慢性低氧对颈动脉体可塑性的影响和调节

颈动脉体是机体重要的化学感受器.它不仅可以瞬间感知机体氧浓度的变化,迅速做出反应,同时在慢性低氧环境中能自发的适应和调节,包括形态和功能的改变.颈动脉体慢性低氧调节机制的阐明对于多种临床疾病(如呼吸暂停综合征等)的研究具有重要意义.本文就近几年关于慢性低氧对颈动脉体可塑性影响的相关研究进展予以综述.     

体育运动训练增强肌肉可塑性和大脑可塑性

体育运动训练改变肌肉和大脑的结构和功能。运动训练可以增加肌肉中毛细血管的数量,改变肌原纤维的比例,刺激多种细胞因子和肌肉因子的合成与分泌,增加肌肉体积,增强肌肉力量。相反,身体活动长期受限则会使肌肉体积减小,肌肉力量下降。另外,运动训练还会使大脑部分脑区的灰质体积增加,促进神经发生,促进脑血管增生,改变大脑激活模式及其结构和功能联结,增加神经营养因子水平。这些作用受运动类型、运动时长、运动强度的影响或调节。目前我们对肌肉可塑性与大脑可塑性之间关系的了解还十分有限。运动相关的代谢过程与肌肉收缩的分泌物可能与大脑可塑性有密切关系。本综述为倡导运动锻炼,制定科学的运动和康复方案提供理论依据和实践指导。     

轴突导向因子参与神经病理痛的研究进展

轴突导向因子协同引导轴突延伸，准确地进行轴突的投射。神经系统损害发生后，这些因子及其各自受体相互作用，通过激活磷酸激酶，影响突触可塑性从而诱发和维持神经病理痛。     

反复电针对慢性痛的累加治疗作用及其机制研究

本研究从基础和临床两方面观察了反复电针对慢性痛的累加治疗作用,并结合疼痛患者及慢性痛动物模型中几种神经肽的放射免疫测定及相应受体拮抗剂的药理学研究结果,探讨了产生累加效应的可能机制。结果表明,在临床脊髓损伤性痉挛患者,１００Ｈｚ穴位体表电刺激有效地缓解痉挛并有累加效应;在临床慢性痛患者,２／１５Ｈｚ变频ＴＥＮＳ刺激有效地治疗疼痛并具有累加效应。在关节炎模型大鼠,电针刺激能产生明显的镇痛并具有累加效     

川芎嗪对慢性压迫性损伤大鼠神经病理痛行为学的影响

目的探讨川芎嗪对慢性压迫性损伤（CCI）大鼠行为学的影响。方法建立大鼠坐骨神经CCI神经病理痛模型,取40只雄性大鼠随机分成4组,Ⅰ组为空白对照组,Ⅱ组为假手术组,Ⅲ组为CCI＋川芎嗪治疗组,Ⅲ组在术后第1天开始腹腔注射100 mg/kg川芎嗪注射液,Ⅳ组为CCI手术组。分别于术前（0 d）及术后1、3、5、7、91、1、14 d以von Frey细丝法和热辐射法测定机械缩足反射阈值（mechanical withdrawal threshold,MWT）和热缩足反射潜伏期（thermal withdrawal latency,TWL）,观察CCI大鼠神经病理痛的行为学变化。结果术后14 d,Ⅳ组和I、Ⅱ、Ⅲ组相比较,大鼠后爪的机械和热痛敏阈值明显降低（P〈0.01）;I、Ⅱ、Ⅲ组之间相比,大鼠后爪的机械和热痛敏阈值差异没有显著性（P〉0.05）。结论川芎嗪可以缓解CCI大鼠的慢性神经病理痛行为学表现。     

一种刺激内脏大神经的慢性测痛方法

用聚四氟乙烯绝缘多股银丝作双极电极,埋置于左侧大内脏神经上,以刺激大内脏神经引起行为反应所需的最小电流强度作为内脏痛觉阈值。刺激参数为短串单相方波,串长500ms,波宽1ms,频率40Hz,强度为每隔5s递增约0.1mA,至出现行为反应时停止。30只家兔121次测试,内脏痛阈均值为1.16±0.056mA。在18只家兔中每只兔测定12次痛阈,其阈值相当稳定,波动在0.07mA 之间,用随机区组方差分析无显著意义。在14只家兔中静脉注射芬坦尼(20μg/kg),5min 后阈值升高显著,维持15min,其后渐趋恢复。作者认为,本方法可用于测定内脏痛阈的实验研究。     

离皮层纤维系统的下行调节作用与听觉可塑性

听觉离皮层纤维系统是指由听皮层直接投射到皮层下听觉核团和耳蜗的下行纤维,这些纤维较严格的遵守频率分布的原则,与上行传入纤维构成多重反馈环路。听皮层通过离皮层纤维系统高度聚焦的正反馈作用,易化与其生理特性相匹配的皮层下听觉神经元的电活动,同时通过广泛的侧枝抑制作用来抑制与其生理特性不相匹配的皮层下听觉神经元的电活动,从而调节和改善皮层下听觉信息的处理,参与中枢听觉系统的可塑性变化。离皮层纤维的下行调节作用还广泛存在于视觉和躯体感觉系统,它们可能具有类似的神经机制。     

花青素对完全弗氏佐剂诱导慢性炎性痛的镇痛作用及其机制

目的：本研究旨在探索金叶女贞果实花青素对完全弗氏佐剂（CFA）诱导慢性炎性痛的镇痛作用及其可能的中枢机制。方法：雄性SD大鼠30只随机分为三组（n=10）：正常对照组、慢性炎性痛模型组（左后足跖注射100 μl CFA）、花青素治疗组（模型+花青素90 mg·kg^-1,ig,qd）。造模前和术后第1、3、5、7、9、11、13日测量各组大鼠的体重、基础痛阈（热痛阈和机械痛阈）,左后肢足趾容积;术后第14日实验结束,分光光度计法测定血清各项生化指标,Western blot检测海马区总辣椒素受体（TRPV1）和磷酸化辣椒素受体（p-TRPV1）的表达。结果：花青素能提高模型组大鼠热痛阈和机械痛阈（P<0.05）,降低足趾肿胀度（P<0.05）,提高血清SOD水平（P<0.01）,降低血清MDA和NO含量（P<0.05）,降低大脑海马区p-TRPV1/TRPV1蛋白比例。结论：花青素灌胃14日处理对完全弗氏佐剂诱导的大鼠慢性炎性痛有镇痛作用,其机制可能与降低炎性因子释放,提高抗氧化能力和下调TRPV1磷酸化有关。     

双语者大脑结构的可塑性

掌握一种以上的语言是人类的特殊能力,一般认为这种技能是大脑的功能发生可塑性改变,并非结构有所变化。然而,Mecheli及其同事提出了不同的看法,他们使用全脑无偏向性的客观技术——以体素为基础的形态测量方法（VBM）,来检测双语者大脑结构的可塑性,这种方法可以自动选择性地将灰质和白质区分开来。     

不同的声音强度对大鼠听皮层神经元特征频率可塑性的影响

目的：探讨声音强度对大鼠听皮层神经元特征频率可塑性的影响。方法：采用常规电生理学细胞外记录技术,测定不同声刺激强度下,听皮层神经元的特征频率和调谐曲线,比较条件刺激前后的变化。结果：在条件刺激声频率和神经元的特征频率相差±1.0kHz范围内,条件刺激诱导的神经元特征频率可塑性与条件刺激强度有关,较高的刺激强度比较低刺激强度诱导的特征频率可塑性概率高;特征频率可塑性的概率与神经元的频率调谐曲线类型相关,但这种相关几乎不受条件刺激声强度影响。结论：条件声刺激强度可明显影响大鼠听皮层神经元特征频率的可塑性。     

Cortical map plasticity improves learning but is not necessary for improved performance

Cortical map plasticity is believed to be a key substrate of perceptual and skill learning. In the current study, we quantified changes in perceptual ability after pairing tones with stimulation of the cholinergic nucleus basalis to induce auditory cortex map plasticity outside of a behavioral context. Our results provide evidence that cortical map plasticity can enhance perceptual learning. However, auditory cortex map plasticity fades over weeks even though tone discrimination performance remains stable. This observation is consistent with recent reports that cortical map expansions associated with perceptual and motor learning are followed by a period of map renormalization without a decrement in performance. Our results indicate that cortical map plasticity enhances perceptual learning, but is not necessary to maintain improved discriminative ability.     

Cortical contributions to olfaction: plasticity and perception

In most sensory systems, the sensory cortex is the place where sensation approaches perception. As described in this review, olfaction is no different. The olfactory system includes both primary and higher order cortical regions. These cortical structures perform computations that take highly analytical afferent input and synthesize it into configural odor objects. Cortical plasticity plays an important role in this synthesis and may underlie olfactory perceptual learning. Olfactory cortex is also involved in odor memory and association of odors with multimodal input and contexts. Finally, the olfactory cortex serves as an important sensory gate, modulating information throughput based on recent experience and behavioral state.     

The kv4.2 potassium channel subunit is required for pain plasticity

A-type potassium currents are important determinants of neuronal excitability. In spinal cord dorsal horn neurons, A-type currents are modulated by extracellular signal-regulated kinases (ERKs), which mediate central sensitization during inflammatory pain. Here, we report that Kv4.2 mediates the majority of A-type current in dorsal horn neurons and is a critical site for modulation of neuronal excitability and nociceptive behaviors. Genetic elimination of Kv4.2 reduces A-type currents and increases excitability of dorsal horn neurons, resulting in enhanced sensitivity to tactile and thermal stimuli. Furthermore, ERK-mediated modulation of excitability in dorsal horn neurons and ERK-dependent forms of pain hypersensitivity are absent in Kv4.2(-/-) mice compared to wild-type littermates. Finally, mutational analysis of Kv4.2 indicates that S616 is the functionally relevant ERK phosphorylation site for modulation of Kv4.2-mediated currents in neurons. These results show that Kv4.2 is a downstream target of ERK in spinal cord and plays a crucial role in pain plasticity.     

Cortical development and remapping through spike timing-dependent plasticity.

Long-term modification of synaptic efficacy can depend on the timing of pre- and postsynaptic action potentials. In model studies, such spike timing-dependent plasticity (STDP) introduces the desirable features of competition among synapses and regulation of postsynaptic firing characteristics. STDP strengthens synapses that receive correlated input, which can lead to the formation of stimulus-selective columns and the development, refinement, and maintenance of selectivity maps in network models. The temporal asymmetry of STDP suppresses strong destabilizing self-excitatory loops and allows a group of neurons that become selective early in development to direct other neurons to become similarly selective. STDP, acting alone without further hypothetical global constraints or additional forms of plasticity, can also reproduce the remapping seen in adult cortex following afferent lesions.