Avaliação do processamento auditivo em idosos que relatam ouvir bem Auditory processing assessment in older people with no report of hearing disability

Em idosos, os resultados da avaliação comportamental das vias auditivas centrais são considerados de difícil interpretação devido à possível interferência do comprometimento das vias auditivas periféricas. OBJETIVO: Avaliar a eficiência das funções auditivas centrais de idosos que relatam ouvir bem. MATERIAL E MÉTODO: Estudo de casos que incluiu 40 indivíduos na faixa etária de 60 a 75 anos. Os pacientes foram submetidos à avaliação do processamento auditivo que constou de anamnese, exame otorrinolaringológico, audiometria tonal liminar, limiar de reconhecimento de fala, índice de reconhecimento de fala, imitanciometria, pesquisa de reflexos estapedianos, teste de identificação de sentenças sintéticas com mensagem competitiva ipsilateral, teste de padrões de freqüência e teste de dissílabos alternados por meio de tarefa dicótica. RESULTADOS: Gênero, faixa etária e perda auditiva não influenciaram os resultados dos testes de padrões de freqüência e dissílabos alternados por meio de tarefa dicótica; faixa etária e perda auditiva influenciaram os resultados do teste de identificação de sentenças com mensagem competitiva ipsilateral. Porcentagens de acertos abaixo dos padrões da normalidade de adultos foram observadas nos três testes que acessam as funções auditivas centrais. CONCLUSÃO: Indivíduos idosos que relatam ouvir bem apresentam prevalência relevante de sinais de ineficiência das funções auditivas centrais.<br>In the elderly, the results of central auditory pathways behavioral assessments are considered to be difficult to read because of the possible interference of peripheral auditory pathway involvement. AIM: Assess the efficacy of the central auditory function in elderly patients who do not complain of hearing. MATERIALS AND METHODS: Case study involving 40 individuals within the age range of 60 to 75 years. The patients underwent auditory processing evaluation based on anamnesis, otorhinolaryngological exam, threshold tonal audiometry, speech recognition threshold, speech recognition index, immittance measures, stapes reflex study, synthetic phrases identification test with ipsilateral competitive message, frequency pattern test and alternate twin-syllable test through dichotic task; age range and hearing loss influenced results from the phrases identification with ipsilateral competitive message. Percentages of right answers below normal standards were seen in the three tests that assessed the central auditory functions. CONCLUSION: Elderly individuals who did not complain of hearing presented relevant prevalence of signs of central auditory function inefficiencies

The Effects of The COMT val108/158met Polymorphism on BOLD Activation During Working Memory, Planning, and Response Inhibition: A Role for The Posterior Cingulate Cortex?

Catechol-O-methyl transferase (COMT) val108/158met polymorphism impacts on cortical dopamine levels and may influence functional magnetic resonance (fMRI) measures of task-related neuronal activity. Here, we investigate whether COMT genotype influences cortical activations, particularly prefrontal activations, by interrogating its effect across three tasks that have been associated with the dopaminergic system in a large cohort of healthy volunteers. A total of 50 participants (13 met/met, 23 val/met, and 14 val/val) successfully completed N-Back, Go-NoGo, and Tower of London fMRI tasks. Image analysis was performed using statistical parametric mapping. No significant relationships between COMT genotype groups and frontal lobe activations were observed for any contrast of the three tasks studied. However, the val/val group produced significantly greater deactivation of the right posterior cingulate cortex in two tasks: the Go-NoGo (NoGo vs Go deactivation contrast) and N-Back (2-back vs rest deactivation contrast). For the N-Back task, the modulated deactivation cluster was functionally connected to the precuneus, left middle occipital lobe, and cerebellum. These results do not support findings of prefrontal cortical modulation of activity with COMT genotype, but instead suggest that COMT val/val genotype can modulate the activity of the posterior cingulate and may indicate the potential network effects of COMT genotype on the default mode network

Neuronal GPCR OCTR-1 regulates innate immunity by controlling protein synthesis in Caenorhabditis elegans

Upon pathogen infection, microbial killing pathways and cellular stress pathways are rapidly activated by the host innate immune system. These pathways must be tightly regulated because insufficient or excessive immune responses have deleterious consequences. Increasing evidence indicates that the nervous system regulates the immune system to confer coordinated protection to the host. However, the precise mechanisms of neural-immune communication remain unclear. Previously we have demonstrated that OCTR-1, a neuronal G protein-coupled receptor, functions in the sensory neurons ASH and ASI to suppress innate immune responses in non-neural tissues against Pseudomonas aeruginosa in Caenorhabditis elegans. In the current study, by using a mass spectrometry-based quantitative proteomics approach, we discovered that OCTR-1 regulates innate immunity by suppressing translation and the unfolded protein response (UPR) pathways at the protein level. Functional assays revealed that OCTR-1 inhibits specific protein synthesis factors such as ribosomal protein RPS-1 and translation initiation factor EIF-3.J to reduce infection-triggered protein synthesis and UPR. Translational inhibition by chemicals abolishes the OCTR-1-controlled innate immune responses, indicating that activation of the OCTR-1 pathway is dependent on translation upregulation such as that induced by pathogen infection. Because OCTR-1 downregulates protein translation activities, the OCTR-1 pathway could function to suppress excessive responses to infection or to restore protein homeostasis after infection