Skip to main content
Erschienen in: Brain Structure and Function 3/2015

01.05.2015 | Original Article

Expression patterns of c-Fos early gene and phosphorylated ERK in the rat brain following 1-h immobilization stress: concomitant changes induced in association with stress-related sleep rebound

verfasst von: Fatemeh Keshavarzy, Chantal Bonnet, Gila Bezhadi, Raymond Cespuglio

Erschienen in: Brain Structure and Function | Ausgabe 3/2015

Einloggen, um Zugang zu erhalten

Abstract

An immobilization stress (IS) of 1 h applied at the beginning of the dark phase is followed by a sleep rebound. During the restraint, serotonin released by the dorsal raphe nucleus within the arcuate area stimulates the availability of corticotropin-like intermediate lobe peptide (CLIP or ACTH18-39). Three hours after the restraint, CLIP, through its hypnogenic properties, contributes to the sleep rebound that follows the IS. Here, we immunohistochemically evaluated protein expression of the immediate early gene, c-Fos and phosphorylated extracellular signal-regulated kinase (p-ERK) in hypothalamic (preoptic area [POA], paraventricular nucleus [PVN], arcuate nucleus [ARC]) and brain stem (dorsal raphe [DR], locus coeruleus [LC]) nuclei involved in the acute response to stress and the subsequent stress-related sleep rebound (recovery period). Immediately after the 1-h restraint, c-Fos and p-ERK expression increased in all structures studied, particularly in PVN and LC. Three hours later, the number of p-ERK- and c-Fos-positive neurons was reduced in PVN and LC (p < 0.001) as well as in DR (p < 0.01) compared to control animals. In contrast, both c-Fos and p-ERK expression in POA neurons (p < 0.01) and c-Fos expression in ARC neurons (p < 0.001) were increased 3 h after the IS. The marked activation observed in PVN and LC nucleus immediately after the IS confirms that these structures are clearly reactive to stress. However, the high activity observed in POA and ARC neurons during the recovery period, not described to date, highlights the particular part played by these structures in the stress-related sleep rebound. An unbalance in the above processes may contribute to pathological outcomes, such as anxiety and depression.
Literatur
Zurück zum Zitat Bonnet C, Leger L, Baubet V, Debilly G, Cespuglio R (1997) Influence of a 1 h immobilization stress on sleep states and corticotropin-like intermediate lobe peptide (CLIP or ACTH18-39, Ph-ACTH18-39) brain contents in the rat. Brain Res 751:54–63CrossRefPubMed Bonnet C, Leger L, Baubet V, Debilly G, Cespuglio R (1997) Influence of a 1 h immobilization stress on sleep states and corticotropin-like intermediate lobe peptide (CLIP or ACTH18-39, Ph-ACTH18-39) brain contents in the rat. Brain Res 751:54–63CrossRefPubMed
Zurück zum Zitat Briski K, Gillen E (2001) Differential distribution of Fos expression within the male rat preoptic area and hypothalamus in response to physical vs. psychological stress. Brain Res Bull 55:401–408CrossRefPubMed Briski K, Gillen E (2001) Differential distribution of Fos expression within the male rat preoptic area and hypothalamus in response to physical vs. psychological stress. Brain Res Bull 55:401–408CrossRefPubMed
Zurück zum Zitat Carrasco GA, Van de Kar LD (2003) Neuroendocrine pharmacology of stress. Eur J Pharmacol 463:235–272CrossRefPubMed Carrasco GA, Van de Kar LD (2003) Neuroendocrine pharmacology of stress. Eur J Pharmacol 463:235–272CrossRefPubMed
Zurück zum Zitat Cespuglio R, Marinesco S, Baubet V, Bonnet C, el Kafi B (1995) Evidence for a sleep-promoting influence of stress. Adv Neuroimmunol 5:145–154CrossRefPubMed Cespuglio R, Marinesco S, Baubet V, Bonnet C, el Kafi B (1995) Evidence for a sleep-promoting influence of stress. Adv Neuroimmunol 5:145–154CrossRefPubMed
Zurück zum Zitat Chowdhury GM, Fujioka T, Nakamura S (2000) Induction and adaptation of Fos expression in the rat brain by two types of acute restraint stress. Brain Res Bull 52:171–182CrossRefPubMed Chowdhury GM, Fujioka T, Nakamura S (2000) Induction and adaptation of Fos expression in the rat brain by two types of acute restraint stress. Brain Res Bull 52:171–182CrossRefPubMed
Zurück zum Zitat Cirelli C, Tononi G (2000a) On the functional significance of c-Fos induction during the sleep–waking cycle. Sleep 23:453–469PubMed Cirelli C, Tononi G (2000a) On the functional significance of c-Fos induction during the sleep–waking cycle. Sleep 23:453–469PubMed
Zurück zum Zitat Cirelli C, Tononi G (2000b) Gene expression in the brain across the sleep–waking cycle. Brain Res 885:303–321CrossRefPubMed Cirelli C, Tononi G (2000b) Gene expression in the brain across the sleep–waking cycle. Brain Res 885:303–321CrossRefPubMed
Zurück zum Zitat Cirelli C, Pompeiano M, Tononi G (1996) Neuronal gene expression in the waking state: a role for the locus coeruleus. Science 274:1211–1215CrossRefPubMed Cirelli C, Pompeiano M, Tononi G (1996) Neuronal gene expression in the waking state: a role for the locus coeruleus. Science 274:1211–1215CrossRefPubMed
Zurück zum Zitat Dentico D, Amici R, Baracchi F, Cerri M, Del Sindaco E, Luppi M, Martelli D, Perez E, Zamboni G (2009) c-Fos expression in preoptic nuclei as a marker of sleep rebound in the rat. Eur J Neurosci 30:651–661CrossRefPubMed Dentico D, Amici R, Baracchi F, Cerri M, Del Sindaco E, Luppi M, Martelli D, Perez E, Zamboni G (2009) c-Fos expression in preoptic nuclei as a marker of sleep rebound in the rat. Eur J Neurosci 30:651–661CrossRefPubMed
Zurück zum Zitat Descamps A, Cespuglio R (2010) Influence of aging on the sleep rebound induced by immobilization stress in the rat. Brain Res 1335:14–23CrossRefPubMed Descamps A, Cespuglio R (2010) Influence of aging on the sleep rebound induced by immobilization stress in the rat. Brain Res 1335:14–23CrossRefPubMed
Zurück zum Zitat Diaz-Ruiz O, Navarro L, Mendez-Diaz M, Galicia O, Elder JH, Sanna PP, Drucker-Colin R, Prospero-Garcia O (2001) Inhibition of the ERK pathway prevents HIVgp120-induced REM sleep increase. Brain Res 913:78–81CrossRefPubMed Diaz-Ruiz O, Navarro L, Mendez-Diaz M, Galicia O, Elder JH, Sanna PP, Drucker-Colin R, Prospero-Garcia O (2001) Inhibition of the ERK pathway prevents HIVgp120-induced REM sleep increase. Brain Res 913:78–81CrossRefPubMed
Zurück zum Zitat Garcia-Garcia F, Beltran-Parrazal L, Jimenez-Anguiano A, Vega-Gonzalez A, Drucker-Colin R (1998) Manipulations during forced wakefulness have differential impact on sleep architecture, EEG power spectrum, and Fos induction. Brain Res Bull 47:317–324CrossRefPubMed Garcia-Garcia F, Beltran-Parrazal L, Jimenez-Anguiano A, Vega-Gonzalez A, Drucker-Colin R (1998) Manipulations during forced wakefulness have differential impact on sleep architecture, EEG power spectrum, and Fos induction. Brain Res Bull 47:317–324CrossRefPubMed
Zurück zum Zitat Gonzalez MM, Debilly G, Valatx JL, Jouvet M (1995) Sleep increase after immobilization stress: role of the noradrenergic locus coeruleus system in the rat. Neurosci Lett 202:5–8CrossRefPubMed Gonzalez MM, Debilly G, Valatx JL, Jouvet M (1995) Sleep increase after immobilization stress: role of the noradrenergic locus coeruleus system in the rat. Neurosci Lett 202:5–8CrossRefPubMed
Zurück zum Zitat Grewal SS, York RD, Stork PJ (1999) Extracellular-signal-regulated kinase signalling in neurons. Curr Opin Neurobiol 9:544–553CrossRefPubMed Grewal SS, York RD, Stork PJ (1999) Extracellular-signal-regulated kinase signalling in neurons. Curr Opin Neurobiol 9:544–553CrossRefPubMed
Zurück zum Zitat Gvilia I, Xu F, McGinty D, Szymusiak R (2006a) Homeostatic regulation of sleep: a role for preoptic area neurons. J Neurosci 26:9426–9433CrossRefPubMed Gvilia I, Xu F, McGinty D, Szymusiak R (2006a) Homeostatic regulation of sleep: a role for preoptic area neurons. J Neurosci 26:9426–9433CrossRefPubMed
Zurück zum Zitat Gvilia I, Turner A, McGinty D, Szymusiak R (2006b) Preoptic area neurons and the homeostatic regulation of rapid eye movement sleep. J Neurosci 26:3037–3044CrossRefPubMed Gvilia I, Turner A, McGinty D, Szymusiak R (2006b) Preoptic area neurons and the homeostatic regulation of rapid eye movement sleep. J Neurosci 26:3037–3044CrossRefPubMed
Zurück zum Zitat Hegde P, Singh K, Chaplot S, Shankaranarayana Rao BS, Chattarji S, Kutty BM, Laxmi TR (2008) Stress-induced changes in sleep and associated neuronal activity in rat hippocampus and amygdala. Neuroscience 153:20–30CrossRefPubMed Hegde P, Singh K, Chaplot S, Shankaranarayana Rao BS, Chattarji S, Kutty BM, Laxmi TR (2008) Stress-induced changes in sleep and associated neuronal activity in rat hippocampus and amygdala. Neuroscience 153:20–30CrossRefPubMed
Zurück zum Zitat Imbe H, Murakami S, Okamoto K, Iwai-Liao Y, Senba E (2004) The effects of acute and chronic restraint stress on activation of ERK in the rostral ventromedial medulla and locus coeruleus. Pain 112:361–371CrossRefPubMed Imbe H, Murakami S, Okamoto K, Iwai-Liao Y, Senba E (2004) The effects of acute and chronic restraint stress on activation of ERK in the rostral ventromedial medulla and locus coeruleus. Pain 112:361–371CrossRefPubMed
Zurück zum Zitat Koehl M, Bouyer JJ, Darnaudery M, Le Moal M, Mayo W (2002) The effect of restraint stress on paradoxical sleep is influenced by the circadian cycle. Brain Res 937:45–50CrossRefPubMed Koehl M, Bouyer JJ, Darnaudery M, Le Moal M, Mayo W (2002) The effect of restraint stress on paradoxical sleep is influenced by the circadian cycle. Brain Res 937:45–50CrossRefPubMed
Zurück zum Zitat Kwon MS, Seo YJ, Shim EJ, Choi SS, Lee JY, Suh HW (2006) The effect of single or repeated restraint stress on several signal molecules in paraventricular nucleus, arcuate nucleus and locus coeruleus. Neuroscience 142:1281–1292CrossRefPubMed Kwon MS, Seo YJ, Shim EJ, Choi SS, Lee JY, Suh HW (2006) The effect of single or repeated restraint stress on several signal molecules in paraventricular nucleus, arcuate nucleus and locus coeruleus. Neuroscience 142:1281–1292CrossRefPubMed
Zurück zum Zitat Leger L, Goutagny R, Sapin E, Salvert D, Fort P, Luppi PH (2009) Noradrenergic neurons expressing Fos during waking and paradoxical sleep deprivation in the rat. J Chem Neuroana 37:149–157CrossRef Leger L, Goutagny R, Sapin E, Salvert D, Fort P, Luppi PH (2009) Noradrenergic neurons expressing Fos during waking and paradoxical sleep deprivation in the rat. J Chem Neuroana 37:149–157CrossRef
Zurück zum Zitat Lu J, Bjorkum AA, Xu M, Gaus SE, Shiromani PJ, Saper CB (2002) Selective activation of the extended ventrolateral preoptic nucleus during rapid eye movement sleep. J Neurosci 22:4568–4576PubMed Lu J, Bjorkum AA, Xu M, Gaus SE, Shiromani PJ, Saper CB (2002) Selective activation of the extended ventrolateral preoptic nucleus during rapid eye movement sleep. J Neurosci 22:4568–4576PubMed
Zurück zum Zitat Maloney KJ, Mainville L, Jones BE (1999) Differential c-Fos expression in cholinergic, monoaminergic, and GABAergic cell groups of the pontomesencephalic tegmentum after paradoxical sleep deprivation and recovery. J Neurosci 19(8):3057–3072PubMed Maloney KJ, Mainville L, Jones BE (1999) Differential c-Fos expression in cholinergic, monoaminergic, and GABAergic cell groups of the pontomesencephalic tegmentum after paradoxical sleep deprivation and recovery. J Neurosci 19(8):3057–3072PubMed
Zurück zum Zitat Marinesco S, Bonnet C, Cespuglio R (1999) Influence of stress duration on the sleep rebound induced by immobilization in the rat: a possible role for corticosterone. Neuroscience 92:921–933CrossRefPubMed Marinesco S, Bonnet C, Cespuglio R (1999) Influence of stress duration on the sleep rebound induced by immobilization in the rat: a possible role for corticosterone. Neuroscience 92:921–933CrossRefPubMed
Zurück zum Zitat Mercier S (2003) Behavioural changes after an acute stress: stressor and test type influences. Behav Brain Res 139:167–175CrossRefPubMed Mercier S (2003) Behavioural changes after an acute stress: stressor and test type influences. Behav Brain Res 139:167–175CrossRefPubMed
Zurück zum Zitat Palkovits M (2008) Stress-induced activation of neurons in the ventromedial arcuate nucleus: a blood–brain–CSF interface of the hypothalamus. Stress, Neurotransmitters, and Hormones. Ann N Y Acad Sci 1148:57–63CrossRefPubMed Palkovits M (2008) Stress-induced activation of neurons in the ventromedial arcuate nucleus: a blood–brain–CSF interface of the hypothalamus. Stress, Neurotransmitters, and Hormones. Ann N Y Acad Sci 1148:57–63CrossRefPubMed
Zurück zum Zitat Papale LA, Andersen ML, Antunes IB, Alvarenga TA, Tufik S (2005) Sleep pattern in rats under different stress modalities. Brain Res 1060:47–54CrossRefPubMed Papale LA, Andersen ML, Antunes IB, Alvarenga TA, Tufik S (2005) Sleep pattern in rats under different stress modalities. Brain Res 1060:47–54CrossRefPubMed
Zurück zum Zitat Pawlyk AC, Morrison AR, Ross RJ, Brennan FX (2008) Stress-induced changes in sleep in rodents: models and mechanisms. Neurosci Biobehav Rev 32:99–117CrossRefPubMedCentralPubMed Pawlyk AC, Morrison AR, Ross RJ, Brennan FX (2008) Stress-induced changes in sleep in rodents: models and mechanisms. Neurosci Biobehav Rev 32:99–117CrossRefPubMedCentralPubMed
Zurück zum Zitat Paxinos G, Watson C (2007) The rat brain in stereotaxic coordinates. Academic Press, San Diego Paxinos G, Watson C (2007) The rat brain in stereotaxic coordinates. Academic Press, San Diego
Zurück zum Zitat Pompeiano M, Cirelli C, Arrighi P, Tononi G (1995) c-Fos expression during wakefulness and sleep. Neurophysiol Clin 25:329–341CrossRefPubMed Pompeiano M, Cirelli C, Arrighi P, Tononi G (1995) c-Fos expression during wakefulness and sleep. Neurophysiol Clin 25:329–341CrossRefPubMed
Zurück zum Zitat Ramos JW (2008) The regulation of extracellular signal-regulated kinase (ERK) in mammalian cells. Int J Biochem Cell Biol 40:2707–2719CrossRefPubMed Ramos JW (2008) The regulation of extracellular signal-regulated kinase (ERK) in mammalian cells. Int J Biochem Cell Biol 40:2707–2719CrossRefPubMed
Zurück zum Zitat Rampin C, Cespuglio R, Chastrette N, Jouvet M (1991) Immobilisation stress induces a paradoxical sleep rebound in rat. Neurosci Lett 126:113–118CrossRefPubMed Rampin C, Cespuglio R, Chastrette N, Jouvet M (1991) Immobilisation stress induces a paradoxical sleep rebound in rat. Neurosci Lett 126:113–118CrossRefPubMed
Zurück zum Zitat Rioja J, Santin LJ, Dona A, de Pablos L, Minano FJ, Gonzalez-Baron S, Aguirre JA (2006) 5-HT1A receptor activation counteracts c-Fos immunoreactivity induced in serotonin neurons of the raphe nuclei after immobilization stress in the male rat. Neurosci Lett 397:190–195CrossRefPubMed Rioja J, Santin LJ, Dona A, de Pablos L, Minano FJ, Gonzalez-Baron S, Aguirre JA (2006) 5-HT1A receptor activation counteracts c-Fos immunoreactivity induced in serotonin neurons of the raphe nuclei after immobilization stress in the male rat. Neurosci Lett 397:190–195CrossRefPubMed
Zurück zum Zitat Sasaguri K, Kikuchi M, Hori N, Yuyama N, Onozuka M, Sato S (2005) Suppression of stress immobilization-induced phosphorylation of ERK 1/2 by biting in the rat hypothalamic paraventricular nucleus. Neurosci Lett 383:160–164CrossRefPubMed Sasaguri K, Kikuchi M, Hori N, Yuyama N, Onozuka M, Sato S (2005) Suppression of stress immobilization-induced phosphorylation of ERK 1/2 by biting in the rat hypothalamic paraventricular nucleus. Neurosci Lett 383:160–164CrossRefPubMed
Zurück zum Zitat Senba E, Ueyama T (1997) Stress-induced expression of immediate early genes in the brain and peripheral organs of the rat. Neurosci Res 29:183–207CrossRefPubMed Senba E, Ueyama T (1997) Stress-induced expression of immediate early genes in the brain and peripheral organs of the rat. Neurosci Res 29:183–207CrossRefPubMed
Zurück zum Zitat Shen CP, Tsimberg Y, Salvadore C, Meller E (2004) Activation of ERK and JNK MAPK pathways by acute swim stress in rat brain regions. BMC Neurosci 5:36CrossRefPubMedCentralPubMed Shen CP, Tsimberg Y, Salvadore C, Meller E (2004) Activation of ERK and JNK MAPK pathways by acute swim stress in rat brain regions. BMC Neurosci 5:36CrossRefPubMedCentralPubMed
Zurück zum Zitat Shimizu Y, Sugama S, Degiorgio LA, Cho BP, Joh TH (2004) Cell-type specific signal transduction and gene regulation via mitogen-activated protein kinase pathway in catecholaminergic neurons by restraint stress. Neuroscience 129:831–839CrossRefPubMed Shimizu Y, Sugama S, Degiorgio LA, Cho BP, Joh TH (2004) Cell-type specific signal transduction and gene regulation via mitogen-activated protein kinase pathway in catecholaminergic neurons by restraint stress. Neuroscience 129:831–839CrossRefPubMed
Zurück zum Zitat Stamp J, Herbert J (2001) Corticosterone modulates autonomic responses and adaptation of central immediate-early gene expression to repeated restraint stress. Neuroscience 107:465–479CrossRefPubMed Stamp J, Herbert J (2001) Corticosterone modulates autonomic responses and adaptation of central immediate-early gene expression to repeated restraint stress. Neuroscience 107:465–479CrossRefPubMed
Zurück zum Zitat Suchecki D, Tiba PA, Machado RB (2012) REM sleep rebound as an adaptive response to stressful situations. Front Neurol 3(41):1–12 Suchecki D, Tiba PA, Machado RB (2012) REM sleep rebound as an adaptive response to stressful situations. Front Neurol 3(41):1–12
Zurück zum Zitat Sullivan NR, Crane JW, Damjanoska KJ, Carrasco GA, D’Souza DN, Garcia F, Van de Kar LD (2005) Tandospirone activates neuroendocrine and ERK (MAP kinase) signaling pathways specifically through 5-HT1A receptor mechanisms in vivo. Naunyn Schmiedebergs Arch Pharmacol 371:18–26CrossRefPubMed Sullivan NR, Crane JW, Damjanoska KJ, Carrasco GA, D’Souza DN, Garcia F, Van de Kar LD (2005) Tandospirone activates neuroendocrine and ERK (MAP kinase) signaling pathways specifically through 5-HT1A receptor mechanisms in vivo. Naunyn Schmiedebergs Arch Pharmacol 371:18–26CrossRefPubMed
Zurück zum Zitat Tononi G, Cirelli C (2001) Modulation of brain gene expression during sleep and wakefulness: a review of recent findings. Neuropsychopharmacology 25:S28–S35CrossRefPubMed Tononi G, Cirelli C (2001) Modulation of brain gene expression during sleep and wakefulness: a review of recent findings. Neuropsychopharmacology 25:S28–S35CrossRefPubMed
Zurück zum Zitat Van Reeth O, Weibel L, Spiegel K, Leproult R, Dugovic C, Maccari S (2000) Interactions between stress and sleep: from basic research to clinical situations. Sleep Med Rev 4:201–219CrossRef Van Reeth O, Weibel L, Spiegel K, Leproult R, Dugovic C, Maccari S (2000) Interactions between stress and sleep: from basic research to clinical situations. Sleep Med Rev 4:201–219CrossRef
Zurück zum Zitat Vanhoutte P, Barnier JV, Guibert B, Pages C, Besson MJ, Hipskind RA, Caboche J (1999) Glutamate induces phosphorylation of Elk-1 and CREB, along with c-fos activation, via an extracellular signal-regulated kinase-dependent pathway in brain slices. Mol Cell Biol 19:136–146PubMedCentralPubMed Vanhoutte P, Barnier JV, Guibert B, Pages C, Besson MJ, Hipskind RA, Caboche J (1999) Glutamate induces phosphorylation of Elk-1 and CREB, along with c-fos activation, via an extracellular signal-regulated kinase-dependent pathway in brain slices. Mol Cell Biol 19:136–146PubMedCentralPubMed
Zurück zum Zitat Vazquez-Palacios G, Velazquez-Moctezuma J (2000) Effect of electric foot shocks, immobilization, and corticosterone administration on the sleep–wake pattern in the rat. Physiol Behav 71:23–28CrossRefPubMed Vazquez-Palacios G, Velazquez-Moctezuma J (2000) Effect of electric foot shocks, immobilization, and corticosterone administration on the sleep–wake pattern in the rat. Physiol Behav 71:23–28CrossRefPubMed
Zurück zum Zitat Vazquez-Palacios G, Retana-Marquez S, Bonilla-Jaime H, Velazquez-Moctezuma J (2004) Stress-induced REM sleep increase is antagonized by naltrexone in rats. Psychopharmacology 171:186–190CrossRefPubMed Vazquez-Palacios G, Retana-Marquez S, Bonilla-Jaime H, Velazquez-Moctezuma J (2004) Stress-induced REM sleep increase is antagonized by naltrexone in rats. Psychopharmacology 171:186–190CrossRefPubMed
Zurück zum Zitat Weinberg MS, Girotti M, Spencer RL (2007) Restraint-induced fra-2 and c-fos expression in the rat forebrain: relationship to stress duration. Neuroscience 150(2):478–486CrossRefPubMedCentralPubMed Weinberg MS, Girotti M, Spencer RL (2007) Restraint-induced fra-2 and c-fos expression in the rat forebrain: relationship to stress duration. Neuroscience 150(2):478–486CrossRefPubMedCentralPubMed
Zurück zum Zitat Xia Z, Dudek H, Miranti CK, Greenberg ME (1996) Calcium influx via the NMDA receptor induces immediate early gene transcription by a MAP kinase/ERK-dependent mechanism. J Neurosci 16:5 Xia Z, Dudek H, Miranti CK, Greenberg ME (1996) Calcium influx via the NMDA receptor induces immediate early gene transcription by a MAP kinase/ERK-dependent mechanism. J Neurosci 16:5
Metadaten
Titel
Expression patterns of c-Fos early gene and phosphorylated ERK in the rat brain following 1-h immobilization stress: concomitant changes induced in association with stress-related sleep rebound
verfasst von
Fatemeh Keshavarzy
Chantal Bonnet
Gila Bezhadi
Raymond Cespuglio
Publikationsdatum
01.05.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Brain Structure and Function / Ausgabe 3/2015
Print ISSN: 1863-2653
Elektronische ISSN: 1863-2661
DOI
https://doi.org/10.1007/s00429-014-0728-6

Weitere Artikel der Ausgabe 3/2015

Brain Structure and Function 3/2015 Zur Ausgabe

Leitlinien kompakt für die Neurologie

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Frühe Alzheimertherapie lohnt sich

25.04.2024 AAN-Jahrestagung 2024 Nachrichten

Ist die Tau-Last noch gering, scheint der Vorteil von Lecanemab besonders groß zu sein. Und beginnen Erkrankte verzögert mit der Behandlung, erreichen sie nicht mehr die kognitive Leistung wie bei einem früheren Start. Darauf deuten neue Analysen der Phase-3-Studie Clarity AD.

Viel Bewegung in der Parkinsonforschung

25.04.2024 Parkinson-Krankheit Nachrichten

Neue arznei- und zellbasierte Ansätze, Frühdiagnose mit Bewegungssensoren, Rückenmarkstimulation gegen Gehblockaden – in der Parkinsonforschung tut sich einiges. Auf dem Deutschen Parkinsonkongress ging es auch viel um technische Innovationen.

Demenzkranke durch Antipsychotika vielfach gefährdet

23.04.2024 Demenz Nachrichten

Wenn Demenzkranke aufgrund von Symptomen wie Agitation oder Aggressivität mit Antipsychotika behandelt werden, sind damit offenbar noch mehr Risiken verbunden als bislang angenommen.

Update Neurologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.