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Intermittent hypoxic training – derived exosomes in stroke rehabilitation 间歇性缺氧训练--外泌体在中风康复中的应用
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-09-11 DOI: 10.3389/fnint.2024.1475234
Myoung-Gwi Ryou, Summer Burton
Ischemic stroke is the fourth leading cause of adult disability in the US, and it is a huge social burden all over the world. However, the efficient treatment of ischemic stroke is not available. An apparent reason for failing to find or develop an intervention for ischemic stroke is contributed to the tight blood–brain barrier (BBB). The unique characteristics of exosomes that can traverse BBB have been highlighted among researchers investigating interventions for ischemic stroke conditions. Additionally, intermittent hypoxic training has been considered a potential intervention in the treatment or rehabilitation process of ischemic stroke patients. In this mini-review, we are going to review the possibility of applying exosomes produced by a subject who does intermittent hypoxic conditioning in a treatment program for ischemic stroke.
在美国,缺血性中风是导致成人残疾的第四大原因,也是全世界巨大的社会负担。然而,缺血性中风并没有有效的治疗方法。未能找到或开发出治疗缺血性中风的干预措施的一个明显原因是血脑屏障(BBB)的严密性。研究缺血性中风干预措施的研究人员强调了外泌体可以穿越 BBB 的独特特性。此外,间歇性缺氧训练也被认为是缺血性中风患者治疗或康复过程中的一种潜在干预措施。在这篇微型综述中,我们将探讨在缺血性中风的治疗方案中应用进行间歇性缺氧训练的受试者产生的外泌体的可能性。
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引用次数: 0
Prenatal tobacco and alcohol exposure, white matter microstructure, and early language skills in toddlers from a South African birth cohort 南非出生队列中幼儿的产前烟酒暴露、白质微结构和早期语言能力
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-09-02 DOI: 10.3389/fnint.2024.1438888
Chloe Scholten, Mohammad Ghasoub, Bryce Geeraert, Shantanu Joshi, Catherine J. Wedderburn, Annerine Roos, Sivenesi Subramoney, Nadia Hoffman, Katherine Narr, Roger Woods, Heather J. Zar, Dan J. Stein, Kirsten Donald, Catherine Lebel
IntroductionTobacco and alcohol are the two most common substances used during pregnancy, and both can disrupt neurodevelopment, resulting in cognitive and behavioral deficits including language difficulties. Previous studies show that children with prenatal substance exposure exhibit microstructural alterations in major white matter pathways, though few studies have investigated the impact of prenatal substance exposure on white matter microstructure and language skills during the toddler years.MethodsIn this study, 93 children (34 exposed to alcohol and/or tobacco) aged 23 years from the Drakenstein Child Health Study, South Africa, completed Expressive and Receptive Communication assessments from the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III) and underwent diffusion MRI scans. Diffusion images were preprocessed, and 11 major white matter tracts were isolated. Fractional anisotropy (FA) and mean diffusivity (MD) were extracted for each white matter tract. Linear regression was used to examine differences between the tobacco/alcohol exposed group and unexposed controls for FA, MD, and language scores, as well as relationships between brain metrics and language. There were no significant group differences in language scores or FA.ResultsChildren with alcohol or tobacco exposure had lower average MD in the splenium of the corpus callosum compared to unexposed controls. Significant interactions between prenatal substance exposure and language scores were seen in 7 tracts but did not survive multiple comparisons correction.DiscussionOur findings show that prenatal alcohol and/or tobacco exposure appear to alter the relationship between white matter microstructure and early language skills in this population of toddlers, potentially laying the basis of language deficits observed later in older children with prenatal substance exposure, which may have implications for learning and interventions.
导言烟草和酒精是孕期最常使用的两种物质,它们都会破坏神经系统的发育,导致认知和行为缺陷,包括语言障碍。以往的研究表明,产前接触过药物的儿童会表现出主要白质通路的微结构改变,但很少有研究调查了产前接触药物对幼儿期白质微结构和语言能力的影响。方法在这项研究中,来自南非德拉肯斯坦儿童健康研究(Drakenstein Child Health Study)的 93 名 23 岁儿童(34 名接触过酒精和/或烟草)完成了贝利婴幼儿发展量表第三版(BSID-III)中的表达性和接受性交流评估,并接受了弥散核磁共振成像扫描。扩散图像经过预处理,并分离出 11 条主要白质束。提取了每个白质束的分数各向异性(FA)和平均扩散率(MD)。采用线性回归法检测烟草/酒精暴露组与未暴露对照组在FA、MD和语言得分方面的差异,以及大脑指标与语言之间的关系。结果与未接触烟草或酒精的对照组相比,接触烟草或酒精的儿童胼胝体脾脏的平均MD较低。讨论我们的研究结果表明,产前酒精和/或烟草暴露似乎改变了这部分幼儿的白质微结构与早期语言技能之间的关系,这可能为日后观察到的有产前药物暴露的大龄儿童的语言障碍奠定了基础,这可能对学习和干预措施产生影响。
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引用次数: 0
Pain, mindfulness, and placebo: a systematic review 疼痛、正念和安慰剂:系统综述
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-08-29 DOI: 10.3389/fnint.2024.1432270
Alexandra Lopes, Rute Sampaio, Isaura Tavares
IntroductionPain is a complex phenomenon influenced by psychosocial variables, including the placebo effect. The effectiveness of mindfulness-based interventions (MBIs) for pain has been demonstrated in experimental studies and systematic reviews, but the mechanisms of action are only starting to be established. Whether the expectations of individuals experiencing pain can be manipulated during MBIs remains to be systematically evaluated, and what role placebo effects might play remains to be explored.MethodsTo evaluate the literature analyzing placebo effects in MBIs for pain, we performed a systematic review based on searches conducted in PubMed, Web of Science, and SCOPUS databases. Our search revealed a total of 272 studies, of which only 19 studies were included (10 acute pain and nine chronic pain), considering the inclusion and exclusion criteria related to expectations and placebo effects.ResultsFrom the 19 included studies, six measured placebo effects only in relation to the pharmacological intervention used in the study and not to an MBI.DiscussionThe results of the few studies that focused on the placebo effects of the MBIs indicate that placebo and expectations play a role in the MBIs' effects on pain. Although expectations and placebo effects are frequently discussed in the context of mindfulness and pain research, these results show that these factors are still not routinely considered in experimental designs. However, the results of the few studies included in this systematic review highlight a clear role for placebo and expectancy effects in the overall effects of MBIs for both acute and chronic pain, suggesting that routine measurement and further consideration in future studies are warranted. Additional research in this fascinating and challenging field is necessary to fully understand the connection between MBIs, placebo/expectations, and their effects on pain relief.
导言:疼痛是一种复杂的现象,受到心理社会变量(包括安慰剂效应)的影响。基于正念的疼痛干预(MBIs)的有效性已在实验研究和系统综述中得到证实,但其作用机制才刚刚开始确立。方法为了评估分析正念干预治疗疼痛的安慰剂效应的文献,我们基于在 PubMed、Web of Science 和 SCOPUS 数据库中的搜索结果进行了系统综述。结果在纳入的19项研究中,有6项研究仅针对研究中使用的药物干预措施而非MBI测量了安慰剂效应。讨论少数关注MBI安慰剂效应的研究结果表明,安慰剂和期望在MBI对疼痛的影响中发挥了作用。虽然在正念与疼痛研究中经常讨论期望和安慰剂效应,但这些结果表明,这些因素在实验设计中仍未得到常规考虑。然而,本系统综述中包含的少数研究结果突出表明,安慰剂效应和期望效应在 MBIs 对急性和慢性疼痛的总体效果中发挥着明显的作用,这表明在未来的研究中需要进行常规测量和进一步考虑。有必要在这一充满魅力和挑战的领域开展更多研究,以充分了解 MBIs、安慰剂/期望值及其对疼痛缓解效果之间的联系。
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引用次数: 0
Editorial: Mechanisms and models of musculoskeletal pain and nonpharmacological treatment, volume II. 社论:肌肉骨骼疼痛的机制和模型以及非药物治疗,第二卷。
IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-08-26 eCollection Date: 2024-01-01 DOI: 10.3389/fnint.2024.1476870
William R Reed, Maruti R Gudavalli, Daniel F Martins
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引用次数: 0
Ultra-overt therapy: a novel medical approach centered on patient consciousness. 超隐蔽疗法:一种以病人意识为中心的新型医疗方法。
IF 2.6 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-08-16 eCollection Date: 2024-01-01 DOI: 10.3389/fnint.2024.1457936
Kamran Shirbache, Amirreza Liaghat, Sanam Saeifar, Ahmadreza Nezameslami, Ali Shirbacheh, Hamid Nasri, Hamidreza Namazi

Within the realms of human and artificial intelligence, the concepts of consciousness and comprehension are fundamental distinctions. In the clinical sphere, patient awareness regarding medication and its physiological processes plays a crucial role in determining drug efficacy and outcomes. This article introduces a novel perspective on prescription practices termed "Ultra-Overt Therapy" (UOT). A review of current supporting evidence was conducted through a non-systematic search in PubMed and Google Scholar, focusing on concepts such as the "mind-body relationship," "placebo response," "neuroscience," and "complementary medicine." Our findings, rooted in the mechanisms of the "placebo effect," the intricacies of "intersubjective therapy," the potency of "interoceptive awareness," and other domains of medical science, suggest that UOT holds theoretical promise. Future research endeavors focusing on these areas may elucidate the global impact of this method on medical treatment and patient care.

在人类和人工智能领域,意识和理解的概念是基本的区别。在临床领域,患者对药物及其生理过程的认知在决定药物疗效和结果方面起着至关重要的作用。本文从一个新的角度介绍了一种被称为 "超常疗法"(UOT)的处方实践。我们通过在 PubMed 和谷歌学术网站上进行非系统性搜索,对当前支持性证据进行了回顾,重点关注 "身心关系"、"安慰剂反应"、"神经科学 "和 "补充医学 "等概念。我们的研究结果植根于 "安慰剂效应 "的机制、"主体间疗法 "的复杂性、"感知间意识 "的效力以及其他医学科学领域,表明 UOT 具有理论前景。未来在这些领域的研究工作可能会阐明这种方法对医疗和病人护理的全球影响。
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引用次数: 0
Prenatal low-dose Bisphenol A exposure impacts cortical development via cAMP-PKA-CREB pathway in offspring 产前低剂量双酚 A 暴露通过 cAMP-PKA-CREB 通路影响后代大脑皮层的发育
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-08-07 DOI: 10.3389/fnint.2024.1419607
Chu Jiang, Jun Guan, Xiangrong Tang, Yichun Zhang, Xiangyu Li, Yuting Li, Zhiheng Chen, Jing Zhang, Jia-Da Li
Bisphenol A (BPA) is a widely used plasticizer known to cause various disorders. Despite a global reduction in the use of BPA-containing products, prenatal exposure to low-dose BPA, even those below established safety limits, has been linked to neurological and behavioral deficits in childhood. The precise mechanisms underlying these effects remain unclear. In the present study, we observed a significant increase in the number of cortical neurons in offspring born to dams exposed to low-dose BPA during pregnancy. We also found that this prenatal exposure to low-dose BPA led to increased proliferation but reduced migration of cortical neurons. Transcriptomic analysis via RNA sequencing revealed an aberrant activation of the cAMP-PKA-CREB pathway in offspring exposed to BPA. The use of H89, a selective PKA inhibitor, effectively rescued the deficits in both proliferation and migration of cortical neurons. Furthermore, offspring from dams exposed to low-dose BPA exhibited manic-like behaviors, including hyperactivity, anti-depressant-like responses, and reduced anxiety. While H89 normalized hyperactivity, it didn't affect the other behavioral changes. These results suggest that the overactivation of PKA plays a causative role in BPA-induced changes in neuronal development. Our data also indicate that manic-like behaviors induced by prenatal low-dose BPA exposure may be influenced by both altered neuronal development and abnormal PKA signaling in adulthood.
双酚 A(BPA)是一种广泛使用的塑化剂,已知会导致各种疾病。尽管全球范围内都在减少含双酚 A 产品的使用,但产前接触低剂量的双酚 A(即使低于既定的安全限值)仍与儿童期的神经和行为缺陷有关。这些影响的确切机制尚不清楚。在本研究中,我们观察到在孕期暴露于低剂量双酚 A 的母体所生后代的大脑皮层神经元数量显著增加。我们还发现,产前暴露于低剂量双酚 A 会导致大脑皮层神经元增殖增加,但迁移减少。通过 RNA 测序进行的转录组分析表明,暴露于双酚 A 的后代体内 cAMP-PKA-CREB 通路被异常激活。使用 H89(一种选择性 PKA 抑制剂)可有效缓解大脑皮层神经元增殖和迁移的缺陷。此外,母体暴露于低剂量双酚 A 的后代表现出类似狂躁症的行为,包括多动、抗抑郁样反应和焦虑减少。虽然H89能使多动正常化,但并不影响其他行为变化。这些结果表明,PKA 的过度激活在双酚 A 诱导的神经元发育变化中起着致病作用。我们的数据还表明,产前低剂量双酚 A 暴露诱发的躁狂症样行为可能同时受到神经元发育改变和成年后 PKA 信号异常的影响。
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引用次数: 0
Association of chronotype with language and episodic memory processing in children: implications for brain structure 年代型与儿童语言和外显记忆处理的关系:对大脑结构的影响
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-08-07 DOI: 10.3389/fnint.2024.1437585
Masatoshi Yamashita, Qiulu Shou, Yoshifumi Mizuno
IntroductionChronotype refers to individual preference in circadian cycles and is associated with psychiatric problems. It is mainly classified into early (those who prefer to be active in the morning and sleep and wake up early) and late (those who prefer to be active in the evening and sleep and wake up late) chronotypes. Although previous research has demonstrated associations between chronotype and cognitive function and brain structure in adults, little is known regarding these associations in children. Here, we aimed to investigate the relationship between chronotype and cognitive function in children. Moreover, based on the significant association between chronotype and specific cognitive functions, we extracted regions-of-interest (ROI) and examined the association between chronotype and ROI volumes.MethodsData from 4,493 children (mean age of 143.06 months) from the Adolescent Brain Cognitive Development Study were obtained, wherein chronotype (mid-sleep time on free days corrected for sleep debt on school days) was assessed by the Munich Chronotype Questionnaire. Subsequently, the associations between chronotype, cognitive function, and ROI volumes were evaluated using linear mixed-effects models.ResultsBehaviorally, chronotype was negatively associated with vocabulary knowledge, reading skills, and episodic memory performance. Based on these associations, the ROI analysis focused on language-related and episodic memory-related areas revealed a negative association between chronotype and left precentral gyrus and right posterior cingulate cortex volumes. Furthermore, the precentral gyrus volume was positively associated with vocabulary knowledge and reading skills, while the posterior cingulate cortex volume was positively associated with episodic memory performance.DiscussionThese results suggest that children with late chronotype have lower language comprehension and episodic memory and smaller brain volumes in the left precentral gyrus and right posterior cingulate cortex associated with these cognitive functions.
导言:昼夜节律型是指个人对昼夜节律周期的偏好,与精神问题有关。昼夜节律型主要分为早睡早起型和晚睡晚起型。尽管以往的研究已经证明了时间型与成人认知功能和大脑结构之间的关系,但对儿童的这些关系却知之甚少。在此,我们旨在研究儿童的时间型与认知功能之间的关系。方法:我们从青少年大脑认知发展研究(Adolescent Brain Cognitive Development Study)中获得了4493名儿童(平均年龄为143.06个月)的数据,并通过慕尼黑时间型态问卷(Munich Chronotype Questionnaire)对时间型态(空闲日的中间睡眠时间校正了上学日的睡眠欠缺)进行了评估。结果从行为上看,时型与词汇知识、阅读技能和外显记忆表现呈负相关。基于这些关联,对语言相关区域和表观记忆相关区域的 ROI 分析显示,年代型与左侧前中央回和右侧扣带回皮层体积之间存在负相关。讨论 这些结果表明,年代型较晚的儿童的语言理解能力和外显记忆能力较低,而与这些认知功能相关的左侧前脑回和右侧扣带后皮层的脑容量较小。
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引用次数: 0
Voluntary wheel running access produces opposite effects in male and female rats on both palatable diet consumption and associated ventral striatal opioid- and dopamine-related gene expression 在雌雄大鼠体内,自愿车轮跑步对适口饮食的摄入量以及相关的腹侧纹状体阿片和多巴胺相关基因的表达产生了相反的影响
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-07-26 DOI: 10.3389/fnint.2024.1426219
Courtney G. Kocum, Yonca Cam, Dusti A. Shay, Tim A. Schweizer, Ella R. Konrad, Tabitha K. Houska, Carlos A. Sardina, Todd R. Schachtman, Victoria J. Vieira-Potter, Matthew J. Will
The relationship between physical activity levels and feeding behaviors has been a focus of preclinical research for decades, yet this interaction has only recently been explored for potential sex differences. The aim of the present study was to isolate sex-dependent effects of voluntary wheel running (RUN) vs. sedentary locked wheel (SED) home cage conditions on palatability-driven feeding behavior using a 2-diet choice task between standard chow and a high-fat diet. The sex-dependent effects of physical activity on feeding behavior were examined following a within-subject novel reversal design of physical activity conditions (i.e., RUN &gt; SED &gt; RUN), to assess temporal sensitivity of the interaction. Following the final 2 weeks of reestablished and sustained RUN vs. SED conditions in separate groups of both males and females, reward-related opioid and dopamine gene expression within the nucleus accumbens (Acb) brain region were analyzed. Results demonstrated that the initial RUN &gt; SED transition led to sex-dependent effects of SED condition, as males increased, and females decreased their high fat consumption, compared to their respective high fat consumption during previous RUN condition phase. Following reintroduction to the RUN condition, males decreased, and females increased their high fat consumption, compared to their separate SED control group. Last, sex-dependent shifts in ventral striatal opioid- and dopamine-related gene expression were observed to parallel the behavioral effects. The major findings of the study reveal that SED and RUN home cage conditions shift palatability-driven feeding in the opposite direction for males and females, these effects are sensitive to reversal, and these sex-dependent feeding behaviors track sex-dependent changes to critical reward-related gene expression patterns in the Acb. Considering the present high rates of sedentary behavior and obesity, furthering our understanding of the interaction between physical activity (or lack thereof) and feeding behavior should be a priority, especially in the context of these divergent sex-dependent outcomes.
几十年来,体力活动水平与摄食行为之间的关系一直是临床前研究的一个重点,但这种相互作用的潜在性别差异直到最近才被探索出来。本研究的目的是通过在标准饲料和高脂肪饲料之间进行2种饮食选择任务,分离自愿轮跑(RUN)和静止锁定轮跑(SED)家笼条件对适口性驱动的摄食行为的性别依赖性影响。为了评估交互作用的时间敏感性,研究人员对运动条件(即 RUN &gt; SED &gt; RUN)进行了主体内新颖的反转设计,以考察运动对摄食行为的性别依赖性影响。在对男性和女性分别进行为期两周的重新建立和持续 RUN 与 SED 条件对比后,分析了脑部伏隔核(Acb)区域内与奖赏相关的阿片类和多巴胺基因表达。结果表明,最初的 RUN &gt; SED 过渡导致了 SED 条件的性别依赖效应,与之前 RUN 条件阶段的高脂肪消耗相比,男性增加了高脂肪消耗,而女性则减少了高脂肪消耗。与单独的 SED 对照组相比,重新进入 RUN 条件后,雄性动物减少了高脂肪摄入量,而雌性动物则增加了高脂肪摄入量。最后,在行为效应的同时,还观察到腹侧纹状体阿片和多巴胺相关基因表达的性别依赖性变化。该研究的主要发现表明,SED和RUN家笼条件会使雌雄动物的适口性驱动摄食行为向相反的方向转变,这些效应对逆转很敏感,而且这些性别依赖性摄食行为会跟踪Acb中与奖赏相关的关键基因表达模式的性别依赖性变化。考虑到目前久坐不动和肥胖症的高发率,进一步了解体力活动(或缺乏体力活动)与摄食行为之间的相互作用应该是当务之急,尤其是在这些不同性别依赖性结果的背景下。
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引用次数: 0
Electrophysiological responses to appetitive and consummatory behavior in the rostral nucleus tractus solitarius in awake, unrestrained rats 清醒、不受约束的大鼠对食欲和消耗行为的电生理反应
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-07-16 DOI: 10.3389/fnint.2024.1430950
Stephen A. Pilato, Flynn P. O’Connell, Jonathan D. Victor, Patricia M. Di Lorenzo
IntroductionAs the intermediate nucleus in the brainstem receiving information from the tongue and transmitting information upstream, the rostral portion of the nucleus tractus solitarius (rNTS) is most often described as a “taste relay”. Although recent evidence implicates the caudal NTS in a broad neural circuit involved in regulating ingestion, there is little information about how cells in the rNTS respond when an animal is eating solid food.MethodsSingle cells in the rNTS were recorded in awake, unrestrained rats as they explored and ate solid foods (Eating paradigm) chosen to correspond to the basic taste qualities: milk chocolate for sweet, salted peanuts for salty, Granny Smith apples for sour and broccoli for bitter. A subset of cells was also recorded as the animal licked exemplars of the five basic taste qualities: sucrose, NaCl, citric acid, quinine and MSG (Lick paradigm).ResultsMost cells were excited by exploration of a food-filled well, sometimes responding prior to contact with the food. In contrast, cells that were excited by food well exploration became significantly less active while the animal was eating the food. Most cells were broadly tuned across foods, and those cells that were recorded in both the Lick and Eating paradigms showed little correspondence in their tuning across paradigms.DiscussionThe preponderance of robust responses to the appetitive versus the consummatory phase of ingestion suggests that multimodal convergence onto cells in the rNTS may be used in decision making about ingestion.
简介:作为脑干中接收来自舌头的信息并向上游传递信息的中间核,脊髓束核(rNTS)喙突部分最常被描述为 "味觉中继器"。方法记录清醒、不受约束的大鼠在探索和进食固体食物("进食 "范式)时喙NTS的单个细胞,这些食物被选作与基本味觉品质相对应的食物:牛奶巧克力代表甜味,咸花生代表咸味,史密斯奶奶苹果代表酸味,西兰花代表苦味。当动物舔五种基本味觉品质的范例:蔗糖、氯化钠、柠檬酸、奎宁和味精(舔范例)时,也会记录一部分细胞。与此相反,当动物吃食物时,因探索食物井而兴奋的细胞的活跃程度明显降低。大多数细胞在不同食物中都有广泛的调谐,而那些在舔食和进食两种范式中都记录到的细胞在不同范式中的调谐几乎没有对应关系。
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引用次数: 0
Neurological symphony: post-acute COVID-19 syndrome, an innovative pathophysiological exploration from neuraltherapeutic medicine 神经交响乐:急性 COVID-19 后综合征,神经治疗医学的创新性病理生理学探索
IF 3.5 3区 医学 Q2 BEHAVIORAL SCIENCES Pub Date : 2024-07-12 DOI: 10.3389/fnint.2024.1417856
Carlos Bustamante, Laura Bibiana Pinilla Bonilla, Juan Carlos Restrepo
The SARS-CoV-2 pandemic has affected 771 million people and caused 6.9 million confirmed deaths as of November 2023. Beyond the adversity, a crucial and less-explored chapter unfolds: adaptive sequelae. These have altered social, mental, and emotional conditions, leaving an imprint on biological systems. While some cases fully resolve the pathological process post-acute infection, others persist with symptoms, posing a challenge that underscores the need to comprehend pathophysiology from innovative perspectives. The article delves into “Long COVID” or Post-Acute COVID-19 Syndrome (PACS), where symptoms persist for ≥4 weeks irrespective of initial severity. Risk factors include a history of severe illness, in-hospital management, and intensive care. This article also explores theories, derived from various experimental models, that have demonstrated the involvement of the nervous system in coordination with the psychoneuroimmunoendocrine axes in the expression of inflammation. It is posited that PACS involves processes of peripheral and central sensitization (corticalization), facilitating dishomeostasis and the chronicity of the inflammatory process. In this context, various therapeutic strategies grounded in modulating the inflammatory reflex are reviewed, primarily through the infiltration of local anesthetics via linear and non-linear approaches. Neural therapeutic use is considered to stimulate the regulatory inflammatory circuits coordinated by the neuroimmune-endocrine system.
截至 2023 年 11 月,SARS-CoV-2 大流行已影响 7.71 亿人,造成 690 万人确认死亡。在逆境之外,一个重要而鲜为人知的篇章正在展开:适应性后遗症。这些后遗症改变了社会、心理和情感状况,在生物系统中留下了烙印。有些病例在急性感染后病理过程完全缓解,但有些病例症状持续存在,这就提出了一个挑战,强调了从创新角度理解病理生理学的必要性。文章深入探讨了 "长 COVID "或急性 COVID-19 后综合征(PACS),在这种情况下,无论最初的严重程度如何,症状都会持续≥4 周。风险因素包括重病史、院内管理和重症监护。本文还探讨了从各种实验模型中得出的理论,这些理论证明神经系统与心理-神经-免疫-内分泌轴协调参与了炎症的表达。文章认为,PACS 涉及外周和中枢敏感化(皮质化)过程,促进了非稳态和炎症过程的慢性化。在此背景下,本文回顾了以调节炎症反射为基础的各种治疗策略,主要是通过线性和非线性方法渗透局部麻醉剂。神经治疗的使用被认为是为了刺激由神经免疫-内分泌系统协调的炎症调节回路。
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