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创伤后应激障碍的特征是皮肤成纤维细胞功能失调。

Posttraumatic stress disorder is characterized by functional dysregulation of dermal fibroblasts.

机构信息

Experimental Medicine Research Group, Division Internal Medicine, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University, South Africa.

Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine & Health Sciences, Stellenbosch University, South Africa.

出版信息

Biochimie. 2024 Oct;225:10-18. doi: 10.1016/j.biochi.2024.05.006. Epub 2024 May 6.

Abstract

Incidence of mental health disorders are rising in modernity, with psychological stress linked to a propensity for developing various chronic diseases due to a relative inability of the body to counter the allostatic load on cellular level. Despite these high rates of comorbidities associated with posttraumatic stress disorder (PTSD), there is still a lack of understanding in terms of the peripheral effects of PTSD on tissue level. Therefore, the purpose of this study was to profile basal dermal fibroblast functional status in PTSD using a wide range of markers involved in the cell-to-cell communication facilitated by fibroblasts. Primary dermal fibroblasts derived from patients diagnosed with PTSD (n = 11) and matched trauma exposed controls (i.e. who did not develop PTSD, n = 10) were cultured using standard techniques. The patients and controls were matched based on age, sex, body-mass index (BMI) and lifestyle. The growth rate, population doubling time, cell surface marker expression (CD31, FNDC5) (flow cytometry), secretome (TIMP-2, MMP-9) (ELISAs), intracellular signalling capacity (Fluo-4 Ca flux) and gene expression (IL-6, IL-10, PTX-3, iNOS, Arg1) were compared between groups. The data illustrated significant PTSD-associated fibroblast conditioning resulting in a blunted signalling capacity. This observation highlights the importance of including tissue-specific investigations in future studies focused on elucidating the association between PTSD and subsequent risk for somatic disease.

摘要

精神健康障碍在现代社会中的发病率正在上升,由于身体相对无法抵抗细胞层面的适应负荷,心理压力与各种慢性疾病的易发性有关。尽管创伤后应激障碍 (PTSD) 相关的合并症发生率很高,但对于 PTSD 对组织水平的外周影响仍缺乏了解。因此,本研究的目的是使用广泛涉及由成纤维细胞介导的细胞间通讯的标记物来描绘 PTSD 患者基底真皮成纤维细胞的功能状态。使用标准技术培养从诊断为 PTSD 的患者 (n = 11) 和匹配的创伤暴露对照组 (即未发展为 PTSD 的患者,n = 10) 中分离的原代真皮成纤维细胞。患者和对照组在年龄、性别、体重指数 (BMI) 和生活方式方面进行匹配。通过比较细胞生长速率、倍增时间、细胞表面标记物表达 (CD31、FNDC5) (流式细胞术)、分泌组 (TIMP-2、MMP-9) (ELISA)、细胞内信号转导能力 (Fluo-4 Ca 通量) 和基因表达 (IL-6、IL-10、PTX-3、iNOS、Arg1),比较两组之间的差异。数据表明 PTSD 相关的成纤维细胞条件导致信号转导能力减弱。这一观察结果强调了在未来的研究中纳入组织特异性研究的重要性,这些研究旨在阐明 PTSD 与随后躯体疾病风险之间的关联。

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