Browsing by Author "Filipovic, Branislav R. (56207614900)"

Obstructive sleep apnea (OSA) is characterized by repetitive complete or partial collapse of the upper airway and reduction of airflow during sleep. It is associated with significantly increased daytime muscle sympathetic nerve activity thought to result from the repetitive intermittent periods of hypoxemia during sleep and brain alterations that are likely to result. Different brain regions are affected by subsequent hypoxia/anoxia. Neurodegenerative processes result in measurable atrophy of cortical gray matter in the temporal lobes and posterior cingulate cortex, as well as in subcortical structures such as the hippocampus, amygdala, and thalamus. This study involved a group of firstly diagnosed, therapy-naive, nonalcoholic fatty liver disease (NAFLD) patients, out of which 144 (96 males and 48 females), aged 34-57 (mean 47.88 ± 6.07), satisfied the recruiting criteria for the study and control groups. All the patients underwent MRI scanning, polysomnography testing, and cognitive evaluation. Cognitively, worse results were obtained in the group with OSA (p<0.05) and NAFLD (p=0.047). A significant decrease in volumes of cortical and subcortical structures was revealed (p<0.001). In conclusion, brain deterioration followed by cognitive impairment is, most likely, the result of intermittent hypoxia and anoxia episodes that initiate the domino process of deteriorating biochemical reactions in the brain. © 2021 Branka Filipovic et al.

Early life stress has profound effects on the development of the central nervous system. We exposed 9-day-old rat pups to a 24 h maternal deprivation (MD) and sacrificed them as young adults (60-day-old), with the aim to study the effects of early stress on forebrain circuitry. We estimated numbers of various immunohistochemically defined interneuron subpopulations in several neocortical regions and in the hippocampus. MD rats showed reduced numbers of parvalbumin-expressing interneurons in the CA1 region of the hippocampus and in the prefrontal cortex, compared with controls. Numbers of reelin-expressing and calretinin-expressing interneurons were also reduced in the CA1 and CA3 hippocampal areas, but unaltered in the neocortex of MD rats. The number of calbinin-expressing interneurons in the neocortex was similar in the MD rats compared with controls. We analyzed cell death in 15-day-old rats after MD and found no difference compared to control rats. Thus, our results more likely reflect the downregulation of markers than the actual loss of interneurons. To investigate synaptic activity in the hippocampus we immunostained for glutamatergic and inhibitory vesicular transporters. The number of inhibitory synapses was decreased in the CA1 and CA3 regions of the hippocampus in MD rats, with the normal number of excitatory synapses. Our results indicate complex, cell type-specific, and region-specific alterations in the inhibitory circuitry induced by maternal deprivation. Such alterations may underlie symptoms of MD at the behavioral level and possibly contribute to mechanisms by which early life stress causes neuropsychiatric disorders, such as schizophrenia. © Copyright © 2021 Aksic, Poleksic, Aleksic, Petronijevic, Radonjic, Jakovcevski, Kapor, Divac, Filipovic and Jakovcevski.

Early life stress has profound effects on the development of the central nervous system. We exposed 9-day-old rat pups to a 24 h maternal deprivation (MD) and sacrificed them as young adults (60-day-old), with the aim to study the effects of early stress on forebrain circuitry. We estimated numbers of various immunohistochemically defined interneuron subpopulations in several neocortical regions and in the hippocampus. MD rats showed reduced numbers of parvalbumin-expressing interneurons in the CA1 region of the hippocampus and in the prefrontal cortex, compared with controls. Numbers of reelin-expressing and calretinin-expressing interneurons were also reduced in the CA1 and CA3 hippocampal areas, but unaltered in the neocortex of MD rats. The number of calbinin-expressing interneurons in the neocortex was similar in the MD rats compared with controls. We analyzed cell death in 15-day-old rats after MD and found no difference compared to control rats. Thus, our results more likely reflect the downregulation of markers than the actual loss of interneurons. To investigate synaptic activity in the hippocampus we immunostained for glutamatergic and inhibitory vesicular transporters. The number of inhibitory synapses was decreased in the CA1 and CA3 regions of the hippocampus in MD rats, with the normal number of excitatory synapses. Our results indicate complex, cell type-specific, and region-specific alterations in the inhibitory circuitry induced by maternal deprivation. Such alterations may underlie symptoms of MD at the behavioral level and possibly contribute to mechanisms by which early life stress causes neuropsychiatric disorders, such as schizophrenia. © Copyright © 2021 Aksic, Poleksic, Aleksic, Petronijevic, Radonjic, Jakovcevski, Kapor, Divac, Filipovic and Jakovcevski.

Small cava septi pellucidi (CSP) are sometimes automatically regarded as an anatomical variation (asymptomatic CSP), especially if they could not be associated with a neuropsychiatric disorder, like schizophrenia or alcoholism (symptomatic CSP). Our aim was to investigate the impact of symptomatic CSP in the population in which CSP length was less or equal to 6 mm (criterion established by Nopoulos et al in 1997). We have overlooked 479 post mortem brains that underwent serial frozen sections in the axial plane on 1.5 mm of thickness. A sample of 110 CSP was obtained, among which 50 were adequate for this study. In our sample, 26 CSP were asymptomatic, 13 were on alcoholic brains, 6 were obtained from subjects who faced one or several head trauma and later manifested aggressive behavior, and remaining 5 belonged to schizophrenics. There were no major differences in lengths and widths measured, except between the lengths of CSP in schizophrenics and alcoholics (p<0.05, Bonferroni post hoc correction). Cava shorter or equal to 6 mm were normal variation in more than a half of our sample. Symptomatic CSP had a representative impact of 48%, out of which majority was revealed in alcoholics. We suggest a precaution before classify a small CSP into anatomical variations.