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Clinical Factors Predicting Voluntary Driving Cessation among Patients with Parkinson's Disease 预测帕金森病患者自愿停车的临床因素
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-03-20 DOI: 10.1155/2022/4047710
Hidetada Yamada, M. Nakamori, T. Nezu, Teppei Kotozaki, Juri Kitamura, T. Ohshita, Y. Sueda, H. Maruyama
Factors that influence the decision of voluntary driving cessation in patients living with Parkinson's disease (PD) are still unclear. We aimed to reveal the factors affecting the decision of voluntary driving cessation in patients with PD. This hospital-based cross-sectional study recruited consecutive outpatients with PD. Data on sociodemographic and clinical characteristics and medication use were collected from the patients using semistructured interviews. Cognitive function was evaluated using the Japanese version of the Montreal Cognitive Assessment (MoCA-J). We excluded patients with dementia or motor impairment (Hoehn − Yahr stage > 3). We divided the patients into two groups, with and without voluntary driving cessation (D: driver; RD: retired driver), and conducted investigations using multivariate logistic regression analyses. Of the 40 patients, 8 (20.0%) voluntarily retired from driving. Patients who decided on driving cessation had a higher prevalence of freezing of gait (FOG) (D vs. RD, 25.0% vs. 87.5%; P = 0.001) and tended to have lower scores for attention in the MoCA-J (D vs. RD, 5.0 ± 1.2 vs. 4.1 ± 1.4; P = 0.086). Multivariable analysis showed that FOG was independently associated with driving cessation (odds ratio: 14.46, 95% confidence interval: 1.91–303.74). FOG was associated with voluntary driving cessation in patients with PD without dementia or severe motor impairment. Physicians should consider providing extensive social support to maintain patients' mobility and independence, especially if the patients have these clinical factors.
影响帕金森病患者自愿停止驾驶决定的因素尚不清楚。我们旨在揭示影响帕金森病患者自愿停止驾驶决定的因素。这项基于医院的横断面研究招募了连续的帕金森病门诊患者。使用半结构访谈从患者中收集社会人口统计学、临床特征和药物使用的数据。认知功能使用日本版的蒙特利尔认知评估(MoCA-J)进行评估。我们排除了患有痴呆症或运动障碍的患者(Hoehn−Yahr 阶段>3)。我们将患者分为两组,有和没有自愿停止驾驶(D:驾驶员;RD:退休驾驶员),并使用多元逻辑回归分析进行调查。在40名患者中,8人(20.0%)自愿退出驾驶。决定停止驾驶的患者步态冻结(FOG)的发生率较高(D与RD,25.0%与87.5%;P=0.001),并且在MoCA-J中的注意力得分较低(D与。RD分别为5.0±1.2和4.1±1.4;P=0.086)。多变量分析显示,FOG与驾驶停止独立相关(优势比:14.46,95%置信区间:1.91-303.74)。在没有痴呆或严重运动障碍的PD患者中,FOG可与自愿驾驶停止相关。医生应该考虑提供广泛的社会支持,以保持患者的行动能力和独立性,尤其是在患者有这些临床因素的情况下。
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引用次数: 0
Platelet P2Y12 Inhibitor in the Treatment and Prevention of Migraine: A Systematic Review and Meta-Analysis 血小板P2Y12抑制剂治疗和预防偏头痛的系统评价和荟萃分析
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-03-20 DOI: 10.1155/2022/2118740
Fengzhi Wang, Yu Cao, Yanjie Liu, Zhanxiu Ren, Fuyong Li
There have been speculation and research linking migraine with abnormalities of platelet aggregation and activation. The role of the P2Y12 platelet inhibitor in the treatment of migraine has not been established. We aim to evaluate the efficacy of the platelet P2Y12 inhibitor in the treatment of migraine and prevention of new-onset migraine headache (MHA) following transcatheter atrial septal defect closure (ASDC). We searched the PubMed, Web of Science, and Cochrane Library databases for relevant studies. The primary outcomes were the headache responder rate and the rate of new-onset migraine attacks following ASDC. Four studies for a total of 262 migraine patients with or without patent foramen ovale (PFO) and three studies involving 539 patients with antiplatelet treatment in the prevention of new-onset migraine following ASDC were included. The pooled responder rate of the P2Y12 inhibitor for migraine was 0.64 (95% CI: 0.43 to 0.81). For patients who underwent ASDC, the use of antiplatelet regimens including the P2Y12 inhibitor, compared with regimens excluding P2Y12 inhibitor, resulted in a lower rate of new-onset migraine (OR: 0.41, 95% CI: 0.22 to 0.77, P = 0.005). We concluded that the P2Y12 platelet inhibitor may have a primary prophylactic role in migraine patients with or without PFO and prevent new-onset MHA after ASDC. The responsiveness of the P2Y12 inhibitor could help select candidates who would benefit from PFO closure. It warrants further large-scale research to explore the role of the P2Y12 inhibitor, particularly in a proportion of migraine patients.
有人猜测和研究将偏头痛与血小板聚集和活化异常联系起来。P2Y12血小板抑制剂在偏头痛治疗中的作用尚未确定。我们的目的是评估血小板P2Y12抑制剂在经导管房间隔缺损封堵术(ASDC)后治疗偏头痛和预防新发偏头痛(MHA)的疗效。我们在PubMed、Web of Science和Cochrane图书馆的数据库中搜索了相关研究。主要结果是ASDC后头痛反应率和新发偏头痛发作率。包括对262名患有或不患有卵圆孔未闭(PFO)的偏头痛患者的四项研究,以及对539名接受抗血小板治疗的患者进行的三项研究,以预防ASDC后新发偏头痛。P2Y12抑制剂对偏头痛的总有效率为0.64(95%CI:0.43至0.81)。对于接受ASDC的患者,与不包括P2Y12抑制物的方案相比,使用包括P2Y1 2抑制物在内的抗血小板方案,导致新发偏头痛发生率降低(OR:0.41,95%CI:0.22-0.77,P=0.005)。我们得出结论,P2Y12血小板抑制剂可能对有或没有PFO的偏头痛患者具有主要预防作用,并预防ASDC后新发MHA。P2Y12抑制剂的反应性可以帮助选择从PFO封闭中受益的候选者。值得进一步进行大规模研究,以探索P2Y12抑制剂的作用,特别是在一定比例的偏头痛患者中。
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引用次数: 5
Elevation of Plasma Homocysteine and Minor Hallucinations in Parkinson's Disease: A Cross-Sectional Study 血浆同型半胱氨酸升高与帕金森病轻微幻觉:一项横断面研究
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-03-07 DOI: 10.1155/2022/4797861
Min Zhong, Shaoping Zhu, Ruxin Gu, Yaxi Wang, Yinyin Jiang, Yu Bai, Xu Jiang, Bo Shen, Jun Yan, Yang Pan, Jun Zhu, Li Zhang
Purpose Minor hallucinations (MHs) are the most common psychotic phenomena in Parkinson's disease (PD), and it has important clinical and prognostic implications in PD. Plasma homocysteine (Hcy) has been reported to predict the outcome of PD; whether or not Hcy is associated with MH is not known. We aim to investigate the Hcy level and related factors in patients with PD and MH. Methods We conducted a cross-sectional study and included 99 patients with PD, 34 with MH, and 65 without any hallucinations. The clinical and demographic data of the patients with and without hallucinations were compared. Hcy-related clinical factors were also analyzed. Results The plasma Hcy level was higher in MH patients than in patients without hallucinations, and the result was more pronounced in male patients than in female patients. Differences were also observed when the groups were divided on the basis of levodopa equivalent daily dose and disease duration. The high Hcy concentration was correlated with some symptoms in patients with MH, including motor dysfunction and nonmotor symptoms, such as symptoms of the gastrointestinal tract, angiocarpy, sleep/fatigue, and poor visuospatial/executive function. Conclusions Results indicated a higher plasma Hcy concentration in MH patients than in their counterparts and revealed that Hcy is associated with certain motor and nonmotor symptoms in patients with MH. Hcy may be a marker of MH and have important therapeutic implications in PD.
目的轻微幻觉是帕金森病(PD)最常见的精神症状,对帕金森病的临床和预后具有重要意义。据报道,血浆同型半胱氨酸(Hcy)可以预测帕金森病的预后;Hcy是否与MH有关尚不清楚。目的探讨PD和MH患者的Hcy水平及其相关因素。方法采用横断面研究方法,纳入PD患者99例,MH患者34例,无幻觉患者65例。比较有幻觉和无幻觉患者的临床和人口学资料。并分析了hcy相关的临床因素。结果MH患者血浆Hcy水平明显高于无幻觉患者,且男性明显高于女性。当根据左旋多巴当量日剂量和疾病持续时间进行分组时,也观察到差异。高Hcy浓度与MH患者的一些症状相关,包括运动功能障碍和非运动症状,如胃肠道症状、血管硬化、睡眠/疲劳、视觉空间/执行功能差。结论MH患者血浆Hcy浓度高于其他人群,Hcy与MH患者的某些运动和非运动症状相关,Hcy可能是MH的标志物,对PD有重要的治疗意义。
{"title":"Elevation of Plasma Homocysteine and Minor Hallucinations in Parkinson's Disease: A Cross-Sectional Study","authors":"Min Zhong, Shaoping Zhu, Ruxin Gu, Yaxi Wang, Yinyin Jiang, Yu Bai, Xu Jiang, Bo Shen, Jun Yan, Yang Pan, Jun Zhu, Li Zhang","doi":"10.1155/2022/4797861","DOIUrl":"https://doi.org/10.1155/2022/4797861","url":null,"abstract":"Purpose Minor hallucinations (MHs) are the most common psychotic phenomena in Parkinson's disease (PD), and it has important clinical and prognostic implications in PD. Plasma homocysteine (Hcy) has been reported to predict the outcome of PD; whether or not Hcy is associated with MH is not known. We aim to investigate the Hcy level and related factors in patients with PD and MH. Methods We conducted a cross-sectional study and included 99 patients with PD, 34 with MH, and 65 without any hallucinations. The clinical and demographic data of the patients with and without hallucinations were compared. Hcy-related clinical factors were also analyzed. Results The plasma Hcy level was higher in MH patients than in patients without hallucinations, and the result was more pronounced in male patients than in female patients. Differences were also observed when the groups were divided on the basis of levodopa equivalent daily dose and disease duration. The high Hcy concentration was correlated with some symptoms in patients with MH, including motor dysfunction and nonmotor symptoms, such as symptoms of the gastrointestinal tract, angiocarpy, sleep/fatigue, and poor visuospatial/executive function. Conclusions Results indicated a higher plasma Hcy concentration in MH patients than in their counterparts and revealed that Hcy is associated with certain motor and nonmotor symptoms in patients with MH. Hcy may be a marker of MH and have important therapeutic implications in PD.","PeriodicalId":50733,"journal":{"name":"Behavioural Neurology","volume":"2022 1","pages":""},"PeriodicalIF":2.8,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41623260","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: 5
Analysis of Gut Microbiota in Patients with Exacerbated Symptoms of Schizophrenia following Therapy with Amisulpride: A Pilot Study 阿米苏必利治疗后精神分裂症症状加重患者肠道微生物群的初步分析
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-03-05 DOI: 10.1155/2022/4262094
J. Zheng, Zeya Lin, Chih‐Yuan Ko, Jian-hua Xu, Yichuan Lin, Jinyi Wang
Evidence is mounting that the gut microbiome is related to the underlying pathogenesis of schizophrenia. However, effects of amisulpride on gut microbiota are poorly defined. This study was aimed at analyzing cytokines and fecal microbiota in patients with exacerbated symptoms of schizophrenia treated with amisulpride during four weeks of their hospital stay. In the present study, feces collected from patients with schizophrenia were analyzed using 16S rRNA pyrosequencing and bioinformatic analyses to ascertain gut microbiome composition and fasting peripheral blood cytokines. We found that patients undergoing treatment of schizophrenia with amisulpride had distinct changes in gut microbial composition at the genus level, increased levels of short-chain fatty acid-producing bacteria (Dorea and Butyricicoccus), and reduced levels of pathogenic bacteria (Actinomyces and Porphyromonas), but the level of Desulfovibrio was still high. We also found a significant downregulation of butanoate metabolism based on functional analysis of the microbiome. After treatment, elevated levels of interleukin- (IL-) 4 and decreased levels of IL-6 were found. Our findings extend prior work and suggest a possible pharmacological mechanism of amisulpride treatment for schizophrenia, which acts via mediation of the gut microbiome.
越来越多的证据表明,肠道微生物群与精神分裂症的潜在发病机制有关。然而,氨硫pride对肠道微生物群的影响尚未明确。本研究旨在分析阿米硫pride治疗的精神分裂症症状加重患者住院四周期间的细胞因子和粪便微生物群。本研究采用16S rRNA焦磷酸测序和生物信息学分析对精神分裂症患者粪便进行分析,以确定肠道微生物组组成和空腹外周血细胞因子。我们发现,接受氨硫pride治疗的精神分裂症患者的肠道微生物组成在属水平上发生了明显的变化,短链脂肪酸产生菌(Dorea和Butyricicoccus)水平增加,致病菌(放线菌和卟啉单胞菌)水平降低,但Desulfovibrio水平仍然很高。基于微生物组的功能分析,我们还发现了丁酸盐代谢的显著下调。治疗后,发现白细胞介素- (IL-) 4水平升高,IL-6水平降低。我们的发现扩展了先前的工作,并提出了氨硫pride治疗精神分裂症的可能药理学机制,它通过肠道微生物组的调解起作用。
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引用次数: 4
Cognitive and Behavioral Neurology thanks these reviewers for their invaluable service during 2021. 认知和行为神经病学感谢这些审稿人在2021年提供的宝贵服务。
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-03-01 DOI: 10.1097/WNN.0000000000000300
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引用次数: 0
A Systematic Review on Serious Games in Attention Rehabilitation and Their Effects 严肃游戏在注意力康复中的系统研究及其效果
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-02-26 DOI: 10.1155/2022/2017975
L. Shahmoradi, F. Mohammadian, Meysam Rahmani Katigari
Attention is a basic and main mental task and can play an important role in the functioning of other brain abilities such as intelligence, memory, learning, and perception, and its deficit occurs in 80% of patients with traumatic brain injury. The use of game-based tools for rehabilitation is rapidly expanding. Cognitive rehabilitation via video games is an emerging hot topic in cognitive science. Serious games serve a specific purpose in addition to entertainment. They can be more engaging than exercises since they replace reward and motivation systems with real-world motivations as a complement for rehabilitation activities. This study was aimed at identifying and categorizing serious computer games used for attention rehabilitation and evaluating their effects. Six electronic databases (Scopus, PubMed, ISI, Embase, IEEE, and Cochrane) were searched in August 2021. The search strategy consisted of three main concepts of “serious game”, “cognitive deficits”, and “cognitive rehabilitation”. The inclusion criteria were (1) journal articles, (2) English language, (3) being published in the last 10 years, (4) human participants, and (5) game-based intervention. In the 30 included studies, 22 unique games were utilized for attention rehabilitation. Lumosity (20%), Brain Age (Dr. Kawashima's Brain Training) (10%), and MoHRS (6.66%) were the most common games among the studies. There were (57%) casual, (23%) action, (10%) simulation, and (10%) multiple genres. Of the 47 tools used in the studies, 5 utilized cross-modal oddball attention tasks, 4 utilized game performance, 3 utilized the paced auditory serial additional test (PASAT), and the rest employed other tools. A total of 73 outcome measures were related to attention, 42 measures did not have significant results, 30 were significantly improved, 1 was significantly deteriorated, and 4 articles did not have any specific measures for attention evaluation. Thus, the results revealed the positive effect of serious games on attention. However, issues such as absence of scientific teams, the variety of the disorders that cause defects, the variety of criteria, differences in measurements, lack of long-term follow-up, insufficient RCT studies, and small sample sizes should be considered when designing, developing, and using game-based systems to prevent bias.
注意是一项基本的、主要的心理任务,对智力、记忆、学习和感知等其他脑功能的运作起着重要作用,80%的创伤性脑损伤患者存在注意缺陷。基于游戏的康复工具的使用正在迅速扩大。通过电子游戏进行认知康复是认知科学领域的一个新兴热点。除了娱乐之外,严肃游戏还有一个特定的目的。它们可能比锻炼更吸引人,因为它们用现实世界的动机取代了奖励和激励系统,作为康复活动的补充。本研究旨在识别和分类用于注意力康复的严肃电脑游戏,并评估其效果。2021年8月检索了6个电子数据库(Scopus、PubMed、ISI、Embase、IEEE和Cochrane)。搜索策略包括“严肃游戏”、“认知缺陷”和“认知康复”三个主要概念。纳入标准是(1)期刊文章,(2)英语,(3)最近10年内发表的文章,(4)人类参与者,(5)基于游戏的干预。在纳入的30项研究中,22种独特的游戏被用于注意力康复。Lumosity(20%)、Brain Age (Dr. Kawashima’s Brain Training)(10%)和MoHRS(6.66%)是这些研究中最常见的游戏。休闲游戏占57%,动作游戏占23%,模拟游戏占10%,多题材游戏占10%。在研究中使用的47种工具中,5种使用跨模态古怪注意力任务,4种使用游戏表现,3种使用节奏听觉系列附加测试(PASAT),其余使用其他工具。共有73项结局指标与注意力相关,42项没有显著结果,30项显著改善,1项显著恶化,4篇文章没有任何具体的注意力评价指标。因此,研究结果揭示了严肃游戏对注意力的积极影响。然而,在设计、开发和使用基于游戏的系统以防止偏倚时,应考虑诸如缺乏科学团队、导致缺陷的疾病的多样性、标准的多样性、测量方法的差异、缺乏长期随访、RCT研究不足和小样本量等问题。
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引用次数: 12
An Updated Overview of the Magnetic Resonance Imaging of Brain Iron in Movement Disorders 运动障碍脑铁磁共振成像研究进展
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-02-24 DOI: 10.1155/2022/3972173
N. Tambasco, P. Nigro, A. Chiappiniello, F. Paolini Paoletti, Sara Scialpi, S. Simoni, P. Chiarini, L. Parnetti
Brain iron load is one of the most important neuropathological hallmarks in movement disorders. Specifically, the iron provides most of the paramagnetic metal signals in the brain and its accumulation seems to play a key role, although not completely explained, in the degeneration of the basal ganglia, as well as other brain structures. Moreover, iron distribution patterns have been implicated in depicting different movement disorders. This work reviewed current literature on Magnetic Resonance Imaging for Brain Iron Detection and Quantification (MRI-BIDQ) in neurodegenerative processes underlying movement disorders.
脑铁负荷是运动障碍最重要的神经病理标志之一。具体来说,铁提供了大脑中大部分顺磁性金属信号,它的积累似乎在基底神经节和其他大脑结构的退化中起着关键作用,尽管还没有完全解释清楚。此外,铁的分布模式与描述不同的运动障碍有关。本研究综述了目前关于脑铁检测和定量的磁共振成像(MRI-BIDQ)在运动障碍神经退行性过程中的研究。
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引用次数: 4
Neurobehavioral Differences of Valproate and Risperidone on MK-801 Inducing Acute Hyperlocomotion in Mice 丙戊酸钠和利培酮对MK-801诱导小鼠急性过度运动的神经行为差异
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-02-23 DOI: 10.1155/2022/1048463
Po-An Chen, Hui-Yi Wang, C. Sun, Mao-Liang Chen, Yi-Chyan Chen
ObjectiveThe glutamate system plays a major role in the development of neuropsychiatric disorders such as addiction, epilepsy, dementia, and psychosis. MK-801 (dizocilpine), an uncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist, could increase locomotor activity and stereotyped neurobehaviors mimicking schizophrenic-like features in the mouse model. The study would explore the neuropharmacological differences of risperidone and valproic acid on the MK-801-induced neurobehavioral changes.MethodsThe subjects were male C57BL/6J mice obtained from the National Laboratory Animal Center. Drug effects were assessed using the open field with a video-tracking system and gaiting tests. After habitation, risperidone (0, 0.1 mg/kg) or valproic acid (0, 200 mg/kg) was injected and ran locomotion for 30 mins. Sequentially, mice were followed by intraperitoneal injection (i.p.) with MK-801 (0, 0.2 mg/kg) and ran locomotion for 60 mins. Gaiting behaviors such as step angles, stride lengths, and stance widths were measured following the study drugs.ResultsThe results showed that risperidone and valproic acid alone could not alter the locomotor activities. Following the MK-801 injection, the travelled distance and speed in the entire open field dramatically increased. The dose 0.1 mg/kg of risperidone could totally inhibit the MK-801-induced hyperlocomotion compared with that of the saline-injected group (p < 0.001). The valproic acid (200 mg/kg) partially suppressed the hyperlocomotion which is induced by MK801.ConclusionThe more dominant effect of risperidone to rescue MK-801 induced hyperlocomotion compared with that of valproic acid. The partial suppression of valproic acid may imply the psychopharmacological evidence as adjuvant effect to treat psychotic patients through tuning glutamatergic neurotransmission.
目的谷氨酸系统在成瘾、癫痫、痴呆和精神病等神经精神疾病的发生发展中起重要作用。MK-801(二唑西平)是一种非竞争性n -甲基- d -天冬氨酸(NMDA)受体拮抗剂,可以增加小鼠模型的运动活性和模仿精神分裂症样特征的刻板神经行为。本研究将探讨利培酮和丙戊酸对mk -801诱导的神经行为改变的神经药理学差异。方法选用国家实验动物中心提供的C57BL/6J雄性小鼠。通过视频跟踪系统和步态测试,利用开阔场地评估药物效果。居住后,注射利培酮(0、0.1 mg/kg)或丙戊酸(0、200 mg/kg),运动30min。随后,小鼠腹腔注射MK-801 (0,0.2 mg/kg),并进行运动60 min。在服用研究药物后,研究人员测量了步态行为,如步角、步幅和站姿宽度。结果利培酮和丙戊酸对大鼠的运动活动无明显影响。注入MK-801后,整个裸地的移动距离和速度都大大增加。与盐水注射组相比,0.1 mg/kg利培酮能完全抑制mk -801诱导的大鼠过度运动(p < 0.001)。丙戊酸(200 mg/kg)可部分抑制MK801诱导的大鼠过度运动。结论与丙戊酸相比,利培酮对MK-801诱导的过度运动的疗效更明显。丙戊酸的部分抑制可能暗示了通过调节谷氨酸能神经传递来辅助治疗精神病患者的精神药理学证据。
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引用次数: 1
Retracted: Propofol Causes Consciousness Loss by Affecting GABA-A Receptor in the Nucleus Basalis of Rats 撤回:异丙酚通过影响大鼠基底核GABA-A受体引起意识丧失
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-02-21 DOI: 10.1155/2022/9840256
Behavioural Neurology
[This retracts the article DOI: 10.1155/2020/9370891.].
[本文撤回文章DOI: 10.1155/2020/9370891.]。
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引用次数: 0
Metformin Alleviates Autistic-Like Behaviors Elicited by High-Fat Diet Consumption and Modulates the Crosstalk Between Serotonin and Gut Microbiota in Mice 二甲双胍减轻高脂饮食引起的自闭症样行为并调节小鼠血清素和肠道微生物群之间的串扰
IF 2.8 4区 医学 Q2 CLINICAL NEUROLOGY Pub Date : 2022-02-17 DOI: 10.1155/2022/6711160
Wenlin Deng, Haoran Ke, Siqi Wang, Zitong Li, Si-tao Li, Pinjing Lv, Fang Li, Ye Chen
The biological mechanisms linking diet-related obesity and autistic behaviors remain unclear. Metformin has proven to be beneficial in the treatment of many syndromes, including autism spectrum disorder. Therefore, the aim of this study was to assess whether metformin treatment could ameliorate metabolic and behavioral alterations in C57BL/6 mice kept on a high-fat diet (HFD), and whether these changes were related to modifications in the gut microbiota and 5-HT levels. As expected, ten weeks of HFD ingestion increased body weight, adiposity, and glucose levels. HFD-fed mice showed a marked aggravation of repetitive behaviors (marble burying and self-grooming), and this was prevented by metformin administration. In addition, HFD-fed mice increased the total distance travelled in the open field test. This hyperactivity was counteracted by metformin cotreatment. In the elevated plus maze test, HFD-fed mice showed a reduced number of entries into the open arms. Interestingly, both HFD and metformin cotreatment increased social interactions in the three-chamber test. HFD increased the levels of intestinal tryptophan and 5-hydroxyindoleacetic acid. Metformin stimulated gut tryptophan and promoted the synthesis of 5-HT in the HFD group. Lactococcus, Trichococcus, Romboutsia, and Faecalibaculum were enriched in HFD-fed mice, whereas the HFD group cotreated with metformin was enriched in Intestinimonas and L. reuteri. Faecalibacterium was positively correlated with sociability and 5-HT pathway components in mice that received metformin. In summary, HFD consumption elicited a complex phenotype comprising higher levels of anxiety-like and repetitive behaviors but also increased sociability. Metformin could potentially improve HFD-induced disorders in the autistic spectrum through a mechanism involving positive modulation of 5-HT levels in the gut and its microbiota composition.
与饮食相关的肥胖和自闭症行为之间的生物学机制尚不清楚。二甲双胍已被证明对许多综合征有益,包括自闭症谱系障碍。因此,本研究的目的是评估二甲双胍治疗是否可以改善高脂饮食(HFD)C57BL/6小鼠的代谢和行为改变,以及这些变化是否与肠道微生物群和5-HT水平的改变有关。正如预期的那样,摄入HFD 10周会增加体重、肥胖和血糖水平。HFD喂养的小鼠表现出重复行为(大理石掩埋和自我梳理)的明显加重,二甲双胍可以防止这种情况的发生。此外,HFD喂养的小鼠在开阔地试验中增加了总行程。二甲双胍联合治疗抵消了这种多动症。在高架迷宫试验中,HFD喂养的小鼠进入张开双臂的次数减少。有趣的是,在三室试验中,HFD和二甲双胍联合治疗都增加了社会互动。HFD增加了肠道色氨酸和5-羟基吲哚乙酸的水平。二甲双胍刺激HFD组肠道色氨酸并促进5-HT的合成。乳球菌、毛球菌、Romboutsia和Faecalibaculum在HFD喂养的小鼠中富集,而与二甲双胍联合治疗的HFD组在肠杆菌和路氏乳杆菌中富集。在接受二甲双胍治疗的小鼠中,粪便杆菌与社交能力和5-HT通路成分呈正相关。总之,HFD消费引发了一种复杂的表型,包括更高水平的焦虑样和重复行为,但也增加了社交能力。二甲双胍可能通过积极调节肠道中5-HT水平及其微生物群组成的机制,改善自闭症谱系中HFD诱导的疾病。
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引用次数: 11
期刊
Behavioural Neurology
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