Journal of Neuroscience Research

Traumatic brain injuries (TBIs) are associated with increased risk of neurodegenerative disease, including Alzheimers disease (AD); however, the mechanisms by which TBI promotes AD pathogenesis remain poorly understood. It also remains unclear whether post-TBI sequelae, including sleep disturbances and seizures, play a role in driving disease progression. To investigate these relationships, we employed a translational approach using the Closed-Head Injury Model of Engineered Rotational Acceleration (CHIMERA) of repeated mild TBI (rmTBI) and an AD knock-in mouse model to assess sleep, power spectral density, epileptiform activity, and A{beta} pathology one month post-injury. RmTBI caused elevated neurofilament-light and glial fibrillary acidic protein, markers of neuronal damage. Sex differences were observed in acute injury outcomes, sleep measures, and A{beta} plaque size. Specifically, females exhibited longer recovery post-injury, higher mortality, decreased non-rapid eye movement sleep duration, and larger average plaque size than males at equivalent impact energy. These findings highlight the importance of including both sexes when establishing injury severity thresholds. Future studies should incorporate validated TBI biomarkers of neural injury to define equivalent injury parameters across sexes and examine the chronic effects of rmTBI on sleep, epileptiform activity and AD pathology.

Structural differences observed in collision-sport athletes may reflect repetitive head-impact exposure, broader effects of athletic training, or pre-existing individual variation, making inclusion of a non-collision athlete group important for interpretation of any differences seen. Here, structural T1-weighted MRI data from 17 collegiate American football players, 16 cross-country runners, and 9 non-athletes were analyzed using FSL voxel-based morphometry (VBM), FIRST subcortical volumetry and vertex-wise shape analysis, and FAST whole-brain tissue segmentation. Spatial inference used permutation testing with threshold-free cluster enhancement and family-wise error correction, while scalar analyses used multiplicity-corrected procedures. FAST-derived absolute tissue volumes were also examined in a sensitivity analysis adjusting for FreeSurfer estimated total intracranial volume (eTIV). VBM showed recurrent brainstem-centered differences, with non-athletes showing greater local gray matter measures than both athlete groups, whereas football players showed greater brainstem measures than runners. FIRST vertex-wise analysis identified corrected differences involving the brainstem and selected subcortical structures, while no total FIRST structure volume survived false discovery rate correction. Unadjusted FAST analysis identified a CSF group effect, F(2, 24.38) = 11.46, p < .001, q = .001. After eTIV adjustment, the CSF group effect remained, F(2, 38) = 14.30, q < .001, and a white matter group effect was also identified, F(2, 38) = 9.59, q < .001; gray matter and total segmented tissue did not show corrected adjusted effects. These findings indicate that structural variation depends on anatomical scale, comparison group, and head-size adjustment and cannot be attributed uniquely to collision-sport exposure.

The hippocampus is particularly vulnerable to hypoxia, yet freedivers, who repeatedly undergo voluntary breath-hold hypoxia, do not appear to show the memory impairments commonly reported after involuntary hypoxic exposure. We investigated whether freediving training is associated with functional connectivity reorganization at the whole-brain and hippocampal levels, and whether hippocampal connectivity relates to preserved episodic memory performance. Seventeen male recreational freedivers underwent fMRI before and after a 7-month standardized training period, and 20 matched aerobic-trained controls were assessed at baseline. Functional connectivity analyses examined (i) whole-brain ROI-to-ROI connectivity, (ii) seed-to-voxel connectivity from the bilateral hippocampus and selected cortical seeds, and (iii) associations between hippocampal connectivity and episodic memory. Compared with controls, freedivers showed distinct connectivity patterns during apnea and rest. After training, whole-brain analyses revealed reorganization involving salience, frontoparietal, sensorimotor, visual, and cerebellar systems. Hippocampal analyses showed reduced connectivity with sensorimotor and default mode regions, alongside increased connectivity with cerebellar and visual areas, with stronger effects after training. In freedivers, specific post-training hippocampal connectivity was associated with episodic memory performance. These findings suggest that repeated voluntary hypoxia during freediving training is associated with selective functional reorganization of hippocampal and large-scale brain networks. This pattern may reflect adaptive neuroplasticity linked to preserved episodic memory under intermittent hypoxic exposure.

Traumatic Brain Injury (TBI) produces acute challenges including seizures and neuroinflammation, and these then exacerbate lifelong difficulties including epilepsy, dementias, and anxiety. Applying antiepileptic drugs (AED) to manage acute seizures after TBI has promise to slow these progressive deficits. Levetiracetam (LEV) is an AED that mitigates seizures and neuroinflammation in various contexts. Here, we explore the utility of the larval zebrafish TBI model by documenting long term behavioural deficits (if any) induced by larval neurotrauma and whether they can be mitigated by LEV. We induced a mild blast TBI in three days-post-fertilization larvae, administered LEV (3 x 10-2 mM) for two days, and assessed behaviour in adults (9 +/- 1 or 22 +/- 1 months later). In open field tests, adult zebrafish that experienced TBI as larvae exhibited increased anxiety-like behaviour compared to sham-treated larvae, but this resolved by later adulthood. LEV treatment immediately following larval TBI did not significantly alter these outcomes. Novel object approach tests revealed sustained deficits in exploratory behaviour: adults that experienced larval TBI spent significantly less time investigating a novel object compared to sham controls throughout adulthood; this suggests long-term alterations in fear-related cognitive processing or threat evaluation. LEV treatment increased time spent near the novel object in early adulthood, but not later adulthood, suggesting a time-dependent efficacy of early pharmacological intervention. In sum, the larval zebrafish TBI model is suitable for investigating the progression and treatment of behavioural deficits. LEV showed only limited efficacy, but adjusted AED regimens have potential to mitigate long-term behavioural outcomes of TBI.

Rodent brain matrices that produce coronal or sagittal brain sections for histology confer reproducibility and enable high throughput processing of tissues. However, a stainless steel or acrylic brain matrix that produces tissue sections in a transversal (or horizontal) orientation is currently unavailable as a standard tool. This limits the direct comparison of bilateral brain hemispheres within a single histological section, as freehand trimming to obtain horizontal planes is not easily replicable across samples. To mitigate this challenge, we designed a low-cost (USD 7 per unit), 3D-printed resin-based transverse brain matrix that accommodates mouse brains ranging from 12 to 16 mm in length from the olfactory bulb to the brainstem. Our matrix reproducibly generates horizontal tissue sections with a minimum of 1-mm-thickness without causing visible tissue deformation, which is comparable to the performance of commercial rodent brain matrices. Users may adapt the accompanying CAD code using our video tutorials to customize the transverse brain matrix for their specific needs, including alternative brain size, shape, and tissue thickness.

Early life adversity (ELA) and ambient fine particulate matter (PM2.5) are hypothesized to be environmental risk factors for altered brain structure and psychopathology, but their unique and interactive effects in childhood remain unclear. This study examines the interactive associations of ELA and annual average residential PM2.5 exposure (total mass and 15 components) on total amygdala and basolateral amygdala subregion volumes and psychopathology symptoms in a subset of children (N=3,601, 45% assigned female at birth, 9-10 years) from the Adolescent Brain Cognitive Development Study. Linear mixed-effects models, adjusting for sociodemographic factors, co-pollutants, and neuroimaging covariates, showed that ELA was associated with greater bifactor model-defined general, specific internalizing, and specific externalizing symptoms of psychopathology. PM2.5 moderated ELA associations with specific externalizing symptoms, with greater symptoms in those exposed to higher ELA and higher PM2.5 exposures. Among youth with higher ELA, smaller basolateral paralaminar volumes were linked to greater general and specific externalizing symptoms. These findings underscore the importance of considering psychosocial and physical environmental co-exposures when identifying children at risk for psychopathology.

Objectives FDG-PET is an important imaging tool in evaluation of neurological disorders, including drug-resistant epilepsy. Head motion can degrade PET image quality; however, the extent in routine examinations remains insufficiently characterized. This retrospective study aimed to quantify the magnitude and pattern of head motion in brain FDG-PET/CT and establish displacement-based scores for describing motion severity. Materials & Methods The analysis included 140 patients with focal drug-resistant epilepsy undergoing brain FDG-PET/CT, with 27 examined under general anesthesia as a reference group. PET acquisition comprised five consecutive 2-min frames. Head motion was quantified by rigid PET-to-PET registration and expressed as maximal displacement. Two experienced readers independently graded motion on a four-point ordinal scale. Ordinal logistic regression with repeated 10-fold cross-validation was used to derive displacement thresholds corresponding to visual motion scores. Results Patients without anesthesia demonstrated greater maximal displacement than the reference group (median, 2.6 vs. 0.7 mm; p < 0.001). Displacement increased throughout acquisition, peaking in the final frame in 85.7% of examinations. Motion predominantly involved inferior-superior translation and rotation around left-right axis, corresponding to head flexion-extension. Maximal displacement was strongly associated with visual motion grades (Kendall's Tau;=0.68-0.70; p < 0.001). Derived thresholds classified displacement >3.25 mm as moderate and >6.4 mm as severe motion. In total, 40.7% of patients without anesthesia demonstrated moderate or severe motion, with severe motion in 12.4%. Conclusion Clinically relevant head motion was frequent in brain FDG-PET/CT despite head fixation, predominantly characterized by flexion-extension. Registration-based displacement provided an objective measure closely associated with expert visual assessment.

Sport-related concussions (SRC) are heterogenous injuries that produce a variety of symptoms and recovery trajectories. This heterogenous nature and focus on group-level analyses in current literature may obscure individual level results that could better inform clinical SRC management. In a prospective case-control study, we used diffusion magnetic resonance imaging (dMRI) to quantify longitudinal, whole-brain microstructural white matter changes reflecting axonal injury and inflammation and structural network-level alterations following SRC in adolescent athletes. Differential tractography assessed individual white matter track changes from acute injury to clinical recovery on an individual level. Acutely after SRC, but not after recovery, concussed adolescents demonstrated increased (i) quantitative anisotropy, (ii) restricted diffusion imaging, and (iii) isotropy, indicating increased microstructural disruptions early after injury. At the network level, differences were seen not acutely but after clinical recovery: whole brain network structure was more similar with reduced capacity for information spread among the concussed adolescents compared with controls. At the individual level, consistent patterns of damaged white matter tracks persisted in the concussed males but not in the concussed females. These results indicate that adolescent athlete brains are impacted acutely at the microstructural level following SRC, but that macroscale network disruptions appear after microstructure damage resolution, and they can persist beyond clinical recovery. Sex differences in the brains microstructural response to SRC, highlight the need for future research to include individualized and sex-stratified analyses to guide targeted SRC management.

BACKGROUND: One in three adolescents with a concussion history report experiencing long-lasting somatic, sleep, emotional, and/or cognitive disturbances (persisting symptoms after concussion (PSaC)). Cognitive difficulties, such as attentional problems, are common symptoms and can interfere with ongoing development. Clinically, psychiatric symptoms also present in youth with PSaC. A concussion causes diffuse functional and microstructural alterations to neural networks. To develop targeted treatments for PSaC (e.g., neurostimulation), we need to understand how and where structural alterations and neural dysfunction intersect to cause long-lasting symptoms. OBJECTIVES: 1) Identify functional and microstructural properties in intrinsic connectivity networks, as well as neuropsychological outcomes, that differentiate adolescents with concussion with PSaC from those who do not have PSaC. 2) Determine whether neural activity within intrinsic connectivity networks mediates the relationship between network microstructure and specific neuropsychological features in adolescents with concussion. METHODS: CAMBY is a prospective study of adolescents aged 12 to 18 years with a history of concussion. Participants are allocated based on recovery status (PSaC vs. No-PSaC (recovered controls)). Advanced structural (magnetic resonance imaging; MRI) and functional (magnetoencephalography; MEG) neuroimaging and neuropsychological measures will be collected one month or more after concussion. Microstructural and functional features will be computed within intrinsic connectivity networks, then compared between PSaC and recovered control groups and related to symptom domains and neuropsychological profiles. IMPACT: This will be the first study to integrate MRI, MEG, and neuropsychology in adolescents with PSaC to identify disrupted networks underlying PSaC. This observational study is a necessary step towards future clinical trials that accurately target promising therapeutic neurostimulation protocols.

Intergroup conflict is one of the most significant issues in human society. In the 1950s, Sherif et al. reported that intergroup conflict could be artificially induced in boys through intergroup competition with tug-of-war and ball games. Since this iconic study, researchers have developed various experimental methods to replicate intergroup competition and/or conflicts. However, although intergroup conflicts in wild animals are often reported, it has been difficult to establish a situation of intergroup conflict in laboratory rodents that is discriminable from aggressive behavior individually. In this study, we established a novel experimental paradigm for intergroup competition in mice in which the members of each group shared objectives and tasks. Adult male ICR/Jcl mice were housed in groups of six, divided into two teams of three and repeatedly performed a competitive Tsunahiki task (tsunahiki means tug-of-war in Japanese). The competitive Tsunahiki task was conducted in an open field divided into two experimental fields, with three ropes stuck to a wall separating the fields. The mice were required to pull two ropes out faster than their opponent team to win, and only the winners could proceed to the reward area separated by a guillotine door. We demonstrated that the experience of the competitive Tsunahiki task induced attack bites selectively toward members of the other team (out-group members). Our findings suggest that intergroup competition induces intergroup conflict in mice, providing a technical breakthrough in elucidating the detailed neuroscientific mechanisms underlying intergroup conflict.

Objective To estimate the mortality proportion among patients with severe traumatic brain injury (sTBI) and to assess variation in mortality according to geographical region, study characteristics, patient populations, and mortality assessment time points. Design Systematic review and meta-analysis. Data sources PubMed/MEDLINE, Embase, Scopus, Web of Science, Google Scholar, and Cochrane Library were searched from database inception to January 2026. Eligibility criteria Studies reporting mortality among patients with severe TBI were eligible. Severe TBI was defined as a Glasgow Coma Scale (GCS) score of [&le;]8, equivalent to GCS <9 or GCS 3-8. Studies involving mixed TBI severity were included only when data for patients with severe TBI could be separately extracted. Data extraction and synthesis Two reviewers independently screened studies, extracted data, and assessed methodological quality. Mortality proportions were pooled using a random-effects model. Statistical heterogeneity was assessed using Cochran's Q and the I2 statistic. Subgroup and sensitivity analyses were undertaken where sufficient data were available. Results Twenty-five studies comprising 12,829 patients with severe TBI were included in the systematic review. Across studies, 5,550 deaths were reported. Mortality proportions ranged from 17.5% to 71.1%. The pooled mortality proportion was 40.6% (95% CI 35.7% to 45.7%), with substantial heterogeneity (I2=96.8%, p<0.001). Mortality varied considerably according to geographical region and timing of outcome assessment, with higher estimates generally observed in African settings and at longer follow-up periods. Conclusion Mortality among patients with severe TBI remains substantial, with approximately two in five patients dying across the included studies. However, the very high heterogeneity indicates that the pooled estimate should not be interpreted as a universal mortality risk. Differences in healthcare resources, patient characteristics, injury severity, management practices, and mortality assessment time points may contribute to the observed variation.

Suspension mass cytometry can measure 50 or more markers per cell and is not impacted by cellular autofluorescence, making it an appealing platform for comprehensive phenotyping of single cells in tissue with high innate fluorescence, such as brain. However, this organ is challenging to reduce to a single cell suspension: it is a deeply interconnected tissue rich in extracellular material and contains a wide variety of cell types including neurons, their supporting glia, and hematopoietic cells from peripheral circulation, any or all of which may have competing requirements for survival through the dissociation process. This study compares approaches for producing single-cell preparations from white and gray matter enriched regions of adult mouse brain, testing simple mechanical dissociation, Accutase, and three gentle enzymes plus DNase: papain, collagenase II, and collagenase plus dispase, all with or without Percoll gradient centrifugation to separate intact cells from debris. Live cells were counted by hemocytometer and Trypan blue exclusion to assess yield and compare across enzyme conditions. Mass cytometry was used to assess cellular composition after representative dissociation, debris removal, and viable cryopreservation. Key proteins measured included beta III-tubulin for neurons, glial fibrillary acidic protein (GFAP) for astrocytes, oligodendrocyte transcription factor (OLIG2) for oligodendrocytes, CD31 for endothelial cells, CD24 for ependymal cells, purinergic receptor P2Y12 (P2RY12) for microglia, and CD45 for leukocytes. Mechanical disaggregation paired with enzymatic dissociation by papain, Collagenase/Disapse, or Collagenase II plus DNase produced approximately 400,000 live cells per 100 grams of tissue. Cell yield was not significantly different between conditions and yields were similar between white and grey matter. Addition of Percoll gradient centrifugation substantially reduced the number of viable cells recovered (average decrease of 88%) and resulted in viable cell numbers that were insufficient for robust analysis of less common cell subsets. In addition to neurons, mass cytometry identified six major populations of non-neuronal cells: oligodendrocytes, astrocytes, endothelial cells, ependymal cells, microglia, and leukocytes. The relative abundance of these six populations was generally unchanged by cryopreservation in both grey matter (r = 0.95), and white matter (r = 0.90), though loss of oligodendrocytes did occur in both tissues. Proliferation, as measured by Ki67 positivity, was non-existent; consistent with this, levels of phosphorylated STAT1 (p-STAT1) and p-STAT3 proteins were low in all cell populations and unchanged by cryopreservation. A modest increase in p-S6(S235/236) after cryopreservation was consistently observed only in microglia. Together, these results establish standardized procedures for generating viable single cell suspensions for cytometry that preserve the cellular diversity of the adult murine brain with minimal perturbation of intracellular signaling cascades.

Sleep disorders and wakefulness constitute a pronounced and pervasive health risk that contributes to numerous cerebral pathologies such as stroke, depression, and neurodegenerative disorders. The hippocampus (HC) plays vital roles in learning and memory and is especially susceptible to the pathological insults imposed by sleep deprivation (SD). While SD disrupts neuronal network signaling and triggers inflammatory processes, the impact of SD on metabolism within the HC presently remains poorly understood. In this study, we assessed the progressive and cumulative effects of partial SD in the live mouse HC CA1 region using two-photon microscopy. Using a custom-designed implantable cannula enabling direct HC visualization and administration of dyes and pharmacological agents directly to HC tissue, we longitudinally monitored spontaneous neuronal activity and partial pressure of oxygen (pO2) within HC CA1 tissue before and during a 7-day period of partial SD and after a 7- day period of recovery. Our results revealed a progressive decline in spontaneous neural activity, alongside sustained elevation in tissue pO2; during the 7-day partial SD period. Notably, after 7 days of recovery, neuronal activity did not return to baseline, and tissue oxygenation continued to increase. Our findings emphasize chronic SD's cumulative and enduring impairments to neuronal function and metabolism in the HC and reveal uncoupling between metabolic and functional recovery that outlasts the sleep restriction period.

Abstract Background: Traumatic brain injury (TBI) is a leading cause of mortality and long term neurological disability worldwide. Adult mammals have limited regenerative capacity following central nervous system (CNS) injury, but zebrafish have a remarkable regenerative potential, providing an opportunity to identify molecular mechanisms associated with successful CNS repair. Methods: We have integrated publicly available acute phase TBI transcriptomic datasets from human, mouse, rat, and zebrafish studies published up to April 2026. Differential expression data were combined using restricted maximum likelihood (REML) based random effects meta analysis to account for biological and technical heterogeneity. Following ortholog mapping, we compared conserved injury responses with transcriptional programmes preferentially enhanced in zebrafish. Results: The acute molecular response to TBI is largely conserved across vertebrate species with predominant activation of cell cycle regulation, chromosome segregation, and interferon-mediated immune signalling genes. A conserved injury-responsive gene set further highlighted enrichment of mitotic and JAK-STAT signalling. In contrast, 54 zebrafish-enhanced genes displayed preferential activation of wound healing, extracellular matrix remodelling, integrin mediated signalling, and regulated immune responses. Protein protein interaction analysis identified STAT1, STAT3, FN1, CD44, ANXA2, and AXL as central hub genes connecting these injury and repair associated responses. Conclusions: Our study suggest that successful CNS regeneration is not driven by unique injury pathways but rather by coordinated modulation of conserved injury responses and additional molecular programmes that promote tissue remodelling and repair. These regeneration associated networks provide potential targets for future functional studies and may contribute to the development of regenerative therapeutic strategies for traumatic brain injury.

Background: Alcohol and cannabinoids are frequently used during pregnancy, however their combined effects on offspring outcomes are currently under-investigated. In this study, co-exposure was compared to single-drug and drug-free exposures for influences on adult alcohol-seeking and cannabinoid system proteomics. Methods: Pregnant C57BL/6J mice received ethanol vapor (ALC), CP-55,940 (0.75 mg/kg; CB), both (ALC+CB), or neither on gestational days 12-15. Beginning on Postnatal Day 200, male and female offspring underwent home-cage ethanol drinking (N=108) and operant self-administration, progressive-ratio, extinction, and reinstatement testing (N=96). CNR1 and CNRIP1 protein abundance was quantified in the medial prefrontal cortex (mPFC) and dorsomedial striatum (N=57) and compared to within-subject drinking behaviors. Results: Prenatal CB exposure increased cumulative home-cage ethanol intake, primarily in males. At 40% ethanol under progressive-ratio schedules, ALC+CB males consumed more than all other male groups, whereas all exposed female groups consumed more than controls. ALC+CB males also showed greater extinction responding than all other male groups and greater reinstatement intake relative to baseline than CON and ALC males. ALC+CB increased mPFC CNR1 in males relative to all other groups, whereas CB and ALC+CB reduced mPFC CNR1 in females. Higher mPFC CNR1 was associated with fixed-ratio and 40% progressive-ratio intake, extinction, and reinstatement exclusively in males. Conclusions: Prenatal co-exposure produced a persistent male phenotype of enhanced ethanol seeking that was distinct from either exposure alone and accompanied by elevated mPFC CNR1. This behavioral and molecular convergence justifies future investigations manipulating corticostriatal cannabinoid signaling to attenuate exposure-induced ethanol consumption in late adulthood.

Background: Hippocampal sclerosis (HS) is a common cause of drug-resistant focal epilepsy (DRFE) and amenable to neurosurgical treatment. Detection relies on MRI but can be challenging. 7 Tesla (T) ultra-high field MRI and automated MRI post-processing tools have independently been shown to improve radiological diagnosis of HS. However, combining these approaches remains underexplored. This study evaluated whether AID-HS, a tool for HS detection developed using 3T MRI, generalises to 7T MRI data. Methods: We collated a dataset of paired 3T and 7T T1-weighted MRI from four epilepsy centres, including 23 patients with HS, 39 healthy controls, and 23 individuals with focal cortical dysplasia as disease controls. Histopathology served as the gold standard for defining HS where available (n=7), otherwise radiological findings (n=16). AID-HS was applied to images acquired at both field strengths, and sensitivity and specificity for detection and lateralisation of HS were compared. Additionally, agreement of hippocampal features across 3T and 7T was evaluated. Results: We found no evidence of a difference in performance of AID-HS between 3T and 7T. Sensitivity for detection of unilateral HS was 63% (12/19) at 3T and 68% (13/19) at 7T (McNemar's exact test p=1.0). Specificity in controls was 97% (60/62) at 3T and 100% (62/62) at 7T (p=0.5). Bilateral HS was correctly flagged in 3 of 4 cases using feature-based criteria, with high specificity in controls. Quantitative hippocampal features showed moderate to good agreement across field strengths (ICC 0.70 to 0.98), with small differences observed for volume and thickness estimates. Conclusion: AID-HS provides robust detection and lateralisation of HS across multiple 7T MRI centres, highlighting its potential to enhance lesion detection. Future work is needed to investigate whether models trained on 7T data can leverage the improved image quality for further gains in HS detection performance.

Background and purpose: Gliomas are characterised by a complex tumour microenvironment (TME) that contributes to treatment resistance and tumour heterogeneity. Therefore, the non-invasive interrogation of both the intracellular and extracellular compartments of gliomas remains a key unmet need. We investigated the feasibility and complementarity of combining diffusion-weighted MRI (DW-MRI) with biophysical modelling Vascular, Extracellular, and Restricted Diffusion for Cytometry in Tumours (VERDICT) and diffusion-weighted MR spectroscopy (DW MRS) for simultaneous characterisation of glioma tumour cells and the glioma TME. Methods: 14 patients with newly diagnosed glioma (WHO grades 2 to 4: 4 IDH wildtype and 10 IDH mutant) underwent DW-MRI at 3 T; DW-MRS was additionally acquired in 10 patients. Tumours were automatically segmented into enhancing, non-enhancing, and oedema regions using a validated pipeline. VERDICT models were fitted to multi-shell DW-MRI data to estimate intracellular volume fraction (fIC), cell radius, extracellular diffusivities, and free-water fraction (fFW). Single voxel DW-MRS provided metabolite-specific apparent diffusion coefficients (ADCs) for total N-acetylaspartate (tNAA), Creatine (tCr), and choline (tCho). T-tests assessed DW-MRI and descriptive statistics assessed DW-MRS parameters in tumour regions compared to normal appearing white matter (NAWM) and IDH mutation status. Pearsons correlations assessed associations between DW-MRS metabolite ADCs and DW-MRI parameters. Results: VERDICT-MRI distinguished high grade IDH-wildtype from lower grade IDH-mutant gliomas, with significantly higher fIC and lower extracellular diffusivities; in enhancing and non-enhancing regions of IDH-wildtype lesions. DW-MRS demonstrated a trend towards reduction in tNAA ADC in tumour versus contralateral NAWM, consistent with neuronal loss, and a trend towards increased tCho ADC, suggesting glial activation. A descriptive trend towards decreased tNAA ADC in IDH-wildtype tumours was observed. Significant positive correlations were identified between tumoral tCho ADC and VERDICT parameters fEES, extracellular diffusivity; and negative correlations for ADC and fFW, in non-enhancing tumour regions. Conclusion: This proof-of-concept study demonstrates the feasibility of combining multi b- value DW-MRI and DW-MRS within a clinically feasible protocol to simultaneously probe the extracellular and intracellular compartments of the glioma TME. VERDICT captured cell-level and extracellular matrix differences in IDH mutation status, while DW-MRS provided metabolite-specific indices of neuronal and glial compartment integrity. The correlation between tCho ADC and VERDICT metrics in infiltrative tumour regions supports the complementarity of these modalities. With this combined approach, it is possible to simultaneously characterise the tumour compartment and the tumour microenvironment in gliomas.

Traumatic brain injury (TBI) produces persistent multidomain disability spanning motor, cognitive, emotional and sleep-wake function, with no approved restorative therapy. Here, we tested pd.S6.133.hNSC, a cryopreserved, GMP-like human neural stem cell (hNSC) product derived from Shef-6 and FACS-sorted on CD133+/CD34-, in a randomized dose-ranging study in common marmosets subjected to controlled cortical impact (n = 18). Seven weeks after injury, animals received MRI-guided stereotactic transplantation into perilesional cortex bilaterally under tacrolimus immunosuppression, with either vehicle or pd.S6.133.hNSC at 1 million (1e6) or 5 million (5e6) cell dose. At 3 months post-transplantation, 5e6 dosage improved executive and problem-solving performances (Object Retrieval Task with Barrier Detour), gait dynamics (CatWalk assay), anxiety-like behavior (Human Intruder Test), and actigraphy-derived sleep-wake and circadian rhythm measures relative to vehicle and 1e6 dose. Longitudinal 7T MRI demonstrated a dose-dependent reduction in lesion volume and preservation of corpus callosum white matter volume in the 5e6 group. Transplantation was well tolerated, with no observed adverse events across 1,197 cumulative post-transplant animal-days. Histopathology at 3 months post-transplantation in NHPs showed engraftment without tumor formation or abnormal tissue overgrowth. These findings support the safety and multidomain efficacy of a cryopreserved hNSC product in a nonhuman primate TBI model and inform translational development toward first-in-human testing with clinically aligned endpoints.

Background Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS) is a poorly understood, debilitating multisystem condition. Converging evidence implicates impaired cellular bioenergetics, neuroinflammation and defective neurovascular coupling that may manifest as "virtual hypoxia" only under physiological stress. Methods We performed a single-session multimodal 3T MRI study combining brain volumetry, arterial spin labelling (ASL) and multivoxel proton magnetic resonance spectroscopy under normoxia and two controlled hypoxic challenges (oxygen saturation 87 {+/-} 3%) in 26 ME/CFS patients and 27 age- and sex-matched healthy controls. Results After intracranial-volume normalization, patients showed a reduced brainstem volume (1.46 0.14 vs. 1.55 {+/-} 0.18 % of eTIV; p = 0.013, FDR-p = 0.039), whereas deep grey matter and whole-brain parenchymal fraction did not differ between groups. Whole-brain cerebral blood flow (CBF) rose under hypoxia in both groups (controls +4.8 {+/-} 13.0%, patients +3.7 {+/-} 11.7%), with greater initial inter-individual variability in patients (patient-to-control variance ratio up to 6.94; FDR-p = 0.001). Thalamic lactate-to-creatine (Lac/tCr) ratios increased with hypoxia in controls (FDR-p = 0.028) but were already elevated at normoxia in patients (0.171 vs. 0.135; FDR-p = 0.021) and did not rise further (FDR-p = 0.38). In exploratory analyses, patients showed exaggerated inverse coupling between thalamic total N-acetylaspartate (tNAA/tCr) and white-matter CBF. Conclusions These findings provide in vivo evidence of impaired neuro-metabolic and vascular adaptive capacity in ME/CFS, supporting the virtual hypoxia hypothesis and highlighting candidate imaging markers for stratification that warrant validation.

Hypoxia impairs cognitive function, yet its effects on navigation and intrinsic brain activity remain poorly understood. This study investigated whether a continuous exposure to hypoxia (CH) or an intermittent exposure to hypoxia (IH) differentially influence navigation performance and resting-state electroencephalography (EEG) in healthy young adults. Seventy-two participants completed sham (FiO2 = .209) and hypoxia (FiO2 = .13) sessions during either a one hour of CH or IH intervention. Navigation was assessed using the Spatial Performance Assessment for Cognitive Evaluation (SPACE), while resting-state EEG was recorded before and after the intervention in a subset of participants (n = 40). EEG spectra were parameterised into periodic (alpha and beta power and central frequency) and aperiodic (exponent and offset) components. Aligned rank transform (ART) analyses of variance examined effects of hypoxia and intervention group, while linear regression determined whether reductions in peripheral oxygen saturation (SpO2) predicted changes in navigation or EEG. Hypoxia impaired multiple components of navigation, increasing path integration distance error and egocentric pointing angle error irrespective of intervention group, while mapping accuracy was preferentially impaired following IH and perspective taking performance following CH. Hypoxia also reduced alpha and beta power, beta central frequency, and aperiodic exponent, while aperiodic offset and alpha central frequency remained stable. The reduction in aperiodic exponent was primarily evident following IH, suggesting that the temporal pattern of oxygen delivery may influence specific neurophysiological responses. Contrary to our hypothesis, SpO2 reduction did not predict individual differences in navigation performance or EEG activity. These findings demonstrate that brief, moderate hypoxic exposure can disrupt allocentric and egocentric components of spatial navigation while selectively altering periodic and aperiodic features of intrinsic brain activity.