memory loss

记忆丧失
  • 文章类型: Journal Article
    肥胖和认知能力下降,包括痴呆和阿尔茨海默病(AD)影响着全球数百万人。一些研究表明,肥胖个体患有认知能力下降。这里,我们建议脂联素和瘦素,白色脂肪组织分泌的蛋白质激素解释了肥胖与认知能力下降的关系。我们系统地搜索了PubMed和世界卫生组织(WHO)网站的关键词肥胖和痴呆症,并汇编了解释脂联素和瘦素如何影响肥胖和认知能力下降的文献。全文,2009年后出版的PubMed上的免费访问文章已包括在内。2009年之前发表的文章,书籍,报告被排除在外。我们集中在脂联素和瘦素影响能量消耗的机制上,脂肪酸分解代谢,饱腹感,饥饿,身体质量指数(BMI),神经发生,和导致认知功能障碍发展的大脑结构。此外,我们假设脂联素和瘦素激素可以解释肥胖和痴呆之间的联系.在整理研究报告后,我们总结了脂联素和瘦素与BMI呈负相关。脂联素仲裁能量消耗和脂肪酸分解代谢以预防肥胖。在存在脂联素的情况下,海马细胞增殖,而神经发生在不存在时减少。然而,瘦素通过促进饱腹感预防肥胖,减少饥饿,增加胰岛素敏感性.它还具有神经保护作用,从而降低认知能力下降的风险。所以,体育锻炼,饮食改变,减轻体重,脂联素,应补充瘦素以防止肥胖引起的认知功能下降。因此,应该在这方面做进一步的研究。
    Obesity and cognitive decline including dementia and Alzheimer\'s Disease (AD) affect millions worldwide. Several studies have shown that obese individuals suffer from cognitive decline. Here, we suggest that adiponectin and leptin, protein hormones secreted by white adipose tissue explain the relationship between obesity and cognitive decline. We systematically searched PubMed and World Health Organization (WHO) websites with the keywords obesity and dementia and compiled literature that explains how adiponectin and leptin impact obesity and cognitive decline. Full-text, free-access articles on PubMed published after 2009 have been included. Whereas articles published before 2009, books, and reports were excluded. We concentrated on mechanisms via which adiponectin and leptin affect energy expenditure, fatty acid catabolism, satiety, hunger, Body Mass Index (BMI), neurogenesis, and brain structures that lead to the development of cognitive dysfunction. Moreover, we hypothesized that adiponectin and leptin hormones explain how obesity and dementia are connected. After compiling the research studies, we summarized that adiponectin and leptin negatively correlate to BMI. Adiponectin arbitrates energy expenditure and fatty acid catabolism to prevent obesity. In the presence of adiponectin, hippocampal cells proliferate, whereas neurogenesis is reduced in its absence. However, leptin prevents obesity by promoting satiety, reducing hunger, and increasing insulin sensitivity. It also has neuroprotective effects thus reducing the risk of developing cognitive decline. So, physical exercise, diet alteration, weight reduction, adiponectin, and leptin supplementation should be carried out to protect against obesity-induced cognitive decline. Therefore, further research studies should be done in this area.
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  • 文章类型: Journal Article
    未经证实:分离性健忘症是一种象征性的精神疾病,患者经历从局灶性到全球性健忘症的大量记忆丧失。这种情况仍然知之甚少,这篇综述旨在研究这种疾病的神经解剖学特征。
    UNASSIGNED:我们对PubMed上的科学文献进行了系统的回顾,截至2022年12月1日,使用关键词组合指代分离性健忘症。我们纳入了涉及接受功能成像程序的患者的所有科学报告。
    UNASSIGNED:22项研究符合我们的纳入标准(共49例患者)。只有一项是大样本的对照研究。其他21例病例报告和病例系列。在静止状态下,神经影像学研究主要显示右下外侧前额叶皮质,与边缘活动不足和海马和海马旁结构的较少激活有关。患者在执行记忆任务时还表现出脑激活的异常模式。当测试对遗忘期记忆的识别时,患者在颞区(海马区和海马旁回)和边缘网络显示激活增加.当试图回忆记忆缺失期与非记忆缺失期相比时,患者未能有效激活这些结构。当症状缓解时,这些模式中的大多数倾向于恢复正常。
    UNASSIGNED:这篇综述发现,在分离性健忘症神经影像学领域缺乏对照研究,这限制了结果的外推。患有分离性健忘症的患者表现出广泛的前-颞-缘网络功能障碍。这个网络中涉及的一些大脑区域可能代表了创新治疗的潜在目标。
    UNASSIGNED: Dissociative amnesia is an emblematic psychiatric condition in which patients experience massive memory loss ranging from focal to global amnesia. This condition remains poorly understood and this review aims to investigate the neuroanatomical feature of this disease.
    UNASSIGNED: We conducted a systematic review of the scientific literature available on PubMed, up to December 1, 2022, using a combination of keywords referring to dissociative amnesia. We included every scientific report involving patients undergoing a functional imaging procedure.
    UNASSIGNED: Twenty-two studies met our inclusion criteria (gathering 49 patients). Only one was a controlled study with a large sample. The other 21 were case reports and case series. In resting state, neuroimaging studies mostly showed a hypo-activated right inferolateral prefrontal cortex, associated with limbic hypoactivity and lesser activation of the hippocampal and para-hippocampal structures. The patients also presented abnormal patterns of cerebral activation when performing memory tasks. When testing recognition of memories from the amnestic period, patients showed increased activation across temporal areas (hippocampal and para-hippocampal gyri) and the limbic network. When trying to recollect memories from an amnestic period compared to a non-amnestic period, patients failed to activate these structures efficiently. Most of these patterns tended to return to normal when symptoms resolved.
    UNASSIGNED: This review identified a paucity of controlled studies in the field of dissociative amnesia neuroimaging, which restricts the extrapolation of results. Patients with dissociative amnesia present a broad prefronto-temporo-limbic network dysfunction. Some of the brain areas implicated in this network might represent potential targets for innovative treatments.
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  • 文章类型: Journal Article
    长期记忆障碍是化疗后乳腺癌幸存者经历的最常见和破坏性认知症状之一。迄今为止,大多数对乳腺癌幸存者长期记忆功能障碍的临床评估都利用了基本的言语和视觉记忆任务,这些任务无法捕捉日常事件记忆的复杂性.复杂的事件记忆,包括情景记忆和自传体记忆,关键依靠海马处理进行编码和检索。用于乳腺癌的全身化疗治疗通常会导致海马内的神经毒性,从而造成记忆障碍的漏洞。我们回顾了结构和功能神经影像学研究,这些研究已经确定了化疗治疗的乳腺癌幸存者的回忆网络和相关的情景记忆障碍。并认为有必要更好地表征化疗后海马介导的记忆功能障碍。鉴于自传记忆对一个人的认同感的重要性,有能力规划未来,和一般功能,对这种类型的记忆如何受到癌症治疗的影响的低估可能会导致忽视或尽量减少乳腺癌幸存者的负面经历,忽视了可能从干预策略中受益的认知领域。
    Long-term memory disturbances are amongst the most common and disruptive cognitive symptoms experienced by breast cancer survivors following chemotherapy. To date, most clinical assessments of long-term memory dysfunction in breast cancer survivors have utilized basic verbal and visual memory tasks that do not capture the complexities of everyday event memories. Complex event memories, including episodic memory and autobiographical memory, critically rely on hippocampal processing for encoding and retrieval. Systemic chemotherapy treatments used in breast cancer commonly cause neurotoxicity within the hippocampus, thereby creating a vulnerability to memory impairment. We review structural and functional neuroimaging studies that have identified disruptions in the recollection network and related episodic memory impairments in chemotherapy-treated breast cancer survivors, and argue for the need to better characterize hippocampally mediated memory dysfunction following chemotherapy treatments. Given the importance of autobiographical memory for a person\'s sense of identity, ability to plan for the future, and general functioning, under-appreciation of how this type of memory is impacted by cancer treatment can lead to overlooking or minimizing the negative experiences of breast cancer survivors, and neglecting a cognitive domain that may benefit from intervention strategies.
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  • 文章类型: Journal Article
    Age-associated memory loss is highly prevalent in the elder population. The inception of neurodegenerative diseases acts as a causative factor for the onset of memory loss in aged individuals. The pathophysiological mechanisms of memory loss associated with the onset of neurodegenerative diseases and normal aging processes share certain similarities as well as differences. The normal age-associated memory loss is attributed to the impairment of calcium metabolism, dysregulated cholesterol metabolism, the prevalence of oxidative stress, inappropriate functioning of hormones as well as genetic factors. Vital information regarding the key biological processes and the druggable targets involved in the onset of memory loss in the elder population has been provided in this article. The genomic and proteomic profiles of key druggable targets retrieved from the experimental evidence, co-expression studies and databases are also presented in this article. The genomic and proteomic information of druggable targets will aid in the identification of therapeutic agents which could effectively regulate the key biological processes involved in the age-associated memory loss.
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  • 文章类型: Journal Article
    阿尔茨海默病是一种神经退行性疾病。治疗学上,骨髓间充质干细胞(BMMSCs)移植可在阿尔茨海默病动物模型中发挥有益作用。然而,相关机制仍有待充分阐明。
    BMMSCs移植后,在阿尔茨海默病(AD)动物模型中,记忆丧失和认知障碍显着改善。涉及神经发生的潜在机制,凋亡,血管生成,炎症,免疫调节,等。上述机制可能在某些阶段发挥不同的作用。结果表明,BMMSCs的移植可以改变某些基因水平。此外,代表性基因的差异表达与阿尔茨海默病的神经病理学表型有关,可用于构建基因特异性模式。
    多种信号通路涉及BMMSC移植改善AD模型中认知和行为缺陷的治疗机制。基因表达谱可用于建立用于评价治疗效果的统计回归模型。自体BMMSCs移植可能是阿尔茨海默病患者的前瞻性治疗方法。
    Alzheimer\'s disease is a neurodegenerative disorder. Therapeutically, a transplantation of bone marrow mesenchymal stem cells (BMMSCs) can play a beneficial role in animal models of Alzheimer\'s disease. However, the relevant mechanism remains to be fully elucidated.
    Subsequent to the transplantation of BMMSCs, memory loss and cognitive impairment were significantly improved in animal models with Alzheimer\'s disease (AD). Potential mechanisms involved neurogenesis, apoptosis, angiogenesis, inflammation, immunomodulation, etc. The above mechanisms might play different roles at certain stages. It was revealed that the transplantation of BMMSCs could alter some gene levels. Moreover, the differential expression of representative genes was responsible for neuropathological phenotypes in Alzheimer\'s disease, which could be used to construct gene-specific patterns.
    Multiple signal pathways involve therapeutic mechanisms by which the transplantation of BMMSCs improves cognitive and behavioral deficits in AD models. Gene expression profile can be utilized to establish statistical regression model for the evaluation of therapeutic effect. The transplantation of autologous BMMSCs maybe a prospective therapy for patients with Alzheimer\'s disease.
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  • 文章类型: Case Reports
    BACKGROUND: The right prefrontal lobe has not traditionally been considered eloquent brain. Resection of tumours within this region does not typically lead to permanent functional impairment. In this report, we highlight the case of a patient who developed autobiographical memory loss following an uncomplicated resection of a right prefrontal tumour.
    METHODS: A previously fit and well 15-year old presented with a persistent right-sided headache. An MRI demonstrated an expanded right mid-frontal gyrus with changes consistent with a low-grade tumour. The patient underwent a right-sided craniotomy and resection of the lesion which was confirmed as a WHO grade II diffuse astrocytoma. Postoperatively, the patient reported profound retrograde amnesia for a range of memory components, in particular autobiographical memory and semantic memory. Postoperative imaging showed a good resection margin with no evidence of underlying brain injury. Over an 18-month period, the patient showed no improvement in autobiographical memory; however, significant relearning of semantic knowledge took place and her academic performance was found to be in line with expectations for her age.
    CONCLUSIONS: In this report, we discuss a case and review the literature on the role of the right prefrontal cortex in memory and caution on the perception of right prefrontal non-eloquence.
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