School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, N2L 3G1, Canada.
Mol Biol Rep. 2020 Dec;47(12):9921-9929. doi: 10.1007/s11033-020-06005-1. Epub 2020 Nov 23.
Depression and dementia are predicted to increase within aging global populations. Pathophysiological effects of phosphate toxicity, dysregulated amounts of accumulated phosphorus in body tissue, are under-investigated in association with stress, inflammation, depression, and dementia. A comparative analysis of concepts in cited sources from the research literature was used to synthesize novel themes exploring the disease-oriented neuroscience effects of phosphate toxicity. Phosphate toxicity is associated with activation of cellular stress response systems and inflammation. Cortisol released by the hypothalamic-pituitary-adrenal axis responds to stress and inflammation associated with phosphate toxicity and depression. In a reciprocal interaction, phosphate toxicity is capable of harming adrenal gland function, possibly leading to adrenal insufficiency and depression. Furthermore, Alzheimer's disease is associated with hyperphosphorylated tau which self-assembles into neurofibrillary tangles from excessive amounts of phosphate in the brain and central nervous system. Future research should investigate dietary phosphate modification to reduce potential pathophysiological effects of phosphate toxicity in stress, inflammation, depression, and cognitive decline which affects global populations.
随着老龄化全球人口的增加,预计抑郁症和痴呆症的发病率将会上升。在与应激、炎症、抑郁和痴呆相关的研究中,磷毒性对体内磷积累的病理生理影响尚未得到充分研究。本研究采用引用文献中概念的比较分析方法,综合了探索磷毒性对疾病相关神经科学影响的新主题。磷毒性与细胞应激反应系统和炎症的激活有关。下丘脑-垂体-肾上腺轴释放的皮质醇对与磷毒性和抑郁相关的应激和炎症做出反应。在相互作用中,磷毒性能够损害肾上腺功能,可能导致肾上腺功能不全和抑郁。此外,阿尔茨海默病与脑中及中枢神经系统中过量的磷酸盐使过度磷酸化的 tau 自组装成神经原纤维缠结有关。未来的研究应调查饮食中磷酸盐的修饰,以减少磷酸盐毒性在应激、炎症、抑郁和认知能力下降方面的潜在病理生理影响,这些影响影响着全球人口。