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细胞因子、应激源与临床抑郁症:增强的适应反应是抑郁症发病机制的基础。

Cytokines, stressors, and clinical depression: augmented adaptation responses underlie depression pathogenesis.

作者信息

Simmons Donn A, Broderick Patricia A

机构信息

Department of Psychology, Emory University, Atlanta, GA, USA.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2005 Jun;29(5):793-807. doi: 10.1016/j.pnpbp.2005.03.009.

Abstract

By influencing the central nervous system, cytokines, which regulate immune function innately and adaptively, may play a key role in mediating depression-like neuro-behavioral changes. However, the similarity between cytokine and stressor-effects in animal models raises a question about the degree to which behavioral and neurochemical outcomes of cytokine challenge represent depressive disorder per se. The present review attempts to illustrate the degree of overlap between cytokines and stressors with respect to their effects on neurochemistry and behavior in animal models. The review also shows how short-term effects of cytokine exposure in typical animals may be discerned from characteristics that might otherwise be described as depression-like. By comparing outcomes of immune challenge in typical rodent strains (e.g., Sprague-Dawley [SD], Wistar) and an accepted animal model of depression (e.g., Fawn Hooded [FH] rodent strain), differences between short-term effects of cytokines and depression-like characteristics in rodents are demonstrated. Additionally, because it is known that preexisting vulnerability to depression may affect outcomes of immune challenge, we further compare immunological, biochemical and behavioral effects of cytokines between SD and FH rodent strains. Interestingly, the acute neurochemical and behavioral effects of the cytokine interleukin 1alpha (IL-1alpha) reveal stressor-like responses during behavioral habituation in both strains, though this appears to a stronger degree in FH animals. Further, the subacute response to IL-1alpha vastly differed between strains, indicating differences in adaptive mechanisms. Thus, stressor-like effects of immune challenge, particularly in FH animals, provide validation for recent "cross-sensitization" models of depression pathogenesis that incorporate immune factors.

摘要

细胞因子可通过影响中枢神经系统,对免疫功能进行先天性和适应性调节,在介导类似抑郁的神经行为变化中可能起关键作用。然而,细胞因子与动物模型中应激源效应之间的相似性,引发了一个问题,即细胞因子激发所导致的行为和神经化学结果在多大程度上代表了抑郁症本身。本综述试图阐明细胞因子与应激源在动物模型中对神经化学和行为影响方面的重叠程度。该综述还展示了如何从可能被描述为类似抑郁的特征中辨别出典型动物中细胞因子暴露的短期效应。通过比较典型啮齿动物品系(如Sprague-Dawley [SD]、Wistar)和公认的抑郁症动物模型(如Fawn Hooded [FH] 啮齿动物品系)中免疫激发的结果,证明了啮齿动物中细胞因子短期效应与类似抑郁特征之间的差异。此外,由于已知先前存在的抑郁易感性可能会影响免疫激发的结果,我们进一步比较了SD和FH啮齿动物品系之间细胞因子的免疫学、生化和行为效应。有趣的是,细胞因子白细胞介素1α(IL-1α)的急性神经化学和行为效应在两种品系的行为习惯化过程中均显示出类似应激源的反应,不过在FH动物中这种反应似乎更为强烈。此外,两品系对IL-1α的亚急性反应差异很大,表明适应性机制存在差异。因此,免疫激发的类似应激源效应,尤其是在FH动物中,为纳入免疫因素的近期抑郁症发病机制“交叉致敏”模型提供了验证。

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