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Erratum: White et al., "Learning to Choose: Behavioral Dynamics Underlying the Initial Acquisition of Decision-Making". 勘误:White 等人,"学会选择:决策的初始习得所依赖的行为动力"。
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-14 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0429-24.2024
{"title":"Erratum: White et al., \"Learning to Choose: Behavioral Dynamics Underlying the Initial Acquisition of Decision-Making\".","authors":"","doi":"10.1523/ENEURO.0429-24.2024","DOIUrl":"10.1523/ENEURO.0429-24.2024","url":null,"abstract":"","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":"11 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Normal pressure hydrocephalus in adult mice causes gait impairment, cognitive deficits, and urinary frequency with incontinence. 成年小鼠的正常压力脑积水会导致步态障碍、认知障碍和尿频尿失禁。
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-14 DOI: 10.1523/ENEURO.0412-24.2024
Margaret M Tish, Natalie A Voss, Aimee X Bertolli, Miles J Klimara, Richard J Smith, Daniel R Thedens, Chantal Allamargot, Marco M Hefti, Matthew A Howard, Georgina M Aldridge, Joel C Geerling
{"title":"Normal pressure hydrocephalus in adult mice causes gait impairment, cognitive deficits, and urinary frequency with incontinence.","authors":"Margaret M Tish, Natalie A Voss, Aimee X Bertolli, Miles J Klimara, Richard J Smith, Daniel R Thedens, Chantal Allamargot, Marco M Hefti, Matthew A Howard, Georgina M Aldridge, Joel C Geerling","doi":"10.1523/ENEURO.0412-24.2024","DOIUrl":"10.1523/ENEURO.0412-24.2024","url":null,"abstract":"<p><p>Normal pressure hydrocephalus (NPH) is marked by enlarged cerebral ventricles with normal intracranial pressure, plus three stereotypical symptoms: gait impairment, cognitive dysfunction, and urinary frequency with urge-incontinence. The neural circuit dysfunction responsible for each of these symptoms remains unknown, and an adult mouse model would expand opportunities to explore these mechanisms in preclinical experiments. Here, we describe the first mouse model of chronic, communicating hydrocephalus with normal intracranial pressure. Hydrocephalic male and female mice had unsteady gait and reduced maximum velocity. Despite performing well on a variety of behavioral tests, they exhibited subtle learning impairments. Hydrocephalic mice also developed urinary frequency, and many became incontinent. This mouse model, with symptoms resembling human NPH, can be combined with molecular-genetic tools in any mouse strain to explore the neural circuit mechanisms of these symptoms. Preclinical work using this hydrocephalus model will lead to the development of new treatments for NPH symptoms.<b>Significance Statement</b> Like human patients with normal pressure hydrocephalus (NPH), mice with communicating hydrocephalus develop enlarged cerebral ventricles with normal intracranial pressure plus three stereotypical symptoms: gait impairment, cognitive dysfunction, and urinary frequency with incontinence. This mouse model, with symptoms resembling human NPH, can be combined with molecular-genetic tools in any mouse strain to explore neural circuit mechanisms of NPH symptoms.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617079","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
Prenatal Exposure to MAM Impairs mPFC and Hippocampal Inhibitory Function in Mice during Adolescence and Adulthood. 产前接触 MAM 会损害小鼠青春期和成年期的 mPFC 和海马抑制功能。
IF 4.6 3区 医学
eNeuro Pub Date : 2024-11-14 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0362-24.2024
Zhiyin He, Qian He, Xiaorong Tang, Keni Huang, Yiwen Lin, Jianrui Xu, Qiliang Chen, Nenggui Xu, Lulu Yao
{"title":"Prenatal Exposure to MAM Impairs mPFC and Hippocampal Inhibitory Function in Mice during Adolescence and Adulthood.","authors":"Zhiyin He, Qian He, Xiaorong Tang, Keni Huang, Yiwen Lin, Jianrui Xu, Qiliang Chen, Nenggui Xu, Lulu Yao","doi":"10.1523/ENEURO.0362-24.2024","DOIUrl":"10.1523/ENEURO.0362-24.2024","url":null,"abstract":"<p><p>Neurodevelopmental abnormalities are considered to be one of the important causes of schizophrenia. The offspring of methylazoxymethanol acetate (MAM)-exposed mice are recognized for the dysregulation of neurodevelopment and are well-characterized with schizophrenia-like phenotypes. However, the inhibition-related properties of the medial prefrontal cortex (mPFC) and hippocampus throughout adolescence and adulthood have not been systematically elucidated. In this study, both 10 and 15 mg/kg MAM-exposed mice exhibited schizophrenia-related phenotypes in both adolescence and adulthood, including spontaneous locomotion hyperactivity and deficits in prepulse inhibition. We observed that there was an obvious parvalbumin (PV) loss in the mPFC and hippocampus of MAM-exposed mice, extending from adolescence to adulthood. Moreover, the frequency of spontaneous inhibitory postsynaptic currents (sIPSCs) in pyramidal neurons at mPFC and hippocampus was significantly dampened in the 10 and 15 mg/kg MAM-exposed mice. Furthermore, the firing rate of putative pyramidal neurons in mPFC and hippocampus was increased, while that of putative inhibitory neurons was decreased during both adolescence and adulthood. In conclusion, PV loss in mPFC and hippocampus of MAM-exposed mice may contribute to the impaired inhibitory function leading to the attenuation of inhibition in the brain both in vitro and in vivo.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582531","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
Transcranial Direct Current Stimulation over the Posterior Parietal Cortex Increases Nontarget Retrieval during Visual Working Memory. 经颅直流电刺激顶叶后皮层可提高视觉工作记忆中的非目标检索能力
IF 4.6 3区 医学
eNeuro Pub Date : 2024-11-14 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0265-24.2024
Shengfeng Ye, Menglin Wu, Congyun Yao, Gui Xue, Ying Cai
{"title":"Transcranial Direct Current Stimulation over the Posterior Parietal Cortex Increases Nontarget Retrieval during Visual Working Memory.","authors":"Shengfeng Ye, Menglin Wu, Congyun Yao, Gui Xue, Ying Cai","doi":"10.1523/ENEURO.0265-24.2024","DOIUrl":"10.1523/ENEURO.0265-24.2024","url":null,"abstract":"<p><p>Visual working memory (VWM) requires precise feature binding. Previous studies have revealed a close relationship between the posterior parietal cortex (PPC) and feature binding during VWM; this study further examined their causal relationship through three transcranial direct current stimulation (tDCS) experiments. In Experiment 1 (<i>N</i> = 57), participants underwent three sessions of tDCS separately, including PPC stimulation, occipital cortex stimulation, and sham stimulation, and completed delayed estimation tasks for orientations before and after stimulation. Results showed that tDCS over PPC selectively prolonged recall response time (RT) and increased the probability of nontarget responses (a.k.a. failure of feature binding, <i>p</i>NT). In Experiment 2 (<i>N</i> = 29), combining metacognition estimation, we further investigated whether the effects of PPC stimulation were attributed to misbinding (i.e., participants self-reported \"remembered\" in nontarget responses) or informed guessing trials (participants self-reported \"forgotten\" in nontarget responses). We replicated the main findings in Experiment 1 and observed greater tDCS effects of PPC on RT in informed guessing trials while there are comparable effects on <i>p</i>NT in these two types of trials. In Experiment 3 (<i>N</i> = 28), we then examined whether the tDCS effects over PPC specifically influenced the memory retrieval process by using a change detection task. We found that PPC stimulation did not influence the recognition RT or accuracy. Together, this study provided direct causal evidence supporting the specific involvement of PPC in feature binding during VWM retrieval, from both aspects of speed and response preference, expanding our understanding of the neural basis of feature binding in VWM.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":4.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582545","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
Erratum: Lakhani et al., "Homeostatic Regulation of Spike Rate within Bursts in Two Distinct Preparations". 更正:Lakhani 等人,"两种不同制剂中脉冲串内尖峰率的同态调节"。
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-14 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0467-24.2024
{"title":"Erratum: Lakhani et al., \"Homeostatic Regulation of Spike Rate within Bursts in Two Distinct Preparations\".","authors":"","doi":"10.1523/ENEURO.0467-24.2024","DOIUrl":"10.1523/ENEURO.0467-24.2024","url":null,"abstract":"","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":"11 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procaine regulates the STAT3/CCL5 axis and inhibits microglia M1 polarization to alleviate CFA rats pain behavior. 普鲁卡因能调节 STAT3/CCL5 轴并抑制小胶质细胞 M1 极化,从而缓解 CFA 大鼠的疼痛行为。
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-14 DOI: 10.1523/ENEURO.0303-24.2024
Yu Sun, Kai Zhang, Chen Li, QingDong Wang, Rongjia Zang
{"title":"Procaine regulates the STAT3/CCL5 axis and inhibits microglia M1 polarization to alleviate CFA rats pain behavior.","authors":"Yu Sun, Kai Zhang, Chen Li, QingDong Wang, Rongjia Zang","doi":"10.1523/ENEURO.0303-24.2024","DOIUrl":"https://doi.org/10.1523/ENEURO.0303-24.2024","url":null,"abstract":"<p><p>Neuropathic pain (NP) caused by sciatic nerve injury can significantly impact the quality of life of patients. The M1 phenotype of microglia has been reported to promote the progression of NP. Procaine is a lipid-soluble local anesthetic drug that exerts narcotic analgesic effects. Nevertheless, the detailed effect of procaine in NP is not clear. In order to explore the role of procaine in the polarization of NP microglia, HAPI cells were exposed to LPS to polarize into M1 type. In addition, the number of the M1 phenotype of HAPI cells was assessed using flow cytometry. The binding site between CCL5 and STAT3 was explored using the dual luciferase assay. Furthermore, in vivo experiments were applied for testing the impact of procaine on NP.LPS significantly inhibited HAPI cell viability, which was reversed by procaine. Consistently, procaine alleviated LPS-induced upregulation of inflammatory factors. Additionally, it significantly inhibited HAPI cells M1 polarization induced by LPS. Meanwhile, overexpression of STAT3 was able to promote HAPI cells M1 polarization through binding with the CCL5 promoter region and activating the PI3K/Akt signaling. Procaine could alleviate the painful behavior of complete Freund's adjuvant (CFA) rats by modulating the STAT3/CCL5 axis and inhibiting microglia M1 polarization. In conclusion, procaine alleviated the painful behavior of CFA rats via regulating the STAT3/CCL5 axis and inhibiting microglia M1 polarization. Hence, the research might provide a novel agent for NP treatment.<b>Significance statement</b> Neuropathic pain (NP) refers to pain caused by damage to the somatosensory system, which can be caused by brain or spinal cord injury and have a serious impact on the patient's quality of life. The M1 phenotype of microglia plays a crucial role in promoting the progression of NP. In this study, we investigated the specific mechanism of local anesthetic procaine in improving NP by inhibiting microglia polarization towards M1 type. Our findings may provide a new drug for NP treatment.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617080","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
Distinct Modulation of I h by Synaptic Potentiation in Excitatory and Inhibitory Neurons. 兴奋性神经元和抑制性神经元突触电位对 Ih 的不同调节作用
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-13 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0185-24.2024
Lotte J Herstel, Corette J Wierenga
{"title":"Distinct Modulation of <i>I</i> <sub>h</sub> by Synaptic Potentiation in Excitatory and Inhibitory Neurons.","authors":"Lotte J Herstel, Corette J Wierenga","doi":"10.1523/ENEURO.0185-24.2024","DOIUrl":"10.1523/ENEURO.0185-24.2024","url":null,"abstract":"<p><p>Selective modifications in the expression or function of dendritic ion channels regulate the propagation of synaptic inputs and determine the intrinsic excitability of a neuron. Hyperpolarization-activated cyclic nucleotide-gated (HCN) channels open upon membrane hyperpolarization and conduct a depolarizing inward current (<i>I</i> <sub>h</sub>). HCN channels are enriched in the dendrites of hippocampal pyramidal neurons where they regulate the integration of synaptic inputs. Synaptic plasticity can bidirectionally modify dendritic HCN channels in excitatory neurons depending on the strength of synaptic potentiation. In inhibitory neurons, however, the dendritic expression and modulation of HCN channels are largely unknown. In this study, we systematically compared the modulation of <i>I</i> <sub>h</sub> by synaptic potentiation in hippocampal CA1 pyramidal neurons and stratum radiatum (sRad) interneurons in mouse organotypic cultures. <i>I</i> <sub>h</sub> properties were similar in inhibitory and excitatory neurons and contributed to resting membrane potential and action potential firing. We found that in sRad interneurons, HCN channels were downregulated after synaptic plasticity, irrespective of the strength of synaptic potentiation. This suggests differential regulation of <i>I</i> <sub>h</sub> in excitatory and inhibitory neurons, possibly signifying their distinct role in network activity.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Visual Processing by Hierarchical and Dynamic Multiplexing. 通过分层和动态多路复用进行视觉处理
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-13 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0282-24.2024
Mathilde Bonnefond, Ole Jensen, Tommy Clausner
{"title":"Visual Processing by Hierarchical and Dynamic Multiplexing.","authors":"Mathilde Bonnefond, Ole Jensen, Tommy Clausner","doi":"10.1523/ENEURO.0282-24.2024","DOIUrl":"10.1523/ENEURO.0282-24.2024","url":null,"abstract":"<p><p>The complexity of natural environments requires highly flexible mechanisms for adaptive processing of single and multiple stimuli. Neuronal oscillations could be an ideal candidate for implementing such flexibility in neural systems. Here, we present a framework for structuring attention-guided processing of complex visual scenes in humans, based on multiplexing and phase coding schemes. Importantly, we suggest that the dynamic fluctuations of excitability vary rapidly in terms of magnitude, frequency and wave-form over time, i.e., they are not necessarily sinusoidal or sustained oscillations. Different elements of single objects would be processed within a single cycle (burst) of alpha activity (7-14 Hz), allowing for the formation of coherent object representations while separating multiple objects across multiple cycles. Each element of an object would be processed separately in time-expressed as different gamma band bursts (>30 Hz)-along the alpha phase. Since the processing capacity per alpha cycle is limited, an inverse relationship between object resolution and size of attentional spotlight ensures independence of the proposed mechanism from absolute object complexity. Frequency and wave-shape of those fluctuations would depend on the nature of the object that is processed and on cognitive demands. Multiple objects would further be organized along the phase of slower fluctuations (e.g., theta), potentially driven by saccades. Complex scene processing, involving covert attention and eye movements, would therefore be associated with multiple frequency changes in the alpha and lower frequency range. This framework embraces the idea of a hierarchical organization of visual processing, independent of environmental temporal dynamics.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":"11 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574700/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distinct Strategies Regulate Correlated Ion Channel mRNAs and Ionic Currents in Continually versus Episodically Active Neurons. 持续活跃与间歇活跃神经元中相关离子通道 mRNA 和离子电流的调控策略不同
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-13 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0320-24.2024
Jose A Viteri, Simone Temporal, David J Schulz
{"title":"Distinct Strategies Regulate Correlated Ion Channel mRNAs and Ionic Currents in Continually versus Episodically Active Neurons.","authors":"Jose A Viteri, Simone Temporal, David J Schulz","doi":"10.1523/ENEURO.0320-24.2024","DOIUrl":"10.1523/ENEURO.0320-24.2024","url":null,"abstract":"<p><p>Relationships among membrane currents allow central pattern generator (CPG) neurons to reliably drive motor programs. We hypothesize that continually active CPG neurons utilize activity-dependent feedback to correlate expression of ion channel genes to balance essential membrane currents. However, episodically activated neurons experience absences of activity-dependent feedback and, thus, presumably employ other strategies to coregulate the balance of ionic currents necessary to generate appropriate output after periods of quiescence. To investigate this, we compared continually active pyloric dilator (PD) neurons with episodically active lateral gastric (LG) CPG neurons of the stomatogastric ganglion (STG) in male <i>Cancer borealis</i> crabs. After experimentally activating LG for 8 h, we measured three potassium currents and abundances of their corresponding channel mRNAs. We found that ionic current relationships were correlated in LG's silent state, but ion channel mRNA relationships were correlated in the active state. In continuously active PD neurons, ion channel mRNAs and ionic currents are simultaneously correlated. Therefore, two distinct relationships exist between channel mRNA abundance and the ionic current encoded in these cells: in PD, a direct correlation exists between <i>Shal</i> channel mRNA levels and the A-type potassium current it carries. Conversely, such channel mRNA-current relationships are not detected and appear to be temporally uncoupled in LG neurons. Our results suggest that ongoing feedback maintains membrane current and channel mRNA relationships in continually active PD neurons, while in LG neurons, episodic activity serves to establish channel mRNA relationships necessary to produce the ionic current profile necessary for the next bout of activity.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11574698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review and Meta-Analysis Assessing the Accuracy of Blood Biomarkers for the Diagnosis of Ischemic Stroke in Adult and Elderly Populations. 评估血液生物标志物诊断成人和老年人群缺血性中风准确性的系统性综述和荟萃分析》(A Systematic Review and Meta-Analysis Assessing the Accuracy of Blood Biomarkers for the Diagnosis of Ischemic Stroke in Adult and Elderly Populations)。
IF 2.7 3区 医学
eNeuro Pub Date : 2024-11-11 Print Date: 2024-11-01 DOI: 10.1523/ENEURO.0302-24.2024
Suebsarn Ruksakulpiwat, Wendie Zhou, Lalipat Phianhasin, Chitchanok Benjasirisan, Tingyu Su, Heba M Aldossary, Aaron Kudlowitz, Abhilash K Challa, Jingshu Li, Kulsatree Praditukrit
{"title":"A Systematic Review and Meta-Analysis Assessing the Accuracy of Blood Biomarkers for the Diagnosis of Ischemic Stroke in Adult and Elderly Populations.","authors":"Suebsarn Ruksakulpiwat, Wendie Zhou, Lalipat Phianhasin, Chitchanok Benjasirisan, Tingyu Su, Heba M Aldossary, Aaron Kudlowitz, Abhilash K Challa, Jingshu Li, Kulsatree Praditukrit","doi":"10.1523/ENEURO.0302-24.2024","DOIUrl":"10.1523/ENEURO.0302-24.2024","url":null,"abstract":"<p><p>This study aims to elucidate the methodology and compare the accuracy of different blood biomarkers for diagnosing ischemic stroke (IS). We reviewed 29 articles retrieved from PubMed, MEDLINE, Web of Science, and CINAHL Plus with Full Text. Among these, 23 articles involving 3,494 participants were suitable for meta-analysis. The pooled area under the curve (AUC) of all studies for meta-analysis was 0.89. The pooled sensitivity and specificity were 0.76 (0.74-0.78) and 0.84 (0.83-0.86), respectively. Blood biomarkers from noninpatient settings demonstrated better diagnostic performance than those in inpatient settings (AUC 0.91 vs 0.88). Smaller sample sizes (<100) showed better performance than larger ones (≥100; AUC 0.92 vs 0.86). Blood biomarkers from acute IS (AIS) patients showed higher diagnostic values than those from IS and other stroke types (AUC 0.91 vs 0.87). The diagnostic performance of multiple blood biomarkers was superior to that of a single biomarker (AUC 0.91 vs 0.88). The diagnostic value of blood biomarkers from Caucasians was higher than that from Asians and Africans (AUC 0.90 vs 0.89, 0.75). Blood biomarkers from those with comorbidities (AUC 0.92) showed a better diagnostic performance than those not reporting comorbidities (AUC 0.84). All the subgroups analyzed, including setting, sample size, target IS population, blood biomarker profiling, ethnicity, and comorbidities could lead to heterogeneity. Blood biomarkers have demonstrated sufficient diagnostic accuracy for diagnosing IS and hold promise for integration into routine clinical practice. However, further research is recommended to refine the optimal model for utilizing blood biomarkers in IS diagnosis.</p>","PeriodicalId":11617,"journal":{"name":"eNeuro","volume":"11 11","pages":""},"PeriodicalIF":2.7,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11575121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142617083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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