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Cognitive assessment in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): a cognitive substudy of the multi-site clinical assessment of ME/CFS (MCAM). 肌痛性脑脊髓炎/慢性疲劳综合征(ME/CFS)的认知评估:ME/CFS 多点临床评估(MCAM)的认知子研究。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1460157
Gudrun Lange, Jin-Mann S Lin, Yang Chen, Elizabeth A Fall, Daniel L Peterson, Lucinda Bateman, Charles Lapp, Richard N Podell, Benjamin H Natelson, Andreas M Kogelnik, Nancy G Klimas, Elizabeth R Unger
{"title":"Cognitive assessment in myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS): a cognitive substudy of the multi-site clinical assessment of ME/CFS (MCAM).","authors":"Gudrun Lange, Jin-Mann S Lin, Yang Chen, Elizabeth A Fall, Daniel L Peterson, Lucinda Bateman, Charles Lapp, Richard N Podell, Benjamin H Natelson, Andreas M Kogelnik, Nancy G Klimas, Elizabeth R Unger","doi":"10.3389/fnins.2024.1460157","DOIUrl":"https://doi.org/10.3389/fnins.2024.1460157","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) experience cognitive problems with attention, information processing speed, working memory, learning efficiency, and executive function. Commonly, patients report worsening of cognitive symptoms over time after physical and/or cognitive challenges. To determine, monitor, and manage longitudinal decrements in cognitive function after such exposures, it is important to be able to screen for cognitive dysfunction and changes over time in clinic and also remotely at home. The primary objectives of this paper were: (1) to determine whether a brief computerized cognitive screening battery will detect differences in cognitive function between ME/CFS and Healthy Controls (HC), (2) to monitor the impact of a full-day study visit on cognitive function over time, and (3) to evaluate the impact of exercise testing on cognitive dysfunction.</p><p><strong>Methods: </strong>This cognitive sub-study was conducted between 2013 and 2019 across seven U.S. ME/CFS clinics as part of the Multi-Site Clinical Assessment of ME/CFS (MCAM) study. The analysis included 426 participants (261 ME/CFS and 165 HC), who completed cognitive assessments including a computerized CogState Brief Screening Battery (CBSB) administered across five timepoints (T0-T4) at the start of and following a full day in-clinic visit that included exercise testing for a subset of participants (182 ME/CFS and 160 HC). Exercise testing consisted of ramped cycle ergometry to volitional exhaustion. The primary outcomes are performance accuracy and latency (performance speed) on the computerized CBSB administered online in clinic (T0 and T1) and at home (T2-T4).</p><p><strong>Results: </strong>No difference was found in performance accuracy between ME/CFS and HCs whereas information processing speed was significantly slower for ME/CFS at most timepoints with Cohen's d effect sizes ranging from 0.3-0.5 (<i>p</i> < 0.01). The cognitive decline over time on all CBSB tasks was similar for patients with ME/CFS independent of whether exercise testing was included in the clinic visit.</p><p><strong>Conclusion: </strong>The challenges of a clinic visit (including cognitive testing) can lead to further cognitive deficits. A single short session of intense exercise does not further reduce speed of performance on any CBSB tasks.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647222","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
VCAN in the extracellular matrix drives glioma recurrence by enhancing cell proliferation and migration. 细胞外基质中的 VCAN 通过增强细胞的增殖和迁移,促使胶质瘤复发。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1501906
Ruolun Wei, Haoyun Xie, Yukun Zhou, Xuhao Chen, Liwei Zhang, Brandon Bui, Xianzhi Liu
{"title":"VCAN in the extracellular matrix drives glioma recurrence by enhancing cell proliferation and migration.","authors":"Ruolun Wei, Haoyun Xie, Yukun Zhou, Xuhao Chen, Liwei Zhang, Brandon Bui, Xianzhi Liu","doi":"10.3389/fnins.2024.1501906","DOIUrl":"https://doi.org/10.3389/fnins.2024.1501906","url":null,"abstract":"<p><strong>Introduction: </strong>Gliomas are the most prevalent primary malignant intracranial tumors, characterized by high rates of therapy resistance, recurrence, and mortality. A major factor contributing to the poor prognosis of gliomas is their ability to diffusely infiltrate surrounding and even distant brain tissues, rendering complete total resection almost impossible and leading to frequent recurrences. The extracellular matrix (ECM) plays a key role in the tumor microenvironment and may significantly influence glioma progression, recurrence, and therapeutic response.</p><p><strong>Methods: </strong>In this study, we first identified the ECM and the Versican (VCAN), a key ECM protein, as critical contributors to glioma recurrence through a comprehensive analysis of transcriptomic data comparing recurrent and primary gliomas. Using single-cell sequencing, we revealed heterogeneous distribution patterns and extensive intercellular communication among ECM components. External sequencing and immunohistochemical (IHC) staining further validated that VCAN is significantly upregulated in recurrent gliomas and is associated with poor patient outcomes.</p><p><strong>Results: </strong>Functional assays conducted in glioma cell lines overexpressing VCAN demonstrated that VCAN promotes cell proliferation and migration via the PI3K/Akt/AP-1 signaling pathway. Furthermore, inhibiting the PI3K/Akt pathway effectively blocked VCAN-mediated glioma progression.</p><p><strong>Conclusion: </strong>These findings provide valuable insights into the mechanisms underlying glioma recurrence and suggest that targeting both VCAN and the PI3K/Akt pathway could represent a promising therapeutic strategy for managing recurrent gliomas.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647289","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
Discriminative possibilistic clustering promoting cross-domain emotion recognition. 促进跨域情感识别的辨证可能性聚类。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1458815
Yufang Dan, Di Zhou, Zhongheng Wang
{"title":"Discriminative possibilistic clustering promoting cross-domain emotion recognition.","authors":"Yufang Dan, Di Zhou, Zhongheng Wang","doi":"10.3389/fnins.2024.1458815","DOIUrl":"https://doi.org/10.3389/fnins.2024.1458815","url":null,"abstract":"&lt;p&gt;&lt;p&gt;The affective Brain-Computer Interface (aBCI) systems strive to enhance prediction accuracy for individual subjects by leveraging data from multiple subjects. However, significant differences in EEG (Electroencephalogram) feature patterns among subjects often hinder these systems from achieving the desired outcomes. Although studies have attempted to address this challenge using subject-specific classifier strategies, the scarcity of labeled data remains a major hurdle. In light of this, Domain Adaptation (DA) technology has gradually emerged as a prominent approach in the field of EEG-based emotion recognition, attracting widespread research interest. The crux of DA learning lies in resolving the issue of distribution mismatch between training and testing datasets, which has become a focal point of academic attention. Currently, mainstream DA methods primarily focus on mitigating domain distribution discrepancies by minimizing the Maximum Mean Discrepancy (MMD) or its variants. Nevertheless, the presence of noisy samples in datasets can lead to pronounced shifts in domain means, thereby impairing the adaptive performance of DA methods based on MMD and its variants in practical applications to some extent. Research has revealed that the traditional MMD metric can be transformed into a 1-center clustering problem, and the possibility clustering model is adept at mitigating noise interference during the data clustering process. Consequently, the conventional MMD metric can be further relaxed into a possibilistic clustering model. Therefore, we construct a distributed distance measure with Discriminative Possibilistic Clustering criterion (DPC), which aims to achieve two objectives: (1) ensuring the discriminative effectiveness of domain distribution alignment by finding a shared subspace that minimizes the overall distribution distance between domains while maximizing the semantic distribution distance according to the principle of \"sames attract and opposites repel\"; and (2) enhancing the robustness of distribution distance measure by introducing a fuzzy entropy regularization term. Theoretical analysis confirms that the proposed DPC is an upper bound of the existing MMD metric under certain conditions. Therefore, the MMD objective can be effectively optimized by minimizing the DPC. Finally, we propose a domain adaptation in Emotion recognition based on DPC (EDPC) that introduces a graph Laplacian matrix to preserve the geometric structural consistency between data within the source and target domains, thereby enhancing label propagation performance. Simultaneously, by maximizing the use of source domain discriminative information to minimize domain discrimination errors, the generalization performance of the DA model is further improved. Comparative experiments on several representative domain adaptation learning methods using multiple EEG datasets (i.e., SEED and SEED-IV) show that, in most cases, the proposed method exhibits better or com","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11565435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647246","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
Nomogram model based on clinical factors and autonomic nervous system activity for predicting residual renal function decline in patients undergoing peritoneal dialysis. 基于临床因素和自主神经系统活动的预测腹膜透析患者残余肾功能衰退的提名图模型。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1429949
Jing Wang, Zhenye Chen, Yaoyu Huang, Yujun Qian, Hongqing Cui, Li Zhang, Yike Zhang, Ningning Wang, Hongwu Chen, Haibin Ren, Huijuan Mao
{"title":"Nomogram model based on clinical factors and autonomic nervous system activity for predicting residual renal function decline in patients undergoing peritoneal dialysis.","authors":"Jing Wang, Zhenye Chen, Yaoyu Huang, Yujun Qian, Hongqing Cui, Li Zhang, Yike Zhang, Ningning Wang, Hongwu Chen, Haibin Ren, Huijuan Mao","doi":"10.3389/fnins.2024.1429949","DOIUrl":"https://doi.org/10.3389/fnins.2024.1429949","url":null,"abstract":"<p><strong>Background: </strong>Several heart rate variability (HRV) parameters were reported to be associated with residual renal function (RRF) in patients undergoing continuous ambulatory peritoneal dialysis (CAPD). However, it is unclear whether using HRV or other autonomic nervous system (ANS) activity indexes can predict RRF decline in CAPD patients.</p><p><strong>Methods: </strong>Patients undergoing CAPD in 2022 from the First Affiliated Hospital of Nanjing Medical University were enrolled in this study. Their clinical characteristics, 5-min HRV parameters and average voltage of 5-min skin sympathetic nerve activity (aSKNA) were collected. According to the 12-month glomerular filtration rate (GFR) decline rate compared with the upper quartile, these patients were categorized into two groups: RRF decline (RRF-D) group and RRF stable (RRF-S) group. Clinical factors and ANS activity indexes for predicting 1-year RRF decline were analyzed using logistic regression, and a nomogram model was further established. The relationships between volume load related indexes and aSKNA were displayed by Spearman's correlation graphs.</p><p><strong>Results: </strong>Ninety-eight patients (53 women, average age of 46.7 ± 13.0 years old) with a median dialysis vintage of 24.5 months were enrolled in this study. Seventy-three patients were categorized into the RRF-S group and 25 patients into the RRF-D group. Compared with RRF-S group, patients in the RRF-D group had higher systolic blood pressure (BP; <i>p</i> = 0.019), higher GFR (<i>p</i> = 0.016), higher serum phosphorous level (<i>p</i> = 0.030), lower total Kt/V (<i>p</i> = 0.001), and lower levels of hemoglobin (<i>p</i> = 0.007) and albumin (<i>p</i> = 0.010). The RRF-D group generally exhibited lower HRV parameters and aSKNA compared with the RRF-S group. A nomogram model included clinical factors (sex, systolic BP, hemoglobin, GFR, and total Kt/V) and aSKNA showed the largest AUC of 0.940 (95% CI: 0.890-0.990) for predicting 1-year RRF decline.</p><p><strong>Conclusion: </strong>The nomogram model included clinical factors (sex, systolic BP, hemoglobin, GFR and total Kt/V) and ANS activity index (aSKNA) might be a promising tool for predicting 1-year RRF decline in CAPD patients.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647162","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
Microglia: roles and genetic risk in Parkinson's disease. 小胶质细胞:帕金森病的作用和遗传风险。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1506358
Alex R Trainor, Debra S MacDonald, Jay Penney
{"title":"Microglia: roles and genetic risk in Parkinson's disease.","authors":"Alex R Trainor, Debra S MacDonald, Jay Penney","doi":"10.3389/fnins.2024.1506358","DOIUrl":"https://doi.org/10.3389/fnins.2024.1506358","url":null,"abstract":"<p><p>The prevalence of neurodegenerative disorders such as Parkinson's disease are increasing as world populations age. Despite this growing public health concern, the precise molecular and cellular mechanisms that culminate in neurodegeneration remain unclear. Effective treatment options for Parkinson's disease and other neurodegenerative disorders remain very limited, due in part to this uncertain disease etiology. One commonality across neurodegenerative diseases is sustained neuroinflammation, mediated in large part by microglia, the innate immune cells of the brain. Initially thought to simply react to neuron-derived pathology, genetic and functional studies in recent years suggest that microglia play a more active role in the neurodegenerative process than previously appreciated. Here, we review evidence for the roles of microglia in Parkinson's disease pathogenesis and progression, with a particular focus on microglial functions that are perturbed by disease associated genes and mutations.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647159","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
Objective assessment of cognitive fatigue: a bibliometric analysis. 认知疲劳的客观评估:文献计量分析。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1479793
Jia-Cheng Han, Ke Bai, Chi Zhang, Na Liu, Guan Yang, Yu-Xuan Shang, Jia-Jie Song, Dan Su, Yan Hao, Xiu-Long Feng, Si-Rui Li, Wen Wang
{"title":"Objective assessment of cognitive fatigue: a bibliometric analysis.","authors":"Jia-Cheng Han, Ke Bai, Chi Zhang, Na Liu, Guan Yang, Yu-Xuan Shang, Jia-Jie Song, Dan Su, Yan Hao, Xiu-Long Feng, Si-Rui Li, Wen Wang","doi":"10.3389/fnins.2024.1479793","DOIUrl":"https://doi.org/10.3389/fnins.2024.1479793","url":null,"abstract":"<p><strong>Aim: </strong>The objective of this study was to gain insight into the nature of cognitive fatigue and to identify future trends of objective assessment techniques in this field.</p><p><strong>Methods: </strong>One thousand and eighty-five articles were retrieved from the Web of Science Core Collection database. R version 4.3.1, VOSviewer 1.6.20, CiteSpace 6.2.R4, and Microsoft Excel 2019 were used to perform the analysis.</p><p><strong>Results: </strong>A total of 704 institutes from 56 countries participated in the relevant research, while the People's Republic of China contributed 126 articles and was the leading country. The most productive institute was the University of Gothenburg. Johansson Birgitta from the University of Gothenburg has posted the most articles (<i>n</i> = 13). The PLOS ONE published most papers (<i>n</i> = 38). The Neurosciences covered the most citations (<i>n</i> = 1,094). A total of 3,116 keywords were extracted and those with high frequency were mental fatigue, performance, quality-of-life, etc. Keywords mapping analysis indicated that cognitive fatigue caused by continuous work and traumatic brain injury, as well as its rehabilitation, have become the current research trend. The most co-cited literature was published in Sports Medicine. The strongest citation burst was related to electroencephalogram (EEG) event-related potential and spectral power analysis.</p><p><strong>Conclusion: </strong>Publication information of related literature on the objective assessment of cognitive fatigue from 2007 to 2024 was summarized, including country and institute of origin, authors, and published journal, offering the current hotspots and novel directions in this field.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11566139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647269","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
Consistent genes associated with structural changes in clinical Alzheimer's disease spectrum. 与临床阿尔茨海默氏症谱系结构变化相关的一致基因。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1376288
Yingqi Lu, Xiaodong Zhang, Liyu Hu, Qinxiu Cheng, Zhewei Zhang, Haoran Zhang, Zhuoran Xie, Yiheng Gao, Dezhi Cao, Shangjie Chen, Jinping Xu
{"title":"Consistent genes associated with structural changes in clinical Alzheimer's disease spectrum.","authors":"Yingqi Lu, Xiaodong Zhang, Liyu Hu, Qinxiu Cheng, Zhewei Zhang, Haoran Zhang, Zhuoran Xie, Yiheng Gao, Dezhi Cao, Shangjie Chen, Jinping Xu","doi":"10.3389/fnins.2024.1376288","DOIUrl":"https://doi.org/10.3389/fnins.2024.1376288","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have demonstrated widespread brain neurodegeneration in Alzheimer's disease (AD). However, the neurobiological and pathogenic substrates underlying this structural atrophy across the AD spectrum remain largely understood.</p><p><strong>Methods: </strong>In this study, we obtained structural MRI data from ADNI datasets, including 83 participants with early-stage cognitive impairments (EMCI), 83 with late-stage mild cognitive impairments (LMCI), 83 with AD, and 83 with normal controls (NC). Our goal was to explore structural atrophy across the full clinical AD spectrum and investigate the genetic mechanism using gene expression data from the Allen Human Brain Atlas.</p><p><strong>Results: </strong>As a result, we identified significant volume atrophy in the left thalamus, left cerebellum, and bilateral middle frontal gyrus across the AD spectrum. These structural changes were positively associated with the expression levels of genes such as ABCA7, SORCS1, SORL1, PILRA, PFDN1, PLXNA4, TRIP4, and CD2AP, while they were negatively associated with the expression levels of genes such as CD33, PLCG2, APOE, and ECHDC3 across the clinical AD spectrum. Further gene enrichment analyses revealed that the positively associated genes were mainly involved in the positive regulation of cellular protein localization and the negative regulation of cellular component organization, whereas the negatively associated genes were mainly involved in the positive regulation of iron transport.</p><p><strong>Conclusion: </strong>Overall, these results provide a deeper understanding of the biological mechanisms underlying structural changes in prodromal and clinical AD.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564164/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647239","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
Analysis of the correlation and influencing factors between delirium, sleep, self-efficacy, anxiety, and depression in patients with traumatic brain injury: a cohort study. 脑外伤患者谵妄、睡眠、自我效能感、焦虑和抑郁之间的相关性和影响因素分析:一项队列研究。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-11-01 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1484777
Zhongmin Fu, Xiaoju Miao, Xian Luo, Lili Yuan, Yan Xie, Shiming Huang
{"title":"Analysis of the correlation and influencing factors between delirium, sleep, self-efficacy, anxiety, and depression in patients with traumatic brain injury: a cohort study.","authors":"Zhongmin Fu, Xiaoju Miao, Xian Luo, Lili Yuan, Yan Xie, Shiming Huang","doi":"10.3389/fnins.2024.1484777","DOIUrl":"https://doi.org/10.3389/fnins.2024.1484777","url":null,"abstract":"<p><strong>Background: </strong>Patients with traumatic brain injury (TBI) often experience post-injury anxiety and depression, which can persist over time. However, the relationships between anxiety and depression in TBI patients and delirium, sleep quality, self-efficacy, and serum inflammatory markers require further investigation.</p><p><strong>Objective: </strong>This study aims to explore the associations of delirium, sleep quality, self-efficacy, and serum inflammatory markers with anxiety and depression in TBI patients, and to examine potential influencing factors.</p><p><strong>Methods: </strong>We conducted a cohort study involving 127 patients with TBI. Delirium was assessed using the Confusion Assessment Method (CAM) and CAM-ICU, while anxiety, depression, sleep quality, self-efficacy, and pain were evaluated using the appropriate tools, respectively. Serum inflammatory markers (CRP, TNF-α, IL-6) were collected within 1 day post-injury. Generalized estimating equations (GEE) were used to analyze the relationships between delirium, sleep, self-efficacy, and anxiety/depression.</p><p><strong>Results: </strong>The study identified 56 patients with delirium. Patients with delirium differed significantly from those without delirium in age, TBI classification, sleep duration, CRP levels, TNF-α levels, pain, self-efficacy, and insomnia (<i>P</i> < 0.05). The GEE analysis revealed that delirium, CRP levels, self-efficacy, underlying diseases, insomnia, TBI classification, age, and sleep duration were associated with anxiety symptoms in TBI patients at 6 months post-discharge (<i>P</i> < 0.05). Depression in TBI patients at 6 months post-discharge was not associated with delirium or insomnia but correlated with CRP levels, TBI classification, and self-efficacy (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>TBI patients who experience delirium, insomnia, and low self-efficacy during the acute phase are likely to exhibit more anxiety at the 6-month follow-up. Depression in TBI patients is not associated with delirium or insomnia but is negatively correlated with self-efficacy. CRP levels post-TBI may serve as a biomarker to identify patients at risk of emotional symptoms and potentially accelerate patient recovery.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11564178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647121","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
More than microglia: myeloid cells and biomarkers in neurodegeneration. 不仅仅是小胶质细胞:神经退行性变中的髓样细胞和生物标志物。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1499458
Eleftheria Kodosaki, Rosie Bell, Aitana Sogorb-Esteve, Katharine Wiltshire, Henrik Zetterberg, Amanda Heslegrave
{"title":"More than microglia: myeloid cells and biomarkers in neurodegeneration.","authors":"Eleftheria Kodosaki, Rosie Bell, Aitana Sogorb-Esteve, Katharine Wiltshire, Henrik Zetterberg, Amanda Heslegrave","doi":"10.3389/fnins.2024.1499458","DOIUrl":"10.3389/fnins.2024.1499458","url":null,"abstract":"<p><p>The role of myeloid cells (granulocytes and monocytes) in neurodegeneration and neurodegenerative disorders (NDD) is indisputable. Here we discuss the roles of myeloid cells in neurodegenerative diseases, and the recent advances in biofluid and imaging myeloid biomarker research with a focus on methods that can be used in the clinic. For this review, evidence from three neurodegenerative diseases will be included, Alzheimer's disease (AD), Parkinson's disease (PD), and multiple sclerosis (MS). We discuss the potential for these biomarkers to be used in humans with suspected NDD as prognostic, diagnostic, or monitoring tools, identify knowledge gaps in literature, and propose potential approaches to further elucidate the role of myeloid cells in neurodegeneration and better utilize myeloid biomarkers in the understanding and treatment of NDD.</p>","PeriodicalId":12639,"journal":{"name":"Frontiers in Neuroscience","volume":null,"pages":null},"PeriodicalIF":3.2,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11560917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635965","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 review on targeted temperature management for cardiac arrest and traumatic brain injury. 针对心脏骤停和脑外伤的体温管理综述。
IF 3.2 3区 医学
Frontiers in Neuroscience Pub Date : 2024-10-31 eCollection Date: 2024-01-01 DOI: 10.3389/fnins.2024.1397300
Hiroshi Ito, Sanae Hosomi, Takeshi Nishida, Youhei Nakamura, Jiro Iba, Hiroshi Ogura, Jun Oda
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