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早期生活应激与垂体前叶体积发育的关系 - 长期下丘脑-垂体-肾上腺轴功能的新指标。

Associations between early life stress and anterior pituitary gland volume development - A novel index of long-term hypothalamic-pituitary-adrenal axis functioning.

机构信息

Melbourne Neuropsychiatry Centre, Departmet of Psychiatry, The University of Melbourne and Melbourne Health, VIC, Australia.

Melbourne School of Psychological Sciences, The University of Melbourne, VIC, Australia.

出版信息

Dev Psychobiol. 2021 May;63(4):808-816. doi: 10.1002/dev.22047. Epub 2020 Oct 19.

DOI:10.1002/dev.22047
PMID:33078393
Abstract

Previous research has established associations between early life stress (ELS) and altered pituitary gland volume (PGV) growth during adolescence. The pituitary gland, however, is composed of an anterior and a posterior lobe with distinct histological and neuroendocrinological properties. While the anterior (but not posterior) pituitary gland is directly involved in the hypothalamic-pituitary-adrenal axis (HPAA) stress response, no studies have examined the effects of ELS on anterior PGV (aPGV). The present study investigated whether previously reported associations between ELS and PGV development during adolescence were driven by aPGV versus posterior PGV (pPGV). Ninety-one adolescents (49 males) were included from a longitudinal, community-based adolescent development study investigating risk for psychopathology. ELS (maternal affective behavior, childhood maltreatment, stressful life events) was assessed during early adolescence. Participants underwent two waves of structural magnetic resonance imaging during mid- and late-adolescence, and aPGV and pPGV were manually traced. Regression analyses showed that childhood maltreatment predicted greater aPGV growth in females. This finding was stronger than that previously reported for PGV. No associations were found between ELS and pPGV development. Neither aPGV nor pPGV changes mediated associations between ELS and psychopathology. Results suggest that ELS may accelerate aPGV (but not pPGV) growth throughout adolescence. Investigating the development of aPGV, rather than PGV, represents a novel approach to studying the effects of stress on HPAA functioning.

摘要

先前的研究已经确定了早期生活应激(ELS)与青春期垂体腺体积(PGV)生长改变之间的关联。然而,垂体由前叶和后叶组成,具有明显的组织学和神经内分泌特性。虽然前叶(而非后叶)垂体直接参与下丘脑-垂体-肾上腺轴(HPAA)应激反应,但尚无研究探讨 ELS 对前叶 PGV(aPGV)的影响。本研究旨在调查先前报道的 ELS 与青春期 PGV 发育之间的关联是否由 aPGV 与后叶 PGV(pPGV)驱动。该研究纳入了一项纵向社区青少年发展研究中的 91 名青少年(49 名男性),该研究旨在调查心理病理学的风险因素。ELS(母亲情感行为、儿童期虐待、生活压力事件)在青少年早期进行评估。参与者在青春期中期和晚期进行了两次结构磁共振成像,手动追踪 aPGV 和 pPGV。回归分析显示,儿童期虐待预测女性 aPGV 生长更快。这一发现比先前报道的 PGV 更为强烈。ELS 与 pPGV 发育之间没有关联。ELS 与心理病理学之间的关联也没有被 aPGV 或 pPGV 的变化所介导。结果表明,ELS 可能会加速整个青春期的 aPGV(而非 pPGV)生长。研究 aPGV 的发育而不是 PGV 的发育,代表了研究应激对 HPAA 功能影响的一种新方法。

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