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Comprehensive review of Transformer-based models in neuroscience, neurology, and psychiatry 全面回顾神经科学、神经学和精神病学中基于变压器的模型
Pub Date : 2024-04-26 DOI: 10.1002/brx2.57
Shan Cong, Hang Wang, Yang Zhou, Zheng Wang, Xiaohui Yao, Chunsheng Yang

This comprehensive review aims to clarify the growing impact of Transformer-based models in the fields of neuroscience, neurology, and psychiatry. Originally developed as a solution for analyzing sequential data, the Transformer architecture has evolved to effectively capture complex spatiotemporal relationships and long-range dependencies that are common in biomedical data. Its adaptability and effectiveness in deciphering intricate patterns within medical studies have established it as a key tool in advancing our understanding of neural functions and disorders, representing a significant departure from traditional computational methods. The review begins by introducing the structure and principles of Transformer architectures. It then explores their applicability, ranging from disease diagnosis and prognosis to the evaluation of cognitive processes and neural decoding. The specific design modifications tailored for these applications and their subsequent impact on performance are also discussed. We conclude by providing a comprehensive assessment of recent advancements, prevailing challenges, and future directions, highlighting the shift in neuroscientific research and clinical practice towards an artificial intelligence-centric paradigm, particularly given the prominence of Transformer architecture in the most successful large pre-trained models. This review serves as an informative reference for researchers, clinicians, and professionals who are interested in understanding and harnessing the transformative potential of Transformer-based models in neuroscience, neurology, and psychiatry.

这篇综合评论旨在阐明基于 Transformer 的模型在神经科学、神经学和精神病学领域日益增长的影响。Transformer 架构最初是作为分析顺序数据的解决方案而开发的,如今已发展到能有效捕捉生物医学数据中常见的复杂时空关系和长程依赖关系。它在破译医学研究中错综复杂的模式方面的适应性和有效性使其成为促进我们对神经功能和失调的理解的重要工具,与传统的计算方法大相径庭。综述首先介绍了变压器架构的结构和原理。然后探讨其适用范围,从疾病诊断和预后到认知过程评估和神经解码。此外,还讨论了为这些应用量身定制的具体设计修改及其对性能的后续影响。最后,我们对最新进展、当前挑战和未来方向进行了全面评估,强调了神经科学研究和临床实践向以人工智能为中心的范式转变,特别是考虑到 Transformer 架构在最成功的大型预训练模型中的突出地位。这篇综述为有志于了解和利用基于 Transformer 的模型在神经科学、神经学和精神病学领域的变革潜力的研究人员、临床医生和专业人士提供了翔实的参考资料。
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引用次数: 0
COVID-19 and cognitive impairment: From evidence to SARS-CoV-2 mechanism COVID-19 与认知障碍:从证据到 SARS-CoV-2 机制
Pub Date : 2024-04-16 DOI: 10.1002/brx2.58
Haodong Pan, Jingyan Niu, Lin Feng, Yue Yin, Chun Dang, Yaoheng Lu, Lei Li, Jianguang Ji, Kuikun Yang, Lihua Wang, Qian Li

Caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), coronavirus disease 2019 (COVID-19) primarily manifests as respiratory dysfunction. However, emerging evidence suggests SARS-CoV-2 can invade the brain, leading to cognitive impairment (CI). It may spread to other brain regions through transsynaptic neurons, including the olfactory, optic, and vagus nerves. Moreover, it may invade the central nervous system through blood transmission or the lymphatic system. This review summarizes the neuroimaging evidence from clinical and imaging studies of COVID-19-associated CIs, including magnetic resonance imaging and 18F-fluorodeoxyglucose positron emission tomography-computed tomography. The mechanisms underlying COVID-19-associated CIs are currently being actively investigated. They include nonimmune effects, such as viral proteins, tissue hypoxia, hypercoagulability, and pathological changes in neuronal cells, and immune effects, such as microglia and astrocyte activation, peripheral immune cell infiltration, blood-brain barrier impairment, cytokine network dysregulation, and intestinal microbiota. Inflammation is the central feature. Both central and systemic inflammation may cause acute and persistent neurological changes, and existing evidence indicates that inflammation underlies the elevated risk of Alzheimer's disease. Finally, potential therapeutic options for COVID-19-associated CIs are discussed. In-depth research into the pathological mechanisms is still needed to help develop new therapies.

由严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)引起的冠状病毒病 2019(COVID-19)主要表现为呼吸功能障碍。然而,新出现的证据表明,SARS-CoV-2 可侵入大脑,导致认知障碍(CI)。它可能通过跨突触神经元扩散到其他脑区,包括嗅神经、视神经和迷走神经。此外,它还可能通过血液传播或淋巴系统侵入中枢神经系统。本综述总结了COVID-19相关CIs的临床和影像学研究的神经影像学证据,包括磁共振成像和18F-氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描。目前正在积极研究 COVID-19 相关 CIs 的发病机制。它们包括非免疫效应,如病毒蛋白、组织缺氧、高凝状态和神经元细胞的病理变化;以及免疫效应,如小胶质细胞和星形胶质细胞活化、外周免疫细胞浸润、血脑屏障受损、细胞因子网络失调和肠道微生物群。炎症是核心特征。中枢性和全身性炎症都可能导致急性和持续性神经系统变化,现有证据表明,炎症是阿尔茨海默病风险升高的基础。最后,讨论了 COVID-19 相关 CIs 的潜在治疗方案。目前仍需对病理机制进行深入研究,以帮助开发新的疗法。
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引用次数: 0
Positron emission tomography imaging of the P2X7 receptor with a novel tracer, [18F]GSK1482160, in a transgenic mouse model of Alzheimer's disease and healthy non-human primates 在阿尔茨海默病转基因小鼠模型和健康非人灵长类动物中使用新型示踪剂 [18F]GSK1482160 对 P2X7 受体进行正电子发射断层扫描成像
Pub Date : 2024-03-22 DOI: 10.1002/brx2.55
Yifan Qiu, Lei Bi, Guolong Huang, Zhijun Li, Huiyi Wei, Guocong Li, Junjie Wei, Kai Liao, Min Yang, Peizhen Ye, Yongshan Liu, Xianxian Zhao, Yuyi Hou, Yanfang Shen, Renwei Zhou, Tuoen Liu, Henry Hoi Yee Tong, Lu Wang, Hongjun Jin

This study aimed to evaluate [18F]GSK1482160 Positron emission tomography imaging for targeting P2X7R, a biomarker for neuroinflammation. Studies of acute neuroinflammation in rodents and transgenic mice with Alzheimer's disease (AD), as well as wild-type (WT) controls, were conducted via PET-CT-MRI scans after tail vein injection of [18F]GSK1482160. Imaging was quantified based on the time-activity curve, the standardized uptake value ratio, and the binding kinetics distribution volume ratio (DVR) to assess the expression of P2X7R. Tissues were collected post-PET for immunofluorescence staining. Correlation analysis was performed between DVR and Morris water maze test results. Finally, dynamic Positron Emission Tomography-Magnetic Resonance Imaging (PET-MRI) scans were performed in healthy non-human primates (NHPs). Our study demonstrated that AD mice had a significantly higher DVR than WT mice in the hippocampus (0.92 ± 0.06 vs. 0.79 ± 0.02, p < 0.05), cortex (1.09 ± 0.03 vs. 0.88 ± 0.04, p < 0.05), and striatum (1.02 ± 0.10 vs. 0.83 ± 0.1, p < 0.05). Immunofluorescence staining showed increased expression of P2X7R in the AD, along with its colocalization with activated microglia and astrocytes. Correlation analysis indicated that brain regions with higher binding of [18F]GSK1482160 (i.e., the cortex, striatum, and hippocampus) were more vulnerable to cognitive impairment. PET-MRI scans of healthy NHPs demonstrated the feasibility of brain penetration and P2X7R target engagement for the translation of [18F]GSK1482160 in human studies.

本研究旨在评估[18F]GSK1482160 正电子发射断层成像技术对神经炎症生物标志物 P2X7R 的靶向作用。尾静脉注射[18F]GSK1482160后,通过PET-CT-MRI扫描对啮齿类动物和阿尔茨海默病(AD)转基因小鼠以及野生型(WT)对照组的急性神经炎症进行了研究。根据时间-活性曲线、标准化摄取值比率和结合动力学分布体积比(DVR)对成像进行量化,以评估 P2X7R 的表达。PET后收集组织进行免疫荧光染色。DVR 与莫里斯水迷宫测试结果之间进行了相关性分析。最后,在健康的非人灵长类动物(NHPs)身上进行了动态正电子发射断层扫描-磁共振成像(PET-MRI)扫描。我们的研究表明,AD小鼠海马(0.92 ± 0.06 vs. 0.79 ± 0.02,p < 0.05)、皮层(1.09 ± 0.03 vs. 0.88 ± 0.04,p < 0.05)和纹状体(1.02 ± 0.10 vs. 0.83 ± 0.1,p < 0.05)的DVR明显高于WT小鼠。免疫荧光染色显示,P2X7R在AD中的表达增加,并与活化的小胶质细胞和星形胶质细胞共定位。相关分析表明,[18F]GSK1482160结合率较高的脑区(即皮层、纹状体和海马)更容易受到认知障碍的影响。健康NHP的PET-MRI扫描证明了[18F]GSK1482160在人体研究中进行脑穿透和P2X7R靶点参与转化的可行性。
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引用次数: 0
Synchronous hybrid brain–computer interfaces for recognizing emergency braking intention 用于识别紧急制动意图的同步混合脑机接口
Pub Date : 2024-03-21 DOI: 10.1002/brx2.56
Jiawei Ju, Aberham Genetu Feleke, Hongqi Li, Haiyang Li

Hybrid neurophysiological signals, such as the combination of electroencephalography (EEG) and electromyography (EMG), can be used to reduce road traffic accidents by obtaining the driver's intentions in advance and accordingly applying appropriate auxiliary controls. However, whether they can be used in combination and can achieve better results in situations of detecting emergency braking from normal driving and soft braking has not been explored. This study used one feature-level (hybrid BCI-FL) and three classifier-level (hybrid BCIs-CLs) hybrid strategies, the spectral band, and spectral point features to construct recognition models. Offline and pseudo-online experiments were conducted. The recognition performance with the spectral point features showed a better result than that with spectral band features. In all experiments, the two proposed hybrid BCI strategies could achieve a detection accuracy close to or above 95%, while the detection advanced time is less than 300 ms. In particular, for the developed hybrid BCI recognition models, the hybrid BCI-FL and hybrid BCI-CL2 recognition models with spectral point features achieved 4.25% (p < 0.015) and 4.69% (p < 0.006) higher system accuracies, respectively, than that of the current better single EMG-based recognition model. This research promotes the application of hybrid EEG and EMG signals in intelligent driving assistance systems.

混合神经生理信号,例如脑电图(EEG)和肌电图(EMG)的组合,可用于提前获取驾驶员的意图并相应地应用适当的辅助控制,从而减少道路交通事故。然而,在从正常驾驶和软制动中检测紧急制动的情况下,这两种方法是否可以结合使用并取得更好的效果,还没有进行过探讨。本研究采用了一个特征级(混合 BCI-FL)和三个分类器级(混合 BCIs-CLs)的混合策略、谱带和谱点特征来构建识别模型。我们进行了离线和伪离线实验。使用光谱点特征的识别效果优于使用光谱带特征的识别效果。在所有实验中,所提出的两种混合 BCI 策略都能达到接近或高于 95% 的检测准确率,而检测提前时间小于 300 毫秒。其中,对于所开发的混合BCI识别模型,使用频谱点特征的混合BCI-FL和混合BCI-CL2识别模型的系统准确率分别比目前较好的基于单一肌电图的识别模型高出4.25%(p <0.015)和4.69%(p <0.006)。这项研究推动了脑电图和肌电信号混合信号在智能驾驶辅助系统中的应用。
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引用次数: 0
Brain-inspired intelligence-driven scientific research 大脑启发智能驱动的科学研究
Pub Date : 2024-03-19 DOI: 10.1002/brx2.54
Long Bai, Jiacan Su

Illustration of brain-inspired AI-driven scientific research: predicting new information, discovering novel therapies, and designing new materials.

大脑启发的人工智能科学研究图解:预测新信息、发现新疗法和设计新材料。
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引用次数: 0
Network insights: Transforming brain science and mental health through innovative analysis 网络洞察力:通过创新分析改变脑科学和心理健康
Pub Date : 2024-03-07 DOI: 10.1002/brx2.53
Peng Wang, Lulu Cheng

Network analysis, an interdisciplinary method rooted in graph theory and complex systems, is a promising approach for advancing our understanding of the brain's complex architecture and its implications for behavior, cognition, and mental health. Network analysis transcends the traditional psychiatric diagnostic model, which oversimplifies mental disorders by treating them as distinct physical illnesses, often creating an “epistemic prison” that fails to account for the nuanced interplay between neurological, biological, psychosocial, and cultural influences shaped by patients' life experiences.1 By mapping and examining the intricate network of neuronal connections and larger brain region interactions, network analysis offers deep insights into brain communication pathways, their role in cognitive function, and how their disruption may lead to neurological disorders. Despite the potential of this method, the application of network analysis in brain science is underutilized, highlighting the need for increased awareness and the development of network-based studies to fully realize its transformative potential for behavior and brain research. Therefore, we introduce an insightful behavioral exemplar to increase awareness of the potential application of network analysis in brain science.

In their landmark study, Hu et al. not only challenged the compartmentalization of psychiatric diagnoses but also provided a novel lens through which we can view mental disorders from a neurobiological perspective.2 By employing network analysis, they illustrated that psychiatric symptoms occur in isolation but as a part of a complex network at the behavioral level, significantly resonating with a variety of human brain functions and structures. This approach underscores the centrality of the motivation and pleasure factor, which is potentially linked to the brain's reward system, and its significant impact on broader cognitive and social functioning across different psychiatric conditions. The study integrated the transdiagnostic model with sophisticated statistical methods, such as the least absolute shrinkage and selection operator, further elucidating ways to examine potential intricate brain–behavior relationships in the future.3 Such neuroscientific insights pave the way for a more nuanced understanding of psychopathology; additionally, they can inform targeted interventions that can modulate specific neural circuits implicated in multiple psychiatric disorders.

Although network analysis was employed behaviorally in this study, it offers methodological breakthroughs for prospective neurological studies, allowing for a unified representation of complex brain functions and statistically significant control over variables of interest. It illuminates how alterations in one node can reverberate throughout the entire network, providing a level of insight traditional models have f

网络分析是一种根植于图论和复杂系统的跨学科方法,它是一种很有前途的方法,可以促进我们对大脑复杂结构及其对行为、认知和心理健康影响的理解。网络分析超越了传统的精神病诊断模式,该模式将精神障碍视为不同的躯体疾病,从而过度简化了精神障碍,往往会造成一种 "认识论监狱",无法解释神经、生物、社会心理以及由患者生活经历所形成的文化影响之间微妙的相互作用。1 通过绘制和检查神经元连接的复杂网络和更大的脑区相互作用,网络分析深入揭示了大脑通信途径、它们在认知功能中的作用以及它们的破坏如何导致神经系统疾病。尽管这种方法潜力巨大,但网络分析在脑科学中的应用却未得到充分利用,这凸显出人们需要提高对网络分析的认识,并发展基于网络的研究,以充分发挥其在行为和脑研究中的变革潜力。在他们具有里程碑意义的研究中,Hu 等人不仅对精神病诊断的条块分割提出了挑战,而且还提供了一个新的视角,让我们可以从神经生物学的角度来看待精神障碍。2 通过运用网络分析,他们说明了精神病症状是孤立出现的,而是行为层面复杂网络的一部分,与人类大脑的各种功能和结构产生了显著共鸣。这种方法强调了动机和愉悦因素的中心地位,它可能与大脑的奖赏系统有关,并对不同精神疾病的更广泛认知和社会功能产生重大影响。该研究将跨诊断模型与复杂的统计方法(如最小绝对收缩和选择算子)相结合,进一步阐明了未来研究大脑与行为之间潜在复杂关系的方法。这些神经科学见解为我们更细致地了解精神病理学铺平了道路;此外,它们还能为有针对性的干预措施提供信息,从而调节与多种精神疾病有关联的特定神经回路。虽然本研究中采用的是行为网络分析,但它为前瞻性神经学研究提供了方法上的突破,使复杂的大脑功能得到了统一的表述,并在统计学上对相关变量进行了显著的控制。2 他们应用跨诊断和网络理论揭示了一个复杂的行为系统,在这个系统中,个体行为受到心理因素的影响,并受神经区域复杂网络的支配。这种方法体现了跨学科分析的潜力,并预示着未来网络分析将超越反应时间研究的局限性,逐步完善我们对行为的理解。然而,Hu 等人的研究中自我报告的横断面数据可能无法捕捉到神经过程的全部复杂性。纵向神经影像学可以解决这一局限性,通过类似的网络方法对大脑功能进行动态、客观的洞察,这对认知神经科学至关重要:构思;写作-原稿。程璐璐作者声明无利益冲突,本研究无需伦理批准。
{"title":"Network insights: Transforming brain science and mental health through innovative analysis","authors":"Peng Wang,&nbsp;Lulu Cheng","doi":"10.1002/brx2.53","DOIUrl":"https://doi.org/10.1002/brx2.53","url":null,"abstract":"<p>Network analysis, an interdisciplinary method rooted in graph theory and complex systems, is a promising approach for advancing our understanding of the brain's complex architecture and its implications for behavior, cognition, and mental health. Network analysis transcends the traditional psychiatric diagnostic model, which oversimplifies mental disorders by treating them as distinct physical illnesses, often creating an “epistemic prison” that fails to account for the nuanced interplay between neurological, biological, psychosocial, and cultural influences shaped by patients' life experiences.<span><sup>1</sup></span> By mapping and examining the intricate network of neuronal connections and larger brain region interactions, network analysis offers deep insights into brain communication pathways, their role in cognitive function, and how their disruption may lead to neurological disorders. Despite the potential of this method, the application of network analysis in brain science is underutilized, highlighting the need for increased awareness and the development of network-based studies to fully realize its transformative potential for behavior and brain research. Therefore, we introduce an insightful behavioral exemplar to increase awareness of the potential application of network analysis in brain science.</p><p>In their landmark study, Hu et al. not only challenged the compartmentalization of psychiatric diagnoses but also provided a novel lens through which we can view mental disorders from a neurobiological perspective.<span><sup>2</sup></span> By employing network analysis, they illustrated that psychiatric symptoms occur in isolation but as a part of a complex network at the behavioral level, significantly resonating with a variety of human brain functions and structures. This approach underscores the centrality of the motivation and pleasure factor, which is potentially linked to the brain's reward system, and its significant impact on broader cognitive and social functioning across different psychiatric conditions. The study integrated the transdiagnostic model with sophisticated statistical methods, such as the least absolute shrinkage and selection operator, further elucidating ways to examine potential intricate brain–behavior relationships in the future.<span><sup>3</sup></span> Such neuroscientific insights pave the way for a more nuanced understanding of psychopathology; additionally, they can inform targeted interventions that can modulate specific neural circuits implicated in multiple psychiatric disorders.</p><p>Although network analysis was employed behaviorally in this study, it offers methodological breakthroughs for prospective neurological studies, allowing for a unified representation of complex brain functions and statistically significant control over variables of interest. It illuminates how alterations in one node can reverberate throughout the entire network, providing a level of insight traditional models have f","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140053248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prospects of antidiabetic drugs in the treatment of neurodegenerative disease 抗糖尿病药物治疗神经退行性疾病的前景
Pub Date : 2024-02-29 DOI: 10.1002/brx2.52
Lidan Hu, Wenmin Wang, Xiangjun Chen, Guannan Bai, Liangjian Ma, Xin Yang, Qiang Shu, Xuekun Li

Neurodegenerative diseases (NDs) stand for a group of disorders characterized by the progressive loss of neurons in the brain and peripheral organs, resulting in motor and cognitive dysfunction. The global prevalence of NDs, including Alzheimer's disease, Parkinson's disease, Huntington's disease, and amyotrophic lateral sclerosis, is on the rise globally, primarily due to an aging population, positioning NDs as an increasing significant public health concern. Despite intensive research, few effective therapies that prevent or delay ND progression have been developed. Mounting evidence indicates that one of the well-defined risk factors for NDs is type 2 diabetes mellitus, and insulin resistance has also been proven to be related to cognitive decline. Certain antidiabetic drugs, such as glucagon-like peptide-1 receptor agonists, peroxisome proliferator-activated receptor gamma agonists, and metformin, have shown promise in offering neuroprotective benefits and alleviating ND symptoms beyond their glucose-lowering effects. Although the exact mechanisms remain elusive, these drugs offer a promising novel strategy for managing cognitive disorders. In this review, we first highlight the benefits and specific neuroprotective effects of multiple antidiabetic drugs and discuss the main mechanisms of action of antidiabetic drugs in treating NDs. These mechanisms include reducing protein aggregation and improving apoptosis, mitochondrial dysfunction, oxidative stress, and neuroinflammation. Finally, we summarize clinical trials evaluating these drugs for treating NDs.

神经退行性疾病(NDs)是一组以大脑和外周器官神经元逐渐丧失为特征的疾病,会导致运动和认知功能障碍。主要由于人口老龄化,包括阿尔茨海默病、帕金森病、亨廷顿病和肌萎缩侧索硬化症在内的 NDs 在全球的发病率呈上升趋势,NDs 已成为一个日益严重的公共卫生问题。尽管开展了大量研究,但很少有有效的疗法能够预防或延缓 ND 的发展。越来越多的证据表明,2 型糖尿病是导致 NDs 的明确风险因素之一,而胰岛素抵抗也被证明与认知能力下降有关。某些抗糖尿病药物,如胰高血糖素样肽-1 受体激动剂、过氧化物酶体增殖激活受体伽马激动剂和二甲双胍,已显示出其降糖作用之外,还具有保护神经和缓解 ND 症状的功效。尽管确切的机制仍然难以捉摸,但这些药物为控制认知障碍提供了一种前景广阔的新策略。在这篇综述中,我们首先强调了多种抗糖尿病药物的益处和特定的神经保护作用,并讨论了抗糖尿病药物治疗 NDs 的主要作用机制。这些机制包括减少蛋白质聚集、改善细胞凋亡、线粒体功能障碍、氧化应激和神经炎症。最后,我们总结了评估这些药物治疗 NDs 的临床试验。
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引用次数: 0
β2-microglobulin: An essential coaggregation factor with β-amyloid in amyloid pathology β2-微球蛋白:淀粉样病理学中与β-淀粉样蛋白的重要共聚因子
Pub Date : 2023-12-13 DOI: 10.1002/brx2.49
Chongyun Wu, Timon Cheng-Yi Liu, Rui Duan, Luodan Yang

Alzheimer's disease (AD), the most common form of dementia, is a progressive neurodegenerative disease characterized by cognitive deficits, β-amyloid (Aβ) accumulation-induced amyloid plaques, and tau hyperphosphorylation-induced neurofibrillary tangles.1 Interestingly, emerging evidence suggests other factors may contribute to Aβ-associated pathologies.2 β2-microglobulin (β2M), one of the major histocompatibility complex class I molecules, is a short peptide with seven antiparallel β-strands. It is elevated in AD brains and has recently been detected in the amyloid plaque core.3 Therefore, increasing evidence suggests β2M may be a potential factor that promotes Aβ aggregation and neurotoxicity.

A recent study in Nature Neuroscience conducted by Zhao et al. found that β2M may be a possible factor involved in amyloid pathologies.3 The authors characterized the pathological changes of β2M and elucidated the functional involvement of β2M in amyloid deposition and spreading and in boosting Aβ neurotoxicity.3 They concluded that β2M is an essential coaggregation factor with Aβ in amyloid pathology and β2M-Aβ coaggregation is a therapeutic target for AD. In addition, their findings indirectly support the amyloid hypothesis and provide additional information underlying Aβ aggregation and Aβ neurotoxicity. In the past 2 decades, all clinical trials based on the amyloid hypothesis on AD have failed, prompting reconsideration of the amyloid hypothesis.3 However, the current study performed by Zhao et al. confirmed that inhibition of Aβ deposition significantly improves cognitive function, indirectly supporting this hypothesis. More importantly, their findings revealed that β2M expressed in the central nervous system and peripheral tissues are potential targets for alleviating amyloid pathology and Aβ neurotoxicity. Disrupting the β2M-Aβ interactions ameliorated Aβ deposition and Aβ-associated pathogenesis, exhibiting a tremendous therapeutic potential for AD treatment. Overall, although Zhao et al. cannot exclude the possibility that MHC class I contributes to β2M-dependent neurotoxicity, their study identifies a previously undefined role of β2M in Aβ aggregation and neurotoxicity and offers a novel therapeutic strategy for AD by inhibiting peripheral β2M (Figure 1).

Meanwhile, their findings also raise several intriguing questions that deserve further investigation. First, Zhao et al. discovered β2M is mainly present in microglia, suggesting it would be interesting to study further the relationship between microglial β2M and microglial function. For example, it is of great interest to investigate the role of β2M in microglial-mediated phagocytosis, synapse pruning, and neuroinflammatory response in AD and other brain disorders. Moreover, single-cell technologies have found various phenotypes

阿尔茨海默病(AD)是最常见的痴呆形式,是一种进行性神经退行性疾病,其特征是认知缺陷、β-淀粉样蛋白(a β)积累诱导的淀粉样斑块和tau过度磷酸化诱导的神经原纤维缠结有趣的是,新出现的证据表明,其他因素可能导致a β相关的病理。2 β2-微球蛋白(β2M)是一种具有7条反平行β链的短肽,是主要的组织相容性复合体I类分子之一。它在AD大脑中升高,最近在淀粉样斑块中心被检测到因此,越来越多的证据表明β2M可能是促进a β聚集和神经毒性的潜在因素。Zhao等人最近在Nature Neuroscience上的一项研究发现,β2M可能是淀粉样蛋白病理的一个可能因素作者描述了β2M的病理变化,并阐明了β2M在淀粉样蛋白沉积、扩散和增强Aβ神经毒性中的功能参与他们得出结论,β2M是淀粉样蛋白病理中与a β必不可少的共聚集因子,β2M- a β共聚集是AD的治疗靶点。此外,他们的发现间接支持了淀粉样蛋白假说,并提供了Aβ聚集和Aβ神经毒性的额外信息。在过去的20年里,所有基于淀粉样蛋白假说的阿尔茨海默病临床试验都失败了,这促使人们重新考虑淀粉样蛋白假说然而,Zhao等人目前的研究证实,抑制Aβ沉积可显著改善认知功能,间接支持了这一假设。更重要的是,他们的研究结果表明,在中枢神经系统和外周组织中表达的β2M是减轻淀粉样蛋白病理和Aβ神经毒性的潜在靶点。破坏β2M-Aβ相互作用改善了a β沉积和a β相关的发病机制,在AD治疗中显示出巨大的治疗潜力。总体而言,尽管Zhao等人不能排除MHC I类导致β2M依赖性神经毒性的可能性,但他们的研究确定了β2M在a β聚集和神经毒性中的先前未定义的作用,并通过抑制外周β2M为AD提供了一种新的治疗策略(图1)。同时,他们的发现也提出了几个值得进一步研究的有趣问题。首先,Zhao等人发现β2M主要存在于小胶质细胞中,提示进一步研究小胶质细胞β2M与小胶质细胞功能之间的关系是很有意义的。例如,在阿尔茨海默病和其他脑部疾病中,研究β2M在小胶质细胞介导的吞噬、突触修剪和神经炎症反应中的作用是非常有趣的。此外,单细胞技术已经发现了小胶质细胞的各种表型。4,5因此,小胶质细胞表型与β2M之间的关系尚不清楚,值得进一步研究。其次,Zhao等人证明阻断β2M或β2M-Aβ共聚集可减少Aβ聚集和沉积然而,被破坏的β2M-Aβ相互作用是否伴随着通过淋巴系统增强的Aβ清除尚不清楚。小胶质细胞与星形胶质细胞密切相关,小胶质β2M可能引起星形胶质细胞功能和表型的改变,包括水通道蛋白-4在星形胶质细胞中的极化分布。第三,脑损伤是AD的危险因素。例如,中风和反复闭合性头部损伤增加了神经毒性Aβ的积累,破坏了Aβ产生和清除之间的平衡。在目前的研究中,Zhao等人观察到小胶质细胞和外周β2M在AD中的重要作用。因此,研究脑卒中和脑损伤中小胶质细胞和外周β2M的变化是值得的,其中小胶质细胞被激活并参与脑损伤的进展。先前的研究表明,β2M敲低可显著缓解小鼠原代神经元和tau- p301s过表达小鼠模型中的tau病变。然而,与本研究结果不同的是,β2M缺失在减少tau病理中的作用依赖于mhc。因此,需要更多的研究来探讨这种差异的原因。最后,进一步破译β2M如何与Aβ相互作用以促进Aβ神经毒性至关重要。充分了解β2M- a - β相互作用的机制以及β2M和a - β在增强神经毒性中的结构变化,将有助于开发针对β2M- a - β共聚集的AD治疗方法。吴崇云:资金获取与写作——原稿。刘成义:资金获取与写作审查&;编辑。段睿:资金获取。杨珞丹:资金获取、监管、写作审查&;编辑。作者声明在本研究中无利益冲突。本研究不需要伦理批准。
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引用次数: 0
Flexible, ultrathin bioelectronic materials and devices for chronically stable neural interfaces 用于长期稳定神经接口的柔性超薄生物电子材料和器件
Pub Date : 2023-12-11 DOI: 10.1002/brx2.47
Lianjie Zhou, Zhongyuan Wu, Mubai Sun, Jaejin Park, Mengdi Han, Ming Wang, Junsheng Yu, Zengfeng Di, Yongfeng Mei, Wubin Bai, Xinge Yu, Ki Jun Yu, Enming Song

Advanced technologies that can establish intimate, long-lived functional interfaces with neural systems have attracted increasing interest due to their wide-ranging applications in neuroscience, bioelectronic medicine, and the associated treatment of neurodegenerative diseases. A critical challenge of significance remains in the development of electronic platforms that offer conformal contact with soft brain tissue for the sensing or stimulation of brain activities and chronically stable operation in vivo, at scales that range from cellular-level resolution to macroscopic areas. This review summarizes recent advances in this field, with an emphasis on the use of demonstrated concepts, constituent materials, engineered designs, and system integration to address the current challenges. The article begins with an overview of recent bioelectronic platforms with unique form factors, ranging from filamentary probes to conformal sheets and three-dimensional frameworks for alleviating the mechanical mismatch between interface materials and neural tissues. Next, active interfaces which utilize inorganic/organic semiconductor-enabled devices are reviewed, highlighting various working principles of recording mechanisms including capacitively and conductively coupled sensing enabled by high transistor matrices at high spatiotemporal resolution. The subsequent section presents approaches to biological integration which use active materials for multiplexed addressing, local amplification and multimodal operation with high-channel-count and large-scale electronic systems in a safe fashion that provides multi-decade stable performance in both animal models and human subjects. The advances summarized in this review will guide the future direction of this technology and provide a basis for next-generation chronic neural interfaces with long-lived high-performance operation.

能够与神经系统建立亲密、长效功能界面的先进技术在神经科学、生物电子医学以及相关的神经退行性疾病治疗领域有着广泛的应用,因此吸引了越来越多的关注。一个重要的挑战仍然是开发能与软脑组织保形接触的电子平台,以传感或刺激大脑活动,并在从细胞级分辨率到宏观区域的范围内长期稳定地在体内运行。本综述总结了这一领域的最新进展,重点介绍了如何利用已证明的概念、组成材料、工程设计和系统集成来应对当前的挑战。文章首先概述了具有独特外形的最新生物电子平台,从丝状探针到保形薄片和三维框架,以缓解界面材料与神经组织之间的机械不匹配问题。接下来回顾了利用无机/有机半导体器件的有源界面,重点介绍了记录机制的各种工作原理,包括高晶体管矩阵在高时空分辨率下实现的电容和电导耦合传感。随后的章节介绍了生物集成的方法,这些方法利用活性材料进行多路寻址、局部放大和多模式操作,并以安全的方式使用高通道数和大规模电子系统,从而在动物模型和人体受试者身上提供数十年的稳定性能。本综述中总结的进展将为这一技术的未来发展方向提供指导,并为下一代长期高性能运行的慢性神经接口奠定基础。
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引用次数: 0
Atomically bio-plausible neuron toward complex neuromorphic applications 面向复杂神经形态应用的原子仿生神经元
Pub Date : 2023-12-10 DOI: 10.1002/brx2.44
Song Hao, Yanfang Niu, Shancheng Han

Neuromorphic computing, benefitting from its integration of computing with memory, enables highly efficient parallel-computing capabilities. While artificial intelligence chips are expensive due to their large area and power consumption, neuromorphic devices have shown energy efficiency and compatibility with complementary metal-oxide-semiconductor transistor technology.1 Complex neuronal circuits with feedforward and feedback topologies are the foundation for nonlinear information integration and processing in the human brain. In addition, the nonlinear integration of neuronal signals as the basic functions of the human brain's nervous system is also essential to implement machine learning. However, artificial neurons still face the challenge of nonlinearly integrating feedforward and feedback signals. It is crucial to develop bio-plausible neurons capable of those functions, including nonlinearity and integration of excitatory and inhibitory postsynaptic signals. Writing in Nature Nanotechnology, G. S. Syed and coworkers recently reported a major step toward bio-plausible optomemristive feedback neurons, enabling the simultaneous existence of separate feedforward and feedback paths within a neural network.2

The authors designed a delicate capacitor-like device with a 2D vertical heterostructure in which WS2/MoS2 and graphene served as the neuronal membrane and soma (Figure 1B), respectively. Generally, trapped electrons and holes in the WS2/MoS2 heterostructure recombine upon a positive back gate voltage (Figure 1A). The conductance state of p-doped graphene would further increase, representing an excitatory operation. In this work, the electron-hole carriers in the WS2/MoS2 heterostructure are easily separated upon illumination (Figure 1C), and the electrons are injected into graphene. The Fermi-level movement toward the Dirac point decreases the conductance of graphene, having an inhibitory effect. Specifically, graphene's gradual conductance change can be separately modulated through electrical and optical means (Figure 1D), mimicking excitatory and inhibitory functionalities. 2D memristors have been investigated to emulate leaky-integrate-and-fire feedforward neurons.3 The synergistic effect of both input signals mimics a competitive neuron and enables the simultaneous existence of separate feedforward and feedback paths within the neural network.

The winner-take-all (WTA) neural network is a critical computational model for artificial neural networks, which can be used to implement unsupervised competitive learning and cooperative learning. The traditional memristors make it difficult to separately process feedforward and feedback neuronal signals, necessitating peripheral circuits or software to mimic inhibition behavior. The developed optomemristive feedback neuron can respond to both el

神经形态计算得益于计算与内存的整合,可实现高效的并行计算能力。人工智能芯片由于面积大、功耗高而价格昂贵,而神经形态设备则显示出了能源效率和与互补金属氧化物半导体晶体管技术的兼容性。1 具有前馈和反馈拓扑结构的复杂神经元电路是人脑非线性信息整合与处理的基础。此外,神经元信号的非线性整合作为人脑神经系统的基本功能,对于实现机器学习也至关重要。然而,人工神经元仍然面临着前馈和反馈信号非线性整合的挑战。开发能够实现这些功能(包括非线性和整合兴奋性和抑制性突触后信号)的仿生神经元至关重要。G. S. Syed 及其同事最近在《自然-纳米技术》(Nature Nanotechnology)杂志上撰文指出,他们向生物仿真光敏反馈神经元迈出了重要一步,使神经网络中同时存在独立的前馈和反馈路径2 。一般来说,WS2/MoS2 异质结构中的俘获电子和空穴会在正背栅电压下重新结合(图 1A)。掺杂 p 的石墨烯的传导状态会进一步增加,这代表了一种激发操作。在这项工作中,WS2/MoS2 异质结构中的电子-空穴载流子在光照下很容易分离(图 1C),电子被注入石墨烯。费米级向狄拉克点的移动会降低石墨烯的电导,从而产生抑制作用。具体来说,石墨烯的电导渐变可通过电学和光学手段分别调制(图 1D),从而模拟兴奋和抑制功能。3 两种输入信号的协同效应模拟了竞争性神经元,使神经网络中同时存在独立的前馈和反馈路径。赢家通吃(WTA)神经网络是人工神经网络的重要计算模型,可用于实现无监督竞争学习和合作学习。传统的忆阻器难以单独处理前馈和反馈神经元信号,因此需要外围电路或软件来模拟抑制行为。所开发的光敏忆阻器反馈神经元能对电刺激和光刺激做出反应,并向邻近神经元播发抑制信号和非线性综合神经元信号。因此,作者进一步创建了一个 WTA 神经网络来证明其优越性(图 1E),其中 WTA 神经元组成神经网络的输出层,充当整流激活函数。WTA 神经网络实现了神经元信号积累和激活任务,并展示了无监督竞争学习和合作学习的潜力。已有研究表明,二维材料有助于构建多端忆晶体管,以实现复杂的神经形态功能。电荷捕获效应对于实现二维材料的负光致发光性和处理反馈神经元信号的能力至关重要。处理 SiO2/Si 衬底或直接沉积 Al2O3 层是引入捕获效应的两种常用方法,这也是实现光敏反馈神经元负光致发光性的有效途径。人脑皮层及其神经网络的时空复杂性是人类拥有更高智力的基础。尽管这项工作取得了进展,但由于神经形态计算与人脑在结构、工作机制和规模等方面的差异,两者之间仍存在巨大差距。此外,我们认为,在工作机制、设备连接复杂性和规模方面采用类脑设计是实现复杂神经形态应用的有效甚至必要途径。
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引用次数: 0
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