自愿转轮运动作为一种有前途的策略,可促进女性对社会压力的自主适应能力:迷走神经张力是关键。

Voluntary wheel running as a promising strategy to promote autonomic resilience to social stress in females: Vagal tone lies at the heart of the matter.

机构信息

Department of Exercise Science, University of South Carolina, Columbia, SC, United States of America; Department of Pharmacology, Physiology, and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, United States of America; Department of Human Genetics, Emory University School of Medicine, Atlanta, GA, United States of America.

Department of Pharmacology, Physiology, and Neuroscience, University of South Carolina School of Medicine, Columbia, SC, United States of America; Columbia VA Health Care System, Columbia, SC, United States of America.

出版信息

Auton Neurosci. 2024 Jun;253:103175. doi: 10.1016/j.autneu.2024.103175. Epub 2024 Apr 15.

Abstract

Social stress is a major risk factor for comorbid conditions including cardiovascular disease and depression. While women exhibit 2-3× the risk for these stress-related disorders compared to men, the mechanisms underlying heightened stress susceptibility among females remain largely unknown. Due to a lack in understanding of the pathophysiology underlying stress-induced comorbidities among women, there has been a significant challenge in developing effective therapeutics. Recently, a causal role for inflammation has been established in the onset and progression of comorbid cardiovascular disease/depression, with women exhibiting increased sensitivity to stress-induced immune signaling. Importantly, reduced vagal tone is also implicated in stress susceptibility, through a reduction in the vagus nerve's well-recognized anti-inflammatory properties. Thus, examining therapeutic strategies that stabilize vagal tone during stress may shed light on novel targets for promoting stress resilience among women. Recently, accumulating evidence has demonstrated that physical activity exerts cardio- and neuro-protective effects by enhancing vagal tone. Based on this evidence, this mini review provides an overview of comorbid cardiovascular and behavioral dysfunction in females, the role of inflammation in these disorders, how stress may impart its negative effects on the vagus nerve, and how exercise may act as a preventative. Further, we highlight a critical gap in the literature with regard to the study of females in this field. This review also presents novel data that are the first to demonstrate a protective role for voluntary wheel running over vagal tone and biomarkers of cardiac dysfunction in the face of social stress exposure in female rats.

摘要

社会压力是包括心血管疾病和抑郁症在内的共病的主要风险因素。虽然女性患这些与压力相关的疾病的风险比男性高 2-3 倍,但女性对压力敏感的机制在很大程度上仍不清楚。由于缺乏对女性应激相关共病的病理生理学的理解,因此在开发有效治疗方法方面一直存在重大挑战。最近,炎症在共病心血管疾病/抑郁症的发生和进展中起着因果作用,女性对应激引起的免疫信号更敏感。重要的是,通过降低迷走神经公认的抗炎特性,迷走神经张力降低也与应激易感性有关。因此,研究在应激过程中稳定迷走神经张力的治疗策略可能会为促进女性的应激弹性提供新的靶点。最近,越来越多的证据表明,体育活动通过增强迷走神经张力来发挥心脏和神经保护作用。基于这一证据,本综述概述了女性共病心血管和行为功能障碍、炎症在这些疾病中的作用、压力如何对迷走神经产生负面影响,以及运动如何作为一种预防措施。此外,我们强调了该领域女性研究文献中的一个关键空白。本综述还提出了一些新的数据,这些数据首次表明,在面对社交压力时,自愿轮跑对雌性大鼠的迷走神经张力和心脏功能障碍生物标志物具有保护作用。

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