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精神分裂症与神经发生:干细胞方法。

Schizophrenia and neurogenesis: A stem cell approach.

机构信息

Department of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine - "Sapienza" University of Rome, DSM ASL/LT - Unit of Psychiatry, "A. Fiorini" Hospital, Via Firenze - 04019 - Terracina (LT), Italy; Department of Human Sciences, University of L'Aquila, Italy; Italian Psychoanalytical Society (SPI), Rome, Italy; International Psychoanalytical Association (IPA), London, UK.

Department of Medical-Surgical Sciences and Biotechnologies, Faculty of Pharmacy and Medicine - "Sapienza" University of Rome, DSM ASL/LT - Unit of Psychiatry, "A. Fiorini" Hospital, Via Firenze - 04019 - Terracina (LT), Italy.

出版信息

Neurosci Biobehav Rev. 2017 Sep;80:414-442. doi: 10.1016/j.neubiorev.2017.06.010. Epub 2017 Jun 20.

Abstract

Several recent research findings indicate that schizophrenia (SCZ) may begin with an abnormal neuro-genesis from embryonic Neural Stem Cells (NSCs) and that this process may be particularly vulnerable to a number of genetic and/or environmental disturbances of early brain development. Since it is now well known that neurogenesis is not confined to the womb, but is a protracted process continuing in postnatal life well into adolescence and beyond, and since in the majority of subjects diagnosed with SCZ the first psychotic break occurs in late adolescence or early adulthood, the aim of our paper is to summarize the main findings supporting a possible link between changes in developmental postnatal neurogenesis and SCZ, with a specific focus on the critical period of adolescence and associated environmental risk factors. Establishing a significant role of adult neurogenesis in the emergence of psychosis will help us not only to better understand the pathogenesis of this neuopsychiatric disorder, but also to provide the key to potential strategies toward possible treatments and/or early corrective interventions.

摘要

一些最近的研究发现表明,精神分裂症(SCZ)可能始于胚胎神经干细胞(NSCs)的异常神经发生,并且该过程可能特别容易受到早期大脑发育的多种遗传和/或环境干扰。由于现在众所周知,神经发生不仅局限于子宫内,而是一个在出生后持续很长时间的过程,一直持续到青春期及以后,并且在大多数被诊断患有 SCZ 的患者中,首次精神病发作发生在青春期后期或成年早期,因此,我们的论文旨在总结支持发育性产后神经发生与 SCZ 之间可能存在联系的主要发现,特别关注青春期和相关环境风险因素的关键时期。确立成人神经发生在精神病出现中的重要作用不仅将帮助我们更好地理解这种神经精神障碍的发病机制,而且还将为可能的治疗和/或早期纠正干预的潜在策略提供关键。

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