Jørgensen Anders
Psychiatric Centre Copenhagen, Dep. O, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen Ø, Denmark.
Dan Med J. 2013 Jul;60(7):B4685.
Both non-pathological psychological stress states and mental disorders are associated with molecular, cellular and epidemiological signs of accelerated aging. Oxidative stress on nucleic acids is a critical component of cellular and organismal aging, and a suggested pathogenic mechanism in several age-related somatic disorders. The overall aim of the PhD project was to investigate the relation between psychopathology, psychological stress, stress hormone secretion and oxidatively generated DNA and RNA damage, as measured by the urinary excretion of markers of whole-body DNA/RNA oxidation (8-oxodG and 8-oxoGuo, respectively). The main hypothesis was that psychological stress states are associated with increased DNA/RNA damage from oxidation. In a study of 40 schizophrenia patients and 40 healthy controls matched for age and gender, we found that 8-oxodG/8-oxoGuo excretion was increased in schizophrenia patients, providing a possible molecular link between schizophrenia and its associated signs of accelerated aging. We found no association between psychopathology, perceived stress or cortisol secretion and 8-oxodG/8-oxoGuo excretion in the patients. In the controls, there were positive correlations between 8-oxodG/8-ocoGuo excretion and 9AM plasma cortisol, but no associations to perceived stress. In an animal study of experimentally induced chronic stress performed in metabolism cages, we found no increase in urinary 8-oxodG/8-oxoGuo or cerebral (hippocampal and frontal cortex) levels of oxidatively generated nucleic acid damage. However, there was a trend towards an increased expression of genes involved in DNA repair, possibly reflecting a compensatory mechanism. In a study of 220 elderly, mostly healthy individuals from the Italian InChianti cohort, we found a significant association between the 24 h urinary cortisol excretion and the excretion of 8-oxodG/8-oxoGuo, determined in the same samples. Collectively, the studies could not confirm an association between psychological stress and oxidative stress on nucleic acids. Systemic oxidatively generated DNA/RNA damage was increased in schizophrenia, and linked to cortisol levels in healthy humans. Finally, the cerebral repair of DNA may be an aspect of the adaptation that, to our knowledge, has not previously been addressed.
非病理性心理应激状态和精神障碍均与加速衰老的分子、细胞及流行病学特征相关。核酸氧化应激是细胞和机体衰老的关键组成部分,也是几种与年龄相关的躯体疾病中一种可能的致病机制。该博士项目的总体目标是研究心理病理学、心理应激、应激激素分泌与氧化产生的DNA和RNA损伤之间的关系,通过测量全身DNA/RNA氧化标志物(分别为8-氧代脱氧鸟苷和8-氧代鸟嘌呤)的尿排泄量来评估。主要假设是心理应激状态与氧化导致的DNA/RNA损伤增加有关。在一项对40名精神分裂症患者和40名年龄及性别匹配的健康对照者的研究中,我们发现精神分裂症患者的8-氧代脱氧鸟苷/8-氧代鸟嘌呤排泄量增加,这为精神分裂症与其相关的加速衰老体征之间提供了一种可能的分子联系。我们未发现患者的心理病理学、感知应激或皮质醇分泌与8-氧代脱氧鸟苷/8-氧代鸟嘌呤排泄之间存在关联。在对照组中,8-氧代脱氧鸟苷/8-氧代鸟嘌呤排泄与上午9点血浆皮质醇之间存在正相关,但与感知应激无关联。在一项在代谢笼中进行的实验性诱导慢性应激的动物研究中,我们未发现尿中8-氧代脱氧鸟苷/8-氧代鸟嘌呤或大脑(海马体和额叶皮质)中氧化产生的核酸损伤水平增加。然而,参与DNA修复的基因表达有增加的趋势,这可能反映了一种代偿机制。在一项对来自意大利基安蒂队列的220名主要为健康老年人的研究中,我们发现24小时尿皮质醇排泄与在相同样本中测定的8-氧代脱氧鸟苷/8-氧代鸟嘌呤排泄之间存在显著关联。总体而言,这些研究未能证实心理应激与核酸氧化应激之间存在关联。精神分裂症患者全身氧化产生的DNA/RNA损伤增加,且与健康人的皮质醇水平相关。最后,据我们所知,大脑DNA修复可能是适应性的一个方面,此前尚未得到探讨。