经颅磁刺激和经颅直流电刺激在调控大脑共情功能中的应用

共情可以帮助人们建立和谐的人际关系，更好地适应现实社会，是一种重要的社会认知功能。已有研究表明，诸多神经和精神类疾病的发生发展和复发与共情缺陷有关。非侵入性脑刺激技术（经颅磁刺激和经颅直流电刺激）可以通过调节大脑皮层兴奋性来调控个体的共情水平，缓解共情缺陷症状。针对健康群体使用该技术的现有证据显示：内侧前额叶、初级运动皮层、额下回、背外侧前额叶和颞顶交界处的活动有助于提升个体的认知共情水平，其中双侧背外侧前额叶的活动还有助于下调个体的情感共情水平，而右侧颞顶交界处的活动则可以增强自我表征从而支持个体在共情时进行自我和他人的区分。少数针对共情缺陷群体使用该技术的临床证据提示，增强左侧背外侧前额叶和内侧前额叶的活动可以分别提升精神疾病和神经退行性疾病患者的认知共情水平。未来的研究应探讨在统一的行为测量范式下针对不同刺激参数和刺激位点进行共情干预研究，通过融合其他神经生理技术进一步考察非侵入性脑刺激技术改善共情功能的作用机制，并考虑个体差异性对大脑共情功能干预效果的影响。     

经颅电刺激镇痛研究的现状及展望

经颅电刺激技术是一种非侵入性神经调控方法,因其具有卓越的安全性、良好的患者依从性以及高度便携性等特点,被视为一种潜在的非药物镇痛手段。然而,目前对于经颅电刺激镇痛效果的研究结果不一致且镇痛机制尚未完全阐明。本文通过系统归纳总结3种主要的经颅电刺激技术——经颅直流电刺激、经颅交流电刺激和经颅随机噪声刺激——在镇痛领域的研究进展,评估了这些技术对短时、急性和慢性疼痛的镇痛效果,并深入剖析了其潜在的镇痛机制。同时,本文系统讨论了既往研究的局限性,并对未来研究提出了一系列切实可行的建议,如借助电场模拟技术实现个性化刺激以克服不同个体头部解剖结构差异的影响、应用多位点刺激和深部脑刺激技术来拓展刺激脑区、搭建经颅电刺激技术同步神经影像平台以制定个体特异性的刺激方案并深入揭示其镇痛机制、探索与其他治疗技术的联合应用以提高疗效等。这些建议的实施将有助于解决当前研究中存在的问题,充分发挥经颅电刺激在疼痛治疗中的临床价值,最终实现患者疼痛的缓解。     

Time-dependent effects of neuromuscular electrical stimulation on changes in spinal excitability are dependent on stimulation frequency: A preliminary study in healthy adults

Neuromuscular electrical stimulation (NMES) can be used as treatment for spasticity. The present study examined differences in time-dependent effects of NMES depending on stimulation frequency. Forty healthy subjects were separated into four groups (no-stim, NMES of 50, 100, and 200?Hz). The un-conditioned H-reflex amplitude and the H-reflex conditioning-test paradigm were used to measure the effectiveness on monosynaptic Ia excitation of motoneurons in the soleus (SOL) muscle, disynaptic reciprocal Ia inhibition from tibialis anterior (TA) to SOL, and presynaptic inhibition of SOL Ia afferents. Each trial consisted of a 30-min period of NMES applied to the deep peroneal nerve followed by a 30-min period with no stimulation to measure prolonged effects. Measurements were performed periodically. Stimulation applied at all frequencies produced a significant reduction in monosynaptic Ia excitation of motoneurons in the SOL muscle, however, only stimulation with 50?Hz showed prolonged reduction after NMES. NMES frequency did not affect the amount of disynaptic reciprocal Ia inhibition and presynaptic inhibition of Ia afferents. The results show a frequency-dependent effect of NMES on the monosynaptic Ia excitation of motoneurons. This result has implications for selecting the optimal NMES frequency for treatment in patients with spasticity.     

Stimulation of photosynthesis and growth of photoautotrophically cultured plant cells by choline and its analogs

The effects of choline and its analogs, allylcholine and benzylcholine, on the photosynthesis and on the cell growth were examined using photoautotrophically, photomixotrophically and heterotrophically cultured cells. The addition of choline and its analogs stimulated the cellular photosynthetic activity and enhanced the dry weight increase in both photoautotrophic and photomixotrophic cells. However, the growth of heterotrophic cells did not increase by the addition of choline and choline analogs. The photosynthetic electron transport activity in thylakoid membrane was enhanced when cells were treated with choline and choline analogs, suggesting that thylakoid membranes are the initial site of the stimulation of cellular photosynthesis. The stimulatory effect of choline and choline analogs was sustained even after 3 week-culture. Among the choline analogs tested, benzylcholine showed the most quick effect and was effective at a lower concentration (1 mg/l) than choline (10 mg/l).Abbreviations GA₃ gibberellin A₃     

精准定位脑刺激对运动功能调控研究进展

脑刺激是神经科学研究的重要手段,传统的经颅磁刺激和经颅电刺激等脑刺激方法尽管能调控运动功能(包括减轻运动性障碍疾病的运动障碍、提高运动能力等),但存在空间分辨率低且无法刺激深部脑组织的局限性.近年来迅速发展的深部脑刺激(deep brain stimulation,DBS)、光遗传学、经颅超声刺激(transcranial ultrasound stimulation,TUS)、时间干涉(temporal interference,TI)等精准定位脑刺激方法,具有空间分辨率高、可聚焦深部脑组织等优点.本文综述了上述几种脑刺激方法的原理、特点,对运动功能调控的研究进展,以及面临的挑战和发展前景,从而为神经科学研究提供更好的研究工具,为临床实践提供更多的干预治疗手段.     

Induction of pseudopregnancy using artificial VCS: importance of lordosis intensity and prestimulus estrous cycle length

In cycling female rats, vaginocervical stimulation (VCS) received naturally during mating or by artificial mechanical stimulation induces neuroendocrine and behavioral responses that are critical for reproduction, including bi-circadian prolactin surges which result in pregnancy or an 8-14-day diestrous period called pseudopregnancy (PSP). Following mating, the incidence of PSP is higher when females receive high (10) as opposed to low (3-5) numbers of intromissions. Therefore, a threshold level of VCS must be exceeded before hypothalamic changes required for PSP can occur. This study characterized the threshold curve for PSP induction for artificial VCS (VCS-a). Proestrous females were given 1, 2, 3, 4, or 8 VCS-a applied with a glass rod using 200 g of force for 2 s, with an 8-min interval between stimulations. The lordosis response (LR) to the stimulus was measured on a scale of increasing intensity from 0 to 3, and the occurrence of PSP was measured by daily vaginal lavage. In contrast to previous findings, VCS-a induced robust lordosis responses without concurrent flank and perineal stimulation. The frequency of PSP induction did not increase in females as a function of amounts of VCS-a. However, the occurrence of PSP was strongly tied to the maximum lordosis response (LR(max)) observed. PSP was observed only among multiply stimulated females that showed the highest LR(max) (3.0) to at least one of the stimulations. Multiply stimulated females that showed a LR(max) < 3.0 or females that received only one VCS-a never became PSP. PSP and a stronger LR(max) were more likely to occur in females that had 5-day compared to 4-day prestimulus estrous cycle lengths. We conclude that central mechanisms important for VCS-induced PSP and lordosis may be potentiated by estradiol's actions in estrogen-concentrating forebrain areas.     

Vagus nerve bundle stimulation using 1505-nm laser irradiation in an in-vivo rat model

Laser nerve stimulation using near-infrared laser irradiation has recently been studied in the peripheral nervous system as an alternative method to conventional electrical nerve stimulation. Bringing this method to the vagus nerve model could leverage this emerging stimulation approach to be tested in broader preclinical applications. Here, we report the capability of the laser nerve stimulation method on the rat vagus nerve bundle with a 1505-nm diode laser operated in continuous-wave mode. Studies of the stimulation threshold and laser-induced acute thermal injury to the nerve bundle were also performed to determine a temperature window for safe, reliable and reproducible laser stimulation of the rat vagus nerve bundle. The results show that laser stimulation of the vagus nerve bundle provides reliable and reproducible nerve stimulation in a rat model. These results also confirm a threshold temperature of >42°C with acute nerve damage observed above 46°C. A strong correlation was obtained between the laser time required to raise the nerve temperature above the stimulation threshold and the mean arterial pressure response. Advantages of the method such as non-contact delivery of external stimulus signals at mm scaled distance in air, enhanced spatial selectivity and electrical artefact-free measurements may indicate its potential to counteract the side effects of conventional electrical vagus nerve stimulation.     

亚硝基铁氰化钠对脊髓背角神经元诱发与自发反应的影响

用微透析方法在麻醉麻痹大鼠的脊髓局部应用一氧化氮（ＮＯ）供体亚硝基铁氰化钠（ｓｏｄｉｕｍ ｎｉｔｒｏｐｒｕｓｓｉｄｅ,ＳＮＰ）,以碳丝微电极在腰膨大处行细胞外记录,观察ＮＯ对机械刺激大鼠后足部皮肤引起的诱发反应和自发反应的影响。脊深层神经元透析１μｍｏｌ／Ｌ ＳＮＰ,１０～１２ｍｉｎ后,非伤害性机械刺激诱发的反应增强,伤害性机械刺激诱发的反应减弱;透析２０～３０ｍｉｎ后,伤害性和非伤害性机械刺激诱     

Cardiac responses to sensory stimulation in the adult tobacco budworm moth, Heliothis virescens

Electrocardiogram recordings were performed on intact Heliothis virescens moths using Ag-AgCl electrodes positioned on the body cuticular surface. Regular heart activity and its changes in response to mechanical and olfactory stimulations were analysed. Moths were also tested in their anemotactic orientation in response to olfactory stimulation. Results show that regular cardiac activity in Heliothis is cyclical and consists of the alternation of a high and a low spike-frequency period. This activity pattern is strongly influenced by sensory stimulation. Both mechanical stimulations at various intensities and olfactory stimulations with sex pheromone and 1-hexanol evoked tachycardiac effects when applied during low spike-frequency cardiac activity. In contrast, they did not affect high spike-frequency cardiac activity. It is concluded that the cardiac response in Heliothis is an effective indicator of sensory reception. It would therefore appear to represent a valid tool for testing insect reactivity. Accepted: 30 August 1997     

Gamma frequency activation of inhibitory neurons in the acute phase after stroke attenuates vascular and behavioral dysfunction

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2Hz和100Hz电针加速脑内三种阿片肽基因表达

我室以往的工作证明２Ｈｚ和１００Ｈｚ电针可引起中枢释放不同种类的阿片肽,本工作试图阐明不同频率的电针是否影响三种阿片肽的基因转录。用地高辛标记的反义ｃＲＮＡ探针进行原位杂交,显示大鼠脑内前脑啡肽原（ＰＰＥ）,前强啡肽强（ＰＰＤ）和前阿黑皮素原（ＰＯＭＣ）ｍＲＮＡ。结果：（１）低、高频电针均不影响ＰＯＭＣ ｍＲＮＡ的水平。（２）对ＰＰＥ的影响,两种频率电针诱导脑干网状结构头端腹内侧区ＰＰＥ ｍＲＮＡ     

鲤幼鱼快速启动游泳能力及电刺激参数的影响

为了研究鲤(Cyprinus carpio)幼鱼快速启动游泳能力并揭示电刺激参数的影响,将90尾鲤幼鱼(体长6.47 cm ±0.09 cm;体重6.36 g±0.03 g)在水温25.0℃±0.5℃的条件下分别采用4个不同的刺激场强(0.25、0.40、0.55和0.70 v·cm-1)和5个不同的刺激历时(10、50、90、130和170 ms)测定实验鱼的快速启动游泳能力.结果表明:电刺激场强由0.25 v·cm-1分别上升至0.40、0.55 v·cm-1时,第一阶段偏转角度(θs1)、第二阶段最大线性加速度(αmax)和速度(Vmax)随刺激场强的升高而显著增大(P＜0.05);而当刺激场强高于0.55 v·cm-1,上述3个参数却无显著差异(P＞0.05);刺激历时在10 ～50 ms范围内,αmax 和Vmax随刺激历时的延长而显著增大(P＜0.05),当刺激历时长于50 ms时上述2个参数均无显著差异(P＞0.05);在场强和历时分别为0.55 v·cm-1和50 ms条件下,鲤幼鱼的θs1、αmax和Vmax分别是(56.51±4.11) deg、(31.60±3.62)m·s-2和(1.34±0.07)m·s-1;鲤幼鱼采取“快速直线”的逃逸策略,具有较强的快速启动游泳能力,鱼类的电刺激反应受刺激参数的影响并且存在阈值.     

丘脑底核高频和低频电刺激治疗帕金森病的临床效果评价

目的:观察和比较丘脑底核高频电刺激与低频电刺激治疗帕金森病(PD)的临床效果。方法:对入选的31名PD患者行双侧丘脑底核电刺激手术,术后1个月,在高频刺激条件下,进行UPDRS运动评分,同时对震颤、强直、运动迟缓、中轴症状进行评分;术后6个月,在关闭刺激、高频刺激和低频刺激三种刺激条件,同样进行相关评分。结果:术后1个月和术后6个月,除中轴症状外,UPDRS运动评分和震颤、强直、运动迟缓评分均较术前明显降低(P0.05)。术后6个月,HFS、LFS刺激条件下,UPDRS运动评分和震颤、强直、运动迟缓评分均较OFF降低(P0.05),但中轴症状评分无明显降低(P0.05)。术后6个月,LFS较HFS,各项评分均无明显差异。结论:丘脑底核高频和低频电刺激均能改善PD的运动功能,对震颤、强直和运动迟缓疗效明显,但对中轴症状均无明显治疗效果。     

综述: 无创穿颅电刺激对人脑神经活动和认知功能的调控

穿颅电刺激被认为可以无创调节大脑的神经活动,为研究特定脑区与某一认知功能间的因果关系提供了可能.近些年,对穿颅电刺激作用机制和其对认知、运动功能调控的研究方面取得了很多重要进展.在这篇综述中,我们总结了以往关于穿颅直流电刺激、穿颅交流电刺激和穿颅随机噪声电刺激三种刺激方式的发展历史及其作用机制,同时总结了其对感知觉(主要是视觉知觉)、注意和记忆等认知功能的调控,并对未来的研究方向进行了展望.     

Reduction in cortical parvalbumin expression due to intermittent theta‐burst stimulation correlates with maturation of the perineuronal nets in young rats

We recently showed that intermittent theta‐burst stimulation (iTBS) using transcranial magnetic stimulation strongly reduces the number of rat neocortical interneurons expressing glutamic acid decarboxylase 67 kDa (GAD67) and parvalbumin (PV), indicating changed activity of fast‐spiking (FS) interneurons. In advance of in vitro studies intended to characterize changes in electrical properties of FS interneurons under these conditions, we tested whether the iTBS effect is age‐dependent. Conscious Sprague‐Dawley rats aged between 28 and 90 days received three blocks of iTBS at 15 min intervals. We found that iTBS‐related reduction in PV+ cells was absent up to an age of 32 days, then gradually increased, and approached a maximum of about 40% reduction at an age of about 40 days. The relative number of cells expressing PV (PV+, 8–9%) did not change with age in sham‐controls and also the increase in cortical c‐Fos expression induced by iTBS was not principally age‐dependent. However, a prominent growth of the perineuronal nets, typically surrounding the PV+ cells, exactly paralleled the increase in the iTBS effect. Based on these findings, we conclude that the functional development of the inhibitory network of PV+ interneurons with regard to intracortical synaptic connectivity is not sufficiently matured in rats younger than 35d to enable activity‐dependent modifications during iTBS. Outgrowth of the perineuronal nets and associated maturation of excitatory cortical inputs, as is characteristic for the critical cortical period, may take place before PV+ interneurons can be sufficiently activated via repetitive transcranial magnetic stimulation, allowing plastic changes of molecular phenotype and likely also synaptic plasticity. © 2014 Wiley Periodicals, Inc. Develop Neurobiol 75: 1–11, 2015     

Aromatase inhibitors in ovarian stimulation

The selective estrogen receptor modulator, clomiphene citrate (CC), has been the principal drug used for induction of ovulation in women with polycystic ovarian syndrome (PCOS). CC is associated with adverse side effects and low pregnancy rates attributed to long-lasting estrogen receptor depletion. Anastrozole and letrozole are potent, non-steroidal, reversible aromatase inhibitors, developed for postmenopausal breast cancer therapy. We hypothesized that aromatase inhibitors could mimic the action of CC in reducing estrogen negative feedback on follicle stimulating hormone (FSH) secretion, without depleting estrogen receptors. In a series of preliminary studies, we reported the success of aromatase inhibition in inducing ovulation in anovulatory women with PCOS. Moreover, we showed that concomitant use of aromatase inhibitors resulted in a significant reduction of the FSH dose needed for controlled ovarian hyperstimulation. We suggest that aromatase inhibitors act through an increase in endogenous gonadotropin secretion as well as through increased intraovarian androgen levels that may increase ovarian FSH receptors. Recently, we demonstrated the safety of aromatase inhibitors in pregnancy outcome studies examining spontaneous pregnancy loss, multiple pregnancy rates and congenital anomalies compared to a control group of infertility patients treated with CC.     

Flamingo breeding: The role of group displays

Group displays in flamingos have been presumed to play a role in stimulating synchronous nesting and in facilitating pair formation. This study compares the group displays and breeding success of a captive flock of Caribbean flamingos (Phoenicopterus ruber ruber) at the National Zoological Park between 2 years: the frequency and synchrony of group displays were measured for a flock of 17 in 1988 and then again in 1989 after flock size was increased to 21. In 1989 the rate of occurrence of display activity increased 48%, the synchrony of group displays increased 100%, the frequency of mounts and copulations almost doubled, and for the first time in the flock's history two fertile eggs were produced. The use of sprinklers to simulate rain had no effect on the group displays. The amount of naturally occurring rainfall in 1989 was almost twice that in 1988. The increased frequency and synchrony of group displays could be attributed to increased flock size, change in sex ratio, addition of strange individuals, or increased rainfall. This study, however, provides evidence for a relationship between behavioral stimulation from group displays and components of breeding success in flamingos.     

The stimulating effects of NaCl on root growth of Rhodes grass (Chloris gayana)

Rhodes grass ( Chloris gayana Kunth. cv. common) is a halophytic forage grass. Like most halophyles, its growth is positively affected by low levels of salinity but is inhibited by high salinity. However, such a definition is not clear and not unmistakable: NaCl concentrations which inhibit the growth of the whole plant stimulate the growth of single roots when applied to them individually.     

Effects of biphasic and monophasic electrical stimulation on mitochondrial dynamics,cell apoptosis,and cell proliferation

Currently, electrical stimulation (ES) is used to induce changes in various tissues and cellular processes, but its effects on mitochondrial dynamics and mechanisms are unknown. The aim of this study was to compare the effects of monophasic and biphasic, anodal, and cathodal ES on apoptosis, proliferation, and mitochondrial dynamics in neuroblastoma SH-SY5Y cells. Cells were cultured and treated with ES. Alamar blue assay was performed to measure cell proliferation. The proteins expression of apoptotic-related proteins Bcl-2 associated X (Bax), B cell lymphoma 2 (Bcl-2), optic-atrophy-1 (OPA1), mitofusin2 (Mfn2), phosphorylated dynamin-related protein 1 at serine 616 (p-DRP1), and total dynamin-related protein 1 (Total-DRP1) were also determined. The results showed that monophasic anodal and biphasic anodal/cathodal (Bi Anod) ES for 1 hr at 125 pulses per minute (2.0 Hz) produced the most significant increase in cell proliferation. In addition, monophasic anodal and Bi Anod ES treated cells displayed a significant increase in the levels of anti-apoptotic protein Bcl-2, whereas the Bax levels were not changed. Moreover, the levels of Mfn2 were increased in the cells treated by Bi Anod, and OPA1 was increased by monophasic anodal and Bi Anod ES, indicating increased mitochondrial fusion in these ES-treated cells. However, the levels of mitochondrial fission indicated by DRP1 remained unchanged compared with non-stimulated cells. These findings were confirmed through visualization of mitochondria using Mitotracker Deep Red, demonstrating that monophasic anodal and Bi Anod ES could induce pro-survival effects in SH-SY5Y cells through increasing cell proliferation and mitochondrial fusion. Future research is needed to validate these findings for the clinical application of monophasic anodal and Bi Anod ES.