Andrzej Wędrychowicz, Department of Pediatrics, Gastroenterology and Nutrition, Polish-American Children's Hospital, Jagiellonian University Medical College, 30-663 Krakow, Poland.
World J Psychiatry. 2014 Dec 22;4(4):103-11. doi: 10.5498/wjp.v4.i4.103.
Adipose tissue is a dynamic endocrine organ that is essential to regulation of metabolism in humans. A new approach to mental disorders led to research on involvement of adipokines in the etiology of mental disorders and mood states and their impact on the health status of psychiatric patients, as well as the effects of treatment for mental health disorders on plasma levels of adipokines. There is evidence that disturbances in adipokine secretion are important in the pathogenesis, clinical presentation and outcome of mental disorders. Admittedly leptin and adiponectin are involved in pathophysiology of depression. A lot of disturbances in secretion and plasma levels of adipokines are observed in eating disorders with a significant impact on the symptoms and course of a disease. It is still a question whether observed dysregulation of adipokines secretion are primary or secondary. Moreover findings in this area are somewhat inconsistent, owing to differences in patient age, sex, socioeconomic status, smoking habits, level of physical activity, eating pathology, general health or medication. This was the rationale for our detailed investigation into the role of the endocrine functions of adipose tissue in mental disorders. It seems that we are continually at the beginning of understanding of the relation between adipose tissue and mental disorders.
脂肪组织是一种活跃的内分泌器官,对于人类代谢的调节至关重要。一种针对精神障碍的新方法促使人们研究脂肪因子在精神障碍和情绪状态的病因学中的作用,以及它们对精神疾病患者健康状况的影响,还有心理健康障碍治疗对脂肪因子血浆水平的影响。有证据表明,脂肪因子分泌紊乱在精神障碍的发病机制、临床表现和结局中起着重要作用。不可否认的是,瘦素和脂联素参与了抑郁症的病理生理学。在饮食失调中观察到大量的脂肪因子分泌和血浆水平紊乱,对疾病的症状和病程有重大影响。观察到的脂肪因子分泌失调是原发性的还是继发性的,目前仍存在争议。此外,由于患者年龄、性别、社会经济地位、吸烟习惯、身体活动水平、饮食病理、一般健康状况或药物治疗的不同,该领域的研究结果存在一定的差异。这就是我们详细研究脂肪组织内分泌功能在精神障碍中的作用的基本原理。似乎我们一直在不断地深入了解脂肪组织与精神障碍之间的关系。