Center for Psychiatric Neuroscience, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Route de Cery, 1008 Prilly-Lausanne, Switzerland.
Center for Biomedical Imaging (CIBM), Ecole Polytechnique Fédérale de Lausanne (EPFL), Lausanne, Switzerland.
Int J Neuropsychopharmacol. 2023 May 31;26(5):309-321. doi: 10.1093/ijnp/pyad012.
Redox biology and immune signaling play major roles in the body, including in brain function. A rapidly growing literature also suggests that redox and immune abnormalities are implicated in neuropsychiatric conditions such as schizophrenia (SZ), bipolar disorder, autism, and epilepsy. In this article we review this literature, its implications for the pathophysiology of SZ, and the potential for development of novel treatment interventions targeting redox and immune signaling. Redox biology and immune signaling in the brain are complex and not fully understood; in addition, there are discrepancies in the literature, especially in patient-oriented studies. Nevertheless, it is clear that abnormalities arise in SZ from an interaction between genetic and environmental factors during sensitive periods of brain development, and these abnormalities disrupt local circuits and long-range connectivity. Interventions that correct these abnormalities may be effective in normalizing brain function in psychotic disorders, especially in early phases of illness.
氧化还原生物学和免疫信号在体内发挥着重要作用,包括在大脑功能中。越来越多的文献也表明,氧化还原和免疫异常与精神神经疾病有关,如精神分裂症(SZ)、双相情感障碍、自闭症和癫痫。在本文中,我们回顾了这方面的文献,及其对 SZ 病理生理学的影响,以及针对氧化还原和免疫信号开发新型治疗干预措施的潜力。大脑中的氧化还原生物学和免疫信号很复杂,尚未完全了解;此外,文献中存在差异,特别是在面向患者的研究中。尽管如此,很明显,SZ 是由遗传和环境因素在大脑发育的敏感时期相互作用引起的,这些异常会破坏局部回路和长程连接。纠正这些异常的干预措施可能在使精神病障碍中的大脑功能正常化方面是有效的,特别是在疾病的早期阶段。