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弓形虫与精神分裂症之间已知和未知的联系。

The known and missing links between Toxoplasma gondii and schizophrenia.

作者信息

Elsheikha Hany M, Büsselberg Dietrich, Zhu Xing-Quan

机构信息

Faculty of Medicine and Health Sciences, School of Veterinary Medicine and Science, University of Nottingham, Sutton Bonington, Leicestershire, LE12 5RD, UK.

Weill Cornell Medical College in Qatar, Qatar Foundation - Education City, P.O. Box: 24144, Doha, Qatar.

出版信息

Metab Brain Dis. 2016 Aug;31(4):749-59. doi: 10.1007/s11011-016-9822-1. Epub 2016 Apr 4.

Abstract

Toxoplasma gondii, an intracellular protozoan parasite, has a striking predilection for infecting the Central Nervous System and has been linked to an increased incidence of a number of psychiatric diseases. Several in vitro and in vivo studies have shown that T. gondii infection can affect the structure, bioenergetics and function of brain cells, and alters several host cell processes, including dopaminergic, tryptophan-kynurenine, GABAergic, AKT1, Jak/STAT, and vasopressinergic pathways. These mechanisms underlying the neuropathology of latent toxoplasmosis seem to operate also in schizophrenia, supporting the link between the two disorders. Better understanding of the intricate parasite-neuroglial communications holds the key to unlocking the mystery of T. gondii-mediated schizophrenia and offers substantial prospects for the development of disease-modifying therapies.

摘要

弓形虫是一种细胞内原生动物寄生虫,对感染中枢神经系统有着显著的偏好,并与多种精神疾病的发病率增加有关。多项体外和体内研究表明,弓形虫感染会影响脑细胞的结构、生物能量学和功能,并改变多种宿主细胞过程,包括多巴胺能、色氨酸-犬尿氨酸、γ-氨基丁酸能、AKT1、Jak/STAT和加压素能途径。潜伏性弓形虫病神经病理学的这些潜在机制似乎在精神分裂症中也起作用,这支持了这两种疾病之间的联系。更好地理解复杂的寄生虫-神经胶质细胞通讯是解开弓形虫介导的精神分裂症之谜的关键,并为开发疾病改善疗法提供了广阔前景。

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