Schiavone Stefania, Colaianna Marilena, Curtis Logos
Department of Mental Health and Psychiatry, Young Adult Psychiatry Unit, University Hospitals of Geneva, Geneva, Switzerland.
Curr Pharm Des. 2015;21(11):1404-12. doi: 10.2174/1381612821666150105143358.
Stress is an inevitable part of human life and it is experienced even before birth. Stress to some extent could be considered normal and even necessary for the survival and the regular psychological development during childhood or adolescence. However, exposure to prolonged stress could become harmful and strongly impact mental health increasing the risk of developing psychiatric disorders. Recent studies have attempted to clarify how the human central nervous system (CNS) reacts to early life stress, focusing mainly on neurobiological modifications. Oxidative stress, defined as a disequilibrium between the oxidant generation and the antioxidant response, has been recently described as a candidate for most of the observed modifications. In this review, we will discuss how prolonged stressful events during childhood or adolescence (such as early maternal separation, parental divorce, physical violence, sexual or psychological abuses, or exposure to war events) can lead to increased oxidative stress in the CNS and enhance the risk to develop psychiatric diseases such as anxiety, depression, drug abuse or psychosis. Defining the sources of oxidative stress following exposure to early life stress might open new beneficial insights in therapeutic approaches to these mental disorders.
压力是人类生活中不可避免的一部分,甚至在出生前就会经历。在一定程度上,压力可被视为正常现象,甚至对儿童或青少年时期的生存及正常心理发展是必要的。然而,长期暴露于压力之下可能会变得有害,并对心理健康产生强烈影响,增加患精神疾病的风险。最近的研究试图阐明人类中枢神经系统(CNS)如何对早期生活压力做出反应,主要关注神经生物学方面的改变。氧化应激被定义为氧化剂生成与抗氧化反应之间的失衡,最近被描述为大多数观察到的改变的一个可能因素。在这篇综述中,我们将讨论童年或青少年时期的长期应激事件(如早期母婴分离、父母离异、身体暴力、性虐待或心理虐待,或接触战争事件)如何导致中枢神经系统氧化应激增加,并增加患焦虑、抑郁、药物滥用或精神病等精神疾病的风险。确定早期生活压力暴露后氧化应激的来源可能会为这些精神障碍的治疗方法带来新的有益见解。