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A network meta-analysis of non-invasive brain stimulation interventions for autism spectrum disorder: Evidence from randomized controlled trials 自闭症谱系障碍非侵入性脑部刺激干预的网络荟萃分析:来自随机对照试验的证据。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-07 DOI: 10.1016/j.neubiorev.2024.105807

The efficacy and acceptability of various non-invasive brain stimulation (NIBS) interventions for autism spectrum disorder remain unclear. We carried out a systematic review for randomized controlled trials (RCTs) regarding NIBS for reducing autistic symptoms (INPLASY202370003). Sixteen articles (N = 709) met the inclusion criteria for network meta-analysis. Effect sizes were reported as standardized mean differences (SMDs) or odds ratios with 95 % confidence intervals (CIs). Fourteen active NIBS interventions, including transcranial direct current stimulation (tDCS), repetitive transcranial magnetic stimulation, and transcranial pulse stimulation were analyzed. Only anodal tDCS over the left dorsolateral prefrontal cortex paired with cathodal tDCS over an extracephalic location (atDCS_F3 + ctDCS_E) significantly improved autistic symptoms compared to sham controls (SMD = − 1.40, 95 %CIs = − 2.67 to − 0.14). None of the NIBS interventions markedly improved social-communication symptoms or restricted/repetitive behaviors in autistic participants. Moreover, no active NIBS interventions exhibited significant dropout rate differences compared to sham controls, and no serious adverse events were reported for any intervention.

各种非侵入性脑刺激(NIBS)干预措施对自闭症谱系障碍的疗效和可接受性仍不明确。我们对有关减少自闭症症状的 NIBS 的随机对照试验(RCT)进行了系统综述(INPLASY202370003)。16篇文章(N = 709)符合网络荟萃分析的纳入标准。疗效大小以标准化均值差异 (SMD) 或几率比率及 95% 置信区间 (CI) 的形式报告。研究分析了 14 项积极的 NIBS 干预措施,包括经颅直流电刺激(tDCS)、重复经颅磁刺激和经颅脉冲刺激。与假对照组相比,只有左侧背外侧前额叶皮层的阳极 tDCS 与脑外位置的阴极 tDCS(atDCS_F3+ctDCS_E)配对能显著改善自闭症症状(SMD = -1.40, 95%CIs = -2.67 to -0.14)。没有任何一种 NIBS 干预能明显改善自闭症参与者的社会交流症状或受限/重复行为。此外,与假对照组相比,积极的 NIBS 干预措施都没有表现出明显的辍学率差异,而且没有任何干预措施出现严重不良事件的报告。
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引用次数: 0
Shared effects of electroconvulsive shocks and ketamine on neuroplasticity: A systematic review of animal models of depression 电休克和氯胺酮对神经可塑性的共同影响:抑郁症动物模型系统综述》。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-07 DOI: 10.1016/j.neubiorev.2024.105796
Jesca E. De Jager , Rutger Boesjes , Gijs H.J. Roelandt , Ilektra Koliaki , Iris E.C. Sommer , Robert A. Schoevers , Jasper O. Nuninga

Electroconvulsive shocks (ECS) and ketamine are antidepressant treatments with a relatively fast onset of therapeutic effects compared to conventional medication and psychotherapy. While the exact neurobiological mechanisms underlying the antidepressant response of ECS and ketamine are unknown, both interventions are associated with neuroplasticity. Restoration of neuroplasticity may be a shared mechanism underlying the antidepressant efficacy of these interventions. In this systematic review, literature of animal models of depression is summarized to examine the possible role of neuroplasticity in ECS and ketamine on a molecular, neuronal, synaptic and functional level, and specifically to what extent these mechanisms are shared between both interventions. The results highlight that hippocampal neurogenesis and brain-derived neurotrophic factor (BDNF) levels are consistently increased after ECS and ketamine. Moreover, both interventions positively affect glutamatergic neurotransmission, astrocyte and neuronal morphology, synaptic density, vasculature and functional plasticity. However, a small number of studies investigated these processes after ECS. Understanding the shared fundamental mechanisms of fast-acting antidepressants can contribute to the development of novel therapeutic approaches for patients with severe depression.

与传统药物治疗和心理治疗相比,电休克(ECS)和氯胺酮是起效相对较快的抗抑郁治疗方法。虽然电休克和氯胺酮抗抑郁反应的确切神经生物学机制尚不清楚,但这两种干预措施都与神经可塑性有关。恢复神经可塑性可能是这些干预措施具有抗抑郁功效的共同机制。本系统综述总结了抑郁症动物模型的文献,从分子、神经元、突触和功能层面研究了神经可塑性在 ECS 和氯胺酮中可能发挥的作用,特别是这两种干预措施在多大程度上共享这些机制。研究结果表明,ECS和氯胺酮治疗后,海马神经发生和脑源性神经营养因子(BDNF)水平持续上升。此外,这两种干预对谷氨酸能神经递质、星形胶质细胞和神经元形态、突触密度、血管和功能可塑性都有积极影响。然而,只有少数研究调查了 ECS 后的这些过程。了解速效抗抑郁药的共同基本机制有助于开发针对严重抑郁症患者的新型治疗方法。
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引用次数: 0
Decoding cognition in neurodevelopmental, psychiatric and neurological conditions with multivariate pattern analysis of EEG data 通过对脑电图数据进行多元模式分析,解码神经发育、精神和神经状况中的认知。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-06 DOI: 10.1016/j.neubiorev.2024.105795
Gianluca Marsicano , Caterina Bertini , Luca Ronconi

Multivariate pattern analysis (MVPA) of electroencephalographic (EEG) data represents a revolutionary approach to investigate how the brain encodes information. By considering complex interactions among spatio-temporal features at the individual level, MVPA overcomes the limitations of univariate techniques, which often fail to account for the significant inter- and intra-individual neural variability. This is particularly relevant when studying clinical populations, and therefore MVPA of EEG data has recently started to be employed as a tool to study cognition in brain disorders. Here, we review the insights offered by this methodology in the study of anomalous patterns of neural activity in conditions such as autism, ADHD, schizophrenia, dyslexia, neurological and neurodegenerative disorders, within different cognitive domains (perception, attention, memory, consciousness). Despite potential drawbacks that should be attentively addressed, these studies reveal a peculiar sensitivity of MVPA in unveiling dysfunctional and compensatory neurocognitive dynamics of information processing, which often remain blind to traditional univariate approaches. Such higher sensitivity in characterizing individual neurocognitive profiles can provide unique opportunities to optimise assessment and promote personalised interventions.

脑电图(EEG)数据的多变量模式分析(MVPA)是研究大脑如何编码信息的一种革命性方法。通过考虑个体水平上时空特征之间复杂的相互作用,MVPA 克服了单变量技术的局限性,因为单变量技术往往无法解释个体间和个体内的显著神经变异性。这一点在研究临床人群时尤为重要,因此脑电图数据的 MVPA 最近开始被用作研究脑部疾病认知的工具。在此,我们回顾了这种方法在研究自闭症、多动症、精神分裂症、阅读障碍、神经系统和神经退行性疾病等疾病的神经活动异常模式时,在不同认知领域(感知、注意力、记忆、意识)所提供的见解。这些研究揭示了 MVPA 在揭示信息处理的功能障碍和补偿性神经认知动态方面的特殊敏感性,而传统的单变量方法往往对此视而不见。在描述个体神经认知特征方面,这种较高的灵敏度可为优化评估和促进个性化干预提供独特的机会。
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引用次数: 0
The evolution of pretend play and an extended juvenile period and their implications for early education 过家家游戏和延长青少年时期的演变及其对早期教育的影响》(The Evolution of Pretend Play and an Extended Juvenile Period and their Implications for Early Education)。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-06 DOI: 10.1016/j.neubiorev.2024.105805
David F. Bjorklund
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引用次数: 0
Prenatal stress impacts foetal neurodevelopment: Temporal windows of gestational vulnerability 产前压力对胎儿神经发育的影响:妊娠易感性的时间窗口。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-05 DOI: 10.1016/j.neubiorev.2024.105793
James M. Collins , James M. Keane , Clara Deady , Ali S. Khashan , Fergus P. McCarthy , Gerard W. O’Keeffe , Gerard Clarke , John F. Cryan , Valentina Caputi , Siobhain M. O’Mahony

Prenatal maternal stressors ranging in severity from everyday occurrences/hassles to the experience of traumatic events negatively impact neurodevelopment, increasing the risk for the onset of psychopathology in the offspring. Notably, the timing of prenatal stress exposure plays a critical role in determining the nature and severity of subsequent neurodevelopmental outcomes. In this review, we evaluate the empirical evidence regarding temporal windows of heightened vulnerability to prenatal stress with respect to motor, cognitive, language, and behavioural development in both human and animal studies. We also explore potential temporal windows whereby several mechanisms may mediate prenatal stress-induced neurodevelopmental effects, namely, excessive hypothalamic-pituitary-adrenal axis activity, altered serotonin signalling and sympathetic-adrenal-medullary system, changes in placental function, immune system dysregulation, and alterations of the gut microbiota. While broadly defined developmental windows are apparent for specific psychopathological outcomes, inconsistencies arise when more complex cognitive and behavioural outcomes are considered. Novel approaches to track molecular markers reflective of the underlying aetiologies throughout gestation to identify tractable biomolecular signatures corresponding to critical vulnerability periods are urgently required.

产前母体压力的严重程度从日常事件/麻烦到创伤性事件的经历不等,它们会对神经发育产生负面影响,增加后代出现精神病理学的风险。值得注意的是,产前压力暴露的时间在决定随后神经发育结果的性质和严重程度方面起着至关重要的作用。在本综述中,我们将评估人类和动物研究中有关产前应激在运动、认知、语言和行为发育方面增加脆弱性的时间窗口的经验证据。我们还探讨了几种机制可能介导产前应激诱导神经发育效应的潜在时间窗口,即下丘脑-垂体-肾上腺轴活动过度、5-羟色胺信号和交感-肾上腺-髓质系统改变、胎盘功能改变、免疫系统失调和肠道微生物群改变。虽然对于特定的精神病理学结果而言,广泛定义的发育窗口是显而易见的,但当考虑到更复杂的认知和行为结果时,就会出现不一致的情况。目前急需采用新方法来追踪反映整个妊娠期潜在病因的分子标记,以确定与关键脆弱期相对应的可控生物分子特征。
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引用次数: 0
Zebrafish models for studying cognitive enhancers 研究认知增强剂的斑马鱼模型
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-04 DOI: 10.1016/j.neubiorev.2024.105797

Cognitive decline is commonly seen both in normal aging and in neurodegenerative and neuropsychiatric diseases. Various experimental animal models represent a valuable tool to study brain cognitive processes and their deficits. Equally important is the search for novel drugs to treat cognitive deficits and improve cognitions. Complementing rodent and clinical findings, studies utilizing zebrafish (Danio rerio) are rapidly gaining popularity in translational cognitive research and neuroactive drug screening. Here, we discuss the value of zebrafish models and assays for screening nootropic (cognitive enhancer) drugs and the discovery of novel nootropics. We also discuss the existing challenges, and outline future directions of research in this field.

认知能力衰退既常见于正常衰老,也常见于神经退行性疾病和神经精神疾病。各种实验动物模型是研究大脑认知过程及其缺陷的宝贵工具。同样重要的是寻找治疗认知缺陷和改善认知的新型药物。作为对啮齿动物和临床研究结果的补充,利用斑马鱼(Danio rerio)进行的研究在转化认知研究和神经活性药物筛选方面正迅速普及。在此,我们将讨论斑马鱼模型和实验在筛选促智(认知增强)药物和发现新型促智药物方面的价值。我们还讨论了现有的挑战,并概述了该领域未来的研究方向。
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引用次数: 0
Intricacies of aging and Down syndrome 衰老和唐氏综合症的复杂性。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-04 DOI: 10.1016/j.neubiorev.2024.105794
G. Kozlov , C. Franceschi , M. Vedunova

Down syndrome is the most frequently occurring genetic condition, with a substantial escalation in risk associated with advanced maternal age. The syndrome is characterized by a diverse range of phenotypes, affecting to some extent all levels of organization, and its progeroid nature – early manifestation of aspects of the senile phenotype. Despite extensive investigations, many aspects and mechanisms of the disease remain unexplored. The current review aims to provide an overview of the main causes and manifestations of Down syndrome, while also examining the phenomenon of accelerated aging and exploring potential therapeutic strategies.

唐氏综合征是最常见的遗传病,高龄产妇患病风险大大增加。该综合征的特点是表型多样,在一定程度上影响所有组织层次,而且具有早老性--老年表型的早期表现。尽管进行了广泛的研究,但该疾病的许多方面和机制仍有待探索。本综述旨在概述唐氏综合征的主要病因和表现,同时研究加速衰老现象并探讨潜在的治疗策略。
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引用次数: 0
COVID-19 is associated with changes in brain function and structure: A multimodal meta-analysis of neuroimaging studies COVID-19 与大脑功能和结构的变化有关:神经影像学研究的多模式荟萃分析。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-03 DOI: 10.1016/j.neubiorev.2024.105792
Zixuan Guo , Shilin Sun , Shu Xiao , Guanmao Chen , Pan Chen , Zibin Yang , Xinyue Tang , Li Huang , Ying Wang

The actual role of coronavirus disease 2019 (COVID-19) in brain damage has been increasingly reported, necessitating a meta-analysis to collate and summarize the inconsistent findings from functional imaging and voxel-based morphometry (VBM) studies. A comprehensive voxel-wise meta-analysis of the whole brain was conducted to identify alterations in functional activity and gray matter volume (GMV) between COVID-19 patients and healthy controls (HCs) by using Seed-based d Mapping software. We included 15 functional imaging studies (484 patients with COVID-19, 534 HCs) and 9 VBM studies (449 patients with COVID-19, 388 HCs) in the analysis. Overall, patients with COVID-19 exhibited decreased functional activity in the right superior temporal gyrus (STG) (extending to the right middle and inferior temporal gyrus, insula, and temporal pole [TP]), left insula, right orbitofrontal cortex (OFC) (extending to the right olfactory cortex), and left cerebellum compared to HCs. For VBM, patients with COVID-19, relative to HCs, showed decreased GMV in the bilateral anterior cingulate cortex/medial prefrontal cortex (extending to the bilateral OFC), and left cerebellum, and increased GMV in the bilateral amygdala (extending to the bilateral hippocampus, STG, TP, MTG, and right striatum). Moreover, overlapping analysis revealed that patients with COVID-19 exhibited both decreased functional activity and increased GMV in the right TP (extending to the right STG). The multimodal meta-analysis suggests that brain changes of function and structure in the temporal lobe, OFC and cerebellum, and functional or structural alterations in the insula and the limbic system in COVID-19. These findings contribute to a better understanding of the pathophysiology of brain alterations in COVID-19.

Significance statement

This first large-scale multimodal meta-analysis collates existing neuroimaging studies and provides voxel-wise functional and structural whole-brain abnormalities in COVID-19. Findings of this meta-analysis provide valuable insights into the dynamic brain changes (from infection to recovery) and offer further explanations for the pathophysiological basis of brain alterations in COVID-19.

有关2019年冠状病毒病(COVID-19)在脑损伤中的实际作用的报道越来越多,因此有必要进行荟萃分析,以整理和总结功能成像和基于体素的形态测量(VBM)研究中不一致的发现。我们对全脑进行了全面的体素荟萃分析,利用基于种子的 d Mapping 软件确定 COVID-19 患者和健康对照组(HCs)之间功能活动和灰质体积(GMV)的变化。我们在分析中纳入了 15 项功能成像研究(484 名 COVID-19 患者,534 名健康对照组)和 9 项 VBM 研究(449 名 COVID-19 患者,388 名健康对照组)。总体而言,与 HCs 相比,COVID-19 患者的右侧颞上回(STG)(延伸至右侧颞中回、颞下回、脑岛和颞极 [TP])、左侧脑岛、右侧眶额皮层(OFC)(延伸至右侧嗅皮层)和左侧小脑的功能活动均有所下降。就 VBM 而言,与 HCs 相比,COVID-19 患者的双侧前扣带回皮层/内侧前额叶皮层(延伸至双侧 OFC)和左侧小脑的 GMV 降低,而双侧杏仁核(延伸至双侧海马、STG、TP、MTG 和右侧纹状体)的 GMV 增加。此外,重叠分析显示,COVID-19 患者右侧 TP(延伸至右侧 STG)的功能活动减少,GMV 增加。多模态荟萃分析表明,COVID-19 患者的颞叶、OFC 和小脑的功能和结构发生了变化,岛叶和边缘系统的功能或结构也发生了改变。这些发现有助于更好地了解 COVID-19 患者大脑改变的病理生理学。意义声明:这项首次大规模多模态荟萃分析整理了现有的神经影像学研究,并提供了 COVID-19 的体素功能和结构全脑异常。这项荟萃分析的结果为了解大脑的动态变化(从感染到恢复)提供了宝贵的见解,并为 COVID-19 大脑改变的病理生理学基础提供了进一步的解释。
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引用次数: 0
Pavlovian or associative sensitization and its biological significance 巴甫洛夫或联想敏感化及其生物学意义
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.neubiorev.2024.105790
Michael Domjan , Michael S. Fanselow

Pavlovian conditioning is typically distinguished from sensitization but a Pavlovian conditional stimulus (CS) also results in sensitization. A Pavlovian CS can sensitize responding to a probe stimulus that is related to the unconditional stimulus (US) or to the US itself. Pavlovian sensitization has been studied in the defensive, sexual, and feeding systems. In Pavlovian sensitization, the focus is not on a conditional response (CR) directly elicited by the CS but on the response mode that is activated by the CS. Activation of a response mode increases the probability of particular responses and also increases reactivity to various stimuli. Pavlovian sensitization reflects this increased stimulus reactivity. Pavlovian sensitization helps uncover successful learning in situations where a conventional CR does not occur. Pavlovian sensitization also encourages broadening our conceptions of Pavlovian conditioning to include changes in afferent processes. Implications for biological fitness and for basic and translational research are discussed.

巴甫洛夫条件反射通常有别于敏化,但巴甫洛夫条件刺激(CS)也会导致敏化。巴甫洛夫条件刺激可以使人对与无条件刺激(US)或无条件刺激本身相关的探针刺激做出敏感反应。巴甫洛夫敏化作用已在防御系统、性系统和进食系统中得到研究。在巴甫洛夫敏化作用中,重点不是 CS 直接引起的条件反应(CR),而是 CS 激活的反应模式。反应模式的激活会增加特定反应的概率,也会增加对各种刺激的反应性。巴甫洛夫敏化反映了这种刺激反应性的增强。巴甫洛夫敏感化有助于发现在常规 CR 不发生的情况下的成功学习。巴甫洛夫敏感化还有助于拓宽我们对巴甫洛夫条件反射的概念,使之包括传入过程的变化。本文讨论了巴甫洛夫敏感化对生物健康以及基础研究和转化研究的影响。
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引用次数: 0
Disentangling the role of gray matter volume and concentration in autism spectrum disorder: A meta-analytic investigation of 25 years of voxel-based morphometry research 厘清灰质体积和浓度在自闭症谱系障碍中的作用:25年基于体素形态测量研究的元分析调查》。
IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES Pub Date : 2024-07-02 DOI: 10.1016/j.neubiorev.2024.105791
Donato Liloia , Denisa Adina Zamfira , Masaru Tanaka , Jordi Manuello , Annachiara Crocetta , Roberto Keller , Mauro Cozzolino , Sergio Duca , Franco Cauda , Tommaso Costa

Despite over two decades of neuroimaging research, a unanimous definition of the pattern of structural variation associated with autism spectrum disorder (ASD) has yet to be found. One potential impeding issue could be the sometimes ambiguous use of measurements of variations in gray matter volume (GMV) or gray matter concentration (GMC). In fact, while both can be calculated using voxel-based morphometry analysis, these may reflect different underlying pathological mechanisms. We conducted a coordinate-based meta-analysis, keeping apart GMV and GMC studies of subjects with ASD. Results showed distinct and non-overlapping patterns for the two measures. GMV decreases were evident in the cerebellum, while GMC decreases were mainly found in the temporal and frontal regions. GMV increases were found in the parietal, temporal, and frontal brain regions, while GMC increases were observed in the anterior cingulate cortex and middle frontal gyrus. Age-stratified analyses suggested that such variations are dynamic across the ASD lifespan. The present findings emphasize the importance of considering GMV and GMC as distinct yet synergistic indices in autism research.

尽管进行了二十多年的神经影像学研究,但与自闭症谱系障碍(ASD)相关的结构变异模式仍未找到一致的定义。一个潜在的阻碍因素可能是有时对灰质体积(GMV)或灰质浓度(GMC)变化的测量结果使用不明确。事实上,虽然两者都可以通过体素形态计量分析计算出来,但它们可能反映了不同的潜在病理机制。我们进行了一项基于坐标的荟萃分析,将针对 ASD 患者的 GMV 和 GMC 研究分开。结果表明,这两种测量方法的模式截然不同且不重叠。GMV的下降明显出现在小脑,而GMC的下降主要出现在颞部和额部。顶叶、颞叶和额叶脑区发现 GMV 增加,而前扣带回皮层和额叶中回观察到 GMC 增加。年龄分层分析表明,这种变化在 ASD 生命周期中是动态的。本研究结果强调了在自闭症研究中将GMV和GMC视为不同但协同作用的指标的重要性。
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引用次数: 0
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