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Novel NIBS in psychiatry: Unveiling TUS and TI for research and treatment. 精神病学的新NIBS:揭示研究和治疗的TUS和TI。
Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.1177/23982128251322241
Faissal Sharif, Catherine J Harmer, Miriam C Klein-Flügge, Huiling Tan

Mental disorders pose a significant global burden and constitute a major cause of disability worldwide. Despite strides in treatment, a substantial number of patients do not respond adequately, underscoring the urgency for innovative approaches. Traditional non-invasive brain stimulation techniques show promise, yet grapple with challenges regarding efficacy and specificity. Variations in mechanistic understanding and reliability among non-invasive brain stimulation methods are common, with limited spatial precision and physical constraints hindering the ability to target subcortical areas often implicated in the disease aetiology. Novel techniques such as transcranial ultrasonic stimulation and temporal interference stimulation have gained notable momentum in recent years, possibly addressing these shortcomings. Transcranial ultrasonic stimulation (TUS) offers exceptional spatial precision and deeper penetration compared with conventional electrical and magnetic stimulation techniques. Studies targeting a diverse array of brain regions have shown its potential to affect neuronal excitability, functional connectivity and symptoms of psychiatric disorders such as major depressive disorder. Nevertheless, challenges such as target planning and addressing acoustic interactions with the skull must be tackled for its widespread adoption in research and potentially clinical settings. Similar to transcranial ultrasonic stimulation, temporal interference (TI) stimulation offers the potential to target deeper subcortical areas compared with traditional non-invasive brain stimulation, albeit requiring a comparatively higher current for equivalent neural effects. Promising yet still sparse research highlights TI's potential to selectively modulate neuronal activity, showing potential for its utility in psychiatry. Overall, recent strides in non-invasive brain stimulation methods like transcranial ultrasonic stimulation and temporal interference stimulation not only open new research avenues but also hold potential as effective treatments in psychiatry. However, realising their full potential necessitates addressing practical challenges and optimising their application effectively.

精神障碍是一个重大的全球负担,是全世界残疾的一个主要原因。尽管在治疗方面取得了长足的进步,但相当多的患者没有充分的反应,这强调了创新方法的紧迫性。传统的非侵入性脑刺激技术显示出前景,但在疗效和特异性方面仍面临挑战。非侵入性脑刺激方法在机制理解和可靠性方面的差异是常见的,有限的空间精度和物理限制阻碍了靶向通常与疾病病因有关的皮层下区域的能力。近年来,经颅超声刺激和颞干涉刺激等新技术取得了显著的发展势头,可能解决了这些缺点。与传统的电刺激和磁刺激技术相比,经颅超声刺激(TUS)具有卓越的空间精度和更深的穿透性。针对多种大脑区域的研究表明,它有可能影响神经元兴奋性、功能连通性和精神疾病(如重度抑郁症)的症状。然而,为了在研究和潜在的临床环境中广泛采用,必须解决诸如目标规划和解决与头骨的声学相互作用等挑战。与经颅超声刺激类似,与传统的非侵入性脑刺激相比,颞干扰(TI)刺激具有靶向更深皮层下区域的潜力,尽管需要相对较高的电流才能达到等效的神经效果。有希望但仍然稀少的研究强调了TI选择性调节神经元活动的潜力,显示了其在精神病学中的应用潜力。总的来说,近年来在非侵入性脑刺激方法如经颅超声刺激和颞干扰刺激方面取得的进展不仅开辟了新的研究途径,而且在精神病学的有效治疗方面具有潜力。然而,充分发挥其潜力需要解决实际挑战并有效优化其应用。
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引用次数: 0
Brain and Neuroscience Advances - 2024 in review. 脑和神经科学进展- 2024回顾。
Pub Date : 2025-02-06 eCollection Date: 2025-01-01 DOI: 10.1177/23982128251317305
Kate Baker
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引用次数: 0
Under pressure: UK preclinical neuroscience at a crossroads. 压力之下:处于十字路口的英国临床前神经科学。
Pub Date : 2025-02-04 eCollection Date: 2025-01-01 DOI: 10.1177/23982128251314616
Mark E Walton, Catherine M Abbott, Laura A Ajram, Narender Ramnani, Tara L Spires-Jones

Graphical Abstract.

图形抽象。
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引用次数: 0
No effect of apolipoprotein E polymorphism on MRI brain activity during movie watching. 载脂蛋白E多态性对看电影时MRI脑活动无影响。
Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI: 10.1177/23982128251314577
Petar P Raykov, Jessica Daly, Simon E Fisher, Else Eising, Linda Geerligs, Chris M Bird

Apolipoprotein E ε4 is a major genetic risk factor for Alzheimer's disease, and some apolipoprotein E ε4 carriers show Alzheimer's disease-related neuropathology many years before cognitive changes are apparent. Therefore, studying healthy apolipoprotein E genotyped individuals offers an opportunity to investigate the earliest changes in brain measures that may signal the presence of disease-related processes. For example, subtle changes in functional magnetic resonance imaging functional connectivity, particularly within the default mode network, have been described when comparing healthy ε4 carriers to ε3 carriers. Similarly, very mild impairments of episodic memory have also been documented in healthy apolipoprotein E ε4 carriers. Here, we use a naturalistic activity (movie watching), and a marker of episodic memory encoding (transient changes in functional magnetic resonance imaging activity and functional connectivity around so-called 'event boundaries'), to investigate potential phenotype differences associated with the apolipoprotein E ε4 genotype in a large sample of healthy adults. Using Bayes factor analyses, we found strong evidence against existence of differences associated with apolipoprotein E allelic status. Similarly, we did not find apolipoprotein E-associated differences when we ran exploratory analyses examining: functional system segregation across the whole brain, and connectivity within the default mode network. We conclude that apolipoprotein E genotype has little or no effect on how ongoing experiences are processed in healthy adults. The mild phenotype differences observed in some studies may reflect early effects of Alzheimer's disease-related pathology in apolipoprotein E ε4 carriers.

载脂蛋白E ε4是阿尔茨海默病的主要遗传危险因素,一些载脂蛋白E ε4携带者在认知变化明显前多年就表现出阿尔茨海默病相关的神经病理。因此,研究健康的载脂蛋白E基因型个体提供了一个机会来研究大脑测量的早期变化,这些变化可能表明疾病相关过程的存在。例如,在比较健康的ε4载流子和ε3载流子时,已经描述了功能磁共振成像功能连通性的细微变化,特别是在默认模式网络内。同样,健康的载脂蛋白E ε4携带者也有非常轻微的情景记忆障碍。在这里,我们使用自然活动(看电影)和情景记忆编码标记(功能性磁共振成像活动的短暂变化和所谓的“事件边界”周围的功能连接)来研究大量健康成年人中与载脂蛋白E ε4基因型相关的潜在表型差异。使用贝叶斯因子分析,我们发现了强有力的证据反对存在与载脂蛋白E等位基因状态相关的差异。同样,当我们进行探索性分析检查时,我们没有发现载脂蛋白e相关的差异:整个大脑的功能系统分离,以及默认模式网络内的连接。我们的结论是,载脂蛋白E基因型对健康成人如何处理正在进行的经历影响很小或没有影响。在一些研究中观察到的轻微表型差异可能反映了载脂蛋白E ε4携带者阿尔茨海默病相关病理的早期影响。
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引用次数: 0
The map and the territory: Why diversity advances neuroscience. 地图和领域:为什么多样性促进神经科学的发展。
Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI: 10.1177/23982128241309691
Alexis Deighton MacIntyre
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引用次数: 0
Why does research matter to psychiatrists? 为什么研究对精神科医生很重要?
Pub Date : 2025-01-11 eCollection Date: 2025-01-01 DOI: 10.1177/23982128241305866
Lindsey I Sinclair, Laura Ajram, Gertrude Seneviratne, Derek Tracy, Hugo Critchley
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引用次数: 0
Review of the gastric physiology of disgust: Proto-nausea as an under-explored facet of the gut-brain axis. 恶心的胃生理学综述:原恶心是肠脑轴的一个未被充分探索的方面。
Pub Date : 2024-12-20 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241305890
Sameer N B Alladin, Ruth Judson, Poppy Whittaker, Angela S Attwood, Edwin S Dalmaijer

Humans feel visceral disgust when faced with potential contaminants like bodily effluvia. The emotion serves to reject potentially contaminated food and is paired with proto-nausea: alterations in gastric rhythm in response to disgust. Here, we offer a narrative synthesis of the existing literature on the effects of disgust on the stomach as measured through electrogastrography, a non-invasive technique that measures stomach activity with electrodes placed on the abdominal skin surface. After identifying and assessing 368 studies for eligibility and inclusion based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses process, we reviewed a final sample of only 10 articles that employed electrogastrography to assess gastric responses to unpleasant stimuli, including disgust elicitors. Reviewed findings illustrate that changes in gastric rhythm are associated with negatively valenced emotions, and most reliably with visceral disgust elicitors. This rhymes with recent evidence for a causal role of gastric state in reductions in visceral disgust avoidance. Because limitations in the reviewed body of work come from the low number of studies and relatively small sample sizes, we strongly encourage studies of proto-nausea in designs with higher statistical power, ideally paired with experimental manipulations of gastric state.

当面对潜在的污染物,如身体排出物时,人类会感到发自内心的厌恶。这种情绪有助于拒绝可能被污染的食物,并与原始恶心相结合:胃部节律的变化是对厌恶的反应。在这里,我们提供了一个关于恶心对胃的影响的现有文献的叙述性综合,通过胃电图测量,这是一种非侵入性技术,通过放置在腹部皮肤表面的电极来测量胃活动。在根据系统评价和荟萃分析过程的首选报告项目确定和评估368项研究的资格和纳入后,我们回顾了仅10篇使用胃电图评估胃对不愉快刺激(包括厌恶刺激物)反应的文章的最终样本。回顾的研究结果表明,胃节律的变化与负面情绪有关,并且最可靠地与内脏厌恶刺激物有关。这与最近的证据一致,即胃状态在内脏厌恶回避减少中的因果作用。由于研究数量较少,样本量相对较小,因此我们强烈建议在具有较高统计能力的设计中进行恶心原型研究,理想情况下与胃状态的实验操作相结合。
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引用次数: 0
From neurophobia to neurophilia: Fostering confidence and passion for neurology in medical students. 从神经恐惧症到神经癖:培养医学生对神经学的信心和热情。
Pub Date : 2024-12-19 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241307148
Amna Ali, Paul Stephen Hubbard, Muzuki Ueda
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引用次数: 0
Are all neuroscience degrees the same? A comparison of undergraduate neuroscience degrees across the United Kingdom. 所有的神经科学学位都一样吗?英国神经科学本科学位的比较。
Pub Date : 2024-12-18 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241307585
Isabel M Logan, Charlotte Mosley, Thomas Malcomson, Emma Yhnell

Considering the broad scope covered by the field of neuroscience, this study compares neuroscience undergraduate degree programmes across the United Kingdom, with a focus on the distribution of core and optional neuroscience-specific modules. Data from 13 universities were analysed; this revealed significant variation in the proportion of NS module credits acquired by graduation, ranging from 28% to 100% across institutions. The findings highlight particularly low core NS content in Year 1, potentially affecting informed choice of subsequent modules. The observed flexibility in module selection throughout a neuroscience undergraduate degree is a promising opportunity for students to explore their interdisciplinary interests. However, in response to the high variability in NS core and total credits demonstrated by this research, this study calls for further discussion on establishing an accreditation framework to ensure consistency in neuroscience undergraduate degrees across the United Kingdom.

考虑到神经科学领域所涵盖的广泛范围,本研究比较了英国神经科学本科学位课程,重点关注核心和可选神经科学特定模块的分布。分析了来自13所大学的数据;这显示了毕业时获得的数学模块学分比例的显著差异,各院校的比例从28%到100%不等。研究结果强调,第一年级的核心NS内容特别低,可能会影响后续模块的明智选择。在整个神经科学本科学位中,模块选择的灵活性为学生探索他们的跨学科兴趣提供了一个有希望的机会。然而,由于本研究显示的NS核心和总学分的高度可变性,本研究呼吁进一步讨论建立一个认证框架,以确保整个英国神经科学本科学位的一致性。
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引用次数: 0
Centralising a loss of consciousness to the central medial thalamus. 将意识丧失集中到中央内侧丘脑。
Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.1177/23982128241306549
Florence Rawlings-Mortimer, Jeffrey W Dalley

Although a role of the thalamus in different arousal and awareness states is well established, there is a surprising lack of knowledge on subregional specificity within this complex, multinucleated structure of the diencephalon. In their recent paper 'Extrasynaptic GABA-A receptors in central medial thalamus mediate anaesthesia in rats', Muheyati et al. evaluated whether GABAA receptors expressed in the central medial (CM), paraventricular (PV) or lateral mediodorsal (MD) nuclei of the thalamus contribute to the loss of the righting reflex (LORR) in rats. Deficits in this reflex have previously been interpreted as a surrogate marker of altered levels of consciousness. Using a range of convergent techniques, the authors report the novel finding that delta subunit-expressing GABAA receptors in the CM contribute to distinct awareness states. This important discovery implicates a tonic GABAA-mediated conductance in the CM that may be relevant for minimally conscious states and other conditions of altered awareness.

虽然丘脑在不同的觉醒和意识状态中的作用已经确立,但令人惊讶的是,在间脑这个复杂的多核结构中,对分区域特异性的了解却缺乏。Muheyati等人在他们最近的论文《大鼠丘脑中央内侧的突触外GABAA受体介导麻醉》中评估了GABAA受体在丘脑中央内侧(CM)、室旁(PV)或外侧中背(MD)核中的表达是否导致了大鼠的转直反射(LORR)的丧失。这种反射的缺陷以前被解释为意识水平改变的替代标志。使用一系列收敛技术,作者报告了CM中表达δ亚基的GABAA受体有助于不同的意识状态的新发现。这一重要发现暗示了CM中gabaa介导的强直性传导可能与最低意识状态和意识改变的其他条件有关。
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引用次数: 0
期刊
Brain and neuroscience advances
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