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Longitudinal data are crucial for identifying superagers 纵向数据对确定超级用户至关重要
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100118
Lars Nyberg
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引用次数: 0
Targeted brain-specific tauopathy compromises peripheral skeletal muscle integrity and function 脑特异性牛磺酸病损害外周骨骼肌的完整性和功能
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100110
Bryan Alava , Gabriela Hery , Silvana Sidhom , Miguel Gutierrez-Monreal , Stefan Prokop , Karyn A. Esser , Jose Abisambra

Tauopathies are neurodegenerative disorders in which the pathological intracellular aggregation of the protein tau causes cognitive deficits. Additionally, clinical studies report muscle weakness in populations with tauopathy. However, whether neuronal pathological tau species confer muscle weakness, and whether skeletal muscle maintains contractile capacity in primary tauopathy remains unknown. Here, we identified skeletal muscle abnormalities in a mouse model of primary tauopathy, expressing human mutant P301L-tau using adeno-associated virus serotype 8 (AAV8). AAV8-P301L mice showed grip strength deficits, hyperactivity, and abnormal histological features of skeletal muscle. Additionally, spatially resolved gene expression of muscle cross sections were altered in AAV8-P301L myofibers. Transcriptional changes showed alterations of genes encoding sarcomeric proteins, proposing a weakness phenotype. Strikingly, specific force of the soleus muscle was blunted in AAV8-P301L tau male mice. Our findings suggest tauopathy has peripheral consequences in skeletal muscle that contribute to weakness in tauopathy.

牛头蛋白病是一种神经退行性疾病,细胞内牛头蛋白的病理性聚集会导致认知障碍。此外,临床研究报告称,患有牛头蛋白病的人群肌肉无力。然而,神经元病理tau物种是否会导致肌肉无力,以及原发性tau病的骨骼肌是否能保持收缩能力,目前仍是未知数。在这里,我们利用腺相关病毒血清型8(AAV8)表达人类突变体P301L-tau,在原发性tau病小鼠模型中发现了骨骼肌异常。AAV8-P301L 小鼠表现出握力缺陷、多动和骨骼肌组织学特征异常。此外,AAV8-P301L肌纤维肌肉横截面的空间分辨基因表达也发生了改变。转录变化显示编码肌纤维蛋白的基因发生了改变,从而提出了一种虚弱表型。引人注目的是,AAV8-P301L tau雄性小鼠比目鱼肌的特异性力量减弱。我们的研究结果表明,tau病会对骨骼肌产生外周影响,从而导致tau病的虚弱。
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引用次数: 0
Estrogen’s sex-specific effects on ischemic cell death and estrogen receptor mRNA expression in rat cortical organotypic explants 雌激素对大鼠大脑皮层器官外植体缺血性细胞死亡和雌激素受体 mRNA 表达的性别特异性影响
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100117
Amanda L. Trout , Christopher J McLouth , Jenne M. Westberry , Tomoko Sengoku , Melinda E. Wilson

Estrogens, such as the biologically active 17-β estradiol (E2), regulate not only reproductive behaviors in adults, but also influence neurodevelopment and neuroprotection in both females and males. E2, contingent upon the timing and concentration of the therapy, is neuroprotective in female and male rodent models of stroke. In Vivo studies suggest that E2 may partially mediate this neuroprotection, particularly in the cortex, via ERα. In Vitro studies, utilizing a chemically induced ischemic injury in cortical explants from both sexes, suggest that ERα or ERβ signaling is needed to mediate the E2 protection. Since we know that the timing and concentration of E2 therapy may be sex-specific, we examined if E2 (1 nM) mediates neuroprotection when female and male cortical explants are separately isolated from postnatal day (PND) 3–4 rat. Changes in basal levels ERα, ERβ, and AR mRNA expression are compared across early post-natal development in the intact cortex and the corresponding days in vitro (DIV) for cortical explants. Following ischemic injury at 7 DIV, cell death and ERα, ERβ and AR mRNA expression was compared in female and male cortical explants. We provide evidence that E2-mediated protection is maintained in isolated cortical explants from females, but not male rats. In female cortical explants, the E2-mediated protection at 24 h occurs secondarily to a blunted transient increase in ERα mRNA at 12 h. These results suggest that cortical E2-mediated protection is influenced by sex and supports data to differentially treat females and males following ischemic injury.

雌激素,如具有生物活性的 17-β 雌二醇(E2),不仅能调节成年人的生殖行为,还能影响雌性和雄性的神经发育和神经保护。根据治疗时机和浓度的不同,E2 对雌性和雄性中风啮齿动物模型具有神经保护作用。体内研究表明,E2 可通过 ERα 部分介导这种神经保护作用,尤其是在大脑皮层。体外研究利用化学诱导的缺血性损伤对雌雄啮齿动物的大脑皮层外植体进行了研究,结果表明ERα或ERβ信号传导是E2保护作用的必要介导因素。由于我们知道E2治疗的时间和浓度可能具有性别特异性,因此我们研究了当从出生后第3-4天的大鼠中分别分离出雌性和雄性皮层外植体时,E2(1 nM)是否能介导神经保护作用。我们比较了完整皮层在出生后早期发育过程中ERα、ERβ和AR mRNA表达的基础水平变化,以及皮层外植体在体外相应天数(DIV)的变化。在缺血损伤 7 DIV 后,比较了雌性和雄性皮层外植体的细胞死亡及 ERα、ERβ 和 AR mRNA 表达。我们提供的证据表明,E2-介导的保护作用在雌性而非雄性大鼠的离体皮质外植体中得以维持。这些结果表明,E2-介导的大脑皮层保护作用受性别影响,并支持对缺血损伤后的雌性和雄性进行不同处理的数据。
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引用次数: 0
Neural correlates of home-based intervention effects on value-based sequential decision-making in healthy older adults 家庭干预对健康老年人基于价值的顺序决策影响的神经相关性
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100109
Kathleen Kang , Daria Antonenko , Franka Glöckner , Agnes Flöel , Shu-Chen Li

Older adults demonstrate difficulties in sequential decision-making, which is partly attributed to under-recruitment of prefrontal networks. It is, therefore, important to understand the mechanisms that may improve this ability. This study investigated the effectiveness of an 18-sessions, home-based cognitive intervention and the neural mechanisms that underpin individual differences in intervention effects. Participants were required to learn sequential choices in a 3-stage Markov decision-making task that would yield the most rewards. Participants were assigned to better or worse responders group based on their performance at the last intervention session (T18). Better responders improved significantly starting from the fifth intervention session while worse responders did not improve across all training sessions. At post-intervention, only better responders showed condition-dependent modulation of the dorsolateral prefrontal cortex (DLPFC) as measured by fNIRS, with higher DLPFC activity in the delayed condition. Despite large individual differences, our data showed that value-based sequential-decision-making and its corresponding neural mechanisms can be remediated via home-based cognitive intervention in some older adults; moreover, individual differences in recruiting prefrontal activities after the intervention are associated with variations in intervention outcomes. Intervention-related gains were also maintained at three months after post-intervention. However, future studies should investigate the potential of combining other intervention methods such as non-invasive brain stimulation with cognitive intervention for older adults who do not respond to the intervention, thus emphasizing the importance of developing individualized intervention programs for older adults.

老年人在顺序决策方面表现出困难,部分原因是前额叶网络招募不足。因此,了解提高这种能力的机制非常重要。本研究调查了一项为期 18 个疗程、基于家庭的认知干预的有效性,以及导致干预效果个体差异的神经机制。参与者需要在一个三阶段马尔可夫决策任务中学习如何做出能获得最多奖励的顺序选择。根据参与者在最后一个干预环节(T18)的表现,将他们分配到反应较好或反应较差组。从第五次干预课程开始,反应较好的学员的成绩有了明显提高,而反应较差的学员在所有培训课程中的成绩都没有提高。在干预后,根据 fNIRS 测量,只有反应较好者的背外侧前额叶皮层(DLPFC)表现出与条件相关的调节,延迟条件下的 DLPFC 活性较高。尽管个体差异很大,但我们的数据表明,基于价值的顺序决策及其相应的神经机制可以通过基于家庭的认知干预对一些老年人进行补救;此外,干预后前额叶活动的个体差异与干预结果的变化有关。干预后三个月,与干预相关的收益也得以保持。不过,未来的研究应探讨将其他干预方法(如无创脑刺激)与认知干预相结合的可能性,以帮助那些对干预没有反应的老年人,从而强调为老年人制定个性化干预方案的重要性。
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引用次数: 0
Microbiome-driven alterations in metabolic pathways and impaired cognition in aged female TgF344-AD rats 微生物驱动的代谢途径改变和老年雌性 TgF344-AD 大鼠认知能力受损
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100119
Abbi R. Hernandez , Erik Parker , Maham Babar , Anisha Banerjee , Sarah Ding , Alexis Simley , Thomas W. Buford

Alzheimer’s disease (AD) not only affects cognition and neuropathology, but several other facets capable of negatively impacting quality of life and potentially driving impairments, including altered gut microbiome (GMB) composition and metabolism. Aged (20 + mo) female TgF344-AD and wildtype rats were cognitively characterized on several tasks incorporating several cognitive domains, including task acquisition, object recognition memory, anxiety-like behaviors, and spatial navigation. Additionally, metabolic phenotyping, GMB sequencing throughout the intestinal tract (duodenum, jejunum, ileum, colon, and feces), neuropathological burden assessment and marker gene functional abundance predictions (PICRUSt2) were conducted. TgF344-AD rats demonstrated significant cognitive impairment in multiple domains, as well as regionally specific GMB dysbiosis. Relationships between peripheral factors were investigated using Canonical Correspondence Analysis (CCA), revealing correlations between GMB changes and both cognitive and metabolic factors. Moreover, communities of gut microbes contributing to essential metabolic pathways were significantly altered in TgF344-AD rats. These data indicate dysbiosis may affect cognitive outcomes in AD through alterations in metabolism-related enzymatic pathways that are necessary for proper brain function. Moreover, these changes were mostly observed in intestinal segments required for carbohydrate digestion, not fecal samples. These data support the targeting of intestinal and microbiome health for the treatment of AD.

阿尔茨海默病(AD)不仅会影响认知和神经病理学,还会影响其他几个方面,包括肠道微生物组(GMB)组成和新陈代谢的改变,从而对生活质量产生负面影响,并可能导致机体损伤。研究人员对20+月龄的雌性TgF344-AD大鼠和野生型大鼠进行了认知测试,测试任务包括任务获取、物体识别记忆、焦虑样行为和空间导航等多个认知领域。此外,还进行了代谢表型、整个肠道(十二指肠、空肠、回肠、结肠和粪便)的 GMB 测序、神经病理学负担评估和标记基因功能丰度预测 (PICRUSt2)。TgF344-AD大鼠在多个领域表现出明显的认知障碍,以及区域特异性GMB菌群失调。利用典型对应分析(CCA)研究了外围因素之间的关系,发现 GMB 变化与认知和代谢因素之间存在相关性。此外,在 TgF344-AD 大鼠体内,有助于重要代谢途径的肠道微生物群落发生了显著变化。这些数据表明,菌群失调可能会通过改变正常脑功能所必需的代谢相关酶通路来影响注意力缺失症的认知结果。此外,这些变化主要是在碳水化合物消化所需的肠段而非粪便样本中观察到的。这些数据支持以肠道和微生物组健康为目标来治疗注意力缺失症。
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引用次数: 0
Network connectivity differences in music listening among older adults following a music-based intervention 音乐干预后老年人听音乐时的网络连接差异
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100128
Sarah Faber , Alexander Belden , Psyche Loui , A.R. McIntosh
Music-based interventions are a common feature in long-term care with clinical reports highlighting music’s ability to engage individuals with complex diagnoses. While these findings are promising, normative findings from healthy controls are needed to disambiguate treatment effects unique to pathology and those seen in healthy aging. The present study examines brain network dynamics during music listening in a sample of healthy older adults before and after a music-based intervention. We found intervention effects from hidden Markov model-estimated fMRI network data. Following the intervention, participants demonstrated greater occupancy (the amount of time a network was occupied) in a temporal-mesolimbic network. We conclude that network dynamics in healthy older adults are sensitive to music-based interventions. We discuss these findings’ implications for future studies with individuals with neurodegeneration.
以音乐为基础的干预措施是长期护理中的一个常见特点,临床报告强调音乐能够吸引患有复杂诊断的患者。虽然这些研究结果很有希望,但还需要健康对照组的标准研究结果,以区分病理学和健康老龄化所特有的治疗效果。本研究以健康老年人为样本,研究了在音乐干预前后听音乐时大脑网络的动态变化。我们从隐藏马尔可夫模型估计的 fMRI 网络数据中发现了干预效果。干预后,参与者在颞叶-边缘网络中表现出更高的占用率(网络被占用的时间量)。我们的结论是,健康老年人的网络动态对基于音乐的干预很敏感。我们将讨论这些发现对未来神经变性患者研究的影响。
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引用次数: 0
TMS-derived short afferent inhibition discriminates cognitive status in older adults without dementia TMS 衍生的短传入抑制可判别未患痴呆症的老年人的认知状态
IF 1.7 Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100123
Mark H. Sundman , Jacob M. Green , Andrew J. Fuglevand , Ying-hui Chou

Aging is a complex and diverse biological process characterized by progressive molecular, cellular, and tissue damage, resulting in a loss of physiological integrity and heightened vulnerability to pathology. This biological diversity corresponds with highly variable cognitive trajectories, which are further confounded by genetic and environmental factors that influence the resilience of the aging brain. Given this complexity, there is a need for neurophysiological indicators that not only discern physiologic and pathologic aging but also closely align with cognitive trajectories. Transcranial Magnetic Stimulation (TMS) may have utility in this regard as a non-invasive brain stimulation tool that can characterize features of cortical excitability. Particularly, as a proxy for central cholinergic function, short-afferent inhibition (SAI) dysfunction is robustly associated with cognitive deficits in the latter stages of Alzheimer’s Disease and Related Dementia (ADRD). In this study, we evaluated SAI in healthy young adults and older adults who, though absent clinical diagnoses, were algorithmically classified as cognitively normal (CN) or cognitively impaired (CI) according to the Jak/Bondi actuarial criteria. We report that SAI is preserved in the Old-CN cohort relative to the young adults, and SAI is significantly diminished in the Old-CI cohort relative to both young and CN older adults. Additionally, diminished SAI was significantly associated with impaired sustained attention and working memory. As a proxy measure for central cholinergic deficits, we discuss the potential value of SAI for discerning physiological and pathological aging.

衰老是一个复杂多样的生物过程,其特点是分子、细胞和组织逐渐受损,导致生理完整性丧失,更容易发生病变。这种生物多样性与千变万化的认知轨迹相对应,而影响衰老大脑恢复能力的遗传和环境因素又进一步加剧了这种多样性。鉴于这种复杂性,我们需要一种神经生理指标,它不仅能辨别生理和病理衰老,还能与认知轨迹紧密结合。经颅磁刺激(TMS)作为一种非侵入性的脑刺激工具,可以描述大脑皮层兴奋性的特征,因此在这方面可能具有实用价值。特别是,作为中枢胆碱能功能的代表,短感觉抑制(SAI)功能障碍与阿尔茨海默病及相关痴呆症(ADRD)后期的认知障碍密切相关。在这项研究中,我们对健康的年轻人和老年人的 SAI 进行了评估,这些人虽然没有临床诊断,但根据 Jak/Bondi 精算标准被算法分类为认知正常(CN)或认知受损(CI)。我们的报告显示,与年轻人相比,老年认知障碍组群中的SAI得到了保留,而与年轻人和认知障碍老年人相比,老年认知障碍组群中的SAI明显减弱。此外,SAI 的减弱与持续注意力和工作记忆的受损有显著关联。作为中枢胆碱能缺陷的替代测量指标,我们讨论了 SAI 在鉴别生理性和病理性衰老方面的潜在价值。
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引用次数: 0
Brain structure variation and individual differences in theory of mind among older adults 大脑结构变异与老年人思维理论的个体差异
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100115
Yuki Otsuka , Ryusuke Nakai , Miho Shizawa , Shoji Itakura , Ayumi Sato , Nobuhito Abe

The theory of mind (ToM) is not substantially influenced by aging, suggesting the emergence of various compensatory mechanisms. To identify brain regions subserving ToM in older adults, we investigated the associations of individual differences in brain structure with performance on the Reading the Mind in the Eyes Test (RMET), a widely used measure of ToM, using voxel-based morphometry (VBM) and tract-based spatial statistics (TBSS). In contrast to findings obtained from young adults, where multiple cortical regions are implicated in ToM, VBM analysis revealed a significant positive correlation between RMET score and gray matter (GM) volume only in the right middle temporal gyrus, a region implicated in social cognition. Alternatively, TBSS revealed significant positive correlations between RMET score and the fractional anisotropy (FA) values in widespread white matter (WM) tracts, including the bilateral uncinate fasciculus, a region previously linked to RMET performance in young adults. We speculate that individual differences in WM integrity are strong influences on ToM among older adults, whereas the impact of individual differences in GM volumes is relatively limited.

心智理论(ToM)并没有受到衰老的实质性影响,这表明出现了各种补偿机制。为了确定老年人中服务于心智理论的大脑区域,我们使用基于体素的形态计量学(VBM)和基于束的空间统计学(TBSS)研究了大脑结构的个体差异与心智理论测试(RMET)成绩的关联,RMET是一种广泛使用的心智理论测量方法。VBM 分析显示,RMET 分数与灰质(GM)体积之间仅在右侧颞中回存在显著正相关,而该区域与社会认知有关联。另外,TBSS显示,RMET得分与广泛的白质(WM)束的分数各向异性(FA)值之间存在显著的正相关,其中包括双侧钩状束,该区域以前曾与年轻人的RMET表现有关。我们推测,WM完整性的个体差异对老年人ToM的影响很大,而GM体积的个体差异的影响则相对有限。
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引用次数: 0
Pulsatility analysis of the circle of Willis 威利斯圈脉动分析
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100111
Henning U. Voss , Qolamreza R. Razlighi

Purpose

To evaluate the phenomenological significance of cerebral blood pulsatility imaging in aging research.

Methods

N = 38 subjects from 20 to 72 years of age (24 females) were imaged with ultrafast MRI with a sampling rate of 100 ms and simultaneous acquisition of pulse oximetry data. Of these, 28 subjects had acceptable MRI and pulse data, with 16 subjects between 20 and 28 years of age, and 12 subjects between 61 and 72 years of age. Pulse amplitude in the circle of Willis was assessed with the recently developed method of analytic phase projection to extract blood volume waveforms.

Results

Arteries in the circle of Willis showed pulsatility in the MRI for both the young and old age groups. Pulse amplitude in the circle of Willis significantly increased with age (p = 0.01) but was independent of gender, heart rate, and head motion during MRI.

Discussion and conclusion

Increased pulse wave amplitude in the circle of Willis in the elderly suggests a phenomenological significance of cerebral blood pulsatility imaging in aging research. The physiologic origin of increased pulse amplitude (increased pulse pressure vs. change in arterial morphology vs. re-shaping of pulse waveforms caused by the heart, and possible interaction with cerebrospinal fluid pulsatility) requires further investigation.

目的评估脑血流搏动成像在老龄化研究中的现象学意义。方法用采样率为 100 毫秒的超快速核磁共振成像和同步采集的脉搏氧饱和度数据对 38 名 20 至 72 岁的受试者(24 名女性)进行成像。其中,28 名受试者的核磁共振成像和脉搏数据合格,16 名受试者的年龄在 20 至 28 岁之间,12 名受试者的年龄在 61 至 72 岁之间。采用最近开发的分析相位投影法提取血容量波形,对威利斯圈的脉搏振幅进行了评估。威利斯圈的脉搏振幅随年龄的增长而显著增加(p = 0.01),但与性别、心率和核磁共振成像时的头部运动无关。讨论与结论老年人威利斯圈脉搏波振幅的增加表明脑血液搏动成像在老龄化研究中具有现象学意义。脉搏波幅增大的生理原因(脉压增高与动脉形态变化、心脏引起的脉搏波形重塑以及与脑脊液搏动的可能相互作用)还需要进一步研究。
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引用次数: 0
Age-related decline in social interaction is associated with decreased c-Fos induction in select brain regions independent of oxytocin receptor expression profiles 与年龄相关的社交互动减少与特定脑区的 c-Fos 诱导减少有关,而与催产素受体表达谱无关
Q3 CLINICAL NEUROLOGY Pub Date : 2024-01-01 DOI: 10.1016/j.nbas.2024.100107
J. Russell Ravenel , Amy E. Perkins , Angela Tomczik , Ana Defendini , Helen K. Strnad , Elena Varlinskaya , Terrence Deak , Robert L. Spencer

Social behavior decreases with aging, and we have previously found a substantial decline in social investigative behavior of old female rats. In this study we examined the neural activation pattern (c-Fos mRNA) of young (3 month) and old (18 month) female rats after brief 10 min exposure to a novel female rat in order to identify forebrain regions that show selective age-related alterations in their neural response to social investigation. We also measured relative oxytocin receptor expression (Oxtr mRNA) as a possible factor in age-related declines in c-Fos induction after social interaction. Young rats exposed to a social partner had a greater c-Fos mRNA response than those exposed to novel context alone in the lateral septum and septohypothalamic area, with blunted increases evident in old rats. In addition, c-Fos mRNA levels in the lateral septum were positively correlated with social investigative behavior. Interestingly, age-related differences in c-Fos gene induction were unrelated to the local amount of Oxtr expression within specific brain regions, although we found an age-related decline in Oxtr expression in the ventromedial hypothalamus. This functional neuroanatomical characterization may point to certain brain regions that are especially sensitive to age-related declines associated with social interaction behavior.

社会行为会随着年龄的增长而减少,我们以前曾发现老年雌鼠的社会调查行为大幅减少。在这项研究中,我们检测了年轻(3 个月)和年老(18 个月)的雌性大鼠在短暂接触一只新的雌性大鼠 10 分钟后的神经激活模式(c-Fos mRNA),以确定在对社会调查的神经反应中表现出与年龄相关的选择性改变的前脑区域。我们还测量了催产素受体的相对表达量(Oxtr mRNA),这可能是社交互动后与年龄相关的 c-Fos 诱导下降的一个因素。与单独暴露于新环境的大鼠相比,年轻大鼠暴露于社交伙伴时,其外侧隔膜和丘脑隔区的c-Fos mRNA反应更大,而老年大鼠的c-Fos mRNA反应明显减弱。此外,外侧隔的c-Fos mRNA水平与社会调查行为呈正相关。有趣的是,c-Fos基因诱导与年龄相关的差异与特定脑区中Oxtr的局部表达量无关,尽管我们发现腹内侧下丘脑中Oxtr的表达量下降与年龄相关。这种功能性神经解剖学特征可能表明,某些脑区对与社会交往行为相关的年龄相关性衰退特别敏感。
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引用次数: 0
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Aging brain
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