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A multimodal fusion framework reveals the heterogeneity of basal ganglia atrophy and its molecular mechanisms in temporal lobe epilepsy 一个多模态融合框架揭示了颞叶癫痫基底神经节萎缩的异质性及其分子机制
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-09 DOI: 10.1016/j.brainresbull.2025.111682
Guiming Weng , Xiaochuan Fu , Cuimi Luo , Qin Zhou , Huoyou Hu , Bailing Qin , Binghua Lv , Zirong Chen , Jinou Zheng
The heterogeneity of basal ganglia (BG) atrophy in temporal lobe epilepsy (TLE) has not been fully elucidated. This study employed a multimodal fusion framework to examine the potential heterogeneity of BG atrophy among TLE patients. 89 patients diagnosed with TLE were recruited. Structural magnetic resonance imaging (sMRI), resting - state functional magnetic resonance imaging (fMRI), consensus clustering (CC), and neuroimaging - transcriptomic approaches were integrated to explore the structural and functional alterations in the BG and their molecular mechanisms. Canonical correlation analysis (CCA) was employed to investigate the associations between MRI features and clinical characteristics. An individualized prediction model was constructed to facilitate clinical decision-making. CC identified a significant subgroups of BG atrophy in TLE: widespread BG atrophy (TLE-Cluster1, TLE-C1). In TLE-C1, the functional connectivity between the BG and cortical regions associated with sensation, emotion, and memory was notably enhanced. These patients additionally exhibited more severe cognitive impairment as well as higher degrees of anxiety and depression. Transcriptomic analysis established a connection between the heterogeneity of BG atrophy and specific gene expression patterns that were enriched in biological processes such as synaptic function, neurostructural development, and learning and memory. Further analyses uncovered a positive correlation between the gray matter volume of BG and cognitive performance. A classifier based on a Neural Network (NNET) predicted cognitive function with an area under curve (AUC) of 0.983. This study characterizes BG atrophy heterogeneity in TLE, its molecular mechanisms, and clinical relevance, offering insights for personalized diagnosis and management.
颞叶癫痫(TLE)基底神经节(BG)萎缩的异质性尚未完全阐明。本研究采用多模式融合框架来研究TLE患者BG萎缩的潜在异质性。招募了89名诊断为TLE的患者。结合结构磁共振成像(sMRI)、静息状态功能磁共振成像(fMRI)、共识聚类(CC)和神经成像-转录组学方法来探索BG的结构和功能改变及其分子机制。采用典型相关分析(CCA)探讨MRI特征与临床特征之间的关系。构建个性化预测模型,为临床决策提供依据。CC在TLE中发现了一个重要的BG萎缩亚组:广泛的BG萎缩(TLE- cluster1, TLE- c1)。在TLE-C1中,BG与感觉、情绪和记忆相关的皮质区域之间的功能连通性显著增强。这些患者还表现出更严重的认知障碍以及更高程度的焦虑和抑郁。转录组学分析证实了BG萎缩的异质性与特定基因表达模式之间的联系,这些基因表达模式在突触功能、神经结构发育、学习和记忆等生物过程中丰富。进一步的分析揭示了BG灰质体积与认知能力之间的正相关关系。基于神经网络(NNET)的分类器预测认知功能的曲线下面积(AUC)为0.983。本研究揭示了TLE患者BG萎缩的异质性、分子机制和临床相关性,为个性化诊断和治疗提供了新的思路。
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引用次数: 0
Cerebellar subregional atrophy in relapsing-remitting multiple sclerosis: Stage-dependent dynamics and pharmacological modulation 复发-缓解多发性硬化症的小脑分区域萎缩:阶段依赖性动力学和药理学调节。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-07 DOI: 10.1016/j.brainresbull.2025.111679
Xiaohui Zhang , Jinzhou Feng , Zhiwei Zhang , Bin Yu , Silin Du , Kai Zhang , Xiaoya Chen , Yongmei Li

Background

Cerebellar atrophy is increasingly recognized as an important pathological feature of multiple sclerosis (MS). However, the specific patterns at different stages and their alteration by disease-modifying therapies (DMTs) are not well comprehended.

Objective

This study aimed to investigate stage-dependent cerebellar subregional volume changes in relapsing-remitting MS (RRMS) and evaluate the effects of different DMT classes on cerebellar atrophy and clinical outcomes.

Methods

A total of 181 patients with RRMS and 99 healthy controls were recruited for this study. Patients were stratified by lesion activity into acute-active, chronic-active, and chronic-inactive subgroups, and by pharmacological mechanism into untreated, sphingosine-1-phosphate (S1P)_T (siponimod, fingolimod, and ozanimod) and not_S1P_DMT (dimethyl fumarate and teriflunomide). Cerebellar subregional volumes were quantified using the deep learning-based tool, CerebNet. Group comparisons were conducted, and interaction effects were examined. The correlations between the cerebellar subregions and cognition were subsequently analyzed.

Results

In the lesion-activity subgroups, significant volume loss was detected in several posterior cerebellar lobules, including Crus II, VIIIa/b, VIIb, X, Crus I, and IX (all p < 0.05). The acute-active subgroup exhibited additional atrophy in anterior lobules I–IV and vermis IX compared with the chronic-active subgroup (all p < 0.05). In the treatment subgroups, widespread reductions were observed in the posterior lobules Crus I/II, V, VIIb, VIIIb, IX, and X, with most decreases appearing in the untreated groups (all p < 0.05). Pairwise comparisons displayed region-specific patterns: left VIIIa volume was reduced in the MS_noDrug and MS_not_S1P_DMT groups but increased in the S1P_DMT group, whereas right lobule V in the S1P_DMT and vermis VI in the MS_not_S1P_DMT were both higher (all p < 0.05). The interaction effects of disease stage and treatment were mainly localized to lobules IX and VIIIb, and the volumes of bilateral IX lobules showed a weak positive correlated with cognitive performance.

Conclusion

This study demonstrated stage-specific patterns of cerebellar atrophy in RRMS and the heterogeneous, stage-dependent effects of DMTs on posterior cerebellar subregions. Lobules IX and VIIIb emerged as critical loci linking pharmacological modulation with cognitive outcomes. These findings suggest that these regions may serve as potential imaging biomarkers of therapeutic response and prognosis in MS.
背景:小脑萎缩越来越被认为是多发性硬化症(MS)的一个重要病理特征。然而,不同阶段的特定模式及其通过疾病修饰疗法(dmt)的改变尚未得到很好的理解。目的:本研究旨在探讨复发-缓解型多发性硬化症(RRMS)患者小脑分区域体积变化的分期依赖性,并评估不同DMT类别对小脑萎缩和临床结果的影响。方法:共招募RRMS患者181例,健康对照99例。根据病变活动性将患者分为急性活动性、慢性活动性和慢性非活动性亚组,并根据药理机制将患者分为未治疗的鞘氨醇-1-磷酸(S1P)_T(西泊尼莫德、fingolimod和ozanimod)和not_S1P_DMT(富马酸二甲酯和特立氟米特)。使用基于深度学习的工具CerebNet对小脑次区域体积进行量化。进行了组间比较,并检验了相互作用效应。随后分析了小脑亚区与认知之间的相关性。结果:在病变活动亚组中,小脑后小叶II、viia /b、VIIb、X、I、IX等多个小叶体积明显减少(均p < 0.05)。急性活动亚组与慢性活动亚组相比,前小叶I-IV和蚓部IX出现更多萎缩(均p < 0.05)。在治疗亚组中,广泛观察到小腿后小叶I/II, V, VIIb, VIIb, IX和X的复位,以未治疗组出现最多的复位(均p < 0.05)。两两比较显示出区域特异性模式:MS_noDrug组和MS_not_S1P_DMT组左侧viii叶体积减小,而MS_not_S1P_DMT组左侧viii叶体积增大,而S1P_DMT组右侧小叶V和MS_not_S1P_DMT组左侧VI叶体积增大(均p < 0.05)。疾病分期和治疗的交互作用主要局限于IX小叶和viii小叶,双侧IX小叶的体积与认知表现呈弱正相关。结论:本研究证实了RRMS小脑萎缩的分期特异性模式,以及dmt对小脑后亚区的异质性、分期依赖性作用。小叶IX和viii是连接药理调节与认知结果的关键位点。这些发现表明,这些区域可能作为MS治疗反应和预后的潜在成像生物标志物。
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引用次数: 0
Microstructural white matter impairments in chronic fatigue syndrome: Evidence of segmental injury in the cingulum bundle 慢性疲劳综合征的微结构白质损伤:扣带束节段性损伤的证据。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-06 DOI: 10.1016/j.brainresbull.2025.111671
Kang Wu , Ziyao Wu , Sitong Feng , Tian Zhou , Yanzhe Ning , Kuangshi Li , Hongxiao Jia

Background

Chronic fatigue syndrome (CFS) is a neurological disorder characterized by persistent fatigue. Previous studies have shown structural and functional brain alterations in CFS patients. However, how chronic fatigue affects white matter remains unclear.

Methods

We recruited 100 CFS patients and 100 healthy controls (HCs) and collected their diffusion weighted imaging (DWI) data along with fatigue severity scores. Group comparisons were conducted using 87 white matter tract templates derived from 1068 healthy individuals to identify impaired tracts. Fiber bundle quantitative analysis was then applied to localize segmental disruptions. Furthermore, a machine learning model was developed to evaluate the importance of the identified tracts in diagnosing CFS, and treatment efficacy analysis was performed to examine the causal relationship between recovery of fiber bundle structure and improvement in fatigue symptoms.

Results

Compared with HCs, CFS patients exhibited reduced fractional anisotropy (FA) in the left cingulum parolfactory tract and the left cingulum frontal-parahippocampal tract. The quantitative analysis indicated that disruptions in these two tracts were localized to the middle-posterior portion of the cingulum bundle. Moreover, FA values of the two tracts yielded 85 % accuracy in distinguishing CFS patients, and causal analysis demonstrated that recovery of these segmentally disrupted tracts was associated with improvements in fatigue symptoms.

Conclusions

This large-sample study provides comprehensive insights into microstructural impairments induced by chronic fatigue and highlights the critical role of the cingulum bundle in the pathological mechanisms of CFS, thereby advancing our understanding of CFS.
背景:慢性疲劳综合征(CFS)是一种以持续疲劳为特征的神经系统疾病。先前的研究已经表明慢性疲劳综合症患者的大脑结构和功能发生了改变。然而,慢性疲劳如何影响白质仍不清楚。方法:我们招募了100例CFS患者和100名健康对照(hc),收集他们的弥散加权成像(DWI)数据以及疲劳严重程度评分。使用来自1,068名健康个体的87个白质束模板进行组间比较,以确定受损的白质束。然后应用纤维束定量分析来定位节段中断。此外,我们开发了一个机器学习模型来评估所识别的束在诊断CFS中的重要性,并进行了治疗效果分析,以检查纤维束结构的恢复与疲劳症状的改善之间的因果关系。结果:与hc相比,CFS患者左侧扣带旁嗅束和左侧扣带额-海马旁束的分数各向异性(FA)降低。定量分析表明,这两个束的破坏局限于扣带束的中后部。此外,两束的FA值在区分CFS患者方面的准确率为85%,因果分析表明,这些节段性断裂束的恢复与疲劳症状的改善有关。结论:这项大样本研究全面揭示了慢性疲劳引起的微结构损伤,突出了扣带束在CFS病理机制中的关键作用,从而促进了我们对CFS的认识。
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引用次数: 0
CAF-derived exosomes promote the proliferation and invasion of pituitary adenoma cells via miR-184 transfer cafa来源的外泌体通过miR-184转移促进垂体腺瘤细胞的增殖和侵袭。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-05 DOI: 10.1016/j.brainresbull.2025.111678
Qiu Du , Zhiyong Chen , Weiyu Zhang , Mengchao Zhu , Zhichao Yang , Yaru Li , Lei Xu , Jianmin Zhang , Aijun Peng , Qingling Feng
Pituitary adenomas (PAs) are common intracranial tumors whose mass effects and endocrine dysfunction pose serious threats to patient health. However, the mechanisms underlying their progression, particularly the role of the tumor microenvironment (TME), remain insufficiently studied. Within this context, cancer-associated fibroblasts (CAFs) have been shown to drive tumor development via extracellular matrix remodeling and extracellular vesicle release, but their specific contributions to PA progression remain unclear. In this study, we observed a correlation between PA invasiveness and fibroblast density in the TME. Functionally, both CAFs and CAF-derived exosomes significantly enhanced the proliferation and invasion of PA cells compared to normal fibroblasts. Small RNA sequencing identified 16 upregulated and 8 downregulated miRNAs in CAF-derived exosomes, with KEGG analysis indicating enrichment in MAPK signaling, regulation of actin cytoskeleton, and lysosome-related pathways. Among these, miR-184 was notably upregulated in both CAF-derived exosomes and PA specimens. We further demonstrated that exosomal miR-184 from CAFs could be transferred into PA cells, promoting their proliferation and invasion, while miR-184 knockdown attenuated the tumor-promoting effects of CAF-derived exosomes. Mechanistically, TLE1 was validated as a direct functional target of miR-184. In summary, our study reveals exosomal miR-184 as a key mediator of CAF-driven PA progression, highlighting its potential as a therapeutic target for PAs.
垂体腺瘤是一种常见的颅内肿瘤,其肿块效应和内分泌功能紊乱严重威胁着患者的健康。然而,其发展的机制,特别是肿瘤微环境(TME)的作用,仍然没有得到充分的研究。在此背景下,癌症相关成纤维细胞(CAFs)已被证明通过细胞外基质重塑和细胞外囊泡释放来驱动肿瘤的发展,但它们对PA进展的具体贡献尚不清楚。在这项研究中,我们观察到PA侵袭性与TME成纤维细胞密度之间的相关性。在功能上,与正常成纤维细胞相比,CAFs和CAFs衍生的外泌体均显著增强了PA细胞的增殖和侵袭。小RNA测序在caf衍生的外泌体中鉴定出16个上调的mirna和8个下调的mirna, KEGG分析表明MAPK信号、肌动蛋白细胞骨架和溶酶体相关途径的富集。其中,miR-184在ca来源的外泌体和PA标本中均显著上调。我们进一步证明,来自CAFs的外泌体miR-184可以转移到PA细胞中,促进其增殖和侵袭,而miR-184的敲低减弱了CAFs来源的外泌体的促肿瘤作用。在机制上,TLE1被证实是miR-184的直接功能靶点。总之,我们的研究揭示了外泌体miR-184是ca驱动的PA进展的关键介质,突出了其作为PA治疗靶点的潜力。
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引用次数: 0
Sodium acetate and sodium butyrate ameliorate postoperative cognitive dysfunction in aged rats by suppressing inflammation and ferroptosis via inhibition of the cGAS-STING signaling pathway 乙酸钠和丁酸钠通过抑制cGAS-STING信号通路抑制炎症和铁下垂,改善老年大鼠术后认知功能障碍。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-05 DOI: 10.1016/j.brainresbull.2025.111677
Kai-Hui Zeng , Li-Ping Yu , Zhen Chen , Xiang Li

Background

Postoperative cognitive dysfunction (POCD) is a common neurocognitive complication in elderly patients following surgery. Short-chain fatty acids (SCFAs), including acetate and butyrate, exert anti-inflammatory and antioxidant properties; however, their potential neuroprotective roles in POCD remain largely unexplored. Hence, this study investigated whether sodium acetate (NaA) and sodium butyrate (NaB) ameliorate POCD in aged rats and elucidated the underlying mechanisms.

Methods

A POCD model was established in aged male Sprague-Dawley rats by exploratory laparotomy under isoflurane anesthesia. NaA or NaB was administered orally prior to surgery. Cognitive function was assessed using the Morris water maze (MWM), Y-maze, and novel object recognition (NOR) tests. Hippocampal inflammatory responses were assessed by measuring TNF-α, IL-1β, IL-6, IL-17A, and iNOS levels. Ferroptosis was evaluated by measuring reactive oxygen species (ROS), malondialdehyde (MDA), Fe²⁺ content, antioxidant activities (SOD, GPx, GSH), and the expression of ferroptosis-related genes (TfR1, DMT1, FTH1, FTL, GPX4, and SLC7A11). Activation of the cGAS-STING signaling pathway was examined via Western blot and ELISA. In addition, hippocampal cGAS was overexpressed to assess its causal role.

Results

Both NaA and NaB significantly improved cognitive performance in aged POCD rats, as evidenced by enhanced spatial learning and memory in the MWM, increased spontaneous alternation in the Y-maze test, and a higher recognition index in the NOR test. Mechanistically, NaA and NaB markedly suppressed hippocampal inflammation, as evidenced by decreased TNF-α, IL-1β, IL-6, IL-17A, and iNOS levels. NaA and NaB also attenuated ferroptosis, indicated by decreased ROS, MDA, and Fe²⁺ levels, restored SOD, GPx, and GSH activities, upregulated GPX4, SLC7A11, FTH1, and FTL expression, and downregulated TfR1 and DMT1 expression in the hippocampus of aged POCD rats. Furthermore, NaA and NaB inhibited activation of the cGAS-STING signaling pathway in the hippocampus of aged POCD rats. Importantly, hippocampal cGAS overexpression reversed the anti-inflammatory, anti-ferroptotic, and cognitive protective effects of NaA and NaB.

Conclusion

NaA and NaB ameliorate POCD in aged rats by mitigating hippocampal inflammation and ferroptosis, potentially via inhibition of the cGAS-STING signaling pathway.
背景:术后认知功能障碍(POCD)是老年患者术后常见的神经认知并发症。短链脂肪酸(SCFAs),包括乙酸酯和丁酸酯,具有抗炎和抗氧化特性;然而,它们在POCD中的潜在神经保护作用在很大程度上仍未被探索。因此,本研究探讨乙酸钠(NaA)和丁酸钠(NaB)是否能改善老年大鼠POCD并阐明其机制。方法:采用异氟醚麻醉下剖腹探查法建立老年雄性sd大鼠POCD模型。手术前口服NaA或NaB。采用Morris水迷宫(MWM)、y形迷宫和新物体识别(NOR)测试评估认知功能。通过测量TNF-α、IL-1β、IL-6、IL-17A和iNOS水平来评估海马炎症反应。通过测定活性氧(ROS)、丙二醛(MDA)、Fe 2 +含量、抗氧化活性(SOD、GPx、GSH)和铁中毒相关基因(TfR1、DMT1、FTH1、FTL、GPX4和SLC7A11)的表达来评估铁中毒。Western blot和ELISA检测cGAS-STING信号通路的激活情况。此外,海马cGAS被过表达以评估其因果作用。结果:NaA和NaB均能显著改善老年POCD大鼠的认知能力,表现为MWM中空间学习记忆能力增强,Y-maze测试中自发交替能力增强,NOR测试中识别指数提高。从机制上讲,NaA和NaB显著抑制海马炎症,其表现为TNF-α、IL-1β、IL-6、IL-17A和iNOS水平的降低。NaA和NaB还能减弱铁下垂,表现为ROS、MDA和Fe 2 +水平降低,恢复SOD、GPx和GSH活性,上调老年POCD大鼠海马中GPX4、SLC7A11、FTH1和FTL表达,下调TfR1和DMT1表达。此外,NaA和NaB抑制老年POCD大鼠海马cGAS-STING信号通路的激活。重要的是,海马cGAS过表达逆转了NaA和NaB的抗炎、抗铁沉和认知保护作用。结论:NaA和NaB可能通过抑制cGAS-STING信号通路,减轻海马炎症和铁下垂,改善老年大鼠POCD。
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引用次数: 0
MCU knockdown mitigates post-stroke neuroinflammation through SLC33A1-mediated reduction of NR4A1 acetylation MCU敲低可通过slc33a1介导的NR4A1乙酰化降低减轻脑卒中后神经炎症
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-05 DOI: 10.1016/j.brainresbull.2025.111676
Zhou Zhou , Lijuan Liu , Yicong Zhou , Yan Yan , Binbin Wang , Xin Lv , Jin Qin , Zongyu Liu , Yongyang Liu , Zihou Meng , Long You , Minghan Zhao , Xuelin Wang , Guanhui Pei , Ge Bai , Chaoyue Meng , Xiaoyun Liu
Post-stroke neuroinflammation remains a critical contributor to disease progression and recovery. Building on our prior finding that knockdown of the mitochondrial calcium uniporter (MCU) confers protection against ischemic injury, and guided by transcriptomic evidence implicating NR4A1. We investigated the underlying mechanism using a mouse middle cerebral artery occlusion model and a microglial oxygen–glucose deprivation/reoxygenation model, coupled with protein interaction and acetylation assays. MCU knockdown significantly reduced infarct volume, improved neurological scores, and suppressed microglial cytokine expression. Mechanistically, MCU did not directly interact with NR4A1 under our conditions; immunoprecipitation–mass spectrometry identified SLC33A1 as a novel MCU interactor. Reduced MCU levels led to decreased SLC33A1 expression, diminished NR4A1 acetylation, and attenuated inflammatory outputs, whereas elevating global acetylation blunted these effects. Collectively, our findings demonstrate that MCU knockdown mitigates cerebral infarction and suppresses microglial inflammation via SLC33A1-dependent control of NR4A1 acetylation, supporting MCU knockdown as a promising strategy for post-stroke anti-inflammatory intervention.
中风后神经炎症仍然是疾病进展和恢复的关键因素。基于我们之前的发现,线粒体钙单转运蛋白(MCU)的敲低可以保护缺血性损伤,并在NR4A1转录组学证据的指导下。我们通过小鼠大脑中动脉闭塞模型和小胶质氧-葡萄糖剥夺/再氧化模型,结合蛋白质相互作用和乙酰化实验研究了其潜在机制。MCU敲除显著减少梗死体积,改善神经学评分,抑制小胶质细胞因子表达。机制上,在我们的条件下,MCU不直接与NR4A1相互作用;免疫沉淀-质谱法鉴定SLC33A1为一种新型MCU相互作用物。MCU水平降低导致SLC33A1表达减少,NR4A1乙酰化减少,炎症输出减弱,而整体乙酰化升高则减弱了这些作用。总之,我们的研究结果表明,MCU敲低可减轻脑梗死,并通过slc33a1依赖的NR4A1乙酰化控制抑制小胶质细胞炎症,支持MCU敲低作为卒中后抗炎干预的一种有希望的策略。
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引用次数: 0
The pulvinar nucleus and its role in cognitive functions 枕核及其在认知功能中的作用
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-04 DOI: 10.1016/j.brainresbull.2025.111672
Nelson Cortes, Capucine Mandel, Lamyae Ikan, Christian Casanova
The pulvinar is a higher-order thalamic hub with widespread cortico-cortical and cortico-limbic connectivity. Here we synthesize evidence that pulvinar circuits shape perception and cognition via three computations: (i) precision-weighted gain for routing information across visual hierarchies, (ii) priority mapping that supports selection of behaviorally relevant stimuli, and (iii) temporal alignment that facilitates feature binding and multisensory integration. We summarize lesion, inactivation and imaging studies linking these operations to attention, sensory gain, and socio-emotional processing. We then review pulvinar-related alterations across neuropsychiatric conditions (e.g., schizophrenia, autism spectrum disorder, major depressive disorder, anxiety), focusing on convergent patterns of thalamo-cortical reconfiguration rather than disorder-general clinical descriptions. Finally, we integrate these findings with contemporary frameworks (predictive coding; distributed global workspace; constructionist theory of emotions), outlining testable predictions about frequency-specific coupling and state-dependent routing between occipito-temporal, fronto-parietal and limbic networks. This concise account situates the pulvinar as a modulatory hub that can influence both sensory and affective dimensions of cognition, and highlights priorities for causal human and animal work.
枕核是高阶丘脑中枢,具有广泛的皮质-皮质和皮质-边缘连通性。在这里,我们综合了颅回通过三种计算来塑造感知和认知的证据:(i)跨越视觉层次的信息路由的精度加权增益,(ii)支持行为相关刺激选择的优先级映射,以及(iii)促进特征绑定和多感觉整合的时间对齐。我们总结了将这些操作与注意力、感觉获得和社会情绪处理联系起来的病变、失活和成像研究。然后,我们回顾了神经精神疾病(如精神分裂症、自闭症谱系障碍、重度抑郁症、焦虑症)中与pulvinar相关的改变,重点关注丘脑-皮层重构的收敛模式,而不是疾病的一般临床描述。最后,我们将这些发现与当代框架(预测编码;分布式全局工作空间;情绪建构主义理论)相结合,概述了枕颞、额顶叶和边缘网络之间频率特异性耦合和状态依赖性路由的可测试预测。这篇简明的文章将脑窝定位为一个调节中枢,可以影响认知的感官和情感维度,并强调了人类和动物因果工作的优先事项。
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引用次数: 0
Brain network localization of high-frequency heart rate variability: A meta-analysis and coordinate-based network mapping approach 高频心率变异性的脑网络定位:一种元分析和基于坐标的网络映射方法
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-04 DOI: 10.1016/j.brainresbull.2025.111673
Yifan Fang , Tianyi Li , Wenwen Liang, Qing Du, Chensheng Pan, Zhou Zhu
This study investigated the neural mechanisms behind high-frequency heart rate variability (HF-HRV), a marker of cardiac parasympathetic tone, which is crucial for understanding the interplay between physiological and emotional regulation. Previous neuroimaging studies have yielded inconsistent results, making it challenging to identify the specific brain networks involved in cardiac vagal control. To address this issue, we conducted a systematic search of PubMed, Web of Science, and Scopus for studies linking HF-HRV with brain activation coordinates. An Activation Likelihood Estimation (ALE) meta-analysis was performed to identify convergence in brain activation associated with HF-HRV. We subsequently used coordinate-based network mapping to investigate the functional connectivity of brain regions related to HF-HRV, via a database of resting-state functional connectivity from 1000 healthy volunteers. Despite the high heterogeneity among studies, which prevented the ALE meta-analysis from identifying significant voxels or clusters, coordinate-based network mapping revealed consistent network overlap in the subgenual anterior cingulate cortex (sgACC) and ventromedial prefrontal cortex (vmPFC), both of which were positively correlated with HF-HRV. No significantly correlated areas were detected in the brain networks that were negatively correlated with HF-HRV. These findings suggest that HF-HRV is associated with a distributed network of brain regions, with the sgACC and the vmPFC playing crucial roles in cardiac vagal control. This study introduces an innovative approach to understanding the role of the brain in HF-HRV control and provides a foundation for future research into the neural mechanisms underlying cardiac autonomic regulation.
本研究探讨了高频心率变异性(HF-HRV)背后的神经机制,高频心率变异性是心脏副交感神经张力的标志,对于理解生理和情绪调节之间的相互作用至关重要。先前的神经影像学研究得出了不一致的结果,这使得确定参与心脏迷走神经控制的特定大脑网络具有挑战性。为了解决这个问题,我们对PubMed、Web of Science和Scopus进行了系统的搜索,寻找将HF-HRV与大脑激活坐标联系起来的研究。进行激活似然估计(ALE)荟萃分析以确定与HF-HRV相关的脑激活趋同。随后,我们通过1000名健康志愿者的静息状态功能连接数据库,使用基于坐标的网络映射来研究与HF-HRV相关的大脑区域的功能连接。尽管研究之间存在高度异质性,这使得ALE meta分析无法确定显著的体素或簇,但基于坐标的网络映射显示,亚属前扣带皮层(sgACC)和腹内侧前额叶皮层(vmPFC)的网络重叠一致,两者都与HF-HRV呈正相关。在脑网络中未检测到与HF-HRV负相关的显著相关区域。这些发现表明,HF-HRV与大脑区域的分布式网络有关,sgACC和vmPFC在心脏迷走神经控制中起着关键作用。该研究为理解大脑在HF-HRV控制中的作用提供了一种创新的方法,并为进一步研究心脏自主调节的神经机制奠定了基础。
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引用次数: 0
Alterations in dynamic regional homogeneity and functional connectivity in lung cancer patients with bone metastasis pain 肺癌骨转移性疼痛患者动态区域均匀性和功能连通性的改变
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-02 DOI: 10.1016/j.brainresbull.2025.111670
Yu Tang , Tan Cheng , Lin Tang, Xiaoyu Zhou, Jing Zhang, Yong Tan, Hong Yu, Jing Yang, Daihong Liu, Jiuquan Zhang

Background

Although previous neuroimaging studies have characterized static brain activity in bone metastasis pain (BMP), its dynamic functional properties remain largely unexplored. This study aimed to investigate the dynamic brain activity in BMP patients.

Methods

We analyzed dynamic regional homogeneity (dReHo) and dynamic functional connectivity (dFC) in 50 right-handed lung cancer patients with BMP(+), 36 without BMP(−), and 32 healthy controls (HCs). Spearman’s correlation was used to evaluate associations with clinical variables.

Results

Compared to BMP(−) patients, BMP(+) patients exhibited increased dReHo variability in the right putamen, fusiform gyrus, left middle occipital gyrus (MOG), and left cerebellar lobule VIII (cerebellum_8_L). Relative to HCs, BMP(+) patients showed increased dReHo in the cerebellum_8_L and decreased dReHo in the left anterior cingulate cortex, right inferior temporal gyrus, and frontal lobe. BMP(−) patients displayed decreased dReHo in the right rolandic operculum and putamen compared to HCs. In BMP(+) patients, dReHo variability in the left MOG was positively correlated with pain intensity, while dReHo variability in the right fusiform gyrus was negatively associated with anxiety. Enhanced dFC was observed between the right fusiform/left MOG and cerebellar subregions in BMP(+) compared to BMP(−) patients.

Conclusions

This study demonstrates abnormal dynamic brain activity within visual, affective, and sensorimotor networks in patients with BMP. These findings suggest that dReHo/dFC variability may serve as a neuroimaging biomarker for BMP diagnosis and disease monitoring. Furthermore, they provide new insights into the neurophysiological mechanisms of BMP and identify promising targets for neuromodulation-based therapeutic interventions.
虽然以前的神经影像学研究已经描述了骨转移性疼痛(BMP)的静态脑活动,但其动态功能特性仍未被广泛探索。本研究旨在探讨BMP患者的动态脑活动。方法对50例伴有BMP(+)、36例无BMP(-)和32例健康对照(hc)的右撇子肺癌患者进行动态区域均匀性(dReHo)和动态功能连通性(dFC)分析。Spearman相关性用于评价与临床变量的关联。结果与BMP(−)患者相比,BMP(+)患者在右侧壳核、梭状回、左侧枕中回(MOG)和左侧小脑VIII (cerebellum_8_L)中表现出更高的dReHo变异性。与hc相比,BMP(+)患者小脑_8_l dReHo升高,左侧前扣带皮层、右侧颞下回和额叶dReHo降低。与hcc患者相比,BMP(−)患者右侧罗兰包膜和硬膜的dReHo减少。在BMP(+)患者中,左侧MOG的dReHo变异性与疼痛强度呈正相关,而右侧梭状回的dReHo变异性与焦虑呈负相关。与BMP(-)患者相比,BMP(+)患者的右侧梭状回/左侧MOG和小脑亚区之间的dFC增强。结论:本研究表明BMP患者的视觉、情感和感觉运动网络中存在异常的动态脑活动。这些发现表明,dReHo/dFC可变性可以作为BMP诊断和疾病监测的神经成像生物标志物。此外,它们为BMP的神经生理机制提供了新的见解,并确定了基于神经调节的治疗干预的有希望的靶点。
{"title":"Alterations in dynamic regional homogeneity and functional connectivity in lung cancer patients with bone metastasis pain","authors":"Yu Tang ,&nbsp;Tan Cheng ,&nbsp;Lin Tang,&nbsp;Xiaoyu Zhou,&nbsp;Jing Zhang,&nbsp;Yong Tan,&nbsp;Hong Yu,&nbsp;Jing Yang,&nbsp;Daihong Liu,&nbsp;Jiuquan Zhang","doi":"10.1016/j.brainresbull.2025.111670","DOIUrl":"10.1016/j.brainresbull.2025.111670","url":null,"abstract":"<div><h3>Background</h3><div>Although previous neuroimaging studies have characterized static brain activity in bone metastasis pain (BMP), its dynamic functional properties remain largely unexplored. This study aimed to investigate the dynamic brain activity in BMP patients.</div></div><div><h3>Methods</h3><div>We analyzed dynamic regional homogeneity (dReHo) and dynamic functional connectivity (dFC) in 50 right-handed lung cancer patients with BMP(+), 36 without BMP(−), and 32 healthy controls (HCs). Spearman’s correlation was used to evaluate associations with clinical variables.</div></div><div><h3>Results</h3><div>Compared to BMP(−) patients, BMP(+) patients exhibited increased dReHo variability in the right putamen, fusiform gyrus, left middle occipital gyrus (MOG), and left cerebellar lobule VIII (cerebellum_8_L). Relative to HCs, BMP(+) patients showed increased dReHo in the cerebellum_8_L and decreased dReHo in the left anterior cingulate cortex, right inferior temporal gyrus, and frontal lobe. BMP(−) patients displayed decreased dReHo in the right rolandic operculum and putamen compared to HCs. In BMP(+) patients, dReHo variability in the left MOG was positively correlated with pain intensity, while dReHo variability in the right fusiform gyrus was negatively associated with anxiety. Enhanced dFC was observed between the right fusiform/left MOG and cerebellar subregions in BMP(+) compared to BMP(−) patients.</div></div><div><h3>Conclusions</h3><div>This study demonstrates abnormal dynamic brain activity within visual, affective, and sensorimotor networks in patients with BMP. These findings suggest that dReHo/dFC variability may serve as a neuroimaging biomarker for BMP diagnosis and disease monitoring. Furthermore, they provide new insights into the neurophysiological mechanisms of BMP and identify promising targets for neuromodulation-based therapeutic interventions.</div></div>","PeriodicalId":9302,"journal":{"name":"Brain Research Bulletin","volume":"234 ","pages":"Article 111670"},"PeriodicalIF":3.7,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145658693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forced and voluntary exercise exert differential neuroprotective effects in cerebral ischemia-reperfusion injury by inhibiting neutrophil infiltration and blood-brain barrier disruption 强迫运动和自愿运动通过抑制中性粒细胞浸润和血脑屏障破坏在脑缺血再灌注损伤中发挥不同的神经保护作用。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-02 DOI: 10.1016/j.brainresbull.2025.111668
Manyao Zou , Jie Wang , Long Yu , Yuqing Bi , Guofeng Yan , Hanqing Ding , Ying Zhang
Ischemic stroke is associated with high disability rates, underscoring the urgent need for effective rehabilitation strategies. While exercise rehabilitation promotes functional recovery, the differential therapeutic effects of distinct exercise modalities and their underlying mechanisms remain incompletely understood. Our previous proteomic study showed that exercise administered after cerebral ischemia-reperfusion (CI/RP) strongly inhibited major neutrophil-driven biological processes in the penumbra region, including neutrophil extracellular traps (NETs) formation and integrin-cell surface interactions. Subsequent experimental results demonstrated that forced exercise (F-Ex) more significantly reduced neutrophil infiltration and NETs formation, attenuated blood-brain barrier(BBB)leakage, and upregulated tight junction proteins (TJPs) compared to voluntary exercise (V-Ex). Furthermore, previous studies have established that matrix metalloproteinases (MMPs) are closely linked to BBB disruption. In our study, matrix metalloproteinase-25 (MMP-25/MT6-MMP), was recognized among the most differentially expressed proteins (DEPs) and its expression was associated with neutrophil infiltration. However, the role of MMP-25 in cerebral ischemia remains understudied. Overall, F-Ex conferred greater neurological improvement in early-stage CI/RP injury compared to V-Ex. These results provide evidence-based insights for selecting optimal exercise interventions in post-stroke rehabilitation, elucidate a novel mechanism underlying F-Ex-mediated protection against ischemic brain injury, and implicate MMP-25 as a potential therapeutic target for ischemic stroke.
缺血性卒中与高致残率相关,因此迫切需要有效的康复策略。虽然运动康复促进功能恢复,但不同运动方式的不同治疗效果及其潜在机制仍未完全了解。我们之前的蛋白质组学研究表明,脑缺血再灌注(CI/RP)后进行的运动强烈抑制了半影区中性粒细胞驱动的主要生物过程,包括中性粒细胞胞外陷阱(NETs)的形成和整合素-细胞表面相互作用。随后的实验结果表明,与自愿运动(V-Ex)相比,强迫运动(F-Ex)更显著地减少了中性粒细胞浸润和NETs的形成,减弱了血脑屏障(BBB)渗漏,并上调了紧密连接蛋白(TJPs)。此外,先前的研究已经确定基质金属蛋白酶(MMPs)与血脑屏障破坏密切相关。在我们的研究中,基质金属蛋白酶25 (MMP-25/MT6-MMP)被认为是最差异表达的蛋白(DEPs)之一,其表达与中性粒细胞浸润有关。然而,MMP-25在脑缺血中的作用仍未得到充分研究。总体而言,与V-Ex相比,F-Ex对早期CI/RP损伤的神经系统改善更大。这些结果为卒中后康复中选择最佳运动干预措施提供了基于证据的见解,阐明了f - ex介导的缺血性脑损伤保护的新机制,并暗示MMP-25是缺血性卒中的潜在治疗靶点。
{"title":"Forced and voluntary exercise exert differential neuroprotective effects in cerebral ischemia-reperfusion injury by inhibiting neutrophil infiltration and blood-brain barrier disruption","authors":"Manyao Zou ,&nbsp;Jie Wang ,&nbsp;Long Yu ,&nbsp;Yuqing Bi ,&nbsp;Guofeng Yan ,&nbsp;Hanqing Ding ,&nbsp;Ying Zhang","doi":"10.1016/j.brainresbull.2025.111668","DOIUrl":"10.1016/j.brainresbull.2025.111668","url":null,"abstract":"<div><div>Ischemic stroke is associated with high disability rates, underscoring the urgent need for effective rehabilitation strategies. While exercise rehabilitation promotes functional recovery, the differential therapeutic effects of distinct exercise modalities and their underlying mechanisms remain incompletely understood. Our previous proteomic study showed that exercise administered after cerebral ischemia-reperfusion (CI/RP) strongly inhibited major neutrophil-driven biological processes in the penumbra region, including neutrophil extracellular traps (NETs) formation and integrin-cell surface interactions. Subsequent experimental results demonstrated that forced exercise (F-Ex) more significantly reduced neutrophil infiltration and NETs formation, attenuated blood-brain barrier(BBB)leakage, and upregulated tight junction proteins (TJPs) compared to voluntary exercise (V-Ex). Furthermore, previous studies have established that matrix metalloproteinases (MMPs) are closely linked to BBB disruption. In our study, matrix metalloproteinase-25 (MMP-25/MT6-MMP), was recognized among the most differentially expressed proteins (DEPs) and its expression was associated with neutrophil infiltration. However, the role of MMP-25 in cerebral ischemia remains understudied. Overall, F-Ex conferred greater neurological improvement in early-stage CI/RP injury compared to V-Ex. These results provide evidence-based insights for selecting optimal exercise interventions in post-stroke rehabilitation, elucidate a novel mechanism underlying F-Ex-mediated protection against ischemic brain injury, and implicate MMP-25 as a potential therapeutic target for ischemic stroke.</div></div>","PeriodicalId":9302,"journal":{"name":"Brain Research Bulletin","volume":"234 ","pages":"Article 111668"},"PeriodicalIF":3.7,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145676625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Brain Research Bulletin
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