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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
Hormonal contraception and cognition: Considering the influence of endogenous ovarian hormones and genes for clinical translation 激素避孕与认知:考虑卵巢内源性激素及基因的影响进行临床翻译
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101067
Laura Gravelsins , Sophia Zhao , Gillian Einstein

Despite the well-known influence of ovarian hormones on the brain and widespread use of hormonal contraception (HC) since the 1960s, our knowledge of HC’s cognitive effects remains limited. To date, the cognitive findings have been inconsistent. In order to establish what might make HC studies more consistent, we surveyed the literature on HCs and cognition to determine whether studies considered HC formulation, phase, pharmacokinetics, duration, and gene interactions, and assessed whether oversight of these factors might contribute to variable findings. We found that synthetic HC hormones exert dose-dependent effects, the day of oral contraceptive (Pill) ingestion is critical for understanding cognitive changes, and gene-cognition relationships differ in women taking the Pill likely due to suppressed endogenous hormones. When these factors were overlooked, results were not consistent. We close with recommendations for research more likely to yield consistent findings and be therefore, translatable.

尽管众所周知卵巢激素对大脑的影响和自20世纪60年代以来激素避孕(HC)的广泛使用,但我们对HC的认知影响的了解仍然有限。迄今为止,认知方面的研究结果并不一致。为了确定可能使HC研究更加一致的因素,我们调查了有关HC和认知的文献,以确定研究是否考虑了HC的配方、相、药代动力学、持续时间和基因相互作用,并评估这些因素的疏忽是否可能导致不同的结果。我们发现合成的HC激素具有剂量依赖性,口服避孕药的摄入日期对于理解认知变化至关重要,并且服用避孕药的女性的基因认知关系可能由于内源性激素的抑制而有所不同。当这些因素被忽略时,结果并不一致。最后,我们提出了更有可能产生一致结果并因此可翻译的研究建议。
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引用次数: 0
The glial perspective of autism spectrum disorder convergent evidence from postmortem brain and PET studies 自闭症谱系障碍的神经胶质视角:来自死后脑和PET研究的证据
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-07-01 DOI: 10.1016/j.yfrne.2023.101064
Xiaoli Liao , Miao Chen , Yamin Li

Objective

The present study aimed to systematically and quantitatively review evidence derived from both postmortem brain and PET studies to explore the pathological role of glia induced neuroinflammation in the pathogenesis of ASD, and discuss the implications of these findings in relation to disease pathogenesis and therapeutic strategies.

Method

An online databases search was performed to collate postmortem studies and PET studies regarding glia induced neuroinflammation in ASD as compared to controls. Two authors independently conducted the literature search, study selection and data extraction. The discrepancies generated in these processes was resolved through robust discussions among all authors.

Result

The literature search yielded the identification of 619 records, from which 22 postmortem studies and 3 PET studies were identified as eligible for the qualitative synthesis. Meta-analysis of postmortem studies reported increased microglial number and microglia density as well as increased GFAP protein expression and GFAP mRNA expression in ASD subjects as compared to controls. Three PET studies produced different outcomes and emphasized different details, with one reported increased and two reported decreased TSPO expression in ASD subjects as compared to controls.

Conclusion

Both postmortem evidences and PET studies converged to support the involvement of glia induced neuroinflammation in the pathogenesis of ASD. The limited number of included studies along with the considerable heterogeneity of these studies prevented the development of firm conclusions and challenged the explanation of variability. Future research should prioritize the replication of current studies and the validation of current observations.

目的本研究旨在系统、定量地回顾尸检和PET研究的证据,探讨胶质细胞诱导的神经炎症在ASD发病机制中的病理作用,并讨论这些发现与疾病发病机制和治疗策略的关系。方法进行在线数据库搜索,与对照组相比,对ASD中胶质细胞诱导的神经炎症的尸检研究和PET研究进行整理。两位作者独立进行了文献检索、研究选择和数据提取。这些过程中产生的差异通过所有作者之间的有力讨论得到了解决。结果文献检索得到619份记录,其中22份尸检研究和3份PET研究符合定性合成条件。尸检研究的荟萃分析显示,与对照组相比,ASD受试者的小胶质细胞数量和密度增加,GFAP蛋白表达和GFAP mRNA表达增加。三项PET研究产生了不同的结果,并强调了不同的细节,其中一项报告称,与对照组相比,ASD受试者的TSPO表达增加,两项报告称TSPO表达减少。结论尸检证据和PET研究均支持胶质细胞诱导的神经炎症参与ASD的发病机制。纳入的研究数量有限,加上这些研究的异质性很大,阻碍了确定结论的发展,并对可变性的解释提出了质疑。未来的研究应优先复制当前的研究和验证当前的观察结果。
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引用次数: 1
Targeting the orexin/hypocretin system for the treatment of neuropsychiatric and neurodegenerative diseases: From animal to clinical studies 以食欲素/下丘脑泌素系统为靶点治疗神经精神和神经退行性疾病:从动物到临床研究
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-04-01 DOI: 10.1016/j.yfrne.2023.101066
Marc Ten-Blanco , África Flores , Luigia Cristino , Inmaculada Pereda-Pérez , Fernando Berrendero

Orexins (also known as hypocretins) are neuropeptides located exclusively in hypothalamic neurons that have extensive projections throughout the central nervous system and bind two different G protein-coupled receptors (OX1R and OX2R). Since its discovery in 1998, the orexin system has gained the interest of the scientific community as a potential therapeutic target for the treatment of different pathological conditions. Considering previous basic science research, a dual orexin receptor antagonist, suvorexant, was the first orexin agent to be approved by the US Food and Drug Administration to treat insomnia. In this review, we discuss and update the main preclinical and human studies involving the orexin system with several psychiatric and neurodegenerative diseases. This system constitutes a nice example of how basic scientific research driven by curiosity can be the best route to the generation of new and powerful pharmacological treatments.

食欲素(也称为下丘脑视网膜素)是专门位于下丘脑神经元中的神经肽,在整个中枢神经系统中具有广泛的投射,并结合两种不同的G蛋白偶联受体(OX1R和OX2R)。自1998年发现以来,食欲素系统作为治疗不同病理状况的潜在治疗靶点,引起了科学界的兴趣。考虑到之前的基础科学研究,双食欲素受体拮抗剂suvorexant是第一个被美国食品药品监督管理局批准用于治疗失眠的食欲素制剂。在这篇综述中,我们讨论并更新了涉及食欲素系统与几种精神病和神经退行性疾病的主要临床前和人类研究。这个系统是一个很好的例子,说明好奇心驱动的基础科学研究是产生新的强大药物治疗的最佳途径。
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引用次数: 4
The impact of caregiving for children with chronic conditions on the HPA axis: A scoping review 照顾慢性病儿童对HPA轴的影响:一项范围审查
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-04-01 DOI: 10.1016/j.yfrne.2023.101062
Lindsey Mountcastle , Melissa Zajdel , Taylor Robinson , Krystyna R. Keller , Shani Gelles , Alicia A. Livinski , Bijal Kikani , Dawn E. Lea , Laura M. Koehly

Caregiving has been robustly linked to caregiver health through the dysregulation of the hypothalamic–pituitary–adrenal (HPA) axis in the context of caregiving for an adult with a chronic illness. However, little research examines the physiological impact of caregiving for a child with a chronic illness despite high burden and unique stressors. In this review, we explore the links of caregiving for a child with a congenital, chromosomal, or genetic disorder to the regulation or dysregulation of the HPA axis. A search was conducted in PubMed, Embase, and the Web of Science and 15 studies met inclusion criteria. Overall, there were inconsistent links of caregiving to HPA axis functioning, perhaps due to the heterogeneity across disease contexts, study designs, and biomarker measurement. Future research should standardize measurement and study designs, increase participant diversity, and examine moderators of the links of caregiving to the HPA axis.

在照顾患有慢性病的成年人的过程中,通过下丘脑-垂体-肾上腺(HPA)轴的失调,照顾与照顾者的健康密切相关。然而,很少有研究考察照顾患有慢性病的儿童的生理影响,尽管负担很重,压力很大。在这篇综述中,我们探讨了照顾患有先天性、染色体或遗传性疾病的儿童与HPA轴的调节或失调之间的联系。在PubMed、Embase和Web of Science上进行了搜索,有15项研究符合入选标准。总体而言,照顾与HPA轴功能之间存在不一致的联系,这可能是由于疾病背景、研究设计和生物标志物测量的异质性。未来的研究应该使测量和研究设计标准化,增加参与者的多样性,并检查照顾与HPA轴之间联系的调节因素。
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引用次数: 0
The impact of loneliness and social isolation on the development of cognitive decline and Alzheimer’s Disease 孤独和社会隔离对认知能力下降和阿尔茨海默病发展的影响
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-04-01 DOI: 10.1016/j.yfrne.2023.101061
Yi Ren , Aisouda Savadlou , Soobin Park , Paul Siska , Jonathan R. Epp , Derya Sargin

Alzheimer’s Disease (AD) is the leading cause of dementia, observed at a higher incidence in women compared with men. Treatments aimed at improving pathology in AD remain ineffective to stop disease progression. This makes the detection of the early intervention strategies to reduce future disease risk extremely important. Isolation and loneliness have been identified among the major risk factors for AD. The increasing prevalence of both loneliness and AD emphasizes the urgent need to understand this association to inform treatment. Here we present a comprehensive review of both clinical and preclinical studies that investigated loneliness and social isolation as risk factors for AD. We discuss that understanding the mechanisms of how loneliness exacerbates cognitive impairment and AD with a focus on sex differences will shed the light for the underlying mechanisms regarding loneliness as a risk factor for AD and to develop effective prevention or treatment strategies.

阿尔茨海默病(AD)是痴呆症的主要原因,女性的发病率高于男性。旨在改善AD病理的治疗对阻止疾病进展仍然无效。这使得检测早期干预策略以降低未来疾病风险变得极其重要。孤立和孤独已被确定为AD的主要风险因素。孤独和AD的患病率不断上升,强调迫切需要了解这种联系,以便为治疗提供信息。在这里,我们对临床和临床前研究进行了全面综述,这些研究将孤独和社会孤立作为AD的风险因素。我们讨论了了解孤独如何加剧认知障碍和AD的机制,重点关注性别差异,将有助于揭示孤独作为AD风险因素的潜在机制,并制定有效的预防或治疗策略。
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引用次数: 9
Stress in adolescence as a first hit in stress-related disease development: Timing and context are crucial 青春期的压力是压力相关疾病发展的第一个打击:时间和环境至关重要
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-04-01 DOI: 10.1016/j.yfrne.2023.101065
Giulia F. Mancini , Onno C. Meijer , Patrizia Campolongo

The two-hit stress model predicts that exposure to stress at two different time-points in life may increase or decrease the risk of developing stress-related disorders later in life. Most studies based on the two-hit stress model have investigated early postnatal stress as the first hit with adult stress as the second hit. Adolescence, however, represents another highly sensitive developmental window during which exposure to stressful events may affect programming outcomes following exposure to stress in adulthood. Here, we discuss the programming effects of different types of stressors (social and nonsocial) occurring during adolescence (first hit) and how such stressors affect the responsiveness toward an additional stressor occurring during adulthood (second hit) in rodents. We then provide a comprehensive overview of the potential mechanisms underlying interindividual and sex differences in the resilience/susceptibility to developing stress-related disorders later in life when stress is experienced in two different life stages.

双重打击压力模型预测,在人生的两个不同时间点暴露于压力可能会增加或降低日后患压力相关疾病的风险。大多数基于两次打击压力模型的研究都将出生后早期的压力作为第一次打击,将成人压力作为第二次打击。然而,青春期代表了另一个高度敏感的发展窗口,在这个窗口期间,暴露于压力事件可能会影响成年后暴露于压力后的编程结果。在这里,我们讨论了不同类型的压力源(社会和非社会)在青春期(第一次打击)发生的编程影响,以及这些压力源如何影响啮齿动物对成年期(第二次打击)出现的额外压力源的反应。然后,我们全面概述了当在两个不同的人生阶段经历压力时,个体间和性别差异对日后发展为压力相关疾病的恢复力/易感性的潜在机制。
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引用次数: 0
Progesterone and contraceptive progestin actions on the brain: A systematic review of animal studies and comparison to human neuroimaging studies 黄体酮和避孕黄体酮对大脑的作用:动物研究的系统回顾和与人类神经影像学研究的比较
IF 7.4 1区 医学 Q1 ENDOCRINOLOGY & METABOLISM Pub Date : 2023-04-01 DOI: 10.1016/j.yfrne.2023.101060
Belinda Pletzer , Katharina Winkler-Crepaz , Katharina Maria Hillerer

In this review we systematically summarize the effects of progesterone and synthetic progestins on neurogenesis, synaptogenesis, myelination and six neurotransmitter systems. Several parallels between progesterone and older generation progestin actions emerged, suggesting actions via progesterone receptors. However, existing results suggest a general lack of knowledge regarding the effects of currently used progestins in hormonal contraception regarding these cellular and molecular brain parameters. Human neuroimaging studies were reviewed with a focus on randomized placebo-controlled trials and cross-sectional studies controlling for progestin type. The prefrontal cortex, amygdala, salience network and hippocampus were identified as regions of interest for future preclinical studies. This review proposes a series of experiments to elucidate the cellular and molecular actions of contraceptive progestins in these areas and link these actions to behavioral markers of emotional and cognitive functioning. Emotional effects of contraceptive progestins appear to be related to 1) alterations in the serotonergic system, 2) direct/indirect modulations of inhibitory GABA-ergic signalling via effects on the allopregnanolone content of the brain, which differ between androgenic and anti-androgenic progestins. Cognitive effects of combined oral contraceptives appear to depend on the ethinylestradiol dose.

在这篇综述中,我们系统地总结了黄体酮和合成黄体酮对神经发生、突触发生、髓鞘形成和六种神经递质系统的影响。黄体酮和老一代黄体酮作用之间出现了一些相似之处,表明其作用是通过黄体酮受体进行的。然而,现有的结果表明,人们普遍缺乏关于目前使用的孕激素在激素避孕中对这些细胞和分子大脑参数的影响的知识。回顾了人类神经影像学研究,重点是随机安慰剂对照试验和控制孕激素类型的横断面研究。前额叶皮层、杏仁核、显著性网络和海马体被确定为未来临床前研究的感兴趣区域。这篇综述提出了一系列实验来阐明避孕孕激素在这些领域的细胞和分子作用,并将这些作用与情绪和认知功能的行为标志物联系起来。避孕孕激素的情绪效应似乎与1)5-羟色胺能系统的改变有关,2)通过对大脑中异孕烯醇含量的影响直接/间接调节抑制性GABA能信号传导,这在雄激素和抗雄激素孕激素之间是不同的。联合口服避孕药的认知效果似乎取决于炔雌醇的剂量。
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引用次数: 6
期刊
Frontiers in Neuroendocrinology
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