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Abnormal dynamic connectivity patterns in self-limited epilepsy with centrotemporal spikes 伴有中央颞叶尖峰的自限性癫痫的异常动态连接模式。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-02 DOI: 10.1016/j.brainresbull.2025.111669
Xu Chen , Linfeng Song , Jiaren Zhang , Xuejin Ma , Binlin Tian , Yongzhe Li , Anjie Zhang , Xiyao Yang , Yiyun Zhang , Tijiang Zhang , Lin Jiang

Objective

To characterize the dynamic functional network connectivity (dFNC) patterns in children with self-limited epilepsy with centrotemporal spikes (SeLECTS) and to uncover potential abnormalities in neural regulation and related functional impairments.

Materials and methods

Resting-state functional magnetic resonance imaging (rs-fMRI) data were collected from 61 children with SeLECTS and 69 healthy controls (HCs). Independent component analysis (ICA), the sliding window approach and hidden markov modeling (HMM) were employed to systematically investigate potential differences in dFNC properties between the two groups.

Results

The dFNC analysis identified four dynamic states, with State 1 occurring most frequently. State 1 and State 3 represented two polarized connectivity patterns, with State 1 characterized by weak/negative connections and State 3 by widespread strong connections. In both states, children with SeLECTS showed significantly reduced connectivity within the dorsal attention network (DAN) compared with HCs (p < 0.001, FDR-corrected). In the connectivity-balanced State 2, children with SeLECTS showed significantly reduced fractional windows (p = 0.009) and mean dwell time (p = 0.018) compared with HCs, whereas no significant differences were observed in State 4. In addition, temporal variability of functional connectivity between the DAN and visual network (VIS) was significantly reduced in SeLECTS (p < 0.001, FDR-corrected), and this variability was positively correlated with full-scale intelligence quotient (FIQ) (p < 0.05). HMM results from another dynamic perspective further confirmed and echoed the above abnormalities.

Conclusion

This study revealed abnormal dynamic connectivity patterns of brain networks in children with SeLECTS from a multidimensional dynamic perspective. These macroscopic abnormalities may reflect an underlying excitation–inhibition imbalance in neural networks and provide new insights into brain functional reorganization and the potential neurobiological mechanisms of SeLECTS.
目的:研究伴有中央颞叶尖峰(SeLECTS)的自限性癫痫患儿的动态功能网络连接(dFNC)模式,揭示神经调节的潜在异常和相关功能损伤。材料与方法:收集61例select患儿和69例健康对照(hc)静息状态功能磁共振成像(rs-fMRI)数据。采用独立分量分析(ICA)、滑动窗口方法和隐马尔可夫模型(HMM)系统地研究了两组间dFNC特性的潜在差异。结果:dFNC分析确定了四种动态状态,状态1发生频率最高。状态1和状态3呈现两种极化的连接模式,状态1以弱/负连接为特征,状态3以广泛的强连接为特征。在这两种状态下,与hc相比,select儿童在背侧注意网络(DAN)内的连通性显著降低(p < 0.001,经fdr校正)。在连接平衡状态2中,与hc相比,select儿童的分数窗口(p = 0.009)和平均停留时间(p = 0.018)显著减少,而在状态4中没有观察到显著差异。此外,选择组DAN和视觉网络(VIS)功能连接的时间变异性显著降低(p < 0.001,经fdr校正),且这种变异性与全面智商(FIQ)呈正相关(p < 0.05)。另一个动态角度的HMM结果进一步证实和呼应了上述异常。结论:本研究从多维动态角度揭示了select儿童脑网络异常的动态连接模式。这些宏观异常可能反映了神经网络中潜在的兴奋-抑制失衡,并为脑功能重组和潜在的神经生物学机制提供了新的见解。
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引用次数: 0
A critical appraisal of drug transport across the blood-brain barrier: Evaluation using new-age microfluidic technique 通过血脑屏障的药物运输的关键评价:评价使用新时代的微流体技术。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-02 DOI: 10.1016/j.brainresbull.2025.111662
Kiran Marathe , Dhruv Sanjay Gupta , Kalyani Barve , Dhananjay Bodas
Research over the past few decades has focused on elucidating the role of the blood-brain barrier (BBB) in neuroprotection, regulation of the brain microenvironment, and mediation of the selective permeability of substances, including drug molecules. This has highlighted its significance in preclinical research, particularly in the screening of novel chemical entities with neuromodulatory properties. The BBB is not a static barrier but a dynamic, multicellular interface known as the neurovascular unit (NVU), which actively regulates brain homeostasis. A persistent challenge in neurotherapeutics is the translatability crisis, where promising results from traditional preclinical models fail to materialize in human trials. Current in vivo models, such as those using rodents and zebrafish, replicate the complexity of the human BBB and demonstrate satisfactory reproducibility, but are limited by their cost, time-consuming nature, and critical issues of interspecies translatability, particularly in the expression and function of key drug transporters. This has driven the development of in vitro models. In recent years, organ-on-a-chip technologies, which utilize the principles of microfluidics, have emerged at the forefront. These models are robust, cost-effective, and enable high-throughput screening of experimental results. By incorporating human-derived cells, physiological shear stress, and 3D architecture, these platforms are evolving from simple permeability-screening tools into sophisticated "pathophysiology-in-a-dish" systems. They combine the advantages of both in vivo and in vitro systems and offer promising scalability for modeling neurodegenerative diseases, neuroinflammation, and cancer, thereby enabling more predictive screening of therapeutic candidates. This review aims to provide a perspective on the current understanding of the BBB and its associated transport mechanisms, followed by a discussion of various contemporary models with the potential to transform the drug discovery landscape. The application of microfluidics in designing these models, along with noteworthy case studies in disease modeling, is explored. Finally, a brief overview of current challenges in the field, including the need for standardization, and exciting future directions spurred by regulatory shifts toward non-animal alternative methods is presented.
过去几十年的研究重点是阐明血脑屏障(BBB)在神经保护、脑微环境调节和物质(包括药物分子)选择性渗透中的作用。这突出了它在临床前研究中的重要性,特别是在筛选具有神经调节特性的新型化学实体方面。血脑屏障不是一个静态屏障,而是一个动态的多细胞界面,被称为神经血管单元(NVU),它积极调节大脑的内稳态。神经治疗学中一个持续的挑战是可译性危机,传统临床前模型的有希望的结果未能在人体试验中实现。目前的体内模型,如使用啮齿动物和斑马鱼的模型,复制了人类血脑屏障的复杂性,并表现出令人满意的可重复性,但受到成本、耗时和种间可翻译性的关键问题的限制,特别是在关键药物转运体的表达和功能方面。这推动了体外模型的发展。近年来,利用微流控原理的器官芯片技术已经走在了前沿。这些模型是稳健的,具有成本效益的,并且能够对实验结果进行高通量筛选。通过结合人源性细胞、生理剪切应力和3D结构,这些平台正在从简单的渗透性筛选工具演变为复杂的“盘中病理生理”系统。它们结合了体内和体外系统的优势,为神经退行性疾病、神经炎症和癌症的建模提供了有前途的可扩展性,从而能够对治疗候选物进行更具预测性的筛选。本综述旨在提供对血脑屏障及其相关运输机制的当前理解的观点,随后讨论了各种具有改变药物发现前景潜力的当代模型。探讨了微流体在设计这些模型中的应用,以及在疾病建模中值得注意的案例研究。最后,简要概述了该领域当前的挑战,包括标准化的需要,以及由向非动物替代方法的监管转变所刺激的令人兴奋的未来方向。
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引用次数: 0
DHX9 aggravates epilepsy by promoting STAT1 phosphorylation to increase oxidative stress and apoptosis DHX9通过促进STAT1磷酸化增加氧化应激和细胞凋亡而加重癫痫。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111650
Hong Chen , Qiannan Song , Da-Qing Feng

Background

DEAH-box helicase 9 (DHX9), as a member of the RNA helicase family, plays important roles in various diseases, but its specific function and molecular mechanisms in epilepsy remain unclear. This study aims to investigate the role of DHX9 in epilepsy and its interaction mechanisms with STAT1.

Methods

Acute and chronic epilepsy mouse models induced by pentylenetetrazole (PTZ) and kainic acid (KA)-induced epilepsy mouse models were established to detect DHX9 expression levels in hippocampal tissue. In vitro epilepsy models were established using HT22 mouse hippocampal neuronal cell lines and BV2 microglial cell lines to analyze DHX9 expression changes. Co-immunoprecipitation was employed to detect protein-protein interactions between DHX9 and STAT1. STAT1-specific inhibitors were used in rescue experiments to validate the critical role of STAT1 in DHX9-mediated pathogenic effects. Western blot and immunofluorescence staining were used to detect oxidative stress markers and apoptosis-related indicators.

Results

DHX9 expression was upregulated in hippocampal tissue from PTZ-induced acute and chronic epilepsy mice and KA-induced epilepsy mice. In vitro experiments confirmed that DHX9 expression was similarly increased in epilepsy models constructed with HT22 neurons and BV2 microglia. Functional studies demonstrated that DHX9 overexpression aggravated neuronal injury, including increased apoptosis rate, elevated oxidative stress levels, and promoted inflammatory responses. Conversely, silencing DHX9 through shRNA reduced neuronal injury in KA-induced epilepsy mouse models. Mechanistic studies revealed that DHX9 silencing exerted neuroprotective effects by inhibiting the STAT1 signaling pathway, reducing oxidative stress and apoptosis. Co-immunoprecipitation experiments confirmed direct protein-protein interactions between DHX9 and STAT1. Rescue experiments further demonstrated that STAT1-specific inhibitors could reverse DHX9 overexpression-induced neuronal injury, proving that STAT1 is a key downstream molecule mediating DHX9's pathogenic effects.

Conclusion

This study reveals the important role of DHX9 in epilepsy pathogenesis and elucidates the molecular mechanism by which DHX9 directly interacts with STAT1 and promotes its phosphorylation, thereby activating downstream oxidative stress and apoptotic signaling pathways, ultimately aggravating epileptic neuronal injury.
背景:DEAH-box解旋酶9 (DHX9)作为RNA解旋酶家族的一员,在多种疾病中发挥重要作用,但其在癫痫中的具体功能和分子机制尚不清楚。本研究旨在探讨DHX9在癫痫中的作用及其与STAT1的相互作用机制。方法:建立戊四唑(PTZ)诱导的急、慢性癫痫小鼠模型和kainic acid (KA)诱导的癫痫小鼠模型,检测海马组织中DHX9的表达水平。采用HT22小鼠海马神经元细胞系和BV2小胶质细胞系建立体外癫痫模型,分析DHX9表达变化。采用免疫共沉淀法检测DHX9与STAT1之间的蛋白相互作用。在救援实验中使用STAT1特异性抑制剂来验证STAT1在dhx9介导的致病作用中的关键作用。Western blot和免疫荧光染色检测氧化应激标志物和细胞凋亡相关指标。结果:ptz诱导的急、慢性癫痫小鼠和ka诱导的癫痫小鼠海马组织中DHX9表达上调。体外实验证实,DHX9在HT22神经元和BV2小胶质细胞构建的癫痫模型中表达同样增加。功能研究表明,DHX9过表达加重了神经元损伤,包括细胞凋亡率升高、氧化应激水平升高、炎症反应增强。相反,通过shRNA沉默DHX9可减少ka诱导癫痫小鼠模型中的神经元损伤。机制研究表明,DHX9沉默通过抑制STAT1信号通路、减少氧化应激和细胞凋亡发挥神经保护作用。共免疫沉淀实验证实了DHX9与STAT1之间的直接蛋白蛋白相互作用。救援实验进一步证实,STAT1特异性抑制剂可逆转DHX9过表达诱导的神经元损伤,证明STAT1是介导DHX9致病作用的关键下游分子。结论:本研究揭示了DHX9在癫痫发病中的重要作用,阐明了DHX9直接与STAT1相互作用,促进其磷酸化,进而激活下游氧化应激和凋亡信号通路,最终加重癫痫神经元损伤的分子机制。
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引用次数: 0
Prefrontal neurophysiological changes associated with subanesthetic esketamine accelerating mice emergence from propofol anesthesia 亚麻醉艾氯胺酮加速异丙酚麻醉小鼠苏醒相关的前额叶神经生理变化。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111648
Yinying Sun , Bo Li , Yiting Wang , Xuliang Jiang , Su Tang , Jiayi Zhang , Jun Zhang

Background

Recent studies have demonstrated that subanesthetic dose of ketamine or its S-enantiomer, esketamine, can paradoxically accelerate the recovery of consciousness in rodents following general anesthesia. However, the neural mechanisms underlying this "awakening-promoting" effect remain poorly understood.

Methods

Adult C57BL/6 J mice were anesthetized with propofol, 0and a low dose of esketamine (2 mg/kg) was administered intravenously to assess its awakening effects through behavioral tests. In vivo multichannel electrophysiological recordings, calcium imaging, and two-photon imaging combined with neurotransmitter probes targeting 5-hydroxytryptamine(5-HT) and acetylcholine (ACh) were employed to investigate electrophysiological and neurochemical dynamics in the prefrontal cortex (PFC) during the awakening process.

Results

Subanesthetic esketamine significantly accelerated awakening from propofol anesthesia in mice. In the PFC, esketamine hastened the emergence of γ oscillations and triggered earlier activation of neuronal somata and dendrites in layer V, while delaying activation in layer II/III neurons. Additionally, subanesthetic esketamine induced inter-layer phase desynchronization and a premature increase in ACh and 5-HT levels in the PFC during the awakening process.

Conclusion

Our findings suggest that low-dose esketamine facilitates mice awakening from propofol anesthesia may by orchestrating a sequence of neural events in the PFC. This study provides novel mechanistic insight into the paradoxical emergence from anesthesia induced by subanesthetic esketamine/ketamine.
背景:最近的研究表明,亚麻醉剂量的氯胺酮或其s -对体艾氯胺酮可以矛盾地加速啮齿动物全身麻醉后的意识恢复。然而,这种“唤醒促进”效应背后的神经机制仍然知之甚少。方法:用异丙酚麻醉C57BL/6J成年小鼠,并静脉注射小剂量艾氯胺酮(2mg/kg),通过行为学试验评价其唤醒作用。采用体内多通道电生理记录、钙成像和双光子成像结合靶向5-羟色胺(5-HT)和乙酰胆碱(ACh)的神经递质探针,研究了觉醒过程中前额叶皮层(PFC)的电生理和神经化学动力学。结果:亚麻醉艾氯胺酮显著加速异丙酚麻醉小鼠苏醒。在PFC中,艾氯胺酮加速了γ振荡的出现,并触发了V层神经元体和树突的早期激活,而延迟了II/III层神经元的激活。此外,亚麻醉艾氯胺酮诱导觉醒过程中PFC的层间相不同步和乙酰胆碱和5-羟色胺水平的过早增加。结论:我们的研究结果表明,低剂量艾氯胺酮可能通过在pfc中安排一系列神经事件来促进小鼠从异丙酚麻醉中醒来。这项研究为亚麻醉艾氯胺酮/氯胺酮诱导的麻醉中出现的矛盾提供了新的机制见解。
{"title":"Prefrontal neurophysiological changes associated with subanesthetic esketamine accelerating mice emergence from propofol anesthesia","authors":"Yinying Sun ,&nbsp;Bo Li ,&nbsp;Yiting Wang ,&nbsp;Xuliang Jiang ,&nbsp;Su Tang ,&nbsp;Jiayi Zhang ,&nbsp;Jun Zhang","doi":"10.1016/j.brainresbull.2025.111648","DOIUrl":"10.1016/j.brainresbull.2025.111648","url":null,"abstract":"<div><h3>Background</h3><div>Recent studies have demonstrated that subanesthetic dose of ketamine or its S-enantiomer, esketamine, can paradoxically accelerate the recovery of consciousness in rodents following general anesthesia. However, the neural mechanisms underlying this \"awakening-promoting\" effect remain poorly understood.</div></div><div><h3>Methods</h3><div>Adult C57BL/6 J mice were anesthetized with propofol, 0and a low dose of esketamine (2 mg/kg) was administered intravenously to assess its awakening effects through behavioral tests. In vivo multichannel electrophysiological recordings, calcium imaging, and two-photon imaging combined with neurotransmitter probes targeting 5-hydroxytryptamine(5-HT) and acetylcholine (ACh) were employed to investigate electrophysiological and neurochemical dynamics in the prefrontal cortex (PFC) during the awakening process.</div></div><div><h3>Results</h3><div>Subanesthetic esketamine significantly accelerated awakening from propofol anesthesia in mice. In the PFC, esketamine hastened the emergence of γ oscillations and triggered earlier activation of neuronal somata and dendrites in layer V, while delaying activation in layer II/III neurons. Additionally, subanesthetic esketamine induced inter-layer phase desynchronization and a premature increase in ACh and 5-HT levels in the PFC during the awakening process.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that low-dose esketamine facilitates mice awakening from propofol anesthesia may by orchestrating a sequence of neural events in the PFC. This study provides novel mechanistic insight into the paradoxical emergence from anesthesia induced by subanesthetic esketamine/ketamine.</div></div>","PeriodicalId":9302,"journal":{"name":"Brain Research Bulletin","volume":"233 ","pages":"Article 111648"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145596178","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
ATF3 promotes ferroptosis by transcriptional repression of SLC7A11 in ischemic stroke 缺血性卒中中ATF3通过抑制SLC7A11的转录促进铁下垂
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111659
Ying He , Ying Zhao , Ruitao Mao , Wangxiang Li , Tengmin Gui , Huanhuan Ren , Shuxian Zhang , Yuan Song , Liqing Yao
Activating transcription factor 3 (ATF3) and solute carrier family 7 member 11 (SLC7A11) have been implicated in ferroptosis following ischemic stroke. However, the precise regulatory mechanisms between ATF3 and SLC7A11 remain incompletely understood. This study aims to investigate the regulatory mechanism of ATF3 and SLC7A11 in ferroptosis during ischemic stroke. The stroke-related microarray dataset GSE58294 was downloaded from the GEO database. Differential gene expression analysis was performed to identify ferroptosis-related differentially expressed genes (FRDEGs). Bioinformatics analyses, including Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment, and protein-protein interaction (PPI) network construction, were conducted. Key hub genes were validated in both a rat model of middle cerebral artery occlusion/reperfusion (MCAO/R) and a cellular model of oxygen-glucose deprivation/reoxygenation (OGD/R) using BV2 microglia. Cell viability was assessed by CCK-8 assay. Ferroptosis-related proteins were analyzed by Western blot, and apoptosis was detected by flow cytometry. Levels of reactive oxygen species (ROS) and Fe2+ were measured using immunofluorescence and ELISA, respectively. Bioinformatic analysis identified SLC7A11 as a significantly altered gene in stroke. The PPI network predicted ATF3 as a key transcription factor regulating SLC7A11. In vitro, transfection with si-ATF3 downregulated GPX4 and FTH1 levels while upregulating IREB2 and ALOX15. Furthermore, si-ATF3 transfection reduced ROS levels and iron concentration in microglia, effects that were reversed by the ferroptosis inducer erastin. Notably, SLC7A11 expression was significantly increased following ATF3 knockdown. Our findings demonstrate that ATF3 preliminarily promotes ferroptosis by binding to the SLC7A11 promoter and inhibiting its expression, providing a novel mechanistic insight into ischemic stroke pathology.
激活转录因子3 (ATF3)和溶质载体家族7成员11 (SLC7A11)与缺血性卒中后铁下垂有关。然而,ATF3和SLC7A11之间的精确调控机制仍然不完全清楚。本研究旨在探讨ATF3和SLC7A11在缺血性脑卒中中铁下垂的调控机制。从GEO数据库下载脑卒中相关微阵列数据集GSE58294。通过差异基因表达分析,鉴定与铁衰相关的差异表达基因(FRDEGs)。进行了生物信息学分析,包括基因本体(GO)、京都基因与基因组百科全书(KEGG)富集和蛋白质-蛋白质相互作用(PPI)网络构建。在大鼠大脑中动脉闭塞/再灌注(MCAO/R)模型和BV2小胶质细胞氧-葡萄糖剥夺/再氧合(OGD/R)模型中验证了关键枢纽基因。CCK-8法测定细胞活力。Western blot检测细胞凋亡相关蛋白,流式细胞术检测细胞凋亡。采用免疫荧光法和酶联免疫吸附法分别测定各组小鼠的活性氧(ROS)和铁离子(Fe2+)水平。生物信息学分析发现SLC7A11在中风中是一个显著改变的基因。PPI网络预测ATF3是调节SLC7A11的关键转录因子。在体外,转染si-ATF3可下调GPX4和FTH1水平,上调IREB2和ALOX15水平。此外,si-ATF3转染降低了小胶质细胞中的ROS水平和铁浓度,这一效应被铁下垂诱导剂erastin逆转。值得注意的是,在ATF3敲除后,SLC7A11的表达显著增加。我们的研究结果表明,ATF3通过结合SLC7A11启动子并抑制其表达,初步促进铁下垂,为缺血性卒中病理提供了新的机制见解。
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引用次数: 0
Multifunctionality of tissue inhibitor of metalloproteinase-1 in central nervous system diseases 金属蛋白酶-1组织抑制剂在中枢神经系统疾病中的多功能研究。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111647
Linke Zhong , Liuyang Zhao , Qiaoyan Tang , Xiaohua Zhang , Mingchao Zhou , Jiao Luo , Yulong Wang
Central nervous system (CNS) diseases are characterized by high morbidity, long disease courses, and irreversible neurological impairment, often resulting from damage to the neurovascular unit (NVU). Tissue inhibitor of metalloproteinase-1 (TIMP-1), the endogenous inhibitor of matrix metalloproteinase-9 (MMP-9), plays a pivotal role in maintaining extracellular matrix (ECM) homeostasis and regulating NVU integrity. Beyond its canonical MMP-inhibitory function, TIMP-1 exerts a wide spectrum of MMP-independent effects as a multifunctional cytokine that interacts with cell surface receptors such as CD63/β1-integrin and low-density lipoprotein receptor-related protein-1 (LRP-1). Through activation of FAK/PI3K–Akt and MAPK signaling pathways, TIMP-1 modulates astrocyte proliferation, neural stem cell adhesion and migration, endothelial barrier stability, and myelin regeneration. Altered TIMP-1 expression is closely associated with the onset, progression, and prognosis of major CNS disorders, including ischemic stroke, epilepsy, multiple sclerosis, and neurodegenerative diseases such as Alzheimer’s and Parkinson’s disease. Accumulating evidence highlights its dual, context-dependent roles—protective in acute neuroinflammatory and ischemic injury, yet potentially profibrotic or maladaptive under chronic pathological conditions. This review comprehensively summarizes recent advances in understanding the molecular mechanisms and biological functions of TIMP-1 in CNS diseases, emphasizing its regulatory networks in neuroinflammation, neuroprotection, and neuroregeneration. A deeper understanding of TIMP-1 signaling dynamics will accelerate its translational application as a diagnostic biomarker and therapeutic target for restoring neurovascular unit function in CNS disorders.
中枢神经系统(CNS)疾病的特点是发病率高,病程长,以及不可逆的神经损伤,通常由神经血管单元(NVU)损伤引起。组织金属蛋白酶-1抑制剂(TIMP-1)是内源性基质金属蛋白酶-9 (MMP-9)抑制剂,在维持细胞外基质(ECM)稳态和调节NVU完整性中起关键作用。除了其典型的mmp抑制功能外,TIMP-1作为一种多功能细胞因子,可与细胞表面受体如CD63/β1-整合素和低密度脂蛋白受体相关蛋白-1 (LRP-1)相互作用,发挥广泛的mmp非依赖性作用。TIMP-1通过激活FAK/PI3K-Akt和MAPK信号通路,调节星形胶质细胞增殖、神经干细胞粘附和迁移、内皮屏障稳定性和髓磷脂再生。TIMP-1表达的改变与主要中枢神经系统疾病的发生、进展和预后密切相关,包括缺血性卒中、癫痫、多发性硬化症和神经退行性疾病,如阿尔茨海默病和帕金森病。越来越多的证据表明,它的双重作用,依赖于环境,在急性神经炎症和缺血性损伤中具有保护作用,但在慢性病理条件下可能会纤维化或适应不良。本文综述了TIMP-1在中枢神经系统疾病中的分子机制和生物学功能的最新研究进展,重点介绍了TIMP-1在神经炎症、神经保护和神经再生中的调控网络。对TIMP-1信号动力学的深入了解将加速其作为恢复中枢神经系统疾病中神经血管单位功能的诊断生物标志物和治疗靶点的转化应用。
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引用次数: 0
Effects of combined entacapone and rTMS therapy on pain severity and serum inflammatory biomarkers (IL-6 and TNF-α) in Parkinson's disease 恩他卡彭联合rTMS治疗对帕金森病疼痛严重程度和血清炎症生物标志物(IL-6和TNF-α)的影响
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111652
Yifan Yang , Jianglin Wang , Li Gao , Jiaodan Miao , Fuwei Shen , Hua Liu

Objective

To evaluate the efficacy of entacapone (EN) combined with high-frequency repetitive transcranial magnetic stimulation (rTMS) in treating pain in patients with Parkinson's disease (PD), with the primary outcome defined as the change in pain severity assessed by the Visual Analog Scale (VAS).Secondary outcomes included motor function (UPDRS), other pain dimensions (KPPS), depressive symptoms (HAMD), and levels of inflammatory markers (TNF-α and IL-6).

Methods

A total of 72 PD patients with pain were enrolled and randomly assigned to three groups: Group 1 (LD + sham stimulation), Group 2 (LD + EN + sham stimulation), and Group 3 (LD + EN + rTMS) and assessed via motor, pain, and depression scales (UPDRS/VAS/KPPS/HAMD) to evaluate the efficacy of the treatment, and also to observe the changes in the levels of interleukin (IL-6) and tumor necrosis factor (TNF-α), which are associated with pain in PD.

Results

After six months of combined pharmacotherapy and rTMS, the primary outcome, VAS score, demonstrated a significantly greater reduction in Group 3 compared to Group 2 (2.86 ± 1.25 vs. 8.22 ± 1.31, P < 0.05).In addition, from the indexes of inflammatory factors, this study found that after six months of regular and systematic treatment, the reduction in serum IL-6 and TNF-α levels was most pronounced in the combined therapy group (LD+EN+rTMS), with statistically significant differences compared to Group 2 (P = 0.003 for TNF-α).

Conclusions

High-frequency rTMS, as a non-invasive neuromodulation technique combined with EN, improves muscle rigidity, alleviates depressive symptoms, reduces pain, and attenuates inflammatory factor secretion in PD patients, can improve muscle tension, regulate depression, relieve pain, and reduce the secretion of inflammatory factors in Parkinson's patients.This combined therapy was clinically effective and demonstrated a favorable safety profile, with no serious adverse events reported and only mild, transient side effects (e.g., scalp discomfort, headache) observed in the rTMS group. However, its long-term efficacy requires further investigation.
目的:评价恩他卡酮(EN)联合高频重复经颅磁刺激(rTMS)治疗帕金森病(PD)患者疼痛的疗效,以视觉模拟量表(VAS)评估疼痛严重程度的变化为主要终点。次要结局包括运动功能(UPDRS)、其他疼痛维度(KPPS)、抑郁症状(HAMD)和炎症标志物(TNF-α和IL-6)水平。方法:总共有72 PD患者痛苦是注册和随机分为三组:第1组(LD +假刺激),组2 (LD + EN +假刺激)和组3 (LD + EN + rTMS)通过电动机和评估,痛苦,和抑郁量表(UPDRS /血管/ KPPS / HAMD)来评估治疗的疗效,并观察白介素(il - 6)水平的变化和肿瘤坏死因子(TNF -α),在PD与疼痛有关。结果:经药物联合rTMS治疗6个月后,第3组VAS评分明显低于第2组(2.86±1.25比8.22±1.31,P < 0.05)。此外,从炎症因子指标来看,本研究发现,经过6个月的常规系统治疗后,血清IL-6和TNF-α水平的降低以LD+EN+rTMS联合治疗组最为明显,与2组比较差异有统计学意义(TNF-α P = 0.003)。结论:高频rTMS作为一种无创神经调节技术,结合EN可改善PD患者肌肉强直、缓解抑郁症状、减轻疼痛、减轻炎症因子分泌,可改善帕金森患者肌肉紧张、调节抑郁、缓解疼痛、减少炎症因子分泌。这种联合治疗在临床上是有效的,并且具有良好的安全性,在rTMS组中没有严重的不良事件报告,只有轻微的、短暂的副作用(例如,头皮不适、头痛)。然而,其长期疗效有待进一步研究。
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引用次数: 0
Abnormal functional integration and effective connectivity in striatal-cortical networks with neurotransmitter system correlates in migraine without aura: A resting-state fMRI study 无先兆偏头痛的纹状体-皮层网络与神经递质系统的异常功能整合和有效连接:静息状态fMRI研究
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111653
Zhiyang Zhang , Chaorong Xie , Linglin Dong , Xu Ouyang , Xixiu Ni , Mingsheng Sun , Qixuan Fu , Qinyi Yan , Qiang Zhang , Xiao Wang , Ling Zhao

Background

Migraine without aura (MWoA) is linked to abnormal subcortical/cortical network activity and neurotransmitter dysregulation. However, the alteration of functional integration and the information flow between brain networks participated in pain sensory pathway and the patterns of neurotransmitter dysregulation during the interictal period remain unclear.

Methods

This cross-sectional study compared 53 interictal MWoA patients and 51 healthy controls using resting-state fMRI. Whole-brain functional integration (degree centrality, DC) and effective connectivity (EC) were analyzed. JuSpace toolbox mapped spatial correlation between functional alterations and neurotransmitter systems.

Results

MWoA patients showed decreased DC in the left putamen and increased DC in the left angular gyrus. Altered EC from subcortical to cortical regions included pathways from the left putamen to right medial superior frontal gyrus, supramarginal gyrus, dorsolateral superior frontal gyrus, and postcentral gyrus, as well as bilateral caudate to left angular gyrus. Cortical-to-subcortical EC changes involved right dorsolateral superior frontal gyrus to left putamen and left angular gyrus to left caudate. EC from left putamen to right postcentral gyrus inversely correlated with headache frequency, while right caudate to left angular gyrus EC positively correlated with disease duration. Altered DC patterns spatially overlapped with serotonergic, dopaminergic, and glutamate pathways and correlated with quality-of-life impairments (MSQ scores).

Conclusion

MWoA involves disrupted functional integration and bidirectional subcortical-cortical connectivity during interictal periods, associated with headache severity and neurotransmitter system imbalances. These findings highlight network-level pathophysiology and neurochemical dysregulation underlying migraine.
无先兆偏头痛(MWoA)与皮层下/皮层网络活动异常和神经递质失调有关。然而,痛觉通路参与脑网络之间的功能整合和信息流的改变,以及神经递质在间隙期的失调模式尚不清楚。方法采用静息态fMRI对53例间期MWoA患者和51例健康对照进行横断面研究。分析了全脑功能整合(度中心性,DC)和有效连通性(EC)。JuSpace工具箱绘制了功能改变与神经递质系统之间的空间相关性。结果smwoa患者表现为左壳核DC减少,左角回DC增加。皮层下至皮质区的EC改变包括左壳核至右内侧额上回、边缘上回、背外侧额上回、中央后回以及双侧尾状回至左角回的通路。皮层到皮层下的EC变化包括右背外侧额上回到左壳核和左角回到左尾状核。从左壳核到右中央后回的脑电图与头痛频率呈负相关,而从右尾状核到左角回的脑电图与病程呈正相关。改变的DC模式在空间上与血清素、多巴胺和谷氨酸通路重叠,并与生活质量受损相关(MSQ评分)。结论mwoa与头痛的严重程度和神经递质系统失衡有关,包括功能整合和皮质下-皮质双向连接的中断。这些发现强调了网络水平的病理生理和神经化学失调的潜在偏头痛。
{"title":"Abnormal functional integration and effective connectivity in striatal-cortical networks with neurotransmitter system correlates in migraine without aura: A resting-state fMRI study","authors":"Zhiyang Zhang ,&nbsp;Chaorong Xie ,&nbsp;Linglin Dong ,&nbsp;Xu Ouyang ,&nbsp;Xixiu Ni ,&nbsp;Mingsheng Sun ,&nbsp;Qixuan Fu ,&nbsp;Qinyi Yan ,&nbsp;Qiang Zhang ,&nbsp;Xiao Wang ,&nbsp;Ling Zhao","doi":"10.1016/j.brainresbull.2025.111653","DOIUrl":"10.1016/j.brainresbull.2025.111653","url":null,"abstract":"<div><h3>Background</h3><div>Migraine without aura (MWoA) is linked to abnormal subcortical/cortical network activity and neurotransmitter dysregulation. However, the alteration of functional integration and the information flow between brain networks participated in pain sensory pathway and the patterns of neurotransmitter dysregulation during the interictal period remain unclear.</div></div><div><h3>Methods</h3><div>This cross-sectional study compared 53 interictal MWoA patients and 51 healthy controls using resting-state fMRI. Whole-brain functional integration (degree centrality, DC) and effective connectivity (EC) were analyzed. JuSpace toolbox mapped spatial correlation between functional alterations and neurotransmitter systems.</div></div><div><h3>Results</h3><div>MWoA patients showed decreased DC in the left putamen and increased DC in the left angular gyrus. Altered EC from subcortical to cortical regions included pathways from the left putamen to right medial superior frontal gyrus, supramarginal gyrus, dorsolateral superior frontal gyrus, and postcentral gyrus, as well as bilateral caudate to left angular gyrus. Cortical-to-subcortical EC changes involved right dorsolateral superior frontal gyrus to left putamen and left angular gyrus to left caudate. EC from left putamen to right postcentral gyrus inversely correlated with headache frequency, while right caudate to left angular gyrus EC positively correlated with disease duration. Altered DC patterns spatially overlapped with serotonergic, dopaminergic, and glutamate pathways and correlated with quality-of-life impairments (MSQ scores).</div></div><div><h3>Conclusion</h3><div>MWoA involves disrupted functional integration and bidirectional subcortical-cortical connectivity during interictal periods, associated with headache severity and neurotransmitter system imbalances. These findings highlight network-level pathophysiology and neurochemical dysregulation underlying migraine.</div></div>","PeriodicalId":9302,"journal":{"name":"Brain Research Bulletin","volume":"233 ","pages":"Article 111653"},"PeriodicalIF":3.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615563","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
MultiEpilepsyNet: An EEG and MRI data based multimodal seizure detection model using hybrid deep learning model MultiEpilepsyNet:一个基于EEG和MRI数据的多模态癫痫检测模型,使用混合深度学习模型。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111645
Mohd Abdul Rahim Khan , Nasser Ali AlJarallah , Ashit Kumar Dutta , Shtwai Alsubai , Seyed Jalaleddin Mousavirad , Sunil Kumar Sharma , Ghanshyam G. Tejani , David BASSIR
Epilepsy is a critical neurological disorder that requires accurate and privacy-preserving diagnostic solutions to enable early detection and effective management. However, existing approaches face key challenges, including reliance on centralized data, poor generalizability across modalities, suboptimal feature extraction, and vulnerability to noise. To address these issues, we propose MultiEpilepsyNet, a novel multimodal seizure detection framework that integrates federated learning with hybrid deep learning models. At its core, the system introduces SeizureFed-Net, a federated architecture that enables collaborative learning from EEG and MRI data while safeguarding patient privacy. For detection, we design SeizureShieldNet, a hybrid model that fuses the temporal learning capabilities of BBIDNet (Boosted BiLSTM Intrusion Detector Network) with the adaptive decision-making of FD-TMS (Fuzzy-DQN Threat Mitigation System) under uncertainty. To further enhance model efficiency, a Jackal-Wolf Hybrid Optimizer (JWHO)—a novel combination of Golden Jackal Optimization and Grey Wolf Optimizer—is employed for optimal feature subset selection. On the imaging side, MRI preprocessing is improved through EpiSkullNet+ +, a modified 3D UNet+ + architecture tailored for precise brain segmentation. Extensive experiments on two benchmark datasets demonstrate the superiority of our approach, achieving 99.36 % accuracy on the CHB-MIT EEG dataset and 99.38 % accuracy on an epilepsy MRI dataset. Beyond accuracy, MultiEpilepsyNet demonstrates improved robustness to missing modalities, reduced training overhead via federated aggregation, and enhanced privacy preservation compared to centralized deep learning models, thereby addressing critical barriers in practical clinical deployment. These outcomes highlight the effectiveness, scalability, and real-world clinical potential of the proposed framework for epilepsy diagnosis and management.
癫痫是一种严重的神经系统疾病,需要准确和保护隐私的诊断解决方案,以便及早发现和有效管理。然而,现有的方法面临着关键的挑战,包括对集中数据的依赖,模态的泛化性差,次优特征提取以及易受噪声的影响。为了解决这些问题,我们提出了MultiEpilepsyNet,这是一个集成了联邦学习和混合深度学习模型的新型多模态癫痫检测框架。在其核心,该系统引入了一种联邦架构,可以从脑电图和MRI数据中进行协作学习,同时保护患者隐私。在检测方面,我们设计了一种将BBIDNet (boosting BiLSTM入侵检测网络)的时间学习能力与FD-TMS (Fuzzy-DQN威胁缓解系统)在不确定情况下的自适应决策能力相融合的混合模型——SeizureShieldNet。为了进一步提高模型的效率,采用了一种结合金豺狼优化算法和灰狼优化算法的豺狼混合优化算法(JWHO)进行特征子集的最优选择。在成像方面,通过episkullnet++改进了MRI预处理,episkullnet++是一种改进的3D unnet++架构,专为精确的大脑分割而设计。在两个基准数据集上的大量实验证明了我们的方法的优越性,在CHB-MIT EEG数据集上达到99.36%的准确率,在癫痫MRI数据集上达到99.38%的准确率。除了准确性之外,与集中式深度学习模型相比,MultiEpilepsyNet对缺失模式具有更好的鲁棒性,通过联合聚合减少了训练开销,并增强了隐私保护,从而解决了实际临床部署中的关键障碍。这些结果突出了提出的癫痫诊断和管理框架的有效性、可扩展性和现实世界的临床潜力。
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引用次数: 0
A comprehensive analysis of differential RNA m6A methylation modifications across the entire transcriptome in PTSD through high-throughput MeRIP sequencing 通过高通量MeRIP测序对创伤后应激障碍整个转录组中差异RNA m6A甲基化修饰的综合分析
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111665
Luodong Yang , Jiaying Lu , Keke Lu , Min Hu , Guiqing Zhang
In recent years, the increasing frequency of traumatic events has drawn greater attention to post-traumatic stress disorder (PTSD). However, its underlying biological mechanisms remain poorly understood. N6-methyladenosine (m6A) methylation is among the most common RNA modifications, yet to our knowledge, no studies to date have reported alterations in m6A methylation in PTSD. We enrolled 27 individuals with PTSD and 32 healthy controls. Quantitative real-time PCR (qRT-PCR) was used to examine expression differences of m6A methyltransferases. MeRIP-seq and RNA-seq were employed to investigate m6A methylation modifications and differentially expressed genes between PTSD patients and controls, followed by bioinformatic analysis. Our findings revealed decreased expression of METTL3 and FTO in peripheral blood mononuclear cells of PTSD patients, along with reduced global m6A methylation levels. MeRIP-seq analysis identified 1243 differentially expressed m6A peaks between groups. These peaks were annotated to 1054 differentially m6A-methylated genes, among which 183 exhibited hypermethylation and 871 showed hypomethylation in the PTSD group. RNA-seq analysis detected 662 differentially expressed genes, including 449 up-regulated and 213 down-regulated genes. In the differentially expressed lncRNA profile, 818 genes were identified, comprising 562 up-regulated and 256 down-regulated genes. GO and KEGG analyses indicated that the differentially methylated genes, mRNAs, and lncRNAs were primarily associated with inflammatory response, myelination alterations, and autonomic nervous system activation. In summary, m6A modification plays a critical role in the development and progression of PTSD. This study provides new insights into the biological mechanisms underlying the disorder.
近年来,创伤性事件的频繁发生引起了人们对创伤后应激障碍(PTSD)的关注。然而,其潜在的生物学机制仍然知之甚少。n6 -甲基腺苷(m6A)甲基化是最常见的RNA修饰之一,但据我们所知,迄今为止还没有研究报道创伤后应激障碍中m6A甲基化的改变。我们招募了27名PTSD患者和32名健康对照者。采用实时荧光定量PCR (qRT-PCR)检测m6A甲基转移酶的表达差异。采用MeRIP-Seq和RNA-seq检测PTSD患者与对照组间m6A甲基化修饰和差异表达基因,并进行生物信息学分析。我们的研究结果显示,创伤后应激障碍患者外周血单个核细胞中METTL3和FTO的表达降低,同时全球m6A甲基化水平降低。MeRIP-seq分析鉴定出1243个组间m6A表达差异峰。这些峰被注释到1054个m6a甲基化差异基因上,其中创伤后应激障碍组183个表现为高甲基化,871个表现为低甲基化。RNA-seq分析检测到662个差异表达基因,其中上调基因449个,下调基因213个。在lncRNA差异表达谱中,共鉴定出818个基因,其中上调基因562个,下调基因256个。GO和KEGG分析表明,差异甲基化的基因、mrna和lncrna主要与炎症反应、髓鞘形成改变和自主神经系统激活相关。综上所述,m6A修饰在PTSD的发生发展中起着至关重要的作用。这项研究为这种疾病的生物学机制提供了新的见解。
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引用次数: 0
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Brain Research Bulletin
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