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Angiotensin Converting Enzyme 2 (ACE2) Expression in the Aged Brain and Visual System 血管紧张素转换酶2(ACE2)在老年脑和视觉系统中的表达
Pub Date : 2021-09-30 DOI: 10.35248/2329-8847.21.S7.001
J. Hill, C. Clement, L. Arceneaux, W. Lukiw
Multiple lines of evidence currently indicate that the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) gains entry into human host cells via a high-affinity interaction with the angiotensin-converting enzyme 2 (ACE2) transmembrane receptor. Research has further shown the widespread expression of the ACE2 receptor on the surface of many different immune, non-immune and neural host cell types, and that SARS-CoV-2 has the remarkable capability to attack many different types of human-host cells simultaneously. One principal neuroanatomical region for high ACE2 expression patterns occurs in the brainstem, an area of the brain containing regulatory centers for respiration, and this may in part explain the predisposition of many COVID-19 patients to respiratory distress. Early studies also indicated extensive ACE2 expression in the whole eye and the brain’s visual circuitry in aged humans. In this study we analyzed ACE2 receptor expression at the mRNA and protein level in multiple cell types involved in human vision, including cell types of the external eye and several deep brain regions known to be involved in the processing of visual signals. Here we provide evidence: (i) that many different optical and neural cell types of the human visual system provide receptors essential for SARS-CoV-2 invasion; (ii) of the remarkable ubiquity of ACE2 presence in cells of the eye and anatomical regions of the brain involved in visual signal processing; (iii) that ACE2 receptor expression in different ocular cell types and visual processing centers of the brain provide multiple compartments for SARS-CoV-2 infiltration; and (iv) of a gradient of increasing ACE2 expression from the anterior surface of the eye to the visual signal processing areas of the occipital lobe and the primary visual neocortex. A gradient of ACE2 expression from the eye surface to the occipital lobe may provide the SARS-CoV-2 virus a novel pathway from the outer eye into deeper anatomical regions of the brain involved in vision. These findings may explain, in part, the many recently reported neuro-ophthalmic manifestations of SARS-CoV-2 infection in COVID-19 affected patients.
目前有多条证据表明,严重急性呼吸综合征冠状病毒2型(SARS-CoV-2)通过与血管紧张素转化酶2(ACE2)跨膜受体的高亲和力相互作用进入人类宿主细胞。研究进一步表明,ACE2受体在许多不同免疫、非免疫和神经宿主细胞类型的表面广泛表达,严重急性呼吸系统综合征冠状病毒2型具有同时攻击许多不同类型人类宿主细胞的显著能力。高ACE2表达模式的一个主要神经解剖学区域出现在脑干,脑干是大脑中包含呼吸调节中心的区域,这可能部分解释了许多新冠肺炎患者易患呼吸窘迫的原因。早期研究还表明,老年人的整个眼睛和大脑视觉回路中都有广泛的ACE2表达。在这项研究中,我们分析了参与人类视觉的多种细胞类型中ACE2受体在mRNA和蛋白质水平上的表达,包括外眼和几个已知参与视觉信号处理的脑深部区域的细胞类型。在这里,我们提供了证据:(i)人类视觉系统的许多不同的光学和神经细胞类型提供了严重急性呼吸系统综合征冠状病毒2型入侵所必需的受体;(ii)参与视觉信号处理的眼睛细胞和大脑解剖区域中ACE2的显著普遍存在;(iii)不同眼细胞类型和大脑视觉处理中心中的ACE2受体表达为严重急性呼吸系统综合征冠状病毒2型的浸润提供了多个区室;以及(iv)从眼睛的前表面到枕叶和初级视觉新皮层的视觉信号处理区域的增加的ACE2表达的梯度。从眼睛表面到枕叶的ACE2表达梯度可能为严重急性呼吸系统综合征冠状病毒2型病毒提供了一条从眼睛外部进入大脑更深层次的视觉解剖区域的新途径。这些发现可能在一定程度上解释了最近报道的新冠肺炎患者中严重急性呼吸系统综合征冠状病毒2感染的神经眼科表现。
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引用次数: 9
Is Oral Frailty Related To Meal Satisfaction 口腔虚弱与用餐满意度有关吗
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.245
Misa Nishimoto, Tomoki Tanaka, K. Iijima
Oral frailty causes nutritional imbalance, subsequently leading to malnutrition in older adults. Herein, we examined the relationship between oral frailty and meal satisfaction among community-dwelling older adults. Meal satisfaction was evaluated using self-administered questionnaires. Oral conditions were assessed based on the number of remaining teeth and oral frailty. Of the 940 subjects in the Kashiwa study, which was conducted in the Kashiwa city, Chiba prefecture, Japan, 71% responded that their meals were “tasty” and 96% responded “enjoyable”. Moreover, 23% responded that the amount of meal was “large,” and 63% responded “normal” - While the number of teeth was not significantly associated with meal satisfaction, there was a negative association between oral frailty and meal satisfaction. Our finding indicates that it is important to consider and manage oral functions, other than the number of remaining teeth, to maintain healthy eating habits in older adults.
口腔脆弱会导致营养失衡,继而导致老年人营养不良。在此,我们研究了居住在社区的老年人口腔虚弱和用餐满意度之间的关系。用餐满意度通过自我管理问卷进行评估。根据剩余牙齿数量和口腔脆弱程度评估口腔状况。在日本千叶县柏华市进行的这项研究的940名受试者中,71%的人回答他们的饭菜“美味”,96%的人回答“享受”。此外,23%的人回答餐量“大”,63%的人回答“正常”——虽然牙齿的数量与用餐满意度没有显著关联,但口腔脆弱与用餐满意度之间存在负相关。我们的研究结果表明,除了剩余牙齿的数量外,考虑和管理口腔功能对于保持老年人健康的饮食习惯非常重要。
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引用次数: 0
Telomerase Level: A Useful Tool to Predict Longevity 端粒酶水平:预测寿命的有用工具
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.251
R. Hertzog, D. Popescu, Octavian C lborean
In the context of the global elderly population increase, due to the rise of average life span, many researches try to explain the molecular bases of ageing and age-related diseases. In the headlines, there are the telomere-telomerase based studies, which support the idea that telomere length dynamics and telomerase activity level are involved in cellular senescence, immortalization and tumorigenesis. Here, no statistical difference is shown between hTERT content in the plasma of young and elderly groups, Nevertheless the higher level of telomerase increases with age in the older age group. A good balance between telomerase level and telomere shortening seems to be a useful machinery to maintain health and prolong lifespan. In this scientific concept, further progress has to be made in order to explain the origin of increasing life span and the lack of pathology during ageing.
在全球老年人口增加的背景下,由于平均寿命的增加,许多研究试图解释衰老和年龄相关疾病的分子基础。在头条新闻中,有基于端粒-端粒酶的研究,这些研究支持端粒长度动态和端粒酶活性水平参与细胞衰老,不朽和肿瘤发生的观点。在这里,年轻人和老年人血浆中hTERT含量没有统计学差异,但在老年人中,端粒酶水平随着年龄的增长而升高。端粒酶水平和端粒缩短之间的良好平衡似乎是维持健康和延长寿命的有用机制。在这个科学概念中,为了解释寿命延长的起源和衰老过程中缺乏病理,必须取得进一步的进展。
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引用次数: 1
Relationships between Urination Dysfunction (UD) and Brain Functions of Middle and Upper-Middle Aged Community Dwellers: Evidence from the Yakumo Study. 中老年社区居民排尿功能障碍与脑功能的关系:来自Yakumo研究的证据。
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.257
Hatta Takeshi, Hatta Taketoshi, Iwahara Akihiko, Honjo Hisashi, Hasegawa Yukiharu
Aim: To compare the cognitive and physical abilities between upper-middle aged participants who have experienced Urination Dysfunction (UD) during last 4 weeks and intact control participants. Methods: In total 694 upper-middle aged participants (age ranged from 40 to 89 years old) were given a questionnaire for UD, cognitive tests (Digit Cancellation Test: D-CAT, and Logical Memory Test: LMT) and physical ability tests (Timed-get-Up and Go test: TUG and postural tremor test), individually. Results: We compared cognitive and physical abilities test performances between UD and Intact control group participants. Conclusion: The performance in a cognitive test, D-CAT, assessing prefrontal cortex function, and performance in tests of physical abilities including agility (TUG), were inferior in UD participants compared to the control group. However, there were no group differences in tests of LMT, physical balance, or BMI. These results strongly suggest that brain function is a risk factor for UD and health promotion staff of local governments should prepare proper measures to delay the onset of UD.
目的:比较最近4周出现排尿功能障碍(UD)的中老年受试者与正常对照组的认知和身体能力。方法:对694名年龄在40 ~ 89岁的中老年患者分别进行UD、认知测试(D-CAT、逻辑记忆测试)和体能测试(TUG、体位性震颤测试)。结果:我们比较了UD组和完整对照组参与者的认知和身体能力测试成绩。结论:在评估前额皮质功能的认知测试D-CAT中的表现,以及在包括敏捷性(TUG)在内的身体能力测试中的表现,UD参与者比对照组差。然而,在LMT、身体平衡或BMI测试中没有组间差异。这些结果强烈提示脑功能是UD的危险因素,地方政府的健康促进人员应制定适当的措施来延缓UD的发生。
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引用次数: 0
Cognitive Assessment with Neurocognitive Screening Tools 用神经认知筛选工具进行认知评估
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.S5.001
F. Salis, M. Antonella, as
Neurocognitive Disorders (NCDs) are widespread diseases, especially in elderly. The future possibility of having more effective treatments has to deal with the lack of early disorder detection, which would enable patients to benefit the most from them. Individual medical history, blood and cerebrospinal fluid tests, and neuroimaging, among other tools, support the diagnostic process; neurocognitive screening tests also have an irreplaceable role to play in NCD assessment. Ease of execution and low cost make these instruments to be so appreciate in clinical practice. Mini Mental State Examination (MMSE), Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), Montreal Cognitive Assessment (MoCA), and Clock Drawing Test (CDT), used as first-level screening tools, will be at the centre of this mini review. In the present work we will highlight the contribution made by these tests in NCD assessment, emphasizing some interesting aspects recently emerged from the scientific literature.
神经认知障碍(NCDs)是一种广泛存在的疾病,尤其是在老年人中。未来可能会有更有效的治疗方法,必须解决缺乏早期疾病检测的问题,这将使患者从中受益最多。除其他工具外,个人病史、血液和脑脊液检查以及神经成像支持诊断过程;神经认知筛查测试在非传染性疾病评估中也发挥着不可替代的作用。易于操作和低成本使这些仪器在临床实践中备受青睐。迷你精神状态检查(MMSE)、神经心理状态评估可重复电池(RBANS)、蒙特利尔认知评估(MoCA)和时钟绘制测试(CDT)作为一级筛查工具,将成为本次迷你回顾的中心。在目前的工作中,我们将强调这些测试对非传染性疾病评估的贡献,强调最近从科学文献中出现的一些有趣的方面。
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引用次数: 0
Neurotechnology for Bypassing Damaged Neural Pathways 绕过受损神经通路的神经技术
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.246
Kenji Kato, Y. Nishimura
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引用次数: 0
Impact of Lower and Upper Body Strength between Different Three Age Levels in Male Active Older Adults 男性老年活动者不同年龄水平上下体力量的影响
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.S6.001
Paw, eep kaur, N. Deol
Aim: This study aimed to investigate the selection of lower and upper body strength of male active older adults. Methods: Participants (N=90) of older adults from Punjab were selected to act as subjects for the study. The study was delimited to the older male active older adults recruited at age group 60-70, 70-80, and 80-90 years respectively. For data collection, the active group of the subjects was divided into three categories i.e. category I (60-70 Years; N=30), category II (70-80 Years; N=30), and category III (80-90 Years; N=30) respectively. The chair stand test was used to measure the lower body strength and the arm curl test was used to measure the upper body strength. Statistical Package for Social Science (SPSS) version 23 was used to analyze the lower and upper body strength of male active older adults, after collecting data One Way ANOVA (Analysis of Variance), Least Significant Difference (LSD) Post Hoc test was employed. The level of significance to test the hypotheses was 0.05, (P<0.05). Results: Outcomes of the studies in both variables found that there was a statistically significant difference in both the variables with a p-value of the lower body strength .000 (P<0.05) and p-value of the upper body strength was .015 (P<0.05) of male active older adults. Conclusion: In conclusion, the study has revealed that changes in age-related decline of strength and the aging process always reduce physical activity. The lower and upper body strength changes with aging.
目的:探讨老年男性运动健全人上半身力量的选择。方法:选取旁遮普省90名老年人作为研究对象。研究对象为年龄分别为60-70岁、70-80岁和80-90岁的老年男性活跃老年人。为了收集数据,将活跃的受试者组分为三类,即第一类(60-70岁;N=30),第二类(70-80岁;N=30)和第三类(80-90岁;N = 30)。下半身力量测量采用椅架试验,上半身力量测量采用旋臂试验。采用社会科学统计软件包(SPSS)第23版对男性活动老年人的下肢和上肢力量进行分析,收集数据后采用单因素方差分析(One Way ANOVA),采用最小显著差异(Least Significant Difference, LSD)事后检验。检验假设的显著性水平为0.05,(P<0.05)。结果:两个变量的研究结果发现,男性活动老年人下半身力量的P值为0.000 (P<0.05),上半身力量的P值为0.015 (P<0.05),两个变量的差异均有统计学意义。结论:总之,研究揭示了与年龄相关的体力下降和衰老过程的变化总是减少体力活动。下半身和上半身的力量随着年龄的增长而变化。
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引用次数: 0
Mindfulness in Motion for the Resilient Cancer Survivor and their Caregiver: Creating Community in a Socially Distanced World 运动中的正念对有复原力的癌症幸存者和他们的照顾者:在一个社会疏远的世界中创建社区
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.9.S4.005
O. Gabram, M. Klatt
Mindfulness in Motion (MIM) for Resilient Cancer Survivorship is a program designed to improve the quality of life of both survivors and caregivers. Reality, for both the survivor and caregiver, has been transformed by a cancer diagnosis and mindfulness can help in coping with this change.
运动中的正念(MIM)是一个旨在提高幸存者和照顾者生活质量的项目。对于幸存者和护理者来说,癌症诊断已经改变了现实,正念可以帮助他们应对这种变化。
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引用次数: 0
Gastrointestinal Tract Microbiome-Derived Pro-inflammatory Neurotoxins in Alzheimer's Disease. 阿尔茨海默病胃肠道微生物源性促炎神经毒素。
Pub Date : 2021-01-01 Epub Date: 2021-05-27
Yuhai Zhao, Vivian Jaber, Walter J Lukiw

The microbiome contained within the human gastrointestinal (GI)-tract constitutes a highly complex, dynamic and interactive internal prokaryotic ecosystem that possesses a staggering diversity, speciation and complexity. This repository of microbes comprises the largest interactive source and highest density of microbes anywhere in nature, collectively constituting the largest 'diffuse organ system' in the human body. Through the extracellular fluid (ECF), cerebrospinal fluid (CSF), lymphatic and glymphatic circulation, endocrine, systemic and neurovascular circulation and/or central and peripheral nervous systems (CNS, PNS) microbiome-derived signaling strongly impacts the health, well-being and vitality of the human host. Recent data from the Human Microbiome Initiative (HMI) and the Unified Human Gastrointestinal Genome (UHGG) consortium have classified over ~200 thousand diverse, non-redundant prokaryotic genomes in the human GI-tract microbiome involving about ~5 thousand different GI-tract microbes that all together encode almost ~200 million different protein sequences. While the largest proportion of different microbiome-derived proteins, lipoproteins and nucleic acids provide essential microorganism-specific gene products necessary to support microbial structure, function and viability, many of these same components are also shed from the outer cell wall of different Gram-negative bacterial species into surrounding biofluids which eventually enter the systemic circulation. Several of these microbial-derived secreted molecular species represent some of the most pro-inflammatory and noxious neurotoxins known. These neurotoxins disrupt cell-cell adhesion and easily translocate across aged or damaged plasma membranes and into the systemic circulation, brain, and CNS and PNS compartments. For example, microbial lipoprotein glycoconjugates such as Gram-negative bacteria-derived lipopolysaccharide (LPS), bacterial amyloids and more recently small non-coding RNA (sncRNA) microbial-derived neurotoxins have been found by many independent research groups to reside within the brain cells and CNS tissues of aged patients affected with Alzheimer's disease (AD). This 'Commentary' will highlight the most recent findings on these microbial-derived secreted toxins, their neurotropic properties and the potential contribution of these neurotoxic and pro-inflammatory microbial exudates to age-related inflammatory neurodegeneration, with specific reference to the human GI-tract abundant Gram-negative anaerobe Bacteroides fragilis and to AD wherever possible.

人类胃肠道内的微生物群构成了一个高度复杂、动态和相互作用的内部原核生态系统,具有惊人的多样性、物种形成和复杂性。这个微生物库包含了自然界中最大的相互作用源和最高密度的微生物,共同构成了人体中最大的“弥漫性器官系统”。通过细胞外液(ECF)、脑脊液(CSF)、淋巴和淋巴循环、内分泌、全身和神经血管循环和/或中枢和周围神经系统(CNS, PNS)微生物组衍生的信号强烈影响人类宿主的健康、福祉和活力。来自人类微生物组计划(HMI)和统一人类胃肠道基因组(UHGG)联盟的最新数据已经在人类胃肠道微生物组中分类了超过20万个不同的、非冗余的原核基因组,涉及约5000种不同的胃肠道微生物,这些微生物总共编码了近2亿个不同的蛋白质序列。虽然不同微生物组衍生的蛋白质、脂蛋白和核酸的最大比例提供了支持微生物结构、功能和活力所必需的微生物特异性基因产物,但这些成分中的许多也从不同革兰氏阴性细菌的外细胞壁脱落到周围的生物液体中,最终进入体循环。这些微生物衍生的分泌分子物种代表了一些已知的最具促炎和毒性的神经毒素。这些神经毒素破坏细胞与细胞的粘附,容易穿过老化或受损的质膜,进入体循环、大脑、中枢神经系统和前神经系统。例如,许多独立研究小组发现,微生物脂蛋白糖结合物,如革兰氏阴性细菌衍生的脂多糖(LPS)、细菌淀粉样蛋白和最近的小非编码RNA (sncRNA)微生物衍生的神经毒素,存在于老年阿尔茨海默病(AD)患者的脑细胞和中枢神经系统组织中。这篇“评论”将强调这些微生物衍生的分泌毒素的最新发现,它们的嗜神经特性,以及这些神经毒性和促炎微生物渗出物对年龄相关性炎性神经退行性变的潜在贡献,并特别提到人类胃肠道丰富的革兰氏阴性厌食菌脆弱拟杆菌和AD。
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引用次数: 0
Exercise Therapy as Part for Chronic Musculoskeletal pain in Elderly Individuals 运动疗法作为老年人慢性肌肉骨骼疼痛的一部分
Pub Date : 2021-01-01 DOI: 10.35248/2329-8847.21.9.244
K. Shimo, Takafumi Hattori, T. Matsubara
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引用次数: 0
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Journal of aging science
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