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Deep cervical lymphaticovenous anastomosis in Alzheimer's disease: A promising frontier or premature enthusiasm? 颈淋巴孔深吻合治疗阿尔茨海默病:前景看好还是热情过早?
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-05-09 Epub Date: 2025-04-15 DOI: 10.5582/bst.2025.01108
Ya-Nan Ma, Zijie Wang, Wei Tang

Alzheimer's disease (AD) is a progressive neurodegenerative disorder marked by β-amyloid accumulation, tau pathology, and impaired metabolic waste clearance. Recent evidence suggests that meningeal lymphatic vessels (MLVs) contribute significantly to the drainage of cerebrospinal and interstitial fluid. Deep cervical lymphaticovenous anastomosis (LVA), a microsurgical technique designed to enhance this drainage, has been proposed as a potential therapeutic strategy for AD. Preliminary findings from exploratory studies in China indicate possible cognitive and biomarker improvements, but current evidence is limited by small sample sizes, non-randomized designs, and methodological variability. Without standardized protocols and rigorous clinical validation, the broader applicability of LVA remains uncertain. Further investigation through multicenter, controlled trials is essential to objectively assessing its safety, efficacy, and clinical relevance in the management of AD.

阿尔茨海默病(AD)是一种进行性神经退行性疾病,其特征是β-淀粉样蛋白积累、tau蛋白病理和代谢废物清除受损。最近的证据表明,脑膜淋巴管(mlv)对脑脊液和间质液的引流有重要作用。颈淋巴窝深吻合(LVA)是一种显微外科技术,旨在加强这种引流,已被提出作为AD的潜在治疗策略。中国探索性研究的初步结果表明,认知和生物标志物可能有所改善,但目前的证据受到样本量小、非随机设计和方法可变性的限制。没有标准化的方案和严格的临床验证,LVA的广泛适用性仍然不确定。通过多中心对照试验的进一步研究对于客观评估其在AD治疗中的安全性、有效性和临床相关性至关重要。
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引用次数: 0
Risk stratification model for predicting distant metastasis after hepatectomy for hepatocellular carcinoma: A multi-institutional analysis. 预测肝细胞癌切除术后远处转移的风险分层模型:一项多机构分析。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-05-09 Epub Date: 2025-03-04 DOI: 10.5582/bst.2024.01387
Ming-Da Wang, Shao-Dong Lv, Yong-Kang Diao, Jia-Hao Xu, Fu-Jie Chen, Yu-Chen Li, Wei-Min Gu, Hong Wang, Yu-Ze Yang, Yong-Yi Zeng, Ya-Hao Zhou, Xian-Ming Wang, Jie Li, Ting-Hao Chen, Ying-Jian Liang, Lan-Qing Yao, Li-Hui Gu, Han Wu, Xin-Fei Xu, Chao Li, Feng Shen, Tian Yang

Distant metastasis after hepatectomy for hepatocellular carcinoma (HCC) significantly impairs long-term outcome. This study aimed to identify patterns, risk factors, and develop a prediction model for distant metastasis at first recurrence following HCC resection. This multi-center retrospective study included patients undergoing curative hepatectomy for HCC. Risk factors for distant metastasis were identified using Cox regression. A nomogram was constructed and validated using the concordance index (C-index) and calibration curves. Among 2,705 patients, 1,507 experienced recurrence, with 342 (22.7 per cent) developing distant metastasis. Common metastatic sites included extrahepatic vessels (36.2 per cent), lungs (26.0 per cent), and lymph nodes (20.8 per cent). Patients with distant metastasis had significantly worse 5-year overall survival compared to those with intrahepatic recurrence (9.1 versus 41.1 per cent, p < 0.001). Independent risk factors included preoperative tumor rupture, tumor size over 5.0 cm, multiple tumors, satellite nodules, macro- and microvascular invasion, narrow resection margin, and intraoperative blood transfusion. The nomogram demonstrated excellent discrimination (C-index > 0.85) and accurately stratified patients into three risk categories. In conclusion, distant metastasis at first recurrence following HCC resection was associated with poor prognosis. The proposed nomogram facilitates accurate prediction of distant metastasis, potentially informing personalized postoperative monitoring and interventions for high-risk patients.

肝细胞癌(HCC)切除术后远处转移显著损害远期预后。本研究旨在确定肝癌切除术后首次复发远处转移的模式、危险因素并建立预测模型。这项多中心回顾性研究纳入了接受根治性肝切除术的HCC患者。采用Cox回归分析确定远处转移的危险因素。采用一致性指数(C-index)和校准曲线构建了nomogram,并对其进行了验证。在2705例患者中,1507例复发,其中342例(22.7%)发生远处转移。常见的转移部位包括肝外血管(36.2%)、肺(26.0%)和淋巴结(20.8%)。远处转移患者的5年总生存率明显低于肝内复发患者(9.1%对41.1%,p < 0.001)。独立危险因素包括术前肿瘤破裂、肿瘤大小大于5.0 cm、多发肿瘤、卫星结节、大微血管侵犯、切缘狭窄、术中输血。nomogram鉴别能力强(C-index > 0.85),能准确地将患者分为三种危险类型。总之,HCC切除术后首次复发远处转移与预后不良相关。所提出的nomogram有助于准确预测远处转移,为高危患者提供个性化的术后监测和干预措施。
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引用次数: 0
N5-((perfluorophenyl)amino)glutamine regulates BACE1, tau phosphorylation, synaptic function, and neuroinflammation in Alzheimer's disease models. N5-((全氟苯基)氨基)谷氨酰胺调节BACE1、tau磷酸化、突触功能和阿尔茨海默病模型中的神经炎症。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-25 DOI: 10.5582/bst.2024.01360
Jun-Sik Kim, Yongeun Cho, Jeongmi Lee, Heewon Cho, Sukmin Han, Yeongyeong Lee, Yeji Jeon, Tai Kyoung Kim, Ju-Mi Hong, Jeonghyeong Im, Minshik Chae, Yujeong Lee, Hyunwook Kim, Sang Yoon Park, Sung Hyun Kim, Joung Han Yim, Dong-Gyu Jo

Alzheimer's disease (AD) is the most common type of dementia. Its incidence is rising rapidly as the global population ages, leading to a significant social and economic burden. AD involves complex pathologies, including amyloid plaque accumulation, synaptic dysfunction, and neuroinflammation. This study explores the therapeutic potential of N 5 -((perfluorophenyl)amino)glutamine (RA-PF), a derivative of γ-glutamyl-N'-(2-hydroxyphenyl)hydrazide (Ramalin), a compound with antioxidant and anti-inflammatory properties. Administration of RA-PF to 5xFAD mice decreases BACE1, reduces Aβ plaque deposition, inhibits microglial activation, restores synaptic transmission, and improves mitochondrial motility, leading to the recovery of cognitive function. Additionally, RA-PF treatment in 3xTg-AD mice alleviates anxiety-like behaviors, tau phosphorylation via inactivating GSK-3β, and BACE1 expression. Further transcriptomic analysis reveals RA-PF treatment in AD mice models recovers phagosome, inflammation, NOD-like receptor, presynaptic membrane, and postsynaptic membrane related signaling pathways. These findings suggest that RA-PF effectively targets multiple aspects of AD pathology, offering a novel multi-target approach for AD treatment.

阿尔茨海默病(AD)是最常见的痴呆症类型。随着全球人口老龄化,其发病率正在迅速上升,造成了重大的社会和经济负担。AD涉及复杂的病理,包括淀粉样斑块积聚、突触功能障碍和神经炎症。本研究探讨了n5 -(全氟苯基)氨基)谷氨酰胺(RA-PF)的治疗潜力,它是γ-谷氨酰胺-N'-(2-羟基苯基)肼(Ramalin)的衍生物,具有抗氧化和抗炎特性。给5xFAD小鼠给予RA-PF可降低BACE1,减少Aβ斑块沉积,抑制小胶质细胞活化,恢复突触传递,改善线粒体运动,从而恢复认知功能。此外,在3xTg-AD小鼠中,RA-PF治疗通过灭活GSK-3β和BACE1表达来减轻焦虑样行为、tau磷酸化。进一步的转录组学分析显示,RA-PF治疗在AD小鼠模型中恢复了吞噬体、炎症、nod样受体、突触前膜和突触后膜相关的信号通路。这些发现表明,RA-PF有效靶向AD病理的多个方面,为AD治疗提供了一种新的多靶点方法。
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引用次数: 0
From light to insight: Functional near-infrared spectroscopy for unravelling cognitive impairment during task performance. 从光到洞察力:功能性近红外光谱在任务执行过程中揭示认知障碍。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-25 DOI: 10.5582/bst.2024.01362
Na Liu, Lingling Yang, Xiuqing Yao, Yaxi Luo

Cognitive impairment refers to the impairment of higher brain functions such as perception, thinking or memory that affects the individual's ability to perform daily or social activities. Studies have found that changes in neuronal activity during tasks in patients with cognitive impairment are closely related to changes in cerebral cortical hemodynamics. Functional near-infrared spectroscopy is an indirect method to measure neural activity based on changes in blood oxygen concentration in the cerebral cortex. Due to its strong anti-motion interference, high compatibility, and almost no restriction on participants and environment, it has shown great potential in the research field of cognitive impairment. Recognizing these benefits, this comprehensive review systematically elucidates the rationale, historical development, advantages and disadvantages of functional near-infrared spectroscopy, and also discusses the applications of combining functional near-infrared spectroscopy with other detection techniques. Additionally, this review summarized how functional near-infrared spectroscopy can be applied to cognitive impairment caused by different diseases, ultimately aiding the study of neural mechanisms of cognitive activities, which is crucial for the diagnosis, differentiation and treatment of cognitive impairment.

认知障碍是指影响个人日常或社会活动能力的感知、思维或记忆等高级大脑功能的损害。研究发现,认知障碍患者在任务过程中神经元活动的变化与大脑皮层血流动力学的变化密切相关。功能近红外光谱是一种间接测量神经活动的方法,基于大脑皮层血氧浓度的变化。由于其抗运动干扰能力强,兼容性高,几乎不受参与者和环境的限制,在认知障碍的研究领域显示出巨大的潜力。鉴于这些优点,本文全面系统地阐述了功能近红外光谱的基本原理、历史发展、优缺点,并讨论了功能近红外光谱与其他检测技术相结合的应用。此外,本文综述了功能近红外光谱在不同疾病引起的认知障碍中的应用,最终有助于研究认知活动的神经机制,这对认知障碍的诊断、鉴别和治疗至关重要。
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引用次数: 0
Multimodal optimal matching and augmentation method for small sample gesture recognition. 小样本手势识别的多模态优化匹配与增强方法。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-25 DOI: 10.5582/bst.2024.01370
Wenli Zhang, Bo Liu, Tingsong Zhao, Shuyan Qie

In human-computer interaction, gesture recognition based on physiological signals offers advantages such as a more natural and fast interaction mode and less constrained by the environment than visual-based. Surface electromyography-based gesture recognition has significantly progressed. However, since individuals have physical differences, researchers must collect data multiple times from each user to train the deep learning model. This data acquisition process can be particularly burdensome for non-healthy users. Researchers are currently exploring transfer learning and data augmentation techniques to enhance the accuracy of small-sample gesture recognition models. However, challenges persist, such as negative transfer and limited diversity in training samples, leading to suboptimal recognition performance. Therefore, We introduce motion information into sEMG-based recognition and propose a multimodal optimal matching and augmentation method for small sample gesture recognition, achieving efficient gesture recognition with only one acquisition per gesture. Firstly, this method utilizes the optimal matching signal selection module to select the most similar signals from the existing data to the new user as the training set, reducing inter-domain differences. Secondly, the similarity calculation augmentation module enhances the diversity of the training set. Finally, the Modal-type embedding enhances the information interaction between each mode signal. We evaluated the effectiveness on Self-collected Stroke Patient, the Ninapro DB1 dataset and the Ninapro DB5 dataset and achieved accuracies of 93.69%, 91.65% and 98.56%, respectively. These results demonstrate that the method achieved performance comparable to traditional recognition models while significantly reducing the collected data.

在人机交互中,基于生理信号的手势识别比基于视觉的手势识别具有更自然、更快速的交互方式和更少的环境约束等优点。基于表面肌电图的手势识别已经取得了显著的进展。然而,由于个体存在生理差异,研究人员必须从每个用户那里多次收集数据来训练深度学习模型。对于不健康的用户来说,这种数据获取过程可能特别繁重。研究人员目前正在探索迁移学习和数据增强技术,以提高小样本手势识别模型的准确性。然而,挑战仍然存在,例如训练样本的负迁移和有限的多样性,导致次优识别性能。因此,我们将运动信息引入到基于表面肌电信号的识别中,并提出了一种多模态最优匹配和增强方法,用于小样本手势识别,实现了每个手势仅需一次采集的高效手势识别。首先,该方法利用最优匹配信号选择模块,从现有数据中选择与新用户最相似的信号作为训练集,减少域间差异;其次,相似度计算增强模块增强了训练集的多样性;最后,模态型嵌入增强了各模态信号之间的信息交互。我们对Self-collected Stroke患者、Ninapro DB1数据集和Ninapro DB5数据集进行了有效性评估,准确率分别为93.69%、91.65%和98.56%。这些结果表明,该方法在显著减少收集数据的同时,取得了与传统识别模型相当的性能。
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引用次数: 0
Growth and differentiation factor 15: An emerging therapeutic target for brain diseases. 生长与分化因子15:脑疾病的新治疗靶点
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-25 DOI: 10.5582/bst.2024.01305
Yingying Zhou, Lei Dou, Luyao Wang, Jiajie Chen, Ruxue Mao, Lingqiang Zhu, Dan Liu, Kai Zheng

Growth and differentiation factor 15 (GDF15), a member of the transforming growth factor-βsuperfamily, is considered a stress response factor and has garnered increasing attention in recent years due to its roles in neurological diseases. Although many studies have suggested that GDF15 expression is elevated in patients with neurodegenerative diseases (NDDs), glioma, and ischemic stroke, the effects of increased GDF15 expression and the potential underlying mechanisms remain unclear. Notably, many experimental studies have shown the multidimensional beneficial effects of GDF15 on NDDs, and GDF15 overexpression is able to rescue NDD-associated pathological changes and phenotypes. In glioma, GDF15 exerts opposite effects, it is both protumorigenic and antitumorigenic. The causes of these conflicting findings are not comprehensively clear, but inhibiting GDF15 is helpful for suppressing tumor progression. GDF15 is also regarded as a biomarker of poor clinical outcomes in ischemic stroke patients, and targeting GDF15 may help prevent this disease. Thus, we systematically reviewed the synthesis, transcriptional regulation, and biological functions of GDF15 and its related signaling pathways within the brain. Furthermore, we explored the potential of GDF15 as a therapeutic target and assessed its clinical applicability in interventions for brain diseases. By integrating the latest research findings, this study provides new insights into the future treatment of neurological diseases.

生长分化因子15 (Growth and differentiation factor 15, GDF15)是转化生长因子-β超家族的一员,被认为是一种应激反应因子,近年来因其在神经系统疾病中的作用而受到越来越多的关注。尽管许多研究表明GDF15在神经退行性疾病(ndd)、胶质瘤和缺血性卒中患者中表达升高,但GDF15表达升高的影响及其潜在机制尚不清楚。值得注意的是,许多实验研究表明GDF15对ndd具有多方面的有益作用,并且GDF15过表达能够挽救ndd相关的病理改变和表型。在胶质瘤中,GDF15发挥相反的作用,它具有致蛋白性和抗肿瘤性。这些相互矛盾的发现的原因尚不完全清楚,但抑制GDF15有助于抑制肿瘤进展。GDF15也被认为是缺血性卒中患者临床预后不良的生物标志物,靶向GDF15可能有助于预防这种疾病。因此,我们系统地综述了GDF15的合成、转录调控、生物学功能及其在大脑中的相关信号通路。此外,我们探索了GDF15作为治疗靶点的潜力,并评估了其在脑部疾病干预中的临床适用性。通过整合最新的研究成果,本研究为未来神经系统疾病的治疗提供了新的见解。
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引用次数: 0
Plasma extracellular vesicle pathognomonic proteins as the biomarkers of the progression of Parkinson's disease. 血浆细胞外囊泡病理特异蛋白作为帕金森病进展的生物标志物
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-02-09 DOI: 10.5582/bst.2024.01369
Chien-Tai Hong, Chen-Chih Chung, Yi-Chen Hsieh, Lung Chan

Parkinson's disease (PD) is a progressive neurodegenerative disorder for which reliable blood biomarkers to predict disease progression remain elusive. Plasma extracellular vesicles (EVs) have gained attention as a promising biomarker platform due to their stability and ability to cross the blood-brain barrier. This study explored the potential of EV-cargo proteins, specifically α-synuclein, tau, and β-amyloid, as biomarkers of PD progression. A cohort of 55 people with PD (PwP) and 58 healthy controls (HCs) underwent annual assessments of plasma EV proteins, cognition, and motor symptoms. EVs were isolated and validated using standardized methods, with pathognomonic proteins quantified via immunomagnetic reduction assays. Associations between biomarker changes and clinical symptom progression were analyzed. Over an average of 3.96 visits for PwP and 2.25 visits for HCs, PwP exhibited a distinct pattern of plasma EV protein changes linked to motor symptom progression, particularly in the Unified PD Rating Scale (UPDRS) part II score. Notably, changes in plasma EV α-synuclein levels were significantly correlated with changes in motor and cognitive symptoms, suggesting its central role in disease progression. These findings highlight the potential of plasma EV biomarkers, especially α-synuclein, as indicators of ongoing pathogenesis and as candidates for evaluating α-synuclein-targeted therapies in PD.

帕金森病(PD)是一种进行性神经退行性疾病,可靠的血液生物标志物预测疾病进展仍然难以捉摸。血浆细胞外囊泡(EVs)由于其稳定性和穿越血脑屏障的能力而成为一种有前途的生物标志物平台。本研究探讨了ev货物蛋白,特别是α-突触核蛋白、tau蛋白和β-淀粉样蛋白作为PD进展的生物标志物的潜力。55名PD患者(PwP)和58名健康对照者(hc)每年接受血浆EV蛋白、认知和运动症状的评估。采用标准化方法分离和验证ev,并通过免疫磁还原法定量致病蛋白。分析生物标志物变化与临床症状进展之间的关系。PwP患者平均就诊3.96次,hc患者平均就诊2.25次,PwP患者表现出与运动症状进展相关的血浆EV蛋白变化的独特模式,特别是在统一PD评定量表(UPDRS)第二部分评分中。值得注意的是,血浆EV α-突触核蛋白水平的变化与运动和认知症状的变化显著相关,提示其在疾病进展中的核心作用。这些发现突出了血浆EV生物标志物,特别是α-突触核蛋白,作为正在进行的发病机制的指标和评估α-突触核蛋白靶向治疗PD的候选物的潜力。
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引用次数: 0
The glamor of and insights regarding hydrotherapy, from simple immersion to advanced computer-assisted exercises: A narrative review. 关于水疗的魅力和见解,从简单的浸入到先进的计算机辅助练习:叙述回顾。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-03 DOI: 10.5582/bst.2024.01356
Yaohan Peng, Yucong Zou, Tetsuya Asakawa

Water-based therapy has been gaining attention in recent years and is being widely used in clinical settings. Hydrotherapy is the most important area of water-based therapy, and it has distinct advantages and characteristics compared to conventional land-based exercises. Several new techniques and pieces of equipment are currently emerging with advances in computer technologies. However, comprehensive reviews of hydrotherapy are insufficient. Hence, this study reviewed the status quo, mechanisms, adverse events and contraindications, and future prospects of the use of hydrotherapy. This study aims to comprehensively review the latest information regarding the application of hydrotherapy to musculoskeletal diseases, neurological diseases, and COVID-19. We have attempted to provide a "take-home message" regarding the clinical applications and mechanisms of hydrotherapy based on the latest evidence available.

近年来,水基疗法受到越来越多的关注,并广泛应用于临床。水疗法是水基疗法中最重要的领域,与传统的陆基练习相比,它具有明显的优势和特点。随着计算机技术的进步,一些新技术和新设备正在出现。然而,对水疗法的综合评价是不够的。因此,本研究综述了水疗法的现状、机制、不良事件和禁忌症,并对其应用前景进行了展望。本研究旨在全面综述水疗法在肌肉骨骼疾病、神经系统疾病和COVID-19中的应用的最新信息。我们试图根据现有的最新证据,就水疗法的临床应用和机制提供一个“带回家的信息”。
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引用次数: 0
Intestinal microbiota distribution and changes in different stages of Parkinson's disease: A meta-analysis, bioinformatics analysis and in vivo simulation. 帕金森病不同阶段肠道菌群分布和变化:荟萃分析、生物信息学分析和体内模拟
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-01-25 DOI: 10.5582/bst.2024.01352
Tingyue Jiang, Yu Wang, Wenxin Fan, Yifan Lu, Ge Zhang, Jiayuan Li, Renzhi Ma, Mengmeng Liu, Jinli Shi

Parkinson's disease (PD) is a progressive disease that requires effective staging management. The role of intestinal microbiota in PD has been studied, but its changes at different stages are not clear. In this study, meta- analysis, bioinformatics analysis and in vivo simulation were used to explore the intestinal microbiota distribution of PD patients and models at different stages. Two PD models at different stages were established in rotenone-treated rats and MPTP-induced mice. The differences in the intestinal microbiota among the different stages of PD patients or models were compared and analyzed. There were significant differences between PD patients and controls, including Actinobacteriota, Deltaproteobacteria, Clostridiales, Lachnospiraceae, Parabacteroides, etc. Through bioinformatics analysis, we revealed significant differences between PD patients at different stages and controls, including Actinobacteriota, Methanobacteria, Erysipelotrichales, Prevotellaceae, Parabacteroides, Parabacteroides gordonii, etc. Through meta-analysis, we found that Actinobacteriota and Erysipelotrichaceae had significantly increased in the chronic MPTP model, while Prevotellaceae had significantly decreased. PD rats and mice presented significant damage to motor function, coordination, autonomous activity ability and gastrointestinal function, and the damage in the late group was greater than that in the early group. There were significant differences in intestinal microbiota between PD patients or models at different stages and the control groups. In the early stage, the dominant microbiota are Akkermansia, Alistipes, Anaerotruncus, Bilophila, Rikenellaceae, Verrucomicrobia and Verrucomicrobiae, whereas in the late stage, the dominant microbiota are Actinobacteriota and Erysipelotrichaceae. These differences can lay a foundation for subsequent research on the treatment and mechanism of PD at different stages.

帕金森病(PD)是一种进行性疾病,需要有效的分期管理。肠道菌群在PD中的作用虽有研究,但其在不同阶段的变化尚不清楚。本研究采用meta分析、生物信息学分析和体内模拟等方法,探讨PD患者及模型不同阶段肠道菌群分布。鱼藤酮治疗大鼠和mptp诱导小鼠分别建立不同时期的PD模型。比较分析不同阶段PD患者或模型肠道菌群的差异。PD患者与对照组间差异有统计学意义,包括放线菌门、三角变形菌门、梭菌门、毛螺杆菌科、副杆菌门等。通过生物信息学分析,我们发现不同阶段PD患者与对照组之间存在显著差异,包括放线菌门(Actinobacteriota)、甲烷菌门(Methanobacteria)、丹毒杆菌门(Erysipelotrichales)、Prevotellaceae、Parabacteroides、Parabacteroides gordonii等。通过meta分析,我们发现在慢性MPTP模型中,放线菌群(Actinobacteriota)和丹毒菌群(erysipelotricaceae)显著增加,而Prevotellaceae显著减少。PD大鼠和小鼠的运动功能、协调能力、自主活动能力和胃肠功能均出现明显损伤,且晚期组损伤大于早期组。不同阶段PD患者或模型与对照组肠道菌群差异有统计学意义。早期优势菌群为Akkermansia、Alistipes、Anaerotruncus、Bilophila、Rikenellaceae、Verrucomicrobia和Verrucomicrobiae,后期优势菌群为放线菌群(Actinobacteriota)和丹毒菌(erysipelotricaceae)。这些差异可以为后续研究不同阶段PD的治疗及发病机制奠定基础。
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引用次数: 0
Post-stroke dysphagia: Neurological regulation and recovery strategies. 脑卒中后吞咽困难:神经调节和恢复策略。
IF 5.7 4区 生物学 Q1 BIOLOGY Pub Date : 2025-03-06 Epub Date: 2025-02-22 DOI: 10.5582/bst.2025.01029
Xinyue Li, Minmin Wu, Jiongliang Zhang, Donghui Yu, Yuting Wang, Yumeng Su, Xiangyu Wei, Xun Luo, Qing Mei Wang, Luwen Zhu

Swallowing is a complex process requiring precise coordination of numerous muscles in the head and neck to smoothly guide ingested material from the mouth to the stomach. Animal and human studies have revealed a complex network of neurons in the brainstem, cortex, and cerebellum that coordinate normal swallowing. The interactions between these regions ensure smooth and efficient swallowing. However, the current understanding of the neurophysiological mechanisms involved in post-stroke dysphagia (PSD) is incomplete, and complete functional connectivity for swallowing recovery remains understudied and requires further exploration. In this review, we discussed the neuroanatomy of swallowing and the pathogenesis of PSD and summarized the factors affecting PSD recovery. We also described the plasticity of neural networks affecting PSD, including enhancing activation of neural pathways, cortical reorganization, regulation of extracellular matrix dynamics and its components, modulation of neurotransmitter delivery, and identification of potential therapeutic targets for functional recovery in PSD. Finally, we discussed the therapeutic strategies based on functional compensation and motor learning. This review aimed to provide a reference for clinicians and researchers to promote the optimization of PSD treatments and explore future research directions.

吞咽是一个复杂的过程,需要头部和颈部众多肌肉的精确协调,才能顺利地将摄入的物质从口腔输送到胃部。动物和人类研究已经揭示了脑干、皮层和小脑中协调正常吞咽的复杂神经元网络。这些区域之间的相互作用确保了吞咽的顺畅和有效。然而,目前对卒中后吞咽困难(PSD)的神经生理机制的了解尚不完整,吞咽恢复的完整功能连接仍有待研究,需要进一步探索。本文就吞咽神经解剖学、PSD的发病机制及影响PSD康复的因素作一综述。我们还描述了影响PSD的神经网络的可塑性,包括增强神经通路的激活,皮层重组,细胞外基质动力学及其组分的调节,神经递质传递的调节,以及PSD功能恢复的潜在治疗靶点的鉴定。最后,我们讨论了基于功能补偿和运动学习的治疗策略。本文旨在为临床医生和研究人员提供参考,以促进PSD治疗的优化和探索未来的研究方向。
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