心理/精神应激对尿功能的影响:可能与心理/精神应激对尿功能影响有关的大脑分子。
Psychological/mental stress-induced effects on urinary function: Possible brain molecules related to psychological/mental stress-induced effects on urinary function.
机构信息
Department of Pharmacology, Kochi Medical School, Kochi University, Nankoku, Kochi, Japan.
出版信息
Int J Urol. 2021 Nov;28(11):1093-1104. doi: 10.1111/iju.14663. Epub 2021 Aug 12.
Exposure to psychological/mental stress can affect urinary function, and lead to and exacerbate lower urinary tract dysfunctions. There is increasing evidence showing stress-induced changes not only at phenomenological levels in micturition, but also at multiple levels, lower urinary tract tissues, and peripheral and central nervous systems. The brain plays crucial roles in the regulation of the body's responses to stress; however, it is still unclear how the brain integrates stress-related information to induce changes at these multiple levels, thereby affecting urinary function and lower urinary tract dysfunctions. In this review, we introduce recent urological studies investigating the effects of stress exposure on urinary function and lower urinary tract dysfunctions, and our recent studies exploring "pro-micturition" and "anti-micturition" brain molecules related to stress responses. Based on evidence from these studies, we discuss the future directions of central neurourological research investigating how stress exposure-induced changes at peripheral and central levels affect urinary function and lower urinary tract dysfunctions. Brain molecules that we explored might be entry points into dissecting the stress-mediated process for modulating micturition.
心理/精神压力会影响泌尿系统功能,并导致和加重下尿路功能障碍。越来越多的证据表明,应激引起的变化不仅表现在排尿的现象学水平上,而且还表现在多个水平上,包括下尿路组织以及外周和中枢神经系统。大脑在调节身体对压力的反应方面起着至关重要的作用;然而,大脑如何整合与应激相关的信息,以诱导这些多个水平的变化,从而影响泌尿系统功能和下尿路功能障碍,目前仍不清楚。在这篇综述中,我们介绍了最近研究应激暴露对泌尿系统功能和下尿路功能障碍的影响的泌尿科研究,以及我们最近研究探索与应激反应相关的“促进排尿”和“抑制排尿”大脑分子。基于这些研究的证据,我们讨论了中枢神经泌尿学研究的未来方向,该研究旨在探讨外周和中枢水平的应激诱导变化如何影响泌尿系统功能和下尿路功能障碍。我们探索的大脑分子可能是剖析调节排尿的应激介导过程的切入点。