Acupuncture and related therapies for poststroke insomnia: A protocol for systematic review and network meta-analysis

Objective:To compare and evaluate the clinical effects on patients with poststroke insomnia of various acupuncture and acupuncture-related therapies.Methods:In order to analyze the direct and indirect evidence from related studies, we used network meta-analysis (NMA). In order to collect randomized controlled trials (RCTs) of acupuncture and related therapies in the treatment of poststroke insomnia, 3 English and 4 Chinese databases were searched. After 2 researchers independently screened the literature, extracted the information, and assessed the probability of bias in the included studies, the data was analyzed using Stata15.0 and WinBUGS1.4.3 software.Results:Based on the existing data, the pros and cons of different acupuncture-related therapies are compared extensively, the effectiveness of different acupuncture-related therapies is ranked compared to drugs with hypnotic effect in poststroke insomnia care, and the best methods or combinations of acupuncture intervention are summarized.Conclusion:This study will provide new evidence for the safety and effectiveness of acupuncture-related therapies in the treatment of poststroke insomnia, and may be helpful for clinicians, poststroke insomnia patients, and clinical guideline makers to choose the optimal combination of acupuncture for the treatment of poststroke insomnia.Registration Number:INPLASY202120028.     

International multicenter international sensitivity index (ISI) calibration of a new human tissue factor thromboplastin reagent derived from cultured human cells

Summary.  The international sensitivity index (ISI) of the first working standard of Simplastin HTF, a new human tissue factor thromboplastin derived from cultured human cells, has been assessed in a calibration exercise in two Canadian and five European laboratories. Calibrations against international reference preparations (IRP) were performed for the manual method and six types of automated coagulometers that cover the majority of clotting endpoint principles in routine use. The ISI was method-dependent and varied between 1.03 and 1.29 when calibrated against rTF/95 (human IRP). The ISI was also dependent on the route of calibration. Compared with calibration against rTF/95, the ISIs obtained by calibration against RBT/90 (rabbit IRP) were on average 4.4% higher ( P  < 0.005). Considering the principle of 'like vs. like', the ISIs obtained by calibration against rTF/95 should be preferred.     

Sensitivity of the acoustic startle response and neurons in subnuclei of the mouse inferior colliculus to stimulus parameters

Stimulus frequency, intensity, interstimulus interval, and risetime were evaluated for their influence on the acoustic startle reflex, determined by behavioral and EMG techniques, and on the activity of multiple-unit clusters in subdivisions of the mouse inferior colliculus. Tones of 5, 10, and 20 kHz were capable of eliciting the startle response when presented at 80-dB SPL intensities, 5-ms rise time, and variable intervals. The most effective frequency was 10 kHz. Changing the parameters to either 70 dB SPL, 20-ms rise time, or fixed intervals each resulted in a reduced startle response. Discharge rates of most unit clusters in the ventrolateral division of the central nucleus were not reduced under these conditions. By contrast, many clusters in the pericentral and external nuclei showed reduced responsiveness to fixed interval schedules and 20-ms rise time. Some correspondence between the limited effectiveness of 20-kHz tones in eliciting the startle response and the relatively poor 20-kHz responses of neurons in the pericentral and external nuclei was noted. In general, increasing stimulus intensity from 70 to 80 dB produced an increase in the number of discharges evoked in all inferior colliculus subdivision. It is proposed that a pathway mediating the acoustic startle response is likely to include a projection from the ventrolateral division to the pericentral and/or external nuclei and ultimately to motor neurons.     

Common synaptic connections to epileptic and normal neurons

A normal and an epileptic firing neuron were recorded simultaneously from within a chronic epileptic focus. The cross-correlation histogram demonstrated that they received some common synaptic input even though their patterns of firing were markedly different.     

Purkinje cell activity during classical eyeblink conditioning in decerebrate guinea pigs

Purkinje cells are the sole output from the cerebellar cortex and play a critical role during classical eyeblink conditioning. The present study revealed for the first time a learning-related change in individual Purkinje cell activity during successive eyeblink conditioning in decerebrate guinea pigs which permitted continuous single unit recording from the simplex lobe of the cerebellar cortex. The pair-conditioned group received paired presentation of the conditioned stimulus (CS) and unconditioned stimulus (US) until the frequency of the conditioned response (CR) exceeded 80%. The control group received a comparable number of the CS and US in a pseudorandom fashion. Responses of Purkinje cells to the CS were classified into four types: excitatory, inhibitory, a combination of the two, or no response. Approximately half of the recorded cells from both groups changed their response type at various conditioning stages. The firing frequency of a Purkinje cell to the CS showed a tendency to decrease in the pair-conditioned group, while it had a tendency to increase in the pseudoconditioned group. This learning-related difference in change of response type was attributable to a difference in the change between the no response and the inhibitory response types. Correlation analysis of the temporal pattern between the neural activity and the CR revealed that most of the cells that developed an inhibitory response by paired conditioning acquired the CR-related temporal pattern. These results suggest that the learning-related Purkinje cells gain an inhibitory response with a temporal pattern correlated with the CR topography.     

Effects of ZD7288 on firing pattern of thermosensitive neurons isolated from hypothalamus

The role of the hyperpolarization-activated current (Ih) mediated by HCN channels in temperature sensing by the hypothalamus was addressed. In warm-sensitive neurons (WSNs), exposure to ZD7288, an inhibitor of Ih mediated by hyperpolarization-activated cyclic nucleotide-gated (HCN) channels, decreased their action potential amplitudes and frequencies significantly. By contrast, ZD7288 had little or no effect on temperature-insensitive neurons (TINs). Exposure of WSNs to ZD7288 led to a significant increase in the duration of the inter-spike interval and a reduction of Ih irreversibly. These results suggest that ZD7288 have the contrasting effects on the firing patterns of WSNs versus TINs, which implies HCN channels play a central role in temperature sensing by hypothalamic neurons.     

Neocortical disruption and behavioral impairments in rats following in utero RNAi of candidate dyslexia risk gene Kiaa0319

Within the last decade several genes have been identified as candidate risk genes for developmental dyslexia. Recent research using animal models and embryonic RNA interference (RNAi) has shown that a subset of the candidate dyslexia risk genes--DYX1C1, ROBO1, DCDC2, KIAA0319--regulate critical parameters of neocortical development, such as neuronal migration. For example, embryonic disruption of the rodent homolog of DYX1C1 disrupts neuronal migration and produces deficits in rapid auditory processing (RAP) and working memory--phenotypes that have been reported to be associated with developmental dyslexia. In the current study we used a modified prepulse inhibition paradigm to assess acoustic discrimination abilities of male Wistar rats following in utero RNA interference targeting Kiaa0319. We also assessed spatial learning and working memory using a Morris water maze (MWM) and a radial arm water maze. We found that embryonic interference with this gene resulted in disrupted migration of neocortical neurons leading to formation of heterotopia in white matter, and to formation of hippocampal dysplasia in a subset of animals. These animals displayed deficits in processing complex acoustic stimuli, and those with hippocampal malformations exhibited impaired spatial learning abilities. No significant impairment in working memory was detected in the Kiaa0319 RNAi treated animals. Taken together, these results suggest that Kiaa0319 plays a role in neuronal migration during embryonic development, and that early interference with this gene results in an array of behavioral deficits including impairments in rapid auditory processing and simple spatial learning.     

Task-dependent activation of distinct fast and slow(er) motor pathways during motor imagery

Background

Motor imagery and actual movements share overlapping activation of brain areas but little is known about task-specific activation of distinct motor pathways during mental simulation of movements. For real contractions, it was demonstrated that the slow(er) motor pathways are activated differently in ballistic compared to tonic contractions but it is unknown if this also holds true for imagined contractions.

Skellam process with resetting: a neural spike train model

This paper introduces the Skellam process with resetting. Resetting is a modification that accommodates the modeling of neural spike trains. We show this as a biologically plausible model, which codes the information content of neural spike trains with three, potentially, time‐varying functions. We show that the interspike interval distribution under this model follows a mixture of gamma distributions, a flexible class covering a wide range of commonly used models. Through simulation studies and the analyses of connected retinal ganglion and lateral geniculate nucleus cells, we evaluate the performance of this model. Copyright © 2016 John Wiley & Sons, Ltd.