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接种流感疫苗后炎症反应与奖赏加工维度

Inflammation and dimensions of reward processing following exposure to the influenza vaccine.

机构信息

Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Behavior, University of California, Los Angeles, CA, 90095, United States.

Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Behavior, University of California, Los Angeles, CA, 90095, United States; School of Social Ecology, University of California, Irvine, CA, 92497, United States.

出版信息

Psychoneuroendocrinology. 2019 Apr;102:16-23. doi: 10.1016/j.psyneuen.2018.11.024. Epub 2018 Nov 20.

Abstract

BACKGROUND

Alterations in reward processing are a central feature of depression and may be influenced by inflammation. Indeed, inflammation is associated with deficits in reward-related processes in animal models and with dysregulation in reward-related neural circuitry in humans. However, the downstream behavioral manifestations of such impairments are rarely examined in humans.

METHODS

The influenza vaccination was used to elicit a mild inflammatory response in 41 healthy young adults (age range: 18-22, 30 female). Participants provided blood samples and completed behavioral measures of three key aspects of reward-reward motivation, reward learning, and reward sensitivity-before and 1 day after receiving the influenza vaccine.

RESULTS

The influenza vaccine led to mild but significant increases in circulating levels of the pro-inflammatory cytokine interleukin-6 (IL-6) (p <  .001). Consistent with hypotheses, increases in IL-6 predicted lower reward motivation (p =  .029). However, contrary to hypotheses, increases in IL-6 predicted increased performance on a reward learning task (p =  .043) and were not associated with changes in reward sensitivity (p's > .288).

CONCLUSIONS

These findings contribute to an emerging literature on the nuanced associations between inflammation and reward and demonstrate that even mild alterations in inflammation are associated with multiple facets of reward processing.

摘要

背景

奖励处理的改变是抑郁症的一个核心特征,可能受到炎症的影响。事实上,炎症与动物模型中与奖励相关的过程缺陷以及人类奖励相关神经回路的失调有关。然而,这种损伤的下游行为表现很少在人类中进行研究。

方法

流感疫苗被用于在 41 名健康的年轻成年人(年龄范围:18-22 岁,30 名女性)中引起轻度炎症反应。参与者在接受流感疫苗前和接种后 1 天提供血液样本,并完成了奖励动机、奖励学习和奖励敏感性三个关键方面的行为测量。

结果

流感疫苗导致循环中促炎细胞因子白细胞介素 6(IL-6)的水平轻度但显著升高(p<0.001)。与假设一致,IL-6 的增加预示着奖励动机降低(p=0.029)。然而,与假设相反,IL-6 的增加预示着奖励学习任务的表现提高(p=0.043),与奖励敏感性的变化无关(p's>.288)。

结论

这些发现为炎症与奖励之间复杂的关联提供了新的证据,并表明即使是轻度的炎症改变也与奖励处理的多个方面有关。

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