Department of Psychiatry, Medical University of Bialystok, Białystok, Poland.
Front Cell Infect Microbiol. 2024 Aug 14;14:1423739. doi: 10.3389/fcimb.2024.1423739. eCollection 2024.
The recent pandemic caused by the SARS-CoV-2 virus and the associated mental health complications have renewed scholarly interest in the relationship between viral infections and the development of mental illnesses, a topic that was extensively discussed in the previous century in the context of other viruses, such as influenza. The most probable and analyzable mechanism through which viruses influence the onset of mental illnesses is the inflammation they provoke. Both infections and mental illnesses share a common characteristic: an imbalance in inflammatory factors. In this study, we sought to analyze and compare cytokine profiles in individuals infected with viruses and those suffering from mental illnesses. The objective was to determine whether specific viral diseases can increase the risk of specific mental disorders and whether this risk can be predicted based on the cytokine profile of the viral disease. To this end, we reviewed existing literature, constructed cytokine profiles for various mental and viral diseases, and conducted comparative analyses. The collected data indicate that the risk of developing a specific mental illness cannot be determined solely based on cytokine profiles. However, it was observed that the combination of IL-8 and IL-10 is frequently associated with psychotic symptoms. Therefore, to assess the risk of mental disorders in infected patients, it is imperative to consider the type of virus, the mental complications commonly associated with it, the predominant cytokines to evaluate the risk of psychotic symptoms, and additional patient-specific risk factors.
由 SARS-CoV-2 病毒引起的最近的大流行以及由此引起的心理健康并发症,使人们重新对病毒感染与精神疾病发展之间的关系产生了学术兴趣,这是上世纪在流感等其他病毒的背景下广泛讨论的一个话题。病毒影响精神疾病发病的最可能和可分析的机制是它们引发的炎症。感染和精神疾病都有一个共同的特征:炎症因子失衡。在这项研究中,我们试图分析和比较感染病毒的个体和患有精神疾病的个体的细胞因子谱。目的是确定特定的病毒性疾病是否会增加特定精神障碍的风险,以及这种风险是否可以基于病毒性疾病的细胞因子谱来预测。为此,我们回顾了现有文献,为各种精神和病毒性疾病构建了细胞因子谱,并进行了比较分析。收集的数据表明,不能仅仅根据细胞因子谱来确定患上特定精神疾病的风险。然而,观察到 IL-8 和 IL-10 的组合通常与精神病症状有关。因此,为了评估感染患者发生精神障碍的风险,必须考虑病毒类型、常见的与之相关的精神并发症、评估精神病症状风险的主要细胞因子以及其他患者特定的风险因素。