人类恢复力机制的可塑性。

Plasticity of human resilience mechanisms.

作者信息

Leone Giovanni, Casanave Hannah, Postel Charlotte, Fraisse Florence, Vallée Thomas, de La Sayette Vincent, Dayan Jacques, Peschanski Denis, Eustache Francis, Gagnepain Pierre

机构信息

Normandie Univ, UNICAEN, PSL Research University, EPHE, INSERM, U1077, CHU de Caen, GIP Cyceron, Neuropsychologie et Imagerie de la Mémoire Humaine, 14000 Caen, France.

Laboratory of Behavioural Neurology and Imaging of Cognition, Department of Neuroscience, Campus Biotech, University of Geneva, Geneva, Switzerland.

出版信息

Sci Adv. 2025 Jan 10;11(2):eadq8336. doi: 10.1126/sciadv.adq8336. Epub 2025 Jan 8.

Abstract

The hippocampus's vulnerability to trauma-induced stress can lead to pathophysiological disturbances that precipitate the development of posttraumatic stress disorder (PTSD). The mechanisms of resilience that foster remission and mitigate the adverse effects of stress remain unknown. We analyzed the evolution of hippocampal morphology between 2016/2017 and 2018/2019, as well as the memory control mechanisms crucial for trauma resilience. Participants were individuals exposed to the 2015 Paris terrorist attacks ( = 100), including chronic ( = 34) and remitted ( = 19) PTSD, and nonexposed ( = 72). We found that normalization of inhibitory control processes, which regulate the resurgence of intrusive memories in the hippocampus, not only predicted PTSD remission but also preceded a reduction in traumatic memories. Improvement in control mechanisms was associated with the interruption of stress-induced atrophy in a hippocampal region that includes the dentate gyrus. Human resilience to trauma is characterized by the plasticity of memory control circuits, which interacts with hippocampal neuroplasticity.

摘要

海马体对创伤性应激的易损性会导致病理生理紊乱,进而促使创伤后应激障碍(PTSD)的发展。促进缓解并减轻应激不良反应的恢复力机制仍不清楚。我们分析了2016/2017年至2018/2019年期间海马体形态的演变,以及对创伤恢复力至关重要的记忆控制机制。参与者是经历过2015年巴黎恐怖袭击的个体(n = 100),包括慢性PTSD患者(n = 34)、已缓解的PTSD患者(n = 19)和未暴露者(n = 72)。我们发现,调节海马体中侵入性记忆再现的抑制控制过程的正常化,不仅预示着PTSD的缓解,而且先于创伤性记忆的减少。控制机制的改善与包括齿状回在内的海马体区域应激诱导萎缩的中断有关。人类对创伤的恢复力以记忆控制回路的可塑性为特征,该可塑性与海马体神经可塑性相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0752/11708882/0c50d0b2d71a/sciadv.adq8336-f1.jpg

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