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Reduced Expression of Voltage-Gated Sodium Channel Beta 2 Restores Neuronal Injury and Improves Cognitive Dysfunction Induced by Aβ1-42. 降低电压门控钠通道β 2的表达可恢复Aβ1-42诱导的神经元损伤和改善认知功能障碍。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/3995227
Shan Li, Guo-Ji Yan, Ya-Xin Tan, Lu-Lu Xue, Ting-Hua Wang, Hao-Ran Zhao, Min-Nan Lu, Hui-Xiang Zhang, Rong Mei, Xiao-Han Dong, Li-Na Liu, Dan Wang, Yan-Bin Xiyang

Voltage-gated sodium channel beta 2 (Nav2.2 or Navβ2, coded by SCN2B mRNA), a gene involved in maintaining normal physiological functions of the prefrontal cortex and hippocampus, might be associated with prefrontal cortex aging and memory decline. This study investigated the effects of Navβ2 in amyloid-β 1-42- (Aβ1-42-) induced neural injury model and the potential underlying molecular mechanism. The results showed that Navβ2 knockdown restored neuronal viability of Aβ1-42-induced injury in neurons; increased the contents of brain-derived neurotrophic factor (BDNF), enzyme neprilysin (NEP) protein, and NEP enzyme activity; and effectively altered the proportions of the amyloid precursor protein (APP) metabolites including Aβ42, sAPPα, and sAPPβ, thus ameliorating cognitive dysfunction. This may be achieved through regulating NEP transcription and APP metabolism, accelerating Aβ degradation, alleviating neuronal impairment, and regulating BDNF-related signal pathways to repair neuronal synaptic efficiency. This study provides novel evidence indicating that Navβ2 plays crucial roles in the repair of neuronal injury induced by Aβ1-42 both in vivo and in vitro.

电压门控钠通道β2 (Nav2.2或Navβ2,由SCN2B mRNA编码)是一个参与维持前额叶皮层和海马正常生理功能的基因,可能与前额叶皮层老化和记忆衰退有关。本研究探讨了Navβ2在淀粉样蛋白-β 1-42- (a -β 1-42-)诱导的神经损伤模型中的作用及其可能的分子机制。结果表明,敲低Navβ2可恢复a β1-42损伤后的神经元活力;脑源性神经营养因子(BDNF)、NEP酶(NEP)蛋白含量和NEP酶活性均显著升高;并有效改变淀粉样前体蛋白(APP)代谢物(包括Aβ42、sAPPα和sAPPβ)的比例,从而改善认知功能障碍。这可能通过调节NEP转录和APP代谢,加速Aβ降解,减轻神经元损伤,调节bdnf相关信号通路来修复神经元突触效率来实现。本研究提供了新的证据,表明在体内和体外,Navβ2在a - β1-42诱导的神经元损伤的修复中起重要作用。
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引用次数: 1
Ulinastatin Alleviates Repetitive Ketamine Exposure-Evoked Cognitive Impairment in Adolescent Mice. 乌司他丁减轻青春期小鼠重复氯胺酮暴露诱发的认知障碍。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/6168284
Yu Hong, Shiyu Meng, Shouping Wang, Ting Liu, Jiayi Liu

Ketamine (KET) is widely used for induction and maintenance of anesthesia, and long-term use is required for treatment of depression patients. Repeated use of KET is associated with mood and memory disorders. Ulinastatin (UTI), a urinary trypsin inhibitor, has been widely undertaken as an anti-inflammatory drug and proved to have neuroprotective effects. The aim of this work was to determine whether prophylactic use of UTI could attenuate KET-induced cognitive impairment. It was found that repetitive KET anesthesia cause cognitive and emotional disorders in adolescent mice in WMZ and OFT test, while UTI pretreatment reversed the poor performance compared to the AK group, and the platform finding time and center crossing time were obviously short in the CK+UTI group (P < 0.05). Our ELISA experiment results discovered that UTI pretreatment reduced the expression levels of IL-1β and IL-6 induced by CK anesthesia compared to AK (P < 0.05). In addition, UTI pretreatment protected the cognitive function by restraining the expression levels of Tau protein, Tau phospho-396 protein, and Aβ protein in the CK group compared to the AK group in Western blotting (P < 0.05). The results suggested that UTI could act as a new strategy to prevent the neurotoxicity of KET, revealing a significant neuroprotective effect of UTI.

氯胺酮(Ketamine, KET)广泛用于麻醉诱导和维持,治疗抑郁症患者需要长期使用。反复使用KET与情绪和记忆障碍有关。乌司他丁(UTI)是一种尿胰蛋白酶抑制剂,已被广泛用作抗炎药物,并被证明具有神经保护作用。这项工作的目的是确定预防性使用UTI是否可以减轻ket诱导的认知障碍。在WMZ和OFT测试中发现,重复KET麻醉导致青春期小鼠认知和情绪障碍,而UTI预处理逆转了与AK组相比较差的表现,CK+UTI组的平台寻找时间和中心穿越时间明显短(P < 0.05)。我们的ELISA实验结果发现,与AK相比,UTI预处理降低了CK麻醉诱导的IL-1β和IL-6的表达水平(P < 0.05)。此外,与AK组相比,UTI预处理通过抑制CK组Tau蛋白、Tau磷酸化-396蛋白和Aβ蛋白的表达水平来保护认知功能(P < 0.05)。提示UTI可作为预防KET神经毒性的新策略,显示UTI具有显著的神经保护作用。
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引用次数: 1
Brain-Derived Neurotrophic Factor and Nerve Growth Factor Therapeutics for Brain Injury: The Current Translational Challenges in Preclinical and Clinical Research. 脑源性神经营养因子和神经生长因子治疗脑损伤:目前临床前和临床研究中的转化挑战。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/3889300
Serena-Kaye Sims, Brynna Wilken-Resman, Crystal J Smith, Ashley Mitchell, Lilly McGonegal, Catrina Sims-Robinson

Ischemic stroke and traumatic brain injury (TBI) are among the leading causes of death and disability worldwide with impairments ranging from mild to severe. Many therapies are aimed at improving functional and cognitive recovery by targeting neural repair but have encountered issues involving efficacy and drug delivery. As a result, therapeutic options for patients are sparse. Neurotrophic factors are one of the key mediators of neural plasticity and functional recovery. Neurotrophic factors such as brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF) serve as potential therapeutic options to increase neural repair and recovery as they promote neuroprotection and regeneration. BDNF and NGF have demonstrated the ability to improve functional recovery in preclinical and to a lesser extent clinical studies. Direct and indirect methods to increase levels of neurotrophic factors in animal models have been successful in improving postinjury outcome measures. However, the translation of these studies into clinical trials has been limited. Preclinical experiments have largely failed to result in significant impacts in clinical research. This review will focus on the administration of these neurotrophic factors in preclinical and clinical stroke and TBI and the challenges in translating these therapies from the bench to the clinic.

缺血性中风和创伤性脑损伤(TBI)是世界范围内造成死亡和残疾的主要原因,损伤程度从轻微到严重不等。许多疗法旨在通过靶向神经修复来改善功能和认知恢复,但遇到了涉及疗效和药物递送的问题。因此,患者的治疗选择很少。神经营养因子是神经可塑性和功能恢复的重要介质之一。神经营养因子如脑源性神经营养因子(BDNF)和神经生长因子(NGF)作为潜在的治疗选择,可以促进神经保护和再生,从而增加神经修复和恢复。BDNF和NGF在临床前和临床研究中已经证明了改善功能恢复的能力。在动物模型中,直接和间接增加神经营养因子水平的方法已经成功地改善了损伤后的结果测量。然而,将这些研究转化为临床试验是有限的。临床前实验在很大程度上未能对临床研究产生重大影响。这篇综述将重点关注这些神经营养因子在临床前和临床卒中和TBI中的应用,以及将这些疗法从实验室转化为临床所面临的挑战。
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引用次数: 15
Effect of TGF-β1-Mediated Exercise Analgesia in Spared Nerve Injury Mice. TGF-β1介导的运动镇痛对神经损伤小鼠的影响。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/7382327
Xinzheng Sun, Chenghao Wang, Junqi Wu, Xiaoke Chen, Hui He

Peripheral nerve injury leads to severe neuropathic pain. Previous studies have highlighted the beneficial effects of physical exercise on alleviating neuropathic pain. Exercise regulating transforming growth factor-β1 (TGF-β1) can improve several diseases and relieve neuropathic pain induced by peripheral nerve injury. Here, we investigated whether exercise could alleviate neuropathic pain by modulating TGF-β1 expression. We assessed mechanical and cold pain behavior and conducted molecular evaluation of the spinal cord. We found that spared nerve injury (SNI) led to mechanical and cold allodynia in the hind paw, elevated the expression of latency-associated peptide- (LAP-) TGF-β1, and activated astroglial in the spinal cord. Exercise decreases allodynia, astroglial activation, and LAP-TGF-β1 in SNI mice. Intrathecal injection of a TGF-type I receptor inhibitor attenuated exercise analgesia and enhanced astroglial activation. These findings demonstrate that exercise induces analgesia by promoting TGF-β1 activation and inhibiting astrogliosis. Our study reveals a new underlying mechanism for exercise-attenuated neuropathic pain in the maintenance stage of neuropathic pain after nerve injury.

周围神经损伤可导致严重的神经性疼痛。先前的研究强调了体育锻炼对减轻神经性疼痛的有益作用。运动调节转化生长因子-β1 (TGF-β1)可改善多种疾病,减轻周围神经损伤引起的神经性疼痛。本研究探讨运动是否能通过调节TGF-β1的表达来缓解神经性疼痛。我们评估了机械和冷痛行为,并对脊髓进行了分子评估。我们发现,余留神经损伤(SNI)导致后爪机械和冷性异常痛,潜伏期相关肽- (LAP-) TGF-β1表达升高,脊髓星形胶质细胞活化。运动减少SNI小鼠的异常性疼痛、星形胶质细胞激活和LAP-TGF-β1。鞘内注射tgf - 1型受体抑制剂可减轻运动镇痛并增强星形胶质细胞激活。上述结果表明,运动通过促进TGF-β1的激活,抑制星形胶质细胞形成,从而诱导镇痛。我们的研究揭示了运动减轻神经性疼痛在神经损伤后神经性疼痛维持阶段的一种新的潜在机制。
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引用次数: 2
Protective Effects of Vitamin C against Neomycin-Induced Apoptosis in HEI-OC1 Auditory Cell. 维生素C对新霉素诱导HEI-OC1听觉细胞凋亡的保护作用
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/1298692
Liang Gong, Biao Chen, Jingyuan Chen, Yongxin Li

Ototoxic hearing loss results from hair cell death via reactive oxygen species (ROS) overproduction and consequent apoptosis. We investigated the effects of vitamin C (VC) on neomycin-induced HEI-OC1 cell damage, as well as the mechanism of inhibition. HEI-OC1 cells were treated with neomycin or with vitamin C (VC). The results indicated that VC had a protective effect on neomycin-induced HEI-OC1 cell death. Mechanistically, VC decreased neomycin-induced ROS generation, suppressed cell death, and increased cell viability. VC inhibited neomycin-induced apoptosis, ameliorated neomycin reduced antiapoptotic Bcl-2 expression, and suppressed neomycin increased expression of proapoptotic Bax, caspase-3 cleavage and caspase-8. TUNEL labeling demonstrated that VC blocked neomycin-induced apoptosis. Further study revealed that the effect of VC on neomycin-induced hair cell death was through interference with JNK activation and p38 phosphorylation. These results indicate that VC via suppressed ROS generation, which inhibited cell death by counteracting apoptotic signaling induced by neomycin in cells. Hence, VC is a potential candidate for protection agent against neomycin-induced HEI-OC1 cell ototoxicity.

耳毒性听力损失是由毛细胞通过活性氧(ROS)的过度产生和随之而来的细胞凋亡而死亡。我们研究了维生素C (VC)对新霉素诱导的HEI-OC1细胞损伤的影响及其抑制机制。用新霉素或维生素C (VC)处理HEI-OC1细胞。结果表明VC对新霉素诱导的HEI-OC1细胞死亡具有保护作用。在机制上,VC减少新霉素诱导的ROS生成,抑制细胞死亡,提高细胞活力。VC抑制新霉素诱导的细胞凋亡,改善新霉素可降低抗凋亡细胞Bcl-2的表达,抑制新霉素可增加促凋亡细胞Bax、caspase-3切割和caspase-8的表达。TUNEL标记显示VC阻断了新霉素诱导的细胞凋亡。进一步研究发现VC对新霉素诱导的毛细胞死亡的影响是通过干扰JNK活化和p38磷酸化。这些结果表明VC通过抑制ROS的产生,通过对抗新霉素诱导的细胞凋亡信号而抑制细胞死亡。因此,VC是抗新霉素诱导的HEI-OC1细胞耳毒性的潜在候选保护剂。
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引用次数: 5
Predictive Power of Cognitive Biomarkers in Neurodegenerative Disease Drug Development: Utility of the P300 Event-Related Potential. 认知生物标志物在神经退行性疾病药物开发中的预测能力:P300事件相关电位的应用
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/2104880
John Olichney, Jiangyi Xia, Kevin J Church, Hans J Moebius

Neurodegenerative diseases, such as Alzheimer's disease (AD), and their associated deterioration of cognitive function are common causes of disability. The slowly developing pathology of neurodegenerative diseases necessitates early diagnosis and monitored long-term treatment. Lack of effective therapies coupled with an improved rate of early diagnosis in our aging population have created an urgent need for the development of novel drugs, as well as the need for reliable biomarkers for treatment response. These issues are especially relevant for AD, in which the rate of clinical trial drug failures has been very high. Frequently used biomarker evaluation procedures, such as positron emission tomography or cerebrospinal fluid measurements of phospho-tau and amyloid beta, are invasive and costly, and not universally available or accessible. This review considers the functionality of the event-related potential (ERP) P300 methodology as a surrogate biomarker for predicting the procognitive potential of drugs in clinical development for neurocognitive disorders. Through the application of standardized electroencephalography (EEG) described here, ERP P300 can be reliably measured. The P300 waveform objectively measures large-scale neuronal network functioning and working memory processes. Increased ERP P300 latency has been reported throughout the literature in disorders of cognition, supporting the potential utility of ERP P300 as a biomarker in many neurological and neuropsychiatric disorders, including AD. Specifically, evidence presented here supports ERP P300 latency as a quantitative, unbiased measure for detecting changes in cognition in patients with AD dementia through the progression from mild to moderate cognitive impairment and after drug treatment.

神经退行性疾病,如阿尔茨海默病(AD)及其相关的认知功能恶化是导致残疾的常见原因。神经退行性疾病的病理发展缓慢,需要早期诊断和监测长期治疗。由于缺乏有效的治疗方法,再加上老龄化人口早期诊出率的提高,迫切需要开发新型药物,以及可靠的生物标志物来衡量治疗反应。这些问题与阿尔茨海默病尤其相关,因为阿尔茨海默病的临床试验药物失败率非常高。常用的生物标志物评估程序,如正电子发射断层扫描或脑脊液测量磷酸化-tau和淀粉样蛋白,是侵入性的和昂贵的,并且不是普遍可用或可获得的。本综述考虑了事件相关电位(ERP) P300方法的功能,作为预测神经认知障碍临床开发药物的前认知潜力的替代生物标志物。通过标准化脑电图(EEG)的应用,可以可靠地测量ERP P300。P300波形客观地测量了大规模神经网络的功能和工作记忆过程。认知障碍的文献中都有ERP P300潜伏期增加的报道,这支持了ERP P300作为包括AD在内的许多神经和神经精神疾病的生物标志物的潜在用途。具体来说,本文提供的证据支持ERP P300潜伏期作为一种定量的、无偏倚的测量方法,用于检测AD痴呆患者从轻度到中度认知障碍的进展以及药物治疗后的认知变化。
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引用次数: 4
Therapeutic Role of Additional Mirror Therapy on the Recovery of Upper Extremity Motor Function after Stroke: A Single-Blind, Randomized Controlled Trial. 附加镜像疗法对中风后上肢运动功能恢复的治疗作用:一项单盲、随机对照试验。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/8966920
Xin Wen, Li Li, Xuelian Li, Huanghong Zha, Zicai Liu, Yang Peng, Xuejin Liu, Huiyu Liu, Quan Yang, Jing Wang

Background: Rehabilitation of upper extremity hemiplegia after stroke remains a great clinical challenge, with only 20% of patients achieving a basic return to normal hand function. How to promote the recovery of motor function at an early stage is crucial to the life of the patient.

Objectives: To invest the effects of additional mirror therapy in improving upper limb motor function and activities of daily living in acute and subacute stroke patients, and further explore the effects of other factors on the efficacy of MT.

Methods: Participants who presented with unilateral upper extremity paralysis due to a first ischemic or hemorrhagic stroke were included in the study. They were randomly allocated to the experimental or control group. Patients in the control group received occupational therapy for 30 minutes each session, six times a week, for three weeks, while patients in the experimental group received 30 minutes of additional mirror therapy based on occupational therapy. The primary outcome measures were Fugl-Meyer Assessment-upper extremity (FMA-UE), Action Research Arm Test (ARAT), and Instrumental Activity of Daily Living (IADL) which were evaluated by two independent occupational therapists before treatment and after 3-week treatment. A paired t-test was used to compare the values between pretreatment and posttreatment within an individual group. Two-sample t-test was utilized to compare the changes (baseline to postintervention) between the two groups.

Results: A total of 52 stroke patients with unilateral upper extremity motor dysfunction who were able to actively cooperate with the training were included in this study. At baseline, no significant differences were found between groups regarding demographic and clinical characteristics (P > 0.05 for all). Upper limb motor function and ability to perform activities of daily living of the patients were statistically improved in both groups towards the third week (P < 0.05). In addition, statistical analyses showed more significant improvements in the score changes of FMA-UE and IADL in the experimental group compared to the control group after treatment (P < 0.05), but no significant difference was observed in the ARAT score changes between the two groups (P > 0.05). The subgroup analysis showed that no significant heterogeneity was observed in age, stroke type, lesion side, and clinical stage (P > 0.05).

Conclusion: In conclusion, some positive changes in aspects of upper limb motor function and the ability to perform instrumental activities of daily living compared with routine occupational therapy were observed in additional mirror therapy. Therefore, the application of additional mirror therapy training should be reconsidered to improve upper extremity motor in stroke patients.

背景:脑卒中后上肢偏瘫的康复仍然是一个巨大的临床挑战,只有20%的患者实现基本恢复正常的手功能。如何在早期促进运动功能的恢复对患者的生命至关重要。目的:探讨附加镜像疗法对急性和亚急性脑卒中患者上肢运动功能和日常生活能力的改善作用,并进一步探讨其他因素对附加镜像疗法疗效的影响。方法:纳入首发缺血性或出血性脑卒中单侧上肢瘫痪患者。他们被随机分为实验组和对照组。对照组患者每期接受30分钟的职业治疗,每周6次,持续三周,而实验组患者在职业治疗的基础上接受30分钟的额外镜像治疗。主要结局指标为Fugl-Meyer上肢评估(FMA-UE)、动作研究臂测试(ARAT)和日常生活工具活动(IADL),分别由两名独立职业治疗师在治疗前和治疗3周后评估。配对t检验用于比较个体组内治疗前后的数值。采用双样本t检验比较两组之间的变化(基线与干预后)。结果:本研究共纳入52例能够积极配合训练的单侧上肢运动功能障碍脑卒中患者。在基线时,两组在人口学和临床特征方面无显著差异(P > 0.05)。治疗第3周时,两组患者上肢运动功能及日常生活活动能力均有显著改善(P < 0.05)。经统计学分析,实验组治疗后FMA-UE、IADL评分变化较对照组改善更显著(P < 0.05),两组间ARAT评分变化差异无统计学意义(P > 0.05)。亚组分析显示,年龄、脑卒中类型、病变侧、临床分期无显著异质性(P > 0.05)。结论:与常规作业治疗相比,附加镜像治疗在上肢运动功能和日常生活工具活动能力方面有一些积极的变化。因此,应重新考虑应用额外的镜像治疗训练来改善脑卒中患者的上肢运动。
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引用次数: 1
Influence of High-Frequency Repetitive Transcranial Magnetic Stimulation on Neurobehavioral and Electrophysiology in Patients with Disorders of Consciousness. 高频重复经颅磁刺激对意识障碍患者神经行为和电生理的影响。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2022-01-01 DOI: 10.1155/2022/7195699
Jian-Min Chen, Qing-Fa Chen, Zhi-Yong Wang, Yang-Jia Chen, Nan-Nan Zhang, Jian-Wen Xu, Jun Ni
<p><strong>Objective: </strong>High-frequency repetitive transcranial magnetic stimulation (HF-rTMS) has been proposed as a promising therapeutic intervention for patients with disorders of consciousness (DOC). However, its therapeutic effects in the literature are inconsistently documented. The primary aim of this study was to explore the alterations in neural connectivity and neurobehavioral reactivity during rTMS modulation in patients with DOC. In addition, safety was investigated as a secondary aim.</p><p><strong>Methods: </strong>The presence of bilateral N20 components in DOC patients was determined by somatosensory-evoked potential (SEP) before enrollment in the study. A total of 64 patients were enrolled and randomly placed into the active and sham groups. Ultimately, 50 patients completed the study. Twenty-five patients in the active group underwent real HF-rTMS, and 25 patients in the sham group underwent sham HF-rTMS, which was delivered over the left dorsolateral prefrontal cortex (DLPFC). The outcome measures of performed pre- and postintervention included the latencies of the N20 and N20-P25 amplitudes of SEP, brainstem auditory-evoked potential (BAEP) grade, JFK Coma Recovery Scale-Revised (CRS-R) score, and Glasgow Coma Scale (GCS) score; any adverse events were recorded at any time during the intervention.</p><p><strong>Result: </strong>Following six weeks of treatment, a significant increase was observed in the total CRS-R and GCS scores, and the N20-P25 amplitudes of patients in the two groups were compared with that obtained from preintervention (all <i>p</i> values < 0.05). The waves of BAEP in the two groups also showed a trend toward normalized activity compared with preintervention grades (<i>p</i> values < 0.05). A significant decrease in the latencies of N20 (<i>p</i> values < 0.001) was observed in the active group compared with measurements obtained from preintervention, whereas no significant decrease was observed in the sham group (<i>p</i> values = 0.013). The improvement in total CRS-R scores (<i>p</i> values = 0.002), total GCS scores (<i>p</i> values = 0.023), and N20-P25 amplitudes (<i>p</i> values = 0.011) as well as the decrease in latencies of N20 (<i>p</i> values = 0.018) and change in BAEP grades (<i>p</i> values = 0.013) were significantly different between the two groups. The parameters in neural connectivity (N20-P25 amplitudes, N20 latencies, and BAEP grades) were significantly correlated with the total CRS-R and GCS scores at postintervention, and the changes of CRS-R before and after interventions have a positive relationship with N20-P25 amplitudes. No adverse events related to the rTMS protocol were recorded.</p><p><strong>Conclusion: </strong>Neural connectivity levels are affected by HF-rTMS and are significantly related to clinical responses in DOC patients with the presence of bilateral N20. The elevation of neural connectivity levels may lay a foundation for successful HF-rTMS treatment for DO
目的:高频重复经颅磁刺激(HF-rTMS)被认为是一种治疗意识障碍(DOC)的有希望的干预措施。然而,其治疗效果在文献中是不一致的。本研究的主要目的是探讨DOC患者在rTMS调节过程中神经连通性和神经行为反应性的改变。此外,安全性作为次要目标进行了研究。方法:入组前采用体感诱发电位(SEP)测定DOC患者双侧N20成分的存在。64名患者被随机分为活跃组和假手术组。最终,50名患者完成了这项研究。活跃组25例患者接受了真正的HF-rTMS,假手术组25例患者接受了假的HF-rTMS,并通过左背外侧前额叶皮层(DLPFC)传递。干预前后的结局指标包括:N20和N20- p25 SEP振幅潜伏期、脑干听觉诱发电位(BAEP)分级、JFK昏迷恢复量表(CRS-R)评分、格拉斯哥昏迷量表(GCS)评分;在干预期间的任何时间记录任何不良事件。结果:治疗6周后,两组患者CRS-R总分和GCS总分均显著升高,且两组患者N20-P25波幅与干预前比较,差异均有统计学意义(p值均< 0.05)。与干预前评分相比,两组患者BAEP波均呈现归一化活动趋势(p值< 0.05)。与干预前相比,活动组N20潜伏期显著降低(p值< 0.001),而假手术组N20潜伏期无显著降低(p值= 0.013)。两组患者CRS-R总评分(p值= 0.002)、GCS总评分(p值= 0.023)、N20- p25波幅(p值= 0.011)、N20潜伏期(p值= 0.018)降低、BAEP评分变化(p值= 0.013)均有显著差异。神经连通性参数(N20- p25波幅、N20潜伏期、BAEP评分)与干预后CRS-R总分和GCS评分显著相关,干预前后CRS-R变化与N20- p25波幅呈正相关。未记录与rTMS方案相关的不良事件。结论:神经连通性水平受HF-rTMS影响,且与双侧N20存在的DOC患者的临床反应显著相关。神经连通性水平的提高可能为HF-rTMS治疗DOC患者的成功奠定基础。
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引用次数: 5
Early Repetitive Transcranial Magnetic Stimulation Exerts Neuroprotective Effects and Improves Motor Functions in Hemiparkinsonian Rats. 早期重复经颅磁刺激对半帕金森大鼠的神经保护作用和运动功能的改善。
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2021-01-01 DOI: 10.1155/2021/1763533
Tsung-Hsun Hsieh, Xiao-Kuo He, Hui-Hua Liu, Jia-Jin J Chen, Chih-Wei Peng, Hao-Li Liu, Alexander Rotenberg, Ko-Ting Chen, Ming-Yuan Chang, Yung-Hsiao Chiang, Pi-Kai Chang, Chi-Wei Kuo

Repetitive transcranial magnetic stimulation (rTMS) is a popular noninvasive technique for modulating motor cortical plasticity and has therapeutic potential for the treatment of Parkinson's disease (PD). However, the therapeutic benefits and related mechanisms of rTMS in PD are still uncertain. Accordingly, preclinical animal research is helpful for enabling translational research to explore an effective therapeutic strategy and for better understanding the underlying mechanisms. Therefore, the current study was designed to identify the therapeutic effects of rTMS on hemiparkinsonian rats. A hemiparkinsonian rat model, induced by unilateral injection of 6-hydroxydopamine (6-OHDA), was applied to evaluate the therapeutic potential of rTMS in motor functions and neuroprotective effect of dopaminergic neurons. Following early and long-term rTMS intervention with an intermittent theta burst stimulation (iTBS) paradigm (starting 24 h post-6-OHDA lesion, 1 session/day, 7 days/week, for a total of 4 weeks) in awake hemiparkinsonian rats, the effects of rTMS on the performance in detailed functional behavioral tests, including video-based gait analysis, the bar test for akinesia, apomorphine-induced rotational analysis, and tests of the degeneration level of dopaminergic neurons, were identified. We found that four weeks of rTMS intervention significantly reduced the aggravation of PD-related symptoms post-6-OHDA lesion. Immunohistochemically, the results showed that tyrosine hydroxylase- (TH-) positive neurons in the substantia nigra pars compacta (SNpc) and fibers in the striatum were significantly preserved in the rTMS treatment group. These findings suggest that early and long-term rTMS with the iTBS paradigm exerts neuroprotective effects and mitigates motor impairments in a hemiparkinsonian rat model. These results further highlight the potential therapeutic effects of rTMS and confirm that long-term rTMS treatment might have clinical relevance and usefulness as an additional treatment approach in individuals with PD.

重复经颅磁刺激(rTMS)是一种流行的无创技术,用于调节运动皮质可塑性,在治疗帕金森病(PD)方面具有治疗潜力。然而,rTMS治疗PD的疗效和相关机制仍不确定。因此,临床前动物研究有助于转化研究探索有效的治疗策略,并更好地了解潜在的机制。因此,本研究旨在确定rTMS对半帕金森大鼠的治疗作用。采用单侧注射6-羟多巴胺(6-OHDA)诱导的半帕金森大鼠模型,评价rTMS对运动功能的治疗潜力和多巴胺能神经元的神经保护作用。在清醒的半帕金森大鼠中,采用间歇性θ波爆发刺激(iTBS)模式进行早期和长期rTMS干预(6- ohda损伤后24小时开始,每天1次,每周7天,共4周),确定rTMS对详细功能行为测试的影响,包括基于视频的步态分析、运动障碍的条形测试、阿吗啡诱导的旋转分析和多巴胺能神经元退化水平的测试。我们发现,4周的rTMS干预显著减少了6 ohda病变后pd相关症状的加重。免疫组化结果显示,rTMS治疗组大鼠致密黑质部(SNpc)和纹状体纤维中酪氨酸羟化酶(TH-)阳性神经元明显保留。这些发现表明,在半帕金森大鼠模型中,早期和长期的iTBS模式的rTMS具有神经保护作用并减轻运动损伤。这些结果进一步强调了rTMS的潜在治疗效果,并证实长期rTMS治疗可能具有临床相关性和实用性,可作为PD患者的额外治疗方法。
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引用次数: 7
Three Mediating Pathways of Anxiety and Security in the Relationship between Coping Style and Disordered Eating Behaviors among Chinese Female College Students. 中国女大学生应对方式与饮食失调行为关系中焦虑、安全的三条中介通路
IF 3.1 4区 医学 Q2 NEUROSCIENCES Pub Date : 2021-01-01 DOI: 10.1155/2021/7506754
Wenyue Han, Zheng Zheng, Ning Zhang

Background: According to previous studies, eating disorders and disordered eating behaviors are associated with coping style, anxiety, and sense of security. However, the specific mechanism between them has not been elucidated. The purpose of this study was to explore whether anxiety and sense of security play mediating roles in coping style and disordered eating behaviors among Chinese female college students.

Method: Six hundred and ninety-one female college students (mean age = 19.36; SD = 1.06) completed the Simple Coping Style Questionnaire, the Eating Disorder Inventory, the Security Questionnaire, the Hospital Anxiety and Depression Scale, and a brief demographic survey. The percentage bootstrap method of deviation correction was conducted to determine the mediating effect of anxiety and sense of security on coping style and disordered eating behaviors.

Results: Coping style had direct and indirect effects on disordered eating behaviors. Anxiety and sense of security were not only independent mediators in the relationship between coping style and disordered eating behaviors but also chain mediators.

Conclusions: The results of the current study provide preliminary evidence that preventive interventions targeting anxiety and sense of security may be feasible for young women who develop disordered eating behaviors due to stress in their lives.

背景:根据以往的研究,饮食失调和饮食失调行为与应对方式、焦虑和安全感有关。然而,它们之间的具体机制尚未阐明。本研究旨在探讨焦虑和安全感是否在中国女大学生应对方式和饮食失调行为中起中介作用。方法:691名女大学生(平均年龄19.36岁;SD = 1.06)完成简单应对方式问卷、饮食失调量表、安全感问卷、医院焦虑抑郁量表和简短的人口统计调查。采用偏差校正百分比自举法确定焦虑和安全感对应对方式和饮食失调行为的中介作用。结果:应对方式对饮食失调有直接和间接影响。焦虑和安全感不仅是应对方式与饮食失调行为关系的独立中介,而且是连锁中介。结论:本研究结果提供了初步证据,表明针对焦虑和安全感的预防干预对于生活压力导致饮食失调的年轻女性可能是可行的。
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引用次数: 3
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Neural Plasticity
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