Neural Plasticity最新文献

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Repetitive Transcranial Magnetic Stimulation for Neuropathic Pain and Neuropsychiatric Symptoms in Traumatic Brain Injury: A Systematic Review and Meta-Analysis. 重复经颅磁刺激治疗创伤性脑损伤的神经性疼痛和神经精神症状:系统回顾和荟萃分析。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-30 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2036736
Xin Li, Tijiang Lu, Hong Yu, Jie Shen, Zhengquan Chen, Xiaoyan Yang, Zefan Huang, Yuqi Yang, Yufei Feng, Xuan Zhou, Qing Du
{"title":"Repetitive Transcranial Magnetic Stimulation for Neuropathic Pain and Neuropsychiatric Symptoms in Traumatic Brain Injury: A Systematic Review and Meta-Analysis.","authors":"Xin Li,&nbsp;Tijiang Lu,&nbsp;Hong Yu,&nbsp;Jie Shen,&nbsp;Zhengquan Chen,&nbsp;Xiaoyan Yang,&nbsp;Zefan Huang,&nbsp;Yuqi Yang,&nbsp;Yufei Feng,&nbsp;Xuan Zhou,&nbsp;Qing Du","doi":"10.1155/2022/2036736","DOIUrl":"https://doi.org/10.1155/2022/2036736","url":null,"abstract":"<p><p>Neuropathic pain and neuropsychiatric symptoms are common complications reported by the traumatic brain injury (TBI) population. Although a growing body of research has indicated the effectiveness of repetitive transcranial magnetic stimulation (rTMS) for the management of neurological and psychiatric disorders, little evidence has been presented to support the effects of rTMS on neuropathic pain and neuropsychiatric symptoms in patients with TBI in all age groups. In addition, a better understanding of the potential factors that might influence the therapeutic effect of rTMS is necessary. The objective of this preregistered systematic review and meta-analysis was to quantify the effects of rTMS on physical and psychological symptoms in individuals with TBI. We systematically searched six databases for randomized controlled trials (RCTs) of rTMS in TBI patients reporting pain and neuropsychiatric outcomes published until March 20, 2022. The mean difference (MD) with 95% confidence intervals (CIs) was estimated separately for outcomes to understand the mean effect size. Twelve RCTs with 276 TBI patients were ultimately selected from 1605 records for systematic review, and 11 of the studies were included in the meta-analysis. Overall, five of the included studies showed a low risk of bias. The effects of rTMS on neuropathic pain were statistically significant (MD = -1.00, 95% CI -1.76 to -0.25, <i>P</i> = 0.009), with high heterogeneity (<i>I</i> <sup>2</sup> = 76%). A significant advantage of 1 Hz rTMS over the right dorsolateral prefrontal cortex (DLPFC) in improving depression (MD = -6.52, 95% CI -11.58 to -1.46, <i>P</i> = 0.01) was shown, and a significant improvement was noted in the Rivermead Post-Concussion Symptoms Questionnaire-13 (RPQ-13) scores of mild TBI patients after rTMS (MD = -5.87, 95% CI -10.63 to -1.11, <i>P</i> = 0.02). However, no significance was found in cognition measurement. No major adverse events related to rTMS were reported. Moderate evidence suggests that rTMS can effectively and safely improve neuropathic pain, while its effectiveness on depression, postconcussion symptoms, and cognition is limited. More trials with a larger number of participants are needed to draw firm conclusions. This trial is registered with PROSPERO (PROSPERO registration number: CRD42021242364.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"2036736"},"PeriodicalIF":3.1,"publicationDate":"2022-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9357260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40599107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 5
Low-Intensity Focused Ultrasound Alleviates Chronic Neuropathic Pain-Induced Allodynia by Inhibiting Neuroplasticity in the Anterior Cingulate Cortex. 低强度聚焦超声通过抑制前扣带皮层的神经可塑性减轻慢性神经性疼痛引起的异常痛。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6472475
Bin Wang, Mo-Xian Chen, Shao-Chun Chen, Xiang-Jun Feng, Ye-Hui Liao, Yun-Xin Zhao, Jin-Shan Tie, Yao Liu, Li-Juan Ao
{"title":"Low-Intensity Focused Ultrasound Alleviates Chronic Neuropathic Pain-Induced Allodynia by Inhibiting Neuroplasticity in the Anterior Cingulate Cortex.","authors":"Bin Wang,&nbsp;Mo-Xian Chen,&nbsp;Shao-Chun Chen,&nbsp;Xiang-Jun Feng,&nbsp;Ye-Hui Liao,&nbsp;Yun-Xin Zhao,&nbsp;Jin-Shan Tie,&nbsp;Yao Liu,&nbsp;Li-Juan Ao","doi":"10.1155/2022/6472475","DOIUrl":"https://doi.org/10.1155/2022/6472475","url":null,"abstract":"<p><p>Low-intensity focused ultrasound (LIFU) is a potential noninvasive method to alleviate allodynia by modulating the central nervous system. However, the underlying analgesic mechanisms remain unexplored. Here, we assessed how LIFU at the anterior cingulate cortex (ACC) affects behavior response and central plasticity resulting from chronic constrictive injury (CCI). The safety of LIFU stimulation was assessed by hematoxylin and eosin (H&E) and Fluoro-Jade C (FJC) staining. A 21-day ultrasound exposure therapy was conducted from day 91 after CCI surgery in mice. We assessed the 50% mechanical withdrawal threshold (MWT<sub>50</sub>) using Von Frey filaments (VFFs). The expression levels of microtubule-associated protein 2 (MAP2), growth-associated protein 43 (GAP43), and tau were determined via western blotting (WB) and immunofluorescence (IF) staining to evaluate the central plasticity in ACC. The regions of ACC were activated effectively and safely by LIFU stimulation, which significantly increased the number of c-fos-positive cells (<i>P</i> < 0.05) with no bleeding, coagulative necrosis, and neuronal loss. Under chronic neuropathic pain- (CNP-) induced allodynia, MWT<sub>50</sub> decreased significantly (<i>P</i> < 0.05), and overexpression of MAP2, GAP43, and tau was also observed. After 3 weeks of treatment, significant increases in MWT<sub>50</sub> were found in the CCI+LIFU group compared with the CCI group (<i>P</i> < 0.05). WB and IF staining both demonstrated a significant reduction in the expression levels of MAP2, GAP43, and tau (<i>P</i> < 0.05). LIFU treatment on ACC can effectively attenuate CNP-evoked mechanical sensitivity to pain and reverse aberrant central plasticity.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"6472475"},"PeriodicalIF":3.1,"publicationDate":"2022-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Aerobic Exercise and Human Visual Cortex Neuroplasticity: A Narrative Review. 有氧运动与人类视觉皮层神经可塑性:叙述性综述。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-23 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6771999
Dania Abuleil, Benjamin Thompson, Kristine Dalton
{"title":"Aerobic Exercise and Human Visual Cortex Neuroplasticity: A Narrative Review.","authors":"Dania Abuleil, Benjamin Thompson, Kristine Dalton","doi":"10.1155/2022/6771999","DOIUrl":"10.1155/2022/6771999","url":null,"abstract":"<p><p>There is compelling evidence from animal models that physical exercise can enhance visual cortex neuroplasticity. In this narrative review, we explored whether exercise has the same effect in humans. We found that while some studies report evidence consistent with exercise-induced enhancement of human visual cortex neuroplasticity, others report no effect or even reduced neuroplasticity following exercise. Differences in study methodology may partially explain these varying results. Because the prospect of exercise increasing human visual cortex neuroplasticity has important implications for vision rehabilitation, additional research is required to resolve this discrepancy in the literature.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"6771999"},"PeriodicalIF":3.1,"publicationDate":"2022-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9338869/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40662768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Local and Distributed fMRI Changes Induced by 40 Hz Gamma tACS of the Bilateral Dorsolateral Prefrontal Cortex: A Pilot Study. 40 Hz伽玛tACS诱导双侧背外侧前额皮质局部和分布的fMRI变化:一项初步研究。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-16 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6197505
Lucia Mencarelli, Lucia Monti, Sara Romanella, Francesco Neri, Giacomo Koch, Ricardo Salvador, Giulio Ruffini, Giulia Sprugnoli, Simone Rossi, Emiliano Santarnecchi
{"title":"Local and Distributed fMRI Changes Induced by 40 Hz Gamma tACS of the Bilateral Dorsolateral Prefrontal Cortex: A Pilot Study.","authors":"Lucia Mencarelli,&nbsp;Lucia Monti,&nbsp;Sara Romanella,&nbsp;Francesco Neri,&nbsp;Giacomo Koch,&nbsp;Ricardo Salvador,&nbsp;Giulio Ruffini,&nbsp;Giulia Sprugnoli,&nbsp;Simone Rossi,&nbsp;Emiliano Santarnecchi","doi":"10.1155/2022/6197505","DOIUrl":"https://doi.org/10.1155/2022/6197505","url":null,"abstract":"<p><p>Over the past few years, the possibility of modulating fast brain oscillatory activity in the gamma (<i>γ</i>) band through transcranial alternating current stimulation (tACS) has been discussed in the context of both cognitive enhancement and therapeutic scenarios. However, the effects of tACS targeting regions outside the motor cortex, as well as its spatial specificity, are still unclear. Here, we present a concurrent tACS-fMRI block design study to characterize the impact of 40 Hz tACS applied over the left and right dorsolateral prefrontal cortex (DLPFC) in healthy subjects. Results suggest an increase in blood oxygenation level-dependent (BOLD) activity in the targeted bilateral DLPFCs, as well as in surrounding brain areas affected by stimulation according to biophysical modeling, i.e., the premotor cortex and anterior cingulate cortex (ACC). However, off-target effects were also observed, primarily involving the visual cortices, with further effects on the supplementary motor areas (SMA), left subgenual cingulate, and right superior temporal gyrus. The specificity of 40 Hz tACS over bilateral DLPFC and the possibility for network-level effects should be considered in future studies, especially in the context of recently promoted gamma-induction therapeutic protocols for neurodegenerative disorders.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"6197505"},"PeriodicalIF":3.1,"publicationDate":"2022-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9308536/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40539114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2
Peripheral Repetitive Transcranial Magnetic Stimulation(rTMS) for Idiopathic Facial Nerve Palsy: A Prospective, Randomized Controlled Trial. 外周重复经颅磁刺激(rTMS)治疗特发性面神经麻痹:一项前瞻性随机对照试验。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-13 eCollection Date: 2022-01-01 DOI: 10.1155/2022/7536783
Zicai Liu, Dongling Xie, Xin Wen, Risheng Wang, Quan Yang, Huiyu Liu, Yuchun Shao, Tingting Liu
{"title":"Peripheral Repetitive Transcranial Magnetic Stimulation(rTMS) for Idiopathic Facial Nerve Palsy: A Prospective, Randomized Controlled Trial.","authors":"Zicai Liu,&nbsp;Dongling Xie,&nbsp;Xin Wen,&nbsp;Risheng Wang,&nbsp;Quan Yang,&nbsp;Huiyu Liu,&nbsp;Yuchun Shao,&nbsp;Tingting Liu","doi":"10.1155/2022/7536783","DOIUrl":"https://doi.org/10.1155/2022/7536783","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to evaluate the clinical efficacy of peripheral repetitive transcranial magnetic stimulation (rTMS) in the treatment of idiopathic facial paralysis, to explore an ideal treatment scheme for idiopathic facial paralysis, and to provide evidence for clinical rehabilitation.</p><p><strong>Methods: </strong>65 patients with idiopathic facial nerve palsy with the first onset were recruited and randomly divided into rTMS group and control group. Both groups received conventional treatment, rTMS group received additional repetitive transcranial magnetic stimulation to the affected side once a day, 5 times a week for 2 weeks. House-Brackmann (HB) grading scale, Sunnybrook facial grading system (SFGS), and modified Portmann scale (MPS) were used to assess facial nerve function before and after treatment, and the time for patients to return to normal facial nerve function and adverse reaction (AR) was also the main observation index.</p><p><strong>Results: </strong>After a 2-week intervention, HB, SFGS, and MPS increased in both groups (<i>P</i> < 0.01); the improvement of HB, SFGS, and MPS in rTMS group was significantly higher than that in control group (<i>P</i> < 0.01). The effective improvement rate of the TMS group after 2 weeks was 90.0%, and that of the control group was 53.3%, and the difference was statistically significant (<i>P</i> < 0.01).</p><p><strong>Conclusions: </strong>Repetitive transcranial magnetic stimulation is a safe and effective noninvasive method for the treatment of idiopathic facial paralysis, which can significantly accelerate the recovery of facial nerve function and provide a new treatment idea for further improving the prognosis of patients with idiopathic facial paralysis.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"7536783"},"PeriodicalIF":3.1,"publicationDate":"2022-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9300274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 1
Proteomic Analysis Reveals the Vital Role of Synaptic Plasticity in the Pathogenesis of Temporal Lobe Epilepsy. 蛋白质组学分析揭示突触可塑性在颞叶癫痫发病机制中的重要作用。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-07-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8511066
Xu Qian, Ji-Qiang Ding, Xin Zhao, Xin-Wen Sheng, Zhao-Rui Wang, Qi-Xing Yang, Jing-Jun Zheng, Jia-Gui Zhong, Teng-Yue Zhang, Shu-Qiao He, Wei-Dong Ji, Wei Li, Mei Zhang
{"title":"Proteomic Analysis Reveals the Vital Role of Synaptic Plasticity in the Pathogenesis of Temporal Lobe Epilepsy.","authors":"Xu Qian,&nbsp;Ji-Qiang Ding,&nbsp;Xin Zhao,&nbsp;Xin-Wen Sheng,&nbsp;Zhao-Rui Wang,&nbsp;Qi-Xing Yang,&nbsp;Jing-Jun Zheng,&nbsp;Jia-Gui Zhong,&nbsp;Teng-Yue Zhang,&nbsp;Shu-Qiao He,&nbsp;Wei-Dong Ji,&nbsp;Wei Li,&nbsp;Mei Zhang","doi":"10.1155/2022/8511066","DOIUrl":"https://doi.org/10.1155/2022/8511066","url":null,"abstract":"<p><p>Temporal lobe epilepsy (TLE) is a chronic neurological disorder that is often resistant to antiepileptic drugs. The pathogenesis of TLE is extremely complicated and remains elusive. Understanding the molecular mechanisms underlying TLE is crucial for its diagnosis and treatment. In the present study, a lithium-pilocarpine-induced TLE model was employed to reveal the pathological changes of hippocampus in rats. Hippocampal samples were taken for proteomic analysis at 2 weeks after the onset of spontaneous seizure (a chronic stage of epileptogenesis). Isobaric tag for relative and absolute quantization (iTRAQ) coupled with liquid chromatography-tandem mass spectrometry (LC-MS/MS) technique was applied for proteomic analysis of hippocampus. A total of 4173 proteins were identified from the hippocampi of epileptic rats and its control, of which 27 differentially expressed proteins (DEPs) were obtained with a fold change > 1.5 and <i>P</i> < 0.05. Bioinformatics analysis indicated 27 DEPs were mainly enriched in \"regulation of synaptic plasticity and structure\" and \"calmodulin-dependent protein kinase activity,\" which implicate synaptic remodeling may play a vital role in the pathogenesis of TLE. Consequently, the synaptic plasticity-related proteins and synaptic structure were investigated to verify it. It has been demonstrated that CaMKII-<i>α</i>, CaMKII-<i>β</i>, and GFAP were significant upregulated coincidently with proteomic analysis in the hippocampus of TLE rats. Moreover, the increased dendritic spines and hippocampal sclerosis further proved that synaptic plasticity involves in the development of TLE. The present study may help to understand the molecular mechanisms underlying epileptogenesis and provide a basis for further studies on synaptic plasticity in TLE.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"8511066"},"PeriodicalIF":3.1,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9293557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40609498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 7
p38 MAPK Endogenous Inhibition Improves Neurological Deficits in Global Cerebral Ischemia/Reperfusion Mice. p38 MAPK内源性抑制改善全脑缺血/再灌注小鼠的神经功能缺损。
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3300327
Kun Hou, Zhi-Cheng Xiao, Hai-Long Dai
{"title":"p38 MAPK Endogenous Inhibition Improves Neurological Deficits in Global Cerebral Ischemia/Reperfusion Mice.","authors":"Kun Hou,&nbsp;Zhi-Cheng Xiao,&nbsp;Hai-Long Dai","doi":"10.1155/2022/3300327","DOIUrl":"https://doi.org/10.1155/2022/3300327","url":null,"abstract":"<p><p>Cerebral ischemia/reperfusion (I/R) injury is a complex pathophysiological process that can lead to neurological function damage and the formation of cerebral infarction. The p38 MAPK pathway has attracted considerable attention in cerebral I/R injury (IRI), but little research has been carried out on its direct role in vivo. In this study, to observe the effects of p38 MAPK endogenous inhibition on cerebral IRI, p38 heterozygous knockdown (p38<sup>KI/+</sup>) mice were used. We hypothesized that p38 signaling might be involved in I/R injury and neurological damage reduction and that neurological behavioral deficits improve when p38 MAPK is inhibited. First, we examined the neurological damage and neurological behavioral deficit effects of I/R injury in WT mice. Cerebral I/R injury was induced by the bilateral common carotid artery occlusion (BCCAO) method. The cerebral infarction area and volume were assessed and analyzed by 2,3,5-triphenyltetrazolium chloride (TTC) staining. p38 MAPK and caspase-3 were detected by western blotting. Neuronal apoptosis was measured using TUNEL staining. Neurological deficits were detected by behavioral testing. Furthermore, to assess whether these neuroprotective effects occurred when p38 MAPK was inhibited, p38 heterozygous knockdown (p38<sup>KI/+</sup>) mice were used. We found that p38 MAPK endogenous inhibition rescued hippocampal cell apoptosis, reduced ischemic penumbra, and improved neurological behavioral deficits. These findings showed that p38 MAPK endogenous inhibition had a neuroprotective effect on IRI and that p38 MAPK may be a potential therapeutic target for cerebral IRI.</p>","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":" ","pages":"3300327"},"PeriodicalIF":3.1,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40488502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 3
Quantitative and Fiber-Selective Evaluation for Central Poststroke Pain 中枢性脑卒中后疼痛的定量和纤维选择性评估
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-06-06 DOI: 10.1155/2022/1507291
Jian-Min Chen, Qing-Fa Chen, Zhi-Yong Wang, Guo-Xin Ni
{"title":"Quantitative and Fiber-Selective Evaluation for Central Poststroke Pain","authors":"Jian-Min Chen, Qing-Fa Chen, Zhi-Yong Wang, Guo-Xin Ni","doi":"10.1155/2022/1507291","DOIUrl":"https://doi.org/10.1155/2022/1507291","url":null,"abstract":"The electrophysiological recording can be used to quantify the clinical features of central poststroke pain (CPSP) caused by different lesion locations. We aimed to explore the relationship between clinical features and lesion location in patients with CPSP using the current perception threshold (CPT) approach. Here, patients underwent the standardized CPT measure at five detection sites on both the contralesional and ipsilesional sides, using a constant alternating-current sinusoid waveform stimulus at three frequencies: 2000 Hz, 250 Hz, and 5 Hz. 57 CPSP patients were recruited in this cross-sectional study, including 13 patients with thalamic lesions and 44 patients with internal capsule lesions. Patients with a thalamic lesion had more frequent abnormal Aδ and C fibers than those with an internal capsule lesion (69.2% versus 36.4%, p value = 0.038; 53.8% versus 63.6%, p value = 0.038). The patients with internal capsule lesions had more frequent abnormal Aβ fibers than those with thalamic lesions (53.8% versus 63.6%, p value < 0.001). The sensory dysfunction in the patients with thalamic lesions was more likely to occur in the upper limbs (i.e., the shoulder (p value = 0.027) and the finger (p value = 0.040)). The lower limbs (i.e., the knee (p value = 0.040) and the toe (p value = 0.005)) were more likely to experience sensory dysfunction in the patients with internal capsule lesions. Hyperesthesia was more likely to occur in the thalamic patients, and hypoesthesia was more likely to occur in the patients with internal capsule lesions (p value < 0.001). In patients with thalamic lesions, Visual Analogue Scale (VAS) had a positive correlation with 5 Hz CPT on the shoulder (r = 0.010, p value = 0.005), 250 Hz CPT on the finger (r = 0.690, p value = 0.009) from the contralesional side, and 2000 Hz CPT on the knee (r = 0.690, p value = 0.009). In patients with internal capsule lesions, VAS had a positive correlation with 2000 Hz CPT on the knee (r = 0.312, p value = 0.039) and foot (r = 0.538, p value < 0.001). In conclusion, the abnormal fiber types, sensory dysfunction territory, and clinical signs of CPSP in thalamic stroke differ from those in internal capsule stroke. Implementation of the portable and convenient CPT protocol may help clarify the locations of different stroke lesions in various clinical settings.","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":"16 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87372828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Performance Comparison of Different Neuroimaging Methods for Predicting Upper Limb Motor Outcomes in Patients after Stroke 不同神经影像学方法预测脑卒中患者上肢运动预后的性能比较
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-06-06 DOI: 10.1155/2022/4203698
Jingyan Tao, Zhaoqing Li, Yang Liu, Jianhua Li, Ruiliang Bai
{"title":"Performance Comparison of Different Neuroimaging Methods for Predicting Upper Limb Motor Outcomes in Patients after Stroke","authors":"Jingyan Tao, Zhaoqing Li, Yang Liu, Jianhua Li, Ruiliang Bai","doi":"10.1155/2022/4203698","DOIUrl":"https://doi.org/10.1155/2022/4203698","url":null,"abstract":"Several neuroimaging methods have been proposed to assess the integrity of the corticospinal tract (CST) for predicting recovery of motor function after stroke, including conventional structural magnetic resonance imaging (sMRI) and diffusion tensor imaging (DTI). In this study, we aimed to compare the predicative performance of these methods using different neuroimaging modalities and optimize the prediction protocol for upper limb motor function after stroke in a clinical environment. We assessed 28 first-ever stroke patients with upper limb motor impairment. We used the upper extremity module of the Fugl-Meyer assessment (UE-FM) within 1 month of onset (baseline) and again 3 months poststroke. sMRI (T1- and T2-based) was used to measure CST-weighted lesion load (CST-wLL), and DTI was used to measure the fractional anisotropy asymmetry index (FAAI) and the ratio of fractional anisotropy (rFA). The CST-wLL within 1 month poststroke was closely correlated with upper limb motor outcomes and recovery potential. CST‐wLL ≥ 2.068 cc indicated serious CST damage and a poor outcome (100%). CST‐wLL < 1.799 cc was correlated with a considerable rate (>70%) of upper limb motor function recovery. CST-wLL showed a comparable area under the curve (AUC) to that of the CST-FAAI (p = 0.71). Inclusion of extra-CST-FAAI did not significantly increase the AUC (p = 0.58). Our findings suggest that sMRI-derived CST-wLL is a precise predictor of upper limb motor outcomes 3 months poststroke. We recommend this parameter as a predictive imaging biomarker for classifying patients' recovery prognosis in clinical practice. Conversely, including DTI appeared to induce no significant benefits.","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":"52 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74944617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 3
Rapamycin Attenuates Anxiety and Depressive Behavior Induced by Helicobacter pylori in Association with Reduced Circulating Levels of Ghrelin 雷帕霉素减轻幽门螺杆菌诱导的焦虑和抑郁行为与胃饥饿素循环水平降低的关系
IF 3.1 4区 医学
Neural Plasticity Pub Date : 2022-05-30 DOI: 10.1155/2022/2847672
J. Tian, Zeyu Wang, Yadi Ren, Yong Jiang, Ying Zhao, Man Li, Zhiguang Zhang
{"title":"Rapamycin Attenuates Anxiety and Depressive Behavior Induced by Helicobacter pylori in Association with Reduced Circulating Levels of Ghrelin","authors":"J. Tian, Zeyu Wang, Yadi Ren, Yong Jiang, Ying Zhao, Man Li, Zhiguang Zhang","doi":"10.1155/2022/2847672","DOIUrl":"https://doi.org/10.1155/2022/2847672","url":null,"abstract":"Background Helicobacter pylori (H. pylori) infection is closely associated with depression and development of neuroinflammation. The aim of this study is to explore the relationship between H. pylori, depression, and circulating levels of ghrelin. Methods Mice were randomly divided into three groups: healthy control group (gavaged sterile saline and injected with saline, n = 8); H. pylori+saline group (gavaged H. pylori and injected with saline, n = 8); and H. pylori+rapa group (gavaged H. pylori and injected with rapamycin, n = 8). Open field test (OFT), sucrose preference test (SPT), forced swim test (FST), and tail suspension test (TST) were used for anxiety and depressive behavior test. Western blotting was utilized to assess mTOR, p-mTOR, and GSMD expression, and serum ghrelin levels were estimated using ELISA. Results In the OFT, the control mice moved more and exhibited a increase in crossing number relative to the H. pylori+saline mice (all P < 0.05). Increased quantity of fecal boli can be indicative of increased anxiety and emotionality of the subject animal. H. pylori+saline mice exhibited an increase in fecal boli when compared to control mice and H. pylori+rapa mice (P < 0.05). H. pylori infected mice decreasing the expression of ghrelin. The protein levels of p-mTOR/mTOR in the gastric antrum mTOR signaling activation and low-level ghrelin in H. pylori-infect mice compared to those in control mice (all P <0.001). Compared with single H. pylori infection, mTOR inhibitors increased the ghrelin secretion of H. pylori infection to a certain extent (P < 0.05). The protein levels of GSDMD expression significantly increase in hippocampus of H. pylori-infected mice (P < 0.001). Rapamycin treatment inhibited expression of GSDMD in H. pylori-infected mice (P < 0.05). Conclusions H. pylori infection is associated with increased expression of mTOR and decreased circulating levels of ghrelin. Elevated pyroptosis in the brain and anxiety- and depressed-like behaviors occur when ghrelin levels are suppressed.","PeriodicalId":19122,"journal":{"name":"Neural Plasticity","volume":"42 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2022-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81143675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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: 2
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