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早期生活应激、神经炎症与成年期精神疾病。

Early Life Stress, Neuroinflammation, and Psychiatric Illness of Adulthood.

机构信息

Department of Psychiatry, College of Medicine, Korea University Ansan Hospital, Korea University, Ansan, Republic of Korea.

出版信息

Adv Exp Med Biol. 2023;1411:105-134. doi: 10.1007/978-981-19-7376-5_6.

Abstract

Stress exposure during early stages of life elevates the risk of developing psychopathologies and psychiatric illness in later life. The brain and immune system are not completely developed by birth and therefore continue develop after birth; this post birth development is influenced by several psychosocial factors; hence, early life stress (ELS) exposure can alter brain structural development and function. A growing number of experimental animal and observational human studies have investigated the link between ELS exposure and increased risk of psychopathology through alternations in the immune system, by evaluating inflammation biomarkers. Recent studies, including brain imaging, have also shed light on the mechanisms by which both the innate and adaptive immune systems interact with neural circuits and neurotransmitters, which affect psychopathology. Herein, we discuss the link between the experience of stress in early life and lifelong alterations in the immune system, which subsequently lead to the development of various psychiatric illnesses.

摘要

早期生活中的压力暴露会增加晚年患精神病理和精神疾病的风险。大脑和免疫系统在出生时并未完全发育,因此在出生后仍会继续发育;这种出生后发育受多种社会心理因素影响;因此,早期生活压力(ELS)暴露会改变大脑结构发育和功能。越来越多的实验动物和观察性人类研究通过评估炎症生物标志物,调查了 ELS 暴露与通过免疫系统改变而增加精神病理风险之间的联系。最近的研究,包括脑成像研究,也揭示了先天和适应性免疫系统与影响精神病理的神经回路和神经递质相互作用的机制。在此,我们讨论了早期生活中的压力体验与免疫系统的终生改变之间的联系,进而导致各种精神疾病的发生。

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