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Sisodiya, S.

Publications and source records attributed to Sisodiya, S..

4 recordsLinked to original sources

Gene expression identifies regional central nervous system vulnerability to heat

Heat-related illness is an increasing global health threat, with heatstroke representing its most severe form and frequently causing cerebellar injury characterised by selective Purkinje neuron loss. The molecular basis of this regional vulnerability remains unclear. Here, we integrated transcriptomic data from human heat exposure experiments, patients with heatstroke, primary human neurons, and cortical organoids to define conserved responses to heat stress and investigate determinants of cerebellar susceptibility. Across datasets, heat stress induced a highly conserved transcriptional programme dominated by suppression of ribosome biogenesis, RNA processing, translation, and metabolic pathways, consistent with reduced biosynthetic and energy-demanding activity. Mapping these signatures to human brain atlases revealed that the cerebellum showed the lowest enrichment of downregulated genes, while heatstroke exhibited a distinct regional transcriptional pattern compared with experimental heat exposure. At the cellular level, granule and Purkinje neurons showed the strongest association with heat-responsive gene suppression. Purkinje-enriched genes were linked to synaptic organisation, neurotransmission, membrane excitability, and ion transport. Connectivity Map analysis identified compounds predicted to reverse the heatstroke transcriptional signature, including the mTOR inhibitor KU-0063794. These findings identify a conserved molecular response to heat stress and suggest that selective Purkinje vulnerability reflects intrinsic metabolic and electrophysiological properties rather than preferential activation of canonical heat-shock pathways.

neuroscience↗

Molecular and connectomic vulnerability shape cross-disorder cortical abnormalities

Numerous brain disorders demonstrate structural brain abnormalities, which are thought to arise from molecular perturbations or connectome miswiring. The unique and shared contributions of these molecular and connectomic vulnerabilities to brain disorders remain unknown, and has yet to be studied in a single multi-disorder framework. Using MRI morphometry from the ENIGMA consortium, we construct maps of cortical abnormalities for thirteen neurodevelopmental, neurological, and psychiatric disorders from N = 21 000 patients and N = 26 000 controls, collected using a harmonized processing protocol. We systematically compare cortical maps to multiple micro-architectural measures, including gene expression, neurotransmitter density, metabolism, and myelination (molecular vulnerability), as well as global connectomic measures including number of connections, centrality, and connection diversity (connectomic vulnerability). We find that regional molecular vulnerability and macroscale brain network architecture interact to drive the spatial patterning of cortical abnormalities in multiple disorders. Local attributes, particularly neurotransmitter receptor profiles, constitute the best predictors of both disorder-specific cortical morphology and cross-disorder similarity. Finally, we find that cross-disorder abnormalities are consistently subtended by a small subset of network epicentres in bilateral sensory-motor, medial temporal lobe, precuneus, and superior parietal cortex. Collectively, our results highlight how local biological attributes and global connectivity jointly shape cross-disorder cortical abnormalities.

neuroscience↗

The ENIGMA Toolbox: Cross-disorder integration and multiscale neural contextualization of multisite neuroimaging datasets

Among big data initiatives, the ENIGMA (Enhancing NeuroImaging Genetics through Meta-Analysis) Consortium--a worldwide alliance of over 2,000 scientists diversified into over 50 Working Groups--has yielded some of the largest studies of the healthy and diseased brain. Integration of multisite datasets to assess transdiagnostic similarities and differences and to contextualize findings with respect to neural organization, however, have been limited. Here, we introduce the ENIGMA Toolbox, a Python/Matlab ecosystem for (i) accessing 100+ ENIGMA datasets, facilitating cross-disorder analysis, (ii) visualizing data on brain surfaces, and (iii) contextualizing findings at the microscale (postmortem cytoarchitecture and gene expression) and macroscale (structural and functional connectomes). Our Toolbox equips scientists with tutorials to explore molecular, histological, and network correlates of noninvasive neuroimaging markers of brain disorders. Moreover, our Toolbox bridges the gap between standardized data processing protocols and analytic workflows and facilitates cross-consortia initiatives. The Toolbox is documented and openly available at http://enigma-toolbox.readthedocs.io. O_FIG O_LINKSMALLFIG WIDTH=200 HEIGHT=63 SRC="FIGDIR/small/423838v3_ufig1.gif" ALT="Figure 1"> View larger version (16K): org.highwire.dtl.DTLVardef@183a3f3org.highwire.dtl.DTLVardef@180d368org.highwire.dtl.DTLVardef@b752a3org.highwire.dtl.DTLVardef@1928c53_HPS_FORMAT_FIGEXP M_FIG C_FIG

neuroscience↗

Hippocampal morphometry in sudden and unexpected death in epilepsy (SUDEP)

ObjectiveTo determine hippocampal morphometric parameters, including granule cell dispersion and features of malrotation, as potential biomarkers for SUDEP from an archival post-mortem series.\n\nMethodsIn a retrospective study of 187 archival post-mortems from three groups, SUDEP (68; 14 with hippocampal sclerosis (HS)), non-SUDEP epilepsy controls (EP-C =66; 25 with HS) and non-epilepsy controls (NEC= 53), Nissl/H&E stained sections from left and right hippocampus from five coronal levels were digitised. Image analysis was carried out for granule cell layer (GCL) thickness and measurements of hippocampal dimensions (HD) for shape [width (HD1), height (HD2)] and medial hippocampal positioning in relation to the parahippocampal gyrus (PHG) length (HD3). A qualitative evaluation of hippocampal malrotational (HMAL) features, dentate gyrus invaginations (DGI) and subicular/CA1 folds (SCF) was also made.\n\nResultsGCL thickness was increased in HS more than those without (p<0.001). In non-HS cases increased GCL thickness was noted in EP-C compared to NEC (p<0.05) but not between SUDEP and NEC. There was no significant difference in the frequency of DGI, SCF, measurements of hippocampal shape (HD1, HD2 or ratio) or medial positioning between SUDEP, EP-C and NEC groups, when factoring in HS, coronal level and age at death. Comparison between left and right sides within cases showed significantly greater PHG lengths (HD3) on the right side in the SUDEP group only (p=0.018)\n\nConclusionsNo hippocampal morphometric features were identified in support of either excessive granule cell dispersion or features of HMAL as biomarkers for SUDEP. Asymmetries in PHG measurements in SUDEP warrant further investigation as they may indicate abnormal central autonomic networks.

pathology↗