Cazzullo Carlo Lorenzo, Trabattoni Daria, Saresella Marina, Annoni Giorgio, Arosio Beatrice, Clerici Mario
Legrenzi-Cazzullo Foundation-Association Research on Schizophrenia, Milan, Italy.
World J Biol Psychiatry. 2003 Jul;4(3):119-23. doi: 10.1080/15622970310029905.
Several lines of evidence suggest a role for the immune system in the multifactorial pathogenesis of schizophrenia and other psychiatric and neurodegenerative disease. Later, the role of immune mediators like cytokines became a source of main interest related to the process on inflammation in the CSM. In this article we report the results of our research on cytokines in a different groups of psychiatric patients following their clinical symptomatology and the course of diseases. In particular, we observed a prevalent type 1 cytokine profile in acute multiple sclerosis patients, while IL-10 production predominated in stable multiple sclerosis individuals. The modifications of cytokine profiles observed in schizophrenic patients suggests that clinical improvement is associated with a reduction in the inflammatory-like situation present in those not currently under treatment. Our data on Alzheimer's disease (AD) support the role of the inflammatory process in the pathogenesis of AD and reinforce the hypothesis that the neurodegenerative processes in the AD patients are associated with an abnormal antigen-specific immune response. The activation of immune system mechanisms observed in obsessive compulsive disorders could be due to the combination of endogenous (hormonal alterations associated to the modifications in the hypothalamic-pituitary-adrenal axis) and exogenous (viral or bacterial infections) factors.
多条证据表明免疫系统在精神分裂症以及其他精神疾病和神经退行性疾病的多因素发病机制中发挥作用。后来,细胞因子等免疫介质的作用成为与慢性应激障碍炎症过程相关的主要研究热点。在本文中,我们报告了针对不同组精神疾病患者,根据其临床症状和病程对细胞因子进行研究的结果。特别是,我们观察到急性多发性硬化症患者中普遍存在1型细胞因子谱,而在病情稳定的多发性硬化症患者中白细胞介素-10的产生占主导地位。在精神分裂症患者中观察到的细胞因子谱变化表明,临床改善与当前未接受治疗患者中存在的炎症样状态的减轻有关。我们关于阿尔茨海默病(AD)的数据支持炎症过程在AD发病机制中的作用,并强化了AD患者神经退行性过程与异常抗原特异性免疫反应相关的假说。在强迫症中观察到的免疫系统机制激活可能是内源性(与下丘脑-垂体-肾上腺轴改变相关的激素变化)和外源性(病毒或细菌感染)因素共同作用的结果。