olfactory

嗅觉
  • 文章类型: Journal Article
    白纹伊蚊是虫媒病毒的重要载体,喜欢小容器的死水作为产卵点。蚊子用来寻找合适产卵地点的机制之一是依赖于来自预期地点及其周围环境的气味线索。Ae不知道这种行为的遗传和分子基础。白纹。产卵站点搜索行为可以分为两个阶段:容器定位和水检测。我们将胶水化合物应用于成年女性的触角和上颌骨,以掩盖其检测分子的能力,这些分子可能会引导他们进入首选的产卵部位。治疗触角显著降低位置指数(P<0.001),表明发现产卵位点的能力下降,而用相同胶合剂处理上颌触诊的蚊子没有显着差异(P>0.05)。检测时间,测量为从与水面接触到第一个鸡蛋沉积的持续时间,在经过治疗的触角或上颌触诊的蚊子中延伸,支持嗅觉参与产卵部位检测的结论。转录组分析确定了差异表达的嗅觉相关基因,包括obp67,类似obp56d,obp19d样和obp67样。RNA干扰(RNAi)介导的obp67和obp56d样基因敲除显著影响定位指数和检测时间,分别。Cas9/向导RNA介导的obp56d样基因敲除导致检测时间延长,与野生型相比(P<0.05)。这些发现有助于阐明Ae涉及的嗅觉机制的各个方面。白纹伊蚊产卵部位选择,并为制定蚊子监测和控制策略提供依据。
    Aedes albopictus is an important vector of arboviruses and prefers small containers of stagnant water as oviposition sites. One of the mechanisms mosquitoes use to search for suitable oviposition sites is relying on odor cues from prospective sites and their surroundings. The genetic and molecular bases of this behavior are not known for Ae. albopictus. Oviposition site-searching behavior can be separated into 2 stages: container location and water detection. We applied a glue compound to the antennae and the maxillary palps of adult females to mask their ability to detect molecules that may guide them to preferred oviposition sites. Treatment of the antennae significantly reduces the location index (P < 0.001), indicating a decreased ability to find oviposition sites, whereas no significant difference was observed in mosquitoes with maxillary palps treated with the same glue compound (P > 0.05). The detection time, measured as the duration from contact with the water surface to the deposition of the first egg, was extended in mosquitoes with treated antennae or maxillary palps, supporting the conclusion that olfaction is involved in the detection of oviposition site. Transcriptomic analysis identified differentially expressed olfactory-related genes, including obp67, obp56d-like, obp19d-like and obp67-like. RNA interference (RNAi)-mediated knockdown of obp67 and obp56d-like significantly affected the location index and detection time, respectively. Cas9/guide RNA-mediated knockout of obp56d-like resulted in a prolonged detection time, compared with the wild type (P < 0.05). These findings help to elucidate aspects of the olfactory mechanisms involved in Ae. albopictus oviposition site selection, and provide a basis for the development of mosquito surveillance and control strategies.
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  • 文章类型: Journal Article
    阿尔茨海默病(AD)是大脑中的一种疾病,其特征是记忆逐渐减少,思想,以及执行简单任务的能力。AD预后不良,但尚未治愈。因此,需要新的模型来研究其发病机制和治疗策略是显而易见的,因为大脑在受伤和神经退行性疾病后恢复不佳,既不能取代死亡的神经元,也不能恢复靶结构。最近,间充质干细胞(MSCs),特别是那些来自人类嗅觉粘膜的称为嗅外MSCs(OE-MSCs),由于其终生的再生效力和容易的可及性,已成为模拟AD和开发该疾病疗法的潜在途径。这篇综述提供了关于分离OE-MSCs的现有文献的全面总结,并探讨了它们是否可以作为研究AD发病机制的可靠模型。它还探讨了健康的个体来源的OE-MSC是否可以成为该疾病的治疗剂。尽管在AD的建模和开发治疗方面是一个有前途的工具,一些重大问题仍然存在,审查中也讨论了这些问题。
    Alzheimer\'s disease (AD) is a condition in the brain that is marked by a gradual and ongoing reduction in memory, thought, and the ability to perform simple tasks. AD has a poor prognosis but no cure yet. Therefore, the need for novel models to study its pathogenesis and therapeutic strategies is evident, as the brain poorly recovers after injury and neurodegenerative diseases and can neither replace dead neurons nor reinnervate target structures. Recently, mesenchymal stem cells (MSCs), particularly those from the human olfactory mucous membrane referred to as the olfactory ecto-MSCs (OE-MSCs), have emerged as a potential avenue to explore in modeling AD and developing therapeutics for the disease due to their lifelong regeneration potency and facile accessibility. This review provides a comprehensive summary of the current literature on isolating OE-MSCs and delves into whether they could be reliable models for studying AD pathogenesis. It also explores whether healthy individual-derived OE-MSCs could be therapeutic agents for the disease. Despite being a promising tool in modeling and developing therapies for AD, some significant issues remain, which are also discussed in the review.
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  • 文章类型: Journal Article
    原理:脑室下区(SVZ)的成人神经发生对于维持神经稳态至关重要,它的失调会导致神经系统疾病的失语症和组织愈合延迟,如帕金森病(PD)。尽管在SVZ神经发生中发现了复杂的调节网络,动态维持神经干/祖细胞(NSPCs)响应生理和病理刺激的分子机制仍未完全阐明。方法:我们建立了一个RNA结合基序蛋白24(Rbm24)敲除模型,以研究其对SVZ中成人神经发生的影响。采用免疫荧光,免疫印迹,电生理学,RNA测序,和体外实验。进一步的研究利用PD小鼠模型,连同遗传和药理操作,阐明Rbm24参与PD病理。结果:Rbm24,细胞稳态的多方面转录后调节因子,从发育到衰老在SVZ中表现出广泛的表达。Rbm24的缺失显着损害成年SVZ的NSPC增殖,最终导致嗅球神经发生塌陷。值得注意的是,Rbm24在维持成年NSPCs中Notch1mRNA的稳定性中起着特定的作用。Rbm24/Notch1信号轴在PD小鼠的SVZ中显著下调。值得注意的是,Rbm24的过表达拯救了PD小鼠成年神经发生和嗅觉功能障碍的破坏,这些影响受到DAPT的阻碍,Notch1的有效抑制剂。结论:我们的发现强调了Rbm24/Notch1信号轴在生理和病理情况下调节成人SVZ神经发生的关键作用。这为NSPC稳态的动态调节提供了有价值的见解,并为PD和相关神经系统疾病提供了潜在的针对性干预措施。
    Rationale: Adult neurogenesis in the subventricular zone (SVZ) is essential for maintaining neural homeostasis, and its dysregulation contributes to anosmia and delayed tissue healing in neurological disorders, such as Parkinson\'s disease (PD). Despite intricate regulatory networks identified in SVZ neurogenesis, the molecular mechanisms dynamically maintaining neural stem/progenitor cells (NSPCs) in response to physiological and pathological stimuli remain incompletely elucidated. Methods: We generated an RNA binding motif protein 24 (Rbm24) knockout model to investigate its impact on adult neurogenesis in the SVZ, employing immunofluorescence, immunoblot, electrophysiology, RNA-sequencing, and in vitro experiments. Further investigations utilized a PD mouse model, along with genetic and pharmacological manipulations, to elucidate Rbm24 involvement in PD pathology. Results: Rbm24, a multifaceted post-transcriptional regulator of cellular homeostasis, exhibited broad expression in the SVZ from development to aging. Deletion of Rbm24 significantly impaired NSPC proliferation in the adult SVZ, ultimately resulting in collapsed neurogenesis in the olfactory bulb. Notably, Rbm24 played a specific role in maintaining Notch1 mRNA stability in adult NSPCs. The Rbm24/Notch1 signaling axis was significantly downregulated in the SVZ of PD mice. Remarkably, overexpression of Rbm24 rescued disruption of adult neurogenesis and olfactory dysfunction in PD mice, and these effects were hindered by DAPT, a potent inhibitor of Notch1. Conclusions: Our findings highlight the critical role of the Rbm24/Notch1 signaling axis in regulating adult SVZ neurogenesis under physiological and pathological circumstances. This provides valuable insights into the dynamic regulation of NSPC homeostasis and offers a potential targeted intervention for PD and related neurological disorders.
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  • 文章类型: Journal Article
    背景:用乳香树脂刺激嗅觉,源自黄连木树,在健康志愿者中表现出真正的教育效果[1]。它的主要挥发性化合物,α-pine烯,也显示了这种效果。本研究旨在验证乳香树脂挥发物在慢性口干患者中的作用,并证实唾液分泌减少。
    方法:在阿姆斯特丹牙科学术中心唾液诊所,作为诊断常规的一部分,将41例未刺激唾液分泌减少(<0.25mL/min)的慢性口干患者暴露于乳香树脂挥发物。在访问期间,进行口干问卷调查,并采集未刺激的全唾液样本,咀嚼刺激的唾液,收集酸刺激的唾液和乳香树脂刺激的唾液。唾液流速,spinnbarkeit,pH值,离子成分,分析所有样品中的MUC5B和MUC7水平。
    结果:与基线未刺激唾液相比,所有刺激都增加了唾液流速(P<0.001)。在嗅觉乳香树脂刺激期间,与未刺激的唾液相比,唾液刺骨肌(P<0.001)和钠浓度(P<0.01)增加。与咀嚼刺激的唾液相比,嗅觉乳香树脂刺激期间MUC5B和MUC7水平增加(分别为P=0.016和P<0.001)。Spinnbarkeit与MUC5B(R=0.399,P=0.002)和MUC7(R=0.375,P=0.004)呈正相关。口干问卷调查的结果表明,嗅觉乳香树脂刺激后不久,后腭干燥度降低(P=0.04)。
    结论:嗅觉乳香树脂刺激增加了一组慢性口干患者的粘液唾液分泌并减少了后腭干燥。这些发现,在患者中验证,下划线乳香树脂气味作为一种有益的和非侵入性的唾液治疗,用于临床应用。
    BACKGROUND: Olfactory stimulation with mastic resin, derived from the Pistacia lentiscus tree, demonstrated a bona fide sialagogic effect in healthy volunteers [1]. Its main volatile compound, α-pinene, also showed this effect. The current study aimed to validate the effect of mastic resin volatiles in chronic dry mouth patients with confirmed decreased saliva secretion.
    METHODS: 41 chronic dry mouth patients with decreased unstimulated saliva secretion (<0.25 mL/min) were exposed to mastic resin volatiles as part of the diagnostic routine at the Saliva Clinic of Academic Centre for Dentistry Amsterdam. During their visit, dry-mouth questionnaires were conducted and samples of unstimulated whole saliva, chew-stimulated saliva, acid-stimulated saliva and mastic resin stimulated saliva were collected. Saliva flow rate, spinnbarkeit, pH, ion composition, MUC5B and MUC7 levels in all samples were analyzed.
    RESULTS: Salivary flow rates increased by all stimuli when compared to the baseline unstimulated saliva (P<0.001). During olfactory mastic resin stimulation, the salivary spinnbarkeit (P<0.001) and sodium concentration (P<0.01) were increased compared to unstimulated saliva. MUC5B and MUC7 levels were increased during olfactory mastic resin stimulation compared to chew-stimulated saliva (P=0.016 and P<0.001, respectively). Spinnbarkeit correlated positively with MUC5B (R=0.399, P=0.002) and MUC7 levels (R=0.375, P=0.004). Results of dry-mouth questionnaires indicated reduced posterior palate dryness shortly after olfactory mastic resin stimulation (P=0.04).
    CONCLUSIONS: Olfactory mastic resin stimulation increased mucous saliva secretion and reduced posterior palate dryness in a group of chronic dry mouth patients. These findings, validated in patients, underscore mastic resin scent as a beneficial and non-invasive sialagogic treatment for clinical applications.
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  • 文章类型: Journal Article
    在现实世界的环境中,大脑必须整合来自多种感官模式的信息,包括听觉和嗅觉系统.然而,对控制气味如何影响和调制声音处理的神经元电路知之甚少。这里,我们使用解剖学研究了听觉-嗅觉整合的潜在机制,电生理学,光遗传学方法,专注于听觉皮层作为跨模态整合的关键位点。首先,逆行和顺行病毒追踪策略揭示了从梨状皮层到听觉皮层的直接投射。接下来,使用清醒小鼠听觉皮层神经元活动的体内电生理记录,我们发现气味刺激调节听觉皮层对声音的反应。最后,我们在电生理过程中使用体内光遗传学操作来证明听觉皮层中的嗅觉调制,具体来说,气味驱动的声音响应增强,取决于梨状皮层的直接输入。一起,我们的结果确定了一种新的皮层电路在听觉皮层中形成嗅觉调制,揭示了听觉嗅觉整合的神经元机制。
    所有生物体都存在于多感官环境中,然而,我们缺乏对大脑如何整合多感官信息的理解。这项工作阐明了控制听觉皮层中听觉嗅觉整合的新颖电路。我们的研究结果为多感官研究的一个相对不足的领域提供了新的启示,承诺对动物和人类在复杂环境中的感知和互动有更强大的理解。
    In a real-world environment, the brain must integrate information from multiple sensory modalities, including the auditory and olfactory systems. However, little is known about the neuronal circuits governing how odors influence and modulate sound processing. Here, we investigated the mechanisms underlying auditory-olfactory integration using anatomical, electrophysiological, and optogenetic approaches, focusing on the auditory cortex as a key locus for cross-modal integration. First, retrograde and anterograde viral tracing strategies revealed a direct projection from the piriform cortex to the auditory cortex. Next, using in vivo electrophysiological recordings of neuronal activity in the auditory cortex of awake mice, we found that odor stimuli modulate auditory cortical responses to sound. Finally, we used in vivo optogenetic manipulations during electrophysiology to demonstrate that olfactory modulation in auditory cortex, specifically, odor-driven enhancement of sound responses, depends on direct input from the piriform cortex. Together, our results identify a novel cortical circuit shaping olfactory modulation in the auditory cortex, shedding new light on the neuronal mechanisms underlying auditory-olfactory integration.
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  • 文章类型: Journal Article
    嗅觉系统在感知周围环境和与周围环境互动中起着至关重要的作用。以前的研究已经破译了基本的气味感知,但是嗅觉系统中的信息处理如何与学习和记忆相关联,人们知之甚少。在这次审查中,我们总结了最近关于小鼠嗅觉学习途径的解剖和功能动力学的研究,重点研究嗅球(OB)和嗅觉皮质区域的神经元回路如何在学习中整合气味信息。我们还强调了体内外嗅皮层(LEC)在嗅觉学习中的作用。总之,这些研究表明,整个嗅觉系统的大脑区域在形成和代表所学知识方面至关重要。嗅觉区在学习和记忆中的作用,以及它们对神经退行性疾病功能障碍的易感性,需要进一步的研究。
    The olfactory system plays crucial roles in perceiving and interacting with their surroundings. Previous studies have deciphered basic odor perceptions, but how information processing in the olfactory system is associated with learning and memory is poorly understood. In this review, we summarize recent studies on the anatomy and functional dynamics of the mouse olfactory learning pathway, focusing on how neuronal circuits in the olfactory bulb (OB) and olfactory cortical areas integrate odor information in learning. We also highlight in vivo evidence for the role of the lateral entorhinal cortex (LEC) in olfactory learning. Altogether, these studies demonstrate that brain regions throughout the olfactory system are critically involved in forming and representing learned knowledge. The role of olfactory areas in learning and memory, and their susceptibility to dysfunction in neurodegenerative diseases, necessitate further research.
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  • 文章类型: Journal Article
    疲劳对职业健康和安全构成风险,影响个人工作效率,身体健康,社会保障,以及人类福祉和生活质量。嗅觉干预,由于它们的低干扰,被认为是减轻疲劳和减少职业健康危害的有希望的策略。
    本综述的目的是通过对嗅觉干预对人类警觉性的范围审查来弥合文献中的当前空白。旨在探讨其在各种职业环境中的应用,为嗅觉干预在减轻疲劳和降低职业风险方面的实际应用提供全面实用的指导。
    文献研究是使用WebofScience等电子数据库以英文进行的。与气味和疲劳相关的关键词和评论遵循PRISMA扩展范围评论和PICO框架。
    这项工作包括28项研究。参与者特征,疲劳测量方法,和气味干预方法,例如气味的类型,干预策略,和气味呈现系统,进行了彻底的调查和讨论。此外,这项研究特别强调了疲劳驾驶气味干预领域的应用和研究。嗅觉干预已应用于各种职业领域的人群,对生理和心理疲劳都有有益的影响。
    嗅觉干预对于提高警觉性和改善职业环境是有效且有希望的。为嗅觉干预在缓解疲劳、降低职业健康安全隐患中的实际应用提供详细、实用的指导,对潜在机制的进一步研究,应用程序,与疲劳相关的嗅觉干预措施的疗效评估系统是必要的。
    UNASSIGNED: Fatigue poses risks to occupational health and safety, affecting individuals\' work efficiency, physical health, and social security, as well as human wellbeing and quality of life. Olfactory interventions, due to their low interference, are considered promising strategies for mitigating fatigue and reducing occupational health hazards.
    UNASSIGNED: The objective of this review is to bridge the current gaps in the literature by conducting a scoping review of olfactory interventions on human alertness. It aims to explore their application in various occupational settings and to provide comprehensive and practical guidance for the practical application of olfactory interventions in mitigating fatigue and reducing occupational risks.
    UNASSIGNED: The literature research was conducted in English using electronic databases such as Web of Science. Keywords related to scent and fatigue and the review followed PRISMA Extension for Scoping Reviews and PICO framework.
    UNASSIGNED: 28 studies were included in this work. Participant characteristics, fatigue measurement methods, and scent intervention methods, such as types of scents, intervention strategies, and scent presentation systems, are thoroughly investigated and discussed. Additionally, the study places a specific emphasis on the applications and research within the field of scent interventions for fatigue driving. Olfactory interventions have been applied to populations in various occupational fields, demonstrating beneficial effects on both physiological and psychological fatigue.
    UNASSIGNED: Olfactory intervention is effective and promising for enhancing alertness and improving the occupational environment. To provide detailed and practical guidance for the actual application of olfactory intervention in fatigue relief and reducing occupational health and safety hazards, further research into the potential mechanisms, applications, and efficacy assessment systems of fatigue-related olfactory interventions is necessary.
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  • 文章类型: Journal Article
    目的:探讨富血小板血浆(PRP)对长期持续的病毒后嗅觉功能障碍(LPOD)患者的疗效。
    方法:前瞻性招募了43例具有长期持续的病毒后OD的连续患者。在两个嗅沟中注射ImL的PRP。使用嗅觉障碍问卷(ODQ)和阈值评估PRP注射前至6个月后嗅觉变化,歧视,和识别(TDI)测试。
    结果:43例患者接受双侧PRP注射(24名女性)。患者的平均年龄为58.9±16.8岁。LPOD的平均持续时间为8.7年。注射前至注射后6个月的平均TDI从10.3±10.2显着改善为20.12±12.07(p=0.001)。平均ODQ从29.8±13.0显著降低至23.4±11.3(p=0.013)。TDI和ODQ的平均变化分别为9.8和6.4。年龄与6个月阈值得分呈负相关。
    结论:PRP似乎是一种有希望的治疗策略,用于长期持续的病毒后OD。我们的发现支持在该患者人群中进行随机对照试验。
    OBJECTIVE: To investigate the platelet-rich plasma (PRP) effectiveness in patients with a long-lasting postviral olfactory dysfunction (LPOD).
    METHODS: Forty-three consecutive patients with a long-lasting postviral OD were prospectively recruited. The injection of 1 mL of PRP was carried out in both olfactory clefts. The pre- to 6-month post-PRP injection change in olfaction was assessed with the olfactory disorder questionnaire (ODQ) and the threshold, discrimination, and identification (TDI) tests.
    RESULTS: Forty-three patients received bilateral PRP injections (24 females). The mean age of patients was 58.9 ± 16.8 years. The mean duration of LPOD was 8.7 years. The pre to 6-month post-injection mean TDI significantly improved from 10.3 ± 10.2 to 20.12 ± 12.07 (p = 0.001). The mean ODQ significantly decreased from 29.8 ± 13.0 to 23.4 ± 11.3 (p = 0.013). The average change of the TDI and the ODQ were 9.8 and 6.4, respectively. Age was inversely associated with the 6-month threshold score.
    CONCLUSIONS: PRP appears to be a promising therapeutic strategy for long-lasting postviral OD. Our findings support the conduction of controlled randomized trial in this population of patients.
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  • 文章类型: Journal Article
    嗅觉感觉神经元(OSN)是哺乳动物一生中连续产生的几种神经元类型之一。长期以来,人们一直认为嗅觉感觉神经发生的持久性超出了早期发育的范围,其功能只是为了替换因暴露于环境损害而丢失或受损的神经元。嗅觉感觉神经发生也可能发挥适应性功能的可能性已经得到了相对较少的考虑,很大程度上是由于假设新OSN的生成相对于OSN亚型是随机的,由单个气味受体基因定义,每个神经前体在数百种可能性中随机选择表达。因此,预测不同OSN亚型的相对出生率是恒定的,并且不受嗅觉体验的影响。这个假设受到质疑,然而,有证据表明,特定OSN亚型的出生率可以通过嗅觉剥夺来操纵嗅觉体验而选择性地改变,富集,和条件范式。此外,对损伤后OSN人群恢复的研究提供了进一步的证据,表明嗅觉感觉神经发生在亚型方面可能不是严格随机的。在这里,我们回顾了这些证据,并考虑了特定嗅觉体验可以以亚型选择性方式调节嗅觉感觉神经发生率的前景的机制和功能含义。
    Olfactory sensory neurons (OSNs) are one of a few neuron types that are generated continuously throughout life in mammals. The persistence of olfactory sensory neurogenesis beyond early development has long been thought to function simply to replace neurons that are lost or damaged through exposure to environmental insults. The possibility that olfactory sensory neurogenesis may also serve an adaptive function has received relatively little consideration, largely due to the assumption that the generation of new OSNs is stochastic with respect to OSN subtype, as defined by the single odorant receptor gene that each neural precursor stochastically chooses for expression out of hundreds of possibilities. Accordingly, the relative birthrates of different OSN subtypes are predicted to be constant and impervious to olfactory experience. This assumption has been called into question, however, by evidence that the birthrates of specific OSN subtypes can be selectively altered by manipulating olfactory experience through olfactory deprivation, enrichment, and conditioning paradigms. Moreover, studies of recovery of the OSN population following injury provide further evidence that olfactory sensory neurogenesis may not be strictly stochastic with respect to subtype. Here we review this evidence and consider mechanistic and functional implications of the prospect that specific olfactory experiences can regulate olfactory sensory neurogenesis rates in a subtype-selective manner.
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  • 文章类型: Journal Article
    目的:神经源性直立性低血压(nOH)是由于心脏静脉回流减少导致去甲肾上腺素向心血管受体的反射传递不足。nOH的路易体(LB)形式的特征在于低18F-多巴胺衍生的放射性(心脏去甲肾上腺素能缺乏症的一种量度),宾夕法尼亚大学嗅觉识别测试(UPSIT),并通过α-syn-酪氨酸羟化酶(TH)共定位指数增加了真皮交感神经中α-突触核蛋白(α-syn)的沉积。这个观测,横断面研究探讨了这些生物标志物的组合是否特异性鉴定了nOH的LB形式。
    方法:回顾了2011年至2023年在美国国立卫生研究院接受慢性自主神经功能衰竭评估的患者的临床实验室数据。低心肌18F-多巴胺衍生放射性的临界值为6000nCi-kg/cc-mCi,对于嗅觉功能障碍,UPSIT评分≤28,并且对于增加的α-syn-TH共定位指数≥1.57。
    结果:共有44例患者(31LB,13non-LBnOH)具有所有三种生物标志物的数据。与非LB组相比,LBnOH组有较低的心肌18F-多巴胺来源的放射性,UPSIT得分低,和较高的α-syn-TH共定位指数(各p<0.0001)。将三种生物标志物组合完全分离各组。聚类分析确定了两个不同的组(p<0.0001),与临床诊断无关,一个簇精确对应于LBnOH。
    结论:LB形式的nOH以心脏去甲肾上腺素能缺乏症为特征,嗅觉功能障碍,并增加了皮肤活检中的α-syn-TH共定位。组合这些变量的数据有效地将LB与非LBnOH分离。独立于临床诊断,该生物标志物三联征确定了一组病理生理上不同的nOH患者。
    OBJECTIVE: Neurogenic orthostatic hypotension (nOH) results from deficient reflexive delivery of norepinephrine to cardiovascular receptors in response to decreased cardiac venous return. Lewy body (LB) forms of nOH are characterized by low 18F-dopamine-derived radioactivity (a measure of cardiac noradrenergic deficiency), olfactory dysfunction by the University of Pennsylvania Smell Identification Test (UPSIT), and increased deposition of alpha-synuclein (α-syn) in dermal sympathetic noradrenergic nerves by the α-syn-tyrosine hydroxylase (TH) colocalization index. This observational, cross-sectional study explored whether combinations of these biomarkers specifically identify LB forms of nOH.
    METHODS: Clinical laboratory data were reviewed from patients referred for evaluation at the National Institutes of Health for chronic autonomic failure between 2011 and 2023. The cutoff value for low myocardial 18F-dopamine-derived radioactivity was 6000 nCi-kg/cc-mCi, for olfactory dysfunction an UPSIT score ≤ 28, and for an increased α-syn-TH colocalization index ≥ 1.57.
    RESULTS: A total of 44 patients (31 LB, 13 non-LB nOH) had data for all three biomarkers. Compared to the non-LB group, the LB nOH group had low myocardial 18F-dopamine-derived radioactivity, low UPSIT scores, and high α-syn-TH colocalization indexes (p < 0.0001 each). Combining the three biomarkers completely separated the groups. Cluster analysis identified two distinct groups (p < 0.0001) independently of the clinical diagnosis, with one cluster corresponding exactly to LB nOH.
    CONCLUSIONS: LB forms of nOH feature cardiac noradrenergic deficiency, olfactory dysfunction, and increased α-syn-TH colocalization in skin biopsies. Combining the data for these variables efficiently separates LB from non-LB nOH. Independently of the clinical diagnosis, this biomarker triad identifies a pathophysiologically distinct cluster of nOH patients.
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