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Quercetin Attenuates Oxidative Stress and Apoptosis in Brain Tissue of APP/PS1 Double Transgenic AD Mice by Regulating Keap1/Nrf2/HO-1 Pathway to Improve Cognitive Impairment. 槲皮素通过调节Keap1/Nrf2/HO-1通路减轻APP/PS1双转基因AD小鼠脑组织的氧化应激和细胞凋亡,从而改善认知功能障碍
IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-08-28 eCollection Date: 2024-01-01 DOI: 10.1155/2024/5698119
Meijia Cheng, Changbin Yuan, Yetao Ju, Yongming Liu, Baorui Shi, Yali Yang, Sian Jin, Xiaoming He, Li Zhang, Dongyu Min

Objective: The objective of the study is to investigate whether quercetin ameliorates Alzheimer's disease (AD)-like pathology in APP/PS1 double transgenic mice and its hypothesized mechanism, contributing to the comprehension of AD pathogenesis. Methods: A total of 30 APP/PS1 transgenic mice were randomized into model group (APP/PS1), quercetin group (APP/PS1+Q), and donepezil hydrochloride group (APP/PS1+DON). Simultaneously, there were 10 C57 mice of the same age served as a control group. Three months posttreatment, the effects of quercetin on AD mice were evaluated using the Morris water maze (MWM) test, Y maze experiment, immunohistochemistry, immunofluorescence, and western blotting. Results: Results from the water maze and Y maze indicated that quercetin significantly improved cognitive impairment in APP/PS1 transgenic AD mice. Additionally, serum enzyme-linked immunosorbent assay (ELISA) results demonstrated that quercetin elevated MDA, superoxide dismutase (SOD), CAT, GSH, acetylcholine (ACh), and acetylcholinesterase (AChE) levels in AD mice. Hematoxylin-eosin (HE) staining, Nissl staining, and hippocampal tissue thioflavine staining revealed that quercetin reduced neuronal damage and Aβ protein accumulation in AD mice. Western blot validated protein expression in the Kelch-like ECH-associated protein 1 (Keap1)/nuclear factor erythroid 2-related factor 2 (Nrf2)/HO-1 pathway associated with oxidative stress and apoptosis, confirming quercetin's potential molecular mechanism of enhancing AD mouse cognition. Furthermore, western blot findings indicate that quercetin significantly alters protein expression in the Keap1/Nrf2/HO-1 pathway. Moreover, molecular docking analysis suggests that Keap1, NQO1, HO-1, caspase-3, Bcl-2, and Bax proteins in the Keap1/Nrf2/HO-1 pathway may be potential regulatory targets of quercetin. These findings will provide a molecular basis for quercetin's clinical application in AD treatment. Conclusion: Quercetin can improve cognitive impairment and AD-like pathology in APP/PS1 double transgenic mice, potentially related to quercetin's activation of the Keap1/Nrf2/HO-1 pathway and reduction of cell apoptosis.

研究目的本研究旨在探讨槲皮素是否能改善APP/PS1双转基因小鼠阿尔茨海默病(AD)样病理变化及其假定机制,从而帮助理解AD的发病机制。研究方法将30只APP/PS1转基因小鼠随机分为模型组(APP/PS1)、槲皮素组(APP/PS1+Q)和盐酸多奈哌齐组(APP/PS1+DON)。同时,10只同龄C57小鼠作为对照组。治疗后三个月,采用莫里斯水迷宫(MWM)实验、Y迷宫实验、免疫组化、免疫荧光和免疫印迹法评估槲皮素对AD小鼠的影响。结果水迷宫和Y迷宫实验结果表明,槲皮素能明显改善APP/PS1转基因AD小鼠的认知障碍。此外,血清酶联免疫吸附试验(ELISA)结果表明,槲皮素能提高AD小鼠的MDA、超氧化物歧化酶(SOD)、CAT、GSH、乙酰胆碱(ACh)和乙酰胆碱酯酶(AChE)水平。血色素-伊红(HE)染色、Nissl染色和海马组织硫黄染色显示,槲皮素可减少AD小鼠神经元损伤和Aβ蛋白积累。Western印迹验证了与氧化应激和细胞凋亡相关的Kelch样ECH相关蛋白1(Keap1)/核因子红细胞2相关因子2(Nrf2)/HO-1通路的蛋白表达,证实了槲皮素增强AD小鼠认知能力的潜在分子机制。此外,Western 印迹研究结果表明,槲皮素能显著改变 Keap1/Nrf2/HO-1 通路的蛋白表达。此外,分子对接分析表明,Keap1/Nrf2/HO-1通路中的Keap1、NQO1、HO-1、caspase-3、Bcl-2和Bax蛋白可能是槲皮素的潜在调控靶标。这些发现将为槲皮素在AD治疗中的临床应用提供分子基础。结论槲皮素能改善APP/PS1双转基因小鼠的认知障碍和AD样病理,这可能与槲皮素激活Keap1/Nrf2/HO-1通路和减少细胞凋亡有关。
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引用次数: 0
Optogenetics Neuromodulation of the Nose. 光遗传学对鼻子的神经调节。
IF 2.7 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.1155/2024/2627406
Feng Xiang, Shipeng Zhang, Mi Tang, Peijia Li, Hui Zhang, Jiahui Xiong, Qinxiu Zhang, Xinrong Li

Recently developed optogenetic technology, which allows high-fidelity control of neuronal activity, has been applied to investigate the neural circuits underlying sensory processing and behavior. The nasal cavity is innervated by the olfactory nerve and trigeminal nerve, which are closely related to common symptoms of rhinitis, such as impairment of smell, itching, and sneezing. The olfactory system has an amazing ability to distinguish thousands of odorant molecules at trace levels. However, there are many issues in olfactory sensing mechanisms that need to be addressed. Optogenetics offers a novel technical approach to solve this dilemma. Therefore, we review the recent advances in olfactory optogenetics to clarify the mechanisms of chemical sensing, which may help identify the mechanism of dysfunction and suggest possible treatments for impaired smell. Additionally, in rhinitis patients, alterations in the other nerve (trigeminal nerve) that innervates the nasal cavity can lead to hyperresponsiveness to various nociceptive stimuli and central sensitization, causing frequent and persistent itching and sneezing. In the last several years, the application of optogenetics in regulating nociceptive receptors, which are distributed in sensory nerve endings, and amino acid receptors, which are distributed in vital brain regions, to alleviate overreaction to nociceptive stimuli, has gained significant attention. Therefore, we focus on the progress in optogenetics and its application in neuromodulation of nociceptive stimuli and discuss the potential clinical translation for treating rhinitis in the future.

最近开发的光遗传学技术可以高保真地控制神经元的活动,已被应用于研究感觉处理和行为的神经回路。鼻腔由嗅神经和三叉神经支配,它们与鼻炎的常见症状(如嗅觉障碍、鼻痒和打喷嚏)密切相关。嗅觉系统具有分辨数千种微量气味分子的惊人能力。然而,嗅觉传感机制中还有许多问题亟待解决。光遗传学为解决这一难题提供了一种新颖的技术方法。因此,我们回顾了嗅觉光遗传学的最新进展,以澄清化学感应机制,这可能有助于确定功能障碍的机制,并提出治疗嗅觉受损的可能方法。此外,鼻炎患者支配鼻腔的另一条神经(三叉神经)的改变可导致对各种痛觉刺激的高反应性和中枢敏化,从而引起频繁、持续的鼻痒和打喷嚏。近几年来,应用光遗传学调节分布在感觉神经末梢的痛觉受体和分布在大脑重要区域的氨基酸受体,以缓解对痛觉刺激的过度反应,受到了广泛关注。因此,我们将重点关注光遗传学的进展及其在痛觉刺激神经调控中的应用,并探讨未来在治疗鼻炎方面的潜在临床转化。
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引用次数: 0
Multimodal Brain Tumor Classification Using Convolutional Tumnet Architecture 使用卷积 Tumnet 架构进行多模态脑肿瘤分类
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-05-30 DOI: 10.1155/2024/4678554
M. Padma Usha, G. Kannan, M. Ramamoorthy
The most common and aggressive tumor is brain malignancy, which has a short life span in the fourth grade of the disease. As a result, the medical plan may be a crucial step toward improving the well-being of a patient. Both diagnosis and therapy are part of the medical plan. Brain tumors are commonly imaged with magnetic resonance imaging (MRI), positron emission tomography (PET), and computed tomography (CT). In this paper, multimodal fused imaging with classification and segmentation for brain tumors was proposed using the deep learning method. The MRI and CT brain tumor images of the same slices (308 slices of meningioma and sarcoma) are combined using three different types of pixel-level fusion methods. The presence/absence of a tumor is classified using the proposed Tumnet technique, and the tumor area is found accordingly. In the other case, Tumnet is also applied for single-modal MRI/CT (561 image slices) for classification. The proposed Tumnet was modeled with 5 convolutional layers, 3 pooling layers with ReLU activation function, and 3 fully connected layers. The first-order statistical fusion metrics for an average method of MRI-CT images are obtained as SSIM tissue at 83%, SSIM bone at 84%, accuracy at 90%, sensitivity at 96%, and specificity at 95%, and the second-order statistical fusion metrics are obtained as the standard deviation of fused images at 79% and entropy at 0.99. The entropy value confirms the presence of additional features in the fused image. The proposed Tumnet yields a sensitivity of 96%, an accuracy of 98%, a specificity of 99%, normalized values of the mean of 0.75, a standard deviation of 0.4, a variance of 0.16, and an entropy of 0.90.
最常见和最具侵袭性的肿瘤是脑恶性肿瘤,这种疾病的四级患者寿命很短。因此,医疗计划可能是改善患者福祉的关键一步。诊断和治疗都是医疗计划的一部分。脑肿瘤通常采用磁共振成像(MRI)、正电子发射断层扫描(PET)和计算机断层扫描(CT)成像。本文利用深度学习方法,提出了脑肿瘤的多模态融合成像与分类和分割。使用三种不同类型的像素级融合方法,将相同切片(脑膜瘤和肉瘤的 308 个切片)的 MRI 和 CT 脑肿瘤图像合并在一起。使用提出的 Tumnet 技术对肿瘤的存在/不存在进行分类,并找出相应的肿瘤区域。在另一种情况下,Tumnet 也适用于单模态 MRI/CT(561 个图像切片)分类。所提出的 Tumnet 有 5 个卷积层、3 个带 ReLU 激活函数的池化层和 3 个全连接层。MRI-CT 图像平均法的一阶统计融合指标为:组织 SSIM 为 83%,骨骼 SSIM 为 84%,准确度为 90%,灵敏度为 96%,特异度为 95%;二阶统计融合指标为:融合图像的标准偏差为 79%,熵为 0.99。熵值证实了融合图像中存在附加特征。建议的 Tumnet 灵敏度为 96%,准确度为 98%,特异度为 99%,归一化平均值为 0.75,标准偏差为 0.4,方差为 0.16,熵为 0.90。
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引用次数: 0
Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland) 与 COVID-19 大流行有关的医护人员的职业倦怠和生活满意度(波兰西里西亚)
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-05-02 DOI: 10.1155/2024/9945392
Daria Łaskawiec-Żuławińska, Mateusz Grajek, Karolina Krupa-Kotara, Patryk Szlacheta, Hasan Karacan, Mateusz Roszak, Beata Łabuz-Roszak, Ilona Korzonek-Szlacheta
Background. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. Materials and Methods. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). Results. The study group included 900 participants. There were 300 physicians (mean age years), 300 nurses (mean age years), and 300 paramedics (mean age
背景。在 COVID-19 大流行期间,医护人员的职业倦怠现象是一个普遍存在的问题,对医疗系统造成了一些负面影响。大流行带来的诸多压力导致许多医护人员患上焦虑症和抑郁症。此外,一些人还表现出了所谓的大流行后压力综合征的症状,并出现了职业倦怠综合征,即通常所说的 "COVID-19 职业倦怠"。本研究旨在评估 COVID-19 大流行期间医护人员的职业倦怠和生活满意度。材料与方法。研究于 2020-2022 年在波兰西里西亚医院的医务人员中进行。用于评估生活满意度和职业倦怠的工具是生活满意度量表(SWLS)和马斯拉赫职业倦怠量表(MBI),后者评估三个维度:情感衰竭(EE)、人格解体(DEP)和职业成就感降低(SRPA)。研究结果研究小组包括 900 名参与者。其中包括 300 名医生(平均年龄)、300 名护士(平均年龄)和 300 名护理人员(平均年龄)。根据 SWLS 测量,2021 年护士和护理人员的生活满意度最低,2022 年医生的生活满意度最低。男性受访者和工作年限较短者的生活满意度较高。工作年限越长的人,其 EE 和 DEP 分数越高,而 SRPA 分数越低()。我们发现生活满意度与 EE()、DEP()和 SRPA()呈负相关。结论研究结果突出表明,有必要进一步研究医务人员职业倦怠的原因,并需要采取有效的干预措施来促进这一群体的幸福感和预防职业倦怠。
{"title":"Burnout and Life Satisfaction among Healthcare Workers Related to the COVID-19 Pandemic (Silesia, Poland)","authors":"Daria Łaskawiec-Żuławińska, Mateusz Grajek, Karolina Krupa-Kotara, Patryk Szlacheta, Hasan Karacan, Mateusz Roszak, Beata Łabuz-Roszak, Ilona Korzonek-Szlacheta","doi":"10.1155/2024/9945392","DOIUrl":"https://doi.org/10.1155/2024/9945392","url":null,"abstract":"<i>Background</i>. The phenomenon of burnout among healthcare workers during the COVID-19 pandemic is a widespread problem with several negative consequences for the healthcare system. The many stressors of the pandemic have led to an increased development of anxiety and depressive disorders in many healthcare workers. In addition, some manifested symptoms of the so-called postpandemic stress syndrome and the emergence of occupational burnout syndrome, commonly referred to as “COVID-19 burnout.” The aim of this study was to assess the burnout and life satisfaction of healthcare workers during the COVID-19 pandemic. <i>Materials and Methods</i>. The study was conducted in 2020-2022 among medical staff working in hospitals in Silesia, Poland. The instruments used to assess life satisfaction and burnout were the Satisfaction with Life Scale (SWLS) and the Maslach Burnout Inventory (MBI), which assesses three dimensions: emotional exhaustion (EE), depersonalisation (DEP), and sense of reduced professional accomplishment (SRPA). <i>Results</i>. The study group included 900 participants. There were 300 physicians (mean age <span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 23.017 8.69875\" width=\"23.017pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,6.24,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,15.386,0)\"></path></g></svg><span></span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"25.872183800000002 -8.34882 6.438 8.69875\" width=\"6.438pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,25.922,0)\"></path></g></svg></span> years), 300 nurses (mean age <span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 23.017 8.69875\" width=\"23.017pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g113-52\"></use></g><g transform=\"matrix(.013,0,0,-0.013,6.24,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,15.386,0)\"><use xlink:href=\"#g117-37\"></use></g></svg><span></span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"25.872183800000002 -8.34882 6.438 8.69875\" width=\"6.438pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,25.922,0)\"></path></g></svg></span> years), and 300 paramedics (mean age <span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 23.017 8.69875\" width=\"23.017pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"><use xlink:href=\"#g113-52\"></use></g><g transform=\"matrix(.013,0,0,-0.013,6.24,0","PeriodicalId":50733,"journal":{"name":"Behavioural Neurology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140830902","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
Identification of Potential Clusters of Signs and Symptoms to Prioritize Patients’ Eligibility for AADCd Screening by 3-OMD Testing: An Italian Delphi Consensus 识别潜在的体征和症状群,确定患者通过 3-OMD 测试进行 AADCd 筛查的优先资格:意大利德尔菲共识
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-04-09 DOI: 10.1155/2024/1023861
Carlotta Spagnoli, Roberta Battini, Filippo Manti, Duccio Maria Cordelli, Andrea Pession, Melissa Bellini, Andrea Bordugo, Gaetano Cantalupo, Antonella Riva, Pasquale Striano, Marco Spada, Francesco Porta, Carlo Fusco
Introduction. AADCd is an ultrarare, underdiagnosed neurometabolic disorder for which a screening test (3-OMD dosing on dried blood spot (DBS)) and targeted gene therapy (authorized in the EU and the UK) are available. Therefore, it is mandatory to raise awareness of presenting symptoms and signs among practitioners. Delivering scientifically sound information to promote screening of patients with the correct cluster of symptoms and signs would be critical. Materials and Methods. In light of the lack of sound evidence on this issue, expert opinion level of evidence was elicited with the Delphi method. Fourteen steering committee members invited a panel of 29 Italian experts to express their opinions on a series of crucial but controversial topics related to using 3-OMD DBS as a screening method in AADCd. Clusters of symptoms and signs were divided into typical or atypical, depending on age groups. Inclusion in newborn screening programs and the usefulness of a clinical score were investigated. A five-point Likert scale was used to rate the level of priority attributed to each statement. Results. The following statements reached the highest priority: testing pediatric patients with hypotonia, developmental delay, movement disorders, and oculogyric crises; inclusion of 3-OMD dosing on DBS in neonatal screening programs; development of a clinical score to support patients’ selection for 3-OMD screening; among atypical phenotypes based on clinical characteristics of Italian patients: testing patients with intellectual disability and parkinsonism-dystonia. Discussion. Clusters of symptoms and signs can be used to prioritize testing with 3-OMD DBS. A clinical score was rated as highly relevant for the patient’s selection. The inclusion of 3-OMD dosing in newborn screening programs was advocated with high clinical priority.
简介。AADCd是一种极为罕见、诊断率极低的神经代谢性疾病,目前已有筛查试验(干血斑(DBS)上的3-OMD剂量)和靶向基因疗法(已在欧盟和英国获得授权)。因此,必须提高从业人员对症状和体征的认识。提供科学合理的信息以促进对具有正确症状和体征的患者进行筛查至关重要。材料和方法。鉴于在这一问题上缺乏可靠的证据,我们采用德尔菲法征求了专家对证据水平的意见。14 名指导委员会成员邀请 29 名意大利专家组成专家组,就与使用 3-OMD DBS 作为 AADCd 筛查方法有关的一系列关键但有争议的问题发表意见。根据年龄组的不同,症状和体征群被分为典型和非典型。研究了将其纳入新生儿筛查计划以及临床评分的实用性。采用五点李克特量表对每项陈述的优先程度进行评分。结果显示下列声明的优先级最高:对肌张力低下、发育迟缓、运动障碍和眼球震颤的儿科患者进行检测;将3-OMD剂量纳入新生儿筛查计划中的DBS;制定临床评分以支持选择患者进行3-OMD筛查;根据意大利患者的临床特征确定非典型表型:对智力障碍和帕金森-肌张力障碍患者进行检测。讨论。症状和体征群可用来确定3-OMD DBS检测的优先顺序。临床评分与患者的选择高度相关。在新生儿筛查项目中纳入3-OMD剂量被认为具有高度临床优先性。
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引用次数: 0
Establishing an OCD Model in BALB/c Mice Using RU24969: A Molecular and Behavioural Study of Optimal Dose Selection 使用 RU24969 在 BALB/c 小鼠中建立强迫症模型:最佳剂量选择的分子和行为研究
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-03-25 DOI: 10.1155/2024/4504858
Fatima Salloum, Mohamad Farran, Houssam Shaib, Abdo Jurjus, Roni Sleiman, Mahmoud I. Khalil
Obsessive-compulsive disorder (OCD) is a disabling disease characterized by distressing obsessions and repetitive compulsions. The etiology of OCD is poorly known, and mouse modeling allows to clarify the genetic and neurochemical basis of this disorder and to investigate potential treatments. This study evaluates the impact of the 5-HT1B agonist RU24969 on the induction of OCD-like behaviours in female BALB/c mice (), distributed across five groups receiving varying doses of RU24969. Behavioural assessments, including marble test, tail suspension test, sucrose preference test, forced swim test, and nestlet shredding test, were conducted. Gene expression and protein quantitation of Gabra1 and serotonin transporter in mouse brain were also performed. Marble-burying behaviour increased significantly at high doses of RU24969 (15-20 mg/kg). The forced swimming test consistently showed elevated values at the same high concentrations, compared to the control. Altered reward-seeking behaviour was indicated by the sucrose preference test, notably at 15 and 20 mg/kg doses of RU24969. Nestlet shredding results did not show statistical significance among the tested animal groups. Gene expression analysis revealed reduced Gabra1 expression with increasing doses of RU, while serotonin transporter was not related to varying doses of RU24969. Western blotting corroborated these trends. The results underscore complex interactions between the serotonin system, GABAergic signaling, and OCD-relevant behaviours and suggest the use of intraperitoneal injection of 15 mg/kg of RU24969 to induce OCD-like behaviour in BALB/c mouse models.
强迫症(OCD)是一种致残性疾病,以令人痛苦的强迫观念和重复性强迫行为为特征。强迫症的病因尚不清楚,而小鼠建模则有助于阐明这种疾病的遗传和神经化学基础,并研究潜在的治疗方法。本研究评估了 5-HT1B 激动剂 RU24969 对诱导雌性 BALB/c 小鼠()强迫症样行为的影响。行为评估包括大理石试验、悬挂尾巴试验、蔗糖偏好试验、强迫游泳试验和撕碎巢丸试验。此外,还对小鼠大脑中的Gabra1和5-羟色胺转运体进行了基因表达和蛋白质定量分析。高剂量 RU24969(15-20 毫克/千克)时,小鼠埋大理石的行为明显增加。与对照组相比,在相同的高浓度下,强迫游泳测试的数值也持续升高。蔗糖偏好测试表明,在 RU24969 剂量为 15 和 20 毫克/千克时,蔗糖偏好行为明显改变。雏鸟撕碎巢的结果在受试动物组间没有统计学意义。基因表达分析表明,随着 RU 剂量的增加,Gabra1 的表达量减少,而血清素转运体则与不同剂量的 RU24969 无关。Western 印迹证实了这些趋势。研究结果强调了血清素系统、GABA能信号传导和强迫症相关行为之间复杂的相互作用,并建议在BALB/c小鼠模型中使用腹腔注射15毫克/千克的RU24969来诱导强迫症样行为。
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引用次数: 0
Amyotrophic Lateral Sclerosis and Pain: A Narrative Review from Pain Assessment to Therapy 肌萎缩侧索硬化症与疼痛:从疼痛评估到治疗的叙述性回顾
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-03-16 DOI: 10.1155/2024/1228194
Vincenzo Pota, Pasquale Sansone, Sara De Sarno, Caterina Aurilio, Francesco Coppolino, Manlio Barbarisi, Francesco Barbato, Marco Fiore, Gianluigi Cosenza, Maria Beatrice Passavanti, Maria Caterina Pace
Amyotrophic lateral sclerosis (ALS) is the most frequent neurodegenerative disease of the motor system that affects upper and lower motor neurons, leading to progressive muscle weakness, spasticity, atrophy, and respiratory failure, with a life expectancy of 2–5 years after symptom onset. In addition to motor symptoms, patients with ALS have a multitude of nonmotor symptoms; in fact, it is currently considered a multisystem disease. The purpose of our narrative review is to evaluate the different types of pain, the correlation between pain and the disease’s stages, the pain assessment tools in ALS patients, and the available therapies focusing above all on the benefits of cannabis use. Pain is an underestimated and undertreated symptom that, in the last few years, has received more attention from research because it has a strong impact on the quality of life of these patients. The prevalence of pain is between 15% and 85% of ALS patients, and the studies on the type and intensity of pain are controversial. The absence of pain assessment tools validated in the ALS population and the dissimilar study designs influence the knowledge of ALS pain and consequently the pharmacological therapy. Several studies suggest that ALS is associated with changes in the endocannabinoid system, and the use of cannabis could slow the disease progression due to its neuroprotective action and act on pain, spasticity, cramps, sialorrhea, and depression. Our research has shown high patients’ satisfaction with the use of cannabis for the treatment of spasticity and related pain. However, especially due to the ethical problems and the lack of interest of pharmaceutical companies, further studies are needed to ensure the most appropriate care for ALS patients.
肌萎缩侧索硬化症(ALS)是最常见的运动系统神经退行性疾病,影响上下运动神经元,导致进行性肌无力、痉挛、萎缩和呼吸衰竭,发病后预期寿命为 2-5 年。除运动症状外,肌萎缩性脊髓侧索硬化症患者还伴有多种非运动症状;事实上,该病目前被认为是一种多系统疾病。我们的叙述性综述旨在评估不同类型的疼痛、疼痛与疾病分期之间的相关性、ALS 患者的疼痛评估工具以及现有的治疗方法,重点关注使用大麻的益处。疼痛是一种被低估和治疗不足的症状,在过去几年里,由于它对这些患者的生活质量有很大影响,因此受到了更多研究的关注。ALS 患者的疼痛发生率在 15% 到 85% 之间,而关于疼痛类型和强度的研究却存在争议。缺乏针对 ALS 患者的疼痛评估工具以及不同的研究设计影响了人们对 ALS 疼痛的认识,进而影响了药物治疗。一些研究表明,ALS 与内源性大麻素系统的变化有关,使用大麻可以减缓疾病的进展,因为大麻具有神经保护作用,并对疼痛、痉挛、抽筋、鼻出血和抑郁有作用。我们的研究表明,患者对使用大麻治疗痉挛和相关疼痛的满意度很高。然而,特别是由于伦理问题和制药公司缺乏兴趣,还需要进一步研究,以确保为 ALS 患者提供最适当的护理。
{"title":"Amyotrophic Lateral Sclerosis and Pain: A Narrative Review from Pain Assessment to Therapy","authors":"Vincenzo Pota, Pasquale Sansone, Sara De Sarno, Caterina Aurilio, Francesco Coppolino, Manlio Barbarisi, Francesco Barbato, Marco Fiore, Gianluigi Cosenza, Maria Beatrice Passavanti, Maria Caterina Pace","doi":"10.1155/2024/1228194","DOIUrl":"https://doi.org/10.1155/2024/1228194","url":null,"abstract":"Amyotrophic lateral sclerosis (ALS) is the most frequent neurodegenerative disease of the motor system that affects upper and lower motor neurons, leading to progressive muscle weakness, spasticity, atrophy, and respiratory failure, with a life expectancy of 2–5 years after symptom onset. In addition to motor symptoms, patients with ALS have a multitude of nonmotor symptoms; in fact, it is currently considered a multisystem disease. The purpose of our narrative review is to evaluate the different types of pain, the correlation between pain and the disease’s stages, the pain assessment tools in ALS patients, and the available therapies focusing above all on the benefits of cannabis use. Pain is an underestimated and undertreated symptom that, in the last few years, has received more attention from research because it has a strong impact on the quality of life of these patients. The prevalence of pain is between 15% and 85% of ALS patients, and the studies on the type and intensity of pain are controversial. The absence of pain assessment tools validated in the ALS population and the dissimilar study designs influence the knowledge of ALS pain and consequently the pharmacological therapy. Several studies suggest that ALS is associated with changes in the endocannabinoid system, and the use of cannabis could slow the disease progression due to its neuroprotective action and act on pain, spasticity, cramps, sialorrhea, and depression. Our research has shown high patients’ satisfaction with the use of cannabis for the treatment of spasticity and related pain. However, especially due to the ethical problems and the lack of interest of pharmaceutical companies, further studies are needed to ensure the most appropriate care for ALS patients.","PeriodicalId":50733,"journal":{"name":"Behavioural Neurology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140146809","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
Daily Functionality of People with Low Vision: The Impact of Visual Acuity, Depression, and Life Orientation—A Cross-Sectional Study 低视力者的日常功能:视力、抑郁和生活取向的影响--一项横断面研究
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-02-26 DOI: 10.1155/2024/4366572
Mara Gkioka, Stavroula Almpanidou, Niki Lioti, Diamantis Almaliotis, Vasileios Karampatakis
Background. Low vision (LV) has a significant negative impact on the activities of daily life as well as on the psychological health of patients. Objectives. The objective of this study is to investigate psychological, clinical, and demographic factors that may impact the daily functionality of patients with LV. Methods. A convenience sample of 53 patients, meeting the WHO criteria for LV, was recruited. Questionnaires on daily functionality, depression, and life orientation (in terms of optimism/pessimism) were administered along with a semistructured personal interview. Key Findings. The main results revealed a significant negative correlation between daily functionality and depression (, ). Conversely, there is a positive correlation between daily functionality and visual acuity (
背景。低视力(LV)对患者的日常生活活动和心理健康有很大的负面影响。研究目的本研究旨在调查可能影响低视力患者日常功能的心理、临床和人口学因素。方法。招募了 53 名符合世界卫生组织左心室颤动标准的患者作为样本。在进行半结构化个人访谈的同时,还对患者的日常功能、抑郁和生活取向(乐观/悲观)进行了问卷调查。主要研究结果。主要结果显示,日常功能与抑郁之间存在明显的负相关(,)。相反,日常功能与视力之间呈正相关(,),而诊断后的年数与抑郁呈负相关(,)。抑郁似乎是预测一个人日常功能的中度指标(,),其次是视力(,),占总变异的 31.1%。结论该研究支持日常功能与抑郁和视力之间的相关性。乐观作为一种人格特征,并没有被纳入日常功能预测模型中,但它与抑郁症状水平较低有很强的相关性。这凸显了制定慢性病管理应对策略的潜力。建议。这项研究可作为有用的指南,并敦促临床医生关注这些患者的心理评估,支持他们独特的情感需求。心理健康专业人员可以利用患者的积极资源,为他们提供适当的心理辅导,并鼓励他们掌握应对技巧,以参与日常生活活动。
{"title":"Daily Functionality of People with Low Vision: The Impact of Visual Acuity, Depression, and Life Orientation—A Cross-Sectional Study","authors":"Mara Gkioka, Stavroula Almpanidou, Niki Lioti, Diamantis Almaliotis, Vasileios Karampatakis","doi":"10.1155/2024/4366572","DOIUrl":"https://doi.org/10.1155/2024/4366572","url":null,"abstract":"<i>Background</i>. Low vision (LV) has a significant negative impact on the activities of daily life as well as on the psychological health of patients. <i>Objectives</i>. The objective of this study is to investigate psychological, clinical, and demographic factors that may impact the daily functionality of patients with LV. <i>Methods</i>. A convenience sample of 53 patients, meeting the WHO criteria for LV, was recruited. Questionnaires on daily functionality, depression, and life orientation (in terms of optimism/pessimism) were administered along with a semistructured personal interview. <i>Key Findings</i>. The main results revealed a significant negative correlation between daily functionality and depression (<span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 16.751 8.69875\" width=\"16.751pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,9.12,0)\"></path></g></svg><span></span><span><svg height=\"8.69875pt\" style=\"vertical-align:-0.3499298pt\" version=\"1.1\" viewbox=\"20.3331838 -8.34882 35.835 8.69875\" width=\"35.835pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,20.383,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,28.014,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,34.254,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,37.218,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,43.458,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,49.698,0)\"></path></g></svg>,</span></span> <span><svg height=\"11.7782pt\" style=\"vertical-align:-3.42938pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 18.973 11.7782\" width=\"18.973pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,0,0)\"></path></g><g transform=\"matrix(.013,0,0,-0.013,11.342,0)\"></path></g></svg><span></span><span><svg height=\"11.7782pt\" style=\"vertical-align:-3.42938pt\" version=\"1.1\" viewbox=\"22.555183800000002 -8.34882 28.184 11.7782\" width=\"28.184pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matrix(.013,0,0,-0.013,22.605,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,28.845,0)\"><use xlink:href=\"#g113-47\"></use></g><g transform=\"matrix(.013,0,0,-0.013,31.809,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,38.049,0)\"><use xlink:href=\"#g113-49\"></use></g><g transform=\"matrix(.013,0,0,-0.013,44.289,0)\"></path></g></svg>).</span></span> Conversely, there is a positive correlation between daily functionality and visual acuity (<span><svg height=\"8.55521pt\" style=\"vertical-align:-0.2063904pt\" version=\"1.1\" viewbox=\"-0.0498162 -8.34882 16.751 8.55521\" width=\"16.751pt\" xmlns=\"http://www.w3.org/2000/svg\" xmlns:xlink=\"http://www.w3.org/1999/xlink\"><g transform=\"matri","PeriodicalId":50733,"journal":{"name":"Behavioural Neurology","volume":null,"pages":null},"PeriodicalIF":2.8,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139980107","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
Exploring the Experience of Living with Pain after Spinal Cord Injury: A Qualitative Study 探索脊髓损伤后疼痛的生活体验:定性研究
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-02-02 DOI: 10.1155/2024/9081530
Mokgadi Kholofelo Mashola, Elzette Korkie, Diphale Joyce Mothabeng
A spinal cord injury is a life-changing experience that results in functional limitations and an increased risk of secondary health conditions. People with spinal cord injury identify pain as the most devastating health problem following their injury that not only affects their social life but their mental well-being as well. This study is aimed at exploring the lived experience of living with pain by community-dwelling manual wheelchair users with spinal cord injuries. An explorative qualitative design was used to explore their experiences. In-depth interviews were recorded and transcribed, and the data were analysed using inductive thematic content analysis in the MAXQDA v2020. Fifteen manual wheelchair users with paraplegia participated in this study, and four themes were identified from their experience of living with pain: pain constantly lurks, pain is worse than the direct consequences of the SCI, pain is restrictive, and life continues despite the pain. Categories and subcategories included the participants being one with the pain; pain interfering with sleep; feelings of anger, isolation, and suicidal ideation; and uncertainties about what the future holds living with pain. Living with pain after SCI is a challenging feat, and effective management of pain is necessary to improve not only functioning and mobility but also mental health and life satisfaction.
脊髓损伤是一种改变生活的经历,会导致功能受限,并增加继发健康问题的风险。脊髓损伤患者认为疼痛是伤后最具破坏性的健康问题,不仅影响他们的社会生活,还影响他们的心理健康。本研究旨在探讨居住在社区的手动轮椅脊髓损伤患者与疼痛为伴的生活体验。本研究采用探索性定性设计来探讨他们的经历。对深入访谈进行了记录和转录,并在 MAXQDA v2020 中使用归纳式主题内容分析法对数据进行了分析。15 名患有截瘫的手动轮椅使用者参与了这项研究,并从他们与疼痛共存的经历中确定了四个主题:疼痛不断潜伏、疼痛比 SCI 的直接后果更严重、疼痛是一种限制、尽管疼痛,生活仍在继续。类别和子类别包括:参与者与疼痛融为一体;疼痛影响睡眠;愤怒、孤独感和自杀念头;以及对未来生活的不确定性。脊髓损伤后与疼痛共存是一项具有挑战性的壮举,有必要对疼痛进行有效管理,这样不仅能改善功能和活动能力,还能改善心理健康和生活满意度。
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引用次数: 0
Abnormal Amygdala Subregion Functional Connectivity in Patients with Crohn’s Disease with or without Anxiety and Depression 伴有或不伴有焦虑和抑郁的克罗恩病患者的杏仁核亚区功能连接异常
IF 2.8 4区 医学 Q2 Psychology Pub Date : 2024-01-30 DOI: 10.1155/2024/1551807
Jingwen Sun, Wei Sun, Kecen Yue, Yin Zhang, Xintong Wu, Wenjia Liu, Ling Zou, Haifeng Shi
Objective. The aim of this study was to explore the resting-state functional connectivity (rsFC) of amygdala subregions in healthy controls (HCs) and in patients with Crohn’s disease (CD) both with and without anxiety or depression. Materials and Methods. A total of 33 patients with CD and with anxiety or depression (CDad group), 31 patients with CD but without anxiety or depression (CDnad group), and 29 age-, sex-, and education level-matched HCs underwent functional magnetic resonance imaging. rsFC analysis was used to analyze the FC between the amygdala subregions and other areas of the brain. Results. Compared with the HC group, the CDad group demonstrated decreased rsFC between the right laterobasal subregion and the left hippocampus () and right middle frontal gyrus () and between the left superficial subregion and the left insula (
研究目的本研究旨在探讨健康对照组(HCs)和患有或不患有焦虑症或抑郁症的克罗恩病(CD)患者杏仁核亚区的静息状态功能连通性(rsFC)。材料与方法。共有 33 名患有焦虑症或抑郁症的克罗恩病患者(CDad 组)、31 名患有焦虑症或抑郁症但不患有焦虑症或抑郁症的克罗恩病患者(CDnad 组)和 29 名年龄、性别和教育水平相匹配的健康对照者接受了功能磁共振成像检查。结果显示与 HC 组相比,CDad 组的右侧基底膜后亚区与左侧海马()和右侧额叶中回()之间的 rsFC 以及左侧浅表亚区与左侧脑岛()之间的 rsFC 均有所下降。与 HC 组相比,CDnad 组在左侧中内侧亚区和左侧脑岛之间的 rsFC 有所下降()。与 CDnad 组相比,CDad 组在左侧中内侧亚区与右侧楔前回()和中央后回()之间、右侧基底外侧亚区与左侧海马()之间以及左侧浅表亚区与右侧额叶中回()之间的 rsFC 均有所下降。结论CD患者的杏仁核亚区有明显的FC变化。这些变化可能与疾病本身或焦虑和抑郁症状有关。
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引用次数: 0
期刊
Behavioural Neurology
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