Goldstein David S, Kopin Irwin J
Clinical Neurocardiology Section, Clinical Neurosciences Program, Division of Intramural Research, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892-1620, USA.
Clinical Neurocardiology Section, Clinical Neurosciences Program, Division of Intramural Research, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892-1620, USA.
Auton Neurosci. 2017 Dec;208:15-28. doi: 10.1016/j.autneu.2017.09.001. Epub 2017 Sep 5.
In this review we describe a series of major concepts introduced during the past 150years that have contributed to our current understanding about how physiological processes required for well-being and survival are regulated. One can theorize that hierarchical networks involving input-output relationships continuously orchestrate and learn adaptive patterns of observable behaviors, cognition, memory, mood, and autonomic systems. Taken together, these networks function as "good regulators" determining levels of internal variables and act as if there were homeostatic comparators ("homeostats"). The consequences of models with vs. without homeostats remain the same in terms of allostatic load and the eventual switch from stabilizing negative feedback loops to destabilizing, pathogenic positive feedback loops. Understanding this switch seems important for comprehending senescence-related, neurodegenerative disorders that involve the autonomic nervous system. Our general proposal is that disintegration of homeostatic systems causes disorders of regulation in degenerative diseases and that medical cybernetics can inspire and rationalize new approaches to treatment and prevention.
在本综述中,我们描述了过去150年中引入的一系列主要概念,这些概念有助于我们目前对维持健康和生存所需的生理过程如何受到调节的理解。可以推测,涉及输入-输出关系的分层网络不断编排并学习可观察行为、认知、记忆、情绪和自主系统的适应性模式。总之,这些网络充当“良好调节器”,决定内部变量的水平,并且就好像存在稳态比较器(“同态调节器”)一样发挥作用。就应激负荷以及最终从稳定的负反馈回路向不稳定的、致病的正反馈回路的转变而言,有同态调节器和没有同态调节器的模型的结果是相同的。理解这种转变对于理解涉及自主神经系统的衰老相关神经退行性疾病似乎很重要。我们的总体提议是,稳态系统的瓦解会导致退行性疾病中的调节紊乱,并且医学控制论可以激发并合理化治疗和预防的新方法。