Ayumi Ishidou, Tomoki Ishiguro, Koh-Ichi Nagata, Hidenori Ito
Introduction: Lysophosphatidic acid (LPA) is a bioactive phospholipid that mediates a variety of biological actions through binding to G protein-coupled receptors (GPCRs) known as LPA receptors (LPARs). In mammals, six LPAR subtypes (LPAR1-6) have been identified. This study aims to determine the expression of LPAR4 in the developing mouse brain.
Methods: Brains samples were prepared from mice in various stages of development and biochemical and immunohistochemical analyses were conducted using anti-LPAR4.
Results: Western blot analysis detected two LPAR4-immunoreactive species at ~50 kDa and ~42 kDa from embryonic day 16.5 (E16.5). The ~50 kDa molecule increased during development, reaching a peak at postnatal day 3 (P3), and then gradually decreased through P22. In contrast, the ~42 kDa molecule continued to increase up to P22. Immunohistochemical analyses demonstrated strong LPAR4 expression in neural cells in the intermediate zone and cortical plate of the E15.5 cerebral cortex, whereas neural progenitors in the ventricular and subventricular zones exhibited weaker expression. At P15, fiber-like staining resembling the apical dendrites of cortical neurons and hippocampal pyramidal cells was also observed.
Conclusion: This study demonstrated dynamic, spatiotemporal changes of LPAR4 expression in the brain from embryonic to postnatal stages. These findings support a potential role for LPAR4 in neural development.
{"title":"Developmental changes in the expression of lysophosphatidic acid receptor 4 in the mouse brain.","authors":"Ayumi Ishidou, Tomoki Ishiguro, Koh-Ichi Nagata, Hidenori Ito","doi":"10.1159/000550132","DOIUrl":"https://doi.org/10.1159/000550132","url":null,"abstract":"<p><strong>Introduction: </strong>Lysophosphatidic acid (LPA) is a bioactive phospholipid that mediates a variety of biological actions through binding to G protein-coupled receptors (GPCRs) known as LPA receptors (LPARs). In mammals, six LPAR subtypes (LPAR1-6) have been identified. This study aims to determine the expression of LPAR4 in the developing mouse brain.</p><p><strong>Methods: </strong>Brains samples were prepared from mice in various stages of development and biochemical and immunohistochemical analyses were conducted using anti-LPAR4.</p><p><strong>Results: </strong>Western blot analysis detected two LPAR4-immunoreactive species at ~50 kDa and ~42 kDa from embryonic day 16.5 (E16.5). The ~50 kDa molecule increased during development, reaching a peak at postnatal day 3 (P3), and then gradually decreased through P22. In contrast, the ~42 kDa molecule continued to increase up to P22. Immunohistochemical analyses demonstrated strong LPAR4 expression in neural cells in the intermediate zone and cortical plate of the E15.5 cerebral cortex, whereas neural progenitors in the ventricular and subventricular zones exhibited weaker expression. At P15, fiber-like staining resembling the apical dendrites of cortical neurons and hippocampal pyramidal cells was also observed.</p><p><strong>Conclusion: </strong>This study demonstrated dynamic, spatiotemporal changes of LPAR4 expression in the brain from embryonic to postnatal stages. These findings support a potential role for LPAR4 in neural development.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-14"},"PeriodicalIF":2.0,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zarena M Dominguez, Suzy Davies, Yousuf Amer, Riddhi Patel, Hawley Helmbrecht, Anyah E Rivera, Lauren L Jantzie, Daniel D Savage, Jessie R Maxwell
Introduction: The combination of prenatal alcohol exposure (PAE) and placental insufficiency (PI) places infants at an increased risk for preterm birth and may worsen brain injury and neurobehavioral outcomes. In this preclinical study, the effect of PAE + PI on lateral, medial, and ventral prefrontal cortex (PFC), striatum and corpus callosum microstructure were investigated using diffusion tensor imaging (DTI). These brain regions are important for executive and higher cognitive functions, like cognitive flexibility.
Methods: Pregnant Long-Evans rat dams voluntarily drank 5% ethanol in saccharin water or plain saccharin water until embryonic day 18 (E18) to mimic moderate PAE. On E19, an open laparotomy was completed, and the uterine arteries were transiently occluded for 1 h. The dams in the sham group underwent the same procedure, but without uterine artery occlusion. Offspring are delivered normally on E22 and matured with their dams. On postnatal day 35 (P35), tissue was collected from male and female rat offspring from all four prenatal treatment groups (Sham, PAE, PI, and PAE+PI). Fixed brain tissue was then scanned ex vivo on a Bruker 11.7 T magnetic resonance imaging. Fractional anisotropy (FA) and directional diffusion were measured in regions of interest. Two-way analysis of variance with Tukey's correction was used, with p < 0.05 significant.
Results: DTI analyses of the medial PFC (n = 14-30/group) revealed a significant impact of the prenatal exposure/insult on the FA (p < 0.05), with sham having the lowest FA (0.24 ± 0.01) and PI having the highest FA (0.28 ± 0.02) as well as a lower mean diffusivity (MD; 3.32 × 10-4 ± 2.35 × 10-5 mm2/s; p < 0.01) compared to PAE (4.35 × 10-4 ± 1.47 × 10-5 mm2/s). The lateral PFC was significantly impacted by prenatal exposure/insult with sham having the highest radial diffusivity (RD; 4.97 × 10-4 ± 2.20 × 10-5 mm2/s; p < 0.05) and MD (4.41 × 10-4 ± 2.10 × 10-5 mm2/s; p < 0.05) compared to the other groups. The striatum was sensitive to the prenatal exposure/insult, with the axial diffusivity (AD), RD, and MD all significantly increased in the PAE group and decreased in the PI group (p < 0.05). In the corpus callosum, the prenatal exposure/insult significantly decreased the AD (p < 0.05; PAE+PI AD: 5.00 × 10-4 ± 4.60 × 10-5 mm2/s).
Conclusion: While all areas analyzed were impacted by the prenatal insults, the striatum, which consists primarily of efferent pathways, appears more vulnerable to injury compared to the PFC. Additional studies are needed to characterize the impact this may have on function related to these critical brain regions.
产前酒精暴露(PAE)和胎盘功能不全(PI)的结合会增加婴儿早产的风险,并可能加重脑损伤和神经行为结果。在本临床前研究中,采用弥散张量成像(DTI)研究了PAE+PI对外侧、内侧和腹侧前额叶皮层(PFC)、纹状体和胼胝体微观结构的影响。这些大脑区域对执行和高级认知功能很重要,比如认知灵活性。方法:在胚胎第18天(E18)前,妊娠龙-埃文斯大鼠自愿饮用含5%乙醇的糖精水或普通糖精水,模拟中度PAE。E19完成开腹手术,子宫动脉短暂闭塞1小时。假手术组的大鼠也进行了同样的手术,但没有阻断子宫动脉。后代在E22正常分娩,并与水坝一起成熟。在出生后第35天(P35),收集来自所有四个产前治疗组(Sham, PAE, PI和PAE+PI)的雄性和雌性大鼠后代的组织。然后在Bruker 11.7 T MRI上对固定脑组织进行离体扫描。在感兴趣区域(ROI)测量分数各向异性(FA)和定向扩散。结果:PFC的弥散张量成像(DTI)分析(n=14-30/组)显示产前暴露/侮辱对FA有显著影响(p)。虽然分析的所有区域都受到产前损伤的影响,但纹状体,主要由传出通路组成,与pfc相比,似乎更容易受到损伤。需要进一步的研究来表征这可能对这些关键大脑区域相关功能的影响。
{"title":"Abnormal Magnetic Resonance Imaging in the Medial Prefrontal Cortex following Prenatal Alcohol Exposure and Placental Insufficiency in a Preclinical Model.","authors":"Zarena M Dominguez, Suzy Davies, Yousuf Amer, Riddhi Patel, Hawley Helmbrecht, Anyah E Rivera, Lauren L Jantzie, Daniel D Savage, Jessie R Maxwell","doi":"10.1159/000549504","DOIUrl":"10.1159/000549504","url":null,"abstract":"<p><strong>Introduction: </strong>The combination of prenatal alcohol exposure (PAE) and placental insufficiency (PI) places infants at an increased risk for preterm birth and may worsen brain injury and neurobehavioral outcomes. In this preclinical study, the effect of PAE + PI on lateral, medial, and ventral prefrontal cortex (PFC), striatum and corpus callosum microstructure were investigated using diffusion tensor imaging (DTI). These brain regions are important for executive and higher cognitive functions, like cognitive flexibility.</p><p><strong>Methods: </strong>Pregnant Long-Evans rat dams voluntarily drank 5% ethanol in saccharin water or plain saccharin water until embryonic day 18 (E18) to mimic moderate PAE. On E19, an open laparotomy was completed, and the uterine arteries were transiently occluded for 1 h. The dams in the sham group underwent the same procedure, but without uterine artery occlusion. Offspring are delivered normally on E22 and matured with their dams. On postnatal day 35 (P35), tissue was collected from male and female rat offspring from all four prenatal treatment groups (Sham, PAE, PI, and PAE+PI). Fixed brain tissue was then scanned ex vivo on a Bruker 11.7 T magnetic resonance imaging. Fractional anisotropy (FA) and directional diffusion were measured in regions of interest. Two-way analysis of variance with Tukey's correction was used, with p < 0.05 significant.</p><p><strong>Results: </strong>DTI analyses of the medial PFC (n = 14-30/group) revealed a significant impact of the prenatal exposure/insult on the FA (p < 0.05), with sham having the lowest FA (0.24 ± 0.01) and PI having the highest FA (0.28 ± 0.02) as well as a lower mean diffusivity (MD; 3.32 × 10-4 ± 2.35 × 10-5 mm2/s; p < 0.01) compared to PAE (4.35 × 10-4 ± 1.47 × 10-5 mm2/s). The lateral PFC was significantly impacted by prenatal exposure/insult with sham having the highest radial diffusivity (RD; 4.97 × 10-4 ± 2.20 × 10-5 mm2/s; p < 0.05) and MD (4.41 × 10-4 ± 2.10 × 10-5 mm2/s; p < 0.05) compared to the other groups. The striatum was sensitive to the prenatal exposure/insult, with the axial diffusivity (AD), RD, and MD all significantly increased in the PAE group and decreased in the PI group (p < 0.05). In the corpus callosum, the prenatal exposure/insult significantly decreased the AD (p < 0.05; PAE+PI AD: 5.00 × 10-4 ± 4.60 × 10-5 mm2/s).</p><p><strong>Conclusion: </strong>While all areas analyzed were impacted by the prenatal insults, the striatum, which consists primarily of efferent pathways, appears more vulnerable to injury compared to the PFC. Additional studies are needed to characterize the impact this may have on function related to these critical brain regions.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12695109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Oarii Vahirua, Mouna El Mehdi, Emilie Lahaye, Aurélie Balvay, Sylvie Rabot, Sergueï O Fetissov
Introduction: Innervation of the paraventricular nucleus of the hypothalamus (PVN) by the orexigenic agouti-related protein (AgRP) and anorexigenic α-melanocyte-stimulating hormone (α-MSH) neurons of the arcuate nucleus (ARC) is a key element in the appetite-regulating neuronal circuitry whose development is influenced by circulating metabolic signals. In the present work, we studied if PVN innervation by the AgRP and α-MSH fibers is influenced by gut microbiota.
Methods: To this aim, we compared, using immunohistochemistry, the innervation of PVN by AgRP and α-MSH fibers between germ-free and specific pathogen-free 7-week-old female mice.
Results: We found that germ-free mice display an increased innervation of the PVN by both AgRP and α-MSH fibers, but also that the increase in AgRP fiber density was about twice as pronounced as that of α-MSH.
Conclusion: These data reveal that gut microbiota plays a modulatory role in the development of the ARC/PVN axonal projections. An imbalance between AgRP and α-MSH innervation in germ-free mice may contribute to their metabolic and behavioral alterations.
{"title":"Imbalanced Innervation of the Hypothalamic Paraventricular Nucleus by the AgRP and α-Melanocyte-Stimulating Hormone Axonal Projections in Germ-Free Mice.","authors":"Oarii Vahirua, Mouna El Mehdi, Emilie Lahaye, Aurélie Balvay, Sylvie Rabot, Sergueï O Fetissov","doi":"10.1159/000549483","DOIUrl":"10.1159/000549483","url":null,"abstract":"<p><strong>Introduction: </strong>Innervation of the paraventricular nucleus of the hypothalamus (PVN) by the orexigenic agouti-related protein (AgRP) and anorexigenic α-melanocyte-stimulating hormone (α-MSH) neurons of the arcuate nucleus (ARC) is a key element in the appetite-regulating neuronal circuitry whose development is influenced by circulating metabolic signals. In the present work, we studied if PVN innervation by the AgRP and α-MSH fibers is influenced by gut microbiota.</p><p><strong>Methods: </strong>To this aim, we compared, using immunohistochemistry, the innervation of PVN by AgRP and α-MSH fibers between germ-free and specific pathogen-free 7-week-old female mice.</p><p><strong>Results: </strong>We found that germ-free mice display an increased innervation of the PVN by both AgRP and α-MSH fibers, but also that the increase in AgRP fiber density was about twice as pronounced as that of α-MSH.</p><p><strong>Conclusion: </strong>These data reveal that gut microbiota plays a modulatory role in the development of the ARC/PVN axonal projections. An imbalance between AgRP and α-MSH innervation in germ-free mice may contribute to their metabolic and behavioral alterations.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-8"},"PeriodicalIF":2.0,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707912/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Small for gestational age (SGA) infants face a heightened risk of motor delays that can persist into childhood, affecting cognitive and language development. Early identification and intervention are critical for better long-term outcomes.
Summary: This narrative review highlights evidence on motor development in SGA children, focusing on risk factors, neurobiological mechanisms, and early interventions. Motor delays in SGA infants correlate with lower birth weight, shorter gestation, adverse intrauterine conditions, and perinatal complications. Structural brain changes, especially in white matter and cerebellum, along with prenatal and postnatal inflammation, contribute to these deficits. Nutritional support, physical therapy, and family-based stimulation initiated in the first 2 years show promise for improving motor outcomes.
Key messages: SGA children are at high risk for motor developmental disorders. A comprehensive early intervention approach targeting nutrition, neurodevelopment, and family support is essential. Future research should aim to clarify mechanisms and optimize intervention timing and strategies to enhance long-term outcomes.
{"title":"Small for Gestational Age and Motor Development in Children: A Narrative Review of Risk Factors, Brain Mechanisms, and Early Interventions.","authors":"Liuyan Zhu, Dan Yao","doi":"10.1159/000548975","DOIUrl":"10.1159/000548975","url":null,"abstract":"<p><strong>Background: </strong>Small for gestational age (SGA) infants face a heightened risk of motor delays that can persist into childhood, affecting cognitive and language development. Early identification and intervention are critical for better long-term outcomes.</p><p><strong>Summary: </strong>This narrative review highlights evidence on motor development in SGA children, focusing on risk factors, neurobiological mechanisms, and early interventions. Motor delays in SGA infants correlate with lower birth weight, shorter gestation, adverse intrauterine conditions, and perinatal complications. Structural brain changes, especially in white matter and cerebellum, along with prenatal and postnatal inflammation, contribute to these deficits. Nutritional support, physical therapy, and family-based stimulation initiated in the first 2 years show promise for improving motor outcomes.</p><p><strong>Key messages: </strong>SGA children are at high risk for motor developmental disorders. A comprehensive early intervention approach targeting nutrition, neurodevelopment, and family support is essential. Future research should aim to clarify mechanisms and optimize intervention timing and strategies to enhance long-term outcomes.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12737333/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Neurodevelopmental disorders (NDDs) are chronic conditions marked by abnormal brain development, presenting with significant clinical heterogeneity. Early diagnosis is crucial but challenging due to the complex symptoms. Genetic factors play a dominant role in NDD etiology. This study was to evaluate the diagnostic utility of dual-dimension whole-exome sequencing (WES) analysis in Chinese patients with NDDs and to deepen the understanding of genotype-phenotype correlations.
Methods: This study retrospectively analyzed WES data of 128 Chinese NDD patients from Hubei Maternal and Child Health Hospital (July 2020-March 2024) for single-nucleotide variants (SNVs)/small insertions-deletions (Indels) and copy number variants (CNVs). Pathway enrichment, tissue-expression analyses, and functional experiments were conducted to interpret pathogenic genes and variants of uncertain significance.
Results: The overall diagnostic rate for NDDs was 35.9% (46/128), with 28 cases confirmed by SNV/Indel analysis (30 variants in 29 genes) and 18 by CNV analysis (22 variants). Dual-dimension analysis markedly improved the diagnostic rate compared to conventional SNV/Indel analysis (35.9% vs. 21.9%). Patients with multisystem abnormalities had a higher diagnostic rate (63.2% vs. 31.2%). Among the 30 SNV/Indel variants, 86.7% (26) were de novo, and 70.0% (21) were novel. Recurrent pathogenic variants in ASXL3, SHANK3, and EHMT1 genes were identified. Most pathogenic genes were enriched in transcription-regulation pathways and highly expressed in the cerebellum and cerebral cortex. Functional experiments showed that the NLGN3 c.562G>A (p.G188R) hemizygous variant affects protein stability and is deleterious, aiding prenatal diagnosis and the birth of a healthy offspring.
Conclusion: Integrating CNV analysis into routine WES workflows effectively clarifies the genetic heterogeneity of NDDs, expands the gene variant spectrum, and provides a basis for NDD prognosis assessment and precision diagnosis and treatment.
神经发育障碍(ndd)是一种以大脑发育异常为特征的慢性疾病,具有明显的临床异质性。早期诊断至关重要,但由于症状复杂,具有挑战性。遗传因素在ndd病因中起主导作用。本研究旨在评估二维全外显子组测序(WES)分析在中国ndd患者中的诊断价值,并加深对基因型-表型相关性的理解。方法:本研究回顾性分析湖北省妇幼保健院(2020年7月- 2024年3月)128例中国ndd患者的WES资料,分析单核苷酸变异/小插入缺失(SNVs/Indels)和拷贝数变异(CNVs)。通过途径富集、组织表达分析和功能实验来解释不确定意义的致病基因和变异(VUS)。结果:ndd的总诊断率为35.9%(46/128),其中SNV/Indel分析确诊28例(29个基因30个变异),CNV分析确诊18例(22个变异)。与传统的SNV/Indel分析相比,二维分析显著提高了诊断率(35.9% vs 21.9%)。多系统异常患者的诊断率更高(63.2% vs 31.2%)。在30例SNV/Indel变异中,86.7%(26例)为新发,70.0%(21例)为新发。发现ASXL3、SHANK3和EHMT1基因的复发性致病变异。多数致病基因富集于转录调控通路,并在小脑和大脑皮层高度表达。功能实验表明,NLGN3 c.562G>A (p.G188R)半合子变异影响蛋白稳定性,是有害的,有助于产前诊断和健康后代的诞生。结论:将CNV分析纳入常规WES工作流程,可有效澄清ndd的遗传异质性,扩大基因变异谱,为ndd的预后评估和精准诊疗提供依据。
{"title":"Genetic Characterization of 128 Chinese Individuals with Neurodevelopmental Disorders via Whole-Exome Sequencing.","authors":"Yayun Qin, Huang Cao, Lijun Liu, Meiqi Yi, Ting Wang, Ling Zeng, Xiaoyan Wang, Runhong Xu, Chengcheng Zhang, Hui Li, Jieping Song","doi":"10.1159/000549155","DOIUrl":"10.1159/000549155","url":null,"abstract":"<p><strong>Introduction: </strong>Neurodevelopmental disorders (NDDs) are chronic conditions marked by abnormal brain development, presenting with significant clinical heterogeneity. Early diagnosis is crucial but challenging due to the complex symptoms. Genetic factors play a dominant role in NDD etiology. This study was to evaluate the diagnostic utility of dual-dimension whole-exome sequencing (WES) analysis in Chinese patients with NDDs and to deepen the understanding of genotype-phenotype correlations.</p><p><strong>Methods: </strong>This study retrospectively analyzed WES data of 128 Chinese NDD patients from Hubei Maternal and Child Health Hospital (July 2020-March 2024) for single-nucleotide variants (SNVs)/small insertions-deletions (Indels) and copy number variants (CNVs). Pathway enrichment, tissue-expression analyses, and functional experiments were conducted to interpret pathogenic genes and variants of uncertain significance.</p><p><strong>Results: </strong>The overall diagnostic rate for NDDs was 35.9% (46/128), with 28 cases confirmed by SNV/Indel analysis (30 variants in 29 genes) and 18 by CNV analysis (22 variants). Dual-dimension analysis markedly improved the diagnostic rate compared to conventional SNV/Indel analysis (35.9% vs. 21.9%). Patients with multisystem abnormalities had a higher diagnostic rate (63.2% vs. 31.2%). Among the 30 SNV/Indel variants, 86.7% (26) were de novo, and 70.0% (21) were novel. Recurrent pathogenic variants in ASXL3, SHANK3, and EHMT1 genes were identified. Most pathogenic genes were enriched in transcription-regulation pathways and highly expressed in the cerebellum and cerebral cortex. Functional experiments showed that the NLGN3 c.562G>A (p.G188R) hemizygous variant affects protein stability and is deleterious, aiding prenatal diagnosis and the birth of a healthy offspring.</p><p><strong>Conclusion: </strong>Integrating CNV analysis into routine WES workflows effectively clarifies the genetic heterogeneity of NDDs, expands the gene variant spectrum, and provides a basis for NDD prognosis assessment and precision diagnosis and treatment.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-17"},"PeriodicalIF":2.0,"publicationDate":"2025-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12707888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: The developing brain exhibits rostro-caudal gradients that align with the maturation of functionally organized circuits. The barrel cortex, a spatially precise sensory structure, serves as an ideal model to examine such gradients within a confined functional domain. GABAergic interneurons, characterized by subtype-specific developmental trajectories and pivotal roles in early cortical dynamics, provide a strategic cellular entry point for this investigation.
Methods: To explore cellular and functional gradients in the developing barrel cortex, we combined transgenic mouse lines, immunohistochemical analyses with in vivo electrophysiological recordings of whisker-evoked activity during early postnatal stages. We also employed a model of ethanol exposure to assess potential differences in apoptotic vulnerability along the rostro-caudal axis.
Results: Immunohistochemistry revealed distinct layer- and subtype-specific gradients of GABAergic neurons. Notably, we observed a widespread rostro-caudal gradient in 5-HT3AR-expressing cells and a localized gradient of somatostatin-positive (SST+) interneurons in the deep layers. These gradients diminished in a subtype-specific manner from postnatal day (P)5 to P10, indicating transient developmental features. In vivo recordings showed that caudal whisker stimulation elicited stronger responses, while rostral stimulation produced a broader spatial spread of activity, suggesting region-specific functional properties. Furthermore, rostral regions exhibited higher expression of the maturation marker KCC2, supporting the notion of more advanced maturation in the rostral barrel cortex. Ethanol exposure induced greater apoptosis in caudal layer 5 compared to its rostral counterpart, revealing layer- and region-specific vulnerabilities.
Conclusions: These findings highlight spatially regulated trajectories of cortical maturation and underscore how regional differences in development may influence sensory processing and contribute to the heterogeneity of symptoms observed in neurodevelopmental disorders.
{"title":"Subtype- and Layer-Specific Developmental Gradients of Postnatal GABAergic Neurons in the Rodent Barrel Cortex.","authors":"Henna Kallo, Violetta Sitdikova, Anatolii Logashkin, Säde Loukasmäki, Anastasia Ludwig, Marat Minlebaev, Claudio Rivera","doi":"10.1159/000549093","DOIUrl":"10.1159/000549093","url":null,"abstract":"<p><strong>Introduction: </strong>The developing brain exhibits rostro-caudal gradients that align with the maturation of functionally organized circuits. The barrel cortex, a spatially precise sensory structure, serves as an ideal model to examine such gradients within a confined functional domain. GABAergic interneurons, characterized by subtype-specific developmental trajectories and pivotal roles in early cortical dynamics, provide a strategic cellular entry point for this investigation.</p><p><strong>Methods: </strong>To explore cellular and functional gradients in the developing barrel cortex, we combined transgenic mouse lines, immunohistochemical analyses with in vivo electrophysiological recordings of whisker-evoked activity during early postnatal stages. We also employed a model of ethanol exposure to assess potential differences in apoptotic vulnerability along the rostro-caudal axis.</p><p><strong>Results: </strong>Immunohistochemistry revealed distinct layer- and subtype-specific gradients of GABAergic neurons. Notably, we observed a widespread rostro-caudal gradient in 5-HT3AR-expressing cells and a localized gradient of somatostatin-positive (SST+) interneurons in the deep layers. These gradients diminished in a subtype-specific manner from postnatal day (P)5 to P10, indicating transient developmental features. In vivo recordings showed that caudal whisker stimulation elicited stronger responses, while rostral stimulation produced a broader spatial spread of activity, suggesting region-specific functional properties. Furthermore, rostral regions exhibited higher expression of the maturation marker KCC2, supporting the notion of more advanced maturation in the rostral barrel cortex. Ethanol exposure induced greater apoptosis in caudal layer 5 compared to its rostral counterpart, revealing layer- and region-specific vulnerabilities.</p><p><strong>Conclusions: </strong>These findings highlight spatially regulated trajectories of cortical maturation and underscore how regional differences in development may influence sensory processing and contribute to the heterogeneity of symptoms observed in neurodevelopmental disorders.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-27"},"PeriodicalIF":2.0,"publicationDate":"2025-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12674656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ramin Ali Marandi Ghoddousi, Pat Levitt, Zia Rady, Kathie L Eagleson
Introduction: Single-cell transcriptomic analyses in adult mice show that cortical projection neuron subclasses exhibit heterogenous gene expression profiles that reflect their projection targets and laminar and areal positions. Further analyses revealed that projection neurons within the same subclass also exhibit transcriptomic heterogeneity. Recent evidence suggests that differences in maturation state reflect one source of this heterogeneity. The MET receptor tyrosine kinase, a regulator of synapse maturation, is expressed in a subpopulation within cortical projection neuron subclasses, providing an experimental model to address transcriptomic heterogeneity within developing projection neuron subclasses.
Methods: Single-cell RNA sequencing and smFISH were used to identify transcriptomic differences between Met+ and Met- projection neuron populations in the mouse visual and frontal cortices during the early phase of synapse formation and dendritic growth.
Results: Analyses confirmed enrichment of Met in select projection neuron subclasses and further identified astrocytes as the major source of its ligand, Hgf. No genes were expressed uniquely in Met+ or Met- projection neurons within a subclass; rather, there were graded differences in gene expression between the populations. While the identity of differentially expressed genes varied between subclass and cortical area, there was a consistent overrepresentation of genes associated with axon growth, as well as synapse structure, development, and function, with a subset associated with the MET interactome. Further, compared to Met- projection neurons, expression differences in genes associated with maturation indicate less mature excitatory synapses and spines in the Met+ population at this age.
Conclusion: The current findings provide support for the hypothesis that Met+ projection neurons are in a less mature state than Met- projection neurons within the same subclass. Further, the data are consistent with converging lines of biochemical and electrophysiological evidence that MET contributes to asynchronous maturation of developing cortical circuits.
{"title":"Comparative Single-Cell Transcriptome Analysis of c-Met Receptor Expressing and Non-Expressing Projection Neurons in the Developing Frontal and Visual Cortices.","authors":"Ramin Ali Marandi Ghoddousi, Pat Levitt, Zia Rady, Kathie L Eagleson","doi":"10.1159/000548617","DOIUrl":"10.1159/000548617","url":null,"abstract":"<p><strong>Introduction: </strong>Single-cell transcriptomic analyses in adult mice show that cortical projection neuron subclasses exhibit heterogenous gene expression profiles that reflect their projection targets and laminar and areal positions. Further analyses revealed that projection neurons within the same subclass also exhibit transcriptomic heterogeneity. Recent evidence suggests that differences in maturation state reflect one source of this heterogeneity. The MET receptor tyrosine kinase, a regulator of synapse maturation, is expressed in a subpopulation within cortical projection neuron subclasses, providing an experimental model to address transcriptomic heterogeneity within developing projection neuron subclasses.</p><p><strong>Methods: </strong>Single-cell RNA sequencing and smFISH were used to identify transcriptomic differences between Met+ and Met- projection neuron populations in the mouse visual and frontal cortices during the early phase of synapse formation and dendritic growth.</p><p><strong>Results: </strong>Analyses confirmed enrichment of Met in select projection neuron subclasses and further identified astrocytes as the major source of its ligand, Hgf. No genes were expressed uniquely in Met+ or Met- projection neurons within a subclass; rather, there were graded differences in gene expression between the populations. While the identity of differentially expressed genes varied between subclass and cortical area, there was a consistent overrepresentation of genes associated with axon growth, as well as synapse structure, development, and function, with a subset associated with the MET interactome. Further, compared to Met- projection neurons, expression differences in genes associated with maturation indicate less mature excitatory synapses and spines in the Met+ population at this age.</p><p><strong>Conclusion: </strong>The current findings provide support for the hypothesis that Met+ projection neurons are in a less mature state than Met- projection neurons within the same subclass. Further, the data are consistent with converging lines of biochemical and electrophysiological evidence that MET contributes to asynchronous maturation of developing cortical circuits.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-28"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12646370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sima Binaafar, Reza Shervin Badv, Ali Rashidi-Nezhad, Mehrdad Behmanesh
Introduction: KCTD7-related epilepsy is a rare neurogenetic disorder characterized by marked genetic and phenotypic heterogeneity, typically presenting with early onset and often exhibiting poor response to conventional antiseizure medications.
Methods: We performed exome sequencing in 134 Iranian pediatric patients with drug-resistant epilepsy and selected mutations in the KCTD7 gene. The pathogenicity of the identified variants was assessed using multiple in silico prediction tools and classified according to the ACMG guidelines. Additionally, we reviewed the genotype-phenotype correlations and treatment histories of all reported cases with KCTD7 mutations.
Results: Three novel homozygous variants - c.14C>T (p.Thr5Met), c.840delC (p.Ile281Serfs*11), and c.746T>G (p.Val249Gly) - were identified in 4 patients. Significant phenotypic heterogeneity was observed among patients, with disease severity ranging from mild to profound. Independent in silico analyses of each variant yielded concordant results, consistently predicting their potential to impact the structure and function of the KCTD7 protein. To date, 72 patients from 55 families have been reported, including 26.66% of homozygous cases born to non-consanguineous parents and 37% of reported variants localized within BTB domain. Although 88.9% of patients experienced seizure onset before age two, clinical trajectories were highly variable. Among 45 patients with treatment data, valproate, levetiracetam, and clonazepam were the most frequently prescribed antiseizure medications; however, seizure control remained inconsistent. Notably, we observed subfertility in two heterozygous fathers, an unexpected finding that may suggest a potential role for KCTD7 beyond the central nervous system.
Conclusion: These findings expand the mutational and phenotypic landscape of KCTD7-related epilepsy and underscore its clinical heterogeneity and therapeutic challenges.
{"title":"Expanding Insights into <italic>KCTD7-</italic>Related Drug-Resistant Epilepsy: Three Novel Mutations in a Cohort of Iranian Pediatric Patients.","authors":"Sima Binaafar, Reza Shervin Badv, Ali Rashidi-Nezhad, Mehrdad Behmanesh","doi":"10.1159/000548627","DOIUrl":"10.1159/000548627","url":null,"abstract":"<p><strong>Introduction: </strong>KCTD7-related epilepsy is a rare neurogenetic disorder characterized by marked genetic and phenotypic heterogeneity, typically presenting with early onset and often exhibiting poor response to conventional antiseizure medications.</p><p><strong>Methods: </strong>We performed exome sequencing in 134 Iranian pediatric patients with drug-resistant epilepsy and selected mutations in the KCTD7 gene. The pathogenicity of the identified variants was assessed using multiple in silico prediction tools and classified according to the ACMG guidelines. Additionally, we reviewed the genotype-phenotype correlations and treatment histories of all reported cases with KCTD7 mutations.</p><p><strong>Results: </strong>Three novel homozygous variants - c.14C>T (p.Thr5Met), c.840delC (p.Ile281Serfs*11), and c.746T>G (p.Val249Gly) - were identified in 4 patients. Significant phenotypic heterogeneity was observed among patients, with disease severity ranging from mild to profound. Independent in silico analyses of each variant yielded concordant results, consistently predicting their potential to impact the structure and function of the KCTD7 protein. To date, 72 patients from 55 families have been reported, including 26.66% of homozygous cases born to non-consanguineous parents and 37% of reported variants localized within BTB domain. Although 88.9% of patients experienced seizure onset before age two, clinical trajectories were highly variable. Among 45 patients with treatment data, valproate, levetiracetam, and clonazepam were the most frequently prescribed antiseizure medications; however, seizure control remained inconsistent. Notably, we observed subfertility in two heterozygous fathers, an unexpected finding that may suggest a potential role for KCTD7 beyond the central nervous system.</p><p><strong>Conclusion: </strong>These findings expand the mutational and phenotypic landscape of KCTD7-related epilepsy and underscore its clinical heterogeneity and therapeutic challenges.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-15"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Xiaodan Liu, Xiangning Jiang, Alkisti Mikrogeorgiou Capper, Nicholas Stewart, Will Byrne, Xiao Ji, Jacob Ellison, Duan Xu, Donna M Ferriero
Introduction: The efficacy of therapeutic hypothermia (TH) for neonatal hypoxic-ischemic encephalopathy (HIE) is inconsistent, and the cause remains unclear. This study aimed to explore the role of cold stress protein in the TH-induced neuroprotection following hypoxia-ischemia (HI) using hyperpolarized carbon-13 MRI (HP-13C MRI).
Methods: Postnatal day 10 (P10) mice underwent unilateral HI followed by treatments with TH or normothermia (NT). HI and sham mice were scanned at 4 h and 22 h following TH after injection of hyperpolarized 13C-1 labeled pyruvate. The dynamic HP [1-13C] MR spectroscopic images (MRSI) were acquired to examine the cerebral metabolic profile, i.e., the conversion rate from pyruvate to lactate (kPL) and the ratio of lactate to pyruvate (Lac/Pyr) in the injured hemisphere. T2-weighted images and diffusion MR images were acquired to identify the anatomical structures and assess the injury. Mice brains were collected during and at 0 h, 4 h, 12 h, 18 h, and 22 h after treatments for Western Blot to investigate the time course of the levels of the cold stress protein (RNA-binding motif 3 [RBM3]) and cell death markers (spectrin 145/150 and spectrin 120) changes. The cerebral metabolic profile, RBM3 and spectrin levels, and injury size were compared across groups and between specific timepoints. The relationship between the cerebral metabolic profile and RBM3 levels in HI+TH group was also evaluated.
Results: We observed the upregulation of RBM3 during TH at 4 h and 22 h after TH. The spectrin 145/150 and spectrin 120 were unchanged over time in HI+TH group, whereas they significantly increased at 18 h and 22 h in HI+NT group. Additionally, the injury size was noticeably larger at 22 h in HI+NT group. Lower kPL and Lac/Pyr were observed at 4 h and 22 h after TH, with a negative correlation to RBM3 levels in HI+TH group.
Conclusion: This study demonstrates that RBM3 may be one of the key factors associated with TH-induced neuroprotection by reducing the anaerobic glycolysis process in HI mice, suggesting RBM3 upregulation may enhance the efficacy of TH for neonatal HIE.
{"title":"Association between Cold-Inducible RNA-Binding Motif 3 and Hypothermia Effect in Murine Hypoxia-Ischemia Model Measured by Hyperpolarized <sup>13</sup>C MRI.","authors":"Xiaodan Liu, Xiangning Jiang, Alkisti Mikrogeorgiou Capper, Nicholas Stewart, Will Byrne, Xiao Ji, Jacob Ellison, Duan Xu, Donna M Ferriero","doi":"10.1159/000548626","DOIUrl":"10.1159/000548626","url":null,"abstract":"<p><strong>Introduction: </strong>The efficacy of therapeutic hypothermia (TH) for neonatal hypoxic-ischemic encephalopathy (HIE) is inconsistent, and the cause remains unclear. This study aimed to explore the role of cold stress protein in the TH-induced neuroprotection following hypoxia-ischemia (HI) using hyperpolarized carbon-13 MRI (HP-13C MRI).</p><p><strong>Methods: </strong>Postnatal day 10 (P10) mice underwent unilateral HI followed by treatments with TH or normothermia (NT). HI and sham mice were scanned at 4 h and 22 h following TH after injection of hyperpolarized 13C-1 labeled pyruvate. The dynamic HP [1-13C] MR spectroscopic images (MRSI) were acquired to examine the cerebral metabolic profile, i.e., the conversion rate from pyruvate to lactate (k<sub>PL</sub>) and the ratio of lactate to pyruvate (Lac/Pyr) in the injured hemisphere. T2-weighted images and diffusion MR images were acquired to identify the anatomical structures and assess the injury. Mice brains were collected during and at 0 h, 4 h, 12 h, 18 h, and 22 h after treatments for Western Blot to investigate the time course of the levels of the cold stress protein (RNA-binding motif 3 [RBM3]) and cell death markers (spectrin 145/150 and spectrin 120) changes. The cerebral metabolic profile, RBM3 and spectrin levels, and injury size were compared across groups and between specific timepoints. The relationship between the cerebral metabolic profile and RBM3 levels in HI+TH group was also evaluated.</p><p><strong>Results: </strong>We observed the upregulation of RBM3 during TH at 4 h and 22 h after TH. The spectrin 145/150 and spectrin 120 were unchanged over time in HI+TH group, whereas they significantly increased at 18 h and 22 h in HI+NT group. Additionally, the injury size was noticeably larger at 22 h in HI+NT group. Lower k<sub>PL</sub> and Lac/Pyr were observed at 4 h and 22 h after TH, with a negative correlation to RBM3 levels in HI+TH group.</p><p><strong>Conclusion: </strong>This study demonstrates that RBM3 may be one of the key factors associated with TH-induced neuroprotection by reducing the anaerobic glycolysis process in HI mice, suggesting RBM3 upregulation may enhance the efficacy of TH for neonatal HIE.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12659713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kally C O Apos Reilly Sparks, Lauren C Shuffrey, Rebecca N Siegel, Hannah Yueh, Morgan R Firestein, Amy J Elliott, Hein J Odendaal, George M Anderson, William P Fifer, Jeremy Veenstra-VanderWeele
Introduction: Serotonin (5-hydroxytryptamine [5-HT]) plays an important role in early development, and fetal 5-HT has been reported to arise from placental and maternal sources. Previous human studies have established an association between maternal 5-HT levels and neurodevelopmental outcomes in populations with autism. In this study, we analyze umbilical cord blood and placental 5-HT levels at birth to further investigate the relationship of gestational 5-HT levels with birth outcomes and offspring cognitive development.
Methods: Participants were enrolled in the Safe Passage Study conducted by the Prenatal Alcohol and SIDS and Stillbirth (PASS) Network. Infant cord blood and placental samples were collected postdelivery, and 5-HT levels were measured using high-performance liquid chromatography-fluorometric analysis. The Mullen Scales of Early Learning (MSEL) assessed child development at 12 months. Associations between 5-HT levels and birth outcomes or developmental outcomes were assessed using linear regression models.
Results: No significant association was found between cord blood (n = 418) and placental (n = 89) 5-HT levels. Preterm birth was associated with lower cord blood 5-HT levels, and increasing gestational age among full-term infants was associated with higher cord blood 5-HT levels. Cord blood 5-HT was significantly associated with the Mullen Scales of Early Learning Composite Score, and follow-up analyses revealed a significant association between cord blood 5-HT and fine motor skills. No association was found between placental 5-HT and the Mullen composite score.
Conclusion: To our knowledge, this study is the first to evaluate the relationship between placental 5-HT levels and cord blood 5-HT levels at birth. The lack of association suggests that cord blood 5-HT levels are likely to be a better index of fetal 5-HT exposure. Associations between cord blood 5-HT and child cognitive development are consistent with previous studies showing an association between maternal 5-HT levels and neurodevelopmental trajectories. Further research is needed to better characterize these relationships and to elucidate the distinct contributions of maternal, placental, and fetal 5-HT sources across developmental time points.
{"title":"Association of Umbilical Cord Blood Serotonin Levels with Neurodevelopmental Outcomes.","authors":"Kally C O Apos Reilly Sparks, Lauren C Shuffrey, Rebecca N Siegel, Hannah Yueh, Morgan R Firestein, Amy J Elliott, Hein J Odendaal, George M Anderson, William P Fifer, Jeremy Veenstra-VanderWeele","doi":"10.1159/000547803","DOIUrl":"https://doi.org/10.1159/000547803","url":null,"abstract":"<p><strong>Introduction: </strong>Serotonin (5-hydroxytryptamine [5-HT]) plays an important role in early development, and fetal 5-HT has been reported to arise from placental and maternal sources. Previous human studies have established an association between maternal 5-HT levels and neurodevelopmental outcomes in populations with autism. In this study, we analyze umbilical cord blood and placental 5-HT levels at birth to further investigate the relationship of gestational 5-HT levels with birth outcomes and offspring cognitive development.</p><p><strong>Methods: </strong>Participants were enrolled in the Safe Passage Study conducted by the Prenatal Alcohol and SIDS and Stillbirth (PASS) Network. Infant cord blood and placental samples were collected postdelivery, and 5-HT levels were measured using high-performance liquid chromatography-fluorometric analysis. The Mullen Scales of Early Learning (MSEL) assessed child development at 12 months. Associations between 5-HT levels and birth outcomes or developmental outcomes were assessed using linear regression models.</p><p><strong>Results: </strong>No significant association was found between cord blood (n = 418) and placental (n = 89) 5-HT levels. Preterm birth was associated with lower cord blood 5-HT levels, and increasing gestational age among full-term infants was associated with higher cord blood 5-HT levels. Cord blood 5-HT was significantly associated with the Mullen Scales of Early Learning Composite Score, and follow-up analyses revealed a significant association between cord blood 5-HT and fine motor skills. No association was found between placental 5-HT and the Mullen composite score.</p><p><strong>Conclusion: </strong>To our knowledge, this study is the first to evaluate the relationship between placental 5-HT levels and cord blood 5-HT levels at birth. The lack of association suggests that cord blood 5-HT levels are likely to be a better index of fetal 5-HT exposure. Associations between cord blood 5-HT and child cognitive development are consistent with previous studies showing an association between maternal 5-HT levels and neurodevelopmental trajectories. Further research is needed to better characterize these relationships and to elucidate the distinct contributions of maternal, placental, and fetal 5-HT sources across developmental time points.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-12"},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}