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Topic Review
Alzheimer’s Disease
Many observational and clinical studies have shown that consumption of diets rich in plant polyphenols have beneficial effects on various diseases such as cancer, obesity, diabetes, cardiovascular diseases, and neurodegenerative diseases (NDDs). Animal and cellular studies have indicated that these polyphenolic compounds contribute to such effects. The representative polyphenols are epigallocatechin-3-O-gallate in tea, chlorogenic acids in coffee, resveratrol in wine, and curcumin in curry. The results of human studies have suggested the beneficial effects of consumption of these foods on NDDs, espacially Alzheimer's disease and cellular animal experiments have provided molecular basis to indicate contribution of these representative polyphenols to these effects. This article provides updated information on the effects of these foods and their polyphenols on Alzheimer's disease with discussions on mechanistic aspects of their actions mainly based on the findings derived from basic experiments.
  • 755
  • 20 Feb 2021
Topic Review
Analysis of Running in Wilson’s Disease
Wilson’s disease (WD) is a rare, recessively inherited deficit of copper transportation leading to increased serum levels of free copper and progressive copper intoxication of multiple organs. In the central nervous system (CNS) the basal ganglia, the cerebellum as well as brainstem nuclei are mainly disturbed. A broad spectrum of neurological symptoms as parkinsonian gait, tremor, dysarthria, dystonia, and chorea results.
  • 475
  • 19 Jan 2022
Topic Review
Antithrombotic Therapy in the Prevention of Stroke
 Ischemic stroke is a leading cause of death and disability throughout the world. Antithrombotic therapy, which includes both antiplatelet and anticoagulant agents, is a primary medication of choice for the secondary prevention of stroke. However, the choices vary with the need to incorporate evolving, newer information into the clinical scenario. There is also the need to factor in co-morbid medical conditions as well as the cost ramifications for a particular patient as well as compliance with the regimen. 
  • 353
  • 12 Jan 2022
Topic Review
Apelinergic System in Brain Diseases
Apelin, a peptide initially isolated from bovine stomach extract, is an endogenous ligand for the Apelin Receptor (APLNR). Subsequently, a second peptide, ELABELA, that can bind to the receptor has been identified. The Apelin receptor and its endogenous ligands are widely distributed in mammalian organs. A growing body of evidence suggests that this system participates in various signalling cascades that can regulate cell proliferation, blood pressure, fluid homeostasis, feeding behaviour, and pituitary hormone release. Additional research has been done to elucidate the system’s potential role in neurogenesis, the pathophysiology of Glioblastoma multiforme, and the protective effects of apelin peptides on some neurological and psychiatric disorders-ischemic stroke, epilepsy, Parkinson’s, and Alzheimer’s disease. Mounting evidence suggests that the apelinergic system is a prominent player in the pathogenesis of different neuronal and mental diseases, such as stroke, epilepsy, Alzheimer’s disease, and Parkinson’s, among others.
  • 279
  • 03 Feb 2023
Topic Review
Appropriate Vestibular Stimulation in Children and Adolescents
The structural development of the vestibular part of the inner ear is completed by birth but its central connections continue to develop until adolescence. Their development is dependent on vestibular stimulation—vestibular experience. Studies have shown that vestibular function, modulated by experience and epigenetic factors, is not solely an instrument for body position regulation, navigation, and stabilization of the head and images but also influences cognition, emotion, the autonomous nervous system and hormones. 
  • 120
  • 27 Dec 2023
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.
  • 676
  • 29 Sep 2020
Topic Review
Astrocytes
Astrocytes are cerebral cells present in number close to that on neurons (50-60 mld). For decades they were considered only a glue, offering a mechanical and metaboli
  • 965
  • 06 Apr 2021
Topic Review
Ataxia in Neurometabolic Disorders
Ataxia is a movement disorder that manifests during the execution of purposeful movements. It results from damage to the structures of the cerebellum and its connections or the posterior cords of the spinal cord. It should be noted that, in addition to occurring as part of many diseases, pediatric ataxia is a common symptom in neurometabolic diseases. 
  • 307
  • 11 Jan 2023
Topic Review
Atypical Positional Vertigo
Benign paroxysmal positional vertigo is the most frequent cause of vertigo. As its name indicates, it is characterized by vertigo episodes of sudden onset and end, triggered by changes in head’s position with regard to gravity. It is located in the labyrinth, and its cause is mechanical. However, this is an etiologic diagnosis, reached after questioning and examining the patient. Based on what patients report, the duration of symptoms lasts seconds; however, many overestimate the duration of the vertiginous sensation. The trigger effect of positional changes is a key issue to be addressed. A great variability of autonomic symptoms, including nausea and vomiting, can accompany BPPV. Gait instability, headache, and additional neurologic complaints are potential red flags in the differential diagnosis. With a defined position trigger effect, it is the neurologist’s job to perform an examination to confirm the diagnosis of paroxysmal positional vertigo (PPV), and by virtue of the vertigo duration and nystagmus characteristics, to determine lesion localization (peripheral versus central) and to design a management plan.
  • 653
  • 26 May 2022
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.
  • 644
  • 10 Mar 2021
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