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外周免疫标志物与结构/功能神经影像学发现之间是否存在关联?

Is there an association between peripheral immune markers and structural/functional neuroimaging findings?

机构信息

Department of Psychiatry, Trinity College Institute of Neuroscience, Trinity College, Dublin, Ireland; Adelaide and Meath incorporating the National's Children Hospital, Dublin, Ireland; St. James's Hospital, Dublin, Ireland.

出版信息

Prog Neuropsychopharmacol Biol Psychiatry. 2014 Jan 3;48:295-303. doi: 10.1016/j.pnpbp.2012.12.013. Epub 2013 Jan 11.

Abstract

OBJECTIVES

There is mounting evidence that inflammatory processes play a key role in emotional as well as cognitive dysfunctions. In this context, research employing magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MR spectroscopy) suggests a possible link between structural/functional anomalies in the brain and an increase of circulating inflammation markers. The present paper reviews this research, with particular focus on major depressive disorder (MDD), cognitive impairment in older adults, Alzheimer's disease (AD) and schizophrenia.

RESULTS

In MDD, cognitive impairment and AD, inflammatory processes have been found to be associated with both structural and functional anomalies, perhaps under the influence of environmental stress. Not enough research can suggest similar considerations in schizophrenia, although studies in mice and non-human primates support the belief that inflammatory responses generated during pregnancy can affect brain development and contribute to the etiology of schizophrenia.

CONCLUSIONS

The present review suggests a link between inflammatory processes and MRI detected anomalies in the brain of individuals with MDD, older adults with cognitive impairment as well as of individuals with AD and schizophrenia.

摘要

目的

越来越多的证据表明,炎症过程在情绪和认知功能障碍中起着关键作用。在这方面,使用磁共振成像(MRI)和磁共振波谱(MRS)的研究表明,大脑结构/功能异常与循环炎症标志物的增加之间可能存在联系。本文综述了这方面的研究,特别关注重度抑郁症(MDD)、老年人认知障碍、阿尔茨海默病(AD)和精神分裂症。

结果

在 MDD、认知障碍和 AD 中,炎症过程与结构和功能异常有关,这可能是环境压力的影响。在精神分裂症中,没有足够的研究可以得出类似的结论,尽管对老鼠和非人类灵长类动物的研究支持这样一种观点,即怀孕期间产生的炎症反应会影响大脑发育,并导致精神分裂症的病因。

结论

本综述表明,炎症过程与 MDD 患者、认知障碍的老年人以及 AD 和精神分裂症患者大脑中 MRI 检测到的异常之间存在联系。

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