OBJECTIVE Glutamatergic projections from prefrontal cortex(PFc) to nucleus accumbens(NAc) regulate the dopamine(DA) release in NAc.However,it is not clear whether this circuit is effective for the reward and motivatio...OBJECTIVE Glutamatergic projections from prefrontal cortex(PFc) to nucleus accumbens(NAc) regulate the dopamine(DA) release in NAc.However,it is not clear whether this circuit is effective for the reward and motivation of heroin addiction.Our study investigates the effects of metabotropic glutamate receptor 2/3(mGluR2/3) and the projections from ventromedial prefrontal cortex(vmPFc) to the NAc shell on the reward and motivation of heroin-addicted rats.METHODS First,rats were trained to selfadministration for 14 d.On the 15 thday,parts of rats were injected with mGluR 2/3 agonist LY379268(0.1,0.3 and 1.0 mg·kg-1,ip) systematically and another parts of rats were bilaterally microinjected with LY379268(0.3 and 1.0 g·L^(-1))at the volume of 0.5 μL into the ventral tegmental area(VTA),NAc core or NAc shell,respectively.All rats were followed by heroin self-administration testing under fixed ratio 1(FR1) schedule or progressed ratio(PR) schedule to observe the effect of LY379268 on the heroin reward or motivation.Second,rats were injected chemogenetic glutamatergic virus(pAAV-CaMKIIa-hM3 D(Gq)-mCherry or pAOV-CaMKIIa-hM4 D(Gi)-mCherry-3 Flag) or negative control virus in vmPFc,and trained to heroin self-administration for 14 d.On the 15 thday,rats were bilateral y microinjected with clozapine-N-oxide(CNO,1 mmol·L^(-1),0.5 μL) into NAc shell and tested the effect on the heroin reward or motivation.Finally,rats were injected optogenetical glutamatergic virus(AAV2/9-CaM KⅡ-hChR2-EYFP) or negative control virus in vmPFc,implanted 16 channel photoelectrode in ipsilateral NAc shell,and trained to heroin selfadministration for 14 d.On the 15 thday,rats were tested heroin reward under FR1 procedure with blue light stimulation in the wavelength of470 nm,frequency of 25 HZ and power of 5 mW.Each stimulation lasting for 1 h and interval for1 h.The spike changes before and after stimulation in NAc Shel neural nerve was recorded.RESULTS LY379268 cloud dose-dependent attenuated the heroin reward or motivation and the local effective site was mainly in the NAc shell.Chemogenetic results showed activation or inactivation the projection from vmPFc to NAc shell enhanced or attenuated the heroin reward and motivation,respectively.Optogenetical stimulation the same projection also enhanced the heroin reward,and a tonic neuronal firing at the nerve of NAc shell was observed during the light stimulation session.CONCLUSION mGluR2/3 activation in the NAc shell is involved in the inhibition of heroin reward and motivation.Activation the projection from PFc to NAc shell can enhance the effects on heroin reward and motivation.展开更多
目的:探究双靶点经颅直流电刺激(transcranial direct current stimulation,tDCS)治疗头面部带状疱疹后神经痛(craniofacial postherpetic neuralgia,C-PHN)的疗效。方法:选取2024年2月至2024年5月在首都医科大学宣武医院就诊的C-PHN病...目的:探究双靶点经颅直流电刺激(transcranial direct current stimulation,tDCS)治疗头面部带状疱疹后神经痛(craniofacial postherpetic neuralgia,C-PHN)的疗效。方法:选取2024年2月至2024年5月在首都医科大学宣武医院就诊的C-PHN病人40例,采用计算机随机数字生成方式均分为治疗组和对照组,治疗组采用初级运动皮质(primary motor cortex,M1)和前额叶背外侧部(dorsolateral prefrontal cortex,DLPFC)双靶点t DCS交替刺激,对照组采用假刺激,两组均刺激10天。分别采用视觉模拟评分法(visual analogue scale,VAS)、汉密尔顿抑郁量表(Hamilton depression scale,HAMD)和匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评估刺激前后的变化值,评价两组病人疼痛、抑郁和睡眠的改善情况,分析影响疼痛变化的相关因素。结果:从第6次刺激后,治疗组VAS评分改善情况开始显著优于对照组(P<0.05)。在第10次刺激后即刻和刺激后1个月,治疗组VAS评分、HAMD评分和PSQI评分的改善情况均显著优于对照组(P<0.05)。病程≤2个月是影响病人疗效的保护因素(OR=30.881,P=0.047)。结论:M1和DLPFC双靶点tDCS是治疗C-PHN的有效方法,病程≤2个月者治疗效果更佳。展开更多
帕金森病(Parkinson disease,PD)患者多数会出现言语功能障碍,严重影响生活质量。近年重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)在治疗PD患者言语障碍的临床实践中取得了新的进展。研究结果提示,将rTMS作用...帕金森病(Parkinson disease,PD)患者多数会出现言语功能障碍,严重影响生活质量。近年重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)在治疗PD患者言语障碍的临床实践中取得了新的进展。研究结果提示,将rTMS作用于初级运动皮质(primary motor cortex,M1)的口面部区域和颞上回(superior temporal gyrus,STG)可能会有效地改善PD患者的言语功能,现有研究未见报道有由rTMS引起的严重不良反应。rTMS治疗PD患者言语障碍的机制可能与rTMS可以调节言语相关大脑皮质(如M1和STG)的兴奋性和功能连接程度有关。总结来说,rTMS在PD言语障碍的治疗中取得了良好的效果,但目前研究的数量较少,未来还需要更多大规模和大样本量的随机对照试验来进一步验证和支持其效果。展开更多
基金National Basic Research Program of China(2015CB553504)National Natural Science Foundationof China (81471350+1 种基金81671321)Natural Science Foundation of Ningbo Municipality,Zhejiang Province, China (2017A610214).
文摘OBJECTIVE Glutamatergic projections from prefrontal cortex(PFc) to nucleus accumbens(NAc) regulate the dopamine(DA) release in NAc.However,it is not clear whether this circuit is effective for the reward and motivation of heroin addiction.Our study investigates the effects of metabotropic glutamate receptor 2/3(mGluR2/3) and the projections from ventromedial prefrontal cortex(vmPFc) to the NAc shell on the reward and motivation of heroin-addicted rats.METHODS First,rats were trained to selfadministration for 14 d.On the 15 thday,parts of rats were injected with mGluR 2/3 agonist LY379268(0.1,0.3 and 1.0 mg·kg-1,ip) systematically and another parts of rats were bilaterally microinjected with LY379268(0.3 and 1.0 g·L^(-1))at the volume of 0.5 μL into the ventral tegmental area(VTA),NAc core or NAc shell,respectively.All rats were followed by heroin self-administration testing under fixed ratio 1(FR1) schedule or progressed ratio(PR) schedule to observe the effect of LY379268 on the heroin reward or motivation.Second,rats were injected chemogenetic glutamatergic virus(pAAV-CaMKIIa-hM3 D(Gq)-mCherry or pAOV-CaMKIIa-hM4 D(Gi)-mCherry-3 Flag) or negative control virus in vmPFc,and trained to heroin self-administration for 14 d.On the 15 thday,rats were bilateral y microinjected with clozapine-N-oxide(CNO,1 mmol·L^(-1),0.5 μL) into NAc shell and tested the effect on the heroin reward or motivation.Finally,rats were injected optogenetical glutamatergic virus(AAV2/9-CaM KⅡ-hChR2-EYFP) or negative control virus in vmPFc,implanted 16 channel photoelectrode in ipsilateral NAc shell,and trained to heroin selfadministration for 14 d.On the 15 thday,rats were tested heroin reward under FR1 procedure with blue light stimulation in the wavelength of470 nm,frequency of 25 HZ and power of 5 mW.Each stimulation lasting for 1 h and interval for1 h.The spike changes before and after stimulation in NAc Shel neural nerve was recorded.RESULTS LY379268 cloud dose-dependent attenuated the heroin reward or motivation and the local effective site was mainly in the NAc shell.Chemogenetic results showed activation or inactivation the projection from vmPFc to NAc shell enhanced or attenuated the heroin reward and motivation,respectively.Optogenetical stimulation the same projection also enhanced the heroin reward,and a tonic neuronal firing at the nerve of NAc shell was observed during the light stimulation session.CONCLUSION mGluR2/3 activation in the NAc shell is involved in the inhibition of heroin reward and motivation.Activation the projection from PFc to NAc shell can enhance the effects on heroin reward and motivation.
文摘帕金森病(Parkinson disease,PD)患者多数会出现言语功能障碍,严重影响生活质量。近年重复经颅磁刺激(repetitive transcranial magnetic stimulation,rTMS)在治疗PD患者言语障碍的临床实践中取得了新的进展。研究结果提示,将rTMS作用于初级运动皮质(primary motor cortex,M1)的口面部区域和颞上回(superior temporal gyrus,STG)可能会有效地改善PD患者的言语功能,现有研究未见报道有由rTMS引起的严重不良反应。rTMS治疗PD患者言语障碍的机制可能与rTMS可以调节言语相关大脑皮质(如M1和STG)的兴奋性和功能连接程度有关。总结来说,rTMS在PD言语障碍的治疗中取得了良好的效果,但目前研究的数量较少,未来还需要更多大规模和大样本量的随机对照试验来进一步验证和支持其效果。
