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The associations between paternal postpartum depressive symptoms and testosterone and cortisol levels in hair over the first two years postpartum 产后头两年父亲产后抑郁症状与头发中睾酮和皮质醇水平之间的关系。
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-09 DOI: 10.1016/j.pnpbp.2024.111245
Lydia Richter , Luisa Bergunde , Marlene Karl , Isabel Jaramillo , Victoria Weise , Judith T. Mack , Kerstin Weidner , Wei Gao , Tilmann von Soest , Susan Garthus-Niegel , Susann Steudte-Schmiedgen

Background

After the birth of a child, also fathers may develop postpartum depression. Altered steroid hormone concentrations are discussed as a possible underlying mechanism, as these have been associated with depressive symptoms in previous studies outside the postpartum period. While higher paternal testosterone levels have been found to protect against paternal postpartum depressive symptoms (PPDS), an association between higher cortisol levels and PPDS has been seen in postpartum mothers, with no comparable studies available on fathers.

Objective

This study aimed to investigate cross-sectional and longitudinal associations between testosterone and cortisol levels in hair and PPDS over a period of 2 years postpartum.

Methods

Data from N = 226 fathers, who took part in the endocrine sub-study DREAMHAIR of the longitudinal prospective cohort study DREAM, were used. PPDS were assessed 8 weeks, 14 months, and 24 months after birth using the Edinburgh Postnatal Depression Scale. At the same time, fathers provided 2 cm scalp-near hair samples in which testosterone (HairT) and cortisol (HairF) levels were determined. Cross-sectional and longitudinal associations between HairT, HairF and paternal PPDS were investigated.

Results

Correlation analyses showed a negative cross-sectional association between HairF levels and paternal PPDS 14 months after birth. A random intercept cross-lagged panel model revealed prospective relationships between paternal PPDS 8 weeks postpartum and HairF 14 months postpartum, and additionally between 14 months and 2 years postpartum in an exploratory model with similarly good model fit. No further significant associations of HairF with paternal PPDS emerged, and none of the analyses with HairT became significant. The overall pattern of results was confirmed when controlling for the influence of batch and storage time on HairT and HairF levels.

Conclusion

No consistent relationships between HairT or HairF and paternal PPDS emerged in this relatively healthy cohort. In HairF analyses with significant results, lower HairF was associated with more severe PPDS. Longitudinal results imply that altered cortisol secretion may rather follow than precede changes in paternal PPDS. Further research on hormonal changes in PPDS in fathers should consider possible covariates and examine fathers with higher depressive burden, which may help to identify fathers at risk and inform future preventive and interventive approaches.
背景:孩子出生后,父亲也可能患上产后抑郁症。类固醇激素浓度的改变作为一种可能的潜在机制进行了讨论,因为在之前的研究中,它们与产后以外的抑郁症状有关。虽然研究发现父亲较高的睾丸激素水平可以预防父亲产后抑郁症状(PPDS),但在产后母亲中发现了较高的皮质醇水平与产后抑郁症状之间的联系,但在父亲中没有类似的研究。目的:本研究旨在调查产后2 年头发和产后抑郁症中睾酮和皮质醇水平的横断面和纵向关联。方法:采用参与纵向前瞻性队列研究DREAM的内分泌亚研究DREAMHAIR的N = 226名父亲的数据。PPDS分别在出生后8 周、14 个月和24 个月使用爱丁堡产后抑郁量表进行评估。与此同时,父亲们提供了2 厘米头皮附近的头发样本,其中睾酮(HairT)和皮质醇(HairF)水平被测定。研究了HairT、HairF与父亲PPDS的横断面和纵向关联。结果:相关分析显示,出生后14 个月,HairF水平与父亲PPDS呈负相关。随机截距交叉滞后面板模型显示父亲产后8 周和产后14 个月的PPDS之间的前瞻性关系,以及产后14 个月和产后2 年的探索性模型具有同样良好的模型拟合。HairF与父亲PPDS之间没有进一步的显著关联,与HairT相关的分析也都不显著。在控制批次和储存时间对HairT和HairF水平的影响时,结果的总体模式得到了证实。结论:在这个相对健康的队列中,HairT或HairF与父亲PPDS之间没有一致的关系。在有显著结果的HairF分析中,较低的HairF与更严重的PPDS相关。纵向结果表明,皮质醇分泌的改变可能是在父亲PPDS变化之后而不是之前。对父亲产后抑郁症激素变化的进一步研究应考虑可能的协变量,并检查抑郁负担较高的父亲,这可能有助于识别有风险的父亲,并为未来的预防和干预方法提供信息。
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引用次数: 0
Revealing potential drug targets in schizophrenia through proteome-wide Mendelian randomization genetic insights 通过蛋白质组范围的孟德尔随机化遗传见解揭示精神分裂症的潜在药物靶点
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-29 DOI: 10.1016/j.pnpbp.2024.111208
Wenhuo Xie , Jiaping Zheng , Chenghua Kong , Wei Luo , Xiaoxia Lin , Yu Zhou

Background

Schizophrenia (SCZ) is a severe, chronic mental disorder with no current cure. Identifying novel pharmacological targets is crucial for developing more effective treatments.

Methods

We performed two-sample Mendelian randomization (MR) analyses to estimate the associations between cerebrospinal fluid (CSF) containing 154 proteins and plasma containing 734 proteins and risk of SCZ. Bidirectional MR analysis, steiger filtering, bayesian colocalization, phenotypic scanning, and validation analysis were examined to validate the assumptions of MR. For proteins significantly associated with SCZ identified by MR, we explored their potential impact on brain structures, including cortical surface area (SA), thickness (TH), and the volume of subcortical structures.

Results

MR analysis identified 13 protein-SCZ pairs at Bonferroni significance (P < 5.63 × 10−5). Notably, the genetically proxied protein level of neuromedin B (NMB) was associated with an increased risk for SCZ (odds ratio [OR] = 1.41; 95 % CI, 1.27 to 1.58; P = 6.68 × 10−10). Bayesian colocalization suggested that NMB shares genetic variations with SCZ. Further, NMB interacts with target proteins of current SCZ drugs and was validated in the UK Biobank. The genetically proxied NMB was positively associated with an increase in the surface area (SA) of the parahippocampal gyrus (β = 8.93 mm2, 95 % CI, 1.58 to 16.3, P = .02). Additionally, an increase in the genetically proxied SA of the parahippocampal gyrus was inversely associated with the risk of SCZ (OR = 0.996, 95 % CI, 0.993 to 0.999, P = .04).

Conclusions

The findings suggest that NMB may represent a promising target for pharmacological intervention in SCZ. This warrants further investigation into the specific constituents involved, which could have potential for follow-up studies.
精神分裂症(SCZ)是一种严重的慢性精神障碍,目前尚无治愈方法。确定新的药理靶点对于开发更有效的治疗方法至关重要。方法采用两样本孟德尔随机化(MR)分析,估计脑脊液(CSF)中含有154种蛋白和血浆中含有734种蛋白与SCZ风险之间的关系。通过双向MR分析、steiger滤波、贝叶斯共定位、表型扫描和验证分析来验证MR的假设。对于MR鉴定的与SCZ显著相关的蛋白质,我们探讨了它们对大脑结构的潜在影响,包括皮质表面积(SA)、厚度(TH)和皮质下结构的体积。结果smr分析鉴定出13对具有Bonferroni显著性的蛋白- scz对(P <;5.63 × 10−5)。值得注意的是,神经质蛋白B (NMB)的遗传相关蛋白水平与SCZ风险增加相关(优势比[OR] = 1.41;95% CI, 1.27 ~ 1.58;p = 6.68 × 10−10)。贝叶斯共定位表明NMB与SCZ具有相同的遗传变异。此外,NMB与当前SCZ药物的靶蛋白相互作用,并在UK Biobank中得到验证。基因介导的NMB与海马旁回表面积(SA)增加呈正相关(β = 8.93 mm2, 95% CI, 1.58 ~ 16.3, P = 0.02)。此外,海马旁回遗传相关性SA的增加与SCZ的风险呈负相关(OR = 0.996, 95% CI, 0.993 ~ 0.999, P = 0.04)。结论NMB可能是SCZ药物干预的一个有希望的靶点。这需要进一步调查所涉及的具体成分,这可能有后续研究的潜力。
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引用次数: 0
Medial septal cholinergic neurotransmission is essential for social memory in mice 内隔胆碱能神经传递对小鼠社会记忆至关重要
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-29 DOI: 10.1016/j.pnpbp.2024.111207
Apoorva Bettagere Shivakumar , Sonam Fathima Mehak , Amritanshu Gupta , Gireesh Gangadharan
Social memory, a fundamental component of social behavior, is essential for the recognition and recall of familiar and novel animals/humans which is disrupted in several neuropsychiatric disorders. Although hippocampal circuitry is crucial for social memory, the role of extra-hippocampal regions in this behavior remains elusive. Here, we identified the physiological link between medial septal dependent cholinergic theta oscillations in the hippocampus and social memory behavior. We found that selective ablation of cholinergic neurons in the medial septum impaired social memory in mice, while their sociability and social novelty remained intact. Additionally, these mice showed an attenuation of cholinergic theta oscillations (3–7 Hz) in the hippocampal dorsal CA2 (dCA2) region. Furthermore, enhancing dCA2 theta oscillations by elevating cholinergic signaling using acetylcholinesterase inhibitor rescued social memory deficit. Together, these results indicate that 1) medial septal cholinergic neurons are essential for modulating social memory 2) cholinergic hippocampal theta oscillations contribute to social memory processes.
社会记忆是社会行为的基本组成部分,对熟悉和陌生的动物/人类的识别和回忆至关重要,在一些神经精神疾病中被破坏。虽然海马体电路对社会记忆至关重要,但海马体外区域在这种行为中的作用仍然难以捉摸。在这里,我们确定了海马体中隔依赖的胆碱能θ波振荡与社会记忆行为之间的生理联系。我们发现,选择性切除内侧隔膜的胆碱能神经元会损害小鼠的社会记忆,而它们的社交能力和社会新颖性保持不变。此外,这些小鼠海马背侧CA2 (dCA2)区域胆碱能θ振荡(3 - 7hz)衰减。此外,乙酰胆碱酯酶抑制剂通过提高胆碱能信号来增强dCA2 θ振荡,可以拯救社会记忆缺陷。综上所述,这些结果表明:1)内侧间隔胆碱能神经元对调节社会记忆至关重要;2)海马体胆碱能θ波振荡有助于社会记忆过程。
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引用次数: 0
Measuring the effects of ketogenic diet on neuropsychiatric disorder: A scoping review 衡量生酮饮食对神经精神障碍的影响:范围综述。
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-26 DOI: 10.1016/j.pnpbp.2024.111205
Wali Yousufzai , Monika Singh , Leeda Ahmadi , Shreya Balamurali , Divyaraj Bavishi , Sahar Ashraf , Daniel B. Stuart , Regina Baronia , Wail Amor
Objective: This scoping review aims to examine the available literature on the ketogenic diet's (KD) efficiency as a potential therapeutic intervention for various neuropsychiatric disorders. Introduction: The KD is a high-fat, low-carbohydrate diet that has been studied for its potential benefits in managing neuropsychiatric disorders. However, the extent of its effectiveness across a spectrum of these conditions remains unclear. Inclusion criteria: The study designs considered eligible encompassed randomized and non-randomized controlled trials, retrospective and prospective observational studies, and comparative effectiveness assessments. The criteria for including each study were specifically related to neuropsychiatric disorders, referring to the DSM-5 coding guidelines. Methods: A systemic search was performed by an experienced reference librarian across multiple databases to pinpoint studies relevant to the influence of the ketogenic diet on neuropsychiatric disorders. All relevant articles were included that ranged over the last thirteen years. All relevant records identified were compiled into the Covidence systematic review software. Results: A total of 30 studies were reviewed, which reported effects of the KD on neuropsychiatric disorders, including improvements in Global Developmental Delay, Childhood Autism, Attention Deficit/Hyperactivity Disorder (ADHD) symptoms, psychotic symptoms, Bipolar and Related Disorders, Depressive Disorder symptoms, anxiety symptoms, eating disorders, Substance-Related and Addictive Disorders, Major and Mild Neurocognitive Disorders, and Seizure Disorders. Conclusion: The KD may serve as a promising therapeutic intervention for various neuropsychiatric disorders. However, the evidence is heterogeneous, and further rigorous research is needed to establish the KD as a standard treatment for these disorders and to understand the underlying mechanisms of its effects. Implications for Practice: This review underscores the need for healthcare professionals to consider the potential benefits and limitations of the KD when managing patients with neuropsychiatric disorders. It also highlights the importance of individualized treatment plans based on the specific needs and responses of each patient.
目的:本综述旨在研究生酮饮食(KD)作为各种神经精神疾病的潜在治疗干预措施的现有文献:本综述旨在研究现有文献中有关生酮饮食(KD)作为一种潜在的治疗干预措施对各种神经精神疾病的有效性:生酮饮食是一种高脂肪、低碳水化合物饮食,因其对治疗神经精神疾病的潜在益处而受到研究。然而,它对这些疾病的有效程度仍不清楚:符合条件的研究设计包括随机和非随机对照试验、回顾性和前瞻性观察研究以及比较效果评估。每项研究的纳入标准都与神经精神疾病具体相关,并参考了 DSM-5 编码指南:方法:由一位经验丰富的参考资料馆员在多个数据库中进行了系统检索,以找出与生酮饮食对神经精神障碍的影响相关的研究。所有相关文章都被纳入其中,时间跨度在过去 13 年之间。确定的所有相关记录都编入了 Covidence 系统性综述软件:结果:共审查了 30 项研究,这些研究报告了 KD 对神经精神疾病的影响,包括改善全球发育迟缓、儿童自闭症、注意力缺陷/多动障碍 (ADHD) 症状、精神病症状、双相情感障碍及相关障碍、抑郁症状、焦虑症状、进食障碍、药物相关和成瘾性障碍、重度和轻度神经认知障碍以及癫痫发作:结论:对于各种神经精神疾病,KD 可能是一种很有前景的治疗干预方法。结论:KD 可作为对各种神经精神障碍的有前途的治疗干预,但证据不一,需要进一步的严格研究,以将 KD 确立为治疗这些障碍的标准疗法,并了解其作用的潜在机制:本综述强调了医护人员在管理神经精神障碍患者时考虑 KD 潜在益处和局限性的必要性。它还强调了根据每位患者的具体需求和反应制定个性化治疗计划的重要性。
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引用次数: 0
How dopamine shapes trust beliefs 多巴胺如何塑造信任信念
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-23 DOI: 10.1016/j.pnpbp.2024.111206
Bianca A. Schuster, Claus Lamm
Learning whom to trust is integral for healthy relationships and social cohesion, and atypicalities in trust learning are common across a range of clinical conditions, including schizophrenia spectrum disorders, Parkinson's disease, and depression. Persecutory delusions – rigid, unfounded beliefs that others are intending to harm oneself – significantly impact affected individuals' lives as they are associated with a range of negative health outcomes, including suicidal behaviour and relapse. Recent advances in computational modelling and psychopharmacology have significantly extended our understanding of the brain bases of dynamic trust learning, and the neuromodulator dopamine has been suggested to play a key role in this. However, the specifics of this role on a computational and neurobiological level remain to be fully established. The current review article provides a comprehensive summary of novel conceptual developments and empirical findings regarding the computational role of dopamine in social learning processes. Research findings strongly suggest a conceptual shift, from dopamine as a reward mechanism to a teaching signal indicating which information is relevant for learning, and shed light on the neurocomputational mechanisms via which antipsychotics may alleviate symptoms of aberrant social learning processes such as persecutory delusions. Knowledge gaps and inconsistencies in the extant literature are examined and the most pressing issues highlighted, laying the foundation for future research that will further advance our understanding of the neuromodulation of social belief updating processes.
学会信任别人对于健康的人际关系和社会凝聚力至关重要,而信任学习的非典型性在精神分裂症谱系障碍、帕金森病和抑郁症等一系列临床病症中十分常见。迫害妄想--僵化、毫无根据地认为他人意图伤害自己--严重影响受影响者的生活,因为它们与自杀行为和复发等一系列负面健康结果有关。计算建模和精神药理学的最新进展极大地扩展了我们对动态信任学习的大脑基础的理解,神经调节剂多巴胺被认为在其中发挥了关键作用。然而,这种作用在计算和神经生物学层面的具体细节仍有待充分确定。本综述文章全面总结了多巴胺在社会学习过程中的计算作用的新概念发展和经验发现。研究结果有力地表明了一种概念上的转变,即多巴胺从作为一种奖励机制转变为一种指示哪些信息与学习相关的教学信号,并揭示了抗精神病药物可能缓解诸如迫害妄想症等异常社会学习过程症状的神经计算机制。研究还审视了现有文献中的知识空白和不一致之处,并强调了最紧迫的问题,为今后的研究奠定了基础,从而进一步推动我们对社会信念更新过程神经调节的理解。
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引用次数: 0
Increased structural covariance of cortical measures in individuals with an at-risk mental state 高危精神状态个体大脑皮层测量的结构协方差增加。
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.pnpbp.2024.111197
Daiki Sasabayashi , Sakiko Tsugawa , Shinichiro Nakajima , Tsutomu Takahashi , Yoichiro Takayanagi , Shinsuke Koike , Naoyuki Katagiri , Masahiro Katsura , Atsushi Furuichi , Yuko Mizukami , Shimako Nishiyama , Haruko Kobayashi , Yusuke Yuasa , Naohisa Tsujino , Atsushi Sakuma , Noriyuki Ohmuro , Yutaro Sato , Kazuho Tomimoto , Naohiro Okada , Mariko Tada , Michio Suzuki
An anomalous pattern of structural covariance has been reported in schizophrenia, which has been suggested to represent connectome changes during brain maturation and neuroprogressive processes. It remains unclear whether similar differences exist in a clinical high-risk state for psychosis, and if they are associated with a prodromal phenotype and/or later psychosis onset. This multicenter magnetic resonance imaging study cross-sectionally examined structural covariance in a large at-risk mental state (ARMS) sample with different outcomes. The whole-brain structural covariance of four cortical measures (thickness, area, volume, and gyrification) was assessed in 155 individuals with ARMS, who were subclassified into 26 (16.8 %) with a later psychosis onset (ARMS-P), 44 with persistent subthreshold psychotic symptoms, and 53 with the remission of psychotic symptoms (ARMS-R) during the clinical follow-up, and 191 healthy controls. The relationships of changes in structural covariance with clinical symptoms and cognitive impairments were also investigated in the ARMS subsample. Structural covariance was significantly higher in widespread cortical regions in the ARMS group than in the controls, with each cortical measure having a different pattern in affected cortical regions. The higher structural covariance of the cortical area was partly related to severe suspiciousness–persecutory ideation. Structural covariance was significantly higher, mainly in fronto-parietal gyrification, in the ARMS-P group than in the ARMS-R group. The present results suggest that changes in structural covariance result in psychosis vulnerability and the excessive structural covariance of brain gyrification in ARMS subjects may contribute to their later clinical course.
据报道,精神分裂症患者的结构协方差模式异常,这被认为代表了大脑成熟和神经发育过程中的连接组变化。目前还不清楚在精神病的临床高危状态下是否存在类似的差异,也不清楚这些差异是否与前驱表型和/或精神病的后期发病有关。这项多中心磁共振成像研究横截面检查了具有不同结果的高危精神状态(ARMS)大样本的结构协方差。研究评估了155名ARMS患者和191名健康对照者的全脑结构协方差,其中包括四种皮质测量指标(厚度、面积、体积和回旋化),ARMS患者被细分为26名(16.8%)精神病发病较晚者(ARMS-P)、44名阈下精神病性症状持续存在者、53名精神病性症状缓解者(ARMS-R)。我们还在 ARMS 子样本中研究了结构协方差的变化与临床症状和认知障碍之间的关系。在广泛的皮质区域,ARMS 组的结构协方差明显高于对照组,在受影响的皮质区域,每种皮质测量指标都有不同的模式。皮质区域较高的结构协方差部分与严重的多疑-逼迫性意念有关。ARMS-P组的结构协方差明显高于ARMS-R组,主要表现在前顶回。本研究结果表明,结构协方差的变化导致了精神病的易感性,而ARMS受试者大脑回旋结构协方差过大可能会导致他们日后的临床病程。
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引用次数: 0
Mendelian randomization and genetic pleiotropy analysis for the connection between inflammatory bowel disease and Alzheimer's disease 对炎症性肠病与阿尔茨海默病之间联系的孟德尔随机化和遗传多效性分析。
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.pnpbp.2024.111203
Yuxuan Wu , Yu Yan , Jike Qi , Yuxin Liu , Ting Wang , Hao Chen , Xinying Guan , Chu Zheng , Ping Zeng

Background

The gut-microbiome-brain axis (GMBA) implies the connection between inflammatory bowel disease (IBD) and Alzheimer's disease (AD). We aimed to comprehensively explore the relation between IBD (and its subtypes) and AD, early-onset AD (EOAD) and late-onset AD (LOAD) from a genetic pleiotropy perspective.

Methods

Relying on summary statistics (N = 472,868 for AD, 185,204 for EOAD, 191,061 for LOAD, 59,957 for IBD, 45,975 for CD, and 40,266 for UC), we first performed Mendelian Randomization to examine the causal association between IBD and AD by leveraging vertical pleiotropy. Then, we estimated global and local genetic correlations, followed by cross-trait association analysis to identify SNPs and genes with horizontal pleiotropy. Particularly, we utilized multi-trait colocalization analysis to assess the role of microbes in the common genetic etiology underlying the two types of diseases. Finally, we conducted functional enrichment analysis for pleiotropic genes.

Results

We discovered suggestively causal relations between IBD (and its subtypes) and EOAD (ORIBD = 1.06 [1.01–1.11], ORCD = 1.05 [1.01–1.10], ORUC = 1.08 [1.01–1.15]) as well as between UC and LOAD (OR = 1.04 [1.01–1.08]), and discovered 44 local regions showing suggestively significant genetic correlations between IBD (and its subtypes) and AD (and EODA and LOAD). We further detected substantial genetic overlap, as characterized by 182  AD-associated, 3 EOAD-associated and 51 LOAD-associated pleiotropic SNPs as well as 291 pleiotropic genes. Pleiotropic genes more likely enriched in the GMBA-relevant tissues such as brain, intestine and esophagus. Moreover, we identified three microorganisms related to these disease pairs, including the Catenibacterium, Clostridia, and Prevotella species.

Conclusion

The suggestively causal associations and shared genetic basis between IBD and its subtypes with AD, EOAD and LOAD may commonly drive their co-occurrence, and gut microbes might partly explain the shared genetic etiology. Further studies are warranted to elaborate the possibly biological mechanisms underlying the two types of diseases.
背景:肠道-微生物组-脑轴(GMBA)意味着炎症性肠病(IBD)与阿尔茨海默病(AD)之间的联系。我们旨在从遗传多效性的角度全面探讨 IBD(及其亚型)与 AD、早发 AD(EOAD)和晚发 AD(LOAD)之间的关系:根据汇总统计数据(N = 472,868 例 AD、185,204 例 EOAD、191,061 例 LOAD、59,957 例 IBD、45,975 例 CD 和 40,266 例 UC),我们首先进行了孟德尔随机化(Mendelian Randomization),利用垂直多效性研究了 IBD 和 AD 之间的因果关系。然后,我们估算了全局和局部遗传相关性,接着进行了跨性状关联分析,以确定具有横向多效性的 SNP 和基因。特别是,我们利用多性状共定位分析来评估微生物在这两类疾病的共同遗传病因中的作用。最后,我们对多效基因进行了功能富集分析:结果:我们发现 IBD(及其亚型)与 EOAD(ORIBD = 1.06 [1.01-1.11],ORCD = 1.05 [1.01-1.10],ORUC = 1.08 [1.01-1.15])以及 UC 与 LOAD(OR = 1.04 [1.01-1.08])之间存在提示性因果关系,并发现 44 个局部区域显示 IBD(及其亚型)与 AD(以及 EODA 和 LOAD)之间存在提示性显著遗传相关性。我们还发现了大量的遗传重叠,其特点是有 182 个与 CE 相关、3 个与 EOAD 相关和 51 个与 LOAD 相关的多向性 SNP 以及 291 个多向性基因。多向性基因更有可能富集在与 GMBA 相关的组织中,如大脑、肠道和食道。此外,我们还发现了三种与这些疾病对相关的微生物,包括卡氏杆菌、梭菌和普雷沃特菌:结论:IBD及其亚型与AD、EOAD和LOAD之间的提示性因果关系和共同遗传基础可能是它们共同发生的常见原因,而肠道微生物可能是共同遗传病因的部分原因。我们有必要开展进一步的研究,以阐明这两类疾病可能的生物学机制。
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引用次数: 0
Duration of untreated psychosis and cognitive function in first-episode antipsychotic-naïve schizophrenia: Evidence from auditory P300 未治疗精神病的持续时间与首发抗精神病药物无效精神分裂症患者的认知功能:来自听觉P300的证据
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-22 DOI: 10.1016/j.pnpbp.2024.111202
Chenghao Lu , Shaobing Li , Nannan Liu , Tongxin Li , Yanzhe Li , Xinxu Wang , Shen Li , Jie Li , Xiang Yang Zhang

Objective

The relationship between the duration of untreated psychosis (DUP) and cognitive function in schizophrenia (SZ) patients remains debated, with no empirical evidence from event-related potential (ERP) studies supporting their association. This study aims to investigate the relationship between DUP and cognitive functions, as well as psychiatric symptoms, in first-episode antipsychotic-naïve SZ (FEAN-SZ) patients using ERP.

Methods

The study included 321 Chinese FEAN-SZ patients and 146 healthy controls. The DUP and sociodemographic characteristics of all participants were collected, and psychiatric symptoms were assessed using the Positive and Negative Syndrome Scale. The P300 (P3) components, including P3a, P3b and N100, were recorded from all participants using auditory oddball paradigm.

Results

25.5 % of patients did not receive timely treatment for over four years, and those with lower educational levels or more severe negative symptoms had longer DUP (p = 0.027, p = 0.020). Compared to healthy controls, FEAN-SZ patients exhibited longer latencies and lower amplitudes in the P3 components (all ps < 0.001). Significant differences in the P3 components were observed among three groups of DUP (< 8 months, 8 to 48 months, and ≥ 48 months) (all ps < 0.001). In the 8 ≤ DUP < 48 months group, the N1 amplitude and P3a latency predicted positive symptom scores and general psychopathology scores, respectively (β = −0.165, p = 0.037; β = 0.541, p < 0.001); P3b latency predicted negative symptom scores in the DUP < 8 months group (β = 0.391, p < 0.001). N1 amplitude predicted general psychopathology scores only in the DUP > 48 months group (β = −0.228, p = 0.040). Multiple linear regression analysis indicated that the latency and amplitude of P3a were independently associated with DUP (B = 0.124, p < 0.001; B = −1.161, p = 0.012).

Conclusions

SZ patients who have a longer DUP exhibit more severe P3 deficits, and the P3 components may be indicative of different psychiatric symptom severity in DUPs of different lengths, as well as the P3a component may serve as an electrophysiologic marker to assess the length of DUP.
目的:精神分裂症(SZ)患者未经治疗的精神病持续时间(DUP)与认知功能之间的关系仍存在争议,事件相关电位(ERP)研究没有实证证据支持两者之间的关系。本研究旨在利用ERP研究首次发病的抗精神病药物无效的精神分裂症(FEAN-SZ)患者的DUP与认知功能以及精神症状之间的关系:研究纳入了321名中国FEAN-SZ患者和146名健康对照者。收集了所有参与者的 DUP 和社会人口学特征,并使用阳性和阴性综合征量表评估了精神症状。结果显示:25.5%的患者四年以上未接受及时治疗,教育程度较低或阴性症状较严重的患者DUP时间较长(P = 0.027,P = 0.020)。与健康对照组相比,FEAN-SZ 患者的 P3 分量潜伏期较长,振幅较低(所有 ps 均为 48 个月组 (β = -0.228, p = 0.040)。多元线性回归分析表明,P3a 的潜伏期和振幅与 DUP 独立相关(B = 0.124,p 结论:P3a 的潜伏期和振幅与 DUP 无关:DUP时间较长的SZ患者表现出更严重的P3缺陷,P3分量可能表明不同时间的DUP中精神症状的严重程度不同,P3a分量也可作为评估DUP时间长短的电生理标记。
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引用次数: 0
Microbiota and social behavior alterations in a mouse model of down syndrome: Modulation by a synbiotic treatment 小鼠唐氏综合征模型中微生物群和社会行为的改变:合生元疗法的调节作用
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-20 DOI: 10.1016/j.pnpbp.2024.111200
Jose Antonio González-Parra , Marta Barrera-Conde , Elk Kossatz , Emma Veza , Rafael de la Torre , Arnau Busquets-Garcia , Patricia Robledo , Nieves Pizarro
Sex differences in the composition and functionality of gut microbiota are an emerging field of interest in neurodevelopmental disorders, as they may help in understanding the phenotypic disparities between males and females. This study aimed to characterize sex-related specific alterations in gut microbiota composition in a mouse model of Down syndrome (Ts65Dn mice, TS mice) through the sequencing of the PCR-amplified 16S ribosomal DNA fraction. Moreover, it intended to examine whether the modulation of gut microbiota by the administration of a synbiotic (SYN) treatment would be beneficial for the behavioral alterations observed in male and female TS mice. Our results show that male, but not female, TS mice exhibit alterations in beta diversity compared to their wild-type (WT) littermates. Sex-dependent differences are also observed in the relative abundance of the classes Bacilli and Clostridia. Administering the SYN effectively counteracts hypersociability in females, and normalizes the overall abundance of Bacilli, specifically by increasing Lactobacillaceae. On the contrary, it rescues emotional recognition deficits in male TS mice and increases the relative abundance of the families Lactobacillaceae, Streptococcaceae and Atopobiaceae. In addition, a metagenome KEGG analysis of differentially enriched pathways shows relevant changes in the cofactor biosynthesis and the amino acid synthesis categories. Finally, following SYN treatment, both male and female TS mice exhibit a robust increase in propionic acid levels compared to WT littermates. These findings suggest sex-specific mechanisms that could link gut microbiota composition with behavior in TS mice, and underscore the potential of targeted gut microbiota interventions to modulate social abnormalities in neurodevelopmental disorders.
肠道微生物群的组成和功能的性别差异是神经发育障碍领域的一个新兴领域,因为它们可能有助于理解雄性和雌性之间的表型差异。本研究旨在通过对 PCR 扩增的 16S 核糖体 DNA 片段进行测序,确定唐氏综合征小鼠模型(Ts65Dn 小鼠,TS 小鼠)肠道微生物群组成中与性别相关的特异性改变的特征。此外,我们还打算研究通过服用合生元(SYN)来调节肠道微生物群是否有利于观察到的雌雄 TS 小鼠的行为改变。我们的研究结果表明,与野生型(WT)小鼠相比,雄性 TS 小鼠(而非雌性 TS 小鼠)的β多样性发生了改变。在芽孢杆菌和梭状芽孢杆菌的相对丰度方面也观察到了性别差异。施用 SYN 能有效抵消雌性动物的超融合性,并使芽孢杆菌的总体丰度恢复正常,特别是通过增加乳杆菌科动物的数量。相反,SYN能挽救雄性TS小鼠的情绪识别缺陷,并增加乳酸杆菌科、链球菌科和Atopobiaceae的相对丰度。此外,对不同富集途径的元基因组 KEGG 分析表明,辅助因子生物合成和氨基酸合成类别发生了相关变化。最后,与 WT 小鼠相比,经 SYN 处理后,雄性和雌性 TS 小鼠的丙酸水平都有显著增加。这些发现提示了将肠道微生物群组成与 TS 小鼠行为联系起来的性别特异性机制,并强调了有针对性地干预肠道微生物群以调节神经发育障碍中的社会异常的潜力。
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引用次数: 0
Captopril prevents depressive-like behavior in an animal model of depression by enhancing hippocampal neurogenesis via activation of the ACE2/Ang (1–7)/Mas receptor/AMPK/BDNF pathway 卡托普利通过激活 ACE2/Ang (1-7)/Mas 受体/AMPK/BDNF通路增强海马神经发生,从而预防抑郁症动物模型中的抑郁样行为。
IF 5.3 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2024-11-17 DOI: 10.1016/j.pnpbp.2024.111198
Takayo Odaira-Satoh , Osamu Nakagawasai , Kohei Takahashi , Ryotaro Ono , Miharu Wako , Wataru Nemoto , Koichi Tan-No
The brain's Renin-Angiotensin System plays an important role in the modulation of mental state. Previously we demonstrated that activated angiotensin (Ang) converting enzyme (ACE) 2, which converts Ang II into Ang (1–7), or the intracerebroventricular administration of Ang (1–7) produced an antidepressant-like effect in mice via Mas receptors (MasR). Since the ACE inhibitor Captopril (Cap) increases Ang (1–7) in the brain, it remains unknown whether Cap affects the depressive-like behavior of olfactory bulbectomized (OBX) mice, an animal model of depression. We tested the effect of Cap on the depressive-like behavior of these mice in the tail-suspension test, quantified ACE2, p-AMP activated protein kinase (AMPK), and brain-derived neurotrophic factor (BDNF) using western blots, and examined the changes in Ang (1–7) level, neurogenesis, and in the expression of ACE2 and MasR on various cell types in the hippocampus using immunohistochemistry. While OBX mice exhibited a depressive-like behavior in the tail-suspension test, as well as a reduction in ACE2, Ang (1–7), p-AMPK, BDNF, and hippocampal neurogenesis, these changes were prevented by Cap administration. The intracerebroventricular administration of Ang (1–7) improved the OBX-induced depressive-like behavior. Except for the changes in ACE2 and Ang (1–7), the effects of Cap were inhibited by the coadministration of A779 (MasR inhibitor) or Compound-C (AMPK inhibitor). ACE2 localized to all cell types, while MasR localized to microglia and neurons. Our results suggest that Cap may act on ACE2-positive cells in the hippocampus to increase ACE2 expression level, thereby enhancing signaling in the ACE2/Ang (1–7)/MasR/AMPK/BDNF pathway and producing antidepressant-like effects.
大脑的肾素-血管紧张素系统在调节精神状态方面发挥着重要作用。此前我们曾证实,激活血管紧张素(Ang)转换酶(ACE)2(可将 Ang II 转换为 Ang (1-7))或脑室内注射 Ang (1-7)可通过 Mas 受体(MasR)对小鼠产生类似抗抑郁的作用。由于 ACE 抑制剂卡托普利(Captopril,Cap)会增加大脑中的 Ang (1-7),Cap 是否会影响嗅球切除(OBX)小鼠(一种抑郁症动物模型)的抑郁样行为仍是未知数。我们在尾悬吊试验中测试了 Cap 对这些小鼠抑郁样行为的影响,使用 Western 印迹对 ACE2、p-AMPK 活化蛋白激酶 (AMPK) 和脑源性神经营养因子 (BDNF) 进行了定量分析,并使用免疫组化方法检测了 Ang (1-7) 水平、神经发生以及 ACE2 和 MasR 在海马各种细胞类型上的表达变化。OBX小鼠在尾悬吊试验中表现出类似抑郁的行为,ACE2、Ang (1-7)、p-AMPK、BDNF和海马神经发生也有所减少,但这些变化都被Cap给药所阻止。脑室内注射 Ang (1-7) 可改善 OBX 诱导的抑郁样行为。除了 ACE2 和 Ang (1-7) 的变化外,Cap 的作用在联合给药 A779(MasR 抑制剂)或化合物-C(AMPK 抑制剂)后被抑制。ACE2 定位于所有细胞类型,而 MasR 定位于小胶质细胞和神经元。我们的研究结果表明,Cap 可能会作用于海马中 ACE2 阳性的细胞,提高 ACE2 的表达水平,从而增强 ACE2/Ang (1-7)/MasR/AMPK/BDNF 通路的信号转导,产生类似抗抑郁的作用。
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引用次数: 0
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Progress in Neuro-Psychopharmacology & Biological Psychiatry
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