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Acute co-exposure to urban particulate matter and aircraft noise elicits lung-centered immune-redox proteomic remodeling in mice. 急性暴露于城市颗粒物和飞机噪音引起小鼠肺中心免疫氧化还原蛋白质组重塑。
IF 7.2 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-12-01 Epub Date: 2026-09-24 DOI: 10.1016/j.envpol.2026.129165
Corrado Ameli, Bharath Anila Bhuvanendran Nair, Amalie Schufri Klinkby, Marin Kuntic, Matthias Oelze, Ivana Kuntic, Elle Wilson, Omar Hahad, Alex von Kriegsheim, Thomas Münzel, Reka Toth, Andreas Daiber, Petr V Nazarov, Adelina Rogowska-Wrzesinska

Particulate air pollution and transportation noise frequently co-occur, but their combined molecular effects are poorly defined. We used data-independent acquisition (DIA) LC-MS/MS proteomics to profile lung, brain, and heart from male C57BL/6J mice exposed for 3 days to NIST SRM 1648a urban particulate matter (PM), aircraft noise (NOISE), PM + NOISE, or control conditions. The exposure model is the acute co-exposure paradigm previously characterized with orthogonal functional, redox, and inflammatory endpoints by Kuntic et al. The lung was the dominant responsive organ. PM + NOISE produced the broadest pulmonary response and the strongest induction of immune and macrophage-associated proteins, including acute-phase, particle-handling, interferon-linked, and phagosome-associated markers. This immune signal was accompanied by NADPH oxidase and iron-handling components, altered epithelial barrier markers, and endothelial and extracellular-matrix perturbation. The principal pulmonary modules agreed with orthogonal endpoints previously measured in the parent exposure experiment, including pulmonary NOX-2 and HO-1 protein, in situ reactive oxygen species formation, Cd68 and Mcp-1 transcripts, circulating cytokines, increased systolic blood pressure, impaired endothelium-dependent relaxation of the aorta, and cerebral and retinal arteriolar microvascular dysfunction. Brain and heart responses were lower in amplitude and involved selective redox, neuronal, contractile, metabolic and matrix-associated programs. Observed-versus-expected analyses showed that most stress-responsive proteins scaled proportionally, whereas a smaller set enriched for ribosome, RNA-processing, and chromatin functions was constrained. Integration with transcriptomic data showed strong mRNA-protein concordance in lung and greater transcript-protein divergence in brain and heart. Acute co-exposure therefore increases early pulmonary immune-redox burden without uniform additive escalation across molecular systems.

空气微粒污染和交通噪声经常同时发生,但它们的综合分子效应还不清楚。我们使用数据独立采集(DIA) LC-MS/MS蛋白质组学分析了暴露于NIST SRM 1648a城市颗粒物(PM)、飞机噪声(noise)、PM +噪声或对照条件下3天的雄性C57BL/6J小鼠的肺、脑和心脏。暴露模型是急性共暴露模式,以前由Kuntic等人以正交功能、氧化还原和炎症终点为特征。肺是主要的反应器官。PM + NOISE产生最广泛的肺反应和免疫和巨噬细胞相关蛋白的最强诱导,包括急性期、颗粒处理、干扰素连接和吞噬体相关标志物。这种免疫信号伴随着NADPH氧化酶和铁处理成分、上皮屏障标志物的改变以及内皮和细胞外基质的扰动。主要肺模块与先前在母体暴露实验中测量的正交终点一致,包括肺NOX-2和HO-1蛋白,原位活性氧形成,Cd68和Mcp-1转录物,循环细胞因子,收缩压升高,内皮依赖性主动脉松弛受损,以及脑和视网膜动脉微血管功能障碍。脑和心脏反应振幅较低,涉及选择性氧化还原、神经元、收缩、代谢和基质相关程序。观察到的与预期的对比分析表明,大多数应激反应蛋白按比例缩放,而核糖体、rna加工和染色质功能富集的较小集合则受到限制。与转录组学数据的整合显示,在肺中有很强的mrna -蛋白一致性,在脑和心脏中有更大的转录蛋白差异。因此,急性共暴露增加了早期肺部免疫氧化还原负担,而在分子系统中没有统一的累加性升级。
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引用次数: 0
Temperature shapes a modular division of labor among soil fungi to facilitate antibiotic dissipation. 温度塑造了土壤真菌之间的模块化分工,以促进抗生素的消散。
IF 7.2 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES Pub Date : 2026-12-01 Epub Date: 2026-09-25 DOI: 10.1016/j.envpol.2026.129241
Jiawen Yin, Yue Zhang, Wenhai Luo, Yanwen Ma, Ying Sun

The antibiotics used in veterinary medicine accumulate in agricultural soils, where their persistence selects for antibiotic-resistance genes (ARGs). Soil fungi possess diverse metabolic enzyme systems and substantial potential for antibiotic biodegradation, but how temperature shapes fungal community succession and the functional pathways involved in antibiotic removal remains poorly understood. Herein, soils with histories of no fertilizer and organic fertilizer application (UF and OF, respectively) were spiked with 21 tetracyclines, quinolones and sulfonamides at approximately 2 mg kg-1 per compound and incubated for 18 months at natural (NT; monthly mean of approximately 15 °C, ranging from -5.6 °C to 28.1 °C), constant (CT, 20 °C), and low (LT, 4 °C) temperatures. Dissipation kinetics were combined with fungal community and metagenomic profiling, co-occurrence networks, and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway-residual correlations. Dissipation was slower in OF (total-antibiotic half-life [DT50] of 22-58 d) than in UF (DT50 of 18-44 d). Temperature exerted a stronger effect, with dissipation fastest at NT (DT50 of 18-22 d) and slowest at LT (DT50 of 44-58 d); ARGs followed the same trend, declining less than the parent compounds and least of all at LT. Temperature restructured the fungal community (PERMANOVA, P ≤ 0.018), chiefly by replacing taxa rather than by nested loss. Fungal-assigned KEGG pathways were inversely correlated with residual antibiotic concentrations (Spearman's ρ = -0.34 to -0.54, P < 0.05) and fell into three candidate functional modules: antibiotic capture and transport, oxidative transformation, and intracellular transformation. Across all temperatures the community retained a capture-and-transport core, for which no significant temperature contrast was detected, whereas oxidative and intracellular transformation were both less abundant at LT. Temperature therefore influences soil antibiotic dissipation by reshaping fungal community structure and redistributing annotated potential among complementary fungal functions. Accounting for this temperature dependence can improve bioremediation strategies for antibiotic-contaminated agricultural soils.

兽药中使用的抗生素在农业土壤中积累,其持久性选择抗生素耐药基因(ARGs)。土壤真菌具有多种代谢酶系统和抗生素生物降解的巨大潜力,但温度如何影响真菌群落演替和抗生素去除的功能途径仍然知之甚少。本研究中,在未施用化肥和有机肥(分别为UF和of)的土壤中添加21种四环素类、喹诺酮类和磺胺类药物,每种化合物约2 mg kg-1,并在自然(NT;月平均温度约15°C,范围从-5.6°C到28.1°C)、恒定(CT, 20°C)和低温(LT, 4°C)下培养18个月。耗散动力学与真菌群落和宏基因组分析、共发生网络以及京都基因与基因组百科全书(KEGG)途径-残差相关性相结合。OF组(抗生素总半衰期[DT50] 22-58 d)的耗散比UF组(DT50为18-44 d)要慢。温度的影响更大,在近冬期耗散最快(DT50为18 ~ 22 d),在近冬期耗散最慢(DT50为44 ~ 58 d);ARGs的变化趋势相同,下降幅度小于亲本化合物,且在低温下下降幅度最小。温度对真菌群落进行了重构(PERMANOVA, P≤0.018),主要是通过取代分类群而不是巢状损失。真菌指定的KEGG途径与残留抗生素浓度呈负相关(Spearman ρ = -0.34 ~ -0.54, P
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引用次数: 0
High-entropy multimetallic nitrogen-doped carbon for robust ammonium-ion storage. 高熵多金属氮掺杂碳稳健的氨离子存储。
IF 9.6 1区 化学 Q1 CHEMISTRY, PHYSICAL Pub Date : 2026-12-01 Epub Date: 2026-06-24 DOI: 10.1016/j.jcis.2026.141010
Hucheng Fu, Yiting Xu, Yizhang Yang, Yanchen Chen, Qiuyan Luo, Yiping Xu, Juguo Dai, Dongxu Li, Qiaoyun Qin, Andreu Cabot, Conghui Yuan, Guorong Chen, Lizong Dai

Ammonium ions (NH4+), owing to their abundance, low cost, and environmental friendliness, have emerged as promising non-metallic charge carriers for next-generation aqueous energy storage systems. However, the lack of suitable electrode materials has so far hindered their practical application. In this study, we report the development of a high-entropy multimetallic electrode material comprising uniformly dispersed Mn, Fe, Co, Ni, and Cu species on a conductive graphitized nitrogen-doped carbon framework. This engineered electrode enables high-performance symmetric NH4+-ion supercapacitors. The multi-metal doping strategy significantly increases the density of electroactive sites, reduces NH4+ diffusion barriers, and enhances structural stability. The optimized electrodes deliver a high specific capacitance of 836 F g-1 at 1 A g-1 and demonstrate excellent cycling performance, retaining 97.2% of their initial capacity and nearly 100% Coulombic efficiency after 50,000 cycles in a three-electrode system. Moreover, the assembled symmetric devices achieve energy densities exceeding 53 Wh kg-1 at a power density of 891 W kg-1. Density functional theory calculations confirm that the synergistic interaction among multiple metal centers optimizes NH4+ adsorption and charge distribution, accounting for the superior electrochemical performance.

铵离子(NH4+)由于其丰富、低成本和环境友好性,已成为下一代水储能系统中有前途的非金属电荷载体。然而,目前缺乏合适的电极材料阻碍了它们的实际应用。在这项研究中,我们报告了一种高熵多金属电极材料的发展,该材料由均匀分散的Mn, Fe, Co, Ni和Cu物种组成,并在导电石墨化氮掺杂碳框架上。这种工程电极使高性能对称NH4+离子超级电容器成为可能。多金属掺杂策略显著增加了电活性位点的密度,降低了NH4+扩散势垒,提高了结构的稳定性。优化后的电极在1 a g-1时的比电容高达836 F -1,并且在三电极系统中具有优异的循环性能,在5万次循环后保持了97.2%的初始容量和接近100%的库仑效率。此外,组装的对称器件在891 W kg-1的功率密度下实现了超过53 Wh kg-1的能量密度。密度泛函理论计算证实,多个金属中心之间的协同作用优化了NH4+的吸附和电荷分布,从而导致了优异的电化学性能。
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引用次数: 0
Promoting pediatric sleep health in low-resource settings: A specialist's perspective 在低资源环境下促进儿童睡眠健康:一个专家的观点
Q1 Medicine Pub Date : 2026-12-01 Epub Date: 2025-12-03 DOI: 10.1016/j.sleepx.2025.100166
Merrill S. Wise
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引用次数: 0
Corrigendum to 'Design and development of lab-on-a-centrifuge based on liquid-core waveguide enhancement technology for colorimetric detection of soil Cr(VI) from sample-to-answer' [Talanta 305 (2026), 129673]. “基于液芯波导增强技术的实验室离心机的设计与开发,用于从样品到答案的土壤Cr(VI)比色检测”[Talanta 305(2026), 129673]。
IF 6.7 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2026-12-01 Epub Date: 2026-06-22 DOI: 10.1016/j.talanta.2026.130177
Bingyu Mu, Xing Na, Zhengqin Shi, Zhe Liu, Jixin Liu
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引用次数: 0
Ultrasensitive, self-calibrating cortisol immunosensor enabled by dual-modal CuMOF-PEI@AuNPs@HRP immunoreceptor. 超灵敏,自校准皮质醇免疫传感器启用双峰CuMOF-PEI@AuNPs@HRP免疫受体。
IF 6.7 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2026-12-01 Epub Date: 2026-06-15 DOI: 10.1016/j.talanta.2026.130164
Xinyi Wang, Minghao Wang, Wenbin Zhang, Dewang Yan, Liubing Kong, Gaofeng Wang

Accurate cortisol monitoring is essential for stress assessment and health management, yet reliable quantification remains challenging because signal fluctuations and matrix effects can compromise the performance of conventional single-mode immunosensors. Herein, we developed a fluorescence-colorimetric (FL-CL) dual-modal immunosensor based on a CuMOF-PEI@AuNPs@HRP (CPA) immunoreceptor for cortisol determination. The integrated sensing architecture generates correlated fluorescence and colorimetric responses from the same recognition event, which are combined through a normalized dual-signal output to improve calibration reliability. Under optimized conditions, the proposed sensor exhibited a detection limit of 0.22 ng/mL and a linear range of 3.1-200 ng/mL, covering physiologically relevant cortisol concentrations in saliva. Compared with single-modal assays and commercial kits, the proposed platform demonstrates enhanced sensitivity, improved correlation, good stability, and batch reproducibility. By integrating signal amplification, dual-modal readout, and simplified immunoreceptor fabrication within a single sensing platform, this work provides a reliable strategy for cortisol monitoring and offers potential for extension to other biomarker detection systems.

准确的皮质醇监测对于压力评估和健康管理至关重要,但可靠的量化仍然具有挑战性,因为信号波动和基质效应会损害传统单模免疫传感器的性能。在此,我们开发了一种基于CuMOF-PEI@AuNPs@HRP (CPA)免疫受体的荧光-比色(FL-CL)双峰免疫传感器,用于皮质醇的测定。集成传感架构从同一识别事件产生相关的荧光和比色响应,并通过归一化双信号输出组合,以提高校准可靠性。在优化条件下,该传感器的检测限为0.22 ng/mL,线性范围为3.1-200 ng/mL,涵盖了唾液中生理相关的皮质醇浓度。与单模态分析和商业试剂盒相比,该平台具有更高的灵敏度、更好的相关性、良好的稳定性和批量重现性。通过在单一传感平台内集成信号放大、双峰读出和简化的免疫受体制造,这项工作为皮质醇监测提供了可靠的策略,并提供了扩展到其他生物标志物检测系统的潜力。
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引用次数: 0
Smartphone-integrated bifunctional sensing platform for visual detection of ampicillin and tetracycline in animal manure. 基于智能手机集成的动物粪便氨苄西林和四环素双功能视觉检测平台。
IF 6.7 1区 化学 Q1 CHEMISTRY, ANALYTICAL Pub Date : 2026-12-01 Epub Date: 2026-06-21 DOI: 10.1016/j.talanta.2026.130173
Ming-Ming Chen, Lu-Chen Cheng, Xiao-Yu Dong, Fang-Jie Zhao, Peng Wang

Antibiotic residues in environmental matrices pose escalating threats to ecosystems and human health, creating demand for rapid detection. Here, we present a portable smartphone-integrated bifunctional sensor based on Fe-CDs that enables sequential colorimetric and fluorescent detection of ampicillin (Amp) and tetracycline (TC). The Fe-CDs, synthesized via a one-pot hydrothermal process, exhibit stable fluorescence and intrinsic peroxidase-mimicking activity. Ampicillin inhibits the Fe-CDs nanozyme-catalyzed TMB/H2O2 chromogenic reaction via •OH consumption, allowing visual colorimetric quantification. Meanwhile, tetracycline strongly quenches the fluorescent signal of Fe-CDs through an inner filter effect, enabling a sensitive fluorescence readout. This bifunctional assay achieves high sensitivity (LOD as low as ∼0.012 μg/mL for Amp and 0.005 μg/mL for TC). By incorporating Fe-CDs onto paper test strips and analyzing with smartphone cameras, the platform allows real-time, rapid quantification of antibiotics in complex matrices. In manure samples, the sensor's results (recoveries ∼94.4-104.8%) agree well with LC-MS/MS measurements, underscoring its accuracy and robustness. Overall, the portable bifunctional Fe-CDs sensor provides a sensitive, field-deployable tool for environmental antibiotic surveillance.

环境基质中的抗生素残留对生态系统和人类健康构成日益严重的威胁,因此需要快速检测。在这里,我们提出了一种基于Fe-CDs的便携式智能手机集成双功能传感器,可以进行氨苄西林(Amp)和四环素(TC)的顺序比色和荧光检测。通过一锅水热法合成的Fe-CDs具有稳定的荧光和固有的过氧化物酶模拟活性。氨苄西林通过•OH消耗抑制Fe-CDs纳米酶催化的TMB/H2O2显色反应,允许视觉比色定量。同时,四环素通过内部滤光效应强烈猝灭Fe-CDs的荧光信号,从而实现灵敏的荧光读出。该双功能检测具有高灵敏度(Amp的LOD低至~ 0.012 μg/mL, TC的LOD低至0.005 μg/mL)。通过将Fe-CDs整合到纸质试纸上,并使用智能手机摄像头进行分析,该平台可以实时、快速地定量复杂基质中的抗生素。在粪便样品中,传感器的结果(回收率~ 94.4-104.8%)与LC-MS/MS测量结果一致,强调了其准确性和稳健性。总体而言,便携式双功能Fe-CDs传感器为环境抗生素监测提供了一种敏感的、可现场部署的工具。
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引用次数: 0
Network structure of psychological resilience, cognitive reappraisal, and social problem-solving in relation to non-suicidal self-injury in a sample of Chinese university freshmen. 中国大学新生非自杀性自伤的心理弹性、认知重评价和社会问题解决的网络结构
IF 5.7 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-12-01 Epub Date: 2026-08-14 DOI: 10.1016/j.jad.2026.122387
Chengfei Ruan, Xin Chen, Mingyue Wu, Jiangtao Dong, Wei Cui, Dongjun Zhang

Objective: Non-suicidal self-injury (NSSI) is prevalent among university students and represents a critical public health concern. This cross-sectional study investigated the prevalence of NSSI and its associated factors among freshmen at a university in central China. Using network analysis, we further examined the interrelationships among NSSI and three protective psychological constructs: resilience, cognitive reappraisal, and social problem-solving.

Methods: A cross-sectional survey was conducted among 3616 freshmen. After data screening, 2862 valid responses were included in the final analysis. Participants completed validated scales measuring NSSI, cognitive reappraisal, psychological resilience, and social problem-solving. SPSS 27.0 was used to perform logistic regression and group comparisons. Network analysis was performed in R to examine the interrelations and centrality of psychological constructs.

Results: The prevalence of NSSI among freshmen was 24.1%. Psychological resilience, cognitive reappraisal, and social problem-solving ability showed a significant stepwise decrease across NSSI severity groups (p < 0.001). Logistic regression showed that cognitive reappraisal, psychological resilience, social problem-solving ability, and rural household registration were negatively associated with NSSI, whereas male gender was positively associated with NSSI. Network analysis further revealed that cognitive reappraisal exhibited relatively high betweenness centrality within the network comprising resilience and social problem-solving subsystems. Within this network, toughness, strength, and avoidant problem-solving showed the highest node strength, whereas strength and negative problem orientation exhibited elevated betweenness centrality.

Limitations: The cross-sectional design and the single-institution sample preclude causal inferences and limit the generalizability of the present findings.

Conclusion: Cognitive reappraisal, psychological resilience, and social problem-solving ability were independently and negatively correlated with NSSI severity. Network analysis provided complementary insights into the structural relationships among these variables, identifying cognitive reappraisal as a central node within this network.

目的:非自杀性自伤(NSSI)在大学生中普遍存在,是一个重要的公共卫生问题。本研究调查了华中地区某高校新生自伤发生率及其相关因素。通过网络分析,我们进一步研究了自伤与三种保护性心理结构(弹性、认知重评和社会问题解决)之间的相互关系。方法:对3616名大学新生进行横断面调查。经数据筛选,有效应答2862例纳入最终分析。参与者完成了自伤、认知重评、心理弹性和社会问题解决的有效量表。采用SPSS 27.0进行logistic回归和分组比较。在R中进行网络分析以检验心理构念的相互关系和中心性。结果:大学新生自伤发生率为24.1%。心理弹性、认知重评价和社会问题解决能力在自伤严重程度组中呈显著的逐步下降(p )。局限性:横断面设计和单机构样本排除了因果推论,限制了本研究结果的可推广性。结论:认知重评价、心理弹性和社会问题解决能力与自伤严重程度呈独立负相关。网络分析为这些变量之间的结构关系提供了补充的见解,将认知重新评估确定为该网络中的中心节点。
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引用次数: 0
Sleep quality modifies the association between nocturnal sleep, daytime napping, and mild cognitive impairment: A population-based dose-response study 睡眠质量改变夜间睡眠、日间小睡和轻度认知障碍之间的关系:一项基于人群的剂量反应研究
Q1 Medicine Pub Date : 2026-12-01 Epub Date: 2026-02-04 DOI: 10.1016/j.sleepx.2026.100175
Xi Luo , Zhonghua Yin , Xueli Sun , Ke Li

Objectives

This cross-sectional study, based on the two-process model of sleep regulation, explored the nonlinear relationships and interactions among nocturnal sleep duration, daytime napping, sleep quality, and mild cognitive impairment (MCI) in middle-aged and older Chinese adults.

Methods

Data from 7480 participants in the 2018 wave of the China Health and Retirement Longitudinal Study (CHARLS) were analyzed. Restricted cubic splines modeled dose-response relationships, and stratified logistic regression assessed subgroup variations. Models were adjusted for sociodemographic, lifestyle, and clinical covariates.

Results

The lowest odds of MCI were observed among participants reporting 6–8 h of nocturnal sleep and 30–60 min of daytime napping. Short (<6 h) and long (>8 h) sleep durations, along with prolonged napping (≥90 min), were linked to higher odds of MCI. Sleep quality modified these associations: poor sleep quality elevated the odds of MCI, especially among long sleepers (OR = 1.88 vs. 1.33 for good sleep quality). Among short sleepers (<6 h), 30–60 min naps were associated with lower odds of MCI (OR = 0.72).

Conclusions

These findings indicate that, in this cross-sectional sample, 7–8 h of nocturnal sleep combined with 30–60 min of daytime napping were associated with better cognitive status, whereas long sleep with poor sleep quality was associated with higher odds of impairment. These observational associations, considered within a circadian–homeostatic framework, are hypothesis-generating and warrant confirmation in future longitudinal and interventional studies.
目的基于睡眠调节双过程模型,探讨中国中老年人群夜间睡眠时间、日间小睡、睡眠质量与轻度认知障碍(MCI)之间的非线性关系和相互作用。方法对2018年中国健康与退休纵向研究(CHARLS) 7480名参与者的数据进行分析。限制三次样条模拟剂量-反应关系,分层逻辑回归评估亚组变化。根据社会人口统计学、生活方式和临床协变量对模型进行了调整。结果夜间睡眠6-8小时、白天午睡30-60分钟的参与者患轻度认知障碍的几率最低。短(6小时)和长(8小时)的睡眠时间,以及长时间的午睡(≥90分钟),与轻度认知障碍的高风险相关。睡眠质量改变了这些关联:睡眠质量差会增加轻度认知障碍的几率,尤其是在长睡眠者中(OR = 1.88 vs. 1.33)。在短睡眠者(6小时)中,30-60分钟的小睡与轻度认知障碍的几率较低相关(OR = 0.72)。这些发现表明,在这个横断面样本中,7-8小时的夜间睡眠加上30-60分钟的白天午睡与更好的认知状态相关,而长时间睡眠和睡眠质量差与更高的认知障碍风险相关。这些观察到的关联,在昼夜节律-体内平衡的框架内被考虑,是假设的产生,并在未来的纵向和干预性研究中得到证实。
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引用次数: 0
Comparing trajectories of cognitive functioning in treatment-resistant and non-resistant depression: a multicentre linear mixed-effects analysis. 比较治疗抵抗性和非抵抗性抑郁症的认知功能轨迹:多中心线性混合效应分析。
IF 5.7 2区 医学 Q1 CLINICAL NEUROLOGY Pub Date : 2026-12-01 Epub Date: 2026-08-15 DOI: 10.1016/j.jad.2026.122380
Viktor T H Wahner, Toni Lange, Inga Stonner, Pasquale Paribello, Martina Contu, Marco Pinna, Dobrochna Kopeć, Ewa Ferensztajn-Rochowiak, Filip Rybakowski, Mara Dierssen, Massimo Gennarelli, Mirko Manchia, Alessandra Minelli, Marie-Claude Potier, Claudia Pisanu, Ferran Sanz, Alessio Squassina, Júlia Perera-Bel, Silke Jörgens, Bernhard T Baune

Background: Impaired cognitive functioning is a severe symptom in major depressive disorder (MDD). Recent evidence suggests it may be a central characteristic in its treatment resistant form (TRD), potentially constituting a clinical marker for treatment resistance and a target amenable to intervention. To date, cognitive functioning in TRD remains poorly understood and longitudinal investigations are scarce.

Methods: This observational prospective cohort study, including 320 patients diagnosed with MDD from the multicentre PROMPT study, examined differences in cognitive functioning between 118 TRD and 202 non-TRD patients over a period of twelve weeks in a real-world setting, using linear mixed modelling. Patients that failed to respond to at least two prior antidepressants trials at baseline were classified as TRD.

Results: TRD patients showed significantly poorer baseline performances than non-TRD patients in attention/processing speed (β = -0.45; 95%CI[-0.70, -0.19]; FDR-p = 0.003) and verbal memory (β = -0.45; 95%CI[-0.72, -0.18]; FDR-p = 0.003). Significant time × group interactions were observed in motor speed and verbal fluency tasks. Post-hoc-analyses revealed stagnation in TRD patients and significant improvement in non-TRD patients. Across all other tasks improvement was observed in both groups, and random effects showed large heterogeneity between patients, indicating notable individual differences in cognitive performances.

Conclusions: The results suggest distinct recovery patters between non-TRD and TRD patients, and diminished functioning in TRD patients at the domain level. However, intact and diminished performances likely occur in both groups, warranting further investigation of cognitive heterogeneity. These short-term findings highlight the need for more comprehensive longitudinal research on cognition in TRD.

背景:认知功能受损是重度抑郁障碍(MDD)的严重症状。最近的证据表明,它可能是其治疗耐药形式(TRD)的一个核心特征,可能构成治疗耐药的临床标志和可干预的目标。迄今为止,TRD的认知功能仍然知之甚少,纵向调查也很少。方法:这项观察性前瞻性队列研究,包括来自多中心PROMPT研究的320名诊断为重度抑郁症的患者,使用线性混合模型,在现实世界环境中检查了118名TRD患者和202名非TRD患者在12周内的认知功能差异。在基线时对至少两种抗抑郁药物试验无效的患者被归类为TRD。结果:TRD患者在注意力/处理速度(β = -0.45;95%CI[-0.70, -0.19]; FDR-p = 0.003)和言语记忆(β = -0.45;95%CI[-0.72, -0.18]; FDR-p = 0.003)方面的基线表现明显低于非TRD患者。在运动速度和语言流畅性任务中观察到显著的时间×组交互作用。术后分析显示,TRD患者的病情停滞不前,而非TRD患者的病情有显著改善。在所有其他任务中,两组都观察到改善,随机效应显示患者之间存在很大的异质性,表明认知表现存在显着的个体差异。结论:结果表明,非TRD和TRD患者的恢复模式不同,TRD患者的功能在域水平上有所下降。然而,两组都可能出现完整和下降的表现,这需要进一步研究认知异质性。这些短期的发现强调了对TRD认知进行更全面的纵向研究的必要性。
{"title":"Comparing trajectories of cognitive functioning in treatment-resistant and non-resistant depression: a multicentre linear mixed-effects analysis.","authors":"Viktor T H Wahner, Toni Lange, Inga Stonner, Pasquale Paribello, Martina Contu, Marco Pinna, Dobrochna Kopeć, Ewa Ferensztajn-Rochowiak, Filip Rybakowski, Mara Dierssen, Massimo Gennarelli, Mirko Manchia, Alessandra Minelli, Marie-Claude Potier, Claudia Pisanu, Ferran Sanz, Alessio Squassina, Júlia Perera-Bel, Silke Jörgens, Bernhard T Baune","doi":"10.1016/j.jad.2026.122380","DOIUrl":"10.1016/j.jad.2026.122380","url":null,"abstract":"<p><strong>Background: </strong>Impaired cognitive functioning is a severe symptom in major depressive disorder (MDD). Recent evidence suggests it may be a central characteristic in its treatment resistant form (TRD), potentially constituting a clinical marker for treatment resistance and a target amenable to intervention. To date, cognitive functioning in TRD remains poorly understood and longitudinal investigations are scarce.</p><p><strong>Methods: </strong>This observational prospective cohort study, including 320 patients diagnosed with MDD from the multicentre PROMPT study, examined differences in cognitive functioning between 118 TRD and 202 non-TRD patients over a period of twelve weeks in a real-world setting, using linear mixed modelling. Patients that failed to respond to at least two prior antidepressants trials at baseline were classified as TRD.</p><p><strong>Results: </strong>TRD patients showed significantly poorer baseline performances than non-TRD patients in attention/processing speed (β = -0.45; 95%CI[-0.70, -0.19]; FDR-p = 0.003) and verbal memory (β = -0.45; 95%CI[-0.72, -0.18]; FDR-p = 0.003). Significant time × group interactions were observed in motor speed and verbal fluency tasks. Post-hoc-analyses revealed stagnation in TRD patients and significant improvement in non-TRD patients. Across all other tasks improvement was observed in both groups, and random effects showed large heterogeneity between patients, indicating notable individual differences in cognitive performances.</p><p><strong>Conclusions: </strong>The results suggest distinct recovery patters between non-TRD and TRD patients, and diminished functioning in TRD patients at the domain level. However, intact and diminished performances likely occur in both groups, warranting further investigation of cognitive heterogeneity. These short-term findings highlight the need for more comprehensive longitudinal research on cognition in TRD.</p>","PeriodicalId":14963,"journal":{"name":"Journal of affective disorders","volume":" ","pages":"122380"},"PeriodicalIF":5.7,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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