Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 80
Filtrar
Más filtros

Medicinas Complementárias
Tipo del documento
Intervalo de año de publicación
1.
Free Radic Biol Med ; 131: 98-114, 2019 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-30458277

RESUMEN

The transcriptional factor Nrf2, a master regulator of oxidative stress and inflammation that are tightly linked to the development and progression of cerebral ischemia pathology, plays a vital role in inducing the endogenous neuroprotective process. Here, hypoxic-ischemia (HI) was performed in adult Nrf2 knockout and wildtype mice that were orally pretreated either with standardized Korean red ginseng extract (Ginseng) or dimethyl fumarate (DMF), two candidate Nrf2 inducers, to determine whether the putative protection was through an Nrf2-dependent mechanism involving the attenuation of reactive gliosis. Results show that Nrf2 target cytoprotective genes were distinctly elevated following HI. Pretreatment with Ginseng or DMF elicited robust neuroprotection against the deterioration of acute cerebral ischemia damage in an Nrf2-dependent manner as revealed by the reductions of neurological deficits score, infarct volume and brain edema, as well as enhanced expression levels of Nrf2 target antioxidant proteins and anti-inflammation mediators. In both ischemic striatum and cortex, the dynamic pattern of attenuated reactive gliosis in astrocytes and microglia, including affected astrocytic dysfunction in glutamate metabolism and water homeostasis, correlated well with the Nrf2-dependent neuroprotection by Ginseng or DMF. Furthermore, such neuroprotective benefits extended to the late phase of ischemic brain damage after HI, as evidenced by improvements in neurobehavioral outcomes, infarct volume and brain edema. Overall, pretreatment with Ginseng or DMF identically attenuates reactive gliosis and confers long-lasting neuroprotective efficacy against ischemic brain damage through an Nrf2-dependent mechanism. This study also provides new insight into the profitable contribution of reactive gliosis in the Nrf2-dependent neuroprotection in acute brain injury.


Asunto(s)
Dimetilfumarato/farmacología , Gliosis/tratamiento farmacológico , Hipoxia-Isquemia Encefálica/tratamiento farmacológico , Factor 2 Relacionado con NF-E2/genética , Fármacos Neuroprotectores/farmacología , Panax/química , Animales , Acuaporina 4/genética , Acuaporina 4/metabolismo , Astrocitos/efectos de los fármacos , Astrocitos/metabolismo , Astrocitos/patología , Proteínas de Unión al Calcio/genética , Proteínas de Unión al Calcio/metabolismo , Arterias Carótidas/cirugía , Corteza Cerebral/irrigación sanguínea , Corteza Cerebral/metabolismo , Corteza Cerebral/fisiopatología , Trastornos Cerebrovasculares/cirugía , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/metabolismo , Cuerpo Estriado/fisiopatología , Modelos Animales de Enfermedad , Regulación de la Expresión Génica , Proteína Ácida Fibrilar de la Glía/genética , Proteína Ácida Fibrilar de la Glía/metabolismo , Gliosis/genética , Gliosis/metabolismo , Gliosis/fisiopatología , Humanos , Hipoxia-Isquemia Encefálica/genética , Hipoxia-Isquemia Encefálica/metabolismo , Hipoxia-Isquemia Encefálica/fisiopatología , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Proteínas de Microfilamentos/genética , Proteínas de Microfilamentos/metabolismo , Microglía/efectos de los fármacos , Microglía/metabolismo , Microglía/patología , NAD(P)H Deshidrogenasa (Quinona)/genética , NAD(P)H Deshidrogenasa (Quinona)/metabolismo , Factor 2 Relacionado con NF-E2/deficiencia , Extractos Vegetales/farmacología
2.
Stroke ; 49(4): 931-937, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29523650

RESUMEN

BACKGROUND AND PURPOSE: Ipsilateral thalamic diaschisis (ITD) describes the reduction of thalamic function, metabolism, and perfusion resulting from a distant lesion of the ipsilateral hemisphere. Our aim was to evaluate the perfusion characteristics and clinical impact of ITD in acute middle cerebral artery stroke, which does not directly affect the thalamus. METHODS: One hundred twenty-four patients with middle cerebral artery infarction were selected from a prospectively acquired cohort of 1644 patients who underwent multiparametric computed tomography (CT), including CT perfusion for suspected stroke. Two blinded readers evaluated the occurrence of ITD, defined as ipsilateral thalamic hypoperfusion present on ≥2 CT perfusion maps. Perfusion alterations were defined according to the Alberta Stroke Program Early CT Score regions. Final infarction volume and subacute complications were assessed on follow-up imaging. Clinical outcome was quantified using the modified Rankin Scale. Multivariable linear and ordinal logistic regression analysis were applied to identify independent associations. RESULTS: ITD was present in 25/124 subjects (20.2%, ITD+). In ITD+ subjects, perfusion of the caudate nucleus, internal capsule, and lentiform nucleus was more frequently affected than in ITD- patients (each with P<0.001). In the ITD+ group, larger cerebral blood flow (P=0.002) and cerebral blood volume (P<0.001) deficit volumes, as well as smaller cerebral blood flow-cerebral blood volume mismatch (P=0.021) were observed. There was no independent association of ITD with final infarction volume or clinical outcome at discharge in treatment subgroups (each with P>0.05). ITD had no influence on the development of subacute stroke complications. CONCLUSIONS: ITD in the form of thalamic hypoperfusion is a frequent CT perfusion finding in the acute phase in middle cerebral artery stroke patients with marked involvement of subcortical areas. ITD does not result in thalamic infarction and had no independent impact on patient outcome. Notably, ITD was misclassified as part of the ischemic core by automated software, which might affect patient selection in CT perfusion-based trials.


Asunto(s)
Isquemia Encefálica/diagnóstico por imagen , Infarto de la Arteria Cerebral Media/diagnóstico por imagen , Enfermedades Talámicas/diagnóstico por imagen , Anciano , Anciano de 80 o más Años , Isquemia Encefálica/etiología , Isquemia Encefálica/fisiopatología , Estudios de Casos y Controles , Núcleo Caudado/irrigación sanguínea , Núcleo Caudado/diagnóstico por imagen , Circulación Cerebrovascular , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/diagnóstico por imagen , Femenino , Humanos , Infarto de la Arteria Cerebral Media/complicaciones , Infarto de la Arteria Cerebral Media/fisiopatología , Cápsula Interna/irrigación sanguínea , Cápsula Interna/diagnóstico por imagen , Modelos Lineales , Modelos Logísticos , Masculino , Persona de Mediana Edad , Análisis Multivariante , Imagen de Perfusión , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/diagnóstico por imagen , Accidente Cerebrovascular/fisiopatología , Enfermedades Talámicas/etiología , Enfermedades Talámicas/fisiopatología , Tálamo/irrigación sanguínea , Tálamo/diagnóstico por imagen , Tomografía Computarizada por Rayos X
4.
Neuropsychopharmacology ; 42(11): 2232-2241, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28387222

RESUMEN

Standard-of-care biological treatment of schizophrenia remains dependent upon antipsychotic medications, which demonstrate D2 receptor affinity and elicit variable, partial clinical responses via neural mechanisms that are not entirely understood. In the striatum, where D2 receptors are abundant, antipsychotic medications may affect neural function in studies of animals, healthy volunteers, and patients, yet the relevance of this to pharmacotherapeutic actions remains unresolved. In this same brain region, some individuals with schizophrenia may demonstrate phenotypes consistent with exaggerated dopaminergic signaling, including alterations in dopamine synthesis capacity; however, the hypothesis that dopamine system characteristics underlie variance in medication-induced regional blood flow changes has not been directly tested. We therefore studied a cohort of 30 individuals with schizophrenia using longitudinal, multi-session [15O]-water and [18F]-FDOPA positron emission tomography to determine striatal blood flow during active atypical antipsychotic medication treatment and after at least 3 weeks of placebo treatment, along with presynaptic dopamine synthesis capacity (ie, DOPA decarboxylase activity). Regional striatal blood flow was significantly higher during active treatment than during the placebo condition. Furthermore, medication-related increases in ventral striatal blood flow were associated with more robust amelioration of excited factor symptoms during active medication and with higher dopamine synthesis capacity. These data indicate that atypical medications enact measureable physiological alterations in limbic striatal circuitry that vary as a function of dopaminergic tone and may have relevance to aspects of therapeutic responses.


Asunto(s)
Antipsicóticos/uso terapéutico , Cuerpo Estriado , Dopamina/metabolismo , Esquizofrenia/tratamiento farmacológico , Esquizofrenia/patología , Adolescente , Adulto , Anciano , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/diagnóstico por imagen , Cuerpo Estriado/efectos de los fármacos , Dihidroxifenilalanina/análogos & derivados , Dihidroxifenilalanina/farmacocinética , Relación Dosis-Respuesta a Droga , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Radioisótopos de Oxígeno/farmacocinética , Tomografía de Emisión de Positrones , Flujo Sanguíneo Regional/efectos de los fármacos , Flujo Sanguíneo Regional/fisiología , Estadísticas no Paramétricas , Agua/farmacología , Adulto Joven
5.
J Neuroradiol ; 44(2): 143-150, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-27743788

RESUMEN

BACKGROUND AND PURPOSE: To assess the effect of unilateral large vessel disease upon the cerebral hemodynamic autoregulatory status in the basal ganglia of patients with steno-occlusive internal carotid artery (ICA) disease. MATERIALS AND METHODS: Twenty-five healthy volunteers and 38 patients with a unilateral symptomatic steno-occlusive ICA lesion and were investigated; 20 with a stenosis >50% and 18 with an occlusion. Cerebral blood flow (CBF) and cerebrovascular reactivity (CVR) were assessed with pseudo-continuous arterial spin labeling (ASL) magnetic resonance (MR) imaging before and after administration of acetazolamide. RESULTS: When compared to controls, the CVR in patients with ICA stenosis was significantly lower in the middle cerebral artery (MCA) territory (P<0.05), and in the caudate (P<0.05) and lentiform nucleus (P<0.05) of the hemisphere ipsilateral to the stenosis. The CVR in the caudate nucleus contralateral to the stenosis was significantly lower (P<0.05) as well. In patients with ICA occlusion, the CVR in the hemisphere ipsilateral to the occlusion as well as in the contralateral hemisphere was significantly lower in the MCA territory (P<0.05), the caudate (P<0.05) and lentiform nucleus (P<0.05), and in the thalamus (P<0.05). CONCLUSION: Perfusion ASL MR imaging shows impaired cerebral hemodynamic autoregulation of the basal ganglia in patients with steno-occlusive ICA disease both in the hemisphere ipsilateral as well as in the hemisphere contralateral to the stenosis or occlusion.


Asunto(s)
Enfermedades de las Arterias Carótidas/diagnóstico por imagen , Núcleo Caudado/irrigación sanguínea , Núcleo Caudado/diagnóstico por imagen , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/diagnóstico por imagen , Tálamo/irrigación sanguínea , Tálamo/diagnóstico por imagen , Acetazolamida/administración & dosificación , Anciano , Enfermedades de las Arterias Carótidas/complicaciones , Circulación Cerebrovascular , Medios de Contraste/administración & dosificación , Femenino , Humanos , Angiografía por Resonancia Magnética , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Arteria Cerebral Media/diagnóstico por imagen , Marcadores de Spin
6.
JAMA Psychiatry ; 73(9): 955-62, 2016 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-27487479

RESUMEN

IMPORTANCE: Although numerous children receive methylphenidate hydrochloride for the treatment of attention-deficit/hyperactivity disorder (ADHD), little is known about age-dependent and possibly lasting effects of methylphenidate on the human dopaminergic system. OBJECTIVES: To determine whether the effects of methylphenidate on the dopaminergic system are modified by age and to test the hypothesis that methylphenidate treatment of young but not adult patients with ADHD induces lasting effects on the cerebral blood flow response to dopamine challenge, a noninvasive probe for dopamine function. DESIGN, SETTING, AND PARTICIPANTS: A randomized, double-blind, placebo-controlled trial (Effects of Psychotropic Drugs on Developing Brain-Methylphenidate) among ADHD referral centers in the greater Amsterdam area in the Netherlands between June 1, 2011, and June 15, 2015. Additional inclusion criteria were male sex, age 10 to 12 years or 23 to 40 years, and stimulant treatment-naive status. INTERVENTIONS: Treatment with either methylphenidate or a matched placebo for 16 weeks. MAIN OUTCOMES AND MEASURES: Change in the cerebral blood flow response to an acute challenge with methylphenidate, noninvasively assessed using pharmacological magnetic resonance imaging, between baseline and 1 week after treatment. Data were analyzed using intent-to-treat analyses. RESULTS: Among 131 individuals screened for eligibility, 99 patients met DSM-IV criteria for ADHD, and 50 participants were randomized to receive methylphenidate and 49 to placebo. Sixteen weeks of methylphenidate treatment increased the cerebral blood flow response to methylphenidate within the thalamus (mean difference, 6.5; 95% CI, 0.4-12.6; P = .04) of children aged 10 to 12 years old but not in adults or in the placebo group. In the striatum, the methylphenidate condition differed significantly from placebo in children but not in adults (mean difference, 7.7; 95% CI, 0.7-14.8; P = .03). CONCLUSIONS AND RELEVANCE: We confirm preclinical data and demonstrate age-dependent effects of methylphenidate treatment on human extracellular dopamine striatal-thalamic circuitry. Given its societal relevance, these data warrant replication in larger groups with longer follow-up. TRIAL REGISTRATION: identifier: NL34509.000.10 and trialregister.nl identifier: NTR3103.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/tratamiento farmacológico , Encéfalo/irrigación sanguínea , Encéfalo/efectos de los fármacos , Dopamina/metabolismo , Metilfenidato/uso terapéutico , Receptores Dopaminérgicos/efectos de los fármacos , Adulto , Factores de Edad , Niño , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/efectos de los fármacos , Método Doble Ciego , Giro del Cíngulo/irrigación sanguínea , Giro del Cíngulo/efectos de los fármacos , Humanos , Cuidados a Largo Plazo , Imagen por Resonancia Magnética , Masculino , Red Nerviosa/irrigación sanguínea , Red Nerviosa/efectos de los fármacos , Flujo Sanguíneo Regional/efectos de los fármacos , Tálamo/irrigación sanguínea , Tálamo/efectos de los fármacos , Resultado del Tratamiento
7.
Cogn Affect Behav Neurosci ; 15(2): 349-64, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25361755

RESUMEN

Higher species commonly learn novel behaviors by evaluating retrospectively whether actions have yielded desirable outcomes. By relying on explicit behavioral instructions, only humans can use an acquisition shortcut that prospectively specifies how to yield intended outcomes under the appropriate stimulus conditions. A recent and largely unexplored hypothesis suggests that striatal areas interact with lateral prefrontal cortex (LPFC) when novel behaviors are learned via explicit instruction, and that regional subspecialization exists for the integration of differential response-outcome contingencies into the current task model. Behaviorally, outcome integration during instruction-based learning has been linked to functionally distinct performance indices. This includes (1) compatibility effects, measured in a postlearning test procedure probing the encoding strength of outcome-response (O-R) associations, and (2) increasing response slowing across learning, putatively indicating active usage of O-R associations for the online control of goal-directed action. In the present fMRI study, we examined correlations between these behavioral indices and the dynamics of fronto-striatal couplings in order to mutually constrain and refine the interpretation of neural and behavioral measures in terms of separable subprocesses during outcome integration. We found that O-R encoding strength correlated with LPFC-putamen coupling, suggesting that the putamen is relevant for the formation of both S-R habits and habit-like O-R associations. By contrast, response slowing as a putative index of active usage of O-R associations correlated with LPFC-caudate coupling. This finding highlights the relevance of the caudate for the online control of goal-directed action also under instruction-based learning conditions, and in turn clarifies the functional relevance of the behavioral slowing effect.


Asunto(s)
Condicionamiento Operante/fisiología , Cuerpo Estriado/fisiología , Cara , Lóbulo Frontal/fisiología , Reconocimiento Visual de Modelos/fisiología , Estimulación Acústica , Adolescente , Adulto , Análisis de Varianza , Mapeo Encefálico , Cuerpo Estriado/irrigación sanguínea , Femenino , Lóbulo Frontal/irrigación sanguínea , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/irrigación sanguínea , Vías Nerviosas/fisiología , Oxígeno/sangre , Estimulación Luminosa , Tiempo de Reacción , Adulto Joven
8.
Hum Brain Mapp ; 35(7): 3485-98, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25050430

RESUMEN

Current knowledge about small-world networks underlying emotions is sparse, and confined to functional magnetic resonance imaging (fMRI) studies using resting-state paradigms. This fMRI study applied Eigenvector Centrality Mapping (ECM) and functional connectivity analysis to reveal neural small-world networks underlying joy and fear. Joy and fear were evoked using music, presented in 4-min blocks. Results show that the superficial amygdala (SF), laterobasal amygdala (LB), striatum, and hypothalamus function as computational hubs during joy. Out of these computational hubs, the amygdala nuclei showed the highest centrality values. The SF showed functional connectivity during joy with the mediodorsal thalamus (MD) and nucleus accumbens (Nac), suggesting that SF, MD, and Nac modulate approach behavior in response to positive social signals such as joyful music. The striatum was functionally connected during joy with the LB, as well as with premotor cortex, areas 1 and 7a, hippocampus, insula and cingulate cortex, showing that sensorimotor, attentional, and emotional processes converge in the striatum during music perception. The hypothalamus showed functional connectivity during joy with hippocampus and MD, suggesting that hypothalamic endocrine activity is modulated by hippocampal and thalamic activity during sustained periods of music-evoked emotion. Our study indicates high centrality of the amygdala nuclei groups within a functional network underlying joy, suggesting that these nuclei play a central role for the modulation of emotion-specific activity within this network.


Asunto(s)
Amígdala del Cerebelo/irrigación sanguínea , Cuerpo Estriado/irrigación sanguínea , Felicidad , Hipotálamo/irrigación sanguínea , Música/psicología , Vías Nerviosas/irrigación sanguínea , Estimulación Acústica , Adulto , Mapeo Encefálico , Emociones , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/fisiología , Oxígeno/sangre , Adulto Joven
9.
Biomedica ; 34(2): 207-17, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24967926

RESUMEN

INTRODUCTION: Cerebral ischemia is the third leading cause of death and the primary cause of permanent disability worldwide. Atorvastatin is a promising drug with neuroprotective effects that may be useful for the treatment of stroke. However, the effects of atorvastatin on specific neuronal populations within the nigrostriatal system following cerebral ischemia are unknown. OBJECTIVE: To evaluate the effects of atorvastatin on dopaminergic and GABAergic neuronal populations in exofocal brain regions in a model of transient occlusion of the middle cerebral artery. MATERIALS AND METHODS: Twenty-eight male eight-week-old Wistar rats were used in this study. Both sham and ischemic rats were treated with atorvastatin (10 mg/kg) or carboxymethylcellulose (placebo) by gavage at 6, 24, 48 and 72 hours post-reperfusion. We analyzed the immunoreactivity of glutamic acid decarboxylase and tyrosine hydroxylase in the globus pallidus, caudate putamen and substantia nigra. RESULTS: We observed neurological damage and cell loss in the caudate putamen following ischemia. We also found an increase in tyrosine hydroxylase immunoreactivity in the medial globus pallidus and substantia nigra reticulata, as well as a decrease in glutamic acid decarboxylase immunoreactivity in the lateral globus pallidus in ischemic animals treated with a placebo. However, atorvastatin treatment was able to reverse these effects, significantly decreasing tyrosine hydroxylase levels in the medial globus pallidus and substantia nigra reticulata and significantly increasing glutamic acid decarboxylase levels in the lateral globus pallidus. CONCLUSION: Our data suggest that post-ischemia treatment with atorvastatin can have neuro-protective effects in exofocal regions far from the ischemic core by modulating the GABAergic and dopaminergic neuronal populations in the nigrostriatal system, which could be useful for preventing neurological disorders.


Asunto(s)
Cuerpo Estriado/efectos de los fármacos , Neuronas Dopaminérgicas/efectos de los fármacos , Neuronas GABAérgicas/efectos de los fármacos , Ácidos Heptanoicos/uso terapéutico , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Ataque Isquémico Transitorio/tratamiento farmacológico , Fármacos Neuroprotectores/uso terapéutico , Pirroles/uso terapéutico , Sustancia Negra/efectos de los fármacos , Animales , Atorvastatina , Conducta Animal , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/patología , Neuronas Dopaminérgicas/enzimología , Neuronas Dopaminérgicas/patología , Evaluación Preclínica de Medicamentos , Inducción Enzimática/efectos de los fármacos , Neuronas GABAérgicas/enzimología , Neuronas GABAérgicas/patología , Glutamato Descarboxilasa/biosíntesis , Glutamato Descarboxilasa/genética , Ácidos Heptanoicos/farmacología , Infarto de la Arteria Cerebral Media/patología , Ataque Isquémico Transitorio/patología , Masculino , Trastornos del Movimiento/etiología , Trastornos del Movimiento/prevención & control , Proteínas del Tejido Nervioso/biosíntesis , Proteínas del Tejido Nervioso/genética , Fármacos Neuroprotectores/farmacología , Pirroles/farmacología , Ratas , Ratas Wistar , Recuperación de la Función , Trastornos de la Sensación/etiología , Trastornos de la Sensación/prevención & control , Organismos Libres de Patógenos Específicos , Sustancia Negra/irrigación sanguínea , Sustancia Negra/patología , Tirosina 3-Monooxigenasa/biosíntesis , Tirosina 3-Monooxigenasa/genética
10.
Biomédica (Bogotá) ; 34(2): 207-217, abr.-jun. 2014. ilus, graf
Artículo en Inglés | LILACS | ID: lil-712403

RESUMEN

Introduction: Cerebral ischemia is the third leading cause of death and the primary cause of permanent disability worldwide. Atorvastatin is a promising drug with neuroprotective effects that may be useful for the treatment of stroke. However, the effects of atorvastatin on specific neuronal populations within the nigrostriatal system following cerebral ischemia are unknown. Objective: To evaluate the effects of atorvastatin on dopaminergic and GABAergic neuronal populations in exofocal brain regions in a model of transient occlusion of the middle cerebral artery. Materials and methods: Twenty-eight male eight-week-old Wistar rats were used in this study. Both sham and ischemic rats were treated with atorvastatin (10 mg/kg) or carboxymethylcellulose (placebo) by gavage at 6, 24, 48 and 72 hours post-reperfusion. We analyzed the immunoreactivity of glutamic acid decarboxylase and tyrosine hydroxylase in the globus pallidus, caudate putamen and substantia nigra. Results: We observed neurological damage and cell loss in the caudate putamen following ischemia. We also found an increase in tyrosine hydroxylase immunoreactivity in the medial globus pallidus and substantia nigra reticulata, as well as a decrease in glutamic acid decarboxylase immunoreactivity in the lateral globus pallidus in ischemic animals treated with a placebo. However, atorvastatin treatment was able to reverse these effects, significantly decreasing tyrosine hydroxylase levels in the medial globus pallidus and substantia nigra reticulata and significantly increasing glutamic acid decarboxylase levels in the lateral globus pallidus. Conclusion: Our data suggest that post-ischemia treatment with atorvastatin can have neuro-protective effects in exofocal regions far from the ischemic core by modulating the GABAergic and dopaminergic neuronal populations in the nigrostriatal system, which could be useful for preventing neurological disorders.


Introducción. La isquemia cerebral es la tercera causa de muerte y la primera de discapacidad permanente en el mundo. La atorvastatina es un fármaco neuroprotector prometedor para el tratamiento de la apoplejía; sin embargo, su acción sobre las poblaciones neuronales del sistema nigroestriatal después de la isquemia aún se desconoce. Objetivo. Evaluar el efecto de la atorvastatina sobre poblaciones gabérgicas y dopaminérgicas en regiones exofocales en un modelo de oclusión transitoria de la arteria cerebral media. Materiales y métodos. Se utilizaron 28 ratas Wistar macho de ocho semanas de edad. Los ejemplares con isquemia simulada y los ejemplares sometidos a isquemia fueron tratados con atorvastatina (10 mg/kg) y carboximetilcelulosa (placebo) administrados por medio de sonda a las 6, 24, 48 y 72 horas después de la reperfusión. Se analizó la inmunorreacción de la descarboxilasa del ácido glutámico y de la tirosina hidroxilasa en el globo pálido, el putamen caudado y la sustancia negra. Resultados. Los datos confirmaron el daño neurológico y la pérdida celular en el putamen caudado. Se incrementó la inmunorreacción de la tirosina hidroxilasa en el globo pálido medial y la sustancia negra pars reticulata , disminuyendo la inmunorreacción de la descarboxilasa del ácido glutámico en el globo pálido lateral de los animales isquémicos tratados con placebo; sin embargo, el tratamiento con atorvastatina pudo revertirla, lo que logró una disminución significativa de la tirosina hidroxilasa en el globo pálido medial y la sustancia negra pars reticulata y aumentando los niveles de descarboxilasa del ácido glutámico en el globo pálido lateral. Conclusión. Nuestros datos sugieren que la atorvastatina en el tratamiento posterior a la isquemia ejerce neuroprotección en las zonas exofocales, modulando las poblaciones neuronales gabérgicas y dopaminérgicas del sistema nigroestriatal, lo que podría prevenir trastornos neurológicos.


Asunto(s)
Animales , Masculino , Ratas , Cuerpo Estriado/efectos de los fármacos , Neuronas Dopaminérgicas/efectos de los fármacos , Neuronas GABAérgicas/efectos de los fármacos , Ácidos Heptanoicos/uso terapéutico , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Ataque Isquémico Transitorio/tratamiento farmacológico , Fármacos Neuroprotectores/uso terapéutico , Pirroles/uso terapéutico , Sustancia Negra/efectos de los fármacos , Conducta Animal , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/patología , Evaluación Preclínica de Medicamentos , Neuronas Dopaminérgicas/enzimología , Neuronas Dopaminérgicas/patología , Inducción Enzimática/efectos de los fármacos , Neuronas GABAérgicas/enzimología , Neuronas GABAérgicas/patología , Glutamato Descarboxilasa/biosíntesis , Glutamato Descarboxilasa/genética , Ácidos Heptanoicos/farmacología , Infarto de la Arteria Cerebral Media/patología , Ataque Isquémico Transitorio/patología , Trastornos del Movimiento/etiología , Trastornos del Movimiento/prevención & control , Proteínas del Tejido Nervioso/biosíntesis , Proteínas del Tejido Nervioso/genética , Fármacos Neuroprotectores/farmacología , Pirroles/farmacología , Ratas Wistar , Recuperación de la Función , Organismos Libres de Patógenos Específicos , Trastornos de la Sensación/etiología , Trastornos de la Sensación/prevención & control , Sustancia Negra/irrigación sanguínea , Sustancia Negra/patología , /biosíntesis , /genética
11.
Artículo en Inglés | MEDLINE | ID: mdl-24726812

RESUMEN

BACKGROUND: Evidence suggests that obsessive-compulsive disorder (OCD) is associated with a dysfunction in the cortico-striatal-thalamic-cortical (CSTC) circuitry. Resting state functional connectivity magnetic resonance imaging (rs-fcMRI) allows measurements of resting state networks (RSNs), brain networks that are present at 'rest'. However, although OCD has a typical onset during childhood or adolescence, only two other studies have performed rs-fcMRI comparisons of RSNs in children and adolescents with OCD against healthy controls. METHODS: In the present study, we performed resting state functional magnetic resonance imaging using a 3 Tesla MRI, in 11 medication-naïve children and adolescents with OCD and 9 healthy controls. In contrast to previous studies that relied on a priori determination of RSNs, we determined resting state functional connectivity with a data-driven independent component analysis (ICA). RESULTS: Consistent with previous reports in healthy adults, we identified 13 RSNs. Case-control un-adjusted statistical significance (p<0.05) was found for two networks. Firstly, increased connectivity (OCD>control) in the right section of Brodmann area 43 of the auditory network; Secondly, decreased connectivity in the right section of Brodmann area 8 and Brodmann area 40 in the cingulate network. CONCLUSIONS: Our preliminary findings of case-control differences in RSNs lend further support to the CSTC hypothesis of OCD, as well as implicating other regions of the brain outside of the CSTC.


Asunto(s)
Mapeo Encefálico , Corteza Cerebral/irrigación sanguínea , Cuerpo Estriado/irrigación sanguínea , Trastorno Obsesivo Compulsivo/patología , Tálamo/irrigación sanguínea , Adolescente , Corteza Cerebral/patología , Niño , Cuerpo Estriado/patología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Vías Nerviosas/irrigación sanguínea , Vías Nerviosas/fisiología , Oxígeno/sangre , Tálamo/patología
12.
Neuropsychologia ; 51(13): 2562-71, 2013 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24080261

RESUMEN

Successful multitasking requires subjects to flexibly activate task goals important to accomplish the task at hand. However, the neural mechanisms underlying goal activation in multitasking are unknown. Based on neurobiological models of action selection, we expected that the extent to which task-goals are processed with some overlap that strongly depends on striatal structures. Therefore, we applied a stop-change paradigm to examine multitasking using fMRI and manipulated the delay between the stop stimulus and the subsequently following change signal towards a new GO response (stop-change delay; SCD). The manipulation of the SCD was introduced to achieve varying amounts of overlap of the two task-goals (stop goal, change goal). This manipulation allowed the calculation of a stop-change delay-reaction time function (SCD-RT function), with the slope of this function, reflecting on the degree of overlap between the stop and the change goal. Data analysis revealed that change trials, independent of their SCD, showed an activation pattern encompassing frontal and parietal cortical regions. Contrasting the two main SCD (long vs. short SCD) conditions with each other showed a stronger BOLD (blood oxygenation level dependent) signal activation of the caudate and the right inferior frontal gyrus in trials with a long SCD compared to trials with a short SCD. Follow-up analyses showed that activation differences of the caudate between the two SCDs drive the effect. Integrating the fMRI data with the slope of the SCD-RT function indicated that the degree of overlap of stop and change processes is determined by the degree of striatal activation on a serial-to-parallel continuum. In conclusion, the findings acknowledge the role of the basal ganglia as an important structure determining action selection processes via a network of neocortical and striatal structures, in terms of an extended multiple demand system.


Asunto(s)
Mapeo Encefálico , Cuerpo Estriado/fisiología , Objetivos , Inhibición Psicológica , Estimulación Acústica , Adulto , Cuerpo Estriado/irrigación sanguínea , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Oxígeno , Estimulación Luminosa , Desempeño Psicomotor , Adulto Joven
13.
J Neurosci ; 33(20): 8841-9, 2013 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-23678126

RESUMEN

For effective interactions with our dynamic environment, it is critical for the brain to integrate motion information from the visual and auditory senses. Combining fMRI and psychophysics, this study investigated how the human brain integrates auditory and visual motion into benefits in motion discrimination. Subjects discriminated the motion direction of audiovisual stimuli that contained directional motion signal in the auditory, visual, audiovisual, or no modality at two levels of signal reliability. Therefore, this 2 × 2 × 2 factorial design manipulated: (1) auditory motion information (signal vs noise), (2) visual motion information (signal vs noise), and (3) reliability of motion signal (intact vs degraded). Behaviorally, subjects benefited significantly from audiovisual integration primarily for degraded auditory and visual motion signals while obtaining near ceiling performance for "unisensory" signals when these were reliable and intact. At the neural level, we show audiovisual motion integration bilaterally in the visual motion areas hMT+/V5+ and implicate the posterior superior temporal gyrus/planum temporale in auditory motion processing. Moreover, we show that the putamen integrates audiovisual signals into more accurate motion discrimination responses. Our results suggest audiovisual integration processes at both the sensory and response selection levels. In all of these regions, the operational profile of audiovisual integration followed the principle of inverse effectiveness, in which audiovisual response suppression for intact stimuli turns into response enhancements for degraded stimuli. This response profile parallels behavioral indices of audiovisual integration, in which subjects benefit significantly from audiovisual integration only for the degraded conditions.


Asunto(s)
Percepción Auditiva/fisiología , Mapeo Encefálico , Cuerpo Estriado/fisiología , Discriminación en Psicología/fisiología , Percepción de Movimiento/fisiología , Percepción Visual/fisiología , Estimulación Acústica , Adulto , Análisis de Varianza , Cuerpo Estriado/irrigación sanguínea , Movimientos Oculares/fisiología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética/métodos , Masculino , Oxígeno/sangre , Estimulación Luminosa , Psicofísica , Tiempo de Reacción , Adulto Joven
15.
J Cogn Neurosci ; 25(7): 1062-77, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23410032

RESUMEN

This study investigates the functional neuroanatomy of harmonic music perception with fMRI. We presented short pieces of Western classical music to nonmusicians. The ending of each piece was systematically manipulated in the following four ways: Standard Cadence (expected resolution), Deceptive Cadence (moderate deviation from expectation), Modulated Cadence (strong deviation from expectation but remaining within the harmonic structure of Western tonal music), and Atonal Cadence (strongest deviation from expectation by leaving the harmonic structure of Western tonal music). Music compared with baseline broadly recruited regions of the bilateral superior temporal gyrus (STG) and the right inferior frontal gyrus (IFG). Parametric regressors scaled to the degree of deviation from harmonic expectancy identified regions sensitive to expectancy violation. Areas within the BG were significantly modulated by expectancy violation, indicating a previously unappreciated role in harmonic processing. Expectancy violation also recruited bilateral cortical regions in the IFG and anterior STG, previously associated with syntactic processing in other domains. The posterior STG was not significantly modulated by expectancy. Granger causality mapping found functional connectivity between IFG, anterior STG, posterior STG, and the BG during music perception. Our results imply the IFG, anterior STG, and the BG are recruited for higher-order harmonic processing, whereas the posterior STG is recruited for basic pitch and melodic processing.


Asunto(s)
Corteza Auditiva/fisiología , Percepción Auditiva/fisiología , Mapeo Encefálico , Cuerpo Estriado/fisiología , Música , Estimulación Acústica , Análisis de Varianza , Corteza Auditiva/irrigación sanguínea , Cuerpo Estriado/irrigación sanguínea , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Oxígeno , Estimulación Luminosa
16.
Cereb Cortex ; 23(4): 913-21, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22499797

RESUMEN

Perception of temporal patterns is critical for speech, movement, and music. In the auditory domain, perception of a regular pulse, or beat, within a sequence of temporal intervals is associated with basal ganglia activity. Two alternative accounts of this striatal activity are possible: "searching" for temporal regularity in early stimulus processing stages or "prediction' of the timing of future tones after the beat is found (relying on continuation of an internally generated beat). To resolve between these accounts, we used functional magnetic resonance imaging (fMRI) to investigate different stages of beat perception. Participants heard a series of beat and nonbeat (irregular) monotone sequences. For each sequence, the preceding sequence provided a temporal beat context for the following sequence. Beat sequences were preceded by nonbeat sequences, requiring the beat to be found anew ("beat finding" condition), or by beat sequences with the same beat rate ("beat continuation"), or a different rate ("beat adjustment"). Detection of regularity is highest during beat finding, whereas generation and prediction are highest during beat continuation. We found the greatest striatal activity for beat continuation, less for beat adjustment, and the least for beat finding. Thus, the basal ganglia's response profile suggests a role in beat prediction, not in beat finding.


Asunto(s)
Percepción Auditiva/fisiología , Mapeo Encefálico , Cuerpo Estriado/fisiología , Emociones , Música , Detección de Señal Psicológica/fisiología , Estimulación Acústica , Adulto , Cuerpo Estriado/irrigación sanguínea , Femenino , Lateralidad Funcional , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Oxígeno , Periodicidad , Valor Predictivo de las Pruebas , Adulto Joven
17.
Magn Reson Med ; 69(1): 18-26, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22431289

RESUMEN

The aim of this study was to compare magnetic resonance imaging (MRI) and histological estimates of the mean vessel diameter (mVD), the vessel density (Density), and the vessel size index (VSI) obtained in the same tumor-bearing animals. Twenty-seven rats bearing intracranial glioma (C6 or RG2) were imaged by MRI. Changes in transverse relaxations (ΔR 2* and R(2)) were induced by the injection of an iron-based contrast agent and were mapped using a multi gradient-echo spin-echo sequence. Then, brain vascular network was studied ex vivo by histology. Three regions of interest were drawn in apparently normal tissue (neocortex and striatum) and in the tumor. In vivo mVD(MRI), Density(MRI), and VSI(MRI) were measured; ex vivo, mVD(histo), Density(histo), and VSI(histo) were quantified on the same animals. MRI and histology measurements differed by -15 to 26%. A positive correlation was found between MRI and histology for mVD, Density, and VSI counterparts (R(2) = 0.62, 0.50, 0.73, respectively; P < 0.001 in all cases). This study indicates that MRI and histology yields well correlated the estimates of mVD, Density, and VSI. VSI is the closest MRI estimate to histology. As Density and mVD or VSI provide complementary information, it is worth computing them to characterize angiogenesis beyond blood volume fraction.


Asunto(s)
Neoplasias Encefálicas/irrigación sanguínea , Encéfalo/irrigación sanguínea , Glioma/irrigación sanguínea , Imagen por Resonancia Magnética , Animales , Medios de Contraste , Cuerpo Estriado/irrigación sanguínea , Técnicas Histológicas , Hierro/sangre , Masculino , Neocórtex/irrigación sanguínea , Trasplante de Neoplasias , Ratas , Ratas Endogámicas F344 , Ratas Wistar
18.
Int J Hyperthermia ; 28(1): 24-32, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22235782

RESUMEN

PURPOSE: Basal lamina is a major part of the microvascular wall and plays a critical role in the integrity of microvasculature. The aim of this study is to determine whether hyperthermia worsens the destruction of microvascular integrity in the ischaemic injured brain. MATERIALS AND METHODS: Focal cerebral ischaemia was induced by embolising a pre-formed clot into the middle cerebral artery (MCA). Rats received either normothermic or hyperthermic treatment. Neurological score and infarct size were evaluated at 24 h after the MCA occlusion. Microvascular collagen type IV and laminin were measured with fluorescence microscopy. The activities of matrix metalloproteinases (MMP-2 and MMP-9) and plasminogen activators (tPA and uPA) were determined by zymography. RESULTS: Treatment with hyperthermia significantly increased infarct volume (p<0.01), cortex swelling (p<0.01), striatum swelling (p<0.05) and neurologic score (p<0.01) at 24 h after the MCA occlusion. Compared to the normothermic groups, hyperthermia significantly worsened the losses of microvascular basal lamina structure proteins, collagen type IV and laminin, at 6 h (p<0.001) and 24 h (p<0.01) after MCA occlusion. Hyperthermia increased the MMP-9 activity at 6 and 24 h after MCA occlusion compared with normothermia (p<0.05), whereas increased the MMP-2 activity at 6 h only (p<0.05). Hyperthermia also elevated uPA activity significantly at 6 and 24 h after MCA occlusion compared to normothermia (p<0.05). CONCLUSIONS: These results demonstrate that hyperthermia exacerbates the destruction of microvascular integrity possibly by increasing the activities of MMP-2, MMP-9 and uPA in the ischaemic cerebral tissues.


Asunto(s)
Membrana Basal/irrigación sanguínea , Infarto Encefálico/patología , Isquemia Encefálica/patología , Hipertermia Inducida/efectos adversos , Microvasos/patología , Animales , Membrana Basal/patología , Conducta Animal , Infarto Encefálico/fisiopatología , Isquemia Encefálica/fisiopatología , Corteza Cerebral/irrigación sanguínea , Corteza Cerebral/patología , Colágeno Tipo IV/metabolismo , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/patología , Modelos Animales de Enfermedad , Laminina/metabolismo , Masculino , Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/metabolismo , Activadores Plasminogénicos/metabolismo , Ratas , Ratas Sprague-Dawley
19.
J Neurosci ; 31(42): 15053-64, 2011 Oct 19.
Artículo en Inglés | MEDLINE | ID: mdl-22016539

RESUMEN

The relationship between neuronal activity and hemodynamic changes plays a central role in functional neuroimaging. Under normal conditions and in neurological disorders such as epilepsy, it is commonly assumed that increased functional magnetic resonance imaging (fMRI) signals reflect increased neuronal activity and that fMRI decreases represent neuronal activity decreases. Recent work suggests that these assumptions usually hold true in the cerebral cortex. However, less is known about the basis of fMRI signals from subcortical structures such as the thalamus and basal ganglia. We used WAG/Rij rats (Wistar albino Glaxo rats of Rijswijk), an established animal model of human absence epilepsy, to perform fMRI studies with blood oxygen level-dependent and cerebral blood volume (CBV) contrasts at 9.4 tesla, as well as laser Doppler cerebral blood flow (CBF), local field potential (LFP), and multiunit activity (MUA) recordings. We found that, during spike-wave discharges, the somatosensory cortex and thalamus showed increased fMRI, CBV, CBF, LFP, and MUA signals. However, the caudate-putamen showed fMRI, CBV, and CBF decreases despite increases in LFP and MUA signals. Similarly, during normal whisker stimulation, the cortex and thalamus showed increases in CBF and MUA, whereas the caudate-putamen showed decreased CBF with increased MUA. These findings suggest that neuroimaging-related signals and electrophysiology tend to agree in the cortex and thalamus but disagree in the caudate-putamen. These opposite changes in vascular and electrical activity indicate that caution should be applied when interpreting fMRI signals in both health and disease from the caudate-putamen, as well as possibly from other subcortical structures.


Asunto(s)
Mapeo Encefálico , Ondas Encefálicas/fisiología , Encéfalo , Circulación Cerebrovascular/fisiología , Electrofisiología , Imagen por Resonancia Magnética , Animales , Encéfalo/irrigación sanguínea , Encéfalo/patología , Encéfalo/fisiopatología , Corteza Cerebral/irrigación sanguínea , Corteza Cerebral/fisiopatología , Cuerpo Estriado/irrigación sanguínea , Cuerpo Estriado/fisiopatología , Modelos Animales de Enfermedad , Electroencefalografía , Epilepsia/inducido químicamente , Epilepsia/patología , Procesamiento de Imagen Asistido por Computador , Flujometría por Láser-Doppler/métodos , Antagonistas Nicotínicos/toxicidad , Oxígeno/sangre , Ratas , Ratas Wistar , Tálamo/irrigación sanguínea , Tálamo/fisiopatología , Tubocurarina/toxicidad , Vibrisas/inervación
20.
J Neurosci ; 31(24): 9032-42, 2011 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-21677186

RESUMEN

Encoding of real-life episodic memory commonly involves integration of information as the episode unfolds. Offline processing immediately following event offset is expected to play a role in encoding the episode into memory. In this study, we examined whether distinct human brain activity time-locked to the offset of short narrative audiovisual episodes could predict subsequent memory for the gist of the episodes. We found that a set of brain regions, most prominently the bilateral hippocampus and the bilateral caudate nucleus, exhibit memory-predictive activity time-locked to the stimulus offset. We propose that offline activity in these regions reflects registration to memory of integrated episodes.


Asunto(s)
Mapeo Encefálico , Cuerpo Estriado/fisiología , Hipocampo/fisiología , Recuerdo Mental/fisiología , Estimulación Acústica , Adulto , Aprendizaje por Asociación/fisiología , Cuerpo Estriado/irrigación sanguínea , Femenino , Hipocampo/irrigación sanguínea , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Oxígeno/sangre , Estimulación Luminosa , Valor Predictivo de las Pruebas , Tiempo de Reacción/fisiología , Estadística como Asunto , Adulto Joven
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA