8,598 results on '"Baram A"'
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2. Epistemic Networks and the Social Nature of Public Engagement with Science
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Noah Weeth Feinstein and Ayelet Baram-Tsabari
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This theoretical paper focuses on the social processes of public engagement with science and their implications for science education. The core of our argument is that science education should help people become better at evaluating, using, and curating their epistemic networks to make personal and civic decisions and to understand the natural world. In this context, an epistemic network is a set of people who support sensemaking by providing new information and aiding in the interpretation and reconstruction of scientific knowledge in context. We believe epistemic networks are an important consideration for science education, particularly when misinformation plays an outsized role in the cultural landscape. Understanding when epistemic networks are useful and how science education should incorporate them requires a clear sense of how they work in different contexts. We start by contrasting the inevitably social nature of all public engagement with science with the particularly social or interpersonal nature of some public engagement with science. We draw on research from education, communication, and science and technology studies to develop the idea of an epistemic network and to describe two basic types: the individual resource network and the collective action network. We illustrate each type with an extended example that is hypothetical but informed by both research and experience. Finally, we discuss how science education can incorporate epistemic networks, as well as the challenges inherent in that educational strategy.
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- 2024
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3. Targeting corticotropin-releasing hormone receptor type 1 (Crhr1) neurons: validating the specificity of a novel transgenic Crhr1-FlpO mouse
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Hardy, Mason, Chen, Yuncai, Baram, Tallie Z, and Justice, Nicholas J
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Biomedical and Clinical Sciences ,Medical Physiology ,Neurosciences ,Mental Health ,Basic Behavioral and Social Science ,Biotechnology ,Behavioral and Social Science ,1.1 Normal biological development and functioning ,Neurological ,Animals ,Receptors ,Corticotropin-Releasing Hormone ,Neurons ,Mice ,Transgenic ,Mice ,Brain ,Mice ,Inbred C57BL ,Male ,CRFR1 ,FlpO ,Intersectional manipulation ,Transgenic mouse ,Cognitive Sciences ,Developmental Biology ,Neurology & Neurosurgery ,Medical physiology - Abstract
Corticotropin-releasing hormone (CRH) signaling through its cognate receptors, CRHR1 and CRHR2, contributes to diverse stress-related functions in the mammalian brain. Whereas CRHR2 is predominantly expressed in choroid plexus and blood vessels, CRHR1 is abundantly expressed in neurons in discrete brain regions, including the neocortex, hippocampus and nucleus accumbens. Activation of CRHR1 influences motivated behaviors, emotional states, and learning and memory. However, it is unknown whether alterations in CRHR1 signaling contribute to aberrant motivated behaviors observed, for example, in stressful contexts. These questions require tools to manipulate CRHR1 selectively. Here we describe and validate a novel Crhr1-FlpO mouse. Using bacterial artificial chromosome (BAC) transgenesis, we engineered a transgenic mouse that expresses FlpO recombinase in CRHR1-expressing cells. We used two independent methods to assess the specificity of FlpO to CRHR1-expressing cells. First, we injected Crhr1-FlpO mice with Flp-dependent viruses expressing fluorescent reporter molecules. Additionally, we crossed the Crhr1-FlpO mouse with a transgenic Flp-dependent reporter mouse. CRHR1 and reporter molecules were identified using immunocytochemistry and visualized via confocal microscopy in several brain regions in which CRHR1 expression and function is established. Expression of Flp-dependent viral constructs was highly specific to CRHR1-expressing cells in all regions examined (over 90% co-localization). In accord, robust and specific expression of the Flp-dependent transgenic reporter was observed in a reporter mouse, recapitulating endogenous CRHR1 expression. The Crhr1-FlpO mouse enables selective genetic access to CRHR1-expressing cells within the mouse brain. When combined with Cre-lox or site-specific recombinases, the mouse facilitates intersectional manipulations of CRHR1-expressing neurons.
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- 2025
4. Opioid drug seeking after early-life adversity: a role for delta opioid receptors
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Levis, Sophia C, Birnie, Matthew T, Xie, Yiyan, Kamei, Noriko, Kulkarni, Puja V, Montesinos, Johanna S, Perrone, Christina R, Cahill, Catherine M, Baram, Tallie Z, and Mahler, Stephen V
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Biological Psychology ,Pharmacology and Pharmaceutical Sciences ,Biomedical and Clinical Sciences ,Psychology ,Substance Misuse ,Opioids ,Behavioral and Social Science ,Basic Behavioral and Social Science ,Neurosciences ,Drug Abuse (NIDA only) ,Opioid Misuse and Addiction ,Brain Disorders ,2.1 Biological and endogenous factors ,Good Health and Well Being ,Early life adversity ,Opioid addiction ,Delta opioid receptor ,Demand elasticity ,Nucleus accumbens - Abstract
Opioid use disorder (OUD) is associated with a history of early-life adversity (ELA), an association that is particularly strong in women. In a rodent model, we previously found that ELA enhances risk for opioid addiction selectively in females, but the mechanisms for this effect are unclear. Here, we show that ELA robustly alters cFos responses to opioid drugs in females’ nucleus accumbens (NAc) and basolateral amygdala (BLA), but not elsewhere. We further identify delta opioid receptors (DOR), which mature in the first week of life and thus later than kappa or mu opioid receptors, as a potential mediator of ELA's impacts on reward circuit functions. Accordingly, DOR mRNA in NAc was persistently reduced in adult females with ELA history. Moreover, pharmacological stimulation of NAc DORs increased opioid demand in control females (recapitulating the ELA phenotype), while blocking DORs in ELA females conversely reduced high-effort drug consumption, simulating the control rearing phenotype. These findings support a role for NAc DORs in mediating ELA-induced opioid vulnerability. In contrast, BLA neurons expressing DOR protein do not overlap heroin- responsive cells in ELA rats, arguing against a direct relationship of BLA DORs to heroin's addiction-relevant actions in the brain. Together, these results suggest a novel and selective role for NAc DORs in contributing to enduring, ELA-provoked vulnerability to OUD.
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- 2024
5. PTEN deletion in the adult dentate gyrus induces epilepsy
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Yonan, Jennifer M, Chen, Kevin D, Baram, Tallie Z, and Steward, Oswald
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Biomedical and Clinical Sciences ,Neurosciences ,Epilepsy ,Neurodegenerative ,Genetics ,Brain Disorders ,Neurological ,Dentate gyrus ,EEG ,Granule cells ,Hippocampus ,PTEN ,Seizure ,mTOR ,Clinical Sciences ,Neurology & Neurosurgery ,Biochemistry and cell biology - Abstract
Embryonic and early postnatal promotor-driven deletion of the phosphatase and tensin homolog (PTEN) gene results in neuronal hypertrophy, hyperexcitable circuitry and development of spontaneous seizures in adulthood. We previously documented that focal, vector-mediated PTEN deletion in mature granule cells of adult dentate gyrus triggers dramatic growth of cell bodies, dendrites, and axons, similar to that seen with early postnatal PTEN deletion. Here, we assess the functional consequences of focal, adult PTEN deletion, focusing on its pro-epileptogenic potential. PTEN deletion was accomplished by injecting AAV-Cre either bilaterally or unilaterally into the dentate gyrus of double transgenic PTEN-floxed, ROSA-reporter mice. Hippocampal recording electrodes were implanted for continuous digital EEG with concurrent video recordings in the home cage. Electrographic seizures and epileptiform spikes were assessed manually by two investigators, and corelated with concurrent videos. Spontaneous electrographic and behavioral seizures appeared after focal PTEN deletion in adult dentate granule cells, commencing around 2 months post-AAV-Cre injection. Seizures occurred in the majority of mice with unilateral or bilateral PTEN deletion and led to death in several cases. PTEN-deletion provoked epilepsy was not associated with apparent hippocampal neuron death; supra-granular mossy fiber sprouting was observed in a few mice. In summary, focal, unilateral deletion of PTEN in the adult dentate gyrus suffices to provoke time-dependent emergence of a hyperexcitable circuit generating hippocampus-origin, generalizing spontaneous seizures, providing a novel model for studies of adult-onset epileptogenesis.
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- 2024
6. Computational Modeling Differentiates Learning Rate From Reward Sensitivity Deficits Produced by Early-Life Adversity in a Rodent Touchscreen Probabilistic Reward Task.
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Kangas, Brian, Ang, Yuen-Siang, Short, Annabel, Baram, Tallie Z, and Pizzagalli, Diego
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Anhedonia ,Bayesian computational modeling ,Computational psychiatry ,Early-life adversity ,Probabilistic reward task ,Research domain criteria - Abstract
BACKGROUND: Exposure to adversity, including unpredictable environments, during early life is associated with neuropsychiatric illness in adulthood. One common factor in this sequela is anhedonia, the loss of responsivity to previously reinforcing stimuli. To accelerate the development of new treatment strategies for anhedonic disorders induced by early-life adversity, animal models have been developed to capture critical features of early-life stress and the behavioral deficits that such stressors induce. We have previously shown that rats exposed to the limited bedding and nesting protocol exhibited blunted reward responsivity in the probabilistic reward task, a touchscreen-based task reverse translated from human studies. METHODS: To test the quantitative limits of this translational platform, we examined the ability of Bayesian computational modeling and probability analyses identical to those optimized in previous human studies to quantify the putative mechanisms that underlie these deficits with precision. Specifically, 2 parameters that have been shown to independently contribute to probabilistic reward task outcomes in patient populations, reward sensitivity and learning rate, were extracted, as were trial-by-trial probability analyses of choices as a function of the preceding trial. RESULTS: Significant deficits in reward sensitivity, but not learning rate, contributed to the anhedonic phenotypes in rats exposed to early-life adversity. CONCLUSIONS: The current findings confirm and extend the translational value of these rodent models by verifying the effectiveness of computational modeling in distinguishing independent features of reward sensitivity and learning rate that complement the probabilistic reward tasks signal detection end points. Together, these metrics serve to objectively quantify reinforcement learning deficits associated with anhedonic phenotypes.
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- 2024
7. Enduring memory consequences of early-life stress / adversity: Structural, synaptic, molecular and epigenetic mechanisms
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Baram, Tallie Z and Birnie, Matthew T
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Biological Psychology ,Psychology ,Basic Behavioral and Social Science ,Acquired Cognitive Impairment ,Neurodegenerative ,Pediatric ,Social Determinants of Health ,Brain Disorders ,Behavioral and Social Science ,Aging ,Mental Health ,Neurosciences ,2.1 Biological and endogenous factors ,2.3 Psychological ,social and economic factors ,Mental health ,Memory ,Stress ,Cognitive ,Microglia ,Epigenetics ,Synapses ,Sensitive period ,Cognitive and computational psychology - Abstract
Adverse early life experiences are strongly associated with reduced cognitive function throughout life. The link is strong in many human studies, but these do not enable assigning causality, and the limited access to the live human brain can impede establishing the mechanisms by which early-life adversity (ELA) may induce cognitive problems. In experimental models, artificially imposed chronic ELA/stress results in deficits in hippocampus dependent memory as well as increased vulnerability to the deleterious effects of adult stress on memory. This causal relation of ELA and life-long memory impairments provides a framework to probe the mechanisms by which ELA may lead to human cognitive problems. Here we focus on the consequences of a one-week exposure to adversity during early postnatal life in the rodent, the spectrum of the ensuing memory deficits, and the mechanisms responsible. We highlight molecular, cellular and circuit mechanisms using convergent trans-disciplinary approaches aiming to enable translation of the discoveries in experimental models to the clinic.
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- 2024
8. Sex-Specific Effects of Early Life Unpredictability on Hippocampal and Amygdala Responses to Novelty in Adolescents
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Davis, Elysia Poggi, Leonard, Bianca T, Jirsaraie, Robert J, Keator, David B, Small, Steven L, Sandman, Curt A, Risbrough, Victoria B, Stern, Hal S, Glynn, Laura M, Yassa, Michael A, Baram, Tallie Z, and Rasmussen, Jerod M
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Biological Psychology ,Psychology ,Women's Health ,Basic Behavioral and Social Science ,Behavioral and Social Science ,Mental Health ,Neurosciences ,Brain Disorders ,Social Determinants of Health ,Pediatric ,2.1 Biological and endogenous factors ,early life adversity ,functional magnetic resonance imaging ,limbic system ,novelty ,sex differences ,unpredictability - Abstract
BACKGROUND: Unpredictable childhood experiences are an understudied form of early life adversity that impacts neurodevelopment in a sex-specific manner. The neurobiological processes by which exposure to early-life unpredictability impacts development and vulnerability to psychopathology remain poorly understood. The present study investigates the sex-specific consequences of early-life unpredictability on the limbic network, focusing on the hippocampus and the amygdala. METHODS: Participants included 150 youth (54% female). Early life unpredictability was assessed using the Questionnaire of Unpredictability in Childhood (QUIC). Participants engaged in a task-fMRI scan between the ages of 8 and 17 (223 total observations) measuring BOLD responses to novel and familiar scenes. RESULTS: Exposure to early-life unpredictability associated with BOLD contrast (novel vs. familiar) in a sex-specific manner. For males, but not females, higher QUIC scores were associated with lower BOLD activation in response to novel vs. familiar stimuli in the hippocampal head and amygdala. Secondary psychophysiological interaction (PPI) analyses revealed complementary sex-specific associations between QUIC and condition-specific functional connectivity between the right and left amygdala, as well as between the right amygdala and hippocampus bilaterally. CONCLUSION: Exposure to unpredictability in early life has persistent implications for the functional operations of limbic circuits. Importantly, consistent with emerging experimental animal and human studies, the consequences of early life unpredictability differ for males and females. Further, impacts of early-life unpredictability were independent of other risk factors including lower household income and negative life events, indicating distinct consequences of early-life unpredictability over and above more commonly studied types of early life adversity.
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- 2024
9. Individual longitudinal changes in DNA-methylome identify signatures of early-life adversity and correlate with later outcome.
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Short, Annabel, Weber, Ryan, Kamei, Noriko, Wilcox Thai, Christina, Arora, Hina, Mortazavi, Ali, Stern, Hal, Glynn, Laura, and Baram, Tallie Z
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Adverse childhood experiences ,Biomarkers ,DNA methylation ,Early-life stress ,Epigenetics ,Executive control ,Methylomics ,Precision medicine ,Stress ,Within-subject design - Abstract
Adverse early-life experiences (ELA) affect a majority of the worlds children. Whereas the enduring impact of ELA on cognitive and emotional health is established, there are no tools to predict vulnerability to ELA consequences in an individual child. Epigenetic markers including peripheral-cell DNA-methylation profiles may encode ELA and provide predictive outcome markers, yet the interindividual variance of the human genome and rapid changes in DNA methylation in childhood pose significant challenges. Hoping to mitigate these challenges we examined the relation of several ELA dimensions to DNA methylation changes and outcome using a within-subject longitudinal design and a high methylation-change threshold. DNA methylation was analyzed in buccal swab/saliva samples collected twice (neonatally and at 12 months) in 110 infants. We identified CpGs differentially methylated across time for each child and determined whether they associated with ELA indicators and executive function at age 5. We assessed sex differences and derived a sex-dependent impact score based on sites that most contributed to methylation changes. Changes in methylation between two samples of an individual child reflected age-related trends and correlated with executive function years later. Among tested ELA dimensions and life factors including income to needs ratios, maternal sensitivity, body mass index and infant sex, unpredictability of parental and household signals was the strongest predictor of executive function. In girls, high early-life unpredictability interacted with methylation changes to presage executive function. Thus, longitudinal, within-subject changes in methylation profiles may provide a signature of ELA and a potential predictive marker of individual outcome.
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- 2024
10. Childhood unpredictability is associated with increased risk for long- and short-term depression and anhedonia symptoms following combat deployment.
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Hunt, Christopher, Vinograd, Meghan, Glynn, Laura, Davis, Elysia, Baram, Tallie Z, Stern, Hal, Nievergelt, Caroline, Cuccurazzu, Bruna, Napan, Cindy, Delmar, Dylan, Baker, Dewleen, and Risborough, Victoria
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Anhedonia ,Deployment ,Depression ,Early-life adversity ,Social support ,Veterans - Abstract
High unpredictability has emerged as a dimension of early-life adversity that may contribute to a host of deleterious consequences later in life. Early-life unpredictability affects development of limbic and reward circuits in both rodents and humans, with a potential to increase sensitivity to stressors and mood symptoms later in life. Here, we examined the extent to which unpredictability during childhood was associated with changes in mood symptoms (anhedonia and general depression) after two adult life stressors, combat deployment and civilian reintegration, which were assessed ten years apart. We also examined how perceived stress and social support mediated and /or moderated links between childhood unpredictability and mood symptoms. To test these hypotheses, we leveraged the Marine Resiliency Study, a prospective longitudinal study of the effects of combat deployment on mental health in Active-Duty Marines and Navy Corpsman. Participants (N = 273) were assessed for depression and anhedonia before (pre-deployment) and 3-6 months after (acute post-deployment) a combat deployment. Additional assessment of depression and childhood unpredictability were collected 10 years post-deployment (chronic post-deployment). Higher childhood unpredictability was associated with higher anhedonia and general depression at both acute and chronic post-deployment timepoints (βs ≥ 0.16, ps ≤.007). The relationship between childhood unpredictability and subsequent depression at acute post-deployment was partially mediated by lower social support (b = 0.07, 95% CI [0.03, 0.15]) while depression at chronic post-deployment was fully mediated by a combination of lower social support (b = 0.14, 95% CI [0.07, 0.23]) and higher perceived stress (b = 0.09, 95% CI [0.05, 0.15]). These findings implicate childhood unpredictability as a potential risk factor for depression in adulthood and suggest that increasing the structure and predictability of childhood routines and developing social support interventions after life stressors could be helpful for preventing adult depression.
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- 2024
11. Infant hedonic/anhedonic processing index (HAPI-Infant): Assessing infant anhedonia and its prospective association with adolescent depressive symptoms
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Irwin, Jessica L, Davis, Elysia Poggi, Sandman, Curt A, Baram, Tallie Z, Stern, Hal S, and Glynn, Laura M
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Psychology ,Biomedical and Clinical Sciences ,Applied and Developmental Psychology ,Pediatric ,Mental Illness ,Depression ,Mental Health ,Behavioral and Social Science ,Prevention ,Serious Mental Illness ,Brain Disorders ,Clinical Research ,4.2 Evaluation of markers and technologies ,Mental health ,Good Health and Well Being ,Child ,Humans ,Adolescent ,Infant ,Anhedonia ,Depressive Disorder ,Major ,Psychometrics ,Self Report ,Infancy ,Reward processing ,Pleasure ,Infant Behavior Questionnaire ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundAnhedonia, an impairment in the motivation for or experience of pleasure, is a well-established transdiagnostic harbinger and core symptom of mental illness. Given increasing recognition of early life origins of mental illness, we posit that anhedonia should, and could, be recognized earlier if appropriate tools were available. However, reliable diagnostic instruments prior to childhood do not currently exist.MethodsWe developed an assessment instrument for anhedonia/reward processing in infancy, the Infant Hedonic/Anhedonic Processing Index (HAPI-Infant). Exploratory factor and psychometric analyses were conducted using data from 6- and 12-month-old infants from two cohorts (N = 188, N = 212). Then, associations were assessed between infant anhedonia and adolescent self-report of depressive symptoms.ResultsThe HAPI-Infant (47-items), exhibited excellent psychometric properties. Higher anhedonia scores at 6 (r = 0.23, p
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- 2024
12. Inhibition of Neuron-Restrictive Silencing Factor (REST/NRSF) Chromatin Binding Attenuates Epileptogenesis.
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Hall, Alicia, Shao, Manlin, Mun, Hyun-Seung, Chen, Kevin, Chen, Yuncai, Baram, Tallie Z, and Kamei, Noriko
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REST/NRSF ,epigenetic ,epileptogenesis ,kainic acid ,status epilepticus ,transcription factor ,Animals ,Male ,Chromatin ,Rats ,Sprague-Dawley ,Kainic Acid ,Repressor Proteins ,Status Epilepticus ,Disease Models ,Animal ,Hippocampus ,Rats ,Epilepsy - Abstract
The mechanisms by which brain insults lead to subsequent epilepsy remain unclear. Insults including trauma, stroke, infections, and long seizures (status epilepticus, SE) increase the nuclear expression and chromatin binding of the neuron-restrictive silencing factor/RE-1 silencing transcription factor (NRSF/REST). REST/NRSF orchestrates major disruption of the expression of key neuronal genes, including ion channels and neurotransmitter receptors, potentially contributing to epileptogenesis. Accordingly, transient interference with REST/NRSF chromatin binding after an epilepsy-provoking SE suppressed spontaneous seizures for the 12 d duration of a prior study. However, whether the onset of epileptogenesis was suppressed or only delayed has remained unresolved. The current experiments determined if transient interference with REST/NRSF chromatin binding prevented epileptogenesis enduringly or, alternatively, slowed epilepsy onset. Epileptogenesis was elicited in adult male rats via systemic kainic acid-induced SE (KA-SE). We then determined if decoy, NRSF-binding-motif oligodeoxynucleotides (NRSE-ODNs), given twice following KA-SE (1) prevented REST/NRSF binding to chromatin, using chromatin immunoprecipitation, or (2) prevented the onset of spontaneous seizures, measured with chronic digital video-electroencephalogram. Blocking NRSF function transiently after KA-SE significantly lengthened the latent period to a first spontaneous seizure. Whereas this intervention did not influence the duration and severity of spontaneous seizures, total seizure number and seizure burden were lower in the NRSE-ODN compared with scrambled-ODN cohorts. Transient interference with REST/NRSF function after KA-SE delays and moderately attenuates insult-related hippocampal epilepsy, but does not abolish it. Thus, the anticonvulsant and antiepileptogenic actions of NRSF are but one of the multifactorial mechanisms generating epilepsy in the adult brain.
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- 2024
13. Neural network reconstruction of the left atrium using sparse catheter paths
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Baram, Alon, Safran, Moshe, Noy, Tomer, Geri, Nave, and Greenspan, Hayit
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- 2024
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14. Neural Network Reconstruction of the Left Atrium using Sparse Catheter Paths
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Baram, Alon, Safran, Moshe, Noy, Tomer, Geri, Naveh, and Greenspan, Hayit
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Electrical Engineering and Systems Science - Image and Video Processing ,Computer Science - Computer Vision and Pattern Recognition - Abstract
Catheter based radiofrequency ablation for pulmonary vein isolation has become the first line of treatment for atrial fibrillation in recent years. This requires a rather accurate map of the left atrial sub-endocardial surface including the ostia of the pulmonary veins, which requires dense sampling of the surface and takes more than 10 minutes. The focus of this work is to provide left atrial visualization early in the procedure to ease procedure complexity and enable further workflows, such as using catheters that have difficulty sampling the surface. We propose a dense encoder-decoder network with a novel regularization term to reconstruct the shape of the left atrium from partial data which is derived from simple catheter maneuvers. To train the network, we acquire a large dataset of 3D atria shapes and generate corresponding catheter trajectories. Once trained, we show that the suggested network can sufficiently approximate the atrium shape based on a given trajectory. We compare several network solutions for the 3D atrium reconstruction. We demonstrate that the solution proposed produces realistic visualization using partial acquisition within a 3-minute time interval. Synthetic and human clinical cases are shown., Comment: 15 pages, 15 figures
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- 2023
15. Paraventricular Thalamus Neuronal Ensembles Encode Early-life Adversity and Mediate the Consequent Sex-dependent Disruptions of Adult Reward Behaviors
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Kooiker, Cassandra L, Birnie, Matthew T, Floriou-Servou, Amalia, Ding, Qinxin, Thiagarajan, Neeraj, Hardy, Mason, and Baram, Tallie Z
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Biological Psychology ,Pharmacology and Pharmaceutical Sciences ,Biomedical and Clinical Sciences ,Psychology ,Women's Health ,Basic Behavioral and Social Science ,Brain Disorders ,Mental Health ,Neurosciences ,Depression ,Social Determinants of Health ,Mental Illness ,Behavioral and Social Science ,Mental health ,Good Health and Well Being - Abstract
Early-life adversity increases risk for mental illnesses including depression and substance use disorders, disorders characterized by dysregulated reward behaviors. However, the mechanisms by which transient ELA enduringly impacts reward circuitries are not well understood. In mice, ELA leads to anhedonia-like behaviors in males and augmented motivation for palatable food and sex-reward cues in females. Here, the use of genetic tagging demonstrated robust, preferential, and sex-specific activation of the paraventricular nucleus of the thalamus (PVT) during ELA and a potentiated reactivation of these PVT neurons during a reward task in adult ELA mice. Chemogenetic manipulation of specific ensembles of PVT neurons engaged during ELA identified a role for the posterior PVT in ELA-induced aberrantly augmented reward behaviors in females. In contrast, anterior PVT neurons activated during ELA were required for the anhedonia-like behaviors in males. Thus, the PVT encodes adverse experiences early-in life, prior to the emergence of the hippocampal memory system, and contributes critically to the lasting, sex-modulated impacts of ELA on reward behaviors.
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- 2024
16. Across ages and places: Unpredictability of maternal sensory signals and child internalizing behaviors
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Aran, Özlü, Swales, Danielle A, Bailey, Natasha A, Korja, Riikka, Holmberg, Eeva, Eskola, Eeva, Nolvi, Saara, Perasto, Laura, Nordenswan, Elisabeth, Karlsson, Hasse, Karlsson, Linnea, Sandman, Curt A, Stern, Hal S, Baram, Tallie Z, Glynn, Laura M, and Davis, Elysia Poggi
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Biological Psychology ,Psychology ,Mental Health ,Neurosciences ,Brain Disorders ,Mental Illness ,Depression ,Basic Behavioral and Social Science ,Behavioral and Social Science ,Women's Health ,Pediatric ,Mental health ,Good Health and Well Being ,Child ,Animals ,Humans ,Female ,Infant ,Child ,Preschool ,Male ,Prospective Studies ,Emotions ,Anxiety ,Maternal Behavior ,Mothers ,Early-life stress ,Unpredictability ,Maternal care ,Internalizing behaviors ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biomedical and clinical sciences ,Health sciences - Abstract
BackgroundPatterns of sensory inputs early in life play an integral role in shaping the maturation of neural circuits, including those implicated in emotion and cognition. In both experimental animal models and observational human research, unpredictable sensory signals have been linked to aberrant developmental outcomes, including poor memory and effortful control. These findings suggest that sensitivity to unpredictable sensory signals is conserved across species and sculpts the developing brain. The current study provides a novel investigation of unpredictable maternal sensory signals in early life and child internalizing behaviors. We tested these associations in three independent cohorts to probe the generalizability of associations across continents and cultures.MethodThe three prospective longitudinal cohorts were based in Orange, USA (n = 163, 47.2 % female, Mage = 1 year); Turku, Finland (n = 239, 44.8 % female, Mage = 5 years); and Irvine, USA (n = 129, 43.4 % female, Mage = 9.6 years). Unpredictability of maternal sensory signals was quantified during free-play interactions. Child internalizing behaviors were measured via parent report (Orange & Turku) and child self-report (Irvine).ResultsEarly life exposure to unpredictable maternal sensory signals was associated with greater child fearfulness/anxiety in all three cohorts, above and beyond maternal sensitivity and sociodemographic factors. The association between unpredictable maternal sensory signals and child sadness/depression was relatively weaker and did not reach traditional thresholds for statistical significance.LimitationsThe correlational design limits our ability to make causal inferences.ConclusionsFindings across the three diverse cohorts suggest that unpredictable maternal signals early in life shape the development of internalizing behaviors, particularly fearfulness and anxiety.
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- 2024
17. Prenatal Exposure to Maternal Mood Entropy Is Associated With a Weakened and Inflexible Salience Network in Adolescence.
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Jirsaraie, Robert, Palma, Anton, Davis, Elysia, Glynn, Laura, Small, Steven, Sandman, Curt, Baram, Tallie Z, Stern, Hal, and Yassa, Michael
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Dysregulation ,Emotional processing ,Maternal mood entropy ,Neurodevelopment ,Salience network ,fMRI ,Humans ,Adolescent ,Pregnancy ,Female ,Prenatal Exposure Delayed Effects ,Longitudinal Studies ,Entropy ,Prospective Studies ,Brain - Abstract
BACKGROUND: Fetal exposure to maternal mood dysregulation influences child cognitive and emotional development, which may have long-lasting implications for mental health. However, the neurobiological alterations associated with this dimension of adversity have yet to be explored. Here, we tested the hypothesis that fetal exposure to entropy, a novel index of dysregulated maternal mood, would predict the integrity of the salience network, which is involved in emotional processing. METHODS: A sample of 138 child-mother pairs (70 females) participated in this prospective longitudinal study. Maternal negative mood level and entropy (an index of variable and unpredictable mood) were assessed 5 times during pregnancy. Adolescents engaged in a functional magnetic resonance imaging task that was acquired between 2 resting-state scans. Changes in network integrity were analyzed using mixed-effect and latent growth curve models. The amplitude of low frequency fluctuations was analyzed to corroborate findings. RESULTS: Prenatal maternal mood entropy, but not mood level, was associated with salience network integrity. Both prenatal negative mood level and entropy were associated with the amplitude of low frequency fluctuations of the salience network. Latent class analysis yielded 2 profiles based on changes in network integrity across all functional magnetic resonance imaging sequences. The profile that exhibited little variation in network connectivity (i.e., inflexibility) consisted of adolescents who were exposed to higher negative maternal mood levels and more entropy. CONCLUSIONS: These findings suggest that fetal exposure to maternal mood dysregulation is associated with a weakened and inflexible salience network. More broadly, they identify maternal mood entropy as a novel marker of early adversity that exhibits long-lasting associations with offspring brain development.
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- 2024
18. Early pregnancy metal levels in maternal blood and pregnancy outcomes
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Goldberg, Ifat Baram, Sheiner, Eyal, Bal, Maayan Hagbi, Bergman, Doron, Damri, Noam Tomasis, Rosenbaum, Ron, Haimov, Ayal, and Wainstock, Tamar
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- 2024
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19. Outcomes of non-contiguous two-level anterior cervical discectomy and fusion in patients with degenerative cervical myelopathy: a retrospective study
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Baram, Ali, Riva, Marco, Franzini, Andrea, Rossini, Zefferino, De Robertis, Mario, Capo, Gabriele, Brembilla, Carlo, Servadei, Franco, Fornari, Maurizio, and Pessina, Federico
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- 2024
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20. Supramaximal resection: retrospective study on IDH-wildtype Glioblastomas based on the new RANO-Resect classification
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Tropeano, Maria Pia, Raspagliesi, Luca, Bono, Beatrice Claudia, Baram, Ali, Rossini, Zefferino, Franzini, Andrea, Navarria, Pierina, Clerici, Elena, Bellu, Luisa, Simonelli, Matteo, Scorsetti, Marta, Riva, Marco, Politi, Letterio Salvatore, and Pessina, Federico
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- 2024
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21. Repeat Gamma Knife radiosurgery for recurrent trigeminal neuralgia in patients with multiple sclerosis: a single-center retrospective study
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Franzini, Andrea, Picozzi, Piero, Baram, Ali, Navarria, Pierina, Scorsetti, Marta, Tomatis, Stefano, and Pessina, Federico
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- 2024
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22. Clinical and digital assessment of tooth wear
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Al-Seelawi, Zahra, Hermann, Nuno V., Peutzfeldt, Anne, Baram, Sara, Bakke, Merete, Sonnesen, Liselotte, Tsakanikou, Angeliki, Rahiotis, Christos, and Benetti, Ana R.
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- 2024
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23. Within-subject changes in methylome profile identify individual signatures of early-life adversity, with a potential to predict neuropsychiatric outcome
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Short, Annabel K, Weber, Ryan, Kamei, Noriko, Thai, Christina Wilcox, Arora, Hina, Mortazavi, Ali, Stern, Hal S, Glynn, Laura, and Baram, Tallie Z
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Biological Sciences ,Genetics ,Psychology ,Social Determinants of Health ,Clinical Research ,Behavioral and Social Science ,Mental Health ,Pediatric ,Human Genome ,Basic Behavioral and Social Science ,Prevention ,2.1 Biological and endogenous factors ,Generic health relevance ,Adverse Childhood Experiences ,Biomarkers ,DNA methylation ,early-life adversity ,epigenetic clocks ,executive control ,methylomics ,precision medicine ,stress ,within-subject design - Abstract
BACKGROUND: Adverse early-life experiences (ELA), including poverty, trauma and neglect, affect a majority of the world's children. Whereas the impact of ELA on cognitive and emotional health throughout the lifespan is well-established, it is not clear how distinct types of ELA influence child development, and there are no tools to predict for an individual child their vulnerability or resilience to the consequences of ELAs. Epigenetic markers including DNA-methylation profiles of peripheral cells may encode ELA and provide a predictive outcome marker. However, the rapid dynamic changes in DNA methylation in childhood and the inter-individual variance of the human genome pose barriers to identifying profiles predicting outcomes of ELA exposure. Here, we examined the relation of several dimensions of ELA to changes of DNA methylation, using a longitudinal within-subject design and a high threshold for methylation changes in the hope of mitigating the above challenges. METHODS: We analyzed DNA methylation in buccal swab samples collected twice for each of 110 infants: neonatally and at 12 months. We identified CpGs differentially methylated across time, calculated methylation changes for each child, and determined whether several indicators of ELA associated with changes of DNA methylation for individual infants. We then correlated select dimensions of ELA with methylation changes as well as with measures of executive function at age 5 years. We examined for sex differences, and derived a sex-dependent 'impact score' based on sites that most contributed to the methylation changes. FINDINGS: Setting a high threshold for methylation changes, we discovered that changes in methylation between two samples of an individual child reflected age-related trends towards augmented methylation, and also correlated with executive function years later. Among the tested factors and ELA dimensions, including income to needs ratios, maternal sensitivity, body mass index and sex, unpredictability of parental and household signals was the strongest predictor of executive function. In girls, an interaction was observed between a measure of high early-life unpredictability and methylation changes, in presaging executive function. INTERPRETATION: These findings establish longitudinal, within-subject changes in methylation profiles as a signature of some types of ELA in an individual child. Notably, such changes are detectable beyond the age-associated DNA methylation dynamics. Future studies are required to determine if the methylation profile changes identified here provide a predictive marker of vulnerabilities to poorer cognitive and emotional outcomes.
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- 2023
24. Impact of Unpredictable Maternal Sensory Signals During Early Development on Adolescent Functional Connectivity of the Paraventricular Nucleus of the Thalamus
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Leonard, Bianca, Rasmussen, Jerod M, Small, Steven L, Sandman, Curt A, Stern, Hal, Baram, Tallie Z, Glynn, Laura M, Davis, Elysia Poggi, and Yassa, Michael A
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Early-Life Experience ,Entropy ,Paraventricular Nucleus of the Thalamus ,Resting State Functional Connectivity ,Unpredictability ,Biological Psychology ,Biomedical and Clinical Sciences ,Neurosciences ,Psychology ,Medical and Health Sciences ,Psychology and Cognitive Sciences ,Psychiatry ,Biological psychology - Abstract
Background: Emotional circuit maturation is shaped by sensory signals in the environment during early life. For example, unpredictable parental and environmental sensory signals (high entropy) during early life result in increased hippocampal synaptic pruning and enduring changes in emotional circuitry in rodents. In humans, exposure to such high entropy during infancy is associated with deficits in memory and executive control during childhood and adolescence. Maturation of emotional circuitry is dependent on the integration of numerous processes in several circuits, all involving the paraventricular nucleus of the thalamus (PVT). Indeed, there is growing evidence that the PVT contributes to storing memories of salient experiences over long durations, such as memories of early life adversity. However, PVT connectivity in humans has not yet been evaluated prior to adulthood, and the impact of early life entropy on the development of PVT connectivity to key nodes of emotional circuitry during childhood and adolescence is largely unknown.Methods: Maternal sensory signals during mother-child interaction were video-recorded and coded at 6 and 12 months age. The predictability of these signals during the interaction was characterized by calculating state transition probabilities (likelihood the mother would change from one sensory signal to another), computing the entropy associated with the transition probabilities, and averaging between the two sessions (as previously described). Two fMRI imaging sessions were conducted during childhood and early adolescence (n = 37, 16 females, 21 males, 9-13.7 years). Six bilateral regions of interest were selected a priori based on the PVT circuitry in rodent literature, including: the anterior cingulate cortex (ACC), amygdala, bed nucleus of the stria terminalis (BNST), hippocampus, locus coeruleus, lateral hypothalamus (LH), and nucleus accumbens (NAc). Measures of functional connectivity between these regions and the PVT were considered in six independent mixed effects models testing for a main effect of entropy adjusted for age at scan and sex.Results: There was a negative association of entropy with the functional connectivity between the PVT and bilateral LH (T-stat = -2.71, p-uncorrected = 0.0089) and BNST (T-stat = -2.22, p-uncorrected = 0.0308). Functional connectivity between the PVT and NAc (T-stat = 2.65, p-uncorrected = 0.0105) and between the PVT and ACC (T-stat = 2.62, p-uncorrected = 0.0114) was higher in females compared to males of the same age.Conclusions: Unpredictable maternal signals during infancy, reflected here as high entropy, may contribute to the development of PVT functional connectivity to the LH and BNST. In rodents, the lateral hypothalamus to PVT projection plays a role in arousal and reward learning, while the BNST to PVT connections may contribute to anxiety behaviors. The sex effects observed here may be due to sex-differences in pubertal timing during adolescence. Future work will employ large, publicly available datasets to further characterize the development of PVT circuitry and its putative role in mediating the effects of diverse early-life factors in the development of mental illness.Keywords: Paraventricular Nucleus of the Thalamus, Entropy, Unpredictability, Resting State Functional Connectivity, Early-Life ExperienceDisclosure: Nothing to disclose.
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- 2023
25. Chemical composition analysis of the essential oil of Solanumn nigrum L. by HS/SPME method and calculation of the biochemical coefficients of the components
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Avat (Arman) Taherpour, Mohammad Mehdi Khodaei, Baram Ahmed Hama Ameen, Majid Ghaitouli, Nosratollah Mahdizadeh, Hamid Reza Amjadian, and Kambiz Larijani
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HS/SPME method ,Gas chromatography ,Mass spectroscopy ,Solanumn nigrum L. ,Essential oil compounds ,Octanol–water partitioning ,Chemistry ,QD1-999 - Abstract
The volatile constituents of the essential oil of wild Solanumn nigrum L. obtained from the Kurdistan of Iraq were extracted by head-space/solid-phase micro-extraction (HS/SPME) and were analyzed by gas chromatography (GC) and gas chromatography/mass spectrometry (GC/MS). Of a total of twenty compounds in the oil, all of them were identified. The main components were as follows: Dillapiole (22.22%), α-Cadinol (16.47%), para-Cymene (10.01%), (E)-1-(2,6,6-Trimethyl-1,3-cyclohexadien-1-yl)-2-buten-1-one or β-damascenone (9.08%), α-Phellandrene (8.48%), β-Pinene (5.93%), α-Bisabolol acetate (4.53%), (Z,E)-4,6,8-Megastigmatriene (4.09%), Phytol (2.49%), Linalyl butanoate (2.13%), 8-methylene-tricyclo[3.2.1.0(2,4)]octane (2.60%) and Limonene (2.03%). Some physicochemical properties, such as the logarithm of calculated octanol–water partitioning coefficients (logKow) and total biodegradation (TBd in mol/h) were calculated for compounds 1–20 from S. nigrum L.
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- 2017
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26. Chronic Illness Perceptions and Cardiovascular Disease Risk Behaviors in Black and Latinx Sexual Minority Men with HIV: A Cross-Sectional Analysis
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S. Raquel Ramos, Baram Kang, Sangchoon Jeon, Marilyn Fraser, Trace Kershaw, and Mohamed Boutjdir
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HIV ,cardiovascular disease ,sexual and gender minorities ,sleep ,hypertension ,mental health ,Nursing ,RT1-120 - Abstract
Ethnic and racial sexual minority men with HIV have a disproportionately higher risk of HIV-related cardiovascular disease (CVD). There is a lack of tailored and culturally salient behavioral interventions to address HIV-related chronic illness in ethnic and racial sexual minority men, and literature on their understanding and awareness of modifiable behavioral risks is limited. The purpose of this study was to assess illness perceptions about HIV and HTN, and describe physical activity, tobacco, and e-cigarette use in Black and Latinx sexual minority men living with HIV. We used the validated Illness Perception Questionnaire-Revised (IPQ-R) to assess perceptions about two interrelated chronic diseases, HIV and CVD. To assess CVD behavioral risk, we assessed physical activity using the International Physical Activity Questionnaire. Tobacco and e-cigarette use were assessed using items from the Behavioral Risk Factor Surveillance System. Sleep difficulties were the most prevalent symptom attributed to HIV, and were statistically associated with fatigue, upset stomach, and loss of strength. Anxiety was reported to be caused by HIV (57%) and HTN (39%). Half of the participants engaged in vigorous activity for 128 min (SD = 135) daily, and 63% engaged in moderate activity for 94 min (SD = 88) daily. Over a third reported current tobacco use and 20% reported current e-cigarette use. This study provides formative data to better understand how Black and Latinx sexual minority men with HIV perceive intersecting chronic illnesses and their engagement in modifiable CVD risk behaviors. Sleep, mental health disparities, and financial hardships were commonly reported. More research is needed to address intersecting chronic illnesses and mental health conditions that are influenced by social positioning over the life course, and impact CVD risk factors. This study was not registered.
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- 2024
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27. Expressions of Geographic Literacy in the Context of the COVID-19 Pandemic: The Role of Geographic Education among Adults
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Dalit Lan, Sagi Dalyot, and Ayelet Baram-Tsabari
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The global outbreak of COVID-19 brought an unprecedented influx of official and semiofficial geographic information to individuals worldwide, primarily in the form of geospatial and numerical data. Maps specifically played a key role in the conveying of information and guidelines to the public in relation to the pandemic. Yet to fully understand such input, and reach informed decisions, the public needed to possess and utilize geographic literacy. In this paper, the term geographic literacy is defined as the ability to use spatial-geographic knowledge, skills, and reasoning, as a means for understanding and interpreting intertwined spatial phenomena. This study therefore aims at examining geographic literacy among adults, both in general and in relation to geographic education. Online quantitative questionnaires were completed by a representative sample of 456 Hebrew-speaking adults in Israel. Findings indicate low geographic literacy among the public, as seen in tasks that require data extraction and comprehension of visual representations. While the non-cognitive outcomes, such as attitudes toward geography and self-efficacy in geography, were strongly correlated with expressions of geographic literacy in the context of COVID-19, the highest formal instruction in geography and geographic education were not. These findings indicate that low geographic literacy might hinder making pandemic-related informed decisions, thus highlighting the importance of promoting geographic literacy. We conclude with the importance of identifying pedagogical mechanisms that enhance geospatial skills while also addressing non-cognitive outcomes, to better prepare diverse populations for 21st-century challenges.
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- 2024
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28. National and Religious Messages in Israeli Search-and-Find Books for Children
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Eshel, Einat Baram
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- 2024
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29. Spatial learning impairments and discoordination of entorhinal‐hippocampal circuit coding following prolonged febrile seizures
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Kloc, Michelle L, Chen, Yuncai, Daglian, Jennifer M, Holmes, Gregory L, Baram, Tallie Z, and Barry, Jeremy M
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Basic Behavioral and Social Science ,Neurosciences ,Acquired Cognitive Impairment ,Brain Disorders ,Aging ,Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) ,Behavioral and Social Science ,Dementia ,Mental Health ,Neurodegenerative ,Aetiology ,Underpinning research ,1.1 Normal biological development and functioning ,2.1 Biological and endogenous factors ,Mental health ,Neurological ,Rats ,Animals ,Seizures ,Febrile ,Spatial Learning ,Hippocampus ,Entorhinal Cortex ,Status Epilepticus ,Dentate Gyrus ,circuit throughput ,development ,febrile status epilepticus ,network development ,pathology ,seizures ,spatial memory ,Cognitive Sciences ,Neurology & Neurosurgery - Abstract
How the development and function of neural circuits governing learning and memory are affected by insults in early life remains poorly understood. The goal of this study was to identify putative changes in cortico-hippocampal signaling mechanisms that could lead to learning and memory deficits in a clinically relevant developmental pathophysiological rodent model, Febrile status epilepticus (FSE). FSE in both pediatric cases and the experimental animal model, is associated with enduring physiological alterations of the hippocampal circuit and cognitive impairment. Here, we deconstruct hippocampal circuit throughput by inducing slow theta oscillations in rats under urethane anesthesia and isolating the dendritic compartments of CA1 and dentate gyrus subfields, their reception of medial and lateral entorhinal cortex inputs, and the efficacy of signal propagation to each somatic cell layer. We identify FSE-induced theta-gamma decoupling at cortical synaptic input pathways and altered signal phase coherence along the CA1 and dentate gyrus somatodendritic axes. Moreover, increased DG synaptic activity levels are predictive of poor cognitive outcomes. We propose that these alterations in cortico-hippocampal coordination interfere with the ability of hippocampal dendrites to receive, decode and propagate neocortical inputs. If this frequency-specific syntax is necessary for cortico-hippocampal coordination and spatial learning and memory, its loss could be a mechanism for FSE cognitive comorbidities.
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- 2023
30. PTEN deletion in the adult dentate gyrus induces epilepsy
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Jennifer M. Yonan, Kevin D. Chen, Tallie Z. Baram, and Oswald Steward
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Epilepsy ,PTEN ,mTOR ,Dentate gyrus ,Hippocampus ,Granule cells ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Embryonic and early postnatal promotor-driven deletion of the phosphatase and tensin homolog (PTEN) gene results in neuronal hypertrophy, hyperexcitable circuitry and development of spontaneous seizures in adulthood. We previously documented that focal, vector-mediated PTEN deletion in mature granule cells of the adult dentate gyrus triggers dramatic growth of cell bodies, dendrites, and axons, similar to that seen with early postnatal PTEN deletion. Here, we assess the functional consequences of focal, adult PTEN deletion, focusing on its pro-epileptogenic potential. PTEN deletion was accomplished by injecting AAV-Cre either bilaterally or unilaterally into the dentate gyrus of double transgenic PTEN-floxed, ROSA-reporter mice. Hippocampal recording electrodes were implanted for continuous digital EEG with concurrent video recordings in the home cage. Electrographic seizures and epileptiform spikes were assessed manually by two investigators, and correlated with concurrent videos. Spontaneous electrographic and behavioral seizures appeared after focal PTEN deletion in adult dentate granule cells, commencing around 2 months post-AAV-Cre injection. Seizures occurred in the majority of mice with unilateral or bilateral PTEN deletion and led to death in several cases. PTEN-deletion provoked epilepsy was not associated with apparent hippocampal neuron death; supra-granular mossy fiber sprouting was observed in a few mice. In summary, focal, unilateral deletion of PTEN in the adult dentate gyrus suffices to provoke time-dependent emergence of a hyperexcitable circuit generating hippocampus-origin, generalizing spontaneous seizures, providing a novel model for studies of adult-onset epileptogenesis.
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- 2024
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31. Opioid drug seeking after early-life adversity: a role for delta opioid receptors
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Sophia C. Levis, Matthew T. Birnie, Yiyan Xie, Noriko Kamei, Puja V. Kulkarni, Johanna S. Montesinos, Christina R. Perrone, Catherine M. Cahill, Tallie Z. Baram, and Stephen V. Mahler
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Early life adversity ,Opioid addiction ,Delta opioid receptor ,Demand elasticity ,Nucleus accumbens ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Opioid use disorder (OUD) is associated with a history of early-life adversity (ELA), an association that is particularly strong in women. In a rodent model, we previously found that ELA enhances risk for opioid addiction selectively in females, but the mechanisms for this effect are unclear. Here, we show that ELA robustly alters cFos responses to opioid drugs in females’ nucleus accumbens (NAc) and basolateral amygdala (BLA), but not elsewhere. We further identify delta opioid receptors (DOR), which mature in the first week of life and thus later than kappa or mu opioid receptors, as a potential mediator of ELA's impacts on reward circuit functions. Accordingly, DOR mRNA in NAc was persistently reduced in adult females with ELA history. Moreover, pharmacological stimulation of NAc DORs increased opioid demand in control females (recapitulating the ELA phenotype), while blocking DORs in ELA females conversely reduced high-effort drug consumption, simulating the control rearing phenotype. These findings support a role for NAc DORs in mediating ELA-induced opioid vulnerability. In contrast, BLA neurons expressing DOR protein do not overlap heroin- responsive cells in ELA rats, arguing against a direct relationship of BLA DORs to heroin's addiction-relevant actions in the brain. Together, these results suggest a novel and selective role for NAc DORs in contributing to enduring, ELA-provoked vulnerability to OUD.
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- 2024
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32. Enduring memory consequences of early-life stress / adversity: Structural, synaptic, molecular and epigenetic mechanisms
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Tallie Z. Baram and Matthew T. Birnie
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Memory ,Stress ,Cognitive ,Microglia ,Epigenetics ,Synapses ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 ,Neurology. Diseases of the nervous system ,RC346-429 ,Neurophysiology and neuropsychology ,QP351-495 - Abstract
Adverse early life experiences are strongly associated with reduced cognitive function throughout life. The link is strong in many human studies, but these do not enable assigning causality, and the limited access to the live human brain can impede establishing the mechanisms by which early-life adversity (ELA) may induce cognitive problems. In experimental models, artificially imposed chronic ELA/stress results in deficits in hippocampus dependent memory as well as increased vulnerability to the deleterious effects of adult stress on memory. This causal relation of ELA and life-long memory impairments provides a framework to probe the mechanisms by which ELA may lead to human cognitive problems. Here we focus on the consequences of a one-week exposure to adversity during early postnatal life in the rodent, the spectrum of the ensuing memory deficits, and the mechanisms responsible. We highlight molecular, cellular and circuit mechanisms using convergent trans-disciplinary approaches aiming to enable translation of the discoveries in experimental models to the clinic.
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- 2024
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33. Computational Modeling Differentiates Learning Rate From Reward Sensitivity Deficits Produced by Early-Life Adversity in a Rodent Touchscreen Probabilistic Reward Task
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Brian D. Kangas, Yuen-Siang Ang, Annabel K. Short, Tallie Z. Baram, and Diego A. Pizzagalli
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Anhedonia ,Bayesian computational modeling ,Computational psychiatry ,Early-life adversity ,Probabilistic reward task ,Research domain criteria ,Psychiatry ,RC435-571 - Abstract
Background: Exposure to adversity, including unpredictable environments, during early life is associated with neuropsychiatric illness in adulthood. One common factor in this sequela is anhedonia, the loss of responsivity to previously reinforcing stimuli. To accelerate the development of new treatment strategies for anhedonic disorders induced by early-life adversity, animal models have been developed to capture critical features of early-life stress and the behavioral deficits that such stressors induce. We have previously shown that rats exposed to the limited bedding and nesting protocol exhibited blunted reward responsivity in the probabilistic reward task, a touchscreen-based task reverse translated from human studies. Methods: To test the quantitative limits of this translational platform, we examined the ability of Bayesian computational modeling and probability analyses identical to those optimized in previous human studies to quantify the putative mechanisms that underlie these deficits with precision. Specifically, 2 parameters that have been shown to independently contribute to probabilistic reward task outcomes in patient populations, reward sensitivity and learning rate, were extracted, as were trial-by-trial probability analyses of choices as a function of the preceding trial. Results: Significant deficits in reward sensitivity, but not learning rate, contributed to the anhedonic phenotypes in rats exposed to early-life adversity. Conclusions: The current findings confirm and extend the translational value of these rodent models by verifying the effectiveness of computational modeling in distinguishing independent features of reward sensitivity and learning rate that complement the probabilistic reward task’s signal detection end points. Together, these metrics serve to objectively quantify reinforcement learning deficits associated with anhedonic phenotypes.
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- 2024
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34. Educational tools support informed decision-making for genetic carrier screening in a heterogenic Israeli population
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Gafni-Amsalem, Chen, Aboleil-Zoubi, Olfat, Chervinsky, Elena, Aleme, Ola, Khayat, Morad, Bashir, Husam, Perets, Lilach Peled, Mamluk, Efrat, Hakrosh, Shadia, Kurtzman, Shoshi, Tamir, Liron, Baram-Tsabari, Ayelet, and Shalev, Stavit A.
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- 2024
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35. Meaningful Participation of Schools in Scientific Research through Contributory Citizen Science Projects
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Atias, Osnat, Kali, Yael, Shavit, Ayelet, and Baram-Tsabari, Ayelet
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School-based citizen science offers a way for students and teachers to collaborate with scientists and take part in multiple facets of research such as data collection and analysis, and sometimes research initiation, co-design, and reporting of findings. However, most citizen science projects offered to schools are of the contributory type, often regarded as a lesser form of participation since the role of nonscientific participants lies mostly in data collection. The current study set out to examine the potential of contributory projects to afford--despite their limitations--more equitable power relations between schools and scientists and a meaningful participation of schools in scientific research. We view meaningful participation as such that embodies students' and teachers' responsibility over scientific processes or outcomes. Nine pairs of teachers and scientists who collaborated in contributory-based projects were asked to think aloud as they answered a questionnaire regarding their experiences, resulting with rich commentary on how they perceived relationships between the schools and the scientists. Analysis of the think-aloud data, using a framework based on the notion of reciprocity in university-community partnerships, indicated that most teachers and scientists developed a sense of reciprocal relations where both sides are acknowledged contributors, some even deeply so. We discuss factors influencing the emergence of reciprocity and implications towards the premise of school-based citizen science to democratize science and change traditional power relations in school-based citizen science collaborations.
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- 2023
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36. Seeking the Amygdala: Novel Use of Diffusion Tensor Imaging to Delineate the Basolateral Amygdala.
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Obenaus, Andre, Kinney-Lang, Eli, Jullienne, Amandine, Haddad, Elizabeth, Wendel, Kara M, Shereen, A Duke, Solodkin, Ana, Dunn, Jeffrey F, and Baram, Tallie Z
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gadolinium ,high field MRI ,histology ,magnetic resonance imaging ,rodent ,tractography ,volumes ,Brain Disorders ,Neurosciences ,Biomedical Imaging ,Basic Behavioral and Social Science ,Behavioral and Social Science ,Neurological - Abstract
The amygdaloid complex, including the basolateral nucleus (BLA), contributes crucially to emotional and cognitive brain functions, and is a major target of research in both humans and rodents. However, delineating structural amygdala plasticity in both normal and disease-related contexts using neuroimaging has been hampered by the difficulty of unequivocally identifying the boundaries of the BLA. This challenge is a result of the poor contrast between BLA and the surrounding gray matter, including other amygdala nuclei. Here, we describe a novel diffusion tensor imaging (DTI) approach to enhance contrast, enabling the optimal identification of BLA in the rodent brain from magnetic resonance (MR) images. We employed this methodology together with a slice-shifting approach to accurately measure BLA volumes. We then validated the results by direct comparison to both histological and cellular-identity (parvalbumin)-based conventional techniques for defining BLA in the same brains used for MRI. We also confirmed BLA connectivity targets using DTI-based tractography. The novel approach enables the accurate and reliable delineation of BLA. Because this nucleus is involved in and changed by developmental, degenerative and adaptive processes, the instruments provided here should be highly useful to a broad range of neuroimaging studies. Finally, the principles used here are readily applicable to numerous brain regions and across species.
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- 2023
37. Influence of early‐life adversity on responses to acute and chronic ethanol in female mice
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Okhuarobo, Agbonlahor, Angelo, Maggie, Bolton, Jessica L, Lopez, Catherine, Igbe, Ighodaro, Baram, Tallie Z, and Contet, Candice
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Basic Behavioral and Social Science ,Neurosciences ,Women's Health ,Alcoholism ,Alcohol Use and Health ,Behavioral and Social Science ,Substance Misuse ,Good Health and Well Being ,Animals ,Female ,Mice ,Alcohol Drinking ,Alcoholism ,Ethanol ,Mice ,Inbred C57BL ,Proto-Oncogene Proteins c-fos ,Stress ,Psychological ,early-life stress ,hyperkatifeia ,pain ,resilience ,vulnerability ,Clinical Sciences ,Psychology ,Substance Abuse ,Clinical sciences ,Biological psychology ,Clinical and health psychology - Abstract
BackgroundStressful early-life experiences increase the risk of developing an alcohol use disorder. We previously found that male C57BL/6J mice reared under limited bedding and nesting (LBN) conditions, a model of early-life adversity, escalate their ethanol intake in limited-access two-bottle choice (2BC) sessions faster than control (CTL)-reared counterparts when exposed to chronic intermittent ethanol (CIE) vapor inhalation. However, the alcohol consumption of female littermates was not affected by LBN or CIE. In the present study, we sought to determine whether this phenotype reflected a general insensitivity of female mice to the influence of early-life stress on alcohol responses.MethodsIn a first experiment, CTL and LBN females with a history of 2BC combined or not with CIE were tested in affective and nociceptive assays during withdrawal. In a second group of CTL and LBN females, we examined ethanol-induced antinociception, sedation, plasma clearance, and c-Fos induction.ResultsIn females withdrawn from chronic 2BC, CIE increased digging, reduced grooming, and increased immobility in the tail suspension test regardless of early-life history. In contrast, LBN rearing lowered mechanical nociceptive thresholds regardless of CIE exposure. In females acutely treated with ethanol, LBN rearing facilitated antinociception and delayed the onset of sedation without influencing ethanol clearance rate or c-Fos induction in the paraventricular nucleus of the hypothalamus, paraventricular nucleus of the thalamus, central nucleus of the amygdala, or auditory cortex.ConclusionCIE withdrawal produced multiple indices of negative affect in C57BL/6J females, suggesting that their motivation to consume alcohol may differ from air-exposed counterparts despite equivalent intake. Contrasted with our previous findings in males, LBN-induced mechanical hyperalgesia in chronic alcohol drinkers was specific to females. Lower nociceptive thresholds combined with increased sensitivity to the acute antinociceptive effect of ethanol may contribute to reinforcing ethanol consumption in LBN females but are not sufficient to increase their intake.
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- 2023
38. Observational study of the effect of ketamine infusions on sedation depth, inflammation, and clinical outcomes in mechanically ventilated patients with SARS-CoV-2
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Wyler, David, Torjman, Marc C, Leong, Ron, Baram, Michael, Denk, William, Long, Sara C, Gawel, Richard J, Viscusi, Eugene R, Wainer, Irving W, and Schwenk, Eric S
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- 2024
39. Addendum: Exposure to unpredictability and mental health: Validation of the brief version of the Questionnaire of Unpredictability in Childhood (QUIC-5) in English and Spanish
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Lindert, Natasha G, Maxwell, Megan Y, Liu, Sabrina R, Stern, Hal S, Baram, Tallie Z, Davis, Elysia Poggi, Risbrough, Victoria B, Baker, Dewleen G, Nievergelt, Caroline M, and Glynn, Laura M
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Biomedical and Clinical Sciences ,Psychology ,Pediatric ,Mental Health ,Infectious Diseases ,Good Health and Well Being ,early life adversity ,unpredictability ,mental health ,anxiety ,depression ,Cognitive Sciences ,Biomedical and clinical sciences - Published
- 2023
40. Stress-induced plasticity of a CRH/GABA projection disrupts reward behaviors in mice
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Birnie, Matthew T, Short, Annabel K, de Carvalho, Gregory B, Taniguchi, Lara, Gunn, Benjamin G, Pham, Aidan L, Itoga, Christy A, Xu, Xiangmin, Chen, Lulu Y, Mahler, Stephen V, Chen, Yuncai, and Baram, Tallie Z
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Biological Psychology ,Pharmacology and Pharmaceutical Sciences ,Biomedical and Clinical Sciences ,Psychology ,Basic Behavioral and Social Science ,Behavioral and Social Science ,Neurosciences ,Mental Health ,Brain Disorders ,2.1 Biological and endogenous factors ,Mental health ,Good Health and Well Being ,Mice ,Male ,Animals ,Corticotropin-Releasing Hormone ,Reward ,Nucleus Accumbens ,Basolateral Nuclear Complex ,gamma-Aminobutyric Acid - Abstract
Disrupted operations of the reward circuit underlie major emotional disorders, including depression, which commonly arise following early life stress / adversity (ELA). However, how ELA enduringly impacts reward circuit functions remains unclear. We characterize a stress-sensitive projection connecting basolateral amygdala (BLA) and nucleus accumbens (NAc) that co-expresses GABA and the stress-reactive neuropeptide corticotropin-releasing hormone (CRH). We identify a crucial role for this projection in executing disrupted reward behaviors provoked by ELA: chemogenetic and optogenetic stimulation of the projection in control male mice suppresses several reward behaviors, recapitulating deficits resulting from ELA and demonstrating the pathway's contributions to normal reward behaviors. In adult ELA mice, inhibiting-but not stimulating-the projection, restores typical reward behaviors yet has little effect in controls, indicating ELA-induced maladaptive plasticity of this reward-circuit component. Thus, we discover a stress-sensitive, reward inhibiting BLA → NAc projection with unique molecular features, which may provide intervention targets for disabling mental illnesses.
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- 2023
41. Genetic tagging uncovers a robust, selective activation of the thalamic paraventricular nucleus by adverse experiences early in life
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Kooiker, Cassandra L, Chen, Yuncai, Birnie, Matthew T, and Baram, Tallie Z
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Brain Disorders ,Neurosciences ,Pediatric ,Basic Behavioral and Social Science ,Behavioral and Social Science ,Mental Health ,Depression ,2.1 Biological and endogenous factors ,Aetiology ,Mental health - Abstract
Background: Early-life adversity (ELA) is associated with increased risk for mood disorders, including depression and substance use disorders. These disorders are characterized by impaired reward-related behaviors, suggesting compromised operations of reward-related brain circuits. However, the brain regions engaged by ELA that mediate these enduring consequences of ELA remain largely unknown. In an animal model of ELA, we identified aberrant reward-seeking behaviors, a discovery that provides a framework for assessing the underlying circuits. Methods: Employing TRAP2 (targeted recombination in active populations) male and female mice, in which neurons activated within a defined time frame are permanently tagged, we compared ELA- and control-reared mice, assessing the quantity and distribution of ELA-related neuronal activation. After validating the TRAP2 results using native c-Fos labeling, we defined the molecular identity of this population of activated neurons. Results: We uniquely demonstrated that the TRAP2 system is feasible and efficacious in neonatal mice. Surprisingly, the paraventricular nucleus of the thalamus was robustly and almost exclusively activated by ELA and was the only region distinguishing ELA from typical rearing. Remarkably, a large proportion of ELA-activated paraventricular nucleus of the thalamus neurons expressed CRF1, the receptor for the stress-related peptide, corticotropin-releasing hormone, but these neurons did not express corticotropin-releasing hormone itself. Conclusions: The paraventricular nucleus of the thalamus, an important component of reward circuits that is known to encode remote, emotionally salient experiences to influence future motivated behaviors, encodes adverse experiences as remote as those occurring during the early postnatal period and is thus poised to contribute to the enduring deficits in reward-related behaviors consequent to ELA.
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- 2023
42. Vascular topology and blood flow are acutely impacted by experimental febrile status epilepticus
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Salehi, Arjang, Salari, Sirus, Jullienne, Amandine, Daglian, Jennifer, Chen, Kevin, Baram, Tallie Z, and Obenaus, Andre
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Biomedical and Clinical Sciences ,Neurosciences ,Clinical Sciences ,Cerebrovascular ,Biomedical Imaging ,Neurodegenerative ,Brain Disorders ,Epilepsy ,Neurological ,Animals ,Rats ,Status Epilepticus ,Vessel density ,junctions ,middle cerebral artery ,hippocampus ,basolateral amygdala ,vessel length ,perfusion ,deoxyhemoglobin - Abstract
Febrile status epilepticus (FSE) is an important risk factor for temporal lobe epilepsy and early identification of those at high risk for epilepsy is vital. In a rat model of FSE, we identified an acute (2 hrs) novel MRI signal where reduced T2 relaxation values in the basolateral amygdala (BLA) predicted epilepsy in adulthood; this T2 signal remains incompletely understood and we hypothesized that it may be influenced by vascular topology. Experimental FSE induced in rat pups reduced blood vessel density of the cortical vasculature in a lateralized manner at 2 hrs post FSE. Middle cerebral artery (MCA) exhibited abnormal topology in FSE pups but not in controls. In the BLA, significant vessel junction reductions and decreased vessel diameter were observed, together with a strong trend for reduced vessel length. Perfusion weighted MRI (PWI) was acutely increased cerebral blood flow (CBF) in cortex, amygdala and hippocampus of FSE pups that correlated to decreased T2 relaxation values compared to controls. This is consistent with increased levels of deoxyhemoglobin associated with increased metabolic demand. In summary, FSE acutely modifies vascular topological and CBF in cortex and BLA that may underlie acute MRI signal changes that predict progression to future epilepsy.
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- 2023
43. Single-Cell Transcriptional Changes in Hypothalamic Corticotropin-Releasing Factor–Expressing Neurons After Early-Life Adversity Inform Enduring Alterations in Vulnerabilities to Stress
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Short, Annabel K, Thai, Christina W, Chen, Yuncai, Kamei, Noriko, Pham, Aidan L, Birnie, Matthew T, Bolton, Jessica L, Mortazavi, Ali, and Baram, Tallie Z
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Behavioral and Social Science ,Mental Health ,Neurosciences ,Genetics ,Prevention ,Basic Behavioral and Social Science ,1.1 Normal biological development and functioning ,Aetiology ,2.1 Biological and endogenous factors ,Underpinning research ,CRF ,Early-life adversity ,Epigenomics ,Hypothalamus ,Mental illness ,Single-cell transcriptomics ,Stress - Abstract
BackgroundMental health and vulnerabilities to neuropsychiatric disorders involve the interplay of genes and environment, particularly during sensitive developmental periods. Early-life adversity (ELA) and stress promote vulnerabilities to stress-related affective disorders, yet it is unknown how transient ELA dictates lifelong neuroendocrine and behavioral reactions to stress. The population of hypothalamic corticotropin-releasing factor (CRF)-expressing neurons that regulate stress responses is a promising candidate to mediate the long-lasting influences of ELA on stress-related behavioral and hormonal responses via enduring transcriptional and epigenetic mechanisms.MethodsCapitalizing on a well-characterized model of ELA, we examined ELA-induced changes in gene expression profiles of CRF-expressing neurons in the hypothalamic paraventricular nucleus of developing male mice. We used single-cell RNA sequencing on isolated CRF-expressing neurons. We determined the enduring functional consequences of transcriptional changes on stress reactivity in adult ELA mice, including hormonal responses to acute stress, adrenal weights as a measure of chronic stress, and behaviors in the looming shadow threat task.ResultsSingle-cell transcriptomics identified distinct and novel CRF-expressing neuronal populations, characterized by both their gene expression repertoire and their neurotransmitter profiles. ELA-provoked expression changes were selective to specific subpopulations and affected genes involved in neuronal differentiation, synapse formation, energy metabolism, and cellular responses to stress and injury. Importantly, these expression changes were impactful, apparent from adrenal hypertrophy and augmented behavioral responses to stress in adulthood.ConclusionsWe uncover a novel repertoire of stress-regulating CRF cell types differentially affected by ELA and resulting in augmented stress vulnerability, with relevance to the origins of stress-related affective disorders.
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- 2023
44. Nitrogen, phosphorus and potassium nutrition effects on flowering and reproduction in an F1 segregating population of the Theobroma cacao L. CCN-51 cultivar
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Weinstein, Maya, Baram, Shahar, Yermiyahu, Uri, Lieberman-Lazarovich, Michal, Tsehansky, Ludmila, Elmakias, Assaf, Kumar, Pawan, and Graber, Ellen R.
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- 2024
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45. A randomized prospective comparative study on sinonasal morbidity and quality of life of transsphenoidal endoscopic surgery for pituitary adenomas: endonasal versus trans-septal approach
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Ferreli, Fabio, Lasagna, Chiara, Canali, Luca, Baram, Ali, Bono, Beatrice C., Tropeano, Maria Pia, Pirola, Francesca, Morenghi, Emanuela, Mercante, Giuseppe, Spriano, Giuseppe, Milani, Davide, Lasio, Giovanni, and Colombo, Giovanni
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- 2024
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46. Effect of biosolid-derived dissolved organic matter on orthophosphate sorption to soils depends on clay mineralogy and solution composition
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Freiberg, Yaniv, Fine, Pinchas, Borisover, Mikhail, Levkovitch, Irit, and Baram, Shahar
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- 2023
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47. Cerebrospinal Fluid Leak Prevention in Intradural Spine Surgery: A Long Series Analysis of Closure with Non-Penetrating Titanium Clips
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Leonardo Anselmi, Carla Daniela Anania, Maria Cleofe Ubezio, Generoso Farinaro, Donato Creatura, Alessandro Ortolina, Massimo Tomei, Ali Baram, and Maurizio Fornari
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AnastoClip ,non-penetrating titanium clip ,durotomy ,dural closure ,CSF ,dural tears ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Background/Objectives: Postoperative cerebrospinal fluid (CSF) fistulas remain a significant concern in spinal neurosurgery, particularly following dural closure. The incidence of dural tears during spinal surgery is estimated between 1.6% and 10%. While direct suturing remains the gold standard, it has a failure rate of 5–10%. Various materials and techniques have been used to enhance dural closure. This study aims to assess the effectiveness of non-penetrating titanium clips (AnastoClip®) for dural closure in intradural spinal lesion surgeries. Methods: A prospective analysis was conducted on 272 patients who were operated on for intradural spinal lesions from August 2017 to December 2023. Dural closure was performed using non-penetrating titanium clips with sealant, and, in select cases, autologous grafts. Postoperative care included early mobilization and routine MRI to assess outcomes. A comparative analysis was performed with a cohort of 81 patients treated with traditional sutures. Results: Among the 272 patients, postoperative CSF leaks occurred in 32 cases (11.76%), requiring various management approaches. Thirteen cases required surgical revision, while others resolved with external lumbar drainage or fluid aspiration. Compared to the suture group, which had a fistula rate of 23.46%, the titanium clip group had a significantly lower fistula rate. Logistic regression analysis did not find statistically significant associations between fistula risk and clinical factors. Conclusions: Non-penetrating titanium clips provide an effective alternative to sutures for dural closure, reducing CSF leak rates. They preserve dural integrity, reduce operative time, and avoid imaging artifacts, making them a viable advancement in spinal surgery with outcomes comparable to, or better than, traditional techniques.
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- 2024
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48. The Impact of Intraoperative CT-Based Navigation in Congenital Craniovertebral Junction Anomalies: New Concepts of Treatment
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Giorgio Cracchiolo, Ali Baram, Gabriele Capo, Zefferino Rossini, Marco Riva, Andrea Fanti, Mario De Robertis, Maurizio Fornari, Federico Pessina, and Carlo Brembilla
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craniovertebral junction anomalies ,navigation ,intraoperative imaging ,surgical safety ,surgical accuracy ,posterior fixation ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Background: Congenital craniovertebral junction anomalies (CCVJAs) encompass a diverse range of conditions characterized by distorted anatomy and significant variation in the pathways of neurovascular structures. This study aims to assess the safety and feasibility of tailoring posterior fixation for CCVJAs through intraoperative CT-based navigation. Methods: An in-depth retrospective analysis was conducted on eight patients diagnosed with CCVJAs (excluding Arnold–Chiari malformation). These patients underwent posterior fixation/arthrodesis facilitated by intraoperative CT-based navigation. The analysis included an examination of the fixation strategies, complication rates, length of stay, post-operative complications, and success of arthrodesis. Additionally, a comprehensive literature review was undertaken to contextualize and compare our findings. Results: Patients undergoing CVJ posterior fixation with intraoperative CT-based navigation exhibited a flawless record, devoid of complications related to the damage to neurovascular structures, as well as any instances of screw misposition, pullout, or breakage (0 out of 36 total screws). Furthermore, the entire cohort demonstrated a 100% arthrodesis rate. None of the patients required treatment with an occipital plate. Conclusions: The incorporation of intraoperative CT-based navigation proves to be an invaluable asset in executing CVJ posterior fixation within the context of CCVJAs. This technology facilitates the customization of posterior constructs, a crucial adaptation required to navigate the anatomical challenges posed by these anomalies. The secure placement of screws into the occipital condyles, made possible by navigation, has proven highly effective in achieving CVJ fixation, obviating the need for an occipital plate. This technological leap represents a significant advancement, enhancing the safety, precision, and overall outcomes for patients undergoing this surgical procedure, while concurrently reducing the necessity for more invasive and morbid interventions.
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- 2024
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49. Association of Renin Angiotensin Aldosterone System Inhibitors and Outcomes of Hospitalized Patients With COVID-19
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Gupta, Neha, Settle, Lisa, Brown, Brent R, Armaignac, Donna L, Baram, Michael, Perkins, Nicholas E, Kaufman, Margit, Melamed, Roman R, Christie, Amy B, Danesh, Valerie C, Denson, Joshua L, Cheruku, Sreekanth R, Boman, Karen, Bansal, Vikas, Kumar, Vishakha K, Walkey, Allan J, Domecq, Juan P, Kashyap, Rahul, Aston, Christopher E, Mesland, Jean-Baptiste, Henin, Pierre, Petre, Hélène, Buelens, Isabelle, Gerard, Anne-Catherine, Clevenbergh, Philippe, Granado, Rolando Claure-Del, Mercado, Jose A, Vega-Terrazas, Esdenka, Iturricha-Caceres, Maria F, Garza, Ruben, Chu, Eric, Chan, Victoria, Gavidia, Oscar Y, Pachon, Felipe, Sanchez, Yeimy A, knežević, Danijel, Kassas, Mohamed El, Badr, Mohamed, Tawheed, Ahmed, Yahia, Hend, Kantas, Dimitrios, Koulouras, Vasileios, Pineda, Estela, Guillen, Gabina María Reyes, Soto, Helin Archaga, Lizardo, Ana Karen Vallecillo, Kopitkó, Csaba, Bencze, Ágnes, Méhész, István, Gerendai, Zsófia, Doddaga, Phaneendra, Chandra, Neethi, Segu, Smitha S, Chakraborty, Tuhin, Joyce, Epcebha, Vadgaonkar, Girish, Ediga, Rekha, Basety, Shilpa, Dammareddy, Shwetha, Kasumalla, Phani Sreeharsha, Raju, Umamaheswara, Manduva, Janaki, Kolakani, Naresh, Sripathi, Shreeja, Chaitanya, Sheetal, Cherian, Anusha, Parameswaran, Sreejith, Parthiban, Magesh, A., Menu Priya, Prabhu, Madhav, Jakati, Vishal, Rijhwani, Puneet, Jain, Ashish, Gupta, Aviral, Jaiswal, Ram Mohan, Tyagi, Ambika, Mathur, Nimish, Daga, Mradul Kumar, Agarwal, Munisha, Rohtagi, Ishan, Papani, Sridhar, Kamuram, Mahesh, Agrawal, Kamlesh Kumar, Baghel, Vijendra, Patel, Kirti Kumar, Mohan, Surapaneni Krishna, Jyothisree, Ekambaram, Petrolwala, Mukur, Ladva, Bharat, Dalili, Nooshin, Nafa, Mohsen, Matsuda, Wataru, Suzuki, Reina, Tahara, Shu, Sanui, Masamitsu, Horikita, Sho, Itagaki, Yuki, and Kodate, Akira
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Biomedical and Clinical Sciences ,Clinical Sciences ,Emerging Infectious Diseases ,Infectious Diseases ,Coronaviruses ,Good Health and Well Being ,Adult ,Angiotensin Receptor Antagonists ,Angiotensin-Converting Enzyme Inhibitors ,Antihypertensive Agents ,Humans ,Hypertension ,Male ,Middle Aged ,Renin-Angiotensin System ,Retrospective Studies ,COVID-19 Drug Treatment ,Society of Critical Care Medicine Discovery Viral Infection and Respiratory Illness Universal Study (VIRUS): COVID-19 Registry Investigator Group ,Nursing ,Public Health and Health Services ,Emergency & Critical Care Medicine ,Clinical sciences - Abstract
ObjectivesTo determine the association of prior use of renin-angiotensin-aldosterone system inhibitors (RAASIs) with mortality and outcomes in hospitalized patients with COVID-19.DesignRetrospective observational study.SettingMulticenter, international COVID-19 registry.SubjectsAdult hospitalized COVID-19 patients on antihypertensive agents (AHAs) prior to admission, admitted from March 31, 2020, to March 10, 2021.InterventionsNone.Measurements and main resultsData were compared between three groups: patients on RAASIs only, other AHAs only, and those on both medications. Multivariable logistic and linear regressions were performed after controlling for prehospitalization characteristics to estimate the effect of RAASIs on mortality and other outcomes during hospitalization. Of 26,652 patients, 7,975 patients were on AHAs prior to hospitalization. Of these, 1,542 patients (19.3%) were on RAASIs only, 3,765 patients (47.2%) were on other AHAs only, and 2,668 (33.5%) patients were on both medications. Compared with those taking other AHAs only, patients on RAASIs only were younger (mean age 63.3 vs 66.9 yr; p < 0.0001), more often male (58.2% vs 52.4%; p = 0.0001) and more often White (55.1% vs 47.2%; p < 0.0001). After adjusting for age, gender, race, location, and comorbidities, patients on combination of RAASIs and other AHAs had higher in-hospital mortality than those on RAASIs only (odds ratio [OR] = 1.28; 95% CI [1.19-1.38]; p < 0.0001) and higher mortality than those on other AHAs only (OR = 1.09; 95% CI [1.03-1.15]; p = 0.0017). Patients on RAASIs only had lower mortality than those on other AHAs only (OR = 0.87; 95% CI [0.81-0.94]; p = 0.0003). Patients on ACEIs only had higher mortality compared with those on ARBs only (OR = 1.37; 95% CI [1.20-1.56]; p < 0.0001).ConclusionsAmong patients hospitalized for COVID-19 who were taking AHAs, prior use of a combination of RAASIs and other AHAs was associated with higher in-hospital mortality than the use of RAASIs alone. When compared with ARBs, ACEIs were associated with significantly higher mortality in hospitalized COVID-19 patients.
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- 2022
50. Contribution of early‐life unpredictability to neuropsychiatric symptom patterns in adulthood
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Spadoni, Andrea D, Vinograd, Meghan, Cuccurazzu, Bruna, Torres, Katy, Glynn, Laura M, Davis, Elysia P, Baram, Tallie Z, Baker, Dewleen G, Nievergelt, Caroline M, and Risbrough, Victoria B
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Anxiety Disorders ,Substance Misuse ,Serious Mental Illness ,Clinical Research ,Basic Behavioral and Social Science ,Mental Health ,Behavioral and Social Science ,Mind and Body ,Post-Traumatic Stress Disorder (PTSD) ,Pediatric ,Neurosciences ,Chronic Pain ,Alcoholism ,Alcohol Use and Health ,Brain Disorders ,Pain Research ,Depression ,Aetiology ,2.3 Psychological ,social and economic factors ,Mental health ,Good Health and Well Being ,Adult ,Anhedonia ,Animals ,Anxiety ,Emotions ,Humans ,Stress Disorders ,Post-Traumatic ,anhedonia ,anxiety ,childhood trauma ,depression ,early-life adversity ,posttraumatic stress ,unpredictability ,Clinical Sciences ,Psychology ,Psychiatry - Abstract
BackgroundRecent studies in both human and experimental animals have identified fragmented and unpredictable parental and environmental signals as a novel source of early-life adversity. Early-life unpredictability may be a fundamental developmental factor that impacts brain development, including reward and emotional memory circuits, affecting the risk for psychopathology later in life. Here, we tested the hypothesis that self-reported early-life unpredictability is associated with psychiatric symptoms in adult clinical populations.MethodsUsing the newly validated Questionnaire of Unpredictability in Childhood, we assessed early-life unpredictability in 156 trauma-exposed adults, of which 65% sought treatment for mood, anxiety, and/or posttraumatic stress disorder (PTSD) symptoms. All participants completed symptom measures of PTSD, depression and anhedonia, anxiety, alcohol use, and chronic pain. Relative contributions of early-life unpredictability versus childhood trauma and associations with longitudinal outcomes over a 6-month period were determined.ResultsEarly-life unpredictability, independent of childhood trauma, was significantly associated with higher depression, anxiety symptoms, and anhedonia, and was related to higher overall symptom ratings across time. Early-life unpredictability was also associated with suicidal ideation, but not alcohol use or pain symptoms.ConclusionsEarly-life unpredictability is an independent and consistent predictor of specific adult psychiatric symptoms, providing impetus for studying mechanisms of its effects on the developing brain that promote risk for psychopathology.
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- 2022
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