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Fluoroquinolones-Associated Disability: It Is Not All in Your Head 氟喹诺酮类药物相关的残疾:不全在你的头脑中
Q3 CLINICAL NEUROLOGY Pub Date : 2021-07-16 DOI: 10.3390/NEUROSCI2030017
Maya Z Freeman, Deanna N. Cannizzaro, Lydia F Naughton, C. Bove
Fluoroquinolones (FQs) are a broad class of antibiotics typically prescribed for bacterial infections, including infections for which their use is discouraged. The FDA has proposed the existence of a permanent disability (Fluoroquinolone Associated Disability; FQAD), which is yet to be formally recognized. Previous studies suggest that FQs act as selective GABAA receptor inhibitors, preventing the binding of GABA in the central nervous system. GABA is a key regulator of the vagus nerve, involved in the control of gastrointestinal (GI) function. Indeed, GABA is released from the Nucleus of the Tractus Solitarius (NTS) to the Dorsal Motor Nucleus of the vagus (DMV) to tonically regulate vagal activity. The purpose of this review is to summarize the current knowledge on FQs in the context of the vagus nerve and examine how these drugs could lead to dysregulated signaling to the GI tract. Since there is sufficient evidence to suggest that GABA transmission is hindered by FQs, it is reasonable to postulate that the vagal circuit could be compromised at the NTS-DMV synapse after FQ use, possibly leading to the development of permanent GI disorders in FQAD.
氟喹诺酮类药物(FQs)是一类广泛的抗生素,通常用于细菌感染,包括不鼓励使用氟喹诺酮类药物的感染。FDA提出存在永久性残疾(氟喹诺酮相关残疾;FQAD),该组织尚未得到正式承认。先前的研究表明,FQs作为选择性GABAA受体抑制剂,阻止GABA在中枢神经系统的结合。GABA是迷走神经的关键调节因子,参与胃肠功能的控制。事实上,GABA从孤束核(NTS)释放到迷走神经背侧运动核(DMV),以张力调节迷走神经活动。这篇综述的目的是总结目前关于迷走神经中FQs的知识,并研究这些药物如何导致胃肠道信号失调。由于有足够的证据表明,FQ会阻碍GABA的传递,因此我们可以合理地假设,FQ使用后迷走神经回路可能在NTS-DMV突触受损,可能导致FQAD患者出现永久性胃肠道疾病。
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引用次数: 7
A Dual Mind Approach to Understanding the Conscious Self and Its Treatment 理解意识自我及其治疗的双重思维方法
Q3 CLINICAL NEUROLOGY Pub Date : 2021-06-09 DOI: 10.3390/NEUROSCI2020016
F. Schiffer
In this paper I will address questions about will, agency, choice, consciousness, relevant brain regions, impacts of disorders, and their therapeutics, and I will do this by referring to my theory, Dual-brain Psychology, which posits that within most of us there exist two mental agencies with different experiences, wills, choices, and behaviors. Each of these agencies is associated as a trait with one brain hemisphere (either left or right) and its composite regions. One of these agencies is more adversely affected by past traumas, and is more immature and more symptomatic, while the other is more mature and healthier. The theory has extensive experimental support through 17 peer-reviewed publications with clinical and non-clinical research. I will discuss how this theory relates to the questions about the nature of agency and I will also discuss my published theory on the physical nature of subjective experience and its relation to the brain, and how that theory interacts with Dual-Brain Psychology, leading to further insights into our human nature and its betterment.
在本文中,我将讨论有关意志、代理、选择、意识、相关大脑区域、疾病的影响及其治疗方法的问题,我将参考我的理论——双脑心理学,该理论认为,在我们大多数人体内存在两种具有不同经历、意志、选择和行为的精神代理。这些机构中的每一个都与一个大脑半球(左半球或右半球)及其复合区域相关联。其中一个机构受到过去创伤的不利影响更大,更不成熟,更有症状,而另一个则更成熟,更健康。该理论得到了17份经同行评审的临床和非临床研究出版物的广泛实验支持。我将讨论这一理论如何与代理本质的问题联系起来,我还将讨论我发表的关于主观经验的物理本质及其与大脑的关系的理论,以及该理论如何与双脑心理学相互作用,从而进一步深入了解我们的人性及其改善。
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引用次数: 5
Chanwuyi Lifestyle Medicine Program Alleviates Immunological Deviation and Improves Behaviors in Autism “禅五一”生活方式药物计划减轻自闭症患者的免疫偏差,改善其行为
Q3 CLINICAL NEUROLOGY Pub Date : 2021-06-07 DOI: 10.3390/NEUROSCI2020015
A. Chan, Yvonne M. Y. Han, S. L. Sze, C. Wong, I. Chu, M. Cheung
Given the association between deviated inflammatory chemokines, the pathogenesis of autism spectrum disorders (ASD), and our previous findings of the Chanwuyi Lifestyle Medicine Program regarding improved cognitive and behavioral problems in ASD, the present study aims to explore if this intervention can alter pro-inflammatory chemokines concentration. Thirty-two boys with ASD were assigned to the experimental group receiving the Chanwuyi Lifestyle Medicine Program for 7 months or the control group without a change in their lifestyle. The experimental group, but not the control group, demonstrated significantly reduced CCL2 and CXCL8, a trend of reduction in CCL5, and elevation of CXCL9. The experimental group also demonstrated significantly reduced social communication problems, repetitive/stereotypic behaviors, and hyperactive behaviors. The present findings support the potential efficacy and applicability of the Chanwuyi Lifestyle Medicine Program for reducing both behavioral problems and immunological dysfunction in ASD. Further studies are warranted to verify its treatment effect and its association with brain functions.
鉴于炎性趋化因子偏离与自闭症谱系障碍(ASD)发病机制之间的关联,以及我们之前在Chanwuyi生活方式医学项目中发现的改善ASD认知和行为问题的结果,本研究旨在探讨这种干预是否可以改变促炎性趋化因子的浓度。将32名ASD男孩分为实验组和对照组,实验组接受“Chanwuyi Lifestyle Medicine Program”治疗7个月,对照组不改变生活方式。实验组CCL2和CXCL8明显降低,CCL5有降低的趋势,CXCL9有升高的趋势,而对照组没有。实验组的社会沟通问题、重复/刻板行为和过度活跃行为也显著减少。本研究结果支持Chanwuyi Lifestyle Medicine Program在减少ASD的行为问题和免疫功能障碍方面的潜在功效和适用性。需要进一步的研究来验证其治疗效果及其与脑功能的关系。
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引用次数: 0
Knockout or Knock-in? A Truncated D2 Receptor Protein Is Expressed in the Brain of Functional D2 Receptor Knockout Mice 淘汰赛还是淘汰赛?D2受体敲除小鼠脑内表达一种截断的D2受体蛋白
Q3 CLINICAL NEUROLOGY Pub Date : 2021-06-01 DOI: 10.3390/NEUROSCI2020014
Natalia Sánchez, Montserrat Olivares-Costa, Marcela P. González, R. Munita, Angelica P. Escobar, Rodrigo C. Meza, Mauricio Herrera-Rojas, Jessica Albornoz, Gianluca Merello, M. Andrés
Null mice for the dopamine D2 receptor (D2R) have been instrumental in understanding the function of this protein. For our research, we obtained the functional D2R knockout mouse strain described initially in 1997. Surprisingly, our biochemical characterization showed that this mouse strain is not a true knockout. We determined by sequence analysis of the rapid 3′ amplification of cDNA ends that functional D2R knockout mice express transcripts that lack only the eighth exon. Furthermore, immunofluorescence assays showed a D2R-like protein in the brain of functional D2R knockout mice. We verified by immunofluorescence that the recombinant truncated D2R is expressed in HEK293T cells, showing intracellular localization, colocalizing in the Golgi apparatus and the endoplasmic reticulum, but with less presence in the Golgi apparatus compared to the native D2R. As previously reported, functional D2R knockout mice are hypoactive and insensitive to the D2R agonist quinpirole. Concordantly, microdialysis studies confirmed that functional D2R knockout mice have lower extracellular dopamine levels in the striatum than the native mice. In conclusion, functional D2R knockout mice express transcripts that lead to a truncated D2R protein lacking from the sixth transmembrane domain to the C-terminus. We share these findings to avoid future confusion and the community considers this mouse strain in D2R traffic and protein–protein interaction studies.
多巴胺D2受体(D2R)缺失的小鼠有助于理解该蛋白的功能。在我们的研究中,我们获得了1997年最初描述的功能性D2R敲除小鼠品系。令人惊讶的是,我们的生化表征表明,这种小鼠品系并不是真正的基因敲除。我们通过对cDNA末端快速3 '扩增的序列分析确定,功能性D2R敲除小鼠表达的转录本仅缺少第8个外显子。此外,免疫荧光分析显示,功能性D2R基因敲除小鼠的大脑中存在D2R样蛋白。我们通过免疫荧光证实,重组截断的D2R在HEK293T细胞中表达,表现出细胞内定位,在高尔基体和内质网中共定位,但与天然D2R相比,在高尔基体中的存在较少。正如先前报道的那样,功能性D2R基因敲除小鼠对D2R激动剂喹匹罗缺乏活性和不敏感。与此同时,微透析研究证实,功能性D2R基因敲除小鼠的纹状体细胞外多巴胺水平低于正常小鼠。综上所述,功能性D2R基因敲除小鼠表达的转录本导致D2R蛋白从第6跨膜结构域到c端缺失。我们分享这些发现以避免未来的混淆,并且社区在D2R流量和蛋白质-蛋白质相互作用研究中考虑了该小鼠品系。
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引用次数: 1
Alcohol Consumption during Adulthood Does Not Impair Later Go/No-Go Reversal Learning in Male Rats 成年期饮酒不会损害雄性大鼠后来的去/不去逆转学习
Q3 CLINICAL NEUROLOGY Pub Date : 2021-05-13 DOI: 10.3390/NEUROSCI2020012
C. Pickens, M. Gallo, Hayley Fisher, Alisa Pajser, Madelyn H. Ray
Reversal learning tasks are used to model flexible decision-making in laboratory animals, and exposure to drugs of abuse can cause long-term impairments in reversal learning. However, the long-term effects of alcohol on reversal learning have varied. We evaluated whether six weeks of voluntary alcohol consumption through chronic intermittent alcohol access (elevated by food restriction) in adult male rats would impair rats in a go/no-go reversal learning task when tested at an interval beyond acute withdrawal. In our go/no-go task, rats were reinforced for pressing one lever or withholding from pressing another lever, and the identities of the two levers were switched twice (once rats reached an accuracy criterion). We found no evidence that prior alcohol consumption altered discrimination or reversal learning in our task. This replicates previous patterns from our laboratory that higher alcohol consumption in food-restricted rats did not impair discrimination or reversal learning in a different go/no-go task and that alcohol consumption in free-fed adolescent/early adult rats did not impair go/no-go discrimination or reversal learning in the same task. It is unclear whether this represents an insensitivity of this task to alcohol exposure generally or whether an alcohol exposure procedure that leads to higher blood ethanol concentration (BEC) levels would impair learning. More research is needed to investigate these possibilities.
逆向学习任务被用来模拟实验动物的灵活决策,暴露于滥用药物会导致逆向学习的长期损害。然而,酒精对逆向学习的长期影响各不相同。我们评估了成年雄性大鼠通过慢性间歇性饮酒(通过食物限制提高)自愿饮酒六周是否会在急性戒断后的间隔时间内损害大鼠的go/no-go逆转学习任务。在我们的go/no-go任务中,大鼠被加强按下一个杠杆或不按下另一个杠杆,两个杠杆的身份被切换两次(一旦大鼠达到准确性标准)。我们没有发现证据表明先前饮酒改变了我们任务中的歧视或逆向学习。这重复了我们实验室以前的模式,即在不同的去/不去任务中,限制食物的大鼠摄入更多的酒精不会损害辨别或逆转学习,而在自由喂养的青春期/成年早期大鼠中摄入更多的酒精不会损害去/不去的辨别或逆转学习。目前尚不清楚这是否代表该任务对酒精暴露不敏感,或者是否酒精暴露过程导致更高的血液乙醇浓度(BEC)水平会损害学习。需要更多的研究来调查这些可能性。
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引用次数: 0
Cognition as a Mechanical Process 作为机械过程的认知
Q3 CLINICAL NEUROLOGY Pub Date : 2021-04-22 DOI: 10.3390/NEUROSCI2020010
R. Friedman
Cognition is often defined as a dual process of physical and non-physical mechanisms. This duality originated from past theory on the constituent parts of the natural world. Even though material causation is not an explanation for all natural processes, phenomena at the cellular level of life are modeled by physical causes. These phenomena include explanations for the function of organ systems, including the nervous system and information processing in the cerebrum. This review restricts the definition of cognition to a mechanistic process and enlists studies that support an abstract set of proximate mechanisms. Specifically, this process is approached from a large-scale perspective, the flow of information in a neural system. Study at this scale further constrains the possible explanations for cognition since the information flow is amenable to theory, unlike a lower-level approach where the problem becomes intractable. These possible hypotheses include stochastic processes for explaining the processes of cognition along with principles that support an abstract format for the encoded information.
认知通常被定义为物理和非物理机制的双重过程。这种二元性源于过去关于自然界组成部分的理论。尽管物质因果关系不能解释所有的自然过程,但生命的细胞水平上的现象是由物理原因模拟的。这些现象包括对器官系统功能的解释,包括神经系统和大脑中的信息处理。这篇综述将认知的定义限制为一个机制过程,并列举了支持一组抽象的近似机制的研究。具体地说,这个过程是从一个大尺度的角度来看的,即神经系统中的信息流。这种规模的研究进一步限制了对认知的可能解释,因为信息流是符合理论的,不像低层次的方法,问题变得棘手。这些可能的假设包括解释认知过程的随机过程,以及支持编码信息抽象格式的原则。
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引用次数: 1
Pathophysiological Correlation between Cigarette Smoking and Amyotrophic Lateral Sclerosis 吸烟与肌萎缩侧索硬化症的病理生理关系
Q3 CLINICAL NEUROLOGY Pub Date : 2021-04-20 DOI: 10.3390/NEUROSCI2020008
Spiro Menounos, P. Hansbro, A. Diwan, Abhirup Das
Cigarette smoke (CS) has been consistently demonstrated to be an environmental risk factor for amyotrophic lateral sclerosis (ALS), although the molecular pathogenic mechanisms involved are yet to be elucidated. Here, we propose different mechanisms by which CS exposure can cause sporadic ALS pathogenesis. Oxidative stress and neuroinflammation are widely implicated in ALS pathogenesis, with blood–spinal cord barrier disruption also recognised to be involved in the disease process. In addition, immunometabolic, epigenetic and microbiome alterations have been implicated in ALS recently. Identification of the underlying pathophysiological mechanisms that underpin CS-associated ALS will drive future research to be conducted into new targets for treatment.
香烟烟雾(CS)一直被证明是肌萎缩性侧索硬化症(ALS)的环境危险因素,尽管其分子致病机制尚未阐明。在这里,我们提出了CS暴露导致散发性ALS发病的不同机制。氧化应激和神经炎症与ALS的发病机制广泛相关,血脊髓屏障破坏也被认为与疾病过程有关。此外,免疫代谢、表观遗传和微生物组的改变最近也与ALS有关。确定支持cs相关ALS的潜在病理生理机制将推动未来研究开展新的治疗靶点。
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引用次数: 1
A Pilot Study of Game Design in the Unity Environment as an Example of the Use of Neurogaming on the Basis of Brain–Computer Interface Technology to Improve Concentration Unity环境下游戏设计的试点研究——以脑机接口技术为基础的神经游戏提高注意力为例
Q3 CLINICAL NEUROLOGY Pub Date : 2021-04-19 DOI: 10.3390/NEUROSCI2020007
S. Paszkiel, R. Rojek, Ningrong Lei, M. A. Castro
The article describes the practical use of Unity technology in neurogaming. For this purpose, the article describes Unity technology and brain–computer interface (BCI) technology based on the Emotiv EPOC + NeuroHeadset device. The process of creating the game world and the test results for the use of a device based on the BCI as a control interface for the created game are also presented. The game was created in the Unity graphics engine and the Visual Studio environment in C#. The game presented in the article is called “NeuroBall” due to the player’s object, which is a big red ball. The game will require full focus to make the ball move. The game will aim to improve the concentration and training of the user’s brain in a user-friendly environment. Through neurogaming, it will be possible to exercise and train a healthy brain, as well as diagnose and treat various symptoms of brain disorders. The project was entirely created in the Unity graphics engine in Unity version 2020.1.
本文描述了Unity技术在神经游戏中的实际应用。为此,本文介绍了基于Emotiv EPOC + NeuroHeadset设备的Unity技术和脑机接口(BCI)技术。本文还介绍了游戏世界的创建过程以及使用基于BCI的设备作为所创建游戏的控制接口的测试结果。这款游戏是在Unity图像引擎和Visual Studio c#环境中创建的。这款游戏之所以被称为“NeuroBall”,是因为玩家的目标是一个大红球。这场比赛需要全神贯注才能使球移动。这款游戏的目标是在一个用户友好的环境中提高注意力和训练用户的大脑。通过神经游戏,将有可能锻炼和训练健康的大脑,以及诊断和治疗大脑疾病的各种症状。该项目完全是在Unity版本2020.1的Unity图形引擎中创建的。
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引用次数: 5
Cytokines in Pediatric Pilocytic Astrocytomas: A Clinico-Pathological Study 细胞因子在儿童毛细胞星形细胞瘤中的作用:临床病理研究
Q3 CLINICAL NEUROLOGY Pub Date : 2021-03-10 DOI: 10.3390/NEUROSCI2010006
Nurfarhanah Bte Syed Sulaiman, C. Kuick, K. Chang, Kai Rui Wan, W. S. Looi, D. Low, W. Seow, S. Low
Pilocytic astrocytomas (PCA) are WHO Grade I tumors with a favorable prognosis. Surgical resection is usually curative. Nonetheless, progressive and/or metastatic disease occurs in 20% of patients. For these patients, treatment options are limited. The role of the immune system in PCA has not previously been reported. We hypothesize that the circulating cytokines contribute to tumorigenicity in PCA. This is an exploratory study with a focus on the identification of circulating cerebrospinal (CSF) cytokines associated with PCA. The primary objective is to demonstrate that CSF cytokines will be differentially expressed in the subset of PCAs that are difficult to treat in comparison to their surgically amendable counterparts. This is a single-institution, retrospective study of prospectively collected data. Patients with a confirmed histological diagnosis of PCA who have simultaneous intraoperative CSF sampling are included. Cerebrospinal fluid samples are subjected to multiplex cytokine profiling. Patient-derived PCA lines from selected patients in the same study cohort are cultured. Their cell culture supernatants are collected and interrogated using the sample multiplex platform as the CSF. A total of 8 patients are recruited. There were two patients with surgically difficult tumors associated with leptomeningeal involvement. Multiplex profiling of the cohort’s CSF samples showed elevated expressions of IFN-γ, IL-2, IL-12p70, IL-1β, IL-4, and TNF-α in these two patients in comparison to the remaining cohort. Next, primary cell lines derived from the same PCA patients demonstrated a similar trend of differential cytokine expression in their cell culture supernatant in vitro. Although our findings are preliminary at this stage, this is the first study in pediatric PCAs that show cytokine expression differences between the two groups of PCA with different clinical behaviors.
毛细胞星形细胞瘤(PCA)是WHO一级肿瘤,预后良好。手术切除通常可以治愈。尽管如此,20%的患者会出现进展性和/或转移性疾病。对于这些患者,治疗选择是有限的。免疫系统在PCA中的作用以前没有报道过。我们假设循环细胞因子有助于PCA的致瘤性。这是一项探索性研究,重点是识别与PCA相关的循环脑脊液(CSF)细胞因子。主要目的是证明脑脊液细胞因子在难以治疗的pca亚群中与可手术治疗的pca亚群相比存在差异表达。这是一项单机构、前瞻性收集数据的回顾性研究。经组织学诊断为PCA且术中同时进行脑脊液取样的患者也包括在内。脑脊液样品受到多重细胞因子分析。培养来自同一研究队列中选定患者的患者源性PCA细胞系。收集细胞培养上清液,并使用样品复合平台作为CSF进行询问。共招募8例患者。有2例手术困难的肿瘤伴腰脊膜受累。该队列脑脊液样本的多重分析显示,与其他队列相比,这两名患者的IFN-γ、IL-2、IL-12p70、IL-1β、IL-4和TNF-α的表达升高。接下来,来自同一PCA患者的原代细胞系在体外细胞培养上清中表现出类似的差异细胞因子表达趋势。虽然我们的发现在这个阶段是初步的,但这是第一个在儿科PCA中显示两组不同临床行为的PCA之间细胞因子表达差异的研究。
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引用次数: 0
Lithium Prevents Telomere Shortening in Cortical Neurons in Amyloid-Beta Induced Toxicity 在淀粉样蛋白诱导的毒性中,锂可防止皮质神经元端粒缩短
Q3 CLINICAL NEUROLOGY Pub Date : 2021-03-03 DOI: 10.21203/RS.3.RS-260558/V1
Rafael Themoteo, Vanessa de Paula, Nikole Kimberly, H. Brentani, O. Forlenza
BackgroundThere is consistent evidence of the potential benefits of lithium attenuating mechanisms of neurodegeneration, including those related to the pathophysiology of Alzheimer’s disease (AD), and facilitating neurotrophic and protective responses, including maintenance of telomere length. The aim was to investigate the protective effect of the pre-treatment with lithium on amyloid-beta (Aβ)-induced toxicity and telomere length in neurons. MethodsCortical neurons were treated with lithium chloride at therapeutic and subtherapeutic concentrations (2mM, 0.2mM and 0.02mM) for seven days. Amyloid toxicity was induced 24 hours before the end of lithium treatment. ResultsLithium resulted in 120% (2mM), 180% (0.2mM) and 140% (0.02mM) increments in telomere length as compared to untreated controls. Incubation with Aβ1-42 was associated with significant reductions in MTT uptake (33%) and telomere length (83%) as compared to controls. ConclusionsLithium prevented loss of culture viability and telomere shortening in neuronal cultures challenged with Aβ fibrils.
有一致的证据表明,锂可减轻神经退行性变机制的潜在益处,包括与阿尔茨海默病(AD)的病理生理学相关的机制,以及促进神经营养和保护反应,包括维持端粒长度。目的是研究锂预处理对β淀粉样蛋白(Aβ)诱导的神经元毒性和端粒长度的保护作用。方法用治疗浓度和亚治疗浓度(2mM、0.2mM和0.02mM)氯化锂治疗皮质神经元7 d。在锂治疗结束前24小时诱导淀粉样蛋白毒性。结果与未处理的对照组相比,硒使端粒长度增加120% (2mM)、180% (0.2mM)和140% (0.02mM)。与对照组相比,a - β1-42孵育与MTT摄取(33%)和端粒长度(83%)显著减少相关。结论在Aβ原纤维刺激的神经细胞培养过程中,硫对培养活力丧失和端粒缩短具有一定的抑制作用。
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引用次数: 2
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