Genetic associations between intelligence and cortical thickness emerge at the start of puberty

Cognitive abilities are related to (changes in) brain structure during adolescence and adulthood. Previous studies suggest that associations between cortical thickness and intelligence may be different at different ages. As both intelligence and cortical thickness are heritable traits, the question arises whether the association between cortical thickness development and intelligence is due to genes influencing both traits. We study this association in a longitudinal sample of young twins. Intelligence was assessed by standard IQ tests at age 9 in 224 twins, 190 of whom also underwent structural magnetic resonance imaging (MRI). Three years later at age 12, 177/125 twins returned for a follow‐up measurement of intelligence/MRI scanning, respectively. We investigated whether cortical thickness was associated with intelligence and if so, whether this association was driven by genes. At age 9, there were no associations between cortical thickness and intelligence. At age 12, a negative relationship emerged. This association was mainly driven by verbal intelligence, and manifested itself most prominently in the left hemisphere. Cortical thickness and intelligence were explained by the same genes. As a post hoc analysis, we tested whether a specific allele (rs6265; Val66Met in the BDNF gene) contributed to this association. Met carriers showed lower intelligence and a thicker cortex, but only the association between the BDNF genotype and cortical thickness in the left superior parietal gyrus reached significance. In conclusion, it seems that brain areas contributing to (verbal) intellectual performance are specializing under the influence of genes around the onset of puberty. Hum Brain Mapp 35:3760–3773, 2014. © 2013 Wiley Periodicals, Inc .     

Emotional variability during mother–adolescent conflict interactions: Longitudinal links to adolescent disclosure and maternal control

The aim of this study was to examine relations of emotional variability during mother–adolescent conflict interactions in early adolescence with adolescent disclosure and maternal control in early and late adolescence. Data were used from 92 mother–adolescent dyads (M age T1 = 13.05; 65.20% boys) that were videotaped at T1 while discussing a conflict. Emotional variability was derived from these conflict interactions. Mothers also completed questionnaires at the start of the study (T1) and five years later (T6) on adolescent disclosure and maternal control. Path analysis showed that more emotional variability during conflict interactions in early adolescence was associated with higher levels of adolescent disclosure in early adolescence and with relative decreases in maternal control from early to late adolescence. More emotional variability of mother–adolescent dyads serves an important function in adaptively dealing with relational challenges that arise during adolescence.     

Clinical phenotype of patients with neuropathy associated with monoclonal gammopathy: a comparative study and a review of the literature

The objective of this study was to investigate if the clinical and electrophysiological phenotype of patients with polyneuropathy associated with IgM monoclonal gammopathy (IgM-PNP) is related to the presence of antibodies against gangliosides or myelin-associated glycoprotein (MAG). We compared clinical and nerve conduction study (NCS) characteristics of 11 IgM-PNP patients with antibodies against asialo-GM1 or gangliosides (GM1, GD1a, GD1b, GM2 or GQ1b) to 11 consecutive IgM-PNP patients with anti-MAG neuropathy and to 9 IgM-PNP patients without antibodies against either MAG or gangliosides. Patients with anti-ganglioside antibodies could not be differentiated from those with anti-MAG antibodies based on clinical characteristics. However, within the group of anti-ganglioside antibody positive patients, antibodies against GD1b and GQ1b were associated with a purely sensory neuropathy (p = 0.002), while asymmetric weakness with symmetric sensory loss was associated with anti-asialo-GM1 antibodies. In conclusion, polyneuropathy associated with IgM monoclonal gammopathy and anti-ganglioside antibodies clinically resembles anti-MAG neuropathy. Pure sensory neuropathy and marked asymmetry may suggest the presence of anti-ganglioside rather than anti-MAG antibodies.     

Follow-up of mesh complications using the IUGA/ICS category–time–site coding classification

Introduction

The International Urogynecological Association (IUGA) and the International Continence Society (ICS) developed a complication classification to facilitate international comparison and to improve our understanding of complications. This code was applied to surgical cases for the analysis of complications after mesh insertion.

Methods

The study included patients who had undergone vaginal prolapse repair with a trocar-guided polypropylene mesh between 2006 and 2010 in a Dutch peripheral hospital. Complications were assessed at secondary follow-up and classified using category (C), timing (T), and site (S) components (CTS).

Results

Of the 107 women included, 84 returned for secondary follow-up (response rate 80 %, median time after surgery 36 months, range 12–64). In 45 patients no complications occurred. In the remaining 39 patients, 43 complication codes were established. Six of the seven categories of complications were found at all different time codes. Concerning the site of the complication codes S1, S2, and S3 were applicable. Perioperative complications (6 %) included hemorrhage and bladder perforation. Six patients were reoperated for symptomatic mesh exposure or local pain. At secondary follow-up exposure was diagnosed in another 4 patients (12 %). In 36 % mesh wrinkling or shrinkage was discovered, although without complaints in most. Eight women had daily complaints or dyspareunia. Eighty-two percent of patients indicated strong improvement after surgery. Several limitations of the classification are discussed.

Conclusions

Despite limitations, the IUGA/ICS code is demonstrated to be useful in describing mesh complications. We advise the use of the CTS code at follow-up consultations after a minimum of 2 years for improved insight into and knowledge on the occurrence of complications.     

Braincase anatomy of Almadasuchus figarii (Archosauria,Crocodylomorpha) and a review of the cranial pneumaticity in the origins of Crocodylomorpha

Almadasuchus figarii is a basal crocodylomorph recovered from the Upper Jurassic levels of the Cañadón Calcáreo Formation (Oxfordian–Tithonian) of Chubut, Argentina. This taxon is represented by cranial remains, which consist of partial snout and palatal remains; an excellently preserved posterior region of the skull; and isolated postcranial remains. The skull of the only specimen of the monotypic Almadasuchus was restudied using high-resolution computed micro tomography. Almadasuchus has an apomorphic condition in its skull shared with the closest relatives of crocodyliforms (i.e. hallopodids) where the quadrates are sutured to the laterosphenoids and the otoccipital contacts the quadrate posterolaterally, reorganizing the exit of several cranial nerves (e.g. vagus foramen) and the entry of blood vessels (e.g. internal carotids) on the occipital surface of the skull. The endocast is tubular, as previously reported in thalattosuchians, but has a marked posterior step, and a strongly projected floccular recess as in other basal crocodylomorphs. Internally, the skull of Almadasuchus is heavily pneumatized, where different air cavities invade the bones of the suspensorium and braincase, both on its dorsal or ventral parts. Almadasuchus has a large basioccipital recess, which is formed by cavities that excavate the basioccipital and the posterior surface of the basisphenoid, and unlike other crocodylomorphs is connected with the basisphenoid pneumatizations. Ventral to the otic capsule, a pneumatic cavity surrounded by the otoccipital and basisphenoid is identified as the rhomboidal recess. The quadrate of Almadasuchus is highly pneumatized, being completely hollow, and the dorsal pneumatizations of the braincase are formed by the mastoid and facial antra, and a laterosphenoid cavity (trigeminal diverticulum). To better understand the origins of pneumatic features in living crocodylomorphs we studied cranial pneumaticity in the basal members of Crocodylomorpha and found that: (a) prootic pneumaticity may be a synapomorphy for the whole clade; (b) basisphenoid pneumaticity (pre-, postcarotid and rostral recesses) is a derived feature among basal crocodylomorphs; (c) quadrate pneumatization is acquired later in the history of the group; and (d) the rhomboidal sinus is a shared derived trait of hallopodids and crocodyliforms. The marine thallatosuchians exhibit a reduction of the pneumaticity of the braincase and this reduction is evaluated considering the two phylogenetic positions proposed for the clade.     

ATP-binding cassette transporters P-glycoprotein and breast cancer related protein are reduced in capillary cerebral amyloid angiopathy

Alzheimer's disease (AD) is the most common form of dementia and marked by deposition of amyloid-β (Aβ) within the brain. Alterations of Aβ transporters at the neurovasculature may play a role in the disease process. We investigated the expression of ABC transporters P-glycoprotein (P-gp) and breast cancer related protein (BCRP) in non-neurologic controls, AD, and severe capillary cerebral amyloid angiopathy (capCAA) cases, which are characterized by deposition of Aβ within cerebral capillaries. Our data show that microvascular expression of P-gp and BCRP is strikingly decreased in capCAA-affected vessels but not in AD and control samples. Messenger RNA levels of P-gp, but not of BCRP, were downregulated in brain endothelial cells on exposure to oligomeric Aβ42, but not fibrillar Aβ42 or Aβ40. Coincubating Aβ42 together with clusterin, an amyloid-associated protein highly expressed in capCAA-affected vessels, strongly reduced levels of P-gp. In conclusion, accumulation of Aβ, in combination with clusterin, within and around cerebral capillaries, may further aggravate the disease process in AD by affecting P-gp expression. Loss of P-gp expression or activity may serve as a selective biomarker for ongoing capCAA.     

Placebo effect in burning mouth syndrome: a systematic review

Placebo controls play a critical role in the evaluation of any pharmacotherapy. This review surveys the placebo arm in 12 randomized controlled trials (RCTs) investigating burning mouth syndrome (BMS) and documents a positive placebo response in 6 of them. On average, treatment with placebos produced a response that was 72% as large as the response to active drugs. The lack of homogeneity in the use of placebos adds to the difficulty in comparing results and aggregating data. Future RCTs investigating BMS would benefit from larger sample sizes, adequate follow‐up periods, and use of a standard placebo.