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Correction to: Quantitative susceptibility mapping at 7 T in COVID-19: brainstem effects and outcome associations. 更正:COVID-19 中 7 T 的定量易感图:脑干效应和结果关联。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae332
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引用次数: 0
Proteostasis restoration: a new metric for tau immunotherapy efficacy. 蛋白稳态恢复:tau 免疫疗法疗效的新指标。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae382
Geoffrey Canet, Emmanuel Planel
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引用次数: 0
Annexin A11 mutations are associated with nuclear envelope dysfunction in vivo and in human tissues. Annexin A11 突变与体内和人体组织中的核包膜功能障碍有关。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae226
Valentina Marchica, Luca Biasetti, Jodi Barnard, Shujing Li, Nikolas Nikolaou, Matthew P Frosch, Diane E Lucente, Mark Eldaief, Andrew King, Manolis Fanto, Claire Troakes, Corinne Houart, Bradley N Smith

Annexin A11 mutations are a rare cause of amyotrophic lateral sclerosis (ALS), wherein replicated protein variants P36R, G38R, D40G and D40Y are located in a small helix within the long, disordered N-terminus. To elucidate disease mechanisms, we characterized the phenotypes induced by a genetic loss-of-function and by misexpression of G38R and D40G in vivo. Loss of Annexin A11 results in a low-penetrant behavioural phenotype and aberrant axonal morphology in zebrafish homozygous knockout larvae, which is rescued by human wild-type Annexin A11. Both Annexin A11 knockout/down and ALS variants trigger nuclear dysfunction characterized by Lamin B2 mislocalization. The Lamin B2 signature also presented in anterior horn, spinal cord neurons from post-mortem ALS ± frontotemporal dementia patient tissue possessing G38R and D40G protein variants. These findings suggest mutant Annexin A11 acts as a dominant negative, revealing a potential early nucleopathy highlighting nuclear envelope abnormalities preceding behavioural abnormality in animal models.

附件蛋白 A11 突变是肌萎缩性脊髓侧索硬化症(ALS)的一种罕见病因,其中复制的蛋白质变体 P36R、G38R、D40G 和 D40Y 位于长而紊乱的 N 端内的一个小 α 螺旋中。为了阐明疾病机制,我们研究了遗传性功能缺失(LoF)和体内误表达 G38R 和 D40G 所诱导的表型。在斑马鱼同基因敲除幼体中,Annexin A11的缺失会导致低侵袭性的行为表型和异常的轴突形态,而人类WT Annexin A11可以挽救这种表型。Annexin A11 基因敲除/降低和 ALS 变体都会引发以 Lamin B2 错定位为特征的核功能障碍。拥有 G38R 和 D40G 蛋白变体的 ALS+/-FTD 患者组织的前角、脊髓神经元中也出现了 Lamin B2 特征。这些研究结果表明,突变的Annexin A11具有显性阴性的作用,揭示了潜在的早期核病变,突出了动物模型中行为异常之前的核包膜异常。
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引用次数: 0
Unravelling the origin of reward positivity: a human intracranial event-related brain potential study. 揭示奖赏积极性的起源:人类颅内事件相关脑电位研究。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae259
Joyce Oerlemans, Ricardo J Alejandro, Dirk Van Roost, Paul Boon, Veerle De Herdt, Alfred Meurs, Clay B Holroyd

Reward positivity (RewP) is an event-related brain potential component that emerges ∼250-350 ms after receiving reward-related feedback stimuli and is believed to be important for reinforcement learning and reward processing. Although numerous localization studies have indicated that the anterior cingulate cortex (ACC) is the neural generator of this component, other studies have identified sources outside of the ACC, fuelling a debate about its origin. Because the results of EEG and magnetoencephalography source-localization studies are severely limited by the inverse problem, we addressed this question by leveraging the high spatial and temporal resolution of intracranial EEG. We predicted that we would identify a neural generator of rthe RewP in the caudal ACC. We recorded intracranial EEG in 19 patients with refractory epilepsy who underwent invasive video-EEG monitoring at Ghent University Hospital, Belgium. Participants engaged in the virtual T-maze task, a trial-and-error task known to elicit a canonical RewP, while scalp and intracranial EEG were recorded simultaneously. The RewP was identified using a difference wave approach for both scalp and intracranial EEG. The data were aggregated across participants to create a virtual 'meta-participant' that contained all the recorded intracranial event-related brain potentials with respect to their intracranial contact locations. We used both hypothesis-driven (focused on ACC) and exploratory (whole-brain analysis) approaches to segment the brain into regions of interest. For each region of interest, we evaluated the degree to which the time course of the absolute current density (ACD) activity mirrored the time course of the RewP, and we confirmed the statistical significance of the results using permutation analysis. The grand average waveform of the scalp data revealed a RewP at 309 ms after reward feedback with a frontocentral scalp distribution, consistent with the identification of this component as the RewP. The meta-participant contained intracranial event-related brain potentials recorded from 582 intracranial contacts in total. The ACD activity of the aggregated intracranial event-related brain potentials was most similar to the RewP in the left caudal ACC, left dorsolateral prefrontal cortex, left frontomedial cortex and left white matter, with the highest score attributed to caudal ACC, as predicted. To our knowledge, this is the first study to use intracranial EEG aggregated across multiple human epilepsy patients and current source density analysis to identify the neural generator(s) of the RewP. These results provide direct evidence that the ACC is a neural generator of the RewP.

奖赏阳性(RewP)是一种与事件相关的脑电位(ERP)成分,在接收到与奖赏相关的反馈刺激后大约 250 至 350 毫秒(ms)出现,被认为对强化学习和奖赏处理非常重要。尽管大量定位研究表明,前扣带回皮层(ACC)是这一成分的神经发生器,但其他研究发现了 ACC 以外的来源,从而加剧了对其起源的争论。由于 EEG 和 MEG 信号源定位研究的结果受到逆问题的严重限制,我们利用颅内 EEG 的高空间和时间分辨率来解决这个问题。我们预测,我们将在尾部 ACC 发现 RewP 的神经发生器。我们记录了在比利时根特大学医院接受有创视频脑电图监测的 19 名难治性癫痫患者的颅内脑电图。参与者参与了虚拟 T 型迷宫任务(vTMT),这是一项已知能诱发典型 RewP 的试错任务,同时头皮和颅内脑电图也被记录下来。头皮和颅内脑电图均采用差分波方法识别 RewP。我们对所有参与者的数据进行了汇总,以创建一个虚拟的 "元参与者",其中包含与颅内接触位置相关的所有颅内 ERPs(iERPs)记录。我们采用假设驱动法(侧重于 ACC)和探索法(全脑分析)将大脑划分为感兴趣区(ROI)。对于每个 ROI,我们评估了绝对电流密度 (ACD) 活动的时间进程与 RewP 时间进程的反映程度,并使用排列分析确认了结果的统计学意义。头皮数据的总平均波形显示,奖赏反馈后 309 毫秒时出现了 RewP,且分布在头皮的前中央,这与将该成分确定为 RewP 是一致的。元参与者共包含 582 个颅内触点记录的 iERP。聚集的 iERPs 的 ACD 活动在左侧尾部 ACC、左侧背外侧前额叶皮层、左侧前内侧皮层和左侧白质中与 RewP 最为相似,而尾部 ACC 的得分最高,正如预测的那样。据我们所知,这是第一项利用多名人类癫痫患者的颅内脑电图聚集和电流源密度分析来确定RewP的神经发生器的研究。这些结果提供了直接证据,证明ACC是RewP的神经发生器。
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引用次数: 0
Perceptual rivalry in neuroscience, magic and philosophy 神经科学、魔法和哲学中的知觉竞争
IF 14.5 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awaf002
Reinhard Hohlfeld
Optical illusions are ‘self-performing’ magic tricks in which the brain takes on the role of the magician. Reinhard Hohlfeld considers what optical illusions can tell us about the inner workings—and limitations—of the mind.
视错觉是一种“自我表演”的魔术,其中大脑扮演了魔术师的角色。莱因哈德·霍尔菲尔德认为视错觉可以告诉我们心灵的内部运作和局限性。
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引用次数: 0
Exploring the link between dystrophic microglia and the spread of Alzheimer's neuropathology. 探索萎缩性小胶质细胞与阿尔茨海默氏症神经病理学扩散之间的联系。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae258
Ryan K Shahidehpour, Peter T Nelson, Yuriko Katsumata, Adam D Bachstetter

Genetics and other data modalities indicate that microglia play a critical role in Alzheimer's disease progression, but details of the disease-driving influence of microglia are poorly understood. Microglial cells can be parsed into subtypes based on their histological appearance. One subtype of microglia, termed dystrophic microglia, is characterized structurally by fragmented processes and cytoplasmic decay, and their presence has been associated with ageing and neurodegeneration. Recent studies suggest that the interaction between tau proteins and amyloid-β might induce dystrophic changes in microglia, potentially linking amyloid-β and tau pathologies to their effects on these microglia. We developed a study of human brains to test the hypothesis that dystrophic microglia are involved in Alzheimer's disease progression. We speculated that if their presence is unique to Alzheimer's disease neuropathological change, they would be substantially more common in Alzheimer's disease neuropathological change than in neurodegenerative diseases characterized by other proteinopathies, e.g. α-synuclein or transactive response (TAR) DNA-binding protein 43 kDa (TDP-43) pathology. Our analyses used histologically stained sections from five human brain regions of 64 individuals across six disease states, from healthy controls to advanced Alzheimer's disease stages, including comparative conditions such as Lewy body disease and limbic-predominant age-related TDP-43 encephalopathy neuropathological change. Using stereological sampling and digital pathology, we assessed populations of ramified, hypertrophic and dystrophic microglia. We found a significant increase in dystrophic microglia in areas affected early by Alzheimer's disease neuropathological change, suggesting a disease-specific role in neuropathology. Mediation analysis and structural equation modelling suggest that dystrophic microglia might impact the regional spread of Alzheimer's disease neuropathological change. In the mediation model, tau was found to be the initiating factor leading to the development of dystrophic microglia, which was then associated with the spread of amyloid-β and tau. These results suggest that a loss of the protective role of microglia could contribute to the spread of Alzheimer's disease neuropathological change and indicate that further research into preserving microglial function might be warranted.

遗传学和其他数据模式表明,小胶质细胞在阿尔茨海默病(AD)的发展过程中起着至关重要的作用,但人们对小胶质细胞驱动疾病的具体影响却知之甚少。小胶质细胞可根据其组织学外观分为不同的亚型。其中一种小胶质细胞亚型被称为萎缩性小胶质细胞,其结构特征是分裂过程和胞质衰变,它们的存在与衰老和神经退行性变有关。最近的研究表明,tau 蛋白和淀粉样蛋白-β之间的相互作用可能会诱发小胶质细胞的萎缩性变化,从而可能将淀粉样蛋白-β和 tau 的病理变化与它们对这些小胶质细胞的影响联系起来。我们对人类大脑进行了一项研究,以验证萎缩性小胶质细胞参与艾滋病进展的假设。我们推测,如果它们的存在是 AD 神经病理学变化(ADNC)所独有的,那么它们在 ADNC 中的常见程度将大大高于以其他蛋白病(如 α-突触核蛋白或 TDP-43 病理学)为特征的神经退行性疾病。我们的分析使用了从健康对照组到晚期AD阶段等六种疾病状态的64人的五个人脑区域的组织染色切片,包括路易体病(LBD)和边缘优势年龄相关TDP-43脑病神经病理学改变(LATE-NC)等比较情况。通过立体取样和数字病理学,我们评估了柱状、肥大和萎缩的小胶质细胞群。我们发现,在早期受 ADNC 影响的区域,萎缩性小胶质细胞明显增加,这表明该病在神经病理学中具有特异性作用。中介分析和结构方程模型表明,萎缩性小胶质细胞可能会影响ADNC的区域扩散。在中介模型中,发现tau是导致萎缩性小胶质细胞发展的起始因素,而萎缩性小胶质细胞的发展又与淀粉样蛋白-β和tau的扩散有关。这些结果表明,小胶质细胞失去保护作用可能会导致ADNC的扩散,并表明可能需要进一步研究如何保护小胶质细胞的功能。
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引用次数: 0
Dysfunction of the magnocellular subdivision of the visual thalamus in developmental dyslexia. 发育性阅读障碍中的视觉丘脑大细胞分支功能障碍。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae235
Christa Müller-Axt, Louise Kauffmann, Cornelius Eichner, Katharina von Kriegstein

Developmental dyslexia (DD) is one of the most common learning disorders, affecting millions of children and adults worldwide. To date, scientific research has attempted to explain DD primarily based on pathophysiological alterations in the cerebral cortex. In contrast, several decades ago, pioneering research on five post-mortem human brains suggested that a core characteristic of DD might be morphological alterations in a specific subdivision of the visual thalamus-the magnocellular lateral geniculate nucleus (M-LGN). However, due to considerable technical challenges in investigating LGN subdivisions non-invasively in humans, this finding was never confirmed in vivo, and its relevance for DD pathology remained highly controversial. Here, we leveraged recent advances in high resolution MRI at high field strength (7 T) to investigate the M-LGN in DD in vivo. Using a case-control design, we acquired data from a large sample of young adults with DD (n = 26; age 28 ± 7 years; 13 females) and matched control participants (n = 28; age 27 ± 6 years; 15 females). Each participant completed a comprehensive diagnostic behavioural test battery and participated in two MRI sessions, including three functional MRI experiments and one structural MRI acquisition. We measured blood oxygen level-dependent responses and longitudinal relaxation rates to compare both groups on LGN subdivision function and myelination. Based on previous research, we hypothesized that the M-LGN is altered in DD and that these alterations are associated with a key DD diagnostic score, i.e. rapid letter and number naming. The results showed aberrant responses of the M-LGN in DD compared to controls, which was reflected in a different functional lateralization of this subdivision between groups. These alterations were associated with rapid letter and number naming performance, specifically in male DD. We also found lateralization differences in the longitudinal relaxation rates of the M-LGN in DD relative to controls. Conversely, the other main subdivision of the LGN, the parvocellular LGN (P-LGN), showed comparable blood oxygen level-dependent responses and longitudinal relaxation rates between groups. The present study is the first to unequivocally show that M-LGN alterations are a hallmark of DD, affecting both the function and microstructure of this subdivision. It further provides a first functional interpretation of M-LGN alterations and a basis for a better understanding of sex-specific differences in DD with implications for prospective diagnostic and treatment strategies.

发育性阅读障碍(DD)是最常见的学习障碍之一,影响着全球数百万儿童和成人。迄今为止,科学研究主要根据大脑皮层的病理生理改变来解释发育性阅读障碍。相反,几十年前,对五个死后人脑的开创性研究表明,DD 的核心特征可能是视觉丘脑的一个特定分支--大细胞 LGN(M-LGN)的形态学改变。然而,由于对人类 LGN 细分进行非侵入性研究存在相当大的技术难度,这一发现从未在活体中得到证实,而且其与 DD 病理学的相关性仍存在很大争议。在这里,我们利用高场强(7 特斯拉)高分辨率磁共振成像(MRI)的最新进展,对 DD 中的 M-LGN 进行了体内研究。我们采用病例对照设计,从大量年轻的 DD 患者(n = 26;年龄 28 ± 7 岁;13 名女性)和匹配的对照组参与者(n = 28;年龄 27 ± 6 岁;15 名女性)中获取数据。每位参与者都完成了全面的行为诊断测试,并参加了两次核磁共振成像会议,包括三次功能核磁共振成像实验和一次结构核磁共振成像采集。我们测量了血氧水平依赖性反应和纵向弛豫率,以比较两组患者的 LGN 细分功能和髓鞘化情况。基于之前的研究,我们假设DD患者的M-LGN会发生改变,而这些改变与DD的一个关键诊断指标,即快速字母和数字命名(RANln)有关。研究结果表明,与对照组相比,DD 患者的 M-LGN 反应异常,这反映在不同组别之间该分区的功能侧化不同。这些改变与 RANln 的表现有关,尤其是在男性 DD 中。我们还发现,与对照组相比,DD 的 M-LGN 纵向松弛率存在侧向差异。与此相反,LGN 的另一个主要分支--细胞旁 LGN(P-LGN)--在不同组间表现出与血氧水平相关的反应和纵向松弛率。本研究首次明确显示,M-LGN 的改变是 DD 的特征之一,它同时影响了这一分支的功能和微观结构。该研究还首次对 M-LGN 改变进行了功能性解释,为更好地理解 DD 的性别差异奠定了基础,并对未来的诊断和治疗策略产生了影响。
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引用次数: 0
Cytoarchitectonic gradients of laminar degeneration in behavioural variant frontotemporal dementia. 行为变异型额颞叶痴呆症片层变性的细胞结构梯度。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae263
Daniel T Ohm, Sharon X Xie, Noah Capp, Sanaz Arezoumandan, Katheryn A Q Cousins, Katya Rascovsky, David A Wolk, Vivianna M Van Deerlin, Edward B Lee, Corey T McMillan, David J Irwin
<p><p>Behavioural variant frontotemporal dementia (bvFTD) is a clinical syndrome caused primarily by either tau (bvFTD-tau) or transactive response DNA-binding protein of 43 kDa (TDP-43) (bvFTD-TDP) proteinopathies. We previously found that lower cortical layers and dorsolateral regions accumulate greater tau than TDP-43 pathology; however, the patterns of laminar neurodegeneration across diverse cytoarchitecture in bvFTD are understudied. We hypothesized that bvFTD-tau and bvFTD-TDP have distinct laminar distributions of pyramidal neurodegeneration along cortical gradients, a topological order of cytoarchitectonic subregions based on increasing pyramidal density and laminar differentiation. Here, we tested this hypothesis in a frontal cortical gradient consisting of five cytoarchitectonic types (i.e. periallocortex, agranular mesocortex, dysgranular mesocortex, eulaminate-I isocortex and eulaminate-II isocortex) spanning the anterior cingulate, paracingulate, orbitofrontal and mid-frontal gyri in bvFTD-tau (n = 27), bvFTD-TDP (n = 47) and healthy controls (n = 32). We immunostained all tissue for total neurons (NeuN; neuronal-nuclear protein) and pyramidal neurons (SMI32; non-phosphorylated neurofilament) and digitally quantified NeuN-immunoreactivity (ir) and SMI32-ir in supragranular II-III, infragranular V-VI and all I-VI layers in each cytoarchitectonic type. We used linear mixed-effects models adjusted for demographic and biological variables to compare SMI32-ir between groups and examine relationships with the cortical gradient, long-range pathways and clinical symptoms. We found regional and laminar distributions of SMI32-ir expected for healthy controls, validating our measures within the cortical gradient framework. The SMI32-ir loss was relatively uniform along the cortical gradient in bvFTD-TDP, whereas SMI32-ir decreased progressively along the cortical gradient of bvFTD-tau and included greater SMI32-ir loss in supragranular eulaminate-II isocortex in bvFTD-tau versus bvFTD-TDP (P = 0.039). Using a ratio of SMI32-ir to model known long-range connectivity between infragranular mesocortex and supragranular isocortex, we found a larger laminar ratio in bvFTD-tau versus bvFTD-TDP (P = 0.019), suggesting that select long-projecting pathways might contribute to isocortical-predominant degeneration in bvFTD-tau. In cytoarchitectonic types with the highest NeuN-ir, we found lower SMI32-ir in bvFTD-tau versus bvFTD-TDP (P = 0.047), suggesting that pyramidal neurodegeneration might occur earlier in bvFTD-tau. Lastly, we found that reduced SMI32-ir was related to behavioural severity and frontal-mediated letter fluency, not temporal-mediated confrontation naming, demonstrating the clinical relevance and specificity of frontal pyramidal neurodegeneration to bvFTD-related symptoms. Our data suggest that loss of neurofilament-rich pyramidal neurons is a clinically relevant feature of bvFTD that worsens selectively along a frontal cortical gradien
行为变异型额颞叶痴呆(bvFTD)是一种主要由 tau(bvFTD-tau)或 TDP-43 (bvFTD-TDP)蛋白病引起的临床综合征。我们以前曾发现皮层下部和背外侧区域积累的 tau 比 TDP-43 的病理程度更高;然而,对 bvFTD 中不同细胞结构的层状神经变性模式的研究还很不够。我们假设,bvFTD-tau 和 bvFTD-TDP 沿皮质梯度具有不同的锥体神经变性层状分布,这是一种基于锥体密度增加和层状分化的细胞结构亚区域拓扑顺序。在这里,我们在由五种细胞结构类型组成的额叶皮层梯度中(即我们在 bvFTD-tau(n=27)、bvFTD-TDP(n=47)和健康对照组(HC;n=32)中横跨前扣带回、旁扣回、眶额回和中额回的五种细胞结构类型(即皮质周围、粒状中皮质、粒状中皮质发育不良、髓质-I 等皮质、髓质-II 等皮质)的额叶皮质梯度中测试了这一假说。我们对所有组织的总神经元(NeuN;神经元核蛋白)和锥体神经元(SMI32;非磷酸化神经丝)进行了免疫染色,并对每种细胞架构类型中颅上II-III层、颅下V-VI层和所有I-VI层的NeuN免疫反应活性(ir)和SMI32-ir进行了数字量化。我们使用线性混合效应模型(根据人口统计学和生物学变量进行调整)来比较不同组间的 SMI32-ir,并研究其与皮质梯度、长程通路和临床症状之间的关系。我们发现,SMI32-ir 的区域和层状分布符合 HC 的预期,这验证了我们在皮质梯度框架内的测量结果。在bvFTD-TDP中,SMI32-ir沿皮质梯度的损失相对均匀,而在bvFTD-tau中,SMI32-ir沿皮质梯度逐渐减少,并且在bvFTD-tau与bvFTD-TDP相比,在上颅骨髓质-II等皮质中的SMI32-ir损失更大(p=0.039)。通过使用 SMI32-ir 比值来模拟已知的颅内中皮层和颅上等皮层之间的长程连接,我们发现 bvFTD-tau 与 bvFTD-TDP 相比具有更大的层状比值(p=0.019),这表明在 bvFTD-tau 中,选择性的长程投射通路可能会导致等皮层为主的变性。在NeuN-ir最高的细胞结构类型中,我们发现bvFTD-tau的SMI32-ir低于bvFTD-TDP(p=0.047),这表明bvFTD-tau的锥体神经变性可能发生得更早。最后,我们发现,SMI32-ir的降低与行为严重性和额叶介导的字母流利性有关,而与时间介导的对抗命名无关,这表明额叶锥体神经变性与bvFTD相关症状具有临床相关性和特异性。我们的数据表明,富含神经丝的锥体神经元的缺失是bvFTD的一个临床相关特征,它在bvFTD-tau而非bvFTD-TDP中沿着额叶皮质梯度选择性地恶化。因此,tau介导的退行性变可能会优先累及连接较远细胞架构类型的锥体丰富层。此外,沿皮质梯度的细胞结构分层排列可能是一个重要的神经解剖学框架,可用于确定哪些类型的细胞和通路在不同的蛋白病中有不同的参与。
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引用次数: 0
Four dimensions of naturalistic language production in aphasia after stroke. 中风后失语症患者自然语言生成的四个维度。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae195
Marianne Casilio, Anna V Kasdan, Katherine Bryan, Kiiya Shibata, Sarah M Schneck, Deborah F Levy, Jillian L Entrup, Caitlin Onuscheck, Michael de Riesthal, Stephen M Wilson

There is a rich tradition of research on the neuroanatomical correlates of spoken language production in aphasia using constrained tasks (e.g. picture naming), which offer controlled insights into the distinct processes that govern speech and language (i.e. lexical-semantic access, morphosyntactic construction, phonological encoding, speech motor programming/execution). Yet these tasks do not necessarily reflect everyday language use. In contrast, naturalistic language production (also referred to as 'connected speech' or 'discourse') more closely approximates typical processing demands, requiring the dynamic integration of all aspects of speech and language. The brain bases of naturalistic language production remain relatively unknown, however, in part because of the difficulty in deriving features that are salient, quantifiable and interpretable relative to both speech-language processes and the extant literature. The present cross-sectional observational study seeks to address these challenges by leveraging a validated and comprehensive auditory-perceptual measurement system that yields four explanatory dimensions of performance-Paraphasia (misselection of words and sounds), Logopenia (paucity of words), Agrammatism (grammatical omissions) and Motor speech (impaired speech motor programming/execution). We used this system to characterize naturalistic language production in a large and representative sample of individuals with acute post-stroke aphasia (n = 118). Scores on each of the four dimensions were correlated with lesion metrics, and multivariate associations among the dimensions and brain regions were then explored. Our findings revealed distinct yet overlapping neuroanatomical correlates throughout the left-hemisphere language network. Paraphasia and logopenia were associated primarily with posterior regions, spanning both dorsal and ventral streams, which are critical for lexical-semantic access and phonological encoding. In contrast, agrammatism and motor speech were associated primarily with anterior regions of the dorsal stream that are involved in morphosyntactic construction and speech motor planning/execution, respectively. Collectively, we view these results as constituting a brain-behaviour model of naturalistic language production in aphasia, aligning with both historical and contemporary accounts of the neurobiology of spoken language production.

关于失语症患者口语语言产生的神经解剖学相关性的研究有着丰富的传统,这些研究使用受限任务(如图片命名),对支配言语和语言的不同过程(即词汇-语义访问、形态句法结构、语音编码、言语运动编程/执行)提供了有控制的洞察力。然而,这些任务并不一定能反映日常语言的使用。相比之下,自然语言生成(也称为连贯言语或话语)更接近典型的处理需求,需要动态整合言语和语言的各个方面。然而,自然语言生成的大脑基础仍然相对未知,部分原因是很难得出相对于语音语言过程和现有文献而言突出、可量化和可解释的特征。本横断面观察研究试图利用一套经过验证的综合听觉-知觉测量系统来解决这些难题,该系统可对四个方面的表现进行解释--Paraphasia(错误选择单词和声音)、Logopenia(单词匮乏)、Agrammatism(语法遗漏)和Motor speech(言语运动编程/执行受损)。我们使用该系统分析了大量具有代表性的脑卒中后急性失语症患者(n = 118)的自然语言能力。四个维度中每个维度的得分都与病变指标相关,然后对维度和脑区之间的多变量关联进行了探讨。我们的研究结果表明,在整个左半球语言网络中,存在着不同但又相互重叠的神经解剖相关性。副语症和逻各斯失认症主要与横跨背侧流和腹侧流的后部区域相关,这些区域对于词汇-语义访问和语音编码至关重要。与此相反,"无语法 "症和 "运动性言语 "主要与背侧流的前部区域有关,这些区域分别参与形态句法构建和言语运动规划/执行。总之,我们认为这些结果构成了失语症患者自然语言生成的大脑行为模型,与口语生成神经生物学的历史和当代观点一致。
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引用次数: 0
Synaptic mitochondria glycation contributes to mitochondrial stress and cognitive dysfunction. 突触线粒体糖化导致线粒体压力和认知功能障碍。
IF 10.6 1区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2025-01-07 DOI: 10.1093/brain/awae229
Sourav Samanta, Firoz Akhter, Renhao Xue, Alexandre A Sosunov, Long Wu, Doris Chen, Ottavio Arancio, Shi Fang Yan, Shirley ShiDu Yan

Mitochondrial and synaptic dysfunction are pathological features of brain ageing and cognitive decline. Synaptic mitochondria are vital for meeting the high energy demands of synaptic transmission. However, little is known about the link between age-related metabolic changes and the integrity of synaptic mitochondria. To this end, we investigated the mechanisms of advanced glycation end product (AGE)-mediated mitochondrial and synaptic stress and evaluated the strategies to eliminate these toxic metabolites. Using aged brain and novel transgenic mice overexpressing neuronal glyoxalase 1 (GLO1), we comprehensively analysed alterations in accumulation/build-up of AGEs and related metabolites in synaptic mitochondria and the association of AGE levels with mitochondrial function. We demonstrated for the first time that synaptic mitochondria are an early and major target of AGEs and the related toxic metabolite methylglyoxal (MG), a precursor of AGEs. MG/AGE-insulted synaptic mitochondria exhibit deterioration of mitochondrial and synaptic function. Such accumulation of MG/AGEs positively correlated with mitochondrial perturbation and oxidative stress in ageing brain. Importantly, clearance of AGE-related metabolites by enhancing neuronal GLO1, a key enzyme for detoxification of AGEs, reduces synaptic mitochondrial AGE accumulation and improves mitochondrial and cognitive function in ageing and AGE-challenged mice. Furthermore, we evaluated the direct effect of AGEs on synaptic function in hippocampal neurons in live brain slices as an ex vivo model and in vitro cultured hippocampal neurons by recording long-term potentiation (LTP) and measuring spontaneously occurring miniature excitatory postsynaptic currents (mEPSCs). Neuronal GLO1 rescues deficits in AGE-induced synaptic plasticity and transmission by full recovery of decline in LTP or frequency of mEPSC. These studies explored crosstalk between synaptic mitochondrial dysfunction and age-related metabolic changes relevant to brain ageing and cognitive decline. Synaptic mitochondria are particularly susceptible to AGE-induced damage, highlighting the central importance of synaptic mitochondrial dysfunction in synaptic degeneration in age-related cognitive decline. Thus, augmenting GLO1 function to scavenge toxic metabolites represents a therapeutic approach to reduce age-related AGE accumulation and improve mitochondrial function and learning and memory.

线粒体和突触功能障碍是大脑衰老和认知能力下降的病理特征。突触线粒体对于满足突触传递的高能量需求至关重要。然而,人们对与年龄相关的新陈代谢变化与突触线粒体完整性之间的联系知之甚少。为此,我们研究了高级糖化终产物(AGEs)介导线粒体和突触压力的机制,并评估了消除这些有毒代谢物的策略。我们利用衰老的大脑和过表达神经元乙二醛酶 1 (GLO1) 的新型转基因小鼠,全面分析了 AGEs 和相关代谢物在突触线粒体中积累/堆积的变化,以及 AGE 水平与线粒体功能的关联。我们首次证明,突触线粒体是 AGEs 和相关毒性代谢物甲基乙二醛(MG)(AGEs 的前体)的早期和主要目标。受 MG/AGEs 影响的突触线粒体表现出线粒体和突触功能的退化。这种 MG/AGEs 的积累与衰老大脑中的线粒体扰动和氧化应激呈正相关。重要的是,通过增强神经元 GLO1(AGEs 的解毒/关键酶)来清除 AGEs 相关代谢物可减少突触线粒体 AGEs 的积累,并改善衰老和 AGE 挑战小鼠的线粒体和认知功能。此外,我们还通过记录长期电位(LTP)和测量自发发生的微型兴奋性突触后电流(mEPSCs),评估了 AGEs 对作为体外模型的活体脑片和体外培养的海马神经元突触功能的直接影响。神经元 GLO1 可完全恢复 LTP 或 mEPSC 频率的下降,从而挽救 AGE 诱导的突触可塑性和传递的缺陷。这些研究探索了突触线粒体功能障碍与大脑衰老和认知能力下降相关的年龄相关代谢变化之间的相互影响。突触线粒体特别容易受到 AGE 诱导的损伤,这凸显了突触线粒体功能障碍在与年龄相关的认知衰退中突触退化的核心重要性。因此,增强 GLO1 清除有毒代谢物的功能是减少与年龄相关的 AGEs 积累、改善线粒体功能以及学习和记忆的一种治疗方法。
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