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特里尔社会应激测试对白细胞介素-6和平均动脉压水平分布的影响。

Effects of the Trier Social Stress Test on the distributions of IL-6 and MAP levels.

作者信息

Rodríguez-Medina David A, Leija-Alva Gerardo, Domínguez-Trejo Benjamín, Hernández-Pozo María Del Rocío, Cruz-Albarrán Irving A, Morales-Hernández Luis A, Marmolejo-Ramos Fernando

机构信息

School of Psychology, National Autonomous University of Mexico, Mexico.

Interdisciplinary Centre for Health Sciences, National Polytechnic Institute, Mexico.

出版信息

Heliyon. 2019 Apr 30;5(4):e01580. doi: 10.1016/j.heliyon.2019.e01580. eCollection 2019 Apr.

Abstract

Trier Social Stress Test (TSST) is an experimental psychological test that induces changes in autonomic, endocrinological and immunological activity. Two measures used to evaluate the inflammatory activity induced by this test are the interleukin 6 (IL-6), a cytokine sensitive to changes in sympathetic nervous activity, and the mean arterial pressure (MAP), a measure sensitive to changes in autonomic activity. This study had two goals: first, the study examined whether TSST increases IL-6 and MAP levels; second, pre- and post-TSST IL-6 levels were compared for participants whose IL-6 levels increased or decreased due to the TSST. Saliva samples of IL-6 and MAP were taken from 42 participants clinically healthy, without psychiatric history, and data were analysed via quantile comparisons. The results showed that TSST did not lead to an increase in sympathetic activity as indexed by IL-6. Instead, TSST led to increases in MAP. Also, there were significant differences between the IL-6 distributions of people whose IL-6 levels changed from low to high (63%) and from high to low (37%) before and after the TSST. These findings suggest that the TSST will not have the same effect on all participants; that is, individual differences can be assessed using a biomarker to identify people with specialized psychological care needs.

摘要

特里尔社会应激测试(TSST)是一种实验性心理测试,可引起自主神经、内分泌和免疫活动的变化。用于评估该测试所诱导的炎症活动的两项指标是白细胞介素6(IL-6),一种对交感神经活动变化敏感的细胞因子,以及平均动脉压(MAP),一种对自主神经活动变化敏感的指标。本研究有两个目标:首先,研究TSST是否会增加IL-6和MAP水平;其次,比较TSST前后IL-6水平因TSST而升高或降低的参与者的IL-6水平。从42名临床健康、无精神病史的参与者中采集IL-6和MAP的唾液样本,并通过分位数比较分析数据。结果表明,TSST并未导致以IL-6为指标的交感神经活动增加。相反,TSST导致MAP升高。此外,TSST前后IL-6水平从低到高(63%)和从高到低(37%)变化的人群的IL-6分布存在显著差异。这些发现表明,TSST对所有参与者的影响并不相同;也就是说,可以使用生物标志物评估个体差异,以识别有特殊心理护理需求的人群。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a2b/6495068/4538fb4ada12/gr1.jpg

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