Neurodevelopment

神经发育
  • 文章类型: Letter
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  • 文章类型: Journal Article
    GPR56,也称为GPR56/ADGRG1,是属于粘附G蛋白偶联受体(aGPCRs)的ADGRG亚组的成员。aGPCR是GPCR超家族的第二大亚家族,这是人类基因组中最大的膜蛋白受体家族。近年来的研究表明,GPR56是大脑正常发育的组成部分,在皮质发育中起着重要的作用。表明GPR56参与许多生理过程。的确,GPR56的异常表达与多种神经和精神疾病有关,包括双侧额叶顶多囊(BFPP),抑郁症和癫痫。在最近的一项研究中,发现GPR56的上调表达在抑郁症动物模型中减少了抑郁样行为,表明GPR56在抗抑郁反应中起重要作用。鉴于GPR56与抗抑郁反应的联系,GPR56的功能成为研究的热点。尽管GPR56可能是开发抗抑郁药的潜在目标,潜在的分子机制在很大程度上仍然未知。因此,在这次审查中,我们将总结GPR56在神经和精神疾病中的功能的最新发现(抑郁症,癫痫,自闭症,和BFPP),并强调GPR56在这些条件下的激活和信号传导机制。在回顾了几项研究后,归因于其显著的生物学功能和与多个配体相互作用的异常长的细胞外N端,我们得出结论,GPR56可能作为神经心理疾病的重要药物靶点。
    GPR56, also known as GPR56/ADGRG1, is a member of the ADGRG subgroup belonging to adhesion G protein-coupled receptors (aGPCRs). aGPCRs are the second largest subfamily of the GPCR superfamily, which is the largest family of membrane protein receptors in the human genome. Studies in recent years have demonstrated that GPR56 is integral to the normal development of the brain and functions as an important player in cortical development, suggesting that GPR56 is involved in many physiological processes. Indeed, aberrant expression of GPR56 has been implicated in multiple neurological and psychiatric disorders, including bilateral frontoparietal polymicrogyria (BFPP), depression and epilepsy. In a recent study, it was found that upregulated expression of GPR56 reduced depressive-like behaviours in an animal model of depression, indicating that GPR56 plays an important role in the antidepressant response. Given the link of GPR56 with the antidepressant response, the function of GPR56 has become a focus of research. Although GPR56 may be a potential target for the development of antidepressants, the underlying molecular mechanisms remain largely unknown. Therefore in this review, we will summarize the latest findings of GPR56 function in neurological and psychiatric disorders (depression, epilepsy, autism, and BFPP) and emphasize the mechanisms of GPR56 in activation and signalling in those conditions. After reviewing several studies, attributing to its significant biological functions and exceptionally long extracellular N-terminus that interacts with multiple ligands, we draw a conclusion that GPR56 may serve as an important drug target for neuropsychological diseases.
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  • 文章类型: Journal Article
    目的:提出了音乐疗法(MT),以丰富在大脑发育脆弱时期在新生儿重症监护病房中的极早产儿(VPT)的声环境。这项研究的目的是研究MT对白质(WM)微观结构的影响。假设MT影响VPT中的WM完整性。
    方法:招募妊娠<32周的婴儿的随机对照试验。婴儿被随机分配到MT或标准护理。从产后第二周开始,由训练有素的音乐治疗师每周提供两次LiveMT。在同等年龄时,参与者接受了头颅磁共振成像扫描,包括弥散张量成像分析序列.使用具有分数各向异性的基于道的空间统计来评估WM微观结构的差异。
    结果:在80名婴儿中,42例符合扩散张量成像分析的条件(MT:n=22,标准护理:n=20)。虽然基于初级道的空间统计分析显示组间没有显著差异,posthocanalysiswithuncorrectedp-valuesandasignificancethreshipofp<0.01retainedsignificantfractional各向异性differencesinseveralWMtrtractsincludingthebilatelysuperionralfasculus,左镊子小肌和左肌束,call体,左边的外囊,和右皮质脊髓束。
    结论:事后分析结果表明MT对VPT中WM完整性的影响。需要进行更大规模的研究,包括长期结果,以证实MT对WM微观结构的影响,并评估其对临床神经发育的影响。
    背景:临床试验编号DRKS00025753。
    OBJECTIVE: Music therapy (MT) is proposed to enrich the acoustic environment of very preterm infants (VPT) on the neonatal intensive care unit during a vulnerable period of brain development. The objective of this study was to investigate the effect of MT on the white matter (WM) microstructure. It is hypothesized that MT affects WM integrity in VPT.
    METHODS: Randomized controlled trial enrolling infants born <32 weeks\' gestation. Infants were randomized to MT or standard care. Live MT was provided twice weekly from the second postnatal week onwards by a trained music therapist. At term equivalent age, participants underwent a cranial magnetic resonance imaging scan including sequences for diffusion tensor imaging analysis. Differences in WM microstructure were assessed using tract based spatial statistics with fractional anisotropy.
    RESULTS: Of 80 infants enrolled, 42 were eligible for diffusion tensor imaging analysis (MT: n = 22, standard care: n = 20). While primary tract based spatial statistics analysis revealed no significant differences between groups, post hoc analysis with uncorrected p-values and a significance threshold of p < 0.01 revealed significant fractional anisotropy differences in several WM tracts including the bilateral superior longitudinal fasciculus, the left forceps minor and left fasciculus uncinatus, the corpus callosum, the left external capsule, and the right corticospinal tract.
    CONCLUSIONS: Post hoc analysis results suggest an effect of MT on WM integrity in VPT. Larger studies including long-term outcome are necessary to confirm these effects of MT on WM microstructure and to assess its impact on clinical neurodevelopment.
    BACKGROUND: Clinical trial number DRKS00025753.
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  • 文章类型: Journal Article
    了解甲基汞(MeHg)暴露对健康的危害是复杂的,因为它与鱼类消费的联系可能混淆或改变毒性。一种解决方案是在同一模型中包括鱼类摄入量和甲基汞暴露的生物标志物,但由此得出的估计并不能反映累积甲基汞或鱼类暴露的独立影响。在吃鱼的人群中,这可以通过将甲基汞暴露分为鱼类摄入量和食用鱼类的平均汞含量来解决。我们评估了来自新贝德福德队列(1993-1998年出生)的361名八岁儿童的产前甲基汞暴露(母体头发汞)和鱼类摄入量(在吃鱼的母亲中)与神经发育的联合关系。神经发育评估使用智商标准化测试,语言,记忆,和注意。协变量调整回归评估了母体鱼类消费量的关联,按估计平均鱼类汞的三元率分层,神经发育。母亲的鱼类摄入量与儿童结局之间的关联通常对平均最低的鱼类汞含量有益,但对最高平均鱼类汞含量有害,例如,在波士顿命名测试中,每份鱼的正确反应减少了1.3次(95%CI:-2.2,-0.4).标准分析表明,结果与头发汞或鱼的摄入量无关。
    Understanding health risks from methylmercury (MeHg) exposure is complicated by its link to fish consumption which may confound or modify toxicities. One solution is to include fish intake and a biomarker of MeHg exposure in the same model, but resulting estimates do not reflect the independent impact of accumulated MeHg or fish exposures. In fish-eating populations, this can be addressed by separating MeHg exposure into fish intake and average Hg content of the consumed fish. We assessed the joint association of prenatal MeHg exposure (maternal hair Hg) and fish intake (among fish-eating mothers) with neurodevelopment in 361 eight-year-olds from the New Bedford Cohort (born 1993-1998). Neurodevelopmental assessments used standardized tests of IQ, language, memory, and attention. Covariate-adjusted regression assessed the association of maternal fish consumption, stratified by tertiles of estimated average fish Hg, with neurodevelopment. Associations between maternal fish intake and child outcomes were generally beneficial for those in the lowest average fish Hg tertile, but detrimental in the highest average fish Hg tertile where, for example, each serving of fish was associated with 1.3 fewer correct responses (95% CI: -2.2, -0.4) on the Boston Naming test. Standard analyses showed no outcome associations with hair Hg or fish intake.
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  • 文章类型: Journal Article
    背景:社区水氟化是预防龋齿的有效公共卫生策略,yet.存在对潜在健康问题的担忧。这项研究探讨了自来水氟化物水平与儿科疾病负担之间的关系,以及6岁时的神经发育结果。
    方法:这项全国性的基于人群的队列研究包括出生在韩国城市的有或没有自来水氟化项目的儿童,在2006年至2012年之间,目标是处理过的自来水中的氟化物浓度为0.8±0.2mg/L。使用了国家健康保险服务的数据,从出生到2018年。研究了暴露于氟化自来水与先前被确定为可能与氟化物暴露有关的16种儿童疾病的发病率之间的关系。此外,我们评估了不同领域的神经发育结果,包括粗电机,精细电机,认知,语言,社交技能,和自助功能。这些评估是使用来自针对6岁儿童的全面国家健康筛查计划的数据进行的。
    结果:未接触氟化物的组包括22,881名儿童,而氟化物暴露组包括29,991名儿童(52%为男性)。氟化物暴露组的儿童患龋齿和骨折的风险降低[风险比(95%置信区间,CI),0.76(0.63-0.93)和0.89(0.82-0.93),与未暴露组相比,分别]和肝衰竭风险增加[1.85,(1.14-2.98)]。此外,异常神经发育筛查结果的风险比增加了9%,但这在统计学上是不确定的(95%CI,0.95-1.26).
    结论:含氟自来水与儿童肝衰竭风险增加相关,但骨折风险降低。氟化自来水与6年神经发育筛查结果之间的关系尚不清楚。强调需要进一步研究来澄清这种关联。
    BACKGROUND: Community water fluoridation is an effective public health strategy for preventing dental caries, yet. Concerns exist about potential health problems. This study explores associations between tap water fluoride levels and pediatric disease burden, as well as neurodevelopmental outcomes at 6 years of age.
    METHODS: This nationwide population-based cohort study included children born in Korean cities with and without tap water fluoridation projects, between 2006 and 2012, aiming for a fluoride concentration of 0.8 ± 0.2 mg/L in treated tap water. Data from the National Health Insurance Service were used, spanning from birth to 2018. The relationship between exposure to fluoridated tap water and incidence of 16 childhood diseases that were previously identified as potentially linked to fluoride exposure were examined. Additionally, we evaluated the neurodevelopmental outcomes across various domains, including gross motor, fine motor, cognition, language, social skills, and self-help functions. These assessments were performed using data from a comprehensive national health screening program for children aged six years.
    RESULTS: A fluoride-unexposed group included 22,881 children, whereas a fluoride-exposed group comprised 29,991 children (52% males). Children in the fluoride-exposed group had a decreased risk of dental caries and bone fractures [hazard ratio (95% confidence interval, CI), 0.76 (0.63-0.93) and 0.89 (0.82-0.93), respectively] and increased risk of hepatic failures [1.85, (1.14-2.98)] compared to those in the unexposed group. Additionally, the risk ratio of abnormal neurodevelopmental screening outcomes increased by 9%, but this was statistically uncertain (95% CI, 0.95-1.26).
    CONCLUSIONS: Fluoridated tap water was associated with an increased risk of hepatic failure but a decreased risk of bone fractures in children. The association between fluoridated tap water and neurodevelopmental screening outcomes at 6 years remains unclear, highlighting the need for further studies to clarify this association.
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  • 文章类型: Journal Article
    作为新生儿重症监护病房救生护理的一部分,重症新生儿经历了许多痛苦的手术。然而,新生儿期的疼痛暴露与大脑成熟的改变和儿童期较差的神经发育结局有关.NICU中最常用的疼痛和镇静药物是阿片类药物,苯二氮卓类药物和蔗糖;这些也与大脑成熟和神经发育异常有关,因此很难知道治疗新生儿疼痛的最佳方法。本文为临床医生提供了新生儿暴露于疼痛以及镇痛和镇静药物如何影响重症婴儿的脑成熟和神经发育结果的概述。我们还强调了未来需要研究的领域,以制定标准化的新生儿疼痛监测和管理策略。
    Critically ill newborns experience numerous painful procedures as part of lifesaving care in the Neonatal Intensive Care Unit. However, painful exposures in the neonatal period have been associated with alterations in brain maturation and poorer neurodevelopmental outcomes in childhood. The most frequently used medications for pain and sedation in the NICU are opioids, benzodiazepines and sucrose; these have also been associated with abnormalities in brain maturation and neurodevelopment making it challenging to know what the best approach is to treat neonatal pain. This article provides clinicians with an overview of how neonatal exposure to pain as well as analgesic and sedative medications impact brain maturation and neurodevelopmental outcomes in critically ill infants. We also highlight areas in need of future research to develop standardized neonatal pain monitoring and management strategies.
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  • 文章类型: Journal Article
    来自多能干细胞的人脑类器官(hCO)对于神经发育研究和健康或患病大脑的研究非常有希望。为了帮助建立hCOs作为一个强大的研究模型,必须对其细胞成分进行深入的形态学表征。
    在这项研究中,我们使用免疫荧光和逆转录酶定性聚合酶链反应(RT-qPCR)分析了培养45天后由hCOs组成的细胞类型。我们还通过透射电子显微镜(TEM)分析了它们的亚细胞形态特征。
    我们的结果表明,增殖区的发育与人脑发育中发现的增殖区非常相似,其中细胞具有极化结构,围绕着具有紧密连接和纤毛的中央腔。此外,我们描述了未成熟和成熟的迁移神经元的存在,星形胶质细胞,少突胶质前体细胞,和小胶质细胞样细胞。
    本研究中提出的超微结构表征提供了有关hCO的结构发展和形态的有价值的信息,这些信息对于将来研究改变hCOs的细胞结构或功能的机制具有普遍的意义。
    UNASSIGNED: Human cerebral organoids (hCOs) derived from pluripotent stem cells are very promising for the study of neurodevelopment and the investigation of the healthy or diseased brain. To help establish hCOs as a powerful research model, it is essential to perform the morphological characterization of their cellular components in depth.
    UNASSIGNED: In this study, we analyzed the cell types consisting of hCOs after culturing for 45 days using immunofluorescence and reverse transcriptase qualitative polymerase chain reaction (RT-qPCR) assays. We also analyzed their subcellular morphological characteristics by transmission electron microscopy (TEM).
    UNASSIGNED: Our results show the development of proliferative zones to be remarkably similar to those found in human brain development with cells having a polarized structure surrounding a central cavity with tight junctions and cilia. In addition, we describe the presence of immature and mature migrating neurons, astrocytes, oligodendrocyte precursor cells, and microglia-like cells.
    UNASSIGNED: The ultrastructural characterization presented in this study provides valuable information on the structural development and morphology of the hCO, and this information is of general interest for future research on the mechanisms that alter the cell structure or function of hCOs.
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  • 文章类型: Journal Article
    衰老是一个连续的过程,可以引起体内神经发育的变化。一些研究已经检查了它的影响,但是很少有人关注时间如何影响大脑发育早期阶段的生物过程。由于研究生命早期发生的变化对于预防与年龄有关的神经和精神疾病很重要,我们的目标是关注这些变化。在对各种小鼠脑区域中的基因表达谱的时间进程进行双向ANOVA测试和效应大小分析之后,鉴定了C57Bl/6J小鼠的分析脑区域所共有的衰老的转录组标志物。共有16374个基因(59.9%)表达水平发生显著变化,其中7600(27.8%)仅表现出组织依赖性差异,和1823(6.7%)显示时间依赖性和组织非依赖性反应。专注于具有至少一个大效应大小的基因给出了潜在的生物标志物列表12,332(45.1%)和1670(6.1%)基因,分别。有305个基因表现出相似的显着时间响应趋势(与大脑区域无关)。来自11天大的小鼠胚胎的样品验证了鉴定的早期脑老化标记。整体功能分析显示线粒体和接触激活系统(CAS)中的tRNA和rRNA加工,以及激肽释放酶/激肽系统(KKS),与凝血级联反应和缺陷因子F9激活一起受到老化的影响。大多数与衰老相关的途径都显著丰富,尤其是那些与发育过程和神经退行性疾病密切相关的疾病。
    Ageing is a continuous process that can cause neurodevelopmental changes in the body. Several studies have examined its effects, but few have focused on how time affects biological processes in the early stages of brain development. As studying the changes that occur in the early stages of life is important to prevent age-related neurological and psychiatric disorders, we aim to focus on these changes. The transcriptomic markers of ageing that are common to the analysed brain regions of C57Bl/6J mice were identified after conducting two-way ANOVA tests and effect size analysis on the time courses of gene expression profiles in various mouse brain regions. A total of 16,374 genes (59.9%) significantly changed their expression level, among which 7600 (27.8%) demonstrated tissue-dependent differences only, and 1823 (6.7%) displayed time-dependent and tissue-independent responses. Focusing on genes with at least a large effect size gives the list of potential biomarkers 12,332 (45.1%) and 1670 (6.1%) genes, respectively. There were 305 genes that exhibited similar significant time response trends (independently of the brain region). Samples from an 11-day-old mouse embryo validated the identified early-stage brain ageing markers. The overall functional analysis revealed tRNA and rRNA processing in the mitochondrion and contact activation system (CAS), as well as the kallikrein/kinin system (KKS), together with clotting cascade and defective factor F9 activation being affected by ageing. Most ageing-related pathways were significantly enriched, especially those that are strongly connected to development processes and neurodegenerative diseases.
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  • 文章类型: Journal Article
    目标:自闭症(自闭症谱系障碍[ASD])涉及的大脑网络可塑性的更新,以及它们的突触和初级非活动纤毛的作用越来越大。
    方法:来自PubMed和Google的数据,发表至2024年2月,进行了分析。
    结果:在ASD中观察到涉及神经元回路的突触和纤毛的结构和功能脑特征以及遗传特殊性,如减少树突的修剪,小结肠病理学,或连接的持久性通常注定要消失。参与突触功能的蛋白质(如神经素和神经素),在突触后结构支架(如Shank蛋白)或纤毛功能(如IFT非依赖性驱动蛋白)中通常是异常的。存在谷氨酸能传递的增加和GABA抑制的减少。ASD可能发生在遗传性纤毛病中。调节这些特异性的手段,当被认为有用时,被描述。
    结论:ASD的广泛临床表现与形态学异常密切相关,功能,大脑网络的可塑性,涉及他们的突触和不活动的纤毛。它们的调制为需要时的治疗提供了重要的研究视角,特别是因为大脑可塑性比以前认为的要晚得多。需要改进ASD的早期检测以及对突触和初级纤毛的其他研究。
    OBJECTIVE: An update on the plasticity of the brain networks involved in autism (autism spectrum disorders [ASD]), and the increasing role of their synapses and primary non-motile cilia.
    METHODS: Data from PubMed and Google on this subject, published until February 2024, were analyzed.
    RESULTS: Structural and functional brain characteristics and genetic particularities involving synapses and cilia that modify neuronal circuits are observed in ASD, such as reduced pruning of dendrites, minicolumnar pathology, or persistence of connections usually doomed to disappear. Proteins involved in synapse functions (such as neuroligins and neurexins), in the postsynaptic architectural scaffolding (such as Shank proteins) or in cilia functions (such as IFT-independent kinesins) are often abnormal. There is an increase in glutaminergic transmission and a decrease in GABA inhibition. ASD may occur in genetic ciliopathies. The means of modulating these specificities, when deemed useful, are described.
    CONCLUSIONS: The wide range of clinical manifestations of ASD is strongly associated with abnormalities in the morphology, functions, and plasticity of brain networks, involving their synapses and non-motile cilia. Their modulation offers important research perspectives on treatments when needed, especially since brain plasticity persists much later than previously thought. Improved early detection of ASD and additional studies on synapses and primary cilia are needed.
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  • 文章类型: Journal Article
    母亲妊娠期肥胖与儿童肥胖风险有关。这种风险可能部分是由儿童气质改变介导的,这会影响母婴互动,包括影响肥胖风险的喂养和舒缓行为。我们的目的是检查孕妇孕前BMI和儿童zBMI之间的关系,并确定儿童气质,特别是积极的情感/激情,调解这个协会。使用条件流程建模,我们分析了在艾伯塔省妊娠结局和营养(APrON)研究中纳入的408份母子二元组的数据.儿童气质在3岁时通过家长报告测量进行评估,儿童行为问卷(CBQ),和儿童zBMI通过4-5岁儿童身高和体重的当面测量来计算。双变量相关显示zBMI和Surgency之间存在显著正相关(r=0.11,p=0.03),zBMI也与孕前BMI相关(r=0.12,p=0.02)。多因素回归分析显示,孕妇孕前BMI(调整后的β=0.15,95%置信区间[CI];0.00-0.05,p=0.02)和Surgency评分(调整后的β=0.14,95%CI;0.02-0.28,p=0.03)与4-5岁儿童zBMI升高相关。中介分析表明,Surgency介导了孕前BMI与儿童zBMI之间的关系。我们的模型控制了孕妇的妊娠期体重增加,妊娠期糖尿病,社会经济地位,母亲的焦虑和抑郁,和出生时的胎龄。总的来说,孕妇孕前BMI与儿童zBMI呈正相关,这种关联是由较高的儿童Surgency评分介导的。
    Maternal gestational obesity is related to risk of obesity in the child. This risk may be in part mediated by altered child temperament, which can affect mother-child interactions, including feeding and soothing behaviors that affect obesity risk. Our objective was to examine the association between maternal pre-pregnancy BMI and child zBMI and determine if child temperament, specifically positive Affectivity/Surgency, mediates this association. Using conditional process modeling, we analyzed data from 408 mother-child dyads enrolled in the Alberta Pregnancy Outcomes and Nutrition (APrON) study. Child temperament was assessed at 3 years of age via a parent report measure, the Child Behavior Questionnaire (CBQ), and child zBMI was calculated from in-person measurements of child height and weight at 4-5 years of age. Bivariate correlations showed that there was a significant positive correlation between zBMI and Surgency (r = 0.11, p = 0.03), and zBMI was also correlated with maternal pre-pregnancy BMI (r = 0.12, p = 0.02). Multivariable regression revealed that maternal pre-pregnancy BMI (adjusted β = 0.15, 95% confidence interval [CI]; 0.00-0.05, p = 0.02) and Surgency scores (adjusted β = 0.14, 95% CI; 0.02-0.28, p = 0.03) were associated with higher child zBMI at 4-5 years of age. Mediation analysis showed that Surgency mediated the association between pre-pregnancy BMI and child zBMI. Our models controlled for maternal gestational weight gain, gestational diabetes, socioeconomic status, maternal anxiety and depression, and gestational age at birth. Overall, maternal pre-pregnancy BMI was positively associated with child zBMI, and this association was mediated by higher child Surgency scores.
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