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结合知识蒸馏与互信息的多模态MRI疾病预后 被引量:1
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作者 魏然 戚晓明 +7 位作者 何宇霆 江升 钱雯 徐怡 祝因苏 Pascal Haigron 舒华忠 杨冠羽 《中国图象图形学报》 北大核心 2025年第4期1170-1182,共13页
目的多模态心脏磁共振(cardiac magnetic resonance,CMR)图像预测非缺血性扩张型心肌病(nonischemic dilated cardio myopathy,NIDCM)的预后在对临床中心力衰竭或心源性猝死等不同应用中发挥着重要作用。针对多模态CMR图像预后表征困难... 目的多模态心脏磁共振(cardiac magnetic resonance,CMR)图像预测非缺血性扩张型心肌病(nonischemic dilated cardio myopathy,NIDCM)的预后在对临床中心力衰竭或心源性猝死等不同应用中发挥着重要作用。针对多模态CMR图像预后表征困难和标注困难两个挑战,提出了一种基于混合匹配蒸馏与对比互信息估计的模型,用于小样本上的多模态CMR图像对NIDCM预后。方法本文的预后模型有两种不同的设计,解决深度学习网络中多模态CMR图像的表征困难和模型容易陷入局部最优的问题。首先将不同模态CMR图像组合为不同的模态对,并提取对应的图像特征。由于不同模态对的预后目标一致而图像特征分布之间存在差异,因此设计一种混合匹配蒸馏网络,利用逻辑分布一致性将不同图像特征分布关联匹配,以此约束深度学习网络中多模态特征的提取和引导联合表征。然后在不同模态对之间设计一种互信息的对比学习策略,从而估计出多模态分布上的潜在的分类边界,以此作为预后模型的正则化项,避免模型在有限的数据上陷入局部最优。结果实验在一个NIDCM临床数据集上分别与6种方法进行了比较。F1值和准确率值达到81.25%和85.61%;为了验证模型的泛化性,在一个脑肿瘤公共数据集上也分别与4种方法进行了比较,F1值和准确率值达到85.07%和87.72%。结论本文所提出的基于混合匹配蒸馏与对比互信息估计的预后网络模型对多模态CMR图像进行了有效表征,同时利用多模态之间的潜在互信息增强深度学习模型在小样本场景下的模型优化,最终使得多模态CMR图像对的NIDCM预后结果更加准确。 展开更多
关键词 对比学习 混合蒸馏 多模态心脏磁共振(CMR)图像 互信息估计 预后
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大连地区HBsAg阳性献血者无症状HBV感染的特征分析
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作者 王颖颖 邓雪莲 +5 位作者 郭笑寒 高慧卉 孙鹏 刘丹 Daniel Candotti 王冰 《中国输血杂志》 2025年第10期1361-1369,1402,共10页
目的分析大连地区HBsAg阳性(HBsAg+)献血者无症状HBV感染的血清学和分子生物学特征。方法统计分析2013—2022年大连地区献血者中HBsAg的流行情况。对随机抽取的HBsAg+血液标本进行HBV血清学检测、HBV DNA定量和基因分型。结果10年间,大... 目的分析大连地区HBsAg阳性(HBsAg+)献血者无症状HBV感染的血清学和分子生物学特征。方法统计分析2013—2022年大连地区献血者中HBsAg的流行情况。对随机抽取的HBsAg+血液标本进行HBV血清学检测、HBV DNA定量和基因分型。结果10年间,大连地区献血人群HBsAg的流行率由1.25%逐年下降至0.50%。献血前快检阳性者(RT+)占全部HBsAg+的92.5%。随机抽取240位HBsAg+献血者,RT+125人,RT-(快检阴性)115人。HBsAg+献血者男性约占71.2%,年龄中位数约42岁,首次献血者约占97.5%。依据6种HBV血清学模式识别出感染早期(2.9%)、疑似急性肝炎(0.8%)和慢性感染(96.3%)3种感染状态。B型(28.4%)和C型(68.9%)为主要的HBV基因型。B型慢性感染者的年龄中位数高于C型(45 vs 38,P<0.05),同时其血液HBsAg浓度的中位数明显低于C型,且分布范围窄[23.2 IU/mL(<0.05-7910 IU/mL)vs 953 IU/mL(<0.05-3.4×105 IU/mL),P<0.05],但HBV DNA水平无差异(P>0.05)。结论2013—2022年大连地区献血者HBsAg的流行率呈现逐年下降的趋势。慢性感染在HBsAg+的首次献血者中较为普遍;献血者的慢性感染特征因感染的病毒基因型不同而存在显著差异,这种差异体现在感染者的年龄以及HBsAg水平的分布上。 展开更多
关键词 无症状HBV感染 乙肝表面抗原阳性 感染特征 献血者
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Deciphering the mechanobiology of microglia in traumatic brain injury with advanced microsystems 被引量:1
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作者 Anthony Procès Sylvain Gabriele 《Neural Regeneration Research》 SCIE CAS 2025年第8期2304-2306,共3页
Advanced microsystems in traumatic brain injury research:Traumatic brain injury(TBI)results from a mechanical insult to the brain,leading to neuronal and axonal damage and subsequently causing a secondary injury.Withi... Advanced microsystems in traumatic brain injury research:Traumatic brain injury(TBI)results from a mechanical insult to the brain,leading to neuronal and axonal damage and subsequently causing a secondary injury.Within minutes of TBI,a neuroinflammatory response is triggered,driven by intricate molecular and cellular inflammatory processes. 展开更多
关键词 TRAUMATIC INJURY DAMAGE
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Decoding the nexus:branched-chain amino acids and their connection with sleep,circadian rhythms,and cardiometabolic health 被引量:1
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作者 Hui Li Laurent Seugnet 《Neural Regeneration Research》 SCIE CAS 2025年第5期1350-1363,共14页
The sleep-wake cycle stands as an integrative process essential for sustaining optimal brain function and,either directly or indirectly,overall body health,encompassing metabolic and cardiovascular well-being.Given th... The sleep-wake cycle stands as an integrative process essential for sustaining optimal brain function and,either directly or indirectly,overall body health,encompassing metabolic and cardiovascular well-being.Given the heightened metabolic activity of the brain,there exists a considerable demand for nutrients in comparison to other organs.Among these,the branched-chain amino acids,comprising leucine,isoleucine,and valine,display distinctive significance,from their contribution to protein structure to their involvement in overall metabolism,especially in cerebral processes.Among the first amino acids that are released into circulation post-food intake,branched-chain amino acids assume a pivotal role in the regulation of protein synthesis,modulating insulin secretion and the amino acid sensing pathway of target of rapamycin.Branched-chain amino acids are key players in influencing the brain's uptake of monoamine precursors,competing for a shared transporter.Beyond their involvement in protein synthesis,these amino acids contribute to the metabolic cycles ofγ-aminobutyric acid and glutamate,as well as energy metabolism.Notably,they impact GABAergic neurons and the excitation/inhibition balance.The rhythmicity of branchedchain amino acids in plasma concentrations,observed over a 24-hour cycle and conserved in rodent models,is under circadian clock control.The mechanisms underlying those rhythms and the physiological consequences of their disruption are not fully understood.Disturbed sleep,obesity,diabetes,and cardiovascular diseases can elevate branched-chain amino acid concentrations or modify their oscillatory dynamics.The mechanisms driving these effects are currently the focal point of ongoing research efforts,since normalizing branched-chain amino acid levels has the ability to alleviate the severity of these pathologies.In this context,the Drosophila model,though underutilized,holds promise in shedding new light on these mechanisms.Initial findings indicate its potential to introduce novel concepts,particularly in elucidating the intricate connections between the circadian clock,sleep/wake,and metabolism.Consequently,the use and transport of branched-chain amino acids emerge as critical components and orchestrators in the web of interactions across multiple organs throughout the sleep/wake cycle.They could represent one of the so far elusive mechanisms connecting sleep patterns to metabolic and cardiovascular health,paving the way for potential therapeutic interventions. 展开更多
关键词 branched-chain amino acids cardiovascular health circadian clock DROSOPHILA INSULIN metabolism SLEEP γ-aminobutyric acid
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Translational machinery and translation regulation in axon regeneration
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作者 Homaira Nawabi Stephane Belin 《Neural Regeneration Research》 SCIE CAS 2025年第5期1392-1394,共3页
Over the centuries,the regeneration field has been puzzled by the dual response of the central nervous system(CNS-brain,spinal cord,cranial nervesⅠandⅡ)and the peripheral nervous system(PNS that refers to all the ne... Over the centuries,the regeneration field has been puzzled by the dual response of the central nervous system(CNS-brain,spinal cord,cranial nervesⅠandⅡ)and the peripheral nervous system(PNS that refers to all the nerves that innervate muscles,skin,organs,bones among others).Even Ramon y Cajal had noticed that an injury to the PNS often leads to axon regrowth,in contrast to the CNS. 展开更多
关键词 NERVES ORGANS muscles
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Central role of altered phosphodiesterase 2-dependent signaling in the pathophysiology of cognition-based brain disorders
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作者 Asma Boulksibat Alessandra Tempio Barbara Bardoni 《Neural Regeneration Research》 SCIE CAS 2025年第8期2302-2303,共2页
The second messengers 3',5'-cyclic adenosine monophosphate(cAMP)and 3',5'-cyclic guanosine monophosphate(cGMP)modulate molecular pathways that are involved in a large variety of cellular processes.In t... The second messengers 3',5'-cyclic adenosine monophosphate(cAMP)and 3',5'-cyclic guanosine monophosphate(cGMP)modulate molecular pathways that are involved in a large variety of cellular processes.In the brain,these processes include neurogenesis,neuronal differentiation,activation and function of microglia,and synaptic plasticity,finally resulting in memory formation. 展开更多
关键词 formation processes finally
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Telencephalic stab wound injury induces regenerative angiogenesis and neurogenesis in zebrafish:unveiling the role of vascular endothelial growth factor signaling and microglia
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作者 Danielle Fernezelian Philippe Rondeau +1 位作者 Laura Gence Nicolas Diotel 《Neural Regeneration Research》 SCIE CAS 2025年第10期2938-2954,共17页
After brain damage,regenerative angiogenesis and neurogenesis have been shown to occur simultaneously in mammals,suggesting a close link between these processes.However,the mechanisms by which these processes interact... After brain damage,regenerative angiogenesis and neurogenesis have been shown to occur simultaneously in mammals,suggesting a close link between these processes.However,the mechanisms by which these processes interact are not well understood.In this work,we aimed to study the correlation between angiogenesis and neurogenesis after a telencephalic stab wound injury.To this end,we used zebrafish as a relevant model of neuroplasticity and brain repair mechanisms.First,using the Tg(fli1:EGFP×mpeg1.1:mCherry)zebrafish line,which enables visualization of blood vessels and microglia respectively,we analyzed regenerative angiogenesis from 1 to 21 days post-lesion.In parallel,we monitored brain cell proliferation in neurogenic niches localized in the ventricular zone by using immunohistochemistry.We found that after brain damage,the blood vessel area and width as well as expression of the fli1 transgene and vascular endothelial growth factor(vegfaa and vegfbb)were increased.At the same time,neural stem cell proliferation was also increased,peaking between 3 and 5 days post-lesion in a manner similar to angiogenesis,along with the recruitment of microglia.Then,through pharmacological manipulation by injecting an anti-angiogenic drug(Tivozanib)or Vegf at the lesion site,we demonstrated that blocking or activating Vegf signaling modulated both angiogenic and neurogenic processes,as well as microglial recruitment.Finally,we showed that inhibition of microglia by clodronate-containing liposome injection or dexamethasone treatment impairs regenerative neurogenesis,as previously described,as well as injury-induced angiogenesis.In conclusion,we have described regenerative angiogenesis in zebrafish for the first time and have highlighted the role of inflammation in this process.In addition,we have shown that both angiogenesis and neurogenesis are involved in brain repair and that microglia and inflammation-dependent mechanisms activated by Vegf signaling are important contributors to these processes.This study paves the way for a better understanding of the effect of Vegf on microglia and for studies aimed at promoting angiogenesis to improve brain plasticity after brain injury. 展开更多
关键词 ANGIOGENESIS cerebral damage inflammation NEUROGENESIS stab wound TELENCEPHALON vascular endothelial growth factor ZEBRAFISH
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Crosstalk between androgen signaling and the chemokine receptor CXCR4:a novel strategy to promote myelin regeneration
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作者 Marianne Bardy-Lagarde Narimène Asbelaoui Abdel Mouman Ghoumari 《Neural Regeneration Research》 SCIE CAS 2025年第9期2581-2582,共2页
Multiple sclerosis(MS)is the most common chronic disease of the central nervous system(CNS)in young adults and represents the first cause of severe handicap,originally non-traumatic(Oh et al.,2018).MS is chara cterize... Multiple sclerosis(MS)is the most common chronic disease of the central nervous system(CNS)in young adults and represents the first cause of severe handicap,originally non-traumatic(Oh et al.,2018).MS is chara cterized by the infiltration of auto reactive lymphocytes specific to myelin through the blood-brain barrier,which results in the appearance of inflammatory demyelinating lesions caused by the death of the central nervous system myelinating cells,oligodendrocytes(Oh et al.,2018).There is a prevalence sexual with a ratio of three times more affected women than men. 展开更多
关键词 MYELIN CXCR4
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Tale of mitochondria and mitochondria-associated ER membrane in patient-derived neuronal models of Wolfram syndrome
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作者 Laetitia Aubry Timothy Barrett Sovan Sarkar 《Neural Regeneration Research》 SCIE CAS 2025年第9期2587-2588,共2页
Mitochondria and mitochondria-associated endoplasmic reticulum membrane in neurodegenerative diseases:Mitochondria generate most of the chemical energy needed to power the biochemical reactions of cells,and thus are o... Mitochondria and mitochondria-associated endoplasmic reticulum membrane in neurodegenerative diseases:Mitochondria generate most of the chemical energy needed to power the biochemical reactions of cells,and thus are often referred to as the"powerhouse"of the cell.Nevertheless,this organelle is also involved in a pleth,ora of different cellular functions such as calcium(Ca^(2+))homeostasis,apoptosis,oxidative stress,and several metabolic pathways including oxidative phosphorylation,tricarboxylic acid cycle,andβ-oxidation of fatty acids. 展开更多
关键词 OXIDATIVE CYCLE carboxylic
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Functional central nervous system regeneration:Challenges from axons to circuits
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作者 Apolline Delaunay Mickael Le Boulc’h +1 位作者 Stephane Belin Homaira Nawabi 《Neural Regeneration Research》 2026年第5期1983-1984,共2页
The mature central nervous system(CNS,composed of the brain,spinal cord,olfactory and optic nerves)is unable to regenerate spontaneously after an insult,both in the cases of neurodegenerative diseases(for example Alzh... The mature central nervous system(CNS,composed of the brain,spinal cord,olfactory and optic nerves)is unable to regenerate spontaneously after an insult,both in the cases of neurodegenerative diseases(for example Alzheimer's or Parkinson's disease)or traumatic injuries(such as spinal cord lesions).In the last 20 years,the field has made significant progress in unlocking axon regrowth. 展开更多
关键词 parkinsons disease unlocking axon regrowth neurodegenerative diseases central nervous system cnscomposed functional regeneration axon regrowth spinal cord lesions central nervous system
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Elafibranor, a dual PPARα and PPARδ agonist, reduces alcoholassociated liver disease: Lessons from a mouse model
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作者 Luciano Pirola 《World Journal of Gastroenterology》 2025年第4期156-159,共4页
Metabolic dysfunction-associated steatotic liver disease(MASLD)is a highly prevalent liver pathology in need of novel pharmacological treatments to complement lifestyle-based interventions.Nuclear receptor agonists ha... Metabolic dysfunction-associated steatotic liver disease(MASLD)is a highly prevalent liver pathology in need of novel pharmacological treatments to complement lifestyle-based interventions.Nuclear receptor agonists have been under scrutiny as potential pharmacological targets and as of today,resmetirom,a thyroid hormone receptor b agonist,is the only approved agent.The dual PPARαandδagonist elafibranor has also undergone extensive clinical testing,which reached the phase III clinical trial but failed to demonstrate a beneficial effect on MASLD.As alcohol-associated liver disease and MASLD can be interconnected,whether elafibranor might be affective against liver disease caused by alcohol consumption is worth investigating.Writing recently in the World Journal of Gastroenterology,Koizumi et al reported using a mouse model of alcoholassociated liver disease and found that hepatic steatosis,liver fibrosis,and hepatocyte apoptosis were alleviated by administration of elafibranor.Although preclinical in nature,these data support the potential beneficial action of elafibranor in alcohol-induced MASLD,warranting the testing of this molecule in patients with steatotic liver disease caused by alcohol consumption. 展开更多
关键词 PPAR nuclear receptors Elafibranor Steatotic liver disease Alcoholassociated liver disease Liver fibrosis
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Reevaluating health metrics:Unraveling the limitations of disabilityadjusted life years as an indicator in disease burden assessment
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作者 Ariel Beresniak Dominique Bremond-Gignac +1 位作者 Danielle Dupont Gerard Duru 《World Journal of Methodology》 2025年第1期14-19,共6页
In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and quali... In 1993,the World Bank released a global report on the efficacy of health promotion,introducing the disability-adjusted life years(DALY)as a novel indicator.The DALY,a composite metric incorporating temporal and qualitative data,is grounded in preferences regarding disability status.This review delineates the algorithm used to calculate the value of the proposed DALY synthetic indicator and elucidates key methodological challenges associated with its application.In contrast to the quality-adjusted life years approach,derived from multi-attribute utility theory,the DALY stands as an independent synthetic indicator that adopts the assumptions of the Time Trade Off utility technique to define Disability Weights.Claiming to rely on no mathematical or economic theory,DALY users appear to have exempted themselves from verifying whether this indicator meets the classical properties required of all indicators,notably content validity,reliability,specificity,and sensitivity.The DALY concept emerged primarily to facilitate comparisons of the health impacts of various diseases globally within the framework of the Global Burden of Disease initiative,leading to numerous publications in international literature.Despite widespread adoption,the DALY synthetic indicator has prompted significant methodological concerns since its inception,manifesting in inconsistent and non-reproducible results.Given the substantial diffusion of the DALY indicator and its critical role in health impact assessments,a reassessment is warranted.This reconsideration is imperative for enhancing the robustness and reliability of public health decisionmaking processes. 展开更多
关键词 Disability adjusted life years Cost-utility analyses Outcome research Public health Burden of disease
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Imaging and Quantifying the Diversity of Native NMDA Receptors
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作者 Sophie Shi David Stroebel +1 位作者 Laetitia Mony Pierre Paoletti 《Neuroscience Bulletin》 2025年第7期1307-1310,共4页
N-methyl-D-aspartate receptors(NMDARs)play crucial roles in neuronal plasticity and brain function by sensing key neurotransmitters,such as glutamate and glycine.In a tour-de-force,Zhang et al.[1]provide the first ima... N-methyl-D-aspartate receptors(NMDARs)play crucial roles in neuronal plasticity and brain function by sensing key neurotransmitters,such as glutamate and glycine.In a tour-de-force,Zhang et al.[1]provide the first images of native NMDARs directly extracted from rat brains,revealing key aspects of NMDAR assembly and diversity. 展开更多
关键词 neuronal plasticity native nmda receptors IMAGING GLUTAMATE brain function NEUROTRANSMITTERS GLYCINE
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FGFR antagonists restore defective mandibular bone repair in a mouse model of osteochondrodysplasia
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作者 Anne Morice Amélie de La Seiglière +4 位作者 Alexia Kany Roman H.Khonsari Morad Bensidhoum Maria-Emilia Puig-Lombardi Laurence Legeai Mallet 《Bone Research》 2025年第1期197-211,共15页
Gain-of-function mutations in fibroblast growth factor receptor(FGFR) genes lead to chondrodysplasia and craniosynostoses. FGFR signaling has a key role in the formation and repair of the craniofacial skeleton. Here, ... Gain-of-function mutations in fibroblast growth factor receptor(FGFR) genes lead to chondrodysplasia and craniosynostoses. FGFR signaling has a key role in the formation and repair of the craniofacial skeleton. Here, we analyzed the impact of Fgfr2- and Fgfr3- activating mutations on mandibular bone formation and endochondral bone repair after non-stabilized mandibular fractures in mouse models of Crouzon syndrome(Crz) and hypochondroplasia(Hch). 展开更多
关键词 MANDIBULAR DYSPLASIA facial
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Neuroglobin:A promising candidate to treat neurological diseases
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作者 Ivan Millan Yanez Isabel Torres-Cuevas Marisol Corral-Debrinski 《Neural Regeneration Research》 2026年第4期1292-1303,共12页
Neurodevelopmental and neurodegenerative illnesses constitute a global health issue and a foremost economic burden since they are a large cause of incapacity and death worldwide.Altogether,the burden of neurological d... Neurodevelopmental and neurodegenerative illnesses constitute a global health issue and a foremost economic burden since they are a large cause of incapacity and death worldwide.Altogether,the burden of neurological disorders has increased considerably over the past 30 years because of population aging.Overall,neurological diseases significantly impair cognitive and motor functions and their incidence will increase as societies age and the world's population continues to grow.Autism spectrum disorder,motor neuron disease,encephalopathy,epilepsy,stroke,ataxia,Alzheimer's disease,amyotrophic lateral sclerosis,Huntington's disease,and Parkinson's disease represent a non-exhaustive list of neurological illnesses.These affections are due to perturbations in cellular homeostasis leading to the progressive injury and death of neurons in the nervous system.Among the common features of neurological handicaps,we find protein aggregation,oxidative stress,neuroinflammation,and mitochondrial impairment in the target tissues,e.g.,the brain,cerebellum,and spinal cord.The high energy requirements of neurons and their inability to produce sufficient adenosine triphosphate by glycolysis,are responsible for their dependence on functional mitochondria for their integrity.Reactive oxygen species,produced along with the respiration process within mitochondria,can lead to oxidative stress,which compromises neuronal survival.Besides having an essential role in energy production and oxidative stress,mitochondria are indispensable for an array of cellular processes,such as amino acid metabolism,iron-sulfur cluster biosynthesis,calcium homeostasis,intrinsic programmed cell death(apoptosis),and intraorganellar signaling.Despite the progress made in the last decades in the understanding of a growing number of genetic and molecular causes of central nervous diseases,therapies that are effective to diminish or halt neuronal dysfunction/death are rare.Given the genetic complexity responsible for neurological disorders,the development of neuroprotective strategies seeking to preserve mitochondrial homeostasis is a realistic challenge to lastingly diminish the harmful evolution of these pathologies and so to recover quality of life.A promising candidate is the neuroglobin,a globin superfamily member of 151 amino acids,which is found at high levels in the brain,the eye,and the cerebellum.The protein,which localizes to mitochondria,is involved in electron transfer,oxygen storage and defence against oxidative stress;hence,possessing neuroprotective properties.This review surveys up-to-date knowledge and emphasizes on existing investigations regarding neuroglobin physiological functions,which remain since its discovery in 2000 under intense debate and the possibility of using neuroglobin either by gene therapy or its direct delivery into the brain to treat neurological disorders. 展开更多
关键词 ATAXIA brain CEREBELLUM gene therapy mitochondria NEUROGLOBIN neurological disease NEUROPROTECTION oxidative stress
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Unwanted disorders and xenogeneic graft-versus-host disease in experimental immunodeficient mice:How to evaluate and how to report
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作者 Seyed Mostafa Monzavi Samad Muhammadnejad +2 位作者 Vahid Mansouri Hami Ashraf Naser Ahmadbeigi 《Animal Models and Experimental Medicine》 2025年第1期20-29,共10页
Human-derived tumor models are essential for preclinical development of new anti-cancer drug entities.Generating animal models bearing tumors of human origin,such as patient-derived or cell line-derived xenograft tumo... Human-derived tumor models are essential for preclinical development of new anti-cancer drug entities.Generating animal models bearing tumors of human origin,such as patient-derived or cell line-derived xenograft tumors,is dependent on immuno-deficient strains.Tumor-bearing immunodeficient mice are susceptible to develop-ing unwanted disorders primarily irrelevant to the tumor nature;and if get involved with such disorders,reliability of the study results will be undermined,inevitably con-founding the research in general.Therefore,a rigorous health surveillance and clinical monitoring system,along with the establishment of a strictly controlled barrier facility to maintain a pathogen-free state,are mandatory.Even if all pathogen control and biosafety measures are followed,there are various noninfectious disorders capable of causing tissue and multiorgan damage in immunodeficient animals.Therefore,the re-searchers should be aware of sentinel signs to carefully monitor and impartially report them.This review discusses clinical signs of common unwanted disorders in experi-mental immunodeficient mice,and how to examine and report them. 展开更多
关键词 animal models graft-versus-host disease health surveillance preclinical drug evaluation xenograft model antitumor assays
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Unraveling the neuroprotective effect of perampanel and lacosamide combination in the corneal kindling model for epilepsy in mice
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作者 Saba Tehreem Azka Sabir +4 位作者 Maryam Farooq Waseem Ashraf Faleh Alqahtani Tanveer Ahmad Imran Imran 《Animal Models and Experimental Medicine》 2025年第2期222-238,共17页
Background:Scientific evidence to guide clinicians on the use of different antiseizure drugs in combination therapy is either very limited or lacking.In this study,the impact of lacosamide and perampanel alone and in ... Background:Scientific evidence to guide clinicians on the use of different antiseizure drugs in combination therapy is either very limited or lacking.In this study,the impact of lacosamide and perampanel alone and in combination was tested in corneal kindling model in mice,which is a cost-effective mechanism for screening of antiseizure drugs.Methods:The impact of lacosamide(5 mg/kg)and perampanel(0.125 mg/kg)alone and their combination was tested in corneal kindling process(3-mA current for 3 s applied twice daily for consecutive 12 days)in male BALB/c mice.Post-kindling,mice were subjected to a battery of behavioral tests assessing anxiety,memory,and depression-like behaviors.Brain tissues were then harvested for analysis of oxidative stress biomarkers.Results:Our results showed that the combination therapy of lacosamide and perampanel was more effective in reducing seizure progression than monotherapy of these drugs.Animals treated with combination therapy showed significant behavioral improvements,as reduced anxiety and depression were noticed,and their cognitive abilities were notably better compared to animals of all other groups.Moreover,biochemical assays of isolated brains from combination-treated group revealed lesser amount of oxidative stress.In addition,outcomes of dual regime were comparable to the phenytoin in seizure control but showed superior benefits in mitigation of kindling-prompted behavioral dysfunction and oxidative stress.Conclusions:This study suggests that the lacosamide and perampanel combination therapy worked noticeably better in halting the corneal kindling process in mice and improved the epilepsy-associated psychiatric disorders that might be due to antioxidant effects of both drugs. 展开更多
关键词 behavioral studies corneal kindling LACOSAMIDE learned helplessness oxidative stress PERAMPANEL
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Etiological treatment of gallstone acute pancreatitis
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作者 Benoît Dupont Justine Lozac'h Arnaud Alves 《World Journal of Gastrointestinal Surgery》 2025年第5期56-65,共10页
Gallstone pancreatitis is the leading cause of acute pancreatitis,accounting for more than 40%of cases.Etiological treatment is a critical issue in acute biliary pancreatitis as it helps reduce the risk of recurrence.... Gallstone pancreatitis is the leading cause of acute pancreatitis,accounting for more than 40%of cases.Etiological treatment is a critical issue in acute biliary pancreatitis as it helps reduce the risk of recurrence.Patients who have ex-perienced a complicated form of biliary disease are at high risk for recurrent episodes,and the severity of these new episodes can be unpredictable.In recent years,the role and timing of cholecystectomy and endoscopic retrograde cholan-giopancreatography(ERCP),which are the main therapeutic interventions in the etiological treatment,have been considerably clarified.This review aims to detail the different aspects of the etiological treatment of acute biliary pancreatitis.Currently,it is established that cholecystectomy should be performed early during the initial hospitalization in cases of non-severe acute pancreatitis.However,the optimal timing of this procedure in severe acute pancreatitis remains a subject of debate.Emergency ERCP is no longer indicated for acute biliary pancreatitis,except in cases of associated acute cholangitis.ERCP can be useful for the management of persistent bile duct stones.Finally,the role of interval sphincterotomy in frail or elderly patients or to reduce the risk of re-currence in those awaiting cholecystectomy in cases of severe acute pancreatitis remains to be fully established. 展开更多
关键词 Acute pancreatitis Gallstone disease TREATMENT CHOLECYSTECTOMY Endo-scopic retrograde cholangiopancreatography
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Brivaracetam and rufinamide combination increased seizure threshold and improved neurobehavioral deficits in corneal kindling model of epilepsy
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作者 Awais Sattar Zohabia Rehman +4 位作者 Hammad Murtaza Waseem Ashraf Tanveer Ahmad Faleh Alqahtani Imran Imran 《Animal Models and Experimental Medicine》 2025年第2期209-221,共13页
Background:Besides seizures,a myriad of overlapping neuropsychiatric and cognitive comorbidities occur in patients with epilepsy,which further debilitates their quality of life.This study provides an in-depth characte... Background:Besides seizures,a myriad of overlapping neuropsychiatric and cognitive comorbidities occur in patients with epilepsy,which further debilitates their quality of life.This study provides an in-depth characterization of the impact of brivaracetam and rufinamide individually and in combination at 10 and 20 mg/kg doses,respec-tively,on corneal kindling-induced generalized seizures and behavioral alterations.Furthermore,observed convulsive frequency and behavioral changes were corre-lated to post-kindling-induced changes in the activity of markers of oxidative stress.Methods:Adult C57BL/6 mice were kindled via twice-daily transcorneal 50-Hz elec-trical stimulations(3 mA)for 3 s for 12 days until animals reached a fully kindled state.After the kindling procedure,animals were tested using a set of behavioral tests,and neurochemical alterations were assessed.Results:Corneal-kindled animals exhibited intense generalized convulsions,altered behavioral phenotypes typified by positive symptoms(hyperlocomotion),negative symptoms(anxiety and anhedonia),and deficits in semantic and working memory.BRV 10+RFM 20 dual regime increased convulsive threshold and propensity toward the start of stage 4–5 seizures and improved phenotypical deficits,that is,anxiety,depression,and memory impairments.Moreover,this combination therapy mitigated kindling-induced redox impairments as evidenced by reduced malondialdehyde and acetylcholinesterase levels and increased glutathione antioxidant activity in the brain of animals subjected to repetitive brain insult.Conclusion:Based on our outcomes,this dual therapy provides supporting evidence in alleviating epilepsy-induced neurobehavioral comorbidities and changes in redox homeostasis. 展开更多
关键词 BRIVARACETAM corneal kindling EPILEPSY neurobehavioral analyses oxidative stress RUFINAMIDE
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Pseudo-psychiatric symptoms of superior semicircular canal dehiscence syndrome
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作者 Quentin Legois Yohan Gallis +5 位作者 Mathieu Marx Olivier Deguine Antoine Yrondi Maximilien Redon Christophe Arbus Valentin Raymond 《General Psychiatry》 2025年第1期68-69,共2页
To the editor:The superior semicircular canal dehiscence was first described by Minor et all in 1998 as a condition in which the superior semicircular canal lacks a bony covering and has gained constantly increasing i... To the editor:The superior semicircular canal dehiscence was first described by Minor et all in 1998 as a condition in which the superior semicircular canal lacks a bony covering and has gained constantly increasing interest since its discovery.2 The symptoms are varied but specific what is known as Minor syndrome or‘third mobile window’syndrome,'as patients may experience autophony with abnormally loud sounds like footsteps,chewing,breathing,eye movement,echoing voice,distortion of environmental sounds and pulsatile tinnitus. 展开更多
关键词 environmental sound distortion superior semicircular canal pulsatile tinnitus environmental sounds superior semicircular canal dehiscence minor syndrome AUTOPHONY
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