Laboratory of Neurosciences, Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
CONACYT-Hospital Infantil de México Federico Gómez, Mexico City, Mexico.
Adv Exp Med Biol. 2023;1411:327-356. doi: 10.1007/978-981-19-7376-5_15.
Attention deficit hyperactivity disorder (ADHD) is a neurobehavioural disorder in children and adolescents. Although increases in oxidative stress and disturbances of neurotransmitter system such as the dopaminergic and abnormalities in several brain regions have been demonstrated, the pathophysiology of ADHD is not fully understood. Nevertheless, ADHD involves several factors that have been associated with an increase in neuroinflammation. This chapter presents an overview of factors that may increase neuroinflammation and play a potential role in the development and pathophysiology of ADHD. The altered immune response, polymorphisms in inflammatory-related genes, ADHD comorbidity with autoimmune and inflammatory disorders and prenatal exposure to inflammation are associated with alterations in offspring brain development and are a risk factor; genetic and environmental risk factors that may increase the risk for ADHD and medications can increase neuroinflammation. Evidence of an association between these factors has been an invaluable tool for research on inflammation in ADHD. Therefore, evidence studies have made it possible to generate alternative therapeutic interventions using natural products as anti-inflammatories that could have great potential against neuroinflammation in ADHD.
注意缺陷多动障碍(ADHD)是儿童和青少年的一种神经行为障碍。尽管已经证明氧化应激增加和神经递质系统紊乱,如多巴胺能和几个大脑区域的异常,但 ADHD 的病理生理学仍未完全理解。然而,ADHD 涉及多个与神经炎症增加相关的因素。本章概述了可能增加神经炎症并在 ADHD 的发展和病理生理学中发挥潜在作用的因素。改变的免疫反应、炎症相关基因的多态性、ADHD 与自身免疫和炎症性疾病的共病以及产前暴露于炎症与后代大脑发育的改变有关,是一个危险因素;遗传和环境危险因素可能会增加 ADHD 的风险,药物也会增加神经炎症。这些因素之间关联的证据一直是研究 ADHD 中炎症的宝贵工具。因此,有证据表明,使用天然产物作为抗炎药的替代治疗干预措施具有很大的潜力,可以对抗 ADHD 中的神经炎症。