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The cerebellum and pain: Passive integrator or active participator? 小脑与疼痛:被动整合者还是主动参与者?
Pub Date : 2010-10-05 DOI: 10.1016/j.brainresrev.2010.05.005
Eric A. Moulton , Jeremy D. Schmahmann , Lino Becerra , David Borsook

The cerebellum is classically considered to be a brain region involved in motor processing, but it has also been implicated in non-motor, and even cognitive, functions. Though previous research suggests that the cerebellum responds to noxious stimuli, its specific role during pain is unclear. Pain is a multidimensional experience that encompasses sensory discriminative, affective motivational, and cognitive evaluative components. Cerebellar involvement during the processing of pain could thus potentially reflect a number of different functional processes. This review will summarize the animal and human research to date that indicates that (1) primary afferents conduct nociceptive (noxious) input to the cerebellum, (2) electrical and pharmacological stimulation of the cerebellum can modulate nociceptive processing, and (3) cerebellar activity occurs during the presence of acute and chronic pain. Possible functional roles for the cerebellum relating to pain will be considered, including perspectives relating to emotion, cognition, and motor control in response to pain.

小脑通常被认为是一个与运动处理有关的大脑区域,但它也与非运动甚至认知功能有关。虽然先前的研究表明小脑对有害刺激有反应,但它在疼痛中的具体作用尚不清楚。疼痛是一种多维度的体验,它包含了感官上的区别、情感上的动机和认知上的评价。因此,小脑在处理疼痛过程中的参与可能潜在地反映了许多不同的功能过程。本综述将总结迄今为止的动物和人类研究,这些研究表明:(1)初级事件将伤害性(有害)输入到小脑,(2)小脑的电和药物刺激可以调节伤害性加工,(3)急性和慢性疼痛时小脑活动发生。将考虑小脑与疼痛相关的可能功能角色,包括与疼痛反应的情感,认知和运动控制有关的观点。
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引用次数: 269
Free colour illustrations in the online version of articles 免费彩色插图在文章的在线版本
Pub Date : 2010-10-05 DOI: 10.1016/S0165-0173(10)00095-0
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引用次数: 0
Neuroimaging for Lewy body disease: Is the in vivo molecular imaging of α-synuclein neuropathology required and feasible? 路易体病的神经影像学:α-突触核蛋白神经病理的体内分子影像学是否需要和可行?
Pub Date : 2010-10-05 DOI: 10.1016/j.brainresrev.2010.05.006
Anthony C. Vernon , Clive Ballard , Michel Modo

Alpha-synuclein aggregation is a neuropathological hallmark of many neurodegenerative diseases including Parkinson's disease (PD), Parkinson's disease with dementia (PDD) and dementia with Lewy bodies (DLB), collectively termed the α-synucleinopathies. Substantial advances in clinical criteria and neuroimaging technology over the last 20 years have allowed great strides in the detection and differential diagnosis of these disorders. Nevertheless, it is clear that whilst the array of different imaging modalities in clinical use allow for a robust diagnosis of α-synucleinopathy in comparison to healthy subjects, there is no clear diagnostic imaging marker that affords a reliable differential diagnosis between the different forms of Lewy body disease (LBD) or that could facilitate tracking of disease progression. This has led to a call for a biomarker based on the pathological hallmarks of these diseases, namely α-synuclein-positive Lewy bodies (LBs). This potentially may be advantageous in terms of early disease detection, but may also be leveraged into a potential marker of disease progression. We here aim to firstly review the current status of neuroimaging biomarkers in PD and related synucleinopathies. Secondly, we outline the rationale behind α-synuclein imaging as a potential novel biomarker as well as the potential benefits and limitations of this approach. Thirdly, we attempt to illustrate the likely technical hurdles to be overcome to permit successful in vivo imaging of α-synuclein pathology in the diseased brain. Our overriding aim is to provide a framework for discussion of how to address this major unmet clinical need.

α-突触核蛋白聚集是许多神经退行性疾病的神经病理学标志,包括帕金森病(PD),帕金森病伴痴呆(PDD)和路易体痴呆(DLB),统称为α-突触核蛋白病。在过去的20年里,临床标准和神经成像技术的巨大进步使得这些疾病的检测和鉴别诊断取得了巨大的进步。然而,很明显,虽然临床使用的一系列不同的成像方式与健康受试者相比,可以对α-突触核蛋白病进行强有力的诊断,但没有明确的诊断成像标记物可以在不同形式的路易体病(LBD)之间提供可靠的鉴别诊断,也没有明确的诊断成像标记物可以促进疾病进展的跟踪。这导致了对基于这些疾病病理特征的生物标志物的呼吁,即α-突触核蛋白阳性路易体(LBs)。这在早期疾病检测方面可能是有利的,但也可能成为疾病进展的潜在标志。在此,我们首先回顾PD及相关突触核蛋白病的神经成像生物标志物的现状。其次,我们概述了α-突触核蛋白成像作为一种潜在的新型生物标志物的基本原理,以及这种方法的潜在优势和局限性。第三,我们试图说明可能需要克服的技术障碍,以便在患病大脑中成功地进行α-突触核蛋白病理的体内成像。我们的首要目标是提供一个框架来讨论如何解决这一主要的未满足的临床需求。
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引用次数: 41
RETRACTED: Mechanism(s) of deep brain stimulation and insights into cognitive outcomes in Parkinson's disease 脑深部刺激的机制和对帕金森病认知结果的见解
Pub Date : 2010-10-05 DOI: 10.1016/j.brainresrev.2010.04.010
Shovan Naskar , Sanjay Kumar Sood , Vinay Goyal , Madhurima Dhara

This article has been retracted: please see Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy).

This article has been retracted at the request of the Editor and one of the authors in recognition that the authors have plagiarized parts of papers that had already appeared in other publications, including: Trends Neurosci., 28 [2005] 209–216, doi:10.1016/j.tins.2005.02.005, Mov. Disord., 21/S14 [2006] S305–S327, doi:10.1002/mds.20963,Annu. Rev. Neurosci., 29 [2006] 229–257, doi:10.1146/annurev.neuro.29.051605.112824.

One of the conditions of submission of a paper for publication is that authors declare explicitly that their work is original and has not appeared in a publication elsewhere. Re-use of any data should be appropriately cited. As such this article represents a severe abuse of the scientific publishing system. The scientific community takes a very strong view on this matter and apologies are offered to readers of the journal that this was not detected during the submission process.

本文已被撤稿:请参见爱思唯尔文章撤稿政策(http://www.elsevier.com/locate/withdrawalpolicy).This)。应编辑和一位作者的要求,文章已被撤稿,因为作者承认该文章抄袭了已发表在其他出版物上的部分论文,包括:Trends Neurosci。科学通报,28 [2005]209-216,doi:10.1016/j.tins.2005.02.005, Mov.;Disord。中国科学院学报,21/S14 [2006] S305-S327, doi:10.1002/mds.20963,年度。启>。[2006] 229-257, doi:10.1146/annurev.neuro.29.051605.112824。提交论文发表的条件之一是作者明确声明他们的作品是原创的,没有出现在其他出版物中。重复使用任何数据都应适当引用。因此,这篇文章代表了对科学出版制度的严重滥用。科学界对此事的态度非常强烈,并向期刊的读者道歉,因为在提交过程中没有发现这一点。
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引用次数: 15
Electromagnetic fields and the blood–brain barrier 电磁场和血脑屏障
Pub Date : 2010-10-05 DOI: 10.1016/j.brainresrev.2010.06.001
Rianne Stam

The mammalian blood–brain barrier (BBB) consists of endothelial cells, linked by tight junctions, and the adjoining pericytes and extracellular matrix. It helps maintain a highly stable extracellular environment necessary for accurate synaptic transmission and protects nervous tissue from injury. An increase in its normally low permeability for hydrophilic and charged molecules could potentially be detrimental. Methods to assess the permeability of the BBB include histological staining for marker molecules in brain sections and measurement of the concentration of marker molecules in blood and brain tissue. Their advantages and disadvantages are discussed. Exposure to levels of radiofrequency electromagnetic fields (EMF) that increase brain temperature by more than 1 °C can reversibly increase the permeability of the BBB for macromolecules. The balance of experimental evidence does not support an effect of ‘non-thermal’ radiofrequency fields with microwave and mobile phone frequencies on BBB permeability. Evidence for an effect of the EMF generated by magnetic resonance imaging on permeability is conflicting and conclusions are hampered by potential confounders and simultaneous exposure to different types and frequencies of EMF. The literature on effects of low frequency EMF, which do not cause tissue heating, is sparse and does not yet permit any conclusions on permeability changes. Studies on the potential effect of EMF exposure on permeability of the BBB in humans are virtually absent. Future permeability studies should focus on low frequency effects and effects in humans. Care should be taken to avoid the methodological limitations of earlier studies and to determine the pathophysiological relevance of any changes found.

哺乳动物血脑屏障(BBB)由紧密连接的内皮细胞和毗邻的周细胞和细胞外基质组成。它有助于维持一个高度稳定的细胞外环境,这是准确的突触传递所必需的,并保护神经组织免受损伤。对亲水分子和带电分子来说,其通常低渗透率的增加可能是有害的。评估血脑屏障通透性的方法包括脑切片标记分子的组织学染色和血液和脑组织中标记分子浓度的测定。讨论了它们的优缺点。暴露在射频电磁场(EMF)水平下,使大脑温度升高1°C以上,可以可逆地增加血脑屏障对大分子的渗透性。实验证据的平衡不支持微波和手机频率的“非热”射频场对血脑屏障渗透率的影响。关于磁共振成像产生的电磁场对磁导率影响的证据是相互矛盾的,结论受到潜在混杂因素和同时暴露于不同类型和频率的电磁场的影响而受到阻碍。低频电磁场不会引起组织发热,但关于其影响的文献很少,而且还不能得出关于磁导率变化的任何结论。关于电磁场暴露对人血脑屏障通透性的潜在影响的研究几乎没有。未来的渗透率研究应侧重于低频效应和对人体的影响。应注意避免早期研究的方法学局限性,并确定所发现的任何变化的病理生理学相关性。
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引用次数: 90
Prenatal stress and brain development 产前压力和大脑发育。
Pub Date : 2010-10-05 DOI: 10.1016/j.brainresrev.2010.06.002
Arnaud Charil , David P. Laplante , Cathy Vaillancourt , Suzanne King

Prenatal stress (PS) has been linked to abnormal cognitive, behavioral and psychosocial outcomes in both animals and humans. Animal studies have clearly demonstrated PS effects on the offspring's brain, however, while it has been speculated that PS most likely affects the brains of exposed human fetuses as well, no study has to date examined this possibility prospectively using an independent stressor (i.e., a stressful event that the pregnant woman has no control over, such as a natural disaster). The aim of this review is to summarize the existing animal literature by focusing on specific brain regions that have been shown to be affected by PS both macroscopically and microscopically. These regions include the hippocampus, amygdala, corpus callosum, anterior commissure, cerebral cortex, cerebellum and hypothalamus. We first discuss the mechanisms by which the effects of PS might occur. In particular, we show that maternal and fetal hypothalamic–pituitary–adrenal (HPA) axes, and the placenta, are the most likely candidates for these mechanisms. We see that, although animal studies have obvious advantages over human studies, the integration of findings in animals and the transfer of these findings to human populations remains a complex issue. Finally, we show how it is possible to circumvent these challenges by studying the effects of PS on brain development directly in humans, by taking advantage of natural or man-made disasters and assessing the impact and consequences of such stressful events on pregnant women and their offspring prospectively.

产前应激(PS)与动物和人类的异常认知、行为和社会心理结果有关。动物研究已经清楚地证明了PS对后代大脑的影响,然而,尽管有人推测PS很可能也会影响暴露在PS下的人类胎儿的大脑,但迄今为止还没有研究使用独立的压力源(即孕妇无法控制的压力事件,如自然灾害)前瞻性地检验这种可能性。本综述的目的是总结现有的动物文献,重点关注已显示受PS影响的特定大脑区域,包括宏观和微观。这些区域包括海马、杏仁核、胼胝体、前连合、大脑皮层、小脑和下丘脑。我们首先讨论了PS效应可能发生的机制。特别是,我们表明,母亲和胎儿的下丘脑-垂体-肾上腺(HPA)轴和胎盘是这些机制最有可能的候选者。我们看到,尽管动物研究比人类研究有明显的优势,但将动物研究结果整合起来并将这些发现转移到人类群体中仍然是一个复杂的问题。最后,我们展示了如何通过研究PS对人类大脑发育的直接影响来规避这些挑战,通过利用自然或人为灾害,并评估这些压力事件对孕妇及其后代的影响和后果。
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引用次数: 501
Free colour illustrations on the web 免费彩色插图在网络上
Pub Date : 2010-09-24 DOI: 10.1016/S0165-0173(10)00083-4
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引用次数: 0
Cognitive domains affected by histamine H1-antagonism in humans: A literature review 人类受组胺h1拮抗剂影响的认知领域:文献综述
Pub Date : 2010-09-24 DOI: 10.1016/j.brainresrev.2010.04.008
P. Van Ruitenbeek, A. Vermeeren, W.J. Riedel

The neurotransmitter histamine has been suggested to be involved in cognitive functioning. Generally, studies in animals have shown a decrease in performance after decreasing histamine neurotransmission and improved performance after increasing histamine neurotransmission. It is unclear, however, what role histamine plays in cognition in humans. Up until now, most data are derived from studies and reviews that aimed to assess the sedative potential of H1-antagonists and not the effects on cognition in particular. The objective of this paper is specifically to review which cognitive domains are affected by H1-antagonists. Taken together, 90 experimental studies on the performance effects of sedative H1-antagonists published between 1973 and 2009 were reviewed. Results showed that psychomotor skills and attention are most frequently impaired and memory the least. Tasks assessing memory that were affected usually required rapid responses. It was concluded that both the complexity of the task as well as the demand for information processing speed determines the sensitivity to the effects of central H1-antagonism. The importance of the sensitive cognitive domains to histaminergic dysfunction, as well as the relation between histamine related decrease in arousal and task performance deserve further research.

神经递质组胺被认为与认知功能有关。一般来说,在动物身上的研究表明,减少组胺神经传递后,生产性能下降,增加组胺神经传递后,生产性能提高。然而,目前尚不清楚组胺在人类认知中扮演什么角色。到目前为止,大多数数据来自旨在评估h1拮抗剂镇静潜力的研究和综述,而不是对认知的特别影响。本文的目的是专门回顾哪些认知领域受到h1拮抗剂的影响。综上所述,回顾了1973年至2009年间发表的90项关于镇静h1拮抗剂性能影响的实验研究。结果显示,精神运动技能和注意力最常受损,记忆力受损最少。评估记忆受到影响的任务通常需要快速反应。结果表明,任务的复杂性和对信息处理速度的需求决定了对中枢h1 -拮抗作用的敏感性。认知敏感域对组胺能功能障碍的重要性,以及组胺引起的觉醒下降与任务绩效的关系值得进一步研究。
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引用次数: 28
The formation of cerebrospinal fluid: Nearly a hundred years of interpretations and misinterpretations 脑脊液的形成:近百年的解读与误读
Pub Date : 2010-09-24 DOI: 10.1016/j.brainresrev.2010.04.006
D. Orešković , M. Klarica

The first scientific and experimental approaches to the study of cerebrospinal fluid (CSF) formation began almost a hundred years ago. Despite researchers being interested for so long, some aspects of CSF formation are still insufficiently understood. Today it is generally believed that CSF formation is an active energy consuming metabolic process which occurs mainly in brain ventricles, in choroid plexuses. CSF formation, together with CSF absorption and circulation, represents the so-called classic hypothesis of CSF hydrodynamics. In spite of the general acceptance of this hypothesis, there is a considerable series of experimental results that do not support the idea of the active nature of CSF formation and the idea that choroid plexuses inside the brain ventricles are the main places of formation. The main goal of this review is to summarize the present understanding of CSF formation and compare this understanding to contradictory experimental results that have been obtained so far. And finally, to try to offer a physiological explanation by which these contradictions could be avoided. We therefore analyzed the main methods that study CSF formation, which enabled such an understanding, and presented their shortcomings, which could also be a reason for the erroneous interpretation of the obtained results. A recent method of direct aqueductal determination of CSF formation is shown in more detail. On the one hand, it provides the possibility of direct insight into CSF formation, and on the other, it clearly indicates that there is no net CSF formation inside the brain ventricles. These results are contradictory to the classic hypothesis and, together with other mentioned contradictory results, strongly support a recently proposed new working hypothesis on the hydrodynamics of CSF. According to this new working hypothesis, CSF is permanently produced and absorbed in the whole CSF system as a consequence of filtration and reabsorption of water volume through the capillary walls into the surrounding brain tissue. The CSF exchange between the entire CSF system and the surrounding tissue depends on (patho)physiological conditions that predominate within those compartments.

研究脑脊液(CSF)形成的第一个科学和实验方法始于近100年前。尽管研究人员对脑脊液的形成感兴趣已久,但对脑脊液形成的某些方面仍然了解不足。目前普遍认为脑脊液的形成是一个主动的能量消耗代谢过程,主要发生在脑室、脉络膜丛。脑脊液的形成,以及脑脊液的吸收和循环,代表了所谓的脑脊液流体动力学的经典假设。尽管这一假设被普遍接受,但有相当多的一系列实验结果并不支持脑脊液形成的活动性以及脑室内脉络膜丛是主要形成部位的观点。本综述的主要目的是总结目前对脑脊液形成的理解,并将这种理解与迄今为止获得的相互矛盾的实验结果进行比较。最后,试图提供一种生理学解释,从而避免这些矛盾。因此,我们分析了研究脑脊液形成的主要方法,并提出了它们的缺点,这也可能是对所获得结果错误解释的原因。一种最近的方法直接确定脑脊液形成的导水管显示更详细。一方面,它提供了直接了解脑脊液形成的可能性,另一方面,它清楚地表明脑室内没有净脑脊液形成。这些结果与经典假设相矛盾,与其他提到的矛盾结果一起,有力地支持了最近提出的关于脑脊液流体动力学的新工作假设。根据这一新的工作假说,脑脊液在整个脑脊液系统中是永久产生和吸收的,这是通过毛细血管壁将水量过滤和重吸收到周围脑组织中的结果。整个脑脊液系统与周围组织之间的脑脊液交换取决于在这些隔室中占主导地位的(病理)生理条件。
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引用次数: 287
Satellite glial cells in sympathetic and parasympathetic ganglia: In search of function 交感和副交感神经节的卫星胶质细胞:功能研究
Pub Date : 2010-09-24 DOI: 10.1016/j.brainresrev.2010.04.009
Menachem Hanani

Glial cells are established as essential for many functions of the central nervous system, and this seems to hold also for glial cells in the peripheral nervous system. The main type of glial cells in most types of peripheral ganglia – sensory, sympathetic, and parasympathetic – is satellite glial cells (SGCs). These cells usually form envelopes around single neurons, which create a distinct functional unit consisting of a neuron and its attending SGCs. This review presents the knowledge on the morphology of SGCs in sympathetic and parasympathetic ganglia, and the (limited) available information on their physiology and pharmacology. It appears that SGCs carry receptors for ATP and can thus respond to the release of this neurotransmitter by the neurons. There is evidence that SGCs have an uptake mechanism for GABA, and possibly other neurotransmitters, which enables them to control the neuronal microenvironment. Damage to post- or preganglionic nerve fibers influences both the ganglionic neurons and the SGCs. One major consequence of postganglionic nerve section is the detachment of preganglionic nerve terminals, resulting in decline of synaptic transmission. It appears that, at least in sympathetic ganglia, SGCs participate in the detachment process, and possibly in the subsequent recovery of the synaptic connections. Unlike sensory neurons, neurons in autonomic ganglia receive synaptic inputs, and SGCs are in very close contact with synaptic boutons. This places the SGCs in a position to influence synaptic transmission and information processing in autonomic ganglia, but this topic requires much further work.

神经胶质细胞被认为对中枢神经系统的许多功能至关重要,这似乎也适用于周围神经系统的神经胶质细胞。在大多数类型的外周神经节(感觉神经节、交感神经节和副交感神经节)中,主要的胶质细胞类型是卫星胶质细胞(SGCs)。这些细胞通常在单个神经元周围形成包膜,形成一个独特的功能单元,由神经元及其参与的SGCs组成。本文综述了交感神经节和副交感神经节中SGCs的形态学知识,以及它们的生理学和药理学(有限)可用信息。看来SGCs携带ATP受体,因此可以对神经元释放这种神经递质作出反应。有证据表明,SGCs具有GABA的摄取机制,可能还有其他神经递质,这使它们能够控制神经元微环境。神经节后或神经节前神经纤维的损伤会影响神经节神经元和上神经细胞。神经节后神经切除的一个主要后果是神经节前神经末梢的脱离,导致突触传递的下降。至少在交感神经节中,SGCs参与了脱离过程,并可能参与了随后突触连接的恢复。与感觉神经元不同,自主神经节中的神经元接受突触输入,SGCs与突触钮扣的联系非常密切。这使得SGCs处于影响自主神经节突触传递和信息处理的位置,但这一主题需要进一步的研究。
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引用次数: 134
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Brain Research Reviews
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