Nerve

神经
  • 文章类型: Journal Article
    最近的研究已经广泛探索了针灸有效性的复杂机制,强调刺激穴位的重要性,针灸技术在管理疾病中的作用,以及经络途径和分子过程之间的相互作用。研究强调了针灸在激活神经元中的关键作用,调节免疫系统,影响血管活动,所有这些都对其在各种症状和疾病中的治疗益处做出了重大贡献。利用成像方式可以识别脑血流量的变化,大脑功能,以及针灸治疗后的局部葡萄糖代谢。子午线内的间质流体循环网络遵守促进材料运输的特定法律。针刺引发神经递质的释放,神经肽,和免疫因素,影响疼痛感知,炎症,和生理功能。它通过激活涉及神经系统的通路来影响复杂的神经-内分泌-免疫网络,下丘脑-垂体-肾上腺轴,和免疫反应。此外,针灸诱导分子修饰,如磷酸化,甲基化,和组蛋白修饰,导致关键的分子变化,最终导致抗炎作用和免疫反应的调节。
    Recent research has extensively explored the intricate mechanisms that underlie the effectiveness of acupuncture, highlighting the importance of stimulating acupoints, the role of acupuncture techniques in managing diseases, and the interaction between meridian pathways and molecular processes. Studies have underscored the crucial role of acupuncture in activating neurons, modulating the immune system, and influencing vascular activity, all of which contribute significantly to its therapeutic benefits across a wide range of symptoms and conditions. Utilization of imaging modalities enables the identification of changes in cerebral blood flow, brain function, and regional glucose metabolism following acupuncture sessions. The interstitial fluid circulation network within meridians adheres to specific laws that facilitate the transportation of materials. Acupuncture initiates the release of neurotransmitters, neuropeptides, and immune factors, impacting pain perception, inflammation, and physiological functions. It influences the complex neuro-endocrine-immune network by activating pathways involving the nervous system, the hypothalamic-pituitary-adrenal axis, and immune responses. Moreover, acupuncture induces molecular modifications such as phosphorylation, methylation, and histone modification, leading to key molecular changes that ultimately result in anti-inflammatory effects and the regulation of immune responses.
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  • 文章类型: Journal Article
    间充质干细胞赋予各种功能,包括扩散,多能性,迁移,等。颅面骨起源于颅神经c,主要通过膜内骨化发展,与长骨不同。颅面骨中存在多种间充质干细胞,包括Gli1+细胞,Axin2+细胞,Prx1+细胞,等。分布在颅面区域的神经也来自神经c,三叉神经是颅面区的主要感觉神经。神经和骨骼在空间上紧密相连,骨骼由感觉神经和交感神经支配,也参与骨骼发育,稳态和愈合过程。在这次审查中,我们总结了位于颅面骨的间充质干细胞,更具体地说,在下巴上,颞下颌关节和颅骨缝合。然后讨论了间充质干细胞在颅面骨神经调控方面的研究进展,以发展为主,稳态和修复。发现间充质干细胞的神经调节可能有助于颅面骨疾病或损伤的治疗。
    Mesenchymal stem cells endow various functions, including proliferation, multipotency, migration, etc. Craniofacial bones originate from the cranial neural crest and are developed mainly through intramembranous ossification, which are different from long bones. There are varied mesenchymal stem cells existing in the craniofacial bone, including Gli1 + cells, Axin2 + cells, Prx1 + cells, etc. Nerves distributed in craniofacial area are also derived from the neural crest, and the trigeminal nerve is the major sensory nerve in craniofacial area. The nerves and the skeleton are tightly linked spatially, and the skeleton is broadly innervated by sensory and sympathetic nerves, which also participate in bone development, homeostasis and healing process. In this review, we summarize mesenchymal stem cells located in craniofacial bone or, to be more specific, in jaws, temporomandibular joint and cranial sutures. Then we discuss the research advance concerning neural regulation of mesenchymal stem cells in craniofacial bone, mainly focused on development, homeostasis and repair. Discovery of neural regulation of mesenchymal stem cells may assist in treatment in the craniofacial bone diseases or injuries.
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  • 文章类型: Journal Article
    坐骨神经损伤(SNI)是一种常见的周围神经损伤类型,通常由创伤引起,比如挫伤,锐器伤,药物注射,骨盆骨折,或髋关节脱位。它会导致感觉和运动障碍,以疼痛为特征,麻木,失去感觉,肌肉萎缩,肌肉张力降低,和四肢瘫痪。这些症状可以显著降低患者的生活质量。在SNI之后,发生Wallerian变性,激活各种信号通路,炎症因子,和表观遗传调节因子。尽管有几种手术和非手术治疗方法,它们的有效性仍然次优。外泌体是细胞外囊泡,直径范围为30至150nm,起源于内质网。它们在促进细胞间通讯中起着至关重要的作用,并已成为非常有前途的药物输送载体。越来越多的证据支持外泌体在修复SNI方面的巨大潜力。这篇综述深入研究了SNI的病理进展,产生外来体的技术,外来体SNI恢复背后的分子机制,将外泌体与其他SNI修复方法相结合的有效性,以及在SNI恢复中利用外泌体的变化和未来前景。
    Sciatic nerve injury (SNI) is a common type of peripheral nerve injury typically resulting from trauma, such as contusion, sharp force injuries, drug injections, pelvic fractures, or hip dislocations. It leads to both sensory and motor dysfunctions, characterized by pain, numbness, loss of sensation, muscle atrophy, reduced muscle tone, and limb paralysis. These symptoms can significantly diminish a patient\'s quality of life. Following SNI, Wallerian degeneration occurs, which activates various signaling pathways, inflammatory factors, and epigenetic regulators. Despite the availability of several surgical and nonsurgical treatments, their effectiveness remains suboptimal. Exosomes are extracellular vesicles with diameters ranging from 30 to 150 nm, originating from the endoplasmic reticulum. They play a crucial role in facilitating intercellular communication and have emerged as highly promising vehicles for drug delivery. Increasing evidence supports the significant potential of exosomes in repairing SNI. This review delves into the pathological progression of SNI, techniques for generating exosomes, the molecular mechanisms behind SNI recovery with exosomes, the effectiveness of combining exosomes with other approaches for SNI repair, and the changes and future outlook for utilizing exosomes in SNI recovery.
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  • 文章类型: Journal Article
    多环芳烃(PAHs),广泛存在于不完全燃烧的空气颗粒物<2.5μm(PM2.5)中,烟草和其他有机材料,可以通过各种途径进入人体,是一类具有神经毒性作用的环境污染物。PAH暴露可导致动物神经系统发育异常和神经行为异常,包括对儿童和成人神经系统的不良影响,比如学习能力下降,智力下降,和神经管缺陷。多环芳烃进入神经系统细胞后,它们最终通过氧化应激等机制导致神经系统损伤,DNA甲基化和去甲基化,线粒体自噬,可能导致一系列神经系统疾病,如老年痴呆症。因此,预防和治疗由PAH暴露引起的神经系统疾病尤为重要。从PAH暴露的体外和体内效应来看,以及它对人类神经发育的影响,本文综述了PAHs的毒性作用机制及相应的防治方法,为预防PAHs引起的神经毒性提供相关的理论依据,从而降低神经系统相关疾病的发病率,保护人类健康。
    Polycyclic aromatic hydrocarbons (PAHs), which are widely present in incompletely combusted air particulate matter <2.5 μm (PM2.5), tobacco and other organic materials, can enter the human body through various routes and are a class of environmental pollutants with neurotoxic effects. PAHs exposure can lead to abnormal development of the nervous system and neurobehavioral abnormalities in animals, including adverse effects on the nervous system of children and adults, such as a reduced learning ability, intellectual decline, and neural tube defects. After PAHs enter cells of the nervous system, they eventually lead to nervous system damage through mechanisms such as oxidative stress, DNA methylation and demethylation, and mitochondrial autophagy, potentially leading to a series of nervous system diseases, such as Alzheimer\'s disease. Therefore, preventing and treating neurological diseases caused by PAHs exposure are particularly important. From the perspective of the in vitro and in vivo effects of PAHs exposure, as well as its effects on human neurodevelopment, this paper reviews the toxic mechanisms of action of PAHs and the corresponding prevention and treatment methods to provide a relevant theoretical basis for preventing the neurotoxicity caused by PAHs, thereby reducing the incidence of diseases related to the nervous system and protecting human health.
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  • 文章类型: Journal Article
    石墨烯族纳米材料(GFN)由于其独特的物理化学性质,例如大的比表面积,在从工程和电子学到生物医学应用的各个领域引起了广泛的关注。机械强度高,和有利的亲水性。此外,GFN已经证明了产生抗炎环境并表现出抗菌作用的能力。因此,这些材料在促进细胞粘附方面具有巨大的潜力,扩散,和差异化,进一步促进各种组织的修复和再生,包括骨头,神经,口服,心肌,和血管组织。请注意,挑战仍然存在于当前的应用程序中,包括对生物安全风险的担忧,粘合性能不足,和不适合作为基质材料的降解性。这篇综述全面概述了当前GFN在再生医学中的利用进展。以及它们促进组织修复和再生的分子机制和信号靶标。GFN的未来研究前景,如促进眼组织再生的潜力,还详细讨论了。希望能为GFNs在骨缺损治疗中的临床应用提供有价值的参考,神经损伤,牙周炎,和动脉粥样硬化。
    Graphene family nanomaterials (GFNs) have attracted considerable attention in diverse fields from engineering and electronics to biomedical applications because of their distinctive physicochemical properties such as large specific surface area, high mechanical strength, and favorable hydrophilic nature. Moreover, GFNs have demonstrated the ability to create an anti-inflammatory environment and exhibit antibacterial effects. Consequently, these materials hold immense potential in facilitating cell adhesion, proliferation, and differentiation, further promoting the repair and regeneration of various tissues, including bone, nerve, oral, myocardial, and vascular tissues. Note that challenges still persist in current applications, including concerns regarding biosecurity risks, inadequate adhesion performance, and unsuitable degradability as matrix materials. This review provides a comprehensive overview of current advancements in the utilization of GFNs in regenerative medicine, as well as their molecular mechanism and signaling targets in facilitating tissue repair and regeneration. Future research prospects for GFNs, such as potential in promoting ocular tissue regeneration, are also discussed in details. We hope to offer a valuable reference for the clinical application of GFNs in the treatment of bone defects, nerve damage, periodontitis, and atherosclerosis.
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  • 文章类型: Journal Article
    脊髓损伤(SCI)是一种神经系统疾病,导致运动和感觉功能障碍低于损伤水平,会导致瘫痪.microRNAs(miRNAs)在SCI治疗中发挥关键作用,相关研究为SCI诊断和治疗提供了见解。文献计量学是文献统计和评价的重要工具,客观地总结多维信息。本研究通过对miRNA和SCI研究的文献计量分析,为未来的合作和临床治疗提供当代资源。
    在这项研究中,我们搜索了WebofScienceCoreCollection(WOSCC)数据库。经过仔细筛选和数据导入,我们提取了年度出版物,引用计数,国家,机构,作者,期刊,被高度引用的文章,共同引用的文章,关键词,和H指数。采用VOSviewer的文献计量学和可视化分析,CiteSpace,R包“参考书”,”和在线分析平台。使用Arrowsmith,我们确定了miRNA-SCI的关系,并讨论了SCI中潜在的miRNA机制.
    从2008年到2024年,相关论文的数量逐年增加,754每年的出版物数量仍然很高,并进入了快速发展的时期。来自50个国家/地区的研究人员802个机构,278期刊,3,867名作者参与了该领域。目前,中国在国家论文数量上有优势,引文,机构,和作者。然而,有必要加强不同作者之间的合作,机构,和国家推动重要学术成果的产生。目前该领域的研究主要集中在神经损伤,凋亡,和基因表达。未来的研究方向主要涉及分子机制,临床试验,外泌体,和炎症反应。
    总的来说,本研究全面分析了SCI中miRNAs的研究现状和前沿。系统的总结提供了对SCI和miRNA之间关系的完整和直观的理解。这些发现为该领域的未来研究和临床应用奠定了基础。
    UNASSIGNED: Spinal cord injury (SCI) is a nervous system disease leading to motor and sensory dysfunction below the injury level, and can result in paralysis. MicroRNAs (miRNAs) play a key role in SCI treatment, and related research provides insights for SCI diagnosis and treatment. Bibliometrics is an important tool for literature statistics and evaluation, objectively summarizing multidimensional information. This study comprehensively overviews the field through bibliometric analysis of miRNA and SCI research, providing contemporary resources for future collaboration and clinical treatment.
    UNASSIGNED: In this study, we searched the Web of Science Core Collection (WOSCC) database. After careful screening and data import, we extracted annual publications, citation counts, countries, institutions, authors, journals, highly cited articles, co-cited articles, keywords, and H-index. Bibliometrics and visualization analyses employed VOSviewer, CiteSpace, the R package \"bibliometrix,\" and online analytic platforms. Using Arrowsmith, we determined miRNA-SCI relationships and discussed potential miRNA mechanisms in SCI.
    UNASSIGNED: From 2008 to 2024, the number of related papers increased annually, reaching 754. The number of yearly publications remained high and entered a period of rapid development. Researchers from 50 countries/regions, 802 institutions, 278 journals, and 3,867 authors participated in the field. Currently, China has advantages in the number of national papers, citations, institutions, and authors. However, it is necessary to strengthen cooperation among different authors, institutions, and countries to promote the production of important academic achievements. The research in the field currently focuses on nerve injury, apoptosis, and gene expression. Future research directions mainly involve molecular mechanisms, clinical trials, exosomes, and inflammatory reactions.
    UNASSIGNED: Overall, this study comprehensively analyzes the research status and frontier of miRNAs in SCI. A systematic summary provides a complete and intuitive understanding of the relationship between SCI and miRNAs. The presented findings establish a basis for future research and clinical application in this field.
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  • 文章类型: Journal Article
    自主神经系统(ANS)支配整个身体的器官和组织,并维持各种系统之间的功能平衡。进一步的研究表明,过度激活ANS不仅会导致稳态的破坏,还可能促进肿瘤的形成。此外,肿瘤微环境中神经和肿瘤细胞之间的动态相互作用也调节肿瘤的进展。一方面,神经被肿瘤细胞被动侵入,也就是说,神经周浸润(PNI)。另一方面,与正常组织相比,肿瘤组织受到更丰富的神经支配,神经可以通过调节肿瘤增殖来影响肿瘤的进展,转移和耐药性。大量研究表明,神经-肿瘤串扰,包括PNI和神经支配,与患者的预后密切相关,并有助于癌症疼痛的形成,这显著降低了患者的生活质量。这些发现表明,神经-肿瘤串扰是未来抗肿瘤治疗和癌症疼痛管理的潜在目标。在这次审查中,我们系统地描述了神经-肿瘤串扰调节肿瘤发生和进展的机制。
    The autonomic nerve system (ANS) innervates organs and tissues throughout the body and maintains functional balance among various systems. Further investigations have shown that excessive activation of ANS not only causes disruption of homeostasis, but also may promote tumor formation. In addition, the dynamic interaction between nerve and tumor cells in the tumor microenvironment also regulate tumor progression. On the one hand, nerves are passively invaded by tumor cells, that is, perineural invasion (PNI). On the other hand, compared with normal tissues, tumor tissues are subject to more abundant innervation, and nerves can influence tumor progression through regulating tumor proliferation, metastasis and drug resistance. A large number of studies have shown that nerve-tumor crosstalk, including PNI and innervation, is closely related to the prognosis of patients, and contributes to the formation of cancer pain, which significantly deteriorates the quality of life for patients. These findings suggest that nerve-tumor crosstalk represents a potential target for anti-tumor therapies and the management of cancer pain in the future. In this review, we systematically describe the mechanism by which nerve-tumor crosstalk regulates tumorigenesis and progression.
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  • 文章类型: Journal Article
    本文介绍了神经营养性角膜病变(NK),由于各种原因导致的三叉神经功能障碍,导致角膜神经支配。角膜神经化(CN)的手术技术已经发展起来,旨在恢复角膜敏感性。最初于1972年提出,现代方法提供了较少侵入性的选择。CN可以通过直接方法(DCN)直接将敏感神经缝合到受影响的角膜或通过神经自动/同种异体移植间接(ICN)进行。手术的成功依赖于细致的供体神经选择和准备,通常涉及多学科团队。PubMed研究和相关文献的审查进行了关于手术入路,强调手术技术和供体神经的选择。后者考虑了诸如感觉完整性和与角膜的接近度等因素。最常用的是对侧或同侧滑车上(STN),眶上(SON)和耳大(GAN)神经。关于移植物的选择,文献中使用最多的是sural(SN),前臂外侧皮神经(LABCN),还有GAN的神经.另一个有希望的选择是同种异体移植物(来自尸体的无细胞化神经)。感觉恢复的意义及影响手术结局的因素,包括神经口径匹配和轴突再生,正在讨论。未来的方向强调侵入性较小的技术和无细胞神经同种异体移植物的潜力。总之,CN代表了治疗NK的有希望的途径,根据患者病史和外科专业知识提供量身定制的方法,新的新兴技术需要通过基础科学改进和临床试验进一步探索。
    The article introduces neurotrophic keratopathy (NK), a condition resulting from corneal denervation due to various causes of trigeminal nerve dysfunctions. Surgical techniques for corneal neurotization (CN) have evolved, aiming to restore corneal sensitivity. Initially proposed in 1972, modern approaches offer less invasive options. CN can be performed through a direct approach (DCN) directly suturing a sensitive nerve to the affected cornea or indirectly (ICN) through a nerve auto/allograft. Surgical success relies on meticulous donor nerve selection and preparation, often involving multidisciplinary teams. A PubMed research and review of the relevant literature was conducted regarding the surgical approach, emphasizing surgical techniques and the choice of the donor nerve. The latter considers factors like sensory integrity and proximity to the cornea. The most used are the contralateral or ipsilateral supratrochlear (STN), and the supraorbital (SON) and great auricular (GAN) nerves. Regarding the choice of grafts, the most used in the literature are the sural (SN), the lateral antebrachial cutaneous nerve (LABCN), and the GAN nerves. Another promising option is represented by allografts (acellularized nerves from cadavers). The significance of sensory recovery and factors influencing surgical outcomes, including nerve caliber matching and axonal regeneration, are discussed. Future directions emphasize less invasive techniques and the potential of acellular nerve allografts. In conclusion, CN represents a promising avenue in the treatment of NK, offering tailored approaches based on patient history and surgical expertise, with new emerging techniques warranting further exploration through basic science refinements and clinical trials.
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  • 文章类型: Journal Article
    壶腹周围癌是一种发生在肝脏和胰腺壶腹部周围的恶性肿瘤,包含多种组织类型,并具有许多生物学特征,包括与神经系统的相互作用。神经系统在调节器官发育中起着至关重要的作用,保持生理平衡,并确保生命过程的可塑性,在肿瘤学中同样重要的作用。对神经-肿瘤相互作用的研究揭示了它们在控制癌症进展中的关键部分,抑制抗肿瘤免疫反应,促进侵袭和转移,引发神经性疼痛.尽管神经纤维促进癌症进展的许多机制仍未被完全理解,近年来,人们越来越重视神经在肿瘤微环境中的重要性,这为突破性疗法的发展奠定了基础。这包括将当前的神经活性药物与已建立的治疗方案相结合。这篇综述集中于壶腹周围癌与神经相互作用的机制。各种类型的神经支配对癌症演变的影响,并概述了正在进行和即将进行的研究的视野。
    Periampullary cancer is a malignant tumor occurring around the ampullary region of the liver and pancreas, encompassing a variety of tissue types and sharing numerous biological characteristics, including interactions with the nervous system. The nervous system plays a crucial role in regulating organ development, maintaining physiological equilibrium, and ensuring life process plasticity, a role that is equally pivotal in oncology. Investigations into nerve-tumor interactions have unveiled their key part in controlling cancer progression, inhibiting anti-tumor immune responses, facilitating invasion and metastasis, and triggering neuropathic pain. Despite many mechanisms by which nerve fibers contribute to cancer advancement still being incompletely understood, the growing emphasis on the significance of nerves within the tumor microenvironment in recent years has set the stage for the development of groundbreaking therapies. This includes combining current neuroactive medications with established therapeutic protocols. This review centers on the mechanisms of Periampullary cancer\'s interactions with nerves, the influence of various types of nerve innervation on cancer evolution, and outlines the horizons for ongoing and forthcoming research.
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  • 背景:神经淋巴瘤病(NL)是一种罕见的疾病。超声(US)在NL的诊断和随访中起着至关重要的作用。
    方法:一名59岁男子因左上肢急性疼痛住院。超声显示左肘周围多个神经节段性肿胀,血流信号丰富。对比增强超声(CEUS)显示,在动脉早期,神经病变的完整和均匀增强。通过成像和流式细胞术证实了NL,他接受了化疗.治疗后超声显示左上肢神经基本正常。不幸的是,患者在5个月内因脑转移死亡。
    结论:神经US和CEUS可以显示特定的表现,并提供有关NL的更多诊断信息。
    Neurolymphomatosis (NL) is a rare disease. Ultrasound (US) plays a crucial role in diagnosing and following up the NL.
    A 59-year-old man was hospitalized with acute pain in the left upper extremity. Ultrasound revealed segmental swelling of multiple nerves around his left elbow with abundant blood flow signals. Contrast-Enhanced Ultrasound (CEUS) showed a rapid, complete and homogenous enhancement in the nerve lesions in the early arterial phase. The NL was confirmed by imaging and flow cytometry, and he accepted chemotherapy. The posttherapeutic ultrasound showed that the nerves in the left upper limb were basically normal. Unfortunately, the patient died of cerebral metastasis in 5 months.
    The nerve US and CEUS can show specific manifestations and provide more diagnostic information about NL.
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