ventral hypothalamus (the spinofugal hypothalamic decussating tract, or shxt). The absence of Hoxb8-suppressing elements led to multiple instances of ectopic reporter expression in Hoxb8-Cre mice (retinal ganglion and vomeronasal axons, anterior thalamic nuclei and their projections to the anterior cingulate and retrosplenial cortices and subiculum, and a population of astrocytes at the cephalic flexure) and Hoxb8-FlpO mice (Cajal–Retzius cells of the dentate gyrus, and mesenchymal cells of the choroid plexus). While targeted transgenic lines were similar in terms of known spinofugal projections, Hoxb8-IRES-Cre reporters had an additional projection to the core of the facial motor nucleus, and more abundant Hoxb8-lineage microglia scattered throughout the brain than Hoxb8-T2A-FlpO (or any other) mice, suggesting dysregulated Hoxb8-driven reporter expression in one or both lines.This work complements structural and connectivity atlases of the mouse central nervous system, and provides a platform upon which their reactions to injury or disease can be studied. Ectopic Hoxb8-driven recombinase expression may also be a useful tool to study structure and function of other cell populations in non-targeted lines.
Hox基因控制着发育中脊髓的喙-尾部特征,脊髓背侧(感觉)和腹侧(运动)的功能分工十分明确。我们将两个靶向(基因敲入)和两个非靶向重组酶表达株系(Hoxb8-IRES-Cre和Hoxb8-T2AFlpO;分别为Hoxb8-Cre和Hoxb8-FlpO)与适当的tdtomato表达报告株系杂交。这种策略为脑干前部的脊髓上升束提供了前所未有的解剖细节,并揭示了以前未曾描述过的下丘脑腹侧的解痉束(spinofugal hypothalamic decussating tract,或shxt)。Hoxb8抑制因子的缺失导致Hoxb8-Cre小鼠出现多种异位报告表达(视网膜神经节和绒毛轴突、丘脑前核及其向扣带前皮层和后脾皮层及亚丘的投射、以及头曲的星形胶质细胞群)和 Hoxb8-FlpO 小鼠(齿状回的 Cajal-Retzius 细胞和脉络丛的间质细胞)。虽然目标转基因品系在已知的脊髓投射方面相似,但与 Hoxb8-T2A-FlpO(或任何其他品系)小鼠相比,Hoxb8-IRES-Cre 报告者在面部运动核核心有额外的投射,而且散布在大脑各处的 Hoxb8 系小胶质细胞更多,这表明在一个或两个品系中 Hoxb8 驱动的报告者表达失调。这项工作补充了小鼠中枢神经系统的结构和连接图谱,并提供了一个研究小鼠对损伤或疾病反应的平台。异位 Hoxb8 驱动的重组酶表达也可能是研究非靶向品系中其他细胞群结构和功能的有用工具。
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引用次数: 0
Pineal gland volume loss in females with multiple sclerosis 多发性硬化症女性患者的松果体体积损失
Pub Date : 2024-05-15 DOI: 10.3389/fnana.2024.1386295
Miloš Vuković, I. Nosek, J. Boban, D. Kozic
Multiple sclerosis has a complex pathophysiology, and numerous risk factors can contribute to its development, like exposure to sunlight that is associated with serum levels of melatonin. The aim of this study was to determine whether the volume of the pineal gland, assessed by magnetic resonance imaging (MRI), correlated with the presence of multiple sclerosis.This retrospective study included a total of 394 patients. Subjects were divided into two groups: the first group consisted of 188 patients with a definite diagnosis of multiple sclerosis (based on revised McDonald criteria) and the second group consisted of 206 healthy controls. To examine the influence of age on pineal gland volume, we stratified the whole sample into three age groups: first involved patients under 20 years, second patients between 20 and 40 years, and third group included patients over 40 years. The maximum length (L) and height (H) of the pineal gland were measured on the T1-weighted sagittal images, and the width (W) was measured on the T2-weighted coronal or axial images. The volume of the gland was calculated as an approximation to an ellipse, according to the formula V = (L × H × W)/2.Pineal gland volume of female multiple sclerosis (MS) patients (N = 129) was significantly lower than in healthy females (N = 123) (p = 0.013; p < 0.05), unlike in males where there is not such difference. Also, pineal gland volume is not age-dependent, and the observed smaller pineal gland in MS patients can reliably be attributed to the disease itself. Additionally, large pineal gland size, especially over 62.83 mm3 when compared to pineal gland volume below 31.85 mm3 is associated with more than double reduced risk of multiple sclerosis (OR 0.42; p = 0.003).Our results suggest that women with multiple sclerosis have smaller pineal glands that can theoretically be explained by a lack of input stimuli and the resultant decrease in gland volume. Additionally, the risk of multiple sclerosis is reduced in larger pineal gland volumes.
多发性硬化症的病理生理学十分复杂,许多风险因素都可能导致其发病,如暴露于阳光下与血清中的褪黑激素水平有关。本研究旨在确定通过磁共振成像(MRI)评估的松果体体积是否与多发性硬化症的存在相关。受试者被分为两组:第一组包括188名确诊为多发性硬化症的患者(根据修订后的麦克唐纳标准),第二组包括206名健康对照者。为了研究年龄对松果体体积的影响,我们将所有样本分为三个年龄组:第一组包括 20 岁以下的患者,第二组包括 20 至 40 岁的患者,第三组包括 40 岁以上的患者。松果体的最大长度(L)和高度(H)在 T1 加权矢状位图像上测量,宽度(W)在 T2 加权冠状位或轴位图像上测量。多发性硬化症(MS)女性患者(129 人)的松果体体积明显低于健康女性(123 人)(P = 0.013;P < 0.05),而男性患者则没有这种差异。此外,松果体体积与年龄无关,多发性硬化症患者松果体体积较小的原因可以可靠地归咎于疾病本身。此外,松果体体积大,尤其是超过 62.83 立方毫米与松果体体积小于 31.85 立方毫米相比,患多发性硬化症的风险降低了一倍多(OR 0.42;P = 0.003)。此外,松果体体积越大,患多发性硬化症的风险越低。
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引用次数: 0
Of artificial intelligence, machine learning, and the human brain. Celebrating Miklos Palkovits' 90th birthday 关于人工智能、机器学习和人类大脑。庆祝 Miklos Palkovits 90 岁生日
Pub Date : 2024-05-03 DOI: 10.3389/fnana.2024.1374864
D. Agoston
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引用次数: 0
Editorial: Neuroanatomy of cognition 社论:认知神经解剖学
Pub Date : 2024-03-08 DOI: 10.3389/fnana.2024.1376610
Mariana Bendersky, Lucía Alba-Ferrara
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引用次数: 0
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Frontiers in Neuroanatomy
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