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Impact of prenatal omega-3 fatty acids supplementation on cognitive outcomes: a systematic review with meta-analysis. 产前补充omega-3脂肪酸对认知结果的影响:一项荟萃分析的系统综述。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-02-06 DOI: 10.1016/j.neubiorev.2026.106589
Chiara Musillo, Marianna Samà, Marta Borgi, Francesca Cirulli

The beneficial effects of omega-3 polyunsaturated fatty acids (PUFA) supplementation during pregnancy have been associated with reduced risk of preterm birth and low birthweight. However, inconsistent findings have been reported regarding their impact on children's neurodevelopmental trajectories. We performed a comprehensive systematic review with meta-analysis of preclinical studies to assess the effects of prenatal omega-3 supplementation on long-term outcomes in offspring and to identify key relevant neurodevelopmental domains to guide the design and prioritization of future clinical follow-up studies. The databases consulted included PubMed/Medline, Scopus and Web of Science. Thirty-five studies were included in the systematic review, and 19 studies were included in the meta-analysis. Relevant information such as characteristics of nutritional interventions, maternal conditions, offspring characteristics and article attributes were extracted. Sample sizes, means, and standard deviation or standard error for the outcome measures were also extracted. The search yielded 3,198 articles; 35 met inclusion criteria, with 11 included in a random-effects meta-analysis of memory retention, and 8 in a meta-analysis of brain-derived neurotrophic factor (BDNF) levels. Our findings show that maternal omega-3 PUFA supplementation during pregnancy improves memory retention (SMD=0.671; CI 95%: 0.163-1.179; p=0.010) and increases levels of BDNF (SMD=0.838; CI 95%: 0.369-1.307; p=0.000) in the offspring. These effects are more pronounced in offspring exposed to prenatal adversities. Maternal omega-3 supplementation shows promise in mitigating oxidative stress and inflammation, although findings remain heterogeneous. Maternal omega-3 supplementation appears as a safe and effective means to improve offspring neurodevelopment, with stronger effects under adverse gestational conditions, highlighting its potential for at-risk populations.

怀孕期间补充omega-3多不饱和脂肪酸(PUFA)的有益作用与降低早产和低出生体重的风险有关。然而,关于它们对儿童神经发育轨迹的影响,报道的结果并不一致。我们对临床前研究进行了全面的系统回顾和荟萃分析,以评估产前补充omega-3对后代长期结局的影响,并确定关键的相关神经发育领域,以指导未来临床随访研究的设计和优先顺序。参考的数据库包括PubMed/Medline、Scopus和Web of Science。系统评价纳入了35项研究,meta分析纳入了19项研究。提取营养干预特征、母体状况、后代特征和物品属性等相关信息。还提取了结果测量的样本量、平均值和标准偏差或标准误差。搜索产生了3198篇文章;35人符合纳入标准,其中11人被纳入记忆保持的随机效应荟萃分析,8人被纳入脑源性神经营养因子(BDNF)水平的荟萃分析。我们的研究结果表明,母亲在怀孕期间补充omega-3 PUFA可以改善后代的记忆力(SMD=0.671; CI 95%: 0.163-1.179; p=0.010),并增加BDNF水平(SMD=0.838; CI 95%: 0.369-1.307; p=0.000)。这些影响在暴露于产前逆境的后代中更为明显。母体补充欧米伽-3有希望减轻氧化应激和炎症,尽管研究结果仍不一致。母体补充omega-3似乎是一种安全有效的改善后代神经发育的方法,在不利的妊娠条件下效果更强,突出了其对高危人群的潜力。
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引用次数: 0
The neural basis of imagination: an evolutionary perspective. 想象的神经基础:一个进化的观点。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-02-05 DOI: 10.1016/j.neubiorev.2026.106590
Oryan Zacks, Eva Jablonka

The study of imagination has progressed due to its operationalization through a variety of behavioural tasks, initially designed for human participants and later adapted to non-human animals. However, this behavioural data has proven insufficient for inferring the level and scope of imagination in animals. To better understand human imagination, and its possible manifestations in animals, we trace here the evolutionary origin of the default mode network (DMN), which is central to human imagination. We show that the evolution of the DMN involved significant neural innovations at the base of the mammalian lineage: the emergence of the neocortex and a substantial reorganization of the hippocampus. These two structures underwent parallel evolution, including the emergence of a 3D organization, the establishment of a canonical microcircuit, a significant development of pyramidal neurons, and the emergence of dedicated compartments of granular neurons. We suggest that previous studies have underestimated the importance of hippocampal modifications in shaping the mammalian brain, especially considering its central role in studies of memory consolidation, replay and human imagination more generally. Looking beyond mammals, we expect to find a functionally similar network in birds, convergent with the mammalian DMN. We end with a discussion of findings that could be construed as indicators of imagination within and outside the mammalian clade and the relations of our extraordinary human imagination to language.

想象力的研究已经取得了进展,因为它通过各种行为任务的操作化,最初是为人类参与者设计的,后来适应于非人类动物。然而,这些行为数据已被证明不足以推断动物想象力的水平和范围。为了更好地理解人类的想象力及其在动物身上的可能表现,我们在这里追溯了默认模式网络(DMN)的进化起源,它是人类想象力的核心。研究表明,DMN的进化涉及哺乳动物谱系基础上的重大神经创新:新皮层的出现和海马体的大量重组。这两种结构经历了平行的进化,包括三维组织的出现,规范微电路的建立,锥体神经元的显著发展,以及颗粒神经元专用室的出现。我们认为,以前的研究低估了海马体修饰在塑造哺乳动物大脑中的重要性,特别是考虑到它在记忆巩固、回放和人类想象力研究中的核心作用。在哺乳动物之外,我们期望在鸟类中找到一个功能类似的网络,与哺乳动物的DMN收敛。最后,我们将讨论一些发现,这些发现可以被解释为哺乳动物进化分支内外的想象力指标,以及我们非凡的人类想象力与语言的关系。
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引用次数: 0
No relationship between testosterone and risk aversion: A meta-analytic review. 睾酮和风险厌恶之间没有关系:一项荟萃分析综述。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-02-02 DOI: 10.1016/j.neubiorev.2026.106575
Irene Sánchez Rodríguez, Luca Bailo, Folco Panizza, Emiliano Ricciardi, Francesco Bossi

The association between testosterone and risk-taking behavior has been widely investigated across behavioral economics, neuroendocrinology, and social neuroscience, but empirical results remain inconsistent. To clarify this relationship, we conducted a multilevel random-effects meta-analysis of 52 empirical studies (94 independent effect sizes; total N = 17,340), the most comprehensive so far, examining correlations between testosterone levels or manipulations and risk preferences across diverse paradigms. The aggregated effect was statistically null (r = -0.0021, 95% CI [-0.0431, 0.0389], p = .919), indicating no reliable link between testosterone and risk-taking. Publication bias diagnostics (trim-and-fill and fail-safe N) suggested that this null effect is not driven by selective reporting. Meta-regressions revealed significant heterogeneity across testosterone measurement type. Moreover, only lottery-based economic tasks showed a modest positive association, whereas other paradigms (e.g., BART, IGT, self-report) did not. A separate meta-analysis of sex differences found no moderating effect, suggesting that testosterone-risk correlations are not reliably stronger in males than females. Overall, the evidence challenges the notion that testosterone provides a general hormonal basis for human risk preferences. Instead, findings support a biopsychosocial framework in which "risk taking" reflects the interaction of task demands, cognitive-affective processes, and situational context, with endocrine effects appearing narrow, context-dependent, and method-specific. Future work should employ preregistered, multi-measure designs and direct endocrine assays to test mechanistic pathways more precisely.

在行为经济学、神经内分泌学和社会神经科学中,人们广泛研究了睾丸激素和冒险行为之间的关系,但实证结果仍然不一致。为了澄清这种关系,我们对52项实证研究(94个独立效应大小;总N = 17,340)进行了多水平随机效应荟萃分析,这是迄今为止最全面的,研究了不同范式下睾丸激素水平或操纵与风险偏好之间的相关性。综合效应在统计学上为零(r = -0.0021, 95% CI [-0.0431, 0.0389], p = .919),表明睾酮与冒险行为之间没有可靠的联系。发表偏倚诊断(修整和填充和故障安全N)表明,这种零效应不是由选择性报告驱动的。元回归显示睾酮测量类型的显著异质性。此外,只有基于彩票的经济任务显示出适度的正相关,而其他范式(如BART, IGT,自我报告)则没有。一项关于性别差异的独立荟萃分析没有发现调节作用,这表明睾酮与风险的相关性在男性中并不一定比女性强。总的来说,这些证据挑战了睾丸激素为人类风险偏好提供一般激素基础的观点。相反,研究结果支持一个生物心理社会框架,其中“冒险”反映了任务需求、认知情感过程和情境背景的相互作用,而内分泌的影响似乎是狭隘的、情境依赖的和方法特定的。未来的工作应该采用预注册、多测量设计和直接内分泌测定来更精确地测试机制途径。
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引用次数: 0
Immune-Cognitive Relationships Across Viral Infections: A Transnosological Systematic Review. 跨病毒感染的免疫-认知关系:跨分类学系统综述。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-02-02 DOI: 10.1016/j.neubiorev.2026.106588
A Nuber-Champier, G Breville, P H Lalive, F Assal, J A Péron

The emergence of SARS-CoV-2 has renewed interest in the relationship between immunity and cognition. Despite decades of work, the impact of viral exposure, mainly in the field of HIV, herpes and hepatitis infections, on distinct cognitive processes remains unclear, as most studies use global screening tools (e.g., MoCA) in isolation in each infectious context. This systematic narrative review adopts a transnosological approach, summarizing previously reported immune-cognition relationships across viral infections. Of 931 studies, 32 met inclusion criteria (N=25,325) spanning SARS-CoV-2, HIV, herpes, hepatitis, Epstein-Barr virus, and multiple infections. Reported studies on immuno-cognitive relationships reveal several consistent findings. Elevated circulating CD14+CD16+ intermediate monocytes correlated with slower processing speed, reduced episodic memory and mental flexibility. Higher CD4+ T cells were associated with better processing efficiency, while reduced T cells and B cells levels together with elevated IgG predicted deficits in memory and attention. Most proinflammatory cytokines (e.g., IL-6, TNF-α, IFN-γ) were associated with impairments in overlapping cognitive domains (e.g., memory), whereas IL-10, an anti-inflammatory cytokine, consistently supported executive and memory performance.

SARS-CoV-2的出现重新引起了人们对免疫与认知之间关系的兴趣。尽管进行了数十年的工作,但病毒暴露(主要是在艾滋病毒、疱疹和肝炎感染领域)对不同认知过程的影响仍不清楚,因为大多数研究在每种感染情况下单独使用全球筛查工具(例如MoCA)。这篇系统的叙述性综述采用了跨分类学的方法,总结了以前报道的病毒感染的免疫认知关系。在931项研究中,32项符合纳入标准(N=25,325),涵盖SARS-CoV-2、艾滋病毒、疱疹、肝炎、爱泼斯坦-巴尔病毒和多种感染。关于免疫-认知关系的研究报告揭示了几个一致的发现。循环CD14+CD16+中间单核细胞升高与加工速度减慢、情景记忆和心理灵活性降低相关。较高的CD4+ T细胞与更好的处理效率相关,而降低的T细胞和B细胞水平以及升高的IgG预示着记忆和注意力的缺陷。大多数促炎细胞因子(例如,IL-6, TNF-α, IFN-γ)与重叠认知领域(例如,记忆)的损伤有关,而IL-10,一种抗炎细胞因子,始终支持执行和记忆表现。
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引用次数: 0
Altercentrism and self-representation in chimpanzees. 黑猩猩的另类中心主义和自我表征。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-31 DOI: 10.1016/j.neubiorev.2026.106580
Robert Lurz, Steven Samuel, Chelsea Cox
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引用次数: 0
Do people really avoid effort? A cost - benefit perspective on the principle of least effort. 人们真的在逃避努力吗?最小努力原则的成本效益视角。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-29 DOI: 10.1016/j.neubiorev.2026.106587
Nathalie André, Roy F Baumeister, Guido H E Gendolla, Michel Audiffren
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引用次数: 0
The supramammillary nucleus as a multifunctional integrative hub: Cell-type diversity, co-transmission, and systems-level control of behavior. 乳上核作为多功能综合枢纽:细胞类型多样性、共同传递和系统水平的行为控制。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-29 DOI: 10.1016/j.neubiorev.2026.106583
Siming Zhang, Mingjiao Suo, Ziyu Yi, Peng Fu, Chuanlin Zhang, Chaoxiong Yue, Jinquan Li, Yan Zeng, Yushan Chen

The supramammillary nucleus (SuM), a ventromedial structure of the posterior hypothalamus, has long been viewed primarily as a pacemaker for hippocampal theta rhythms. Recent discoveries, however, reveal pronounced cellular heterogeneity within the SuM and demonstrate that distinct neuronal subpopulations engage projection-defined pathways to shape hippocampal dynamics, septo-hippocampal state regulation, and broader limbic processing. Through these mechanisms, SuM activity influences adult hippocampal neurogenesis, memory encoding and retrieval, affective regulation, and behavioral state transitions in a context-dependent manner. Rather than acting as a uniform modulatory source, the SuM appears to integrate internal state signals, including arousal, metabolic, and motivational cues, and route them through parallel output channels to exert coordinated control over cognitive and emotional functions. Here, we synthesize recent advances in SuM cellular diversity, intrinsic microcircuit logic, and long-range connectivity, and propose a unifying framework in which the SuM operates as a systems-level hub whose dysregulation may contribute to neuropsychiatric and neurodegenerative disorders. This perspective highlights both conceptual gaps in current understanding and emerging opportunities for pathway-informed neuromodulation strategies.

乳上核(SuM)是下丘脑后部的腹内侧结构,长期以来被认为主要是海马θ波节律的起搏器。然而,最近的发现揭示了SuM内明显的细胞异质性,并表明不同的神经元亚群参与投射定义的通路来塑造海马动力学、隔海状态调节和更广泛的边缘处理。通过这些机制,SuM活动以情境依赖的方式影响成人海马神经发生、记忆编码和检索、情感调节和行为状态转换。SuM并不是作为一个统一的调节源,它似乎整合了内部状态信号,包括觉醒、代谢和动机线索,并将它们通过平行的输出通道,对认知和情感功能施加协调控制。在这里,我们综合了SuM细胞多样性、内在微电路逻辑和远程连接的最新进展,并提出了一个统一的框架,其中SuM作为一个系统级枢纽运作,其失调可能导致神经精神和神经退行性疾病。这一观点强调了当前理解的概念差距和通路知情神经调节策略的新兴机会。
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引用次数: 0
Linking misophonia and tinnitus: Common and divergent neurobiological mechanisms 恐音症和耳鸣的联系:共同和不同的神经生物学机制
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-29 DOI: 10.1016/j.neubiorev.2026.106584
Despina Melanthiou , Georgia Panayiotou , Evangelos Paraskevopoulos , Andreas Chatzittofis , Morfeas Koumas , Anna Onisiforou , Panos Zanos
Misophonia and tinnitus are debilitating auditory disorders that impair social functioning and mental health. This is the first review paper examining their common and divergent neurobiological underpinnings, focusing on genetic, neural, and psychological factors. Both conditions show hereditary influences, neural activity imbalances across the auditory cortex, amygdala, and anterior cingulate cortex, and heightened autonomic responses, causing significant distress and cognitive deficits. Misophonia is triggered by specific external sounds, while tinnitus involves phantom sound perception. Neuroimaging studies reveal shared hyperconnectivity between the auditory cortex and limbic areas of the brain including the amygdala and hippocampus, driven by neuroplasticity. Here, we propose the Sensory-Salience Dysregulation Model, integrating aberrant sensory encoding, salience network overactivation, and autonomic dysregulation as a unified framework between these conditions. The present review discusses gaps in diagnostic standardization and/or genetic-environmental interactions, and highlights shared and distinct mechanisms underlying misophonia and tinnitus, aiming to advance knowledge for improving diagnostics and treatments for these conditions.
恐音症和耳鸣是削弱听觉障碍,损害社会功能和精神健康。这是第一篇研究它们共同和不同的神经生物学基础的综述论文,重点关注遗传、神经和心理因素。这两种情况都表现出遗传影响,听觉皮层、杏仁核和前扣带皮层的神经活动不平衡,自主神经反应增强,导致严重的痛苦和认知缺陷。恐音症是由特定的外部声音引发的,而耳鸣则与虚幻的声音感知有关。神经影像学研究显示,在神经可塑性的驱动下,听觉皮层和大脑边缘区域(包括杏仁核和海马体)之间存在着共同的超连通性。在这里,我们提出了感觉-显著性失调模型,将异常的感觉编码、显著性网络过度激活和自主神经失调作为这些条件之间的统一框架。本文讨论了在诊断标准化和/或遗传-环境相互作用方面的差距,并强调了恐音症和耳鸣的共同和独特的机制,旨在提高对这些疾病的诊断和治疗的认识。
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引用次数: 0
A multi-level meta-analysis of vagally-mediated heart rate variability and post-traumatic stress disorder 迷走神经介导的心率变异性与创伤后应激障碍的多层次meta分析。
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-29 DOI: 10.1016/j.neubiorev.2026.106585
Rebeka C. Tucker , Paul J. Taylor , Sarita Jane Robinson
Posttraumatic stress disorder (PTSD) is frequently associated with autonomic nervous system (ANS) dysregulation, as evidenced by diminished vagally mediated heart rate variability (vmHRV). To date, no meta-analysis has systematically compared 5-minute and 24-hour vmHRV recordings in PTSD, limiting our understanding of how recording duration influences findings. This study examined differences in vmHRV between individuals with PTSD and controls using both 5-minute and 24-hour recordings. The meta-analysis synthesised data from 24 studies involving 2537 participants and 34 effect sizes. A novel analytical approach was used and involved traditional multi-level meta-analysis, robust variance estimation, and separate analyses across vmHRV indices and recording durations to isolate independent effects. Whilst vmHRV was consistently reduced in individuals with PTSD, the magnitude of this effect was greater in studies utilising 5-minute recordings than those using 24-hour recordings. Therefore, the results indicate that methodological differences in HRV assessment, particularly recording duration, significantly influence the observed magnitude of vmHRV reductions in PTSD. The robust analytical strategy enhances the reliability of vmHRV as a biomarker of ANS dysregulation in PTSD. The findings highlight the need for standardised vmHRV protocols in PTSD research.
创伤后应激障碍(PTSD)通常与自主神经系统(ANS)失调有关,迷走神经介导的心率变异性(vmHRV)减弱就是证据。到目前为止,还没有荟萃分析系统地比较PTSD患者5分钟和24小时的vmHRV记录,这限制了我们对记录时间如何影响研究结果的理解。这项研究使用5分钟和24小时的记录来检查PTSD患者和对照组之间vmHRV的差异。这项荟萃分析综合了24项研究的数据,涉及2477名参与者和34个效应值。采用了一种新的分析方法,包括传统的多级元分析、稳健方差估计以及跨vmHRV指标和记录持续时间的单独分析,以分离独立影响。虽然PTSD患者的vmHRV持续降低,但在使用5分钟录音的研究中,这种影响的幅度比使用24小时录音的研究更大。因此,研究结果表明,HRV评估方法的差异,特别是记录时间的差异,显著影响PTSD患者vmHRV降低的幅度。稳健的分析策略提高了vmHRV作为创伤后应激障碍ANS失调生物标志物的可靠性。研究结果强调了在PTSD研究中标准化vmHRV方案的必要性。
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引用次数: 0
Oxytocin in chronic pain: From analgesic to biopsychosocial adjuvant - An opinion paper 慢性疼痛中的催产素:从镇痛剂到生物-心理-社会辅助剂
IF 7.9 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2026-01-29 DOI: 10.1016/j.neubiorev.2026.106586
Matthijs Moerkerke , Iris Coppieters , Inge Timmers , Jessica Van Oosterwijck
Chronic pain remains a major clinical challenge, with current treatments often providing insufficient relief. Oxytocin, classically recognized for its roles in reproduction and social bonding, has gained increasing attention for its potential involvement in pain modulation. Evidence suggests that oxytocin influences both nociceptive processing and broader dimensions of pain, including stress regulation, cognitive-affective processing and social context. Despite this promise, clinical findings remain mixed. In this opinion paper, we summarize and discuss the rationale and current clinical evidence for the role of oxytocin in chronic pain (management), highlighting key research gaps and outlining future directions focused on: endogenous oxytocin system variability, biological modulators of its effects, dosing and timing strategies, and the role of psychosocial context. We propose that oxytocin should be reconceptualized not as a straightforward analgesic, but rather as a biopsychosocial adjuvant that acts across interacting biological, psychological, and social domains of pain. Positioning oxytocin within this framework may clarify for whom, when, and under what conditions oxytocin can be most effective, and ultimately guide its translational potential in chronic pain management.
慢性疼痛仍然是主要的临床挑战,目前的治疗方法往往不能提供足够的缓解。传统上认为催产素在生殖和社会关系中起着重要作用,但它在调节疼痛方面的潜在作用越来越受到人们的关注。有证据表明,催产素既影响伤害性处理,也影响更广泛的疼痛维度,包括压力调节、认知情感处理和社会环境。尽管有这样的希望,临床结果仍然喜忧参半。在这篇观点论文中,我们总结和讨论了催产素在慢性疼痛(管理)中的作用的基本原理和目前的临床证据,突出了关键的研究空白,并概述了未来的研究方向,重点是:内源性催产素系统变异性,其作用的生物调节剂,剂量和时间策略,以及社会心理环境的作用。我们建议,催产素不应该被重新定义为一种直接的镇痛药,而是作为一种生物心理社会辅助剂,在疼痛的生物、心理和社会领域相互作用。将催产素置于这一框架中,可以明确催产素对谁、何时以及在什么条件下最有效,并最终指导其在慢性疼痛管理中的转化潜力。
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引用次数: 0
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