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Towards a replacement therapy for stimulant betel quid dependence: A proof of concept study 针对兴奋剂槟榔依赖的替代疗法:概念验证研究
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-06 DOI: 10.1111/adb.13371
Peter G. Osborne, Ragavendra Rao Pasupuleti, Chien-Hung Lee, Vinoth Kumar Ponnusamy

Stimulant betel quid (SBQ) containing Piper betle leaf (L), green unripe Areca catechu nut (AN) and the alkalizing agent, slaked lime, is an addictive, carcinogenic stimulant, with no pharmacotherapy, chewed by millions of people in the Asia/Pacific region. We compared the in vivo physiological profile of chewing (1) non-stimulant P. betle leaf+AN (LAN), (2) SBQ utilizing slaked lime and (3) a novel SBQ utilizing Mg(OH)2, as an alkalizing agent, by measuring physiological parameters of intoxication and these were correlated with in vitro levels of alkaloids measured by UHPLC–MS/MS. Chewing LAN, which contains high levels of arecoline, had no stimulatory physiological effect. Chewing SBQ containing slaked lime or novel SBQ containing Mg(OH)2, induced equivalent stimulatory physiological responses. In vitro, slaked lime hydrolyzed muscarinic esters in LAN while Mg(OH)2 did not. The physiological stimulation induced by chewing both SBQ and the lack of physiology to chewing LAN can be explained by changes in lipid solubility of phytochemicals induced by mouth pH during chewing of basic SBQ or acidic LAN. Since antiquity people have added slaked lime to SBQ to enhance absorption of phyto-chemicals across oral membranes to stimulate physiology. The same physiological changes can be induced by substituting slaked lime for less physically and chemically destructive bases. If attitudes regarding SBQ dependence can advance towards the more progressive attitudes already used to help smokers quit tobacco, modern chemistry has the potential to make chewing SBQ safer and quitting programs may become more accessible and efficacious.

刺激性槟榔(SBQ)含有胡椒槟榔叶(L)、绿色未成熟的儿茶坚果(Areca catechu nut,AN)和碱化剂消石灰,是一种令人上瘾的致癌刺激物,在亚太地区有数百万人咀嚼,但没有任何药物疗法。我们通过测量中毒的生理参数,比较了咀嚼(1)无刺激性的槟榔叶+AN(LAN)、(2)使用熟石灰的 SBQ 和(3)使用 Mg(OH)2 作为碱化剂的新型 SBQ 的体内生理概况,并将这些参数与超高效液相色谱-质谱/质谱法测量的生物碱体外水平进行了关联。咀嚼含有大量异胆碱的 LAN 没有刺激生理效应。咀嚼含消石灰的 SBQ 或含 Mg(OH)2 的新型 SBQ 会引起同等的刺激生理反应。在体外,熟石灰会水解 LAN 中的毒蕈碱酯,而 Mg(OH)2 不会。咀嚼碱性 SBQ 和酸性 LAN 会引起生理刺激,而咀嚼 LAN 则不会引起生理反应,这可能是由于在咀嚼碱性 SBQ 或酸性 LAN 时,口腔 pH 值会引起植物化学物质脂溶性的变化。自古以来,人们在 SBQ 中添加熟石灰,以促进植物化学物质通过口腔膜的吸收,从而刺激生理机能。用物理和化学破坏性较小的碱代替熟石灰,也能引起同样的生理变化。如果人们对 SBQ 依赖性的态度能够向帮助吸烟者戒烟时所采用的更进步的态度发展,那么现代化学物质就有可能使咀嚼 SBQ 变得更安全,戒烟计划也可能变得更容易获得和更有效。
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引用次数: 0
Predictive utility of the P3 event-related potential (ERP) response to alcohol cues for ecologically assessed alcohol craving and use P3 事件相关电位 (ERP) 对酒精线索的反应对生态评估酒精渴求和使用的预测作用
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-01 DOI: 10.1111/adb.13368
Casey B. Kohen, Roberto U. Cofresí, Thomas M. Piasecki, Bruce D. Bartholow

Neural measures of alcohol cue incentive salience have been associated with retrospective reports of riskier alcohol use behaviour and subjective response profiles. This study tested whether the P3 event-related potential (ERP) elicited by alcohol-related cues (ACR-P3) can forecast alcohol use and craving during real-world drinking episodes. Participants (N = 262; Mage = 19.53; 56% female) completed a laboratory task in which they viewed images of everyday objects (Neutral), non-alcohol drinks (NonAlc) and alcohol beverages (Alc) while EEG was recorded and then completed a 21-day ecological momentary assessment (EMA) protocol in which they recorded alcohol craving and consumption. Anthropometrics were used to derive estimated blood alcohol concentration (eBAC) throughout drinking episodes. Multilevel modelling indicated positive associations between P3 amplitudes elicited by all stimuli and within-episode alcohol use measures (e.g., eBAC, cumulative drinks). Focal follow-up analyses indicated a positive association between AlcP3 amplitude and eBAC within episodes: Larger AlcP3 was associated with a steeper rise in eBAC. This association was robust to controlling for the association between NonAlcP3 and eBAC. AlcP3 also was positively associated with episode-level measures (e.g., max drinks, max eBAC). There were no associations between any P3 variables and EMA-based craving measures. Thus, individual differences in neural measures of alcohol cue incentive salience appear to predict the speed and intensity of alcohol consumption but not reports of craving during real-world alcohol use episodes.

酒精线索激励显著性的神经测量与更危险的饮酒行为和主观反应特征的回顾性报告有关。本研究测试了酒精相关线索引起的 P3 事件相关电位(ERP)(ACR-P3)是否能预测真实世界饮酒事件中的酒精使用和渴求。参与者(N = 262;Mage = 19.53;56% 为女性)完成了一项实验室任务,即在记录脑电图的同时观看日常物品(Neutral)、非酒精饮料(NonAlc)和酒精饮料(Alc)的图像,然后完成一项为期 21 天的生态瞬间评估(EMA)方案,其中记录了他们对酒精的渴望和消费情况。在整个饮酒过程中,使用人体测量法得出估计血液酒精浓度(eBAC)。多层次建模表明,所有刺激引起的P3振幅与事件内酒精使用测量(如eBAC、累计饮酒量)之间存在正相关。重点跟踪分析表明,AlcP3 振幅与发作内 eBAC 之间存在正相关:较大的 AlcP3 与 eBAC 的陡峭上升有关。这种关联在控制 NonAlcP3 与 eBAC 之间的关联后仍很稳健。AlcP3 还与发作水平测量(如最大饮酒量、最大 eBAC)呈正相关。任何 P3 变量与基于 EMA 的渴求测量之间都没有关联。因此,酒精线索激励显著性神经测量的个体差异似乎可以预测酒精消费的速度和强度,但不能预测真实世界酒精使用事件中的渴求报告。
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引用次数: 0
Neurogenetic and multi-omic sources of overlap among sensation seeking, alcohol consumption, and alcohol use disorder 寻求感觉、饮酒和酒精使用障碍之间重叠的神经遗传学和多基因组学来源
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-29 DOI: 10.1111/adb.13365
Alex P. Miller, Ian R. Gizer

Sensation seeking is bidirectionally associated with levels of alcohol consumption in both adult and adolescent samples, and shared neurobiological and genetic influences may in part explain these associations. Links between sensation seeking and alcohol use disorder (AUD) may primarily manifest via increased alcohol consumption rather than through direct effects on increasing problems and consequences. Here the overlap among sensation seeking, alcohol consumption, and AUD was examined using multivariate modelling approaches for genome-wide association study (GWAS) summary statistics in conjunction with neurobiologically informed analyses at multiple levels of investigation. Meta-analytic and genomic structural equation modelling (GenomicSEM) approaches were used to conduct GWAS of sensation seeking, alcohol consumption, and AUD. Resulting summary statistics were used in downstream analyses to examine shared brain tissue enrichment of heritability and genome-wide evidence of overlap (e.g., stratified GenomicSEM, RRHO, genetic correlations with neuroimaging phenotypes), and to identify genomic regions likely contributing to observed genetic overlap across traits (e.g., H-MAGMA and LAVA). Across approaches, results supported shared neurogenetic architecture between sensation seeking and alcohol consumption characterised by overlapping enrichment of genes expressed in midbrain and striatal tissues and variants associated with increased cortical surface area. Alcohol consumption and AUD evidenced overlap in relation to variants associated with decreased frontocortical thickness. Finally, genetic mediation models provided evidence of alcohol consumption mediating associations between sensation seeking and AUD. This study extends previous research by examining critical sources of neurogenetic and multi-omic overlap among sensation seeking, alcohol consumption, and AUD which may underlie observed phenotypic associations.

在成人和青少年样本中,寻求感觉与酒精消费水平呈双向关系,共同的神经生物学和遗传学影响可能在一定程度上解释了这种关系。寻求感觉与酒精使用障碍(AUD)之间的联系可能主要通过增加酒精消费量来体现,而不是通过增加问题和后果的直接影响来体现。在此,研究人员使用全基因组关联研究(GWAS)汇总统计的多元建模方法,结合多层次调查的神经生物学分析,对寻求感觉、酒精消费和酒精使用障碍之间的重叠进行了研究。采用元分析和基因组结构方程建模(GenomicSEM)方法对寻求感觉、酒精消费和 AUD 进行了全基因组关联研究。在下游分析中使用了汇总统计结果,以检查遗传性的共同脑组织富集和全基因组重叠证据(如分层基因组结构方程建模、RRHO、与神经影像表型的遗传相关性),并确定可能有助于观察到的跨性状遗传重叠的基因组区域(如 H-MAGMA 和 LAVA)。在所有研究方法中,结果都支持寻求感觉和酒精消费之间存在共同的神经遗传结构,其特征是中脑和纹状体组织中表达的基因以及与皮质表面积增加相关的变异基因的重叠富集。酒精消费和 AUD 在与前皮层厚度减少相关的变异方面存在重叠。最后,遗传中介模型提供的证据表明,饮酒对寻求感觉和 AUD 之间的关联具有中介作用。这项研究通过研究寻求感觉、饮酒和 AUD 之间神经遗传学和多组学重叠的关键来源,扩展了之前的研究,这可能是观察到的表型关联的基础。
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引用次数: 0
Alcohol use disorder and time perception: The mediating role of attention and working memory 酒精使用障碍与时间感知:注意力和工作记忆的中介作用
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-29 DOI: 10.1111/adb.13367
Yunpeng Liu, Huazhan Yin, Xiaoyi Liu, Li Zhang, Dehua Wu, Yan Shi, Yang Chen, Xuhui Zhou

Alcohol use disorder (AUD) has been associated with attentional deficits and impairments of working memory. Meanwhile, attention and working memory are critical for time perception. However, it remains unclear how time perception alters in AUD patients and how attention and working memory affect their time perception. The current study aims to clarify the time perception characteristics of AUD patients and the cognitive mechanisms underlying their time perception dysfunction. Thirty-one patients (three of them were excluded) with AUD and thirty-one matched controls completed the Time Bisection Task, Attention Network Test and Digital Span Backward Test to assess their abilities in time perception, attention network and working memory, respectively. The results showed that, after controlling for anxiety, depression, and impulsivity, AUD patients had a lower proportion of ‘long’ responses at intervals of 600, 750, 900, 1050 and 1200 ms. Furthermore, they displayed higher subjective equivalence points and higher Weber ratios compared to controls. Moreover, AUD patients showed impaired alerting and executive control networks as well as reduced working memory resources. Only working memory resources mediated the impact of AUD on time perception. In conclusion, our findings suggested that the duration underestimation in AUD patients is predominantly caused by working memory deficits.

酒精使用障碍(AUD)与注意力缺陷和工作记忆障碍有关。同时,注意力和工作记忆对时间感知至关重要。然而,AUD 患者的时间知觉是如何改变的,注意力和工作记忆又是如何影响他们的时间知觉的,目前仍不清楚。本研究旨在阐明 AUD 患者的时间知觉特征及其时间知觉功能障碍的认知机制。31名AUD患者(其中3人被排除)和31名匹配的对照者分别完成了时间分段任务、注意网络测试和数字跨度向后测试,以评估他们在时间知觉、注意网络和工作记忆方面的能力。结果显示,在控制了焦虑、抑郁和冲动等因素后,AUD 患者在 600、750、900、1050 和 1200 毫秒间隔内做出 "长 "反应的比例较低。此外,与对照组相比,他们的主观等值点更高,韦伯比率也更高。此外,AUD 患者的警觉和执行控制网络受损,工作记忆资源减少。只有工作记忆资源介导了 AUD 对时间知觉的影响。总之,我们的研究结果表明,AUD 患者的时间低估主要是由工作记忆缺陷引起的。
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引用次数: 0
Lymphocyte-related ratios in methamphetamine-induced psychotic disorder in Taiwan, comparing with patients with schizophrenia 与精神分裂症患者相比,台湾甲基苯丙胺所致精神障碍患者的淋巴细胞相关比率
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-29 DOI: 10.1111/adb.13363
Mei-Hing Ng, Mong-Liang Lu, Vincent Chin-Hung Chen, Hua Ting, Chieh-Liang Huang, Michael Gossop

The lymphocyte-related ratios, neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR) and platelet-to-lymphocyte ratio (PLR) are new measures of inflammation within the body. Few studies have investigated the inflammatory response of patients with methamphetamine-induced psychotic disorder. Clinically, the psychotic symptoms and behavioural manifestation of methamphetamine-induced psychotic disorder are often indistinguishable from paranoid schizophrenia. We aimed to determine the differences in these inflammatory markers between patients with methamphetamine-induced psychotic disorder, patients with schizophrenia and healthy individuals. A total of 905 individuals were recruited. The NLR and MLR were found to be higher in both patients with methamphetamine-induced psychotic disorders and patients with schizophrenia compared with healthy controls. There was no significant difference between the three groups in PLR. When compared with the control group, the methamphetamine-induced psychotic disorder group was significantly higher in NLR 27% (95%CI = 11 to 46%, p = 0.001), MLR 16% (95%CI = 3% to 31%, p = 0.013) and PLR 16% (95%CI = 5% to 28%, p = 0.005). NLR of the group with methamphetamine-induced psychotic disorder was 17% (95%CI = 73% to 94%, p = 0.004) less than the group with schizophrenia, while MLR and PLR did not differ significantly between the two groups. This is the first study that investigated the lymphocyte-related ratios in methamphetamine-induced psychotic disorder when compared with patients with schizophrenia and healthy individuals. The results showed that both patients with methamphetamine-induced psychotic disorder and patients with schizophrenia had stronger inflammatory responses than the healthy control. Our finding also indicated that the inflammatory response of methamphetamine-induced psychotic disorder was between those of patients with schizophrenia and healthy individuals.

淋巴细胞相关比率、中性粒细胞与淋巴细胞比率(NLR)、单核细胞与淋巴细胞比率(MLR)和血小板与淋巴细胞比率(PLR)是衡量体内炎症的新指标。很少有研究对甲基苯丙胺所致精神障碍患者的炎症反应进行调查。在临床上,甲基苯丙胺所致精神障碍的精神症状和行为表现往往与偏执型精神分裂症无异。我们的目的是确定甲基苯丙胺所致精神障碍患者、精神分裂症患者和健康人在这些炎症标志物方面的差异。我们共招募了 905 人。结果发现,与健康对照组相比,甲基苯丙胺所致精神障碍患者和精神分裂症患者的NLR和MLR均较高。三组患者的PLR无明显差异。与对照组相比,甲基苯丙胺所致精神障碍组的NLR 27%(95%CI = 11%至46%,p = 0.001)、MLR 16%(95%CI = 3%至31%,p = 0.013)和PLR 16%(95%CI = 5%至28%,p = 0.005)显著较高。甲基苯丙胺所致精神障碍组的NLR比精神分裂症组低17%(95%CI=73%至94%,P=0.004),而MLR和PLR在两组间无显著差异。这是首次研究甲基苯丙胺诱发的精神障碍患者与精神分裂症患者和健康人相比的淋巴细胞相关比率。结果显示,甲基苯丙胺所致精神障碍患者和精神分裂症患者的炎症反应均强于健康对照组。我们的研究结果还表明,甲基苯丙胺所致精神障碍的炎症反应介于精神分裂症患者和健康人之间。
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引用次数: 0
The dopamine 3 receptor as a candidate biomarker and therapeutic for opioid use disorder 多巴胺 3 受体作为阿片类药物使用障碍的候选生物标记物和疗法
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-28 DOI: 10.1111/adb.13369
Matthew L. Banks, Jon E. Sprague

Here, we present recent studies suggesting that specific DRD3 single nucleotide polymorphisms (SNPs, e.g. rs324029 and rs2654754) might serve as prognostic biomarkers for opioid use disorder (OUD). Additionally, preclinical studies with novel dopamine 3 receptor (D3R) partial agonists and antagonists have been evaluated as candidate OUD therapeutics and have shown a reduced risk of cardiovascular toxicity compared with the original D3R antagonist. From these findings, we argue that DRD3 SNPs could serve as a diagnostic tool for assessing OUD risk and that more research is warranted examining the D3R as a safe and effective therapeutic target for treating OUD.

在此,我们介绍了最近的一些研究,这些研究表明特定的 DRD3 单核苷酸多态性(SNPs,如 rs324029 和 rs2654754)可作为阿片类药物使用障碍(OUD)的预后生物标志物。此外,新型多巴胺 3 受体(D3R)部分激动剂和拮抗剂作为候选 OUD 治疗药物进行了临床前研究评估,结果表明与最初的 D3R 拮抗剂相比,心血管毒性风险降低。根据这些研究结果,我们认为 DRD3 SNPs 可作为评估 OUD 风险的诊断工具,并且有必要开展更多研究,将 D3R 作为治疗 OUD 的安全有效的治疗靶点。
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引用次数: 0
Bodily confusion: Lower differentiation of emotional and physiological states in student alcohol users 身体混乱:学生饮酒者的情绪和生理状态区分度较低
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-26 DOI: 10.1111/adb.13364
Aleksandra M. Herman, Marek Wypych, Jarosław Michałowski, Artur Marchewka

Background

Alexithymia, difficulty in recognising and naming emotions, is common among people who use alcohol. There is also emerging evidence that people with alexithymia are unable to distinguish emotions from non-emotional physiological states. The project aimed to test if alcohol use is related to the way student drinkers experience emotions and physiological states in the body.

Methods

We employed a novel method to study bodily sensations related to emotions and physiological states in the context of alcohol use: the emBODY tool, which allowed participants to mark areas of the body in which they experience various emotions and physiological states.

Results

Students who showed a hazardous pattern of alcohol use (alcohol use disorders identification test [AUDIT] score ≥ 7, N = 91), overall, presented higher alexithymia levels and coloured larger areas for emotions and physiological states (showed less specificity) than those who show low-risk alcohol consumption (AUDIT ≤ 4, N = 90). Moreover, statistical classifiers distinguished feeling-specific maps less accurately for hazardous drinkers than low-risk drinkers [F(1,1998) = 441.16; p < 0.001], confirming that higher alcohol use is related to higher confusion of emotional and non-emotional bodily feelings.

Conclusions

Plausibly, this increased bodily confusion drives alcohol consumption: alcohol may serve as a means of dealing with undifferentiated changes in psychophysiological arousal accompanying emotional states.

情感障碍(Alexithymia),即难以识别和命名情绪,在酗酒者中很常见。还有新的证据表明,情感障碍患者无法区分情绪和非情绪的生理状态。该项目旨在测试饮酒是否与学生饮酒者体验情绪和身体生理状态的方式有关。
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引用次数: 0
Ameliorating effects of Acanthopanax koreanum extract and components on nicotine dependence and withdrawal symptoms 朝鲜刺五加提取物及其成分对尼古丁依赖和戒断症状的改善作用
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-26 DOI: 10.1111/adb.13360
Hyun Jun Lee, Darlene Mae Ortiz, Leandro Val Sayson, Mikyung Kim, Jae Hoon Cheong, Hee Jin Kim

Tobacco smoking is a serious health problem in society. While smoking rates are declining, smoking remains a serious risk to national health. Currently, there are several medications available to aid in smoking cessation. However, these medications have the disadvantages of low success rates in smoking cessation and various side effects. Therefore, natural-based smoking cessation aids are being suggested as a good alternative due to their accessibility and minimal side effects. The roots and stems of Acanthopanax koreanum (AK) Nakai, a plant that is native to Jeju Island, South Korea, have traditionally been used as tonic and sedatives. Moreover, eleutheroside B and chlorogenic acid are the main components of AK stem extract. In the present study, we investigated the effect of 70% ethanol AK extract and its components on ameliorating nicotine dependence and withdrawal symptoms by using behavioural tests in mice. In addition, alterations in the dopaminergic and DRD1-EPAC-ERK-CREB pathways were observed using dopamine ELISA and western blotting using mouse brains. Our findings demonstrate that the AK extract and its components effectively mitigated the effects of nicotine treatment in behavioural tests. Furthermore, it normalized the dopamine concentration and the expression level of nicotine acetylcholine receptor α7. Additionally, it was observed that AK extract and its components led to the normalization of DRD1, ERK and CREB expression levels. These results indicate that AK extract exhibits effects in ameliorating nicotine dependence behaviour and alleviating withdrawal symptoms. Moreover, EB and CGA are considered potential marker components of AK extract.

吸烟是一个严重的社会健康问题。虽然吸烟率正在下降,但吸烟仍然严重危害国民健康。目前,有多种药物可以帮助戒烟。然而,这些药物存在戒烟成功率低和各种副作用的缺点。因此,人们建议将天然戒烟辅助剂作为一种很好的替代品,因为它们容易获得且副作用很小。Acanthopanax koreanum (AK) Nakai 是一种原产于韩国济州岛的植物,其根和茎历来被用作滋补品和镇静剂。此外,榄香烯甙 B 和绿原酸是 AK 茎提取物的主要成分。在本研究中,我们通过小鼠行为测试,研究了 70% 乙醇 AK 提取物及其成分对改善尼古丁依赖和戒断症状的作用。此外,我们还利用多巴胺酶联免疫吸附试验(ELISA)和小鼠脑部 Western 印迹法观察了多巴胺能和 DRD1-EPAC-ERK-CREB 通路的改变。我们的研究结果表明,AK 提取物及其成分能有效减轻尼古丁处理对行为测试的影响。此外,它还使多巴胺浓度和尼古丁乙酰胆碱受体α7的表达水平正常化。此外,还观察到 AK 提取物及其成分导致 DRD1、ERK 和 CREB 表达水平正常化。这些结果表明,AK 提取物具有改善尼古丁依赖行为和减轻戒断症状的作用。此外,EB和CGA被认为是AK提取物的潜在标记成分。
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引用次数: 0
Analysing the behaviour change of brain regions of methamphetamine abusers using electroencephalogram signals: Hope to design a decision support system 利用脑电图信号分析甲基苯丙胺滥用者脑区的行为变化:设计决策支持系统的希望
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-26 DOI: 10.1111/adb.13362
Sepideh Zolfaghari, Yashar Sarbaz, Ali Reza Shafiee-Kandjani

Long-term use of methamphetamine (meth) causes cognitive and neuropsychological impairments. Analysing the impact of this substance on the human brain can aid prevention and treatment efforts. In this study, the electroencephalogram (EEG) signals of meth abusers in the abstinence period and healthy subjects were recorded during eyes-closed and eyes-opened states to distinguish the brain regions that meth can significantly influence. In addition, a decision support system (DSS) was introduced as a complementary method to recognize substance users accompanied by biochemical tests. According to these goals, the recorded EEG signals were pre-processed and decomposed into frequency bands using the discrete wavelet transform (DWT) method. For each frequency band, energy, KS entropy, Higuchi and Katz fractal dimensions of signals were calculated. Then, statistical analysis was applied to select features whose channels contain a p-value less than 0.05. These features between two groups were compared, and the location of channels containing more features was specified as discriminative brain areas. Due to evaluating the performance of features and distinguishing the two groups in each frequency band, features were fed into a k-nearest neighbour (KNN), support vector machine (SVM), multilayer perceptron neural networks (MLP) and linear discriminant analysis (LDA) classifiers. The results indicated that prolonged consumption of meth has a considerable impact on the brain areas responsible for working memory, motor function, attention, visual interpretation, and speech processing. Furthermore, the best classification accuracy, almost 95.8%, was attained in the gamma band during the eyes-closed state.

长期吸食甲基苯丙胺(冰毒)会导致认知和神经心理障碍。分析这种物质对人脑的影响有助于预防和治疗工作。本研究记录了处于戒断期的冰毒滥用者和健康受试者在闭眼和睁眼状态下的脑电图(EEG)信号,以区分冰毒对大脑的重要影响区域。此外,还引入了决策支持系统(DSS)作为辅助方法,通过生化测试来识别药物使用者。根据这些目标,我们对记录的脑电信号进行了预处理,并使用离散小波变换(DWT)方法将其分解为多个频段。计算每个频段信号的能量、KS 熵、Higuchi 分形维数和 Katz 分形维数。然后,通过统计分析,选出通道中 p 值小于 0.05 的特征。比较两组之间的这些特征,并将包含较多特征的通道位置指定为具有区分性的脑区。为了评估特征的性能和区分每个频段的两个组别,特征被输入到 k-近邻(KNN)、支持向量机(SVM)、多层感知器神经网络(MLP)和线性判别分析(LDA)分类器中。结果表明,长期吸食冰毒对负责工作记忆、运动功能、注意力、视觉解读和语言处理的大脑区域有相当大的影响。此外,闭眼状态下伽马波段的分类准确率最高,接近 95.8%。
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引用次数: 0
FIB-4 index is associated with mortality in critically ill patients with alcohol use disorder: Analysis from the MIMIC-IV database FIB-4指数与患有酒精使用障碍的重症患者的死亡率有关:来自 MIMIC-IV 数据库的分析
IF 3.4 3区 医学 Q3 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-01-23 DOI: 10.1111/adb.13361
Yu Pan, Yan-huo Xia, Xiao-hua Zhang, Xi-xi Cai, Jing-ye Pan, Yi-hua Dong

Background

The relationship between fibrosis-4 (FIB-4) index and all-cause mortality in critically ill patients with alcohol use disorder (AUD) is unclear. The present study aimed to investigate the predictive ability of FIB-4 for all-cause mortality in critically ill AUD patients and the association between them.

Methods

A total of 2528 AUD patients were included using the Medical Information Mart for Intensive Care IV (MIMIC-IV) database. FIB-4 was calculated for each patient using the existing formula. The patients were equally divided into four groups based on the quartiles of FIB-4. Multivariate logistic regression and Cox proportional hazard model were used to evaluate the association of FIB-4 with in-hospital mortality, 28-day mortality and 1-year mortality. Kaplan–Meier curves were used to analyse the incidence of 28-day mortality among four groups.

Results

FIB-4 was positively associated with 28-day mortality of AUD patients with hazard ratio (HR) of 1.354 [95% confidence interval (CI) 1.192–1.538]. There were similar trends in the in-hospital mortality [odds ratio (OR): 1.440, 95% CI (1.239–1.674)] and 1-year mortality [HR: 1.325, 95% CI (1.178–1.490)].

Conclusion

Increased FIB-4 is associated with greater in-hospital mortality, 28-day mortality and 1-year mortality in critically ill AUD patients.

背景 酒精使用障碍(AUD)重症患者的纤维化-4(FIB-4)指数与全因死亡率之间的关系尚不清楚。本研究旨在探讨 FIB-4 对重症 AUD 患者全因死亡率的预测能力以及两者之间的关系。 方法 利用重症监护医学信息市场 IV(MIMIC-IV)数据库共纳入 2528 例 AUD 患者。使用现有公式计算每位患者的 FIB-4。根据 FIB-4 的四分位数将患者平均分为四组。采用多变量逻辑回归和 Cox 比例危险模型评估 FIB-4 与院内死亡率、28 天死亡率和 1 年死亡率的关系。采用 Kaplan-Meier 曲线分析四组 28 天死亡率的发生率。 结果 FIB-4 与 AUD 患者的 28 天死亡率呈正相关,危险比 (HR) 为 1.354 [95% 置信区间 (CI) 1.192-1.538]。院内死亡率[几率比(OR):1.440,95% 置信区间(1.239-1.674)]和 1 年死亡率[HR:1.325,95% 置信区间(1.178-1.490)]也呈类似趋势。 结论 FIB-4 的增加与 AUD 重症患者较高的院内死亡率、28 天死亡率和 1 年死亡率有关。
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Addiction Biology
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