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How the diffuse neuroendocrine system shapes health, homeostasis, and cancer 弥漫性神经内分泌系统如何影响健康、体内平衡和癌症
IF 6.7 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-23 DOI: 10.1016/j.yfrne.2025.101216
Michel Salzet
The diffuse neuroendocrine system (DNES) consists of dispersed neuroendocrine (NE) cells that bridge nervous, immune, and endocrine pathways across organs. Evolutionarily, DNES traces to primitive metazoans where single cells combined neural and immune roles, later diversifying into specialized vertebrate NE cells. Hallmark traits include dense-core granules, amine metabolism, “salt-and-pepper” chromatin, and regulation by ASCL1, NEUROG3, and INSM1. Remarkable plasticity allows immune and epithelial cells to acquire NE features under stress, while carcinomas exploit this program to form aggressive neuroendocrine tumors (NETs) and resist therapy. Canonical neuroimmune circuits, the Vagus-driven inflammatory reflex and hypothalamic–pituitary–adrenal stress axis, illustrate DNES coordination of systemic responses. Clinically, DNES-derived neoplasms span multiple organs, produce diverse hormonal syndromes, and are managed with somatostatin analogues, epigenetic drugs, and emerging immunotherapies. Recognizing DNES as a diffuse, integrative regulatory network clarifies mechanisms of chronic inflammation and cancer evolution and offers novel therapeutic entry points for disorders ranging from asthma to pancreatic neuroendocrine carcinomas.
弥漫性神经内分泌系统(DNES)由分散的神经内分泌(NE)细胞组成,这些细胞在神经、免疫和内分泌通路之间架起桥梁。从进化的角度来看,DNES可以追溯到原始的后生动物,其中单个细胞结合了神经和免疫功能,后来分化成专门的脊椎动物NE细胞。标志性特征包括致密核颗粒、胺代谢、“盐和胡椒”染色质以及ASCL1、NEUROG3和INSM1的调控。显著的可塑性使免疫细胞和上皮细胞在压力下获得NE特征,而癌细胞利用这一程序形成侵袭性神经内分泌肿瘤(NETs)并抵抗治疗。典型的神经免疫回路,迷走神经驱动的炎症反射和下丘脑-垂体-肾上腺应激轴,说明了DNES系统反应的协调。临床上,dnes来源的肿瘤跨越多个器官,产生多种激素综合征,并通过生长抑素类似物,表观遗传药物和新兴免疫疗法进行治疗。认识到DNES是一个弥漫的、综合的调节网络,阐明了慢性炎症和癌症演变的机制,并为从哮喘到胰腺神经内分泌癌等疾病提供了新的治疗切入点。
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引用次数: 0
Sex differences in the acute effects of cannabis on human cognition: A systematic review 大麻对人类认知急性效应的性别差异:系统综述
IF 6.7 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-15 DOI: 10.1016/j.yfrne.2025.101215
Justin Matheson , Danial Behzad , Christina Zakala , Thomas Hawken , Bruna Brands , Bernard Le Foll , Christine M. Wickens , Anthony C. Ruocco , Terri Rodak , Patricia Di Ciano
Acute cannabis exposure can transiently impair cognitive performance, increasing the risk of accidental injury and potentially disrupting activities of daily living. Although sex differences in responses to cannabis have been reported, no systematic review has examined whether these extend to acute cognitive effects. Our primary aim was to examine sex differences in the acute effects of cannabis (including isolated delta-9-tetrahydrocannabinol [THC]) on cognition in humans. Our secondary aim was to determine if sex differences in the acute effects of cannabis vary by cognitive domain, route of administration, or dosing paradigm. Following PRISMA guidelines, we conducted a comprehensive literature search across Embase, MEDLINE, APA PsycInfo, Cochrane Library, and Web of Science databases. Of 1,625 unique records, 169 underwent full-text screening, and 29 studies met inclusion criteria. Six of 29 articles (20.7 %), representing eight of 216 cognitive outcomes (3.7 %), found statistical evidence of sex differences in acute cognitive effects of cannabis/THC. All six found increased effects in female participants in at least one cognitive variable; one study additionally found increased effects in male participants, and one study found divergent cognitive effects in male and female participants. There were no clear patterns by cannabis dosing paradigm, route of administration, or cognitive domain. Overall, we found limited evidence that sex significantly influences the acute cognitive effects of cannabis, though methodological heterogeneity precludes any firm conclusions. Future studies should prioritize the measurement of sex-related factors, such as hormonal modulation of cannabinoid pharmacokinetics and pharmacodynamics.
急性大麻暴露可短暂损害认知能力,增加意外伤害的风险,并可能扰乱日常生活活动。虽然对大麻的反应有性别差异的报道,但没有系统的回顾检查这些是否延伸到急性认知影响。我们的主要目的是研究大麻(包括分离的德尔塔-9-四氢大麻酚[THC])对人类认知的急性影响的性别差异。我们的第二个目的是确定大麻急性效应的性别差异是否因认知领域、给药途径或给药模式而异。按照PRISMA的指导方针,我们在Embase、MEDLINE、APA PsycInfo、Cochrane Library和Web of Science数据库中进行了全面的文献检索。在1,625个独特记录中,169个进行了全文筛选,29个研究符合纳入标准。29篇文章中的6篇(20.7%),代表216项认知结果中的8项(3.7%),发现了大麻/四氢大麻酚在急性认知效果方面存在性别差异的统计证据。所有六项研究都发现,女性参与者至少在一个认知变量上的影响有所增加;一项研究还发现,男性参与者的认知效果会增加,另一项研究发现,男性和女性参与者的认知效果存在差异。大麻给药方式、给药途径或认知领域没有明确的模式。总的来说,我们发现有限的证据表明性别显著影响大麻的急性认知效应,尽管方法的异质性排除了任何确定的结论。未来的研究应优先考虑性别相关因素的测量,如激素调节大麻素的药代动力学和药效学。
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引用次数: 0
Editorial – Addiction in females 编辑-女性成瘾。
IF 6.7 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-08-08 DOI: 10.1016/j.yfrne.2025.101214
Kimberly Nixon, J. Leigh Leasure
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引用次数: 0
Oxytocin and dopamine in psychostimulant-induced changes in social behaviour 催产素和多巴胺在精神兴奋剂引起的社会行为改变中的作用。
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-07-01 DOI: 10.1016/j.yfrne.2025.101200
Fernando Castillo Díaz, Inga D. Neumann, Virginie Rappeneau
Oxytocin (OXT) plays a significant role in regulating social behaviour across various species, making it a key focus in neuroscience. Recent research has expanded beyond the established prosocial effects of OXT to explore its complex interplay with dopamine (DA), a key regulator of both reward processing and social behaviour. DA influences these behaviours both independently and in coordination with OXT. Emerging evidence highlights how psychostimulants disrupt OXT-DA interaction, exacerbating maladaptive social behaviours. This narrative review synthesises findings from pharmacological, optogenetic, and chemogenetic studies to elucidate mechanistic insights into OXT-DA crosstalk in both healthy and drug-compromised social functioning. We examined OXT-DA interaction in non-reproductive social behaviours, such as social approach and aggression, as well as reproductive behaviours, including parental care, offspring attachment, and pair bonding, both in the presence and absence of drugs of abuse. Understanding OXT-DA interaction offers important insights into the neurobiological mechanisms underlying both healthy and pathological social functioning.
催产素(OXT)在调节不同物种的社会行为中起着重要作用,使其成为神经科学的一个关键焦点。最近的研究已经超越了OXT的亲社会效应,探索其与多巴胺(DA)的复杂相互作用,多巴胺是奖励处理和社会行为的关键调节器。DA既可以独立地影响这些行为,也可以与OXT协同影响。新出现的证据强调了精神兴奋剂如何破坏OXT-DA相互作用,加剧适应不良的社会行为。本文综合了药理学、光遗传学和化学遗传学的研究结果,阐明了OXT-DA串扰在健康和药物损害的社会功能中的机制见解。我们研究了在存在和不存在药物滥用的情况下,OXT-DA在非生殖社会行为中的相互作用,如社会接近和攻击,以及生殖行为,包括亲代照顾、后代依恋和配偶结合。了解OXT-DA相互作用为了解健康和病理社会功能背后的神经生物学机制提供了重要的见解。
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引用次数: 0
The overlooked mental health burden of polycystic ovary syndrome: neurobiological insights into PCOS-related depression 多囊卵巢综合征被忽视的心理健康负担:多囊卵巢综合征相关抑郁的神经生物学见解
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-07-01 DOI: 10.1016/j.yfrne.2025.101203
Eleni Dubé-Zinatelli , Freya Anderson , Nafissa Ismail
Polycystic ovary syndrome (PCOS) is a prevalent endocrine disorder affecting 6–13% of reproductive-aged women worldwide. It is primarily characterized by ovarian dysfunction, hyperandrogenism, and metabolic disturbances. However, women with PCOS also face a heightened risk of depression, possibly due to dysregulation in endocrine and immune systems and gut microbiome disturbances. Symptoms of PCOS such as infertility, obesity, and hirsutism can also cause psychological distress and further exacerbate depression symptoms. Despite this comorbidity, mental health aspects of PCOS are often overlooked in the medical field, leading to insufficient support and negative impacts on the quality of life of PCOS patients. This review explores how distinct PCOS phenotypes influence physiological and psychological outcomes and the possible biological mechanisms involved. We also examine the effects of existing treatments on PCOS symptoms and depression. Addressing both physiological and psychological challenges is crucial for developing targeted, personalized interventions that improve outcomes for individuals diagnosed with PCOS.
多囊卵巢综合征(PCOS)是一种普遍的内分泌疾病,影响全世界6-13%的育龄妇女。其主要特征是卵巢功能障碍、雄激素过多和代谢紊乱。然而,患有多囊卵巢综合征的女性也面临着更高的抑郁风险,可能是由于内分泌和免疫系统失调以及肠道微生物群紊乱。多囊卵巢综合征的症状如不孕、肥胖和多毛症也会引起心理困扰,并进一步加剧抑郁症状。尽管多囊卵巢综合征存在这种共病,但多囊卵巢综合征的心理健康方面在医学领域往往被忽视,导致支持不足,并对多囊卵巢综合征患者的生活质量产生负面影响。这篇综述探讨了不同的多囊卵巢综合征表型如何影响生理和心理结果以及可能涉及的生物学机制。我们还研究了现有治疗方法对多囊卵巢综合征症状和抑郁的影响。解决生理和心理挑战对于制定有针对性的个性化干预措施以改善多囊卵巢综合征患者的预后至关重要。
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引用次数: 0
Sex as a biological variable (SABV) modulates the consequences of sleep disturbance on hippocampal memory and synaptic plasticity 性别作为一个生物变量(SABV)调节睡眠障碍对海马记忆和突触可塑性的影响。
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-07-01 DOI: 10.1016/j.yfrne.2025.101205
Camilla Paraciani, Robbert Havekes, Peter Meerlo, Nicole J. Gervais
Sleep disturbance affects brain health, with research in rodents showing that both hippocampal memory and synaptic plasticity are impaired following sleep deprivation (SD). However, most studies have used males, overlooking sex as a biological variable (SABV). Given estradiol’s neuroprotective role in the female hippocampus, we hypothesized that the consequences of SD on memory and synaptic plasticity are modulated by sex and/or sex hormones. This review compares SD effects in males to 1) the limited findings in sleep-deprived females, and 2) the effects of estradiol in non-sleep deprived females. The few studies conducted in females suggest that memory deficits post-SD depend on hormonal state. Estradiol in non-sleep-deprived females also modulates hippocampal mechanisms of synaptic plasticity that are impaired by SD in males. While the currently available data is limited, it does hint towards sex-specific effects of SD, and emphasizes the importance of incorporating SABV in future research.
睡眠障碍会影响大脑健康,对啮齿动物的研究表明,睡眠剥夺(SD)会损害海马记忆和突触可塑性。然而,大多数研究都使用了男性,忽略了性别作为生物变量(SABV)。鉴于雌二醇在雌性海马中的神经保护作用,我们假设SD对记忆和突触可塑性的影响是由性别和/或性激素调节的。这篇综述比较了SD对男性的影响,1)在睡眠不足的女性中发现的有限结果,以及2)雌二醇对非睡眠不足女性的影响。在女性中进行的少数研究表明,sd后的记忆缺陷取决于激素状态。雌二醇在未被剥夺睡眠的女性体内也能调节海马突触可塑性机制,而这种机制在男性中因SD而受损。虽然目前可用的数据有限,但它确实暗示了SD的性别特异性影响,并强调了在未来研究中纳入SABV的重要性。
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引用次数: 0
Hormonal effects on externalizing problems in females across the lifespan 荷尔蒙对女性一生中外化问题的影响
IF 6.7 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-07-01 DOI: 10.1016/j.yfrne.2025.101206
Michelle M. Martel , Ashley G. Eng , Urveesha Nirjar , Madeline K. Petersen , Miranda P. Ramirez , Carleigh A. Litteral , Layne E. Robinson
Developmental transdiagnostic externalizing problems—including harmful substance use, conduct issues, oppositional-defiance, and ADHD-related hyperactivity-impulsivity—have significant societal impacts, contributing to high costs in areas such as incarceration, delinquency, unemployment, and relationship challenges. These issues also exhibit notable sex differences: males tend to show higher prevalence, while females, though less affected overall, often face more severe outcomes. Despite these public health and personal costs, research on externalizing problems in females remains limited, particularly regarding the biological and hormonal factors driving these sex differences. The current paper explores how female hormonal influences across developmental stages may affect externalizing behaviors, highlighting the role ovarian hormones may play in shaping these externalizing problems. During puberty, estradiol and progesterone shifts contribute to risk-taking behaviors in females, who show distinct vulnerability patterns from males. Other important and understudied reproductive periods include puberty, pregnancy and postpartum, and perimenopause and menopause, and the menstrual cycle, overall. However, most population-level studies overlook the role of ovarian hormone fluctuations. This review advocates for the integration of hormonal phases in assessments, as hormonal shifts may exacerbate symptoms or modify treatment responses. Cycle-aligned interventions and hormone stabilization strategies could improve treatment outcomes, addressing gaps in male-focused treatment models and enhancing care for females with these disorders.
发展的跨诊断外化问题——包括有害物质的使用、行为问题、对立违抗和adhd相关的多动冲动——具有重大的社会影响,在监禁、犯罪、失业和人际关系挑战等方面造成了高昂的代价。这些问题也表现出显著的性别差异:男性往往表现出更高的患病率,而女性虽然总体上受影响较小,但往往面临更严重的后果。尽管存在这些公共卫生和个人成本,但对女性外化问题的研究仍然有限,特别是关于造成这些性别差异的生物和激素因素的研究。本论文探讨了女性激素在发育阶段如何影响外化行为,强调了卵巢激素在形成这些外化问题中的作用。在青春期,雌二醇和黄体酮的变化有助于女性的冒险行为,女性表现出与男性截然不同的脆弱性模式。其他重要的和未被充分研究的生殖时期包括青春期,怀孕和产后,围绝经期和绝经期,以及月经周期。然而,大多数人口水平的研究忽略了卵巢激素波动的作用。这篇综述提倡在评估中整合激素阶段,因为激素变化可能会加重症状或改变治疗反应。周期一致的干预措施和激素稳定策略可以改善治疗结果,解决以男性为中心的治疗模式的差距,并加强对患有这些疾病的女性的护理。
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引用次数: 0
The role of the stress adaptive response in multiple sclerosis 应激适应反应在多发性硬化症中的作用。
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-07-01 DOI: 10.1016/j.yfrne.2025.101204
Evangelia Zapanti , Alexandros Dermentzoglou , Paraskevi Kazakou , Konstantinos Kilindireas , George Mastorakos
Multiple sclerosis (MS) is the commonest autoimmune inflammatory neurological disease presenting multifocal demyelinating lesions in the white matter of the central nervous system (CNS). Its pathogenesis involves genetic and environmental mechanisms which lead to immune cell-mediated destruction of myelin and axonal damage and glial scars in CNS. Stress adaptive response might cause MS exacerbation by triggering release of hormones and neuropeptides leading to immune dysregulation and altered cytokine production. The exact link between the stress adaptive response and MS physiopathology is not clear, although neuro-immunological studies have shown alterations in cytokines and lymphocytes in MS patients, under stress, which might have clinical significance. Dysregulation of the principal components of the stress system, i.e. the hypothalamic–pituitary–adrenal axis, the sympathetic nervous system and the dopaminergic system, have been described in MS patients. In this critical review the role of the stress adaptive response in the manifestation and exacerbation of MS is described.
多发性硬化症(MS)是最常见的自身免疫性炎症性神经系统疾病,表现为中枢神经系统(CNS)白质的多灶性脱髓鞘病变。其发病机制涉及遗传和环境机制,导致免疫细胞介导的髓鞘破坏和轴突损伤以及中枢神经系统的胶质瘢痕。应激适应反应可能通过触发激素和神经肽的释放导致免疫失调和细胞因子产生的改变而导致MS恶化。应激适应反应与MS生理病理之间的确切联系尚不清楚,尽管神经免疫学研究显示MS患者在应激下细胞因子和淋巴细胞发生改变,这可能具有临床意义。应激系统的主要组成部分,即下丘脑-垂体-肾上腺轴、交感神经系统和多巴胺能系统的失调,已经在多发性硬化症患者中被描述。在这个关键的审查的作用,应激适应反应在MS的表现和恶化被描述。
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引用次数: 0
A scoping review of functional genomics in perinatal depression 围产期抑郁症功能基因组学研究综述
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-06-26 DOI: 10.1016/j.yfrne.2025.101202
Silvia Elisabetta Portis Bruzzone , Victoria Frederikke S. Garre , Stinne Høgh , Vibe G. Frokjaer , Kieran J. O’Donnell , Rand S. Eid
Perinatal depression (PD) is a major public mental health problem affecting 10–20% of pregnant women. Women undergo profound biological and psychosocial adaptations during pregnancy and the postpartum period. Measures of genomic function can reveal pregnancy-associated adaptations, and may also illuminate mechanisms underlying PD, offering potential for clinically useful biomarkers. A systematic overview of functional genomic signatures of PD is currently lacking. We conducted a scoping review of the current literature on two aspects of genomic function: DNA methylation and gene expression. Literature was reviewed through May 2024. Thirty-three studies met inclusion criteria. Altered genomic function related to estrogen signaling and immune function were most consistently associated with PD. However, the reviewed studies used heterogeneous molecular profiling methods, were based on small sample sizes, largely used candidate-gene approaches, and reported mixed findings. The lack of replicated signatures underscores the need for a more comprehensive assessment of genomic function in PD.
围产期抑郁症(PD)是影响10-20%孕妇的主要公共心理健康问题。妇女在怀孕和产后经历了深刻的生理和心理适应。基因组功能的测量可以揭示妊娠相关的适应性,也可能阐明PD的机制,为临床有用的生物标志物提供潜力。目前缺乏对PD功能基因组特征的系统概述。我们对基因组功能的两个方面进行了综述:DNA甲基化和基因表达。文献回顾一直持续到2024年5月。33项研究符合纳入标准。与雌激素信号和免疫功能相关的基因组功能改变与PD最一致。然而,回顾的研究使用异质分子分析方法,基于小样本量,主要使用候选基因方法,并报告了混合的结果。缺乏复制的特征强调了对帕金森病基因组功能进行更全面评估的必要性。
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引用次数: 0
Binge alcohol and the neuroendocrinology of the aging female 酗酒与老年女性的神经内分泌学
IF 6.5 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-06-04 DOI: 10.1016/j.yfrne.2025.101201
J. Leigh Leasure , Catherine E. Van Doorn , Kimberly Nixon
Aging and alcohol exert marked effects on the endocrine system – in particular the hypothalamic-pituitary–gonadal (HPG) and hypothalamic–pituitary–adrenal (HPA) axes. The aging female brain represents a unique substrate for alcohol effects, given that both the HPG and HPA undergo significant changes with aging in women, making this demographic notably different from both males and younger females. Little attention has been directed at alcohol effects in this group but changing trends in women’s drinking have brought these issues to the forefront. Major gaps in our understanding of aging females include how stressors common to middle and older aged women impact alcohol consumption, and how alcohol consumption in older women impacts brain health and aging. Thus, here we review the current state of knowledge concerning the unique neuroendocrinology of aging females, their stressors and pharmacokinetic reactions to alcohol, and their interactions as causes and neurotoxic consequences of excessive alcohol drinking. We highlight the role of the neuroimmune system at the intersection of aging, alcohol and stress effects, and brain endocrine systems. We conclude that therapeutic interventions should be aimed at managing alcohol-induced neuroimmune responses and their downstream effects on vulnerable white matter. In addition, mid-life represents a window of opportunity in which to introduce strategies to limit alcohol consumption and its consequences for the aging female brain. As so little is known about how alcohol intake impacts brain health in females, let alone in aging females, we assert the need for further investigation of middle-aged and aged females in human and preclinical studies.
衰老和酒精对内分泌系统有显著影响,尤其是下丘脑-垂体-性腺轴(HPG)和下丘脑-垂体-肾上腺轴(HPA)。衰老的女性大脑代表了酒精作用的独特基质,因为HPG和HPA都随着女性年龄的增长而发生显著变化,这使得这一人口统计学与男性和年轻女性明显不同。很少有人关注酒精对这一群体的影响,但女性饮酒趋势的变化使这些问题成为人们关注的焦点。我们对老年女性认识的主要差距包括中老年女性常见的压力因素如何影响饮酒,以及老年女性饮酒如何影响大脑健康和衰老。因此,在这里,我们回顾了目前关于老年女性独特的神经内分泌学知识,她们的压力源和对酒精的药代动力学反应,以及它们作为过量饮酒的原因和神经毒性后果的相互作用。我们强调神经免疫系统在衰老、酒精和压力效应以及脑内分泌系统的交叉作用。我们的结论是,治疗干预应旨在控制酒精诱导的神经免疫反应及其对脆弱白质的下游影响。此外,中年是引入限制饮酒及其对女性大脑衰老影响的策略的机会之窗。由于对酒精摄入如何影响女性大脑健康知之甚少,更不用说老年女性了,我们认为有必要在人体和临床前研究中对中老年女性进行进一步调查。
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引用次数: 0
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Frontiers in Neuroendocrinology
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