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Same signals, different conductors: A gut–brain perspective on bone regulation—parallels and particularities 相同的信号,不同的导体:肠道-大脑对骨骼调节的看法——相似之处和特殊性
Pub Date : 2026-01-01 DOI: 10.1016/j.bbii.2026.100151
Lu Qiao , Wei-Ting Zeng , Yu-Xin Zhu , Man-Sau Wong , Hui-Hui Xiao
Osteoporosis, a systemic metabolic bone disorder characterized by reduced bone mineral density (BMD) and compromised bone microarchitecture, poses a significant public health challenge globally. Emerging evidence underscores the pivotal role of the gut-brain-bone axis in modulating skeletal homeostasis through a complex interplay of neurotransmitters, immune responses, and endocrine signals. This review elucidates the molecular mechanisms by which gut-derived and brain-derived signals converge, diverge, or synergize to regulate bone metabolism. We explore the contrasting effects of sympathetic and parasympathetic nervous systems on bone remodeling, highlighting the role of neurotransmitters such as serotonin, dopamine, and GABA. Furthermore, we discuss the contribution of gut microbiota to bone health via the synthesis of neurotransmitters and modulation of immune responses. The endocrine interactions between the brain and gut, involving hormones like cortisol, leptin, and GLP-1, are also examined. By identifying potential drug targets, this review aims to pave the way for novel, mechanism-based interventions for osteoporosis, emphasizing the importance of a holistic approach that integrates gut, brain, and bone health.
骨质疏松症是一种以骨密度降低和骨微结构受损为特征的全身性代谢性骨疾病,对全球公共卫生构成重大挑战。新出现的证据强调了肠-脑-骨轴通过神经递质、免疫反应和内分泌信号的复杂相互作用来调节骨骼稳态的关键作用。本文综述了肠源性和脑源性信号汇聚、分化或协同调节骨代谢的分子机制。我们探讨了交感神经系统和副交感神经系统在骨重塑中的对比作用,强调了神经递质如血清素、多巴胺和GABA的作用。此外,我们还讨论了肠道微生物群通过合成神经递质和调节免疫反应对骨骼健康的贡献。大脑和肠道之间的内分泌相互作用,包括皮质醇、瘦素和GLP-1等激素,也被检查。通过确定潜在的药物靶点,本综述旨在为骨质疏松症的新型、基于机制的干预铺平道路,强调整合肠道、大脑和骨骼健康的整体方法的重要性。
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引用次数: 0
Itrīfal Mulayyin, a promising drug to manage Shaqīqa Muzmin (chronic migraine): A comprehensive review 一种治疗慢性偏头痛(shaqqqa Muzmin)的有前景的药物itral Mulayyin:综合综述
Pub Date : 2026-01-01 DOI: 10.1016/j.bbii.2026.100150
Iram Jahan, Abdul Rafeh Wani, Mohd Asif Hussain Usmani, Usamah Ahmad

Background

Migraine is a highly disabling neurological disorder and the second leading cause of disability-adjusted life years (DALYs) among neurological conditions worldwide. Chronic migraine (Shaqīqa Muzmin) is associated with inadequate management of acute episodes, medication overuse, psychological stress, obesity, and systemic inflammation. Increasing evidence implicates the gut–brain axis—a bidirectional communication network involving neural, immune, and endocrine pathways—in migraine pathophysiology. Alterations in gut microbiota, pro-inflammatory cytokines, hypothalamic–pituitary–adrenal (HPA) axis dysregulation, and neurotransmitters such as serotonin, dopamine, and calcitonin gene-related peptide (CGRP) are considered central to this mechanism.

Objective

This review explores the therapeutic potential of Itrīfal Mulayyin, a classical Unani polyherbal formulation, in chronic migraine through its effects on the gut–brain axis, humoral balance, and neuroinflammatory pathways.

Methods

Data were synthesized from classical Unani texts, the Unani Formulary of India, and modern biomedical literature. Pharmacological activities of the formulation’s constituents were examined in relation to migraine and gut–brain regulation.

Results

Itrīfal Mulayyin is a semisolid formulation comprising Terminalia chebula, Terminalia bellirica, Phyllanthus emblica, Rheum emodi, Convolvulus scammonia, Operculina turpethum, Foeniculum vulgare, Lavandula stoechas, Pistacia lentiscus, and sugar base (Qiwām). Classical literature attributes to it three core actions: (i) Munaqqi Dimāgh (brain cleanser) – detoxifying humoral imbalance; (ii) Mulayyin-i-Am‘a (laxative) – enhancing gastrointestinal motility and waste elimination; and (iii) Musakkin-i-Alam (analgesic) – alleviating pain. Modern pharmacology supports these actions, demonstrating antioxidant, anti-inflammatory, neuroprotective, and gut-modulating properties of its ingredients. Together, these mechanisms suggest a regulatory role on the gut–brain axis and a potential in reducing migraine frequency and severity.

Conclusion

By bridging Unani theory and biomedical evidence, Itrīfal Mulayyin emerges as a promising complementary therapy for chronic migraine. Its multimodal actions warrant systematic pharmacological validation and clinical trials to establish its efficacy and safety in migraine management.
背景:偏头痛是一种高度致残的神经系统疾病,是全球范围内导致伤残调整生命年(DALYs)的第二大原因。慢性偏头痛与急性发作管理不当、药物过度使用、心理压力、肥胖和全身性炎症有关。越来越多的证据表明,肠-脑轴——一个涉及神经、免疫和内分泌途径的双向通信网络——在偏头痛病理生理中起作用。肠道菌群、促炎细胞因子、下丘脑-垂体-肾上腺轴(HPA)失调和神经递质(如血清素、多巴胺和降钙素基因相关肽(CGRP))的改变被认为是这一机制的核心。目的通过对肠-脑轴、体液平衡和神经炎症通路的影响,探讨乌纳尼经典多草药制剂伊特鲁法对慢性偏头痛的治疗潜力。方法从经典乌纳尼文献、印度乌纳尼方书和现代生物医学文献中综合资料。药理学活性的配方的成分检查有关偏头痛和肠脑调节。结果本品为半固体制剂,主要成分为车尾草、白莲草、余甘草、大黄、旋花、虎皮草、小叶草、薰衣草、黄连木和糖基(Qiwām)。经典文献认为它有三个核心作用:(i) Munaqqi Dimāgh(大脑清洁剂)-排毒体液失衡;Mulayyin-i-Am 'a(泻药)-增强胃肠运动和消除废物;(iii) Musakkin-i-Alam(镇痛药)-减轻疼痛。现代药理学支持这些作用,证明其成分具有抗氧化、抗炎、神经保护和调节肠道的特性。总之,这些机制表明在肠脑轴上有调节作用,并有可能降低偏头痛的频率和严重程度。结论通过将Unani理论与生物医学证据相结合,itral mulayin有望成为治疗慢性偏头痛的一种有前景的补充疗法。它的多模式作用需要系统的药理学验证和临床试验,以确定其在偏头痛治疗中的有效性和安全性。
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引用次数: 0
Dysbiosis and the modern lifestyle: Mechanisms, health impacts, and microbiome based interventions 生态失调和现代生活方式:机制、健康影响和基于微生物组的干预
Pub Date : 2025-12-11 DOI: 10.1016/j.bbii.2025.100146
Swapnanil Mahanta, Keya Nath, Kristipriya Boruah, Tapash Chakraborty
The human gut microbiota, comprising more than 100 trillion microorganisms, is at the heart of digestive, metabolic, immune, and neuroendocrine health. But with advancing lifestyle, factors such as diets rich in processed food, physical inactivity, chronic stress, circadian disturbance, overuse of medications, and exposure to environmental toxins are progressively linked to microbial dysbiosis, a perturbation that underlies a wide range of diseases. This review critically discusses the pathways by which novel exposures interfere with gut microbial balance, emphasizing roles of hormonal changes, deranged motility, nutrient malabsorption, and biofilm disruption. We discuss how dysbiosis induces gastrointestinal diseases like inflammatory bowel disease (IBD) and irritable bowel syndrome (IBS), metabolic and endocrine illness like obesity and polycystic ovary syndrome (PCOS), neuropsychiatric disorders, autoimmune disease, and even respiratory and skin disease through gut-organ axes. In addition, the review offers evidence-based approaches to restore microbial homeostasis through high-fiber and polyphenol-dense diets, physical activity, stress reduction, wise use of medications, and innovative microbiome-directed therapies such as probiotics, synbiotics, postbiotics, and fecal microbiota transplantation. Directions for the future including microbiome profiling, designer probiotics, and AI-directed personalized interventions are addressed. This review highlights the importance of bringing microbiota-focused strategies into public health policy and lifestyle medicine to reduce the global burden of disorders related to dysbiosis.
人体肠道微生物群由超过100万亿个微生物组成,是消化、代谢、免疫和神经内分泌健康的核心。但随着生活方式的进步,富含加工食品的饮食、缺乏身体活动、慢性压力、昼夜节律紊乱、过度使用药物和接触环境毒素等因素逐渐与微生物生态失调联系在一起,而微生物生态失调是多种疾病的基础。这篇综述批判性地讨论了新暴露干扰肠道微生物平衡的途径,强调激素变化、运动紊乱、营养吸收不良和生物膜破坏的作用。我们讨论了生态失调如何通过肠道器官轴诱发胃肠道疾病,如炎症性肠病(IBD)和肠易激综合征(IBS),代谢和内分泌疾病,如肥胖和多囊卵巢综合征(PCOS),神经精神疾病,自身免疫性疾病,甚至呼吸和皮肤疾病。此外,该综述还提供了基于证据的方法,通过高纤维和多酚密集饮食、体育活动、减轻压力、明智使用药物和创新的微生物组导向疗法(如益生菌、合成菌、后生物制剂和粪便微生物群移植)来恢复微生物稳态。未来的方向包括微生物组分析,设计益生菌和人工智能指导的个性化干预。这篇综述强调了将以微生物群为重点的战略纳入公共卫生政策和生活方式医学的重要性,以减轻与生态失调有关的疾病的全球负担。
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引用次数: 0
Reduced immune fitness is associated with poorer physical and mental health of Turkish community pharmacy visitors 免疫力下降与土耳其社区药房访客较差的身心健康有关
Pub Date : 2025-12-10 DOI: 10.1016/j.bbii.2025.100144
Lucia Mosquera Macia , Emina Išerić , Nurgül Nefçi , Gökçe Çölkesenoğlu , Serel Ulusoy , Nilay Aksoy , Joris C. Verster
Adequate immune fitness, i.e. the body’s capacity to respond to health challenges (such as infections) by activating an appropriate immune response is vital to maintain health and prevent or resolve disease. Aim of the current survey among n = 450 Turkish pharmacy visitors was to investigate the sociodemographic, health, and lifestyle factors that are related to experiencing reduced immune fitness. The analyses revealed that individuals with reduced immune fitness reported significantly poorer general health and immune fitness, significantly poorer sleep, and significantly poorer mood, and a significantly lower quality of life. The analyses revealed significantly poorer immune fitness among individuals with a chronic disease, and those with a lower education level. A regression analysis evaluated possible predictors of reduced immune fitness. The strongest predictor of reduced immune fitness was having a chronic disease. Other significant contributing factors were older age, lower BMI, poorer sleep quality, greater anxiety, greater fatigue, lower hostility, and attaining a less healthy daily diet. In conclusion, reduced immune fitness is associated with having chronic diseases, and poorer physical and mental health.
充分的免疫适应性,即机体通过激活适当的免疫反应来应对健康挑战(如感染)的能力,对于维持健康和预防或解决疾病至关重要。目前对n = 450名土耳其药房访客进行调查的目的是调查与经历免疫适应性降低相关的社会人口、健康和生活方式因素。分析显示,免疫适应性降低的个体报告的总体健康和免疫适应性明显较差,睡眠明显较差,情绪明显较差,生活质量明显较低。分析显示,慢性疾病患者和受教育程度较低的人的免疫适应性明显较差。一项回归分析评估了免疫适应性降低的可能预测因素。免疫适应性降低的最强预测因子是患有慢性疾病。其他重要的影响因素是年龄较大、身体质量指数较低、睡眠质量较差、焦虑程度较高、疲劳程度较高、敌意程度较低以及日常饮食不健康。总之,免疫力下降与慢性疾病和较差的身心健康有关。
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引用次数: 0
Therapeutic evaluation of herbal drug Paeonia officinalis in the management of generalized anxiety disorder – A single blind randomized placebo controlled trial 中药白芍治疗广泛性焦虑症的疗效评价-一项单盲随机安慰剂对照试验
Pub Date : 2025-12-09 DOI: 10.1016/j.bbii.2025.100145
Swaleha Akhtar , Tanzeel Ahmad , Jamal Azmat , S Javed Ali

Background

Generalized Anxiety Disorder (GAD) is a prevalent psychiatric condition characterized by persistent and excessive worry, often accompanied by physical symptoms such as restlessness, fatigue, and difficulty concentrating. Conventional treatments, including benzodiazepines and selective serotonin reuptake inhibitors (SSRIs), have limitations such as side effects and dependence potential. Unani medicine offers herbal alternatives with promising therapeutic potential. Ood saleeb (Paeonia officinalis) has been historically used for neurological and psychological disorders, but its efficacy in GAD remains underexplored.

Methods

A single blind randomized placebo-controlled trial was conducted involving participants diagnosed with GAD based on DSM-5 criteria. Patients were divided into two groups: one receiving Ood saleeb and the other receiving a placebo treatment. Grading of anxiety was done using the Hamilton Anxiety Rating Scale (HAM-A) at baseline, 15th, 30th,45th, and 60th day. Secondary outcomes included Restlessness, Insomnia, Palpitations, Fatigue and Irritability. Data were analyzed using appropriate statistical methods to determine efficacy.

Results

Ood saleeb significantly reduced HAM-A scores compared to placebo, demonstrating notable anxiolytic effects. Improvements in subjective parameters were observed in the treatment group. No severe adverse effects were reported, suggesting a good safety profile. The findings indicate that Ood saleeb may offer a natural alternative for managing GAD with minimal side effects.

Conclusion

Ood saleeb (Paeonia officinalis) exhibited significant anxiolytic properties in patients with GAD, supporting its potential as a complementary or alternative treatment in Unani medicine. Further large-scale studies are recommended to validate these findings.
背景广泛性焦虑障碍(GAD)是一种普遍的精神疾病,其特征是持续和过度的担忧,通常伴有不安、疲劳和难以集中注意力等身体症状。传统的治疗方法,包括苯二氮卓类药物和选择性血清素再摄取抑制剂(SSRIs),有副作用和依赖性等局限性。乌纳尼医学提供了具有治疗潜力的草药替代品。芍药历来用于神经和心理疾病,但其对广泛性焦虑症的疗效仍未得到充分研究。方法采用单盲随机安慰剂对照试验,纳入根据DSM-5诊断为广泛性焦虑症的患者。患者被分为两组:一组接受Ood saleeb治疗,另一组接受安慰剂治疗。在基线、第15天、第30天、第45天和第60天使用汉密尔顿焦虑评定量表(HAM-A)对焦虑进行评分。次要结局包括烦躁不安、失眠、心悸、疲劳和易怒。采用适当的统计方法对数据进行分析,以确定疗效。结果与安慰剂相比,良好的抗焦虑作用显著降低了HAM-A评分。观察到治疗组主观参数有所改善。没有严重的不良反应报告,提示良好的安全性。研究结果表明,Ood saleeb可能为治疗广泛性焦虑症提供一种副作用最小的天然替代品。结论丹参对广泛性焦虑症患者具有明显的抗焦虑作用,可作为广泛性焦虑症的补充或替代治疗药物。建议进一步进行大规模研究以验证这些发现。
{"title":"Therapeutic evaluation of herbal drug Paeonia officinalis in the management of generalized anxiety disorder – A single blind randomized placebo controlled trial","authors":"Swaleha Akhtar ,&nbsp;Tanzeel Ahmad ,&nbsp;Jamal Azmat ,&nbsp;S Javed Ali","doi":"10.1016/j.bbii.2025.100145","DOIUrl":"10.1016/j.bbii.2025.100145","url":null,"abstract":"<div><h3>Background</h3><div>Generalized Anxiety Disorder (GAD) is a prevalent psychiatric condition characterized by persistent and excessive worry, often accompanied by physical symptoms such as restlessness, fatigue, and difficulty concentrating. Conventional treatments, including benzodiazepines and selective serotonin reuptake inhibitors (SSRIs), have limitations such as side effects and dependence potential. Unani medicine offers herbal alternatives with promising therapeutic potential. <em>Ood saleeb (Paeonia officinalis)</em> has been historically used for neurological and psychological disorders, but its efficacy in GAD remains underexplored.</div></div><div><h3>Methods</h3><div>A single blind randomized placebo-controlled trial was conducted involving participants diagnosed with GAD based on DSM-5 criteria. Patients were divided into two groups: one receiving <em>Ood saleeb</em> and the other receiving a placebo treatment. Grading of anxiety was done using the Hamilton Anxiety Rating Scale (HAM-A) at baseline, 15th, 30th,45th, and 60th day. Secondary outcomes included Restlessness, Insomnia, Palpitations, Fatigue and Irritability. Data were analyzed using appropriate statistical methods to determine efficacy.</div></div><div><h3>Results</h3><div><em>Ood saleeb</em> significantly reduced HAM-A scores compared to placebo, demonstrating notable anxiolytic effects. Improvements in subjective parameters were observed in the treatment group. No severe adverse effects were reported, suggesting a good safety profile. The findings indicate that Ood saleeb may offer a natural alternative for managing GAD with minimal side effects.</div></div><div><h3>Conclusion</h3><div><em>Ood saleeb (Paeonia officinalis)</em> exhibited significant anxiolytic properties in patients with GAD, supporting its potential as a complementary or alternative treatment in Unani medicine. Further large-scale studies are recommended to validate these findings.</div></div>","PeriodicalId":100197,"journal":{"name":"Brain Behavior and Immunity Integrative","volume":"13 ","pages":"Article 100145"},"PeriodicalIF":0.0,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145712527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New mechanisms of aging: From vascular to neurological system 衰老的新机制:从血管到神经系统
Pub Date : 2025-12-01 DOI: 10.1016/j.bbii.2025.100143
Qingwen Hu , Fuyuan Zhang , Hanxuan Wang , Ruixiang Wang , Dan Zhang , Rong Fu , Menglin Zhu , Hao Zhang , Meng Gu , Chunhong Shao , Yi Zhun Zhu
Aging is marked by progressive physiological decline, with vascular aging emerging as a pivotal contributor to chronic diseases, including cardiovascular disorders and neurological disorders. As emphasized by Thomas Sydenham’s axiom, “a man is as old as his arteries,” age-dependent arterial remodeling—characterized by endothelial dysfunction, oxidative stress, and arterial stiffening—compromises cerebral perfusion and blood-brain barrier integrity. These vascular alterations disrupt cerebral homeostasis, fostering hypoperfusion, microvascular damage, and neurotoxic inflammation, which synergize with amyloid-β and tau pathologies to accelerate cognitive decline. Understanding the processes of arterial aging is crucial, as numerous age-related cardiovascular and cerebrovascular diseases stem from alterations in arterial function or are exacerbated by functional and phenotypic changes in the arteries. Prioritizing vascular health in aging populations may thus offer a dual benefit: delaying arterial aging and preserving cognitive function, addressing one of the most urgent public health challenges of the 21st century. This review highlights the critical role of vascular aging in the pathophysiology of neurological disorders and discusses emerging therapeutic targets for their alleviation.
随着血管老化成为慢性疾病(包括心血管疾病和神经疾病)的关键因素,衰老以进行性生理衰退为特征。正如托马斯·西德纳姆(Thomas Sydenham)的公理所强调的那样,“一个人的年龄和他的动脉一样大”,与年龄相关的动脉重塑——以内皮功能障碍、氧化应激和动脉硬化为特征——损害了脑灌注和血脑屏障的完整性。这些血管改变破坏大脑内稳态,促进灌注不足、微血管损伤和神经毒性炎症,这些与淀粉样蛋白-β和tau病理协同作用,加速认知能力下降。了解动脉老化的过程是至关重要的,因为许多与年龄相关的心脑血管疾病源于动脉功能的改变或因动脉功能和表型的改变而加剧。因此,在老年人群中优先考虑血管健康可能会带来双重好处:延缓动脉老化和保持认知功能,解决21世纪最紧迫的公共卫生挑战之一。这篇综述强调了血管老化在神经系统疾病病理生理中的关键作用,并讨论了缓解血管老化的新治疗靶点。
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引用次数: 0
Clinical and proteomic evidence supporting the significance of individualized homeopathic treatment in depression 临床和蛋白质组学证据支持个体化顺势疗法治疗抑郁症的重要性
Pub Date : 2025-11-20 DOI: 10.1016/j.bbii.2025.100141
Ubiratan Cardinalli Adler, Lia Lira Olivier Sanders
This Letter to the Editor addresses concerns raised about our recently published N-of-1 trial on an individualized integrative approach for major depressive disorder. N-of-1 designs inherently control for baseline variability, as each participant serves as their own control across randomized treatment periods. The psychiatric diagnosis was confirmed by experienced clinicians using DSM-5 criteria, consistent with pragmatic practice. Although the participant entered the double-blind phase in remission, within-subject analyses showed a clinically meaningful 78 % improvement on the Beck Depression Inventory-II with homeopathic Sulphur compared with placebo, corroborated by parallel SF-12 Mental Component findings. Proteomic analyses further revealed immune-inflammatory modulation, offering biological convergence. These clinical and molecular findings support the validity of this individualized integrative approach and call for replication in more N-of-1 trials.
这封致编辑的信表达了对我们最近发表的N-of-1试验的关注,该试验是针对重度抑郁症的个体化综合治疗方法。N-of-1设计固有地控制基线变异性,因为每个参与者在随机治疗期间作为自己的对照。精神病学诊断由经验丰富的临床医生使用DSM-5标准确认,与实际实践一致。虽然参与者进入双盲缓解期,但受试者内部分析显示,与安慰剂相比,顺势疗法硫治疗的贝克抑郁量表- ii改善了78 %,这一结果与SF-12心理成分的平行结果相证实。蛋白质组学分析进一步揭示了免疫炎症调节,提供了生物学趋同。这些临床和分子研究结果支持了这种个体化综合方法的有效性,并呼吁在更多的N-of-1试验中进行复制。
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引用次数: 0
Sn-2 palmitate attenuates neuroinflammation in aged mice via sex-specific modulation of the microbiota-gut-brain axis Sn-2棕榈酸酯通过对微生物-肠-脑轴的性别特异性调节减轻老年小鼠的神经炎症
Pub Date : 2025-09-12 DOI: 10.1016/j.bbii.2025.100140
Lin Zhu , En Thong Low , Hong Zhang , Zhenbo Xu , Peijin Tong , Jianchun Wan , Boyan Gao , Liangli (Lucy) Yu , Yaqiong Zhang
Previous studies have demonstrated that sn-2 palmitate promotes neurodevelopment in early-life hosts (e.g., infants and newly weaned mice). However, its neuroprotective effects in aged mice and the underlying mechanisms remain unclear. In this study, we employed 18-month-old C57BL/6 mice as an aging model. After six months of dietary supplementation with sn-2 palmitate at varying concentrations (47.62 %, 59.15 % or 75.79 %), both male and female aged mice exhibited attenuated neuroinflammation accompanied by the reduced expression of glial activation markers (IBA-1 and GFAP). Notably, this neuroprotective effect was mediated by regulating the microbiota-gut-brain axis in a sex-dependent manner and was most pronounced in aged mice supplemented with 75.79 % sn-2 palmitate. In females, it enriched gut microbiota belonging to the genera Lachnoclostridium, Dubosiella, and Muribaculum, up-regulated phenylalanine, tyrosine and tryptophan biosynthesis, and phenylalanine metabolism pathways in serum and enhanced fecal sphingolipid excretion, collectively reducing systemic inflammation. Meanwhile, the up-regulation of arginine and proline metabolism in the hippocampus enhanced its energy buffering capacity and stress resilience. In males, sn-2 palmitate increased the abundances of Akkermansia, Parabacteroides, and Blautia genera, which enhanced tryptophan metabolism and elevated its serum derivatives, while reducing circulating glycerolipid levels and promoting their fecal excretion. The tryptophan-glycerolipid metabolic regulation exerted a dual anti-inflammatory effect, suppressing systemic inflammation and directly attenuating neuroinflammation. Together, our findings provide novel insights into the neuroprotective potential of dietary sn-2 palmitate in aged models and establish a foundation for developing precision dietary interventions tailored to sex differences, with potential implications for improving brain health in aging populations.
先前的研究表明,sn-2棕榈酸酯促进早期宿主(如婴儿和刚断奶的小鼠)的神经发育。然而,其对老年小鼠的神经保护作用及其机制尚不清楚。本研究采用18月龄C57BL/6小鼠作为衰老模型。在饮食中添加不同浓度(47.62 %,59.15 %或75.79 %)的n-2棕榈酸酯6个月后,雄性和雌性老年小鼠均表现出神经炎症减轻,同时神经胶质激活标志物(IBA-1和GFAP)的表达减少。值得注意的是,这种神经保护作用是通过以性别依赖的方式调节微生物-肠-脑轴介导的,在添加75.79 % sn-2棕榈酸酯的老年小鼠中最为明显。在雌性中,它丰富了Lachnoclostridium、Dubosiella和Muribaculum属的肠道微生物群,上调了苯丙氨酸、酪氨酸和色氨酸的生物合成以及血清中苯丙氨酸的代谢途径,增强了粪便鞘脂的排泄,共同减少了全身性炎症。同时,海马体内精氨酸和脯氨酸代谢上调,增强了其能量缓冲能力和应激恢复能力。在雄性中,n-2棕榈酸酯增加了Akkermansia、parabobacteroides和Blautia属的丰度,从而增强了色氨酸代谢并提高了其血清衍生物,同时降低了循环甘油脂水平并促进了它们的粪便排泄。色氨酸-甘油脂代谢调节具有抑制全身炎症和直接减轻神经炎症的双重抗炎作用。总之,我们的研究结果为老年模型中sn-2棕榈酸盐饮食的神经保护潜力提供了新的见解,并为开发针对性别差异的精确饮食干预奠定了基础,对改善老年人的大脑健康具有潜在的意义。
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引用次数: 0
A systemic and dialectical paradigm for Psychoneuroendocrineimmunology and integrated care science 精神神经内分泌免疫学与综合护理科学的系统辩证范式
Pub Date : 2025-08-30 DOI: 10.1016/j.bbii.2025.100138
Francesco Bottaccioli , Anna Giulia Bottaccioli
The integrated care needs of a philosophical paradigm. Psychoneuroendocrineimmunology can be it, provided that a consensus is created on its profound meaning. What is Psychoneuroendocrineimmunology (PNEI)? It is not Neuroendocrinoimmunology. PNEI (also called PNI, Psychoneuroimmunology) describes the relationships of mutual influence between the psyche and biological systems and between the whole organism and the physical and social environment, showing the scientific inconsistency of the reductionist dogma that makes the psyche a mere epiphenomenon of brain activity. We are in a phase of research that allows the definitive overcoming of the dualistic conception of the human being without falling into the trap of the mind-brain identity, in the reduction of the psychic dimension to the biological one, from which it undoubtedly originates but on which it influences. To this end, it is essential to critique the philosophical foundations of contemporary reductionism, while, at the same time, highlighting the theoretical-conceptual paradigm that underlies PNEI research and the practice of treatments that integrate medicine and psychology, which descend from this paradigm.
综合护理需要哲学范式。精神神经内分泌免疫学可以是它,前提是对它的深刻含义达成共识。什么是精神神经内分泌免疫学?它不是神经内分泌免疫学。PNEI(也称为PNI,心理神经免疫学)描述了心理与生物系统之间以及整个生物体与物理和社会环境之间相互影响的关系,显示了将心理仅仅视为大脑活动附带现象的还原论教条的科学不一致性。我们正处于这样一个研究阶段,它使我们能够彻底克服人的二元论概念,而不会落入心脑同一性的陷阱,使我们能够将心理维度缩减为生物维度,心理维度无疑是从生物维度产生的,但它对生物维度产生影响。为此,有必要对当代还原论的哲学基础进行批判,同时强调构成PNEI研究基础的理论-概念范式,以及从这一范式派生出来的整合医学和心理学的治疗实践。
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引用次数: 0
Extra virgin olive oil supplementation attenuates hippocampal inflammation in high-fat diet-induced obesity animals with a depressive phenotype 特级初榨橄榄油的补充可减轻高脂肪饮食诱导的抑郁表型肥胖动物的海马炎症
Pub Date : 2025-08-29 DOI: 10.1016/j.bbii.2025.100137
Ariadni Mesquita Peres , Ricardo Maia Dantas , Aline Candida Ferreira , Ana Caroline Silva Silveira , Letícia Cunha Pereira de Souza , Giovana Barbosa Raphaelli , Diorlon Nunes Machado , Lucas dos Santos da Silva , Jéssica Hauschild Taday , Danusa Mar Arcego , João Paulo Maires Hoppe , Randriely Merscher Sobreira de Lima , Patricia P. Silveira , Carlos Alexandre Netto , José Cláudio Fonseca Moreira , Marina Concli Leite , Daniel Pens Gelain , Carla Dalmaz , Rachel Krolow S.S. Bast
Obesity and depression are major public health concerns that often co-occur. High-fat diets (HFD) in rodents are commonly used to model both conditions, triggering hippocampal inflammation. In this context, extra virgin olive oil (EVOO) supplementation, with its anti-obesogenic, anti-inflammatory, antioxidant and neuroprotective properties, shows potential as a therapeutic intervention. This study investigates the effects of EVOO supplementation in adult male and female rats receiving HFD. Depressive-like behavior was assessed through the Porsolt forced swim and splash tests, while neuroinflammation, activation of glial cells, and neuroplasticity-related proteins, were evaluated in the hippocampus. Our results showed that HFD induced depressive-like-behavior, which EVOO supplementation significantly alleviated by reducing immobility time and anhedonia. EVOO supplementation also reduced IL-1β, IL-6 and TNF-α levels and increased the immunocontent of neuroplasticity-related proteins in the hippocampus of female rats. In males with obesity, EVOO supplementation decreased glial fibrillary acidic protein (GFAP) and IL-6 levels in the hippocampus. Additionally, EVOO decreased the immunoreactivity of Toll-like receptor-4 (TLR-4) and ionized calcium-binding adaptor molecule-1 (IBA-1) in the hippocampus of both sexes. The clustering analysis made using the behavioral and neurochemical parameters measured in these animals further highlight the effectiveness of EVOO in attenuating HFD effects on these markers, with females displaying greater heterogeneity forming four distinct clusters and males exhibiting a clearer separation between groups. These findings suggest EVOO supplementation as a promising non-pharmacological strategy to counteract factors associated with obesity and depression, particularly by modulation of hippocampal neuroinflammation, astrocytic reactivity, and neuroplasticity.
肥胖和抑郁是经常同时发生的主要公共卫生问题。啮齿类动物的高脂肪饮食(HFD)通常被用来模拟这两种情况,引发海马炎症。在这种情况下,特级初榨橄榄油(EVOO)补充剂具有抗肥胖、抗炎、抗氧化和神经保护特性,显示出作为治疗干预的潜力。本研究探讨了在接受HFD的成年雄性和雌性大鼠中补充EVOO的效果。通过Porsolt强迫游泳和飞溅试验评估抑郁样行为,同时评估海马体中的神经炎症、神经胶质细胞激活和神经可塑性相关蛋白。我们的研究结果表明,高热量食物会引起抑郁样行为,而补充EVOO可以通过减少静止时间和快感缺乏症来显著缓解这种行为。雌性大鼠海马组织中IL-1β、IL-6和TNF-α水平降低,神经可塑性相关蛋白免疫含量增加。在肥胖男性中,补充EVOO可降低海马中的胶质纤维酸性蛋白(GFAP)和IL-6水平。此外,EVOO降低了两性海马中toll样受体-4 (TLR-4)和离子钙结合适配器分子-1 (IBA-1)的免疫反应性。利用在这些动物中测量的行为和神经化学参数进行的聚类分析进一步强调了EVOO在减弱HFD对这些标记的影响方面的有效性,雌性表现出更大的异质性,形成四个不同的簇,雄性表现出更清晰的组间分离。这些发现表明,补充EVOO是一种很有前途的非药物策略,可以抵消与肥胖和抑郁相关的因素,特别是通过调节海马神经炎症、星形胶质细胞反应性和神经可塑性。
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Brain Behavior and Immunity Integrative
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