Brain-X最新文献

筛选
英文 中文
A new mechanism of consciousness recovery from anesthesia regulated by K+-Cl– cotransporter KCC2 K+-Cl协同转运蛋白KCC2调节麻醉后意识恢复的新机制
Brain-X Pub Date : 2023-06-01 DOI: 10.1002/brx2.19
Jinwei Zhang
{"title":"A new mechanism of consciousness recovery from anesthesia regulated by K+-Cl– cotransporter KCC2","authors":"Jinwei Zhang","doi":"10.1002/brx2.19","DOIUrl":"https://doi.org/10.1002/brx2.19","url":null,"abstract":"<p>Neuroscience faces a puzzle in understanding the mechanism of general anesthesia. In the past, it was widely believed that recovery from anesthesia was a passive process caused by the breakdown of anesthetic agents. However, recent studies have challenged this view. For instance, activating specific neural circuits can promote the recovery of consciousness,<span><sup>1</sup></span> indicating that these circuits is related to consciousness recovery and could play a crucial role in promoting it. However, prior to the recent work of Hu et al.,<span><sup>2</sup></span> research had not yet examined the core of consciousness recovery.</p><p>Hu et al. presented findings indicating that consciousness recovery is an active, not passive, process.<span><sup>3</sup></span> So-called passive recovery is merely an easily observable, intuitive, and superficial phenomenon and is not the essence of consciousness recovery. The authors used a combination of the traditional righting reflex test and a newly established scale to assess the level of consciousness in animals during the loss of consciousness following anesthetic administration. In mice, the administration of propofol, pentobarbital, or ketamine via intraperitoneal injection resulted in loss of the righting reflex (LORR) within 1 min and a righting reflex score of less than 3 within 15–20 min. The authors defined the state of mice with a consciousness score of less than 3 as the minimal response state (MRS) (Figure 1A). They then found that the active process of consciousness recovery is driven by inherent dynamics within the brain, initiated by a neurochemical reaction triggered by the ubiquitin degradation of the K<sup>+</sup>-Cl<sup>−</sup> cotransporter-2 (KCC2), mediated by ubiquitin ligase Fbxl4 (F-box and leucine-rich repeat protein 4), in the ventral posteromedial nucleus (VPM) of the thalamus. Interestingly, the total amount of KCC2 (tKCC2) was observed to decrease from the awake state to MRS and increase from MRS to the recovery of the righting reflex (RRR), and with opposite changes in the amount of KCC2 Thr1007 phosphorylation (pKCC2) in the thalamus and hypothalamus (Figure 1B). The decreased tKCC2 and increased pKCC2 during MRS resulted in lower KCC2 activity, leading to elevated intraneuronal Cl<sup>−</sup> levels [Cl<sup>−</sup>]<sub>\u0000 <i>i</i>\u0000 </sub>. This facilitated γ-aminobutyric acid (GABA)-driven Cl<sup>−</sup> output, which in turn led to GABA<sub>A</sub> receptor-mediated depolarization in VPM neurons (Figure 1C). Further in vitro experiments have shown that the interaction between KCC2 and Fbxl4 depends on the phosphorylation of KCC2 at Thr1007, which plays a critical role in the ubiquitination of KCC2 during propofol anesthesia. As a result, VPM neurons are disinhibited through GABA<sub>A</sub> receptor-mediated signaling, which accelerates the recovery of excitability and consciousness arousal.</p><p>Hu et al. discovered that ubiquitin degradati","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50115615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The oscillating mystery: The effects of forty-hertz entrainment in treating Alzheimer's disease 振荡之谜:40赫兹夹带在治疗阿尔茨海默病中的作用
Brain-X Pub Date : 2023-05-30 DOI: 10.1002/brx2.14
Chuanliang Han
{"title":"The oscillating mystery: The effects of forty-hertz entrainment in treating Alzheimer's disease","authors":"Chuanliang Han","doi":"10.1002/brx2.14","DOIUrl":"https://doi.org/10.1002/brx2.14","url":null,"abstract":"<p>Imagine standing at crossroads unable to find your way home or gazing into the eyes of your loved one without remembering their name. For some, this is not merely imagination but the reality of Alzheimer's disease (AD). AD is a neurodegenerative disease that predominantly affects the elderly and stands as the leading cause of dementia. However, its etiology and pathogenesis remain poorly understood. One hallmark of AD is the accumulation of abnormal proteins in the brain, including amyloid-beta (Aβ) and tau. These proteins can disrupt the normal functioning of neurons and lead to their eventual death.</p><p>Since 2016, a series of studies<span><sup>1</sup></span> have demonstrated that 40-Hz stimulation effectively improves the cognitive abilities of AD model mice. This improvement is attributed to the reduction of accumulated amyloid-β (Aβ) proteins and the enhancement of microglial function, both of which are associated with the disease. However, these findings have been challenged by recent research<span><sup>2</sup></span> conducted by Prof. Buzsáki and published in <i>Nature Neuroscience</i>. In this study, the research team utilized two AD mouse models, specifically APP/PS1 and 5xFAD, to explore the effects of both acute and chronic 40-Hz light stimulation on Aβ, microglia, and gamma oscillations. Firstly, they discovered that 40-Hz light stimulation had no effect on the level of Aβ deposition or the morphology of microglia, whether tested in vitro or in vivo. Subsequently, they demonstrated that the entrainment does not activate native gamma oscillations in the targeted brain regions (visual cortex, hippocampus, and entorhinal cortex). Furthermore, they observed that 40-Hz light stimulation induced aversion and avoidance behavior in mice. This was evident from the duration the mice spent in the compartment with 40-Hz light compared to the one with continuous light. Given the absence of experiments assessing cognitive functions before and after 40-Hz entrainment, the observed inconsistencies in pathological changes in AD following acute or chronic exposure should be considered with caution. For example, the inability to replicate the beneficial effects of flickering light stimulation on Aβ and microglia may be attributed to variations in the experimental parameters. Although both animal models and human subjects have shown improvements in cognitive functions (such as memory) after 40-Hz entrainment, the underlying mechanisms driving these changes remain elusive. Nevertheless, this study successfully eliminated one potential mechanism for reducing AD symptoms—namely, the entrainment of natural gamma-band oscillations. The search for alternative mechanisms continues.</p><p>Given the notable behavioral improvement resulting from 40-Hz stimulation, it is indisputable that the underlying mechanism must have a significant association with gamma-band activity (30–100 Hz). The broad frequency band comprises multiple sub-gamma oscillations, each ","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.14","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50155888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Waking up neural stem cells through inhibition of mitochondrial pyruvate import 通过抑制线粒体丙酮酸输入唤醒神经干细胞
Brain-X Pub Date : 2023-05-29 DOI: 10.1002/brx2.13
Yajiao Shi, You Wan, Jie Zheng
{"title":"Waking up neural stem cells through inhibition of mitochondrial pyruvate import","authors":"Yajiao Shi,&nbsp;You Wan,&nbsp;Jie Zheng","doi":"10.1002/brx2.13","DOIUrl":"https://doi.org/10.1002/brx2.13","url":null,"abstract":"<p>Neurogenesis declines sharply in adulthood, partly because neural stem and progenitor cells (NSPCs) increasingly return to a dormant state as they age. However, innate NSPC pools are preserved in specific brain regions throughout an individual's lifetime. Petrelli et al.<span><sup>1</sup></span> recently reported that inhibiting mitochondrial pyruvate import stimulated NSPCs to transition from a quiescent state to an active state, thereby promoting neurogenesis in both young and middle-aged mice. These findings indicate a novel approach for pro-neurogenic treatments.</p><p>Most neurogenesis in the brain is completed during embryonic development, with only small pools of NSPCs remaining to generate new neurons postnatally. These NSPCs are primarily found in the hippocampal dentate gyrus and the subventricular zone. This biological process, particularly adult hippocampal neurogenesis (AHN), plays a crucial role in specific functions such as pattern separation, learning and memory, and emotional regulation. The pool of NSPCs in the adult brain gradually diminishes but is maintained at a certain level throughout life due to the self-renewal of neural stem cells during symmetric cell division.</p><p>However, the extent of AHN declines much more sharply compared with the age-dependent depletion of the NSC pool. One of the most significant causes for this decline is the increasing rate at which NSCs in the adult brain transition from an active to a dormant state, remaining quiescent and refusing to proliferate to initiate neurogenesis. Thus, activating these dormant quiescent NSCs is pivotal for restoring neurogenesis.</p><p>The mitochondrial pyruvate carrier (MPC) on the inner mitochondrial membrane is responsible for transporting the glycolytic end-product pyruvate from the cytosol into the mitochondria, thereby linking glycolysis to the tricarboxylic acid cycle and oxidative phosphorylation. Given that glycolysis plays a critical role in determining the activity state of NSCs, Petrelli et al.<span><sup>1</sup></span> recently found that MPC expression was highest in quiescent NSPCs, as opposed to those that were active or proliferating.</p><p>Moreover, both pharmacological blockage of MPC in vitro using the specific membrane-penetrating inhibitor UK5099 and selective deletion of the <i>Mpc1</i> gene in NSPCs led to the proliferation of these quiescent NSPCs. Subsequently, the authors aimed to investigate the underlying metabolic mechanism. They ruled out the contribution of lactate elevation resulting from MPC loss-of-function as neither lactate supplementation nor downregulation affected the proliferation of NSPCs.</p><p>Instead, they discovered that the elevated intracellular aspartate, presumed to be due to the upregulation of glutamic-oxaloacetic transaminase activity or enhanced mitochondrial aspartate import, played a significant role in activating quiescent NSPCs. In contrast to quiescent NSPCs, inhibiting MPCs did not affect the proliferat","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.13","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50147946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel mechanism of DNA repair in neurons opens promising avenues for combatting neurodegenerative diseases and brain aging 神经元DNA修复的新机制为对抗神经退行性疾病和大脑衰老开辟了有希望的途径
Brain-X Pub Date : 2023-05-19 DOI: 10.1002/brx2.9
Conglin Wang, Xintong Ge, Wenqiang Xin, Ping Lei
{"title":"Novel mechanism of DNA repair in neurons opens promising avenues for combatting neurodegenerative diseases and brain aging","authors":"Conglin Wang,&nbsp;Xintong Ge,&nbsp;Wenqiang Xin,&nbsp;Ping Lei","doi":"10.1002/brx2.9","DOIUrl":"https://doi.org/10.1002/brx2.9","url":null,"abstract":"<p>A recent study, titled “A NPAS4-NuA4 Complex Couples Synaptic Activity to DNA Repair,” reveals an exciting new mechanism by which neurons maintain genomic stability in response to external stimuli. Published in Nature on February 23, 2023,<span><sup>1</sup></span> this paper provides valuable insights into the molecular mechanisms underlying neurodegenerative diseases and brain aging that pave the way for the development of new therapeutic strategies. This commentary reviews the research findings and their potential for future applications.</p><p>The brain is a highly dynamic and plastic organ that relies on neurons to modify their gene expression under a variety of pathophysiological conditions. Excessive or prolonged neuronal response to external stimuli can lead to DNA damage and genomic instability, thereby being harmful to the brain. Cumulative DNA damage in the neuronal genome is also a hallmark of neurodegeneration and brain aging. Until recently, the molecular mechanism by which neurons repair DNA and maintain genomic stability in response to external stimuli remained unclear.</p><p>Neuronal PAS Domain Protein 4 (NPAS4) is an activity-induced transcription factor that is selectively expressed in neurons following membrane depolarization and subsequent calcium signaling. Through a series of biochemical and genomic experiments on mice, the researchers first determined that NPAS4 exists as part of a 21-protein complex called NPAS4-NuA4. They then measured DNA damage using γH2AX ChIP-seq, sBLISS-seq, END-seq and SAR-seq, which indicated that NPAS4 preferentially binds to active DNA breaking-induced sites in neurons. These advanced techniques can be used to analyze the binding sites of transcription factors,<span><sup>2</sup></span> provide whole-genome maps with DNA double-strand breaks,<span><sup>3</sup></span> monitor DNA terminal excision,<span><sup>4</sup></span> and localize DNA repair synthesis in vivo and in various cell types.<span><sup>5</sup></span> Thus, they could contribute greatly to future research in neuroscience and other biomedical fields.</p><p>In addition, the NPAS4-NuA4 complex serves as a critical mediator in the mechanism underlying neurodegenerative diseases and aging in the brain. Activated in response to neuronal activity driven by changes in sensory experience, NPAS4-NuA4 binds to periodically damaged transcriptional regulatory elements and recruits DNA repair machinery to prevent age-dependent somatic mutation accumulation. Furthermore, impaired NPAS4-NuA4 leads to a range of cellular defects that result in a shortened lifespan, including dysregulation of neuronal activity-dependent transcriptional responses, loss of somatic inhibition of pyramidal neurons, impaired localization of protective repair machinery, and genomic instability.</p><p>One of the most exciting aspects of this study is its discovery of a link between damage and neuronal activity-dependent regulatory elements and neuronal dysfunction in neuro","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50138113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
3D printing-based full-scale human brain for diverse applications 基于3D打印的全尺寸人脑,适用于各种应用。
Brain-X Pub Date : 2023-04-05 DOI: 10.1002/brx2.5
Weijian Hua, Cheng Zhang, Lily Raymond, Kellen Mitchell, Lai Wen, Ying Yang, Danyang Zhao, Shu Liu, Yifei Jin
{"title":"3D printing-based full-scale human brain for diverse applications","authors":"Weijian Hua,&nbsp;Cheng Zhang,&nbsp;Lily Raymond,&nbsp;Kellen Mitchell,&nbsp;Lai Wen,&nbsp;Ying Yang,&nbsp;Danyang Zhao,&nbsp;Shu Liu,&nbsp;Yifei Jin","doi":"10.1002/brx2.5","DOIUrl":"10.1002/brx2.5","url":null,"abstract":"<p>Surgery is the most frequent treatment for patients with brain tumors. The construction of full-scale human brain models, which is still challenging to realize via current manufacturing techniques, can effectively train surgeons before brain tumor surgeries. This paper aims to develop a set of three-dimensional (3D) printing approaches to fabricate customized full-scale human brain models for surgery training as well as specialized brain patches for wound healing after surgery. First, a brain patch designed to fit a wound's shape and size can be easily printed in and collected from a stimuli-responsive yield-stress support bath. Then, an inverse 3D printing strategy, called “peeling-boiled-eggs,” is proposed to fabricate full-scale human brain models. In this strategy, the contour layer of a brain model is printed using a sacrificial ink to envelop the target brain core within a photocurable yield-stress support bath. After crosslinking the contour layer, the as-printed model can be harvested from the bath to photo crosslink the brain core, which can be eventually released by liquefying the contour layer. Both the brain patch and full-scale human brain model are successfully printed to mimic the scenario of wound healing after removing a brain tumor, validating the effectiveness of the proposed 3D printing approaches.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41224669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
3-hydroxybutyrate in the brain: Biosynthesis, function, and disease therapy 大脑中的3-羟基丁酸:生物合成、功能和疾病治疗
Brain-X Pub Date : 2023-03-27 DOI: 10.1002/brx2.6
Bing-Long Wang, Jian-Fei Wu, Da Xiao, Bo Wu, Dai-Xu Wei
{"title":"3-hydroxybutyrate in the brain: Biosynthesis, function, and disease therapy","authors":"Bing-Long Wang,&nbsp;Jian-Fei Wu,&nbsp;Da Xiao,&nbsp;Bo Wu,&nbsp;Dai-Xu Wei","doi":"10.1002/brx2.6","DOIUrl":"https://doi.org/10.1002/brx2.6","url":null,"abstract":"<p>3-hydroxybutyrate (3HB), or BHB, is an anionic small molecule acid metabolite with a hydroxyl group. 3HB is the major ketone body that is distributed in the human brain and its primary energy source when glucose is absent. A better understanding of 3HB and how to adapt neuronal response mechanisms is expected to facilitate the development of new interventions to promote cognitive brain function and prevent neurodegenerative diseases. It provides important concepts for the clinical application of 3HB therapy. This review summarizes the distribution of 3HB in the brain, its properties, and its mechanism in brain and nerve regulation. We focus on 3HB biosynthesis in natural human cells and engineered bacteria via synthetic biology platforms and 3HB treatment in various brain and nerve diseases, including epilepsy, multiple sclerosis, stroke, Parkinson's disease, Alzheimer's disease, Huntington's disease, depressive disorder, and schizophrenia. Ultimately, this review explores the future development trend of 3HB as a potential small-molecule drug for brain and nerve diseases.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50145576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Nucleic acid delivery by ionizable nanocarriers for brain disease treatment 可电离纳米载体用于脑疾病治疗的核酸递送
Brain-X Pub Date : 2023-03-26 DOI: 10.1002/brx2.7
Ruru Xiong, Guixia Ling, Yuqi Zhang, Jibin Guan, Peng Zhang
{"title":"Nucleic acid delivery by ionizable nanocarriers for brain disease treatment","authors":"Ruru Xiong,&nbsp;Guixia Ling,&nbsp;Yuqi Zhang,&nbsp;Jibin Guan,&nbsp;Peng Zhang","doi":"10.1002/brx2.7","DOIUrl":"https://doi.org/10.1002/brx2.7","url":null,"abstract":"<p>The successful application of messenger RNA vaccines in the market has demonstrated the potential of gene therapy in treating various diseases, including infectious diseases, autoimmune disorders, brain diseases, and other cancers. However, gene therapy faces great challenges in treating brain diseases such as brain tumors, infections, and strokes because the limitations of the blood-brain barrier make it difficult for nucleic acid drugs to be delivered safely and effectively into the brain. Therefore, there is a high demand for carriers delivering nucleic acid drugs to the brain. Ionizable nanocarriers (INs) have great advantages in gene therapy due to their pH-responsive properties, which facilitate the safe and efficient delivery of targets, responsive release in the disease microenvironment, and the protection of nucleic acids from degradation. To better understand INs and their potential as therapeutic vectors for brain diseases, the present review describes their biological properties, recent progress in the field, and promising applications. In particular, the related prospects and challenges are discussed to promote the further development of INs.</p>","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50144491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Systolic pressure target after endovascular thrombectomy in acute large-vessel occlusion ischemic stroke patients: Comment on ENCHANTED2/MT 急性大血管闭塞缺血性脑卒中患者血管内血栓切除术后的收缩压靶点:对ENCHANTED2/MT的评价
Brain-X Pub Date : 2023-03-21 DOI: 10.1002/brx2.4
Yunpeng Yuan, Baozhu Wei, Wenyun Zhu, Yang Liu, Yingfeng Wan
{"title":"Systolic pressure target after endovascular thrombectomy in acute large-vessel occlusion ischemic stroke patients: Comment on ENCHANTED2/MT","authors":"Yunpeng Yuan,&nbsp;Baozhu Wei,&nbsp;Wenyun Zhu,&nbsp;Yang Liu,&nbsp;Yingfeng Wan","doi":"10.1002/brx2.4","DOIUrl":"https://doi.org/10.1002/brx2.4","url":null,"abstract":"<p>Patients with large-vessel occlusion ischemic stroke continue to have high mortality and disability rates after mechanical thrombectomy with or without intravenous alteplase treatment. Elevated blood pressure during the perioperative period is associated with higher mortality and disability prevalence rates.<span><sup>1</sup></span> Thus, lowering post-procedure systolic pressure is a potential approach to improving patients' outcomes. The guideline<span><sup>2</sup></span> recommends a systolic pressure of &lt;180 mmHg before and after mechanical thrombectomy without randomized clinical trial evidence.</p><p>Recently, Yang et al.<span><sup>3</sup></span> reported the results of the multicenter, open-label, blinded-endpoint, and randomized controlled trial ENCHANTED2/MT, which aimed to determine if a more aggressive blood pressure goal is beneficial in patients with acute ischemic stroke. Patients were required to have a diagnosis of large-vessel occlusion acute ischemic stroke and a successful endovascular thrombectomy procedure followed by hypertension (defined as ≥2 successive measurements of systolic blood pressure ≥140 mmHg for &gt;10 min). The randomization arms were &lt;120 mmHg versus 140–180 mmHg for 72 h, and the primary outcome was assessed by a shift analysis of the modified Rankin Scale at 90 days. The 821 patients who were prospectively enrolled between 2020 and 2022 were randomized, and the source populations were derived from 44 hospitals in China. The trial was suspended in June 2022 due to safety concerns after an independent data and safety monitoring board reviewed the data. Unexpectedly, the primary results were that the more intensive treatment group was more likely to have worse outcomes and higher early neurological deterioration and disability rates than the less intensive treatment group.</p><p>This study again proved the complex relationship between blood pressure and functional outcomes after acute large-vessel occlusion ischemic stroke.<span><sup>1</sup></span> This is an important trial that was built on accumulating observational data in the field and provided randomized trial evidence that more intensive blood pressure lowering (&lt;120 mmHg) is not only neutral but harmful. In this regard, this study is of broad general interest to emergency departments and stroke centers, as blood pressure is a parameter that must be managed in all stroke patients' post-procedures.</p><p>However, several points need to be noted and comprehensively discussed before interpreting the results and applying them clinically. First, fig. 2 from the ENCHANTED2/MT trial paper<span><sup>3</sup></span> suggested that a systolic pressure of &lt;120 mmHg was only narrowly achieved in the more intensive treatment group during the first 3 days. Although current guidelines<span><sup>2</sup></span> recommend a blood pressure of &lt;180 mmHg, no optimal blood pressure target for patients with ischemic stroke who undergo mechanical thrombectomy h","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50117446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rhythmic calcium ion activity related to glioma growth reveals the mechanism of ion transmission 与胶质瘤生长相关的节律性钙离子活性揭示离子传递机制
Brain-X Pub Date : 2023-03-21 DOI: 10.1002/brx2.8
Geer Teng
{"title":"Rhythmic calcium ion activity related to glioma growth reveals the mechanism of ion transmission","authors":"Geer Teng","doi":"10.1002/brx2.8","DOIUrl":"https://doi.org/10.1002/brx2.8","url":null,"abstract":"<p>Considering their substantial morbidity and mortality rates, tumors of the brain and central nervous system (CNS) are among the most fatal cancers.<span><sup>1</sup></span> Among them, gliomas are the most common malignant forms of cancer. Regarding the growth mechanism of gliomas, the surrounding microenvironment and local network activity among tumor cells are key areas of interest. The oscillations of brain activity are also directly related to tumor growth and can be induced by external stimuli. Out of the relevant signals and biomarkers, calcium ion (Ca<sup>2+</sup>) channels and signaling dynamics show the greatest correlation with oscillatory brain activity. The activity of intracellular Ca<sup>2+</sup> oscillations can be used to characterize promoters like ASCL-1 or neurogenin-2, which are related to luciferase reporter genes.<span><sup>2</sup></span> Characterizing these promoters helps to link the micro genes information and macro detectable information.</p><p>Recent research has focused on glioma cell network communication via Ca<sup>2+</sup> transients and KCa3.1, a type of Ca<sup>2+</sup>-activated potassium ion (K<sup>+</sup>) channel.<span><sup>3</sup></span> These network communications can protect glioma cells after surgery, leading to local tumor recurrence. Glioma cells are closely connected to multicellular networks, and Ca<sup>2+</sup> transients are transferred between individual cells through interconnecting tumor microtubes. This results in rhythmic Ca<sup>2+</sup> fluctuations that periodically activate signaling pathways like MAPK and NF-κB, increasing the proliferation of tumor cells and promoting tumor growth. Glioma cells that display such periodic Ca<sup>2+</sup> activity are known as periodic cells. Inhibiting cellular entry and chelation of Ca<sup>2+</sup> or inhibiting tumor cell connectivity via gap junctions can also strongly reduce the proliferation of glioma cells. As a result, the rhythmic Ca<sup>2+</sup> activity in glioma cell networks is a tumor cell-autonomous functional state, which is not affected by the external environment.</p><p>Functional tumor cell networks have scale-free and small-world properties, the two most common complex network features. These properties reflect the center and surrounding structures as the glioma to some extent. If the clustering coefficient of a certain network is significantly higher than that of the corresponding random network, and the average path length is equal, then the network can be classified as a small-world phenomenon. Networks where most connections are concentrated in a small number of centers are called scale-free networks. With these scale-free and small-world properties, periodic glioma cells at the center of networks are more resistant to random damage, as the center is protected in this network structure.</p><p>This protective mechanism has been analyzed using laser ablation as well as Ca<sup>2+</sup> monitoring to detect the number of communicating ","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50125467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New biosensors detect light deep inside the brain 新型生物传感器检测大脑深处的光
Brain-X Pub Date : 2023-03-21 DOI: 10.1002/brx2.3
Lei Luo, Dandan Yang, Yu Yang
{"title":"New biosensors detect light deep inside the brain","authors":"Lei Luo,&nbsp;Dandan Yang,&nbsp;Yu Yang","doi":"10.1002/brx2.3","DOIUrl":"https://doi.org/10.1002/brx2.3","url":null,"abstract":"<p>In recent years, the field of biosensors has seen significant advances in the development of fluorescent sensors, including quantum dots,<span><sup>1</sup></span> upconversion nanoparticles,<span><sup>2</sup></span> and fluorescent proteins,<span><sup>3</sup></span> to monitor the generation of information in living systems. The fluorescence of these sensors can be observed by shining a laser at them. However, conventional fluorescent sensors are limited in their ability to image signals in deep tissues because most of the light is absorbed or scattered as it penetrates the tissue. To address this challenge, a team led by Jasanoff developed a novel sensor that converts light into a magnetic signal that is unaffected by absorption or scattering. This allows the response of the light detector to be visualized using magnetic resonance imaging (MRI; Figure 1).<span><sup>4</sup></span> The development of this sensor has significant potential to improve our understanding of information processing in deep tissues.</p><p>To fabricate the photosensitive MRI probe, magnetic particles were encapsulated in light-responsive azobenzene-conjugated liposomes (called Light-LisNRs).<span><sup>5</sup></span> By adjusting the composition and proportion of the lipid bilayer molecules, these liposome nanoparticles can switch from being permeable to being impenetrable, depending on the type of light exposure. This property allowed modulation of the MRI contrast of the Light-LisNRs and facilitated the optimization of the switchable longitudinal relaxation time (T1). Specifically, upon exposure to ultraviolet (UV) light, the Light-LisNRs became more permeable to water, resulting in a strong interaction between the magnetic particles and water and thereby producing strong MRI signals. Conversely, exposure to blue light caused the Light-LisNRs to become impermeable to water, resulting in the lack of a detectable MRI signal.</p><p>The optimized Light-LisNRs could potentially be used to map light distribution in live animals. When these nanoparticles were injected into the living rat brain, they effectively diffused through the brain by convection, as evidenced by changes in the magnetic resonance signal. The probes exhibited exceptional light sensitivity, which could be demonstrated by changes in magnetic relaxation under blue and UV irradiation. Relative to the initial baseline, the probes showed significant differences in the mean MRI signals in response to UV and blue light, and the temporal characteristics of the light response observed during repeated photoperiods were consistent.</p><p>The steady performance of Light-LisNRs in the rat brain suggests that they are suitable for the quantitative measurement of the light intensity distribution in tissues. In addition, the researchers used a hybrid model consisting of a beam spreading function combined with a homogeneous photon diffusion term to fit the experimental data and produced a quantitative map of the distributi","PeriodicalId":94303,"journal":{"name":"Brain-X","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/brx2.3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50153094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信