Brain disorders

脑部疾病
  • 文章类型: Journal Article
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    长期暴露于高水平的环境PM2.5与脑部疾病的风险增加有关,虽然协会仍然不确定在许多国家的暴露低于当前的空气质量标准。这项研究旨在评估年平均浓度≤15μg/m3的人群中PM2.5暴露对大脑系统的影响。我们在英国生物库的基线分析了260,922名参与者的数据,这些参与者没有先前存在的脑部疾病。通过土地利用回归模型估算了2010年PM2.5的地理分布,并与个人居住地址相关联。我们调查了环境PM2.5与神经事件(痴呆症,帕金森病[PD],癫痫,和偏头痛)和精神病(重度抑郁症[MDD]和焦虑症)疾病通过Cox比例风险模型。我们通过神经影像学分析进一步估计了与脑成像表型的联系。结果表明,在PM2.5浓度≤15μg/m3的人群中,每个四分位数范围(IQR,1.28μg/m3)PM2.5的增加与痴呆的发生风险有关,癫痫,偏头痛,MDD,和焦虑障碍的风险比为1.08(95%置信区间(CI):1.03,1.13),1.12(1.05,1.20),1.07(1.00,1.13),1.06(1.03,1.09),和1.05(1.02,1.08),分别。我们没有观察到与PD的显著关联。在心血管健康状况不佳的人群中,与痴呆症的关联(通过生命基础8衡量)比对应人群更强(相互作用的P=0.037)。同样,每IQR增加与特定的脑成像表型相关,包括总脑体积(β=-0.036;95%CI:-0.050,-0.022),白质(-0.030;-0.046,-0.014),灰质(-0.030;-0.042,-0.017),分别。研究结果表明,长期暴露于低水平的环境PM2.5仍然对神经精神系统产生不利影响。与大脑相关的流行病学评估表明,每个国家都应按照世界卫生组织《2021年空气质量指南》更新环境PM2.5标准。
    Long-term exposure to high-level ambient PM2.5 was associated with increased risks of brain disorders, while the associations remain uncertain when the exposure is lower than current air quality standards in numerous countries. This study aimed to assess the effects of PM2.5 exposure on the brain system in the population with annual mean concentrations ≤15 μg/m3. We analyzed data from 260,922 participants without preexisting brain diseases at baseline in the UK Biobank. The geographical distribution of PM2.5 in 2010 was estimated by a land use regression model and linked with individual residential address. We investigated associations of ambient PM2.5 with incident neurological (dementia, Parkinson\'s diseases [PD], epilepsy, and migraine) and psychiatric (major depressive disorder [MDD] and anxiety disorder) diseases through Cox proportional hazard models. We further estimated the links with brain imaging phenotypes by neuroimaging analysis. Results showed that in the population with PM2.5 concentrations ≤15 μg/m3, each interquartile range (IQR, 1.28 μg/m3) increment in PM2.5 was related to incidence risks of dementia, epilepsy, migraine, MDD, and anxiety disorder with hazard ratios of 1.08 (95% confidence interval [CI]: 1.03, 1.13), 1.12 (1.05, 1.20), 1.07 (1.00, 1.13), 1.06 (1.03, 1.09), and 1.05 (1.02, 1.08), respectively. We did not observe a significant association with PD. The association with dementia was stronger among the population with poor cardiovascular health (measured by Life\'s Essential 8) than the counterpart (P for interaction = 0.037). Likewise, per IQR increase was associated with specific brain imaging phenotypes, including volumes of total brain (β = -0.036; 95% CI: -0.050, -0.022), white matter (-0.030; -0.046, -0.014), grey matter (-0.030; -0.042, -0.017), respectively. The findings suggest long-term exposure to ambient PM2.5 at low-level still has an adverse impact on the neuro-psychiatric systems. The brain-relevant epidemiological assessment suggests that each country should update the standard for ambient PM2.5 following the World Health Organization Air Quality Guidelines 2021.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    脑超声是一种无创成像技术,广泛用于评估新生儿和婴儿的脑解剖结构和疾病。的确,它可以精确表征常见的变异,如透明腔间隔或脑室内出血等疾病。这篇图片综述的目的是全面概述使用与年龄相关的方法可以支持非亚专业放射科医生的最常见的脑解剖变异和脑超声可检测到的疾病的主要超声特征。
    Cerebral ultrasound is a non-invasive imaging technique widely used for the assessment of brain anatomy and diseases in neonates and infants. Indeed, it allows a precise characterization of common variants such as cavum septum pellucidum or diseases like intraventricular hemorrhage. The aim of this pictorial review is to provide a comprehensive overview of the main ultrasound features of the most common cerebral anatomical variants and disorders detectable by cerebral ultrasound using an age-related approach which could support non-subspecialized radiologists.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Editorial
    暂无摘要。
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    星形胶质细胞是多层面的神经胶质细胞类型,执行结构,功能,新陈代谢,和大脑中的稳态角色。最近的研究揭示了星形胶质细胞和神经元之间双向通信模式多样性的潜在机制-基本组织原理塑造了三方突触的突触特性。这些星形胶质细胞-神经元相互作用对于突触和神经回路的正常运作至关重要。这篇综述集中在指导这些相互作用的分子机制,突出了多种基于粘附的路径的多功能作用,这些路径可能会调节它们,通常以依赖于上下文的方式。它还描述了星形胶质细胞介导的过程如何在某些脑部疾病中出错,并及时了解了星形胶质细胞-神经元相互作用在突触完整性中的关键作用以及它们与理解和治疗神经系统疾病的相关性。
    Astrocytes are multifaceted glial cell types that perform structural, functional, metabolic, and homeostatic roles in the brain. Recent studies have revealed mechanisms underlying the diversity of bidirectional communication modes between astrocytes and neurons - the fundamental organizing principle shaping synaptic properties at tripartite synapses. These astrocyte-neuron interactions are critical for the proper functioning of synapses and neural circuits. This review focuses on molecular mechanisms that direct these interactions, highlighting the versatile roles of multiple adhesion-based paths that likely modulate them, often in a context-dependent manner. It also describes how astrocyte-mediated processes go awry in certain brain disorders and provides a timely insight on the pivotal roles of astrocyte-neuron interactions in synaptic integrity and their relevance to understanding and treating neurological disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    下丘是海马结构的关键输出成分,神经科学研究中经常被忽视的结构。这里,这篇综述旨在探讨下膜在各种脑部疾病中的作用,阐明其在神经系统疾病的功能神经解剖学观点中的重要性。彻底检查了下膜在多种脑部疾病中的参与。在阿尔茨海默病中,下膜改变先于认知能力下降,在癫痫中,下膜在癫痫发作中起关键作用。应力涉及下丘脑对下丘脑-垂体-肾上腺皮质轴的影响。此外,下膜表现出焦虑的结构和功能变化,精神分裂症,和帕金森病,导致认知缺陷。双相情感障碍与下膜结构异常有关,而自闭症谱系障碍揭示了下膜向内变形的改变。最后,额颞叶痴呆显示下膜的体积差异,强调它对无序的复杂性的贡献。一起来看,这篇综述巩固了关于下膜在脑部疾病中的作用的现有知识,并可能促进未来的研究,诊断策略,以及各种神经系统疾病的治疗干预措施。
    Subiculum is a pivotal output component of the hippocampal formation, a structure often overlooked in neuroscientific research. Here, this review aims to explore the role of the subiculum in various brain disorders, shedding light on its significance within the functional-neuroanatomical perspective on neurological diseases. The subiculum\'s involvement in multiple brain disorders was thoroughly examined. In Alzheimer\'s disease, subiculum alterations precede cognitive decline, while in epilepsy, the subiculum plays a critical role in seizure initiation. Stress involves the subiculum\'s impact on the hypothalamic-pituitary-adrenocortical axis. Moreover, the subiculum exhibits structural and functional changes in anxiety, schizophrenia, and Parkinson\'s disease, contributing to cognitive deficits. Bipolar disorder is linked to subiculum structural abnormalities, while autism spectrum disorder reveals an alteration of inward deformation in the subiculum. Lastly, frontotemporal dementia shows volumetric differences in the subiculum, emphasizing its contribution to the disorder\'s complexity. Taken together, this review consolidates existing knowledge on the subiculum\'s role in brain disorders, and may facilitate future research, diagnostic strategies, and therapeutic interventions for various neurological conditions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    背景:异常睡眠模式与脑部疾病之间有着深刻的联系,建议建立一个共同的有影响力的协会。然而,睡眠相关性状与脑部疾病之间的共同遗传基础和潜在的因果关系尚未完全阐明.
    方法:利用连锁不平衡评分回归(LDSC)和双向双样本单变量孟德尔随机化(UVMR)分析与大规模GWAS数据集,我们调查了6种睡眠特征和24种常见脑部疾病的遗传相关性和因果关系.此外,多变量孟德尔随机化(MVMR)分析评估了各种睡眠特征对每种脑部疾病的累积影响,辅以遗传基因座表征,以查明相关基因和途径。
    结果:LDSC分析发现,在睡眠相关性状和脑部疾病之间,144对中的66对(45.8%)具有显著的遗传相关性。在精神疾病中观察到最明显的相关性(66%,48/72)。UVMR分析确定了睡眠特征与脑部疾病之间的29种因果关系(FDR<0.05)。根据我们的知识,有19个新发现的关联。值得注意的是,严重的抑郁症,注意力缺陷/多动障碍,双相情感障碍,大麻使用障碍,神经性厌食症与睡眠特征呈双向因果关系,尤其是失眠对重度抑郁症的显著影响(IVWβ0.468,FDR=5.24E-09)。MVMR分析揭示了各种睡眠特征及其对脑部疾病的影响之间的细微差别。遗传基因座表征强调了潜在的基因,如HOXB2,而进一步的富集分析阐明了突触过程在这些关系中的重要性。
    结论:这项研究提供了令人信服的证据,证明了常见的睡眠相关性状与脑部疾病之间的因果关系和共同的遗传背景。
    BACKGROUND: There is a profound connection between abnormal sleep patterns and brain disorders, suggesting a shared influential association. However, the shared genetic basis and potential causal relationships between sleep-related traits and brain disorders are yet to be fully elucidated.
    METHODS: Utilizing linkage disequilibrium score regression (LDSC) and bidirectional two-sample univariable Mendelian Randomization (UVMR) analyses with large-scale GWAS datasets, we investigated the genetic correlations and causal associations across six sleep traits and 24 prevalent brain disorders. Additionally, a multivariable Mendelian Randomization (MVMR) analysis evaluated the cumulative effects of various sleep traits on each brain disorder, complemented by genetic loci characterization to pinpoint pertinent genes and pathways.
    RESULTS: LDSC analysis identified significant genetic correlations in 66 out of 144 (45.8 %) pairs between sleep-related traits and brain disorders, with the most pronounced correlations observed in psychiatric disorders (66 %, 48/72). UVMR analysis identified 29 causal relationships (FDR<0.05) between sleep traits and brain disorders, with 19 associations newly discovered according to our knowledge. Notably, major depression, attention-deficit/hyperactivity disorder, bipolar disorder, cannabis use disorder, and anorexia nervosa showed bidirectional causal relations with sleep traits, especially insomnia\'s marked influence on major depression (IVW beta 0.468, FDR = 5.24E-09). MVMR analysis revealed a nuanced interplay among various sleep traits and their impact on brain disorders. Genetic loci characterization underscored potential genes, such as HOXB2, while further enrichment analyses illuminated the importance of synaptic processes in these relationships.
    CONCLUSIONS: This study provides compelling evidence for the causal relationships and shared genetic backgrounds between common sleep-related traits and brain disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    在医学研究中,向大脑输送药物是一个复杂的挑战,特别是像阿尔茨海默氏症和帕金森氏症这样的疾病。血脑屏障限制了许多治疗分子的进入,阻碍其有效性。纳米颗粒,一个潜在的解决方案,面临毒性和有限批准等问题。一条新途径探索了小细胞外囊泡(sEV)的使用,即,外泌体,作为药物输送的天然载体。sEV,150nm以下的微小结构,由于其最小的免疫反应和精确递送药物的能力,显示出希望。这篇综述的重点是基于sEV的药物递送系统治疗神经系统疾病的潜力,脑癌,和其他与大脑有关的问题。值得注意的是,生物工程sEV携带治疗化合物在早期研究中显示出希望。sEV的独特功能,比如它们的小尺寸和自然属性,将它们定位为候选人,以克服向大脑输送药物的挑战。正在进行的临床试验和对sEV在体内行为的研究进一步突出了它们彻底改变药物输送和解决复杂大脑疾病的潜力。
    Delivering drugs to the brain is a complex challenge in medical research, particularly for disorders like Alzheimer\'s and Parkinson\'s. The blood-brain barrier restricts the entry of many therapeutic molecules, hindering their effectiveness. Nanoparticles, a potential solution, face issues like toxicity and limited approvals. A new avenue explores the use of small extracellular vesicles (sEVs), i.e., exosomes, as natural carriers for drug delivery. sEVs, tiny structures below 150 nm, show promise due to their minimal immune response and ability to precisely deliver drugs. This review focuses on the potential of sEVs-based drug delivery systems for treating neurological disorders, brain cancers, and other brain-related issues. Notably, bioengineered sEVs-carrying therapeutic compounds exhibit promise in early studies. The unique features of sEVs, such as their small size and natural properties, position them as candidates to overcome challenges in drug delivery to the brain. Ongoing clinical trials and research into sEVs behavior within the body further highlight their potential for revolutionizing drug delivery and addressing complex brain conditions.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    人脑疾病的高患病率需要开发可靠的外周生物标志物作为诊断和疾病监测工具。除了临床研究,动物模型显着推进了与脑发病机制相关的非脑异常的研究。斑马鱼(Daniorerio)作为转化神经科学中的动物模型生物越来越受欢迎。与哺乳动物模型相比,这些鱼类具有高度的遗传同源性和进化上保守的生化和神经行为表型,从而实现对人脑疾病的大规模建模。这里,我们回顾了斑马鱼模型中脑部疾病的外周生物标志物的越来越多的证据,专注于改变的生物化学(脂质,碳水化合物,蛋白质,和其他非信号分子,以及酶的代谢反应和活性)。总的来说,这些数据有力地支持了斑马鱼(从系统生物学的角度来看)用于研究脑部疾病的外周表现,并强调了斑马鱼模型中生化生物标志物在基于生物标志物的药物发现和开发中的潜在应用。
    High prevalence of human brain disorders necessitates development of the reliable peripheral biomarkers as diagnostic and disease-monitoring tools. In addition to clinical studies, animal models markedly advance studying of non-brain abnormalities associated with brain pathogenesis. The zebrafish (Danio rerio) is becoming increasingly popular as an animal model organism in translational neuroscience. These fish share some practical advantages over mammalian models together with high genetic homology and evolutionarily conserved biochemical and neurobehavioral phenotypes, thus enabling large-scale modeling of human brain diseases. Here, we review mounting evidence on peripheral biomarkers of brain disorders in zebrafish models, focusing on altered biochemistry (lipids, carbohydrates, proteins, and other non-signal molecules, as well as metabolic reactions and activity of enzymes). Collectively, these data strongly support the utility of zebrafish (from a systems biology standpoint) to study peripheral manifestations of brain disorders, as well as highlight potential applications of biochemical biomarkers in zebrafish models to biomarker-based drug discovery and development.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

    求助全文

  • 文章类型: Journal Article
    最近已显示多种神经和精神疾病与少突胶质细胞(OL)和中间神经元的异常发育和功能高度相关。OLs是中枢神经系统(CNS)中的髓磷脂形成细胞,而中间神经元是控制兴奋性神经元功能的重要神经类型。这两类细胞对神经回路的建立和功能具有重要意义,它们具有相似的发育起源和转录结构,并在开发过程中以多种方式相互作用。在这次审查中,我们比较了这两种细胞类型的异同,为进一步揭示相关脑疾患的发病机制提供重要参考。
    A variety of neurological and psychiatric disorders have recently been shown to be highly associated with the abnormal development and function of oligodendrocytes (OLs) and interneurons. OLs are the myelin-forming cells in the central nervous system (CNS), while interneurons are important neural types gating the function of excitatory neurons. These two types of cells are of great significance for the establishment and function of neural circuits, and they share similar developmental origins and transcriptional architectures, and interact with each other in multiple ways during development. In this review, we compare the similarities and differences in these two cell types, providing an important reference and further revealing the pathogenesis of related brain disorders.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

公众号