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A Pilot Study on Dynamic Multimodal Neuromonitoring for Predicting Neurodevelopmental Outcomes in Neonatal Hypoxic-Ischemic Encephalopathy. 动态多模式神经监测预测新生儿缺氧缺血性脑病神经发育结局的初步研究。
IF 2 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-04-02 DOI: 10.1159/000545599
Srinivas Kota, Lynn Bitar, Pollieanna Sepulveda, Soheila Norasteh, Hanli Liu, Lina F Chalak
<p><strong>Introduction: </strong>Multimodal neuromonitoring at the bedside is essential for understanding the pathophysiological mechanisms of brain injury and neurodevelopmental outcomes associated with neonatal hypoxic-ischemic encephalopathy (HIE). While previous research has focused on single modality neuromonitoring biomarkers to predict neurodevelopmental impairment (NDI) at 2 years of age, there remains significant gap in exploring the potential of multimodal physiological signal biomarkers to improve predictive accuracy. This study aimed to evaluate multimodal quantitative neuromonitoring biomarkers within the first day of life to improve prediction of NDI.</p><p><strong>Methods: </strong>This prospective cohort study enrolled newborns (≥36 weeks) diagnosed with HIE at Parkland Hospital in Dallas, TX. A Sarnat examination was performed to determine the severity of HIE within the first 6 h of life, and the Total Sarnat Score (TSS) was calculated. Newborns with moderate and severe HIE received therapeutic hypothermia (TH). Neuronal noninvasive biomarkers including electroencephalogram (EEG) delta power (DP, 0.5-4 Hz) and neurovascular coupling (NVC), calculated as wavelet coherence between amplitude-integrated EEG and cerebral tissue oxygen saturation (SctO2), were measured. NDI was defined as death or a cognitive score <85 on the Bayley Scales of Infant and Toddler Development. The predictive ability of individual biomarkers (TSS, DP, and NVC) and their combination for NDI was evaluated using receiver operating characteristic (ROC) curves, with the area under the ROC curve (AUC) indicating prediction accuracy. Additionally, a Net Reclassification Index (NRI) analysis was conducted to assess the predictive performance of the three baseline models (TSS, DP, and NVC).</p><p><strong>Results: </strong>Forty-six newborns with mild to severe HIE were enrolled and neuromonitoring was initiated at 12 ± 6 h of life. Death or NDI was diagnosed in 18 (6 mild, 10 moderate, 2 severe) infants. Eight out of 46 infants did not complete the 18-24 months follow-up but had a normal examination prior. The combination of all three biomarkers (TSS, DP, and NVC) yielded the highest AUC of 0.755 (95% CI: 0.569-0.941), with sensitivity of 0.750, specificity of 0.769, positive predictive value of 0.800, and negative predictive value of 0.714, outperforming individual biomarkers or two-marker combinations. Furthermore, the NRI analysis demonstrated that the combined model achieved the highest NRI value (0.5577), indicating the strongest improvement in risk classification.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of implementing multimodal neuromonitoring and integrating quantitative biomarkers at the bedside during the first day of life to provide objective metrics on brain health in addition to neurological exam. These approaches demonstrate potential for enhancing the prediction of encephalopathy severity, brain injury, and NDI in th
床边的多模式神经监测对于了解新生儿缺氧缺血性脑病(HIE)相关的脑损伤病理生理机制和神经发育结局至关重要。虽然以前的研究主要集中在单模态神经监测生物标志物来预测两岁时的神经发育障碍(NDI),但在探索多模态生理信号生物标志物提高预测准确性的潜力方面仍有很大的差距。本研究旨在评估生命第一天的多模式定量神经监测生物标志物,以提高NDI的预测。方法:这项前瞻性队列研究纳入了德克萨斯州达拉斯帕克兰医院诊断为HIE的新生儿(≥36周)。在出生后6小时内进行Sarnat检查以确定HIE的严重程度,并计算总Sarnat评分(TSS)。中度和重度HIE新生儿接受低温治疗(TH)。测量神经元非侵入性生物标志物,包括脑电图(EEG) δ功率(DP, 0.5 ~ 4 Hz)和神经血管耦合(NVC),以振幅积分脑电图和脑组织氧饱和度(SctO2)之间的小波相干性计算。NDI定义为死亡或婴幼儿发育贝利量表认知评分< 85。采用受试者工作特征(ROC)曲线评估个体生物标志物(TSS、DP和NVC)及其组合对NDI的预测能力,ROC曲线下面积(AUC)表示预测精度。此外,进行净再分类指数(NRI)分析以评估三种基线模型(TSS, DP和NVC)的预测性能。结果:纳入46例轻至重度HIE新生儿,于12±6小时开始神经监测。18名婴儿(6名轻度,10名中度,2名重度)被诊断死亡或NDI。46名婴儿中有8名没有完成18-24个月的随访,但之前进行了正常检查。三种生物标志物(TSS、DP和NVC)联合使用的AUC最高,为0.755 (95% CI: 0.569-0.941),敏感性为0.750,特异性为0.769,阳性预测值为0.800,阴性预测值为0.714,优于单个生物标志物或双标志物联合使用。此外,NRI分析表明,组合模型的NRI值最高(0.5577),表明风险分类的改进最大。结论:本研究强调了在生命的第一天实施多模式神经监测和在床边整合定量生物标志物的重要性,除了神经学检查外,还可以提供关于大脑健康的客观指标。这些方法显示了在生命早期加强对脑病严重程度、脑损伤和NDI的预测的潜力,帮助临床医生及时有效地做出神经保护干预的决策。然而,临床实施需要通过多中心大队列研究进行验证。
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引用次数: 0
Hypothermia treatment in Hypoxia-Inducible Factor-1α Knockout Mice with Hypoxia-Ischemia. HIF-1α基因敲除小鼠缺氧缺血的低温治疗。
IF 2 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-03-29 DOI: 10.1159/000544949
R Ann Sheldon, Xiangning Jiang, Fuxin Lu, Nicholas R Stewart, Donna M Ferriero

Introduction: Hypoxia-inducible factor-1α (HIF-1α) has a wide-ranging role in the cellular responses to hypoxia. We previously found that neuron-specific HIF-1α-deficient mice (HIF-KO) that underwent neonatal hypoxia-ischemia (HI) had increased brain injury suggesting its neuroprotective function. To investigate whether HIF-1α is also involved in the mechanisms of protection by hypothermia (HT), the standard of care for hypoxic-ischemic encephalopathy, we tested the effect of HT on HIF-KO and wild-type (WT) littermates after HI in postnatal day 9 mice.

Methods: Cooling at 32°C began 1 h following HI and lasted for 3.5 h. Mice were perfused 5-7 days later for histological determination of injury severity. For Western blots, mice were killed 4 h or 24 h after HI with HT or HI with normothermia (NT) and ipsilateral cortices and hippocampi were evaluated for expression of HIF-1α, spectrin, ERK1/2, phosphorylated-ERK1/2 (p-ERK), and RNA-binding motif protein 3 (RBM3), one of the main cold-inducible mRNA-binding proteins.

Results: Histological evaluation showed WT mice with HT had less injury than WT with NT, but HIF-KO mice showed no reduction of injury with HT. Regionally, the reduction of injury in WT with HT is greater in the hippocampus than in the cortex. Protein expression of HIF-1α was lower in HIF-KO cortex at 4 h with NT or HT and at 24 h with NT, but HIF-1α was higher in WT with NT at 24 h. Expression of spectrin 145/150 in WT cortex with HT was not different than sham at 4 h, indicating limitation of necrosis with HT. In the HIF-KO cortex at 4 h spectrin 145/150 was higher in both NT and HT, indicating no protection with HT. In the hippocampus at 4 h and 24 h, spectrin 145/150 was elevated in all groups compared to sham. ERK activity, as represented by the ratio of p-ERK/ERK, was upregulated at 24 h in the cortex in WT with NT or HT compared to sham and in HIF-KO mice with NT or HT treatment compared to sham. RBM3 was elevated at 4 h in both WT and HIF-KO cortex with HT, but there was no change in the hippocampus.

Conclusion: These results support a critical role for HIF-1α in the mechanisms of protection with HT.

缺氧诱导因子-1α (HIF-1α)在细胞对缺氧的反应中具有广泛的作用。我们之前发现神经元特异性HIF-1α缺陷小鼠(HIF-KO)经历新生儿缺氧缺血(HI)后脑损伤增加,提示其神经保护功能。为了研究HIF-1α是否也参与了低温(缺氧缺血性脑病的标准护理)的保护机制,我们在出生后第9天的小鼠中测试了高温对HIF-KO和野生型(WT)产崽的影响。方法:在HI后1 h,持续3.5 h,以32°C冷却,5 ~ 7 d后再灌流小鼠,进行损伤程度的组织学测定。在Western blot方法中,小鼠在HI后4 h或24 h以HT或正常体温(NT)方式死亡,并检测同侧皮质和海马中HIF-1α、spectrin、ERK1/2、磷酸化ERK1/2 (p-ERK)和rna结合基板蛋白3 (RBM3)的表达。RBM3是主要的冷诱导mRNA结合蛋白之一。结果:组织学评价显示,HT对WT小鼠的损伤程度小于NT对WT小鼠的损伤程度,而HT对HIF-KO小鼠的损伤程度没有减轻。从区域上看,海马对WT与HT的损伤减轻程度大于皮质。HIF-1α蛋白在NT、HT和NT作用下4 h和24 h在HIF-KO皮质中表达较低,而在NT作用下24 h在WT皮质中表达较高。4 h时,HT作用下WT皮质中光谱蛋白145/150的表达与假手术无明显差异,表明HT作用下坏死程度有限。在HIF-KO皮层中,在4小时时,NT和HT的光谱蛋白145/150均较高,表明HT没有保护作用。4 h和24 h海马区,与假手术组相比,各组spectrin 145/150均升高。以p-ERK/ERK比值表示的ERK活性,在24小时时,NT或HT治疗的WT与假手术相比,以及NT或HT治疗的HIF-KO小鼠与假手术相比,皮层中ERK活性上调。在WT和HIF-KO皮质中,RBM3在4 h时随HT升高,但在海马中没有变化。结论:这些结果支持HIF-1α在HT的保护机制中起关键作用。
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引用次数: 0
Aquaporins: Bridging Normal Brain Development and Neurodevelopmental Disorder Mechanisms. 水通道蛋白:连接正常大脑发育和神经发育障碍机制。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-03-26 DOI: 10.1159/000545512
Fateme Azizi, Wing Ki Chan, Maryam Ardalan

Background: Homeostasis of water content in the brain during fetal development is of crucial physiological importance. Aquaporins (AQPs) play a critical role in maintaining brain water balance, supporting normal brain development, and are increasingly recognized for their relevance in understanding neurodevelopmental disorders.

Summary: This review provides a comprehensive overview of AQPs and their essential roles in the central nervous system (CNS), specifically AQP4, AQP11, and AQP9, which play a crucial role in water transport in the brain, maintaining water homeostasis and facilitating water movement across cell membranes. The review also highlights how disruptions in AQP expression and function may contribute to the pathology of neurodevelopmental disorders such as autism and Fragile X syndrome.

Key messages: AQPs are vital for brain water regulation and normal neural development. Altered expression or function of AQPs can impact blood-brain barrier integrity, neuroinflammation, and synaptic activity. AQP dysfunctions are linked to neurodevelopmental disorders and may represent promising therapeutic targets.

胎儿发育过程中大脑含水量的平衡具有重要的生理意义。水蒸发素在大脑水分平衡和大脑正常发育中发挥着关键作用,对了解和治疗神经发育疾病具有重要意义。在这篇综述中,我们全面概述了水汽素(AQPs)及其在中枢神经系统(CNS)和各种神经发育疾病中的关键作用。具体而言,AQP4、AQP11 和 AQP9 在大脑的水分运输、维持水分平衡以及促进水分在细胞膜上的移动方面发挥着至关重要的作用。这篇综述强调了水通道蛋白表达和功能的紊乱如何可能导致各种神经发育障碍,包括自闭症和脆性 X 综合征。这些干扰会影响血脑屏障的完整性、神经炎症和突触功能,表明水通道蛋白可能是这些疾病的潜在治疗靶点。
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引用次数: 0
Selective Injury of Thalamocortical Tract in Neonatal Rats Impairs Forelimb Use: Model Validation and Behavioral Effects. 新生大鼠丘脑皮质束选择性损伤对前肢功能的影响:模型验证和行为效应。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-03-25 DOI: 10.1159/000544990
Tong Chun Wen, Michelle Corkrum, Jason B Carmel

Introduction: Unilateral brain injury in neonates results in largely contralateral hand function impairment in children. Most research investigating neurorehabilitation targets for movement recovery has focused on the effects of brain injury on descending motor systems, especially the corticospinal tract. However, a recent human study demonstrated that sensory tract injury may have larger effects on dexterity than motor tract injury. To test this, we first developed a model of sensory tract injury in neonatal rats by targeting the thalamocortical tract (TCT), and then we used this model to assess the effects of sensory lesions on paw use.

Methods: In the postnatal day 7 rats, we used three types of lesions to the TCT: periventricular blood injection, photothrombotic lesion, and electrolytic lesion. To test the sensitivity and specificity of these techniques, viral tracers were injected into the primary sensory or motor cortex immediately after injury. To test the forelimb use, the cylinder exploration and pasta handling tests were used.

Results: Electrolytic lesions were the most specific and reproducible for inducing a lesion compared to the other two methods. Electrolytic lesions disrupted 63% of the TCT while sparing the adjacent corticospinal tract in the internal capsule. Given that electrolytic lesions were the most specific and sensitive for targeting the TCT, this model was used for behavioral experiments to measure the impact of sensory tract lesion on dexterity. Lesions to the TCT were associated with a significant decrease in the use of the contralateral forelimb in the cylinder task, and the degree of impairment positively correlated with the degree of injury.

Conclusion: Overall, specific sensory system lesions of the TCT impair forelimb use, suggesting a key role for skilled movement.

新生儿单侧脑损伤导致儿童对侧手功能损伤。大多数关于运动恢复的神经康复目标的研究都集中在脑损伤对下行运动系统,特别是皮质脊髓束的影响上。然而,最近的一项人体研究表明,感觉道损伤可能比运动道损伤对灵巧性的影响更大。在本研究中,我们首先建立了以丘脑皮质束为靶点的新生大鼠感觉束损伤模型,然后利用该模型评估感觉损伤对爪子使用的影响。方法:对出生后第7天的大鼠,采用三种类型的丘脑皮质束损伤:脑室周围血注射损伤、光血栓性损伤和电损伤。为了测试这些技术的敏感性和特异性,在损伤后立即将病毒示踪剂注射到初级感觉或运动皮层。结果:与其他两种方法相比,电解损伤诱导病变的特异性和可重复性最强。电解损伤破坏了63%的丘脑皮质束,而保留了内囊内邻近的皮质脊髓束。鉴于电解损伤是针对丘脑皮质束的最特异性和最敏感的,我们将该模型用于行为实验,以测量感觉束损伤对灵巧性的影响。采用圆柱体探查和面食处理实验,观察电损伤后8周大鼠成熟时前肢使用功能的变化。丘脑皮质束损伤与对侧前肢在圆柱体任务中的使用显著减少相关,损伤程度与损伤程度呈正相关。结论:总体而言,丘脑皮质束的特异性感觉系统病变损害了前肢的使用,表明其在熟练运动中起关键作用。
{"title":"Selective Injury of Thalamocortical Tract in Neonatal Rats Impairs Forelimb Use: Model Validation and Behavioral Effects.","authors":"Tong Chun Wen, Michelle Corkrum, Jason B Carmel","doi":"10.1159/000544990","DOIUrl":"10.1159/000544990","url":null,"abstract":"<p><strong>Introduction: </strong>Unilateral brain injury in neonates results in largely contralateral hand function impairment in children. Most research investigating neurorehabilitation targets for movement recovery has focused on the effects of brain injury on descending motor systems, especially the corticospinal tract. However, a recent human study demonstrated that sensory tract injury may have larger effects on dexterity than motor tract injury. To test this, we first developed a model of sensory tract injury in neonatal rats by targeting the thalamocortical tract (TCT), and then we used this model to assess the effects of sensory lesions on paw use.</p><p><strong>Methods: </strong>In the postnatal day 7 rats, we used three types of lesions to the TCT: periventricular blood injection, photothrombotic lesion, and electrolytic lesion. To test the sensitivity and specificity of these techniques, viral tracers were injected into the primary sensory or motor cortex immediately after injury. To test the forelimb use, the cylinder exploration and pasta handling tests were used.</p><p><strong>Results: </strong>Electrolytic lesions were the most specific and reproducible for inducing a lesion compared to the other two methods. Electrolytic lesions disrupted 63% of the TCT while sparing the adjacent corticospinal tract in the internal capsule. Given that electrolytic lesions were the most specific and sensitive for targeting the TCT, this model was used for behavioral experiments to measure the impact of sensory tract lesion on dexterity. Lesions to the TCT were associated with a significant decrease in the use of the contralateral forelimb in the cylinder task, and the degree of impairment positively correlated with the degree of injury.</p><p><strong>Conclusion: </strong>Overall, specific sensory system lesions of the TCT impair forelimb use, suggesting a key role for skilled movement.</p>","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"1-12"},"PeriodicalIF":2.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711968","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}
引用次数: 0
Structural and Functional Effects of C5aR1 Antagonism in a Rat Model of Neonatal Hypoxic-Ischemic Encephalopathy. 新生儿缺氧缺血性脑病大鼠模型中 C5aR1 拮抗剂的结构和功能影响
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-05-25 DOI: 10.1159/000539506
Angela Saadat, Haree Pallera, Frank Lattanzio, Daley Owens, Amy Gaines, Sai Susmitha Ravi, Tushar Shah
<p><strong>Introduction: </strong>The complement response activates upon reperfusion in neonatal hypoxic-ischemic encephalopathy (HIE) and contributes to excessive neuroinflammation and worse outcomes. C5a is a powerful anaphylatoxin central to each of the complement pathways, and its engagement with C5aR1 is directly tied to brain injury and neuronal death. Reasoning C5aR1 antagonism can decrease excessive neuroinflammation and thereby improve neurological and functional outcomes, we tested this hypothesis in a rat model of HIE with PMX205, a small molecule that inhibits C5a-C5aR1 interaction.</p><p><strong>Methods: </strong>Term-equivalent pups (P10-12) were subjected to mild-moderate HIE by Vannucci's method and treated with PMX205. We compared motor and cognitive outcomes with two behavioral tests each (food handling and accelerod; novel object recognition [NOR] and open field) to improve the accuracy of our conclusions.</p><p><strong>Results: </strong>Improvements were observed in fine motor function, balance, and exploratory behaviors, but little to no improvement in recognition memory and gross motor function. Lesion area and histological assessments showed robust cortical neuroprotection from treatment but persistent injury to the CA1 region of the hippocampus. Better structural and functional outcomes were seen within 1 day of treatment, suggesting C5aR1 antagonism beyond the latent injury phase may impair recovery. In a dose-response experiment, cerebral area loss from injury was improved only in female rats, suggesting underlying sexual dimorphisms in the complement response.</p><p><strong>Conclusion: </strong>These results demonstrate proof-of-concept for targeting C5aR1 signaling in neonatal HIE with PMX205 and underscore the role of sex in hypoxic-ischemic injury.</p><p><strong>Introduction: </strong>The complement response activates upon reperfusion in neonatal hypoxic-ischemic encephalopathy (HIE) and contributes to excessive neuroinflammation and worse outcomes. C5a is a powerful anaphylatoxin central to each of the complement pathways, and its engagement with C5aR1 is directly tied to brain injury and neuronal death. Reasoning C5aR1 antagonism can decrease excessive neuroinflammation and thereby improve neurological and functional outcomes, we tested this hypothesis in a rat model of HIE with PMX205, a small molecule that inhibits C5a-C5aR1 interaction.</p><p><strong>Methods: </strong>Term-equivalent pups (P10-12) were subjected to mild-moderate HIE by Vannucci's method and treated with PMX205. We compared motor and cognitive outcomes with two behavioral tests each (food handling and accelerod; novel object recognition [NOR] and open field) to improve the accuracy of our conclusions.</p><p><strong>Results: </strong>Improvements were observed in fine motor function, balance, and exploratory behaviors, but little to no improvement in recognition memory and gross motor function. Lesion area and histological assessments showed robus
引言 新生儿缺氧缺血性脑病(HIE)再灌注时会激活补体反应,导致过度神经炎症和预后恶化。C5a 是一种强大的苊毒素,是每种补体途径的核心,它与 C5aR1 的接触直接导致脑损伤和神经元死亡。我们认为 C5aR1 拮抗剂可减少过度的神经炎症,从而改善神经和功能预后,因此我们用 PMX205(一种抑制 C5a-C5aR1 相互作用的小分子)在 HIE 大鼠模型中测试了这一假设。方法 用范努奇法对等龄幼鼠(P10-12)进行轻度-中度 HIE,并用 PMX205 治疗。我们分别通过两种行为测试(食物处理和加速度;新物体识别(NOR)和空地)来比较运动和认知结果,以提高结论的准确性。结果 观察到精细运动功能、平衡能力和探索行为有所改善,但识别记忆和粗大运动功能几乎没有改善。病变区域和组织学评估显示,治疗对大脑皮层神经有很强的保护作用,但对海马CA1区的损伤仍持续存在。治疗1天后,患者的结构和功能均得到改善,这表明C5aR1拮抗超过潜伏损伤阶段可能会损害恢复。在剂量反应实验中,只有雌性大鼠的脑损伤面积损失有所改善,这表明补体反应存在潜在的性双态性。结论 这些结果证明了用 PMX205 靶向新生儿 HIE 中 C5aR1 信号的概念,并强调了性别在缺氧缺血性损伤中的作用。
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引用次数: 0
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 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub 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.

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
Distinguishing Laterality in Brain Injury in Rabbit Fetal Magnetic Resonance Imaging Using Novel Volume Rendering Techniques. 利用新型容积渲染技术区分兔胎儿核磁共振成像中脑损伤的侧向性
IF 2 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-05-06 DOI: 10.1159/000539212
Gaurav Ambwani, Zhongjie Shi, Kehuan Luo, Jeong-Won Jeong, Sidhartha Tan
<p><strong>Introduction: </strong>Our laboratory has been exploring the MRI detection of fetal brain injury, which previously provided a prognostic biomarker for newborn hypertonia in an animal model of cerebral palsy (CP). The biomarker relies on distinct patterns of diffusion-weighted imaging-defined apparent diffusion coefficient (ADC) in fetal brains during uterine hypoxia-ischemia (H-I). Despite the challenges posed by small brains and tissue acquisition, our objective was to differentiate between left and right brain ADC changes.</p><p><strong>Methods: </strong>A novel aspect involved utilizing three-dimensional rendering techniques to refine ADC measurements within spheroids encompassing fetal brain tissue. 25-day gestation age of rabbit fetuses underwent global hypoxia due to maternal uterine ischemia.</p><p><strong>Results: </strong>Successful differentiation of left and right brain regions was achieved in 28% of the fetal brains. Ordinal analysis revealed predominantly higher ADC on the left side compared to the right at baseline and across the entire time series. During H-I and reperfusion-reoxygenation, the right side exhibited a favored percentage change. Among these fetal brains, 73% exhibited the ADC pattern predictive of hypertonia. No significant differences between left and right sides were observed in patterns predicting hypertonia, except for one timepoint during H-I. This study also highlights a balance between left-sided and right-sided alterations within the population.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of investigating laterality and asymmetric hemispheric lesions for early diagnosis of brain injury, leading to CP. The technological limitations in obtaining a clear picture of the entire fetal brain for every fetus mirror the challenges encountered in human studies.</p><p><strong>Introduction: </strong>Our laboratory has been exploring the MRI detection of fetal brain injury, which previously provided a prognostic biomarker for newborn hypertonia in an animal model of cerebral palsy (CP). The biomarker relies on distinct patterns of diffusion-weighted imaging-defined apparent diffusion coefficient (ADC) in fetal brains during uterine hypoxia-ischemia (H-I). Despite the challenges posed by small brains and tissue acquisition, our objective was to differentiate between left and right brain ADC changes.</p><p><strong>Methods: </strong>A novel aspect involved utilizing three-dimensional rendering techniques to refine ADC measurements within spheroids encompassing fetal brain tissue. 25-day gestation age of rabbit fetuses underwent global hypoxia due to maternal uterine ischemia.</p><p><strong>Results: </strong>Successful differentiation of left and right brain regions was achieved in 28% of the fetal brains. Ordinal analysis revealed predominantly higher ADC on the left side compared to the right at baseline and across the entire time series. During H-I and reperfusion-reoxygenation, the ri
简介:我们的实验室一直在探索通过核磁共振成像检测胎儿脑损伤,该方法曾为脑瘫(CP)动物模型中新生儿张力过高症提供了预后生物标志物。该生物标志物依赖于胎儿大脑在子宫缺血(H-I)期间弥散加权成像定义的表观弥散系数(ADC)的不同模式。尽管小脑和组织采集带来了挑战,但我们的目标是区分左脑和右脑的 ADC 变化:方法:一个新颖的方面是利用三维渲染技术来完善胎儿脑组织球体内的 ADC 测量。妊娠 25 天的兔胎儿因母体子宫缺血而整体缺氧:结果:28%的胎儿大脑成功区分了左右脑区域。顺序分析显示,在基线和整个时间序列中,左侧的 ADC 主要高于右侧。在H-I和再灌注-再氧合过程中,右侧的百分比变化更大。在这些胎儿大脑中,73%的胎儿大脑表现出预示张力过高的 ADC 模式。除了缺氧缺血期间的一个时间点外,左右侧在预测张力亢进的模式上没有明显差异。本研究还强调了人群中左侧和右侧改变之间的平衡:本研究强调了调查侧位和不对称半球病变对于早期诊断脑损伤导致的 CP 的重要性。为每个胎儿获取清晰的整个胎儿大脑图像的技术限制反映了人类研究中遇到的挑战。
{"title":"Distinguishing Laterality in Brain Injury in Rabbit Fetal Magnetic Resonance Imaging Using Novel Volume Rendering Techniques.","authors":"Gaurav Ambwani, Zhongjie Shi, Kehuan Luo, Jeong-Won Jeong, Sidhartha Tan","doi":"10.1159/000539212","DOIUrl":"10.1159/000539212","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Our laboratory has been exploring the MRI detection of fetal brain injury, which previously provided a prognostic biomarker for newborn hypertonia in an animal model of cerebral palsy (CP). The biomarker relies on distinct patterns of diffusion-weighted imaging-defined apparent diffusion coefficient (ADC) in fetal brains during uterine hypoxia-ischemia (H-I). Despite the challenges posed by small brains and tissue acquisition, our objective was to differentiate between left and right brain ADC changes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A novel aspect involved utilizing three-dimensional rendering techniques to refine ADC measurements within spheroids encompassing fetal brain tissue. 25-day gestation age of rabbit fetuses underwent global hypoxia due to maternal uterine ischemia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Successful differentiation of left and right brain regions was achieved in 28% of the fetal brains. Ordinal analysis revealed predominantly higher ADC on the left side compared to the right at baseline and across the entire time series. During H-I and reperfusion-reoxygenation, the right side exhibited a favored percentage change. Among these fetal brains, 73% exhibited the ADC pattern predictive of hypertonia. No significant differences between left and right sides were observed in patterns predicting hypertonia, except for one timepoint during H-I. This study also highlights a balance between left-sided and right-sided alterations within the population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study emphasizes the importance of investigating laterality and asymmetric hemispheric lesions for early diagnosis of brain injury, leading to CP. The technological limitations in obtaining a clear picture of the entire fetal brain for every fetus mirror the challenges encountered in human studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Our laboratory has been exploring the MRI detection of fetal brain injury, which previously provided a prognostic biomarker for newborn hypertonia in an animal model of cerebral palsy (CP). The biomarker relies on distinct patterns of diffusion-weighted imaging-defined apparent diffusion coefficient (ADC) in fetal brains during uterine hypoxia-ischemia (H-I). Despite the challenges posed by small brains and tissue acquisition, our objective was to differentiate between left and right brain ADC changes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A novel aspect involved utilizing three-dimensional rendering techniques to refine ADC measurements within spheroids encompassing fetal brain tissue. 25-day gestation age of rabbit fetuses underwent global hypoxia due to maternal uterine ischemia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Successful differentiation of left and right brain regions was achieved in 28% of the fetal brains. Ordinal analysis revealed predominantly higher ADC on the left side compared to the right at baseline and across the entire time series. During H-I and reperfusion-reoxygenation, the ri","PeriodicalId":50585,"journal":{"name":"Developmental Neuroscience","volume":" ","pages":"55-67"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863995","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}
引用次数: 0
Timing of Methamphetamine Exposure during Adolescence Differentially Influences Parvalbumin and Perineuronal Net Immunoreactivity in the Medial Prefrontal Cortex of Female, but Not Male, Rats. 青春期接触甲基苯丙胺的时间会对雌性大鼠内侧前额叶皮层的副视蛋白和神经元周围网免疫反应产生不同影响,而对雄性大鼠则无影响。
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-03-28 DOI: 10.1159/000538608
Amara S Brinks, Lauren K Carrica, Dominic J Tagler, Joshua M Gulley, Janice M Juraska
<p><strong>Introduction: </strong>Adolescence involves significant reorganization within the medial prefrontal cortex (mPFC), including modifications to inhibitory neurotransmission that may be mediated through parvalbumin (PV) interneurons and their surrounding perineuronal nets (PNNs). These developmental changes, which can result in increased PV neuron activity in adulthood, may be disrupted by drug use resulting in lasting changes in mPFC function and behavior. Methamphetamine (METH), which is a readily available drug used by some adolescents, increases PV neuron activity, and could influence the activity-dependent maturational process of these neurons.</p><p><strong>Methods: </strong>In the present study, we used male and female Sprague-Dawley rats to test the hypothesis that METH exposure influences PV and PNN expression in a sex- and age-specific manner. Rats were injected daily with saline or 3.0 mg/kg METH from early adolescence (30-38 days old), late adolescence (40-48 days old), or young adulthood (60-68 days old). One day following exposure, the effects of METH on PV cells and PNN expression were assessed using immunofluorescent labeling within the mPFC.</p><p><strong>Results: </strong>METH exposure did not alter male PV neurons or PNNs. Females exposed in early adolescence or adulthood had more PV-expressing neurons while those exposed in later adolescence had fewer, suggesting distinct windows of vulnerability to changes induced by METH exposure. In addition, females exposed to METH had more PNNs and more intense PV neuron staining, further suggesting that METH exposure in adolescence uniquely influences the development of inhibitory circuits in the female mPFC.</p><p><strong>Conclusions: </strong>This study indicates that the timing of METH exposure, even within adolescence, influences its neural effects in females.</p><p><strong>Introduction: </strong>Adolescence involves significant reorganization within the medial prefrontal cortex (mPFC), including modifications to inhibitory neurotransmission that may be mediated through parvalbumin (PV) interneurons and their surrounding perineuronal nets (PNNs). These developmental changes, which can result in increased PV neuron activity in adulthood, may be disrupted by drug use resulting in lasting changes in mPFC function and behavior. Methamphetamine (METH), which is a readily available drug used by some adolescents, increases PV neuron activity, and could influence the activity-dependent maturational process of these neurons.</p><p><strong>Methods: </strong>In the present study, we used male and female Sprague-Dawley rats to test the hypothesis that METH exposure influences PV and PNN expression in a sex- and age-specific manner. Rats were injected daily with saline or 3.0 mg/kg METH from early adolescence (30-38 days old), late adolescence (40-48 days old), or young adulthood (60-68 days old). One day following exposure, the effects of METH on PV cells and PNN expression were assessed
简介青春期涉及内侧前额叶皮层(mPFC)的重大重组,包括抑制性神经递质的改变,这种改变可能是通过valuebumin(PV)中间神经元及其周围的神经元周围网(PNN)介导的。这些发育变化会导致副视神经元的活动在成年后增加,而吸毒可能会破坏这些变化,从而导致 mPFC 功能和行为的持久变化。甲基苯丙胺(METH)是一些青少年经常使用的一种毒品,它能增加PV神经元的活动,并可能影响这些神经元依赖活动的成熟过程:在本研究中,我们使用雄性和雌性 Sprague Dawley 大鼠来验证 METH 暴露以性别和年龄特异性的方式影响 PV 和 PNN 表达的假设。从青春早期(EA;30-38 天大)、青春晚期(LA;40-48 天大)或青年期(60-68 天大)开始,每天给大鼠注射生理盐水或 3.0 mg/kg METH。暴露一天后,在 mPFC 中使用免疫荧光标记评估 METH 对 PV 细胞和 PNN 表达的影响:结果:暴露于 METH 不会改变雄性 PV 神经元或 PNN。暴露于早期青春期或成年期的女性有更多的 PV 表达神经元,而暴露于晚期青春期的女性有更少的 PV 表达神经元,这表明暴露于 METH 引起的变化有不同的易感窗口期。此外,暴露于 METH 的女性有更多的 PNN 和更强烈的 PV 神经元染色,这进一步表明,青春期暴露于 METH 会独特地影响女性 mPFC 抑制回路的发育:这项研究表明,暴露于 METH 的时间,即使是在青春期,也会影响其对女性神经的影响。
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引用次数: 0
Upstream Stimulating Factor 2 Aggravates Spinal Nerve Ligation-Induced Neuropathic Pain in Mice via Regulating SNHG5/miR-181b-5p. 上游刺激因子2通过调节SNHG5/miR-181b-5p加重脊神经结扎诱导小鼠的神经病理性疼痛
IF 2.3 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-03-12 DOI: 10.1159/000538178
Mi Chen, Yang Yang, Jiatian Cui, Li Qiu, Xiaohua Zou, Xianggang Zeng

Introduction: Upstream stimulating factor 2 (USF2) belongs to basic Helix-Loop-Helix-Leucine zipper transcription factor family, regulating expression of genes involved in immune response or energy metabolism network. Role of USF2 in neuropathic pain was evaluated.

Methods: Mice were intraspinally injected with adenovirus for knockdown of USF2 (Ad-shUSF2) and then subjected to spinal nerve ligation (SNL) to induce neuropathic pain. Distribution and expression of USF2 were detected by western blot and immunofluorescence. Mechanical and thermal pain sensitivity were examined by paw withdrawal thresholds (PWT) and paw withdrawal latency (PWL). Chromatin immunoprecipitation (ChIP) and luciferase activity assays were performed to detect binding ability between USF2 and SNHG5.

Results: The expression of USF2 was elevated and colocalized with astrocytes and microglia in L5 dorsal root ganglion (DRG) of SNL-induced mice. Injection of Ad-shUSF2 attenuated SNL-induced decrease of PWT and PWL in mice. Knockdown of USF2 increased the level of IL-10 but decreased TNF-α, IL-1β, and IL-6 in SNL-induced mice. Silence of USF2 enhanced protein expression of CD206 while reducing expression of CD16 and CD32 in SNL-induced mice. USF2 binds to promoter of SNHG5 and weakens SNL-induced up-regulation of SNHG5. SNHG5 binds to miR-181b-5p, and miR-181b-5p to interact with CXCL5.

Conclusion: Silence of USF2 ameliorated neuropathic pain, suppressed activation of M1 microglia, and inhibited inflammation in SNL-induced mice through regulation of SNHG5/miR-181b-5p/CXCL5 axis. Therefore, USF2/SNHG5/miR-181b-5p/CXCL5 might be a promising target for neuropathic pain. However, the effect of USF2/SNHG5/miR-181b-5p/CXCL5 on neuropathic pain should also be investigated in further research.

背景:上游刺激因子2(USF2)属于碱性-髓质-环状-髓质-亮氨酸拉链转录因子家族,调节参与免疫反应或能量代谢网络的基因表达。本研究评估了 USF2 在神经病理性疼痛中的作用:方法:给小鼠鞘内注射腺病毒以敲除 USF2(Ad-shUSF2),然后进行脊神经结扎(SNL)以诱导神经病理性疼痛。通过Western印迹和免疫荧光检测USF2的分布和表达。通过爪退缩阈值(PWT)和爪退缩潜伏期(PWL)检测机械痛和热痛的敏感性。进行了染色质免疫沉淀(ChIP)和荧光素酶活性测定,以检测USF2和SNHG5之间的结合能力:结果:在SNL诱导的小鼠L5背根神经节(DRG)中,USF2的表达升高,并与星形胶质细胞和小胶质细胞共定位。注射 Ad-shUSF2 可减轻 SNL 诱导的小鼠脉搏波速度和脉搏波速度的下降。在SNL诱导的小鼠中,敲除USF2会增加IL-10的水平,但会降低TNF-α、IL-1β和IL-6的水平。在SNL诱导的小鼠中,沉默USF2可提高CD206的蛋白表达,同时降低CD16和CD32的表达。USF2 与 SNHG5 启动子结合,削弱了 SNL 诱导的 SNHG5 上调。SNHG5与miR-181b-5p结合,miR-181b-5p与CXCL5相互作用:结论:通过调节 SNHG5/miR-181b-5p/CXCL5 轴,沉默 USF2 可改善 SNL 诱导小鼠的神经病理性疼痛、抑制 M1 小胶质细胞的活化并抑制炎症。因此,USF2/SNHG5/miR-181b-5p/CXCL5可能是治疗神经病理性疼痛的一个有前景的靶点。不过,USF2/SNHG5/miR-181b-5p/CXCL5 对神经病理性疼痛的影响还需要进一步研究。
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引用次数: 0
Ex vivo Magnetic Resonance Imaging of the Human Fetal Brain. 人类胎儿大脑的体外磁共振成像。
IF 2 4区 医学 Q2 DEVELOPMENTAL BIOLOGY Pub Date : 2025-01-01 Epub Date: 2024-10-28 DOI: 10.1159/000542276
Jing Zhang, Ruike Chen, Chen Tian, Keqing Zhu, Guoliang Ren, Aimin Bao, Yi Shen, Xiao Li, Yaoyao Zhang, Wenying Qiu, Chao Ma, Jing Zhang, Dan Wu

Background: The fetal brain undergoes a dynamic process of development during gestation, marked by well-orchestrated events such as neuronal proliferation, migration, axonal outgrowth, and dendritic arborization, mainly elucidated through histological studies. Ex vivo magnetic resonance imaging (MRI) has emerged as a useful tool for 3D visualization of the developing fetal brain, serving as a complementary tool to traditional histology.

Summary: In this review, we summarized the commonly employed ex vivo MRI techniques and their advances in fetal brain imaging, and proposed a standard protocol for postmortem fetal brain specimen collection and fixation. We then provided an overview of ex vivo MRI-based studies on the fetal brain.

Key messages: According to our review, ex vivo T1- or T2-weighted structural MRI has contributed to the characterization of the anatomy of transient neuronal proliferative zones, the basal ganglia, and the cortex. Diffusion MRI-related techniques, such as diffusion tensor imaging and tractography, have helped investigate the microstructural patterns of fetal brain tissue, as well as the early emergence and development of neuronal migration pathways and white matter bundles. Ex vivo MRI findings have shown strong histological correlations, supporting the potential of MRI in evaluating the developmental events in the fetal brain. Postmortem MRI examinations have also demonstrated comparable, and in certain cases, superior performance to traditional autopsy in revealing fetal brain abnormalities. In conclusion, ex vivo fetal brain MRI is an invaluable tool that provides unique insights into the early stages of brain development.

背景:胎儿大脑在妊娠期间经历了一个动态的发育过程,以神经元增殖、迁移、轴突生长和树突分枝等精心安排的事件为标志,主要通过组织学研究加以阐明。摘要:在这篇综述中,我们总结了胎儿脑成像中常用的体外磁共振成像技术及其进展,以及胎儿死后脑标本采集和固定的标准方案。然后,我们概述了基于体外磁共振成像的胎儿脑部研究:根据我们的综述,体外 T1 或 T2 加权结构磁共振成像有助于描述瞬时神经元增殖区、基底节和皮层的解剖特征。弥散磁共振成像相关技术,如弥散张量成像和束成像,有助于研究胎儿脑组织的微观结构模式,以及神经元迁移路径和白质束的早期出现和发育。体内核磁共振成像结果显示与组织学有很强的相关性,支持了核磁共振成像在评估胎儿大脑发育过程中的潜力。死后核磁共振成像检查在揭示胎儿脑部异常方面的表现与传统尸检相当,在某些情况下甚至优于传统尸检。总之,体外胎儿脑部核磁共振成像是一种宝贵的工具,能为早期脑部发育提供独特的见解。
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Developmental Neuroscience
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