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Topic Review
HMGB1-Mediated Neuroinflammatory Responses
Brain injuries are devastating conditions, representing a global cause of mortality and morbidity, with no effective treatment to date. Increased evidence supports the role of neuroinflammation in driving several forms of brain injuries. High mobility group box 1 (HMGB1) protein is a pro-inflammatory-like cytokine with an initiator role in neuroinflammation that has been implicated in Traumatic brain injury (TBI) as well as in early brain injury (EBI) after subarachnoid hemorrhage (SAH). Herein, we discuss the implication of HMGB1-induced neuroinflammatory responses in these brain injuries, mediated through binding to the receptor for advanced glycation end products (RAGE), toll-like receptor4 (TLR4) and other inflammatory mediators. Moreover, we provide evidence on the biomarker potential of HMGB1 and the significance of its nucleocytoplasmic translocation during brain injuries along with the promising neuroprotective effects observed upon HMGB1 inhibition/neutralization in TBI and EBI induced by SAH. Overall, this review addresses the current advances on neuroinflammation driven by HMGB1 in brain injuries indicating a future treatment opportunity that may overcome current therapeutic gaps.
  • 839
  • 23 Jul 2020
Topic Review
COVID-19: Neurological Considerations in Neonates/Children
The ongoing worldwide pandemic of the novel human coronavirus SARS-CoV-2 and the ensuing disease, COVID-19, has presented enormous and unprecedented challenges for all medical specialists. However, to date, children, especially neonates, have been relatively spared from the devastating consequences of this infection. Neurologic involvement is being increasingly recognized among adults with COVID-19, who can develop sensory deficits in smell and taste, delirium, encephalopathy, headaches, strokes, and peripheral nervous system disorders. Among neonates and children, COVID-19-associated neurological manifestations have been relatively rare, yet reports involving neurologic dysfunction in this age range are increasing.
  • 838
  • 06 Nov 2020
Topic Review
Liquid Biopsy of Brain Tumors
Direct biopsies obtain tissue material from the primary tumor, either via neurosurgical removal of all or most parts of a tumor or via stereotactic tissue biopsy. In contrast, a liquid biopsy uses body fluids collected distant to the brain tumor, such as venous blood from the arm or cerebrospinal fluid (CSF) via lumbar or cisternal puncture.
  • 829
  • 17 Sep 2024
Topic Review
Neuroimaging Techniques Dedicated to Stroke
Stroke recovery processes include angiogenesis and neuroplasticity and advances in neuroimaging techniques may provide indirect description of this action and become quantifiable indicators of these processes as well as responses to the therapeutical interventions. This means that neuroimaging and neurophysiological methods can be used as biomarkers—to make a prognosis of the course of stroke recovery and define patients with great potential of improvement after treatment. This approach is most likely to lead to novel rehabilitation strategies based on categorizing individuals for personalized treatment.
  • 827
  • 27 Jul 2022
Topic Review
Brain-Derived Neurotrophic Factor Signaling
The function of the brain-derived neurotrophic factor (BDNF) via activation through its high-affinity receptor Tropomyosin receptor kinase B (TrkB) has a pivotal role in cell differentiation, cell survival, synaptic plasticity, and both embryonic and adult neurogenesis in central nervous system neurons. A number of studies have demonstrated the possible involvement of altered expression and action of the BDNF/TrkB signaling in the pathogenesis of neurodegenerative diseases, including Alzheimer’s disease (AD). In this review, we introduce an essential role of the BDNF and its downstream signaling in neural function. We also review the current evidence on the deregulated the BDNF signaling in the pathophysiology of AD at gene, mRNA, and protein levels. Further, we discuss a potential usefulness of small compounds, including flavonoids, which can stimulate BDNF-related signaling as a BDNF-targeting therapy.
  • 824
  • 16 Jun 2021
Topic Review
Alpha-Synuclein
Alpha-Synuclein (α-syn) has strong connection with Parkinson’s disease. Parkinson’s disease (PD) is considered the most common disorder of synucleinopathy, which is characterised by intracellular inclusions of aggregated and misfolded α-syn protein in various brain regions, and the loss of dopaminergic neurons. During the early prodromal phase of PD, synaptic alterations happen before cell death, which is linked to the synaptic accumulation of toxic α-syn specifically in the presynaptic terminals, affecting neurotransmitter release. The oligomers and protofibrils of α-syn are the most toxic species, and their overexpression impairs the distribution and activation of synaptic proteins, such as the SNARE complex, preventing neurotransmitter exocytosis and neuronal synaptic communication. In the last few years, the role of the immune system in PD has been increasingly considered. Microglial and astrocyte activation, the gene expression of proinflammatory factors, and the infiltration of immune cells from the periphery to the central nervous system (CNS) represent the main features of the inflammatory response. One of the actors of these processes is α-syn accumulation.
  • 824
  • 29 Jun 2021
Topic Review
Astrocyte–Neuron Crosstalk
Astrocyte-neuron crosstalk is a phenomenon in which both of those cell types depend on each other and support their development, genes expression, metabolism, excitability and plasticity. Astrocyte–neuron crosstalk incontrovertibly plays a crucial role in shaping neuronal metabolism. It has been shown that it substantially affects the expression of basal metabolic enzymes in both types of cells, by essentially unknown factor(s) which are released to extracellular space directly and using extracellular vesicles-packed molecules and by cell-to-cell contacts. Additionally, astrocytes support neurons with lactate, which (when secreted during enhanced neuronal activity events) stimulates a formation and maintenece of long-term plastycity phenomena in neurons.
  • 822
  • 29 Sep 2020
Topic Review
Leptin Cellular Signaling in Brain
The triad of obesity, metabolic syndrome (MetS), Type 2 diabetes mellitus (T2DM) and advancing age are currently global societal problems that are expected to grow over the coming decades. This triad is associated with multiple end-organ complications of diabetic vasculopathy (maco-microvessel disease), neuropathy, retinopathy, nephropathy, cardiomyopathy, cognopathy encephalopathy and/or late-onset Alzheimer’s disease. 
  • 820
  • 01 Jun 2021
Topic Review
Autism Spectrum Disorder (ASD)
Autism Spectrum Disorder etiopathogenesis is still unclear, no effective preventive and treatment measures have been identified.  Research has focused on the potential role of neuroinflammation and kynurenine pathway. Pre-natal or neonatal infections would induce microglial activation, with secondary consequences on behavior, cognition and neurotransmitter networks. Peripherally higher levels of pro-inflammatory cytokines,  and anti-brain antibodies have been identified. Increased frequency of autoimmune diseases, allergies, and recurring infections have been demonstrated both in autistic patients and in their relatives. Genetic studies, also, have identified some important polymorphisms in chromosome loci related to human leukocyte antigen (HLA) system. The persistence of immune-inflammatory deregulation, would lead to mitochondrial dysfunction and oxidative stress, creating a self-sustaining cytotoxic loop. Chronic inflammation actives kynurenine pathway with increase in neurotoxic metabolites and excitotoxicity, causing long-term changes in glutamatergic function, trophic support and synaptic function. Furthermore, overactivation of kynurenines branch, induces depletion of melatonin and serotonin, with  ASD symptoms worsening.According to those findings, in subjects genetically predisposed an aberrant neurodevelopment derives by a complex interplay between inflammatory process, mitochondrial dysfunction, oxidative stress, kynurenine pathway overactivation.To validate the previous hypothesis a new translational research approach is necessary.
  • 820
  • 10 Mar 2021
Topic Review
Type I IFNs in Long-Haul COVID Syndrome
Interferons (IFNs) are pleiotropic cytokines originally identified for their antiviral activity. IFN-α and IFN-β are both type I IFNs that have been used to treat neurological diseases such as multiple sclerosis. Microglia, astrocytes, as well as neurons in the central and peripheral nervous systems, including spinal cord neurons and dorsal root ganglion neurons, express type I IFN receptors (IFNARs). Type I IFNs play an active role in regulating cognition, aging, depression, and neurodegenerative diseases. Notably, by suppressing neuronal activity and synaptic transmission, IFN-α and IFN-β produced potent analgesia.
  • 810
  • 06 Dec 2022
Topic Review
Magnetoencephalography (MEG) and Its Clinical Applications
MEG has two clinical applications, i.e., localization of epileptic foci and pre-operative evaluation for brain surgery candidates. MEG is also an important neuroimaging tool for the therapeutic planning of several mental disorders and abnormality analysis such as epilepsy, autism, schizophrenia, stroke, head trauma, and monitoring of drug administration
  • 806
  • 27 Jun 2022
Topic Review
Vitamins and Neurodegenerative Disease
Acquiring the recommended daily allowance of vitamins is crucial for maintaining homeostatic balance in humans and other animals. A deficiency in or dysregulation of vitamins adversely affects the neuronal metabolism, which may lead to neurodegenerative diseases. In this article, we discuss how novel vitamin-based approaches aid in attenuating abnormal neuronal functioning in neurodegeneration-based brain diseases such as Alzheimer’s disease, Parkinson’s disease, Huntington’s disease, Amyotrophic lateral sclerosis, and Prion disease. Vitamins show their therapeutic activity in Parkinson’s disease by antioxidative and anti-inflammatory activity. In addition, different water- and lipid-soluble vitamins have also prevented amyloid beta and tau pathology. On the other hand, some results also show no correlation between vitamin action and the prevention of neurodegenerative diseases. Some vitamins also exhibit toxic activity too. 
  • 802
  • 29 Sep 2021
Topic Review
TENG-Based Self-Powered Neuroprosthetics
TENG-Based Self-Powered Neuroprosthetics is a neuroprosthetic system using a triboelectric nanogenerator as the power source to generator the current pulses required for neural stimulations. The thin-film triboelectric nanogenerator can be attached onto the heart or buried under the skin to convert the mechanical energy from the movement of organs, such as heart beat, or the hand tapping onto the skin to electrical current pulses. This system is promising to realize a fully self-powered neural modulation with much reduced device complexity. 
  • 799
  • 10 Oct 2020
Topic Review
Virtual Reality Therapy for Depression
Virtual reality (VR) describes a family of technologies which immerse users in sensorily-stimulating virtual environments. Such technologies have increasingly found applications in the treatment of neurological and mental health disorders. Depression, anxiety, and other mood abnormalities are of concern in the growing older population—especially those who reside in long-term care facilities (LTCFs).
  • 799
  • 11 Jun 2021
Topic Review
Journal Efficiency
Journal efficiency is determined by measuring the timelag in the acceptance and publication of scientific findings by a journal on behalf of the authors upon submission.
  • 794
  • 29 Oct 2020
Topic Review
Gravitational Valves in Hydrocephalus Management
In the past decade, there has been a clear trend towards better outcomes in patients with hydro-cephalus, especially those with normal pressure hydrocephalus (NPH). This is partly due to the availability of more sophisticated hardware and a better understanding of implants. However, there is little evidence to show the superiority of a specific type of valve over another. The most commonly reported consequence of hydrodynamic mismatch is shunt over-drainage. Simple dif-ferential pressure valves, with a fixed opening pressure or even adjustable valves, lead to non-physiologic intraventricular pressure (IVP) as soon as the patient moves into an upright pos-ture. These valves fail to maintain IVP within physiological limits due to the changes in hydro-static pressure in the drainage system. To solve this problem more complex third-generation hy-drostatic valves have been designed. These gravitational devices aim to reduce flow through a shunt system when the patient is upright but there are important technical differences between them.
  • 784
  • 28 Sep 2021
Topic Review
Nanomedicine for Stroke Diagnosis
Ischemic stroke, caused by the interruption of blood flow to the brain and subsequent neuronal death, represents one of the main causes of disability in developed countries. Therapeutic methods such as recanalization approaches, neuroprotective drugs, or recovery strategies have been widely developed to improve the patient’s outcome; however, important limitations such as a narrow therapeutic window, the ability to reach brain targets, or drug side effects constitute some of the main aspects that limit the clinical applicability of the current treatments. Nanotechnology has emerged as a promising tool to overcome many of these drug limitations and improve the efficacy of treatments for neurological diseases such as stroke. 
  • 779
  • 04 Jun 2021
Topic Review
Stroke Rehabilitation
Because of the complexity of a stroke, various approaches to chronic stroke rehabilitation, such as facilitation technique, functional electric stimulation (FES), transcutaneous electrical stimulation (TENS), electromyography (EMG) biofeedback, exercise, physical and occupational therapy, robotics, and virtual reality, have been studied to help functional recovery from hemiplegia due to brain damage.
  • 777
  • 10 Dec 2020
Topic Review
Limbic Encephalitis
Limbic encephalitis (LE) is a rare cause of encephalitis presenting as an acute and subacute onset of neuropsychiatric manifestations, particularly with memory deficits and confusion as core features, along with seizure occurrence, movement disorders, or autonomic dysfunctions.
  • 774
  • 27 Jan 2021
Topic Review
Tremor in Parkinson’s Disease with Mechanical Devices
Parkinsonian tremors are sometimes confused with essential tremors or other conditions. Researchers conducted several studies on tremor evaluation using wearable sensors and devices, which may support an accurate diagnosis. Mechanical devices are also commonly used to treat tremors and have been actively researched and developed. Mechanical devices for tremor suppression include deep brain stimulation (DBS), electrical muscle stimulation, and orthosis. Adaptive DBS and optimization of stimulation parameters have been studied to improve treatment efficacy further. Due to developments using state-of-the-art techniques, effectiveness in diagnosing, evaluating, and suppressing tremors using these devices is satisfactorily high in many studies.
  • 772
  • 09 Jan 2023
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