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First versus second year respiratory syncytial virus prophylaxis in chronic lung disease (2005-2015). 慢性肺病患者第一年与第二年的呼吸道合胞病毒预防(2005-2015 年)。
IF 3.6 Pub Date : 2017-03-01 Epub Date: 2017-01-20 DOI: 10.1007/s00431-017-2849-4
Daniel Y Wang, Abby Li, Bosco Paes, Ian Mitchell, Krista L Lanctôt

Children aged <2 years with chronic lung disease (CLD) have a 10-fold higher risk for respiratory syncytial virus-positive hospitalization (RSVH) compared to healthy term infants. Based on the updated position statements, we compared respiratory-related illness hospitalization (RIH) and RSVH risks in CLD children who received palivizumab during the first year (FY) versus second year (SY) of life in the Canadian Registry of Palivizumab (CARESS). Demographic data were collected at enrolment and RIH events recorded monthly from 2005 to 2015. Eight hundred forty-seven FY and 450 SY children with CLD were identified. SY children had a lower gestational age (27 versus 29 weeks) and required more days of respiratory support (64 versus 43), oxygen therapy (108 versus 55), and length of stay (118 versus 73) during the neonatal course compared to FY children; all p < 0.0005. RIH rates were 12.2 (FY) and 18.2 (SY), and RSVH rates were 2.3 (FY) and 3.9 (SY). Cox regression showed similar hazards for both RIH (hazard ratio 0.9, 95% CI 0.6-1.6, p = 0.812) and RSVH (hazard ratio 1.1, 95% CI 0.4-2.9, p = 0.920).

Conclusions: SY and FY children had similar risks for RIH and RSVH. The findings imply that SY children with CLD are correctly selected for palivizumab based on neonatal illness severity and merit prophylaxis. What is Known: • Children with chronic lung disease have a 10-fold higher risk for RSV-positive hospitalization in comparison to healthy term infants and commonly receive palivizumab prophylaxis as a preventative measure against serious RSV-related lower respiratory tract infections. • The American Academy of Pediatrics [ 2 ] and the Canadian Paediatric Society [ 30 ] have recently modified their recommendations for RSV prophylaxis in children with chronic lung disease, limiting palivizumab to either those <32 weeks gestation or those in the first year of life who are oxygen dependent or require medical therapy for the treatment of their condition. What is New: • Children with chronic lung disease receiving an additional course of palivizumab in their second year of life were determined to be at similar risk for both respiratory illness-related hospitalization and RSV-positive hospitalization as palivizumab-naïve children enrolled in the first year of life in the Canadian Registry for palivizumab (CARESS). • CARESS physicians are correctly identifying high-risk children with chronic lung disease in their second year of life, whom they believe will benefit from an additional year of palivizumab prophylaxis, based on neonatal illness severity.

结论:SY 和 FY 儿童患 RIH 和 RSVH 的风险相似:SY和FY儿童发生RIH和RSVH的风险相似。研究结果表明,根据新生儿疾病的严重程度,可以正确选择使用帕利珠单抗,SY 和 FY 患儿的 RIH 和 RSVH 风险相似。已知信息- 与健康足月儿相比,慢性肺部疾病患儿的 RSV 阳性住院风险高出 10 倍,因此通常会接受帕利珠单抗预防治疗,以预防与 RSV 相关的严重下呼吸道感染。- 美国儿科学会[ 2 ]和加拿大儿科学会[ 30 ]最近修改了对慢性肺病患儿进行 RSV 预防的建议,将帕利珠单抗的使用范围限制在以下两种情况中的任何一种
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引用次数: 0
Brain Research Young Investigator Awards 脑研究青年研究者奖
Pub Date : 2011-06-24 DOI: 10.1016/S0165-0173(11)00031-2
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引用次数: 0
Interleukin-6, a mental cytokine 白细胞介素-6,一种精神细胞因子
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2011.01.002
Anneleen Spooren , Krzysztof Kolmus , Guy Laureys , Ralph Clinckers , Jacques De Keyser , Guy Haegeman , Sarah Gerlo

Almost a quarter of a century ago, interleukin-6 (IL-6) was discovered as an inflammatory cytokine involved in B cell differentiation. Today, IL-6 is recognized to be a highly versatile cytokine, with pleiotropic actions not only in immune cells, but also in other cell types, such as cells of the central nervous system (CNS). The first evidence implicating IL-6 in brain-related processes originated from its dysregulated expression in several neurological disorders such as multiple sclerosis, Alzheimer's disease and Parkinson's disease. In addition, IL-6 was shown to be involved in multiple physiological CNS processes such as neuron homeostasis, astrogliogenesis and neuronal differentiation.

The molecular mechanisms underlying IL-6 functions in the brain have only recently started to emerge. In this review, an overview of the latest discoveries concerning the actions of IL-6 in the nervous system is provided. The central position of IL-6 in the neuroinflammatory reaction pattern, and more specifically, the role of IL-6 in specific neurodegenerative processes, which accompany Alzheimer's disease, multiple sclerosis and excitotoxicity, are discussed. It is evident that IL-6 has a dichotomic action in the CNS, displaying neurotrophic properties on the one hand, and detrimental actions on the other. This is in agreement with its central role in neuroinflammation, which evolved as a beneficial process, aimed at maintaining tissue homeostasis, but which can become malignant when exaggerated. In this perspective, it is not surprising that ‘well-meant’ actions of IL-6 are often causing harm instead of leading to recovery.

大约25年前,白细胞介素-6 (IL-6)被发现是一种参与B细胞分化的炎症细胞因子。今天,IL-6被认为是一种高度通用的细胞因子,不仅在免疫细胞中具有多效性,而且在其他细胞类型,如中枢神经系统(CNS)细胞中也具有多效性。IL-6参与脑相关过程的第一个证据来自其在多种神经系统疾病(如多发性硬化症、阿尔茨海默病和帕金森病)中的表达失调。此外,IL-6被证明参与了多个生理中枢过程,如神经元稳态、星形胶质形成和神经元分化。IL-6在大脑中发挥作用的分子机制直到最近才开始出现。本文就IL-6在神经系统中的作用的最新发现作一综述。本文讨论了IL-6在神经炎症反应模式中的中心地位,更具体地说,IL-6在伴随阿尔茨海默病、多发性硬化症和兴奋性毒性的特定神经退行性过程中的作用。很明显,IL-6在中枢神经系统中具有双重作用,一方面显示神经营养特性,另一方面显示有害作用。这与它在神经炎症中的核心作用是一致的,神经炎症是一个有益的过程,旨在维持组织稳态,但如果被夸大,它可能变成恶性的。从这个角度来看,IL-6的“善意”行为往往会造成伤害而不是导致康复,这并不奇怪。
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引用次数: 314
Dynamin-related protein 1 and mitochondrial fragmentation in neurodegenerative diseases 动力蛋白相关蛋白1与神经退行性疾病的线粒体断裂
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2010.11.004
P. Hemachandra Reddy , Tejaswini P. Reddy , Maria Manczak , Marcus J. Calkins , Ulziibat Shirendeb , Peizhong Mao

The purpose of this article is to review the recent developments of abnormal mitochondrial dynamics, mitochondrial fragmentation, and neuronal damage in neurodegenerative diseases, including Alzheimer's, Parkinson's, Huntington's, and amyotrophic lateral sclerosis. The GTPase family of proteins, including fission proteins, dynamin related protein 1 (Drp1), mitochondrial fission 1 (Fis1), and fusion proteins (Mfn1, Mfn2 and Opa1) are essential to maintain mitochondrial fission and fusion balance, and to provide necessary adenosine triphosphate to neurons. Among these, Drp1 is involved in several important aspects of mitochondria, including shape, size, distribution, remodeling, and maintenance of mitochondria in mammalian cells. In addition, recent advancements in molecular, cellular, electron microscopy, and confocal imaging studies revealed that Drp1 is associated with several cellular functions, including mitochondrial and peroxisomal fragmentation, phosphorylation, SUMOylation, ubiquitination, and cell death. In the last two decades, tremendous progress has been made in researching mitochondrial dynamics, in yeast, worms, and mammalian cells; and this research has provided evidence linking Drp1 to neurodegenerative diseases. Researchers in the neurodegenerative disease field are beginning to recognize the possible involvement of Drp1 in causing mitochondrial fragmentation and abnormal mitochondrial dynamics in neurodegenerative diseases. This article summarizes research findings relating Drp1 to mitochondrial fission and fusion, in yeast, worms, and mammals. Based on findings from the Reddy laboratory and others', we propose that mutant proteins of neurodegenerative diseases, including AD, PD, HD, and ALS, interact with Drp1, activate mitochondrial fission machinery, fragment mitochondria excessively, and impair mitochondrial transport and mitochondrial dynamics, ultimately causing mitochondrial dysfunction and neuronal damage.

这篇文章的目的是回顾最近的进展异常线粒体动力学,线粒体碎片和神经退行性疾病,包括阿尔茨海默病,帕金森病,亨廷顿病,肌萎缩性侧索硬化症神经元损伤。GTPase家族蛋白,包括裂变蛋白、动力蛋白相关蛋白1 (Drp1)、线粒体裂变蛋白1 (Fis1)和融合蛋白(Mfn1、Mfn2和Opa1),对维持线粒体裂变和融合平衡以及向神经元提供必需的三磷酸腺苷至关重要。其中,Drp1参与线粒体的几个重要方面,包括哺乳动物细胞中线粒体的形状、大小、分布、重塑和维持。此外,分子、细胞、电子显微镜和共聚焦成像研究的最新进展表明,Drp1与多种细胞功能有关,包括线粒体和过氧化物酶体断裂、磷酸化、SUMOylation、泛素化和细胞死亡。在过去的二十年中,在酵母、蠕虫和哺乳动物细胞的线粒体动力学研究方面取得了巨大进展;这项研究提供了Drp1与神经退行性疾病有关的证据。神经退行性疾病领域的研究人员开始认识到Drp1可能参与导致神经退行性疾病的线粒体断裂和线粒体动力学异常。本文综述了Drp1在酵母、蠕虫和哺乳动物中与线粒体分裂和融合有关的研究结果。基于Reddy等人的研究结果,我们提出AD、PD、HD、ALS等神经退行性疾病的突变蛋白与Drp1相互作用,激活线粒体裂变机制,使线粒体过度片段化,损害线粒体运输和线粒体动力学,最终导致线粒体功能障碍和神经元损伤。
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引用次数: 305
Impaired regulation of synaptic actin cytoskeleton in Alzheimer's disease 阿尔茨海默病中突触肌动蛋白细胞骨架的调节受损
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2011.01.003
Peter Penzes , Jon-Eric VanLeeuwen

Representing the most common cause of dementia, Alzheimer's disease (AD) has dramatically impacted the neurological and economic health of our society. AD is a debilitating neurodegenerative disease that produces marked cognitive decline. Much evidence has accumulated over the past decade to suggest soluble oligomers of beta-amyloid (Aβ) have a critical role in mediating AD pathology early in the disease process by perturbing synaptic efficacy. Here we critically review recent research that implicates synapses as key sites of early pathogenesis in AD. Most excitatory synapses in the brain rely on dendritic spines as the sites for excitatory neurotransmission. The structure and function of dendritic spines are dynamically regulated by cellular pathways acting on the actin cytoskeleton. Numerous studies analyzing human postmortem tissue, animal models and cellular paradigms indicate that AD pathology has a deleterious effect on the pathways governing actin cytoskeleton stability. Based on the available evidence, we propose the idea that a contributing factor to synaptic pathology in early AD is an Aβ oligomer-initiated collapse of a “synaptic safety net” in spines, leading to dendritic spine degeneration and synaptic dysfunction. Spine stabilizing pathways may thus represent efficacious therapeutic targets for combating AD pathology.

阿尔茨海默病(AD)是痴呆症最常见的病因,它极大地影响了我们社会的神经和经济健康。阿尔茨海默病是一种使人衰弱的神经退行性疾病,会导致显著的认知能力下降。在过去的十年中积累的大量证据表明,β -淀粉样蛋白(a β)的可溶性低聚物通过干扰突触的功效,在疾病过程的早期介导AD病理中起着关键作用。在这里,我们批判性地回顾最近的研究暗示突触是阿尔茨海默病早期发病的关键部位。大脑中大多数兴奋性突触依赖树突棘作为兴奋性神经传递的部位。树突棘的结构和功能受到作用于肌动蛋白细胞骨架的细胞通路的动态调节。大量分析人类死后组织、动物模型和细胞模式的研究表明,阿尔茨海默病病理对控制肌动蛋白细胞骨架稳定性的途径具有有害影响。基于现有证据,我们提出早期阿尔茨海默病突触病理的一个促成因素是a β寡聚物引发的脊柱“突触安全网”崩溃,导致树突状脊柱变性和突触功能障碍。因此,脊柱稳定通路可能是对抗AD病理的有效治疗靶点。
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引用次数: 91
Motor neuron trophic factors: Therapeutic use in ALS? 运动神经元营养因子:在ALS中的治疗应用?
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2010.10.003
Thomas W. Gould, Ronald W. Oppenheim

The modest effects of neurotrophic factor (NTF) treatment on lifespan in both animal models and clinical studies of Amyotropic Lateral Sclerosis (ALS) may result from any one or combination of the four following explanations: 1.) NTFs block cell death in some physiological contexts but not in ALS; 2.) NTFs do not rescue motoneurons (MNs) from death in any physiological context; 3.) NTFs block cell death in ALS but to no avail; and 4.) NTFs are physiologically effective but limited by pharmacokinetic constraints. The object of this review is to critically evaluate the role of both NTFs and the intracellular cell death pathway itself in regulating the survival of spinal and cranial (lower) MNs during development, after injury and in response to disease. Because the role of molecules mediating MN survival has been most clearly resolved by the in vivo analysis of genetically engineered mice, this review will focus on studies of such mice expressing reporter, null or other mutant alleles of NTFs, NTF receptors, cell death or ALS-associated genes.

在肌萎缩性侧索硬化症(ALS)的动物模型和临床研究中,神经营养因子(NTF)治疗对寿命的适度影响可能是由以下四种解释中的任何一种或组合造成的:在某些生理情况下,NTFs会阻止细胞死亡,但在ALS中不会;2)。在任何生理情况下,NTFs都不能拯救运动神经元(MNs)免于死亡;3)。NTFs阻断ALS的细胞死亡,但无效;和4)。NTFs在生理上是有效的,但受药代动力学限制。本综述的目的是批判性地评估NTFs和细胞内细胞死亡途径本身在调节脊柱和颅(下)MNs在发育期间、损伤后和疾病反应中的存活中的作用。由于分子介导MN存活的作用已经通过基因工程小鼠的体内分析得到了最明确的解决,因此本文将重点研究表达NTFs、NTF受体、细胞死亡或als相关基因的报告基因、空等位基因或其他突变等位基因的此类小鼠。
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引用次数: 62
Oligodendrogenesis in the subventricular zone and the role of epidermal growth factor 脑室下区少突发生及表皮生长因子的作用
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2011.01.001
Oscar Gonzalez-Perez , Arturo Alvarez-Buylla

Demyelinating diseases are characterized by an extensive loss of oligodendrocytes and myelin sheaths from axolemma. These neurological disorders are a common cause of disability in young adults, but so far, there is no effective treatment against them. It has been suggested that neural stem cells (NSCs) may play an important role in brain repair therapies. NSCs in the adult subventricular zone (SVZ), also known as Type-B cells, are multipotential cells that can self-renew and give rise to neurons and glia. Recent findings have shown that cells derived from SVZ Type-B cells actively respond to epidermal-growth-factor (EGF) stimulation becoming highly migratory and proliferative. Interestingly, a subpopulation of these EGF-activated cells expresses markers of oligodendrocyte precursor cells (OPCs). When EGF administration is removed, SVZ-derived OPCs differentiate into myelinating and pre-myelinating oligodendrocytes in the white matter tracts of corpus callosum, fimbria fornix and striatum. In the presence of a demyelinating lesion, OPCs derived from EGF-stimulated SVZ progenitors contribute to myelin repair. Given their high migratory potential and their ability to differentiate into myelin-forming cells, SVZ NSCs represent an important endogenous source of OPCs for preserving the oligodendrocyte population in the white matter and for the repair of demyelinating injuries.

脱髓鞘疾病的特征是轴鞘上少突胶质细胞和髓鞘的广泛损失。这些神经系统疾病是年轻人致残的常见原因,但到目前为止,还没有有效的治疗方法。神经干细胞(neural stem cells, NSCs)可能在脑修复治疗中发挥重要作用。成人心室下区(SVZ)的NSCs,也被称为b型细胞,是一种多电位细胞,可以自我更新并产生神经元和胶质细胞。最近的研究表明,SVZ型b细胞衍生的细胞对表皮生长因子(EGF)刺激具有积极反应,具有高度迁移和增殖能力。有趣的是,这些egf激活的细胞亚群表达少突胶质前体细胞(OPCs)的标记物。当EGF被去除后,svz衍生的OPCs在胼胝体、穹状膜和纹状体的白质束中分化为髓鞘鞘和髓鞘鞘前少突胶质细胞。在脱髓鞘病变存在的情况下,来自egf刺激的SVZ祖细胞的OPCs有助于髓磷脂修复。鉴于其高迁移潜力和分化成髓鞘形成细胞的能力,SVZ NSCs是保存白质中少突胶质细胞群和修复脱髓鞘损伤的重要内源性OPCs来源。
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引用次数: 159
Rabs, SNAREs and α-synuclein — Membrane trafficking defects in synucleinopathies Rabs, SNAREs和α-突触核蛋白-突触核蛋白病的膜运输缺陷
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2011.03.002
Christelle En Lin Chua, Bor Luen Tang

Neuronal dysfunctions and neurodegeneration are often associated with defects in membrane transport. Synucleinopathies are a diverse group of neurodegenerative disorders that share a common pathological feature — insoluble aggregates composed largely of the protein α-synuclein in certain populations of neurons and glia. The actual physiological function of the brain-enriched α-synuclein is still not particularly clear. What is obvious is that when the protein is present in pathologically high amounts, or in mutant forms with enhanced membrane association and oligomerization, it causes neuronal demise with manifestations of impaired neuronal traffic, heightened oxidative stress, mitochondrial degeneration and defects in lipid metabolism. α-synuclein's direct association with the activities of key components of the eukaryotic membrane traffic machinery, namely Rabs and the soluble N-ethylmaleimide sensitive factor (NSF) attachment protein receptors (SNAREs), has highlighted a key role for membrane transport defects in α-synuclein-mediated pathology. Here, we summarize and discuss recent findings in this regard, and their implications in the molecular aspects of synucleinopathy.

神经功能障碍和神经退行性变常与膜运输缺陷有关。突触核蛋白病是一组不同的神经退行性疾病,它们具有共同的病理特征-在某些神经元和胶质细胞中主要由α-突触核蛋白组成的不溶性聚集体。富脑α-突触核蛋白的实际生理功能尚不十分清楚。显而易见的是,当该蛋白在病理上大量存在,或以膜结合和寡聚化增强的突变形式存在时,它会导致神经元死亡,表现为神经元交通受损、氧化应激加剧、线粒体变性和脂质代谢缺陷。α-synuclein与真核生物膜运输机制的关键组分Rabs和可溶性n-乙基酰亚胺敏感因子(NSF)附着蛋白受体(SNAREs)的活性直接相关,这突出了α-synuclein介导的病理中膜运输缺陷的关键作用。在这里,我们总结和讨论这方面的最新发现,以及它们在突触核蛋白病分子方面的意义。
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引用次数: 30
Spinal cord repair in regeneration-competent vertebrates: Adult teleost fish as a model system 再生能力脊椎动物的脊髓修复:成年硬骨鱼作为模型系统
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2010.11.001
Ruxandra F. Sîrbulescu , Günther K.H. Zupanc

Spinal cord injuries in mammals, including humans, have devastating long-term consequences. Despite substantial research, therapeutic approaches developed in mammalian model systems have had limited success to date. An alternative strategy in the search for treatment of spinal cord lesions is provided by regeneration-competent vertebrates. These organisms, which include fish, urodele amphibians, and certain reptiles, have a spinal cord very similar in structure to that of mammals, but are capable of spontaneous structural and functional recovery after spinal cord injury. The present review aims to provide an overview of the current status of our knowledge of spinal cord regeneration in one of these groups, teleost fish. The findings are discussed from a comparative perspective, with reference to other taxa of regeneration-competent vertebrates, as well as to mammals.

包括人类在内的哺乳动物的脊髓损伤具有毁灭性的长期后果。尽管进行了大量的研究,但迄今为止,在哺乳动物模型系统中开发的治疗方法取得的成功有限。在寻找治疗脊髓病变的另一种策略是提供再生能力的脊椎动物。这些生物包括鱼类、尾纲两栖动物和某些爬行动物,它们的脊髓在结构上与哺乳动物非常相似,但在脊髓损伤后能够自发地恢复结构和功能。本文综述了硬骨鱼(硬骨鱼)脊髓再生的研究现状。这些发现从比较的角度进行了讨论,并参考了其他具有再生能力的脊椎动物分类群以及哺乳动物。
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引用次数: 56
A review of lateralization of spatial functioning in nonhuman primates 非人类灵长类动物空间功能偏侧化研究进展
Pub Date : 2011-06-24 DOI: 10.1016/j.brainresrev.2010.11.002
Anna Oleksiak , Albert Postma , Ineke J.M. van der Ham , P. Christiaan Klink , Richard J.A. van Wezel

The majority of research on functional cerebral lateralization in primates revolves around vocal abilities, addressing the evolutionary origin of the human language faculty and its predominance in the left hemisphere of the brain. Right hemisphere specialization in spatial cognition is commonly reported in humans. This functional asymmetry is especially evident in the context of the unilateral neglect, a deficit in attention to and awareness of one side of space, that more frequently occurs after right-side rather than left-side brain damage. Since most of the research efforts are concentrated on vocalization in primates, much less is known about the presence or absence of spatial functions lateralization. Obtaining this knowledge can provide insight into the evolutionary aspect of the functionally lateralized brain of Homo sapiens and deliver refinement and validation of the nonhuman primate unilateral neglect model. This paper reviews the literature on functional brain asymmetries in processing spatial information, limiting the search to nonhuman primates, and concludes there is no clear evidence that monkeys process spatial information with different efficiency in the two hemispheres. We suggest that lateralization of spatial cognition in humans represents a relatively new feature on the evolutionary time scale, possibly developed as a by-product of the left hemisphere intrusion of language competence. Further, we argue that the monkey model of hemispatial neglect requires reconsideration.

大多数关于灵长类动物功能性大脑偏侧化的研究都围绕着发声能力展开,解决了人类语言能力的进化起源及其在大脑左半球的优势。右半球空间认知的专门化通常在人类中被报道。这种功能上的不对称在单侧忽视的情况下尤为明显,即对一侧空间的注意力和意识缺失,这种情况更常发生在右脑损伤而不是左脑损伤之后。由于大多数的研究工作都集中在灵长类动物的发声上,对于空间功能侧化的存在与否知之甚少。获得这些知识可以深入了解智人功能侧化大脑的进化方面,并提供非人类灵长类动物单侧忽视模型的改进和验证。本文回顾了有关脑功能不对称处理空间信息的文献,将研究局限于非人类灵长类动物,并得出结论,没有明确的证据表明猴子在两个半球处理空间信息的效率不同。我们认为,人类空间认知的偏侧化在进化时间尺度上代表了一个相对较新的特征,可能是左半球入侵语言能力的副产品。此外,我们认为猴子的半脑忽视模型需要重新考虑。
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引用次数: 29
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Brain Research Reviews
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