摂食嚥下障害のリハビリテーション評価・治療 DOI Creative Commons
Yoichiro Aoyagi

The Japanese Journal of Rehabilitation Medicine, Год журнала: 2022, Номер 59(9), С. 870 - 876

Опубликована: Сен. 18, 2022

摂食嚥下障害患者は年々増加かつ高年齢化しており,特にフレイル,サルコペニアをベースにもつ患者が増えている.誤嚥性肺炎は日本人の死因の第6位を占めるに至っており,この割合は今後も増加すると見込まれる.2020年からは新型コロナウイルス感染症に関連した種々の原因による嚥下障害が報告されており,原因の1つとして咽喉頭の感覚障害,咽頭収縮不全を伴う舌咽・迷走神経障害があると考えられるため,誤嚥性肺炎の合併に注意する必要がある.摂食嚥下に関するリハビリテーション評価・治療のトピックスとして,高解像度インピーダンスマノメトリー,干渉波電気刺激,反復性末梢性磁気刺激などの最近の知見,今後の可能性を概説した.その他のトピックスとして,外傷性頚髄損傷,神経核内封入体病による摂食嚥下障害を解説した.

Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants DOI Creative Commons
Guilherme Dias de Melo, Victoire Perraud, Flavio Alvarez

и другие.

Nature Communications, Год журнала: 2023, Номер 14(1)

Опубликована: Июль 26, 2023

Abstract Anosmia was identified as a hallmark of COVID-19 early in the pandemic, however, with emergence variants concern, clinical profile induced by SARS-CoV-2 infection has changed, anosmia being less frequent. Here, we assessed clinical, olfactory and neuroinflammatory conditions golden hamsters infected original Wuhan strain, its isogenic ORF7-deletion mutant three variants: Gamma, Delta, Omicron/BA.1. We show that animals develop variant-dependent disease including anosmia, ORF7 contributes to induction dysfunction. Conversely, all are neuroinvasive, regardless presentation they induce. Taken together, this confirms neuroinvasion independent phenomena upon infection. Using newly generated nanoluciferase-expressing SARS-CoV-2, validate pathway major entry point into brain vivo demonstrate vitro travels retrogradely anterogradely along axons microfluidic neuron-epithelial networks.

Язык: Английский

Процитировано

43

Effects of nasal inflammation on the olfactory bulb DOI Creative Commons
Brandon J. LaFever, Fumiaki Imamura

Journal of Neuroinflammation, Год журнала: 2022, Номер 19(1)

Опубликована: Дек. 9, 2022

Abstract Sinonasal diseases, such as rhinosinusitis, affect up to 12% of individuals each year which constitutes these diseases some the most common medical conditions in world. Exposure environmental pathogens and toxicants via nasal cavity can result a severe inflammatory state commonly observed conditions. It is well understood that epithelial neuronal cells lining olfactory mucosa, including sensory neurons (OSNs), are significantly damaged diseases. Prolonged inflammation may also lead hyposmia or anosmia. Although various agents induce different ways distinct cellular molecular interactions, has similar consequences on structure homeostatic function bulb (OB) first relay center for information brain. Atrophy OB occurs thinning superficial layers nerve layer, glomerular external plexiform layer. Intrabulbar circuits include connectivity between projection neurons, OSNs, interneurons become dysregulated synaptic pruning dendritic retraction take place. Furthermore, glial other immune hyperactivated results upregulated cytokine production. Moreover, many features present case SARS-CoV-2 infection. This review summarizes impact morphological physiological rodent OB.

Язык: Английский

Процитировано

28

Neutrophils play a major role in the destruction of the olfactory epithelium during SARS-CoV-2 infection in hamsters DOI Open Access

Clara Bourgon,

Audrey St Albin,

Ophélie Ando-Grard

и другие.

Cellular and Molecular Life Sciences, Год журнала: 2022, Номер 79(12)

Опубликована: Дек. 1, 2022

Язык: Английский

Процитировано

24

Inflammatory Response and Defects on Myelin Integrity in the Olfactory System of K18hACE2 Mice Infected with SARS-CoV-2 DOI Creative Commons
Eduardo Martín-López,

Bowen Brennan,

Tianyang Mao

и другие.

eNeuro, Год журнала: 2024, Номер 11(6), С. ENEURO.0106 - 24.2024

Опубликована: Июнь 1, 2024

Viruses, such as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), use epithelial cells an entry point for infection. Within the nasal cavity, olfactory epithelium (OE) is particularly sensitive to infections which may lead dysfunction. In patients suffering from disease 2019, deficits in olfaction have been characterized a distinctive symptom. Here, we used K18hACE2 mice study spread of SARS-CoV-2 infection and inflammation system (OS) after 7 d OE, found that selectively targeted supporting/sustentacular (SCs) macrophages lamina propria. brain, infected some microglial bulb (OB), there was widespread projection neurons OB, piriform cortex (PC), tubular striatum (TuS). Inflammation, indicated by both elevated numbers morphologically activated IBA1 + (monocyte/macrophage lineages), preferentially increased OE septum, while it homogeneously distributed throughout layers PC, TuS. Myelinated OS axonal tracts, lateral tract, anterior commissure, exhibited decreased levels 2′,3′-cyclic-nucleotide 3′-phosphodiesterase, indicative myelin defects. Collectively, our work supports hypothesis SC and, centrally, microglia subpopulations neurons. The observed areas central defects account long-lasting deficit.

Язык: Английский

Процитировано

3

Exploring the pathogenic and transmission characteristics of JN.1 in golden hamsters based on different attack methods DOI
Ruixue Liu, Fang Song, Li Sun

и другие.

Virology, Год журнала: 2025, Номер 608, С. 110548 - 110548

Опубликована: Апрель 17, 2025

Язык: Английский

Процитировано

0

Nose-to-brain drug delivery: from bench to bedside DOI Creative Commons

Isabell Drath,

Franziska Richter, Malte Feja

и другие.

Translational Neurodegeneration, Год журнала: 2025, Номер 14(1)

Опубликована: Май 19, 2025

Abstract There is increasing interest in nose-to-brain delivery as an innovative drug strategy for neurodegenerative disorders such Parkinson’s or Alzheimer’s disease. The unique anatomy of the nose-brain interface facilitates direct transport via olfactory and trigeminal pathways to brain, bypassing blood–brain barrier. Different administration techniques well advanced formulations like targeted nanoparticles thermoresponsive systems have been explored improve efficiency therapeutic efficacy. This review provides up-to-date perspective on this fast-developing field, discusses different studies safety pharmacokinetic properties. A thorough evaluation preclinical clinical reveals both promises challenges method, highlighting approved drugs treatment epilepsy migraine that successfully utilize intranasal routes. current landscape research critically discussed, a rationale provided ongoing optimize strategies.

Язык: Английский

Процитировано

0

SARS-CoV-2-Related Olfactory Dysfunction: Autopsy Findings, Histopathology, and Evaluation of Viral RNA and ACE2 Expression in Olfactory Bulbs DOI Creative Commons
Marco Dell’Aquila, Concetta Cafiero, Alessandra Micera

и другие.

Biomedicines, Год журнала: 2024, Номер 12(4), С. 830 - 830

Опубликована: Апрель 9, 2024

The COVID-19 pandemic has been a health emergency with significant impact on the world due to its high infectiousness. disease, primarily identified in lower respiratory tract, develops numerous clinical symptoms affecting multiple organs and displays finding of anosmia. Several authors have investigated pathogenetic mechanisms olfactory disturbances caused by SARS-CoV-2 infection, proposing different hypotheses showing contradictory results. Since uncertainties remain about possible virus neurotropism direct damage bulb, we expression as well ACE2 receptor transcripts autoptic lung bulb tissues, respect histopathological features.

Язык: Английский

Процитировано

1

Medicinal Plants for the Management of Post-COVID-19 Fatigue: a Literature Review on the Role and Mechanisms DOI Creative Commons
Yuanyuan Chen, Cheng Zhang, Yibin Feng

и другие.

Journal of Traditional and Complementary Medicine, Год журнала: 2024, Номер 15(1), С. 15 - 23

Опубликована: Май 23, 2024

COVID-19 infection has a lasting impact on human health, which is known as post-COVID-19 conditions. Fatigue one of the most commonly reported Management fatigue in era necessary and emerging. The use medicinal plants may provide strategy for management fatigue. A literature search been conducted by using PubMed, Embase Cochrane library databases performed studies published up to March 2024. Keywords, such "post-COVID-19 conditions, persistent symptoms, chronic COVID-19, long-term sequelae, fatigue, herbal plants, herbs, traditional Chinese medicine, pharmacological mechanisms, actions" are thoroughly searched Englsih Chinese. This study reviews pathophysiology potential managing Representative that have extensively investigated previous presented study. Three common mechanisms among studied with each mechanism having an example. latest clinical concerning also summarized. shows improving consuming plants.

Язык: Английский

Процитировано

1

Neuroinvasion and anosmia are independent phenomena upon infection with SARS-CoV-2 and its variants DOI Open Access
Guilherme Dias de Melo, Victoire Perraud, Flavio Alvarez

и другие.

bioRxiv (Cold Spring Harbor Laboratory), Год журнала: 2022, Номер unknown

Опубликована: Авг. 31, 2022

SUMMARY Anosmia was identified as a hallmark of COVID-19 early in the pandemic, however, with emergence variants concern, clinical profile induced by SARS-CoV-2 infection has changed, anosmia being less frequent. Here, we assessed clinical, olfactory and neuroinflammatory conditions golden hamsters infected original Wuhan strain, its isogenic ORF7-deletion mutant three variants: Gamma, Delta, Omicron/BA.1. We show that animals developed variant-dependent disease including anosmia, ORF7 contributes to induction dysfunction. Conversely, all SARS- CoV-2 were found be neuroinvasive, regardless presentation they induce. Taken together, this confirms neuroinvasion are independent phenomena upon infection. Using newly generated nanoluciferase-expressing SARS-CoV-2, validated pathway major entry point into brain vivo demonstrated vitro travels retrogradely anterogradely along axons microfluidic neuron-epithelial networks. Graphical abstract

Язык: Английский

Процитировано

4

Evidence for the spread of SARS-CoV-2 and olfactory cell lineage impairment in close-contact infection Syrian hamster models DOI Creative Commons
Rumi Ueha, Toshihiro Ito, Satoshi Ueha

и другие.

Frontiers in Cellular and Infection Microbiology, Год журнала: 2022, Номер 12

Опубликована: Окт. 21, 2022

Objectives Close contact with patients COVID-19 is speculated to be the most common cause of viral transmission, but pathogenesis by close remains elucidated. In addition, despite olfactory impairment being a unique complication COVID-19, impact SARS-CoV-2 on cell lineage has not been fully validated. This study aimed elucidate close-contact transmission nose and lungs investigate temporal damage in receptor neuron (ORN) caused SARS-CoV-2. Methods Syrian hamsters were orally administered nonvariant nCoV-19/JPN/TY/WK521/2020 as direct-infection models. On day 3 after inoculation, infected uninfected housed same cage for 30 minutes. These subsequently assigned group. First, presence was verified infection groups at several time points. Next, impacts epithelium, including progenitors, immature ORNs, mature ORNs examined histologically. Then, status chronological changes tissue compared between groups. Results group, could detected both 3, virus identified tissues 7. load highest decreased 7, no longer detectable 14. Histologically, depleted (p <0.001) showed recovery trend 14, similar trends progenitors ORNs. there obvious number all ORN cells significantly <0.001). Conclusion transmitted even brief subsequent epithelium lung occurred more than days trigger infection. The present also indicated that damages cells, this can begin recover approximately 14 post

Язык: Английский

Процитировано

2