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Mechanisms linking neurological disorders with reproductive endocrine dysfunction: Insights from epilepsy research 神经系统疾病与生殖内分泌功能障碍的联系机制:来自癫痫研究的见解
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-10-01 DOI: 10.1016/j.yfrne.2023.101084
Cathryn A. Cutia , Catherine A. Christian-Hinman

Gonadal hormone actions in the brain can both worsen and alleviate symptoms of neurological disorders. Although neurological conditions and reproductive endocrine function are seemingly disparate, compelling evidence indicates that reciprocal interactions exist between certain disorders and hypothalamic-pituitary–gonadal (HPG) axis irregularities. Epilepsy is a neurological disorder that shows significant reproductive endocrine dysfunction (RED) in clinical populations. Seizures, particularly those arising from temporal lobe structures, can drive HPG axis alterations, and hormones produced in the HPG axis can reciprocally modulate seizure activity. Despite this relationship, mechanistic links between seizures and RED, and vice versa, are still largely unknown. Here, we review clinical evidence alongside recent investigations in preclinical animal models into the contributions of seizures to HPG axis malfunction, describe the effects of HPG axis hormonal feedback on seizure activity, and discuss how epilepsy research can offer insight into mechanisms linking neurological disorders to HPG axis dysfunction, an understudied area of neuroendocrinology.

性腺激素在大脑中的作用可以恶化和减轻神经系统疾病的症状。尽管神经系统状况和生殖内分泌功能似乎不同,但令人信服的证据表明,某些疾病与下丘脑-垂体-性腺(HPG)轴不规则之间存在相互作用。癫痫是一种神经系统疾病,在临床人群中表现出显著的生殖内分泌功能障碍(RED)。癫痫发作,特别是由颞叶结构引起的癫痫发作,可以驱动HPG轴的改变,HPG轴中产生的激素可以相互调节癫痫活动。尽管存在这种关系,癫痫发作和RED之间的机制联系,以及反之亦然,在很大程度上仍然未知。在这里,我们回顾了临床证据以及最近在临床前动物模型中对癫痫发作对HPG轴功能障碍的影响的研究,描述了HPG轴激素反馈对癫痫活动的影响,并讨论了癫痫研究如何深入了解神经系统疾病与HPG轴功能的联系机制,这是神经内分泌学研究不足的领域。
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引用次数: 1
Fast neurotransmitter identity of MCH neurons: Do contents depend on context? MCH神经元的快速神经递质识别:内容依赖于环境吗?
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101069
B.G. Beekly , A. Rupp , C.R. Burgess , C.F. Elias

Hypothalamic melanin-concentrating hormone (MCH) neurons participate in many fundamental neuroendocrine processes. While some of their effects can be attributed to MCH itself, others appear to depend on co-released neurotransmitters. Historically, the subject of fast neurotransmitter co-release from MCH neurons has been contentious, with data to support MCH neurons releasing GABA, glutamate, both, and neither. Rather than assuming a position in that debate, this review considers the evidence for all sides and presents an alternative explanation: neurochemical identity, including classical neurotransmitter content, is subject to change. With an emphasis on the variability of experimental details, we posit that MCH neurons may release GABA and/or glutamate at different points according to environmental and contextual factors. Through the lens of the MCH system, we offer evidence that the field of neuroendocrinology would benefit from a more nuanced and dynamic interpretation of neurotransmitter identity.

下丘脑黑色素浓缩激素(MCH)神经元参与许多基本的神经内分泌过程。虽然它们的一些作用可以归因于MCH本身,但其他作用似乎取决于共同释放的神经递质。从历史上看,MCH神经元快速释放神经递质的问题一直存在争议,有数据支持MCH神经元释放GABA、谷氨酸,两者都释放,两者都不释放。这篇综述没有在这场辩论中采取立场,而是考虑了各方的证据,并提出了另一种解释:神经化学特性,包括经典神经递质含量,可能会发生变化。通过强调实验细节的可变性,我们假设MCH神经元可能根据环境和上下文因素在不同点释放GABA和/或谷氨酸。通过MCH系统的视角,我们提供了证据,证明神经内分泌学领域将受益于对神经递质身份的更细致和动态的解释。
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引用次数: 0
Vitamin D status and cognitive performance in community-dwelling adults: A dose-response meta-analysis of observational studies 社区居住成人维生素D状态和认知表现:观察性研究的剂量-反应荟萃分析
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101080
Janis D. Harse , Ross J. Marriott , Kun Zhu , Kevin Murray , Romola S. Bucks

Low vitamin D status is linked with poorer cognition in adults while findings in relation to high levels are mixed. We performed a systematic review and meta-analyses to examine dose–response associations between 25-hydroxyvitamin D (25OHD) levels and cognitive performance in community-dwelling adults. Thirty-eight observational studies were included in dose–response meta-analyses. Positive, nonlinear associations were identified between baseline 25OHD levels and global cognition in cross-sectional and longitudinal analyses, and for performance in memory and executive function in longitudinal analyses. When restricted to studies involving older adults, the pattern emerged for specific domains in cross-sectional analyses. Poorer performance was associated with low 25OHD levels, while a sharp improvement was associated with levels up to 60–70 nM/L. Further improvement was observed only for longitudinal global cognition. Our findings support the association between low vitamin D and poorer cognition and suggest levels of at least 60 nM/L are associated with better cognition during ageing.

维生素D水平低与成年人认知能力差有关,而与维生素D水平高有关的研究结果喜忧参半。我们进行了一项系统综述和荟萃分析,以检查社区居民中25-羟基维生素D(25OHD)水平与认知表现之间的剂量-反应相关性。38项观察性研究被纳入剂量-反应荟萃分析。在横断面和纵向分析中,基线25OHD水平与整体认知之间以及在纵向分析中与记忆和执行功能表现之间存在正的非线性关联。当仅限于涉及老年人的研究时,横截面分析中出现了特定领域的模式。较差的表现与低25OHD水平有关,而急剧改善与高达60-70 nM/L的水平有关。仅在纵向全局认知方面观察到进一步的改善。我们的研究结果支持低维生素D与认知能力较差之间的联系,并表明至少60 nM/L的维生素D水平与衰老过程中更好的认知能力有关。
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引用次数: 1
Women are taking the hit: Examining the unique consequences of cannabis use across the female lifespan 女性正在遭受打击:研究大麻使用在女性生命周期中的独特后果
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101076
E.L. Gräfe , H.M.O. Reid , I. Shkolnikov , K. Conway , A. Kit , C. Acosta , B.R. Christie

Cannabis use has risen dramatically in recent years due to global decriminalization and a resurgence in the interest of potential therapeutic benefits. While emerging research is shaping our understanding of the benefits and harms of cannabis, there remains a paucity of data specifically focused on how cannabis affects the female population. The female experience of cannabis use is unique, both in the societal context and because of the biological ramifications. This is increasingly important given the rise in cannabis potency, as well as the implications this has for the prevalence of Cannabis Use Disorder (CUD). Therefore, this scoping review aims to discuss the prevalence of cannabis use and CUD in women throughout their lifespan and provide a balanced prospective on the positive and negative consequences of cannabis use. In doing so, this review will highlight the necessity for continued research that goes beyond sex differences.

近年来,由于全球非刑事化和对潜在治疗益处的兴趣重新抬头,大麻的使用量急剧上升。虽然新兴研究正在塑造我们对大麻的利弊的理解,但仍然缺乏专门关注大麻如何影响女性人口的数据。女性使用大麻的经历是独特的,无论是在社会背景下,还是由于生物后果。鉴于大麻效力的上升,以及这对大麻使用障碍(CUD)流行的影响,这一点越来越重要。因此,本范围审查的目的是讨论大麻使用和妇女一生中CUD的流行情况,并就大麻使用的积极和消极后果提供一个平衡的前景。这样一来,这篇综述将强调继续进行超越性别差异的研究的必要性。
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引用次数: 2
Impact of ectopic fat on brain structure and cognitive function: A systematic review and meta-analysis from observational studies 异位脂肪对大脑结构和认知功能的影响:观察性研究的系统回顾和荟萃分析
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101082
Zhi-Hui Song , Jing Liu , Xiao-Feng Wang , Rafael Simó , Chao Zhang , Jian-Bo Zhou

Ectopic fat, defined as a specific organ or compartment with the accumulation of fat tissue surrounding organs, is highly associated with obesity which has been identified as a risk factor for cognitive impairment and dementia. However, the relationship between ectopic fat and changes in brain structure or cognition is yet to be elucidated. Here, we investigated the effects of ectopic fat on brain structure and cognitive function via systemic review and meta-analysis. A total of 21 studies were included from electronic databases up to July 9, 2022.

We found ectopic fat was associated with decreased total brain volume and increased lateral ventricle volume. In addition, ectopic was associated with decreased cognitive scores and negatively correlated with cognitive function. More specifically, dementia development were correlated with increased levels of visceral fat. Overall, our data suggested that increased ectopic fat was associated with prominent structural changes in the brain and cognitive decline, an effect driven mainly by increases in visceral fat, while subcutaneous fat may be protective. Our results suggest that patients with increased visceral fat are at risk of developing cognitive impairment and, therefore, represent a subset of population in whom appropriate and timely preventive measures could be implemented.

异位脂肪被定义为器官周围脂肪组织堆积的特定器官或隔室,与肥胖高度相关,肥胖已被确定为认知障碍和痴呆的风险因素。然而,异位脂肪与大脑结构或认知变化之间的关系尚待阐明。在此,我们通过系统综述和荟萃分析研究了异位脂肪对大脑结构和认知功能的影响。截至2022年7月9日,共有21项研究来自电子数据库。我们发现异位脂肪与总脑容量减少和侧脑室容量增加有关。此外,异位与认知得分下降有关,与认知功能呈负相关。更具体地说,痴呆症的发展与内脏脂肪水平的增加有关。总体而言,我们的数据表明,异位脂肪的增加与大脑的显著结构变化和认知能力下降有关,这种影响主要由内脏脂肪的增加驱动,而皮下脂肪可能具有保护作用。我们的研究结果表明,内脏脂肪增加的患者有发展认知障碍的风险,因此,他们代表了可以及时采取适当预防措施的人群的一部分。
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引用次数: 0
Cardiometabolic health, menopausal estrogen therapy and the brain: How effects of estrogens diverge in healthy and unhealthy preclinical models of aging 心脏代谢健康、绝经期雌激素治疗和大脑:雌激素在健康和不健康的衰老临床前模型中的作用是如何不同的
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101068
Jill M. Daniel , Sarah H. Lindsey , Ricardo Mostany , Laura A. Schrader , Andrea Zsombok

Research in preclinical models indicates that estrogens are neuroprotective and positively impact cognitive aging. However, clinical data are equivocal as to the benefits of menopausal estrogen therapy to the brain and cognition. Pre-existing cardiometabolic disease may modulate mechanisms by which estrogens act, potentially reducing or reversing protections they provide against cognitive decline. In the current review we propose mechanisms by which cardiometabolic disease may alter estrogen effects, including both alterations in actions directly on brain memory systems and actions on cardiometabolic systems, which in turn impact brain memory systems. Consideration of mechanisms by which estrogen administration can exert differential effects dependent upon health phenotype is consistent with the move towards precision or personalized medicine, which aims to determine which treatment interventions will work for which individuals. Understanding effects of estrogens in both healthy and unhealthy models of aging is critical to optimizing the translational link between preclinical and clinical research.

临床前模型研究表明,雌激素具有神经保护作用,对认知衰老有积极影响。然而,关于更年期雌激素治疗对大脑和认知的益处,临床数据尚不明确。先前存在的心脏代谢疾病可能会调节雌激素的作用机制,从而可能减少或逆转雌激素对认知能力下降的保护作用。在目前的综述中,我们提出了心脏代谢疾病可能改变雌激素作用的机制,包括直接对大脑记忆系统的作用和对心脏代谢系统的作用的改变,这反过来又会影响大脑记忆系统。考虑雌激素给药可以根据健康表型发挥不同作用的机制,与精确或个性化药物的发展相一致,后者旨在确定哪些治疗干预措施对哪些个体有效。了解雌激素在健康和不健康衰老模型中的作用对于优化临床前和临床研究之间的转化联系至关重要。
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引用次数: 0
Women’s use of alcohol: Neurobiobehavioral concomitants and consequences 女性饮酒:神经生物行为伴随物及其后果
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101079
Sara Jo Nixon , Christian C. Garcia , Ben Lewis

In this narrative review, we draw from historical and contemporary literature to explore the impact of alcohol consumption on brain and behavior among women. We examine three domains: 1) the impact of alcohol use disorder (AUD) on neurobiobehavioral outcomes, 2) its impact on social cognition/emotion processing, and 3) alcohol’s acute effects in older women. There is compelling evidence of alcohol-related compromise in neuropsychological function, neural activation, and brain structure. Investigations of social cognition and alcohol effects in older women represent emerging areas of study. Initial analyses suggest that women with AUD show significant deficits in emotion processing, a finding also observed in older women who have consumed a moderate dose of alcohol. Critically, despite the long-recognized need for programmatic interrogation of alcohol’s effect in women, studies with sufficient numbers of women for meaningful analysis represent a small proportion of the literature, constraining interpretation and generalization.

在这篇叙述性综述中,我们借鉴历史和当代文献,探讨饮酒对女性大脑和行为的影响。我们研究了三个领域:1)酒精使用障碍(AUD)对神经生物行为结果的影响,2)其对社会认知/情绪处理的影响,以及3)酒精对老年女性的急性影响。有令人信服的证据表明,酒精在神经心理功能、神经激活和大脑结构方面存在损害。对老年妇女的社会认知和酒精影响的调查是新兴的研究领域。初步分析表明,患有AUD的女性在情绪处理方面表现出显著缺陷,这一发现也在饮酒量适中的老年女性身上观察到。至关重要的是,尽管人们长期以来都认识到有必要对酒精对女性的影响进行程序性调查,但有足够数量的女性进行有意义分析的研究只占文献的一小部分,限制了解释和概括。
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引用次数: 0
The Role of the Gut Microbiome in Bipolar Disorder and its Common Medical Comorbidities 肠道微生物组在双相情感障碍及其常见医学合并症中的作用
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101078
Gregory H. Jones , Omar F. Pinjari , Courtney M. Vecera , Kacy Smith , Anita Barrera , Rodrigo Machado-Vieira

Bipolar disorder is a decidedly heterogeneous and multifactorial disease, with significant psychosocial and medical disease burden. Much difficulty has been encountered in developing novel therapeutics and objective biomarkers for clinical use in this population. In that regard, gut-microbial homeostasis appears to modulate several key pathways relevant to a variety of psychiatric, metabolic, and inflammatory disorders. Microbial impact on immune, endocrine, endocannabinoid, kynurenine, and other pathways are discussed throughout this review. Emphasis is placed on this system’s relevance to current pharmacology, diet, and comorbid illness in bipolar disorder. Despite the high level of optimism promoted in many reviews on this topic, substantial obstacles exist before any microbiome-related findings can provide meaningful clinical utility. Beyond a comprehensive overview of pathophysiology, this review hopes to highlight several key areas where progress is needed. As well, novel microbiome-associated suggestions are presented for future research.

双相情感障碍是一种明显的异质性和多因素疾病,具有显著的心理社会和医疗疾病负担。在开发新的治疗方法和用于该人群临床的客观生物标志物方面遇到了很多困难。在这方面,肠道微生物稳态似乎调节了与各种精神、代谢和炎症疾病相关的几个关键途径。微生物对免疫、内分泌、内源性大麻素、犬尿氨酸和其他途径的影响在本综述中进行了讨论。强调该系统与当前双相情感障碍的药理学、饮食和共病的相关性。尽管在许多关于这一主题的综述中提倡高度乐观,但在任何与微生物组相关的发现能够提供有意义的临床实用性之前,都存在着巨大的障碍。除了对病理生理学的全面概述外,这篇综述还希望强调几个需要取得进展的关键领域。此外,还为未来的研究提出了与微生物组相关的新建议。
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引用次数: 0
The historical progression of positron emission tomography research in neuroendocrinology 神经内分泌学正电子发射断层扫描研究的历史进展。
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101081
Jason Bini

The rapid and continual development of a number of radiopharmaceuticals targeting different receptor, enzyme and small molecule systems has fostered Positron Emission Tomography (PET) imaging of endocrine system actions in vivo in the human brain for several decades. PET radioligands have been developed to measure changes that are regulated by hormone action (e.g., glucose metabolism, cerebral blood flow, dopamine receptors) and actions within endocrine organs or glands such as steroids (e.g., glucocorticoids receptors), hormones (e.g., estrogen, insulin), and enzymes (e.g., aromatase). This systematic review is targeted to the neuroendocrinology community that may be interested in learning about positron emission tomography (PET) imaging for use in their research. Covering neuroendocrine PET research over the past half century, researchers and clinicians will be able to answer the question of where future research may benefit from the strengths of PET imaging.

几十年来,许多靶向不同受体、酶和小分子系统的放射性药物的快速和持续发展,促进了人类大脑中内分泌系统体内作用的正电子发射断层扫描(PET)成像。PET放射性配体已被开发用于测量由激素作用(例如,葡萄糖代谢、脑血流、多巴胺受体)和内分泌器官或腺体内的作用(例如类固醇(例如,糖皮质激素受体)、激素(例如,雌激素、胰岛素)和酶(例如,芳香化酶)调节的变化。这篇系统综述针对的是神经内分泌学界,他们可能有兴趣了解正电子发射断层扫描(PET)成像,以便在研究中使用。涵盖过去半个世纪的神经内分泌PET研究,研究人员和临床医生将能够回答未来研究从PET成像的优势中受益的问题。
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引用次数: 0
Neuroendocrine mechanisms contributing to the coevolution of sociality and communication 神经内分泌机制有助于社会性和沟通的共同进化。
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101077
Megan K. Freiler, G. Troy Smith

Communication is inherently social, so signaling systems should evolve with social systems. The ‘social complexity hypothesis’ posits that social complexity necessitates communicative complexity and is generally supported in vocalizing mammals. This hypothesis, however, has seldom been tested outside the acoustic modality, and comparisons across studies are confounded by varying definitions of complexity. Moreover, proximate mechanisms underlying coevolution of sociality and communication remain largely unexamined. In this review, we argue that to uncover how sociality and communication coevolve, we need to examine variation in the neuroendocrine mechanisms that coregulate social behavior and signal production and perception. Specifically, we focus on steroid hormones, monoamines, and nonapeptides, which modulate both social behavior and sensorimotor circuits and are likely targets of selection during social evolution. Lastly, we highlight weakly electric fishes as an ideal system in which to comparatively address the proximate mechanisms underlying relationships between social and signal diversity in a novel modality.

通信本质上是社会性的,因此信号系统应该随着社会系统的发展而发展。“社会复杂性假说”认为,社会复杂性需要交际复杂性,这在哺乳动物发声中得到了普遍支持。然而,这一假设很少在声学模态之外得到检验,不同研究之间的比较因复杂性的不同定义而混淆。此外,社会性和交际共同进化的直接机制在很大程度上还没有得到检验。在这篇综述中,我们认为,为了揭示社会性和沟通是如何共同进化的,我们需要研究共同调节社会行为、信号产生和感知的神经内分泌机制的变化。具体而言,我们关注类固醇激素、单胺和九肽,它们调节社会行为和感觉运动回路,可能是社会进化过程中的选择目标。最后,我们强调弱电鱼是一个理想的系统,在这个系统中,我们可以用一种新的方式来比较解决社会和信号多样性之间关系的直接机制。
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引用次数: 0
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Frontiers in Neuroendocrinology
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