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什么动物模型可以告诉我们关于脓毒症幸存者长期精神症状:系统评价。

What Animal Models Can Tell Us About Long-Term Psychiatric Symptoms in Sepsis Survivors: a Systematic Review.

机构信息

Laboratório de Fisiopatologia Experimental, Programa de Pós-Graduação em Ciências da Saúde, Universidade do Extremo Sul Catarinense, 88806-000, Criciúma, Brazil.

Laboratoire de Neuropathologie Expérimentale, Institut Pasteur, 75015, Paris, France.

出版信息

Neurotherapeutics. 2021 Apr;18(2):1393-1413. doi: 10.1007/s13311-020-00981-9. Epub 2021 Jan 6.

Abstract

Lower sepsis mortality rates imply that more patients are discharged from the hospital, but sepsis survivors often experience sequelae, such as functional disability, cognitive impairment, and psychiatric morbidity. Nevertheless, the mechanisms underlying these long-term disabilities are not fully understood. Considering the extensive use of animal models in the study of the pathogenesis of neuropsychiatric disorders, it seems adopting this approach to improve our knowledge of postseptic psychiatric symptoms is a logical approach. With the purpose of gathering and summarizing the main findings of studies using animal models of sepsis-induced psychiatric symptoms, we performed a systematic review of the literature on this topic. Thus, 140 references were reviewed, and most of the published studies suggested a time-dependent recovery from behavior alterations, despite the fact that some molecular alterations persist in the brain. This review reveals that animal models can be used to understand the mechanisms that underlie anxiety and depression in animals recovering from sepsis.

摘要

较低的败血症死亡率意味着更多的患者从医院出院,但败血症幸存者经常会出现后遗症,如功能障碍、认知障碍和精神疾病。然而,这些长期残疾的机制尚未完全了解。考虑到在神经精神疾病发病机制的研究中广泛使用动物模型,采用这种方法来提高我们对败血症后精神症状的认识似乎是一种合理的方法。为了收集和总结使用败血症引起的精神症状的动物模型的研究的主要发现,我们对这个主题的文献进行了系统回顾。因此,我们对 140 篇参考文献进行了回顾,尽管一些分子改变在大脑中持续存在,但大多数已发表的研究表明,行为改变会随着时间的推移而恢复。这篇综述揭示了动物模型可用于了解从败血症中恢复的动物中焦虑和抑郁的机制。

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本文引用的文献

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Animal models of depression: pros and cons.抑郁动物模型:优缺点。
Cell Tissue Res. 2019 Jul;377(1):5-20. doi: 10.1007/s00441-018-2973-0. Epub 2018 Dec 17.
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Health-related outcomes of critically ill patients with and without sepsis.危重症合并和不合并脓毒症患者的健康相关结局。
Intensive Care Med. 2018 Aug;44(8):1249-1257. doi: 10.1007/s00134-018-5274-x. Epub 2018 Jun 27.

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