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与创伤后应激障碍相关的神经炎症基因:对共病的影响。

Neuroinflammatory genes associated with post-traumatic stress disorder: implications for comorbidity.

作者信息

Zass Lyndon J, Hart Stephanie A, Seedat Soraya, Hemmings Sian M J, Malan-Müller Stefanie

机构信息

aDepartment of Molecular Biology and Human Genetics, SA MRC Centre for TB Research, DST/NRF Centre of Excellence for Biomedical Tuberculosis Research, Division of Molecular Biology and Human Genetics bDepartment of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

出版信息

Psychiatr Genet. 2017 Feb;27(1):1-16. doi: 10.1097/YPG.0000000000000143.

Abstract

Post-traumatic stress disorder (PTSD) is a debilitating condition that only occurs in the aftermath of traumatic event exposure and is characterized by an impaired stress response and chronic, low-grade inflammation. Dysregulation of the immune system may contribute towards central nervous system tissue damage and exacerbation of fear memories following trauma. Patients with PTSD often have comorbid psychiatric and somatic disorders that are of themselves associated with heightened inflammation. Several immune-related genes have been associated with PTSD and other co-occurring disorders. In this review, we propose that chronic inflammation, particularly neuroinflammation, is an important contributory factor towards PTSD comorbidity. Thus, novel treatments that target dysregulated inflammatory processes could provide symptomatic relief from PTSD and its comorbid disorders. This review investigates the intricate links between chronic stress, anxiety and neuroinflammation and the potential impact of increased neuroinflammation on PTSD pathology and comorbidity.

摘要

创伤后应激障碍(PTSD)是一种使人衰弱的疾病,仅在经历创伤性事件后出现,其特征是应激反应受损以及慢性低度炎症。免疫系统失调可能导致中枢神经系统组织损伤,并加剧创伤后的恐惧记忆。PTSD患者通常伴有共病的精神和躯体疾病,这些疾病本身与炎症加剧有关。几个与免疫相关的基因已与PTSD及其他共病疾病相关联。在本综述中,我们提出慢性炎症,尤其是神经炎症,是PTSD共病的一个重要促成因素。因此,针对炎症调节异常过程的新型治疗方法可以缓解PTSD及其共病疾病的症状。本综述研究了慢性应激、焦虑和神经炎症之间的复杂联系,以及神经炎症增加对PTSD病理和共病的潜在影响。

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