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Degenerative alterations in noradrenergic neurons of the locus coeruleus in Alzheimer's disease 被引量:1
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作者 Lihua Liu Saiping Luo +3 位作者 Leping Zeng Weihong Wang Liming Yuan Xiaohong Jian 《Neural Regeneration Research》 SCIE CAS CSCD 2013年第24期2249-2255,共7页
Mice carrying mutant amyloid precursor protein and presenilin-1 genes (APP/PS1 double trans- genic mice) have frequently been used in studies of Alzheimer's disease; however, such studies have focused mainly on hip... Mice carrying mutant amyloid precursor protein and presenilin-1 genes (APP/PS1 double trans- genic mice) have frequently been used in studies of Alzheimer's disease; however, such studies have focused mainly on hippocampal and cortical changes. The severity of Alzheimer's disease is known to correlate with the amount of amyloid-13 protein deposition and the number of dead neurons in the locus coeruleus. In the present study, we assigned APP/PS1 double transgenic mice to two groups according to age: young mice (5-6 months old) and aged mice (16-17 months old). Age-matched wild-type mice were used as controls. Immunohistochemistry for tyrosine hydroxylase (a marker of catecholaminergic neurons in the locus coeruleus) revealed that APP/PS1 mice had 23% fewer cells in the locus coeruleus compared with aged wild-type mice. APP/PS1 mice also had increased numbers of cell bodies of neurons positive for tyrosine hydroxylase, but fewer tyrosine hydroxylase-positive fibers, which were also short, thick and broken. Quantitative analysis using unbiased stereology showed a significant age-related increase in the mean volume of tyrosine hy- droxylase-positive neurons in aged APP/PS1 mice compared with young APP/PS1 mice. Moreover, the mean volume of tyrosine hydroxylase-positive neurons was positively correlated with the total volume of the locus coeruleus. These findings indicate that noradrenergic neurons and fibers in the locus coeruleus are predisposed to degenerative alterations in APP/PS1 double transgenic mice. 展开更多
关键词 neural regeneration PRESENILIN-1 Alzheimer's disease tyrosine hydroxylase locus coeruleus noradrenergic neuron ^-amyloid senile plaques grants-supported paper NEUROREGENERATION
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A COMPARATIVE OBSERVATION ON THE EFFECTS OF ACUPUNCTURING RENZHONG AND ZUSANLI ON THE NEURONAL ACTIVITY OF LOCUS COERULEUS IN RATS
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作者 Rong Peijing, Huang KunhouInstitute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine, Beijing 100700, China 《World Journal of Acupuncture-Moxibustion》 1995年第1期45-50,共6页
In present work,the effects of acupuncturing Renzhong(GV 26)and Zusanli(ST 36)on the neuronal activity of Locus Coeruleus(LC)in rats were observed and compared.The resultsindicated that the central mechanism o... In present work,the effects of acupuncturing Renzhong(GV 26)and Zusanli(ST 36)on the neuronal activity of Locus Coeruleus(LC)in rats were observed and compared.The resultsindicated that the central mechanism of promoting blood pressure(BP)by acupuncturing Renzhongwas related to the activity of LC;the influence of acupuncturing Renzhong on neuronal activity of LC was more obvious than that of acupuncturing Zusanli;and there was relative speciality between the acupoints. 展开更多
关键词 RENZHONG ZUSANLI LOCUS coeruleus NEURONAL activity BLOOD pressure (BP)
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Firing activity of locus coeruleus noradrenergic neurons increases in a rodent model of Parkinsonism 被引量:1
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作者 王涛 张巧俊 +2 位作者 刘健 吴仲恒 王爽 《Neuroscience Bulletin》 SCIE CAS CSCD 2009年第1期15-20,共6页
Objective To investigate the changes in the firing activity of noradrenergic neurons in the locus coeruleus (LC) in a rat model of Parkinson disease (PD). Methods 2 and 4 weeks after unilateral lesion of the nigrostri... Objective To investigate the changes in the firing activity of noradrenergic neurons in the locus coeruleus (LC) in a rat model of Parkinson disease (PD). Methods 2 and 4 weeks after unilateral lesion of the nigrostriatal pathway in the rat by local injection of 6-hydroxydopamine (6-OHDA) into the right substantia nigra pars compacta (SNc), the firing activity of noradrenergic neurons in LC was recorded by extracellular single unit recording. Results The firing rate of LC noradrenergic neurons increased sig... 展开更多
关键词 locus coeruleus 6-HYDROXYDOPAMINE Parkinson disease ELECTROPHYSIOLOGY
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Astrocytic calcium waves:unveiling their roles in sleep and arousal modulation
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作者 Erxi Wu Dan Qi +1 位作者 Damir Nizamutdinov Jason H.Huang 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第5期984-987,共4页
Neuron-astrocyte interactions are vital for the brain’s connectome.Understanding astrocyte activities is crucial for comprehending the complex neural network,particularly the population-level functions of neurons in ... Neuron-astrocyte interactions are vital for the brain’s connectome.Understanding astrocyte activities is crucial for comprehending the complex neural network,particularly the population-level functions of neurons in different cortical states and associated behaviors in mammals.Studies on animal sleep and wakefulness have revealed distinct cortical synchrony patterns between neurons.Astrocytes,outnumbering neurons by nearly fivefold,support and regulate neuronal and synaptic function.Recent research on astrocyte activation during cortical state transitions has emphasized the influence of norepinephrine as a neurotransmitter and calcium waves as key components of ion channel signaling.This summary focuses on a few recent studies investigating astrocyte-neuron interactions in mouse models during sleep,wakefulness,and arousal levels,exploring the involvement of noradrenaline signaling,ion channels,and glutamatergic signaling in different cortical states.These findings highlight the significant impact of astrocytes on large-scale neuronal networks,influencing brain activity and responsiveness.Targeting astrocytic signaling pathways shows promise for treating sleep disorders and arousal dysregulation.More research is needed to understand astrocytic calcium signaling in different brain regions and its implications for dysregulated brain states,requiring future human studies to comprehensively investigate neuron-astrocyte interactions and pave the way for therapeutic interventions in sleep-and arousal-related disorders. 展开更多
关键词 AROUSAL ASTROCYTE calcium waves locus coeruleus neuron-astrocyte interaction NOREPINEPHRINE SLEEP WAKEFULNESS
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Respiratory Control by Phox2b-expressing Neurons in a Locus Coeruleus–pre B?tzinger Complex Circuit 被引量:4
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作者 Na Liu Congrui Fu +6 位作者 Hongxiao Yu Yakun Wang Luo Shi Yinchao Hao Fang Yuan Xiangjian Zhang Sheng Wang 《Neuroscience Bulletin》 SCIE CAS CSCD 2021年第1期31-44,共14页
The locus coeruleus(LC) has been implicated in the control of breathing.Congenital central hypoventilation syndrome results from mutation of the paired-like homeobox 2 b(Phox2 b) gene that is expressed in LC neurons.T... The locus coeruleus(LC) has been implicated in the control of breathing.Congenital central hypoventilation syndrome results from mutation of the paired-like homeobox 2 b(Phox2 b) gene that is expressed in LC neurons.The present study was designed to address whether stimulation of Phox2 b-expressing LC(Phox2 b~(LC)) neurons affects breathing and to reveal the putative circuit mechanism.A Cre-dependent viral vector encoding a Gqcoupled human M3 muscarinic receptor(hM3 Dq) was delivered into the LC of Phox2 b-Cre mice.The hM3 Dqtransduced neurons were pharmacologically activated while respiratory function was measured by plethysmography.We demonstrated that selective stimulation of Phox2 b~(LC) neurons significantly increased basal ventilation in conscious mice.Genetic ablation of these neurons markedly impaired hypercapnic ventilatory responses.Moreover,stimulation of Phox2 b~(LC) neurons enhanced the activity of preBotzinger complex neurons.Finally,axons of Phox2 b~(LC) neurons projected to the preBotzinger complex.Collectively,Phox2 b~(LC) neurons contribute to the control of breathing most likely via an LC-preBotzinger complex circuit. 展开更多
关键词 Locus coeruleus Phox2b Hypercapnic ventilatory response CHEMORECEPTOR Neural circuit
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Quanti?cation of Tyrosine Hydroxylase and Erb B4 in the Locus Coeruleus of Mood Disorder Patients Using a Multispectral Method to Prevent Interference with Immunocytochemical Signals by Neuromelanin 被引量:2
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作者 Lei Guo Jochem StormmesAND +6 位作者 Zheng Fang Qingbin Zhu Rawien Balesar Joop van Heerikhuize Arja Sluiter Dick Swaab Ai-Min Bao 《Neuroscience Bulletin》 SCIE CAS CSCD 2019年第2期205-215,共11页
The locus coeruleus(LC) has been studied in major depressive disorder(MDD) and bipolar disorder(BD). A major problem of immunocytochemical studies in the human LC is interference with the staining of the immunocytoche... The locus coeruleus(LC) has been studied in major depressive disorder(MDD) and bipolar disorder(BD). A major problem of immunocytochemical studies in the human LC is interference with the staining of the immunocytochemical end-product by the omnipresent natural brown pigment neuromelanin. Here, we used a multispectral method to untangle the two colors: blue immunocytochemical staining and brown neuromelanin.We found significantly increased tyrosine hydroxylase(TH) in the LC of MDD patients—thus validating the method—but not in BD patients, and we did not find significant changes in the receptor tyrosine-protein kinase ErbB4 in the LC in MDD or BD patients. We observed clear co-localization of ErbB4, TH, and neuromelanin in the LC neurons. The different stress-related molecular changes in the LC may contribute to the different clinical symptoms in MDD and BD. 展开更多
关键词 Major DEPRESSIVE DISORDER Bipolar DISORDER TYROSINE HYDROXYLASE ERBB4 Locus coeruleus
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CHANGES IN FIRING RATE OF NORADRENERGIC NEURONS IN LOCUS COERULEUS FOLLOWING STIMULATION OF MEDIAL PREOPTIC AREA IN FEMALE RATS AT DIFFERENT STAGES OF THE ESTROUS CYCLE
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作者 朱笛霓 孙启新 赵建础 《Chinese Science Bulletin》 SCIE EI CAS 1991年第4期333-338,共6页
Several studies showed that sex hormone receptors are in close relationship with classical neurotransmitter neurons especially catecholaminergic(CA) neurons. There are many gonadotrophin releasing hormone (GnRH) neuro... Several studies showed that sex hormone receptors are in close relationship with classical neurotransmitter neurons especially catecholaminergic(CA) neurons. There are many gonadotrophin releasing hormone (GnRH) neurons in hypothalamus and the medial preoptic area (MPO). Electrical stimulation of MPO can cause a rise in secretion 展开更多
关键词 MEDIAL PREOPTIC area NORADRENERGIC neuron LOCUS coeruleus ESTRUS DIESTRUS rat.
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COMPARISON OF THE EFFECTS OF MEDIAL PRE OPTIC AREA AND VENTROMEDIAL NUCLEUS OF HYPOTHALAMUS ON THE DISCHARGES OF NORADRENERGIC NEURONS IN LOCUS COERULEUS IN FEMALE RATS AT DIFFERENT STAGES OF ESTROUS CYCLE
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作者 朱笛霓 赵建础 《Chinese Science Bulletin》 SCIE EI CAS 1992年第22期1915-1919,共5页
In the structure of brain the medial preoptic area (MPO) and ventromedial nucleus of hypothalamus (VMN)are the two parts where the estrogen receptors concentrate but have opposite effects on sexual behavior. Recently ... In the structure of brain the medial preoptic area (MPO) and ventromedial nucleus of hypothalamus (VMN)are the two parts where the estrogen receptors concentrate but have opposite effects on sexual behavior. Recently estrogen receptors have been known to be located in the locus coeruleus(LC), where noradrenergic(NE) fibres terminate in the hypothalamus arising from cell bodies. The discharge rate of NE-ergic neurons in LC can be increased by electrical stimulation of MPO in a female rat at estrus stage, and decreased at diestrus stage. These studies help us to infer that VMN might have some modulation influence on NE-ergic neurons in LC. In order to study the pattern activities 展开更多
关键词 MEDIAL PREOPTIC area ventromedial nucleus of HYPOTHALAMUS LOCUS coeruleus ESTRUS DIESTRUS rat
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Modulation of neuronal activity of cerebellar fastigial nucleus by locus coeruleus stimulation in the rat
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作者 Wang Tao Wang Jianjun +2 位作者 Cheng Hong Li Hongzhao Yu Qixiang 《Chinese Science Bulletin》 SCIE EI CAS 1998年第11期940-944,共5页
The effects of stimulating locus coeruleus (LC) on neuronal activity of cerebellar fastigial nucleus (FN) was investigated. Stimulation of LC elicited inhibitory, excitatory and biphasic (inhibition-excitation) respon... The effects of stimulating locus coeruleus (LC) on neuronal activity of cerebellar fastigial nucleus (FN) was investigated. Stimulation of LC elicited inhibitory, excitatory and biphasic (inhibition-excitation) responses from FN cells. The majority of responsive cells showed an inhibitory response with a latency of less than 10 ms. Injection of α adrenoreceptor antagonists phentolamine (ⅳ) could block the inhibitory response of FN cells to the LC stimulation, but propranolol (ⅳ), a β adrenoreceptor antagonist, could not. These results suggest that LC-cerebellar noradrenergic afferent fibers may be involved in the cerebellar sensorimotor integration process by exerting their modulatory action on the cerebellar nuclear cells’ activities. 展开更多
关键词 LOCUS coeruleus CEREBELLAR fastigial NUCLEUS coeruleo-cerebellar PATHWAY NORADRENERGIC fibers.
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利用RAPD-PCR探讨天蓝喇叭虫生物群系分化
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作者 刘志新 龚迎春 +2 位作者 王爱芹 余育和 冯伟松 《生态学报》 CAS CSCD 北大核心 2007年第7期2942-2947,共6页
选择天蓝喇叭虫(Stentor coeruleus)作为研究对象,对武汉市南湖、月湖、关桥3个水体共5个样点天蓝喇叭虫(S.coeruleus)样本的总DNA进行随机扩增多态DNA聚类分析,以检测各个样本的遗传相似性和趋异程度,借以评估样本间的遗传变异度。结... 选择天蓝喇叭虫(Stentor coeruleus)作为研究对象,对武汉市南湖、月湖、关桥3个水体共5个样点天蓝喇叭虫(S.coeruleus)样本的总DNA进行随机扩增多态DNA聚类分析,以检测各个样本的遗传相似性和趋异程度,借以评估样本间的遗传变异度。结果如下:(1)从98条随机引物中筛选12条引物共扩增出89条大小为100~1500bp的清晰条带,平均每条引物扩增出7.4条片段。(2)用Rapdistance1.04分析显示,不同样点样本之间存在着一定的变异,其遗传距离在0.076~0.416之间。(3)构建的聚类图中,南湖3个样点的遗传距离较近,在聚类图上聚成一枝,应该为同一个种群。本试验将为探讨水体原生动物迁徙能力对生物群系分化的影响积累实例资料,更希望可以促进水体原生动物的研究和种间过渡区本质及物种扩散行为的研究。 展开更多
关键词 天蓝喇叭虫(Stentor coeruleus) 生物群系 RAPD 南湖
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Molecular mechanism of noradrenaline during the stress-induced major depressive disorder 被引量:12
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作者 Kenjiro Seki Satomi Yoshida Manoj Kumar Jaiswal 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第7期1159-1169,共11页
Chronic stress-induced depression is a common hallmark of many psychiatric disorders with high morbidity rate.Stress-induced dysregulation of noradrenergic system has been implicated in the pathogenesis of depression.... Chronic stress-induced depression is a common hallmark of many psychiatric disorders with high morbidity rate.Stress-induced dysregulation of noradrenergic system has been implicated in the pathogenesis of depression.Lack of monoamine in the brain has been believed to be the main causative factor behind pathophysiology of major depressive disorder(MDD) and several antidepressants functions by increasing the monoamine level at the synapses in the brain.However,it is undetermined whether the noradrenergic receptor stimulation is critical for the therapeutic effect of antidepressant.Contrary to noradrenergic receptor stimulation,it has been suggested that the desensitization of β-adrenoceptor is involved in the therapeutic effect of antidepressant.In addition,enhanced noradrenaline(NA) release is central response to stress and thought to be a risk factor for the development of MDD.Moreover,fast acting antidepressant suppresses the hyperactivation of noradrenergic neurons in locus coeruleus(LC).However,it is unclear how they alter the firing activity of LC neurons.These inconsistent reports about antidepressant effect of NA-reuptake inhibitors(NRIs) and enhanced release of NA as a stress response complicate our understanding about the pathophysiology of MDD.In this review,we will discuss the role of NA in pathophysiology of stress and the mechanism of therapeutic effect of NA in MDD.We will also discuss the possible contributions of each subtype of noradrenergic receptors on LC neurons,hypothalamic-pituitary-adrenal axis(HPA-axis) and brain derived neurotrophic factor-induced hippocampal neurogenesis during stress and therapeutic effect of NRIs in MDD. 展开更多
关键词 major depression stress noradrenaline noradrenaline-reuptake inhibitors serotonin receptors hypothalamic-pituitary-adrenal axis locus coeruleus selective serotonin reuptake inhibitors serotonin noradrenaline-reuptake inhibitors
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Brain regional changes of guanine nucleotide binding protein-inhabitant 2 in acute and chronic morphine-tolerant and-dependent rats
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作者 Qinghua Wu Qiang Fu +3 位作者 Xinhua Wang Jianhua Zhao Liwei Liu Shirong Tang 《Neural Regeneration Research》 SCIE CAS CSCD 2008年第7期751-755,共5页
BACKGROUND: Drug addiction involves two main central nervous systems, namely the dopamine and noradrenaline systems. These systems are primarily distributed in five brain regions: the ventral tegmental area, the nuc... BACKGROUND: Drug addiction involves two main central nervous systems, namely the dopamine and noradrenaline systems. These systems are primarily distributed in five brain regions: the ventral tegmental area, the nucleus accumbens, the prefrontal cortex, the hippocampus, and the locus coeruleus. OBJECTIVE: To investigate regional changes of guanine nucleotide binding protein-inhabitant 2 (Gi2) in dopaminergic and noradrenergic neurons in brains of morphine-tolerant and -dependent rats. DESIGN, TIME, AND SETTING: A randomized control study was performed at the Department of Neurobiology in the Second Military Medical University of Chinese PLA (Shanghai, China) between September 2002 and March 2004. MATERIALS: Thirty-six, healthy, male, Sprague-Dawley (SD) rats were used to establish morphine-dependent models. Morphine hydrochloride was a product of Shenyang First Pharmaceutical Factory (China); naloxone hydrochloride was a product of Beijing Four-Ring Pharmaceutical Factory (China); and α subunit of Gi2 antibody was offered by Santa Cruz Biotechnology, lnc (USA). METHODS: Thirty-six SD rats were randomly divided into six groups (n = 6): (1) acute morphine-dependent group, (2) acute abstinent group, (3) acute control group, (4) chronic morphine-dependent group, (5) chronic abstinent group, and (6) chronic control group. Rats in the acute morphine-dependent and the acute groups were injected with morphine (5 mg/kg), one injection every two hours, for a total of eight injections. In the acute and chronic morphine-dependent rat models, morphine withdrawal syndrome was precipitated by an injection of naloxone (5 mg/kg). Rats in the acute control group were given a peritoneal injection of physiological saline at the same administration time as the above two groups. Rats in the chronic morphine-dependent and chronic abstinent groups were injected with morphine three times per day. The administration dose on day 1 was initially 5 mg/kg at 20:00, which increased by 5 mg/kg at 8:00, 12:00, and 20:00 until day 7. On day 13, the dose continuously increased by 10 mg/kg until a chronic morphine-dependent rat model was successfully induced. Afterwards, the rats presented with withdrawal syndromes on naloxone (5 mg/kg) at 8:00 on the same day. Rats in the chronic control group were injected with physiological saline at the same time of the two chronic groups. MAIN OUTCOME MEASURES: The concentration of Gi2 protein in the five brain regions (ventral tegmental area, nucleus accumbens, prefrontal cortex, locus coeruleus, and hippocampus) was detected by immunohistochemistry. RESULTS: In the acute morphine-dependent and acute abstinent groups, Gi2 protein concentration was significantly decreased in the nucleus accumbens, compared to the acute control group (P 〈 0.01), while no obvious changes were detected in other brain regions. In the chronic morphine-dependent and chronic abstinent groups, Gi2 protein concentration was significantly decreased in the nucleus accumbens, but significantly increased in the locus coeruleus (P 〈 0.01 ) compared to the chronic control group. CONCLUSION: Morphine dependence and tolerance may induce obvious reductions of Gi2 protein levels in the nucleus accumbens of rats. Chronic morphine dependence desensitizes the homologous neurons. 展开更多
关键词 morphine dependence/tolerance guanine nucleotide binding protein-inhabitant 2 hippocampus ventral tegmental area mucleus accumbens prefrontal cortex locus coeruleus
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The raphe nuclei are the early lesion site of gastric α-synuclein propagation to the substantia nigra
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作者 Chenglu Zhang Ruxue Bo +2 位作者 Tiantian Zhou Naihong Chen Yuhe Yuan 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2024年第5期2057-2076,共20页
Parkinson's disease(PD)is a neurodegeneration disease withα-synuclein accumulated in the substantia nigra pars compacta(SNpc)and most of the dopaminergic neurons are lost in SNpc while patients are diagnosed with... Parkinson's disease(PD)is a neurodegeneration disease withα-synuclein accumulated in the substantia nigra pars compacta(SNpc)and most of the dopaminergic neurons are lost in SNpc while patients are diagnosed with PD.Exploring the pathology at an early stage contributes to the development of the disease-modifying strategy.Although the“gut–brain”hypothesis is proposed to explain the underlying mechanism,where the earlier lesioned site in the brain of gastricα-synuclein and howα-synuclein further spreads are not fully understood.Here we report that caudal raphe nuclei(CRN)are the early lesion site of gastricα-synuclein propagating through the spinal cord,while locus coeruleus(LC)and substantia nigra pars compacta(SNpc)were further affected over a time frame of 7 months.Pathologicalα-synuclein propagation via CRN leads to neuron loss and disordered neuron activity,accompanied by abnormal motor and non-motor behavior.Potential neuron circuits are observed among CRN,LC,and SNpc,which contribute to the venerability of dopaminergic neurons in SNpc.These results show that CRN is the key region for the gastricα-synuclein spread to the midbrain.Our study provides valuable details for the“gut–brain”hypothesis and proposes a valuable PD model for future research on early PD intervention. 展开更多
关键词 Raphe nuclei Α-SYNUCLEIN Gastrointestinal tract ELECTROPHYSIOLOGY Locus coeruleus Substantia nigra pars compacta Parkinson's disease Spinal cord
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Modulating arousal to overcome gait impairments in Parkinson’s disease:how the noradrenergic system may act as a double-edged sword
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作者 Anouk Tosserams Bastiaan R.Bloem +7 位作者 Kaylena A.Ehgoetz Martens Rick C.Helmich Roy P.C.Kessels James M.Shine Natasha L.Taylor Gabriel Wainstein Simon J.G.Lewis Jorik Nonnekes 《Translational Neurodegeneration》 CSCD 2023年第1期666-676,共11页
In stressful or anxiety-provoking situations,most people with Parkinson’s disease(PD)experience a general worsening of motor symptoms,including their gait impairments.However,a proportion of patients actually report ... In stressful or anxiety-provoking situations,most people with Parkinson’s disease(PD)experience a general worsening of motor symptoms,including their gait impairments.However,a proportion of patients actually report benefits from experiencing-or even purposely inducing-stressful or high-arousal situations.Using data from a large-scale international survey study among 4324 people with PD and gait impairments within the online Fox Insight(USA)and ParkinsonNEXT(NL)cohorts,we demonstrate that individuals with PD deploy an array of mental state alteration strategies to cope with their gait impairment.Crucially,these strategies differ along an axis of arousal-some act to heighten,whereas others diminish,overall sympathetic tone.Together,our observations suggest that arousal may act as a double-edged sword for gait control in PD.We propose a theoretical,neurobiological framework to explain why heightened arousal can have detrimental effects on the occurrence and severity of gait impairments in some individuals,while alleviating them in others.Specifically,we postulate that this seemingly contradictory phenomenon is explained by the inherent features of the ascending arousal system:namely,that arousal is related to task performance by an inverted u-shaped curve(the so-called Yerkes and Dodson relationship).We propose that the noradrenergic locus coeruleus plays an important role in modulating PD symptom severity and expression,by regulating arousal and by mediating network-level functional integration across the brain.The ability of the locus coeruleus to facilitate dynamic‘cross-talk’between distinct,otherwise largely segregated brain regions may facilitate the necessary cerebral compensation for gait impairments in PD.In the presence of suboptimal arousal,compensatory networks may be too segregated to allow for adequate compensation.Conversely,with supraoptimal arousal,increased cross-talk between competing inputs of these complementary networks may emerge and become dysfunctional.Because the locus coeruleus degenerates with disease progression,finetuning of this delicate balance becomes increasingly difficult,heightening the need for mental strategies to self-modulate arousal and facilitate shifting from a sub-or supraoptimal state of arousal to improve gait performance.Recognition of this underlying mechanism emphasises the importance of PD-specific rehabilitation strategies to alleviate gait disability. 展开更多
关键词 AROUSAL GAIT Parkinson’s disease Freezing of gait Locus coeruleus
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