Suppr超能文献

社会压力与精神病风险:共同的神经化学底物?

Social Stress and Psychosis Risk: Common Neurochemical Substrates?

作者信息

Mizrahi Romina

机构信息

Research Imaging Centre, PET Centre, Centre for Addiction and Mental Health (CAMH)-Clarke Division and University of Toronto, Toronto, ON, Canada.

出版信息

Neuropsychopharmacology. 2016 Feb;41(3):666-74. doi: 10.1038/npp.2015.274. Epub 2015 Sep 9.

Abstract

Environmental risk factors have been implicated in the etiology of psychotic disorders, with growing evidence showing the adverse effects of migration, social marginalization, urbanicity, childhood trauma, social defeat, and other adverse experiences on mental health in vulnerable populations. Collectively, social stress may be one mechanism that could link these environmental risk factors. The exact mechanism(s) by which social stress can affect brain function, and in particular the molecular targets involved in psychosis (such as the dopaminergic (DA) system), is (are) not fully understood. In this review, we will discuss the interplay between social environmental risk factors and molecular changes in the human brain; in particular, we will highlight the impact of social stress on three specific neurochemical systems: DA, neuroinflammation/immune, and endocannabinoid (eCB) signaling. We have chosen the latter two molecular pathways based on emerging evidence linking schizophrenia to altered neuroinflammatory processes and cannabis use. We further identify key developmental periods in which social stress interacts with these pathways, suggesting window(s) of opportunities for novel interventions. Taken together, we suggest that they may have a key role in the pathogenesis and disease progression, possibly provide novel treatment options for schizophrenia, and perhaps even prevent it.

摘要

环境风险因素已被认为与精神障碍的病因有关,越来越多的证据表明,移民、社会边缘化、城市化、童年创伤、社会挫败及其他不良经历对弱势群体的心理健康具有不利影响。总体而言,社会压力可能是连接这些环境风险因素的一种机制。社会压力影响大脑功能的确切机制,尤其是与精神病相关的分子靶点(如多巴胺能(DA)系统),尚未完全明确。在本综述中,我们将讨论社会环境风险因素与人类大脑分子变化之间的相互作用;特别是,我们将重点阐述社会压力对三种特定神经化学系统的影响:多巴胺、神经炎症/免疫和内源性大麻素(eCB)信号传导。基于将精神分裂症与神经炎症过程改变及大麻使用联系起来的新证据,我们选择了后两种分子途径。我们进一步确定了社会压力与这些途径相互作用的关键发育时期,为新型干预措施提供了机会窗口。综上所述,我们认为它们可能在发病机制和疾病进展中起关键作用,可能为精神分裂症提供新的治疗选择,甚至可能预防该病。

相似文献

1
Social Stress and Psychosis Risk: Common Neurochemical Substrates?
Neuropsychopharmacology. 2016 Feb;41(3):666-74. doi: 10.1038/npp.2015.274. Epub 2015 Sep 9.
2
Psychotic reactions to daily life stress and dopamine function in people with severe hearing impairment.
Psychol Med. 2015 Jun;45(8):1665-74. doi: 10.1017/S0033291714002797. Epub 2014 Dec 8.
3
Increased stress-induced dopamine release in psychosis.
Biol Psychiatry. 2012 Mar 15;71(6):561-7. doi: 10.1016/j.biopsych.2011.10.009. Epub 2011 Nov 30.
4
7
Childhood trauma as a cause of psychosis: linking genes, psychology, and biology.
Can J Psychiatry. 2013 Jan;58(1):44-51. doi: 10.1177/070674371305800109.
8
10
Elevated Striatal Dopamine Function in Immigrants and Their Children: A Risk Mechanism for Psychosis.
Schizophr Bull. 2017 Mar 1;43(2):293-301. doi: 10.1093/schbul/sbw181.

引用本文的文献

1
Altered neural signalling during reward anticipation in children and early adolescents with high psychotic-like experiences.
Neuroimage Clin. 2025;45:103756. doi: 10.1016/j.nicl.2025.103756. Epub 2025 Feb 16.
2
Social stress in schizophrenia: Unique contributions to social cognition and social functioning.
Schizophr Res. 2025 Feb;276:167-174. doi: 10.1016/j.schres.2025.01.015. Epub 2025 Jan 31.
3
Synaptic Density in Early Stages of Psychosis and Clinical High Risk.
JAMA Psychiatry. 2025 Feb 1;82(2):171-180. doi: 10.1001/jamapsychiatry.2024.3608.
4
Chronic social stress in early life can predispose mice to antisocial maltreating behavior.
Encephalitis. 2024 Apr;4(2):23-30. doi: 10.47936/encephalitis.2023.00199. Epub 2024 Mar 6.
5
Stress-mediated dysregulation of the Rap1 small GTPase impairs hippocampal structure and function.
iScience. 2023 Aug 7;26(9):107566. doi: 10.1016/j.isci.2023.107566. eCollection 2023 Sep 15.
6
Stress, Environment and Early Psychosis.
Curr Neuropharmacol. 2024;22(3):437-460. doi: 10.2174/1570159X21666230817153631.
7
Chronic social stress during early development is involved in antisocial maltreatment behavior in mice.
Encephalitis. 2022 Oct;2(4):98-107. doi: 10.47936/encephalitis.2022.00038. Epub 2022 Sep 21.
10
The Translational Future of Stress Neurobiology and Psychosis Vulnerability: A Review of the Evidence.
Curr Neuropharmacol. 2024;22(3):350-377. doi: 10.2174/1570159X21666230322145049.

本文引用的文献

1
Juvenile antioxidant treatment prevents adult deficits in a developmental model of schizophrenia.
Neuron. 2014 Sep 3;83(5):1073-1084. doi: 10.1016/j.neuron.2014.07.028. Epub 2014 Aug 14.
3
Biological insights from 108 schizophrenia-associated genetic loci.
Nature. 2014 Jul 24;511(7510):421-7. doi: 10.1038/nature13595. Epub 2014 Jul 22.
6
Is there a flame in the brain in psychosis?
Biol Psychiatry. 2014 Feb 15;75(4):258-9. doi: 10.1016/j.biopsych.2013.10.023.
7
Stress-induced dopamine response in subjects at clinical high risk for schizophrenia with and without concurrent cannabis use.
Neuropsychopharmacology. 2014 May;39(6):1479-89. doi: 10.1038/npp.2013.347. Epub 2013 Dec 24.
8
Schizophrenia: an integrated sociodevelopmental-cognitive model.
Lancet. 2014 May 10;383(9929):1677-1687. doi: 10.1016/S0140-6736(13)62036-X. Epub 2013 Dec 6.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验