Stanley Medical Research Institute, Rockville, MD, USA.
Curr Top Behav Neurosci. 2023;61:35-48. doi: 10.1007/7854_2022_362.
While there is an abundance of epidemiological evidence implicating infectious agents in the etiology of severe mental illnesses, postmortem studies have not yet detected an increased incidence of microbial nucleic acid or proteins in the brains of people with mental illness. Nevertheless, abnormally expressed immune and inflammatory markers have consistently been found in the postmortem brain of patients with schizophrenia and mood disorders. Some of these abnormalities may be the result of an infection in utero or early in life that not only impacted the developing immune system but also the developing neurons of the brain. Some of the immune markers that are consistently found to be upregulated in schizophrenia implicate a possible viral infection and the blood brain barrier in the etiology and neuropathology of the disorder.
虽然有大量流行病学证据表明传染病原与严重精神疾病的病因有关,但尸检研究尚未在精神疾病患者的大脑中检测到微生物核酸或蛋白质的发生率增加。尽管如此,精神分裂症和心境障碍患者的尸检大脑中始终发现有异常表达的免疫和炎症标志物。这些异常中的一些可能是胎儿期或生命早期感染的结果,不仅影响了正在发育的免疫系统,还影响了大脑的正在发育的神经元。在精神分裂症中一致发现上调的一些免疫标志物表明,该疾病的病因和神经病理学可能涉及到病毒感染和血脑屏障。