caudate nucleus

尾状核
  • 文章类型: Journal Article
    使用改良的高尔基体浸渍方法检查了骆驼和人类的尾状核(CN)神经元。神经元根据体细胞形态进行分类,树枝状特征,和脊柱分布。在这两个物种中都鉴定出三种初级神经元类型:多刺(I型),疏刺(II型),和有皮(III型),每个包括具有特定特征的亚型。比较分析显示,体细胞大小存在显着差异,树枝状形态,和脊柱在骆驼和人类之间的分布。该研究有助于我们对CN神经元结构多样性的理解,并提供了对进化神经适应的见解。
    Caudate nucleus (CN) neurons in camels and humans were examined using modified Golgi impregnation methods. Neurons were classified based on soma morphology, dendritic characteristics, and spine distribution. Three primary neuron types were identified in both species: rich-spiny (Type I), sparsely-spiny (Type II), and aspiny (Type III), each comprising subtypes with specific features. Comparative analysis revealed significant differences in soma size, dendritic morphology, and spine distribution between camels and humans. The study contributes to our understanding of structural diversity in CN neurons and provides insights into evolutionary neural adaptations.
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  • 文章类型: Journal Article
    白天过度嗜睡(EDS)和尾状核体积改变与阿尔茨海默病(AD)有关,但在主观认知功能下降(SCD)的背景下,两者的关系仍不清楚.
    本研究旨在探讨SCD患者EDS与尾状核体积的关系。
    测量了170例SCD患者的全脑体积,包括37例EDS和133例非EDS患者,来自中国认知衰退纵向研究(SILCODE)。参与者接受了全面的评估,包括神经心理学和临床评估,验血,对APOE进行遗传分析,并使用全自动分割工具对结构MRI扫描进行分析,volBrain.
    与非EDS相比,EDS患者的总和左尾状核体积明显增加。EDS中与尾状核体积相关的最重要的认知行为因素是听觉语言学习测试识别。
    这些发现表明EDS可能与尾状核体积的改变有关,特别是在左半球,在SCD的背景下。需要进一步的研究来了解这种关系的潜在机制及其对临床管理的影响。
    UNASSIGNED: Excessive daytime sleepiness (EDS) and caudate nucleus volume alterations have been linked to Alzheimer\'s disease (AD), but their relationship remains unclear under the context of subjective cognitive decline (SCD).
    UNASSIGNED: This study aimed to investigate the relationship between EDS and caudate nucleus volume in patients with SCD.
    UNASSIGNED: The volume of entire brain was measured in 170 patients with SCD, including 37 patients with EDS and 133 non-EDS, from the Sino Longitudinal Study on Cognitive Decline (SILCODE). Participants underwent a comprehensive assessment battery, including neuropsychological and clinical evaluations, blood tests, genetic analysis for APOE ɛ4, and structural MRI scans analyzed using the fully automated segmentation tool, volBrain.
    UNASSIGNED: Patients with EDS had significantly increased volume in the total and left caudate nucleus compared to non-EDS. The most significant cognitive behavioral factor associated with caudate nucleus volume in the EDS was the Auditory Verbal Learning Test-recognition.
    UNASSIGNED: These findings suggest that EDS may be associated with alterations in caudate nucleus volume, particularly in the left hemisphere, in the context of SCD. Further research is necessary to understand the underlying mechanisms of this relationship and its implications for clinical management.
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  • 文章类型: English Abstract
    OBJECTIVE: To study the ultrastructure of microglia and neurons in contact with each other in the head of the caudate nucleus in continuous schizophrenia (CS) and paroxysmal-progressive schizophrenia (PPS) as compared to controls and to analyze correlations between the parameters of microglia and neurons in the control and schizophrenia groups.
    METHODS: Post-mortem electron microscopic morphometric study of microglia and neurons in contact with each other was performed in the head of the caudate nucleus in 9 cases of CS, 10 cases of PPS and 20 controls without mental pathology. Group comparisons were made using analysis of covariance and Pearson correlation analysis.
    RESULTS: The PPS group showed increased numerical density of microglia in young (≤50 years old) patients compared to elderly (>50 years old) controls and increased area of endoplasmic reticulum vacuoles in microglia in young patients compared to young controls. Decreased numerical density of microglia was found in the CS group compared to the PPS group (p<0.05), and increased volume fraction (Vv) and the number of lipofuscin granules in microglia were found in the CS group in elderly patients compared with young and elderly controls. In this group, negative correlations were revealed between the numerical density of microglia, microglia nuclear area and the duration of disease (r= -0.72, p=0.03; r= -0.8; p=0.01). Decreased Vv and the number of mitochondria in microglia and increased area and perimeter of neurons were revealed in both groups compared to the control group. In neurons, increased vacuole area was found in the PPS group and mitochondrial area in the NTS group compared to the control group. Correlation violations were found between the parameters of mitochondria in microglia and neurons in both PPS and CS groups and between the area of mitochondria in neurons and the area of vacuoles in microglia in the CS group compared to the control group.
    CONCLUSIONS: Disturbed interactions between microglia and neurons in the caudate nucleus are associated with the types of course of schizophrenia and with microglial reactivity. They might be caused by the damage of energy metabolism in microglia in both types of schizophrenia course and by stress of endoplasmic reticulum in microglia in CS.
    UNASSIGNED: Изучение ультраструктуры микроглии и нейронов, контактирующих друг с другом, в хвостатом ядре при непрерывнотекущей (НТШ) и приступообразно-прогредиентной (ППШ) шизофрении по сравнению с контролем и анализ корреляционных связей между параметрами микроглии и нейронов в контроле и при шизофрении.
    UNASSIGNED: На аутопсийном материале проведено электронно-микроскопическое морфометрическое исследование микроглии и нейронов, контактирующих друг с другом, в головке хвостатого ядра в 9 случаях НТШ, 10 — ППШ и 20 контролях без психической патологии. Групповые сравнения проводили с помощью ковариационного анализа и корреляционного анализа Пирсона.
    UNASSIGNED: В группе ППШ показаны повышенная численная плотность микроглии у молодых (≤50 лет) больных по сравнению с пожилыми (>50 лет) из группы контроля и площадь вакуолей эндоплазматического ретикулума в микроглии у молодых больных по сравнению с молодыми из группы контроля. В группе НТШ обнаружены сниженная численная плотность микроглии по сравнению с группой ППШ (p<0,05) и повышенные объемная фракция (Vv) и количество гранул липофусцина в микроглии у пожилых больных по сравнению с молодыми и пожилыми из группы контроля. В группе НТШ найдены отрицательные корреляции между численной плотностью микроглии, площадью ядра микроглии и длительностью болезни (r= –0,72, p=0,03; r= –0,8; p=0,01). В обеих группах больных обнаружены сниженные Vv и количество митохондрий в микроглии и повышенные площадь и периметр нейронов по сравнению с контрольной группой. В нейронах найдены повышенные площадь вакуолей в группе ППШ и площадь митохондрий в группе НТШ по сравнению с контрольной группой. Установлены нарушения корреляционных связей между параметрами митохондрий в микроглии и нейронах в группах ППШ и НТШ и между площадью митохондрий в нейронах и площадью вакуолей в микроглии в группе НТШ по сравнению с контрольной группой.
    UNASSIGNED: Нарушенные взаимодействия между микроглией и нейронами в хвостатом ядре связаны с типами течения шизофрении и микроглиальной реактивностью. Они могут быть вызваны повреждением энергетического метаболизма в микроглии при обоих типах течения шизофрении и стрессом эндоплазматического ретикулума в микроглии при НТШ.
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  • 文章类型: Journal Article
    越来越多的证据表明,精神分裂症的神经元网络功能障碍中的髓磷脂完整性受损和少突胶质细胞异常。我们以前报道了髓鞘少突胶质细胞(OL)的缺乏,前额叶皮层和下顶叶皮层中的少突胶质细胞祖细胞(OP)和神经元的卫星少突胶质细胞(Sat-OL)-精神分裂症中额顶认知网络和默认模式网络(DMN)的皮质中心发生了改变。在尾状核(HCN)的头部也检测到OL和OP的缺乏,它积累了来自联想皮层的皮层投影,是这些网络的中心节点。然而,在HCN中尚未研究精神分裂症中每个神经元的Sat-Ol数量。在本研究中,我们估计了精神分裂症(n=18)中HCN的延髓部分中每个神经元的Sat-Ol的数量,与先前用于研究数量Ol和OP的相同切片集合中的健康对照(n=18)相比。我们发现每个神经元的Sat-Ol数量显着减少(-50%,与正常对照相比,精神分裂症中的p<0.001)。考虑到HCN的主要部分是DMN的单个网络特定投影区,在精神分裂症中发现的Sat-Ol缺陷可能与功能失调的DMN-HCN连接有关,这在精神分裂症中被反复描述。每个神经元的Sat-Ol数量的急剧减少可能与精神分裂症中HCN的前端部分中多巴胺浓度的明显过量有关。
    Increasing evidence implicates compromised myelin integrity and oligodendrocyte abnormalities in the dysfunction of neuronal networks in schizophrenia. We previously reported a deficiency of myelinating oligodendrocytes (OL), oligodendrocyte progenitors (OP) and satellite oligodendrocytes of neurons (Sat-OL) in the prefrontal cortex and the inferior parietal cortex - cortical hubs of the frontoparietal cognitive network and default mode network (DMN) altered in schizophrenia. Deficiency of OL and OP was also detected in the head of the caudate nucleus (HCN), which accumulates cortical projections from the associative cortex and is the central node of these networks. However, the number of Sat-Ol per neuron in schizophrenia has not been studied in the HCN. In the current study we estimated the number of Sat-Ol per neuron in the rostral part of the HCN in schizophrenia (n = 18) compared to healthy controls (n = 18) in the same section collection that was previously used to study the number Ol and OP. We found a significant decrease of the number of Sat-Ol per neuron (- 50%, p < 0.001) in schizophrenia as compared to normal controls. Considering that the rostral part of the HCN is an individual network-specific projection zone of the DMN, the deficit of Sat-Ol found in schizophrenia may be related to the dysfunctional DMN-HCN connections, which has been repeatedly described in schizophrenia. The dramatic decrease of the number of Sat-Ol per neuron may be partially related to a pronounced excess of dopamine concentration in the rostral part of the HCN in schizophrenia.
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  • 文章类型: Journal Article
    破译纹状体中间神经元多样性是了解基底神经节回路和解开影响这种大脑结构的复杂神经和精神疾病的关键。我们对死后的人尾状核和壳核样品进行了snRNA-seq和空间转录组学,以阐明人背纹状体中中间神经元种群的多样性和丰度及其固有的转录结构。我们提出了纹状体中间神经元的综合分类法,包括八个主类和十四个亚类,提供其完整的转录组身份和空间表达谱,以及针对特定群体的其他定量FISH验证。我们还描述了我们的分类法与以前的标准化分类的对应关系,并显示了尾状核和壳核之间的主要转录组和类别丰度差异。值得注意的是,基于离子通道和突触受体等关键功能基因,我们发现已知的小鼠中间神经元种群与最丰富的种群相匹配,最近描述的PTHLH和TAC3中间神经元。最后,我们能够将其他已发布的数据集与我们的数据集集成在一起,支持这种协调分类法的普遍性。
    Deciphering the striatal interneuron diversity is key to understanding the basal ganglia circuit and to untangling the complex neurological and psychiatric diseases affecting this brain structure. We performed snRNA-seq and spatial transcriptomics of postmortem human caudate nucleus and putamen samples to elucidate the diversity and abundance of interneuron populations and their inherent transcriptional structure in the human dorsal striatum. We propose a comprehensive taxonomy of striatal interneurons with eight main classes and fourteen subclasses, providing their full transcriptomic identity and spatial expression profile as well as additional quantitative FISH validation for specific populations. We have also delineated the correspondence of our taxonomy with previous standardized classifications and shown the main transcriptomic and class abundance differences between caudate nucleus and putamen. Notably, based on key functional genes such as ion channels and synaptic receptors, we found matching known mouse interneuron populations for the most abundant populations, the recently described PTHLH and TAC3 interneurons. Finally, we were able to integrate other published datasets with ours, supporting the generalizability of this harmonized taxonomy.
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  • 文章类型: Journal Article
    过去的横断面慢性疼痛研究表明,参与疼痛处理和影响调节的区域存在异常的静息状态大脑活动。然而,缺乏纵向研究来检验静息状态活动和疼痛韧性与慢性疼痛结局随时间变化之间的联系.在这项前瞻性研究中,我们评估了基线(T1)静息态脑活动状态,作为慢性疼痛后期损害的生物标志物,以及随访时疼痛复原力和损害之间关系的中介.142名患有慢性肌肉骨骼疼痛的成年人完成了T1评估,其中包括基于区域均匀性(ReHo)和自我报告的人口统计学指标的静息状态功能磁共振成像扫描,疼痛的特点,心理状态,疼痛恢复力,疼痛严重程度,和疼痛障碍。随后,在6个月随访(T2)时重新评估疼痛损害.分层多元回归和中介分析评估了T1ReHo和疼痛韧性评分与疼痛损害变化的关系。在控制所有其他具有统计学意义的自我报告指标后,右尾状核中较高的T1ReHo值与T2时疼痛损害增加有关。ReHo还部分介导T1疼痛韧性维度与T2疼痛损伤的关联。T1右尾状核ReHo是慢性肌肉骨骼疼痛后期损害的可能生物标志物,也是一种神经机制,可能有助于解释为什么疼痛弹性与后期慢性疼痛损害的较低水平相关。研究结果为前瞻性扩展提供了经验基础,该扩展评估了ReHo活性和自我报告的疼痛弹性的状态,作为慢性疼痛后期损害的标志物和减少损害的干预措施的目标。实践点:损伤的静息状态标记:较高的基线(T1)区域同质性(ReHo)值,位于右侧尾状核,在6个月的随访中,与慢性肌肉骨骼疼痛的损害加重有关,独立于T1人口统计学,痛苦的经历,和心理因素。ReHo值的中介作用:右尾状核中的ReHo值也介导了基线疼痛弹性水平与参与者后期疼痛损害之间的关系。治疗意义:研究结果为研究扩展提供了经验基础,这些研究扩展评估(1)在评估中使用静息状态活动以识别有以后疼痛受损风险的人,以及(2)静息状态活动的变化作为生物标志物,用于改善有需要的人的弹性和减少损害。
    Past cross-sectional chronic pain studies have revealed aberrant resting-state brain activity in regions involved in pain processing and affect regulation. However, there is a paucity of longitudinal research examining links of resting-state activity and pain resilience with changes in chronic pain outcomes over time. In this prospective study, we assessed the status of baseline (T1) resting-state brain activity as a biomarker of later impairment from chronic pain and a mediator of the relation between pain resilience and impairment at follow-up. One hundred forty-two adults with chronic musculoskeletal pain completed a T1 assessment comprising a resting-state functional magnetic resonance imaging scan based on regional homogeneity (ReHo) and self-report measures of demographics, pain characteristics, psychological status, pain resilience, pain severity, and pain impairment. Subsequently, pain impairment was reassessed at a 6-month follow-up (T2). Hierarchical multiple regression and mediation analyses assessed relations of T1 ReHo and pain resilience scores with changes in pain impairment. Higher T1 ReHo values in the right caudate nucleus were associated with increased pain impairment at T2, after controlling for all other statistically significant self-report measures. ReHo also partially mediated associations of T1 pain resilience dimensions with T2 pain impairment. T1 right caudate nucleus ReHo emerged as a possible biomarker of later impairment from chronic musculoskeletal pain and a neural mechanism that may help to explain why pain resilience is related to lower levels of later chronic pain impairment. Findings provide empirical foundations for prospective extensions that assess the status of ReHo activity and self-reported pain resilience as markers for later impairment from chronic pain and targets for interventions to reduce impairment. PRACTITIONER POINTS: Resting-state markers of impairment: Higher baseline (T1) regional homogeneity (ReHo) values, localized in the right caudate nucleus, were associated with exacerbations in impairment from chronic musculoskeletal pain at a 6-month follow-up, independent of T1 demographics, pain experiences, and psychological factors. Mediating role of ReHo values: ReHo values in the right caudate nucleus also mediated the relationship between baseline pain resilience levels and later pain impairment among participants. Therapeutic implications: Findings provide empirical foundations for research extensions that evaluate (1) the use of resting-state activity in assessment to identify people at risk for later impairment from pain and (2) changes in resting-state activity as biomarkers for the efficacy of treatments designed to improve resilience and reduce impairment among those in need.
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  • 文章类型: Journal Article
    目的:在多发性硬化症(MS)中发现了皮质和丘脑灰质(GM)中的CSF-in梯度。我们同时探索了皮质的模式,丘脑,以及使用多参数MRI方法在距CSF的渐进距离处的尾状微结构异常。
    方法:对于这项横断面研究,从3T3DT1加权扫描,我们从脑膜表面25%-50%-75%深度的皮质层以及从心室-GM界面2-3-4体素的丘脑和尾状带采样。使用线性混合模型,我们测试了磁化转移比(MTR)和R2*层特定z分数的组间比较,CSF-in跨层z分数变化,以及它们与临床(疾病持续时间和残疾)和结构(局灶性病变,大脑,和脉络丛体积)MRI测量。
    结果:我们招募了52例MS患者(33例复发缓解[RRMS],19渐进式[PMS],平均年龄:46.4岁,中位病程:15.1年,中位数:EDSS2.0)和70名对照(平均年龄41.5±12.8)。与对照组相比,RRMS在外层和中层皮质层中显示较低的MTR值(错误发现率[FDR]-p≤0.025),在所有3个皮质层中显示较低的R2*值(FDR-p≤0.016)。PMS在皮质外层和中层(FDR-p≤0.016)和丘脑(FDR-p≤0.048)层的MTR值较低,并在外尾状层(FDR-p=0.024)。他们在皮质外层(FDR-p=0.003)和丘脑外层(FDR-p=0.046)中显示出较低的R2*值,在所有3个尾状层(FDR-p≤0.031)中显示出较高的R2*值。RRMS和PMS都有损伤梯度,较低的值更接近CSF,用于皮质(FDR-p≤0.002)和丘脑(FDR-p≤0.042)MTR。PMS显示皮质R2*(FDR-p=0.005)的损伤梯度,丘脑R2*(FDR-p=0.004),和尾状MTR(FDR-p≤0.013)。外皮质的较低MTR和R2*,丘脑,和尾状层和更陡的梯度对CSF的损伤与年龄显著相关,较高的T2-高强度白质病变体积,上丘脑病变体积,和较低的脑容量(β≥0.08,所有FDR-p≤0.040)。尾状外层的MTR较低与更严重的残疾有关(β=-0.26,FDR-p=0.040)。未发现与脉络丛体积相关。
    结论:CSF-in损伤梯度在不同GM区域和整个MS过程中是异质的,可能反映了脱髓鞘和铁流失/积累的不同动力学。
    OBJECTIVE: A CSF-in gradient in cortical and thalamic gray matter (GM) damage has been found in multiple sclerosis (MS). We concomitantly explored the patterns of cortical, thalamic, and caudate microstructural abnormalities at progressive distances from CSF using a multiparametric MRI approach.
    METHODS: For this cross-sectional study, from 3T 3D T1-weighted scans, we sampled cortical layers at 25%-50%-75% depths from pial surface and thalamic and caudate bands at 2-3-4 voxels from the ventricular-GM interface. Using linear mixed models, we tested between-group comparisons of magnetization transfer ratio (MTR) and R2* layer-specific z-scores, CSF-in across-layer z-score changes, and their correlations with clinical (disease duration and disability) and structural (focal lesions, brain, and choroid plexus volume) MRI measures.
    RESULTS: We enrolled 52 patients with MS (33 relapsing-remitting [RRMS], 19 progressive [PMS], mean age: 46.4 years, median disease duration: 15.1 years, median: EDSS 2.0) and 70 controls (mean age 41.5 ± 12.8). Compared with controls, RRMS showed lower MTR values in the outer and middle cortical layers (false-discovery rate [FDR]-p ≤ 0.025) and lower R2* values in all 3 cortical layers (FDR-p ≤ 0.016). PMS had lower MTR values in the outer and middle cortical (FDR-p ≤ 0.016) and thalamic (FDR-p ≤ 0.048) layers, and in the outer caudate layer (FDR-p = 0.024). They showed lower R2* values in the outer cortical layer (FDR-p = 0.003) and in the outer thalamic layer (FDR-p = 0.046) and higher R2* values in all 3 caudate layers (FDR-p ≤ 0.031). Both RRMS and PMS had a gradient of damage, with lower values closer to the CSF, for cortical (FDR-p ≤ 0.002) and thalamic (FDR-p ≤ 0.042) MTR. PMS showed a gradient of damage for cortical R2* (FDR-p = 0.005), thalamic R2* (FDR-p = 0.004), and caudate MTR (FDR-p ≤ 0.013). Lower MTR and R2* of outer cortical, thalamic, and caudate layers and steeper gradient of damage toward the CSF were significantly associated with older age, higher T2-hyperintense white matter lesion volume, higher thalamic lesion volume, and lower brain volume (β ≥ 0.08, all FDR-p ≤ 0.040). Lower MTR of outer caudate layer was associated with more severe disability (β = -0.26, FDR-p = 0.040). No correlations with choroid plexus volume were found.
    CONCLUSIONS: CSF-in damage gradients are heterogeneous among different GM regions and through MS course, possibly reflecting different dynamics of demyelination and iron loss/accumulation.
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  • 文章类型: Journal Article
    在急性和慢性哌醋甲酯(MPD)给药之前和之后,总共记录了3102个神经元。急性MPD暴露主要引起剂量反应特征中神经元和行为活动的增加。对慢性MPD暴露的反应,与急性0.6、2.5或10.0mg/kgMPD相比,当根据动物行为反应进行神经元记录评估时,在某些动物中引起电生理和行为敏化,在其他动物中引起电生理和行为耐受,或运动量,慢性MPD暴露。与最初的MPD反应相比,从表达行为敏化的神经元中记录的大多数神经元对慢性MPD的反应进一步增加了放电率。与最初的MPD暴露相比,从表达行为耐受性的动物中记录的大多数神经元对慢性MPD有反应,其放电率降低。研究的六个大脑区域-腹侧被盖区,蓝斑,背侧中交,伏隔核,前额叶皮质,和尾状核(VTA,LC,DR,NAc,PFC,和CN)-对MPD的反应显著(p<0.001)不同,表明上述每个大脑区域在对MPD的反应中表现出不同的作用。此外,这项研究表明,有必要根据动物对来自多个脑区的药物的急性和慢性效应的行为反应来评估对精神兴奋剂的神经元活动反应,以获得每个区域对药物反应的作用的准确信息。
    A total of 3102 neurons were recorded before and following acute and chronic methylphenidate (MPD) administration. Acute MPD exposure elicits mainly increases in neuronal and behavioral activity in dose-response characteristics. The response to chronic MPD exposure, as compared to acute 0.6, 2.5, or 10.0 mg/kg MPD administration, elicits electrophysiological and behavioral sensitization in some animals and electrophysiological and behavioral tolerance in others when the neuronal recording evaluations were performed based on the animals\' behavioral responses, or amount of locomotor activity, to chronic MPD exposure. The majority of neurons recorded from those expressing behavioral sensitization responded to chronic MPD with further increases in firing rate as compared to the initial MPD responses. The majority of neurons recorded from animals expressing behavioral tolerance responded to chronic MPD with decreases in their firing rate as compared to the initial MPD exposures. Each of the six brain areas studied-the ventral tegmental area, locus coeruleus, dorsal raphe, nucleus accumbens, prefrontal cortex, and caudate nucleus (VTA, LC, DR, NAc, PFC, and CN)-responds significantly (p < 0.001) differently to MPD, suggesting that each one of the above brain areas exhibits different roles in the response to MPD. Moreover, this study demonstrates that it is essential to evaluate neuronal activity responses to psychostimulants based on the animals\' behavioral responses to acute and chronic effects of the drug from several brain areas simultaneously to obtain accurate information on each area\'s role in response to the drug.
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  • 文章类型: Journal Article
    背景:与其他精神病性精神障碍相比,通过神经影像学技术探索妄想障碍的神经生物学基础较少。本研究旨在通过磁共振成像(MRI)纹理分析检查某些基底核的神经解剖特征,提供有关妄想症(DD)的神经起源的信息。
    方法:20名DD患者和20名健康人纳入研究。苍白无力,壳核,在轴向MRI图像上单独选择尾状核和感兴趣区域(ROI)。应用于所有选择的ROI的整个纹理分析算法是用内部软件完成的。取两侧的核作为单独的样品。
    结果:两组之间在年龄和性别方面没有显着差异。平均“意味着,DD患者3个细胞核的中值和最大值均降低.妄想症患者中所有三个核的小壳核面积和在不同组织参数中检测到的差异表明它们在妄想症方面与正常对照不同(p<0.05)。
    结论:在所有三个核的质地参数中检测到的差异表明,DD与正常对照中存在差异。将来使用更大样本和不同技术的神经影像学研究可能会阐明妄想症的病因。
    BACKGROUND: The neurobiological basis of delusional disorder is less explored through neuroimaging techniques than in other psychotic disorders. This study aims to provide information about the neural origins of delusional disorder (DD) by examining the neuroanatomical features of some basal nuclei with magnetic resonance imaging (MRI) texture analysis.
    METHODS: Twenty DD patients and 20 healthy individuals were included in the study. Globus pallidus, putamen, and caudate nuclei were selected individually with a region of interest (ROI) on the axial MRI images. The entire texture analysis algorithm applied to all selected ROIs was done with an in-house software. Nuclei on both sides were taken as separate samples.
    RESULTS: There were no significant differences between groups in terms of age and gender. The average \"mean, median and maximum\" values of all three nuclei were decreased in DD patients. The small putamen area and the differences detected in different tissue parameters for all three nuclei in delusional disorder patients indicate that they differ in delusional disorder from normal controls (p < 0.05).
    CONCLUSIONS: The differences detected in the texture parameters for all three nuclei indicate that there is something different in the DD from in the normal controls. Neuroimaging studies with larger samples and different techniques in the future may shed light on the etiology of delusional disorder.
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  • 文章类型: Journal Article
    功能神经影像学研究表明皮质-纹状体-丘脑-皮质回路的抑制作用。然而,结构成像研究揭示了相互矛盾的结果,一些提示GillesdelaTourette综合征(TS)儿童的尾状核(CN)体积较小。在这里,我们想找出经颅超声检查(TCS)是否检测到中缝核的改变,黑质,豆状核(LN),或CN在儿童抽动障碍或TS(TIC/TS)。该研究包括25名接受过治疗的儿童(年龄:12.2±2.5岁),其诊断为基于DSM-V的抽动障碍或TS(10名受试者),没有其他精神或神经诊断,和25名健康对照(年龄:12.17±2.57岁),年龄和性别相匹配。父母的行为评级,情绪异常,使用儿童行为检查表(CBCL/4-18R)评估参与者的躯体投诉和社交能力.使用2.5MHz相控阵超声系统通过耳前声学骨窗进行深部脑结构的TCS。Fisher精确检验和Mann-Whitney-U检验用于TIC/TS患者和健康志愿者之间的比较。TIC/TS样本中左CN高回声区的参与者数量增加,与健康对照组相比。高回声CN的TIC/TS患者的思想和强迫问题发生率增加。这项TCS研究揭示了CN的病理结构变化,与健康对照组相比,其在TIC/TS中的发生率更高,并且与思维问题的合并症有关。进一步的研究应该集中在这些改变的分子原因上,可能是铁代谢紊乱.
    Functional neuroimaging studies demonstrate disinhibition of the cortico-striatal-thalamo-cortical circuit. However, structural imaging studies revealed conflicting results, some suggesting smaller volumes of the caudate nucleus (CN) in children with Gilles de la Tourette syndrome (TS). Here we wanted to find out whether transcranial sonography (TCS) detects alterations of raphe nuclei, substantia nigra, lenticular nucleus (LN), or CN in children with Tic disorder or TS (TIC/TS).The study included 25 treatment-naive children (age: 12.2 ± 2.5 years) with a DSM-V based diagnosis of Tic disorder or TS (10 subjects), without other psychiatric or neurologic diagnosis, and 25 healthy controls (age: 12.17 ± 2.57 years), matched for age and sex. Parental rating of behavioral, emotional abnormalities, somatic complaints and social competencies of the participants were assessed using the Child Behavior Check List (CBCL/4-18R). TCS of deep brain structures was conducted through the preauricular acoustic bone windows using a 2.5-MHz phased-array ultrasound system. Fisher\'s exact test and Mann-Whitney-U test were used for comparisons between TIC/TS patients and healthy volunteers. The number of participants with hyperechogenic area of left CN in the TIC/TS sample was increased, compared to the healthy control group. TIC/TS patients with hyperechogenic CN showed an increased occurrence of thought- and obsessive-compulsive problems. This TCS study revealed pathologic structural changes in CN, its higher occurrence in TIC/TS compared to healthy controls and the relation to comorbidity of thought problems. Further research should focus on the molecular cause of these alterations, probably the disturbed iron metabolism.
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