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Age-related reduction in brain ACE-2 is not exacerbated by Alzheimer’s disease pathology in mouse models of Alzheimer’s disease 阿尔茨海默病小鼠模型中与年龄相关的大脑ACE-2减少不会因阿尔茨海默病病理而加剧
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2022.100062
Robert MacLachlan , Charles E. Evans , Siew Yeen Chai , Mark A. Good , Patrick Gavin Kehoe , J. Scott Miners

An imbalance in the circulatory and organ-specific renin-angiotensin system (RAS) pathways is associated with age-related dysfunction and disease including cardiovascular burden and more recently Alzheimer’s disease (AD). It is currently unclear whether an age-associated imbalance in components of the RAS within the brain precedes the onset of AD or whether a RAS imbalance is associated with the onset of disease pathology and cognitive decline.

Angiotensin-converting enzyme-1 (ACE-1) and -2 (ACE-2) protein (ELISA) and enzyme activity (FRET assay), markers of the classical and counter-regulatory RAS axis respectively, and Ang-II and Ang-(1–7) peptide levels (ELISA), were measured in the left cortex across four transgenic AD mouse models of amyloid pathology (5xFAD – 2, 6, and 12 months of age; Apd9 – 3-4, 12, and 18 months of age; Tg2576 – 3-4 and 24 months of age; and PDAPP – 3-4, 7, 11, 15, and 18 months of age) and littermate wild-type (WT) controls.

ACE-1 level, and enzyme activity, was unaltered in relation to age in WT mice and across all four models. In contrast, ACE-2 level and enzyme activity, was reduced and Ang-II increased with ageing in both WT animals and disease models. The changes in ACE-2 and Ang-II in AD models mirrored WT mice, except for the 5xFAD model, when the reduction in ACE-2 (and elevated Ang-II) was observed at a younger age.

These data indicate an age-related dysregulation of brain RAS is likely to be driven by a reduction in ACE-2. The reduction in ACE-2 occurs at a young age, coinciding with early pathological changes and the initial deposition of Aβ, and preceding neuronal loss and cognitive decline, in the transgenic AD models. However, the age-related loss was mirrored in WT mice suggesting that the change was independent of pathological Aβ deposition.

循环和器官特异性肾素-血管紧张素系统(RAS)途径的失衡与年龄相关的功能障碍和疾病有关,包括心血管负担和最近的阿尔茨海默病(AD)。目前尚不清楚大脑中RAS成分的年龄相关失衡是否先于AD的发作,或者RAS失衡是否与疾病病理学和认知能力下降的发作有关。血管紧张素转换酶-1(ACE-1)和-2(ACE-2)蛋白(ELISA)和酶活性(FRET测定),分别是经典和反调节RAS轴的标志物,以及Ang II和Ang-(1-7)肽水平(ELISA),在淀粉样蛋白病理的四个转基因AD小鼠模型(5xFAD–2、6和12个月大;Apd9–3-4、12和18个月大,Tg2576–3-4和24个月大以及PDAPP–3-4、7、11、15和18个个月大)和同窝野生型(WT)对照的左皮层中测量。在WT小鼠和所有四个模型中,ACE-1水平和酶活性与年龄无关。相反,在野生型动物和疾病模型中,随着年龄的增长,ACE-2水平和酶活性降低,Ang II增加。AD模型中ACE-2和Ang II的变化反映了WT小鼠,但5xFAD模型除外,因为在年轻时观察到ACE-2减少(Ang II升高)。这些数据表明,与年龄相关的大脑RAS失调可能是由ACE-2的减少引起的。在转基因AD模型中,ACE-2的减少发生在年轻时,与早期病理变化和aβ的初始沉积以及之前的神经元损失和认知能力下降相吻合。然而,与年龄相关的损失在WT小鼠中得到了反映,这表明这种变化与病理性Aβ沉积无关。
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引用次数: 1
Overcoming hurdles: Enhancing post-mortem capabilities for neurological investigations in Africa 克服障碍:提高非洲神经系统调查的尸检能力。
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2023.100099
Abdullahi Tunde Aborode , Ayah Karra-Aly , Seto Charles Ogunleye , Mercy Mayowa Olorunshola , Tayo Nafisat Folorunso , Christianah Oreoluwa Aloba , Adedayo Emmanuel Ogunware
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引用次数: 0
Rostral anterior cingulate connectivity in older adults with subthreshold depressive symptoms: A preliminary study 有阈下抑郁症状的老年人颈前扣带连接的初步研究
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2022.100059
Andrew M. Gradone , Gabriell Champion , Keith M. McGregor , Joe R. Nocera , Sarah J. Barber , Lisa C. Krishnamurthy , Vonetta M. Dotson

Subthreshold depressive symptoms are highly prevalent among older adults and are associated with numerous health risks including cognitive decline and decreased physical health. One brain region central to neuroanatomical models of depressive disorders is the anterior cingulate cortex (ACC). The rostral portion of the ACC—comprised of the pregenual ACC and subgenual ACC—is implicated in emotion control and reward processing. The goal of the current study was to examine how functional connectivity in subregions of the rostral ACC relate to depressive symptoms, measured by the Beck Depression Inventory-Second Edition, in an ethnically diverse sample of 28 community-dwelling older adults. Based on meta-analyses of previous studies in primarily young adults with clinical depression, we hypothesized that greater depressive symptoms would be associated with primarily increased resting-state functional connectivity from both the subgenual ACC and pregenual ACC to default mode network regions and the dorsolateral PFC. We instead found that higher depressive symptoms were associated with lower functional connectivity of the ACC to the dorsolateral PFC and regions within the default mode network, including from the subgenual ACC to the dorsolateral PFC and anterior cingulate and from the pregenual ACC to the middle cingulate gyrus. This preliminary study highlights brain alterations at subthreshold levels of depressive symptoms in older adults, which could serve as targets for interventions.

阈下抑郁症状在老年人中非常普遍,并与许多健康风险有关,包括认知能力下降和身体健康状况下降。抑郁症神经解剖学模型的一个核心大脑区域是前扣带皮层(ACC)。ACC的嘴端部分——包括婚前ACC和亚目ACC——与情绪控制和奖励处理有关。本研究的目的是通过Beck抑郁量表第二版对28名居住在社区的老年人的种族多样性样本进行测量,检验口腔ACC亚区的功能连接与抑郁症状的关系。基于先前对主要患有临床抑郁症的年轻人的研究的荟萃分析,我们假设,更大的抑郁症状主要与静息状态功能连接增加有关,静息状态功能连通性主要是从球下ACC和球前ACC到默认模式网络区域和背外侧PFC。相反,我们发现,更高的抑郁症状与ACC与背外侧PFC和默认模式网络内区域的功能连接较低有关,包括从亚目ACC到背外侧PFC和前扣带回,以及从亚目前ACC到中扣带回。这项初步研究强调了老年人抑郁症状阈下水平的大脑变化,这可以作为干预的目标。
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引用次数: 0
Multimodal imaging of the aging brain: Baseline findings of the LoCARPoN study 脑老化的多模态成像:LoCARPoN研究的基线结果
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2023.100075
Pallavi Nair , Kameshwar Prasad , Parthiban Balasundaram , Deepti Vibha , Sada Nand Dwivedi , Shailesh B. Gaikwad , Achal K. Srivastava , Vivek Verma

We quantified and investigated multimodal brain MRI measures in the LoCARPoN Study due to lack of normative data among Indians. A total of 401 participants (aged 50–88 years) without stroke or dementia completed MRI investigation. We assessed 31 brain measures in total using four brain MRI modalities, including macrostructural (global & lobar volumes, white matter hyperintensities [WMHs]), microstructural (global and tract-specific white matter fractional anisotropy [WM-FA] and mean diffusivity [MD]) and perfusion measures (global and lobar cerebral blood flow [CBF]). The absolute brain volumes of males were significantly larger than those of females, but such differences were relatively small (<1.2% of intracranial volume). With increasing age, lower macrostructural brain volumes, lower WM-FA, greater WMHs, higher WM-MD were found (P = 0.00018, Bonferroni threshold). Perfusion measures did not show significant differences with increasing age. Hippocampal volume showed the greatest association with age, with a reduction of approximately 0.48%/year. This preliminary study augments and provides insight into multimodal brain measures during the nascent stages of aging among the Indian population (South Asian ethnicity). Our findings establish the groundwork for future hypothetical testing studies.

由于缺乏印度人的规范性数据,我们在LoCARPoN研究中量化并研究了多模式大脑MRI测量。共有401名没有中风或痴呆的参与者(年龄50-88岁)完成了MRI调查。我们使用四种大脑MRI模式评估了总共31项大脑测量,包括宏观结构(全局和叶体积、白质高信号[WMHs])、微观结构(全局性和束特异性白质分数各向异性[WM-FA]和平均扩散率[MD])和灌注测量(全局和叶脑血流[CBF])。男性的绝对脑容量明显大于女性,但这种差异相对较小(<颅内容量的1.2%)。随着年龄的增长,大脑宏观结构体积降低,WM-FA降低,WMHs增加,WM-MD增加(P=0.00018,Bonferroni阈值)。随着年龄的增长,灌注测量没有显示出显著差异。海马体积与年龄的相关性最大,每年减少约0.48%。这项初步研究增强并深入了解了印度人口(南亚裔)衰老初期的多模式大脑测量。我们的发现为未来的假设测试研究奠定了基础。
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引用次数: 0
Larger dlPFC and vmPFC grey matter volumes are associated with high adherence to the Mediterranean diet: A cross-sectional study in older adults 大的dlPFC和vmPFC灰质体积与地中海饮食的高依从性有关:一项针对老年人的横断面研究
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2023.100064
Belina Rodrigues , Carlos Portugal-Nunes , Ricardo Magalhães , Liane Schmidt , Pedro Silva Moreira , José Miguel Soares , Teresa Costa Castanho , Paulo Marques , Nuno Sousa , Nadine Correia Santos

Dietary self-control is associated with inter-individual differences in neuroanatomy. Yet, whether such inter-individual differences are also associated with healthier dietary patterns is yet to be determined. In this cross-sectional study, a total of 100 northern Portuguese older community-dwellers were assessed with regards to i) the adherence to a healthy dietary eating pattern – the Mediterranean diet (MedDiet), and ii) grey matter density (GMD) of brain regions associated with valuation and dietary self-regulation, the ventromedial (vmPFC) and dorsolateral prefrontal cortex (dlPFC), through voxel-based morphometry. Healthy food choices were ascertained through the Mediterranean Diet Adherence Screener (MEDAS) where higher scores indicated greater adherence to the MedDiet. Voxel-based morphometry showed that greater grey matter density in the dlPFC and vmPFC associated with a higher adherence to the MedDiet. These results replicate previous links between dietary decision-making measured under laboratory conditions and the neuroanatomy of the brain's valuation and self-control system. Importantly, they shed new light on the potential relevance of inter-individual differences in the neuroanatomy of these two brain regions for adhering to healthier dietary patterns in everyday life.

饮食自我控制与神经解剖学的个体间差异有关。然而,这种个体间的差异是否也与更健康的饮食模式有关,还有待确定。在这项横断面研究中,共有100名葡萄牙北部老年社区居民接受了以下方面的评估:i)对健康饮食模式——地中海饮食(MedDiet)的依从性,以及ii)与评估和饮食自我调节相关的大脑区域、腹内侧(vmPFC)和背外侧前额叶皮层(dlPFC)的灰质密度(GMD),通过基于体素的形态测量。健康食品的选择是通过地中海饮食依从性筛查(MEDAS)确定的,得分越高,表明对地中海饮食的依从性越高。基于体素的形态计量学显示,dlPFC和vmPFC中的灰质密度越大,对MedDiet的依从性越高。这些结果复制了以前在实验室条件下测量的饮食决策与大脑评估和自我控制系统的神经解剖学之间的联系。重要的是,他们揭示了这两个大脑区域神经解剖学的个体间差异与在日常生活中坚持更健康的饮食模式的潜在相关性。
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引用次数: 0
Sleep deprivation aggravated amyloid β oligomers-induced damage to the cerebellum of rats: Evidence from magnetic resonance imaging 睡眠剥夺加重了β淀粉样蛋白寡聚物对大鼠小脑的损伤:来自磁共振成像的证据
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2023.100091
Wensheng Guo , Xin Mao , Ding Han , Hongqi Wang , Wanning Zhang , Guitao Zhang , Ning Zhang , Binbin Nie , Hui Li , Yizhi Song , Yan Wu , Lirong Chang

For quite a long time, researches on Alzheimer's disease (AD) primarily focused on the cortex and hippocampus, while the cerebellum has been ignored because of its abnormalities considered to appear in the late stage of AD. In recent years, increasing evidence suggest that the cerebellar pathological changes possibly occur in the preclinical phase of AD, which is also associated with sleep disorder. Sleep disturbance is a high risk factor of AD. However, the changes and roles of cerebellum has rarely been reported under conditions of AD accompanied with sleep disorders. In this study, using an amyloid-β oligomers (AβO)-induced rat model of AD subjected to sleep deprivation, combining with a 7.0 T animals structural magnetic resonance imaging (MRI), we assessed structural changes of cerebellum in MRI. Our results showed that sleep deprivation combined with AβO led to an increased FA value in the anterior lobe of cerebellum, decreased ADC value in the cerebellar lobes and cerebellar nuclei, and increased cerebellum volume. Besides that, sleep deprivation exacerbated the damage of AβO to the cerebellar structural network. This study demonstrated that sleep deprivation could aggravate the damage to cerebellum induced by AβO. The present findings provide supporting evidence for the involvement of cerebellum in the early pathology of AD and sleep loss. Our data would contribute to advancing the understanding of the mysterious role of cerebellum in AD and sleep disorders, as well as would be helpful for developing non-invasive MRI biomarkers for screening early AD patients with self-reported sleep disturbances.

长期以来,对阿尔茨海默病(AD)的研究主要集中在皮层和海马体,而小脑由于其异常被认为出现在AD晚期而被忽视。近年来,越来越多的证据表明,小脑病理变化可能发生在AD的临床前阶段,这也与睡眠障碍有关。睡眠障碍是AD的高危因素,但小脑在AD合并睡眠障碍的情况下的变化和作用很少报道。在本研究中,使用淀粉样蛋白-β寡聚物(AβO)诱导的睡眠剥夺AD大鼠模型,结合7.0T动物结构磁共振成像(MRI),我们在MRI中评估了小脑的结构变化。我们的研究结果表明,睡眠剥夺联合AβO导致小脑前叶的FA值增加,小脑叶和小脑核的ADC值降低,小脑体积增加。此外,睡眠剥夺加重了AβO对小脑结构网络的损伤。本研究表明,睡眠剥夺可加重AβO对小脑的损伤。目前的研究结果为小脑参与AD和睡眠丧失的早期病理提供了支持性证据。我们的数据将有助于加深对小脑在AD和睡眠障碍中神秘作用的理解,并有助于开发非侵入性MRI生物标志物,用于筛查自我报告睡眠障碍的早期AD患者。
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引用次数: 0
Unraveling Parkinson’s risk factors 揭示帕金森病的风险因素
Q3 CLINICAL NEUROLOGY Pub Date : 2023-01-01 DOI: 10.1016/j.nbas.2023.100073
Sadashiva K. Pai
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引用次数: 0
Evaluating associations of RNFL thickness and multifocal VEP with cognitive assessment and brain MRI volumes in older adults: Optic nerve decline and cognitive change (ONDCC) initiative 评估老年人RNFL厚度和多灶VEP与认知评估和脑MRI体积的关系:视神经衰退和认知改变(ONDCC)倡议
Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.nbas.2022.100049
Ting Shen , Samran Sheriff , Yuyi You , Jiyang Jiang , Angela Schulz , Heather Francis , Mehdi Mirzaei , Danit Saks , Nitin Chitranshi , Veer Gupta , Maria Fiatarone Singh , Alexander Klistorner , Wei Wen , Perminder Sachdev , Vivek K. Gupta , Stuart L. Graham

To examine the relationships of retinal structural (optical coherence tomography) and visual functional (multifocal visual evoked potentials, mfVEP) indices with neuropsychological and brain structural measurements in healthy older subjects. 95 participants (mean (SD) age 68.1 (9.0)) years were recruited in the Optic Nerve Decline and Cognitive Change (ONDCC) study in this observational clinical investigation. OCT was conducted for retinal nerve fibre layer (RNFL) and mfVEP for amplitude and latency measurements. Participants undertook neuropsychological tests for cognitive performance and MRI for volumetric evaluation of various brain regions. Generalised estimating equation models were used for association analysis (p < 0.05). The brain volumetric measures including total grey matter (GM), cortex, thalamus, hippocampal and fourth ventricular volumes were significantly associated with global and sectoral RNFL. RNFL thickness correlated with delayed recalls of California verbal learning test (CVLT) and Rey complex figure test (RCFT). The mfVEP amplitudes associated with cerebral white matter (WM) and cingulate GM volumes in MRI and CVLT, RCFT and trail making test outcomes. A significant association of mfVEP latency with logical memory delayed recall and thalamus volume was also observed. Our results suggested significant association of specific RNFL and mfVEP measures with distinctive brain region volumes and cognitive tests reflecting performance in memory, visuospatial and executive functional domains. These findings indicate that the mfVEP and RNFL measurements may parallel brain structural and neuropsychological measures in the older population.

探讨健康老年受试者视网膜结构(光学相干断层扫描)和视觉功能(多焦视觉诱发电位,mfVEP)指数与神经心理学和脑结构测量的关系。这项观察性临床研究招募了95名参与者(平均(SD)年龄68.1(9.0)岁)参加视神经衰退和认知变化(ONDCC)研究。对视网膜神经纤维层(RNFL)和mfVEP进行振幅和潜伏期测量。参与者接受了认知能力的神经心理学测试和不同脑区的核磁共振体积评估。关联分析采用广义估计方程模型(p < 0.05)。脑容量测量包括总灰质(GM)、皮层、丘脑、海马和第四心室体积与整体和部门RNFL显著相关。RNFL厚度与加州言语学习测验(CVLT)和Rey复图测验(RCFT)延迟回忆相关。MRI、CVLT、RCFT和trail making测试结果中mfVEP振幅与脑白质(WM)和扣带GM体积相关。mfVEP潜伏期与逻辑记忆、延迟回忆和丘脑体积也有显著的关联。我们的研究结果表明,特定的RNFL和mfVEP测量与不同的脑区域体积和反映记忆、视觉空间和执行功能领域表现的认知测试有显著关联。这些发现表明mfVEP和RNFL测量可能与老年人群的脑结构和神经心理学测量相似。
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引用次数: 2
Exploring cortical proteins underlying the relation of neuroticism to cognitive resilience 探索神经过敏与认知弹性之间关系的皮层蛋白
Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.nbas.2022.100031
Francine Grodstein , Lei Yu , Philip L. de Jager , Allan Levey , Nicholas T. Seyfried , David A. Bennett

Some individuals maintain cognitive health despite neuropathology. Targets impacting “cognitive resilience” may provide interventions for preventing dementia without decreasing neuropathology. Neuroticism represents the tendency to experience negative emotions, and is related to worse cognitive resilience. Exploring proteins associated with cognitive resilience risk factors, such as neuroticism, could yield new protein targets. We used 355 postmortem prefrontal cortex from two cohorts to measure 8356 proteins. We identified (i) proteins associated with both neuroticism and cognitive resilience, and (ii) proteins statistically mediating relations of neuroticism to cognitive resilience. We found two proteins, 40S ribosomal proteinS3 (RPS3) and branched chain keto acid dehydrogenase E1, subunit beta (BCKDHB), ranked in the top 1% of smallest p-values in parallel linear regression models of neuroticism to protein levels, and protein levels to cognitive decline resilience. In mediation models, RPS3 and BCKDHB accounted for 25% (p = 0.005) of the relation of neuroticism to cognitive resilience. Our sample size is modest, thus results may be due to chance (p-values did not meet Bonferroni significance) and will require further confirmation; however, investigating biologic mediators of associations of risk factors to cognitive resilience may help discover targets to promote cognitive resilience and reduce dementia.

有些人尽管有神经病变,但仍能保持认知健康。影响“认知弹性”的目标可能为预防痴呆而不减少神经病理学提供干预措施。神经质代表了经历负面情绪的倾向,并且与较差的认知弹性有关。探索与认知弹性风险因素(如神经质)相关的蛋白质,可能会产生新的蛋白质靶点。我们使用来自两个队列的355具死后前额叶皮层来测量8356种蛋白质。我们确定了(i)与神经质和认知弹性相关的蛋白质,以及(ii)在统计上介导神经质与认知弹性关系的蛋白质。我们发现两个蛋白,40S核糖体蛋白3 (RPS3)和支链酮酸脱氢酶E1亚基β (BCKDHB),在神经过敏对蛋白质水平和蛋白质水平对认知衰退恢复力的平行线性回归模型中,p值最小的前1%。在中介模型中,RPS3和BCKDHB在神经质与认知弹性的关系中占25% (p = 0.005)。我们的样本量不大,因此结果可能是偶然的(p值不符合Bonferroni显著性),需要进一步确认;然而,研究风险因素与认知弹性的关联的生物介质可能有助于发现促进认知弹性和减少痴呆的目标。
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引用次数: 0
Oxytocin’s dynamic role across the lifespan 催产素在整个生命周期中的动态作用
Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.nbas.2021.100028
Kristin Audunsdottir , Daniel S. Quintana

Older adults have been neglected in biobehavioral oxytocin research. Emerging research indicates that oxytocin signaling activity fluctuates over the lifespan, which suggests that results from studies investigating youth and young adults cannot be easily generalized to older adults. The recruitment of a wider age range of research participants using a variety of research tools is required to uncover the role of the oxytocin signaling system over the lifespan and may reveal novel treatment target candidates in older adults, beyond social cognition and behavior.

在生物行为催产素研究中,老年人一直被忽视。新兴研究表明,催产素信号活动在整个生命周期中波动,这表明对年轻人和年轻人的研究结果不能轻易推广到老年人。需要使用各种研究工具招募更大年龄范围的研究参与者,以揭示催产素信号系统在生命周期中的作用,并可能在老年人中发现新的治疗靶点,超越社会认知和行为。
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引用次数: 5
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Aging brain
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