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Enhancing brain plasticity: Functional near-infrared spectroscopy evidence for computerized working memory training in healthy adults 增强大脑可塑性:健康成人计算机化工作记忆训练的功能近红外光谱证据。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111646
Yuntao Gao , Peng Fang , Wanying Xing , Lingwei Zeng , Hui Wang , Xia Zhu , Xiuchao Wang

Background

Understanding the neural mechanisms underlying cognitive enhancement through training is a central goal in neuroscience. Although computerized working memory training (WMT) has shown promise, its effects on brain plasticity, particularly the interplay between intrinsic network organization and task-evoked activity, remain poorly characterized. This study aimed to investigate these effects using multimodal Functional near-infrared spectroscopy (fNIRS).

Methods

We employed a randomized controlled trial with a pre-post design to investigate the effects of an 8-week adaptive computerized WMT program in healthy young adults. fNIRS was used to assess both resting-state functional connectivity (RSFC) and prefrontal cortex activation during the n-back task. Behavioral outcomes were measured across near-transfer (updating, inhibition, switching) and far-transfer (visuospatial/phonological storage) domains.

Results

Behavioral results demonstrated that, compared with the control group, the WMT group exhibited significant improvements after training not only in near-transfer tasks (e.g., updating and shifting functions) but also in far-transfer tasks (e.g., visuospatial and phonological loop tasks). Neuroimaging findings revealed multifaceted functional remodeling. During the resting state, the WMT group showed a significant increase in functional connectivity between the premotor cortex and the bilateral dorsolateral prefrontal cortex (DLPFC), along with enhanced interhemispheric frontal connectivity. When performing the n-back task, the WMT group displayed a significant reduction in activation levels (measured by total hemoglobin, HBT) in the bilateral DLPFC after training, despite improved behavioral performance, reflecting higher "neural efficiency".

Conclusions

Collectively, these findings indicate that AWMT can not only effectively enhance cognitive abilities but also induce profound functional remodeling of the prefrontal network by strengthening resting-state network integration and optimizing task-state brain resource allocation. This study provides new evidence for understanding the neural mechanisms underlying cognitive training and highlights the utility of fNIRS as a powerful tool for tracking dynamic changes in brain plasticity.
背景:通过训练了解认知增强的神经机制是神经科学的中心目标。尽管计算机化工作记忆训练(WMT)已经显示出前景,但其对大脑可塑性的影响,特别是内在网络组织和任务诱发活动之间的相互作用,仍然缺乏研究。本研究旨在利用多模态功能近红外光谱(fNIRS)研究这些影响。方法:我们采用前后设计的随机对照试验来研究8周适应性计算机化WMT程序对健康年轻人的影响。fNIRS用于评估n-back任务中静息状态功能连接(RSFC)和前额叶皮层激活。行为结果通过近迁移(更新、抑制、转换)和远迁移(视觉空间/语音存储)域进行测量。结果:行为学结果表明,与对照组相比,训练后的WMT组不仅在近迁移任务(如更新和转移功能)上表现出显著改善,而且在远迁移任务(如视觉空间和语音循环任务)上也表现出显著改善。神经影像学结果显示多方面的功能重塑。在静息状态下,WMT组运动前皮层与双侧背外侧前额叶皮层(DLPFC)之间的功能连通性显著增加,同时半球间额叶连通性增强。在执行n-back任务时,尽管行为表现有所改善,但WMT组在训练后双侧DLPFC的激活水平(通过总血红蛋白测量,HBT)显著降低,反映出更高的“神经效率”。结论:综上所述,AWMT不仅可以有效增强认知能力,还可以通过加强静息状态网络整合和优化任务状态大脑资源分配来诱导前额叶网络的深度功能重塑。这项研究为理解认知训练的神经机制提供了新的证据,并突出了fNIRS作为追踪大脑可塑性动态变化的有力工具的实用性。
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引用次数: 0
Progranulin deficiency exacerbates postoperative cognitive dysfunction via RhoA-mediated axodendritic impairment in aged mice 前颗粒蛋白缺乏通过rhoa介导的老年小鼠轴突损伤加重术后认知功能障碍。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111649
Yini Lu , Xinyu Tian , Chun Yang , Dan Wang , Ya Yan , Gang Wang , Xiaofeng Lei

Background

Postoperative cognitive dysfunction (POCD) is a debilitating complication in surgical patients, especially the elderly. yet its molecular mechanisms remain inadequately understood. This study investigates the effects of progranulin (PGRN) on hippocampal neuronal damage and cognitive impairment induced by surgical trauma.

Methods

Aged mice underwent laparotomy to model POCD, and cognitive function was assessed using the Morris Water Maze and Novel Object Recognition tests. Molecular changes were identified through RNA sequencing. Hippocampal neuronal integrity was evaluated with immunofluorescence, Golgi staining, and transmission electron microscopy. In vitro, HT22 neurons exposed to lipopolysaccharide (LPS) were treated with recombinant PGRN or RhoA-overexpressing lentivirus to investigate mechanistic pathways.

Results

Surgery significantly decreased PGRN expression in hippocampal neurons, which was associated with axonal and dendritic damage, cytoskeletal disorganization, and cognitive decline. In LPS-treated HT22 cells, loss of PGRN impaired neurite outgrowth, while exogenous PGRN restored neurite extension by inhibiting RhoA activation. Overexpression of RhoA reversed PGRN’s neuroprotective effects. In vivo, intrahippocampal PGRN administration reduced neuroinflammation, improved axodendritic function, and enhanced cognitive performance in POCD mice.

Conclusion

PGRN deficiency drives POCD pathogenesis via RhoA-mediated cytoskeletal dysfunction. Therapeutic targeting of the PGRN-RhoA axis presents a novel strategy to preserve neuronal connectivity and mitigate postoperative cognitive decline in aging populations.
背景:术后认知功能障碍(POCD)是外科患者尤其是老年人的一种衰弱性并发症。然而,其分子机制仍未被充分了解。本研究探讨颗粒前蛋白(PGRN)对外科创伤所致海马神经元损伤和认知功能障碍的影响。方法:老龄小鼠剖腹建立POCD模型,采用Morris水迷宫和新目标识别测试评估认知功能。通过RNA测序鉴定分子变化。用免疫荧光、高尔基染色和透射电镜评估海马神经元的完整性。在体外,用重组PGRN或过表达rhoa的慢病毒处理暴露于脂多糖(LPS)的HT22神经元,研究其机制途径。结果:手术显著降低了海马神经元中PGRN的表达,这与轴突和树突损伤、细胞骨架紊乱和认知能力下降有关。在lps处理的HT22细胞中,PGRN的缺失损害了神经突起的生长,而外源性PGRN通过抑制RhoA激活来恢复神经突起的延伸。RhoA的过表达逆转了PGRN的神经保护作用。在体内,海马内给予PGRN可减轻POCD小鼠的神经炎症,改善轴突功能,增强认知能力。结论:PGRN缺乏通过rhoa介导的细胞骨架功能障碍驱动POCD发病。PGRN-RhoA轴的治疗靶向提出了一种新的策略,以保持神经元连通性和减轻老年人群术后认知能力下降。
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引用次数: 0
Presynaptic BDNF-TrkB signaling contributes to mechanical allodynia in a mouse model of chronic neuropathic pain 突触前BDNF-TrkB信号有助于慢性神经性疼痛小鼠模型的机械异常性疼痛。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111625
Ting Ding , Lanying Zhang , Jingqing Xu , Maomao Liu , Yao Ou-Yang , Sheng Liu
In the spinal cord, brain-derived neurotrophic factor (BDNF) exerts its regulatory role on neuropathic pain through its receptor TrkB. This study constructed a conditional TrkB gene knockout mouse model, targeting all nociceptive neurons (SNSCre;TrkBfl/fl) or all sensory neurons (AdvillinCre;TrkBfl/fl) in the dorsal root ganglia (DRG), to investigate the function of presynaptic BDNF-TrkB signaling in the dorsal horn and its impact on specific sensory modalities. In situ hybridization (ISH) was used to detect TrkB expression in nociceptive SNStdTomato neurons, revealing that TrkB is expressed in both sensory neurons and nociceptors in the DRG. Triple immunofluorescence techniques were employed to detect the co-expression of neuron-specific markers NF200, CGRP, and IB4 with TrkB mRNA, and the co-expression ratios were analyzed. To assess motor function and aversive behavior, CatWalk (CW), home cage (HC), and wheel rotation (WR) tests were conducted; basic pain and touch sensitivity were evaluated using von Frey, cotton swabs, brush, pinprick, acetone, cold plate, Hargreaves, and hot plate tests, as well as tapping and hair clamp tests, with no effects observed on neurodevelopment, motor function, or aversive behavior. In addition, this study used the CCI model to conduct behavioral tests related to nerve injury in SNSCre;TrkBfl/fl and AdvillinCre;TrkBfl/fl mice. After CCI surgery, both mouse strains exhibited severe dynamic and punctate mechanical allodynia deficits, while thermal and cold allodynia developed normally. Ultimately, by administering exogenous BDNF via intrathecal (IT) injection, mechanical allodynia deficits were observed in AdvillinCre;TrkBfl/fl and SNSCre;TrkBfl/fl mice. The results confirmed that TrkB is expressed presynaptically and plays a role in the development of dynamic and punctate mechanical allodynia during BDNF-induced spinal plasticity responses, but has no effect on thermal or cold allodynia. In conjunction with previous studies, these findings suggest that BDNF may partially regulate presynaptic inhibition following nerve injury through TrkB.
在脊髓中,脑源性神经营养因子(BDNF)通过其受体TrkB对神经性疼痛发挥调节作用。本研究构建了条件TrkB基因敲除小鼠模型,以背根神经节(DRG)中所有伤害性神经元(SNSCre;TrkBfl/fl)或所有感觉神经元(AdvillinCre;TrkBfl/fl)为靶点,研究突触前BDNF-TrkB信号通路在背角中的功能及其对特定感觉模式的影响。原位杂交(ISH)检测TrkB在SNStdTomato痛觉神经元中的表达,发现TrkB在DRG的感觉神经元和痛觉感受器中均有表达。采用三重免疫荧光技术检测神经元特异性标志物NF200、CGRP和IB4与TrkB mRNA的共表达,并分析其共表达比例。为了评估运动功能和厌恶行为,进行了猫步(CW)、家笼(HC)和车轮旋转(WR)测试;使用von Frey、棉签、毛刷、针刺、丙酮、冷板、哈格里夫斯和热板试验以及轻叩和发夹试验评估基本疼痛和触觉敏感性,未观察到对神经发育、运动功能或厌恶行为的影响。此外,本研究采用CCI模型进行SNSCre神经损伤相关行为测试;TrkBfl/fl和AdvillinCre;TrkBfl / fl老鼠。CCI手术后,两种小鼠品系均表现出严重的动态和点状机械异位痛缺陷,而热异位痛和冷异位痛则正常发展。最后,通过鞘内(IT)注射外源性BDNF,观察到AdvillinCre的机械异常性疼痛缺陷;TrkBfl/fl和SNSCre;TrkBfl / fl老鼠。结果证实,在bdnf诱导的脊柱可塑性反应中,TrkB在突触前表达,并在动态和点状机械异常性痛的发展中发挥作用,但对热或冷异常性痛没有影响。结合先前的研究,这些发现表明BDNF可能通过TrkB部分调节神经损伤后的突触前抑制。
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引用次数: 0
Machine learning and deep learning in clinical practice: Advancing neurodegenerative disease diagnosis with multimodal markers 机器学习和深度学习在临床实践:推进神经退行性疾病诊断与多模态标记。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111667
Omid Zarei , Maryam Talebi moghaddam , Sadegh Moradi Vastegani
Neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, and multiple sclerosis, present major global health challenges due to their progressive and incurable nature. Early and accurate diagnosis is critical to slow disease progression and optimize therapeutic interventions, yet conventional diagnostic approaches, such as neuroimaging, cerebrospinal fluid biomarker analysis, and clinical evaluation are often inadequate at the prodromal stage. Recent advances in artificial intelligence, particularly machine learning (ML), have provided new opportunities for precision diagnosis and treatment in neurology, using large data and multimodal biomarkers. Applications of ML to data from neuroimaging, electrophysiology, behavioral functions, speech and handwriting analysis, and molecular biomarkers have shown promising improvements in diagnostic accuracy, patient classification, and therapeutic recommendations. However, significant challenges remain, including data heterogeneity, model interpretability, population diversity, and ethical concerns surrounding patients’ privacy. The purpose of this review is to examine current applications of ML in the diagnosis and management of neurodegenerative diseases through various data, highlight its strengths and limitations, and discuss future directions for using these approaches in clinical practice. We also outline emerging directions, including multimodal fusion with longitudinal data, federated and privacy-preserving learning, and the potential of explainable AI (XAI) and large language models (LLMs) in clinical decision support.
神经退行性疾病,包括阿尔茨海默病、帕金森病、亨廷顿病和多发性硬化症,由于其进行性和不可治愈的性质,目前是全球健康的主要挑战。早期和准确的诊断对于减缓疾病进展和优化治疗干预至关重要,然而传统的诊断方法,如神经影像学、脑脊液生物标志物分析和临床评估,在前驱阶段往往是不够的。人工智能的最新进展,特别是机器学习(ML),利用大数据和多模态生物标志物为神经病学的精确诊断和治疗提供了新的机会。机器学习在神经成像、电生理学、行为功能、语音和手写分析以及分子生物标记物等数据中的应用,在诊断准确性、患者分类和治疗建议方面显示出有希望的改善。然而,重大挑战仍然存在,包括数据异质性、模型可解释性、人口多样性以及围绕患者隐私的伦理问题。本综述的目的是通过各种数据来检查ML在神经退行性疾病的诊断和治疗中的应用,突出其优势和局限性,并讨论这些方法在临床实践中的未来应用方向。我们还概述了新兴方向,包括纵向数据的多模态融合,联合和隐私保护学习,以及可解释人工智能(XAI)和大型语言模型(llm)在临床决策支持中的潜力。
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引用次数: 0
Salvianolic acid A prevented neuroinflammation and apoptosis caused by acute ischemic stroke through inhibiting the HMGB1/NF-κB signaling pathway 丹酚酸A通过抑制HMGB1/NF-κB信号通路抑制急性缺血性脑卒中引起的神经炎症和细胞凋亡。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111657
Chengdi Liu , Sen Zhang , Aiping Wen , Linglei Kong , Guanhua Du
Neuroinflammation plays a role in the overall pathophysiological process of stroke. Developing preventive stroke drugs that target neuroinflammation may be a promising strategy. The aim of our study was to investigate the effect of salvianolic acid A (SAA) administered preventively on the regulation of neuroinflammation and apoptosis and to evaluate its underlying mechanisms during stroke. An autologous thrombus stroke model was established in SD rats using electrocoagulation, and an oxygen-glucose deprivation (OGD) injury model was created in human brain microvascular endothelial cells (HBMECs). SAA (10 mg/kg) was administered orally twice a day for 5 days prior to the operation. The supernatant of lipopolysaccharide (LPS) -treated BV2 cells was used as conditioned medium (CM). HBMECs were co-cultured with CM for 6 h. Our results showed that pretreatment with SAA alleviated cerebral infarction, decreased the levels of inflammatory cytokines (IL-1β, IL-6, and TNF-α), inhibited the polarization of M1 microglia, promoted the polarization of M2 microglia, inhibited apoptosis, and balanced the expression of Bax and Bcl-2 proteins both in vivo and in vitro. Furthermore, we found that SAA inhibited the activation of the HMGB1/NF-κB signaling pathway. In conclusion, our results indicate that SAA prevents neuroinflammation and apoptosis caused by acute ischemic stroke through the inhibition of the HMGB1/NF-κB signaling pathway. Pretreatment with SAA is a potential strategy for the prevention of ischemic stroke.
神经炎症在脑卒中的整个病理生理过程中起着重要作用。开发针对神经炎症的预防中风药物可能是一个很有前途的策略。本研究的目的是探讨丹酚酸A (SAA)在脑卒中中预防给药对神经炎症和细胞凋亡的调节作用,并评估其潜在机制。采用电凝法建立SD大鼠自体血栓性卒中模型,建立人脑微血管内皮细胞(HBMECs)氧糖剥夺(OGD)损伤模型。术前5天口服SAA (10mg/kg),每日2次。以脂多糖(LPS)处理的BV2细胞上清液作为条件培养基(CM)。hbmec与CM共培养6h。我们的研究结果表明,SAA预处理可减轻脑梗死,降低炎症因子(IL-1β、IL-6、TNF-α)水平,抑制M1小胶质细胞极化,促进M2小胶质细胞极化,抑制细胞凋亡,平衡体内外Bax和Bcl-2蛋白的表达。此外,我们发现SAA抑制HMGB1/NF-κB信号通路的激活。综上所述,我们的研究结果表明SAA通过抑制HMGB1/NF-κB信号通路来预防急性缺血性脑卒中引起的神经炎症和细胞凋亡。SAA预处理是预防缺血性脑卒中的一种潜在策略。
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引用次数: 0
Task-specific effects of sleep deprivation on cognitive function and EEG brain network in night-shift nurses 睡眠剥夺对夜班护士认知功能和脑电图脑网络的任务特异性影响。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111661
Jingjia Yuan , Mengru Xu , Linze Qian , Lingyun Gao , Yu Sun

Background:

Night-shift nurses experience chronic sleep deprivation, which impairs cognitive functions crucial for patient safety. However, the underlying reorganization of brain functional networks remains poorly understood. This study aimed to investigate the task-specific effects of sleep deprivation on brain network topology during sustained attention and working memory in night-shift female nurses.

Methods:

In a within-subjects design, electroencephalography (EEG) data from 28 female nurses were recorded during a rested session (R-Session) and a sleep-deprived session (SD-Session) immediately following a night shift. Participants performed the psychomotor vigilance test (PVT) and 2-back tasks. Functional connectivity was estimated using the weighted phase lag index (wPLI), and brain network properties were quantified using graph theoretical analysis at both global and nodal levels.

Results:

Our findings revealed a clear behavioral dissociation: sleep deprivation significantly impaired PVT performance but had no effect on 2-back task performance. This dissociation was mirrored by distinct patterns of neural reorganization. During the PVT, the brain network exhibited a compensatory enhancement of global topology, characterized by a significant increase in clustering coefficient, global efficiency, local efficiency, and small-worldness, alongside a decrease in characteristic path length, particularly in the theta and beta bands. In contrast, the 2-back task showed only a localized increase in the theta-band clustering coefficient. Nodal analysis further revealed a critical topographical distinction: PVT-related efficiency changes were strongly right-lateralized, whereas 2-back changes were bilaterally distributed.

Conclusion:

In conclusion, these results demonstrate that sleep deprivation elicits task-specific neurocognitive adaptations. Sustained attention appears highly vulnerable, prompting a broad compensatory reorganization of the right-hemispheric attention network. Conversely, working memory function remains behaviorally stable, underpinned by a more specific network reorganization, primarily involving increased local connectivity. This study deepens our understanding of the neural mechanisms underlying cognitive vulnerability and resilience in nurses group.
背景:夜班护士经历慢性睡眠剥夺,这会损害对患者安全至关重要的认知功能。然而,大脑功能网络的潜在重组仍然知之甚少。本研究旨在探讨睡眠剥夺对夜班女护士持续注意和工作记忆过程中脑网络拓扑结构的任务特异性影响。方法:采用受试者内设计,记录28名女护士在夜班后立即休息(R-Session)和睡眠剥夺(SD-Session)期间的脑电图(EEG)数据。参与者进行了精神运动警觉性测试(PVT)和双背任务。使用加权相位滞后指数(wPLI)估计功能连通性,并使用图理论分析在全局和节点水平上量化脑网络特性。结果:我们的研究结果揭示了明显的行为分离:睡眠剥夺显著损害了PVT的表现,但对双背任务的表现没有影响。这种分离反映在不同的神经重组模式上。在PVT过程中,大脑网络表现出全局拓扑的代偿性增强,其特征是聚类系数、全局效率、局部效率和小世界性显著增加,特征路径长度减少,特别是在theta和beta波段。相比之下,2-back任务只显示了局部的theta波段聚类系数的增加。节点分析进一步揭示了一个关键的地形区别:pvt相关的效率变化是强烈的右偏侧,而2-back变化是双边分布的。结论:总之,这些结果表明,睡眠剥夺引发了特定任务的神经认知适应。持续的注意力似乎非常脆弱,促使右半球注意力网络进行广泛的补偿性重组。相反,工作记忆功能在行为上保持稳定,其基础是更具体的网络重组,主要涉及局部连接的增加。本研究加深了我们对护士群体认知脆弱性和恢复力的神经机制的理解。
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引用次数: 0
Structural and functional abnormalities of thalamic subregions in minimal hepatic encephalopathy 轻度肝性脑病丘脑亚区结构和功能异常。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111654
Li-Min Cai , Shao-Peng Zhuang , Zi-Wei Cai , Ying Tang , Si-Yuan Fang , Dan Li , Jian-Qi Li , Hua-Jun Chen

Purpose

The thalamus, which consists of multiple subregions, has been of particular interest in the study of minimal hepatic encephalopathy (MHE). This study aimed to identify abnormalities of the thalamic subregions in patients with MHE and their associations with cognitive performance.

Methods

Two groups of patients—30 patients with cirrhosis with MHE (the MHE group) and 48 patients with cirrhosis without MHE (the NHE group)—and 42 healthy controls (the HC group) underwent resting-state functional and structural magnetic resonance imaging. A histologically based atlas was used to segment the thalamus into 25 nuclei and subsequently group the thalamus into 6 subregions. Volume and mean regional homogeneity (mReHo, metrics reflecting local brain activity) were assessed in six thalamic subregions per hemisphere and the entire thalamus, and group differences were analyzed. Correlation analyses were conducted to explore associations between neuroimaging changes and clinical performance.

Results

The MHE group showed increased volume in the bilateral posterior thalamic subregions (false-discovery rate [FDR]-corrected P < 0.05). Functionally, the MHE group showed increased mReHo values in the bilateral posterior, bilateral intralaminar, and left ventral thalamic subregions (FDR-corrected P < 0.05). Notably, both significant structural and functional alterations showed a progressive increase from NHE group to MHE group. These alterations in the thalamic subregions of patients with cirrhosis were significantly correlated with performance on neurocognitive tests (FDR-corrected P < 0.05).

Conclusion

Our findings support the role of thalamic subregional alterations in the pathophysiology of MHE and highlight their potential as neuroimaging markers for early detection of MHE-related cognitive decline.
目的:丘脑由多个亚区组成,在最小性肝性脑病(MHE)的研究中具有特别的意义。本研究旨在确定MHE患者的丘脑亚区异常及其与认知表现的关系。方法:对肝硬化合并MHE患者30例(MHE组)和肝硬化不合并MHE患者48例(NHE组)及健康对照42例(HC组)进行静息状态功能和结构磁共振成像。使用基于组织学的图谱将丘脑分割成25个核,随后将丘脑分成6个亚区。在每个半球的六个丘脑亚区和整个丘脑中评估了体积和平均区域均匀性(mReHo,反映局部大脑活动的指标),并分析了组间差异。通过相关分析探讨神经影像学变化与临床表现之间的关系。结果:MHE组双侧丘脑后亚区体积增大(假发现率[FDR]校正P < 0.05)。功能上,MHE组双侧丘脑后区、双侧板内区和左腹侧亚区mReHo值升高(fdr校正P < 0.05)。值得注意的是,从NHE组到MHE组,显著的结构和功能改变都呈渐进式增加。肝硬化患者丘脑亚区的这些改变与神经认知测试的表现显著相关(fdr校正P < 0.05)。结论:我们的研究结果支持丘脑次区域改变在MHE病理生理中的作用,并强调了它们作为早期检测MHE相关认知衰退的神经影像学标志物的潜力。
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引用次数: 0
Decoding sepsis-associated encephalopathy: From blood–brain barrier injury to mechanism-based subphenotypes 解码败血症相关脑病:从血脑屏障损伤到基于机制的亚表型
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111660
Qin Song, Bo Song
Sepsis-associated encephalopathy (SAE) is a frequent but underrecognized complication of systemic infection, characterized by acute brain dysfunction and long-term cognitive impairment in the absence of direct central nervous system infection. Despite its high morbidity and mortality, the mechanistic basis of SAE remains poorly defined, limiting early diagnosis and targeted intervention. This review synthesizes recent advances in the molecular and cellular pathophysiology of SAE, with emphasis on blood–brain barrier (BBB) disruption, neuroinflammation, glial cell activation, mitochondrial dysfunction, and neurotransmitter imbalance. We highlight the central role of BBB breakdown in facilitating peripheral-to-central immune signaling, which triggers a cascade of neuroinflammatory and metabolic events that collectively disrupt synaptic homeostasis and neuronal integrity. Emerging evidence also supports the existence of biologically distinct SAE subphenotypes, such as ischemic-hypoxic, inflammatory-dominant, and metabolic-degenerative types—each associated with specific molecular features and clinical outcomes. These insights underscore the need for biomarker-driven patient stratification and mechanism-targeted therapeutic strategies. Future research should prioritize the development of integrated diagnostic platforms, molecular phenotyping tools, and neuroprotective therapies that address the heterogeneous nature of SAE. A refined understanding of its pathogenesis holds promise for transforming the clinical management of SAE and improving long-term neurological recovery in sepsis survivors.
脓毒症相关脑病(SAE)是一种常见但未被充分认识的全身性感染并发症,在没有直接中枢神经系统感染的情况下,其特征是急性脑功能障碍和长期认知障碍。尽管其高发病率和死亡率,但SAE的机制基础仍然不明确,限制了早期诊断和有针对性的干预。本文综述了SAE分子和细胞病理生理学的最新进展,重点介绍了血脑屏障(BBB)破坏、神经炎症、胶质细胞激活、线粒体功能障碍和神经递质失衡。我们强调血脑屏障破坏在促进外周到中枢免疫信号传导中的核心作用,这引发了一系列神经炎症和代谢事件,共同破坏突触稳态和神经元完整性。新出现的证据也支持了生物学上不同的SAE亚表型的存在,如缺血-缺氧型、炎症-显性型和代谢-退行性类型,每种类型都与特定的分子特征和临床结果相关。这些见解强调了生物标志物驱动的患者分层和机制靶向治疗策略的必要性。未来的研究应优先考虑开发综合诊断平台、分子表型工具和神经保护疗法,以解决SAE的异质性。对其发病机制的精细化理解有望改变SAE的临床管理,并改善脓毒症幸存者的长期神经恢复。
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引用次数: 0
Radiomics of the midbrain on TCCD for identifying Parkinson’s disease in substantia nigra hyperechogenicity-negative individuals TCCD中脑放射组学用于识别黑质高回声阴性个体的帕金森病。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111651
Zhirong Xu , Jiayi Ye , Xiaoqian Zhang , Jiemin Chen , Han Wang , Qichen Su , Yanru Li
This study evaluated the diagnostic utility of midbrain radiomic features from transcranial color Doppler (TCCD) imaging for identifying Parkinson’s disease (PD) in individuals without substantia nigra hyperechogenicity (SN−). A total of 61 SN− PD patients and 61 age- and sex-matched SN− healthy controls were retrospectively enrolled after excluding subjects with visible hyperechogenicity or poor image quality. Midbrain regions of interest were manually segmented, and 464 radiomic features were extracted. Feature selection was performed using the Mann–Whitney U test with FDR correction and LASSO regression, followed by training of four machine learning models with five-fold cross-validation and independent testing. SHAP analysis was applied for model interpretation. All models performed well in the training set (e.g., XGBoost AUC = 0.96, SVM AUC = 0.91), but only the support vector machine (SVM) maintained stable performance on the test set, achieving an AUC of 0.79, accuracy of 0.74, and F1-score of 0.75. In contrast, XGBoost and random forest showed reduced performance, suggesting overfitting. Based on its consistent and balanced results, SVM was selected as the optimal classifier. SHAP analysis identified DependenceVariance, HighGrayLevelZoneEmphasis, ZoneVariance, and GrayLevelNonUniformity as the most influential features, reflecting heterogeneity, gray-level variability, and high-intensity zone prominence in the SN− PD group. These findings demonstrate that radiomics applied to midbrain TCCD images can identify PD in the absence of conventional ultrasound markers, providing an interpretable, noninvasive approach that may complement current diagnostic strategies.
本研究评估了经颅彩色多普勒(TCCD)成像中脑放射学特征在无黑质高回声性(SN-)个体中识别帕金森病(PD)的诊断价值。在排除可见高回声或图像质量差的受试者后,回顾性纳入61例SN- PD患者和61例年龄和性别匹配的SN- PD健康对照。人工分割中脑感兴趣区域,提取464个放射学特征。使用Mann-Whitney U检验(FDR校正和LASSO回归)进行特征选择,然后使用五倍交叉验证和独立测试训练四个机器学习模型。采用SHAP分析进行模型解释。所有模型在训练集中都表现良好(例如,XGBoost AUC = 0.96, SVM AUC = 0.91),但只有支持向量机(SVM)在测试集中保持稳定的性能,AUC为0.79,准确率为0.74,f1得分为0.75。相比之下,XGBoost和随机森林表现出性能下降,表明过拟合。基于结果的一致性和均衡性,选择SVM作为最优分类器。SHAP分析发现DependenceVariance、HighGrayLevelZoneEmphasis、zoneevariance和GrayLevelNonUniformity是影响最大的特征,反映了SN- PD组的异质性、灰度变异性和高强度区域突出。这些发现表明,放射组学应用于中脑TCCD图像可以在没有常规超声标记的情况下识别PD,提供了一种可解释的、无创的方法,可以补充当前的诊断策略。
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引用次数: 0
Effect of estrogens on sex-specific influence in sleep deprivation in mice 雌激素对睡眠剥夺小鼠性别特异性影响的影响。
IF 3.7 3区 医学 Q2 NEUROSCIENCES Pub Date : 2025-12-01 DOI: 10.1016/j.brainresbull.2025.111663
Qi Deng , Yuhong Li , Zuoli Sun , Xue Fenqin , Xiang Gao , Rena Li
Men and women generally exhibit different sleep patterns and structures. These differences also extend to how each sex responds to sleep deprivation, a condition linked to various health issues. Although estradiol is known to influence sleep patterns, its sex-specific effects on sleep characteristics and the responses to sleep deprivation are not well understood. In our study, we used a genetic estrogen deficiency mouse model with aromatase deficiency (Ar+/-) to explore estrogens’ sex-specific role in reactions to acute sleep deprivation (SD). Initially, we identified a sex difference in SD-induced sleep-wake proportions and sleep patterns in wild type (WT) mice. Then, we found that estrogens deficiency caused alterations of normal sleep pattern in females, characterized by less wakefulness and more NREM time, but not in males at baseline compared to WT mice. While SD led to significant alterations in circadian rhythm, sleep patterns, and sleep rebound in both male and female Ar+/- mice, sex differences were evident in specific responses to SD. Female Ar+/- mice exhibited a quicker and longer-lasting post-SD sleep rebound, with reduced wake time, increased sleep time, and less fragmented sleep, whereas male Ar+/- mice showed a delayed sleep rebound except for REM sleep time and REM sleep spectral alterations compared to WT mice. Our findings underscore the crucial role of endogenous estrogens in sleep regulation and its sex-specific response to sleep deprivation, which could be significant for precision sleep medicine.
男性和女性通常表现出不同的睡眠模式和结构。这些差异还延伸到两性对睡眠剥夺的反应,睡眠剥夺与各种健康问题有关。虽然已知雌二醇会影响睡眠模式,但其对睡眠特征和睡眠剥夺反应的性别特异性影响尚不清楚。在我们的研究中,我们使用具有芳香化酶缺乏症(Ar+/-)的遗传性雌激素缺乏症小鼠模型来探索雌激素在急性睡眠剥夺(SD)反应中的性别特异性作用。最初,我们在野生型(WT)小鼠中发现了sd诱导的睡眠-觉醒比例和睡眠模式的性别差异。然后,我们发现雌激素缺乏导致雌性正常睡眠模式的改变,其特征是清醒时间减少,非快速眼动时间增加,但与WT小鼠相比,雄性在基线时没有这种情况。虽然SD会显著改变雄性和雌性Ar+/-小鼠的昼夜节律、睡眠模式和睡眠反弹,但在SD的特异性反应中,性别差异是明显的。雌性Ar+/-小鼠sd后的睡眠反弹速度更快,持续时间更长,清醒时间减少,睡眠时间增加,睡眠碎片化程度降低,而雄性Ar+/-小鼠与WT小鼠相比,除了快速眼动睡眠时间和快速眼动睡眠频谱改变外,睡眠反弹时间延迟。我们的研究结果强调了内源性雌激素在睡眠调节及其对睡眠剥夺的性别特异性反应中的关键作用,这可能对精确睡眠医学具有重要意义。
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引用次数: 0
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Brain Research Bulletin
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