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Intrinsic Brain Functional Activity Abnormalities in Episodic Tension-Type Headache. 发作性紧张性头痛的内在脑功能活动异常。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/6560298
Xiu Yang, DianXuan Guo, Wei Huang, Bing Chen

Objective: The neurobiological basis of episodic tension-type headache (ETTH) remains largely unclear. The aim of the present study was to explore intrinsic brain functional activity alterations in ETTH.

Methods: Resting-state functional magnetic resonance imaging (rs-fMRI) data were collected from 32 patients with ETTH and 32 age- and gender-matched healthy controls (HCs). Differences in intrinsic brain functional activity between patients with ETTH and HCs were analyzed utilizing the fractional amplitude of low-frequency fluctuation (fALFF) approach. Correlation analyses were performed to examine the relationship between fALFF alterations and clinical characteristics.

Results: Compared to HCs, patients with ETTH exhibited increased fALFF in the right posterior insula and anterior insula and decreased fALFF in the posterior cingulate cortex. Moreover, the fALFF in the right anterior insula was negatively correlated with attack frequency in ETTH.

Conclusions: This study highlights alterations in the intrinsic brain functional activity in the insula and posterior cingulate cortex in ETTH that can help us understand its neurobiological underpinnings.

目的:发作性紧张性头痛(ETTH)的神经生物学基础仍不清楚。本研究的目的是探讨ETTH的内在脑功能活动改变。方法:收集32例ETTH患者和32例年龄和性别匹配的健康对照(hc)的静息状态功能磁共振成像(rs-fMRI)数据。利用低频波动分数振幅(fALFF)方法分析ETTH和hc患者内在脑功能活动的差异。进行相关分析以检验fALFF改变与临床特征之间的关系。结果:与hc相比,ETTH患者右侧后岛和前岛的fALFF增加,后扣带皮层的fALFF减少。此外,右脑岛前部的fALFF与ETTH发作频率呈负相关。结论:本研究强调了ETTH患者脑岛和后扣带皮层内在脑功能活动的变化,可以帮助我们了解其神经生物学基础。
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引用次数: 1
Retracted: Sustained Auditory Attentional Load Decreases Audiovisual Integration in Older and Younger Adults. 收缩:持续听觉注意力负荷降低老年人和年轻人的视听整合。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/9795436
Neural Plasticity

[This retracts the article DOI: 10.1155/2021/4516133.].

[本文撤回文章DOI: 10.1155/2021/4516133.]。
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引用次数: 0
From Molecule to Patient Rehabilitation: The Impact of Transcranial Direct Current Stimulation and Magnetic Stimulation on Stroke-A Narrative Review. 从分子到患者康复:经颅直流电刺激和磁刺激对脑卒中的影响——叙述性综述。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/5044065
Anca Badoiu, Smaranda Ioana Mitran, Bogdan Catalin, Tudor Adrian Balseanu, Aurel Popa-Wagner, Florin Liviu Gherghina, Carmen Valeria Albu, Raluca Elena Sandu

Stroke is a major health problem worldwide, with numerous health, social, and economic implications for survivors and their families. One simple answer to this problem would be to ensure the best rehabilitation with full social reintegration. As such, a plethora of rehabilitation programs was developed and used by healthcare professionals. Among them, modern techniques such as transcranial magnetic stimulation and transcranial direct current stimulation are being used and seem to bring improvements to poststroke rehabilitation. This success is attributed to their capacity to enhance cellular neuromodulation. This modulation includes the reduction of the inflammatory response, autophagy suppression, antiapoptotic effects, angiogenesis enhancement, alterations in the blood-brain barrier permeability, attenuation of oxidative stress, influence on neurotransmitter metabolism, neurogenesis, and enhanced structural neuroplasticity. The favorable effects have been demonstrated at the cellular level in animal models and are supported by clinical studies. Thus, these methods proved to reduce infarct volumes and to improve motor performance, deglutition, functional independence, and high-order cerebral functions (i.e., aphasia and heminegligence). However, as with every therapeutic method, these techniques can also have limitations. Their regimen of administration, the phase of the stroke at which they are applied, and the patients' characteristics (i.e., genotype and corticospinal integrity) seem to influence the outcome. Thus, no response or even worsening effects were obtained under certain circumstances both in animal stroke model studies and in clinical trials. Overall, weighing up risks and benefits, the new transcranial electrical and magnetic stimulation techniques can represent effective tools with which to improve the patients' recovery after stroke, with minimal to no adverse effects. Here, we discuss their effects and the molecular and cellular events underlying their effects as well as their clinical implications.

中风是世界范围内的一个主要健康问题,对幸存者及其家属具有许多健康、社会和经济影响。解决这一问题的一个简单办法是确保最好的康复,并充分重新融入社会。因此,医疗保健专业人员开发和使用了大量的康复计划。其中,经颅磁刺激和经颅直流电刺激等现代技术正在使用,似乎可以改善脑卒中后的康复。这一成功归功于它们增强细胞神经调节的能力。这种调节包括炎症反应的减少、自噬抑制、抗凋亡作用、血管生成的增强、血脑屏障通透性的改变、氧化应激的衰减、对神经递质代谢的影响、神经发生和结构神经可塑性的增强。在细胞水平的动物模型和临床研究中证实了这种有利作用。因此,这些方法被证明可以减少梗死面积,改善运动表现、吞咽、功能独立性和高阶脑功能(即失语和半疏忽)。然而,与每一种治疗方法一样,这些技术也有局限性。它们的给药方案,它们应用的中风阶段,以及患者的特征(即基因型和皮质脊髓完整性)似乎会影响结果。因此,在动物脑卒中模型研究和临床试验中,在某些情况下均无反应,甚至出现恶化。总的来说,权衡风险和收益,新的经颅电和磁刺激技术可以成为改善中风后患者恢复的有效工具,副作用最小甚至没有。在这里,我们讨论他们的作用和分子和细胞事件的影响,以及他们的临床意义。
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引用次数: 2
Leonurine Regulates Hippocampal Nerve Regeneration in Rats with Chronic and Unpredictable Mild Stress by Activating SHH/GLI Signaling Pathway and Restoring Gut Microbiota and Microbial Metabolic Homeostasis. 狮子尿通过激活SHH/GLI信号通路,恢复肠道微生物群和微生物代谢稳态,调节慢性和不可预测轻度应激大鼠海马神经再生。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/1455634
Pan Meng, Xi Zhang, Dandan Li, Hui Yang, Xiaoyuan Lin, Hongqing Zhao, Ping Li, Yuhong Wang, Xiaoye Wang, Jinwen Ge

Depression is a highly prevalent and heterogeneous disorder that requires new strategies to overcome depression. In this study, we aimed to investigate whether leonurine modulated hippocampal nerve regeneration in chronic and unpredictable mild stress (CUMS) rats through the SHH/GLI signaling pathway and restoring gut microbiota and microbial metabolic homeostasis. The CUMS rat model was constructed and treated with leonurine. The body weight of rats was recorded, and a series of tests were performed. Western blot was utilized to measure the expression of BDNF and 5-HT in the hippocampus. Then the expression of SHH, GLI, PTCH, and SMO were measured by qRT-PCR and western blot. The colocalization of BrdU+DCX and BrdU+NeuN was evaluated by IF. 16S rDNA high-throughput sequencing was applied to detect the composition and distribution of gut microbiota. The differential metabolites were analyzed by untargeted metabolomics. The correlation between gut microbiota and microbial metabolites was analyzed by Pearson correlation coefficient. After CUMS modeling, the body weight of rats was decreased, and the expression of BDNF and 5-HT were decreased, while the body weight was recovered, and the expression of BDNF and 5-HT were increased after leonurine treatment. Leonurine reversed the reduction in the colocalization of BrdU+DCX and BrdU+NeuN and the reduction in the levels of SHH, GLI, PTCH, and SMO induced by CUMS modeling. Leonurine also restored gut microbiota and microbial metabolites homeostasis in CUMS rats. Furthermore, Prevotellaceae_Ga6A1_group was negatively correlated with 3-Oxocholic acid, nutriacholic acid, and cholic acid. Collectively, leonurine regulated hippocampal nerve regeneration in CUMS rats by activating the SHH/GLI signaling pathway and restoring gut microbiota and microbial metabolic homeostasis.

抑郁症是一种非常普遍和异质性的疾病,需要新的策略来克服抑郁症。在这项研究中,我们旨在研究狮子尿是否通过SHH/GLI信号通路调节慢性和不可预测轻度应激(CUMS)大鼠的海马神经再生,并恢复肠道微生物群和微生物代谢稳态。建立CUMS大鼠模型并给予leonurine处理。记录大鼠体重,并进行一系列试验。Western blot检测海马组织中BDNF和5-HT的表达。然后用qRT-PCR和western blot检测SHH、GLI、PTCH和SMO的表达。采用IF评价BrdU+DCX和BrdU+NeuN的共定位。采用16S rDNA高通量测序技术检测肠道菌群组成和分布。通过非靶向代谢组学分析差异代谢物。采用Pearson相关系数分析肠道菌群与微生物代谢物的相关性。CUMS造模后,大鼠体重下降,BDNF和5-HT表达下降,体重恢复,leonurine处理后BDNF和5-HT表达升高。Leonurine逆转了CUMS模型诱导的BrdU+DCX和BrdU+NeuN共定位的降低以及SHH、GLI、PTCH和SMO水平的降低。Leonurine还能恢复CUMS大鼠肠道菌群和微生物代谢物的稳态。此外,prevotellaceae_ga6a1组与3-氧胆酸、营养胆酸、胆酸呈负相关。总的来说,leonurine通过激活SHH/GLI信号通路和恢复肠道微生物群和微生物代谢稳态来调节CUMS大鼠海马神经再生。
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引用次数: 1
Electroacupuncture Zusanli (ST36) Relieves Somatic Pain in Colitis Rats by Inhibiting Dorsal Root Ganglion Sympathetic-Sensory Coupling and Neurogenic Inflammation. 电针足三里通过抑制背根神经节交感-感觉耦合和神经源性炎症减轻结肠炎大鼠躯体疼痛。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/9303419
Yi-Li Wang, Hai-Yan Zhu, Xi-Qian Lv, Xing-Ying Ren, Ying-Chun Peng, Jin-Yu Qu, Xue-Fang Shen, Ran Sun, Meng-Lu Xiao, Hong Zhang, Zhao-Hui Chen, Peng Cong

Referred somatic pain triggered by hyperalgesia is common in patients with inflammatory bowel disease (IBD). It was reported that sprouting of sympathetic nerve fibers into the dorsal root ganglion (DGR) and neurogenic inflammation were related to neuropathic pain, the excitability of neurons, and afferents. The purpose of the study was to explore the potential and mechanism of electroacupuncture (EA) at Zusanli (ST36) for the intervention of colon inflammation and hyperalgesia. Sprague-Dawley (SD) was randomly divided into four groups, including control, model, EA, and sham-EA. Our results showed EA treatment significantly attenuated dextran sulfate sodium- (DSS-) induced colorectal lesions and inflammatory cytokine secretion, such as TNF-α, IL-1β, PGE2, and IL-6. EA also inhibited mechanical and thermal pain hypersensitivities of colitis rats. Importantly, EA effectively abrogated the promotion effect of DSS on ipsilateral lumbar 6 (L6) DRG sympathetic-sensory coupling, manifested as the sprouting of tyrosine hydroxylase- (TH-) positive sympathetic fibers into sensory neurons and colocalization of and calcitonin gene-related peptide (CGRP). Furthermore, EA at Zusanli (ST36) activated neurogenic inflammation, characterized by decreased expression of substance P (SP), hyaluronic acid (HA), bradykinin (BK), and prostacyclin (PGI2) in colitis rat skin tissues corresponding to the L6 DRG. Mechanically, EA treatment reduced the activation of the TRPV1/CGRP, ERK, and TLR4 signaling pathways in L6 DRG of colitis rats. Taken together, we presumed that EA treatment improved colon inflammation and hyperalgesia, potentially by suppressing the sprouting of sympathetic nerve fibers into the L6 DGR and neurogenic inflammation via deactivating the TRPV1/CGRP, ERK, and TLR4 signaling pathways.

痛觉过敏引发的牵涉性躯体疼痛在炎症性肠病(IBD)患者中很常见。据报道,交感神经纤维进入背根神经节(DGR)的萌芽和神经源性炎症与神经性疼痛、神经元的兴奋性和传入神经有关。本研究旨在探讨电针足三里(ST36)对结肠炎症和痛觉过敏的干预作用及其机制。Sprague-Dawley (SD)随机分为对照、模型、EA和假EA 4组。我们的研究结果显示,EA治疗显著减轻了葡聚糖硫酸钠(DSS-)诱导的结直肠病变和炎症细胞因子的分泌,如TNF-α、IL-1β、PGE2和IL-6。EA对结肠炎大鼠的机械和热痛超敏反应也有抑制作用。重要的是,EA有效地消除了DSS对同侧腰6 (L6) DRG交感-感觉偶联的促进作用,表现为酪氨酸羟化酶- (TH-)阳性交感神经纤维向感觉神经元的芽化和降钙素基因相关肽(CGRP)的共定位。此外,足三里(ST36)的EA激活了神经源性炎症,其特征是L6 DRG对应的结肠炎大鼠皮肤组织中P物质(SP)、透明质酸(HA)、缓激肽(BK)和前列腺素(PGI2)的表达降低。机械上,EA治疗降低了结肠炎大鼠L6 DRG中TRPV1/CGRP、ERK和TLR4信号通路的激活。综上所述,我们推测EA治疗改善了结肠炎症和痛觉过敏,可能是通过使TRPV1/CGRP、ERK和TLR4信号通路失活来抑制交感神经纤维进入L6 DGR和神经源性炎症的生长。
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引用次数: 5
Imbalance of Microbacterial Diversity Is Associated with Functional Prognosis of Stroke. 微生物多样性失衡与脑卒中功能预后相关。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/6297653
Xintong Zhang, Xiangyu Wang, Hong Zhao, Risheng Cao, Yini Dang, Binbin Yu
<p><strong>Objectives: </strong>There is mounting evidence to suggest that the pathophysiology of stroke is greatly influenced by the microbiota of the gut and its metabolites, in particular short-chain fatty acids (SCFAs). The primary purpose of the study was to evaluate whether the levels of SCFAs and the gut microbiota are altered in poststroke patients and to examine the relationship between these alterations and the physical condition, intestinal health, pain, or nutritional status of patients.</p><p><strong>Methods: </strong>Twenty stroke patients and twenty healthy controls were enrolled in the current study, and their demographics were matched. Gas chromatography was used to determine the fecal SCFAs, and 16S rRNA gene sequencing was used to evaluate their fecal microbiota. Microbial diversity and richness were examined using the diversity indices alpha and beta, and taxonomic analysis was utilized to determine group differences. The relationships between the gut microbiome and fecal SCFAs, discriminant bacteria, and poststroke clinical outcomes were analyzed.</p><p><strong>Results: </strong>Less community richness (ACE and Chao) was observed in the poststroke patients (<i>P</i> < 0.05), but the differences between the poststroke group and the healthy control group in terms of species diversity (Shannon and Simpson) were not statistically significant. The makeup of the poststroke gut microbiota was distinct from that of the control group, as evidenced by beta diversity. Then, the relative abundances of the taxa in the poststroke and control groups were compared in order to identify the specific microbiota changes. At the level of phylum, the poststroke subjects showed a significant increase in the relative abundances of <i>Akkermansiaceae</i>, <i>Fusobacteriota</i>, <i>Desulfobacterota, Ruminococcaceae</i>, and <i>Oscillospirales</i> and a particularly noticeable decrease in the relative abundance of <i>Acidobacteriota</i> compared to the control subjects (<i>P</i> < 0.05). In regard to SCFA concentrations, lower levels of fecal acetic acid (<i>P</i> = 0.001) and propionic acid (<i>P</i> = 0.049) were found in poststroke subjects. <i>Agathobacter</i> was highly correlated with acetic acid level (<i>r</i> = 0.473, <i>P</i> = 0.002), whereas <i>Fusobacteria</i> (<i>r</i> = -0.371, <i>P</i> = 0.018), <i>Flavonifractor</i> (<i>r</i> = -0.334, <i>P</i> = 0.034), <i>Desulfovibrio</i> (<i>r</i> = -0.362, <i>P</i> = 0.018), and <i>Akkermansia</i> (<i>r</i> = -0.321, <i>P</i> = 0.043) were negatively related to acetic acid levels. Additionally, the findings of the correlation analysis revealed that <i>Akkermansia</i> (<i>r</i> = -0.356, <i>P</i> = 0.024), <i>Desulfovibrio</i> (<i>r</i> = -0.316, P = 0.047), and <i>Alloprevotella</i> (<i>r</i> = -0.366, <i>P</i> = 0.020) were significantly negatively correlated with high-density lipoprotein cholesterol. In addition, the Neurogenic Bowel Dysfunction score (<i>r</i> = 0.495, <i>P</i> = 0.026), Barthe
目的:越来越多的证据表明,中风的病理生理在很大程度上受肠道微生物群及其代谢物,特别是短链脂肪酸(SCFAs)的影响。该研究的主要目的是评估中风后患者的SCFAs水平和肠道微生物群是否发生改变,并检查这些改变与患者的身体状况、肠道健康、疼痛或营养状况之间的关系。方法:将20例脑卒中患者和20例健康对照纳入本研究,并进行人口统计学匹配。采用气相色谱法测定粪便SCFAs,采用16S rRNA基因测序法评价其粪便微生物群。利用多样性指数alpha和beta测定微生物多样性和丰富度,并利用分类学分析确定类群差异。分析肠道微生物组与粪便SCFAs、鉴别细菌和脑卒中后临床结局之间的关系。结果:脑卒中后患者群落丰富度(ACE和Chao)低于正常对照组(P < 0.05),但物种多样性(Shannon和Simpson)与正常对照组差异无统计学意义。中风后肠道微生物群的组成与对照组不同,贝塔多样性证明了这一点。然后,比较脑卒中后和对照组的相对丰度,以确定具体的微生物群变化。在门水平上,卒中后受试者Akkermansiaceae、Fusobacteriota、Desulfobacterota、Ruminococcaceae和Oscillospirales的相对丰度显著高于对照组,而Acidobacteriota的相对丰度显著低于对照组(P < 0.05)。在SCFA浓度方面,卒中后受试者的粪便乙酸(P = 0.001)和丙酸(P = 0.049)水平较低。无水杆菌与乙酸水平呈高度相关(r = 0.473, P = 0.002),梭杆菌(r = -0.371, P = 0.018)、黄酮因子(r = -0.334, P = 0.034)、脱硫弧菌(r = -0.362, P = 0.018)、Akkermansia (r = -0.321, P = 0.043)与乙酸水平呈负相关(r = -0.321, P = 0.043)。相关性分析结果显示,Akkermansia (r = -0.356, P = 0.024)、Desulfovibrio (r = -0.316, P = 0.047)、Alloprevotella (r = -0.366, P = 0.020)与高密度脂蛋白胆固醇呈显著负相关。此外,神经源性肠功能障碍评分(r = 0.495, P = 0.026)、Barthel指数(r = -0.531, P = 0.015)、Fugl-Meyer评估评分(r = -0.565, P = 0.009)、视觉模拟量表评分(r = 0.605, P = 0.005)和短暂疼痛量表评分(r = 0.507, P = 0.023)与不同肠道菌群的改变显著相关。结论:根据我们的研究结果,中风在肠道微生物群和scfa中产生广泛而实质性的改变。脑卒中后患者肠道菌群差异及粪便SCFA水平降低与机体功能、肠道功能、疼痛或营养状况密切相关。旨在调节肠道微生物群和scfa的治疗策略可能有可能提高患者的临床结果。
{"title":"Imbalance of Microbacterial Diversity Is Associated with Functional Prognosis of Stroke.","authors":"Xintong Zhang,&nbsp;Xiangyu Wang,&nbsp;Hong Zhao,&nbsp;Risheng Cao,&nbsp;Yini Dang,&nbsp;Binbin Yu","doi":"10.1155/2023/6297653","DOIUrl":"https://doi.org/10.1155/2023/6297653","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;There is mounting evidence to suggest that the pathophysiology of stroke is greatly influenced by the microbiota of the gut and its metabolites, in particular short-chain fatty acids (SCFAs). The primary purpose of the study was to evaluate whether the levels of SCFAs and the gut microbiota are altered in poststroke patients and to examine the relationship between these alterations and the physical condition, intestinal health, pain, or nutritional status of patients.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Twenty stroke patients and twenty healthy controls were enrolled in the current study, and their demographics were matched. Gas chromatography was used to determine the fecal SCFAs, and 16S rRNA gene sequencing was used to evaluate their fecal microbiota. Microbial diversity and richness were examined using the diversity indices alpha and beta, and taxonomic analysis was utilized to determine group differences. The relationships between the gut microbiome and fecal SCFAs, discriminant bacteria, and poststroke clinical outcomes were analyzed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Less community richness (ACE and Chao) was observed in the poststroke patients (&lt;i&gt;P&lt;/i&gt; &lt; 0.05), but the differences between the poststroke group and the healthy control group in terms of species diversity (Shannon and Simpson) were not statistically significant. The makeup of the poststroke gut microbiota was distinct from that of the control group, as evidenced by beta diversity. Then, the relative abundances of the taxa in the poststroke and control groups were compared in order to identify the specific microbiota changes. At the level of phylum, the poststroke subjects showed a significant increase in the relative abundances of &lt;i&gt;Akkermansiaceae&lt;/i&gt;, &lt;i&gt;Fusobacteriota&lt;/i&gt;, &lt;i&gt;Desulfobacterota, Ruminococcaceae&lt;/i&gt;, and &lt;i&gt;Oscillospirales&lt;/i&gt; and a particularly noticeable decrease in the relative abundance of &lt;i&gt;Acidobacteriota&lt;/i&gt; compared to the control subjects (&lt;i&gt;P&lt;/i&gt; &lt; 0.05). In regard to SCFA concentrations, lower levels of fecal acetic acid (&lt;i&gt;P&lt;/i&gt; = 0.001) and propionic acid (&lt;i&gt;P&lt;/i&gt; = 0.049) were found in poststroke subjects. &lt;i&gt;Agathobacter&lt;/i&gt; was highly correlated with acetic acid level (&lt;i&gt;r&lt;/i&gt; = 0.473, &lt;i&gt;P&lt;/i&gt; = 0.002), whereas &lt;i&gt;Fusobacteria&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.371, &lt;i&gt;P&lt;/i&gt; = 0.018), &lt;i&gt;Flavonifractor&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.334, &lt;i&gt;P&lt;/i&gt; = 0.034), &lt;i&gt;Desulfovibrio&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.362, &lt;i&gt;P&lt;/i&gt; = 0.018), and &lt;i&gt;Akkermansia&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.321, &lt;i&gt;P&lt;/i&gt; = 0.043) were negatively related to acetic acid levels. Additionally, the findings of the correlation analysis revealed that &lt;i&gt;Akkermansia&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.356, &lt;i&gt;P&lt;/i&gt; = 0.024), &lt;i&gt;Desulfovibrio&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.316, P = 0.047), and &lt;i&gt;Alloprevotella&lt;/i&gt; (&lt;i&gt;r&lt;/i&gt; = -0.366, &lt;i&gt;P&lt;/i&gt; = 0.020) were significantly negatively correlated with high-density lipoprotein cholesterol. In addition, the Neurogenic Bowel Dysfunction score (&lt;i&gt;r&lt;/i&gt; = 0.495, &lt;i&gt;P&lt;/i&gt; = 0.026), Barthe","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2023 ","pages":"6297653"},"PeriodicalIF":3.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9572233","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: 2
Acupuncture Alters Brain's Dynamic Functional Network Connectivity in Stroke Patients with Motor Dysfunction: A Randomised Controlled Neuroimaging Trial. 针刺改变脑卒中运动功能障碍患者脑动态功能网络连通性:一项随机对照神经影像学试验。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/8510213
Yahui Wang, Mengxin Lu, Ruoyi Liu, Liping Wang, Yue Wang, Lingling Xu, Kang Wu, Chen Chen, Tianzhu Chen, Xinyue Shi, Kuangshi Li, Yihuai Zou

Objectives: Neuroimaging studies have confirmed that acupuncture can promote static functional reorganization in poststroke patients with motor dysfunction. But its effect on dynamic brain networks remains unclear. This study is aimed at investigating how acupuncture affected the brain's dynamic functional network connectivity (dFNC) after ischemic stroke.

Methods: We conducted a single-center, randomised controlled neuroimaging study in ischemic stroke patients. A total of 53 patients were randomly divided into the true acupoint treatment group (TATG) and the sham acupoint treatment group (SATG) at a ratio of 2 : 1. Clinical assessments and magnetic resonance imaging (MRI) scans were performed on subjects before and after treatment. We used dFNC analysis to estimate distinct dynamic connectivity states. Then, the temporal properties and strength of functional connectivity (FC) matrix were compared within and between the two groups. The correlation analysis between dynamic characteristics and clinical scales was also calculated.

Results: All functional network connectivity (FNC) matrices were clustered into 3 connectivity states. After treatment, the TATG group showed a reduced mean dwell time and found attenuated FC between the sensorimotor network (SMN) and the frontoparietal network (FPN) in state 3, which was a sparsely connected state. The FC between the dorsal attention network (DAN) and the default mode network (DMN) was higher after treatment in the TATG group in state 1, which was a relative segregated state. The SATG group preferred to increase the mean dwell time and FC within FPN in state 2, which displayed a local tightly connected state. In addition, we found that the FC value increased between DAN and right frontoparietal network (RFPN) in state 1 in the TATG group after treatment compared to the SATG group. Correlation analyses before treatment showed that the Fugl-Meyer Assessment (FMA) lower score was negatively correlated with the mean dwell time in state 3. FMA score showed positive correlation with FC in RFPN-SMN in state 3. FMA-lower score was positively correlated with FC in DAN-DMN and DAN-RFPN in state 1.

Conclusions: Acupuncture has the potential to modulate abnormal temporal properties and promote the balance of separation and integration of brain function. True acupoint stimulation may have a more positive effect on regulating the brain's dynamic function. Clinical Trial Registration. This trial is registered with Chinese Clinical Trials Registry (ChiCTR1800016263).

目的:神经影像学研究证实,针刺可促进脑卒中后运动功能障碍患者的静态功能重组。但它对动态大脑网络的影响尚不清楚。本研究旨在探讨针刺对缺血性脑卒中后脑动态功能网络连接(dFNC)的影响。方法:我们对缺血性脑卒中患者进行了一项单中心、随机对照的神经影像学研究。将53例患者按2:1的比例随机分为真穴治疗组(TATG)和假穴治疗组(SATG)。在治疗前后对受试者进行临床评估和磁共振成像(MRI)扫描。我们使用dFNC分析来估计不同的动态连接状态。然后,比较两组内和两组间功能连接矩阵(FC)的时间特性和强度。计算动态特征与临床量表的相关性分析。结果:所有功能网络连通性(FNC)矩阵聚类为3种连接状态。治疗后,TATG组平均停留时间缩短,感觉运动网络(SMN)和额顶叶网络(FPN)之间的FC在状态3(稀疏连接状态)减弱。状态1为相对隔离状态,TATG组经处理后背侧注意网络(DAN)与默认模式网络(DMN)之间的FC较高。在状态2下,SATG组倾向于增加FPN内的平均停留时间和FC,显示出局部紧密连接状态。此外,我们发现TATG组治疗后DAN与状态1的右额顶叶网络(RFPN)之间的FC值比SATG组增加。治疗前相关分析显示,Fugl-Meyer评估(FMA)低评分与平均状态3停留时间呈负相关。状态3 RFPN-SMN的FMA评分与FC呈正相关。FMA-lower评分与状态1的DAN-DMN和DAN-RFPN的FC呈正相关。结论:针刺有可能调节异常的时间特性,促进脑功能分离与整合的平衡。真正的穴位刺激可能对调节大脑的动态功能有更积极的作用。临床试验注册。本试验已在中国临床试验注册中心注册(ChiCTR1800016263)。
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引用次数: 1
The Effect of Motor Imaginary Combined with Transcranial Direct Current Stimulation (tDCS) on Balance in Middle-Aged Women with High Fall Risk: A Double-Blind Randomized Controlled Trial. 运动想象联合经颅直流电刺激(tDCS)对高跌倒风险中年女性平衡性的影响:一项双盲随机对照试验。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/9680371
Esmaeil Mozafaripour, Seyed Kazem Mousavi Sadati, Leila Najafi, Maryam Zoghi

Introduction: The risk of falling and its subsequent injuries increases with aging. Impaired balance and gait are important contributing factors to the increased risk of falling. A wide range of methods was examined to improve balance, but these interventions might produce small effects or be inapplicable for this population. The current study aimed at investigating the effect of motor imaginary (MI) training combined with transcranial direct current stimulation (tDCS) over the cerebellum on balance in middle-aged women with high fall risk.

Methods: Thirty subjects aged 40-65 years old were divided into two groups including intervention (n = 15) and sham control (n = 15). The participants completed a 4-week program 3 times per week. The intervention group performed MI training combined with tDCS over the cerebellum, and the control group performed MI training combined with sham tDCS over the cerebellum. Static and dynamic balance were measured at baseline and after completing the 4-week program using balance error scoring system (BESS) and Y balance testing, respectively.

Result: A one-way analysis of covariance and paired t-tests were used to analyze the data. Significant improvement was observed in both balance tests in the intervention group after the implementation of the 4-week intervention program compared to the control group. The within-group analysis showed that both static and dynamic balance improved significantly from the baseline values only in the intervention group (p < 0.05) and not in the control group (p > 0.05).

Conclusion: The results of the study indicate that MI training combined with tDCS over the cerebellum can lead to balance improvement in middle-aged women with high fall risk.

随着年龄的增长,跌倒和随后受伤的风险增加。平衡和步态障碍是导致跌倒风险增加的重要因素。研究了多种方法来改善平衡,但这些干预措施可能产生很小的效果或不适用于这一人群。本研究旨在探讨运动想象(MI)训练联合经颅直流电刺激(tDCS)对小脑平衡的影响。方法:30例40 ~ 65岁的老年患者分为干预组(n = 15)和假对照组(n = 15)。参与者每周完成3次为期4周的项目。干预组采用心肌梗死训练联合小脑tDCS,对照组采用心肌梗死训练联合小脑假性tDCS。静平衡和动态平衡分别在基线和完成4周计划后使用平衡误差评分系统(BESS)和Y平衡测试进行测量。结果:采用单因素协方差分析和配对t检验对数据进行分析。与对照组相比,干预组在实施4周干预计划后,两项平衡测试均有显著改善。组内分析显示,只有干预组的静态和动态平衡较基线值有显著改善(p < 0.05),对照组无显著改善(p > 0.05)。结论:研究结果表明,心肌梗死训练联合小脑tDCS可改善高跌倒风险中年女性的平衡能力。
{"title":"The Effect of Motor Imaginary Combined with Transcranial Direct Current Stimulation (tDCS) on Balance in Middle-Aged Women with High Fall Risk: A Double-Blind Randomized Controlled Trial.","authors":"Esmaeil Mozafaripour,&nbsp;Seyed Kazem Mousavi Sadati,&nbsp;Leila Najafi,&nbsp;Maryam Zoghi","doi":"10.1155/2023/9680371","DOIUrl":"https://doi.org/10.1155/2023/9680371","url":null,"abstract":"<p><strong>Introduction: </strong>The risk of falling and its subsequent injuries increases with aging. Impaired balance and gait are important contributing factors to the increased risk of falling. A wide range of methods was examined to improve balance, but these interventions might produce small effects or be inapplicable for this population. The current study aimed at investigating the effect of motor imaginary (MI) training combined with transcranial direct current stimulation (tDCS) over the cerebellum on balance in middle-aged women with high fall risk.</p><p><strong>Methods: </strong>Thirty subjects aged 40-65 years old were divided into two groups including intervention (<i>n</i> = 15) and sham control (<i>n</i> = 15). The participants completed a 4-week program 3 times per week. The intervention group performed MI training combined with tDCS over the cerebellum, and the control group performed MI training combined with sham tDCS over the cerebellum. Static and dynamic balance were measured at baseline and after completing the 4-week program using balance error scoring system (BESS) and Y balance testing, respectively.</p><p><strong>Result: </strong>A one-way analysis of covariance and paired <i>t</i>-tests were used to analyze the data. Significant improvement was observed in both balance tests in the intervention group after the implementation of the 4-week intervention program compared to the control group. The within-group analysis showed that both static and dynamic balance improved significantly from the baseline values only in the intervention group (<i>p</i> < 0.05) and not in the control group (<i>p</i> > 0.05).</p><p><strong>Conclusion: </strong>The results of the study indicate that MI training combined with tDCS over the cerebellum can lead to balance improvement in middle-aged women with high fall risk.</p>","PeriodicalId":51299,"journal":{"name":"Neural Plasticity","volume":"2023 ","pages":"9680371"},"PeriodicalIF":3.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282799","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
Diet Control and Swimming Exercise Ameliorate HFD-Induced Cognitive Impairment Related to the SIRT1-NF-κB/PGC-1α Pathways in ApoE-/- Mice. 饮食控制和游泳运动可改善与SIRT1-NF-κ b /PGC-1α通路相关的hfd诱导的ApoE-/-小鼠认知功能障碍
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/9206875
Wei Wei, Zhicheng Lin, PeiTao Xu, Xinru Lv, Libin Lin, Yongxu Li, Yangjie Zhou, Taotao Lu, Xiehua Xue

High-fat diet- (HFD-) induced neuroinflammation may ultimately lead to an increased risk of cognitive impairment. Here, we evaluate the effects of diet control and swimming or both on the prevention of cognitive impairment by enhancing SIRT1 activity. Twenty-week-old ApoE-/- mice were fed a HFD for 8 weeks and then were treated with diet control and/or swimming for 8 weeks. Cognitive function was assessed using the novel object recognition test (NORT) and Y-maze test. The expression of sirtuin-1 (SIRT1), peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), brain-derived neurotrophic factor (BDNF), nuclear factor kappa B p65 (NF-κB p65), interleukin-1β (IL-1β), and tumour necrosis factor-α (TNF-α) in the hippocampus was measured by western blotting. The levels of fractional anisotropy (FA), N-acetylaspartate (NAA)/creatine (Cr) ratio, choline (Cho)/Cr ratio, and myo-inositol (MI)/Cr ratio in the hippocampus were evaluated by diffusion tensor imaging (DTI) and magnetic resonance spectroscopy (MRS) using 7.0-T magnetic resonance imaging (MRI). Our results showed that cognitive dysfunction and hippocampal neuroinflammation appeared to be remarkably observed in apolipoprotein E (ApoE)-/- mice fed with HFD. Diet control plus swimming significantly reversed HFD-induced cognitive decline, reduced the time spent exploring the novel object, and ameliorated spontaneous alternation in the Y-maze test. Compared with the HFD group, ApoE-/- mice fed diet control and/or subjected to swimming had an increase in FA, NAA/Cr, and Cho/Cr; a drop in MI/Cr; elevated expression levels of SIRT1, PGC-1α, and BDNF; and inhibited production of proinflammatory cytokines, including NF-κB p65, IL-1β, and TNF-α. SIRT1, an NAD+-dependent class III histone enzyme, deacetylases and regulates the activity of PGC-1α and NF-κB. These data indicated that diet control and/or swimming ameliorate cognitive deficits through the inhibitory effect of neuroinflammation via SIRT1-mediated pathways, strongly suggesting that swimming and/or diet control could be potentially effective nonpharmacological treatments for cognitive impairment.

高脂肪饮食(HFD-)诱导的神经炎症可能最终导致认知障碍的风险增加。在这里,我们评估了饮食控制和游泳或两者通过增强SIRT1活性来预防认知障碍的作用。20周龄ApoE-/-小鼠喂HFD 8周,然后控制饮食和/或游泳8周。采用新目标识别测试(NORT)和y迷宫测试评估认知功能。western blotting检测海马组织中SIRT1、过氧化物酶体增殖物激活受体γ辅助激活因子1 -α (PGC-1α)、脑源性神经营养因子(BDNF)、核因子κB p65 (NF-κB p65)、白细胞介素-1β (IL-1β)、肿瘤坏死因子-α (TNF-α)的表达。采用扩散张量成像(DTI)和7.0 t磁共振成像(MRI),评价海马各向异性分数(FA)、n -乙酰天冬氨酸(NAA)/肌酸(Cr)比值、胆碱(Cho)/Cr比值、肌醇(MI)/Cr比值。我们的研究结果表明,在饲喂HFD的载脂蛋白E (ApoE)-/-小鼠中出现了显著的认知功能障碍和海马神经炎症。饮食控制加游泳显著逆转了hfd引起的认知衰退,减少了探索新物体的时间,并改善了y迷宫测试中的自发交替。与HFD组相比,ApoE-/-小鼠对照组和/或游泳组FA、NAA/Cr和Cho/Cr均增加;MI/Cr下降;SIRT1、PGC-1α、BDNF表达水平升高;抑制促炎细胞因子的产生,包括NF-κB p65、IL-1β和TNF-α。SIRT1是一种依赖NAD+的III类组蛋白酶,具有去乙酰化酶作用,并调节PGC-1α和NF-κB的活性。这些数据表明,饮食控制和/或游泳通过sirt1介导的神经炎症抑制作用改善认知缺陷,强烈表明游泳和/或饮食控制可能是认知障碍的潜在有效的非药物治疗方法。
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引用次数: 0
Effect of Hypoxia-Ischemia on the Expression of Iron-Related Proteins in Neonatal Rat Brains. 缺氧缺血对新生大鼠脑铁相关蛋白表达的影响。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2023-01-01 DOI: 10.1155/2023/4226139
Qing Lin, Ding-Wang Hu, Xin-Hui Hao, Geng Zhang, Ling Lin

Hypoxic-ischemic white matter injury (WMI) pathogenesis in preterm infants is not well established, and iron-related proteins in the brain may play an important role in imbalanced iron metabolism. We aimed to investigate the iron-related protein changes in neonatal rats after hypoxia-ischemia (HI), clarify the role of iron-related proteins in hypoxic-ischemic WMI, and potentially provide a new target for the clinical treatment of hypoxic-ischemic WMI in preterm infants. We adopted a WMI animal model of bilateral common carotid artery electrocoagulation combined with hypoxia in neonatal 3-day-old Sprague-Dawley rats. We observed basic myelin protein (MBP) and iron-related protein expression in the brain (ferritin, transferrin receptor [TfR], and membrane iron transporter 1 [FPN1]) via Western blot and double immunofluorescence staining. The expression of MBP in the WMI group was significantly downregulated on postoperative days (PODs) 14, 28, and 56. Ferritin levels were significantly increased on PODs 3, 7, 14, and 28 and were most significant on POD 28, returning to the sham group level on POD 56. FPN1 levels were significantly increased on PODs 7, 28, and 56 and were still higher than those in the sham group on POD 56. TfR expression was significantly upregulated on PODs 1, 7, and 28 and returned to the sham group level on POD 56. Immunofluorescence staining showed that ferritin, TfR, and FPN1 were expressed in neurons, blood vessels, and oligodendrocytes in the cortex and corpus callosum on POD 28. Compared with the sham group, the immune-positive markers of three proteins in the WMI group were significantly increased. The expression of iron-related proteins in the brain (ferritin, FPN1, and TfR) showed spatiotemporal dynamic changes and may play an important role in hypoxic-ischemic WMI.

早产儿缺氧缺血性脑白质损伤(WMI)的发病机制尚不明确,脑内铁相关蛋白可能在铁代谢失衡中起重要作用。我们旨在研究新生大鼠缺氧缺血(HI)后铁相关蛋白的变化,阐明铁相关蛋白在缺氧缺血性WMI中的作用,为临床治疗早产儿缺氧缺血性WMI提供新的靶点。采用3日龄新生大鼠双侧颈总动脉电凝联合缺氧的WMI动物模型。我们通过Western blot和双免疫荧光染色观察脑内碱性髓鞘蛋白(MBP)和铁相关蛋白(铁蛋白、转铁蛋白受体[TfR]和膜铁转运蛋白1 [FPN1])的表达。WMI组MBP的表达在术后14、28、56天显著下调。铁蛋白水平在POD 3、7、14和28上显著升高,在POD 28上最为显著,在POD 56上恢复到假手术组水平。FPN1水平在POD 7、28和56组显著升高,且仍高于POD 56组。在POD 1、7和28上,TfR表达显著上调,在POD 56上恢复到假手术组水平。免疫荧光染色显示,POD 28在皮层和胼胝体的神经元、血管和少突胶质细胞中表达铁蛋白、TfR和FPN1。与假手术组比较,WMI组三种蛋白免疫阳性标志物均显著升高。脑内铁相关蛋白(铁蛋白、FPN1和TfR)的表达呈现时空动态变化,可能在缺氧缺血性脑损伤中发挥重要作用。
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引用次数: 2
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