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Beta Spectral Power during Passive Listening in Preschool Children with Specific Language Impairment. 有特殊语言障碍的学龄前儿童被动聆听时的β频谱功率
IF 2.9 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-05-09 DOI: 10.1159/000539135
Saška Fatić, Nina Stanojević, Ljiljana Jeličić, Ružica Bilibajkić, Maša Marisavljević, Slavica Maksimović, Aleksandar Gavrilović, Miško Subotić

Introduction: Children with specific language impairment (SLI) have difficulties in different speech and language domains. Electrophysiological studies have documented that auditory processing in children with SLI is atypical and probably caused by delayed and abnormal auditory maturation. During the resting state, or different auditory tasks, children with SLI show low or high beta spectral power, which could be a clinical correlate for investigating brain rhythms.

Methods: The aim of this study was to examine the electrophysiological cortical activity of the beta rhythm while listening to words and nonwords in children with SLI in comparison to typical development (TD) children. The participants were 50 children with SLI, aged 4 and 5 years, and 50 age matched TD children. The children were divided into two subgroups according to age: (1) children 4 years of age; (2) children 5 years of age.

Results: The older group differed from the younger group in beta auditory processing, with increased values of beta spectral power in the right frontal, temporal, and parietal regions. In addition, children with SLI have higher beta spectral power than TD children in the bilateral temporal regions.

Conclusion: Complex beta auditory activation in TD and SLI children indicates the presence of early changes in functional brain connectivity.

简介特殊语言障碍(SLI)儿童在不同的言语和语言领域都存在困难。电生理学研究表明,SLI 儿童的听觉处理能力不典型,可能是由于听觉成熟延迟和异常造成的。在静息状态或不同的听觉任务中,SLI 儿童表现出低或高β频谱功率,这可能是研究大脑节奏的临床相关因素:本研究旨在研究 SLI 儿童与典型发育(TD)儿童在听单词和非单词时的β节奏的电生理皮层活动。研究对象包括 50 名 4 至 5 岁的 SLI 儿童和 50 名年龄相仿的 TD 儿童。根据年龄将儿童分为两组:1)4 岁儿童;2)5 岁儿童:结果显示:大龄组与小龄组在贝塔听觉处理方面存在差异,右侧额叶、颞叶和顶叶区域的贝塔频谱功率值增加。此外,在双侧颞叶区域,SLI 儿童的 beta 频谱功率高于 TD 儿童:结论:TD 和 SLI 儿童复杂的 beta 听觉激活表明大脑功能连接存在早期变化。
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引用次数: 0
Preclinical Milestones in MECP2 Gene Transfer for Treating Rett Syndrome. 用于治疗雷特综合征的 MECP2 基因转移的临床前里程碑。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-05-09 DOI: 10.1159/000539267
Indumathy Jagadeeswaran, Jiyoung Oh, Sarah E Sinnett

Background: Rett syndrome (RTT) is a neurodevelopmental disorder caused by mutations in the transcriptional regulator methyl-CpG-binding protein 2 (MeCP2). After gene transfer in mice, exogenous MeCP2 expression must be regulated to avoid dose-dependent toxicity.

Summary: The preclinical gene therapy literature for treating RTT illustrates a duly diligent progression that begins with proof-of-concept studies and advances toward the development of safer, regulated MECP2 viral genome designs. This design progression was partly achieved through international collaborative studies. In 2023, clinicians administered investigational gene therapies for RTT to patients a decade after the first preclinical gene therapy publications for RTT (clinical trial numbers NCT05606614 and NCT05898620). As clinicians take on a more prominent role in MECP2 gene therapy research, preclinical researchers may continue to test more nuanced hypotheses regarding the safety, efficacy, and mechanism of MECP2 gene transfer.

Key message: This review summarizes the history of preclinical MECP2 gene transfer for treating RTT and acknowledges major contributions among colleagues in the field. The first clinical injections are a shared milestone.

背景:雷特综合征(RTT)是一种由转录调节因子甲基-CpG结合蛋白2(MeCP2)突变引起的神经发育障碍。摘要:治疗雷特综合征(RTT)的临床前基因治疗文献说明了一个适当的努力过程,即从概念验证研究开始,向开发更安全、受调控的 MECP2 病毒基因组设计迈进。这一设计进展部分是通过国际合作研究实现的。2023 年,在首次发表 RTT 临床前基因疗法论文(临床试验编号 NCT05606614 和 NCT05898620)十年后,临床医生为患者使用了 RTT 研究性基因疗法。随着临床医生在 MECP2 基因治疗研究中扮演更重要的角色,临床前研究人员可能会继续测试有关 MECP2 基因转移的安全性、有效性和机制的更多细微假设:这篇综述总结了临床前 MECP2 基因转移治疗 RTT 的历史,并肯定了该领域同行的主要贡献。首次临床注射是一个共同的里程碑。
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引用次数: 0
Early Gray Matter Structural Covariance Predicts Longitudinal Gain in Arithmetic Ability in Children. 早期灰质结构协方差可预测儿童算术能力的纵向提高
IF 2.9 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-06-06 DOI: 10.1159/000531419
Tian Ren, Zheng Li, Chunjie Wang, Bao-Ming Li

Previous neuroimaging studies on arithmetic development have mainly focused on functional activation or functional connectivity between brain regions. It remains largely unknown how brain structures support arithmetic development. The present study investigated whether early gray matter structural covariance contributes to later gain in arithmetic ability in children. We used a public longitudinal sample comprising 63 typically developing children. The participants received structural magnetic resonance imaging scanning when they were 11 years old and were tested with a multiplication task at 11 years old (time 1) and 13 years old (time 2), respectively. Mean gray matter volumes were extracted from eight brain regions of interest to anchor salience network (SN), frontal-parietal network (FPN), motor network (MN), and default mode network (DMN) at time 1. We found that longitudinal gain in arithmetic ability was associated with stronger structural covariance of the SN seed with frontal and parietal regions and stronger structural covariance of the FPN seed with insula, but weaker structural covariance of the FPN seed with motor and temporal regions, weaker structural covariance of the MN seed with frontal and motor regions, and weaker structural covariance of the DMN seed with temporal region. However, we did not detect correlation between longitudinal gain in arithmetic ability and behavioral measure or regional gray matter volume at time 1. Our study provides novel evidence for a specific contribution of gray matter structural covariance to longitudinal gain in arithmetic ability in childhood.

以往有关算术能力发展的神经影像学研究主要集中于大脑区域之间的功能激活或功能连接。大脑结构如何支持算术能力的发展在很大程度上仍是未知数。本研究探讨了早期灰质结构协方差是否有助于儿童日后算术能力的提高。我们使用了一个由 63 名发育典型儿童组成的公共纵向样本。参与者在 11 岁时接受了结构磁共振成像扫描,并分别在 11 岁(时间 1)和 13 岁(时间 2)时接受了乘法任务测试。我们从八个感兴趣的脑区提取了平均灰质体积,以锚定第一时间的显著性网络(SN)、额叶-顶叶网络(FPN)、运动网络(MN)和默认模式网络(DMN)。我们发现,算术能力的纵向提高与SN种子与额叶和顶叶区域较强的结构协方差以及FPN种子与岛叶较强的结构协方差有关,但FPN种子与运动和颞叶区域的结构协方差较弱,MN种子与额叶和运动区域的结构协方差较弱,DMN种子与颞叶区域的结构协方差较弱。然而,我们并未发现算术能力的纵向提高与行为测量或第一时间的区域灰质体积之间存在相关性。我们的研究为灰质结构协方差对儿童期算术能力纵向提高的特定贡献提供了新的证据。
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引用次数: 0
MYC Promotes Aggressive Growth and Metastasis of a WNT-Medulloblastoma Mouse Model. MYC 促进 WNT-成纤维细胞瘤小鼠模型的侵袭性生长和转移
IF 2.9 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-08-05 DOI: 10.1159/000533270
Rachel Hartley, Timothy N Phoenix

Medulloblastoma (MB), the most common malignant pediatric brain tumor, comprises four molecularly and clinically distinct subgroups (termed WNT, SHH, group 3, and group 4). Prognosis varies based on genetic and pathological features associated with each molecular subgroup. WNT-MB, considered low-risk, is rarely metastatic and contains activating mutations in CTNNB1; group 3-MB (GRP3-MB), commonly classified as high-risk, is frequently metastatic and can contain genomic alterations, resulting in elevated MYC expression. Here, we compare model systems of low-risk WNT-MB and high-risk GRP3-MB to identify tumor and microenvironment interactions that could contribute to features associated with prognosis. Compared to GRP3-MB, we find that WNT-MB is enriched in gene sets related to extracellular matrix (ECM) regulation and cellular adhesion. Exogenous expression of MycT58A in a murine WNT-MB model significantly accelerates growth and results in metastatic disease. In addition to decreased ECM regulation and cell adhesion pathways, we also identified immune system interactions among the top downregulated signaling pathways following MycT58A expression. Taken together, our data provide evidence that increased Myc signaling can promote the growth and metastasis in a murine model of WNT-MB.

髓母细胞瘤(MB)是最常见的小儿恶性脑肿瘤,由四个在分子和临床上截然不同的亚组(称为 WNT、SHH、第 3 组和第 4 组)组成。根据每个分子亚组相关的遗传和病理特征,预后也有所不同。WNT-MB被认为是低风险,很少发生转移,并含有CTNNB1的激活突变;第3组-MB(GRP3-MB)通常被归类为高风险,经常发生转移,并可能含有基因组改变,导致MYC表达升高。在此,我们比较了低风险WNT-MB和高风险GRP3-MB的模型系统,以确定肿瘤和微环境之间的相互作用可能导致与预后相关的特征。与 GRP3-MB 相比,我们发现 WNT-MB 富含与细胞外基质(ECM)调节和细胞粘附相关的基因集。在小鼠 WNT-MB 模型中,MycT58A 的外源表达会显著加速生长并导致转移性疾病。除了ECM调控和细胞粘附途径的减少,我们还在MycT58A表达后下调幅度最大的信号途径中发现了免疫系统的相互作用。总之,我们的数据提供了证据,证明在WNT-MB小鼠模型中,Myc信号的增加可促进生长和转移。
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引用次数: 0
Expression Analyses of C-Terminal-Binding Protein 1 (CtBP1) during Mouse Brain Development. 小鼠脑发育过程中C末端结合蛋白1(CtBP1)的表达分析。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-10-31 DOI: 10.1159/000534886
Nanako Hamada, Tohru Matsuki, Ikuko Iwamoto, Takuma Nishijo, Mariko Noda, Hidenori Tabata, Atsuo Nakayama, Koh-Ichi Nagata

Introduction: C-terminal-binding protein 1 (CtBP1) is a multi-functional protein with well-established roles as a transcriptional co-repressor in the nucleus and a regulator of membrane fission in the cytoplasm. Although CtBP1 gene abnormalities have been reported to cause neurodevelopmental disorders, the physiological role and expression profile of CtBP1 remains to be elucidated.

Methods: In this study, we used biochemical, immunohistochemical, and immunofluorescence methods to analyze the expression of CtBP1 during mouse brain development.

Results: Western blotting analyses revealed that CtBP1 appeared to be expressed mainly in the central nervous system throughout the developmental process. In immunohistochemical analyses, region-specific nuclear as well as weak cytoplasmic distribution of CtBP1 was observed in telencephalon at embryonic day (E)15 and E17. It is of note that CtBP1 was barely detected in axons but observed in the nucleus of oligodendrocytes in the white matter at E17. As to the cerebellum at postnatal day 30, CtBP1 appeared to be expressed in the nucleus and cytoplasm of Purkinje cells, the nucleus of granule cells and cells in the molecular layer (ML), and the ML per se, where granule cell axons and Purkinje cell dendrites are enriched. In addition, CtBP1 was detected in the cerebellar nuclei.

Conclusion: The obtained results suggest involvement of CtBP1 in brain function.

引言:CtBP1(C末端结合蛋白1)是一种多功能蛋白,在细胞核中具有公认的转录共阻遏物和细胞质中膜分裂的调节因子作用。尽管CtBP1基因异常已被报道会导致神经发育障碍,但CtBPl的生理作用和表达谱仍有待阐明。方法:采用生物化学、免疫组织化学和免疫荧光方法,分析CtBP1在小鼠脑发育过程中的表达。结果:蛋白质印迹分析显示CtBP1在整个发育过程中主要在中枢神经系统中表达。在免疫组织化学分析中,在胚胎第15天(E)和第17天,在端脑中观察到CtBP1的区域特异性细胞核和弱细胞质分布。值得注意的是,CtBP1在轴突中几乎没有检测到,但在E17白质中的少突胶质细胞核中观察到。对于出生后第30天的小脑,CtBP1似乎在浦肯野细胞的细胞核和细胞质、颗粒细胞的核和分子层中的细胞(ML)以及颗粒细胞轴突和浦肯野树突富集的ML本身中表达。此外,在小脑细胞核中检测到CtBP1。结论:CtBP1参与脑功能。
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引用次数: 0
The Intersection of Epigenetic Alterations and Developmental State in Pediatric Ependymomas. 小儿脑上皮瘤表观遗传学改变与发育状态的交集
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2024-03-25 DOI: 10.1159/000537694
Alisha Simone Kardian, Stephen Mack

Background: Ependymomas are the third most common brain cancer in children and have no targeted therapies. They are divided into at least 9 major subtypes based on molecular characteristics and major drivers and have few genetic mutations compared to the adult form of this disease, leading to investigation of other mechanisms.

Summary: Epigenetic alterations such as transcriptional programs activated by oncofusion proteins and alterations in histone modifications play an important role in development of this disease. Evidence suggests these alterations interact with the developmental epigenetic programs in the cell of origin to initiate neoplastic transformation and later disease progression, perhaps by keeping a portion of tumor cells in a developmental, proliferative state.

Key messages: To better understand this disease, research on its developmental origins and associated epigenetic states needs to be further pursued. This could lead to better treatments, which are currently lacking due to the difficult-to-drug nature of known drivers such as fusion proteins. Epigenetic and developmental states characteristic of these tumors may not just be potential therapeutic targets but used as a tool to find new avenues of treatment.

背景:外胚叶肿瘤是儿童第三大常见脑癌,目前尚无靶向疗法。摘要:表观遗传学改变(如由融合蛋白激活的转录程序和组蛋白修饰的改变)在这种疾病的发展中起着重要作用。有证据表明,这些改变与原发细胞中的发育表观遗传学程序相互作用,启动了肿瘤转化和随后的疾病进展,或许是通过使部分肿瘤细胞处于发育、增殖状态:为了更好地了解这种疾病,需要进一步研究其发育起源和相关的表观遗传状态。这可能会带来更好的治疗方法,而目前由于融合蛋白等已知驱动因素的难治性,还缺乏更好的治疗方法。这些肿瘤所特有的表观遗传和发育状态可能不仅仅是潜在的治疗靶点,还可以作为一种工具来寻找新的治疗途径。
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引用次数: 0
My Life with Verne. 我与凡尔纳的生活
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-07-03 DOI: 10.1159/000531759
Richard S Nowakowski
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引用次数: 0
Fetal Origins of Health Disparities: Transgenerational Consequences of Racism. 健康差异的胎儿起源:种族主义的跨代后果。
IF 2.9 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-06-08 DOI: 10.1159/000531462
Nana Matoba, James W Collins, Maria L V Dizon

Despite advances in perinatal medicine, racial disparity in birth outcomes remains a public health problem in the USA. The underlying mechanisms for this long-standing racial disparity are incompletely understood. This review presents transgenerational risk factors for racial disparities in preterm birth, exploring the impact of interpersonal and structural racism, theoretical models of stress, and biological markers of racial disparities.

尽管围产医学取得了进步,但出生结果中的种族差异仍然是美国的一个公共卫生问题。人们对这一长期存在的种族差异的深层机制尚不完全了解。这篇综述介绍了早产儿种族差异的跨代风险因素,探讨了人际和结构性种族主义、压力理论模型以及种族差异生物标志物的影响。
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引用次数: 0
Developmental Regulation of Matrix Metalloproteinases in Response to Multifactorial, Severe Traumatic Brain Injuries during Immaturity. 基质金属蛋白酶在未成熟时期对多因素严重创伤性脑损伤反应的发育调控。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1159/000536054
Alexandra Hochstetler, George Price, Amy Baohan, Melissa Li, Frances Rodriguez Lara, Josephine Lok, Beth Costine-Bartell
<p><strong>Introduction: </strong>A striking pattern in young children after severe TBI is when the entire cortical ribbon displays tissue damage: hemispheric hypodensity (HH). HH is often a result of abusive head trauma (AHT). We previously reported a model of HH in a gyrencephalic species where a combination of injuries consisting of (1) cortical impact, (2) midline shift, (3) subdural hematoma/subarachnoid hemorrhage, (4) traumatic seizures, and (5) brief apnea and hypoventilation resulted in extensive, hypoxic-ischemic-type injury. Importantly, this mechanism closely resembles that seen in children, with relative sparing of the contralateral cortex, thus ruling out a pure asphyxia mechanism. In this model, piglets of similar developmental stage to human toddlers (postnatal day 30, PND30) have extensive hypoxic-ischemic damage to the cortical ribbon with sparing of the contralateral hemisphere and deep gray matter areas. However, piglets of similar developmental stage to human infants (postnatal day 7, PND7) have less hypoxic-ischemic damage that is notably bilateral and patchy. We therefore sought to discover whether the extensive tissue damage observed in PND30 was due to a greater upregulation of matrix metalloproteinases (MMPs).</p><p><strong>Materials and methods: </strong>In PND7 or PND30 piglets receiving AHT injuries (cortical impact, midline shift, subdural hematoma/subarachnoid hemorrhage, traumatic seizures, and brief apnea and hypoventilation) or a sham injury, the pattern of albumin extravasation and MMP-9 upregulation throughout the brain was determined via immunohistochemistry, brain tissue adjacent to the cortical impact where the tissue damage spreads was collected for Western blots, and the gelatinase activity was determined over time in peripheral plasma. EEG was recorded, and piglets survived up to 24 h after injury administration.</p><p><strong>Results: </strong>The pattern of albumin extravasation, indicating vasogenic edema, as well as increase in MMP-9, were both present at the same areas of hypoxic-ischemic tissue damage. Evidence from immunohistochemistry, Western blot, and zymogens demonstrate that MMP-2, -3, or -9 are constitutively expressed during immaturity and are not different between developmental stages; however, active forms are upregulated in PND30 but not PND7 after in response to AHT model injuries. Furthermore, peripheral active MMP-9 was downregulated after model injuries in PND7.</p><p><strong>Conclusions: </strong>This differential response to AHT model injuries might confer protection to the PND7 brain. Additionally, we find that immature gyrencephalic species have a greater baseline and array of MMPs than previously demonstrated in rodent species. Treatment with an oral or intravenous broad-spectrum matrix metalloproteinase inhibitor might reduce the extensive spread of injury in PND30, but the exposure to metalloproteinase inhibitors must be acute as to not interfere with the homeostatic role of ma
导言:严重创伤后幼儿的一个显著特征是整个皮质带出现组织损伤:半球低密度(HH)。半球低密度通常是虐待性头部创伤(AHT)的结果。我们以前曾报道过一个在颅脑物种中的 HH 模型,该模型由以下损伤组合而成:1)皮质撞击;2)中线移位;3)硬膜下血肿/蛛网膜下腔出血;4)外伤性癫痫发作;5)短暂呼吸暂停和通气不足,导致广泛的缺氧缺血性损伤。重要的是,这种机制与在儿童身上看到的机制非常相似,对侧大脑皮层的损伤相对较轻,因此排除了纯粹的窒息机制。在该模型中,发育阶段与人类幼儿相似(出生后第 30 天,PND30)的仔猪皮质带广泛缺氧缺血性损伤,而对侧半球和深灰质区域则不受影响。然而,与人类婴儿发育阶段相似的仔猪(出生后第7天,PND7)的缺氧缺血性损伤较轻,而且明显是双侧和斑块性的。因此,我们试图发现在 PND30 中观察到的广泛组织损伤是否是由于基质金属蛋白酶(MMPs)上调较多所致:在接受 AHT 损伤(皮层撞击、中线移位、硬膜下血肿/蛛网膜下腔出血、外伤性癫痫发作、短暂呼吸暂停和通气不足)或假损伤的 PND 7 或 PND 30 仔猪中,通过免疫组化确定整个大脑的白蛋白外渗和 MMP-9 上调模式,收集邻近组织损伤扩散的皮层撞击的脑组织进行 Western 印迹,并确定外周血浆中明胶酶活性的时间变化。记录脑电图,仔猪在受伤后存活达 24 小时:结果:在缺氧缺血性组织损伤的相同区域,白蛋白外渗的模式(表明血管源性水肿)和 MMP-9 的增加都存在。免疫组化、Western 印迹和酶原的证据表明,MMP- 2、- 3 或 -9 在未成熟期是组成型表达的,在不同发育阶段没有差异;但在 AHT 模型损伤后,活性形式在 PND30 中上调,而在 PND7 中没有上调。此外,外周活性 MMP-9 在 PND7 模型损伤后下调:结论:这种对 AHT 模型损伤的不同反应可能会对 PND7 大脑产生保护作用。此外,我们还发现,与之前在啮齿类动物中证实的情况相比,未成熟的颅脑物种具有更大的 MMP 基线和阵列。口服或静脉注射广谱基质金属蛋白酶抑制剂可能会减少 PND30 损伤的广泛扩散,但金属蛋白酶抑制剂的暴露必须是急性的,以免干扰基质金属蛋白酶在正常的产后大脑发育和可塑性以及损伤后突触生成和组织修复中的平衡作用。
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引用次数: 0
Does Perinatal Intermittent Hypoxia Affect Cerebrovascular Network Development? 围产期间歇性缺氧会影响脑血管网络发育吗?
IF 2.9 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2024-01-01 Epub Date: 2023-05-09 DOI: 10.1159/000530957
Vanessa Coelho-Santos, Anne-Jolene N Cruz, Andy Y Shih

Perinatal hypoxia is an inadequate delivery of oxygen to the fetus in the period immediately before, during, or after the birth process. The most frequent form of hypoxia occurring in human development is chronic intermittent hypoxia (CIH) due to sleep-disordered breathing (apnea) or bradycardia events. CIH incidence is particularly high with premature infants. During CIH, repetitive cycles of hypoxia and reoxygenation initiate oxidative stress and inflammatory cascades in the brain. A dense microvascular network of arterioles, capillaries, and venules is required to support the constant metabolic demands of the adult brain. The development and refinement of this microvasculature is orchestrated throughout gestation and in the initial weeks after birth, at a critical juncture when CIH can occur. There is little knowledge on how CIH affects the development of the cerebrovasculature. However, since CIH (and its treatments) can cause profound abnormalities in tissue oxygen content and neural activity, there is reason to believe that it can induce lasting abnormalities in vascular structure and function at the microvascular level contributing to neurodevelopmental disorders. This mini-review discusses the hypothesis that CIH induces a positive feedback loop to perpetuate metabolic insufficiency through derailment of normal cerebrovascular development, leading to long-term deficiencies in cerebrovascular function.

围产期缺氧是指在胎儿出生前、出生过程中或出生后向胎儿提供的氧气不足。人类发育过程中最常见的缺氧形式是睡眠呼吸紊乱(呼吸暂停)或心动过缓导致的慢性间歇性缺氧(CIH)。早产儿的 CIH 发生率尤其高。在 CIH 期间,反复循环的缺氧和复氧会在大脑中引发氧化应激和炎症级联反应。成人大脑需要一个由动脉血管、毛细血管和静脉组成的密集微血管网络来支持持续的新陈代谢需求。这种微血管的发育和完善贯穿整个妊娠期和出生后最初几周,而这正是可能发生 CIH 的关键时刻。关于 CIH 如何影响脑血管的发育,目前所知甚少。然而,由于 CIH(及其治疗方法)可导致组织氧含量和神经活动的严重异常,因此有理由相信它可在微血管水平上诱发血管结构和功能的持久异常,从而导致神经发育障碍。这篇微型综述讨论的假设是,CIH 通过破坏正常的脑血管发育,诱发正反馈循环,使代谢不足永久化,从而导致脑血管功能的长期缺陷。
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引用次数: 0
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Developmental Neuroscience
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