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1.
JAMA ; 331(7): 573-581, 2024 02 20.
Artigo em Inglês | MEDLINE | ID: mdl-38324415

RESUMO

Importance: Atrial cardiopathy is associated with stroke in the absence of clinically apparent atrial fibrillation. It is unknown whether anticoagulation, which has proven benefit in atrial fibrillation, prevents stroke in patients with atrial cardiopathy and no atrial fibrillation. Objective: To compare anticoagulation vs antiplatelet therapy for secondary stroke prevention in patients with cryptogenic stroke and evidence of atrial cardiopathy. Design, Setting, and Participants: Multicenter, double-blind, phase 3 randomized clinical trial of 1015 participants with cryptogenic stroke and evidence of atrial cardiopathy, defined as P-wave terminal force greater than 5000 µV × ms in electrocardiogram lead V1, serum N-terminal pro-B-type natriuretic peptide level greater than 250 pg/mL, or left atrial diameter index of 3 cm/m2 or greater on echocardiogram. Participants had no evidence of atrial fibrillation at the time of randomization. Enrollment and follow-up occurred from February 1, 2018, through February 28, 2023, at 185 sites in the National Institutes of Health StrokeNet and the Canadian Stroke Consortium. Interventions: Apixaban, 5 mg or 2.5 mg, twice daily (n = 507) vs aspirin, 81 mg, once daily (n = 508). Main Outcomes and Measures: The primary efficacy outcome in a time-to-event analysis was recurrent stroke. All participants, including those diagnosed with atrial fibrillation after randomization, were analyzed according to the groups to which they were randomized. The primary safety outcomes were symptomatic intracranial hemorrhage and other major hemorrhage. Results: With 1015 of the target 1100 participants enrolled and mean follow-up of 1.8 years, the trial was stopped for futility after a planned interim analysis. The mean (SD) age of participants was 68.0 (11.0) years, 54.3% were female, and 87.5% completed the full duration of follow-up. Recurrent stroke occurred in 40 patients in the apixaban group (annualized rate, 4.4%) and 40 patients in the aspirin group (annualized rate, 4.4%) (hazard ratio, 1.00 [95% CI, 0.64-1.55]). Symptomatic intracranial hemorrhage occurred in 0 patients taking apixaban and 7 patients taking aspirin (annualized rate, 1.1%). Other major hemorrhages occurred in 5 patients taking apixaban (annualized rate, 0.7%) and 5 patients taking aspirin (annualized rate, 0.8%) (hazard ratio, 1.02 [95% CI, 0.29-3.52]). Conclusions and Relevance: In patients with cryptogenic stroke and evidence of atrial cardiopathy without atrial fibrillation, apixaban did not significantly reduce recurrent stroke risk compared with aspirin. Trial Registration: ClinicalTrials.gov Identifier: NCT03192215.


Assuntos
Fibrilação Atrial , Cardiopatias , AVC Isquêmico , Pirazóis , Acidente Vascular Cerebral , Humanos , Feminino , Idoso , Masculino , Fibrilação Atrial/complicações , Fibrilação Atrial/tratamento farmacológico , Método Duplo-Cego , Canadá , Acidente Vascular Cerebral/prevenção & controle , Acidente Vascular Cerebral/complicações , Aspirina/efeitos adversos , Piridonas/efeitos adversos , Piridonas/administração & dosagem , Hemorragia/induzido quimicamente , Hemorragia/tratamento farmacológico , Cardiopatias/complicações , AVC Isquêmico/tratamento farmacológico , Anticoagulantes/efeitos adversos , Anticoagulantes/administração & dosagem , Hemorragias Intracranianas/induzido quimicamente
2.
Commun Biol ; 5(1): 582, 2022 06 14.
Artigo em Inglês | MEDLINE | ID: mdl-35701487

RESUMO

Theoretical models of retinal hemodynamics showed the modulation of retinal pulsatile patterns (RPPs) by heart rate (HR), yet in-vivo validation and scientific merit of this biological process is lacking. Such evidence is critical for result interpretation, study design, and (patho-)physiological modeling of human biology spanning applications in various medical specialties. In retinal hemodynamic video-recordings, we characterize the morphology of RPPs and assess the impact of modulation by HR or other variables. Principal component analysis isolated two RPPs, i.e., spontaneous venous pulsation (SVP) and optic cup pulsation (OCP). Heart rate modulated SVP and OCP morphology (pFDR < 0.05); age modulated SVP morphology (pFDR < 0.05). In addition, age and HR demonstrated the effect on between-group differences. This knowledge greatly affects future study designs, analyses of between-group differences in RPPs, and biophysical models investigating relationships between RPPs, intracranial, intraocular pressures, and cardiovascular physiology.


Assuntos
Disco Óptico , Veia Retiniana , Frequência Cardíaca , Humanos , Pressão Intraocular , Fluxo Pulsátil/fisiologia , Veia Retiniana/fisiologia
3.
PLoS Comput Biol ; 16(4): e1007648, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32302302

RESUMO

Medium spiny neurons (MSNs) comprise over 90% of cells in the striatum. In vivo MSNs display coherent burst firing cell assembly activity patterns, even though isolated MSNs do not burst fire intrinsically. This activity is important for the learning and execution of action sequences and is characteristically dysregulated in Huntington's Disease (HD). However, how dysregulation is caused by the various neural pathologies affecting MSNs in HD is unknown. Previous modeling work using simple cell models has shown that cell assembly activity patterns can emerge as a result of MSN inhibitory network interactions. Here, by directly estimating MSN network model parameters from single unit spiking data, we show that a network composed of much more physiologically detailed MSNs provides an excellent quantitative fit to wild type (WT) mouse spiking data, but only when network parameters are appropriate for the striatum. We find the WT MSN network is situated in a regime close to a transition from stable to strongly fluctuating network dynamics. This regime facilitates the generation of low-dimensional slowly varying coherent activity patterns and confers high sensitivity to variations in cortical driving. By re-estimating the model on HD spiking data we discover network parameter modifications are consistent across three very different types of HD mutant mouse models (YAC128, Q175, R6/2). In striking agreement with the known pathophysiology we find feedforward excitatory drive is reduced in HD compared to WT mice, while recurrent inhibition also shows phenotype dependency. We show that these modifications shift the HD MSN network to a sub-optimal regime where higher dimensional incoherent rapidly fluctuating activity predominates. Our results provide insight into a diverse range of experimental findings in HD, including cognitive and motor symptoms, and may suggest new avenues for treatment.


Assuntos
Corpo Estriado/fisiologia , Doença de Huntington/fisiopatologia , Animais , Mapeamento Encefálico , Modelos Animais de Doenças , Progressão da Doença , Neurônios GABAérgicos/metabolismo , Homozigoto , Humanos , Proteína Huntingtina/metabolismo , Camundongos , Camundongos Transgênicos , Mutação , Neurônios/fisiologia , Fenótipo , Radiocirurgia
4.
Neurosurg Focus ; 41(1): E10, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27364252

RESUMO

The human prion diseases, or transmissible spongiform encephalopathies, have captivated our imaginations since their discovery in the Fore linguistic group in Papua New Guinea in the 1950s. The mysterious and poorly understood "infectious protein" has become somewhat of a household name in many regions across the globe. From bovine spongiform encephalopathy (BSE), commonly identified as mad cow disease, to endocannibalism, media outlets have capitalized on these devastatingly fatal neurological conditions. Interestingly, since their discovery, there have been more than 492 incidents of iatrogenic transmission of prion diseases, largely resulting from prion-contaminated growth hormone and dura mater grafts. Although fewer than 9 cases of probable iatrogenic neurosurgical cases of Creutzfeldt-Jakob disease (CJD) have been reported worldwide, the likelihood of some missed cases and the potential for prion transmission by neurosurgery create considerable concern. Laboratory studies indicate that standard decontamination and sterilization procedures may be insufficient to completely remove infectivity from prion-contaminated instruments. In this unfortunate event, the instruments may transmit the prion disease to others. Much caution therefore should be taken in the absence of strong evidence against the presence of a prion disease in a neurosurgical patient. While the Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) have devised risk assessment and decontamination protocols for the prevention of iatrogenic transmission of the prion diseases, incidents of possible exposure to prions have unfortunately occurred in the United States. In this article, the authors outline the historical discoveries that led from kuru to the identification and isolation of the pathological prion proteins in addition to providing a brief description of human prion diseases and iatrogenic forms of CJD, a brief history of prion disease nosocomial transmission, and a summary of the CDC and WHO guidelines for prevention of prion disease transmission and decontamination of prion-contaminated neurosurgical instruments.


Assuntos
Procedimentos Neurocirúrgicos/efeitos adversos , Doenças Priônicas/etiologia , Doenças Priônicas/transmissão , Doenças dos Animais/transmissão , Animais , Bovinos , Síndrome de Creutzfeldt-Jakob/epidemiologia , Infecção Hospitalar , História do Século XX , História do Século XXI , Humanos , Doença Iatrogênica/epidemiologia , Doenças Priônicas/epidemiologia , Doenças Priônicas/história
7.
Environ Sci Technol ; 48(7): 4056-62, 2014 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-24605818

RESUMO

Trifluoromethane (CHF3, HFC-23) is one of the hydrofluorocarbons (HFCs) regulated under the Kyoto Protocol with a global warming potential (GWP) of 14 800 (100-year). China's past, present, and future HFC-23 emissions are of considerable interest to researchers and policymakers involved in climate change. In this study, we compiled a comprehensive historical inventory (1980-2012) and a projection (2013-2050) of HFC-23 production, abatements, and emissions in China. Results show that HFC-23 production in China increased from 0.08 ± 0.05 Gg/yr in 1980 to 15.4 ± 2.1 Gg/yr (228 ± 31 Tg/yr CO2-eq) in 2012, while actual HFC-23 emissions reached a peak of 10.5 ± 1.8 Gg/yr (155 ± 27 Tg/y CO2-eq) in 2006, and decreased to a minimum of 7.3 ± 1.3 Gg/yr (108 ± 19 Tg/yr CO2-eq) in 2008 and 2009. Under the examined business-as-usual (BAU) scenario, the cumulative emissions of HFC-23 in China over the period 2013-2050 are projected to be 609 Gg (9015 Tg CO2-eq which approximates China's 2012 CO2 emissions). Currently, China's annual HFC-23 emissions are much higher than those from the developed countries, while it is estimated that by year 2027, China's historic contribution to the global atmospheric burden of HFC-23 will have surpassed that of the developed nations under the BAU scenario.


Assuntos
Poluentes Atmosféricos/análise , Poluentes Atmosféricos/história , Clorofluorcarbonetos de Metano/análise , Política Ambiental , Previsões , Atmosfera/química , China , Simulação por Computador , História do Século XX , História do Século XXI , Incineração , Internacionalidade
8.
J Stroke Cerebrovasc Dis ; 23(5): 1242-4, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24103673

RESUMO

Moyamoya disease is a rare cerebrovascular anomaly involving the intracranial carotid arteries that can present clinically with either ischemic or hemorrhagic disease. Moyamoya syndrome, indistinguishable from moyamoya disease at presentation, is associated with multiple clinical conditions including neurofibromatosis type 1, autoimmune disease, prior radiation therapy, Down syndrome, and Turner syndrome. We present the first reported case of an adult patient with previously unrecognized mosaic Turner syndrome with acute subarachnoid and intracerebral hemorrhage as the initial manifestation of moyamoya syndrome. A 52-year-old woman was admitted with a subarachnoid hemorrhage with associated flame-shaped intracerebral hemorrhage in the left frontal lobe. Physical examination revealed short stature, pectus excavatum, small fingers, micrognathia, and mild facial dysmorphism. Cerebral angiography showed features consistent with bilateral moyamoya disease, aberrant intrathoracic vessels, and an unruptured 4-mm right superior hypophyseal aneurysm. Genetic analysis confirmed a diagnosis of mosaic Turner syndrome. Our case report is the first documented presentation of adult moyamoya syndrome with subarachnoid and intracerebral hemorrhage as the initial presentation of mosaic Turner syndrome. It illustrates the utility of genetic evaluation in patients with cerebrovascular disease and dysmorphism.


Assuntos
Hemorragia Cerebral/etiologia , Mosaicismo , Doença de Moyamoya/complicações , Acidente Vascular Cerebral/etiologia , Hemorragia Subaracnóidea/etiologia , Síndrome de Turner/complicações , Doenças Assintomáticas , Angiografia Cerebral/métodos , Hemorragia Cerebral/diagnóstico , Feminino , Testes Genéticos , Humanos , Pessoa de Meia-Idade , Doença de Moyamoya/diagnóstico , Fatores de Risco , Acidente Vascular Cerebral/diagnóstico , Hemorragia Subaracnóidea/diagnóstico , Tomografia Computadorizada por Raios X , Síndrome de Turner/diagnóstico , Síndrome de Turner/genética
9.
J Stroke Cerebrovasc Dis ; 23(4): 788-90, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23800506

RESUMO

Cerebellar lesions may present with gravity-dependent nystagmus, where the direction and velocity of the drifts change with alterations in head position. Two patients had acute onset of hearing loss, vertigo, oscillopsia, nausea, and vomiting. Examination revealed gravity-dependent nystagmus, unilateral hypoactive vestibulo-ocular reflex (VOR), and hearing loss ipsilateral to the VOR hypofunction. Traditionally, the hypoactive VOR and hearing loss suggest inner-ear dysfunction. Vertigo, nausea, vomiting, and nystagmus may suggest peripheral or central vestibulopathy. The gravity-dependent modulation of nystagmus, however, localizes to the posterior cerebellar vermis. Magnetic resonance imaging in our patients revealed acute cerebellar infarct affecting posterior cerebellar vermis, in the vascular distribution of the posterior inferior cerebellar artery (PICA). This lesion explains the gravity-dependent nystagmus, nausea, and vomiting. Acute onset of unilateral hearing loss and VOR hypofunction could be the manifestation of inner-ear ischemic injury secondary to the anterior inferior cerebellar artery (AICA) compromise. In cases of combined AICA and PICA infarction, the symptoms of peripheral vestibulopathy might masquerade the central vestibular syndrome and harbor a cerebellar stroke. However, the gravity-dependent nystagmus allows prompt identification of acute cerebellar infarct.


Assuntos
Doenças do Labirinto/etiologia , Síndrome Medular Lateral/complicações , Nistagmo Patológico/etiologia , Idoso , Doenças Cerebelares/etiologia , Infarto Cerebral/complicações , Gravitação , Perda Auditiva/etiologia , Humanos , Masculino , Pessoa de Meia-Idade
10.
J Neurochem ; 121(4): 629-38, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22332910

RESUMO

A corticostriatal-dependent deficit in the release of ascorbate (AA), an antioxidant vitamin and neuromodulator, occurs concurrently in striatum with dysfunctional GLT1-dependent uptake of glutamate in the R6/2 mouse model of Huntington's disease (HD), an autosomal dominant condition characterized by overt corticostriatal dysfunction. To determine if deficient striatal AA release into extracellular fluid is related to altered GLT1 activity in HD, symptomatic R6/2 mice between 6 and 9 weeks of age and age-matched wild-type (WT) mice received single daily injections of 200 mg/kg ceftriaxone, a ß-lactam antibiotic that elevates the functional expression of GLT1, or saline vehicle for five consecutive days. On the following day, in vivo voltammetry was coupled with corticostriatal afferent stimulation to monitor evoked release of AA into striatum. In saline-treated mice, we found a marked decrease in evoked extracellular AA in striatum of R6/2 relative to WT. Ceftriaxone, in contrast, restored striatal AA in R6/2 mice to WT levels. In addition, intra-striatal infusion of either the GLT1 inhibitor dihydrokainic acid or dl-threo-beta-benzyloxyaspartate blocked evoked striatal AA release. Collectively, our results provide compelling evidence for a link between GLT1 activation and release of AA into the striatal extracellular fluid, and suggest that dysfunction of this system is a key component of HD pathophysiology.


Assuntos
Deficiência de Ácido Ascórbico/metabolismo , Ácido Ascórbico/metabolismo , Córtex Cerebral/metabolismo , Corpo Estriado/metabolismo , Transportador 2 de Aminoácido Excitatório/biossíntese , Doença de Huntington/metabolismo , Animais , Ácido Ascórbico/antagonistas & inibidores , Ácido Aspártico/administração & dosagem , Ácido Aspártico/farmacologia , Ceftriaxona/farmacologia , Córtex Cerebral/anatomia & histologia , Córtex Cerebral/efeitos dos fármacos , Corpo Estriado/anatomia & histologia , Corpo Estriado/efeitos dos fármacos , Estimulação Elétrica , Líquido Extracelular/metabolismo , Genótipo , Ácido Caínico/administração & dosagem , Ácido Caínico/análogos & derivados , Ácido Caínico/farmacologia , Masculino , Camundongos , Camundongos Transgênicos , Microinjeções , Transcrição Gênica/efeitos dos fármacos , Regulação para Cima/fisiologia
11.
Front Syst Neurosci ; 5: 26, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21629717

RESUMO

Huntington's disease (HD) is an autosomal dominant neurodegenerative disorder that targets the corticostriatal system and results in progressive deterioration of cognitive, emotional, and motor skills. Although cortical and striatal neurons are widely studied in animal models of HD, there is little information on neuronal function during expression of the HD behavioral phenotype. To address this knowledge gap, we used chronically implanted micro-wire bundles to record extracellular spikes and local field potentials (LFPs) in truncated (R6/1 and R6/2) and full-length (knock-in, KI) mouse models as well as in transgenic HD rats (tgHD rats) behaving in an open-field arena. Spike activity was recorded in the striatum of all models and in prefrontal cortex (PFC) of R6/2 and KI mice, and in primary motor cortex (M1) of R6/2 mice. We also recorded LFP activity in R6/2 striatum. All HD models exhibited altered neuronal activity relative to wild-type (WT) controls. Although there was no consistent effect on firing rate across models and brain areas, burst firing was reduced in striatum, PFC, and M1 of R6/2 mice, and in striatum of KI mice. Consistent with a decline in bursting, the inter-spike-interval coefficient of variation was reduced in all regions of all models, except PFC of KI mice and striatum of tgHD rats. Among simultaneously recorded neuron pairs, correlated firing was reduced in all brain regions of all models, while coincident bursting, which measures the temporal overlap between bursting pairs, was reduced in striatum of all models as well as in M1 of R6/2s. Preliminary analysis of striatal LFPs revealed aberrant behavior-related oscillations in the delta to theta range and in gamma activity. Collectively, our results indicate that disrupted corticostriatal processing occurs across multiple HD models despite differences in the severity of the behavioral phenotype. Efforts aimed at normalizing corticostriatal activity may hold the key to developing new HD therapeutics.

12.
J Biomed Sci ; 17: 62, 2010 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-20663216

RESUMO

BACKGROUND: Huntington's disease (HD) is an inherited neurodegenerative disorder characterized by cortico-striatal dysfunction and loss of glutamate uptake. At 7 weeks of age, R6/2 mice, which model an aggressive form of juvenile HD, show a glutamate-uptake deficit in striatum that can be reversed by treatment with ceftriaxone, a beta-lactam antibiotic that increases GLT1 expression. Only at advanced ages (> 11 weeks), however, do R6/2 mice show an actual loss of striatal GLT1. Here, we tested whether ceftriaxone can reverse the decline in GLT1 expression that occurs in older R6/2s. RESULTS: Western blots were used to assess GLT1 expression in both striatum and cerebral cortex in R6/2 and corresponding wild-type (WT) mice at 9 and 13 weeks of age. Mice were euthanized for immunoblotting 24 hr after five consecutive days of once daily injections (ip) of ceftriaxone (200 mg/kg) or saline vehicle. Despite a significant GLT1 reduction in saline-treated R6/2 mice relative to WT at 13, but not 9, weeks of age, ceftriaxone treatment increased cortical and striatal GLT1 expression relative to saline in all tested mice. CONCLUSIONS: The ability of ceftriaxone to up-regulate GLT1 in R6/2 mice at an age when GLT1 expression is significantly reduced suggests that the mechanism for increasing GLT1 expression is still functional. Thus, ceftriaxone could be effective in modulating glutamate transmission even in late-stage HD.


Assuntos
Antibacterianos/farmacologia , Ceftriaxona/farmacologia , Transportador 2 de Aminoácido Excitatório/metabolismo , Doença de Huntington/metabolismo , Regulação para Cima , Análise de Variância , Animais , Western Blotting , Masculino , Camundongos , Camundongos Transgênicos
13.
Neurobiol Dis ; 37(1): 106-13, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19818852

RESUMO

Altered neuronal activity in the striatum appears to be a key component of Huntington's disease (HD), a fatal, neurodegenerative condition. To assess this hypothesis in freely behaving transgenic rats that model HD (tgHDs), we used chronically implanted micro-wires to record the spontaneous activity of striatal neurons. We found that relative to wild-type controls, HD rats suffer from population-level deficits in striatal activity characterized by a loss of correlated firing and fewer episodes of coincident spike bursting between simultaneously recorded neuronal pairs. These results are in line with our previous report of marked alterations in the pattern of striatal firing in mouse models of HD that vary in background strain, genetic construct, and symptom severity. Thus, loss of coordinated spike activity in striatum appears to be a common feature of HD pathophysiology, regardless of HD model variability.


Assuntos
Potenciais de Ação , Corpo Estriado/fisiopatologia , Doença de Huntington/fisiopatologia , Atividade Motora/fisiologia , Neurônios/fisiologia , Periodicidade , Animais , Comportamento Animal/fisiologia , Modelos Animais de Doenças , Eletrodos Implantados , Locomoção/fisiologia , Masculino , Microeletrodos , Ratos , Ratos Sprague-Dawley , Ratos Transgênicos
14.
Brain Res ; 1290: 111-20, 2009 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-19616518

RESUMO

A behavior-related deficit in the release of ascorbate (AA), an antioxidant vitamin, occurs in the striatum of R6/2 mice expressing the human mutation for Huntington's disease (HD), a dominantly inherited condition characterized by striatal dysfunction. To determine the role of corticostriatal fibers in AA release, we combined slow-scan voltammetry with electrical stimulation of cortical afferents to measure evoked fluctuations in extracellular AA in wild-type (WT) and R6/2 striatum. Although cortical stimulation evoked a rapid increase in AA release in both groups, the R6/2 response had a significantly shorter duration and smaller magnitude than WT. To determine if corticostriatal dysfunction also underlies the behavior-related AA deficit in R6/2s, we measured striatal AA release in separate groups of mice treated with d-amphetamine (5 mg/kg), a psychomotor stimulant known to release AA from corticostriatal terminals independently of dopamine. Relative to WT, both AA release and behavioral activation were diminished in R6/2 mice. Collectively, our results show that the corticostriatal pathway is directly involved in AA release and that this system is dysfunctional in HD. Moreover, because AA release requires glutamate uptake, a failure of striatal AA release in HD is consistent with an overactive glutamate system and diminished glutamate transport, both of which are thought to be central to HD pathogenesis.


Assuntos
Ácido Ascórbico/metabolismo , Córtex Cerebral/fisiopatologia , Corpo Estriado/metabolismo , Corpo Estriado/fisiopatologia , Doença de Huntington/fisiopatologia , Anfetamina/farmacologia , Análise de Variância , Animais , Córtex Cerebral/efeitos dos fármacos , Corpo Estriado/efeitos dos fármacos , Modelos Animais de Doenças , Eletroquímica , Masculino , Camundongos , Camundongos Transgênicos , Atividade Motora/efeitos dos fármacos , Atividade Motora/fisiologia , Mutação , Vias Neurais/efeitos dos fármacos , Vias Neurais/fisiopatologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Expansão das Repetições de Trinucleotídeos
15.
Behav Brain Res ; 202(1): 130-7, 2009 Aug 24.
Artigo em Inglês | MEDLINE | ID: mdl-19447289

RESUMO

The R6/2 mouse is a popular model of Huntington's disease (HD) because of its rapid progression and measurable behavioral phenotype. Yet current behavioral phenotyping methods are usually univariate (e.g., latency to fall from a rotarod) and labor intensive. We used a force-plate actometer and specialized computer algorithms to partition the data into topographically specific behavioral categories that were sensitive to HD-like abnormalities. Seven R6/2 male mice and 7 wild-type (WT) controls were placed in a 42 cm x 42 cm force-plate actometer for 20-min recording sessions at 6-7, 8-9, 10-11 and 12-13 weeks of age. Distance traveled, number of wall rears, and number of straight runs (traveling 175 mm or more in 1.5s) were reduced in R6/2 relative to WT mice at all ages tested. Low mobility bouts (each defined as remaining continuously in a virtual circle of 15 mm radius for 5s) were increased in R6/2 mice at 6-7 weeks and beyond. Independent of body weight, force off-load during wall rears was reduced in R6/2 mice except at 6-7 weeks. Power spectra of force variation during straight runs indicated an age-related progressive loss of rhythmicity in R6/2 compared to WT, suggesting gait dysrhythmia and dysmetria. Collectively, these data, which extend results obtained with other widely different behavioral phenotyping methods, document a multifaceted syndrome of motor abnormalities in R6/2 mice. We suggest, moreover, that the force-plate actometer offers a high-throughput tool for screening drugs that may affect symptom expression in R6/2 or other HD model mice.


Assuntos
Doença de Huntington/psicologia , Atividade Motora , Testes Neuropsicológicos , Fatores Etários , Algoritmos , Animais , Peso Corporal , Análise Mutacional de DNA , Modelos Animais de Doenças , Progressão da Doença , Análise de Fourier , Genótipo , Humanos , Proteína Huntingtina , Doença de Huntington/complicações , Doença de Huntington/diagnóstico , Masculino , Camundongos , Camundongos Transgênicos , Transtornos dos Movimentos/diagnóstico , Transtornos dos Movimentos/etiologia , Transtornos dos Movimentos/psicologia , Proteínas do Tecido Nervoso/genética , Proteínas Nucleares/genética , Fenótipo , Expansão das Repetições de Trinucleotídeos
16.
J Neurosci ; 28(36): 8973-82, 2008 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-18768691

RESUMO

Understanding cortical information processing in Huntington's disease (HD), a genetic neurological disorder characterized by prominent motor and cognitive abnormalities, is key to understanding the mechanisms underlying the HD behavioral phenotype. We recorded extracellular spike activity in two symptomatic, freely behaving mouse models: R6/2 transgenics, which are based on a CBA x C57BL/6 background and show robust behavioral symptoms, and HD knock-in (KI) mice, which have a 129sv background and express relatively mild behavioral signs. We focused on prefrontal cortex and assessed firing patterns of individually recorded neurons as well as the amount of synchrony between simultaneously recorded neuronal pairs. At the single-unit level, spike trains in R6/2 transgenics were less variable and had a faster rate than their corresponding wild-type (WT) littermates but showed significantly less bursting. In contrast, KI and WT firing patterns were closely matched. An assessment of both WTs revealed that the R6/2 and KI difference could not be explained by a difference in WT electrophysiology. Thus, the altered pattern of individual spike trains in R6/2 mice appears to parallel their aggressive form of symptom expression. Both WT lines, however, showed a high proportion of synchrony between neuronal pairs (>85%) that was significantly attenuated in both corresponding HD models (decreases of approximately 20% and approximately 30% in R6/2s and knock-ins, respectively). The loss of spike synchrony, regardless of symptom severity, suggests a population-level deficit in cortical information processing that underlies HD progression.


Assuntos
Potenciais de Ação/fisiologia , Doença de Huntington/patologia , Processos Mentais/fisiologia , Neurônios/fisiologia , Córtex Pré-Frontal/fisiopatologia , Potenciais de Ação/genética , Fatores Etários , Animais , Comportamento Animal/fisiologia , Mapeamento Encefálico , Modelos Animais de Doenças , Comportamento Exploratório/fisiologia , Doença de Huntington/genética , Doença de Huntington/fisiopatologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Córtex Pré-Frontal/patologia , Expansão das Repetições de Trinucleotídeos/genética
17.
J Neurophysiol ; 100(4): 2205-16, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18667541

RESUMO

Huntington's disease (HD) is an autosomal dominant condition that compromises behavioral output. Dysfunction of medium spiny neurons (MSNs), which are the sole output system of the striatum, is thought to underlie HD pathophysiology. What is not known is how HD alters MSN information processing during behavior, which likely drives the HD behavioral phenotype. We recorded from populations of MSNs in two freely behaving and symptomatic HD mouse models: R6/2 transgenics are based on a C57BL/6J*CBA/J background and show robust behavioral symptoms, whereas knock-in (KI) mice have a 129sv background and express relatively mild behavioral signs. At the single-unit level, we found that the MSN firing rate was elevated in R6/2 but not in KI mice compared with their respective wild-type (WT) controls. In contrast, burst activity, which corresponds to periods of high-frequency firing, was altered in both HD models compared with WT. At the population level, we found that correlated firing between pairs of MSNs was a prominent feature in WT that was reduced in both HD models. Similarly, coincident bursts, which are bursts between pairs of neurons that overlap in time and occur more often in pairs of MSNs that exhibit correlated firing, were decreased in HD mice. Our results indicate an important role in both bursting and correlated burst firing for information processing in MSNs. Dysregulation of this processing scheme, moreover, is a key component of HD pathophysiology regardless of the severity of HD symptoms, genetic construct, and background strain of the mouse models.


Assuntos
Doença de Huntington/fisiopatologia , Processos Mentais/fisiologia , Neostriado/fisiopatologia , Neurônios/fisiologia , Animais , Comportamento Animal/fisiologia , Eletrodos Implantados , Eletrofisiologia , Comportamento Exploratório/fisiologia , Genótipo , Doença de Huntington/genética , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos CBA , Camundongos Transgênicos , Neostriado/citologia , Sequências Repetitivas de Ácido Nucleico
18.
J Burn Care Res ; 29(3): 441-5, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18388580

RESUMO

Burn injuries sustained during residential trash, brush, and grass burning cause significant morbidity and mortality in rural areas. To further prevention efforts, we surveyed individuals who incurred injuries from residential burning. Thirty-six individuals injured while burning trash, brush, or grass from June 2003 through September 2005 were asked to respond to a self-administered written survey. Injury related questions revealed that the majority of those injured were burning brush (21 of 35, 60.0%) in an open space (19 of 35, 54.2%) with the addition of accelerants (27 of 36, 75%). Survey questions regarding usual burning practices revealed almost two-thirds burned either brush or a mixture of brush and trash (23 of 36, 63.9%). Eighty percent of those who were injured desired to change their behavior (25 of 35, 80%). Approximately two-thirds would consider asking for help with burning if it were provided (22 of 34, 64.7%). Our survey shows that acceptable alternatives to burning varied depending on the material that was burned. As the majority of respondents usually burned brush or a mixture of brush and trash, an acceptable trash removal system should also include brush pickup. As residential burning continues presently, injury prevention efforts are essential and should focus on the misuse of gasoline, uniform safety standards for gasoline cans, and dissemination of safe burning practices.


Assuntos
Queimaduras/etiologia , Incêndios , Assunção de Riscos , População Rural , Queimaduras/epidemiologia , Queimaduras/fisiopatologia , Feminino , Humanos , Iowa/epidemiologia , Tempo de Internação , Masculino , Estudos Prospectivos , Fatores de Risco , Inquéritos e Questionários
19.
Anal Chem ; 80(5): 1536-45, 2008 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-18232668

RESUMO

Significant changes have occurred in the anthropogenic emissions of many compounds related to the Kyoto and Montreal Protocols within the past 20 years and many of their atmospheric abundances have responded dramatically. Additionally, there are a number of related natural compounds with underdetermined source or sink budgets. A new instrument, Medusa, was developed to make the high frequency in situ measurements required for the determination of the atmospheric lifetimes and emissions of these compounds. This automated system measures a wide range of halocarbons, hydrocarbons, and sulfur compounds involved in ozone depletion and/or climate forcing, from the very volatile perfluorocarbons (PFCs, e.g., CF(4) and CH(3)CF(3)) and hydrofluorocarbons (HFCs, e.g., CH(3)CF(3)) to the higher-boiling point solvents (such as CH(3)Cl(3) and CCl(2)=CCl(2)) and CHBr(3). A network of Medusa systems worldwide provides 12 in situ ambient air measurements per day of more than 38 compounds of part per trillion mole fractions and precisions up to 0.1% RSD at the five remote field stations operated by the Advanced Global Atmospheric Gases Experiment (AGAGE). This custom system couples gas chromatography/mass spectrometry (GC/MSD) with a novel scheme for cryogen-free low-temperature preconcentration (-165 degrees C) of analytes from 2 L samples in a two-trap process using HayeSep D adsorbent.


Assuntos
Atmosfera/química , Cromatografia Gasosa-Espectrometria de Massas/instrumentação , Cromatografia Gasosa-Espectrometria de Massas/métodos , Hidrocarbonetos Halogenados/análise , Hidrocarbonetos/análise , Compostos de Enxofre/análise , Poluentes Atmosféricos/análise , California
20.
J Undergrad Neurosci Educ ; 7(1): A19-25, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-23493937

RESUMO

A current topic in neuroscience addresses the link between brain activity and visual awareness. The electroencephalogram (EEG), which uses non-invasive high temporal resolution scalp recordings to measure brain activity, is a common tool used to probe this question. EEG recordings, however, are difficult to implement in the curriculum of laboratory-based courses. Thus, undergraduate students often lack experience with EEG experiments. We report here an EEG program (Virtual EEG) that can be used in undergraduate courses to analyze averaged EEG data, termed Event Related Potentials (ERPs). The program was designed so that students can generate hypothesis-driven studies that address how the brain encodes categories of visual stimuli. The Virtual EEG is a large database of EEG recordings consisting of 32 channels taken from real human subjects who were shown 256 pictures of visual stimuli. The program provides a number of possible ways to group the stimuli. After selecting the appropriate stimuli, the program constructs graphs of the ERPs. The channels can be selected for statistical analysis. Because the program uses real data, students are encouraged to interpret their results in light of previously published work. Thus, students have the opportunity to discover something new about how the brain processes visual information. This article also includes a tutorial and summarizes the results of an assessment survey. Finally, we include information regarding the companion Virtual EEG website. The Virtual EEG has been used successfully for the past six years at Indiana University with over a thousand undergraduate students in a research methods course, and the assessment results illustrate its strengths and limitations.

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