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Alarin potentiates ongoing epileptiform activity in rat brain slices: an in vitro electrophysiological study 阿拉林能增强大鼠大脑切片中的持续癫痫样活动:体外电生理学研究
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2024-02-21 DOI: 10.55782/ane-2024-2520
Ömer Faruk Kalkan, Hilal Öztürk, Zafer Şahin, Harun Başoğlu, Selcen Aydin Abidin, İ. Abidin
Alarin is a newly discovered neuropeptide that belongs to the galanin peptide family with a wide range of bioactivity in the nervous system. Its function in the brain’s autonomic areas has been studied, and it has been reported that alarin is involved in the regulation of excitability in hypothalamic neurons. Its role in the regulation of excitability in the hippocampus, however, is unknown. In this study, we investigated if alarin induced any synchronous discharges or epileptiform activity, and if it had any effect on already initiated epileptiform discharges. We used thick acute horizontal hippocampal slices obtained from 30‑ to 35‑day‑old rats. Extracellular field potential recordings were evaluated in the CA1 region of the hippocampus. Our data demonstrated that, alarin application did not result in any epileptiform activity or abnormal discharges. 4‑aminopyridine was applied to induce epileptiform activity in the slices. We found that alarin increased the frequency of interictal‑like events and the mean power of local field potentials in the CA1 region of the hippocampus, which was induced by 4‑aminopyridine. These results demonstrated for the first time that alarin has a modulatory effect on synchronized neuronal discharges and showed the contribution of the neuropeptide alarin to epilepsy‑like conditions.
阿拉林是一种新发现的神经肽,属于加拉宁肽家族,在神经系统中具有广泛的生物活性。研究人员对其在大脑自律神经区域的功能进行了研究,发现阿拉林参与了下丘脑神经元兴奋性的调节。然而,它在海马兴奋性调节中的作用尚不清楚。在这项研究中,我们调查了阿拉林是否会诱发任何同步放电或癫痫样活动,以及是否会对已经开始的癫痫样放电产生任何影响。我们使用了从出生 30 到 35 天的大鼠身上获得的厚急性水平海马切片。对海马 CA1 区的胞外场电位记录进行了评估。我们的数据表明,应用阿拉林不会导致任何癫痫样活动或异常放电。应用 4-氨基吡啶诱导切片中的癫痫样活动。我们发现,在 4-aminopyridine 的诱导下,阿拉林增加了海马 CA1 区发作间期样事件的频率和局部场电位的平均功率。这些结果首次证明了阿拉林对同步神经元放电具有调节作用,并显示了神经肽阿拉林对癫痫样状态的贡献。
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引用次数: 0
Abnormal expression of long non‑coding RNA LINC01270 in glioma and its correlation with X‑ray computed tomography signs 胶质瘤中长非编码 RNA LINC01270 的异常表达及其与 X 射线计算机断层扫描征象的相关性
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2024-02-21 DOI: 10.55782/ane-2024-2521
Ying Liu, Yuntao Zhang, Yongjun E, Xianglin Zhang, Heji Ma, Furen Dong
This study focused on the association of LINC01270 and computed tomography (CT) signs with glioma development, to evaluate their potential in the early detection of glioma. Serum LINC01270 was evaluated in glioma patients and healthy individuals using PCR. The involvement of LINC01270 in glioma onset and development was evaluated by ROC and chi‑square test. The association of LINC01270 with the CT signs and their combined effects in the diagnosis in glioma were also estimated. Serum LINC01270 was significantly elevated in glioma patients, which was closely associated with patients’ advanced WHO grades and lower KPS. Both LINC01270 upregulation and CT findings showed significant potential in diagnosing glioma, and LINC01270 correlated significantly with the invasion risk and metastasis indicated on CT. The combination of LINC01270 expression and CT findings significantly improved the sensitivity and specificity of glioma diagnosis. Upregulated LINC01270 in glioma is associated with malignant and severe disease development and has significant diagnostic value. Combined detection of LINC01270 and CT findings could improve the diagnostic efficacy in glioma cases, thus optimizing clinical diagnosis.
本研究的重点是 LINC01270 和计算机断层扫描(CT)征象与胶质瘤发展的关系,以评估它们在胶质瘤早期检测中的潜力。研究利用 PCR 技术对胶质瘤患者和健康人的血清 LINC01270 进行了评估。通过ROC和卡方检验评估了LINC01270与胶质瘤发病和发展的关系。此外,还估算了 LINC01270 与 CT 征象的关联及其在胶质瘤诊断中的综合作用。胶质瘤患者血清LINC01270明显升高,这与患者的WHO分级较高和KPS较低密切相关。LINC01270的上调和CT结果都显示出诊断胶质瘤的巨大潜力,LINC01270与CT显示的侵袭风险和转移显著相关。LINC01270的表达与CT结果相结合,大大提高了胶质瘤诊断的敏感性和特异性。胶质瘤中LINC01270的上调与恶性和严重疾病的发展有关,具有重要的诊断价值。联合检测LINC01270和CT结果可提高胶质瘤病例的诊断效果,从而优化临床诊断。
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引用次数: 0
Effects of morphine on conditioned place preference and pain are independent of uptake‑2 吗啡对条件性场所偏好和疼痛的影响与摄取-2 无关
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2024-02-14 DOI: 10.55782/ane-2024-2517
Mohammad Saeid Souri, M. Alavi, Ali Ahmadian Salami, A. Roohbakhsh
Morphine changes neurotransmitter release, including norepinephrine, dopamine, and serotonin. Decynium‑22 (D22) inhibits an alternative neurotransmitter removal pathway, namely uptake‑2. Uptake‑2 includes plasma membrane monoamine transporter (PMAT) and organic cation transporters that have a low affinity, but high capacity for uptake of various monoamines such as norepinephrine, dopamine, and serotonin. This study was done to assess the effect of uptake‑2 inhibition on morphine‑induced conditioned place preference (CPP) and analgesia. In this study, the effects of morphine and/or D22 on CPP were evaluated following intraperitoneal injection in mice. Afterward, changes in motor activity were evaluated by the open field test. Using the tail‑flick model, the effects of D22 and/or morphine were evaluated on the pain threshold. The results showed that 20 mg/kg of morphine induced a place preference response. D22, at the dose of 0.03 mg/kg, caused place avoidance, while at the dose of 0.3 mg/kg, it produced a notable place preference response. Co‑administration of D22 and morphine showed that morphine reversed the CPP aversion induced by D22 at the lowest dose. Motor activity did not alter. In the tail‑flick test, morphine, at the dose of 3 mg/kg but not 1 mg/kg, increased the pain threshold. D22 induced significant analgesic responses. Co‑administration of D22 and morphine caused considerable analgesic effects. The findings revealed that D22 induced both conditioned aversion and preference depending on the dose while morphine induced CPP. Both drugs produced analgesia.
吗啡会改变神经递质的释放,包括去甲肾上腺素、多巴胺和血清素。癸炔-22(D22)抑制另一种神经递质清除途径,即摄取-2。摄取-2 包括质膜单胺转运体(PMAT)和有机阳离子转运体,它们对去甲肾上腺素、多巴胺和血清素等各种单胺的摄取亲和力低,但摄取能力强。本研究旨在评估摄取-2 抑制对吗啡诱导的条件性位置偏好(CPP)和镇痛的影响。在这项研究中,小鼠腹腔注射吗啡和/或 D22 后,评估了吗啡和/或 D22 对 CPP 的影响。随后,通过开阔地试验评估了运动活动的变化。通过尾闪模型,评估了D22和/或吗啡对痛阈的影响。结果表明,20 毫克/千克吗啡可诱发位置偏好反应。剂量为0.03毫克/千克的D22会引起位置回避,而剂量为0.3毫克/千克的D22则会产生明显的位置偏好反应。D22 和吗啡联合给药显示,吗啡可以逆转最低剂量的 D22 诱导的 CPP 厌恶反应。运动活动没有改变。在弹尾试验中,吗啡剂量为 3 毫克/千克而非 1 毫克/千克时,可提高痛阈值。D22 可引起明显的镇痛反应。同时给药 D22 和吗啡会产生相当大的镇痛效果。研究结果表明,根据剂量的不同,D22可诱导条件反射和偏好,而吗啡可诱导CPP。两种药物都能产生镇痛作用。
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引用次数: 0
Effects of morphine on conditioned place preference and pain are independent of uptake‑2 吗啡对条件性场所偏好和疼痛的影响与摄取-2 无关
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2024-02-14 DOI: 10.55782/ane-2024-2517
Mohammad Saeid Souri, M. Alavi, Ali Ahmadian Salami, A. Roohbakhsh
Morphine changes neurotransmitter release, including norepinephrine, dopamine, and serotonin. Decynium‑22 (D22) inhibits an alternative neurotransmitter removal pathway, namely uptake‑2. Uptake‑2 includes plasma membrane monoamine transporter (PMAT) and organic cation transporters that have a low affinity, but high capacity for uptake of various monoamines such as norepinephrine, dopamine, and serotonin. This study was done to assess the effect of uptake‑2 inhibition on morphine‑induced conditioned place preference (CPP) and analgesia. In this study, the effects of morphine and/or D22 on CPP were evaluated following intraperitoneal injection in mice. Afterward, changes in motor activity were evaluated by the open field test. Using the tail‑flick model, the effects of D22 and/or morphine were evaluated on the pain threshold. The results showed that 20 mg/kg of morphine induced a place preference response. D22, at the dose of 0.03 mg/kg, caused place avoidance, while at the dose of 0.3 mg/kg, it produced a notable place preference response. Co‑administration of D22 and morphine showed that morphine reversed the CPP aversion induced by D22 at the lowest dose. Motor activity did not alter. In the tail‑flick test, morphine, at the dose of 3 mg/kg but not 1 mg/kg, increased the pain threshold. D22 induced significant analgesic responses. Co‑administration of D22 and morphine caused considerable analgesic effects. The findings revealed that D22 induced both conditioned aversion and preference depending on the dose while morphine induced CPP. Both drugs produced analgesia.
吗啡会改变神经递质的释放,包括去甲肾上腺素、多巴胺和血清素。癸炔-22(D22)抑制另一种神经递质清除途径,即摄取-2。摄取-2 包括质膜单胺转运体(PMAT)和有机阳离子转运体,它们对去甲肾上腺素、多巴胺和血清素等各种单胺的摄取亲和力低,但摄取能力强。本研究旨在评估摄取-2 抑制对吗啡诱导的条件性位置偏好(CPP)和镇痛的影响。在这项研究中,小鼠腹腔注射吗啡和/或 D22 后,评估了吗啡和/或 D22 对 CPP 的影响。随后,通过开阔地试验评估了运动活动的变化。通过尾闪模型,评估了D22和/或吗啡对痛阈的影响。结果表明,20 毫克/千克吗啡可诱发位置偏好反应。剂量为0.03毫克/千克的D22会引起位置回避,而剂量为0.3毫克/千克的D22则会产生明显的位置偏好反应。D22 和吗啡联合给药显示,吗啡可以逆转最低剂量的 D22 诱导的 CPP 厌恶反应。运动活动没有改变。在弹尾试验中,吗啡剂量为 3 毫克/千克而非 1 毫克/千克时,可提高痛阈值。D22 可引起明显的镇痛反应。同时给药 D22 和吗啡会产生相当大的镇痛效果。研究结果表明,根据剂量的不同,D22可诱导条件反射和偏好,而吗啡可诱导CPP。两种药物都能产生镇痛作用。
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引用次数: 0
Glymphatic system and aquaporin‑4 in epilepsy. 癫痫中的淋巴系统和水传导蛋白-4。
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-29 DOI: 10.55782/ane-2023-2498
Dorota Nowicka

Over the past decade glymphatic concept has gained more and more interest. Despite some lacking data regarding structural and functional aspects, glymphatic system is widely considered the main mechanism of water and solutes transport in brain parenchyma, as well as waste clearance from the brain. Glymphatic system modulates the extracellular space volume and is involved in spatial K+ buffering (via influencing Kir4.1 channel functioning), two factors crucial for neuronal excitability and seizure susceptibility, and is itself strongly stimulated during sleep. This review summarizes information regarding the potential role of the glymphatic system in the development and progression of epilepsy, especially the role of the glial water channel aquaporin‑4 in modulation of brain excitability and in epilepsy. Data from animal models and human studies are presented.

在过去十年中,脑 glymphatic 概念受到越来越多的关注。尽管缺乏一些有关结构和功能方面的数据,但人们普遍认为,脑回声系统是脑实质内水分和溶质运输以及脑内废物清除的主要机制。脑回声系统调节细胞外空间容量并参与空间 K+ 缓冲(通过影响 Kir4.1 通道功能),这两个因素对神经元兴奋性和癫痫易感性至关重要,而且其本身在睡眠期间受到强烈刺激。本综述总结了有关甘油系统在癫痫发生和发展过程中的潜在作用的信息,特别是胶质水通道aquaporin-4在调节大脑兴奋性和癫痫中的作用。本文介绍了来自动物模型和人体研究的数据。
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引用次数: 0
Pylabianca: comprehensive and user‑friendly Python package for single‑neuron data analysis. Pylabianca:用于单神经元数据分析的全面且用户友好的 Python 软件包。
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-28 DOI: 10.55782/ane-2023-2440
Mikołaj Magnuski, Władysław Średniawa, Katarzyna Paluch, Davor Ivanovski, Harish Babu, Jan Kaminski

In the area of electrophysiology, the availability of comprehensive and user‑friendly tools for single-neuron data processing, statistical analysis, and fast, intuitive data visualization is limited. To address this gap, we introduce pylabianca, a Python library tailored for robust single and multi‑unit data processing. Pylabianca leverages the power of standard Python packages and adopts the application programming interface of MNE‑Python, one of the most widely used electrophysiology packages. One of pylabianca's primary objectives is to provide a low entry threshold for scientists, requiring only basic Python programming skills. Pylabianca was designed to streamline most common analyses of single neuron data, and provide convenient data structures to serve as a foundation for building custom analysis pipelines. We believe that pylabianca will contribute to enhancing researchers' capabilities and efficiency in the field of single-neuron electrophysiology.

在电生理学领域,用于单神经元数据处理、统计分析以及快速直观的数据可视化的全面且用户友好的工具非常有限。为了填补这一空白,我们引入了 pylabianca,这是一个专为强大的单神经元和多神经元数据处理而定制的 Python 库。Pylabianca 利用了标准 Python 软件包的强大功能,并采用了 MNE-Python 的应用编程接口,MNE-Python 是应用最广泛的电生理学软件包之一。pylabianca 的主要目标之一是降低科学家的入门门槛,只需具备基本的 Python 编程技能。Pylabianca 的设计目的是简化单神经元数据的最常见分析,并提供方便的数据结构,作为构建自定义分析管道的基础。我们相信,pylabianca 将有助于提高研究人员在单神经元电生理学领域的能力和效率。
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引用次数: 0
Molecular mechanisms and treatment strategies for methamphetamine‑induced neurodegeneration, inflammation and neurotoxicity. 甲基苯丙胺诱导的神经变性、炎症和神经毒性的分子机制和治疗策略。
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-28 DOI: 10.55782/ane-2023-2488
Samareh Omidvari, Zahra Azimzadeh, Fariborz Rashnoo, Foozhan Tahmasebinia, Aliasghar Keramatinia, Navid Ahmady Roozbahany, Hojjat Allah Abbaszadeh, Shahram Darabi

Methamphetamine (METH) is a highly addictive psychostimulant known for its profound impact on the nervous system. Chronic METH use leads to neurotoxicity characterized by various molecular and structural alterations in the brain. This review article primarily aims to elucidate the mechanisms underlying METH‑induced neurotoxicity. METH's mechanism of action involves the inhibition of dopamine, serotonin, and norepinephrine reuptake, resulting in altered synaptic function. Prolonged METH exposure triggers oxidative stress, endoplasmic reticulum stress, mitochondrial dysfunction, impaired axonal transport, autophagy, and programmed cell death, ultimately contributing to neurotoxicity. These neurotoxic effects manifest as increased neuronal firing rate, disruptions in intracellular ion balance (Ca2+ and Na+), energy production imbalances, and excessive reactive oxygen species production. The blood‑brain barrier is compromised, leading to structural, functional, and neurochemical alterations, particularly in the fronto‑striatal circuit. While our comprehensive review addresses these intricate molecular and structural changes induced by METH, we also examined the latest therapeutic strategies designed to mitigate neurotoxicity. Our investigation sheds light on the critical need to comprehend the complex pathways underlying METH‑induced neurotoxicity and develop effective treatment approaches.

甲基苯丙胺(METH)是一种高度成瘾的精神兴奋剂,以其对神经系统的深刻影响而闻名。长期使用甲基苯丙胺会导致神经中毒,其特征是大脑中的各种分子和结构发生改变。这篇综述文章的主要目的是阐明 METH 诱发神经毒性的机制。METH 的作用机制包括抑制多巴胺、血清素和去甲肾上腺素的再摄取,从而导致突触功能的改变。长期暴露于 METH 会引发氧化应激、内质网应激、线粒体功能障碍、轴突运输受损、自噬和程序性细胞死亡,最终导致神经中毒。这些神经毒性效应表现为神经元发射率升高、细胞内离子平衡(Ca2+ 和 Na+)紊乱、能量生成失衡以及活性氧生成过多。血脑屏障受到破坏,导致结构、功能和神经化学改变,尤其是在前额纹状体回路。我们的综合综述探讨了 METH 诱导的这些错综复杂的分子和结构变化,同时还研究了旨在减轻神经毒性的最新治疗策略。我们的研究揭示了理解 METH 诱发神经毒性的复杂途径和开发有效治疗方法的迫切需要。
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引用次数: 0
Early development of the Tsc1 Purkinje cell specific mouse knockouts. Tsc1浦肯野细胞特异性基因敲除小鼠的早期发育。
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-12 DOI: 10.55782/ane-2023-2472
Anna Sługocka, Marta Anna Przybyła, Jarosław Jerzy Barski

Tsc1 is a gene which expression results in hamartin, a protein involved in regulation of the mTOR1 pathway. Inactivation of Tsc1 gives rise to hyperactivation of the mTOR1 machinery, increased proliferation and growth of cells with subsequent cell degeneration and cell death. In humans, mutations of Tsc1 result in an inherited disorder ‑ tuberous sclerosis complex (TSC) with the concomitant multiorgan non‑malignant tumors (tubers), epileptic seizures and autistic‑like manifestations. General mouse knock‑outs, homozygous for the inactivated Tsc1 alleles do not survive and die at early embryonal stages. To circumvent this problem, we utilized the Cre/loxP system and removed Tsc1 specifically in Purkinje cells using the pcp2/L7Cre mouse strain and the Tsc1tmDjk/J strains. Because of the published results showing the autistic‑like symptoms after the same crossbred, we have decided to look closer at the early postnatal period of these mutants. Surprisingly no evidence of any behavioral alterations were found, including the ultrasonic vocalizations of newborns. We decided to focus more attention on the interpretation of data, including a more detailed statistical evaluation of our results.

Tsc1 是一种基因,它的表达会产生一种参与调节 mTOR1 通路的蛋白质--hamartin。Tsc1 失活会导致 mTOR1 机制过度激活,细胞增殖和生长增加,随后细胞退化和死亡。在人类中,Tsc1 基因突变会导致一种遗传性疾病--结节性硬化综合症(TSC),并伴有多器官非恶性肿瘤(结节)、癫痫发作和类似自闭症的表现。一般的基因敲除小鼠、同基因Tsc1等位基因失活的小鼠无法存活,并在胚胎早期死亡。为了规避这一问题,我们利用 Cre/loxP 系统,使用 pcp2/L7Cre 小鼠品系和 Tsc1tmDjk/J 品系,特异性地移除了 Purkinje 细胞中的 Tsc1。由于已发表的结果显示,同一杂交后的小鼠会出现类似自闭症的症状,因此我们决定仔细研究这些突变体在出生后早期的表现。令人惊讶的是,我们没有发现任何行为改变的证据,包括新生儿的超声波发声。我们决定将更多的注意力放在数据解释上,包括对结果进行更详细的统计评估。
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引用次数: 0
Effect of low‑frequency repetitive transcranial magnetic stimulation on cognitive function in rats with medial temporal lobe epilepsy. 低频重复经颅磁刺激对内侧颞叶癫痫大鼠认知功能的影响
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-11 DOI: 10.55782/ane-2023-2471
Li-Qin Che, Zhen-Zhen Qu, Tao Xie, Yan-Ge Zhang, Dong-Juan Yuan, Qing Li, Li-Jing Jia, Wei-Ping Wang

Epilepsy, especially the medial temporal lobe epilepsy (TLE), can result in cognitive impairment. Low‑frequency repetitive magnetic stimulation (rTMS) has been verified to suppress neural excitability and reduce seizures. Given its potential in modifying cortical activity, we aimed to investigate its impact on cognitive function in the context of epilepsy, a condition where the use of rTMS has not been extensively explored. However, the influence on cognitive function has not yet been investigated. Therefore, this study aimed to investigate the effects of low‑frequency rTMS on cognitive improvement in epileptic rats. Rats used in this study were randomly divided into five groups: the sham group, the epilepsy group, and three epilepsy groups treated with rTMS at different frequencies. Each group underwent the Morris water maze test to investigate hippocampus‑dependent episodic memory, to evaluate their cognitive performance. Further assessments included patch clamp and western blot techniques to estimate the synaptic function in the hippocampus. Comparison between groups showed that low‑frequency rTMS significantly reduced spontaneous recurrent seizures and improved spatial learning and memory impairment in epileptic rats. Additionally, rTMS remodeled the synaptic plasticity affected by seizures and notably enhanced the expression of AMPAR and synaptophysin. Low‑frequency rTMS can antagonize the cognitive impairment caused by TLE, and promote synaptic connections.

癫痫,尤其是内侧颞叶癫痫(TLE),可导致认知障碍。低频重复磁刺激(rTMS)已被证实可以抑制神经兴奋性并减少癫痫发作。鉴于经颅磁刺激具有改变大脑皮层活动的潜力,我们旨在研究它对癫痫患者认知功能的影响。然而,我们尚未研究经颅磁刺激对认知功能的影响。因此,本研究旨在探讨低频经颅磁刺激对癫痫大鼠认知功能改善的影响。研究中使用的大鼠被随机分为五组:假组、癫痫组和使用不同频率经颅磁刺激治疗的三个癫痫组。每组都进行了莫里斯水迷宫测试,以研究海马依赖性外显记忆,从而评估它们的认知能力。进一步的评估包括膜片钳和 Western 印迹技术,以估计海马的突触功能。组间比较显示,低频经颅磁刺激能显著减少癫痫大鼠的自发性复发性癫痫发作,并改善其空间学习和记忆障碍。此外,经颅磁刺激还重塑了受癫痫发作影响的突触可塑性,并明显增强了AMPAR和突触素的表达。低频经颅磁刺激可拮抗TLE引起的认知障碍,并促进突触连接。
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引用次数: 0
Systematic review and meta‑analysis of observational studies to check the protective role of non‑steroidal anti‑inflammatory drugs in Alzheimer's disease. 对观察性研究进行系统回顾和荟萃分析,检查非甾体抗炎药对阿尔茨海默病的保护作用。
IF 1.4 4区 医学 Q4 Neuroscience Pub Date : 2023-12-04 DOI: 10.55782/ane-2023-2467
Akash Asthana, Shashank Tripathi, Rachna Agarwal

Alzheimer's disease (AD) is a major neurodegenerative disease, affecting more than two third cases of dementia in the world. Non‑steroidal anti‑inflammatory drugs (NSAIDs) are widely used anti‑inflammatory analgesic agents representing 7.7% of worldwide prescriptions of which 90% are in patients over 65 years old. Based on mixed findings a systematic review and meta‑analysis were conducted to develop a better understanding of the protective role of NSAIDs in AD. We used three database PubMed, Web of Science, and Embase to identify the literatures. The studies following cohort and case‑control design were investigated separately to check the effect of NSAIDs on AD, by the using their fundamental indicators (relative risk and odds ratio). The fixed effect or random effects model were used to estimate the pooled relative risk and pooled odds ratio separately for both the study design, based on magnitude of heterogeneity. A total of 14 studies were selected for meta‑analysis. Eight studies were following cohort study design, whereas, six studies were following case‑control study design. In meta‑analysis of cohort studies, the pooled relative risk was 0.67 with 95% C.I 0.39 to 1.15, which was statistically insignificant. In meta‑analysis of case‑control studies, the pooled odds ratio was 0.71 with 95% C.I 0.46 to 1.10, which was statistically insignificant. NSAIDs do not act as a protective factor for Alzheimer's disease. Additionally, methodologically sound randomized controlled trials are required to produce a robust result.

阿尔茨海默病(AD)是一种主要的神经退行性疾病,影响着全球三分之二以上的痴呆症病例。非甾体抗炎药(NSAIDs)是一种广泛使用的抗炎镇痛药,占全球处方药的 7.7%,其中 90% 用于 65 岁以上的患者。由于研究结果不一,我们进行了系统回顾和荟萃分析,以更好地了解非甾体抗炎药在抗老年痴呆症中的保护作用。我们使用了 PubMed、Web of Science 和 Embase 三个数据库来查找文献。我们分别调查了采用队列和病例对照设计的研究,利用其基本指标(相对风险和几率比率)来检验非甾体抗炎药对AD的影响。根据异质性的大小,采用固定效应或随机效应模型分别估计两种研究设计的汇总相对风险和汇总几率比。共有 14 项研究被选中进行荟萃分析。其中 8 项研究采用队列研究设计,6 项研究采用病例对照研究设计。在队列研究的荟萃分析中,汇总的相对风险为 0.67,95% C.I 为 0.39 至 1.15,在统计学上并不显著。在病例对照研究的荟萃分析中,汇总的几率比为 0.71,95% C.I 为 0.46 至 1.10,在统计学上并不显著。非甾体抗炎药不是阿尔茨海默病的保护因素。此外,需要进行方法可靠的随机对照试验才能得出可靠的结果。
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引用次数: 0
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