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童年期和成年期的严重应激经历与葡萄糖代谢相关生物标志物:一种可能的关联?

Childhood and Adulthood Severe Stressful Experiences and Biomarkers Related to Glucose Metabolism: A Possible Association?

作者信息

Tosato Sarah, Bonetto Chiara, Lopizzo Nicola, Cattane Nadia, Barcella Mara, Turco Giorgia, Ruggeri Mirella, Provasi Stefania, Tomassi Simona, Dazzan Paola, Cattaneo Annamaria

机构信息

Section of Psychiatry, Department of Neuroscience, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.

Biological Psychiatry Unit, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.

出版信息

Front Psychiatry. 2021 May 14;12:629137. doi: 10.3389/fpsyt.2021.629137. eCollection 2021.

Abstract

No study investigated the association between stress exposure in different stages of life and metabolic dysfunction. We explore the association between stress exposure and several biomarkers related to glucose metabolism (insulin, c-peptide, GIP, GLP-1, glucagon) in a group of 72 healthy individuals. We used the Childhood Experience of Care and Abuse-Questionnaire (CECA-Q) and a modified version of the Life Events Scale to define exposure to stress, according to four categories: no exposure to childhood trauma (CT) nor to stressful life events (SLEs) (46%), only to CT (25%), only to SLEs (21%), to both (8%). We found that c-peptide ( = 0.006) and insulin ( = 0.002) levels differed among the four categories: 0.77 ng/ml (SD 0.27) and 0.21 ng/ml (SD 0.06) for none, 0.77 (SD 0.37) and 0.20 (SD 0.08) for only SLEs, 0.88 (SD 0.39) and 0.27 (SD 0.12) for only CT, 1.33 (SD 0.57) and 0.40 (SD 0.28) for both, respectively. The highest levels of biomarkers were found in subjects exposed to both CT and SLEs. Our preliminary results seem to suggest that CT might be specifically associated with a dysfunction of glucose metabolism, which might increase the risk of poorer health outcomes in adulthood. This association seems to be even stronger in individuals additionally exposed to SLEs in adulthood. In conclusion, if confirmed in other studies, subjects exposed to both CT and SLEs appear the most vulnerable individuals, for whom preventative interventions, such as healthy lifestyle education programs, might ameliorate the risk of developing metabolic abnormalities.

摘要

尚无研究调查生命不同阶段的应激暴露与代谢功能障碍之间的关联。我们在一组72名健康个体中探究了应激暴露与几种与葡萄糖代谢相关的生物标志物(胰岛素、C肽、胃抑素、胰高血糖素样肽-1、胰高血糖素)之间的关联。我们使用儿童期关爱与虐待经历问卷(CECA-Q)和生活事件量表的修订版,根据四类情况来定义应激暴露:未经历儿童期创伤(CT)和应激性生活事件(SLEs)(46%)、仅经历CT(25%)、仅经历SLEs(21%)、两者都经历(8%)。我们发现,四类情况的C肽(P = 0.006)和胰岛素(P = 0.002)水平存在差异:无暴露者分别为0.77 ng/ml(标准差0.27)和0.21 ng/ml(标准差0.06),仅经历SLEs者为0.77(标准差0.37)和0.20(标准差0.08),仅经历CT者为0.88(标准差0.39)和0.27(标准差0.12),两者都经历者分别为1.33(标准差0.57)和0.40(标准差0.28)。生物标志物水平最高的是同时经历CT和SLEs的受试者。我们的初步结果似乎表明,CT可能与葡萄糖代谢功能障碍存在特定关联,这可能会增加成年期健康状况较差的风险。在成年期还经历SLEs的个体中,这种关联似乎更强。总之,如果在其他研究中得到证实,同时经历CT和SLEs的受试者似乎是最脆弱的个体,针对他们的预防性干预措施,如健康生活方式教育项目,可能会降低发生代谢异常的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5938/8160252/afed46b9de54/fpsyt-12-629137-g0001.jpg

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