Liu Shaochun, Huang Runze, Li Anlong, Yu Sheng, Yao Senbang, Xu Jian, Tang Lingxue, Li Wen, Gan Chen, Cheng Huaidong
Department of Oncology, The Second Hospital of Anhui Medical University, Hefei, Anhui, China.
Shenzhen Clinical Medical School of Southern Medical University, Guangzhou, China.
Front Oncol. 2023 Sep 13;13:1187477. doi: 10.3389/fonc.2023.1187477. eCollection 2023.
Breast cancer is a grave traumatic experience that can profoundly compromise patients' psychological resilience, impacting their overall quality of life. The oxytocin system represents one of the essential neurobiological bases of psychological resilience and plays a critical role in regulating resilience in response to social or traumatic events during adulthood. Oxytocin, through its direct interaction with peripheral or central oxytocin receptors, has been found to have a significant impact on regulating social behavior. However, the precise mechanism by which the activation of peripheral oxytocin receptors leads to improved social is still not completely comprehended and requires additional research. Its activation can modulate psychological resilience by influencing estrogen and its receptors, the hypothalamic-pituitary-adrenal axis, thyroid function, 5-hydroxytryptamine metabolism levels, and arginine pressure release in breast cancer patients. Various interventions, including psychotherapy and behavioral measures, have been employed to improve the psychological resilience of breast cancer patients. The potential effectiveness of such interventions may be underpinned by their ability to modulate oxytocin release levels. This review provides an overview of the oxytocin system and resilience in breast cancer patients and identifies possible future research directions and interventions.
乳腺癌是一种严重的创伤性经历,会严重损害患者的心理复原力,影响其整体生活质量。催产素系统是心理复原力的重要神经生物学基础之一,在成年期应对社会或创伤性事件时调节复原力方面发挥着关键作用。已发现催产素通过与外周或中枢催产素受体直接相互作用,对调节社会行为有重大影响。然而,外周催产素受体激活导致社交改善的确切机制仍未完全理解,需要进一步研究。其激活可通过影响雌激素及其受体、下丘脑 - 垂体 - 肾上腺轴、甲状腺功能、5 - 羟色胺代谢水平以及乳腺癌患者的精氨酸加压素释放来调节心理复原力。包括心理治疗和行为措施在内的各种干预措施已被用于提高乳腺癌患者的心理复原力。这些干预措施的潜在有效性可能源于它们调节催产素释放水平的能力。本综述概述了乳腺癌患者的催产素系统和复原力,并确定了未来可能的研究方向和干预措施。