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The impact of task difficulty on neural modulation throughout a visuomotor multi-day practice training. 任务难度对整个视觉运动多日练习训练中神经调节的影响
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-12 DOI: 10.1016/j.brainresbull.2024.111124
Shuai Feng, Siyu Hong, Xin Zhang, Xing Wang, Lin Chen

The effectiveness of rehabilitation is contingent upon the motor recovery process which typically involves long-term motor skill re-acquisition. Given that the learning process can be modulated by task difficulty, elucidating the underlying neural mechanism is essential for optimizing rehabilitation prescription to suit different patient conditions. This study aimed to investigate the impact of task difficulty on cortical response during force-control training via electroencephalography (EEG). An 8-day visuomotor force-tracking training experiment was conducted. Healthy right-handed participants (N=33) were recruited and randomly assigned to 3 groups, and each group was tasked with a different level of difficulty. The task difficulty was manipulated by variation in force-production complexity and execution sequence assignments, with real-time visual feedback provided to participants for self-output adjustment. Behavioral performance was quantitatively assessed using a pre-defined score metric related to performance accuracy. The EEG signals were collected, and corresponding event-related desynchronization (ERD) and relative functional connectivity (FC) during the task execution were analyzed within the alpha- (8-13 Hz) and beta- (15-30 Hz) bands. A post-training experiment was also performed to evaluate the near-transfer capability of learning. Results showed all the behavioral performances improved during practice, while higher task difficulty level was affiliated with better post-training near-transfer ability. The dynamic neural response to training could be mediated by changes in difficulty level, where increased task complexity corresponded with the heightened activities in the beta-band priorly within the right dorsolateral prefrontal area. Additionally, stronger alpha-band functional connectivity was observed to be predominantly associated with the left motor area (LMA) during challenging tasks, and the intensification in connectivity persisted selectively post-training which appeared to be acritical factor for skill transfer performance improvement. These findings illustrated the dynamic neural mechanism through which task difficulty affects behavioral performance during long-term motor training with accurate force-control purpose. The selectively strengthened functional connectivity may contribute to facilitating new task execution after training interventions. Therefore, beneficial neural modulation can be expected to be feasible by well-designed task difficulty strategies for effective motor rehabilitation.

康复训练的效果取决于运动恢复过程,而运动恢复过程通常涉及长期的运动技能再学习。鉴于学习过程会受到任务难度的调节,阐明其背后的神经机制对于优化康复处方以适应不同患者的情况至关重要。本研究旨在通过脑电图(EEG)研究任务难度对力控制训练过程中大脑皮层反应的影响。研究人员进行了为期 8 天的视觉运动力追踪训练实验。实验招募了健康的右撇子参与者(33 人),并将他们随机分配到 3 个小组,每个小组的任务难度各不相同。任务难度由发力复杂程度和执行顺序分配的变化来操控,并向参与者提供实时视觉反馈以进行自我发力调整。行为表现采用预先设定的与表现准确性相关的评分标准进行量化评估。实验收集了脑电信号,并分析了任务执行过程中α-(8-13Hz)和β-(15-30Hz)频段内相应的事件相关非同步化(ERD)和相对功能连通性(FC)。此外,还进行了训练后实验,以评估学习的近转移能力。结果表明,所有行为表现在练习过程中都得到了改善,而任务难度越高,训练后的近迁移能力越强。神经系统对训练的动态反应可能是由难度水平的变化介导的,其中任务复杂度的增加与右侧背外侧前额叶区域内β波段先验活动的增强相对应。此外,在执行具有挑战性的任务时,观察到更强的α波段功能连接主要与左侧运动区(LMA)相关,连接的增强在训练后有选择性地持续存在,这似乎是技能转换性能提高的关键因素。这些发现说明了在以精确力控为目的的长期运动训练中,任务难度影响行为表现的动态神经机制。选择性加强的功能连接可能有助于促进训练干预后新任务的执行。因此,精心设计的任务难度策略有望对神经进行有益的调节,从而实现有效的运动康复。
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引用次数: 0
Automated fiber quantification analysis identifies tract-specific microstructural alterations in brain in intermittent exotropia 自动纤维定量分析发现间歇性外斜视患者大脑中特定瓣膜的微结构变化
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-12 DOI: 10.1016/j.brainresbull.2024.111113
Jianlin Guo , Leqing Zhou , Ying Wang , Di Hu , Yanqiu Lv , Huiying Kang , Li Li , Yun Peng

Background

Growing evidence of neuroimaging has indicated brain microstructural abnormalities in comitant strabismus. Nonetheless, few studies have investigated neuropathological alterations in patients with intermittent exotropia (IXT). This study aimed at examining the characteristics of brain microstructure along major fiber tracts in IXT patients using an automated fiber quantification analysis.

Methods

A total of 25 patients with IXT as well as 25 healthy participants matched for age and gender finished the diffusion tensor imaging scanning and the ophthalmic examination. Automated fiber quantification analysis of 20 major fiber tracts was carried out for IXT patients and healthy subjects, respectively. Diffusion metrics of 100 equidistant nodes resampled along each tract were measured for every subject and compared between two groups. Effect size analysis was performed to identify the most affected fiber tracts in IXT.

Results

Widely declined mean diffusivity was noted in IXT along major tracts containing bilateral thalamic radiations, bilateral corticospinal fasciculi, bilateral cingulum cingulate, left inferior fronto-occipital fasciculus, right arcuate fasciculus and superior longitudinal fasciculus. Local reduction in fractional anisotropy was observed in IXT along left cingulum hippocampus, right inferior longitudinal fasciculus and right uncinate fasciculus, in contrast to the regionally increased fractional anisotropy along bilateral thalamic radiation, left corticospinal tract and left arcuate fasciculus. Among the tracts with significantly changed diffusion metrics in IXT, right inferior longitudinal fasciculus was the most affected one in fractional anisotropy while left thalamic radiation was the most influenced one in mean diffusivity.

Conclusions

Abnormalities in microstructural properties along visual-related fiber tracts are likely to contribute to difficulties in visual information processing in IXT patients, which could serve as the neural basis of underlying pathological mechanism of IXT.
背景:越来越多的神经影像学证据表明,合并斜视患者的大脑微结构异常。然而,很少有研究对间歇性外斜(IXT)患者的神经病理学改变进行调查。本研究旨在利用自动纤维定量分析技术,研究 IXT 患者沿主要纤维束的大脑微结构特征:方法:25 名 IXT 患者和 25 名年龄、性别匹配的健康参与者完成了弥散张量成像扫描和眼科检查。分别对 IXT 患者和健康受试者的 20 条主要纤维束进行了自动纤维定量分析。对每个受试者的每条纤维束重新采样的 100 个等距节点的扩散指标进行测量,并在两组之间进行比较。进行效应大小分析,以确定 IXT 患者中受影响最大的纤维束:结果:在 IXT 中,沿包含双侧丘脑放射线、双侧皮质脊束、双侧扣带回、左侧下额枕束、右侧弓状束和上纵束的主要纤维束的平均扩散率广泛下降。在 IXT 中,沿左侧扣带回海马、右侧下纵筋束和右侧钩状筋束的分数各向异性局部降低,而沿双侧丘脑放射、左侧皮质脊髓束和左侧弓状筋束的分数各向异性则区域性增加。在IXT中扩散指标发生明显变化的束中,右下纵筋束受各向异性分数的影响最大,而左丘脑放射束受平均扩散率的影响最大:视觉相关纤维束的微结构特性异常可能导致 IXT 患者视觉信息处理困难,这可能是 IXT 潜在病理机制的神经基础。
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引用次数: 0
Dopamine D4 receptors in the lateral habenula regulate anxiety-related behaviors in a rat model of Parkinson's disease 外侧哈文脑中的多巴胺 D4 受体调节帕金森病大鼠模型中的焦虑相关行为
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-08 DOI: 10.1016/j.brainresbull.2024.111122
Chengxue Du , Jiachen Wang , Huihui Tan , Nannan Han , Xiaobo Li , Baihua Sun , Gejuan Zhang , Mingze Chang
Although the output of the lateral habenula (LHb) controls the activity of midbrain dopamine (DA) and 5-hydroxytryptamine (5-HT) containing systems, which are implicated in the pathophysiology of anxiety, it is not clear how activation and blockade of LHb D4 receptors affects anxiety-like behaviors, particularly in Parkinson’s disease related anxiety. In this study, unilateral 6-hydroxydopamine lesions of the substantia nigra pars compacta (SNc) in rats induced anxiety-like behaviors, which attribute to hyperactivity of LHb neurons and decrease in the level of DA in the medial prefrontal cortex (mPFC), amygdala and ventral hippocampus (vHip) compared to sham-operated rats. Intra-LHb injection of D4 receptor agonist A412997 induced or increased the expression of anxiety-like behaviors, while injection of D4 receptor antagonist L741742 showed anxiolytic effects in sham-operated and the SNc-lesioned rats. However, the doses producing behavioral effects in the lesioned rats were higher than those of sham-operated rats. Intra-LHb injection of A412997 increased firing rate of LHb neurons, and decreased levels of DA and 5-HT in the mPFC, amygdala and vHip; conversely, L741742 decreased firing rate of LHb neurons, and increased levels of DA and 5-HT in two groups of rats. Compared to sham-operated rats, the duration of A412997 and L741742 action on the firing rate of neurons was markedly shortened in the lesioned rats. Collectively, these findings suggest that D4 receptors in the LHb are involved in the regulation of anxiety-like behaviors, and degeneration of the nigrostriatal pathway down-regulates function and/or expression of these receptors.
虽然外侧哈文脑(LHb)的输出控制着中脑多巴胺(DA)和含有5-羟色胺(5-HT)的系统的活动,而这些系统与焦虑的病理生理学有关,但目前还不清楚激活和阻断LHb D4受体如何影响焦虑样行为,尤其是与帕金森病有关的焦虑。与假手术大鼠相比,单侧黑质(SNc)6-羟基多巴胺损伤会诱发焦虑样行为,这归因于LHb神经元的过度活跃以及内侧前额叶皮层(mPFC)、杏仁核和腹侧海马(vHip)中DA水平的下降。在假手术大鼠和SNc缺失大鼠体内注射D4受体激动剂A412997会诱导或增加焦虑样行为的表达,而注射D4受体拮抗剂L741742则会产生抗焦虑作用。然而,对病变大鼠产生行为效应的剂量高于假手术大鼠。LHb内注射A412997可提高LHb神经元的发射率,降低mPFC、杏仁核和vHip中DA和5-HT的水平;相反,L741742可降低LHb神经元的发射率,提高两组大鼠DA和5-HT的水平。与假手术大鼠相比,A412997 和 L741742 对病变大鼠神经元发射率的作用持续时间明显缩短。总之,这些研究结果表明,LHb中的D4受体参与了焦虑样行为的调节,而黑质通路的退化会下调这些受体的功能和/或表达。
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引用次数: 0
Suppression of PINK1 autophosphorylation attenuates pilocarpine-induced seizures and neuronal injury in rats 抑制 PINK1 自身磷酸化可减轻皮洛卡品诱发的大鼠癫痫发作和神经元损伤。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-08 DOI: 10.1016/j.brainresbull.2024.111117
Yujie Zhai , Yi Yuan , Yaru Cui , Xiaoqian Wang , Hua Zhou , Qian Teng , Hongjin Wang , Bohan Sun , Hongliu Sun , Jianhua Tang
PTEN-induced kinase 1 (PINK1) autophosphorylation triggers the PINK1/Parkin pathway, which is the main mitophagic pathway in the mammalian nervous system. In the present study, we aimed to mechanistically explore the role of PINK1 in pilocarpine-induced status epilepticus (SE) in Sprague-Dawley rats. Evidence from immunohistochemistry, western blotting, biochemical assays, and behavioral testing showed that pilocarpine-induced SE led to increased levels of PINK1 phosphorylation, mitophagy, mitochondrial oxidative stress, neuronal damage and learning and memory deficits. Using shRNA interference to suppress the expression of translocase outer mitochondrial membrane 7, a positive regulator of PINK1 autophosphorylation, lowered the increased levels of phosphorylated PINK1 following pilocarpine administration. It also reduced the levels of mitophagy, mitochondrial oxidative stress and neuronal damage, and attenuated seizure severity and cognitive deficits. In contrast, suppressing the expression of overlapping with the m-AAA protease 1 homolog, a negative regulator of PINK1 autophosphorylation, led to higher levels of phosphorylated PINK1 following pilocarpine administration. It also led to more serious mitophagy, neuronal damage, as well as worsened seizure severity and cognitive deficits. Our results indicate that PINK1 autophosphorylation plays a vital role in epileptic seizures and neuronal injury by mediating mitophagy. Regulating PINK1 autophosphorylation may change the adverse consequences of epilepsy, and may be an effective neuroprotective strategy.
PTEN诱导的激酶1(PINK1)自身磷酸化会触发PINK1/Parkin通路,而PINK1/Parkin通路是哺乳动物神经系统中主要的有丝分裂通路。本研究旨在从机理上探讨 PINK1 在皮洛卡品诱导的 Sprague-Dawley 大鼠癫痫状态(SE)中的作用。免疫组化、Western 印迹、生化检测和行为测试的证据表明,皮洛卡品诱导的癫痫状态会导致 PINK1 磷酸化水平升高、有丝分裂、线粒体氧化应激、神经元损伤以及学习和记忆障碍。使用 shRNA 干扰抑制线粒体外膜转运酶 7(PINK1 自身磷酸化的正调控因子)的表达,降低了皮洛卡品用药后 PINK1 磷酸化水平的升高。它还降低了有丝分裂、线粒体氧化应激和神经元损伤的水平,减轻了癫痫发作的严重程度和认知障碍。与此相反,抑制与 m-AAA 蛋白酶 1 同源物重叠的表达(m-AAA 蛋白酶 1 同源物是 PINK1 自身磷酸化的负调控因子)会导致服用皮洛卡品后磷酸化的 PINK1 水平升高。这也导致了更严重的有丝分裂、神经元损伤以及癫痫发作严重程度和认知障碍的恶化。我们的研究结果表明,PINK1自身磷酸化通过介导有丝分裂,在癫痫发作和神经元损伤中发挥着重要作用。调节 PINK1 自身磷酸化可能会改变癫痫的不良后果,并可能成为一种有效的神经保护策略。
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引用次数: 0
scRNA-Seq reveals age-dependent microglial evolution as a determinant of immune response following spinal cord injury scRNA-Seq揭示了脊髓损伤后免疫反应的决定因素--依赖于年龄的小胶质细胞演变。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-06 DOI: 10.1016/j.brainresbull.2024.111116
Lufei Shao , Yueliang Chang , Jinfang Liu , Leilei Lin , Long Chang , Jialin Zhang , Zhibin Lan , Honglai Zhang , Xiaolei Chen
Spinal cord injury (SCI) is a debilitating condition of the central nervous system (CNS) that leads to severe impairments in sensory and motor functions. Previous studies have pointed out that patient age is a critical factor influencing SCI prognosis. However, the role of microglia in age-related differences in SCI outcomes remains unclear. The current study aims to identify specific microglial subtypes and investigate their responses and functional differences in SCI recovery across different age groups. Single-cell RNA sequencing (scRNA-seq) data were obtained from the Gene Expression Omnibus (GEO) database, integrating multiple datasets to identify microglial subtypes. We performed pseudotime trajectory analysis and cell-cell communication analysis to understand microglial differentiation and interactions. Finally, immunofluorescence staining of mouse model samples was conducted to validate our bioinformatics findings. Microglia were classified into four subtypes: Homeostatic, Proliferating, Inflammatory A, and Inflammatory B. The Young SCI group exhibited a higher proportion of Homeostatic microglia and Inflammatory microglia A, whereas the old SCI group had more Inflammatory Microglia B but lacked Homeostatic Microglia. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses revealed that markers for homeostasis microglia were enriched in immune modulation pathways. While makers for Inflammatory Microglia were enriched in immune response pathways. Specifically, markers for Inflammatory microglia B were enriched in pathways associated with overactive immune response. Pseudotime analysis indicated that microglia in young mice predominantly differentiated into Inflammatory Microglia A and Homeostatic Microglia, whereas in old mice, they tended to only differentiate into Inflammatory Microglia B. CellChat analysis showed increased pro-inflammatory signaling generated by Inflammatory Microglia B, exclusively in the old group. Our study demonstrates significant differences in microglial subtypes and functions between different age groups following SCI. These findings provide novel insights into the development of age-related therapeutic strategies and microglia-targeted biological treatments for SCI.
脊髓损伤(SCI)是一种使人衰弱的中枢神经系统(CNS)疾病,会导致感觉和运动功能严重受损。以往的研究指出,患者年龄是影响 SCI 预后的关键因素。然而,小胶质细胞在与年龄相关的 SCI 预后差异中的作用仍不清楚。目前的研究旨在确定特定的小胶质细胞亚型,并调查它们在不同年龄组 SCI 恢复中的反应和功能差异。我们从基因表达总库(GEO)数据库中获得了单细胞 RNA 测序(scRNA-seq)数据,并整合了多个数据集以确定小胶质细胞亚型。我们进行了伪时间轨迹分析和细胞间通讯分析,以了解小胶质细胞的分化和相互作用。最后,我们对小鼠模型样本进行了免疫荧光染色,以验证我们的生物信息学发现。小胶质细胞被分为四种亚型:年轻 SCI 组显示出较高比例的静态小胶质细胞和炎性小胶质细胞 A,而老年 SCI 组则有较多的炎性小胶质细胞 B,但缺乏静态小胶质细胞。基因本体(GO)和京都基因与基因组百科全书(KEGG)通路分析表明,稳态小胶质细胞的标记物富集在免疫调节通路中。而炎症性小胶质细胞的标记物则富集在免疫反应通路中。具体来说,炎性小胶质细胞 B 的标记物富集在与过度活跃的免疫反应相关的通路中。伪时间分析表明,年轻小鼠的小胶质细胞主要分化为炎性小胶质细胞 A 和稳态小胶质细胞,而老年小鼠的小胶质细胞往往只分化为炎性小胶质细胞 B。我们的研究表明,脊髓损伤后,不同年龄组的小胶质细胞亚型和功能存在显著差异。这些发现为开发与年龄相关的治疗策略和针对 SCI 的小胶质细胞生物疗法提供了新的见解。
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引用次数: 0
Neural correlates of expected and perceived treatment efficacy concerning open-label placebos for reducing emotional distress 关于减少情绪困扰的开放标签安慰剂的预期疗效和感知疗效的神经相关性。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-06 DOI: 10.1016/j.brainresbull.2024.111121
Anne Schienle , Albert Wabnegger

Background

Treatment expectations for open-label placebos (OLPs) - placebos prescribed transparently - refer to what a person anticipates will happen as a result of taking the placebo. The actual outcome of OLP treatment may deviate from the initial expectation.

Method

A total of 108 participants received OLP treatment for reducing visually induced emotional distress during functional magnetic resonance imaging. They rated the expected effect of the OLP before the experiment, and evaluated the perceived effect after the experiment. Ratings reflecting the degree of outcome deviation from expectation were correlated with brain activity in regions of interest (dorsolateral/ventrolateral prefrontal cortex, anterior cingulate cortex (ACC), insula, inferior parietal cortex).

Results

Activity in the ACC, the insula, and parietal regions (region-of-interest findings), as well as the parahippocampus (whole-brain finding) was lower when the perceived treatment outcome met or even exceeded expectations.

Conclusions

A positive expectation-outcome evaluation for the OLP was associated with reduced activity in brain regions decoding the salience (insula, ACC) and context of stimuli (parahippocampus). These findings shed light on the mechanisms through which OLPs influence emotion regulation.
背景:对开放标签安慰剂(OLP)的治疗预期是指一个人预计服用安慰剂后会出现的结果。OLP治疗的实际结果可能会偏离最初的预期:方法:共有108名参与者接受了OLP治疗,以减轻功能性磁共振成像中视觉引起的情绪困扰。他们在实验前对 OLP 的预期效果进行评分,并在实验后对感知效果进行评估。反映结果偏离预期程度的评分与相关区域(背外侧/外侧前额叶皮层、前扣带回皮层(ACC)、脑岛、下顶叶皮层)的大脑活动相关:结果:当感知到的治疗结果达到甚至超过预期时,ACC、脑岛和顶叶区域(感兴趣区发现)以及海马旁(全脑发现)的活动较低:结论:对OLP的积极期望-结果评价与解读刺激显著性(脑岛、ACC)和上下文(海马旁)的脑区活动减少有关。这些发现揭示了OLP影响情绪调节的机制。
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引用次数: 0
The influence of alterations in the composition of intestinal microbiota on neurovascular coupling and cognitive dysfunction in individuals afflicted with CSVD 肠道微生物群组成的改变对心血管疾病患者神经血管耦合和认知功能障碍的影响。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-05 DOI: 10.1016/j.brainresbull.2024.111115
Wei Zhang , Xianfeng Yu , Min Wei , Jie Zhou , Yajun Zhou , Xia Zhou , Kai Zhao , Xiaoqun Zhu

Introduction

An expanding body of research has explored the crucial role of gut microbiota in cerebral small vessel disease (CSVD). The objective of this study is to investigate alterations in the gut microbiota structure among CSVD patients, to explore the correlation between differential taxonomic levels and the neurovascular coupling index as well as cognitive function and to elucidate the imaging and biomarkers of mild cognitive impairment (MCI) in CSVD.

Methods

We enrolled 104 patients with CSVD and 40 healthy controls (HC). Based on cognitive test scores, CSVD patients were categorized into a cognitively normal group (CSVD-NCI, n=61) and a mild cognitive impairment group (CSVD-MCI, n=43). Performing magnetic resonance imaging (MRI) scans, gut microbiota analysis, as well as clinical and neuropsychological assessments for all participants. Based on arterial spin labeling (ASL) and blood oxygen level-dependent (BOLD) imaging data, cerebral blood flow (CBF) and neural activity indices are computed. The coupling indices of CBF/mReHo, CBF/mfALFF, CBF/mALFF, and CBF/mDC are calculated to assess the whole-brain neurovascular coupling changes in patients with CSVD.

Results

Species annotation revealed differences in the composition at the phylum and genus levels among the HC, CSVD-NCI, and CSVD-MCI groups. Additionally, differential analysis using the Kruskal-Wallis test demonstrated specific dominant microbial communities in all three groups. The relative abundance of certain dominant microbial communities in CSVD patients exhibited correlations with neurovascular coupling and cognitive function. The combined assessment of Bacteroides genus and CBF/mDC proved effective in distinguishing between CSVD-NCI and CSVD-MCI, providing a novel non-invasive approach for the diagnosis of MCI in CSVD.
导言:越来越多的研究探讨了肠道微生物群在脑小血管疾病(CSVD)中的关键作用。本研究旨在调查 CSVD 患者肠道微生物群结构的改变,探讨不同分类水平与神经血管耦合指数和认知功能之间的相关性,并阐明 CSVD 患者轻度认知障碍(MCI)的影像学和生物标志物:我们招募了 104 名 CSVD 患者和 40 名健康对照组(HC)。根据认知测试评分,CSVD 患者被分为认知正常组(CSVD-NCI,61 人)和轻度认知障碍组(CSVD-MCI,43 人)。对所有参与者进行磁共振成像(MRI)扫描、肠道微生物群分析以及临床和神经心理学评估。根据动脉自旋标记(ASL)和血氧水平依赖性(BOLD)成像数据,计算脑血流(CBF)和神经活动指数。计算CBF/mReHo、CBF/mfALFF、CBF/mALFF和CBF/mDC的耦合指数,以评估CSVD患者的全脑神经血管耦合变化:结果:物种注释显示,HC组、CSVD-NCI组和CSVD-MCI组在门和属的组成上存在差异。此外,使用 Kruskal-Wallis 检验法进行的差异分析表明,所有三组中都存在特定的优势微生物群落。CSVD 患者体内某些优势微生物群落的相对丰度与神经血管耦合和认知功能存在相关性。事实证明,嗜酸乳杆菌属和CBF/mDC的联合评估能有效区分CSVD-NCI和CSVD-MCI,为诊断CSVD中的MCI提供了一种新的无创方法。
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引用次数: 0
Alterations of regional homogeneity and functional connectivity in different hoehn and yahr stages of Parkinson's disease 帕金森病不同 Hoehn 和 Yahr 分期的区域同质性和功能连接性的改变
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.brainresbull.2024.111110
Xinhui Wang , Yu Shen , Wei Wei , Yan Bai , Panlong Li , Kaiyue Ding , Yihang Zhou , Jiapei Xie , Xianchang Zhang , Zhiping Guo , Meiyun Wang

Purpose

Using regional homogeneity (ReHo) and functional connectivity (FC) to assess alterations in brain function and their potential relation to different Hoehn and Yahr (H&Y) stages in Parkinson's disease (PD).

Materials and methods

66 patients with PD and 57 age- and sex-matched healthy control (HC) participants were recruited. All subjects underwent clinical assessments and resting-state functional magnetic resonance imaging (rs-fMRI) scanning. We analyzed alterations in regional brain activity using ReHo analyses in all subjects and further explored their relationship to disease severity. Finally, the brain region significantly associated with disease severity was used as a seed point to analyze the FC changes between it and other brain regions in the whole brain.

Results

Compared with HC participants, PD patients showed a significant decrease ReHo in the sensorimotor network (bilateral precentral and postcentral gyrus). The ReHo value of the left precentral gyrus in PD patients decreased with increasing H&Y stage and correlated negatively with Unified Parkinson’s Disease Rating Scale (UPDRS) III scores. Further, FC analysis of the left precentral gyrus as a region of interest showed that functional activity between the left precentral gyrus and sensorimotor network, default network, and visual network was decreased.

Conclusion

The left precentral gyrus plays an important role in the pathophysiological mechanisms of PD patients, and this finding further highlights the potential of the primary motor cortex (M1) as a non-invasive therapeutic target for neuromodulation in PD patients.
目的:使用区域同质性(ReHo)和功能连通性(FC)评估帕金森病(PD)患者大脑功能的改变及其与不同Hoehn和Yahr(H&Y)分期的潜在关系。材料与方法:招募66名帕金森病患者和57名年龄与性别匹配的健康对照组(HC)参与者。所有受试者均接受了临床评估和静息态功能磁共振成像(rs-fMRI)扫描。我们使用 ReHo 分析方法分析了所有受试者大脑区域活动的变化,并进一步探讨了它们与疾病严重程度的关系。最后,以与疾病严重程度明显相关的脑区为种子点,分析其与全脑其他脑区之间的FC变化:结果:与普通人相比,帕金森病患者感觉运动网络(双侧中央前回和中央后回)的ReHo值明显下降。帕金森病患者左侧前中央回的ReHo值随着H&Y阶段的增加而降低,并与统一帕金森病量表(UPDRS)III评分呈负相关。此外,将左侧中央前回作为感兴趣区进行的FC分析表明,左侧中央前回与感觉运动网络、缺省网络和视觉网络之间的功能活动减少:结论:左侧中央前回在帕金森病患者的病理生理机制中扮演着重要角色,这一发现进一步凸显了初级运动皮层(M1)作为帕金森病患者神经调控非侵入性治疗靶点的潜力。
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引用次数: 0
The effect of clozapine on immune-related biomarkers in schizophrenia patients 氯氮平对精神分裂症患者免疫相关生物标志物的影响。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.brainresbull.2024.111104
Lu Shao, Yu Li, ZhiYao Yuan, XiYu Guo, GuoJi Zeng, JunPeng Liu
Globally, schizophrenia is one of the main causes of disability. Approximately 1 % of the general population suffers from schizophrenia, and 30 % of cases are unresponsive to therapy. Clozapine is the gold standard for therapy-resistant schizophrenia (TRS), yet it has limited effectiveness and serious adverse events in some patients. Because of the possibility of severe neutropenia, clozapine administration requires monthly hematological monitoring in the first four months. Previous investigations have demonstrated the immune system alteration after clozapine treatment in schizophrenia patients. Besides, it has been proposed that clozapine changes the cytokines profile in schizophrenia patients. These findings highlighted the need to learn more about the disease's etiology and investigate the relationship between peripheral immune system markers and clozapine response to support strategies for better treatment outcomes. The time decision-making to start clozapine could be significantly decreased if some biomarkers were developed to assist physicians in anticipating whether a particular patient will respond to the medication. Therefore, this study aimed to comprehensively review the effect of clozapine on immune-related biomarkers in schizophrenia patients.
在全球范围内,精神分裂症是导致残疾的主要原因之一。约有 1%的人口患有精神分裂症,其中 30% 的病例对治疗无反应。氯氮平是治疗耐药精神分裂症(TRS)的金标准,但其疗效有限,且在一些患者中会出现严重的不良反应。由于氯氮平可能导致严重的中性粒细胞减少症,因此在使用氯氮平的前四个月,需要每月进行一次血液监测。以往的研究表明,精神分裂症患者接受氯氮平治疗后,免疫系统会发生改变。此外,还有人认为氯氮平改变了精神分裂症患者的细胞因子谱。这些发现突出表明,有必要进一步了解该疾病的病因,并研究外周免疫系统标志物与氯氮平反应之间的关系,以支持改善治疗效果的策略。如果能开发出一些生物标志物来帮助医生预测特定患者是否会对药物产生反应,那么启动氯氮平的决策时间就会大大缩短。因此,本研究旨在全面回顾氯氮平对精神分裂症患者免疫相关生物标志物的影响。
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引用次数: 0
Identification of asymmetrical abnormalities in functional connectivity and brain network topology for migraine sufferers: A preliminary study based on resting-state fMRI data 识别偏头痛患者功能连接和大脑网络拓扑的非对称异常:基于静息态 fMRI 数据的初步研究。
IF 3.5 3区 医学 Q2 NEUROSCIENCES Pub Date : 2024-11-01 DOI: 10.1016/j.brainresbull.2024.111109
Weifang Nie , Weiming Zeng , Jiajun Yang , Lei Wang , Yuhu Shi
Research on the neural mechanisms underlying brain asymmetry in patients with migraine patients using fMRI is insufficient. This study proposed using lateralized algorithms for functional connectivity and brain network topology and investigated changes in their lateralization in patients with migraine. In study 1, laterality indices of functional connectivity (LFunctionCorr) and brain network topological properties (LBetweennessCentrality, LDegree, and LStrength) were defined. Differences between migraineurs and normal subjects were compared at whole-brain, half-brain, and region levels. In study 2, laterality indices were used to classify migraine and were validated using independent samples and the segment method for repeatability. In study 3, abnormal brain regions related to migraine were extracted based on the classification results and differences analysis. Study 1 found no significant differences related to in for migraine at the whole-brain level; however, significant differences were identified at the half-brain level for the hemispheric lateralization of the LFunctionCorr, while 11 significantly different brain regions were also identified at the brain region level. Furthermore, the classification accuracy in study 2 was 0.9366. With repeated validation, the accuracy reached 0.8561. Furthermore, after extending the samples according to the segmentation strategy, the classification accuracies were improved to 0.9408 and 0.8585. Study 3 identified 10 crucial brain regions with asymmetrical specificity based on laterality indices distributed across the visual network, the frontoparietal control network, the default mode network, the salience/ventral attention network and the limbic system. The results revealed novel insights and avenues for research into the mechanisms of migraine asymmetry and showed that the laterality indices could be used as a potential diagnostic imaging marker for migraine.
利用fMRI研究偏头痛患者大脑不对称的神经机制尚不充分。本研究建议使用功能连接和脑网络拓扑的侧向化算法,并研究偏头痛患者的侧向化变化。在研究1中,定义了功能连接的侧向性指数(LFunctionCorr)和脑网络拓扑特性(LBetweennessCentrality、LDegree和LStrength)。比较了偏头痛患者和正常人在全脑、半脑和区域水平上的差异。在研究 2 中,偏侧性指数被用于对偏头痛进行分类,并通过独立样本和区段法对其重复性进行了验证。在研究 3 中,根据分类结果和差异分析提取了与偏头痛相关的异常脑区。研究1发现,在全脑水平上,偏头痛的相关脑区没有明显差异;但在半脑水平上,LFunctionCorr的半球侧化有明显差异,而在脑区水平上,也发现了11个明显不同的脑区。此外,研究 2 的分类准确率为 0.9366。经过反复验证,准确率达到了 0.8561。此外,根据分割策略扩展样本后,分类准确率提高到了 0.9408 和 0.8585。研究3根据侧向性指数确定了10个具有非对称性特异性的关键脑区,它们分布在视觉网络、前顶叶控制网络、默认模式网络、显著性/内省注意网络和边缘系统。研究结果揭示了偏头痛不对称机制的新见解和研究途径,并表明侧向性指数可用作偏头痛的潜在影像诊断标记。
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Brain Research Bulletin
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