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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
Future trends in brain aging research: Visuo-cognitive functions at stake during mobility and spatial navigation 脑老化研究的未来趋势:在移动和空间导航过程中视觉认知功能受到威胁
Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.nbas.2022.100034
Stephen Ramanoël , Marion Durteste , Alexandre Delaux , Jean-Baptiste de Saint Aubert , Angelo Arleo

Aging leads to a complex pattern of structural and functional changes, gradually affecting sensorimotor, perceptual, and cognitive processes. These multiscale changes can hinder older adults’ interaction with their environment, progressively reducing their autonomy in performing tasks relevant to everyday life. Autonomy loss can further be aggravated by the onset and progression of neurodegenerative disorders (e.g., age-related macular degeneration at the sensory input level; and Alzheimer’s disease at the cognitive level). In this context, spatial cognition offers a representative case of high-level brain function that involves multimodal sensory processing, postural control, locomotion, spatial orientation, and wayfinding capabilities. Hence, studying spatial behavior and its neural bases can help identify early markers of pathogenic age-related processes. Until now, the neural correlates of spatial cognition have mostly been studied in static conditions thereby disregarding perceptual (other than visual) and motor aspects of natural navigation. In this review, we first demonstrate how visuo-motor integration and the allocation of cognitive resources during locomotion lie at the heart of real-world spatial navigation. Second, we present how technological advances such as immersive virtual reality and mobile neuroimaging solutions can enable researchers to explore the interplay between perception and action. Finally, we argue that the future of brain aging research in spatial navigation demands a widespread shift toward the use of naturalistic, ecologically valid experimental paradigms to address the challenges of mobility and autonomy decline across the lifespan.

衰老导致复杂的结构和功能变化,逐渐影响感觉运动、知觉和认知过程。这些多尺度的变化会阻碍老年人与环境的互动,逐渐降低他们在执行日常生活相关任务时的自主性。自主性丧失可因神经退行性疾病的发生和进展而进一步加重(例如,感觉输入水平的年龄相关性黄斑变性;认知水平上的阿尔茨海默病)。在此背景下,空间认知是涉及多模态感觉处理、姿势控制、运动、空间定向和寻路能力的高级脑功能的代表性案例。因此,研究空间行为及其神经基础可以帮助识别致病年龄相关过程的早期标记。到目前为止,空间认知的神经相关研究大多是在静态条件下进行的,因此忽略了自然导航的感知(除了视觉)和运动方面。在这篇综述中,我们首先展示了运动过程中视觉-运动整合和认知资源的分配是现实世界空间导航的核心。其次,我们介绍了沉浸式虚拟现实和移动神经成像解决方案等技术进步如何使研究人员能够探索感知和行动之间的相互作用。最后,我们认为,未来空间导航领域的脑老化研究需要广泛转向使用自然主义的、生态有效的实验范式,以解决整个生命周期中移动性和自主性下降的挑战。
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引用次数: 0
Apolipoprotein E loss of function: Influence on murine brain markers of physiology and pathology 载脂蛋白E功能丧失:对小鼠脑生理和病理标志物的影响
Q3 CLINICAL NEUROLOGY Pub Date : 2022-01-01 DOI: 10.1016/j.nbas.2022.100055
Heather Buchanan , Claire Hull , Maria Cacho Barraza, Mirela Delibegovic, Bettina Platt

The canonical role of Apolipoprotein E (ApoE) is related to lipid and cholesterol metabolism, however, additional functions of this protein have not been fully described. Given the association of ApoE with diseases such as Alzheimer’s Disease (AD), it is clear that further characterisation of its roles, especially within the brain, is needed.

Therefore, using protein and gene expression analyses of neonatal and 6-month old brain tissues from an ApoE knockout mouse model, we examined ApoE’s contribution to several CNS pathways, with an emphasis on those linked to AD. Early neonatal changes associated with ApoE−/− were observed, with decreased soluble phosphorylated tau (p-tau, –40 %), increased synaptophysin (+36 %) and microglial Iba1 protein levels (+25 %) vs controls. Progression of the phenotype was evident upon analysis of 6-month-old tissue, where decreased p-tau was also confirmed in the insoluble fraction, alongside reduced synaptic and increased amyloid precursor protein (APP) protein levels. An age comparison further underlined deviations from WT animals and thus the impact of ApoE loss on neuronal maturation.

Taken together, our data implicate ApoE modulation of multiple CNS roles. Loss of function is associated with alterations from birth, and include synaptic deficits, neuroinflammation, and changes to key AD pathologies, amyloid-β and tau.

载脂蛋白E (ApoE)的典型作用与脂质和胆固醇代谢有关,然而,该蛋白的其他功能尚未得到充分描述。鉴于载脂蛋白e与阿尔茨海默病(AD)等疾病的关联,很明显,需要进一步表征其作用,特别是在大脑中的作用。因此,通过对ApoE敲除小鼠模型的新生儿和6个月大小鼠脑组织的蛋白质和基因表达分析,我们研究了ApoE对几种中枢神经系统通路的贡献,重点研究了与AD相关的通路。观察到与ApoE−/−相关的新生儿早期变化,与对照组相比,可溶性磷酸化tau (p-tau, -40 %)降低,突触素(+36 %)和小胶质Iba1蛋白水平升高(+25 %)。在对6个月大的组织进行分析后,表型的进展是明显的,其中在不溶性部分也证实了p-tau的减少,同时突触减少和淀粉样前体蛋白(APP)蛋白水平升高。年龄比较进一步强调了与WT动物的差异,因此ApoE丢失对神经元成熟的影响。综上所述,我们的数据暗示ApoE调节多种中枢神经系统的作用。功能丧失与出生时的改变有关,包括突触缺陷、神经炎症和AD关键病理、淀粉样蛋白-β和tau蛋白的改变。
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引用次数: 0
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Aging brain
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