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Advance in the mechanisms underlying prenatal stress-induced depressive-like behavior in offspring 产前应激诱导的后代抑郁样行为机制研究进展
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100108
Kaixuan Xu , Dongli Song , Hui Li , Yushan Lu , Zhongliang Zhu
Prenatal stress (PS) represents a critical environmental factor that causes developmental disruptions in offspring, characterized by multisystemic vulnerabilities across neuropsychiatric, cardiovascular, metabolic, and immunological domains. Through intricate embryonic reprogramming mechanisms, PS alters brain developmental trajectories and physiological regulatory networks, resulting in increased long-term risks for neurodevelopmental disorders, particularly depressive-like behavior. PS causes dysregulation in multiple physiological processes, including hypothalamic-pituitary-adrenal (HPA) axis activation, epigenetic modifications, neurotransmitter systems, brain-derived neurotrophic factor (BDNF), gut microbiota, and neuroimmune responses. Additionally, genetic factors, sex specificity, and critical developmental windows further complicate the PS-mediated onset of depressive-like behavior. Here, we review clinical and animal studies and analyze how the multiple mechanisms form complex regulatory networks during intrauterine development, leading to long-lasting psychopathological effects in offspring.
产前应激(PS)是导致后代发育中断的关键环境因素,其特征是神经精神、心血管、代谢和免疫领域的多系统脆弱性。通过复杂的胚胎重编程机制,PS改变了大脑发育轨迹和生理调节网络,导致神经发育障碍,特别是抑郁样行为的长期风险增加。PS导致多种生理过程失调,包括下丘脑-垂体-肾上腺(HPA)轴激活、表观遗传修饰、神经递质系统、脑源性神经营养因子(BDNF)、肠道微生物群和神经免疫反应。此外,遗传因素、性别特异性和关键发育窗口进一步使ps介导的抑郁样行为发病复杂化。在此,我们回顾了临床和动物研究,并分析了多种机制如何在宫内发育过程中形成复杂的调节网络,从而对后代产生长期的精神病理影响。
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引用次数: 0
An insightful comparison of the current neuroimmune mechanism(s) with the thoughts of differential syndromes from traditional Chinese medicine for the treatment of MDD 当前神经免疫机制与中医辨证论治重度抑郁症思想的深刻比较
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100100
Jiyi Xu , Yi Zhang , Lei Li , Xiaodong Zhao , Feilong Huang , Jing Du
Major depressive disorder (MDD) is a common disease affecting 300 million people worldwide. Current drugs are ineffective for at least 30 % of the patients. Novel and personalized medication is needed urgently. Cumulative studies suggest that the neuroinflammation of the glial cells, particularly NOD-like receptor thermal protein domain associated protein 3 (NLRP3) inflammasome activation and subsequent regulation of synaptic functions may be the key for the pathophysiology and treatment of MDD. In this review, we delve to compare the modern mechanism of MDD treatment with the theories of differential symptoms for personalized treatment of the ancient decoctions from traditional Chinese Medicine (TCM). Interestingly, the mechanisms of MDD treatment from Western and TCM theories overlap to a nexus on regulating neuro-immune signaling pathways, including NLRP 3 inflammasome, cytokine expressions and synaptic functions. In this review, we have summarized 8 differential syndromes and 10 decoctions for the TCM treatment of MDD in modulation of immune system and synaptic functions. The neuroimmune modulation of the 10 decoctions for the treatment MDD from TCM are amazingly similar towards the anti-inflammatory effects and enhancing synaptic functions. The comparison of theories and therapies from Western medicine and TCM may contribute to the development of more effective and safer medication for MDD.
重度抑郁症(MDD)是一种常见病,影响着全世界3亿人。目前的药物对至少30% %的患者无效。迫切需要新的和个性化的药物。累积研究表明,神经胶质细胞的神经炎症,特别是nod样受体热蛋白域相关蛋白3 (NLRP3)炎性体的激活及其对突触功能的调控可能是MDD病理生理和治疗的关键。在本文中,我们将探讨MDD的现代治疗机制与中医古煎剂的辨证论治进行比较。有趣的是,西医和中医理论的MDD治疗机制与调节神经免疫信号通路(包括NLRP - 3炎性体、细胞因子表达和突触功能)的关系重叠。本文综述了中医治疗MDD的8种辨证及10种煎剂对免疫系统和突触功能的调节作用。中药治疗MDD的10种煎剂在抗炎和增强突触功能方面的神经免疫调节作用惊人地相似。中西医理论和治疗方法的比较有助于开发更有效、更安全的MDD药物。
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引用次数: 0
School-based yoga intervention for internet resilience and holistic well-being of adolescents 基于学校的瑜伽干预青少年的网络弹性和整体福祉
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100102
Reshu , Surendra Kumar , Ashutosh Rathi

Background

In today’s educational milieu, rising mental and physical health issues among adolescents pose an imperative concern for schools. While yoga has shown growing therapeutic benefits, research addressing emerging concerns—such as internet addiction, and associated cognitive and sleep disorders—remains underexplored, especially in the post-COVID-19 era and within school curricula.

Objective

This pilot, randomized-controlled trial with high school students aimed to validate a concise, 25-minute yogic intervention tailored for adolescent well-being in academic settings.

Measures

Quantitative assessment tools included the Academic Anxiety Scale for Children, Concentration Questionnaire, Internet Addiction Test, Insomnia Severity Index, and General Health Questionnaire.

Results

Over a three-month period, students who practiced yoga reported marked improvements in internet resilience, academic anxiety, concentration, and insomnia symptoms (all p < 0.0001). Additionally, they showed significant reductions in general health complaints (e.g., headaches, stomach aches), with p-values ranging from p < 0.05 to p < 0.001. Conversely, the control group showed no significant changes, except for a worsening of internet addiction.

Conclusion

These findings suggest that even brief, consistent yoga practice can yield substantial benefits, advocating for its integration into school curricula to promote a healthier, more resilient generation of learners.
在当今的教育环境中,青少年日益严重的身心健康问题是学校必须关注的问题。虽然瑜伽显示出越来越多的治疗效果,但针对新出现的问题(如网络成瘾以及相关的认知和睡眠障碍)的研究仍未得到充分探索,尤其是在后covid -19时代和学校课程中。目的:本试验为高中生进行随机对照试验,旨在验证一种针对学术环境中青少年健康量身定制的简明25分钟瑜伽干预。定量评估工具包括儿童学业焦虑量表、注意力集中问卷、网络成瘾测试、失眠严重程度指数和一般健康问卷。结果:在三个月的时间里,练习瑜伽的学生报告说,他们在网络适应能力、学业焦虑、注意力集中和失眠症状方面有了显著改善(所有p <;0.0001)。此外,他们还显示出一般健康问题(如头痛、胃痛)的显著减少,p值从p <;0.05至p <;0.001. 相反,除了网瘾恶化外,对照组没有明显变化。这些发现表明,即使是短暂的、持续的瑜伽练习也能产生实质性的好处,提倡将其纳入学校课程,以促进更健康、更有弹性的新一代学习者。
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引用次数: 0
Fu-Fang-Li-Shao Pill alleviates neuroinflammation through blocking TLR4/MyD88/MAPKs pathway in chronic migraine rats 扶方利少丸通过阻断慢性偏头痛大鼠TLR4/MyD88/MAPKs通路减轻神经炎症
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100105
Jianmei Yang , Yining Gu , Guang Yang , Waimao Gao , Lei Chen , Yiyun Bao , Kai Meng , Lingyan Zhu , Tengteng Zhou , Xingyu Wang , Ying Xu
Neuroinflammation is supposed to be a crucial factor in the pathophysiology of migraine, which is caused by intracranial vasodilation and the release of vasoactive peptides. Fu-Fang-Li-Shao Pill (FFLSP), a prescription composed of Tribulus terrestris, Radix Paeoniae Alba, Radix Puerariae, Radix Salviae Miltiorrhizae, White Chrysanthemum, Uncariae Ramulus Cum Uncis, Concha Margaritifera, Fructus Viticis, Angelica Dahurica and Mentha Haplocalyx Briq, is an effective proved recipe for migraine patients which is developed by Shanghai Xuhui District Central Hospital. However, the pharmacological mechanisms of FFLSP in relieving migraine are not well understood. This study aims to assess the therapeutic effect of FFLSP on chronic migraine and to elucidate the underlying mechanisms. In our study, through the repeated subcutaneous injection of nitroglycerin (NTG), an animal model of chronic migraine was established which showed migraine-like symptoms such as head pain, ear redness and irritability. Here, NTG-induced chronic migraine rats were used to evaluate the inhibitory effect of FFLSP on neuroinflammation by conducting behavioral tests and molecular biology analyses. We observed that FFLSP possesses an excellent ability to relieve chronic migraine. FFLSP treatment was able to inhibit vasodilation by decreasing c-Fos and CGRP expressions in dura mater and trigeminal ganglion. Moreover, headache alleviation of NTG-induced migraine rats was decided by the inhibition of neuroinflammatory responses through FFLSP’s interruptive effect on the TLR4/MyD88/MAPKs pathway. FFLSP should be attentively considered as a potential therapeutic agent for chronic migraine by blocking inflammatory signal pathway in dura mater and trigeminal ganglion.
偏头痛是由颅内血管扩张和血管活性肽的释放引起的,神经炎症被认为是偏头痛病理生理中的一个重要因素。妇方利少丸是由刺蒺藜、白芍、葛根、丹参、白菊花、刺藤、龙牙、葡萄、白芷、薄荷组成的处方,是由上海市徐汇区中心医院研制的治疗偏头痛的有效方剂。然而,FFLSP缓解偏头痛的药理机制尚不清楚。本研究旨在评估FFLSP对慢性偏头痛的治疗效果,并探讨其作用机制。本研究通过反复皮下注射硝酸甘油(NTG),建立慢性偏头痛动物模型,出现头痛、耳红、烦躁等偏头痛样症状。本实验以ntg诱导的慢性偏头痛大鼠为研究对象,通过行为学实验和分子生物学分析来评价FFLSP对神经炎症的抑制作用。我们观察到,FFLSP具有极好的缓解慢性偏头痛的能力。FFLSP可以通过降低硬脑膜和三叉神经节c-Fos和CGRP的表达来抑制血管舒张。此外,ntg诱导的偏头痛大鼠头痛缓解是由FFLSP通过中断TLR4/MyD88/MAPKs通路抑制神经炎症反应决定的。FFLSP通过阻断硬脑膜和三叉神经节炎症信号通路,成为治疗慢性偏头痛的潜在药物。
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引用次数: 0
Impact of a residential yoga and naturopathy intervention on blood glucose and diabetes related risk factors in patients with type 2 diabetes mellitus: A retrospective study 瑜伽和自然疗法对2型糖尿病患者血糖和糖尿病相关危险因素的影响:一项回顾性研究
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100101
A. Mooventhan , L. Nivethitha , K. Kahlil Subramanian , A. Vijay , N. Manavalan

Background

Diabetes mellitus is a group of metabolic illnesses characterised by elevated blood sugar levels brought on by abnormalities in insulin action, production, or both. Previous studies indicate that integrated yoga and naturopathy (IYN) intervention may be useful in the prevention of type-2 diabetes mellitus (T2DM). But there is no known retrospective study with a larger sample size has examined the impact of IYN on blood glucose in T2DM. Thus, the aim of this study was to find the impact of a residential IYN on blood glucose level and other diabetes-related risk factors in patients with T2DM.

Materials and methods

A retrospective study design was adopted in which data between August 2019 and October 2022 were screened from hospital inpatient record. A total of 407 eligible patients’ data were included. Subject received IYN. Their baseline and post assessment parameter were extracted from medical record and data were analyzed using SPSS, Version-16.

Results

There was a significant reduction in fasting blood glucose, post-prandial blood glucose, weight, body mass index, hip circumference, waist circumference, waist-hip ratio, mid-arm circumference, mid-thigh circumference, perceived stress scale score, blood pressure, pulse rate, mean arterial pressure, rate pressure product and double pressure product in the post-test compared to its’ respective pre-test assessments following yoga and naturopathy intervention.

Conclusion

Residential yoga and naturopathy intervention have potential therapeutic impact in reducing blood glucose and its diabetes related risk factors in patients with T2DM. However, prospective randomized controlled trials are recommended to warrant the results of the study.
背景:糖尿病是一组代谢疾病,其特征是由胰岛素作用、分泌或两者同时异常引起的血糖水平升高。先前的研究表明,综合瑜伽和自然疗法(IYN)干预可能有助于预防2型糖尿病(T2DM)。但目前还没有更大样本量的回顾性研究考察了IYN对T2DM患者血糖的影响。因此,本研究的目的是发现居住IYN对2型糖尿病患者血糖水平和其他糖尿病相关危险因素的影响。材料与方法采用回顾性研究设计,从2019年8月至2022年10月的医院住院记录中筛选数据。共纳入407例符合条件的患者数据。受试者收到IYN。从病历中提取基线和后评估参数,并使用SPSS Version-16对数据进行分析。结果与瑜伽和自然疗法干预前后的空腹血糖、餐后血糖、体重、体重指数、臀围、腰围、腰臀比、臂中围、大腿中围、感知压力量表评分、血压、脉搏率、平均动脉压、率压积和双压积相比,测试后均有显著降低。结论住宅瑜伽和自然疗法干预对降低2型糖尿病患者血糖及糖尿病相关危险因素具有潜在的治疗作用。然而,推荐前瞻性随机对照试验来保证研究结果。
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引用次数: 0
Does lateral habenula mediate effects of gestational stress on rat maternal behavior? 外侧缰核介导妊娠应激对大鼠母性行为的影响吗?
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2024.100098
Bo Wang , Ming Li
This exploratory study investigated the neural substrate underlying the effect of gestational stress on rat maternal behavior. We tested the hypothesis that the lateral habenula (LHb)-centered neural circuitry (e.g., raphe, ventral tegmental area, nucleus accumbens, etc.) mediates the maternal disruptive effect of gestational stress. Pregnant Sprague-Dawley rats were subjected to daily 30-min restraining stress from approximately gestation day (GD) 5 to 21, white noise from GD 5 to 12 and mild foot shock from GD 13 to 21. Maternal behavior in the home cage and pup retrieval on an elevated plus maze (EPM) were observed during the first postpartum week. The gestational stress reduced body weight gain of stressed females, and reduced time that they spent outside of the nest, a sign of increased maternal anxiety and hypervigilant parenting style. On the open arms of EPM, the stressed dams showed higher frequently sniffing pups than non-stressed ones. Testing with pups (pup exposure) on the EPM decreased c-Fos expression in the LHb in the non-stressed control dams, but it increased c-Fos expression in the dorsal and medial raphe regions of the control dams. Gestational stress reduced this pup effect in all three regions, implying that gestational stress attenuated the ability of pup exposure to activate the maternally relevant brain regions. Our findings indicate that gestational stress may act upon the LHb (as a putative center that mediates negative emotion) and its downstream projection sites (i.e., dorsal and median raphe) to compromise the quality of maternal care.
本研究旨在探讨妊娠应激对母性行为影响的神经机制。我们验证了以外侧链(LHb)为中心的神经回路(如中缝、腹侧被盖区、伏隔核等)介导妊娠应激对母体的破坏性影响的假设。妊娠大鼠从妊娠第5 ~ 21天开始,每天施加30 min的抑制应激,在妊娠第5 ~ 12天施加白噪声,在妊娠第13 ~ 21天施加轻度足部电击。在产后第一周,观察母鼠在家中笼中的行为和幼犬在高架迷宫(EPM)上的恢复。孕期压力降低了压力大的雌鸟的体重增加,减少了它们在巢外的时间,这是母性焦虑增加和过度警惕的育儿方式的一个迹象。在张开的EPM臂上,有压力的水坝比没有压力的水坝更频繁地嗅探幼崽。实验结果表明,EPM降低了非应激对照坝LHb中c-Fos的表达,但增加了对照坝中缝背区和中缝区c-Fos的表达。妊娠应激降低了这三个区域对幼犬的影响,这意味着妊娠应激减弱了幼犬暴露激活与母体相关的大脑区域的能力。我们的研究结果表明,妊娠应激可能作用于下丘脑(作为一个假定的负性情绪中介中心)及其下游投射部位(即中缝背侧和中缝中侧),从而影响产妇护理的质量。
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引用次数: 0
Editorial summary: Perinatal stress, inflammation, and maternal-child mental health 编辑摘要:围产期压力、炎症和母婴心理健康
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100106
Ming Li, Xingshun Xu, Zhongliang Zhu, Weiwen Wang
This edition focuses on the intricate relationship between stress and inflammation during the perinatal period and their impact on the mental health of mothers and children. The scientific contributions of seven research papers and reviews are collated in this special issue, offering valuable insights into how perinatal stress impacts maternal and child mental health via various mechanisms, with a special focus on the inflammatory signal pathways. It also highlights the importance of early intervention strategies and novel therapeutic approaches to mitigate the adverse consequences of perinatal stress.
本版着重于围产期压力和炎症之间的复杂关系及其对母亲和儿童心理健康的影响。本特刊整理了七篇研究论文和综述的科学贡献,为围产期压力如何通过各种机制影响孕产妇和儿童的心理健康提供了宝贵的见解,特别关注炎症信号通路。它还强调了早期干预策略和新的治疗方法的重要性,以减轻围产期压力的不良后果。
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引用次数: 0
Maternal social isolation during pre-conception and pregnancy programs inflammatory markers and biobehavioural aging trajectories in distant F4 offspring 母体在孕前和妊娠期的社会隔离,远缘F4后代的炎症标志物和生物行为老化轨迹
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100104
Mirela Ambeskovic , Sorina Truica , J. Keiko McCreary , Jamshid Faraji , Xin Fang , David M. Olson , Gerlinde A.S. Metz
Social isolation and loneliness during pre-conception and pregnancy can negatively impact maternal and offspring health. Here we report that maternal social isolation prior to and during pregnancy generates a distinct physiological and behavioural phenotype in 4th generation great-great-grandoffspring. Male and female F4 offspring born to lineages of transgenerational prenatal stress (TPS, where the F0 mother was socially isolated before and during pregnancy), multigenerational prenatal stress (MPS, where gestational isolation occurred in four consecutive generations), and group-housed controls were tested at 6, 12 and 18 months of age. Assessments included endocrine (corticosterone) and immune markers (IL-18, MCP-1 and M-CSF), motor and cognitive function, and brain morphology via in vivo magnetic resonance imaging (MRI) across the lifespan. Ancestral social isolation in F4 generation rats exacerbated aging-associated stress responses and elevated the production of proinflammatory cytokines and chemokines across all groups. Exploratory behaviours, skilled reaching, skilled walking, spatial learning and memory revealed a stress-sensitive phenotype in TPS males and females along with greater hippocampal and prefrontal cortex atrophy. Thus, maternal social isolation mainly represents a stressful challenge with lifelong consequences for future generations. By contrast, MPS females revealed superior reaching skills that indicate behavioural flexibility with adaptive benefits. The MPS model therefore allows interpretations about the origins of resilience in the face of ongoing stress. Both TPS and MPS shifted cognitive strategies indicative of accelerated aging. Thus, social isolation potentially has adverse long-term consequences for future generations. These findings provide a conceptual framework for better risk prediction and prevention of developmental disabilities and aging-related disorders.
孕前和怀孕期间的社会孤立和孤独会对孕产妇和后代的健康产生负面影响。在这里,我们报告了母亲在怀孕前和怀孕期间的社会隔离在第四代高曾孙中产生了独特的生理和行为表型。在6个月、12个月和18个月大的时候,对来自跨代产前压力谱系(TPS, F0母亲在怀孕前和怀孕期间被社会隔离)、多代产前压力谱系(MPS,连续四代发生妊娠隔离)和群体饲养对照组的雄性和雌性F4后代进行了测试。评估包括内分泌(皮质酮)和免疫标志物(IL-18, MCP-1和M-CSF),运动和认知功能,以及通过体内磁共振成像(MRI)在整个生命周期内的脑形态。F4代大鼠的祖先社会隔离加剧了衰老相关的应激反应,并增加了所有组中促炎细胞因子和趋化因子的产生。探索性行为、熟练的伸手、熟练的行走、空间学习和记忆显示,TPS男性和女性的压力敏感表型以及更大的海马和前额叶皮层萎缩。因此,母亲的社会孤立主要是对后代产生终生影响的压力挑战。相比之下,MPS女性表现出优越的接触技能,表明行为灵活性和适应性利益。因此,MPS模型可以解释面对持续压力时恢复力的起源。TPS和MPS都改变了认知策略,表明衰老加速。因此,社会孤立可能对子孙后代产生不利的长期后果。这些发现为更好地预测和预防发育障碍和衰老相关疾病提供了一个概念框架。
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引用次数: 0
Prevention and early intervention strategies for perinatal mental health disorders mediated by neuroimmune modulation and anti-inflammatory mechanisms through non-invasive transcranial magnetic stimulation: A narrative review 无创经颅磁刺激介导的神经免疫调节和抗炎机制对围产期心理健康障碍的预防和早期干预策略:综述
Pub Date : 2025-01-01 DOI: 10.1016/j.bbii.2025.100103
Yoshihiro Noda , Shinichiro Nakajima
Perinatal mental health disorders, including postpartum depression (PPD), affect approximately 20 % of females during pregnancy and the postpartum period; however, are often undiagnosed and untreated. Traditional treatments, such as antidepressants, have limitations, particularly in terms of safety and efficacy during pregnancy. Recent advancements in brain stimulation therapies, such as repetitive transcranial magnetic stimulation (rTMS), offer promising non-invasive alternatives that may be safer and more effective in treating PPD. rTMS therapy uses magnetic pulses to stimulate the brain areas associated with psychiatric disorders without systemic side effects or the need for anesthesia, making it safe for pregnant patients. This review aims to provide a narrative overview of the potential of rTMS neuromodulation from a neuroimmune–neuroendocrine–neuroinflammatory perspective with a focus on perinatal depression. rTMS exerts its antidepressant effects by indirectly modulating neuroimmune and anti-inflammatory processes, with few maternal side effects and no fetal risks, as is common with pharmacotherapy. Perinatal mental health disorders may arise from abnormalities in the inflammatory and immune system homeostasis, which are influenced by hormonal changes during the perinatal period. Neuroinflammation, driven by cytokines and immune cells crossing the blood–brain barrier, plays a significant role. The interaction between the central and peripheral nervous systems is crucial for neuroinflammation and immune responses. The neurotransmitters produced by neurons and immune cells regulate the immune responses and inflammation, emphasizing the importance of neuroendocrine–immune system interactions. Immune-mediated inflammatory diseases cause chronic inflammation due to the dysregulation of the immune response, affecting the central nervous system in conditions such as perinatal depression or long COVID (post-COVID-19 syndrome). rTMS therapy can potentially reduce or ameliorate the pathophysiology of neurological and neuropsychiatric disorders by modulating the neuroimmune interactions, reducing inflammation, and promoting neuronal protection and repair, thereby highlighting its potential for managing neuroinflammation and related symptoms.
围产期精神健康障碍,包括产后抑郁症(PPD),影响到怀孕和产后期间约20% %的女性;然而,这些疾病往往没有得到诊断和治疗。传统的治疗方法,如抗抑郁药,有局限性,特别是在怀孕期间的安全性和有效性方面。脑刺激疗法的最新进展,如重复经颅磁刺激(rTMS),为治疗PPD提供了有希望的非侵入性替代方法,可能更安全、更有效。rTMS疗法使用磁脉冲刺激与精神疾病相关的大脑区域,没有全身副作用,也不需要麻醉,对孕妇来说是安全的。这篇综述旨在从神经免疫-神经内分泌-神经炎症的角度对rTMS神经调节的潜力进行概述,重点是围产期抑郁症。rTMS通过间接调节神经免疫和抗炎过程发挥其抗抑郁作用,与药物治疗一样,对母体几乎没有副作用,也没有胎儿风险。围产期心理健康障碍可能是由围产期激素变化影响的炎症和免疫系统稳态异常引起的。由细胞因子和免疫细胞穿过血脑屏障驱动的神经炎症起着重要作用。中枢和外周神经系统之间的相互作用对神经炎症和免疫反应至关重要。神经元和免疫细胞产生的神经递质调节免疫反应和炎症,强调神经内分泌-免疫系统相互作用的重要性。免疫介导的炎症性疾病由于免疫反应失调而引起慢性炎症,在围产期抑郁症或长COVID (COVID-19后综合征)等情况下影响中枢神经系统。rTMS疗法可以通过调节神经免疫相互作用,减少炎症,促进神经元保护和修复,从而潜在地减少或改善神经和神经精神疾病的病理生理,从而突出其管理神经炎症和相关症状的潜力。
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引用次数: 0
The interaction of second trimester prenatal maternal inflammation and psychosocial stress on offspring depressive symptoms in adolescence 妊娠中期产前母体炎症和心理社会压力对子代青春期抑郁症状的相互作用
Pub Date : 2024-12-01 DOI: 10.1016/j.bbii.2024.100096
Rachel H. Furlan , Madeline R. Pike , Emily Lipner , Elizabeth C. Breen , Barbara A. Cohn , Piera M. Cirillo , Nickilou Y. Krigbaum , Ann M. Kring , Thomas M. Olino , Lauren B. Alloy , Lauren M. Ellman

Background

Higher second trimester (T2) prenatal maternal inflammation (PNMI) and prenatal maternal psychosocial stress have been shown to independently contribute to offspring depression risk. Similarly, interactions between sources of inflammation and maternal daily life stress in T2, previously have been associated with increased offspring adolescent depressive symptoms. We aimed to extend previous findings by examining the potential interaction between exposure to higher T2 PNMI and maternal daily life stress on offspring depressive symptoms in adolescence.

Methods

614 mother-offspring dyads from the Child Health and Development Studies (CHDS) had data available for T2 maternal serum interleukin (IL)-6, IL-8, IL-1 receptor antagonist (IL-1ra), and soluble TNF receptor-II (sTNF-RII), presence/absence of maternal reported daily life stress coded from interviews primarily conducted in T2, and adolescent offspring (ages 15–18 years) depressive symptoms assessed via self-report. Interactions were evaluated using hierarchical multiple regressions, controlling for maternal education.

Results

Maternal daily life stress interacted with higher serum levels of maternal T2 IL-6 and T2 IL-8 to predict adolescent offspring depressive symptoms. Higher IL-6 and higher IL-8 were only associated with offspring depression in the presence of daily life stress. Maternal T2 IL-1ra and sTNF-RII were not associated with offspring adolescent depressive symptoms.

Conclusion

The interaction of the adverse impacts of maternal daily life stress and higher maternal IL-6 and/or IL-8 levels during the second trimester may contribute significantly to exacerbate depression risk in adolescent offspring. These results have potential implications for multiple targets of future early intervention and prevention research.
背景较高的妊娠中期(T2)产前母体炎症(PNMI)和产前母体心理社会压力已被证明是导致后代抑郁风险的独立因素。同样,T2期炎症源和母亲日常生活压力之间的相互作用与后代青少年抑郁症状的增加有关。我们的目的是通过研究暴露于较高T2 PNMI和母亲日常生活压力对后代青春期抑郁症状的潜在相互作用来扩展先前的研究结果。方法来自儿童健康与发展研究(CHDS)的614对母子有T2母体血清白细胞介素(IL)-6、IL-8、IL-1受体拮抗剂(IL-1ra)和可溶性TNF受体- ii (sTNF-RII)的数据,主要在T2进行的访谈中记录的母体报告的日常生活压力的存在/缺失,以及通过自我报告评估青春期后代(15-18岁)抑郁症状的数据。在控制母亲教育的情况下,使用分层多元回归评估相互作用。结果母亲日常生活压力与较高的血清T2 IL-6和T2 IL-8水平相互作用,预测青少年后代抑郁症状。高IL-6和高IL-8仅在存在日常生活压力的情况下与后代抑郁相关。母体T2 IL-1ra和sTNF-RII与后代青少年抑郁症状无关。结论妊娠中期母亲日常生活压力的不良影响与较高的IL-6和/或IL-8水平的相互作用可能会显著加剧青春期后代的抑郁风险。这些结果对未来的早期干预和预防研究具有潜在的意义。
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Brain Behavior and Immunity Integrative
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