Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Department of Neurology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Oxid Med Cell Longev. 2019 Nov 15;2019:2491927. doi: 10.1155/2019/2491927. eCollection 2019.
The public health sector faces a huge challenge as a result of the high prevalence and burden of disability caused by ischemic cardio-cerebrovascular disease (CVD) and depression. Although studies have explored the underlying mechanisms and potential therapies to address conditions, there is no treatment breakthrough, especially for depression which is highly influenced by social stressors. However, accumulating evidence reveals that CVD and depression are correlated and share common risk factors, particularly obesity, diabetes, and hypertension. They also share common mechanisms, including oxidative stress (OS), inflammation and immune response, cell death signaling pathway, and microbiome-gut-brain axis. This review summarizes the relationship between ischemic CVD and depression and describes the interactions among common risk factors and mechanisms for these two diseases. In addition, we propose that OS mediates the crosstalk between these diseases. We also reveal the potential of antioxidants to ameliorate OS-related injuries.
由于缺血性心脑血管疾病(CVD)和抑郁症导致的高患病率和残疾负担,公共卫生部门面临着巨大的挑战。尽管研究已经探讨了潜在的机制和潜在的治疗方法来解决这些疾病,但没有治疗突破,特别是对于高度受社会压力因素影响的抑郁症。然而,越来越多的证据表明,CVD 和抑郁症相关,并且具有共同的风险因素,特别是肥胖、糖尿病和高血压。它们也具有共同的机制,包括氧化应激(OS)、炎症和免疫反应、细胞死亡信号通路以及微生物群-肠道-大脑轴。这篇综述总结了缺血性 CVD 和抑郁症之间的关系,并描述了这两种疾病共同风险因素和机制之间的相互作用。此外,我们提出 OS 介导了这两种疾病之间的串扰。我们还揭示了抗氧化剂改善 OS 相关损伤的潜力。