anterior cingulate

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  • 文章类型: Journal Article
    社会失败范式是研究社交焦虑障碍(SAD)及其潜在神经元机制的最具代表性的动物模型。我们以前曾报道过,在雌性草原田鼠(Microtusochogaster)的八周时间内,失败会逐渐减少大脑边缘区域的催产素受体(OXTR)。催产素受体激活丝裂原活化蛋白激酶(MAPK)途径,以前与催产素的抗焦虑作用有关。这里,我们评估了OXTR在应激诱导的社交回避和MAPK信号通路在伏隔核(NAc)的反应中的功能意义,前扣带皮质(ACC),雌性草原田鼠的基底外侧杏仁核(BLA)。
    在实验1中,性天真成年雌性草原田鼠连续三天被击败,并在一周后进行社交偏好/回避(SPA)测试。对照受试者在没有失败条件的情况下进行类似处理。在实验2中,性和压力幼稚的成年雌性草原田鼠被双侧注射到NAc中,ACC,或具有靶向Oxtr编码序列的CRISPR/Cas9病毒的BLA诱导OXTR敲低。手术后两周,对受试者进行SPA行为测试。类似地处理病毒对照组,但注射对照病毒。在两个实验中来自每种条件的一组动物被类似地处理和安乐死,而不测试SPA行为。采集大脑进行OXTR放射自显影,MAPK蛋白的蛋白质印迹分析和NAc中局部催产素含量的定量,BLA,ACC,和PVN通过ELISA。
    社会失败减少了NAc中OXTR的结合,并影响了MAPK途径的活性和催产素的可用性。这些结果是区域特异性的并且对暴露于SPA测试敏感。此外,在NAc中OXTR击倒,ACC,和BLA诱导NAc中的社交回避和基础MAPK活性降低。最后,我们发现,这些区域的OXTR敲低与PVN中催产素的可用性降低相关.
    NAc中催产素系统和MAPK信号通路的失调,ACC,和BLA在女性田鼠的社会行为中断中很重要。这种失调可能,因此,在女性SAD的病因中起着重要作用。
    UNASSIGNED: The social defeat paradigm is the most representative animal model to study social anxiety disorder (SAD) and its underlying neuronal mechanisms. We have previously reported that defeat progressively reduces oxytocin receptors (OXTR) in limbic regions of the brain over an eight-week period in female prairie voles (Microtus ochrogaster). Oxytocin receptors activate the mitogen-activated protein kinase (MAPK) pathway, which has been previously associated with the anxiolytic effects of oxytocin. Here, we assessed the functional significance of OXTR in stress-induced social avoidance and the response of the MAPK signaling pathway in the nucleus accumbens (NAc), anterior cingulate cortex (ACC), and basolateral amygdala (BLA) of female prairie voles.
    UNASSIGNED: In experiment 1, Sexually naïve adult female prairie voles were defeated for three consecutive days and tested a week after for social preference/avoidance (SPA) test. Control subjects were similarly handled without defeat conditioning. In experiment 2, sexually and stress naïve adult female prairie voles were bilaterally injected into the NAc, ACC, or the BLA with a CRISPR/Cas9 virus targeting the Oxtr coding sequence to induce OXTR knockdown. Two weeks post-surgery, subjects were tested for SPA behavior. Viral control groups were similarly handled but injected with a control virus. A subgroup of animals from each condition in both experiments were similarly treated and euthanized without being tested for SPA behavior. Brains were harvested for OXTR autoradiography, western blot analysis of MAPK proteins and quantification of local oxytocin content in the NAc, BLA, ACC, and PVN through ELISA.
    UNASSIGNED: Social defeat reduced OXTR binding in the NAc and affected MAPK pathway activity and oxytocin availability. These results were region-specific and sensitive to exposure to the SPA test. Additionally, OXTR knockdown in the NAc, ACC, and BLA induced social avoidance and decreased basal MAPK activity in the NAc. Finally, we found that OXTR knockdown in these regions was associated with less availability of oxytocin in the PVN.
    UNASSIGNED: Dysregulation of the oxytocin system and MAPK signaling pathway in the NAc, ACC, and BLA are important in social behavior disruptions in female voles. This dysregulation could, therefore, play an important role in the etiology of SAD in women.
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  • 文章类型: Journal Article
    妊娠暴露于丙戊酸(VPA)是自闭症谱系障碍(ASD)的危险因素。子宫内暴露于VPA的啮齿动物表现出ASD的共同特征,包括高阶认知区域如内侧前额叶皮质(mPFC)的体积失调,前扣带皮质(ACC),和海马体。在老年人群中,运动已被证明可以提高认知能力并缓冲大脑容量随年龄的减少。这项研究采用了青少年跑步机运动干预措施,以促进妊娠期间暴露于VPA的大鼠的认知灵活性和区域脑容量调节。结果发现,锻炼提高了在设定转移任务上注意力的额外维度转移的表现,这表明认知灵活性得到了改善。运动减少了女性的额叶皮质体积,而在男性运动中,腹侧海马体增加。这些发现表明,有氧运动可能是一种有效的干预措施,可以抵消ASD中经常观察到的前额叶和海马区发育的改变。
    Gestational exposure to valproic acid (VPA) is a risk factor for autism spectrum disorder (ASD). Rodents exposed to VPA in utero display common features of ASD, including volumetric dysregulation in higher-order cognitive regions like the medial prefrontal cortex (mPFC), the anterior cingulate cortex (ACC), and the hippocampus. Exercise has been shown in elderly populations to boost cognition and to buffer against brain volume losses with age. This study employed an adolescent treadmill exercise intervention to facilitate cognitive flexibility and regional brain volume regulation in rats exposed to VPA during gestation. It was found that exercise improved performance on extra-dimensional shifts of attention on a set-shifting task, which is indicative of improved cognitive flexibility. Exercise decreased frontal cortex volume in females, whereas in males exercise increased the ventral hippocampus. These findings suggest that aerobic exercise may be an effective intervention to counteract the altered development of prefrontal and hippocampal regions often observed in ASD.
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  • 文章类型: Journal Article
    经颅磁刺激(TMS)在治疗抑郁症中的应用越来越广泛。最常见的刺激目标,在背外侧前额叶皮层(DLPFC),来自抑郁症的早期神经影像学研究。最近,更严格的休闲方法揭示了全脑目标网络和基于局灶性脑损伤和局灶性脑刺激对抑郁症状的影响的反网络。治疗性DLPFC-TMS期间的症状改善似乎涉及DLPFC之间信号传导的方向性变化,遗传下和背侧前扣带皮质,和显著性网络区域。然而,不同的网络可能参与抑郁症其他TMS靶标的治疗机制,如背内侧前额叶皮质或眶额皮质。TMS治疗效果的持久性涉及突触神经可塑性,特别是可能取决于多巴胺作用于D1受体家族,以及NMDA受体依赖性突触可塑性机制。虽然TMS协议通常被认为是“兴奋性”或“抑制性”,个人的实际效果似乎变化很大,并且可能在突触群体而不是单个突触的水平上得到更好的理解。突触元可塑性可以提供内置的保护机制,以避免在治疗过程中失控的促进或抑制,并且可能导致TMS恶化而不是改善的患者数量相对较少。从行为学的角度来看,TMS的抗抑郁作用可能涉及促进与觅食/狩猎行为相关的全脑吸引子状态,以rostrolateral周围导水管灰色和显著性网络为中心,抑制与被动威胁防御相关的吸引子状态,以腹侧导水管周围灰色和默认模式网络为中心。
    Transcranial magnetic stimulation (TMS) is entering increasingly widespread use in treating depression. The most common stimulation target, in the dorsolateral prefrontal cortex (DLPFC), emerged from early neuroimaging studies in depression. Recently, more rigorous casual methods have revealed whole-brain target networks and anti-networks based on the effects of focal brain lesions and focal brain stimulation on depression symptoms. Symptom improvement during therapeutic DLPFC-TMS appears to involve directional changes in signaling between the DLPFC, subgenual and dorsal anterior cingulate cortex, and salience-network regions. However, different networks may be involved in the therapeutic mechanisms for other TMS targets in depression, such as dorsomedial prefrontal cortex or orbitofrontal cortex. The durability of therapeutic effects for TMS involves synaptic neuroplasticity, and specifically may depend upon dopamine acting at the D1 receptor family, as well as NMDA-receptor-dependent synaptic plasticity mechanisms. Although TMS protocols are classically considered \'excitatory\' or \'inhibitory\', the actual effects in individuals appear quite variable, and might be better understood at the level of populations of synapses rather than individual synapses. Synaptic meta-plasticity may provide a built-in protective mechanism to avoid runaway facilitation or inhibition during treatment, and may account for the relatively small number of patients who worsen rather than improve with TMS. From an ethological perspective, the antidepressant effects of TMS may involve promoting a whole-brain attractor state associated with foraging/hunting behaviors, centered on the rostrolateral periaqueductal gray and salience network, and suppressing an attractor state associated with passive threat defense, centered on the ventrolateral periaqueductal gray and default-mode network.
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  • 文章类型: Journal Article
    自闭症谱系障碍(ASD)是一种以社交和沟通障碍为特征的神经发育障碍,认知功能障碍,和刻板的重复行为。在患有ASD的个体中通常观察到区域体积变化。为了检查青春期的体积失调,采用丙戊酸(VPA)模型诱导大鼠ASD样表型。在出生后第28天(P28)或出生后第40天(P40)通过磁共振成像(MRI)获得区域体积,对应于青春期早期和晚期,分别。与先前的研究一致,与对照动物相比,VPA动物具有减少的总脑体积。一个新的结果是VPA动物在P40时右侧海马过度生长。在VPA动物中还观察到前扣带回皮质发育模式的差异。后扣带的差异仅在男性中观察到,而在女性中未观察到。这些结果表明,对照动物和VPA动物之间特定区域的发育轨迹存在差异,并表明VPA模型可以捕获与人类ASD一致的区域体积变化。
    BACKGROUND: Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by social and communication deficits, cognitive dysfunction, and stereotyped repetitive behaviors. Regional volume changes are commonly observed in individuals with ASD. To examine volumetric dysregulation across adolescence, the valproic acid (VPA) model was used to induce ASD-like phenotypes in rats.
    METHODS: Regional volumes were obtained via magnetic resonance imaging at either postnatal day 28 or postnatal day 40 (P40), which correspond to early and late adolescence, respectively.
    RESULTS: Consistent with prior research, VPA animals had reduced total brain volume compared to control animals. A novel outcome was that VPA animals had overgrown right hippocampi at P40. Differences in the pattern of development of the anterior cingulate cortex were also observed in VPA animals. Differences for the posterior cingulate were only observed in males, but not females.
    CONCLUSIONS: These results demonstrate differences in region-specific developmental trajectories between control and VPA animals and suggest that the VPA model may capture regional volume changes consistent with human ASD.
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  • 文章类型: Journal Article
    Wang及其同事最近的一项研究解开了小鼠前扣带皮质(ACC)的跨call抑制回路,通过刺激对侧小白蛋白阳性(PV)中间神经元来调节兴奋性同侧张力和对侧抑制。作者得出的结论是,所确定的回路可调节半球间平衡以进行视觉空间注意,并提供了自上而下的视觉皮层调制。
    A recent study by Wang and colleagues disentangled a transcallosal inhibitory circuit in mouse anterior cingulate cortex (ACC), which modulates excitatory ipsilateral tonus and contralateral inhibition by exciting contralateral parvalbumin-positive (PV+) interneurons. The authors conclude that the identified circuit mediates interhemispheric balance for visuospatial attention and provides top-down modulation of visual cortices.
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  • 文章类型: Journal Article
    小脑与社会行为的调节有关。它的影响被认为来自沟通,通过丘脑,到社交互动表达中不可或缺的前脑区域,包括前扣带皮质(ACC)。然而,编码的信号或小脑与这些大脑区域之间的通信性质知之甚少。这里,我们描述了一种方法,该方法克服了在社会行为期间以高时间和空间分辨率探索远处大脑区域协调的技术挑战。我们开发了E-Scope,集成电生理学的微型显微镜,与ACC的钙成像同步测量小脑的细胞外电活动。这种单一的同轴电缆设备结合了这些数据流,提供了一个强大的工具来监测自由行为动物的远处大脑区域的活动。在社会行为中,我们记录了小脑右侧CrusI(RCrusI)Purkinje细胞(PC)或齿状核(DN)神经元中多个单个单位的尖峰时间,同时同步成像对侧ACC神经元中的钙瞬变。我们发现,在社交互动过程中,小脑PC的显着亚群受到强烈抑制,而DN中的大多数调制神经元都被激活了,它们的活性与正调节的ACC神经元相关。当仅分析非社会时代时,这些区别在很大程度上消失了,这表明小脑-皮层的相互作用是行为特异性的。我们的工作为社会行为过程中小脑激活和ACC共调的复杂性提供了新的见解,并且是一个有价值的开源工具,自由行为小鼠的多模态记录。
    社会行为对许多动物很重要,尤其是人类。它控制个人和群体之间的互动。参与社会行为的区域之一是小脑,大脑的一部分,通常以控制运动而闻名。小脑很可能连接并影响大脑中其他重要的社会区域,比如前扣带皮质.这些区域在社交互动中的具体沟通方式还没有得到很好的理解。研究大脑区域之间的交流的挑战之一是缺乏可以同时测量多个区域神经活动的工具。为了解决这个问题,Huretal.开发了一种叫做E-Scope的装置.E-Scope可以同时从大脑的两个位置测量大脑活动。它可以同时记录不同神经元的成像和电生理数据。它也足够小,可以附着在动物身上而不会抑制它们的运动。Huretal.通过研究小脑两个区域的神经元来测试E-Scope,叫做右CrusI和齿状核,在小鼠社会互动过程中的前扣带回皮层。E-Scope在动物与其他小鼠互动时记录,并将其与与物体互动的小鼠进行比较。在社会交往中,右侧CrusI的浦肯野细胞大多较不活跃,而齿状核和前扣带皮质的神经元整体变得更加活跃。这些结果表明,小脑和前扣带皮质之间的交流是小鼠大脑如何协调社会行为的重要组成部分。Hur等人的研究。加深了我们对小脑在社会行为中的作用的理解。E-Scope是一种公开可用的工具,可让研究人员记录小动物的远程大脑区域之间的通信。这对试图了解自闭症等疾病的研究人员来说可能很重要,这可能涉及社交互动中的困难,或小脑受伤导致人格改变。
    The cerebellum has been implicated in the regulation of social behavior. Its influence is thought to arise from communication, via the thalamus, to forebrain regions integral in the expression of social interactions, including the anterior cingulate cortex (ACC). However, the signals encoded or the nature of the communication between the cerebellum and these brain regions is poorly understood. Here, we describe an approach that overcomes technical challenges in exploring the coordination of distant brain regions at high temporal and spatial resolution during social behavior. We developed the E-Scope, an electrophysiology-integrated miniature microscope, to synchronously measure extracellular electrical activity in the cerebellum along with calcium imaging of the ACC. This single coaxial cable device combined these data streams to provide a powerful tool to monitor the activity of distant brain regions in freely behaving animals. During social behavior, we recorded the spike timing of multiple single units in cerebellar right Crus I (RCrus I) Purkinje cells (PCs) or dentate nucleus (DN) neurons while synchronously imaging calcium transients in contralateral ACC neurons. We found that during social interactions a significant subpopulation of cerebellar PCs were robustly inhibited, while most modulated neurons in the DN were activated, and their activity was correlated with positively modulated ACC neurons. These distinctions largely disappeared when only non-social epochs were analyzed suggesting that cerebellar-cortical interactions were behaviorally specific. Our work provides new insights into the complexity of cerebellar activation and co-modulation of the ACC during social behavior and a valuable open-source tool for simultaneous, multimodal recordings in freely behaving mice.
    Social behaviour is important for many animals, especially humans. It governs interactions between individuals and groups. One of the regions involved in social behaviour is the cerebellum, a part of the brain commonly known for controlling movement. It is likely that the cerebellum connects and influences other socially important areas in the brain, such as the anterior cingulate cortex. How exactly these regions communicate during social interaction is not well understood. One of the challenges studying communication between areas in the brain has been a lack of tools that can measure neural activity in multiple regions at once. To address this problem, Hur et al. developed a device called the E-Scope. The E-Scope can measure brain activity from two places in the brain at the same time. It can simultaneously record imaging and electrophysiological data of the different neurons. It is also small enough to be attached to animals without inhibiting their movements. Hur et al. tested the E-Scope by studying neurons in two regions of the cerebellum, called the right Crus I and the dentate nucleus, and in the anterior cingulate cortex during social interactions in mice. The E-Scope recorded from the animals as they interacted with other mice and compared them with those in mice that interacted with objects. During social interactions, Purkinje cells in the right Crus I were mostly less active, while neurons in the dentate nucleus and anterior cingulate cortex became overall more active. These results suggest that communication between the cerebellum and the anterior cingulate cortex is an important part of how the mouse brain coordinates social behaviour. The study of Hur et al. deepens our understanding of the function of the cerebellum in social behaviour. The E-Scope is an openly available tool to allow researchers to record communication between remote brain areas in small animals. This could be important to researchers trying to understand conditions like autism, which can involve difficulties in social interaction, or injuries to the cerebellum resulting in personality changes.
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  • 文章类型: Journal Article
    背景:对响应冲突和错误的反应性增加,由背前扣带皮质(dACC)控制的过程,两者都牵涉到焦虑。焦虑在女性中也比男性更常见。重要的是,卵巢激素水平的自然变化与健康人群和临床人群的焦虑症状波动有关,和卵巢激素可能调节前额叶皮质的结构和功能。没有研究,然而,研究了卵巢激素波动在整个月经周期焦虑和认知控制之间的关系中的作用。
    方法:在这项多模态概念验证研究中,自然循环的女性(N=30对双胞胎,来自14对完整双胞胎和2对未在最终样本中的共同双胞胎;年龄18-29岁的参与者)提供唾液样本以测定雌二醇和孕酮,并连续35天完成宾夕法尼亚州立大学担忧问卷.在两个时间点,在预计的排卵前和排卵后阶段,他们还完成了Flanker任务,同时进行功能磁共振成像,以探测认知控制相关的dACC活动.使用多水平模型来检查激素对人与人之间的影响以及对认知控制指标的担忧。
    结果:在雌二醇和孕酮相对于女性自身平均水平较低的日子(即,主体内效应),担心与更大的侧翼干扰有关。与其他女性相比,雌二醇和孕酮水平较高的女性(即,主体之间的影响),担心与错误相关的DACC活动较少,无论dACC活动评估的日期如何。
    结论:研究结果表明,卵巢激素对担忧和认知控制之间的联系具有保护作用。担忧和冲突监测之间的关联对日常荷尔蒙波动敏感(人内状态),而担心和错误监测之间的关联对平均激素水平敏感(人与人之间的特征),这表明,在研究女性焦虑和认知控制之间的关联时,卵巢激素是至关重要的。
    BACKGROUND: Increased reactivity to response conflict and errors, processes governed by the dorsal anterior cingulate cortex (dACC), have both been implicated in anxiety. Anxiety is also more common in females than males. Importantly, natural changes in ovarian hormones levels are related to fluctuations in anxiety symptoms in healthy and clinical populations, and ovarian hormones likely modulate prefrontal cortex structure and function. No studies, however, have examined the role of fluctuating ovarian hormones in the association between anxiety and cognitive control across the menstrual cycle.
    METHODS: In this multimodal proof-of-concept study, naturally cycling females (N = 30 twins from 14 complete twin pairs and 2 participants whose co-twin was not in the final sample; age 18-29) provided saliva samples to assay for estradiol and progesterone and completed the Penn State Worry Questionnaire for 35 consecutive days. At two time points, during projected pre-ovulatory and post-ovulatory phases, they also completed the Flanker task while undergoing functional magnetic resonance imaging to probe cognitive control-related dACC activity. Multilevel modeling was used to examine within- and between-person effects of hormones and worry on cognitive-control indices.
    RESULTS: On days when estradiol and progesterone were low relative to a female\'s own average (i.e., within-subjects effect), worry was associated with greater flanker interference. In females with higher estradiol and progesterone levels compared to other females (i.e., between-subject effects), worry was associated with less error-related dACC activity, irrespective of the day that dACC activity was assessed.
    CONCLUSIONS: Findings suggest a protective effect of ovarian hormones on the link between worry and cognitive control. Associations between worry and conflict-monitoring were sensitive to daily hormonal fluctuations (within-person states), whereas associations between worry and error-monitoring were sensitive to mean hormone levels (between-person traits), suggesting that ovarian hormones are critical to consider in studies examining associations between anxiety and cognitive control in females.
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  • 文章类型: Journal Article
    背侧前扣带皮质(dACC)是疼痛和自主神经处理的关键大脑区域,使其成为有希望的非侵入性治疗靶标。我们利用低强度聚焦超声(LIFU)的高空间分辨率和深焦距,使用短暂的热痛刺激非侵入性地调节dACC对行为和心脏自主神经反应的影响。N=16名健康人类志愿者(6M/10F)在对dACC或Sham刺激的LIFU期间接受了短暂的接触性热痛。连续脑电图(EEG),心电图(ECG),记录皮肤电反应(EDR)。结果指标包括疼痛评分,心率变异性,EDR响应,血压,和接触热诱发电位(CHEP)的幅度。相对于Sham,LIFU将疼痛评分降低了1.09±0.20分。LIFU通过正常窦性搏动的标准偏差(SDNN)增加了心率变异性,低频(LF)电源,和低频/高频(LF/HF)比。对血压或EDR没有影响。LIFU导致P2CHEP振幅降低38.1%。结果表明,dACC的LIFU减轻了疼痛,并改变了对急性热痛刺激的自主神经反应。这对dACC中人类疼痛和自主神经处理的因果理解以及缓解疼痛和调节稳态信号的潜在未来治疗选择具有意义。重要性声明新的调查线表明,诸如心率变异性(HRV)之类的自主神经信号在慢性疼痛和心理健康障碍中是异常的,这可能有助于他们的潜在病因。背前扣带回皮质(dACC)是疼痛处理的关键中心,直接影响自主神经功能,但它的深度阻碍了没有侵入性手术的直接进入。在人类中第一次,我们证明低强度聚焦超声(LIFU)可以无创和选择性地调节dACC以减少急性疼痛感知,自主反应,和疼痛处理信号。这项工作进一步确立了dACC在疼痛和自主神经处理中的因果作用,并在慢性疼痛和神经心理学人群中具有潜在的未来临床应用。
    The dorsal anterior cingulate cortex (dACC) is a critical brain area for pain and autonomic processing, making it a promising noninvasive therapeutic target. We leverage the high spatial resolution and deep focal lengths of low-intensity focused ultrasound (LIFU) to noninvasively modulate the dACC for effects on behavioral and cardiac autonomic responses using transient heat pain stimuli. A N = 16 healthy human volunteers (6 M/10 F) received transient contact heat pain during either LIFU to the dACC or Sham stimulation. Continuous electroencephalogram (EEG), electrocardiogram (ECG), and electrodermal response (EDR) were recorded. Outcome measures included pain ratings, heart rate variability, EDR response, blood pressure, and the amplitude of the contact heat-evoked potential (CHEP).LIFU reduced pain ratings by 1.09 ± 0.20 points relative to Sham. LIFU increased heart rate variability indexed by the standard deviation of normal sinus beats (SDNN), low-frequency (LF) power, and the low-frequency/high-frequency (LF/HF) ratio. There were no effects on the blood pressure or EDR. LIFU resulted in a 38.1% reduction in the P2 CHEP amplitude. Results demonstrate LIFU to the dACC reduces pain and alters autonomic responses to acute heat pain stimuli. This has implications for the causal understanding of human pain and autonomic processing in the dACC and potential future therapeutic options for pain relief and modulation of homeostatic signals.
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  • 文章类型: Journal Article
    广泛性焦虑症(GAD)是一种普遍存在的疾病,慢性心理健康障碍。局部脑γ-氨基丁酸(GABA)的测量可深入了解其在焦虑中的作用,并且是治疗反应的潜在生物标志物。研究文献表明,Pipermethysticum(Kava)作为焦虑治疗有效,但没有研究评估其对中枢GABA水平的影响。这项研究调查了37名GAD成年参与者的背侧前扣带(dACC)GABA水平。使用质子磁共振波谱(1H-MRS)在基线和八周给予卡瓦(每天两次标准化至120mg卡瓦内酯)(n=20)或安慰剂(n=17)后测量GABA。这项研究是卡瓦治疗GAD的一部分(KGAD;ClinicalTrials.gov:NCT02219880),一项为期16周的干预研究。与安慰剂组相比,卡瓦组在8周时dACCGABA显著降低(p=0.049).HAM-A基线焦虑评分与GABA水平呈正相关,但与治疗无关。卡瓦治疗后中央GABA减少可能预示着抑制作用,which,如果被认为是有效的,表明GABA水平是由卡瓦调节的,独立于报告的焦虑症状。dACCGABA模式表明较高水平在临床焦虑中的功能作用,但值得进一步研究以改善症状。研究结果表明,以前在GAD中未检查的dACCGABA水平可以作为诊断和治疗反应的生物标志物。
    Generalised Anxiety Disorder (GAD) is a prevalent, chronic mental health disorder. The measurement of regional brain gamma-aminobutyric acid (GABA) offers insight into its role in anxiety and is a potential biomarker for treatment response. Research literature suggests Piper methysticum (Kava) is efficacious as an anxiety treatment, but no study has assessed its effects on central GABA levels. This study investigated dorsal anterior cingulate (dACC) GABA levels in 37 adult participants with GAD. GABA was measured using proton magnetic resonance spectroscopy (1H-MRS) at baseline and following an eight-week administration of Kava (standardised to 120 mg kavalactones twice daily) (n = 20) or placebo (n = 17). This study was part of the Kava for the Treatment of GAD (KGAD; ClinicalTrials.gov: NCT02219880), a 16-week intervention study. Compared with the placebo group, the Kava group had a significant reduction in dACC GABA (p = 0.049) at eight weeks. Baseline anxiety scores on the HAM-A were positively correlated with GABA levels but were not significantly related to treatment. Central GABA reductions following Kava treatment may signal an inhibitory effect, which, if considered efficacious, suggests that GABA levels are modulated by Kava, independent of reported anxiety symptoms. dACC GABA patterns suggest a functional role of higher levels in clinical anxiety but warrants further research for symptom benefit. Findings suggest that dACC GABA levels previously un-examined in GAD could serve as a biomarker for diagnosis and treatment response.
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  • 文章类型: Journal Article
    基于BOLD的功能磁共振成像是研究脑功能最广泛使用的方法。BOLD信号虽然有价值,被独特的漏洞所困扰。其中最值得注意的是适度的信噪比,以及相对较低的时间和空间分辨率。然而,BOLD信号的高维复杂性也为功能发现提供了独特的机会。拓扑数据分析(TDA)数学的一个分支被优化以在高维数据中搜索特定类别的结构可以提供特别有价值的应用。在这次调查中,我们使用基本的运动控制范式获取了前扣带皮质(ACC)的功能磁共振成像数据.然后,对于每个参与者和三个任务条件中的每一个,使用两种方法总结了ACC中的fMRI信号:a)基于TDA的持久性同源性和持久性景观方法,以及b)使用标准矢量化方案的基于非TDA的方法。最后,使用机器学习(使用支持向量分类器),对TDA和非TDA矢量化数据的分类准确性进行了测试.在每个参与者中,基于TDA的分类优于基于非TDA的分类,这表明我们的TDA分析管道更好地表征了ACC功能磁共振成像数据中任务和条件诱导的结构。我们的结果强调了TDA在表征区域fMRI信号中任务和条件引起的结构方面的价值。除了为其他用户提供我们的分析工具,我们还讨论了基于TDA的方法在健康和临床大脑中功能脑信号结构的个体差异研究中的独特作用。
    BOLD-based fMRI is the most widely used method for studying brain function. The BOLD signal while valuable, is beset with unique vulnerabilities. The most notable of these is the modest signal to noise ratio, and the relatively low temporal and spatial resolution. However, the high dimensional complexity of the BOLD signal also presents unique opportunities for functional discovery. Topological Data Analyses (TDA), a branch of mathematics optimized to search for specific classes of structure within high dimensional data may provide particularly valuable applications. In this investigation, we acquired fMRI data in the anterior cingulate cortex (ACC) using a basic motor control paradigm. Then, for each participant and each of three task conditions, fMRI signals in the ACC were summarized using two methods: a) TDA based methods of persistent homology and persistence landscapes and b) non-TDA based methods using a standard vectorization scheme. Finally, using machine learning (with support vector classifiers), classification accuracy of TDA and non-TDA vectorized data was tested across participants. In each participant, TDA-based classification out-performed the non-TDA based counterpart, suggesting that our TDA analytic pipeline better characterized task- and condition-induced structure in fMRI data in the ACC. Our results emphasize the value of TDA in characterizing task- and condition-induced structure in regional fMRI signals. In addition to providing our analytical tools for other users to emulate, we also discuss the unique role that TDA-based methods can play in the study of individual differences in the structure of functional brain signals in the healthy and the clinical brain.
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