By exploiting the concept of emergent network properties and the hierarchical nature of networks, we have constructed several levels of models facilitating the investigations of issues in the area of respiratory neural control. The first of such models is an intracellular second messenger pathway model, which has been shown to be an important contributor to intracellular calcium metabolism and mediate responses to neuromodulators such as serotonin. At the next level, we have constructed new single neuron models of respiratory-related neurons (e.g. the pre-Btzinger complex neuron and the Hypoglossal motoneuron), where the electrical activities of the neurons are linked to intracellular mechanisms responsible for chemical homeostasis. Beyond the level of individual neurons, we have constructed models of neuron populations where the effects of different component neurons, varying strengths and types of inter-neuron couplings, as well as network topology are investigated. Our results from these simulation studies at different structural levels are in line with experiment observations. The small-world topology, as observed in previous anatomical studies, has been shown here to support rhythm generation along with a variety of other network-level phenomena. The interactions between different inter-neuron coupling types simultaneously manifesting at time-scales orders of magnitude apart suggest possible explanations for variations in the outputs measured from the XII rootlet in experiments. In addition, we have demonstrated the significance of pacemakers, along with the importance of considering neuromodulations and second-messenger pathways in an attempt to understand important physiological functions such as breathing activities.

Made available in DSpace on 2014-12-17T14:44:17Z (GMT). No. of bitstreams: 1 GertrudesNM_DISSERT.pdf: 3164686 bytes, checksum: e4de9859908d8c6840498816188878f8 (MD5) Previous issue date: 2013-02-28 / The fluctuacion force has been increasingly used in studies with elderly as a good predictor of performance and functionality of the motor. However, most analyzes the fluctuation of force in one session. Thus, identifying the minimum amount of sessions needed for familiarization with the fluctuation strength in isometric exercise become relevant. Furthermore, to investigate the effects of applying transcranial direct current stimulation (tDCS) associated with regular exercise on rates fluctuation task force is extremely important. In the first experiment, volunteers were subjected to a protocol marked by a familiarization session to establish the parameters of VCM and eight sessions with intensity of 30% MVC in office. It was observed that two familiarization sessions are required so there is a fluctuation stabilizing force. In experiment II, subjects performed an isometric contraction before and after applying tDCS (cathode, anode and sham) applied to M1. ETCC anodic effectively contributed to reducing the fluctuation of force during isometric exercise in the elderly, while the cathodic caused the increased levels of strength fluctuation. It was concluded that there is a need to implement a familiarization protocol with at least two sessions to avoid possible misunderstandings of measurements in tests of fluctuacion force. Besides that tDCS interfered with the behavior of the oscillations of force, with cathodic promoting increased fluctuation strength and anodic contributed to greater stability, demonstrating the potential of this technique neuromodulation associated with exercise as rehabilitation tools / A flutua??o de for?a tem sido cada vez mais utilizada em estudos com idosos como um bom preditor de desempenho e funcionalidade da motricidade. No entanto, a maioria analisa a flutua??o de for?a em sess?o ?nica. Assim, identificar a quantidade de sess?es m?nimas necess?rias para a familiariza??o ao teste de flutua??o de for?a em exerc?cio isom?trico tornar-se pertinente. Al?m disso, investigar os efeitos da aplica??o da Estimula??o Transcraniana por Corrente Cont?nua (ETCC) associada ? pr?tica regular de exerc?cio sobre os ?ndices de flutua??o de for?a ? tarefa de extrema relev?ncia. No experimento I, volunt?rias foram submetidas a um protocolo de familiariza??o marcado por uma sess?o para estabelecer os par?metros de CVM e oito sess?es com intensidade de 30%CVM em exerc?cio. Observou-se que duas sess?es de familiariza??o s?o necess?rias para que haja uma estabiliza??o da flutua??o de for?a. No experimento II, volunt?rias realizaram uma contra??o isom?trica antes e ap?s a aplica??o de ETCC (cat?dica, an?dica e sham) aplicada ao M1. ETCC an?dica contribuiu efetivamente para a redu??o da flutua??o de for?a em idosos durante exerc?cio isom?trico, enquanto que a cat?dica provocou o aumento dos ?ndices de flutua??o de for?a. Concluiu-se que h? a necessidade de aplica??o de um protocolo de familiariza??o com pelo menos duas sess?es para que sejam evitados equ?vocos de mensura??es em testes de avalia??o da flutua??o de for?a. Al?m de que a ETCC interferiu no comportamento das oscila??es de for?a, com cat?dica promovendo aumento da flutua??o de for?a e a an?dica contribuiu para uma maior estabilidade, demonstrando o potencial dessa t?cnica de neuromodula??o associada ao exerc?cio como ferramentas de reabilita??o

To survive, animals must adapt to a complex and challenging world in a way that is flexible and responsive, while maintaining internal homeostasis. Neuromodulators provide a means to systemically alter behavioral or physiological state based on intrinsic or extrinsic cues, however dysregulated neuroendocrine signaling has negative consequences for fitness and survival. Here I examine neuroendocrine function and dysfunction using the escape response in Caenorhabditis elegans. The RFamide neuropeptide FLP-18 is a co-transmitter with the monoamine tyramine and functions both synergistically and antagonistically to tyramine in coordinating escape behavior. Using behavioral analysis and calcium imaging, I show that FLP-18 functions primarily through the G-protein coupled receptor (GPCR) NPR-5 to increase calcium levels in muscle, enhancing locomotion rate, bending and reversal behavior during the escape response. Furthermore, I examine the relationship between persistent acute stress and resilience using repeated activation of the escape response as a model of neuroendocrine dysregulation. Repeated activation of the escape response shortens lifespan and renders animals more susceptible to thermal, oxidative, and nutritional stress. Tyramine release is necessary and sufficient for this effect and activity of the tyraminergic RIM neurons is differentially regulated by acute versus long-term stressors. Impaired stress resistance requires both the GPCR TYRA-3 in the intestine and intestinal neuropeptide release. Activation of the insulin receptor DAF-2 is downstream of TYRA-3 and inhibits the transcription factors DAF-16/FOXO, SKN-1/Nrf2 and HSF-1, linking monoamine signaling in acute stress to the insulin signaling pathway and impaired resilience to long-term stressors.

<div>The present thesis was completed to satisfy two functions in our laboratory: (1) explore carbon-black (CB) as an additive for electrodeposited intrinsically conductive polymers (ICPs) to improve electrical properties across the electrode-electrolyte interface for use in neuromodulation; and (2) design a histology protocol that will analyze peripheral nerve system (PNS) tissue following implantation of conventional metal and modified conventional metal electrodes with the ICP poly(3,4-ethylenedioxythiophere):poly(styrenesulfonate)/carbon-black (PEDOT:PSS/CB). It would appear that the functions explored may seem unrelated, however, these two topics play a crucial role in designing a viable electrode for use in acute and chronic neuromodulation and the subsequent analysis required to determine the mechanical properties and overall biocompatibility of design.</div><div><br></div><div><div>A series of experiments with different PEDOT:PSS solutions containing varying amounts of suspended CB (n=19; 0 mg/mL to 2 mg/mL) were explored. Solutions were characterized using cyclic voltammetry (CV) using the intended electrode for deposition, composed of stainless steel (SS), as the working electrode (WE) to determine respective redox potentials. SS was chosen because of its inherently bad electrochemical properties, meaning that improved functionality post electrodeposition would be easy to identify. Immediately following CV, stainless-steel electrodes were electrodeposited using one of two techniques: (1) potentiostat, allowing the cell to rest at the redox potential required for bipolaron formation (0.9 V); or (2) galvanostat, where the electrode was submitted to a constant current of 200 mA and allowed to coat. Rapid electrochemical impedance spectroscopy was performed prior to and immediately following coating to determine the pre-electrochemical and post-electrochemical impedance characteristics. Results indicate that there was a positive relationship between the amount of CB additive and the relative impedance drop between the uncoated and coated counterparts. Furthermore, the modified electrochemical interfaces are substantially improved for use in frequency ranges of 10 Hz to 50 kHz, which encompass the ranges of our labs recently discovered low frequency alternating current (LFAC) for use in neuromodulation; thus indicating that PEDOT:PSS/CB modification may be used to improve impedance characteristics during our future LFAC experiments. This protocol, the one that contains the ideal concentration of carbon-black, was then recorded and will be used in our lab.</div></div><div><br></div><div><div>Histology protocols were developed to improve our labs capabilities of post-mortem analysis of PNS tissue. Processing and embedding preparations that explored included paraffin, acrylic, and frozen. Subsequently, staining protocols were developed; however, they varied as a function of the embedding media used; staining protocols developed incorporated progressive and regressive hematoxylin and eosin (H&E) staining as well as toluidine blue (TB). Tissue was sectioned and observed using light microscopy.</div></div>

Background: Eating disorders are psychiatric illnesses whose treatment is difficult and usually the classic procedures fail. Recently, the number of researches in neuromodulatory methods has increased. I present an overview of basic stimulation methods, their use in the treatment of anorexia nervosa (AN), bulimia nervosa and binge-eating and the results of our study focused on the treatment of AN by transcranial direct current stimulation (tDCS). Methods: It was a randomized, double-blind, sham-controlled trial. Forty-three inpatients with AN were divided to receive either active (n=22) or sham (n=21) tDCS over the left DLPFC (anode F3/cathode Fp2, 2mA for 30 minutes). All patients filled the Eating Disorder Examination Questionnaire (EDE-Q) and Zung depression scale (ZUNG), we measured them the thermal pain threshold, the objective dissatisfaction with their own body by Anamorfic program and evaluated BMI before the first and after the last tDCS. Follow-up was after 2 and 4 weeks. It was evaluated using ANOVA and OPLS model. Results: Compared to sham tDCS, active tDCS improved self-evaluation based on one's body shape (p < 0,05) and significantly decreased the need of excessive control over calorie intake (p < 0,05) in 4-week follow-up (questions 4 and 23 in EDE-Q). Question 21 in EDE-Q was more...

Approximately one in five adults in the United States experiences chronic pain. Over the last 50 years, spinal cord stimulation has become increasingly recognized as a minimally invasive, efficacious treatment modality for the management of chronic pain. The authors report a case study of a 46-year-old female in the first documented spinal cord stimulation simultaneously targeting intractable neuropathic and visceral pain caused by post-laminectomy syndrome and chronic pancreatitis, respectively. This case study demonstrates near-total relief of the patient's neuropathic low back/leg pain and visceral epigastric pain, showing evidence of potential clinical usefulness for spinal cord stimulation as a treatment option in patients who present with a combination of visceral and somatic pain symptoms.

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L’association démontrée récemment entre les commotions cérébrales dans le sport et le développement possible de maladies neurodégénératives a suggéré la possibilité que des altérations persistantes soient présentes dans le cerveau de l’athlète commotionné. En fait, des altérations neurophysiologiques ont récemment été révélées au sein du cortex moteur primaire (M1) d’athlètes ayant un historique de commotions via la stimulation magnétique transcrânienne (SMT). Plus précisément, la période silencieuse corticale (PSC), une mesure d’inhibition liée aux récepteurs GABAB, était anormalement élevée, et cette hyper-inhibition était présente jusqu’à 30 ans post-commotion. La PSC, et possiblement le GABA, pourraient donc s’avérer des marqueurs objectifs des effets persistants de la commotion cérébrale. Toutefois, aucune étude à ce jour n’a directement évalué les niveaux de GABA chez l’athlète commotionné. Ainsi, les études cliniques et méthodologiques composant le présent ouvrage comportent deux objectifs principaux: (1) déterminer si l’inhibition excessive (GABA et PSC) est un marqueur des effets persistants de la commotion cérébrale; (2) déterminer s’il est possible de moduler l’inhibition intracorticale de façon non-invasive dans l’optique de développer de futurs avenues de traitements. L’article 1 révèle une préservation des systèmes sensorimoteurs, somatosensoriels et de l’inhibition liée au GABAA chez un groupe d’athlètes universitaires asymptomatiques ayant subi de multiples commotions cérébrales en comparaison avec des athlètes sans historique connu de commotion cérébrale. Cependant, une atteinte spécifique des mesures liées au système inhibiteur associé aux récepteurs GABAB est révélée chez les athlètes commotionnés en moyenne 24 mois post-commotion. Dans l’article 2, aucune atteinte des mesures SMT liées au système inhibiteur n’est révélée en moyenne 41 mois après la dernière commotion cérébrale chez un groupe d’athlètes asymptomatiques ayant subi 1 à 5 commotions cérébrales. Bien qu’aucune différence entre les groupes n’est obtenue quant aux concentrations de GABA et de glutamate dans M1 via la spectroscopie par résonance magnétique (SRM), des corrélations différentielles suggèrent la présence d’un déséquilibre métabolique entre le GABA et le glutamate chez les athlètes commotionnés. L’article 3 a démontré, chez des individus en bonne santé, un lien entre la PSC et la transmission glutamatergique, ainsi que le GABA et le glutamate. Ces résultats suggèrent que la PSC ne reflète pas directement les concentrations du GABA mesurées par la SRM, mais qu’un lien étroit entre la GABA et le glutamate est présent. L’article 4 a démontré la possibilité de moduler la PSC avec la stimulation électrique transcrânienne à courant direct (SÉTcd) anodale chez des individus en santé, suggérant l’existence d’un potentiel thérapeutique lié à l’utilisation de cette technique. L’article 5 a illustré un protocole d’évaluation des effets métaboliques de la SÉTcd bilatérale. Dans l’article 6, aucune modulation des systèmes GABAergiques révélées par la SMT et la SRM n’est obtenue suite à l’utilisation de ce protocole auprès d’individus en santé. Cet article révèle également que la SÉTcd anodale n’engendre pas de modulation significative du GABA et du glutamate. En somme, les études incluent dans le présent ouvrage ont permis d’approfondir les connaissances sur les effets neurophysiologiques et métaboliques des commotions cérébrales, mais également sur le mécanisme d’action des diverses méthodologies utilisées. / The recent demonstration of a link between sport concussions and the possible development of neurodegenerative disorders suggests that these injuries could induce long-term alterations in the brain of athletes. In fact, neurophysiological abnormalities have recently been shown via transcranial magnetic stimulation (TMS) in primary motor cortex (M1) of asymptomatic concussed athletes. Specifically, the cortical silent period (CSP), a measure of GABAB-related inhibition, was prolonged and this hyper-inhibition was observed up to 30 years post-concussion. Therefore, the CSP, and possibility abnormal GABA transmission, may become objective markers of lingering effects of sport concussions. However, no study to date has directly assessed GABA levels in concussed athletes. Therefore, the clinical and methodological studies included in the present thesis comprise two main objectives: (1) to determine whether excessive inhibition (GABA and CSP) is a marker of the persistent effects of concussion; (2) to assess the possibility of non-invasively modulating intracortical inhibition in order to develop future treatments aiming to normalize aberrant inhibition. Study 1 reveals normal sensorimotor interactions, somatosensory processing and GABAA-related intracortical inhibition in M1 of asymptomatic athletes who sustained multiple concussions in comparison with athletes who never sustained a concussion. However, a specific enhancement of GABAB-related intracortical inhibition is observed in athletes on average 24 months after the last concussion. In study 2, no alteration of GABAB-related intracortical inhibition is revealed in a group of athletes who sustained 1 to 5 sport concussions on average 41 months after the last concussion, in comparison with control athletes. In addition, while no alterations were present for GABA and glutamate levels in M1 using magnetic resonance spectroscopy (MRS), both groups displayed differential correlations between GABA and glutamate, which suggests the presence of a slight metabolic imbalance between the two metabolites in the concussed brain. Study 3 highlighted, in healthy individuals, a relationship between the CSP and MRS-derived glutamatergic transmission, as well as GABA and glutamate levels. These results reveal a link between excitatory and inhibitory transmission in M1 and suggest that the CSP does not directly reflect GABA concentrations measured with MRS. Results from study 4 showed that anodal transcranial direct current stimulation (tDCS) can reduce the length of the CSP in healthy individuals, suggesting the existence of a therapeutic potential associated with the use of this technique. Study 5 thoroughly describes a protocol that aims at assessing the effects of bilateral tDCS on M1 metabolism using MRS. Using this protocol, study 6 reveals, in healthy individuals, no significant modulation of GABAergic inhibition as assessed with MRS. The study also shows, in an additional experiment, that anodal tDCS does not modulate MRS-derived GABA and glutamate levels. In summary, the six studies included in the present thesis have helped increase our understanding of the neurophysiological and metabolic long-term effects of sport concussions. In addition, these experiments have shed light into the mechanism of action of several methods, including TMS, tDCS and MRS.