应激回路:影响行为的神经与免疫系统通讯背后的机制。
Stress circuitry: mechanisms behind nervous and immune system communication that influence behavior.
作者信息
Tong Rose L, Kahn Ubaidah N, Grafe Laura A, Hitti Frederick L, Fried Nathan T, Corbett Brian F
机构信息
Corbett Laboratory, Department of Biology, Rutgers University, Camden, NJ, United States.
Fried Laboratory, Department of Biology, Rutgers University, Camden, NJ, United States.
出版信息
Front Psychiatry. 2023 Aug 29;14:1240783. doi: 10.3389/fpsyt.2023.1240783. eCollection 2023.
Inflammatory processes are increased by stress and contribute to the pathology of mood disorders. Stress is thought to primarily induce inflammation through peripheral and central noradrenergic neurotransmission. In healthy individuals, these pro-inflammatory effects are countered by glucocorticoid signaling, which is also activated by stress. In chronically stressed individuals, the anti-inflammatory effects of glucocorticoids are impaired, allowing pro-inflammatory effects to go unchecked. Mechanisms underlying this glucocorticoid resistance are well understood, but the precise circuits and molecular mechanisms by which stress increases inflammation are not as well known. In this narrative review, we summarize the mechanisms by which chronic stress increases inflammation and contributes to the onset and development of stress-related mood disorders. We focus on the neural substrates and molecular mechanisms, especially those regulated by noradrenergic signaling, that increase inflammatory processes in stressed individuals. We also discuss key knowledge gaps in our understanding of the communication between nervous and immune systems during stress and considerations for future therapeutic strategies. Here we highlight the mechanisms by which noradrenergic signaling contributes to inflammatory processes during stress and how this inflammation can contribute to the pathology of stress-related mood disorders. Understanding the mechanisms underlying crosstalk between the nervous and immune systems may lead to novel therapeutic strategies for mood disorders and/or provide important considerations for treating immune-related diseases in individuals suffering from stress-related disorders.
应激会加剧炎症反应,并导致情绪障碍的病理变化。一般认为,应激主要通过外周和中枢去甲肾上腺素能神经传递来诱发炎症。在健康个体中,这些促炎作用会被同样由应激激活的糖皮质激素信号所抵消。在长期处于应激状态的个体中,糖皮质激素的抗炎作用受损,使得促炎作用不受抑制。糖皮质激素抵抗的潜在机制已为人熟知,但应激增加炎症的具体神经回路和分子机制尚不十分清楚。在这篇综述中,我们总结了慢性应激增加炎症并导致应激相关情绪障碍发生和发展的机制。我们重点关注神经基质和分子机制,特别是那些受去甲肾上腺素能信号调节的机制,它们会增加应激个体的炎症反应。我们还讨论了在理解应激期间神经和免疫系统之间的通讯方面的关键知识空白以及对未来治疗策略的考虑。在这里,我们强调去甲肾上腺素能信号在应激期间促进炎症过程的机制,以及这种炎症如何导致应激相关情绪障碍的病理变化。了解神经和免疫系统之间相互作用的潜在机制可能会带来针对情绪障碍的新型治疗策略,和/或为治疗患有应激相关疾病的个体的免疫相关疾病提供重要的考虑因素。