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青少年易受慢性情绪应激心血管后果影响的脆弱性:综述与未来研究展望。

Adolescent vulnerability to cardiovascular consequences of chronic emotional stress: Review and perspectives for future research.

机构信息

Laboratory of Pharmacology, School of Pharmaceutical Sciences, UNESP-Univ Estadual Paulista, Araraquara, SP, Brazil.

出版信息

Neurosci Biobehav Rev. 2017 Mar;74(Pt B):466-475. doi: 10.1016/j.neubiorev.2016.03.027. Epub 2016 Apr 1.

Abstract

Emotional stress has been recognized as a modifiable risk factor for cardiovascular diseases. Adolescence has been proposed as a developmental period of vulnerability to stress. This idea has been mainly supported by experimental research in animals demonstrating a higher impact of chronic emotional stress in adolescents compared with adults. Adolescent vulnerability is also based on evidence that stress during this developmental period affects development, so that enduring changes are found in adult animals that experienced stress during adolescence. The purpose of the present review is to discuss experimental research in rodent models that investigated the impact of long-term exposure to stressful events during adolescence on cardiovascular function. The development of cardiovascular function and autonomic activity in rodents is initially reviewed. Then, a discussion of an adolescent vulnerability to cardiovascular effects of chronic stress is presented. From the reviewed literature, perspective for future research is proposed to better elucidate adolescent vulnerability to cardiovascular complications evoked by chronic emotional stress.

摘要

情绪压力已被认为是心血管疾病的一个可改变的风险因素。青春期被认为是对压力脆弱的发展阶段。这一观点主要得到了动物实验研究的支持,这些研究表明,与成年人相比,慢性情绪压力对青少年的影响更大。青春期的脆弱性还基于这样的证据,即在这一发展阶段的压力会影响发育,因此在经历青春期压力的成年动物中会发现持久的变化。本综述的目的是讨论啮齿动物模型中的实验研究,这些研究调查了青春期长期暴露于应激事件对心血管功能的影响。首先回顾了啮齿动物心血管功能和自主活动的发育。然后,讨论了青少年对慢性应激心血管效应的脆弱性。从已审查的文献中,提出了未来研究的展望,以更好地阐明青少年对慢性情绪应激引起的心血管并发症的脆弱性。

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