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视觉康复中的多感官整合、脑可塑性与光遗传学

Multisensory integration, brain plasticity and optogenetics in visual rehabilitation.

作者信息

Lucchesi Martina, Maya-Vetencourt José Fernando, Rusciano Dario

机构信息

Department of Biology, Physiology Institute, University of Pisa, Pisa, Italy.

Fidia Pharmaceuticals, Ophthalmology Research, Catania University, Catania, Italy.

出版信息

Front Neurol. 2025 Jul 10;16:1590305. doi: 10.3389/fneur.2025.1590305. eCollection 2025.

Abstract

Multisensory integration enables the brain to integrate information from different sensory modalities while enhancing perception. This principle relies on phenomena of neuroplasticity (i.e., the ability of neuronal networks in the brain to adapt to changing environmental conditions) and is crucial for visual rehabilitation, particularly in hemianopia and retinal degeneration. Here we review emerging experimental approaches and their translational potential for vision recovery in visually impaired patients. Rehabilitation strategies incorporating multisensory training, optogenetics, and pharmacological interventions have demonstrated to be instrumental in restoring visual function by leveraging plasticity of inputs from different sensory modalities. Emerging technologies such as virtual reality and auditory-visual stimulation further optimize neural reorganization. Future research should focus on refining these interventions to enhance sensory compensation and recovery. Understanding the role of multisensory ganglion cells and retinal circuits may unlock new strategies for improving visual function in visually impaired individuals.

摘要

多感官整合使大脑能够整合来自不同感官模态的信息,同时增强感知。这一原理依赖于神经可塑性现象(即大脑中的神经元网络适应不断变化的环境条件的能力),对于视觉康复至关重要,尤其是在偏盲和视网膜变性方面。在此,我们综述了新兴的实验方法及其在视力受损患者视力恢复方面的转化潜力。结合多感官训练、光遗传学和药物干预的康复策略已证明,通过利用来自不同感官模态的输入可塑性,有助于恢复视觉功能。虚拟现实和视听刺激等新兴技术进一步优化了神经重组。未来的研究应专注于完善这些干预措施,以增强感官补偿和恢复。了解多感官神经节细胞和视网膜回路的作用可能会为改善视力受损个体的视觉功能开启新策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a654/12288684/fbe735803814/fneur-16-1590305-g001.jpg

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