Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080923
Kyoko Suzuki
{"title":"[Mechanisms of High-Level Human Visual Cognition and Associated Disorders].","authors":"Kyoko Suzuki","doi":"10.11477/mf.188160960780080923","DOIUrl":"https://doi.org/10.11477/mf.188160960780080923","url":null,"abstract":"<p><p>Human visual cognition relies on two major streams that originate in the primary visual cortex: the ventral stream, which projects to the temporal lobe, and the dorsal stream, which projects to the parietal lobe. The ventral stream processes visual features such as shape, color, and texture, which are integrated to support object recognition. Within this stream, cortical regions are further organized by stimulus categories, including faces, places, words, and objects. The dorsal stream links vision with action and spatial behavior and can be subdivided into two functional substreams. The dorso-dorsal stream, centered on the superior parietal lobule, mediates online visuomotor control and reaching movements. The ventro-dorsal stream, associated with the inferior parietal lobule, contributes to object-related actions and spatial cognition. Damage to these streams produces dissociable clinical syndromes, such as visual agnosia following ventral stream damage and visual inattention after dorsal stream damage. While previous studies have mainly examined visual cognitive dysfunction due to focal lesions, neurodegenerative disorders also provide a unique opportunity to investigate visual network vulnerability. Conditions such as posterior cortical atrophy and dementia with Lewy bodies exhibit characteristic visuocognitive impairments that reflect systematic neuronal degeneration. Analyzing symptom profiles in such disorders may clarify the functional segregation of the visual streams.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"923-930"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080931
Kimitoshi Kimura
{"title":"[Immune Checkpoint Tim-3 Regulates Microglial Function in Alzheimer's Disease].","authors":"Kimitoshi Kimura","doi":"10.11477/mf.188160960780080931","DOIUrl":"10.11477/mf.188160960780080931","url":null,"abstract":"<p><p>Microglia are resident immune cells of the central nervous system and play a central role in the pathogenesis of Alzheimer's disease (AD). Emerging evidence indicates that their functional state critically influences amyloid-β (Aβ) clearance, neuroinflammation, and disease progression. Tim-3, an immune checkpoint molecule, is highly expressed in microglia and functions as a key regulator of microglial homeostasis through the transforming growth factor-β (TGF-β)-Smad2 signaling pathway. Microglia-specific deletion of Tim-3 enhances phagocytic activity. Moreover, microglia-specific Tim-3 deficiency results in reduced Aβ deposition, decreased neurotoxicity, and improved cognitive performance in the 5xFAD mouse model of AD. These effects are not mediated by changes in Aβ production but rather by enhanced microglial clearance and remodeling of Aβ plaques into less toxic forms. Furthermore, single-cell analyses reveal that Tim-3 deficiency promotes a microglial state characterized by increased phagocytic capacity and reduced pro-inflammatory signaling. These findings suggest that Tim-3 acts as a functional checkpoint that limits beneficial microglial responses in AD and that targeting Tim-3 may therefore represent a promising therapeutic strategy for reprogramming microglia and improving disease outcomes.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"931-937"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080889
Kaoru Yagita, Masaki Takao
{"title":"[Peripheral Autonomic Neuropathy in α-Synucleinopathy].","authors":"Kaoru Yagita, Masaki Takao","doi":"10.11477/mf.188160960780080889","DOIUrl":"10.11477/mf.188160960780080889","url":null,"abstract":"<p><p>Parkinson disease and pure autonomic failure are α-synucleinopathies that lead to peripheral autonomic neuropathy. These autonomic disturbances include well-known symptoms, such as orthostatic hypotension and constipation, and often overlooked symptoms, including supine hypertension and gastroparesis. This article describes the characteristics of diverse peripheral autonomic symptoms of α-synucleinopathies and discusses therapeutic interventions available in daily clinical practice and their impact on prognosis, in the absence of established disease-modifying drugs.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"889-892"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080893
Sonoko Misawa
{"title":"[Diabetic Autonomic Neuropathy].","authors":"Sonoko Misawa","doi":"10.11477/mf.188160960780080893","DOIUrl":"10.11477/mf.188160960780080893","url":null,"abstract":"<p><p>Diabetic autonomic neuropathy is a clinically important component of diabetic neuropathy involving the cardiovascular, gastrointestinal, genitourinary, sudomotor, pupillary, and glucose counterregulatory systems. Cardiovascular autonomic neuropathy (CAN) has been extensively studied and is clinically relevant because of its association with adverse cardiovascular and renal outcomes. Early CAN is frequently silent and may only be recognized by reduced heart rate variability or abnormal cardiovascular autonomic reflex testing. As CAN progresses, patients develop resting tachycardia, reduced exercise tolerance, orthostatic or postprandial hypotension, abnormal nocturnal blood pressure regulation, and perioperative hemodynamic instability. Non-cardiovascular manifestations include gastroparesis, bowel and bladder dysfunction, erectile dysfunction, sudomotor and pupillary abnormalities, and impaired hypoglycemic awareness. The underlying mechanisms involve chronic hyperglycemia, glycemic variability, dyslipidemia, insulin resistance, oxidative and mitochondrial stress, inflammation, microvascular injury, and impaired axon-glial support. Clinically, evaluation should begin with a systematic symptom review, neurological examination, supine and standing blood pressure measurements, and heart rate assessment, followed by organ-specific testing if indicated. Treatment was based on comprehensive risk factor control and symptom-directed management.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"893-897"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080905
Shunya Nakane
{"title":"[Autoimmune Autonomic Ganglionopathy].","authors":"Shunya Nakane","doi":"10.11477/mf.188160960780080905","DOIUrl":"https://doi.org/10.11477/mf.188160960780080905","url":null,"abstract":"<p><p>Autoimmune autonomic ganglionopathy (AAG) is a peripheral neuropathy caused by immune-mediated synaptic transmission dysfunction in autonomic ganglia. Autoantibodies against the nicotinic ganglionic acetylcholine receptor (gAChR) have been detected in the sera of patients with AAG, and gAChR antibodies are considered pathogenic autoantibodies in AAG. In this review, we discuss recent clinical and research developments in AAG, focusing on the following: (1)reports on the clinical features of AAG and immunotherapy; (2)the association between COVID-19, COVID-19 vaccination, and autonomic dysfunction; (3)autonomic dysfunction as an immune-related adverse effect of immune checkpoint inhibitors in cancer treatment; and (4)new methods for measuring gAChR antibodies.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"905-912"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148801446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-08-01DOI: 10.11477/mf.188160960780080899
Minori Kodaira, Yoshiki Sekijima
{"title":"[Autonomic Dysfunction in ATTR Amyloidosis].","authors":"Minori Kodaira, Yoshiki Sekijima","doi":"10.11477/mf.188160960780080899","DOIUrl":"10.11477/mf.188160960780080899","url":null,"abstract":"<p><p>In addition to polyneuropathy, patients with hereditary transthyretin amyloidosis (ATTRv) often experience autonomic dysfunction, which reduces quality of life. Compared with patients with ATTRv from endemic areas, those from non-endemic areas rarely develop autonomic dysfunction as an initial symptom. Conversely, autonomic dysfunction can be a diagnostic red flag in patients from non-endemic areas without a family history. Autonomic dysfunction in patients with wild-type transthyretin amyloidosis (ATTRwt) has only recently been reported. However, further knowledge is needed to clarify its pathophysiology.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 8","pages":"899-903"},"PeriodicalIF":0.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-07-01DOI: 10.11477/mf.188160960780070781
Kazuhiko Yamamuro
{"title":"[Control of Social Behavior by Prefrontal-Paraventricular Thalamic Circuits Shaped by Developmental Social Experience].","authors":"Kazuhiko Yamamuro","doi":"10.11477/mf.188160960780070781","DOIUrl":"https://doi.org/10.11477/mf.188160960780070781","url":null,"abstract":"<p><p>Social behavior is an integrated output that is actively selected based on internal states and contextual factors, including arousal, emotional state, and previous social experience. Recently, the paraventricular thalamus (PVT) has emerged as a state-dependent hub connected to the prefrontal cortex and limbic regions, transforming arousal-, stress-, and motivation-related signals into behavioral outputs. This review discusses how developmental social experiences reshape prefrontal PVT circuits and regulate social approaches and avoidance behaviors in adulthood at circuit and behavioral levels.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 7","pages":"781-785"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-07-01DOI: 10.11477/mf.188160960780070761
Yasuo Kawaguchi, Jaerin Sohn
{"title":"[Interaction between Corticocortical and Thalamic Inputs in the Frontal Cortex Underlying Executive Function].","authors":"Yasuo Kawaguchi, Jaerin Sohn","doi":"10.11477/mf.188160960780070761","DOIUrl":"https://doi.org/10.11477/mf.188160960780070761","url":null,"abstract":"<p><p>The frontal cortex receives signals from the cerebellum and basal ganglia via the thalamus. These inputs interact with the circuits to produce unified outputs. In rodents, the secondary motor area (M2) occupies a higher hierarchical level than the primary motor area (M1). Investigating these circuits is essential to elucidate the mechanisms by which corticocortical feedback projections support executive function. This article reviews the interactions between feedback inputs from M2 to M1 and thalamic inputs originating from the cerebellum and basal ganglia, and their functional significance.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 7","pages":"761-768"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-07-01DOI: 10.11477/mf.188160960780070829
Yoshiyuki Nishio
{"title":"[Thalamic Aphasia: Viewing Language from the Thalamus].","authors":"Yoshiyuki Nishio","doi":"10.11477/mf.188160960780070829","DOIUrl":"https://doi.org/10.11477/mf.188160960780070829","url":null,"abstract":"<p><p>Aphasia resulting from cortical lesions typically manifests as a static impairment caused by the structural destruction of cortical language areas. In contrast, thalamic aphasia presents with contextually inappropriate speech, such as unrelated and morphemic paraphasias, and fluctuating symptoms across contexts and situations. This article integrates classical semiology with recent insights from systems and computational neuroscience to explain these phenomena. We introduce a framework in which the cerebral cortex serves as a comprehensive dictionary that stores phonological, lexical, and syntactic knowledge, whereas the thalamus acts as a dynamic filter for language production. The thalamus actively selects contextually appropriate words and suppresses irrelevant alternatives. Therefore, thalamic aphasia is explained as a breakdown in the dynamic, context-dependent control of cortical language networks. This approach translates computational principles into clinical phenomenology, thereby clarifying the distinct roles of the cortex and thalamus in language processing.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 7","pages":"829-839"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Brain and NervePub Date : 2026-07-01DOI: 10.11477/mf.188160960780070821
Gen-Ichi Tasaka
{"title":"[Structure and Function of Thalamocortical Circuits Underlying Alloparental Behaviors].","authors":"Gen-Ichi Tasaka","doi":"10.11477/mf.188160960780070821","DOIUrl":"https://doi.org/10.11477/mf.188160960780070821","url":null,"abstract":"<p><p>The thalamus is widely recognized as a major source of input to the cerebral cortex and extensive knowledge of its anatomical connectivity has been accumulated through classical tracer studies. However, the quantitative characteristics of the thalamocortical connections and their physiological functions remain poorly understood. This issue is particularly important for higher-order cortical areas, such as the prefrontal cortex, which lack the prominent layer-4 bottom-up input characteristics of sensory cortices, raising the unresolved question of what types of inputs underlie higher cognitive functions. Moreover, the presence of anatomical connections alone does not directly reveal which information is transmitted or how strongly it is conveyed in functional terms. This review focuses on parental behavior, a form of social behavior shaped by the complex interaction between learning and innate processes, and summarizes recent findings on the anatomical organization and physiological functions of the thalamocortical circuits formed between the orbitofrontal cortex and its thalamic partners.</p>","PeriodicalId":52507,"journal":{"name":"Brain and Nerve","volume":"78 7","pages":"821-827"},"PeriodicalIF":0.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}