monoamine

单胺
  • 文章类型: Journal Article
    不仅游离氨基酸和正常短链肽,而且修饰的氨基酸,如N-乙酰基-和N-甲酰氨基酸,单胺,多胺,和修饰的肽,如异构化天冬氨酰肽,焦谷氨酰肽,和二酮哌嗪,在使用不同真菌发酵剂制备的日本发酵豆酱(味o)中鉴定,大米,大麦,和大豆曲。大鼠口服大豆曲味酱水提取物一小时后,经修饰的肽在摄入后在管腔中显著增加,而正常的肽没有。在门静脉和腹腔静脉的血液中,17和15二酮哌嗪,16和12异构化天冬氨酰肽,和2和1焦谷氨酰肽显著增加到约10-400nM,分别。修饰的肽,在大鼠血液中增加,以剂量依赖性方式显示血管紧张素转换酶(ACE)抑制活性,表明多种ACE抑制肽在味o中具有高生物利用度。其中,1-β-Asp-Pro显示最高的ACE抑制活性(IC50为4.8μM)。
    Not only free amino acids and normal short-chain peptides but also modified amino acids, such as N-acetyl- and N-formyl amino acids, monoamines, polyamines, and modified peptides, such as isomerized aspartyl peptides, pyroglutamyl peptides, and diketopiperazines, were identified in Japanese fermented soy paste (miso) prepared using different fungal starters, rice, barley, and soybean-koji. One hour after oral administration of water extract of soybean-koji miso to rats, the modified peptides increased significantly in the lumen upon the ingestion, while the normal peptides did not. In the blood from the portal vein and abdominal vena cava, 17 and 15 diketopiperazines, 16 and 12 isomerized aspartyl peptides, and 2 and 1 pyroglutamyl peptides significantly increased to approximately 10-400 nM, respectively. The modified peptides, which increased in rat blood, showed angiotensin-converting enzyme (ACE) inhibitory activity in a dose-dependent manner, indicating multiple ACE inhibitory peptides with high bioavailability in miso. Among them, l-β-Asp-Pro showed the highest ACE inhibitory activity (IC50 4.8 μM).
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  • 文章类型: Journal Article
    植物雌激素大豆苷元和染料木素在人类食物中普遍存在。这项研究旨在阐明他们的焦虑效应,它们对生殖器官的影响,以及完整的成年雄性Wistar大鼠中任何焦虑样效应背后的分子机制。这些植物雌激素由于其假定的健康益处而受到关注,尤其是女性,但对男性也有一些影响。这项研究包括两个实验:(1)雄性Wistar大鼠接受了一种载体,Daidzein,或染料木素(0.25、0.50或1.00mg/kg)皮下注射4周。然后对他们进行了类似焦虑的行为测试。然后,测定了抗焦虑大鼠的脑单胺;(2)在行为测试之前,通过向植物雌激素治疗的大鼠施用地西泮进一步分析了植物雌激素对γ氨基丁酸受体的调节。在第一个实验中,测量的生物参数,包括体重,每天的食物摄入量和生殖器官重量不受染料木素或大豆黄酮的影响。然而,在低剂量大豆苷元(0.25mg/kg)组中观察到抗焦虑作用。所有剂量的较高剂量的大豆苷元或染料木素没有作用。Further,低剂量的大豆苷元不会改变大脑中的单胺水平.在第二个实验中,接受地西泮的大豆苷元治疗的大鼠的抗焦虑行为与仅接受地西泮或大豆苷元治疗的大鼠的抗焦虑行为没有差异。总之,4周暴露于大豆黄酮或染料木素对生殖器官没有负面影响,体重,食物摄入量,类似焦虑的行为,或完整雄性大鼠的单胺能和地西泮调节的GABA能神经传递。然而,用大豆苷元低剂量治疗后,有益的抗焦虑作用明显。
    The phytoestrogens daidzein and genistein are ubiquitous in human food. This study aimed to elucidate their anxiety-liked effects, their effects on the reproductive organs, and the molecular mechanism behind any anxiety-liked effects in intact adult male Wistar rats. These phytoestrogens are of interest due to their posited health benefits, particularly for female, but with some effect on males as well. This study comprised two experiments: (1) Male Wistar rats received either a vehicle, daidzein, or genistein (0.25, 0.50, or 1.00 mg/kg) by subcutaneously injection for four weeks. They were then tested for anxiety-liked behaviors. Then, the brain monoamines in anxiolytic rats were determined; (2) The modulation of gamma aminobutyric acid receptors by phytoestrogens was further analyzed by administration of diazepam to phytoestrogen-treated rats before behavioral tests. In the first experiment, the biological parameters measured, including body weight, daily food intake and reproductive organ weights were unaffected by either genistein or daidzein. However, anxiolytic-like effect was observed in the low-dose daidzein (0.25 mg/kg) group. Higher doses of daidzein or genistein of all doses had no effect. Further, the low-dose daidzein did not alter brain monoamine levels. In the second experiment, the anxiolytic-like behavior of daidzein-treated rats receiving diazepam did not differ from that of the rats treated with just diazepam or just daidzein. In conclusion, 4-week exposure to daidzein or genistein had no negative effects on the reproductive organs, body weight, food intake, anxiogenic-like behavior, or monoaminergic and diazepam-modulated GABAergic neurotransmissions of intact male rats. However, beneficial anxiolytic-like effects were apparent after low-dose treatment with daidzein.
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  • 文章类型: Journal Article
    生殖细胞受局部微环境(壁龛)的调节,分泌有启发性的线索。保守的发育信号分子充当生态位衍生的调节因子,然而,其他类型的生态位信号仍有待识别。有性涡虫的单细胞RNA测序显示,小生境细胞表达非核糖体肽合成酶(nrps)。抑制nrps导致女性生殖器官丧失和睾丸增生。质谱检测二肽β-丙氨酰-色胺(BATT),与生殖系统发育有关,需要nrps和单胺递质合成酶芳香族L-氨基酸脱羧酶(AADC)来生产。外源性BATT在nrps或aadc抑制后拯救了生殖缺陷,恢复生育能力。因此,非核糖体,小生境细胞提供的单胺衍生肽是触发涡虫生殖发育的关键信号。这些发现揭示了单胺在小生境生殖细胞信号传导中的意想不到的功能。此外,鉴于最近报道的BATT作为女性血吸虫生殖成熟所需的男性衍生因子的作用,这些结果对寄生扁虫的进化具有重要意义,并表明非核糖体肽在其他生物中作为信号分子的潜在作用。
    Germ cells are regulated by local microenvironments (niches), which secrete instructive cues. Conserved developmental signaling molecules act as niche-derived regulatory factors, yet other types of niche signals remain to be identified. Single-cell RNA-sequencing of sexual planarians revealed niche cells expressing a nonribosomal peptide synthetase (nrps). Inhibiting nrps led to loss of female reproductive organs and testis hyperplasia. Mass spectrometry detected the dipeptide β-alanyl-tryptamine (BATT), which is associated with reproductive system development and requires nrps and a monoamine-transmitter-synthetic enzyme Aromatic L-amino acid decarboxylase (AADC) for its production. Exogenous BATT rescued the reproductive defects after nrps or aadc inhibition, restoring fertility. Thus, a nonribosomal, monoamine-derived peptide provided by niche cells acts as a critical signal to trigger planarian reproductive development. These findings reveal an unexpected function for monoamines in niche-germ cell signaling. Furthermore, given the recently reported role for BATT as a male-derived factor required for reproductive maturation of female schistosomes, these results have important implications for the evolution of parasitic flatworms and suggest a potential role for nonribosomal peptides as signaling molecules in other organisms.
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  • 文章类型: Journal Article
    新烟碱(NN)农药与哺乳动物大脑功能障碍增加有关,例如焦虑样行为;这被认为涉及单胺(MA),控制行为的神经递质,记忆,和学习。然而,神经网络影响中枢神经系统的机制尚不完全清楚。在这项研究中,我们的目的是调查MA是否影响神经网络诱导的焦虑样行为。小鼠口服啶虫脒(ACE),一个NN,在日本食品安全委员会设定的小鼠无观察到的不良反应水平(NOAEL)(20mg/kg体重)下,给药后30min进行升高的零迷宫(EZM)测试。经过行为分析,四种MA(多巴胺,3-MT,血清素,和组胺)通过液相色谱质谱(LC/MS/MS)确定选定的大脑区域。在暴露的小组中,观察到焦虑样行为增加的趋势,每个区域至少有一个MA浓度显著增加。Further,行为测试结果与海马5-羟色胺和纹状体多巴胺浓度之间存在显着相关性,以及多巴胺和5-羟色胺浓度之间,在暴露的组中。因为焦虑会影响行为测试中的活动,中缝核(RN)中神经元的活动,通过5-羟色胺能系统严重参与焦虑的大脑区域,用抗血清素抗体染色检查,并观察到血清素能活性增加。一起来看,这些结果表明ACE调节MA水平,特别是海马中的5-羟色胺水平,RN在ACE诱导的焦虑样行为中起重要作用。
    Neonicotinoid (NN) pesticides have been linked to increased brain dysfunction in mammals, such as anxiety-like behavior; this is thought to involve monoamines (MA), neurotransmitters that control behavior, memory, and learning. However, the mechanism by which NNs affect the central nervous system is not fully understood. In this study, we aimed to investigate whether MAs affect NNs-induced anxiety-like behavior. Mice were orally administered acetamiprid (ACE), an NN, at the no observed adverse effect level (NOAEL) of mouse (20 mg/kg body mass) set by the Food Safety Commission of Japan, and the elevated zero-maze (EZM) test was performed 30 min after administration. After behavioral analysis, levels of four MA (dopamine, 3-MT, serotonin, and histamine) in selected brain regions were determined by liquid chromatography mass spectrometry (LC/MS/MS). In the exposed group, a trend toward increased anxiety-like behavior was observed, and at least one MA concentration was significantly increased in each region. Further, significant correlations were found between behavioral test results and hippocampal serotonin and striatal dopamine concentrations, as well as between dopamine and serotonin concentrations, in the exposed group. As anxiety can influence activity in the behavioral tests, the activity of neurons in the raphe nuclei (RN), a brain region greatly involved in anxiety via the serotonergic system, was examined by staining with anti-serotonin antibodies, and increased serotonergic activity was observed. Taken together, these results suggest that ACE regulates MA levels, notably serotonin levels in the hippocampus and that RN plays an important role in ACE-induced anxiety-like behavior.
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  • 文章类型: Journal Article
    有证据表明,胰岛素抵抗在糖尿病并发症的发展中起着重要作用。胰岛素抵抗和疼痛感知之间的关联不太清楚。本研究旨在探讨外周胰岛素缺乏对脑疼痛通路的影响。使用链脲佐菌素(STZ)在60只雄性大鼠中诱发糖尿病。通过脑室内(ICV)注射将胰岛素注射到大脑的左心室,然后皮下注射2.5%福尔马林引起疼痛。在STZ注射后4周收集样品。多巴胺(DA),血清素,活性氧(ROS),和线粒体谷胱甘肽(mGSH)通过ELISA测量,通过RT-qPCR评估基因因子。在糖尿病大鼠中,DA的水平,血清素,丘脑核中的mGSH减少,raphemagnus,和水管周围的灰色,ROS水平增加。此外,神经元特异性烯醇化酶和晚期糖基化末端基因受体的表达水平增加,但胶质纤维酸性蛋白表达降低。这些结果支持胰岛素在非糖尿病大鼠中具有镇痛作用的发现,正如福尔马林试验所证明的那样。ICV注射胰岛素可减少疼痛感觉,但这在糖尿病大鼠中没有观察到,这可能是由于胰岛素改善了细胞损伤。
    Evidence suggests that insulin resistance plays an important role in developing diabetes complications. The association between insulin resistance and pain perception is less well understood. This study aimed to investigate the effects of peripheral insulin deficiency on pain pathways in the brain. Diabetes was induced in 60 male rats with streptozotocin (STZ). Insulin was injected into the left ventricle of the brain by intracerebroventricular (ICV) injection, then pain was induced by subcutaneous injection of 2.5% formalin. Samples were collected at 4 weeks after STZ injection. Dopamine (DA), serotonin, reactive oxygen species (ROS), and mitochondrial glutathione (mGSH) were measured by ELISA, and gene factors were assessed by RT-qPCR. In diabetic rats, the levels of DA, serotonin, and mGSH decreased in the nuclei of the thalamus, raphe magnus, and periaqueductal gray, and the levels of ROS increased. In addition, the levels of expression of the neuron-specific enolase and receptor for advanced glycation end genes increased, but the expression of glial fibrillary acidic protein expression was reduced. These results support the findings that insulin has an analgesic effect in non-diabetic rats, as demonstrated by the formalin test. ICV injection of insulin reduces pain sensation, but this was not observed in diabetic rats, which may be due to cell damage ameliorated by insulin.
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  • 文章类型: Journal Article
    肠脑轴(GBA)是连接大脑的重要信息通路,中枢神经系统(CNS),和胃肠道(GI)。一方面,肠道菌群可以通过GBA影响大脑功能;另一方面,大脑也可以通过GBA改变肠道菌群的结构组成。它包含无数的生物信号,如单胺,炎性细胞因子,和宏观生物分子,作为信息载体。高度选择性,敏感,可靠的传感技术对于解决单个生物信号的特定功能至关重要。这篇综述总结了广泛报道的与GBA相关的生物信号及其功能,并组织最新的传感工具,为GBA相关工作提供可行的表征思路。此外,这些低成本的,快速响应传感器还可用于早期识别和诊断GBA相关疾病(例如,抑郁症)。最后,指出了该领域存在的问题和不足,为传感领域的研究方向提供参考。
    The gut-brain axis (GBA) is an important information pathway connecting the brain, the central nervous system (CNS), and the gastrointestinal (GI) tract. On the one hand, gut microbiota can influence the function brain through GBA; on the other hand, the brain can also change the structural composition of gut microbiota via GBA. It contains a myriad of biosignals, such as monoamines, inflammatory cytokines, and macro-biomolecules, as the information carriers. Highly selective, sensitive, and reliable sensing techniques are essential to resolve the specific function of individual biosignals. This review summarizes the widely reported biosignals related to GBA and their functions, and organizes the latest sensing tools to provide feasible characterization ideas for GBA-related work. In addition, these low-cost, fast-responding sensors can also be used for early identification and diagnosis of GBA-related diseases (e.g., depression). Finally, the problems and deficiencies in this field are pointed out to provide a reference for the orientation of researchers in the sensing field.
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  • 文章类型: Journal Article
    运动神经元上的5-HT2受体在促进持续内向电流(PIC)中起关键作用。尽管PIC的促进可以增强激发后的自我维持点火,5-HT2受体活性与人类运动单位(MU)自我维持放电之间的关系尚未解决。在两种收缩方案中,从10名健康成年人(24.9±2.8岁)的胫骨前部评估了MU活性。两种协议都具有稳态等距收缩,并不断下降驱动到运动神经元池。然而,一种方案还包括叠加下降驱动的附加阶段。在稳态收缩的中间添加然后移除下降驱动改变了整个电机池的MU点火行为,在叠加阶段新招募的单位无法关闭(P=0.0002),并且在额外的下降驱动之前招募的单位降低了他们的放电率(P<0.0001,估计边际均值差异(Δ)=2.24脉冲/s)。5-HT2受体拮抗剂,赛庚啶,然后施用以确定MU放电的变化是否由5-羟色胺能机制介导。5-HT2受体拮抗作用导致MU放电速率降低(P<0.001,Δ=1.65脉冲/s),在稳态收缩过程中消除额外的下降驱动后,募集阈值(P=0.00112,Δ=1.09%最大自愿收缩)和自我维持的放电持续时间(P<0.0001,Δ=1.77s)。这些发现表明,血清素能神经调节在促进人类运动神经元的放电和自我维持放电中起关键作用,必须发生MU招募的适应性变化,以满足收缩的要求。关键点:动物和细胞制剂表明,体树突状5-HT2受体调节运动神经元的内在兴奋性。5-HT2受体拮抗作用降低了运动神经元持续内向电流的估计,当突触输入减少或移除时,这有助于自我维持放电。这项人体研究采用了一项收缩任务,该任务在稳态收缩的中间缓慢增加(然后消除)了额外的下降驱动,当下降驱动被消除时,发生了明显的自我维持射击。5-HT2受体拮抗作用导致收缩期间运动单位(MU)放电率广泛降低,在去除额外的运动神经元下降驱动后,伴随着募集阈值的降低和自我维持放电持续时间的衰减。这些发现支持血清素能神经调节是MU放电和人类运动神经元自我维持放电的关键促进者的作用,必须在MU招聘中进行适应性变化,以满足收缩的要求。
    5-HT2 receptors on motoneurones play a critical role in facilitating persistent inward currents (PICs). Although facilitation of PICs can enhance self-sustained firing after periods of excitation, the relationship between 5-HT2 receptor activity and self-sustained firing in human motor units (MUs) has not been resolved. MU activity was assessed from the tibialis anterior of 10 healthy adults (24.9 ± 2.8 years) during two contraction protocols. Both protocols featured steady-state isometric contractions with constant descending drive to the motoneurone pool. However, one protocol also included an additional phase of superimposed descending drive. Adding and then removing descending drive in the middle of steady-state contractions altered MU firing behaviour across the motor pool, where newly recruited units in the superimposed phase were unable to switch off (P = 0.0002), and units recruited prior to additional descending drive reduced their discharge rates (P < 0.0001, difference in estimated marginal means (∆) = 2.24 pulses/s). The 5-HT2 receptor antagonist, cyproheptadine, was then administered to determine whether changes in MU firing were mediated by serotonergic mechanisms. 5-HT2 receptor antagonism caused reductions in MU discharge rate (P < 0.001, ∆ = 1.65 pulses/s), recruitment threshold (P = 0.00112, ∆ = 1.09% maximal voluntary contraction) and self-sustained firing duration (P < 0.0001, ∆ = 1.77s) after the additional descending drive was removed in the middle of the steady-state contraction. These findings indicate that serotonergic neuromodulation plays a key role in facilitating discharge and self-sustained firing of human motoneurones, where adaptive changes in MU recruitment must occur to meet the demands of the contraction. KEY POINTS: Animal and cellular preparations indicate that somato-dendritic 5-HT2 receptors regulate the intrinsic excitability of motoneurones. 5-HT2 receptor antagonism reduces estimates of persistent inward currents in motoneurones, which contribute to self-sustained firing when synaptic inputs are reduced or removed. This human study employed a contraction task that slowly increased (and then removed) the additional descending drive in the middle of a steady-state contraction where marked self-sustained firing occurred when the descending drive was removed. 5-HT2 receptor antagonism caused widespread reductions in motor unit (MU) discharge rates during contractions, which was accompanied by reduced recruitment threshold and attenuation of self-sustained firing duration after the removal of the additional descending drive to motoneurones. These findings support the role that serotonergic neuromodulation is a key facilitator of MU discharge and self-sustained firing of human motoneurones, where adaptative changes in MU recruitment must occur to meet the demands of the contraction.
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  • 文章类型: Journal Article
    背景:作为靶向囊泡单胺转运蛋白2(VMAT2)的生物标志物,18F-9-氟丙基二氢丁苯那嗪(18F-FP-DTBZ)正电子发射断层扫描(PET)在诊断帕金森病(PD)和评估其严重程度方面非常准确。然而,进行性核上性麻痹(PSP)患者证据不足.
    目的:我们评估了PSP的纹状体和纹状体外单胺能破坏以及PSP患者之间模式的差异,PD,和健康对照(HCs)使用18F-FP-DTBZPET,以及与PSP临床特征的相关性。
    方法:我们招募了58例PSP患者,23名年龄和病程匹配的PD患者,以及17个HC。患者使用18F-FP-DTBZPET/计算机断层扫描进行扫描,和图像根据感兴趣的体积进行空间归一化和分析。
    结果:VMAT2结合在纹状体和黑质中各组间差异显著(P<0.001)。与PD组相比,PSP组的尾状破坏更严重(P<0.001)。然而,伏隔核没有发现差异,海马体,杏仁核,或PD和PSP组之间的关系。在PSP组中,纹状体VMAT2结合与PSP评定量表的跌倒/姿势稳定性亚分显著相关,尤其是在壳核中。此外,VMAT2结合与海马的简易精神状态检查或蒙特利尔认知评估相关。
    结论:尾状破坏在各组间显示出显著差异。纹状体和海马中的VAMT2结合反映了跌倒/姿势稳定性和认知的严重程度,分别。©2024国际帕金森和运动障碍协会。
    BACKGROUND: As a biomarker targeting vesicular monoamine transporter 2 (VMAT2), 18F-9-fluoropropyldihydrotetrabenazine (18F-FP-DTBZ) positron emission tomography (PET) is highly accurate in diagnosing Parkinson\'s disease (PD) and assessing its severity. However, evidence is insufficient in patients with progressive supranuclear palsy (PSP).
    OBJECTIVE: We evaluated the striatal and extrastriatal monoaminergic disruption of PSP and differences in patterns between patients with PSP, PD, and healthy controls (HCs) using 18F-FP-DTBZ PET, as well as its correlations with the clinical characteristics of PSP.
    METHODS: We recruited 58 patients with PSP, 23 age- and duration-matched patients with PD, as well as 17 HCs. Patients were scanned using 18F-FP-DTBZ PET/computed tomography, and images were spatially normalized and analyzed based on the volume of interest.
    RESULTS: VMAT2 binding differed significantly in the striatum and substantia nigra among the groups (P < 0.001). A more severe disruption in the caudate was noted in the PSP group (P < 0.001) than in the PD group. However, no differences were found in the nucleus accumbens, hippocampus, amygdala, or raphe between the PD and PSP groups. Within the PSP group, striatal VMAT2 binding was significantly associated with the fall/postural stability subscore of the PSP Rating Scale, especially in the putamen. Furthermore, VMAT2 binding was correlated with Mini-Mental State Examination or Montreal Cognitive Assessment in the hippocampus.
    CONCLUSIONS: Caudate disruptions showed prominent differences among the groups. VAMT2 binding in the striatum and hippocampus reflects the severity of fall/postural stability and cognition, respectively. © 2024 International Parkinson and Movement Disorder Society.
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  • 文章类型: Journal Article
    这篇综述强调了具有电化学检测器(HPLC-ECD)的高精度液相色谱法在检测和定量通过脑内微透析获得的生物样品方面的优势,特别是5-羟色胺能和多巴胺能系统:5-羟色胺(5-HT),5-羟基吲哚乙酸(5-HIAA),3,4-二羟基苯乙酸(DOPAC),多巴胺(DA),3-甲氧色胺(3-MT)和高香草酸(HVA)。公认的速度和选择性,HPLC可以直接分析脑内微透析样品,而无需复杂的衍生作用。各种色谱方法,包括反相(RP),正在探索神经递质(NTs)和代谢物的分离。电化学检测器(ECD),特别是玻碳(GC)电极,强调其简单性和敏感性,旨在通过改进电极材料等优化策略来提高可重复性。本文强调了检测限(LOD)和定量(LOQ)的确定以及线性范围(L.R.),展示了实时监测化合物浓度的潜力。LOD文献值的非详尽汇编,LOQ,和L.R.从最近的出版物包括在内。
    This review highlights the advantages of high-precision liquid chromatography with an electrochemical detector (HPLC-ECD) in detecting and quantifying biological samples obtained through intracerebral microdialysis, specifically the serotonergic and dopaminergic systems: Serotonin (5-HT), 5-hydroxyindolacetic acid (5-HIAA), 3,4-dihydroxyphenylacetic acid (DOPAC), dopamine (DA), 3-metoxytryptamin (3-MT) and homovanillic acid (HVA). Recognized for its speed and selectivity, HPLC enables direct analysis of intracerebral microdialysis samples without complex derivatization. Various chromatographic methods, including reverse phase (RP), are explored for neurotransmitters (NTs) and metabolites separation. Electrochemical detector (ECD), particularly with glassy carbon (GC) electrodes, is emphasized for its simplicity and sensitivity, aimed at enhancing reproducibility through optimization strategies such as modified electrode materials. This paper underscores the determination of limits of detection (LOD) and quantification (LOQ) and the linear range (L.R.) showcasing the potential for real-time monitoring of compounds concentrations. A non-exhaustive compilation of literature values for LOD, LOQ, and L.R. from recent publications is included.
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  • 文章类型: Journal Article
    背景:帕金森病(PD)的运动亚型已被广泛接受和实施。然而,运动亚型最近被认为代表了PD的不同阶段,因为一些患者经历了震颤显性(TD)转化为非震颤显性亚型,例如姿势不稳定-步态困难(PIGD)。在这项研究中,我们使用18F-9-氟丙基-(+)-二氢丁苯那嗪(18F-FP-DTBZ)PET/CT,探讨不同亚型PD患者纹状体和纹状体外区域的单胺能神经支配特征.
    方法:纳入65例确诊为PD的患者,分为TD(n=25)和PIGD(n=40)。我们评估了PD运动亚型之间大脑每个分区的单胺能特征的差异,以及这些特征与帕金森病运动症状之间的关联。
    结果:纹状体标准化摄取值比值(SUVR)显示,与TD患者相比,PIGD患者的多巴胺能破坏在后腹侧壳核更为对称(p<0.001),在同侧后背壳核更为严重(p<0.001校正)。PIGD评分的严重程度与纹状体多巴胺能耗竭有关,虽然震颤与纹状体外区域的单胺能变化有关,包括Pallidus,丘脑,还有RapheNuclie.
    结论:这些结果表明不同运动亚型的患者可能具有不同的PD发病机制。因此,PD亚型的准确诊断有助于预后评估和治疗决策。
    BACKGROUND: The motor subtypes of Parkinson\'s disease (PD) are widely accepted and implemented. However, the motor subtypes have been thought to represent different stages of PD recently because some patients experience tremor-dominant (TD) conversion to the non-tremor-dominant subtype, such as postural instability-gait difficulty (PIGD). In this study, we explore the monoaminergic denervation features of the striatal and extra-striatal areas in patients with different subtypes of PD with 18F-9-fluoropropyl-(+)-dihydrotetrabenazine (18F-FP-DTBZ) PET/CT.
    METHODS: Sixty-five patients diagnosed with PD were included and classified as TD (n = 25) and PIGD (n = 40). We evaluated the difference of monoaminergic features of each subregion of brain between motor subtypes of PD, as well as associations between these features and Parkinsonian motor symptoms.
    RESULTS: The striatal standardized uptake value ratios (SUVR) showed that dopaminergic disruption of patients with PIGD was more symmetrical in the posterior ventral putamen (p < 0.001) and more severe in the ipsilateral posterior dorsal putamen (p < 0.001 corrected) compared with that of patients with TD. The severity of PIGD scores was associated with striatal dopaminergic depletion, while tremor was associated with monoaminergic changes in extra-striatal areas, including pallidus, thalamus, and raphe nuclie.
    CONCLUSIONS: These results indicate that patients with different motor subtypes may have different underlying mechanisms of PD pathogenesis. Therefore, accurate diagnosis of PD subtypes can aid prognosis evaluation and treatment decision-making.
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