首页 > 最新文献

Neural Plasticity最新文献

英文 中文
Functional Changes in the Glymphatic System in Children With Sensorineural Hearing Loss: A Study of Diffusion Tensor Imaging. 感音神经性听力损失儿童淋巴系统功能改变:弥散张量成像研究。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2026-02-23 eCollection Date: 2026-01-01 DOI: 10.1155/np/4484163
Jin Wang, Jiayan Zhuang, Kongqing Li, Gengbiao Zhang, Hongyi Zheng, Wenbin Zheng

Aim: Diffusion tensor imaging-analysis along the perivascular space (DTI-ALPS) indicators and free-water (FW) mapping derived from diffusion tensor imaging (DTI) data have been proposed as noninvasive markers of glymphatic system (GS) function. This study aimed to investigate GS function in children with sensorineural hearing loss (SNHL) with particular focus on the sensitive period of auditory development.

Methods: This study enrolled 53 children with SNHL (SNHL group) and 42 age- and sex-matched healthy children (healthy control [HC] group). Based on the age of 36 months, we separated the study participants into two groups: Group A (0-36 months; A-SNHL group, n = 32; A-HC group, n = 21) and group B (36-180 months; B-SNHL group, n = 21; B-HC group, n = 21). We collected their DTI image data and calculated the ALPS index for the left and right hemispheres and the fractional volume of free water in white matter (FW-WM) and analyzed the differences between the groups. The DTI-ALPS has several limitations, the most prominent one being the influence of microstructure. However, it has many advantages and high clinical value.

Results: Compared to the HC group, the ALPS index for both hemispheres in the SNHL group was significantly lower (L: p < 0.001; R: p < 0.001), and group B exhibited the same results (L: p < 0.001; R: p < 0.001). In group A, the left-hemisphere ALPS index of the A-SNHL group was significantly lower than that of the A-HC group (L: p = 0.002; R: p = 0.067). The FW imaging analysis indicated that the FW-WM in the B-SNHL group was significantly higher than that of the B-HC group, and it exhibited a negative correlation with the left-hemisphere ALPS index (r = -0.515, p = 0.017).

Conclusion: Children with SNHL (especially those over 3 years old) might exhibit compromised cerebral glymphatic function, possibly attributable to clearance dysfunction and interstitial fluid (ISF) retention. Despite the recognized limitation of DTI-ALPS, its integration with FW mapping may enhance the noninvasive indirect evaluation of glymphatic function.

目的:沿血管周围空间扩散张量成像分析(DTI- alps)指标和由扩散张量成像(DTI)数据得出的自由水(FW)映射已被提出作为淋巴系统(GS)功能的无创标志物。本研究旨在探讨感音神经性听力损失(SNHL)患儿的GS功能,重点关注听觉发育的敏感期。方法:本研究纳入53例SNHL患儿(SNHL组)和42例年龄和性别匹配的健康儿童(HC组)。根据年龄36个月,我们将研究参与者分为两组:A组(0-36个月,A- snhl组,n = 32; A- hc组,n = 21)和B组(36-180个月,B- snhl组,n = 21; B- hc组,n = 21)。我们收集了他们的DTI图像数据,计算了左右半球的ALPS指数和白质中游离水的分数体积(FW-WM),并分析了两组之间的差异。DTI-ALPS有几个局限性,最突出的是组织的影响。但它有许多优点,具有很高的临床应用价值。结果:与HC组相比,SNHL组双脑阿尔卑斯指数显著降低(L: p < 0.001; R: p < 0.001), B组结果相同(L: p < 0.001; R: p < 0.001)。A组A- snhl组左半球ALPS指数显著低于A- hc组(L: p = 0.002; R: p = 0.067)。FW影像学分析显示,B-SNHL组FW- wm显著高于B-HC组,且与左半球ALPS指数呈负相关(r = -0.515, p = 0.017)。结论:SNHL患儿(尤其是3岁以上)可能表现为脑淋巴功能受损,可能是由于清除功能障碍和间质液(ISF)潴留。尽管DTI-ALPS存在公认的局限性,但它与FW映射的结合可以增强对淋巴功能的无创间接评估。
{"title":"Functional Changes in the Glymphatic System in Children With Sensorineural Hearing Loss: A Study of Diffusion Tensor Imaging.","authors":"Jin Wang, Jiayan Zhuang, Kongqing Li, Gengbiao Zhang, Hongyi Zheng, Wenbin Zheng","doi":"10.1155/np/4484163","DOIUrl":"10.1155/np/4484163","url":null,"abstract":"<p><strong>Aim: </strong>Diffusion tensor imaging-analysis along the perivascular space (DTI-ALPS) indicators and free-water (FW) mapping derived from diffusion tensor imaging (DTI) data have been proposed as noninvasive markers of glymphatic system (GS) function. This study aimed to investigate GS function in children with sensorineural hearing loss (SNHL) with particular focus on the sensitive period of auditory development.</p><p><strong>Methods: </strong>This study enrolled 53 children with SNHL (SNHL group) and 42 age- and sex-matched healthy children (healthy control [HC] group). Based on the age of 36 months, we separated the study participants into two groups: Group A (0-36 months; A-SNHL group, <i>n</i> = 32; A-HC group, <i>n</i> = 21) and group B (36-180 months; B-SNHL group, <i>n</i> = 21; B-HC group, <i>n</i> = 21). We collected their DTI image data and calculated the ALPS index for the left and right hemispheres and the fractional volume of free water in white matter (FW-WM) and analyzed the differences between the groups. The DTI-ALPS has several limitations, the most prominent one being the influence of microstructure. However, it has many advantages and high clinical value.</p><p><strong>Results: </strong>Compared to the HC group, the ALPS index for both hemispheres in the SNHL group was significantly lower (L: <i>p</i> < 0.001; R: <i>p</i> < 0.001), and group B exhibited the same results (L: <i>p</i> < 0.001; R: <i>p</i> < 0.001). In group A, the left-hemisphere ALPS index of the A-SNHL group was significantly lower than that of the A-HC group (L: <i>p</i> = 0.002; R: <i>p</i> = 0.067). The FW imaging analysis indicated that the FW-WM in the B-SNHL group was significantly higher than that of the B-HC group, and it exhibited a negative correlation with the left-hemisphere ALPS index (<i>r</i> = -0.515, <i>p</i> = 0.017).</p><p><strong>Conclusion: </strong>Children with SNHL (especially those over 3 years old) might exhibit compromised cerebral glymphatic function, possibly attributable to clearance dysfunction and interstitial fluid (ISF) retention. Despite the recognized limitation of DTI-ALPS, its integration with FW mapping may enhance the noninvasive indirect evaluation of glymphatic function.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2026 ","pages":"4484163"},"PeriodicalIF":3.7,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12927958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147285995","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
A JNK-Regulated and IL-1β-Dependent Astrocyte-Neuron Signaling Pathway in the Spinal Dorsal Horn is Essential for Stress-Induced Hyperalgesia. 脊髓背角中jnk调控和il -1β依赖的星形细胞-神经元信号通路对应激性痛觉过敏至关重要。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1155/np/2791699
Jian Qi, Chen Chen, Qian Gao

Various forms of mild stress may exacerbate pain in patients with chronic pain disorders, though the underlying mechanism remains unclear. Astrocyte activation in the spinal dorsal horn plays a predominant role in stress and pain. The present study investigated the neuron-astrocyte interactions in the spinal dorsal horn in post-traumatic stress disorder (PTSD)-induced hyperalgesia using a single-prolonged stress (SPS) model, a Complete Freund's Adjuvant (CFA) model and an SPS + CFA model. Animals were tested for mechanical withdrawal threshold (MWT) of the paw after SPS, CFA and SPS + CFA. SPS + CFA group induced significantly increased mechanical allodynia compared with the SPS or CFA group. We tested the hypothesis that IL-1β contributes to signaling between astrocytes and neurons in stress-induced hyperalgesia (SIH). Immunohistochemical data showed that there was an upregulation of glial fibrillary acidic proteins (GFAPs, a marker of astrocyte) and Fos (a marker of neuron) in SIH. Immunohistochemical data showed specific localization of IL-1β to astrocyte, but not to microglia and neurons and a neuronal localization of the IL-1β receptor (IL-1RI) with NMDAR2B (NR2B). Enzyme immunoassay analysis showed that IL-1β release was dependent on c-Jun N-terminal kinase (JNK) activation in astrocyte. The JNK inhibitor SP600125 suppressed IL-1β release. SP600125 and IL-1RI blockade with IL-1ra resulted in a restoration of behavioral nociceptive thresholds. Our results showed that the IL-1β-dependent, JNK-regulated astrocyte-neuron signaling pathway mediated the astroglia component of pain maintenance in SIH.

各种形式的轻度压力可能加剧慢性疼痛障碍患者的疼痛,尽管其潜在机制尚不清楚。脊髓背角的星形胶质细胞激活在应激和疼痛中起主要作用。本研究采用单次延长应激(SPS)模型、完全弗氏辅助(CFA)模型和SPS + CFA模型研究创伤后应激障碍(PTSD)致痛症脊髓背角神经元-星形胶质细胞的相互作用。分别测定SPS、CFA和SPS + CFA后动物爪的机械戒断阈值(MWT)。与SPS或CFA组相比,SPS + CFA组引起的机械异常性痛明显增加。我们验证了IL-1β在应激性痛觉过敏(SIH)中参与星形胶质细胞和神经元之间信号传导的假设。免疫组织化学数据显示,SIH中胶质原纤维酸性蛋白(GFAPs,星形胶质细胞标志物)和Fos(神经元标志物)表达上调。免疫组织化学数据显示,IL-1β特异性定位于星形胶质细胞,而不是小胶质细胞和神经元,IL-1β受体(IL-1RI)与NMDAR2B (NR2B)在神经元上定位。酶免疫分析表明,IL-1β的释放依赖于星形胶质细胞中c-Jun n -末端激酶(JNK)的激活。JNK抑制剂SP600125抑制IL-1β的释放。用IL-1ra阻断SP600125和IL-1RI可恢复行为伤害阈值。我们的研究结果表明,依赖il -1β、jnk调控的星形胶质细胞-神经元信号通路介导了SIH疼痛维持的星形胶质细胞成分。
{"title":"A JNK-Regulated and IL-1β-Dependent Astrocyte-Neuron Signaling Pathway in the Spinal Dorsal Horn is Essential for Stress-Induced Hyperalgesia.","authors":"Jian Qi, Chen Chen, Qian Gao","doi":"10.1155/np/2791699","DOIUrl":"https://doi.org/10.1155/np/2791699","url":null,"abstract":"<p><p>Various forms of mild stress may exacerbate pain in patients with chronic pain disorders, though the underlying mechanism remains unclear. Astrocyte activation in the spinal dorsal horn plays a predominant role in stress and pain. The present study investigated the neuron-astrocyte interactions in the spinal dorsal horn in post-traumatic stress disorder (PTSD)-induced hyperalgesia using a single-prolonged stress (SPS) model, a Complete Freund's Adjuvant (CFA) model and an SPS + CFA model. Animals were tested for mechanical withdrawal threshold (MWT) of the paw after SPS, CFA and SPS + CFA. SPS + CFA group induced significantly increased mechanical allodynia compared with the SPS or CFA group. We tested the hypothesis that IL-1β contributes to signaling between astrocytes and neurons in stress-induced hyperalgesia (SIH). Immunohistochemical data showed that there was an upregulation of glial fibrillary acidic proteins (GFAPs, a marker of astrocyte) and Fos (a marker of neuron) in SIH. Immunohistochemical data showed specific localization of IL-1β to astrocyte, but not to microglia and neurons and a neuronal localization of the IL-1β receptor (IL-1RI) with NMDAR2B (NR2B). Enzyme immunoassay analysis showed that IL-1β release was dependent on c-Jun N-terminal kinase (JNK) activation in astrocyte. The JNK inhibitor SP600125 suppressed IL-1β release. SP600125 and IL-1RI blockade with IL-1ra resulted in a restoration of behavioral nociceptive thresholds. Our results showed that the IL-1β-dependent, JNK-regulated astrocyte-neuron signaling pathway mediated the astroglia component of pain maintenance in SIH.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2026 1","pages":"e2791699"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464056","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
Alterations of White Matter Structural Brain Network in Children With Sensorineural Hearing Loss: A Graph Theory Analysis for Auditory Sensitivity Period. 感音神经性听力损失儿童脑白质结构网络的改变:听觉敏感期的图论分析。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1155/np/4263849
Jiayan Zhuang, Jin Wang, Gengbiao Zhang, Hongyi Zheng, Lingmei Kong, Lexing Huang, Juyue Hong, Wenbin Zheng

Objective: The central auditory system has greater plasticity when children are 2-4 years old, called the auditory sensitive period, during which cochlear implantation (CI) can give a good prognosis to children with congenital sensorineural hearing loss (CSNHL), but some will have a poor prognosis. This experiment aims to construct a structural brain network by using diffusion tensor imaging (DTI) and analyze alterations of the topological properties of structural brain networks by graph theory method, provide an imaging basis for the pathophysiological mechanism of white matter network changes with age in SNHL children.

Materials and methods: A total of 109 children with SNHL and 61 normal control groups were included. According to the auditory sensitivity period, children were divided into a group within the auditory sensitivity period (group A, 12-47 months) and a group beyond the auditory sensitivity period (group B, 48-120 months). DTI data were collected to construct the structural brain network for graph theory analysis, identify the network changes of the topological properties of the SNHL, as well as the differences before and after the auditory sensitivity period.

Results: Compared with the control group, both groups of SNHL had network topological changes. Group A showed a decrease in nodal parameters in higher-order cognitive-related brain regions but no difference in global topology parameters and network connection strength. However, group B showed a decrease in the nodal parameters of multiple contact cortical brain regions and the global efficiency (Eglob) of structural networks. Besides, subnetwork analysis showed weakened connection strength between key brain regions related to higher-order cognition.

Conclusion: The structural brain network of SNHL children before the auditory sensitive period has not undergone extensive changes, and once the auditory sensitive period of development is exceeded, the formation of deaf brain features will be more obvious, with greater impact on higher-order cognitive regions. Before the auditory sensitivity period, hearing stimulation should be introduced to SNHL children as soon as possible to reduce extensive damage to the white matter network.

目的:儿童在2-4岁时中枢听觉系统具有较大的可塑性,称为听觉敏感期,在此期间人工耳蜗植入术对先天性感音神经性听力损失(CSNHL)患儿预后较好,但部分患儿预后较差。本实验旨在利用弥散张量成像(diffusion tensor imaging, DTI)构建脑结构网络,并利用图论方法分析脑结构网络拓扑特性的变化,为SNHL儿童脑白质网络随年龄变化的病理生理机制提供影像学依据。材料与方法:选取SNHL患儿109例,正常对照组61例。根据患儿听觉敏感期分为听觉敏感期内组(a组,12-47个月)和听觉敏感期外组(B组,48-120个月)。收集DTI数据,构建脑结构网络进行图论分析,识别SNHL拓扑属性的网络变化,以及听觉敏感期前后的差异。结果:与对照组相比,两组SNHL患者的网络拓扑结构均发生改变。A组高阶认知相关脑区节点参数减少,但整体拓扑参数和网络连接强度无差异。而B组多接触脑皮质区域的节点参数和结构网络的整体效率(Eglob)下降。此外,子网络分析显示,与高阶认知相关的关键脑区之间的连接强度减弱。结论:SNHL患儿在听觉敏感期前的脑结构网络未发生广泛变化,一旦超过听觉敏感期发育,形成的聋脑特征将更为明显,对高阶认知区影响更大。在听觉敏感期前,应尽早对SNHL患儿进行听觉刺激,以减少对脑白质网络的广泛损伤。
{"title":"Alterations of White Matter Structural Brain Network in Children With Sensorineural Hearing Loss: A Graph Theory Analysis for Auditory Sensitivity Period.","authors":"Jiayan Zhuang, Jin Wang, Gengbiao Zhang, Hongyi Zheng, Lingmei Kong, Lexing Huang, Juyue Hong, Wenbin Zheng","doi":"10.1155/np/4263849","DOIUrl":"https://doi.org/10.1155/np/4263849","url":null,"abstract":"<p><strong>Objective: </strong>The central auditory system has greater plasticity when children are 2-4 years old, called the auditory sensitive period, during which cochlear implantation (CI) can give a good prognosis to children with congenital sensorineural hearing loss (CSNHL), but some will have a poor prognosis. This experiment aims to construct a structural brain network by using diffusion tensor imaging (DTI) and analyze alterations of the topological properties of structural brain networks by graph theory method, provide an imaging basis for the pathophysiological mechanism of white matter network changes with age in SNHL children.</p><p><strong>Materials and methods: </strong>A total of 109 children with SNHL and 61 normal control groups were included. According to the auditory sensitivity period, children were divided into a group within the auditory sensitivity period (group A, 12-47 months) and a group beyond the auditory sensitivity period (group B, 48-120 months). DTI data were collected to construct the structural brain network for graph theory analysis, identify the network changes of the topological properties of the SNHL, as well as the differences before and after the auditory sensitivity period.</p><p><strong>Results: </strong>Compared with the control group, both groups of SNHL had network topological changes. Group A showed a decrease in nodal parameters in higher-order cognitive-related brain regions but no difference in global topology parameters and network connection strength. However, group B showed a decrease in the nodal parameters of multiple contact cortical brain regions and the global efficiency (Eglob) of structural networks. Besides, subnetwork analysis showed weakened connection strength between key brain regions related to higher-order cognition.</p><p><strong>Conclusion: </strong>The structural brain network of SNHL children before the auditory sensitive period has not undergone extensive changes, and once the auditory sensitive period of development is exceeded, the formation of deaf brain features will be more obvious, with greater impact on higher-order cognitive regions. Before the auditory sensitivity period, hearing stimulation should be introduced to SNHL children as soon as possible to reduce extensive damage to the white matter network.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2026 1","pages":"e4263849"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460917","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
Executive Dysfunction in Autism Spectrum Disorder Is Associated With Increased Cerebro-Cerebellar Resting-State Functional Connectivity. 自闭症谱系障碍的执行功能障碍与脑-小脑静息状态功能连通性增加有关。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1155/np/7449692
Xiaotong Zhang, Guorong Qiu, Zhiwei Mou, Changfu Chen, Jianliang Lu, Zhiming Tang, Zhaowen Zhou

This study examined the correlation between the cerebellar functional status and the executive function (EF) scores and explored alterations of functional connectivity (FC) among autism spectrum disorder (ASD) individuals compared to typically developing (TD) subjects. Individuals from the Autism Brain Imaging Data Exchange II dataset (ABIDE II) with complete cerebellum scanning coverage and available Behavior Rating Inventory of EF (BRIEF) t-scores were included, yielding a final sample of 71 ASD (age: 11.50 ± 2.77) and 149 TD (age:11.48 ± 1.60) individuals. Four cerebellar ROIs (left Lobule VI, left Crus I, right Crus I, and left VIIB) were defined from a meta-analysis. We quantified cerebellar intrinsic activity using percent amplitude of fluctuation (PerAF) and assessed seed-based FC within cerebro-cerebellar circuits. We found no between-group differences in PerAF across the four ROIs, and PerAF showed no significant association with global executive composite (GEC) scores within the ASD group. In contrast, FC analyses revealed predominantly increased cerebro-cerebellar connectivity in ASD. Notably, stronger FC between left Lobule VI and right inferior frontal gyrus, pars opercularis (IFGoper), as well as between left Crus I and left IFGoper were positively correlated with BRIEF Shift scores, indicating that greater coupling within these loops was associated with poorer cognitive flexibility. These results suggest that EF impairment among ASD individuals might be reflected in part by alterations in functional interconnections within the cerebro-cerebellar system. These findings help to understand the potential role of the cerebellum in EF among ASD individuals and might provide ideas for therapeutic interventions.

本研究考察了自闭症谱系障碍(ASD)个体的小脑功能状态与执行功能(EF)评分之间的相关性,并探讨了与正常发育(TD)受试者相比,ASD个体的功能连接(FC)的变化。来自自闭症脑成像数据交换II数据集(ABIDE II)的个体,具有完整的小脑扫描覆盖范围和可用的EF行为评定量表(BRIEF) t评分,最终样本为71例ASD(年龄:11.50±2.77)和149例TD(年龄:11.48±1.60)。通过荟萃分析确定了四个小脑roi(左小叶VI、左小腿I、右小腿I和左VIIB)。我们使用波动幅度百分比(PerAF)量化小脑内在活动,并评估脑-小脑回路中基于种子的FC。我们发现PerAF在四个roi中没有组间差异,PerAF与ASD组内的全球执行综合(GEC)评分没有显着关联。相反,FC分析显示,ASD患者的脑-小脑连通性主要增加。值得注意的是,左侧第六小叶和右侧额下回、小叶下回(IFGoper)之间以及左侧第一小腿和左侧IFGoper之间更强的FC与BRIEF Shift得分呈正相关,表明这些回路之间更强的耦合与较差的认知灵活性相关。这些结果表明,ASD个体的EF损伤可能部分反映在脑-小脑系统内功能互联的改变上。这些发现有助于理解小脑在ASD个体EF中的潜在作用,并可能为治疗干预提供思路。
{"title":"Executive Dysfunction in Autism Spectrum Disorder Is Associated With Increased Cerebro-Cerebellar Resting-State Functional Connectivity.","authors":"Xiaotong Zhang, Guorong Qiu, Zhiwei Mou, Changfu Chen, Jianliang Lu, Zhiming Tang, Zhaowen Zhou","doi":"10.1155/np/7449692","DOIUrl":"https://doi.org/10.1155/np/7449692","url":null,"abstract":"<p><p>This study examined the correlation between the cerebellar functional status and the executive function (EF) scores and explored alterations of functional connectivity (FC) among autism spectrum disorder (ASD) individuals compared to typically developing (TD) subjects. Individuals from the Autism Brain Imaging Data Exchange II dataset (ABIDE II) with complete cerebellum scanning coverage and available Behavior Rating Inventory of EF (BRIEF) t-scores were included, yielding a final sample of 71 ASD (age: 11.50 ± 2.77) and 149 TD (age:11.48 ± 1.60) individuals. Four cerebellar ROIs (left Lobule VI, left Crus I, right Crus I, and left VIIB) were defined from a meta-analysis. We quantified cerebellar intrinsic activity using percent amplitude of fluctuation (PerAF) and assessed seed-based FC within cerebro-cerebellar circuits. We found no between-group differences in PerAF across the four ROIs, and PerAF showed no significant association with global executive composite (GEC) scores within the ASD group. In contrast, FC analyses revealed predominantly increased cerebro-cerebellar connectivity in ASD. Notably, stronger FC between left Lobule VI and right inferior frontal gyrus, pars opercularis (IFGoper), as well as between left Crus I and left IFGoper were positively correlated with BRIEF Shift scores, indicating that greater coupling within these loops was associated with poorer cognitive flexibility. These results suggest that EF impairment among ASD individuals might be reflected in part by alterations in functional interconnections within the cerebro-cerebellar system. These findings help to understand the potential role of the cerebellum in EF among ASD individuals and might provide ideas for therapeutic interventions.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2026 1","pages":"e7449692"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469903","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
Mechanistic Investigation of Exercise Interventions in Rodent Models of Alzheimer's Disease and Prospects for Clinical Translation. 运动干预阿尔茨海默病啮齿动物模型的机制研究及其临床应用前景。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2026-01-01 DOI: 10.1155/np/6718671
Tianhang Peng, Zike Zhang, Ni Ding, Jiayi Zhang

Alzheimer's disease (AD) is a progressive and debilitating neurodegenerative disorder for which existing pharmacotherapies are inadequate to arrest pathological progression, highlighting the imperative to identify safe and effective nonpharmacological interventions. Exercise, as a multi-target therapeutic modality, has been shown to reverse multiple facets of AD-related neuropathology through diverse mechanisms. In this systematic review, we synthesize evidence on the effects of voluntary running, structured swimming, and modulation of the gut microbiota in transgenic murine models of AD. Exercise was found to ameliorate AD pathology by modulating amyloid precursor protein (APP) processing and β-amyloid (Aβ) production/clearance, restoring mitochondrial integrity and function, attenuating neuroinflammatory responses, enhancing synaptic plasticity, and upregulating neurotrophic factors. Moreover, exercise reshapes the intestinal microbiome and thereby modulates the gut-brain axis, further promoting neuroimmune homeostasis and cognitive resilience. Through RNA sequencing data analysis, key genes such as Tlr4, Cdc42, and F13a1 were identified, which may play significant roles in neuroimmune regulation and cognitive protection. By integrating multi-omics evidence, we propose a coordinated "exercise-microbiota-brain" mechanistic framework that offers theoretical support for personalized, exercise-based therapeutic strategies and translational applications in AD. We also emphasize the necessity of future studies combining exercise with complementary interventions to accelerate the clinical translation of multimodal therapeutic approaches.

阿尔茨海默病(AD)是一种进行性和衰弱性神经退行性疾病,现有的药物治疗不足以阻止病理进展,这突出了确定安全有效的非药物干预措施的必要性。运动作为一种多靶点的治疗方式,已被证明可以通过多种机制逆转ad相关神经病理学的多个方面。在这篇系统综述中,我们综合了自愿跑步、结构化游泳和调节肠道微生物群对转基因AD小鼠模型的影响的证据。研究发现,运动可以通过调节淀粉样蛋白前体蛋白(APP)加工和β-淀粉样蛋白(Aβ)产生/清除、恢复线粒体完整性和功能、减轻神经炎症反应、增强突触可塑性和上调神经营养因子来改善AD病理。此外,运动重塑肠道微生物群,从而调节肠-脑轴,进一步促进神经免疫稳态和认知弹性。通过RNA测序数据分析,鉴定出Tlr4、Cdc42、F13a1等关键基因,可能在神经免疫调节和认知保护中发挥重要作用。通过整合多组学证据,我们提出了一个协调的“运动-微生物-大脑”机制框架,为个性化的、基于运动的治疗策略和AD的转化应用提供理论支持。我们还强调了未来研究将运动与辅助干预相结合的必要性,以加速多模式治疗方法的临床转化。
{"title":"Mechanistic Investigation of Exercise Interventions in Rodent Models of Alzheimer's Disease and Prospects for Clinical Translation.","authors":"Tianhang Peng, Zike Zhang, Ni Ding, Jiayi Zhang","doi":"10.1155/np/6718671","DOIUrl":"https://doi.org/10.1155/np/6718671","url":null,"abstract":"<p><p>Alzheimer's disease (AD) is a progressive and debilitating neurodegenerative disorder for which existing pharmacotherapies are inadequate to arrest pathological progression, highlighting the imperative to identify safe and effective nonpharmacological interventions. Exercise, as a multi-target therapeutic modality, has been shown to reverse multiple facets of AD-related neuropathology through diverse mechanisms. In this systematic review, we synthesize evidence on the effects of voluntary running, structured swimming, and modulation of the gut microbiota in transgenic murine models of AD. Exercise was found to ameliorate AD pathology by modulating amyloid precursor protein (APP) processing and β-amyloid (Aβ) production/clearance, restoring mitochondrial integrity and function, attenuating neuroinflammatory responses, enhancing synaptic plasticity, and upregulating neurotrophic factors. Moreover, exercise reshapes the intestinal microbiome and thereby modulates the gut-brain axis, further promoting neuroimmune homeostasis and cognitive resilience. Through RNA sequencing data analysis, key genes such as Tlr4, Cdc42, and F13a1 were identified, which may play significant roles in neuroimmune regulation and cognitive protection. By integrating multi-omics evidence, we propose a coordinated \"exercise-microbiota-brain\" mechanistic framework that offers theoretical support for personalized, exercise-based therapeutic strategies and translational applications in AD. We also emphasize the necessity of future studies combining exercise with complementary interventions to accelerate the clinical translation of multimodal therapeutic approaches.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2026 1","pages":"e6718671"},"PeriodicalIF":3.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147469958","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
The Mechanobiological Hypothesis of Piezo Family-Mediated Exercise Intervention in Spinal Cord Injury Recovery. 压电家族介导的运动干预脊髓损伤恢复的力学生物学假说。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.1155/np/8868688
Chenyu Li, Yuping Wang, Qianxi Li, Xinyan Li, Jinghua Qian, Xuemei Li, Xin Zhang

Exercise training plays a pivotal role in neural repair and secondary injury prevention following spinal cord injury (SCI) and is widely implemented in clinical rehabilitation. It induces adaptive changes and remodeling within the nervous system of SCI patients, thereby improving functional impairments. The mechanisms underlying this adaptive remodeling involve complex signaling pathways, with mechanosensation and mechanotransduction being indispensable. Mechanosensitive ion channels (such as Piezo channels) sense and transduce mechanical forces generated during exercise, triggering downstream biochemical reactions that regulate cellular functions and ultimately promote functional recovery. This review systematically synthesizes evidence from Piezo channel-related animal studies and clinical research, focusing on their role in reshaping the structure and function of the nervous system through exercise intervention post-SCI. The study aims to elucidate the molecular mechanisms by which Piezo channels mediate exercise-induced functional recovery after SCI, providing a theoretical foundation for developing precision exercise prescriptions to facilitate functional reconstruction and rehabilitation in patients.

运动训练在脊髓损伤后的神经修复和继发性损伤预防中发挥着关键作用,在临床康复中得到广泛应用。它诱导脊髓损伤患者神经系统的适应性改变和重塑,从而改善功能损伤。这种适应性重塑的机制涉及复杂的信号通路,其中机械感觉和机械转导是不可或缺的。机械敏感离子通道(如压电通道)感知并传导运动过程中产生的机械力,引发下游生化反应,调节细胞功能,最终促进功能恢复。本文系统地综合了与压电通道相关的动物实验和临床研究的证据,重点研究了它们在脊髓损伤后通过运动干预重塑神经系统结构和功能中的作用。本研究旨在阐明压电通道介导脊髓损伤后运动诱导功能恢复的分子机制,为制定精准运动处方,促进患者功能重建和康复提供理论依据。
{"title":"The Mechanobiological Hypothesis of Piezo Family-Mediated Exercise Intervention in Spinal Cord Injury Recovery.","authors":"Chenyu Li, Yuping Wang, Qianxi Li, Xinyan Li, Jinghua Qian, Xuemei Li, Xin Zhang","doi":"10.1155/np/8868688","DOIUrl":"10.1155/np/8868688","url":null,"abstract":"<p><p>Exercise training plays a pivotal role in neural repair and secondary injury prevention following spinal cord injury (SCI) and is widely implemented in clinical rehabilitation. It induces adaptive changes and remodeling within the nervous system of SCI patients, thereby improving functional impairments. The mechanisms underlying this adaptive remodeling involve complex signaling pathways, with mechanosensation and mechanotransduction being indispensable. Mechanosensitive ion channels (such as Piezo channels) sense and transduce mechanical forces generated during exercise, triggering downstream biochemical reactions that regulate cellular functions and ultimately promote functional recovery. This review systematically synthesizes evidence from Piezo channel-related animal studies and clinical research, focusing on their role in reshaping the structure and function of the nervous system through exercise intervention post-SCI. The study aims to elucidate the molecular mechanisms by which Piezo channels mediate exercise-induced functional recovery after SCI, providing a theoretical foundation for developing precision exercise prescriptions to facilitate functional reconstruction and rehabilitation in patients.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2025 ","pages":"8868688"},"PeriodicalIF":3.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589865","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
Altered Neural Activity in Adolescent Major Depressive Disorder With Nonsuicidal Self-Injury: A Resting-State Functional Magnetic Resonance Imaging Meta-Analysis. 青少年重度抑郁症伴非自杀性自伤的神经活动改变:静息状态功能磁共振成像荟萃分析。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2025-11-14 eCollection Date: 2025-01-01 DOI: 10.1155/np/7885279
Yanping Shu, Qin Zhang, Zuli Zheng, Yongzhe Hou

Background: Resting-state functional magnetic resonance imaging (rs-fMRI) reveals diverse neural activity patterns in adolescent major depressive disorder (MDD) with nonsuicidal self-injury (NSSI; nsMDD). However, the reported results are inconsistent. The aim of this study was to conduct a meta-analysis to identify consistent patterns of brain activity alterations in adolescent nsMDD.

Methods: A systematic search was conducted across PubMed, Web of Science, Embase, Google Scholar, Wanfang, and CNKI for rs-fMRI studies that compared nsMDD patients with healthy controls (HCs), up to June 30, 2025. Significant cluster coordinates were extracted for comprehensive analysis. We utilized regional homogeneity (ReHo) and amplitude of low-frequency fluctuations (ALFFs) analyses. Activation likelihood estimation (ALE) was used to identify regions of aberrant spontaneous neural activity in adolescent nsMDD compared to HCs.

Results: Eight studies (249 adolescent nsMDD and 278 HCs) were included. The ALE meta-analysis revealed increased activity in the left lingual gyrus (LING; Brodmann area [BA] 18) in adolescent nsMDD compared to HCs (voxel size = 200 mm3; p < 0.05). Decreased activity was observed in the right posterior cingulate cortex (PCC; BA 29) in adolescent nsMDD compared to HCs (voxel size = 360 mm3; p < 0.05). Jackknife sensitivity analyses demonstrated robust reproducibility in five of eight tests for the left LING and in six of eight tests for the right PCC.

Conclusions: This meta-analysis confirms consistent alterations in specific brain regions in adolescent nsMDD, highlighting the potential of rs-fMRI to refine diagnostic and therapeutic strategies.

背景:静息状态功能磁共振成像(rs-fMRI)揭示了青少年重度抑郁症(MDD)伴非自杀性自伤(NSSI; nsMDD)的不同神经活动模式。然而,报道的结果并不一致。本研究的目的是进行一项荟萃分析,以确定青少年非重度抑郁症患者大脑活动改变的一致模式。方法:系统检索PubMed、Web of Science、Embase、b谷歌Scholar、万方和中国知网,检索截至2025年6月30日比较nsMDD患者与健康对照(hc)的rs-fMRI研究。提取显著聚类坐标进行综合分析。我们利用区域均匀性(ReHo)和低频波动幅度(ALFFs)分析。激活似然估计(ALE)用于识别青少年nsMDD与hc相比异常自发神经活动的区域。结果:纳入了8项研究(249例青少年非重度抑郁症和278例hc)。ALE荟萃分析显示,与hcc相比,青少年nsMDD患者的左舌回(LING; Brodmann区[BA] 18)活动增加(体素大小= 200 mm3; p < 0.05)。与hc相比,青少年nsMDD患者右侧后扣带皮层(PCC; ba29)活性降低(体素大小= 360 mm3; p < 0.05)。折刀敏感性分析表明,在针对左侧LING的8项试验中有5项和针对右侧PCC的8项试验中有6项具有很强的再现性。结论:该荟萃分析证实了青少年nsMDD的特定大脑区域的一致性改变,强调了rs-fMRI在改进诊断和治疗策略方面的潜力。
{"title":"Altered Neural Activity in Adolescent Major Depressive Disorder With Nonsuicidal Self-Injury: A Resting-State Functional Magnetic Resonance Imaging Meta-Analysis.","authors":"Yanping Shu, Qin Zhang, Zuli Zheng, Yongzhe Hou","doi":"10.1155/np/7885279","DOIUrl":"10.1155/np/7885279","url":null,"abstract":"<p><strong>Background: </strong>Resting-state functional magnetic resonance imaging (rs-fMRI) reveals diverse neural activity patterns in adolescent major depressive disorder (MDD) with nonsuicidal self-injury (NSSI; nsMDD). However, the reported results are inconsistent. The aim of this study was to conduct a meta-analysis to identify consistent patterns of brain activity alterations in adolescent nsMDD.</p><p><strong>Methods: </strong>A systematic search was conducted across PubMed, Web of Science, Embase, Google Scholar, Wanfang, and CNKI for rs-fMRI studies that compared nsMDD patients with healthy controls (HCs), up to June 30, 2025. Significant cluster coordinates were extracted for comprehensive analysis. We utilized regional homogeneity (ReHo) and amplitude of low-frequency fluctuations (ALFFs) analyses. Activation likelihood estimation (ALE) was used to identify regions of aberrant spontaneous neural activity in adolescent nsMDD compared to HCs.</p><p><strong>Results: </strong>Eight studies (249 adolescent nsMDD and 278 HCs) were included. The ALE meta-analysis revealed increased activity in the left lingual gyrus (LING; Brodmann area [BA] 18) in adolescent nsMDD compared to HCs (voxel size = 200 mm<sup>3</sup>; <i>p</i> < 0.05). Decreased activity was observed in the right posterior cingulate cortex (PCC; BA 29) in adolescent nsMDD compared to HCs (voxel size = 360 mm<sup>3</sup>; <i>p</i> < 0.05). Jackknife sensitivity analyses demonstrated robust reproducibility in five of eight tests for the left LING and in six of eight tests for the right PCC.</p><p><strong>Conclusions: </strong>This meta-analysis confirms consistent alterations in specific brain regions in adolescent nsMDD, highlighting the potential of rs-fMRI to refine diagnostic and therapeutic strategies.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2025 ","pages":"7885279"},"PeriodicalIF":3.7,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12638161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589680","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
Chemogenetic Modulation of Astrocytic Activity Rescues Hippocampus Associated Neurodegeneration in Alzheimer's Disease Mice Model 5xFAD. 星形胶质细胞活性的化学发生调节可拯救阿尔茨海默病小鼠模型5xFAD的海马相关神经变性
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2025-10-06 eCollection Date: 2025-01-01 DOI: 10.1155/np/9880933
Evgenii Gerasimov, Maria Berg, Anastasia Bolshakova, Ilya Bezprozvanny, Olga Vlasova

Alzheimer's disease (AD) is a prevalent neurodegenerative disorder characterized by Aβ-amyloid accumulation and cognitive decline. Despite extensive research, effective treatments remain elusive. Astrocytes, the most abundant glial cells, play a crucial role in synaptic transmission, neuronal excitability, and plasticity. In AD, astrocytes become reactive, exhibiting aberrant calcium signaling and altered neurotransmitter release, making them promising targets for disease-modifying therapies. To address this, we explored designer receptors exclusively activated by designer drugs (DREADDs), specifically the hM3D(Gq) receptor, which selectively modulates intracellular Ca2+ levels in astrocytes upon activation by clozapine-N-oxide (CNO). Using daily CNO administration in 8-month-old 5xFAD mice, we observed a significant enhancement of impaired long-term potentiation formation, accompanied by cognitive improvements in the fear conditioning (FC) and Morris water maze (MWM) tests. Additionally, anxiety levels and social preference deficits in 5xFAD mice were fully restored following astrocytic activity modulation. Importantly, this approach reduced Aβ-amyloid plaque burden and demonstrated a trend toward mitigating astrocytic reactivity, further highlighting its therapeutic potential. Our findings suggest that targeting astrocytic activity via Gq-coupled receptors represents a novel and promising strategy for AD treatment, offering a noninvasive and effective approach to mitigating disease progression.

阿尔茨海默病(AD)是一种常见的神经退行性疾病,其特征是a β-淀粉样蛋白积累和认知能力下降。尽管进行了广泛的研究,但有效的治疗方法仍然难以捉摸。星形胶质细胞是最丰富的胶质细胞,在突触传递、神经元兴奋性和可塑性中起着至关重要的作用。在阿尔茨海默病中,星形胶质细胞变得反应性,表现出异常的钙信号和改变的神经递质释放,使它们成为疾病改善治疗的有希望的靶点。为了解决这个问题,我们探索了专门由设计药物(DREADDs)激活的设计受体,特别是hM3D(Gq)受体,它在氯氮平- n -氧化物(CNO)激活后选择性地调节星形胶质细胞内Ca2+水平。在8个月大的5xFAD小鼠中每天给药CNO,我们观察到受损的长期增强形成显著增强,同时在恐惧条件反射(FC)和莫里斯水迷宫(MWM)测试中认知改善。此外,星形细胞活性调节后,5xFAD小鼠的焦虑水平和社会偏好缺陷完全恢复。重要的是,这种方法减少了a - β-淀粉样蛋白斑块负担,并显示出减轻星形胶质细胞反应性的趋势,进一步突出了其治疗潜力。我们的研究结果表明,通过gq偶联受体靶向星形细胞活性代表了一种新的和有前途的治疗AD的策略,提供了一种非侵入性和有效的方法来缓解疾病进展。
{"title":"Chemogenetic Modulation of Astrocytic Activity Rescues Hippocampus Associated Neurodegeneration in Alzheimer's Disease Mice Model 5xFAD.","authors":"Evgenii Gerasimov, Maria Berg, Anastasia Bolshakova, Ilya Bezprozvanny, Olga Vlasova","doi":"10.1155/np/9880933","DOIUrl":"10.1155/np/9880933","url":null,"abstract":"<p><p>Alzheimer's disease (AD) is a prevalent neurodegenerative disorder characterized by Aβ-amyloid accumulation and cognitive decline. Despite extensive research, effective treatments remain elusive. Astrocytes, the most abundant glial cells, play a crucial role in synaptic transmission, neuronal excitability, and plasticity. In AD, astrocytes become reactive, exhibiting aberrant calcium signaling and altered neurotransmitter release, making them promising targets for disease-modifying therapies. To address this, we explored designer receptors exclusively activated by designer drugs (DREADDs), specifically the hM3D(Gq) receptor, which selectively modulates intracellular Ca<sup>2+</sup> levels in astrocytes upon activation by clozapine-N-oxide (CNO). Using daily CNO administration in 8-month-old 5xFAD mice, we observed a significant enhancement of impaired long-term potentiation formation, accompanied by cognitive improvements in the fear conditioning (FC) and Morris water maze (MWM) tests. Additionally, anxiety levels and social preference deficits in 5xFAD mice were fully restored following astrocytic activity modulation. Importantly, this approach reduced Aβ-amyloid plaque burden and demonstrated a trend toward mitigating astrocytic reactivity, further highlighting its therapeutic potential. Our findings suggest that targeting astrocytic activity via Gq-coupled receptors represents a novel and promising strategy for AD treatment, offering a noninvasive and effective approach to mitigating disease progression.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2025 ","pages":"9880933"},"PeriodicalIF":3.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12517986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294273","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
Application of Neuromodulation Techniques in the Treatment of Proprioceptive Disorders After Stroke: A Meta-Analysis of Randomized Controlled Trials. 神经调节技术在脑卒中后本体感觉障碍治疗中的应用:随机对照试验的荟萃分析。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2025-09-16 eCollection Date: 2025-01-01 DOI: 10.1155/np/1705888
Zhendong Zhang, Hu Yuming, Yu Huixian, Yumei Zhang
<p><p><b>Background and Objective:</b> After a stroke, proprioceptive disorders can impair patients' ability to perceive the speed and direction of movement accurately and promptly, as well as the spatial position of their limbs. This impairment often leads to motor dysfunction, including balance and postural control deficits, which severely affect patients' activities of daily living (ADLs) and quality of life. Neural plasticity is a key factor influencing poststroke functional recovery. In recent years, neuromodulation techniques targeting the enhancement of neural plasticity have emerged as a major research focus. This study aims to conduct a meta-analysis of the efficacy of neuromodulation techniques in treating proprioceptive disorders in stroke patients. <b>Methods:</b> A systematic search was conducted in PubMed, Embase, the Cochrane Library, and Web of Science for studies investigating the effects of neuromodulation techniques on proprioceptive impairment in stroke patients. The search spanned from the inception of each database to December 2024. The primary outcome measure was the change in proprioception. <b>Results:</b> In this meta-analysis, a total of nine randomized controlled trials (RCTs) were included. One study compared two different neuromodulation techniques, resulting in the extraction of 10 distinct datasets. Overall, 360 patients were involved in these studies. Specifically, 182 patients in the treatment group received neuromodulation techniques combined with conventional rehabilitation, while 178 patients in the control group received conventional rehabilitation alone. The meta-analysis revealed no significant difference in the efficacy of neuromodulation techniques combined with conventional rehabilitation compared to conventional rehabilitation alone(standardized mean difference [SMD] = 0.221,95% CI = -0.194 to 0.636, <i>p</i>=0.296). The subgroup analysis based on the stage of the stroke course revealed no significant differences between the two groups(acute stage: SMD = 0.303, 95% CI = -1.300 to 1.905, <i>p</i>=0.711; subacute stage: SMD = 0.351, 95% CI = -0.200 to 0.903, <i>p</i>=0.212; chronic phase: SMD = -0.047, 95% CI = -0.634 to 0.539, <i>p</i>=0.874). Subgroup analysis based on the types of neuromodulation techniques revealed that three specific techniques, electroacupuncture, repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), were effective in improving proprioceptive disorders after stroke electroacupuncture group: SMD = -0.504, 95% CI = -1.006 to -0.002, <i>p</i>=0.049; rTMS group: SMD = 1.207, 95% CI = 0.246-2.168, <i>p</i>=0.014; tDCS group: SMD = 0.894, 95% CI = 0.323-1.465, <i>p</i>=0.002). <b>Conclusion:</b> No statistically significant difference was found in the efficacy of neuromodulation techniques for treating proprioceptive disorders after stroke. Additionally, no significant differences were observed in the intervention across different stages
背景与目的:脑卒中后,本体感觉障碍会损害患者准确、迅速地感知运动速度和方向以及肢体空间位置的能力。这种损伤通常导致运动功能障碍,包括平衡和姿势控制缺陷,严重影响患者的日常生活活动(ADLs)和生活质量。神经可塑性是影响脑卒中后功能恢复的关键因素。近年来,以增强神经可塑性为目标的神经调节技术已成为一个重要的研究热点。本研究旨在对神经调节技术治疗脑卒中患者本体感觉障碍的疗效进行荟萃分析。方法:系统检索PubMed、Embase、Cochrane Library和Web of Science,研究神经调节技术对脑卒中患者本体感觉损伤的影响。搜索范围从每个数据库建立之初到2024年12月。主要观察指标是本体感觉的改变。结果:本meta分析共纳入9项随机对照试验(RCTs)。一项研究比较了两种不同的神经调节技术,结果提取了10个不同的数据集。总共有360名患者参与了这些研究。其中,治疗组182例患者接受神经调节技术联合常规康复治疗,对照组178例患者单独接受常规康复治疗。meta分析显示,神经调节技术联合常规康复与单独常规康复的疗效无显著差异(标准化平均差[SMD] = 0.221,95% CI = -0.194 ~ 0.636, p=0.296)。基于脑卒中病程分期的亚组分析显示两组间无显著差异(急性期:SMD = 0.303, 95% CI = -1.300 ~ 1.905, p=0.711;亚急性期:SMD = 0.351, 95% CI = -0.200 ~ 0.903, p=0.212;慢性期:SMD = -0.047, 95% CI = -0.634 ~ 0.539, p=0.874)。基于神经调节技术类型的亚组分析显示,电针、重复经颅磁刺激(rTMS)和经颅直流电刺激(tDCS) 3种特异性技术对脑卒中后本体感觉障碍的改善有效:SMD = -0.504, 95% CI = -1.006 ~ -0.002, p=0.049;rTMS组:SMD = 1.207, 95% CI -2.168 = 0.246, p = 0.014;tDCS组:SMD = 0.894, 95% CI -1.465 = 0.323, p = 0.002)。结论:神经调节技术治疗脑卒中后本体感觉障碍的疗效差异无统计学意义。此外,在不同阶段的卒中干预中没有观察到显著差异。然而,亚组分析表明,电针、rTMS和tDCS可能有效地治疗脑卒中后本体感觉障碍。因此,建议在临床实践中优先考虑这些技术。
{"title":"Application of Neuromodulation Techniques in the Treatment of Proprioceptive Disorders After Stroke: A Meta-Analysis of Randomized Controlled Trials.","authors":"Zhendong Zhang, Hu Yuming, Yu Huixian, Yumei Zhang","doi":"10.1155/np/1705888","DOIUrl":"10.1155/np/1705888","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Background and Objective:&lt;/b&gt; After a stroke, proprioceptive disorders can impair patients' ability to perceive the speed and direction of movement accurately and promptly, as well as the spatial position of their limbs. This impairment often leads to motor dysfunction, including balance and postural control deficits, which severely affect patients' activities of daily living (ADLs) and quality of life. Neural plasticity is a key factor influencing poststroke functional recovery. In recent years, neuromodulation techniques targeting the enhancement of neural plasticity have emerged as a major research focus. This study aims to conduct a meta-analysis of the efficacy of neuromodulation techniques in treating proprioceptive disorders in stroke patients. &lt;b&gt;Methods:&lt;/b&gt; A systematic search was conducted in PubMed, Embase, the Cochrane Library, and Web of Science for studies investigating the effects of neuromodulation techniques on proprioceptive impairment in stroke patients. The search spanned from the inception of each database to December 2024. The primary outcome measure was the change in proprioception. &lt;b&gt;Results:&lt;/b&gt; In this meta-analysis, a total of nine randomized controlled trials (RCTs) were included. One study compared two different neuromodulation techniques, resulting in the extraction of 10 distinct datasets. Overall, 360 patients were involved in these studies. Specifically, 182 patients in the treatment group received neuromodulation techniques combined with conventional rehabilitation, while 178 patients in the control group received conventional rehabilitation alone. The meta-analysis revealed no significant difference in the efficacy of neuromodulation techniques combined with conventional rehabilitation compared to conventional rehabilitation alone(standardized mean difference [SMD] = 0.221,95% CI = -0.194 to 0.636, &lt;i&gt;p&lt;/i&gt;=0.296). The subgroup analysis based on the stage of the stroke course revealed no significant differences between the two groups(acute stage: SMD = 0.303, 95% CI = -1.300 to 1.905, &lt;i&gt;p&lt;/i&gt;=0.711; subacute stage: SMD = 0.351, 95% CI = -0.200 to 0.903, &lt;i&gt;p&lt;/i&gt;=0.212; chronic phase: SMD = -0.047, 95% CI = -0.634 to 0.539, &lt;i&gt;p&lt;/i&gt;=0.874). Subgroup analysis based on the types of neuromodulation techniques revealed that three specific techniques, electroacupuncture, repetitive transcranial magnetic stimulation (rTMS), and transcranial direct current stimulation (tDCS), were effective in improving proprioceptive disorders after stroke electroacupuncture group: SMD = -0.504, 95% CI = -1.006 to -0.002, &lt;i&gt;p&lt;/i&gt;=0.049; rTMS group: SMD = 1.207, 95% CI = 0.246-2.168, &lt;i&gt;p&lt;/i&gt;=0.014; tDCS group: SMD = 0.894, 95% CI = 0.323-1.465, &lt;i&gt;p&lt;/i&gt;=0.002). &lt;b&gt;Conclusion:&lt;/b&gt; No statistically significant difference was found in the efficacy of neuromodulation techniques for treating proprioceptive disorders after stroke. Additionally, no significant differences were observed in the intervention across different stages ","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2025 ","pages":"1705888"},"PeriodicalIF":3.7,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139401","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
The Progress in Exploratory Studies of Peripheral Blood Single Nucleated Cells as Seed Cells in Peripheral Nerve Repair. 外周血单核细胞作为种子细胞在外周神经修复中的探索性研究进展。
IF 3.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI: 10.1155/np/8895041
Yi Chen, Yubin Wen, Mingyue Zhang, Jing Nie, Guangfeng Sun

Peripheral nerve injury (PNI) represents a prevalent clinical condition, often resulting from mechanical trauma or tumor resection, which frequently induces persistent sensory deficits, motor impairment, neuropathic pain, or paralysis. Consequently, substantial socioeconomic burdens are imposed on affected individuals. Autologous nerve transplantation is often considered the preferred approach for reconstructing peripheral nerve defects; however, this technique is associated with limitations including donor-site sensory loss, restricted graft length, and nerve mismatches. Recently, peripheral blood mononuclear cells (PBMCs) have emerged as a focal point in nerve regeneration research due to their accessibility, immunomodulatory properties, and neuro-reparative potential. Nevertheless, the precise mechanisms underlying PBMC-mediated nerve repair remain incompletely characterized, and their molecular pathways require further elucidation. This study explores the potential role of PBMCs in promoting peripheral nerve regeneration, with a particular focus on their regulation of retrograde brain-derived neurotrophic factor (BDNF) transport through modulation of Hook1 expression and associated molecular pathways. This research seeks to provide novel insights for PBMC-based therapeutic strategies and establish a theoretical foundation for clinical translation. Implementation challenges and translational prospects for PBMCs in nerve regeneration are also critically evaluated.

外周神经损伤(PNI)是一种常见的临床疾病,通常由机械性创伤或肿瘤切除引起,经常引起持续的感觉缺陷、运动障碍、神经性疼痛或瘫痪。因此,受影响的个人承受了沉重的社会经济负担。自体神经移植常被认为是周围神经缺损重建的首选方法;然而,该技术存在局限性,包括供体部位感觉丧失、移植物长度受限和神经不匹配。近年来,外周血单核细胞(peripheral blood mononuclear cells, PBMCs)因其可及性、免疫调节特性和神经修复潜力而成为神经再生研究的热点。然而,pbmc介导的神经修复的确切机制尚未完全确定,其分子通路需要进一步阐明。本研究探讨了pbmc在促进周围神经再生中的潜在作用,特别关注了它们通过调节Hook1表达和相关分子途径对逆行脑源性神经营养因子(BDNF)转运的调节。本研究旨在为基于pbmc的治疗策略提供新的见解,并为临床翻译奠定理论基础。对pbmc在神经再生中的实施挑战和转化前景也进行了批判性评估。
{"title":"The Progress in Exploratory Studies of Peripheral Blood Single Nucleated Cells as Seed Cells in Peripheral Nerve Repair.","authors":"Yi Chen, Yubin Wen, Mingyue Zhang, Jing Nie, Guangfeng Sun","doi":"10.1155/np/8895041","DOIUrl":"10.1155/np/8895041","url":null,"abstract":"<p><p>Peripheral nerve injury (PNI) represents a prevalent clinical condition, often resulting from mechanical trauma or tumor resection, which frequently induces persistent sensory deficits, motor impairment, neuropathic pain, or paralysis. Consequently, substantial socioeconomic burdens are imposed on affected individuals. Autologous nerve transplantation is often considered the preferred approach for reconstructing peripheral nerve defects; however, this technique is associated with limitations including donor-site sensory loss, restricted graft length, and nerve mismatches. Recently, peripheral blood mononuclear cells (PBMCs) have emerged as a focal point in nerve regeneration research due to their accessibility, immunomodulatory properties, and neuro-reparative potential. Nevertheless, the precise mechanisms underlying PBMC-mediated nerve repair remain incompletely characterized, and their molecular pathways require further elucidation. This study explores the potential role of PBMCs in promoting peripheral nerve regeneration, with a particular focus on their regulation of retrograde brain-derived neurotrophic factor (BDNF) transport through modulation of Hook1 expression and associated molecular pathways. This research seeks to provide novel insights for PBMC-based therapeutic strategies and establish a theoretical foundation for clinical translation. Implementation challenges and translational prospects for PBMCs in nerve regeneration are also critically evaluated.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2025 ","pages":"8895041"},"PeriodicalIF":3.7,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876739","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
期刊
Neural Plasticity
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1