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1.
Neuropsychologia ; 202: 108949, 2024 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-38971371

RESUMO

Although numerous studies suggest that working memory (WM) and semantic long-term knowledge interact, the nature and underlying neural mechanisms of this intervention remain poorly understood. Using functional magnetic resonance imaging (fMRI), this study investigated the extent to which neural markers of semantic knowledge in long-term memory (LTM) are activated during the WM maintenance stage in 32 young adults. First, the multivariate neural patterns associated with four semantic categories were determined via an implicit semantic activation task. Next, the participants maintained words - the names of the four semantic categories implicitly activated in the first task - in a verbal WM task. Multi-voxel pattern analyses showed reliable neural decoding of the four semantic categories in the implicit semantic activation and the verbal WM tasks. Critically, however, no between-task classification of semantic categories was observed. Searchlight analyses showed that for the WM task, semantic category information could be decoded in anterior temporal areas associated with abstract semantic category knowledge. In the implicit semantic activation task, semantic category information was decoded in superior temporal, occipital and frontal cortices associated with domain-specific semantic feature representations. These results indicate that item-level semantic activation during verbal WM involves shallow rather than deep semantic information.

2.
Artigo em Inglês | MEDLINE | ID: mdl-38990740

RESUMO

Low-intensity focused ultrasound (FUS) is an emerging non-invasive and spatially/temporally precise method for modulating the firing rates and patterns of peripheral nerves. This paper describes an image-guided platform for chronic and patient-specific FUS neuromodulation. The system uses custom wearable probes containing separate ultrasound imaging and modulation transducer arrays realized using piezoelectric transducers assembled on a flexible printed circuit board (PCB). Dual-mode probes operating around 4 MHz (imaging) and 1.3 MHz (modulation) were fabricated and tested on tissue phantoms. The resulting B-mode images were analyzed using a template-matching algorithm to estimate the location of the target nerve and then direct the modulation beam toward the target. The ultrasound transmit voltage used to excite the modulation array was optimized in real-time by automatically regulating functional feedback signals (the average rates of emulated muscle twitches detected by an on-board motion sensor) through a proportional and integral (PI) controller, thus providing robustness to inter-subject variability and probe positioning errors. The proposed closed-loop neuromodulation paradigm was experimentally demonstrated in vitro using an active tissue phantom that integrates models of the posterior tibial nerve and nearby blood vessels together with embedded sensors and actuators.

3.
Artigo em Inglês | MEDLINE | ID: mdl-38913729

RESUMO

Remembering past events usually takes less time than their actual duration-their unfolding is temporally compressed in episodic memory. The rate of temporal compression (i.e., the ratio of the actual duration of an event to the duration of its remembering) is not constant but varies between individuals and as a function of the structure of events (e.g., how they can be divided into shorter subevents). However, the cognitive mechanisms underlying these variations remain poorly understood. Given its role in the encoding and retrieval of information in episodic memory, working memory (WM) capacity could be an important determinant of temporal compression rates. We tested this hypothesis in two experiments in which we asked participants to watch and then mentally replay short videos showing people engaged in daily life activities. We showed that temporal compression rates depend on an interplay between WM and the structure of the remembered events: participants' WM capacity (assessed using complex span tasks) was negatively associated with temporal compression rates, but only when the remembered events contained few event boundaries (i.e., few subevents). This suggests that the temporal compression of events in episodic memory emerges when some of the subevents to be retained are too long to be fully represented in WM. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

4.
Cognition ; 247: 105789, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38583322

RESUMO

Remembering the unfolding of past episodes usually takes less time than their actual duration. In this study, we evaluated whether such temporal compression emerges when continuous events are too long to be fully held in working memory. To do so, we asked 90 young adults to watch and mentally replay video clips showing people performing a continuous action (e.g., turning a car jack) that lasted 3, 6, 9, 12, or 15 s. For each clip, participants had to carefully watch the event and then to mentally replay it as accurately and precisely as possible. Results showed that mental replay durations increased with event duration but in a non-linear manner: they were close to the actual event duration for short videos (3-9 s), but significantly smaller for longer videos (12 and 15 s). These results suggest that working memory is temporally limited in its capacity to represent continuous events, which could in part explain why the unfolding of events is temporally compressed in episodic memory.

5.
IEEE Sens J ; 24(6): 7308-7316, 2024 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-38500510

RESUMO

Continuous monitoring of bladder activity during normal daily activities would improve clinical diagnostics and understanding of the mechanisms underlying bladder function, or help validate how differing neuromodulation strategies affect the bladder. This work describes a urological monitor of conscious activity (UroMOCA). The UroMOCA included a pressure sensor, urine impedance-sensing electrodes, and wireless battery recharge and data transmission circuitry. Components were assembled on a circuit board and encapsulated with an epoxy/silicone molded package that allowed Pt-Ir electrode feedthrough for urine contact. Packaged UroMOCAs measured 12 × 18 × 6 mm. UroMOCAs continuously transmitted data from all onboard sensors at 10 Hz at 30 cm range, and ran for up to 44 hours between wireless recharges. After in vitro calibration, implantations were performed in 11 animals. Animals carried the device for 28 days, enabling many observations of bladder behavior during natural, conscious behavior. In vivo testing confirmed the UroMOCA did not impact bladder function after a two-week healing period. Pressure data in vivo were highly correlated to a reference catheter used during an anesthetized follow-up. Static volume sensor data were less accurate, but demonstrated reliable detection of bladder volume decreases, and distinguished between voiding and non-voiding bladder events.

6.
J Exp Psychol Learn Mem Cogn ; 50(1): 68-88, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-37589677

RESUMO

Recall performance in working memory (WM) is strongly affected by the similarity between items. When asked to encode and recall list of items in their serial order, people confuse more often the position of similar compared to dissimilar items. Models of WM explain this deleterious effect of similarity through a problem of discriminability between WM representations. In contrast, when lists of items that are all semantically similar are compared to lists of dissimilar items, semantic similarity does not negatively impact order memory, questioning the idea that semantic information is part of the WM content. This study reports four experiments in which semantic similarity was manipulated using lists composed of multiple semantic categories. These experiments revealed two main patterns. First, semantic similarity can increase, rather than decrease, order memory. Second, semantic knowledge reliably constrains the way items migrate; when migrating, items tend to do so more often toward the position of other similar items, rather than migrating toward other dissimilar items. These results challenge the way current models of WM represent similarity. The plausibility of different theoretical accounts and mechanisms is discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).


Assuntos
Memória de Curto Prazo , Semântica , Humanos , Rememoração Mental , Bases de Dados Factuais , Conhecimento
7.
Mem Cognit ; 2023 Oct 23.
Artigo em Inglês | MEDLINE | ID: mdl-37872468

RESUMO

Previous studies have shown that psycholinguistic effects such as lexico-semantic knowledge effects mainly determine item recall in verbal working memory (WM). However, we may expect that syntactic knowledge, involving knowledge about word-level sequential aspects of language, should also impact serial-order aspects of recall in WM. Evidence for this assumption is scarce and inconsistent and has been conducted in language with deterministic syntactic rules. In languages such as French, word position is determined in a probabilistic manner: an adjective is placed before or after a noun, depending on its lexico-semantic properties. We exploited this specificity of the French language for examining the impact of syntactic positional knowledge on both item and serial order recall in verbal WM. We presented lists with adjective-noun pairs for immediate serial recall, the adjectives being in regular or irregular position relative to the nouns. We observed increased recall performance when adjectives occurred in regular position; this effect was observed for item recall but not order recall scores. We propose an integration of verbal WM and syntactic processing models to account for this finding by assuming that the impact of syntactic knowledge on serial-order WM recall is indirect and mediated via syntax-dependent item-retrieval processes.

8.
J Neurosci ; 43(40): 6807-6815, 2023 10 04.
Artigo em Inglês | MEDLINE | ID: mdl-37643862

RESUMO

Mind-blanking (MB) is termed as the inability to report our immediate-past mental content. In contrast to mental states with reportable content, such as mind-wandering or sensory perceptions, the neural correlates of MB started getting elucidated only recently. A notable particularity that pertains to MB studies is the way MB is instructed for reporting, like by deliberately asking participants to "empty their minds." Such instructions were shown to induce fMRI activations in frontal brain regions, typically associated with metacognition and self-evaluative processes, suggesting that MB may be a result of intentional mental content suppression. Here, we aim at examining this hypothesis by determining the neural correlates of MB without induction. Using fMRI combined with experience-sampling in 31 participants (22 female), univariate analysis of MB reports revealed deactivations in occipital, frontal, parietal, and thalamic areas, but no activations in prefrontal regions. These findings were confirmed using Bayesian region-of-interest analysis on areas previously shown to be implicated in induced MB, where we report evidence for frontal deactivations during MB reports compared with other mental states. Contrast analysis between reports of MB and content-oriented mental states also revealed deactivations in the left angular gyrus. We propose that these effects characterize a neuronal profile of MB, where key thalamocortical nodes are unable to communicate and formulate reportable content. Collectively, we show that study instructions for MB lead to differential neural activation. These results provide mechanistic insights linked to the phenomenology of MB and point to the possibility of MB being expressed in different forms.SIGNIFICANCE STATEMENT This study explores how brain activity changes when individuals report unidentifiable thoughts, a phenomenon known as mind-blanking (MB). It aims to detect changes in brain activations and deactivations when MB is reported spontaneously, as opposed to the neural responses that have been previously reported when MB is induced. By means of brain imaging and experience-sampling, the study points to reduced brain activity in a wide number of regions, including those mesio-frontally which were previously detected as activated during induced MB. These results enhance our understanding of the complexity of spontaneous thinking and contribute to broader discussions on consciousness and reportable experience.


Assuntos
Mapeamento Encefálico , Encéfalo , Humanos , Feminino , Teorema de Bayes , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Estado de Consciência/fisiologia , Lobo Parietal/fisiologia , Imageamento por Ressonância Magnética
9.
Dyslexia ; 29(4): 385-407, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37519030

RESUMO

Many studies have highlighted short-term memory (STM) impairment in dyslexic individuals. Several studies showed deficits for both item and serial order aspects of verbal STM in dyslexic individuals. These group-based studies, however, do not inform us about the prevalence of these deficits and, importantly, their potential heterogeneity at the individual level. The present study examined both group-level and individual STM profiles in dyslexic and age-matched non-dyslexic children. While confirming previous group-based results of both item and serial order STM deficits, individual analyses indicated two distinct profiles: one profile was associated with verbal item STM and phonological impairment while another profile showed selective serial STM deficits in both verbal and visual domains. Our results highlight the need for practitioners to consider the heterogeneous nature of STM impairment in dyslexia and to adapt STM and reading treatment strategies accordingly.


Assuntos
Dislexia , Memória de Curto Prazo , Humanos , Criança , Dislexia/complicações , Dislexia/epidemiologia , Transtornos da Memória/complicações , Transtornos da Memória/epidemiologia , Leitura , Transtornos da Articulação , Fonética
10.
IEEE Trans Biomed Circuits Syst ; 17(5): 941-951, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37363840

RESUMO

Monitoring of colon activity is currently limited to tethered systems like anorectal manometry. These systems have significant drawbacks, but fundamentally limit the observation time of colon activity, reducing the likelihood of detecting specific clinical events. While significant technological advancement has been directed to mobile sensor capsules, this work describes the development and feasibility of a stationary sensor for describing the coordinated activity between neighboring segments of the colon. Unlike wireless capsules, this device remains in position and measures propagating pressure waves and impedances between colon segments to describe activity and motility. This low-power, flexible, wireless sensor-the colon monitor to capture activity (ColoMOCA) was validated in situ and in vivo over seven days of implantation. The ColoMOCA diameter was similar to common endoscopes to allow for minimally invasive diagnostic placement. The ColoMOCA included two pressure sensors, and three impedance-sensing electrodes arranged to describe the differential pressures and motility between adjacent colon segments. To prevent damage after placement in the colon, the ColoMOCA was fabricated with a flexible polyimide circuit board and a silicone rubber housing. The resulting device was highly flexible and suitable for surgical attachment to the colon wall. In vivo testing performed in eleven animals demonstrated suitability of both short term (less than 3 hours) and 7-day implantations. Data collected wirelessly from animal experiments demonstrated the ColoMOCA described colon activity similarly to wired catheters and allowed untethered, conscious monitoring of organ behavior.


Assuntos
Colo , Próteses e Implantes , Animais , Eletrodos , Impedância Elétrica , Catéteres
11.
Biomedicines ; 11(6)2023 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-37371634

RESUMO

Neurogenic bladder dysfunction is a condition that affects both bladder storage and voiding function and remains one of the leading causes of morbidity after spinal cord injury (SCI). The vast majority of individuals with severe SCI develop neurogenic lower urinary tract dysfunction (NLUTD), with symptoms ranging from neurogenic detrusor overactivity, detrusor sphincter dyssynergia, or sphincter underactivity depending on the location and extent of the spinal lesion. Animal models are critical to our fundamental understanding of lower urinary tract function and its dysfunction after SCI, in addition to providing a platform for the assessment of potential therapies. Given the need to develop and evaluate novel assessment tools, as well as therapeutic approaches in animal models of SCI prior to human translation, urodynamics assessment techniques have been implemented to measure NLUTD function in a variety of animals, including rats, mice, cats, dogs and pigs. In this narrative review, we summarize the literature on the use of animal models for cystometry testing in the assessment of SCI-related NLUTD. We also discuss the advantages and disadvantages of various animal models, and opportunities for future research.

13.
J Urol ; 210(1): 186-195, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37293725

RESUMO

PURPOSE: Urodynamics is the standard method of diagnosing bladder dysfunction, but involves catheters and retrograde bladder filling. With these artificial conditions, urodynamics cannot always reproduce patient complaints. We have developed a wireless, catheter-free intravesical pressure sensor, the UroMonitor, which enables catheter-free telemetric ambulatory bladder monitoring. The purpose of this study was twofold: to evaluate accuracy of UroMonitor pressure data, and assess safety and feasibility of use in humans. MATERIALS AND METHODS: Eleven adult female patients undergoing urodynamics for overactive bladder symptoms were enrolled. After baseline urodynamics, the UroMonitor was transurethrally inserted into the bladder and position was confirmed cystoscopically. A second urodynamics was then performed with the UroMonitor simultaneously transmitting bladder pressure. Following removal of urodynamics catheters, the UroMonitor transmitted bladder pressure during ambulation and voiding in private. Visual analogue pain scales (0-5) were used to assess patient discomfort. RESULTS: The UroMonitor did not significantly alter capacity, sensation, or flow during urodynamics. The UroMonitor was also easily inserted and removed in all subjects. The UroMonitor reproduced bladder pressure, capturing 98% (85/87) of voiding and nonvoiding urodynamic events. All subjects voided with only the UroMonitor in place with low post-void residual volume. Median ambulatory pain score with the UroMonitor was rated 0 (0-2). There were no post-procedural infections or changes to voiding behavior. CONCLUSIONS: The UroMonitor is the first device to enable catheter-free telemetric ambulatory bladder pressure monitoring in humans. The UroMonitor appears safe and well tolerated, does not impede lower urinary tract function, and can reliably identify bladder events compared to urodynamics.


Assuntos
Bexiga Urinária , Micção , Adulto , Humanos , Feminino , Cateteres Urinários/efeitos adversos , Urodinâmica , Sujeitos da Pesquisa
14.
Proc Inst Mech Eng H ; : 9544119231172272, 2023 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-37132028

RESUMO

Individuals with spinal cord injury (SCI) usually develop neurogenic detrusor overactivity (NDO), resulting in bladder urgency and incontinence, and reduced quality of life. Electrical stimulation of the genital nerves (GNS) can inhibit uncontrolled bladder contractions in individuals with SCI. An automated closed-loop bladder neuromodulation system currently does not exist but could improve this approach. We have developed a custom algorithm to identify bladder contractions and trigger stimulation from bladder pressure data without need for abdominal pressure measurement. The goal of this pilot study was to test the feasibility of automated closed-loop GNS using our custom algorithm to identify and inhibit reflex bladder contractions in real time. Experiments were conducted in a single session in a urodynamics laboratory in four individuals with SCI and NDO. Each participant completed standard cystometrograms without and with GNS. Our custom algorithm monitored bladder vesical pressure and controlled when GNS was turned on and off. The custom algorithm detected bladder contractions in real time, successfully inhibiting a total of 56 contractions across all four subjects. There were eight false positives, six of those occurring in one subject. It took approximately 4.0 ± 2.6 s for the algorithm to detect the onset of a bladder contraction and trigger stimulation. The algorithm maintained stimulation for approximately 3.5 ± 1.7 s, which was enough to inhibit activity and relieve feelings of urgency. Automated closed-loop stimulation was well-tolerated and subjects reported that algorithm decisions generally matched with their perceptions of bladder activity. The custom algorithm automatically, successfully identified bladder contractions to trigger stimulation to inhibit bladder contractions acutely. Closed-loop neuromodulation using our custom algorithm is feasible, but further testing is needed refine this approach for use in a home environment.

15.
Psychol Belg ; 62(1): 44-63, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37064504

RESUMO

The unitary nature of resistance to interference (RI) processes remains a strongly debated question: are they central cognitive processes or are they specific to the stimulus domains on which they operate? This focused mini-review examines behavioral, neuropsychological and neuroimaging evidence for and against domain-general RI processes, by distinguishing visual, verbal phonological and verbal semantic domains. Behavioral studies highlighted overall low associations between RI capacity across domains. Neuropsychological studies mainly report dissociations for RI abilities between the three domains. Neuroimaging studies highlight a left vs. right hemisphere distinction for verbal vs. visual RI, with furthermore distinct neural processes supporting phonological versus semantic RI in the left inferior frontal gyrus. While overall results appear to support the hypothesis of domain-specific RI processes, we discuss a number of methodological caveats that ask for caution in the interpretation of existing studies.

16.
Neuropsychologia ; 176: 108377, 2022 11 05.
Artigo em Inglês | MEDLINE | ID: mdl-36183802

RESUMO

There remain major doubts about the nature and domain specificity of inhibitory control processes, both within and between cognitive domains. This study examined inhibitory processes within the language domain, by contrasting semantic versus phonological inhibitory control. In an fMRI experiment, elderly participants performed phonological and semantic inhibitory control tasks involving resistance to highly or weakly interfering stimuli. In the semantic domain, inhibitory control effects, contrasting high vs. low interference control levels, were observed at univariate and multivariate levels in all fronto-parieto-temporal region-of-interests. In the phonological domain, inhibitory control effects were observed only at multivariate levels, and were restricted to the pars triangularis of the bilateral inferior frontal gyrus and to the left middle temporal gyrus. Critically, no reliable multivariate cross-domain prediction of neural patterns associated with inhibitory control was observed. This study supports a functional dissociation of the neural substrates associated with inhibitory control for phonological vs. semantic domains.


Assuntos
Mapeamento Encefálico , Semântica , Humanos , Idoso , Encéfalo , Linguística , Imageamento por Ressonância Magnética
17.
Proc Natl Acad Sci U S A ; 119(41): e2200511119, 2022 10 11.
Artigo em Inglês | MEDLINE | ID: mdl-36194631

RESUMO

Mind blanking (MB) is a waking state during which we do not report any mental content. The phenomenology of MB challenges the view of a constantly thinking mind. Here, we comprehensively characterize the MB's neurobehavioral profile with the aim to delineate its role during ongoing mentation. Using functional MRI experience sampling, we show that the reportability of MB is less frequent, faster, and with lower transitional dynamics than other mental states, pointing to its role as a transient mental relay. Regarding its neural underpinnings, we observed higher global signal amplitude during MB reports, indicating a distinct physiological state. Using the time-varying functional connectome, we show that MB reports can be classified with high accuracy, suggesting that MB has a unique neural composition. Indeed, a pattern of global positive-phase coherence shows the highest similarity to the connectivity patterns associated with MB reports. We interpret this pattern's rigid signal architecture as hindering content reportability due to the brain's inability to differentiate signals in an informative way. Collectively, we show that MB has a unique neurobehavioral profile, indicating that nonreportable mental events can happen during wakefulness. Our results add to the characterization of spontaneous mentation and pave the way for more mechanistic investigations of MB's phenomenology.


Assuntos
Mapeamento Encefálico , Conectoma , Pensamento , Encéfalo/diagnóstico por imagem , Encéfalo/fisiologia , Humanos , Estudos Longitudinais , Imageamento por Ressonância Magnética
18.
Semin Neurol ; 42(3): 273-282, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-36100226

RESUMO

The assessment of residual language abilities in patients with disorders of consciousness (DoC) after severe brain injury is particularly challenging due to their limited behavioral repertoire. Moreover, associated language impairment such as receptive aphasia may lead to an underestimation of actual consciousness levels. In this review, we examine past research on the assessment of residual language processing in DoC patients, and we discuss currently available tools for identifying language-specific abilities and their prognostic value. We first highlight the need for validated and sensitive bedside behavioral assessment tools for residual language abilities in DoC patients. As regards neuroimaging and electrophysiological methods, the tasks involving higher level linguistic commands appear to be the most informative about level of consciousness and have the best prognostic value. Neuroimaging methods should be combined with the most appropriate behavioral tools in multimodal assessment protocols to assess receptive language abilities in DoC patients in the most complete and sensitive manner.


Assuntos
Transtornos da Consciência , Estado de Consciência , Transtornos da Consciência/diagnóstico , Humanos , Neuroimagem , Prognóstico
19.
Annu Int Conf IEEE Eng Med Biol Soc ; 2022: 3718-3722, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-36085686

RESUMO

Urodynamics is the current gold-standard for diagnosing lower urinary tract dysfunction, but uses non-physiologically fast, retrograde cystometric filling to obtain a brief snapshot of bladder function. Ambulatory urodynamics allows physicians to evaluate bladder function during natural filling over longer periods of time, but artifacts generated from patient movement necessitate the use of an abdominal pressure sensor, which makes long-term monitoring and feedback for closed-loop treatment impractical. In this paper, we analyze the characteristics of single-channel bladder pressure signals from human and feline datasets, and present an algorithm designed to estimate detrusor pressure, which is useful for diagnosis and treatment. We utilize multiresolution analysis techniques to maximize the attenuation of probable abdominal pressure components in the vesical pressure signal. Results indicate a strong correlation, averaging 0.895 ± 0.121 (N = 40) and 0.812 ± 0.113 (N = 16) between the estimated detrusor pressure obtained by the proposed method and recorded urodynamic data from human and feline subjects, respectively. Clinical Relevance- This work establishes that signal pro-cessing techniques may be applied to vesical pressure alone to accurately reconstruct pressures generated independently by the detrusor muscle. This is relevant for emerging sensors that measure vesical pressure alone or for data analysis of bladder pressure in ambulatory subjects which contains significant abdominal pressure artifacts.


Assuntos
Bexiga Urinária , Urodinâmica , Algoritmos , Instituições de Assistência Ambulatorial , Animais , Artefatos , Gatos , Humanos
20.
Front Cell Neurosci ; 16: 866094, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35663428

RESUMO

Traumatic neuromuscular injury to the pudendal nerve and urethra during childbirth does not regenerate well and contributes to stress urinary incontinence in women. Mesenchymal stem cells (MSCs) can improve neuroregeneration via their secretions, or secretome, which includes brain-derived neurotrophic factor (BDNF). In this study, we investigated whether BDNF is a key factor in the secretome of MSCs for the facilitation of functional recovery following a dual simulated childbirth injury. BDNF knockdown (KD) MSCs were created using an anti-BDNF shRNA lentivirus vector. A scrambled sequence was used as a transduction control (scrambled). Cells were cultured for 24 h before media was concentrated 50x to create concentrated conditioned media (CCM) containing MSC secretome. CCM of unmanipulated MSCs was screened for high BDNF expression (high BDNF CCM). Concentrated control media (CM) was created by concentrating media not conditioned by cells. Female Sprague-Dawley rats underwent bilateral pudendal nerve crush and vaginal distension (Injury) or sham injury. One hour and 1 week after injury, sham injured rats received CM, and injured rats received CM, high BDNF CCM, KD CCM, or scrambled CCM (300 µl intraperitoneally). Three weeks after injury, rats underwent leak point pressure (LPP) and pudendal nerve sensory branch potential (PNSBP) recordings. The urethra and pudendal nerve were harvested for anatomical assessment. ANOVA followed by the Student-Newman-Keuls test determined significant differences between groups (p < 0.05). BDNF KD CCM had significantly decreased BDNF concentration compared to scrambled CCM, while the concentration in high BDNF CCM was significantly increased. LPP was significantly decreased in CM and KD CCM treated animals compared to sham injury, but not with scrambled or high BDNF CCM. PNSBP firing rate showed a significant decrease with CM treatment compared to sham injury. Neuromuscular junctions in the urethral sphincter in KD CCM, scrambled CCM, and high BDNF CCM were healthier than CM treated rats. While anatomical and nerve function tests demonstrate regeneration of the pudendal nerve with any CCM treatment, LPP results suggest it takes longer to recover continence with reduced BDNF in CCM. BDNF in MSC CCM is an important factor for the acceleration of recovery from a dual nerve and muscle injury.

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