Madrigal José L M, García-Bueno Borja, Caso Javier R, Pérez-Nievas Beatriz G, Leza Juan C
Department of Anesthesiology. University of Illinois, Chicago, Illinois 60657, USA.
CNS Neurol Disord Drug Targets. 2006 Oct;5(5):561-8. doi: 10.2174/187152706778559327.
Numerous systems and organs are affected by stress. In this review we will focus on the effects in brain. Some of the most impressive effects of the stress in brain are the atrophy of hippocampal dendrites or even the reduction of the hippocampal size observed in brains from subjects exposed to severe or chronic stress. Obviously, before reaching this point of damage there are many other processes taking place in the stressed CNS. The release of glucocorticoids is one of the first features of the stress response. Glucocorticoids can result in neurotoxicity through different mechanisms, including modifications in the energy metabolism or via an increase in excitatory amino acids such as glutamate in the extracellular space. Glutamate can induce neuronal excitotoxicity. This sequence of events leads to the activation of TNFalpha convertase (TACE) and TNFalpha release in brain of rats subjected to restraint stress. One of the multiple effects exerted by this cytokine is to initiate the translocation of the transcription factor NFkappaB to neuronal nuclei. NFkappaB activation results in the induction of iNOS and COX2, two enzymes responsible for a great portion of the neurological damage produced in models of stress.
许多系统和器官都会受到压力的影响。在本综述中,我们将重点关注压力对大脑的影响。压力对大脑最显著的一些影响包括海马体树突萎缩,甚至在遭受严重或慢性压力的受试者大脑中观察到海马体尺寸减小。显然,在达到这种损伤程度之前,应激的中枢神经系统中会发生许多其他过程。糖皮质激素的释放是应激反应的首要特征之一。糖皮质激素可通过不同机制导致神经毒性,包括能量代谢改变或细胞外空间中兴奋性氨基酸(如谷氨酸)增加。谷氨酸可诱导神经元兴奋性毒性。这一系列事件导致在遭受束缚应激的大鼠大脑中肿瘤坏死因子α转化酶(TACE)激活和肿瘤坏死因子α释放。这种细胞因子产生的多种作用之一是启动转录因子核因子κB向神经元细胞核的转位。核因子κB激活导致诱导型一氧化氮合酶(iNOS)和环氧化酶2(COX2)的产生,这两种酶在应激模型中造成的大部分神经损伤中起作用。