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鼻优势增强鼻内催产素的抗焦虑作用。

Nasal dominance potentiates intranasal oxytocin's anxiolytic effects.

作者信息

Julius Nikita Catalina, Nicholls Dasha, Nowell Joseph, Burmester Victoria

机构信息

Division of Psychiatry, Department of Brain Sciences, Imperial College London, Du Cane Road, W12 0NN, London, UK.

出版信息

Sci Rep. 2025 May 27;15(1):18466. doi: 10.1038/s41598-025-95148-x.

DOI:10.1038/s41598-025-95148-x
PMID:40425808
Abstract

The nasal cycle is a phenomenon whereby alterations in airflow alternate between left and right nostrils. During a nostril's decongested - or dominant - state, the contralateral nostril is congested, or non-dominant. Intranasal oxytocin may elicit anxiolytic effects. To date, no study has investigated whether there is an optimal nasal pathway for oxytocin's effects. Forty-four female adolescents aged 16 to 17 years were included in this exploratory study investigating effects of nasal dominance on intranasal oxytocin delivery. We show that intranasal oxytocin significantly reduces stress relative to placebo (p = 0.012, ηp = 0.145) and greater stress reduction occurs when oxytocin is delivered to the dominant, rather than non-dominant, nostril (p = 0.034, ηp = 0.113). We postulate that oxytocin administration may reduce stress and be most effective in the context of anxiolysis when administered to the dominant nostril. Further research investigating whether other intranasal psychotropic drugs have nostril-specific effects might benefit clinical practice.

摘要

鼻周期是一种气流在左右鼻孔之间交替变化的现象。在一个鼻孔处于通畅——即主导——状态时,对侧鼻孔则处于堵塞状态,即非主导状态。鼻内催产素可能会产生抗焦虑作用。迄今为止,尚无研究调查催产素发挥作用是否存在最佳鼻腔路径。这项探索性研究纳入了44名16至17岁的女性青少年,旨在研究鼻腔优势对鼻内催产素输送的影响。我们发现,与安慰剂相比,鼻内催产素能显著减轻压力(p = 0.012,ηp = 0.145),并且当催产素输送到主导鼻孔而非非主导鼻孔时,压力减轻得更多(p = 0.034,ηp = 0.113)。我们推测,在抗焦虑的情况下,向主导鼻孔给药时,催产素可能会减轻压力且效果最佳。进一步研究其他鼻内精神药物是否具有鼻孔特异性作用可能会有益于临床实践。

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本文引用的文献

1
Sniffing oxytocin: Nose to brain or nose to blood?嗅催产素:是鼻腔到大脑还是鼻腔到血液?
Mol Psychiatry. 2023 Jul;28(7):3083-3091. doi: 10.1038/s41380-023-02075-2. Epub 2023 Apr 25.
2
Effects of exogenous oxytocin and estradiol on resting-state functional connectivity in women and men.外源性催产素和雌二醇对女性和男性静息态功能连接的影响。
Sci Rep. 2023 Feb 22;13(1):3113. doi: 10.1038/s41598-023-29754-y.
3
Author Correction: Effects of route of administration on oxytocin-induced changes in regional cerebral blood flow in humans.
作者更正:给药途径对人催产素诱导的局部脑血流变化的影响。
Nat Commun. 2022 Mar 31;13(1):1876. doi: 10.1038/s41467-022-29419-w.
4
Effects of Intranasal Administration of Oxytocin and Vasopressin on Social Cognition and Potential Routes and Mechanisms of Action.鼻内给予催产素和加压素对社会认知的影响及潜在作用途径和机制
Pharmaceutics. 2022 Jan 29;14(2):323. doi: 10.3390/pharmaceutics14020323.
5
Roles of Oxytocin in Stress Responses, Allostasis and Resilience.催产素在应激反应、适应和弹性中的作用。
Int J Mol Sci. 2021 Dec 23;23(1):150. doi: 10.3390/ijms23010150.
6
Intranasal Oxytocin in Children and Adolescents with Autism Spectrum Disorder.鼻腔内给予催产素治疗自闭症谱系障碍儿童和青少年。
N Engl J Med. 2021 Oct 14;385(16):1462-1473. doi: 10.1056/NEJMoa2103583.
7
Nasal oxytocin for the treatment of psychiatric disorders and pain: achieving meaningful brain concentrations.鼻腔给予催产素治疗精神障碍和疼痛:实现有意义的脑浓度。
Transl Psychiatry. 2021 Jul 10;11(1):388. doi: 10.1038/s41398-021-01511-7.
8
Intranasal Ketamine for Depression in Adults: A Systematic Review and Meta-Analysis of Randomized, Double-Blind, Placebo-Controlled Trials.成人抑郁症的鼻内氯胺酮治疗:随机双盲安慰剂对照试验的系统评价和荟萃分析
Front Psychol. 2021 Jun 1;12:648691. doi: 10.3389/fpsyg.2021.648691. eCollection 2021.
9
Oxytocin, Neural Plasticity, and Social Behavior.催产素、神经可塑性与社会行为。
Annu Rev Neurosci. 2021 Jul 8;44:359-381. doi: 10.1146/annurev-neuro-102320-102847. Epub 2021 Apr 6.
10
RAGE regulates oxytocin transport into the brain.RAGE 调节催产素向大脑内的转运。
Commun Biol. 2020 Feb 13;3(1):70. doi: 10.1038/s42003-020-0799-2.