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The three amino acids at the C-terminus of pep63 are not necessary for its interaction with soluble Aβ oligomers
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-12 DOI: 10.1016/j.brainres.2024.149389
Zekai Wan , Qiuyu Ren , Qingsong Li , Zhouyu Liu , Shuai Wang , Xiaodong Shi
Soluble β-amyloid oligomers (SAβOs) are linked to early Alzheimer’s disease (AD) cognitive decline. Our previous work identified pep63, a neuroprotective peptide composed of ten amino acids, that blocks EphB2-SAβO interaction and improves the cognitive dysfunction in an AD mouse model. In this study, we constructed fourteen truncated variants of pep63 to find the key sequences for SAβO binding. Results of the peptide array assay showed that all the N-terminal truncated variants showed a significant decrease in their abilities to bind SAβOs, indicating that the amino acids at the N-terminus are essential for pep63-SAβO interaction. However, for the C-terminal truncated variants, the deletion of the terminal one, two, or three amino acids did not affect the binding of pep63 to SAβOs. Further studies indicated that the removal of the three amino acids at the C-terminus did not affect the ability of pep63 to interfere with the EphB2-SAβO interaction in vitro. Together, these results suggest that the three amino acids at the C-terminus of pep63 are not necessary for pep63-SAβO interaction, and subsequent research could consider the therapeutic strategy using a truncated form of pep63 without the corresponding amino acids. Our data provide clues and a basis for guiding the further optimization and modification of pep63.
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引用次数: 0
Abnormal characteristics in disorders of consciousness: A resting-state functional magnetic resonance imaging study 意识障碍的异常特征:静息态功能磁共振成像研究。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-12 DOI: 10.1016/j.brainres.2024.149401
Hui Li , Linghui Dong , Jiajie Liu , Xiaonian Zhang , Hao Zhang

Aims

To explore the functional brain imaging characteristics of patients with disorders of consciousness (DoC).

Methods

This prospective cohort study consecutively enrolled 27 patients in minimally conscious state (MCS), 23 in vegetative state (VS), and 25 age-matched healthy controls (HC). Resting-state functional magnetic resonance imaging (rs-fMRI) was employed to evaluate the amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), degree centrality (DC), and functional connectivity (FC). Sliding windows approach was conducted to construct dynamic FC (dFC) matrices. Moreover, receiver operating characteristic analysis and Pearson correlation were used to distinguish these altered characteristics in DoC.

Results

Both MCS and VS exhibited lower ALFF, ReHo, and DC values, along with reduced FC in multiple brain regions compared with HC. Furthermore, the values in certain regions of VS were lower than those in MCS. The primary differences in brain function between patients with varying levels of consciousness were evident in the cortico-striatopallidal-thalamo-cortical mesocircuit. Significant differences in the temporal properties of dFC (including frequency, mean dwell time, number of transitions, and transition probability) were also noted among the three groups. Moreover, these multimodal alterations demonstrated high classificatory accuracy (AUC > 0.8) and were correlated with the Coma Recovery Scale-Revised (CRS-R).

Conclusion

Patients with DoC displayed abnormal patterns in local and global dynamic and static brain functions. These alterations in rs-fMRI were closely related to the level of consciousness.
目的:探讨意识障碍(DoC)患者的脑功能影像学特征。方法:本前瞻性队列研究连续招募27例最低意识状态(MCS)患者、23例植物人状态(VS)患者和25例年龄匹配的健康对照(HC)。静息状态功能磁共振成像(rs-fMRI)评估低频波动幅度(ALFF)、区域均匀性(ReHo)、度中心性(DC)和功能连通性(FC)。采用滑动窗口法构造动态FC (dFC)矩阵。此外,使用受试者工作特征分析和Pearson相关来区分DoC中这些改变的特征。结果:与HC相比,MCS和VS均表现出较低的ALFF, ReHo和DC值,以及多脑区FC减少。此外,VS在某些区域的数值低于MCS。不同意识水平的患者脑功能的主要差异在皮质-纹状体-丘脑-皮质中游回路中表现得很明显。dFC的时间特性(包括频率、平均停留时间、跃迁次数和跃迁概率)在三组之间也有显著差异。此外,这些多模态改变显示出较高的分类准确性(AUC > 0.8),并与昏迷恢复量表修订(CRS-R)相关。结论:DoC患者表现出局部及整体动、静态脑功能异常。磁共振成像的这些变化与意识水平密切相关。
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引用次数: 0
Corrigendum to “Astaxanthin reduces matrix metalloproteinase-9 expression and activity in the brain after experimental subarachnoid hemorrhage in rats” [Brain Res. 1624 (2015) 113–124] “虾青素降低实验性蛛网膜下腔出血大鼠脑内基质金属蛋白酶-9的表达和活性”[脑科学进展,2016,24(2015):113-124]。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-11 DOI: 10.1016/j.brainres.2024.149390
Xiang-Sheng Zhang, Xin Zhang, Qing-Rong Zhang, Qi Wu, Wei Li, Tian-Wei Jiang, Chun-Hua Hang
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引用次数: 0
T-regulatory cells and extracellular vesicles in Alzheimer’s disease: New therapeutic concepts and hypotheses 阿尔茨海默病中的t调节细胞和细胞外囊泡:新的治疗概念和假设。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-11 DOI: 10.1016/j.brainres.2024.149393
Ricardo Augusto Leoni De Sousa , Bruno Ferreira Mendes
Cell-based treatment has experienced exponential expansion in recent years in terms of clinical application and market share among pharmaceutical companies. When malignant cells in a healthy individual produce antigenic peptides derived from mutant or improperly synthesized proteins, the immune system attacks and kills the transforming cells. This process is carried out continuously by immune cells scanning the body for altered cells that could cause some harm. T-regulatory cells (Tregs), which preserve immunological tolerance and can exert neuroprotective benefits in numerous disorders, including animal models of Alzheimer’s disease (AD), have demonstrated considerable therapeutic potential. Evidence also suggests that not only Tregs, but extracellular vesicles (EVs) are involved in a wide range of diseases, such as cellular homoeostasis, infection propagation, cancer development and heart disease, and have become a promisor cell-based therapeutic field too. Nevertheless, despite significant recent clinical and commercial breakthroughs, cell-based medicines still confront numerous challenges that hinder their general translation and commercialization. These challenges include, but are not limited to, choosing the best cell source, and creating a product that is safe, adequately viable, and fits the needs of individual patients and diseases. Here, we summarize what we know about Tregs and EVs and their potential therapeutic usage in AD.
近年来,细胞治疗在制药公司的临床应用和市场份额方面呈指数级增长。当健康个体中的恶性细胞产生源自突变或不正确合成的蛋白质的抗原肽时,免疫系统就会攻击并杀死转化细胞。这个过程是由免疫细胞不断扫描身体,寻找可能造成伤害的变异细胞来进行的。t -调节性细胞(Tregs)保持免疫耐受性,并能在包括阿尔茨海默病(AD)动物模型在内的许多疾病中发挥神经保护作用,已显示出相当大的治疗潜力。有证据表明,除了Tregs外,细胞外囊泡(EVs)还参与多种疾病,如细胞内稳态、感染传播、癌症发展和心脏病,并已成为基于混杂细胞的治疗领域。然而,尽管最近取得了重大的临床和商业突破,但细胞药物仍然面临着许多阻碍其普遍转化和商业化的挑战。这些挑战包括,但不限于,选择最好的细胞来源,创造一种安全的、充分可行的、适合个体患者和疾病需求的产品。在这里,我们总结了我们所知道的Tregs和EVs及其在AD治疗中的潜在应用。
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引用次数: 0
Exercise alleviates cognitive decline of natural aging rats by upregulating Notch-mediated autophagy signaling 运动通过上调notch介导的自噬信号通路,减轻自然衰老大鼠的认知能力下降。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-10 DOI: 10.1016/j.brainres.2024.149398
Dandan Chen , Yuan Guo , Meng Zhang , Xingran Liu , Baowen Zhang , Xianjuan Kou
Notch signaling, a classical signaling pathway of neurogenesis, is downregulated during the aging and age-related neurodegenerative diseases. Exercise has been proposed as an effective lifestyle intervention for delaying cognitive decline. However, it remains unclear whether exercise intervention could alleviate cognitive decline by modulating neurogenesis in naturally aging rats. In this study, 21-month-old natural aging rats were used to study brain aging. The natural aging rats underwent different forms of exercise training (aerobic exercise or strength training or comprehensive exercise with aerobic exercise and strength training) for 12 consecutive weeks. The cognitive function of natural aging rats was determined by Morris Water Maze. Notch signaling, autophagy-related proteins and hippocampal neurogenesis were examined by immunofluorescence, qRT-PCR and Western blot. Results showed that natural aging rats exhibited cognitive decline, accumulation of AD pathological proteins (APP and Aβ), and decreased neurogenesis (decreased DCX, Ki67 and GFAP), compared with the young control rats. Moreover, a significant decline in Notch signaling and autophagy was found in the hippocampus of natural aging rats. However, different forms of exercise upregulated Notch signaling and its downstream target genes, as well as autophagy-related proteins, including LC3, Beclin1, and p62. In summary, our data suggest that different forms of exercise can mitigate brain aging by upregulating Notch signaling and autophagy, thereby increasing hippocampal neurogenesis and improves spatial learning and memory abilities.
Notch 信号是神经发生的经典信号通路,在衰老和与年龄相关的神经退行性疾病中被下调。运动被认为是延缓认知功能衰退的一种有效生活方式。然而,运动干预能否通过调节自然衰老大鼠的神经发生来缓解认知功能衰退,目前仍不清楚。本研究使用 21 个月大的自然衰老大鼠来研究脑衰老。自然衰老大鼠接受了连续 12 周的不同形式的运动训练(有氧运动或力量训练或有氧运动和力量训练的综合运动)。通过莫里斯水迷宫测定自然衰老大鼠的认知功能。通过免疫荧光、qRT-PCR和Western blot检测了Notch信号转导、自噬相关蛋白和海马神经发生。结果显示,与年轻对照组相比,自然衰老大鼠表现出认知能力下降、AD病理蛋白(APP和Aβ)积累和神经发生减少(DCX、Ki67和GFAP减少)。此外,在自然衰老大鼠的海马中还发现了Notch信号转导和自噬的明显下降。然而,不同形式的运动会上调 Notch 信号转导及其下游靶基因,以及自噬相关蛋白,包括 LC3、Beclin1 和 p62。总之,我们的数据表明,不同形式的运动可以通过上调Notch信号和自噬来缓解大脑衰老,从而增加海马神经发生,提高空间学习和记忆能力。
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引用次数: 0
The mechanism of SiJunZi decoction in the treatment of Parkinson’s disease 四君子汤治疗帕金森病的作用机制。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-10 DOI: 10.1016/j.brainres.2024.149397
Baoquan Wen , Xiuzhi Li , Jiafu Xu , Yuqin He , Xiaofeng Lin , Xiujuan Wu , Chaoyin Wu
Parkinson’s disease (PD) is the second most common neurodegenerative disease, but treatment options for PD are limited, and drug development has reached a bottleneck. With the progress of the aging population, the number of PD patients in China is increasing day by day, imposing a heavy burden on patients and society. Therefore, it is urgent to explore targeted medicine based on the pathogenesis of PD and disease targets. Ancient physicians have used the traditional Chinese medicine formula SiJunZi decoction (SJZD) to treat PD. However, it is less commonly used clinically now, and its pharmacological mechanism still needs to be further elucidated. In this study, based on network pharmacology research and molecular docking technology, the mechanism of SJZD in treating PD was revealed, showing that the extract of SJZD acts on cell microdomain membranes and lipid rafts, affecting ubiquitin-protein ligase binding and ubiquitin-like protein ligase binding processes, and plays a role in neurogenesis. Molecular docking results showed that Ellipticine and Hederagenin in SJZD exhibited significant effects on targets: CASP3, BCL2, and PTGS2. The effect of SJZD reversing MPP+-induced SH-SY5Y cells injury was verified by experiments, concentrations ranging from 5ug/mL to 0.1ug/mL showed significant cell protection at 24 h.
帕金森病(PD)是第二大最常见的神经退行性疾病,但PD的治疗选择有限,药物开发已达到瓶颈。随着人口老龄化进程的加快,中国PD患者数量日益增多,给患者和社会带来了沉重的负担。因此,从PD的发病机制和疾病靶点出发,探索靶向药物治疗迫在眉睫。古代医生使用中药四君子汤(SJZD)治疗帕金森病。但目前临床上应用较少,其药理机制有待进一步阐明。本研究基于网络药理学研究和分子对接技术,揭示了SJZD治疗PD的机制,表明SJZD提取物作用于细胞微域膜和脂质层,影响泛素-蛋白连接酶结合和泛素样蛋白连接酶结合过程,在神经发生中发挥作用。分子对接结果显示,SJZD中的Ellipticine和Hederagenin对靶点CASP3、BCL2和PTGS2均有显著作用。实验验证了SJZD对MPP+诱导的SH-SY5Y细胞损伤的逆转作用,浓度在5ug/mL ~ 0.1ug/mL范围内,在24 h时表现出明显的细胞保护作用。
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引用次数: 0
Eyes-open and eyes-closed EEG of older adults with subjective cognitive impairment versus healthy controls: A frequency principal components analysis study 主观性认知障碍老年人睁眼和闭眼脑电图与健康对照:频率主成分分析研究
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-10 DOI: 10.1016/j.brainres.2024.149399
Adele E. Cave , Frances M. De Blasio , Dennis H. Chang , Gerald W. Münch , Genevieve Z. Steiner-Lim
Subjective Cognitive Impairment (SCI) is a self-perceived worsening of cognitive decline, carrying an increased risk of developing Mild Cognitive Impairment (MCI) and Alzheimer’s Disease (AD). Due to the self-report nature of SCI, an understanding of the biological mechanisms that contribute to an increased dementia risk is needed. This study aims to assess the differences in resting state electroencephalography (EEG) (eyes-open, eyes-closed; EO, EC) between older adults with SCI and healthy controls (HCs) utilising frequency principal components analysis (fPCA), a novel data driven approach. Participants (n = 14 per group: SCI, HCs) were matched on age, sex, years of education, mood, cognition, and pre-morbid function. Continuous resting EEG was recorded during 2-minute conditions (EO, EC) and were submitted to 4 separate fPCAs (each condition, group). Corresponding components were assessed between groups and conditions, correlated with demographics, mood, and cognition variables; multivariate logistic regression was also carried out. Component amplitudes were larger in HCs for delta-theta and alpha–beta, while theta-alpha was larger for SCI. DASS anxiety scores contributed to higher amplitudes for HCs in EO delta-theta and alpha–beta, while male sex and depressive symptoms contributed to higher amplitudes for the SCI group in EO and EC theta-alpha. Findings demonstrate a distinct divergent signature of neurological activity in older people with SCI, despite normal objective cognitive function. This is the first fPCA study to investigate neuronal differences between HCs and older adults with SCI at rest. Novel confounders and effect modifiers were identified that should be controlled in future studies.
主观认知障碍(SCI)是一种自我感觉的认知功能衰退,会增加患轻度认知障碍(MCI)和阿尔茨海默病(AD)的风险。由于 SCI 具有自我报告的性质,因此需要了解导致痴呆症风险增加的生物机制。本研究旨在利用频率主成分分析(fPCA)这一新型数据驱动方法,评估患有 SCI 的老年人与健康对照组(HCs)之间静息状态脑电图(EEG)(睁眼、闭眼;EO、EC)的差异。参与者(每组 14 人:SCI、HCs)的年龄、性别、受教育年限、情绪、认知和病前功能均匹配。在 2 分钟的条件下(EO、EC)记录连续静息脑电图,并提交给 4 个独立的 fPCAs(每个条件,每个组)。评估了不同组别和不同条件下的相应成分,并将其与人口统计学、情绪和认知变量相关联;还进行了多变量逻辑回归。在 HCs 中,delta-theta 和 alpha-beta 的成分振幅较大,而在 SCI 中,theta-alpha 的成分振幅较大。DASS焦虑评分使HC组在EO delta-theta和alpha-beta中的振幅更高,而男性性别和抑郁症状使SCI组在EO和EC theta-alpha中的振幅更高。研究结果表明,尽管客观认知功能正常,但患有 SCI 的老年人的神经活动具有明显的差异特征。这是第一项在静息状态下研究HC和SCI老年人神经元差异的fPCA研究。研究还发现了一些新的混杂因素和效应调节因子,应在今后的研究中加以控制。
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引用次数: 0
The effects and possible mechanisms of whole-body vibration on cognitive function: A narrative review 全身振动对认知功能的影响及其可能机制综述。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-09 DOI: 10.1016/j.brainres.2024.149392
Huan Yang , Jie Gao , Hai-Yan Wang , Xin-Mei Ma , Bing-Yao Liu , Qian-Zhong Song , Hui Cheng , Sen Li , Zai-Yun Long , Xiu-Min Lu , Yong-Tang Wang
Whole-body vibration (WBV) is a physical stimulation method that transmits mechanical oscillations to the entire body through a vibration platform or device. Biokinetic and epidemiologic studies have shown that prolonged exposure to high-intensity WBV increases health risks, primarily to the lumbar spine and the nervous system connected to it. There is currently insufficient evidence to demonstrate a quantitative relationship between vibration exposure and risk of health effects. The positive effects of WBV on increasing muscle strength and improving balance and flexibility are well known, but its effects on cognitive function are more complex, with mixed findings, largely related to vibration conditions, including frequency, amplitude, and duration. Studies have shown that short-term low-frequency WBV may have a positive impact on cognitive function, demonstrates potential rehabilitation benefits in enhancing learning and memory, possibly by promoting neuromuscular coordination and enhancing neural plasticity. However, long term exposure to vibration may lead to chronic stress in nerve tissue, affecting nerve conduction efficiency and potentially interfering with neuroprotective mechanisms, thereby having a negative impact on cognitive ability, even causes symptoms such as cognitive decline, mental fatigue, decreased attention, and drowsiness. This literature review aimed to explore the effects of WBV on cognitive function and further to analyze the possible mechanisms. Based on the analysis of literatures, we came to the conclusion that the impact of WBV on cognitive function depends mainly on the frequency and duration of vibration, short-term low-frequency WBV may have a positive impact on cognitive function, while long term exposure to WBV may lead to cognitive decline, and the mechanisms may be involved in neuroinflammation, oxidative stress, synaptic plasticity, and neurotransmitter changes. This review may provide some theoretical foundations and guidance for the prevention and treatment of WBV induced cognitive impairment.
全身振动(Whole-body vibration, WBV)是一种通过振动平台或装置将机械振动传递到全身的物理刺激方法。生物动力学和流行病学研究表明,长时间暴露于高强度的白皮肤病毒会增加健康风险,主要是腰椎和与之相连的神经系统。目前没有足够的证据证明振动暴露与健康影响风险之间的定量关系。WBV在增加肌肉力量、改善平衡和柔韧性方面的积极作用是众所周知的,但它对认知功能的影响更为复杂,研究结果好坏参半,主要与振动条件有关,包括频率、振幅和持续时间。研究表明,短期低频脑电可能对认知功能有积极影响,在增强学习和记忆方面显示出潜在的康复益处,可能是通过促进神经肌肉协调和增强神经可塑性。然而,长期暴露于振动可能导致神经组织慢性应激,影响神经传导效率,并可能干扰神经保护机制,从而对认知能力产生负面影响,甚至引起认知能力下降、精神疲劳、注意力下降、嗜睡等症状。本文旨在探讨脑卒中对认知功能的影响,并进一步分析其可能的机制。通过文献分析,我们认为低频振动对认知功能的影响主要取决于振动的频率和持续时间,短期低频振动可能对认知功能有积极影响,而长期低频振动可能导致认知功能下降,其机制可能涉及神经炎症、氧化应激、突触可塑性和神经递质改变等。本文综述可为白脑病毒所致认知功能障碍的防治提供一定的理论依据和指导。
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引用次数: 0
CRMP2 regulates mossy fiber sprouting and modulates microtubule dynamics in a pilocarpine induced rat model of epilepsy 在匹罗卡品诱导的大鼠癫痫模型中,CRMP2调节苔藓纤维发芽和微管动力学。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-09 DOI: 10.1016/j.brainres.2024.149395
Zhongqian Su , Yuxiang Li , Fangchao Tong , Yiying Cai , Yuanfang Li , Jing Ding , Qiang Wang , Xin Wang

Objective

Our study aimed to investigate the role of CRMP2 in mossy fiber sprouting (MFS) using a pilocarpine-induced rat model of epilepsy.

Methods

First, the rats were sacrificed on the 1, 7, 14 and 28 day after pilocarpine injection. Quantitative Real-time PCR (qPCR) and Western blot (WB) were performed to assess mRNA and protein levels in the hippocampus and cortex. Next, shCRMP2 AAV was injected into the dentate gyrus of hippocampus to knock down CRMP2 expression. Two weeks later, the epileptic rat model was induced by pilocarpine injection. On the day of status epilepticus (SE) induction, animals in the shCtrl + EP + LCM and shCRMP2 + EP + LCM group received twice-daily intragastric administration of Lacosamide (LCM). The rats were video monitored from day 7 to 28, and were sacrificed on day 28 after pilocarpine injection for subsequent experiment.

Results

In the present study, we observed downregulation of phosphorylated CRMP2 in the hippocampus of epileptic rats. Additionally, LCM treatment reduces the expression level of CRMP2 protein in the hippocampus of these rats. Both CRMP2 knockdown and LCM treatment were found to decrease mossy fiber sprouting (MFS) in the dentate gyrus and shorten the duration of seizures in epileptic rats. Furthermore, we discovered that microtubule dynamics are reduced in the hippocampus of epileptic rats. Both CRMP2 Knockdown and LCM treatment were shown to increase the microtubule dynamics in the hippocampus of rats with epilepsy.

Conclusion

In conclusion, we demonstrated convincingly that CRMP2 regulates mossy fiber sprouting and modulates microtubule dynamics in a pilocarpine induced rat model of epilepsy.
目的:通过匹罗卡品诱导的大鼠癫痫模型,探讨CRMP2在苔藓纤维发芽(MFS)中的作用。方法:首先在注射匹罗卡品后1、7、14、28 d处死大鼠。采用实时荧光定量PCR (qPCR)和Western blot (WB)检测海马和皮层mRNA和蛋白水平。接下来,将shCRMP2 AAV注入海马齿状回,以降低CRMP2的表达。2周后,注射匹罗卡品致痫大鼠模型。在癫痫持续状态(SE)诱导当天,shCtrl + EP + LCM组和shCRMP2 + EP + LCM组动物每天2次灌胃拉科沙胺(LCM)。第7 ~ 28天对大鼠进行视频监测,注射匹罗卡品后第28天处死,进行后续实验。结果:在本研究中,我们观察到癫痫大鼠海马中磷酸化的CRMP2下调。此外,LCM处理降低了这些大鼠海马中CRMP2蛋白的表达水平。CRMP2敲除和LCM治疗均可降低癫痫大鼠齿状回苔藓纤维发芽(MFS),缩短癫痫发作持续时间。此外,我们发现癫痫大鼠海马的微管动力学降低。CRMP2敲除和LCM治疗均可增加癫痫大鼠海马的微管动力学。结论:在匹罗卡品诱导的大鼠癫痫模型中,我们令人信服地证明了CRMP2调节苔藓纤维发芽和调节微管动力学。
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引用次数: 0
Impact of inspiratory muscle training on aspiration symptoms in patients with dysphagia following ischemic stroke 吸气肌训练对缺血性脑卒中后吞咽困难患者吸入症状的影响。
IF 2.7 4区 医学 Q3 NEUROSCIENCES Pub Date : 2024-12-09 DOI: 10.1016/j.brainres.2024.149396
Shan Liu , Zhenfeng Fan , Minke FU , Keling Cheng , Xin Zhang , Jun Ni , ZhiYong Wang

Objective

To investigate the impact of inspiratory muscle training on lung function and swallowing function in patients with dysphagia-induced aspiration following ischemic stroke and to evaluate the effectiveness of inspiratory muscle training on aspiration symptoms.

Methods

Fifty-eight inpatients with dysphagia-induced aspiration following ischemic stroke were selected and randomly divided into a control group (n = 29, conventional swallowing therapy) and a treatment group (n = 29, conventional swallowing therapy plus inspiratory muscle training). Both groups received conventional swallowing function training, including oral sensory training, oral motor training, airway safety protection training, and neuromuscular electrical stimulation therapy for 10–20 min per session, twice daily for 2 weeks. The treatment group additionally received inspiratory muscle resistance training using the POWERbreathe device for 20 min per session, twice daily for 2 weeks. Swallowing function was assessed using the Penetration–Aspiration Scale (PAS), Functional Dysphagia Scale (FDS), and Functional Oral Intake Scale (FOIS) based on the videofluoroscopic swallowing study (VFSS) before and after treatment. Lung function, including maximal peak expiratory flow rate (PEF) and forced vital capacity (FVC), was evaluated using the Miraclink X-SCRIBE cardiac stress testing system.

Results

Before treatment, there were no significant differences in FOIS, FDS, and PAS scores between the two groups (P > 0.05), while post-treatment, both groups showed significant improvements in these indicators (P < 0.05), with the treatment group showing more significant improvements than the control group (P < 0.05). Further, before treatment, there were no significant differences in FVC and PEF scores between the two groups (P > 0.05), whereas post-treatment, the treatment group showed significant improvements in these indicators (P < 0.05) and the control group showed no significant changes (P > 0.05). The treatment group also showed more significant improvements than the control group (P < 0.05). Finally, a correlation analysis revealed a significant linear relationship between FVC and PEF in the post-treatment PAS in the treatment group (P < 0.05).

Conclusion

Inspiratory muscle training can improve lung function in patients with dysphagia following ischemic stroke, as it develops swallowing function more effectively than conventional swallowing function training alone. Moreover, inspiratory muscle training is effective in treating aspiration caused by dysphagia, with enhancements in aspiration related to improved lung function.
目的:探讨吸气肌训练对缺血性卒中后吞咽困难误吸患者肺功能和吞咽功能的影响,评价吸气肌训练对误吸症状的治疗效果。方法:选择58例缺血性卒中后吞咽困难误吸住院患者,随机分为对照组( = 29例,常规吞咽治疗)和治疗组( = 29例,常规吞咽治疗加吸气肌训练)。两组均接受常规吞咽功能训练,包括口腔感觉训练、口腔运动训练、气道安全保护训练和神经肌肉电刺激治疗,每次10-20 min,每天2次,持续2 周。治疗组另外使用POWERbreathe装置进行吸气肌阻力训练,每次20 分钟,每天两次,持续2 周。在治疗前后以影像透视吞咽研究(VFSS)为基础,采用穿透-吸入量表(PAS)、功能性吞咽困难量表(FDS)和功能性口服摄入量表(FOIS)评估吞咽功能。使用Miraclink X-SCRIBE心脏压力测试系统评估肺功能,包括最大呼气峰流速(PEF)和用力肺活量(FVC)。结果:治疗前两组患者FOIS、FDS、PAS评分差异无统计学意义(P > 0.05),治疗后两组患者FOIS、FDS、PAS评分均有统计学意义(P  0.05),治疗后两组患者FOIS、FDS、PAS评分均有统计学意义(P  0.05),治疗后治疗组FOIS、FDS、PAS评分均有统计学意义(P  0.05)。治疗组也比对照组有更显著的改善(P )结论:吸气肌训练可以改善缺血性卒中后吞咽困难患者的肺功能,因为吸气肌训练比单纯的常规吞咽功能训练更有效地发展吞咽功能。此外,吸气肌训练对治疗吞咽困难引起的误吸是有效的,误吸的增强与肺功能的改善有关。
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Brain Research
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