
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Oct. 16, 2024
Language: Английский
Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Oct. 16, 2024
Language: Английский
Cellular and Molecular Life Sciences, Journal Year: 2025, Volume and Issue: 82(1)
Published: Jan. 6, 2025
Perioperative neurocognitive disorder (PND) is a prevalent form of cognitive impairment in elderly patients following anesthesia and surgery. The underlying mechanisms PND are closely related to perineuronal nets (PNNs). PNNs, which complexes extracellular matrix primarily surrounding neurons the hippocampus, play critical role function. Connexin 43 (Cx43) contributes function by modulating components PNNs. This study was designed investigate specific regulatory Cx43 on PNNs its pivotal development PND. Eighteen-month-old wild-type Gja1fl/fl C57BL/6 mice were subjected abdominal surgery under 1.4% isoflurane anesthesia. Cognitive functions, particularly learning memory, evaluated via Y-maze test, Barnes maze (BM) contextual fear conditioning test (CFT). mRNA protein expression levels assessed using quantitative reverse transcription polymerase chain reaction (qRT-PCR), fluorescent situ hybridization (FISH), western blotting flow cytometry. quantity measured Wisteria floribunda agglutinin (WFA) Aggrecan staining. Aged exhibited deficits hippocampus-dependent accompanied increased expression. Conditional knockout (cKO) astrocytes alleviated promoted number dendritic spines hippocampus targeting Dmp1. Knockdown Dmp1 attenuated beneficial effects cKO induced Our findings indicate that induce an increase expression, inhibits formation suppressing transcription, leading aged mice. These results offer new mechanistic insights into pathogenesis identify potential targets for therapeutic intervention.
Language: Английский
Citations
0Neurochemical Research, Journal Year: 2025, Volume and Issue: 50(2)
Published: Feb. 4, 2025
Language: Английский
Citations
0BMC Anesthesiology, Journal Year: 2025, Volume and Issue: 25(1)
Published: Feb. 21, 2025
Regular physical activity has been shown to ameliorate cognitive decline associated with aging, and improve autonomic nervous function. However, the effect of active housework, a form light moderate activity, on postoperative function in elderly remain unknown. The aim this study is investigate whether housework exerts protective against delayed neurocognitive recovery (dNCR), explore role vagal relationship. This prospective nested case-control that enrolled 152 patients scheduled for elective knee replacement surgery. neuropsychological assessments were conducted evaluate dNCR both preoperatively one week postoperatively. Physical levels quantified based Activity Scale Elderly categorized into sedentary behavior groups using hierarchical clustering. High-frequency spectral analysis heart rate variability was used assess activity. Multivariable logistic regression employed examine association between dNCR. Additionally, mediation performed possible mediating occurred 33/141 (23.4%) patients. Active 84.7% lower odds developing [OR = 0.153, 95% CI (0.042 0.550), p 0.004]. There significant interaction 0.003, (0.001 0.052), < 0.001]. Vagal mediated dNCR, accounting 31.92% effect. decreased incidence serving as factor. provides valuable insights predicting preventing perioperative disorders Trial registration number: ChiCTR2300070834, date registration: April 24, 2023.
Language: Английский
Citations
0Neuropharmacology, Journal Year: 2024, Volume and Issue: 262, P. 110205 - 110205
Published: Nov. 2, 2024
Language: Английский
Citations
2Frontiers in Rehabilitation Sciences, Journal Year: 2024, Volume and Issue: 5
Published: Dec. 12, 2024
Postoperative cognitive dysfunction (POCD) is a prevalent complication of the central nervous system in elderly patients following cardiac surgery. This review aims to provide an overview etiology, risk factors, diagnostic assessment, and rehabilitation strategies for occurring after The pathogenesis POCD surgery includes cerebral microembolism, neuroinflammation, cryptogenic strokes. Risk factors are associated with advanced age, diminished preoperative status, anesthesia. Cognitive function screening tools used pre- postoperative assessments can detect changes patients’ levels timely manner. provision appropriate methods, including training, exercise transcranial direct current stimulation, perioperative acupuncture, crucial, emerging technologies such as virtual reality playing increasingly significant role. In conclusion, common patients, age reduced being primary factors. A comprehensive strategy more effectively address patients.
Language: Английский
Citations
0Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown
Published: Oct. 16, 2024
Language: Английский
Citations
0