早期生活应激的不良影响:聚焦于啮齿动物神经内分泌系统

Adverse effects of early-life stress: focus on the rodent neuroendocrine system.

作者信息

Lee Seung Hyun, Jung Eui-Man

机构信息

Department of Molecular Biology, College of Natural Sciences, Pusan National University, Busan, Republic of Korea.

出版信息

Neural Regen Res. 2024 Feb;19(2):336-341. doi: 10.4103/1673-5374.377587.

Abstract

Early-life stress is associated with a high prevalence of mental illnesses such as post-traumatic stress disorders, attention-deficit/hyperactivity disorder, schizophrenia, and anxiety or depressive behavior, which constitute major public health problems. In the early stages of brain development after birth, events such as synaptogenesis, neuron maturation, and glial differentiation occur in a highly orchestrated manner, and external stress can cause adverse long-term effects throughout life. Our body utilizes multifaceted mechanisms, including neuroendocrine and neurotransmitter signaling pathways, to appropriately process external stress. Newborn individuals first exposed to early-life stress deploy neurogenesis as a stress-defense mechanism; however, in adulthood, early-life stress induces apoptosis of mature neurons, activation of immune responses, and reduction of neurotrophic factors, leading to anxiety, depression, and cognitive and memory dysfunction. This process involves the hypothalamus-pituitary-adrenal axis and neurotransmitters secreted by the central nervous system, including norepinephrine, dopamine, and serotonin. The rodent early-life stress model is generally used to experimentally assess the effects of stress during neurodevelopment. This paper reviews the use of the early-life stress model and stress response mechanisms of the body and discusses the experimental results regarding how early-life stress mediates stress-related pathways at a high vulnerability of psychiatric disorder in adulthood.

摘要

早年生活应激与创伤后应激障碍、注意力缺陷/多动障碍、精神分裂症以及焦虑或抑郁行为等精神疾病的高患病率相关,这些疾病构成了重大的公共卫生问题。在出生后脑发育的早期阶段,诸如突触发生、神经元成熟和胶质细胞分化等事件以高度协调的方式发生,而外部应激可在一生中造成不良的长期影响。我们的身体利用包括神经内分泌和神经递质信号通路在内的多方面机制来适当处理外部应激。首次暴露于早年生活应激的新生儿会将神经发生作为一种应激防御机制;然而,在成年期,早年生活应激会诱导成熟神经元凋亡、激活免疫反应并减少神经营养因子,从而导致焦虑、抑郁以及认知和记忆功能障碍。这一过程涉及下丘脑-垂体-肾上腺轴以及中枢神经系统分泌的神经递质,包括去甲肾上腺素、多巴胺和血清素。啮齿动物早年生活应激模型通常用于实验评估神经发育过程中应激的影响。本文综述了早年生活应激模型的应用以及身体的应激反应机制,并讨论了关于早年生活应激如何在成年期精神疾病的高易感性下介导应激相关通路的实验结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93dc/10503627/40a55b1231cd/NRR-19-336-g001.jpg

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