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Microstructural neural correlates of maximal grip strength in autistic children: the role of the cortico-cerebellar network and attention-deficit/hyperactivity disorder features 自闭症儿童最大握力的微结构神经相关性:皮质-小脑网络和注意力缺陷/多动症特征的作用
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-05-14 DOI: 10.3389/fnint.2024.1359099
Olivia Surgent, Jose Guerrero-Gonzalez, Douglas C. Dean, Nagesh Adluru, Gregory R. Kirk, Steven R. Kecskemeti, Andrew L. Alexander, James J. Li, Brittany G. Travers
IntroductionMaximal grip strength, a measure of how much force a person’s hand can generate when squeezing an object, may be an effective method for understanding potential neurobiological differences during motor tasks. Grip strength in autistic individuals may be of particular interest due to its unique developmental trajectory. While autism-specific differences in grip-brain relationships have been found in adult populations, it is possible that such differences in grip-brain relationships may be present at earlier ages when grip strength is behaviorally similar in autistic and non-autistic groups. Further, such neural differences may lead to the later emergence of diagnostic-group grip differences in adolescence. The present study sought to examine this possibility, while also examining if grip strength could elucidate the neuro-motor sources of phenotypic heterogeneity commonly observed within autism.MethodsUsing high resolution, multi-shell diffusion, and quantitative R1 relaxometry imaging, this study examined how variations in key sensorimotor-related white matter pathways of the proprioception input, lateral grasping, cortico-cerebellar, and corticospinal networks were associated with individual variations in grip strength in 68 autistic children and 70 non-autistic (neurotypical) children (6–11 years-old).ResultsIn both groups, results indicated that stronger grip strength was associated with higher proprioceptive input, lateral grasping, and corticospinal (but not cortico-cerebellar modification) fractional anisotropy and R1, indirect measures concordant with stronger microstructural coherence and increased myelination. Diagnostic group differences in these grip-brain relationships were not observed, but the autistic group exhibited more variability particularly in the cortico-cerebellar modification indices. An examination into the variability within the autistic group revealed that attention-deficit/hyperactivity disorder (ADHD) features moderated the relationships between grip strength and both fractional anisotropy and R1 relaxometry in the premotor-primary motor tract of the lateral grasping network and the cortico-cerebellar network tracts. Specifically, in autistic children with elevated ADHD features (60% of the autistic group) stronger grip strength was related to higher fractional anisotropy and R1 of the cerebellar modification network (stronger microstructural coherence and more myelin), whereas the opposite relationship was observed in autistic children with reduced ADHD features.DiscussionTogether, this work suggests that while the foundational elements of grip strength are similar across school-aged autistic and non-autistic children, neural mechanisms of grip strength within autistic children may additionally depend on the presence of ADHD features. Specifically, stronger, more coherent connections of the cerebellar modification network, which is thought to play a role in refining and optimizing motor commands, may lead
导言最大握力是衡量一个人的手在挤压物体时能产生多大力量的指标,它可能是了解运动任务中潜在神经生物学差异的有效方法。由于其独特的发育轨迹,自闭症患者的握力可能特别值得关注。虽然在成年人群中发现了自闭症特异性的握力-脑力关系差异,但当自闭症和非自闭症群体的握力在行为上相似时,这种握力-脑力关系的差异有可能在更早的年龄就已经存在。此外,这种神经差异可能会导致后来在青少年时期出现诊断性群体握力差异。本研究试图探讨这种可能性,同时还探讨握力是否能阐明自闭症患者表型异质性的神经运动来源。方法本研究采用高分辨率、多壳扩散和定量 R1 弛豫测量成像技术,对 68 名自闭症儿童和 70 名非自闭症(神经典型)儿童(6-11 岁)的本体感觉输入、侧向抓握、皮质-小脑和皮质脊髓网络中与感觉运动相关的关键白质通路的变化如何与握力的个体差异相关联进行了研究。结果在这两组儿童中,结果显示较强的握力与较高的本体感觉输入、侧向抓握和皮质脊髓(但不是皮质-小脑修饰)分数各向异性和 R1 相关,这些间接测量与较强的微结构一致性和髓鞘化增加一致。在这些握脑关系中未观察到诊断性群体差异,但自闭症群体表现出更大的变异性,尤其是在皮质-小脑修饰指数方面。对自闭症群体内部变异性的研究显示,注意力缺陷/多动症(ADHD)的特征调节了握力与外侧抓握网络的前运动-初级运动束和皮质-小脑网络束的分数各向异性和R1松弛度之间的关系。讨论这项研究表明,虽然学龄自闭症儿童和非自闭症儿童握力的基本要素相似,但自闭症儿童握力的神经机制可能还取决于是否存在多动症特征。具体来说,小脑修饰网络被认为在完善和优化运动指令方面发挥着作用,该网络更强、更连贯的连接可能会导致具有较多多多动症特征的儿童握力更强,而具有较少多动症特征的儿童握力较弱,而非自闭症儿童的握力则没有差异。虽然还需要未来的研究来了解这些发现是否会扩展到握力以外的其他运动任务,但这些结果对于了解自闭症儿童神经运动控制的生物学基础具有重要意义,并强调了在评估自闭症患者大脑与行为关系时评估并发症的重要性。
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引用次数: 0
Assessment of aggressive behavior in Dravet syndrome: a critical look. 评估德雷维综合征的攻击行为:批判性审视。
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI: 10.3389/fnint.2024.1403681
Alejandro Torres-Fortuny, Luis Miguel Aras, Jon Andoni Duñabeitia
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引用次数: 0
Auditory feedback decreases timing variability for discontinuous and continuous motor tasks in autistic adults 听觉反馈可降低自闭症成人在完成不连续和连续运动任务时的时间变异性
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-03-28 DOI: 10.3389/fnint.2024.1379208
Nicole Richard Williams, Luc Tremblay, Corene Hurt-Thaut, Jessica Brian, Julia Kowaleski, Kathrin Mertel, Sebastian Shlüter, Michael Thaut
IntroductionAutistic individuals demonstrate greater variability and timing error in their motor performance than neurotypical individuals, likely due at least in part to atypical cerebellar characteristics and connectivity. These motor difficulties may differentially affect discrete as opposed to continuous movements in autistic individuals. Augmented auditory feedback has the potential to aid motor timing and variability due to intact auditory-motor pathways in autism and high sensitivity in autistic individuals to auditory stimuli.MethodsThis experiment investigated whether there were differences in timing accuracy and variability in autistic adults as a function of task (discontinuous vs. continuous movements) and condition (augmented auditory feedback vs. no auditory feedback) in a synchronization-continuation paradigm. Ten autistic young adults aged 17–27 years of age completed the within-subjects study that involved drawing circles at 800 milliseconds intervals on a touch screen. In the discontinuous task, participants traced a series of discrete circles and paused at the top of each circle for at least 60 milliseconds. In the continuous task, participants traced the circles without pausing. Participants traced circles in either a non-auditory condition, or an auditory condition in which they heard a tone each time that they completed a circle drawing.ResultsParticipants had significantly better timing accuracy on the continuous timing task as opposed to the discontinuous task. Timing consistency was significantly higher for tasks performed with auditory feedback.DiscussionThis research reveals that motor difficulties in autistic individuals affect discrete timing tasks more than continuous tasks, and provides evidence that augmented auditory feedback may be able to mitigate some of the timing variability present in autistic persons’ movements. These results provide support for future investigation on the use of music-based therapies involving auditory feedback to address motor dysfunction in autistic individuals.
导言:与神经畸形患者相比,自闭症患者在运动表现方面表现出更大的可变性和时间误差,这可能至少部分归因于不典型的小脑特征和连通性。这些运动困难可能会对自闭症患者的离散运动和连续运动造成不同程度的影响。由于自闭症患者的听觉-运动通路完好无损,而且自闭症患者对听觉刺激具有高度敏感性,因此增强听觉反馈有可能有助于运动计时和变异性。十名年龄在 17-27 岁之间的自闭症青少年完成了这项被试内研究,研究内容包括在触摸屏上以 800 毫秒的间隔画圆。在非连续任务中,参与者描画一系列不连续的圆,并在每个圆的顶部停顿至少 60 毫秒。在连续任务中,参与者描画圆圈时不暂停。参与者在非听觉条件下或听觉条件下描画圆圈,在听觉条件下,他们每次完成圆圈描画时都会听到提示音。讨论这项研究揭示了自闭症患者的运动障碍对离散计时任务的影响要大于连续计时任务,并提供了证据表明,增强型听觉反馈可能能够减轻自闭症患者运动中存在的一些计时变异。这些研究结果为今后研究使用基于音乐的听觉反馈疗法来解决自闭症患者的运动功能障碍提供了支持。
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引用次数: 0
The newly discovered glymphatic system: the missing link between physical exercise and brain health? 新发现的甘油系统:体育锻炼与大脑健康之间缺失的联系?
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-03-18 DOI: 10.3389/fnint.2024.1349563
Raphael Lopes Olegário, Otávio Toledo Nóbrega, Einstein Francisco Camargos
Dementias are responsible for the most frequent neurodegenerative diseases and the seventh leading cause of death worldwide. As a result, there is a growing effort by the neuroscientific community to understand the physiopathology of neurodegenerative diseases, including how to alleviate the effects of the cognitive decline by means of non-pharmacological therapies (e.g., physical exercise). Studies have shown that exercise can improve aspects of brain health related to cognition. However, there still needs to be more knowledge regarding the mechanisms controlling these relationships, and a newly discovered cleansing system in the brain, named the glymphatic system, can be the missing link in this mechanism. The objective of this paper is to review recent findings regarding the potential impacts of physical exercise on the glymphatic system and its implications for the onset of neurodegenerative diseases. Additionally, considering the close interplay between exercise and sleep quality, we aim to explore how sleep patterns may intersect with exercise-induced effects on glymphatic function, further elucidating the complex relationship between lifestyle factors and brain health.
痴呆症是最常见的神经退行性疾病,也是全球第七大死因。因此,神经科学界越来越努力地了解神经退行性疾病的生理病理,包括如何通过非药物疗法(如体育锻炼)缓解认知能力下降的影响。研究表明,运动可以改善与认知相关的大脑健康状况。然而,人们仍需进一步了解控制这些关系的机制,而大脑中一个新发现的清洁系统--甘油系统--可能是这一机制中缺失的一环。本文旨在回顾体育锻炼对甘液系统的潜在影响及其对神经退行性疾病发病的影响的最新发现。此外,考虑到运动与睡眠质量之间的密切关系,我们旨在探讨睡眠模式如何与运动对甘液功能的影响相互交织,从而进一步阐明生活方式因素与大脑健康之间的复杂关系。
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引用次数: 0
Corrigendum: The effect of acupuncture at the Taiyang acupoint on visual function and EEG microstates in myopia. 更正:针刺太阳穴对近视患者视功能和脑电图微状态的影响。
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-03-15 eCollection Date: 2024-01-01 DOI: 10.3389/fnint.2024.1367593
Kangna Su, Lihan Wang, Zhongqing Wang, Jiayao Ma, Chao Zhang, Hongsheng Bi, Jianfeng Wu

[This corrects the article DOI: 10.3389/fnint.2023.1234471.].

[This corrects the article DOI: 10.3389/fnint.2023.1234471.].
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引用次数: 0
Object-oriented hand dexterity and grasping abilities, from the animal quarters to the neurosurgical OR: a systematic review of the underlying neural correlates in non-human, human primate and recent findings in awake brain surgery 从动物区到神经外科手术室,以物体为导向的手部灵活性和抓握能力:非人类和人类灵长类动物潜在神经相关性的系统回顾,以及清醒脑外科手术中的最新发现
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-02-15 DOI: 10.3389/fnint.2024.1324581
Leonardo Tariciotti, Luca Mattioli, Luca Viganò, Matteo Gallo, Matteo Gambaretti, Tommaso Sciortino, Lorenzo Gay, Marco Conti Nibali, Alberto Gallotti, Gabriella Cerri, Lorenzo Bello, Marco Rossi
IntroductionThe sensorimotor integrations subserving object-oriented manipulative actions have been extensively investigated in non-human primates via direct approaches, as intracortical micro-stimulation (ICMS), cytoarchitectonic analysis and anatomical tracers. However, the understanding of the mechanisms underlying complex motor behaviors is yet to be fully integrated in brain mapping paradigms and the consistency of these findings with intraoperative data obtained during awake neurosurgical procedures for brain tumor removal is still largely unexplored. Accordingly, there is a paucity of systematic studies reviewing the cross-species analogies in neural activities during object-oriented hand motor tasks in primates and investigating the concordance with intraoperative findings during brain mapping. The current systematic review was designed to summarize the cortical and subcortical neural correlates of object-oriented fine hand actions, as revealed by fMRI and PET studies, in non-human and human primates and how those were translated into neurosurgical studies testing dexterous hand-movements during intraoperative brain mapping.MethodsA systematic literature review was conducted following the PRISMA guidelines. PubMed, EMBASE and Web of Science databases were searched. Original articles were included if they: (1) investigated cortical activation sites on fMRI and/or PET during grasping task; (2) included humans or non-human primates. A second query was designed on the databases above to collect studies reporting motor, hand manipulation and dexterity tasks for intraoperative brain mapping in patients undergoing awake brain surgery for any condition. Due to the heterogeneity in neurosurgical applications, a qualitative synthesis was deemed more appropriate.ResultsWe provided an updated overview of the current state of the art in translational neuroscience about the extended frontoparietal grasping-praxis network with a specific focus on the comparative functioning in non-human primates, healthy humans and how the latter knowledge has been implemented in the neurosurgical operating room during brain tumor resection.DiscussionThe anatomical and functional correlates we reviewed confirmed the evolutionary continuum from monkeys to humans, allowing a cautious but practical adoption of such evidence in intraoperative brain mapping protocols. Integrating the previous results in the surgical practice helps preserve complex motor abilities, prevent long-term disability and poor quality of life and allow the maximal safe resection of intrinsic brain tumors.
导言:通过皮层内微刺激(ICMS)、细胞结构分析和解剖示踪剂等直接方法,对非人灵长类动物中支持以物体为导向的操纵动作的感觉运动整合进行了广泛研究。然而,复杂运动行为的机制尚未完全纳入脑图谱范例中,而且这些研究结果与清醒状态下进行脑肿瘤切除的神经外科手术过程中获得的术中数据的一致性在很大程度上仍未得到探讨。因此,很少有系统性研究回顾灵长类动物在完成以物体为导向的手部运动任务时神经活动的跨物种相似性,并调查这些发现与脑图绘制过程中术中发现的一致性。本系统综述旨在总结 fMRI 和 PET 研究揭示的非人灵长类和人灵长类面向物体的精细手部动作的皮层和皮层下神经相关性,以及如何将这些相关性转化为术中脑图谱绘制过程中灵巧手部动作测试的神经外科研究。检索了 PubMed、EMBASE 和 Web of Science 数据库。只要是原创文章均被纳入:(1) 研究了抓握任务期间 fMRI 和/或 PET 的皮层激活位置;(2) 包括人类或非人类灵长类动物。在上述数据库的基础上设计了第二项查询,以收集报告因任何疾病接受清醒脑部手术的患者术中脑部映射的运动、手部操作和灵巧性任务的研究。由于神经外科应用的异质性,定性综合被认为是更合适的方法。结果我们提供了转化神经科学领域关于前顶叶扩展抓握-肢体网络的最新进展概述,特别关注非人灵长类动物和健康人类的功能比较,以及如何在神经外科手术室的脑肿瘤切除术中应用后者的知识。讨论我们回顾的解剖学和功能相关性证实了从猴子到人类的进化连续性,允许在术中大脑映射协议中谨慎但实用地采用这些证据。在手术实践中结合之前的研究成果有助于保护复杂的运动能力,防止长期残疾和生活质量低下,并最大限度地安全切除内在脑肿瘤。
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引用次数: 0
Differential contributions of body form, motion, and temporal information to subjective action understanding in naturalistic stimuli 身体形态、运动和时间信息对自然刺激下主观动作理解的不同贡献
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-02-14 DOI: 10.3389/fnint.2024.1302960
Vojtěch Smekal, Marta Poyo Solanas, Evelyne I. C. Fraats, Beatrice de Gelder
Introduction

We investigated the factors underlying naturalistic action recognition and understanding, as well as the errors occurring during recognition failures.

Methods

Participants saw full-light stimuli of ten different whole-body actions presented in three different conditions: as normal videos, as videos with the temporal order of the frames scrambled, and as single static representative frames. After each stimulus presentation participants completed one of two tasks—a forced choice task where they were given the ten potential action labels as options, or a free description task, where they could describe the action performed in each stimulus in their own words.

Results

While generally, a combination of form, motion, and temporal information led to the highest action understanding, for some actions form information was sufficient and adding motion and temporal information did not increase recognition accuracy. We also analyzed errors in action recognition and found primarily two different types.

Discussion

One type of error was on the semantic level, while the other consisted of reverting to the kinematic level of body part processing without any attribution of semantics. We elaborate on these results in the context of naturalistic action perception.

导言:我们研究了自然动作识别和理解的基本因素,以及识别失败时出现的错误。方法:参与者在三种不同的条件下观看十个不同全身动作的全光刺激:正常视频、帧的时间顺序被打乱的视频和单个静态代表帧。在每次刺激呈现之后,受试者都要完成两个任务中的一个--强迫选择任务,受试者可以将十个潜在的动作标签作为选项;或者自由描述任务,受试者可以用自己的话描述每个刺激中的动作。结果一般来说,形式、运动和时间信息的组合能让受试者获得最高的动作理解度,但对于某些动作来说,形式信息已经足够,增加运动和时间信息并不能提高识别准确度。我们还分析了动作识别中的错误,发现主要有两种不同的类型。讨论 一种类型的错误是语义层面上的,而另一种类型的错误则是在没有任何语义归因的情况下,返回到身体部位处理的运动学层面。我们将结合自然动作感知来详细阐述这些结果。
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引用次数: 0
Motor imagery in autism: a systematic review 自闭症患者的运动想象:系统回顾
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-02-12 DOI: 10.3389/fnint.2024.1335694
Emma Gowen, Eve Edmonds, Ellen Poliakoff
IntroductionMotor Imagery (MI) is when an individual imagines performing an action without physically executing that action and is thought to involve similar neural processes used for execution of physical movement. As motor coordination difficulties are common in autistic individuals it is possible that these may affect MI ability. The aim of this systematic review was to assess the current knowledge around MI ability in autistic individuals.MethodsA systematic search was conducted for articles published before September 2023, following PRISMA guidance. Search engines were PsycINFO, PubMed, Web of Science, Scopus, Wiley Online Library and PsyArXiv. Inclusion criteria included: (a) Original peer-reviewed and pre-print publications; (b) Autistic and a non-autistic group (c) Implicit or explicit imagery tasks (d) Behavioral, neurophysiological or self-rating measures, (e) Written in the English language. Exclusion criteria were (a) Articles only about MI or autism (b) Articles where the autism data is not presented separately (c) Articles on action observation, recognition or imitation only (d) Review articles. A narrative synthesis of the evidence was conducted.ResultsSixteen studies across fourteen articles were included. Tasks were divided into implicit (unconscious) or explicit (conscious) MI. The implicit tasks used either hand (6) or body (4) rotation tasks. Explicit tasks consisted of perspective taking tasks (3), a questionnaire (1) and explicit instructions to imagine performing a movement (2). A MI strategy was apparent for the hand rotation task in autistic children, although may have been more challenging. Evidence was mixed and inconclusive for the remaining task types due to the varied range of different tasks and, measures conducted and design limitations. Further limitations included a sex bias toward males and the hand rotation task only being conducted in children.DiscussionThere is currently an incomplete understanding of MI ability in autistic individuals. The field would benefit from a battery of fully described implicit and explicit MI tasks, conducted across the same groups of autistic children and adults. Improved knowledge around MI in autistic individuals is important for understanding whether MI techniques may benefit motor coordination in some autistic people.
导言 运动想象(MI)是指一个人在没有实际执行动作的情况下想象执行一个动作,它被认为涉及执行身体动作时所使用的类似神经过程。由于自闭症患者普遍存在运动协调障碍,这可能会影响运动想象能力。本系统性综述旨在评估目前有关自闭症患者运动协调能力的知识。方法根据 PRISMA 指南,对 2023 年 9 月之前发表的文章进行了系统性检索。搜索引擎包括 PsycINFO、PubMed、Web of Science、Scopus、Wiley Online Library 和 PsyArXiv。纳入标准包括(a) 经同行评审的原始出版物和预印本;(b) 自闭症和非自闭症群体;(c) 内隐或外显意象任务;(d) 行为学、神经生理学或自我评分测量;(e) 以英语撰写。排除标准为:(a)仅有关多元智能或自闭症的文章(b)未单独介绍自闭症数据的文章(c)仅有关动作观察、识别或模仿的文章(d)综述文章。结果 14 篇文章中的 16 项研究被纳入其中。任务分为隐性(无意识)或显性(有意识)多元智能。内隐式任务采用手部(6 项)或身体(4 项)旋转任务。显性任务包括透视任务(3 项)、问卷调查(1 项)和想象做动作的显性指令(2 项)。自闭症儿童的手部旋转任务显然采用了多元智能策略,但可能更具挑战性。其余任务类型的证据则参差不齐,尚无定论,原因在于不同任务的范围、所采用的测量方法以及设计上的局限性。其他限制还包括性别偏向男性以及手部旋转任务仅在儿童中进行。如果能在自闭症儿童和成人中开展一系列完整描述的内隐和外显多元智能任务,将会使该领域受益匪浅。加强对自闭症患者多元智能能力的了解,对于了解多元智能技术是否有益于某些自闭症患者的运动协调能力非常重要。
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引用次数: 0
Autosomal recessive cerebellar ataxias: a diagnostic classification approach according to ocular features 常染色体隐性遗传小脑性共济失调:根据眼部特征的诊断分类方法
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-02-07 DOI: 10.3389/fnint.2023.1275794
Diego Lopergolo, Francesca Rosini, Elena Pretegiani, Alessia Bargagli, Valeria Serchi, Alessandra Rufa
Autosomal recessive cerebellar ataxias (ARCAs) are a heterogeneous group of neurodegenerative disorders affecting primarily the cerebellum and/or its afferent tracts, often accompanied by damage of other neurological or extra-neurological systems. Due to the overlap of clinical presentation among ARCAs and the variety of hereditary, acquired, and reversible etiologies that can determine cerebellar dysfunction, the differential diagnosis is challenging, but also urgent considering the ongoing development of promising target therapies. The examination of afferent and efferent visual system may provide neurophysiological and structural information related to cerebellar dysfunction and neurodegeneration thus allowing a possible diagnostic classification approach according to ocular features. While optic coherence tomography (OCT) is applied for the parametrization of the optic nerve and macular area, the eye movements analysis relies on a wide range of eye-tracker devices and the application of machine-learning techniques. We discuss the results of clinical and eye-tracking oculomotor examination, the OCT findings and some advancing of computer science in ARCAs thus providing evidence sustaining the identification of robust eye parameters as possible markers of ARCAs.
常染色体隐性遗传小脑共济失调症(ARCA)是一组异质性神经退行性疾病,主要影响小脑和/或其传入束,通常伴有其他神经系统或神经系统外的损害。由于 ARCAs 的临床表现相互重叠,而且可导致小脑功能障碍的遗传性、获得性和可逆性病因多种多样,因此鉴别诊断极具挑战性,但考虑到目前正在开发前景广阔的靶向疗法,鉴别诊断也迫在眉睫。对传入和传出视觉系统的检查可提供与小脑功能障碍和神经变性有关的神经生理学和结构信息,从而可根据眼部特征进行诊断分类。光学相干断层扫描(OCT)可用于视神经和黄斑区的参数化,而眼球运动分析则依赖于各种眼球跟踪器设备和机器学习技术的应用。我们讨论了临床和眼动跟踪检查的结果、OCT 的发现以及计算机科学在 ARCA 方面的一些进展,从而为确定稳健的眼球参数作为 ARCA 的可能标记提供了证据。
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引用次数: 0
Bioelectronic Medicine: a multidisciplinary roadmap from biophysics to precision therapies 生物电子医学:从生物物理学到精准疗法的多学科路线图
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-01-10 DOI: 10.3389/fnint.2024.1321872
María Alejandra González-González, Silvia V. Conde, Ramon Latorre, Stéphanie C. Thébault, Marta Pratelli, Nicholas C. Spitzer, Alexei Verkhratsky, Marie-Ève Tremblay, Cuneyt G. Akcora, Ana G. Hernández-Reynoso, Melanie Ecker, Jayme Coates, Kathleen L. Vincent, Brandy Ma

Bioelectronic Medicine stands as an emerging field that rapidly evolves and offers distinctive clinical benefits, alongside unique challenges. It consists of the modulation of the nervous system by precise delivery of electrical current for the treatment of clinical conditions, such as post-stroke movement recovery or drug-resistant disorders. The unquestionable clinical impact of Bioelectronic Medicine is underscored by the successful translation to humans in the last decades, and the long list of preclinical studies. Given the emergency of accelerating the progress in new neuromodulation treatments (i.e., drug-resistant hypertension, autoimmune and degenerative diseases), collaboration between multiple fields is imperative. This work intends to foster multidisciplinary work and bring together different fields to provide the fundamental basis underlying Bioelectronic Medicine. In this review we will go from the biophysics of the cell membrane, which we consider the inner core of neuromodulation, to patient care. We will discuss the recently discovered mechanism of neurotransmission switching and how it will impact neuromodulation design, and we will provide an update on neuronal and glial basis in health and disease. The advances in biomedical technology have facilitated the collection of large amounts of data, thereby introducing new challenges in data analysis. We will discuss the current approaches and challenges in high throughput data analysis, encompassing big data, networks, artificial intelligence, and internet of things. Emphasis will be placed on understanding the electrochemical properties of neural interfaces, along with the integration of biocompatible and reliable materials and compliance with biomedical regulations for translational applications. Preclinical validation is foundational to the translational process, and we will discuss the critical aspects of such animal studies. Finally, we will focus on the patient point-of-care and challenges in neuromodulation as the ultimate goal of bioelectronic medicine. This review is a call to scientists from different fields to work together with a common endeavor: accelerate the decoding and modulation of the nervous system in a new era of therapeutic possibilities.

生物电子医学是一个新兴领域,发展迅速,在带来独特临床疗效的同时,也面临着独特的挑战。它包括通过精确输送电流来调节神经系统,以治疗中风后运动恢复或耐药性疾病等临床病症。生物电子医学的临床影响毋庸置疑,过去几十年来成功地将其应用于人体以及大量的临床前研究都证明了这一点。鉴于加速新神经调节疗法(即耐药性高血压、自身免疫性和退行性疾病)进展的紧迫性,多个领域之间的合作势在必行。这项工作旨在促进多学科工作,汇聚不同领域,为生物电子医学提供基础。在这篇综述中,我们将从细胞膜的生物物理学(我们认为细胞膜是神经调控的内在核心)深入到病人护理。我们将讨论最近发现的神经传递切换机制及其对神经调控设计的影响,并将提供有关健康和疾病中神经元和神经胶质细胞基础的最新信息。生物医学技术的进步促进了大量数据的收集,从而为数据分析带来了新的挑战。我们将讨论当前高通量数据分析的方法和挑战,包括大数据、网络、人工智能和物联网。重点将放在了解神经接口的电化学特性,以及生物兼容和可靠材料的整合和符合转化应用的生物医学法规。临床前验证是转化过程的基础,我们将讨论此类动物研究的关键环节。最后,我们将重点讨论作为生物电子医学最终目标的病人护理点和神经调控方面的挑战。这篇综述呼吁来自不同领域的科学家共同努力:在一个充满治疗可能性的新时代,加快对神经系统的解码和调控。
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Frontiers in Integrative Neuroscience
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