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Trofimov A, Agarkova D, Trofimova K, Lidji-Goryaev C, Atochin D, Bragin D. On Net Water Uptake in Posttraumatic Ischemia Foci. Adv Exp Med Biol 2023; 1425:629-634. [PMID: 37581836 DOI: 10.1007/978-3-031-31986-0_61] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
BACKGROUND The influence of cerebral edema and resultant secondary complications on the clinical outcome of traumatic brain injury (TBI) is well known. Clinical studies of brain water homeostasis dynamics in TBI are limited, which determines the relevance of our work. The purpose is to study changes in brain water homeostasis after TBI of varying severity compared to corresponding cerebral microcirculation parameters. MATERIALS This non-randomized retrospective single-center study complies with the Helsinki Declaration for patient's studies. The study included 128 patients with posttraumatic ischemia (PCI) after moderate-to-severe TBI in the middle cerebral artery territory who were admitted to the hospital between July 2015 and February 2022. PCI was evaluated by perfusion computed tomography (CT), and brain edema was determined using net water uptake (NWU) on baseline CT images. The patients were allocated according to Marshall's classification. Multivariate linear regression models were performed to analyze data. RESULTS NWU in PCI areas were significantly higher than in patients with its absence (8.1% vs. 4.2%, accordingly; p < 0.001). In the multivariable regression analysis, the mean transit time increase was significantly and independently associated with higher NWU (R2 = 0.089, p < 0.01). In the PCI zone, cerebral blood flow, cerebral blood volume, and time to peak were not significantly associated with NWU values (p > 0.05). No significant differences were observed between the NWU values in PCI foci in different Marshall groups (p = 0.308). CONCLUSION Marshall's classification does not predict the progression of posttraumatic ischemia. The blood passage delays through the cerebral microvascular bed is associated with brain tissue water content increase in the PCI focus.
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Affiliation(s)
- A Trofimov
- Department of Neurological Diseases, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - D Agarkova
- Department of Neurological Diseases, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - K Trofimova
- Department of Neurological Diseases, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - C Lidji-Goryaev
- Department of Neurological Diseases, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - D Atochin
- Cardiovascular Research Center, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - D Bragin
- Lovelace Biomedical Research Institute, Albuquerque, NM, USA
- Department of Neurology, University of New Mexico, School of Medicine, Albuquerque, NM, USA
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Smirnova D, Syunyakov T, Pavlichenko A, Bragin D, Fedotov I, Filatova V, Ignatenko Y, Kuvshinova N, Prokopenko E, Romanov D, Spikina A, Yashikhina A, Morozov P, Fountoulakis KN. Interactions between Anxiety Levels and Life Habits Changes in General Population during the Pandemic Lockdown: Decreased Physical Activity, Falling Asleep Late and Internet Browsing about COVID-19 Are Risk Factors for Anxiety, whereas Social Media Use Is not. Psychiatr Danub 2021; 33:119-129. [PMID: 34559790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
BACKGROUND The COVID-19 pandemic has substantially contributed to increased anxiety rates among the general population worldwide. Pandemic-related health anxiety and worries about getting COVID-19 can lead to generalized anxiety and anxiety somatization, which, together with insalubrious daily life habits, are risk factors of worsening somatic health in people with SARS-Cov-2 infection. SUBJECTS AND METHODS The current study is a part of the COMET-G project (40 countries, n=55589; approved by the Ethics Committee of the Aristotle University of Thessaloniki), which represents an intermediate analysis of data collected anonymously via online links from a national sample of the Russian general population (n=9936, 31.09±12.16 y.o., 58.7% females) to estimate anxiety using STAI-S and self-reported changes in anxiety and life habits (physical activity, nutrition and weight, internet use, sleep) during the lockdown. All statistical calculations (descriptive statistics, between group comparisons using chi-square test, MANOVA, ANOVA, significant at p<0.05) were performed with IBM SPSS 27. RESULTS Overall STAI-S scores were 29±5.4, a subjective feeling of anxiety increase was reported in 40.3% of respondents (43.9% significantly > in females), worsening to clinical anxiety in 2.1% (2.4% > in females). 54.2% of respondents reported decreased physical activity, 33.1% gained weight, 72% used internet more often, 52.6% experienced worries related to the information about COVID-19 (56.8% > in females). 88% experienced worsened sleep quality, 69.2% stayed up until late, 23.2% took sleeping pills, and 31% had nightmares in which they felt trapped. To ANOVA, such life habits as reduced physical activity during the lockdown, increased time spent online, internet browsing about COVID-19, tendency to stay up late, use of sleeping pills and disturbing dreams with scenario of being trapped were significantly related to worsening of clinical anxiety. However, eating behaviour, weight changes, and social media use did not contribute to the clinical anxiety increase. CONCLUSIONS Factors of decreased physical activity and sleep disturbances related to the lockdown, as well as excessive internet browsing for information about COVID-19, emerged as risk factors for increased anxiety, more notably in women than in men. Preventive measures should be targeted against relevant factors imparting anxiety in the vulnerable population.
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Affiliation(s)
- Daria Smirnova
- International Centre for Education and Research in Neuropsychiatry & Department of Psychiatry, Narcology, Psychotherapy and Clinical Psychology, Samara State Medical University, 18 Gagarina Street, 443079 Samara, Russia,
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Semyachkina-Glushkovskaya O, Klimova M, Iskra T, Bragin D, Abdurashitov A, Dubrovsky A, Khorovodov A, Terskov A, Blokhina I, Lezhnev N, Vinnik V, Agranovich I, Mamedova A, Shirokov A, Navolokin N, Khlebsov B, Tuchin V, Kurths J. Transcranial Photobiomodulation of Clearance of Beta-Amyloid from the Mouse Brain: Effects on the Meningeal Lymphatic Drainage and Blood Oxygen Saturation of the Brain. Adv Exp Med Biol 2021; 1269:57-61. [PMID: 33966195 PMCID: PMC9128840 DOI: 10.1007/978-3-030-48238-1_9] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Here, we demonstrate the therapeutic effects of transcranial photobiomodulation (tPBM, 1267 nm, 32 J/cm2, a 9-day course) in mice with the injected model of Alzheimer's disease (AD) associated with accumulation of beta-amyloid (Aβ) in the brain resulting in neurocognitive deficit vs. the control group (CG) (the neurological severity score (NNS), AD 3.67 ± 0.58 vs. CG 1.00 ± 0.26%, p < 0.05) and mild cerebral hypoxia (AD 72 ± 6% vs. CG 97 ± 2%, p < 0.001). The course of tPBM improved neurocognitive status of mice with AD (NNS, AD 2.03 ± 0.14 vs. CG 1.00 ± 0.26, vs. 2.03 ± 0.14, p < 0.05) due to stimulation of clearance of Aβ from the brain via the meningeal lymphatic vessels (the immunohistochemical and confocal data) and an increase in blood oxygen saturation of the brain tissues (the pulse oximetry data) till 85 ± 2%, p < 0.05. These results open breakthrough strategies for non-pharmacological therapy of AD and clearly demonstrate that tPBM might be a promising therapeutic target for preventing or delaying AD based on stimulation of oxygenation of the brain tissues and activation of clearance of toxic molecules via the cerebral lymphatics.
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Affiliation(s)
| | - M Klimova
- Saratov State University, Saratov, Russia
| | - T Iskra
- Saratov State University, Saratov, Russia
| | - D Bragin
- Lovelace Biomedical Research Institute, Albuquerque, NM, USA
- University of New Mexico School of Medicine, Departments of Neurology and Neurosurgery, Albuquerque, NM, USA
| | | | | | | | - A Terskov
- Saratov State University, Saratov, Russia
| | - I Blokhina
- Saratov State University, Saratov, Russia
| | - N Lezhnev
- Saratov State University, Saratov, Russia
| | - V Vinnik
- Saratov State University, Saratov, Russia
| | | | - A Mamedova
- Saratov State University, Saratov, Russia
| | - A Shirokov
- Institute of Biochemistry and Physiology of Plants and Microorganisms, Russian Academy of Sciences, Saratov, Russia
| | - N Navolokin
- Saratov State Medical University, Saratov, Russia
| | - B Khlebsov
- Institute of Biochemistry and Physiology of Plants and Microorganisms, Russian Academy of Sciences, Saratov, Russia
| | - V Tuchin
- Saratov State University, Saratov, Russia
| | - J Kurths
- Saratov State University, Saratov, Russia
- Humboldt University, Physics Department, Berlin, Germany
- Potsdam Institute for Climate Impact Research, Potsdam, Germany
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Semyachkina-Glushkovskaya O, Bragin D, Bragina O, Yang Y, Abdurashitov A, Esmat A, Khorovodov A, Terskov A, Klimova M, Agranovich I, Blokhina I, Shirokov A, Navolokin N, Tuchin V, Kurths J. Mechanisms of Sound-Induced Opening of the Blood-Brain Barrier. Adv Exp Med Biol 2021; 1269:197-202. [PMID: 33966217 PMCID: PMC9131853 DOI: 10.1007/978-3-030-48238-1_31] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
The blood-brain barrier (BBB) poses a significant challenge for drug delivery to the brain. The limitations of our knowledge about the nature of BBB explain the slow progress in the therapy of brain diseases and absence of methods for drug delivery to the brain in clinical practice. Here, we show that the BBB opens for high-molecular-weight compounds after exposure to loud sound (100 dB 370 Hz) in rats. The role of stress induced by loud sound and the systemic and molecular mechanisms behind it are discussed in the framework of the BBB. This opens an informative platform for novel fundamental knowledge about the nature of BBB and for the development of a noninvasive brain drug delivery technology.
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Affiliation(s)
| | - D Bragin
- Lovelace Biomedical Research Institute, Albuquerque, NM, USA
- University of New Mexico School of Medicine, Departments of Neurology andNeurosurgery, Albuquerque, NM, USA
| | - O Bragina
- Lovelace Biomedical Research Institute, Albuquerque, NM, USA
| | - Y Yang
- University of New Mexico, College of Pharmacy, Albuquerque, NM, USA
| | | | - A Esmat
- Saratov State University, Saratov, Russia
| | | | - A Terskov
- Saratov State University, Saratov, Russia
| | - M Klimova
- Saratov State University, Saratov, Russia
| | | | - I Blokhina
- Saratov State University, Saratov, Russia
| | - A Shirokov
- Institute of Biochemistry and Physiology of Plants and Microorganisms, Russian Academy of Sciences, Saratov, Russia
| | - N Navolokin
- Saratov State Medical University, Saratov, Russia
| | - V Tuchin
- Saratov State University, Saratov, Russia
| | - J Kurths
- Saratov State University, Saratov, Russia
- Humboldt University, Physics Department, Berlin, Germany
- Potsdam Institute for Climate Impact Research, Potsdam, Germany
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Semyachkina-Glushkovskaya O, Esmat A, Bragin D, Bragina O, Shirokov AA, Navolokin N, Yang Y, Abdurashitov A, Khorovodov A, Terskov A, Klimova M, Mamedova A, Fedosov I, Tuchin V, Kurths J. Phenomenon of music-induced opening of the blood-brain barrier in healthy mice. Proc Biol Sci 2020; 287:20202337. [PMID: 33323086 PMCID: PMC7779516 DOI: 10.1098/rspb.2020.2337] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 11/18/2020] [Indexed: 12/16/2022] Open
Abstract
Music plays a more important role in our life than just being an entertainment. For example, it can be used as an anti-anxiety therapy of human and animals. However, the unsafe listening of loud music triggers hearing loss in millions of young people and professional musicians (rock, jazz and symphony orchestra) owing to exposure to damaging sound levels using personal audio devices or at noisy entertainment venues including nightclubs, discotheques, bars and concerts. Therefore, it is important to understand how loud music affects us. In this pioneering study on healthy mice, we discover that loud rock music below the safety threshold causes opening of the blood-brain barrier (OBBB), which plays a vital role in protecting the brain from viruses, bacteria and toxins. We clearly demonstrate that listening to loud music during 2 h in an intermittent adaptive regime is accompanied by delayed (1 h after music exposure) and short-lasting to (during 1-4 h) OBBB to low and high molecular weight compounds without cochlear and brain impairments. We present the systemic and molecular mechanisms responsible for music-induced OBBB. Finally, a revision of our traditional knowledge about the BBB nature and the novel strategies in optimizing of sound-mediated methods for brain drug delivery are discussed.
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Affiliation(s)
- O. Semyachkina-Glushkovskaya
- Department of Physics, Humboldt University, Newtonstrasse 15, 12489 Berlin, Germany
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - A. Esmat
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - D. Bragin
- Lovelace Biomedical Research Institute, Albuquerque, NM 87108, USA
- Department of Neurosurgery, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA
| | - O. Bragina
- Lovelace Biomedical Research Institute, Albuquerque, NM 87108, USA
| | - A. A. Shirokov
- Department of Physics, Humboldt University, Newtonstrasse 15, 12489 Berlin, Germany
- Institute of Biochemistry and Physiology of Plants and Microorganisms, Russian Academy of Sciences, Prospekt Entuziastov 13, Saratov 410049, Russian Federation
| | - N. Navolokin
- Department of Physics, Humboldt University, Newtonstrasse 15, 12489 Berlin, Germany
- Department of Anatomy, Saratov State Medical University, Bolshaya Kazachaya Strasse 112, Saratov 410012, Russia
| | - Y. Yang
- College of Pharmacy, University of New Mexico, Albuquerque, NM 87131, USA
| | - A. Abdurashitov
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - A. Khorovodov
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - A. Terskov
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - M. Klimova
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - A. Mamedova
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - I. Fedosov
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
| | - V. Tuchin
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
- Laboratory of Biophotonics, Tomsk State University, 36 Lenin's Ave., Tomsk 634050, Russia
- Institute of Precision Mechanics and Control of RAS, Rabochaya Strasse 24, Saratov 410028, Russia
| | - J. Kurths
- Department of Physics, Humboldt University, Newtonstrasse 15, 12489 Berlin, Germany
- Department of Biology, Saratov State University, Astrakhanskaya Strasse 83, Saratov 410012, Russia
- Potsdam Institute for Climate Impact Research, Telegrafenberg A31, 14473 Potsdam, Germany
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Bragin D, Bragina O, Statom G, Hagberg S, Nemoto E. P309 Pulsed electromagnetic field (PEMF) improves microcirculation and reduces hypoxia and neuronal death in a hypertensive rat brain. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2016.10.416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Bragin D, Bragina O, Statom G, Nemoto E. P033 Transcranial direct current stimulation in a mouse model of traumatic brain injury. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2016.10.161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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