Department of Pathology and Immunology, University of Geneva, Geneva, Switzerland.
Antioxid Redox Signal. 2013 Apr 20;18(12):1475-90. doi: 10.1089/ars.2012.4720. Epub 2012 Aug 6.
Severe life stress (SLS), as opposed to trivial everyday stress, is defined as a serious psychosocial event with the potential of causing an impacting psychological traumatism.
Numerous studies have attempted to understand how the central nervous system (CNS) responds to SLS. This response includes a variety of morphological and neurochemical modifications; among them, oxidative stress is almost invariably observed. Oxidative stress is defined as disequilibrium between oxidant generation and the antioxidant response.
In this review, we discuss how SLS leads to oxidative stress in the CNS, and how the latter impacts pathophysiological outcomes. We also critically discuss experimental methods that measure oxidative stress in the CNS. The review covers animal models and human observations. Animal models of SLS include sleep deprivation, maternal separation, and social isolation in rodents, and the establishment of hierarchy in non-human primates. In humans, SLS, which is caused by traumatic events such as child abuse, war, and divorce, is also accompanied by oxidative stress in the CNS.
The outcome of SLS in humans ranges from resilience, over post-traumatic stress disorder, to development of chronic mental disorders. Defining the sources of oxidative stress in SLS might in the long run provide new therapeutic avenues.
严重的生活应激(SLS)与琐碎的日常应激相反,被定义为一种严重的社会心理事件,有可能导致心理创伤。
许多研究试图了解中枢神经系统(CNS)对 SLS 的反应。这种反应包括各种形态和神经化学的改变;其中,氧化应激几乎总是观察到。氧化应激是指氧化剂的产生和抗氧化剂反应之间的失衡。
在这篇综述中,我们讨论了 SLS 如何导致 CNS 中的氧化应激,以及后者如何影响病理生理结果。我们还批判性地讨论了测量 CNS 中氧化应激的实验方法。该综述涵盖了动物模型和人类观察。SLS 的动物模型包括啮齿动物的睡眠剥夺、母婴分离和社会隔离,以及非人类灵长类动物中的等级建立。在人类中,由创伤事件引起的 SLS,如虐待儿童、战争和离婚,也伴随着 CNS 中的氧化应激。
人类 SLS 的结果从韧性、创伤后应激障碍到慢性精神障碍的发展不等。从长远来看,确定 SLS 中氧化应激的来源可能为新的治疗途径提供依据。