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Tropomyosin Receptor Kinase B Expressed in Oligodendrocyte Lineage Cells Functions to Promote Myelin Following a Demyelinating Lesion. 原肌球蛋白受体激酶B在少突胶质细胞谱系中表达促进脱髓鞘病变后髓磷脂的功能。
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2020-01-01 DOI: 10.1177/1759091420957464
Yangyang Huang, Yeri J Song, Maria Isaac, Shir Miretzky, Ashish Patel, W Geoffrey McAuliffe, Cheryl F Dreyfus

The levels of brain-derived neurotrophic factor (BDNF) in the corpus callosum have previously been shown to have a critical impact on oligodendrocyte (OLG) lineage cells during cuprizone-elicited demyelination. In particular, BDNF+/- mice exhibit greater losses in myelin protein levels compared to wild-type mice after cuprizone. To investigate whether OLGs may directly mediate these effects of BDNF during a lesion in vivo, we used the cuprizone model of demyelination with inducible conditional male knockout mice to specifically delete the high-affinity tropomyosin receptor kinase B (TrkB) receptor from proteolipid protein + OLGs during cuprizone-elicited demyelination and subsequent remyelination. The loss of TrkB during cuprizone-elicited demyelination results in an increased sensitivity to demyelination as demonstrated by greater deficits in myelin protein levels, greater decreases in numbers of mature OLGs, increased numbers of demyelinated axons, and decreased myelin thickness. When mice are removed from cuprizone, they exhibit a delayed recovery in myelin proteins and myelin. Our data indicate that following a demyelinating lesion, TrkB in OLGs positively regulates myelin protein expression, myelin itself, and remyelination.

胼胝体中的脑源性神经营养因子(BDNF)水平在铜酮诱导的脱髓鞘过程中对少突胶质细胞(OLG)谱系细胞有重要影响。特别是,BDNF+/-小鼠与野生型小鼠相比,在铜吡唑后表现出更大的髓磷脂蛋白水平损失。为了研究OLGs是否可以直接介导BDNF在体内病变过程中的这些作用,我们用铜酮诱导条件雄性敲除小鼠脱髓鞘模型,在铜酮诱导的脱髓鞘和随后的再髓鞘形成过程中,特异性地从蛋白脂蛋白+ OLGs中删除高亲和力的原肌球蛋白受体激酶B (TrkB)受体。在铜区诱导的脱髓鞘过程中,TrkB的缺失导致对脱髓鞘的敏感性增加,这可以通过髓鞘蛋白水平的更大缺陷、成熟olg数量的更大减少、脱髓鞘轴突数量的增加和髓鞘厚度的减少来证明。当小鼠从铜吡嗪中移除时,它们表现出髓磷脂蛋白和髓磷脂的延迟恢复。我们的数据表明,在脱髓鞘病变后,OLGs中的TrkB正调节髓鞘蛋白表达、髓鞘本身和髓鞘再生。
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引用次数: 11
Physical Activity Ameliorates Impaired Hippocampal Neurogenesis in the Tg4-42 Mouse Model of Alzheimer’s Disease 体育活动改善阿尔茨海默病Tg4-42小鼠模型海马神经发生受损
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-12-01 DOI: 10.1177/1759091419892692
Anna-Lina Gerberding, S. Zampar, Martina Stazi, D. Liebetanz, O. Wirths
There is growing evidence from epidemiological studies that especially midlife physical activity might exert a positive influence on the risk and progression of Alzheimer’s disease. In this study, the Tg4-42 mouse model of Alzheimer’s disease has been utilized to assess the effect of different housing conditions on structural changes in the hippocampus. Focusing on the dentate gyrus, we demonstrate that 6-month-old Tg4-42 mice have a reduced number of newborn neurons in comparison to age-matched wild-type mice. Housing these mice for 4 months with either unlimited or intermittent access to a running wheel resulted in a significant rescue of dentate gyrus neurogenesis. Although neither dentate gyrus volume nor neuron number could be modified in this Alzheimer’s disease mouse model, unrestricted access to a running wheel significantly increased dentate gyrus volume and granule cell number in wild-type mice.
流行病学研究越来越多的证据表明,尤其是中年的体育活动可能对阿尔茨海默病的风险和进展产生积极影响。在这项研究中,阿尔茨海默病的Tg4-42小鼠模型已被用于评估不同居住条件对海马结构变化的影响。以齿状回为重点,我们证明,与年龄匹配的野生型小鼠相比,6个月大的Tg4-42小鼠的新生神经元数量减少。将这些小鼠饲养4个月,无限制或间歇性使用转轮,可以显著挽救齿状回神经发生。尽管在这种阿尔茨海默病小鼠模型中,齿状回体积和神经元数量都不能改变,但在野生型小鼠中,不受限制地使用转轮显著增加了齿状回的体积和颗粒细胞数量。
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引用次数: 10
2019 Academic Annual Meeting and the Frontier Seminar on “Glial Cell Function and Disease” (Nantong, China) 2019“神经胶质细胞功能与疾病”学术年会暨前沿研讨会(中国南通)
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419863576
Yu-Feng Wang, Yong-Jing Gao
The contribution of glial activities to the functions, diseases, and repair of the central nervous system has received increasing attention in neuroscience studies. To promote the research of glial cells and increase cooperation with peers, the 2019 Academic Annual Meeting and the Frontier Seminar on “Glial Cell Function and Disease” was held in Nantong City, Jiangsu Province, China from May 24 to 26. The meeting was organized by Drs. Yong-Jing Gao and Jia-Wei Zhou of the Chinese Society of Neuroscience Glia Branch. The conference focused on the physiological and pathological functions of astrocytes, microglia, and oligodendrocytes with 25 speakers in two plenary speeches and five sections of more than 180 participants engaged in glial cell research. In the two plenary lectures, Yutian Wang from the University of British Columbia and Xia Zhang from the University of Ottawa presented “Development of NMDAR (N-methyl-D-aspartic acid receptor)-positive allosteric modulators as novel therapeutics for brain disorders” and “Mechanisms underlying cannabinoid regulation of brain function and disease,” respectively. The five sections included microglia and disease, astrocytes and disease, glioma treatment and glial imaging, oligodendrocytes and disease, and glial–neuronal interactions and disease. This meeting allowed extensive and in-depth academic exchanges on the latest research and experimental techniques, represented the highest achievements of Chinese scholars on glial cells, and promoted the cooperation between peers in the fields of glia studies.
神经胶质活动对中枢神经系统的功能、疾病和修复的贡献在神经科学研究中越来越受到关注。为推动神经胶质细胞研究,增加与同行的合作,5月24日至26日,“神经胶质细胞功能与疾病”2019学术年会暨前沿研讨会在中国江苏省南通市举行。会议由中国神经科学学会格利亚分会的高永敬博士和周佳伟博士组织。会议重点讨论了星形胶质细胞、小胶质细胞和少突胶质细胞的生理和病理功能,25名发言者在两次全体演讲中发言,180多名参与者参加了五个部分的神经胶质细胞研究。在两次全体讲座中,不列颠哥伦比亚大学的王玉田和渥太华大学的张霞分别介绍了“NMDAR(N-甲基-D-天冬氨酸受体)阳性变构调节剂作为大脑疾病新疗法的发展”和“大麻素调节大脑功能和疾病的机制”。这五个部分包括小胶质细胞与疾病、星形胶质细胞与病变、神经胶质瘤治疗和神经胶质成像、少突胶质细胞与病以及神经胶质-神经元相互作用与疾病。本次会议就最新研究和实验技术进行了广泛深入的学术交流,代表了中国学者在神经胶质细胞方面的最高成就,促进了同行在神经胶质研究领域的合作。
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引用次数: 1
Corrigendum 勘误表
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419847891
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引用次数: 1
Abstracts of the 2018 Meeting of ArgentineSociety for Research in Neurosciences 阿根廷神经科学研究学会2018年会议摘要
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419834821
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引用次数: 0
Intracerebroventricular Infusion of Gangliosides Augments the Adult Neural Stem Cell Pool in Mouse Brain 侧脑室灌注神经节苷增加小鼠脑内成体神经干细胞库
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419884859
Yutaka Itokazu, Dongpei Li, R. Yu
We previously reported that ganglioside GD3 is the predominant species in neural stem cells (NSCs) and reduced postnatal NSC pools are observed in both the subventricular zone and dentate gyrus (DG) of GD3-synthase knockout (GD3S-KO) mouse brains. Specifically, deficiency of GD3 in GD3S-KO animals revealed a dramatic reduction in cellularity in the DG of the hippocampus of the developing mouse brain, resulting in severe behavioral deficits in these animals. To further evaluate the functional role of GD3 in postnatal brain, we performed rescue experiments by intracerebroventricular infusion of ganglioside GD3 in adult GD3S-KO animals and found that it could restore the NSC pools and enhance the NSCs for self-renewal. Furthermore, 5xFAD mouse model was utilized, and GD3 restored NSC numbers and GM1 promoted neuronal differentiation. Our results thus demonstrate that exogenously administered gangliosides are capable to restore the function of postnatal NSCs. Since ganglioside expression profiles are associated not only with normal brain development but also with pathogenic mechanisms of diseases, such as Alzheimer’s disease, we anticipate that the administration of exogenous gangliosides, such as GD3 and GM1, may represent a novel and effective strategy for promoting adult neurogenesis in damaged brain for disease treatment.
我们之前报道过神经节苷脂GD3是神经干细胞(NSCs)中的主要物种,并且在GD3合成酶敲除(GD3S-KO)小鼠大脑的室下区和齿状回(DG)中观察到出生后NSC池减少。具体而言,GD3S-KO动物中GD3的缺乏表明,发育中的小鼠大脑海马DG中的细胞数量显著减少,导致这些动物出现严重的行为缺陷。为了进一步评估GD3在出生后大脑中的功能作用,我们在成年GD3S-KO动物的侧脑室内输注神经节苷脂GD3进行了挽救实验,发现它可以恢复NSC池,增强NSC的自我更新能力。此外,使用5xFAD小鼠模型,GD3恢复NSC数量,GM1促进神经元分化。因此,我们的研究结果表明,外源性给予神经节苷脂能够恢复出生后NSCs的功能。由于神经节苷脂的表达谱不仅与正常大脑发育有关,而且与阿尔茨海默病等疾病的致病机制有关,我们预计,外源性神经节苷脂(如GD3和GM1)的给药可能代表一种新的有效策略,可促进受损大脑中成体神经发生,用于疾病治疗。
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引用次数: 5
Erythropoietin as a Neuroprotective Molecule: An Overview of Its Therapeutic Potential in Neurodegenerative Diseases 促红细胞生成素作为一种神经保护分子在神经退行性疾病中的治疗潜力综述
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419871420
Federica Rey, A. Balsari, T. Giallongo, S. Ottolenghi, A. D. Di Giulio, M. Samaja, S. Carelli
Erythropoietin (EPO) is a cytokine mainly induced in hypoxia conditions. Its major production site is the kidney. EPO primarily acts on the erythroid progenitor cells in the bone marrow. More and more studies are highlighting its secondary functions, with a crucial focus on its role in the central nervous system. Here, EPO may interact with up to four distinct isoforms of its receptor (erythropoietin receptor [EPOR]), activating different signaling cascades with roles in neuroprotection and neurogenesis. Indeed, the EPO/EPOR axis has been widely studied in the neurodegenerative diseases field. Its potential therapeutic effects have been evaluated in multiple disorders, such as Alzheimer’s disease, Parkinson’s disease, amyotrophic lateral sclerosis, spinal cord injury, as well as brain ischemia, hypoxia, and hyperoxia. EPO is showing great promise by counteracting secondary neuroinflammatory processes, reactive oxygen species imbalance, and cell death in these diseases. Multiple studies have been performed both in vitro and in vivo, characterizing the mechanisms through which EPO exerts its neurotrophic action. In some cases, clinical trials involving EPO have been performed, highlighting its therapeutic potential. Together, all these works indicate the potential beneficial effects of EPO.
促红细胞生成素(EPO)是一种主要在缺氧条件下诱导产生的细胞因子。它的主要生产部位是肾脏。EPO主要作用于骨髓中的红系祖细胞。越来越多的研究强调其次要功能,重点关注其在中枢神经系统中的作用。在这里,EPO可能与多达四种不同的受体亚型(促红细胞生成素受体[EPOR])相互作用,激活不同的信号级联,在神经保护和神经发生中发挥作用。事实上,EPO/EPOR轴在神经退行性疾病领域已经得到了广泛的研究。它在多种疾病中的潜在治疗效果已得到评估,如阿尔茨海默病、帕金森病、肌萎缩侧索硬化症、脊髓损伤以及脑缺血、缺氧和高氧。EPO通过对抗这些疾病中的继发性神经炎症过程、活性氧失衡和细胞死亡而显示出巨大的前景。已经在体外和体内进行了多项研究,表征了EPO发挥神经营养作用的机制。在某些情况下,已经进行了涉及EPO的临床试验,突出了其治疗潜力。总之,所有这些工作都表明了EPO的潜在有益作用。
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引用次数: 57
2018 Reviewer Thank You 2018评审员谢谢
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419834384
Hiroko Baba, Anita Bandrowski, Devin Binder, Megan Bosch, Denis Bragin, Jun Cai, Fioravante Capone, Sraboni Chaudhury, Shih-Cheng Chen, Nicholas Colangelo, Carol Colton, Colin Combs, Marek Czosnyka, Glyn Dawson, Fernanda De Felice, Therese Dipaolo
Hiroko Baba Anita Bandrowski Devin Binder Megan Bosch Denis Bragin Jun Cai Fioravante Capone Sraboni Chaudhury Shih-Cheng Chen Nicholas Colangelo Carol Colton Colin Combs Marek Czosnyka Glyn Dawson Fernanda De Felice Therese Dipaolo Jeffery Dunn Jeffrey Dupree Douglas Feinstein Todd Fiacco Babette Fuss Luis Garcia-Garcia Cristina Ghiani Stephen Glatt Kirby Gottschalk Alexander Gow Judith Grinspan Gaylia Harry Cecilia Hedin-Pereira Sukant Khurana Jolanta Kotlinska Steven Levison Jun Li David Loane Mychael Lourenco Wendy Macklin Jose Madrigal Frank Middleton Alexander Mongin Chris Naus Andre Obenaus Antonio Oliveira Donna Osterhout Christina Alves Peixoto William Pembroke David Picketts Peter Ponsaerts Matthew Rasband Fabiola Ribeiro Laurie Sanders Susanne Schmid Pankaj Seth Thomas Seyfried Carolyn Smith Ameer Taha Sui-Seng Tee Serge Thal Seema Tiwari-Woodruff E Tronci Louis-Eric Trudeau Michael Vitek Jonathan Vogelgsang Melissa Vondran Gherman Wiederschain Talene Yacoubian Yonghua Zhang ASN Neuro Volume 11: 1 ! The Author(s) 2019 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/1759091419834384 journals.sagepub.com/home/asn
Hiroko Baba Anita Bandrowski Devin Binder Megan Bosch Denis Bragin Jun Cai Fioravante Capone Sraboni Chaudhury Shih Cheng Chen Nicholas Colangelo Carol Colton Colin Combs Marek Czosnyka Glyn Dawson Fernanda De Felice Therese Dipaolo Jeffery Dunn Jeffrey Dupree Douglas Feinstein Todd Fiacco Babette Fuss Luis Garcia Garcia Cristina Ghiani Stephen Glatt Kirby Gottschalk Alexander Gow Judith GrinspanGaylia Harry Cecilia Hedin Pereira Sukant Khurana Jolanta Kotlinska Steven Levison Jun Li David Loane Mychael Lourenco Wendy Macklin Jose Madrigal Frank Middleton Alexander Mongin Chris Naus Andre Obenaus Antonio Oliveira Donna Osterhout Christina Alves Peixoto William Pembroke David Picketts Peter Ponsaerts Matthew Rasband Fabiola Ribeiro Laurie Sanders Susanne Schmid Pankaj Seth Thomas SeyfriedCarolyn Smith Ameer Taha Sui Seng T恤Serge Thal Seema Tiwari Woodruff E Tronci Louis Eric Trudeau Michael Vitek Jonathan Vogelgsang Melissa Vondran Gherman Wiederschain Talene Yacoubian Yonghua Zhang ASN Neuro第11卷:1!作者2019文章重用指南:sagepub.com/journals-permissions DOI:10.1177/17759091419834384 journals.sagepub.com/home/asn
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引用次数: 0
Altered Brain Expression of Insulin and Insulin-Like Growth Factors in Frontotemporal Lobar Degeneration: Another Degenerative Disease Linked to Dysregulation of Insulin Metabolic Pathways. 胰岛素和胰岛素样生长因子在额颞叶变性中的脑表达改变:另一种与胰岛素代谢途径失调有关的退行性疾病
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2019-01-01 DOI: 10.1177/1759091419839515
Connie J Liou, Ming Tong, Jean P Vonsattel, Suzanne M de la Monte

Background: Frontotemporal lobar degeneration (FTLD) is the third most common dementing neurodegenerative disease with nearly 80% having no known etiology.

Objective: Growing evidence that neurodegeneration can be linked to dysregulated metabolism prompted us to measure a panel of trophic factors, receptors, and molecules that modulate brain metabolic function in FTLD.

Methods: Postmortem frontal (Brodmann's area [BA]8/9 and BA24) and temporal (BA38) lobe homogenates were used to measure immunoreactivity to Tau, phosphorylated tau (pTau), ubiquitin, 4-hydroxynonenal (HNE), transforming growth factor-beta 1 (TGF-β1) and its receptor (TGF-β1R), brain-derived neurotrophic factor (BDNF), nerve growth factor, neurotrophin-3, neurotrophin-4, tropomyosin receptor kinase, and insulin and insulin-like growth factor-1 (IGF-1) and insulin-like growth factor-2 (IGF-2) and their receptors by direct-binding enzyme-linked immunosorbent assay.

Results: FTLD brains had significantly elevated pTau, ubiquitin, TGF-β1, and HNE immunoreactivity relative to control. In addition, BDNF and neurotrophin-4 were respectively reduced in BA8/9 and BA38, while neurotrophin-3 and nerve growth factor were upregulated in BA38, and tropomyosin receptor kinase was elevated in BA24. Lastly, insulin and insulin receptor expressions were elevated in the frontal lobe, IGF-1 was increased in BA24, IGF-1R was upregulated in all three brain regions, and IGF-2 receptor was reduced in BA24 and BA38.

Conclusions: Aberrantly increased levels of pTau, ubiquitin, HNE, and TGF-β1, marking neurodegeneration, oxidative stress, and neuroinflammation, overlap with altered expression of insulin/IGF signaling ligand and receptors in frontal and temporal lobe regions targeted by FTLD. Dysregulation of insulin-IGF signaling networks could account for brain hypometabolism and several characteristic neuropathologic features that characterize FTLD but overlap with Alzheimer's disease, Parkinson's disease, and Dementia with Lewy Body Disease.

背景:额颞叶变性(FTLD)是第三大最常见的痴呆性神经退行性疾病,近80%的患者病因不明:越来越多的证据表明,神经退行性病变可能与代谢失调有关,这促使我们测量一组营养因子、受体和调节 FTLD 大脑代谢功能的分子:死后额叶(布罗德曼区 [BA]8/9 和 BA24)和颞叶(BA38)匀浆用于测量 Tau、磷酸化 tau(pTau)、泛素、4-羟基壬烯醛(HNE)、转化生长因子-β1(TGF-β1)及其受体(TGF-β1R)的免疫反应性、脑源性神经营养因子(BDNF)、神经生长因子、神经营养素-3、神经营养素-4、肌钙蛋白受体激酶、胰岛素、胰岛素样生长因子-1(IGF-1)和胰岛素样生长因子-2(IGF-2)及其受体的直接结合酶联免疫吸附试验。结果与对照组相比,FTLD 脑的 pTau、泛素、TGF-β1 和 HNE 免疫活性明显升高。此外,BA8/9和BA38中的BDNF和神经营养素-4分别减少,而BA38中的神经营养素-3和神经生长因子上调,BA24中的肌球蛋白受体激酶升高。最后,胰岛素和胰岛素受体的表达在额叶中升高,IGF-1在BA24中升高,IGF-1R在所有三个脑区中上调,IGF-2受体在BA24和BA38中降低:pTau、泛素、HNE和TGF-β1水平的异常升高标志着神经变性、氧化应激和神经炎症,与FTLD靶区额叶和颞叶中胰岛素/IGF信号配体和受体表达的改变相重叠。胰岛素-IGF 信号网络的失调可能是大脑代谢低下和一些特征性神经病理学特征的原因,这些特征是 FTLD 的特点,但又与阿尔茨海默病、帕金森病和路易体痴呆症重叠。
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引用次数: 0
Metabolic and Structural Imaging at 7 Tesla After Repetitive Mild Traumatic Brain Injury in Immature Rats. 未成熟大鼠重复性轻度脑外伤后的 7 特斯拉代谢和结构成像。
IF 4.7 4区 医学 Q2 NEUROSCIENCES Pub Date : 2018-01-01 DOI: 10.1177/1759091418770543
Emin Fidan, Lesley M Foley, Lee Ann New, Henry Alexander, Patrick M Kochanek, T Kevin Hitchens, Hülya Bayır

Mild traumatic brain injury (mTBI) in children is a common and serious public health problem. Traditional neuroimaging findings in children who sustain mTBI are often normal, putting them at risk for repeated mTBI (rmTBI). There is a need for more sensitive imaging techniques capable of detecting subtle neurophysiological alterations after injury. We examined neurochemical and white matter changes using diffusion tensor imaging of the whole brain and proton magnetic resonance spectroscopy of the hippocampi at 7 Tesla in 18-day-old male rats at 7 days after mTBI and rmTBI. Traumatic axonal injury was assessed by beta-amyloid precursor protein accumulation using immunohistochemistry. A significant decrease in fractional anisotropy and increase in axial and radial diffusivity were observed in several brain regions, especially in white matter regions, after a single mTBI versus sham and more prominently after rmTBI. In addition, we observed accumulation of beta-amyloid precursor protein in the external capsule after mTBI and rmTBI. mTBI and rmTBI reduced the N-acetylaspartate/creatine ratio (NAA/Cr) and increased the myoinositol/creatine ratio (Ins/Cr) versus sham. rmTBI exacerbated the reduction in NAA/Cr versus mTBI. The choline/creatine (Cho/Cr) and (lipid/Macro Molecule 1)/creatine (Lip/Cr) ratios were also decreased after rmTBI versus sham. Diffusion tensor imaging findings along with the decrease in Cho and Lip after rmTBI may reflect damage to axonal membrane. NAA and Ins are altered at 7 days after mTBI and rmTBI likely reflecting neuro-axonal damage and glial response, respectively. These findings may be relevant to understanding the extent of disability following mTBI and rmTBI in the immature brain and may identify possible therapeutic targets.

儿童轻度创伤性脑损伤(mTBI)是一个常见而严重的公共卫生问题。传统的神经影像学检查发现,轻度创伤性脑损伤患儿的神经系统通常是正常的,这就使他们面临着重复轻度创伤性脑损伤(rmTBI)的风险。我们需要更灵敏的成像技术来检测损伤后细微的神经生理变化。我们使用全脑弥散张量成像技术和质子磁共振波谱技术,在 7 特斯拉下检测了 18 天大的雄性大鼠在 mTBI 和 rmTBI 后 7 天的神经化学和白质变化。使用免疫组化技术通过β-淀粉样前体蛋白的积累来评估创伤性轴突损伤。与假性脑损伤相比,单次 mTBI 后多个脑区的分数各向异性明显降低,轴向和径向扩散性明显增加,尤其是白质脑区。与假体相比,mTBI 和 rmTBI 降低了 N-乙酰天冬氨酸/肌酸比率(NAA/Cr),增加了肌醇/肌酸比率(Ins/Cr)。与假体相比,rmTBI 后胆碱/肌酸(Cho/Cr)和(脂质/大分子 1)/肌酸(Lip/Cr)比率也有所下降。弥散张量成像结果以及rmTBI后Cho和Lip的下降可能反映了轴突膜的损伤。NAA 和 Ins 在 mTBI 和 rmTBI 后 7 天发生变化,可能分别反映了神经轴突损伤和神经胶质反应。这些发现可能有助于了解未成熟大脑在受到 mTBI 和 rmTBI 伤害后的残疾程度,并可能确定可能的治疗目标。
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