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创伤后应激障碍风险与脑源性神经营养因子 Val66Met。

Post-traumatic stress disorder risk and brain-derived neurotrophic factor Val66Met.

机构信息

Lei Zhang, Xiao-Xia Li, Xian-Zhang Hu, Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, United States.

出版信息

World J Psychiatry. 2016 Mar 22;6(1):1-6. doi: 10.5498/wjp.v6.i1.1.

Abstract

Brain-derived neurotrophic factor (BDNF), which regulates neuronal survival, growth differentiation, and synapse formation, is known to be associated with depression and post-traumatic stress disorder (PTSD). However, the molecular mechanism for those mental disorders remains unknown. Studies have shown that BDNF is associated with PTSD risk and exaggerated startle reaction (a major arousal manifestation of PTSD) in United States military service members who were deployed during the wars in Iraq and Afghanistan. The frequency of the Met/Met in BDNF gene was greater among those with PTSD than those without PTSD. Among individuals who experienced fewer lifetime stressful events, the Met carriers have significantly higher total and startle scores on the PTSD Checklist than the Val/Val carriers. In addition, subjects with PTSD showed higher levels of BDNF in their peripheral blood plasma than the non-probable-PTSD controls. Increased BDNF levels and startle response were observed in both blood plasma and brain hippocampus by inescapable tail shock in rats. In this paper, we reviewed these data to discuss BDNF as a potential biomarker for PTSD risk and its possible roles in the onset of PTSD.

摘要

脑源性神经营养因子(BDNF)可调节神经元的存活、生长、分化和突触形成,已知与抑郁和创伤后应激障碍(PTSD)有关。然而,这些精神疾病的分子机制尚不清楚。研究表明,BDNF 与 PTSD 风险和美国在伊拉克和阿富汗战争期间部署的军人的惊吓反应(PTSD 的主要觉醒表现)过度有关。BDNF 基因中的 Met/Met 频率在 PTSD 患者中高于无 PTSD 患者。在经历较少生活压力事件的个体中,Met 携带者的 PTSD 检查表总分和惊吓评分明显高于 Val/Val 携带者。此外,与非可能 PTSD 对照组相比,PTSD 患者的外周血血浆中 BDNF 水平更高。在大鼠不可逃避的尾部电击中,BDNF 水平升高和惊吓反应在血浆和海马脑区均有观察到。本文综述了这些数据,以探讨 BDNF 作为 PTSD 风险的潜在生物标志物及其在 PTSD 发病机制中的可能作用。

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