Highlights d Neurons in l/vlPAG exhibit scratching behavior related to neural activities d Ablation of Tac1 + but not SST + neurons decreases itchinduced scratching behavior d Activation of Tac1 + neurons induces spontaneous scratching and grooming behaviors d l/vlPAG Tac1 + neurons modulate spinal itch processing via a RVM-dependent pathway

Highlights d The ipsi-and contralateral spinoparabrachial pathways are functionally distinct d The ipsilateral spinoparabrachial pathway mediates nocifensive behavior d Tacr1 + neurons in the PBN represent the major target of spinal projection d The PBN relays nociceptive information to the ILN via glutamatergic synapses

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Our objective is to explore the effects of levetiracetam on the levels of neuropeptides, serum activity and concentrations of oxidative stress and inflammatory response proteins, and levels of brain injury marker in patients with refractory epilepsy. Seventy-two patients with refractory epilepsy received levetiracetam treatment. Neuropeptides galanin (GAL) and neuropeptide Y (NPY) in plasma and cerebrospinal fluid (CSF) were detected using double-antibody sandwich immunoassay and radioimmunoassay, respectively. Enzyme-linked immunosorbent assay was used to detect serum activity of paraoxonase (PON1) and serum concentrations of oxidized low-density lipoprotein (ox-LDL) and S100B. Arylesterase (ARE) activity was measured by colorimetric assay, and immune scatter turbidimetry was used to detect a high-sensitivity C-reactive protein (hs-CRP). After treatment, NPY and GAL in plasma and CSF of the patients were significantly decreased as compared to concentrations before treatment (P < 0.05). Levetiracetam reduced serum activities of PON1 and ARE (P < 0.05) and led to markedly increased serum levels of ox-LDL (P < 0.05). Serum concentrations of hs-CRP and S100B protein were significantly lower after levetiracetam administrations than before treatment (P < 0.05). Levetiracetam treatment had a clear beneficial effect on the overall quality of life (QOL) scores of the patients, as indicated by significantly improved cognitive functioning, behavior problems, emotional conditioning, physical condition, social functioning, self-assessed life quality score, self-assessed health score, and the total QOL score (P < 0.05). Levetiracetam can improve life quality of patients with refractory epilepsy, decrease NPY and GAL in plasma and cerebrospinal fluid, serum PON1 and ARE activities, and serum levels of ox-LDL, hs-CRP, and S100B. Levetiracetam therefore may be considered a drug of choice for treating refractory epilepsy.

The ZK61 alloy rods with different grain sizes and crystallographic texture were successfully fabricated by cyclic extrusion and compression (CEC). Their room-temperature tension & compression yield strength displayed a significant dependence on grain size and texture, essentially attributed to {10-12} twinning. The texture variations were characterized by the angle θ between the c-axis of the grain and the extrusion direction (ED) during the process. The contour map of room-temperature yield strength as a function of grain size and the angle θ was obtained. It showed that both the tension yield strength and the compression yield strength of ZK61 alloy were fully consistent with the Hall-Patch relationship at a certain texture, but the change trends of the tension yield strength and the compression yield strength were completely opposite at the same grain size while texture altered. The friction stresses of different deformation modes calculated based on the texture confirmed the tension yield strength of the CECed ZK61 alloy rods, which was determined by both the basal slip and the tension twinning slip during the tension deformation at room temperature, while the compression yield strength was mainly determined by the basal slip during the compression deformation.