Publications by authors named "Jyrki Makela"

Article Synopsis
  • Paired associative stimulation (PAS) combines transcranial magnetic stimulation (TMS) and peripheral nerve stimulation (PNS) to enhance motor-evoked potentials (MEPs) and promote spinal plasticity, particularly beneficial for rehabilitation after spinal cord injury (SCI).
  • A new high-frequency variant of PAS, called "high-PAS," was tested alongside noninvasive auricular vagus nerve stimulation (aVNS) to see if it could further boost MEP enhancement.
  • While PAS significantly improved MEPs compared to aVNS alone, the combined effects did not yield significant results, indicating that more optimization of the aVNS setup is needed for potential use in SCI patients.
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Strongly attractive forces act between superhydrophobic surfaces across water due to the formation of a bridging gas capillary. Upon separation, the attraction can range up to tens of micrometers as the gas capillary grows, while gas molecules accumulate in the capillary. We argue that most of these molecules come from the pre-existing gaseous layer found at and within the superhydrophobic coating.

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The formation of a bridging gas capillary between superhydrophobic surfaces in water gives rise to strongly attractive interactions ranging up to several micrometers on separation. However, most liquids used in materials research are oil-based or contain surfactants. Superamphiphobic surfaces repel both water and low-surface-tension liquids.

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  • Accurate preoperative mapping of language areas is essential for surgeries involving brain tumors or epilepsy, aiding in planning and reducing risks.
  • While invasive methods like direct cortical stimulation (DCS) are used to identify critical speech areas, non-invasive techniques such as MRI, fMRI, MEG, and PET offer alternative options for patients who cannot undergo awake surgeries.
  • The outlined protocol for non-invasive speech cortical mapping using repetitive transcranial magnetic stimulation (rTMS) and neuronavigation (nrTMS) allows for precise localization of speech-related functions and can adapt to individual patient needs.
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In colorectal cancer (CRC), systemic inflammation is associated with poor prognosis, but the underlying mechanisms are not fully characterized. Tumor necrosis may contribute to systemic inflammation by inducing interleukin (IL)-6 signaling, and proinflammatory cytokines such as IL-6 and IL-8, and matrix metalloproteinase (MMP)-8 also are linked to adverse CRC outcomes. Because Toll-like receptors (TLRs) are important mediators of inflammatory responses, we investigated the roles of TLR2 and TLR4 in CRC-associated systemic inflammatory responses, especially tumor necrosis.

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Anoikis refers to apoptosis induced by the loss of contact with the extracellular matrix. Anoikis resistance is essential for metastasis. We have recently shown that it is possible to quantitatively evaluate putative anoikis resistant (AR) subpopulations in colorectal carcinoma (CRC).

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Article Synopsis
  • The study investigates the effectiveness of navigated repetitive transcranial magnetic stimulation (nrTMS) aimed at the secondary somatosensory cortex (S2) for treating central poststroke pain (CPSP), a challenging neuropathic pain condition.
  • Despite a placebo effect observed across all stimulation types, nrTMS targeting S2 provided a significant long-term pain reduction in some participants, indicating its potential as a treatment option.
  • Additionally, the study suggests that the DRD2 T/T genotype could serve as a biomarker to predict responses to M1 nrTMS.
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Despite optimal oral drug treatment, about 90% of patients with Parkinson's disease develop motor fluctuation and dyskinesia within 5-10 years from the diagnosis. Moreover, the patients show non-motor symptoms in different sensory domains. Bilateral deep brain stimulation (DBS) applied to the subthalamic nucleus is considered the most effective treatment in advanced Parkinson's disease, and it has been suggested to affect sensorimotor modulation and relate to motor improvement in patients.

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Article Synopsis
  • A prospective interventional case series was conducted to assess the effects of long-term paired associative stimulation (PAS) on cortical sensorimotor oscillations in individuals with spinal cord injury (SCI).
  • Five patients with chronic incomplete SCI underwent PAS treatment to their upper limb over 16-22 days, with their brain activity monitored before and after the intervention.
  • The results indicated that PAS improved the modulation of sensorimotor oscillations during active hand movements in four patients, while responses to tactile stimuli remained unchanged, suggesting PAS has a significant effect on motor functions and brain activity in SCI patients.
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Deep brain stimulation (DBS) has proven its clinical efficacy in Parkinson's disease (PD), but its exact mechanisms and cortical effects continue to be unclear. Subthalamic (STN) DBS acutely modifies auditory evoked responses, but its long-term effect on auditory cortical processing remains ambiguous. We studied with magnetoencephalography the effect of long-term STN DBS on auditory processing in patients with advanced PD.

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Objective: The impact of transcranial magnetic stimulation (TMS) has been shown to depend on the initial brain state of the stimulated cortical region. This observation has led to the development of paradigms that aim to enhance the specificity of TMS effects by using visual/luminance adaptation to modulate brain state prior to the application of TMS. However, the neural basis of interactions between TMS and adaptation is unknown.

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Article Synopsis
  • Paired associative stimulation (PAS) merges transcranial magnetic stimulation (TMS) and peripheral nerve stimulation (PNS) to promote plastic changes in the motor system, showing promise as a therapy for spinal cord injury patients.
  • A new PAS protocol with a third TMS pulse (20-Hz rTMS) boosted motor-evoked potentials (MEPs) more effectively than traditional PAS methods, particularly at the 60-minute mark post-stimulation.
  • Despite promising results, three subjects experienced strong involuntary twitches, indicating the need for further testing before clinical application.
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Amblyopia is a developmental disorder associated with abnormal visual experience during early childhood commonly arising from strabismus and/or anisometropia and leading to dysfunctions in visual cortex and to various visual deficits. The different forms of neuronal activity that are attenuated in amblyopia have been only partially characterized. In electrophysiological recordings of healthy human brain, the presentation of visual stimuli is associated with event-related activity and oscillatory responses.

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Article Synopsis
  • In recent years, many therapies for spinal cord injury (SCI) have emerged, but few are widely used in clinical settings, highlighting the need for innovative treatment methods.
  • A new therapy called high-PAS combines non-invasive high-intensity transcranial magnetic stimulation (TMS) and high-frequency electrical peripheral nerve stimulation (PNS), showing promising therapeutic effects in 20 patients with varying degrees of incomplete SCI.
  • Results indicated significant improvements in motor scores, functional hand and walking tests, and overall independence, with ongoing research aiming to refine the method and understand how it works.
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Auditory evoked fields (AEFs) are well suited for studies of auditory processing in patients. Their sources have been localized to Heschl's gyri and to the supratemporal auditory cortices. Auditory evoked fields are known to be modulated by peripheral and central lesions of auditory pathways and to reflect group-level pathophysiology of neurodevelopmental and psychiatric disorders.

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Systemic inflammation is a stage-independent marker of poor prognosis in colorectal cancer (CRC), activated in a complex, multifactorial process. It has been proposed that one of the main factors driving systemic inflammation may be tumor necrosis. Keratin 18 (KRT18) fragments are released from dead cells and their serum levels are markers for apoptotic and necrotic cell death.

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TiO inverse opal (TIO) structures were prepared by the conventional wet chemical method, resulting in well-formed structures for photocatalytic activity. The obtained structures were functionalized with liquid flame spray-deposited silver nanoparticles (AgNPs). The nanocomposites of TIO and AgNPs were extensively characterized by various spectroscopies such as UV, Raman, X-ray diffraction, energy-dispersive spectroscopy, and X-ray photoelectron spectroscopy combined with microscopic methods such as scanning electron microscopy, transmission electron microscopy (TEM), and high-resolution TEM.

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Article Synopsis
  • The study examined the impact of long-term paired associative stimulation (PAS) on leg muscle strength and walking in individuals with chronic incomplete spinal cord injuries.
  • Five participants with traumatic tetraplegia underwent PAS for 2 months, and assessments showed significant improvements in Manual Muscle Test (MMT) and AIS motor scores, which remained stable during the follow-up period.
  • Despite these positive outcomes, other measures like sensory scores and overall independence did not show significant changes, highlighting the need for larger trials to further investigate PAS effects on recovery in spinal cord injury patients.
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Paired associative stimulation (PAS) combines transcranial magnetic stimulation (TMS) and peripheral nerve stimulation (PNS) to induce plastic changes in the corticospinal tract. PAS employing single 0.2-Hz TMS pulses synchronized with the first pulse of 50-100 Hz PNS trains potentiates motor-evoked potentials (MEPs) in a stable manner in healthy participants and enhances voluntary motor output in spinal cord injury (SCI) patients.

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Anoikis is a form of apoptosis induced when a cell loses contact with the extracellular matrix (ECM). Anoikis resistance is essential for metastasis formation, yet only detectable by in vitro experiments. We present a method for quantitation of putative anoikis-resistant (AR) subpopulations in colorectal carcinoma (CRC) and evaluate their prognostic significance.

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Article Synopsis
  • Long-term paired associative stimulation (PAS) improves hand motor function in individuals with non-traumatic tetraplegia, showing positive results over a 6-week treatment period.
  • Five patients underwent PAS treatment on their weaker upper limb, with significant improvements observed in manual muscle testing and other functional assessments at various follow-ups.
  • This study is the first to highlight PAS as a promising therapy for enhancing hand function in patients with neurological spinal cord injuries.
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  • Accurate coil positioning during cervical magnetic stimulation is crucial yet challenging, and previous methods using external landmarks are often cumbersome.
  • A novel technique was developed that uses a figure-of-eight coil and anatomy-specific models to enhance corticospinal excitability probing at the cervical spinal level, demonstrated through experiments on 9 healthy subjects.
  • The new method showed high reproducibility of motor-evoked potentials (MEPs) with an intra-class correlation coefficient (ICC) indicating strong reliability in group 1 and moderate reliability in group 2, suggesting potential improvements for navigated spinal stimulation protocols.
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The dietary lignan metabolite, enterolactone, has been suggested to have anti-cancer functions, and high serum enterolactone concentrations have been associated with decreased risk of breast and prostate cancers. We hypothesized that serum enterolactone concentrations as a marker of plant-based foods are associated with decreased risk in colorectal cancer (CRC). We measured serum enterolactone glucuronide and sulfate concentrations by liquid chromatography-tandem mass spectrometry in 115 CRC patients and 76 sex- and age-matched controls and analyzed the results with respect to tumor parameters, clinical parameters, and systemic inflammatory markers.

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Background: Platelets not only contribute to hemostasis but also to the regulation of inflammatory reactions and cancer pathogenesis. We hypothesized that blood platelet count would be associated with systemic inflammation, the densities of tumor infiltrating immune cells, and survival in colorectal cancer (CRC), and these relationships could be altered by aspirin use.

Methods: We measured blood platelet count in a cohort of 356 CRC patients and analyzed its relationships with tumor and patient characteristics including aspirin use, markers of systemic inflammation (modified Glasgow Prognostic Score, mGPS; serum levels of CRP, albumin, and 13 cytokines), blood hemoglobin levels, five types of tumor infiltrating immune cells (CD3, CD8, FoxP3, Neutrophil elastase, mast cell tryptase), and survival.

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Toll-like receptors (TLRs) are involved in colorectal cancer (CRC) pathogenesis. However, the significance of serum TLR concentrations in CRC is unknown. We analyzed serum TLR2 and TLR4 concentrations with ELISA in preoperative samples from 118 patients with CRC and 88 matched controls.

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