Wright Rosalind J
Channing Laboratory, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Paediatr Perinat Epidemiol. 2007 Nov;21 Suppl 3:8-14. doi: 10.1111/j.1365-3016.2007.00879.x.
There is still much debate as to the pathways through which some children develop asthma and others do not. One possible mechanism outlined here concerns the way in which stress may influence the neuroendocrine system and thence the immune system. Supporting evidence from animal experiments suggests that maternal prenatal stress may be of importance, resulting in programming of the infant's HPA axis. In addition, social stressors during the early part of a child's life may also affect the HPA axis and thence dysregulation of immune system functioning with implications for the development of asthma.
关于一些儿童会患哮喘而另一些儿童不会的发病途径,目前仍存在诸多争议。这里概述的一种可能机制涉及压力影响神经内分泌系统进而影响免疫系统的方式。动物实验的支持性证据表明,母亲孕期压力可能很重要,会导致婴儿下丘脑-垂体-肾上腺(HPA)轴的程序化。此外,儿童早期生活中的社会压力源也可能影响HPA轴,进而导致免疫系统功能失调,对哮喘的发展产生影响。