Oklahoma Center for Neuroscience, University of Oklahoma Health Science Center Oklahoma City, OK, USA.
Front Neurosci. 2013 Feb 13;7:13. doi: 10.3389/fnins.2013.00013. eCollection 2013.
A history of early life adversity (ELA) has health-related consequences that persist beyond the initial maltreatment and into adulthood. Childhood adversity is associated with abnormal glucocorticoid signaling within the hypothalamic-pituitary-adrenal (HPA) axis and the development of functional pain disorders such as the irritable bowel syndrome (IBS). IBS and many adult psychopathologies are more frequently diagnosed in women, and ovarian hormones have been shown to modulate pain sensitivity. Therefore, the sexually dimorphic effects of ELA and the role of ovarian hormones in visceral pain perception represent critical research concepts to enhance our understanding of the etiology of IBS. In this review, we discuss current animal models of ELA and the potential mechanisms through which ovarian hormones modulate the HPA axis to alter nociceptive signaling pathways and induce functionally relevant changes in pain behaviors following ELA.
早期生活逆境(ELA)的历史会对健康造成相关影响,这些影响会持续存在,甚至会延续到成年期。儿童时期的逆境与下丘脑-垂体-肾上腺(HPA)轴内糖皮质激素信号的异常以及功能性疼痛障碍(如肠易激综合征(IBS))的发展有关。IBS 和许多成年精神病理学在女性中更频繁地被诊断出来,并且已经证明卵巢激素可以调节疼痛敏感性。因此,ELA 的性别二态效应以及卵巢激素在内脏疼痛感知中的作用是增强我们对 IBS 病因理解的关键研究概念。在这篇综述中,我们讨论了 ELA 的当前动物模型,以及卵巢激素调节 HPA 轴以改变伤害性信号通路并在 ELA 后诱导与功能相关的疼痛行为变化的潜在机制。
Neurogastroenterol Motil. 2016-12
J Neurogastroenterol Motil. 2018-1-30
Arch Womens Ment Health. 2019-7-9
Psychoneuroendocrinology. 2016-7
Gastroenterol Pol. 2010
Child Abuse Negl. 2018-5-30
J Clin Invest. 2025-6-2
Neurogastroenterol Motil. 2024-6-14
Front Neurosci. 2022-5-18
Front Pain Res (Lausanne). 2021-1-21
Clin Gastroenterol Hepatol. 2011-12-16
Am J Physiol Gastrointest Liver Physiol. 2011-11-3
Neurosci Lett. 2011-7-3
Front Neurosci. 2009-6-10