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青少年压力作为精神分裂症发病的驱动因素——基础科学视角

Adolescent Stress as a Driving Factor for Schizophrenia Development-A Basic Science Perspective.

作者信息

Gomes Felipe V, Grace Anthony A

机构信息

Departments of Neuroscience, Psychiatry and Psychology, University of Pittsburgh, Pittsburgh, PA.

出版信息

Schizophr Bull. 2017 May 1;43(3):486-489. doi: 10.1093/schbul/sbx033.

Abstract

Schizophrenia has been associated with heightened stress responsivity in adolescence that precedes onset of psychosis. We now report that multiple stressors during adolescence in normal rats leads to deficits in adults analogous to that seen in schizophrenia patients. Moreover, impairment of stress control by lesion of the prelimbic prefontal cortex in adolescence caused previously subthreshold levels of stress to induce these deficit states when tested as adults. Thus, predisposition to stress hyper-responsivity, or exposure to substantial stressors, during adolescence can trigger a cascade of events that result in a schizophrenia-like profile in adults. This data can provide crucial information with respect to identifying markers for schizophrenia vulnerability early in life and, by mitigating the impact of stressors, prevent the transition to psychosis.

摘要

精神分裂症与精神病发作前青春期应激反应性增强有关。我们现在报告,正常大鼠在青春期经历多种应激源会导致成年后出现类似于精神分裂症患者的缺陷。此外,青春期前边缘前额叶皮质损伤导致的应激控制受损,使得成年后测试时,以前低于阈值的应激水平也能诱发这些缺陷状态。因此,青春期对应激反应过度敏感的易感性或暴露于大量应激源,可引发一系列事件,导致成年后出现类似精神分裂症的特征。这些数据可为在生命早期识别精神分裂症易感性标志物提供关键信息,并通过减轻应激源的影响,预防向精神病的转变。

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