RESUMO
Early cognitive impairment (CI) detection is crucial in multiple sclerosis (MS). However, it can progress silently regardless of relapse activity and reach an advanced stage. We aimed to determine whether the corpus callosum area (CCA) is a sensitive and feasible marker for CI in MS compared to other neuroimaging markers. We assessed cognitive function in 77 MS patients using the Symbol Digit Modalities Test, Paced Auditory Serial Additions Task, Wechsler Adult Intelligence Scale-IV, and Wechsler Memory Scale-Revised. The neuroimaging markers included manually measured CCA, two diffusion tensor imaging markers, and nine volumetric measurements. Apart from volumes of the hippocampus and cerebellum, ten markers showed a significant correlation with all neuropsychological tests and significant differences between the groups. The normalized CCA demonstrated a moderate-to-strong correlation with all neuropsychological tests and successfully differentiated between the CI and cognitively normal groups with 80% sensitivity and 83% specificity. The marker had a large area under the curve and a high Youden index (0.82 and 0.63, respectively) and comparability with established cognitive markers. Therefore, the normalized CCA may serve as a reliable marker for CI in MS and can be easily implemented in clinical practice, providing a supportive diagnostic tool for CI in MS.
RESUMO
In this study, immunohistochemical analysis has been performed using neuronal markers (GAP43, NCAM and PGP 9.5) to characterize the epithelial invagination in the medial wall of the olfactory pit in the chick embryos. At stages 26-27, the epithelial invagination was primarily composed of characteristic round-shaped cells, which were negative for neuronal markers. These cells were also found in the medial wall of the olfactory pit at stage 24, whereas the epithelial invagination was not observed at any stages other than stages 26-27. The possible relationship between the round-shaped cells and the migratory cells is discussed.
Assuntos
Embrião de Galinha/crescimento & desenvolvimento , Regulação da Expressão Gênica no Desenvolvimento/fisiologia , Neurônios/fisiologia , Animais , Biomarcadores , Proteína GAP-43/genética , Proteína GAP-43/metabolismo , Imuno-Histoquímica , Moléculas de Adesão de Célula Nervosa/genética , Moléculas de Adesão de Célula Nervosa/metabolismo , Ubiquitina Tiolesterase/genética , Ubiquitina Tiolesterase/metabolismo , Órgão Vomeronasal/embriologiaRESUMO
Brain development is composed of several processes, which are chronologically and mechanistically overlapping each other. However, the process of the earliest neural circuit formation in the rostral brain is less understood compared with other processes in brain development, in part because of the lack of appropriate molecular markers. Accordingly, the identification of molecular markers for nerve cells may accelerate the detailed analysis of neural development. Growth associated protein 43 (GAP-43) is a major growth cone protein that regulates F-actin dynamics, and it has been often used as a marker for developing neurons. To test whether GAP-43 can be used as a general marker for developing neurons in chick early embryos, we analyzed the expression pattern of GAP-43 protein in the brain. While the majority of the neurons were GAP-43 positive, the earliest neurons in the dorsal mesencephalon (future tectum) were GAP-43 negative. However, a subset of the GAP-43 negative neurons became positive at later stages. Such a difference in the expression of GAP-43 protein may contribute to the precise patterning of the neural circuits in the mesencephalon in the subsequent development. The earliest neurons in the telencephalon, which belong to the terminal nerve (TN), were also GAP-43 positive. Since the development of TN is poorly understood compared to other cranial nerves, GAP-43 could help the detailed analysis of the development of TN as the marker.