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人类和啮齿动物的睡眠剥夺与焦虑——转化医学考量与假说

Sleep deprivation and anxiety in humans and rodents--translational considerations and hypotheses.

作者信息

Pires Gabriel Natan, Tufik Sergio, Andersen Monica Levy

机构信息

Departamento de Psicobiologia, Universidade Federal de São Paulo.

出版信息

Behav Neurosci. 2015 Oct;129(5):621-33. doi: 10.1037/bne0000076. Epub 2015 Aug 10.

Abstract

The effects of acute sleep deprivation on anxiety are the focus of controversy in the literature. While clinical research studies on the effects of sleep deprivation seem to show a consistent increase in acute anxiety, rodent studies have produced inconsistent results, with some experiments pointing to anxiogenesis and others to anxiolysis. Such observations impair the translational applicability of rodent models on the paradigm between sleep deprivation and anxiety. Current studies fail in the very basic principle of biomedical translational research: to provide relevant and reliable knowledge from basic experimental science that can be applied in clinical environments. Possible explanations for the disparity between human and animal studies include the accuracy of both human and rodent research, the ability of current behavioral protocols to truly reflect the anxiety response of rodents to sleep deprivation, and the nature of sleep deprivation-induced anxiety in rodents. Based on these hypotheses, we performed a brief overview of the literature on the relationship between sleep deprivation and anxiety and propose a research agenda that could lead to a better understanding of the reasons for the discrepancies found in the literature and provide more reliable data on the translational relationship between sleep deprivation and anxiety.

摘要

急性睡眠剥夺对焦虑的影响是文献中争议的焦点。虽然关于睡眠剥夺影响的临床研究似乎表明急性焦虑持续增加,但啮齿动物研究结果却不一致,一些实验表明会引发焦虑,而另一些则表明会缓解焦虑。这些观察结果削弱了啮齿动物模型在睡眠剥夺与焦虑范式上的转化适用性。当前的研究未能遵循生物医学转化研究的最基本原则:从基础实验科学中提供可应用于临床环境的相关且可靠的知识。人类和动物研究之间差异的可能解释包括人类和啮齿动物研究的准确性、当前行为方案真正反映啮齿动物对睡眠剥夺的焦虑反应的能力,以及啮齿动物中睡眠剥夺诱导焦虑的性质。基于这些假设,我们简要概述了关于睡眠剥夺与焦虑关系的文献,并提出了一个研究议程,该议程可能有助于更好地理解文献中发现差异的原因,并提供关于睡眠剥夺与焦虑转化关系的更可靠数据。

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