青春期的经历塑造了大脑的发育:从突触和网络到正常和病理行为。

Experience during adolescence shapes brain development: From synapses and networks to normal and pathological behavior.

机构信息

Department of Physiology & Pharmacology, State University of New York, Downstate Medical Center, Brooklyn, NY, United States of America.

Departments of Psychiatry & Pediatrics, University of Calgary, Addiction and Mental Health Strategic Clinical Network, Calgary, Alberta, Canada.

出版信息

Neurotoxicol Teratol. 2019 Nov-Dec;76:106834. doi: 10.1016/j.ntt.2019.106834. Epub 2019 Sep 7.

Abstract

Adolescence is a period of dramatic neural reorganization creating a period of vulnerability and the possibility for the development of psychopathology. The maturation of various neural circuits during adolescence depends, to a large degree, on one's experiences both physical and psychosocial. This occurs through a process of plasticity which is the structural and functional adaptation of the nervous system in response to environmental demands, physiological changes and experiences. During adolescence, this adaptation proceeds upon a backdrop of structural and functional alterations imparted by genetic and epigenetic factors and experiences both prior to birth and during the postnatal period. Plasticity entails an altering of connections between neurons through long-term potentiation (LTP) (which alters synaptic efficiency), synaptogenesis, axonal sprouting, dendritic remodeling, neurogenesis and recruitment (Skaper et al., 2017). Although most empirical evidence for plasticity derives from studies of the sensory systems, recent studies have suggested that during adolescence, social, emotional, and cognitive experiences alter the structure and function of the networks subserving these domains of behavior. Each of these neural networks exhibits heightened vulnerability to experience-dependent plasticity during the sensitive periods which occur in different circuits and different brain regions at specific periods of development. This report will summarize some examples of adaptation which occur during adolescence and some evidence that the adolescent brain responds differently to stimuli compared to adults and children. This symposium, "Experience during adolescence shapes brain development: from synapses and networks to normal and pathological behavior" occurred during the Developmental Neurotoxicology Society/Teratology Society Annual Meeting in Clearwater Florida, June 2018. The sections will describe the maturation of the brain during adolescence as studied using imaging technologies, illustrate how plasticity shapes the structure of the brain using examples of pathological conditions such as Tourette's' syndrome and attention deficit hyperactivity disorder, and a review of the key molecular systems involved in this plasticity and how some commonly abused substances alter brain development. The role of stimulants used in the treatment of attention deficit hyperactivity disorder (ADHD) in the plasticity of the reward circuit is then described. Lastly, clinical data promoting an understanding of peer-influences on risky behavior in adolescents provides evidence for the complexity of the roles that peers play in decision making, a phenomenon different from that in the adult. Imaging studies have revealed that activation of the social network by the presence of peers at times of decision making is unique in the adolescent. Since normal brain development relies on experiences which alter the functional and structural connections between cells within circuits and networks to ultimately alter behavior, readers can be made aware of the myriad of ways normal developmental processes can be hijacked. The vulnerability of developing adolescent brain places the adolescent at risk for the development of a life time of abnormal behaviors and mental disorders.

摘要

青春期是大脑进行剧烈重组的时期,这使其容易受到伤害,并有可能患上精神病理学。青春期各种神经回路的成熟在很大程度上取决于个体的身体和心理社会体验。这种成熟是通过可塑性来实现的,可塑性是神经系统对环境需求、生理变化和体验的结构和功能适应。在青春期,这种适应是在由遗传和表观遗传因素以及出生前和出生后期间的体验所带来的结构和功能改变的背景下进行的。可塑性涉及通过长时程增强(LTP)(改变突触效率)、突触发生、轴突发芽、树突重塑、神经发生和募集来改变神经元之间的连接(Skaper 等人,2017)。尽管可塑性的大多数实证证据来自对感觉系统的研究,但最近的研究表明,在青春期,社会、情感和认知体验会改变这些行为领域所服务的网络的结构和功能。这些神经网络中的每一个在不同的回路和不同的大脑区域的特定发育时期都表现出对经验依赖性可塑性的高度敏感性。本报告将总结青春期发生的一些适应的例子,并提供一些证据表明,与成年人和儿童相比,青少年的大脑对刺激的反应不同。本次研讨会的主题是“青春期的经历塑造大脑发育:从突触和网络到正常和病理行为”,在 2018 年 6 月于佛罗里达州清水市举行的发育神经毒理学学会/畸形学学会年会上进行了讨论。各部分将描述使用成像技术研究青春期大脑的成熟过程,说明可塑性如何使用图雷特综合征和注意缺陷多动障碍等病理条件的例子来塑造大脑的结构,并回顾参与这种可塑性的关键分子系统以及一些常用的滥用物质如何改变大脑发育。然后描述了用于治疗注意缺陷多动障碍(ADHD)的兴奋剂在奖励回路可塑性中的作用。最后,促进对青少年同伴风险行为影响的临床数据为同伴在决策中的作用的复杂性提供了证据,这一现象与成年人不同。成像研究表明,在决策时,同伴的存在激活社会网络的方式在青少年中是独特的。由于正常的大脑发育依赖于改变回路和网络内细胞之间的功能和结构连接的体验,最终改变行为,因此读者可以了解正常发育过程可以被劫持的无数方式。发育中青少年大脑的脆弱性使青少年面临终生异常行为和精神障碍的风险。

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