简介：Traumaticinjuriestospinalcordelicitdiversesignalingpathwaysleadingtounselectiveandcomplexpathologicaloutcomes:deathofmultipleclassesofneuralcells,formationofcysticcavitiesandglialscars,disruptionofaxonalconnections,anddemyelinationofsparedaxons,allofwhichcancontributemoreorlesstodebilitatingfunctionalimpairmentsfoundinpatientswithspinal

简介：Drugscancauseobviousdamagetothebrain.Toverifytherelationshipbetweenacupuncture,neurotrophicfactorexpressionandbraincellstructuralchanges,thisstudyestablishedaratmodelofheroinrelapseusingintramuscularinjectionofincreasingamountsofheroin.Duringthedetoxificationperiod,ratmodelsreceivedacupunctureatBaihui(DU20)andDazhui(DU14).Electronmicroscopydemonstratedthatthestructureoftheventraltegmentalareainheroinrelapseratsgraduallybecamenormalizedafteracupuncturetreatment.Immunohistochemicalstainingexhibitedthattheexpressionofbrain-derivedneurotrophicfactorandglialcellline-derivedneurotrophicfactorincreasedintheventraltegmentalareafollowingacupuncture.Moreover,theeffectsweresimilartothatofmethadone,atypeofmedicinecalledanopioid.ResultssuggestedthatacupunctureatBaihuiandDazhuiprotectedbrainneuronsagainstinjuryinratswithheroinrelapsebypromotingbrain-derivedneurotrophicfactorandglialcellline-derivedneurotrophicfactorexpression.

简介：Thecentralnervoussystem(CNS)containsthetwomostimportantorgans,thebrainandspinalcord,fortheorchestrationofthementalandphysicalactivitiesoflife.Becauseofitsimportance,thehumanbodyhasevolvedbarriersystemstoprotectCNStissuefromtheexternalenvironment.Thisbarrierisamembranecomposedoftightlyapposedcellsandisselectivelypermeabletospecificmoleculesbywayofmembranetransporters.Themajorbarriersinthebrainandtheircorrespondingcellularconstituentsarethebloodbrainbarrier(BBB)composedofendothelialcellsinbrain

简介：Thismini-reviewpresentstheauthors'visiononthecurrentstatusandfuturetrendsinthedevelopmentofneuroprotectiveagentsworkingviaactivationofnuclearfactorerythroid2-relatedfactor2(Nrf2),andinparticular,viadisruptionofNrf2-Keaplinteraction.Therearetwoopposite'chemical'mechanismsunderlyingsuchactivation:thefirstoneisanon-specificcovalentmodificationofKeap1thiols,resultinginsideeffectsofvariedseverity,andthesecondoneistheshiftoftheNrf2-Kelch-likeECHassociatedprotein-1(Keap1)bindingequilibriuminthepresenceofacompetitiveandchemicallybenigndisplacementagent.Atthispoint,nodisplacementactivatorsexhibitsufficientbiologicalactivityincomparisonwithcommonNrf2activatorsworkingviaKeaplthiolmodification.Hence,thehopeintherapeuticsisnowlinkedtotheFDAapproveddimethylfumarate,whosederivative,monomethylfumarate,aswedemonstratedrecently,ismuchlesstoxicbutequallybiologicallypotentandanidealcandidateforclinicaltrialsrightnow.AnewlyemergingplayerisanuclearinhibitorofNrf2,BTBdomainandCNChomolog1(Bach1).ThecommerciallydevelopedBachlinhibitorsarecurrentlyunderinvestigationinourlaboratoryshowingpromisingresults.Inourviewpoint,theperfectfuturedrugwillpresentthecombinationofadisplacementactivatorandBachlinhibitortoinsuresafetyandefficiencyofNrf2activation.

简介：Peripheralnerveinjuries(PNI)areamajorclinicalproblem.Ingeneral,PNIresultsfrommotorvehicleaccidents,lacerationswithsharpobjects,penetratingtrauma(gunshotwounds)andstretchingorcrushingtraumaandfractures.ItisestimatedthatPNIoccurin2.8%oftraumapatientsandthisnumberreaches5%ifplexusandrootlesionsarein-

简介：BACKGROUND:Conventionalmethods(suchasocclusiontherapy,finemanipulation,complementary,andalternativemedicine)takeeffectsslowly,aretimeandlaborconsuming,andhaveuncertaincurativeeffectsinthetreatmentofamblyopia.Perceptuallearning,anewmethodfortreatingamblyopia,improvestheabilitytoprocesssignalsfromthecerebralopticnervesystembyspecificvisualstimulationandvisuallearning,aswellasactivationofthevisualsignalpathwayutilizingbrainnervoussystemplasticity.OBJECTIVE:Thisstudyinvestigatedandevaluatedthecurativeeffectsofperceptuallearning,whichcandirectionallyincreasebrainplasticity,onthetreatmentofamblyopiainchildren.Therelationshipbetweencurativeeffectandtimewasalsoanalyzed.DESIGN:Aself-controlexperiment.SETTING:VisualScienceandOptometryCenter,People'sHospitalofGuangxiZhuangAutonomousRegion.PARTICIPANTS:Atotalof125amblyopicchildren(250amblyopiceyes),73males,52females,averaging(6±2)yearsofage,receivedtreatmentattheVisualScienceandOptometryCenter,People'sHospitalofGuangxiZhuangAutonomousRegionbetweenSeptember2006andFebruary2007andwererecruitedforthisstudy.Allchildrenpresentedwithnostructuraldiseaseoftheeyeballs.Writteninformedconsentfortherapeuticregimentswasobtainedfromeachchild'sparent.TheprotocolreceivedapprovalfromtheHospital'sEthicsCommittee.METHODS:Visualfunctionwastestedwithaperceptuallearningsystem(ResearchCenterforHumanHealthandDevelopmentofSunYat-senUniversity,NationalEngineeringTechniqueResearchCenterforMedicalCareImplement)forvisualnoise,positionnoise,contourdiscrimination,contrastsensitivity,gratingstereogram,andrandom-dotfusion.Thesetestshelpedtoevaluatetheefficiencyofvisualinformationprocessingofthesechildren,andtodeterminethedegreeofdefectsoftheopticnervecellsandtheconnectionsofvisualcorticalneurons.Accordingtoresultsofvisualfunct

简介：Toattainthevolumetricinformationoftheopticradiationinnormalhumanbrains,weperformeddiffusiontensorimagingexaminationin13healthyvolunteers.Simultaneously,weusedabrainnormalizationmethodtoreduceindividualbrainvariationandincreasetheaccuracyofvolumetricinformationanalysis.Inaddition,tractography-basedgroupmappingmethodwasalsousedtoinvestigatetheprobabilityanddistributionoftheopticradiationpathways.Ourresultsshowedthatthemeasuredopticradiationfibertractvolumewasarangeofabout0.16%andthatthefractionalanisotropyvaluewasabout0.53.Moreover,theopticradiationprobabilityfiberpathwaythatwasdeterminedwithdiffusiontensortractography-basedgroupmappingwasabletodetectthelocationrelativelyaccurately.Webelievethatourmethodsandresultsarehelpfulinthestudyofopticradiationfibertractinformation.

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简介：BACKGROUND:Functionalmagneticresonanceimaging(fMRI)isinitiallyusedforvisualcortexlocation.However,theapplicationoffMRIininvestigatingthedevelopmentofvisualpathwaylesionsneedstobefurtherobserved.OBJECTIVE:Thisstudyistolongitudiallyobservethedynamicchangesincorticalfunctionandwhitematterfibrousstructureofpatientswithvisualpathwaylesionsbybloodoxygenationleveldependent-functionalmagneticresonanceimaging(BOLD-fMRI)combinedwithdiffusiontensorimaging(DTI),andtoanalyzethecharacteristicsofbrainfunctionandstructuralrecombinationatconvalescentperiodoflesions.DESIGN:Randomizedcontrolledobservation.SETTING:DepartmentofRadiology,theGeneralHospitalofNanjingMilitaryAreaCommandofChinesePLA.PARTICIPANTS:Eightpatientswithunilateralorbilateralvisualdisordercausedbyvisualpathwaylesions,whoadmittedtoDepartmentofRadiology,theGeneralHospitalofNanjingMilitaryAreaCommandofChinesePLAfromJanuarytoSeptember2006wereinvolved,andservedasexperimentalsubjects.Thepatients,6malesand2females,wereaged16-67years.Theyhadvisualdisorderconfirmedbyclinicalexamination,i.e.visualpathwaylesion,whichwasfurtherdiagnosedbyMRorCT.Another12subjectsgenerallymatchingtothosepatientsofexperimentalgroupingender,ageandsight,whoreceivedhealthexaminationinsynchronizationwereinvolvedandservedascontrols.Thesubjectshadnohistoryofeyediseases.Theirbinocularvisualacuity(orcorrectedvisualacuity)wasover1.0.Bothroutineexaminationofophthalmologyandexaminationoffunduswerenormal.Informedconsentsofdetecteditemswereobtainedfromallthesubjects.METHODS:SignaExciteHD1.5Tmagneticresonanceimagingsystemwith16passages(GECompany,USA)andcoilwith8passageswereused;brainfunctionalstimulusapparatus(SAV-8800.MeideCompany)wasusedforshowingexperimentalmission.Attheearlystageandconvalescentperiodoflesions,thepatie