Prevention of meningo/encephalomyelitis due to Sarcocystis neurona infection in mice is mediated by CD8 cells

Immunodeficient CD8 knockout mice were infected with Sarcocystis neurona merozoites, in order to determine the role of CD8 cells in protective immunity. Using a direct agglutination test, all infected mice seroconverted by selected time points. Infected mice developed splenomegaly and bilateral lymphadenopathy. Histological changes included marked follicular development in the spleen, endothelitis and moderate perivascular inflammation in the liver, and meningoencephalitis in the brain. Infected brains were positive for S. neurona by polymerase chain reaction. Corresponding to histopathological changes, there were decreased numbers of B-cells in the spleen. The mice did not have significant memory (CD44hi/CD4) or effector (CD45RBhi/CD4) populations present at the time of euthanasia. Flow cytometry confirmed the lack of CD8 cells. Taken together, these data support previous studies suggesting a critical role for CD8 cells in the prevention of menigoencephalitis in S. neurona-infected mice.     

Regulators of cholinergic signaling in disorders of the central nervous system

Cholinergic signaling is crucial in cognitive processes, and degenerating cholinergic projections are a pathological hallmark in dementia. Use of cholinesterase inhibitors is currently the main treatment option to alleviate symptoms of Alzheimer's disease and has been postulated as a therapeutic strategy in acute brain damage (stroke and traumatic brain injury). However, the benefits of this treatment are still not clear. Importantly, cholinergic receptors are expressed both by neurons and by astrocytes and microglia, and binding of acetylcholine to the α7 nicotinic receptor in glial cells results in anti-inflammatory response. Similarly, the brain fine-tunes the peripheral immune response over the cholinergic anti-inflammatory axis. All of these processes are of importance for the outcome of acute and chronic neurological disease. Here, we summarize the main findings about the role of cholinergic signaling in brain disorders and provide insights into the complexity of molecular regulators of cholinergic responses, such as microRNAs and transfer RNA fragments, both of which may fine-tune the orchestra of cholinergic mRNAs. The available data suggest that these small noncoding RNA regulators may include promising biomarkers for predicting disease course and assessing treatment responses and might also serve as drug targets to attenuate signaling cascades during overwhelming inflammation and to ameliorate regenerative capacities of neuroinflammation.

     

Human stem cells for modeling neurological disorders: accelerating the drug discovery pipeline

The availability of human stem cells heralds a new era for modeling normal and pathologic tissues and developing therapeutics. For example, the in vitro recapitulation of normal and aberrant neurogenesis holds significant promise as a tool for de novo modeling of neurodevelopmental and neurodegenerative diseases. Translational applications include deciphering brain development, function, pathologies, traditional medications, and drug discovery for novel pharmacotherapeutics. For the latter, human stem cell-based assays represent a physiologically relevant and high-throughput means to assess toxicity and other undesirable effects early in the drug development pipeline, avoiding late-stage attrition whilst expediting proof-of-concept of genuine drug candidates. Here we consider the potential of human embryonic, adult, and induced pluripotent stem cells for studying neurological disorders and preclinical drug development.     

Alive inside

This article provides an ethical analysis of the U.S. practice guideline update on disorders of consciousness. Our analysis focuses on the guideline’s recommendations regarding the use of investigational neuroimaging methods to assess brain-injured patients. Complex and multifaceted ethical issues have emerged because these methods alter the clinical understanding of consciousness. We address issues of false hope, patient suffering, and cost. We argue that, in spite of these concerns, there is significant benefit to using neuroimaging to assess brain-injured patients in most cases.     

Cranial capacity and performance on delay-response task correlated with principal sulcus length in monkeys

During the process of evolution, a selective advantage may have been gained by organisms that had the ability to utilize mentally stored information of a stimulus rather than the stimulus itself. The ability to temporarily store and mentally operate on stimulus information is often termed “working memory.” Within the neocortex of primates, the functional anatomic subdivision surrounding the principal (rectus) sulcus plays an important role in modulating the performance of delay-response tasks in monkeys (representing working memory). However, it appears that no study has investigated the direct relationship between the length of the principal sulcus and performance on a delay-response task. Therefore, this paper investigates the relationships between principal sulcus length and performance on delay-response tasks. However, to control for the effect of overall brain size on this relationship, cranial capacity is analyzed with both principal sulcus length and delay-response performance. Results support a consistent and significant correlation between principal sulcus length and performance on delayed-response tasks in a variety of Old World and New World monkeys. Principal sulcus length is also significantly correlated with cranial capacity; however, cranial capacity is not significantly correlated with performance on delayed-response tasks. The results of this investigation provide a method for analyzing cranial capacity and working-memory abilities in select primates based on principal sulcus length, and may prove useful for interpreting endocasts in the primate fossil record. Am J Phys Anthropol 109:33–40. © 1999 Wiley-Liss, Inc.     

The middle ear of the skull of birds: the ostrich, Struthio camelus L.

The morphology of the middle ear region including die basicranium and quadrate of Strulhxo is very simil.n to ilic same region in the orders Procellariiformes, Pelecaniformes, Ciconiiformes and Sphenisciformes. Struthio though, has some unique middle ear characters such as die lack of a chorda tympani nerve, the arrangement of die glossopharyngeal and vagus nerve foramina, die structure in the upper neck of die external ophthalmic vein and die position of die Eustachian tube. The articulatory surfaces for the quadrate bom on die zygomatic process of the squamosal and the mandible are unique in Struthio when compared to the several orders mentioned above.     

神经内科住院总医会诊工作分析

目的 分析神经内科住院总医师会诊病例的构成特点,比较不同医院神经内科住院总医师会诊差异。方法 统计第二炮兵总医院神经内科1名住院总医师在2008年12月1日—2009年10 月31日会诊病例。结果 共新会诊患者797例,女性374例,男性423例,年龄4～101岁,平均年龄67.4岁。平均每周新会诊病例16例。急会诊263例（33%）,常规会诊534例（67%）。急会诊和常规会诊以急性脑血管病最多（113例和143例）,分别占急会诊和常规会诊的42.9%和26.8%。意识障碍（26例）列急会诊第二位,占急会诊的9.9％,病因包括呼吸衰竭、肾功能衰竭、肝功能衰竭、多器官衰竭及心肺腹苏后至脑代谢异常、脑功能障碍;与北京协和医院的统计数据不同。对于神经系统疾病进行术前评估及预防位居常规会诊第二位,包括卒中后遗症、陈旧性脑梗塞、腔隙性脑梗塞。结论 不同医院的神经内科会诊构成具有一定差别,住院总医师应该了解会诊患者的疾病特点,在会诊工作中学习和积累经验。