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The Sex-Specific Effects of Early Life Adversity and Chronic Psychosocial Stress during Adulthood on Bone Are Mitigated by Mycobacterium vaccae NCTC 11659 in Mice. 母牛分枝杆菌nct11659减轻了小鼠早期生活逆境和成年期慢性社会心理压力对骨骼的性别特异性影响。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-01-10 DOI: 10.1159/000543507
Dorothea Gebauer, Tamara Schimmele, Giulia Mazzari, Benjamin T Krüger, Msgana Zemui, Anita Ignatius, Dominik Langgartner, Melanie Haffner-Luntzer, Stefan O Reber

Introduction: Chronic stress is a major burden in our society and increases the risk for various somatic and mental diseases, in part via promoting chronic low-grade inflammation. Interestingly, the vulnerability for chronic stress during adulthood varies widely among individuals, with some being more resilient than others. For instance, women, relative to men, are at higher risk for developing typical stress-related diseases, including depression and post-traumatic stress disorder (PTSD). Moreover, the experience of early life adversity (ELA) may increase an individuals' vulnerability for chronic stress during adulthood (CAS), possibly due to its association with chronic inflammation. Because severe consequences of stress-induced immune activation are a dysregulated endochondral ossification, delayed long-bone growth, and bone regeneration following fracture, the aim of this study was to investigate the sex-specific effects of ELA alone or in combination with CAS on bone. As enhancement of an individuals' immunoregulatory potential by repeated administrations of a heat-inactivated preparation of Mycobacterium vaccae NCTC (National Collection of Type Cultures) 11659 has been shown to promote stress resilience in mice, we further aimed to investigate if M. vaccae NCTC 11659 also protects against the negative effects of ELA/CAS on bone.

Methods: Male and female C57BL/6N mice were subjected to ELA using a maternal separation (MS) model. CAS was induced by either using the chronic subordinate colony housing (CSC) paradigm in males or the social instability paradigm (SIP) in females. The effects on bone were evaluated by µCT, histological, and gene expression analysis. M. vaccae NCTC 11659 was administered repeatedly s.c. prior to CAS.

Results: No cumulative impact of ELA and CAS on bone could be detected. Female mice seem to be more susceptible to ELA while male mice to CAS. Importantly, repeated M. vaccae NCTC 11659 administrations were able to mitigate the negative consequences of stress on bone in both sexes.

Conclusion: Our results support the hypotheses that the negative effects of ELA and CAS on bone are highly sex-dependent. Moreover, repeated s.c. administrations with immunoregulatory microorganisms might be a future therapeutic option for stress-related bone disorders.

慢性压力是我们社会的一个主要负担,增加了各种躯体和精神疾病的风险,部分是通过促进慢性低度炎症。有趣的是,成年期对慢性压力的脆弱性因人而异,有些人比其他人更有弹性。例如,与男性相比,女性患典型压力相关疾病的风险更高,包括抑郁症和创伤后应激障碍(PTSD)。此外,早期生活逆境(ELA)的经历可能会增加个体在成年期对慢性应激(CAS)的脆弱性,这可能是由于它与慢性炎症有关。由于应激诱导的免疫激活的一个严重后果是骨折后软骨内成骨失调、长骨生长和骨再生延迟,本研究的目的是研究ELA单独或联合CAS对骨的性别特异性影响。由于反复给药母牛分枝杆菌NCTC (National Collection of Type cultes) 11659热灭活制剂可增强个体的免疫调节潜能,已被证明可促进小鼠的应激恢复能力,我们进一步旨在研究母牛分枝杆菌NCTC 11659是否也能防止ELA/CAS对骨骼的负面影响。方法采用母系分离(MS)模型对C57BL/6N小鼠进行ELA治疗。雄性采用慢性从属群体住房(CSC)程序诱导,雌性采用社会不稳定范式(SIP)诱导。通过微CT、组织学和基因表达分析评估对骨的影响。牛痘分枝杆菌nct11659在体外循环前反复注射。结果ELA和CAS对骨无加性影响。雌性小鼠似乎对ELA更敏感,而雄性小鼠对CAS更敏感。重要的是,反复接种母牛分枝杆菌nct11659能够减轻对两性骨骼压力的负面影响。结论本研究结果支持ELA和CAS对骨的负面影响高度性别依赖的假设。此外,在免疫调节微生物的作用下,反复给药可能是未来治疗压力相关骨疾病的一种选择。
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引用次数: 0
Effects of Oral Administration of the Probiotic Lactobacillus rhamnosus GG on the Proteomic Profiles of Cerebrospinal Fluid and Immunoregulatory Signaling in the Hippocampus of Adult Male Rats. 口服鼠李糖乳杆菌GG对成年雄性大鼠脑脊液蛋白质组学和海马免疫调节信号的影响
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-03-03 DOI: 10.1159/000544842
Kelsey M Loupy, Lamya'a M Dawud, Cristian A Zambrano, Thomas Lee, Jared D Heinze, Ahmed I Elsayed, James E Hassell, Heather M D'Angelo, Matthew G Frank, Steven F Maier, Lisa A Brenner, Christopher A Lowry

Introduction: The microbiome-gut-brain axis, by modulating bidirectional immune, metabolic, and neural signaling pathways in the host, has emerged as a target for the prevention and treatment of psychiatric and neurological disorders. Oral administration of the probiotic bacterium Lactobacillus rhamnosus GG (LGG; ATCC 53103) exhibits anti-inflammatory effects, although the precise mechanisms by which LGG benefits host physiology and behavior are not known. The goal of this study was to explore the general effects of LGG on the cerebrospinal fluid (CSF) proteome and a biological signature of anti-inflammatory signaling in the central nervous system (CNS) of undisturbed, adult male rats.

Methods: Liquid chromatography-tandem mass spectrometry-based proteomics were conducted using CSF samples collected after 21 days of oral treatment with live LGG (3.34 × 107 colony-forming units (CFU)/mL in the drinking water (resulting in an estimated delivery of ∼1.17 × 109 CFU/day/rat) or water vehicle. Gene enrichment analysis (using DAVID, v. 6.8) and protein-protein interactions (using STRING, v. 11) were used to explore physiological network changes in CSF. Real-time reverse transcription polymerase chain reaction (real-time RT-PCR) was performed to assess gene expression changes of anti-inflammatory cytokines in the hippocampus. Genes associated with anti-inflammatory signaling that were analyzed included Il10, Tgfb1, Il4, and IL-4-responsive genes, Cd200, Cd200r1, and Mrc1 (Cd206).

Results: Oral LGG administration altered the abundance of CSF proteins, increasing the abundance of five proteins (cochlin, NPTXR, reelin, Sez6l, and VPS13C) and decreasing the abundance of two proteins (CPQ, IGFBP-7) in the CSF. Simultaneously, LGG increased the expression of Il10 mRNA, encoding the anti-inflammatory cytokine interleukin 10, in the hippocampus.

Conclusion: Oral LGG altered the abundance of CSF proteins associated with extracellular scaffolding, synaptic plasticity, and glutamatergic signaling. These data are consistent with the hypothesis that oral administration of LGG improves memory and cognition, and promotes a physiological resilience to neurodegenerative disease, by increasing glutamatergic signaling and promoting an anti-inflammatory environment in the brain.

微生物组-肠-脑轴通过调节宿主体内的双向免疫、代谢和神经信号通路,已成为预防和治疗精神和神经疾病的靶点。口服益生菌鼠李糖乳杆菌GG (LGG;ATCC 53103)表现出抗炎作用,尽管LGG对宿主生理和行为有益的确切机制尚不清楚。本研究的目的是探讨LGG对未受干扰的成年雄性大鼠脑脊液(CSF)蛋白质组的一般影响以及中枢神经系统(CNS)中抗炎信号的生物学特征。方法:采用液相色谱-串联质谱(LC-MS/MS)为基础的蛋白质组学方法,对饮用水中活LGG (3.34 × 107菌落形成单位(CFU)/mL)或水载体口服21天后收集的脑脊液样本进行检测。基因富集分析(使用DAVID, v. 6.8)和蛋白-蛋白相互作用(使用STRING, v. 11)用于探索脑脊液的生理网络变化。采用实时逆转录聚合酶链反应(Real time RT-PCR)评估海马抗炎细胞因子基因表达变化。分析与抗炎信号相关的基因包括Il10、Tgfb1、Il4和il -4应答基因、Cd200、Cd200r1和Mrc1 (Cd206)。结果:口服LGG可改变脑脊液蛋白丰度,增加5种蛋白(cochlin、NPTXR、reelin、Sez6l和VPS13C)丰度,降低2种蛋白(CPQ、IGFBP-7)丰度。同时,LGG增加了海马组织中编码抗炎细胞因子白细胞介素10的Il10 mRNA的表达。结论:口服LGG改变了与细胞外支架、突触可塑性和谷氨酸信号传导相关的脑脊液蛋白的丰度。这些数据与假设一致,即口服LGG可能通过增加谷氨酸能信号传导和促进大脑中的抗炎环境,改善记忆和认知,并可能促进对神经退行性疾病的生理恢复。
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引用次数: 0
The Perinatal Microbiota-Gut-Brain Axis: Implications for Postpartum Depression. 围产期微生物群-肠-脑轴:对产后抑郁症的影响。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-01-21 DOI: 10.1159/000543691
Marie Armbruster, Paul Forsythe

Background: Pregnancy and childbirth are accompanied by widespread maternal physiological adaptations and hormonal shifts that have been suggested to result in a period of vulnerability for the development of mood disorders such as postpartum depression (PPD). There is also evidence of peripartum changes in the composition of the gut microbiota, but the potential contribution of intestinal microbes to the adaptations, or subsequent vulnerabilities, during this period are unknown.

Summary: Here, we outline key pathways involved in peripartum adaptations including GABAergic signaling, oxytocin, and immunomodulation that are also associated with susceptibility to mood disorders and present evidence that these pathways are modulated by gut microbes. We also discuss the therapeutic potential of the microbiota-gut-brain axis in PPD and identify future directions for research to help realize this potential.

Key messages: Peripartum adaptations are associated with shifts in gut microbial composition. Disruption of GABAergic, oxytocin, and immunomodulatory pathways may contribute to vulnerability of mood disorders including PPD. These key adaptive pathways are modulated by intestinal microbes suggesting a role for the gut microbiota in determining susceptibility to PPD. More research is needed to confirm relationship between gut microbes and PPD and to gain the mechanistic understanding required to realize the therapeutic potential of microbiota-gut-brain axis in this mood disorder.

背景:怀孕和分娩伴随着母体广泛的生理适应和激素变化,这被认为会导致一段时期的情绪障碍,如产后抑郁症(PPD)的发展。也有证据表明围产期肠道微生物群的组成发生了变化,但肠道微生物在这一时期对适应或随后的脆弱性的潜在贡献尚不清楚。摘要:本文概述了围产期适应的关键途径,包括gaba能信号、催产素和免疫调节,这些途径也与情绪障碍的易感性有关,并提出了这些途径由肠道微生物调节的证据。我们还讨论了微生物-肠-脑轴在产后抑郁症中的治疗潜力,并确定了未来的研究方向,以帮助实现这一潜力。关键信息:围产期适应与肠道微生物组成的变化有关。gaba能、催产素和免疫调节途径的破坏可能导致包括产后抑郁症在内的情绪障碍的易感性。这些关键的适应性途径是由肠道微生物调节的,这表明肠道微生物群在决定PPD的易感性方面发挥了作用。需要更多的研究来证实肠道微生物与PPD的关系,并获得必要的机制理解,以实现微生物-肠-脑轴在这种情绪障碍中的治疗潜力。
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引用次数: 0
The saNeuroGut Initiative: Investigating the Gut Microbiome and Symptoms of Anxiety, Depression, and Posttraumatic Stress. saNeuroGut 计划:调查肠道微生物组与焦虑、抑郁和创伤后应激症状。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2024-11-19 DOI: 10.1159/000542696
Michaela A O'Hare, Patricia C Swart, Stefanie Malan-Müller, Leigh L van den Heuvel, Erine Bröcker, Soraya Seedat, Sian M J Hemmings

Introduction: Common mental disorders, such as anxiety disorders, depression, and posttraumatic stress disorder (PTSD), present a substantial health and economic burden. The gut microbiome has been associated with these psychiatric disorders via the microbiome-gut-brain axis. However, previous studies have focused on the associations between the gut microbiome and common mental disorders in European, North American, and Asian populations. As part of the saNeuroGut Initiative, we assessed associations between gut microbial composition and self-reported symptoms of anxiety, depression, and posttraumatic stress (PTS) among South African adults.

Methods: Participants completed validated, online self-report questionnaires to evaluate symptoms of state anxiety, trait anxiety, depression, and PTSD. Eighty-six stool-derived microbial DNA samples underwent sequencing of the V4 region of the 16S rRNA gene to characterise gut bacterial taxa in the sample.

Results: No significant associations were observed between symptom severity scores and alpha (Shannon and Simpson indices) and beta (Aitchison distances) diversity metrics. Linear regression models revealed that the abundances of Catenibacterium, Collinsella, and Holdemanella were significantly positively associated with the severity of PTS symptoms.

Conclusion: Catenibacterium, Collinsella, and Holdemanella have each previously been associated with various psychiatric disorders, with Catenibacterium having been positively associated with symptoms of PTSD in another South African cohort. This study sheds light on the relationship between the human gut microbiome and symptoms of anxiety, depression, and PTS in a South African adult sample.

导言:焦虑症、抑郁症和创伤后应激障碍(PTSD)等常见精神疾病造成了巨大的健康和经济负担。肠道微生物组通过微生物组-肠道-大脑轴与这些精神疾病有关。然而,以前的研究主要集中在欧洲、北美和亚洲人群的肠道微生物组与常见精神障碍之间的关联。作为 saNeuroGut 计划的一部分,我们评估了南非成年人的肠道微生物组成与自我报告的焦虑、抑郁和创伤后应激症状之间的关系:参与者填写经过验证的在线自我报告问卷,以评估状态焦虑、特质焦虑、抑郁和创伤后应激障碍的症状。对86份粪便微生物DNA样本进行了16S rRNA基因V4区测序,以确定样本中肠道细菌类群的特征:结果:症状严重程度评分与阿尔法(香农和辛普森指数)和贝塔(艾奇逊距离)多样性指标之间未发现明显关联。线性回归模型显示,卡氏杆菌、柯林斯氏菌和霍德曼氏菌的丰度与创伤后应激反应(PTS)症状的严重程度呈显著正相关:结论:卡氏菌、柯林斯菌和霍德曼菌以前都与各种精神疾病有关,其中卡氏菌与另一个南非队列中的创伤后应激障碍症状呈正相关。本研究揭示了南非成人样本中人类肠道微生物组与焦虑、抑郁和创伤后应激障碍症状之间的关系。
{"title":"The saNeuroGut Initiative: Investigating the Gut Microbiome and Symptoms of Anxiety, Depression, and Posttraumatic Stress.","authors":"Michaela A O'Hare, Patricia C Swart, Stefanie Malan-Müller, Leigh L van den Heuvel, Erine Bröcker, Soraya Seedat, Sian M J Hemmings","doi":"10.1159/000542696","DOIUrl":"10.1159/000542696","url":null,"abstract":"<p><strong>Introduction: </strong>Common mental disorders, such as anxiety disorders, depression, and posttraumatic stress disorder (PTSD), present a substantial health and economic burden. The gut microbiome has been associated with these psychiatric disorders via the microbiome-gut-brain axis. However, previous studies have focused on the associations between the gut microbiome and common mental disorders in European, North American, and Asian populations. As part of the saNeuroGut Initiative, we assessed associations between gut microbial composition and self-reported symptoms of anxiety, depression, and posttraumatic stress (PTS) among South African adults.</p><p><strong>Methods: </strong>Participants completed validated, online self-report questionnaires to evaluate symptoms of state anxiety, trait anxiety, depression, and PTSD. Eighty-six stool-derived microbial DNA samples underwent sequencing of the V4 region of the 16S rRNA gene to characterise gut bacterial taxa in the sample.</p><p><strong>Results: </strong>No significant associations were observed between symptom severity scores and alpha (Shannon and Simpson indices) and beta (Aitchison distances) diversity metrics. Linear regression models revealed that the abundances of Catenibacterium, Collinsella, and Holdemanella were significantly positively associated with the severity of PTS symptoms.</p><p><strong>Conclusion: </strong>Catenibacterium, Collinsella, and Holdemanella have each previously been associated with various psychiatric disorders, with Catenibacterium having been positively associated with symptoms of PTSD in another South African cohort. This study sheds light on the relationship between the human gut microbiome and symptoms of anxiety, depression, and PTS in a South African adult sample.</p>","PeriodicalId":19133,"journal":{"name":"Neuroimmunomodulation","volume":" ","pages":"1-15"},"PeriodicalIF":2.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11844704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142676256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Metabolomic Mind: Microbial Metabolite Programming of Microglia. 代谢组学思维:小胶质细胞的微生物代谢物编程。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-05-12 DOI: 10.1159/000545484
Branden G Verosky, Michael T Bailey, Tamar L Gur

Background: The gut microbiota is increasingly recognized as a critical regulator of brain function, influencing neurodevelopment, brain physiology, and disease vulnerability in part through its interactions with microglia, the resident immune cells of the central nervous system. Microbial metabolites, beginning prenatally and persisting throughout the lifespan, modulate fundamental aspects of microglial biology.

Summary: Microglia from germ-free mice exhibit persistent immaturity, altered energy metabolism, and blunted inflammatory responses, which can be partially reversed by microbial colonization or supplementation with specific bacterial metabolites. Short-chain fatty acids, tryptophan-derived indoles, and secondary bile acids have emerged as key microbial mediators that regulate microglial development, metabolism, and immune function, whereas certain inflammatory metabolites, such as trimethylamine n-oxide, disrupt microglial homeostasis, and worsen neurodegeneration.

Key messages: These findings reveal distinct metabolite-driven pathways linking microbial composition to microglial phenotypes, positioning the microbiome as a potential key influencer of neurodevelopmental trajectories and the pathophysiology of psychiatric and neurological disorders. Despite recent advances, major knowledge gaps persist in understanding the precise molecular intermediaries and mechanisms through which metabolite signaling to microglia shapes susceptibility or resilience to brain-based disorders. Understanding both the bacterial metabolomic landscape and its collective impact on microglial programming holds substantial therapeutic promise, offering avenues to target microbial metabolite production or administer them directly to modulate disease susceptibility.

肠道微生物群越来越被认为是脑功能的关键调节器,通过与中枢神经系统的常驻免疫细胞小胶质细胞的相互作用,部分影响神经发育、成人脑生理和疾病易感性。新出现的证据表明,微生物代谢物,从产前开始并持续整个生命周期,调节小胶质细胞生物学的基本方面,包括成熟,代谢功能和激活。无菌小鼠的小胶质细胞表现出持续的不成熟、能量代谢的改变和炎症反应的减弱,这些可以通过恢复微生物群落或补充关键的微生物代谢物部分逆转。短链脂肪酸、色氨酸衍生的吲哚和来自肠道微生物群的其他细菌代谢物塑造小胶质细胞功能,调节神经元和突触结构,并影响神经炎症过程。这些发现揭示了将微生物组成与小胶质细胞表型联系起来的独特代谢物驱动途径,将微生物组定位为神经发育轨迹以及精神和神经疾病病理生理学的潜在关键影响者。尽管最近取得了进展,但主要的知识差距仍然存在于理解精确的分子中介和机制,通过代谢物信号传导到小胶质细胞形成神经功能,从而影响对脑基疾病的易感性或恢复力。了解细菌代谢组学景观及其对小胶质细胞编程的集体影响具有重大的治疗前景,为靶向微生物代谢物的产生或直接管理它们来调节大脑健康提供了途径。
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引用次数: 0
Gestational Hypothyroxinemia Shifts Th1/Th17 Immunity and Innate Lymphoid Cell Balance in the Adult Offspring during the Presymptomatic Stage of Experimental Autoimmune Encephalomyelitis. 妊娠期甲状腺功能低下改变实验性自身免疫性脑脊髓炎症状前阶段成年后代Th1/Th17免疫和先天淋巴样细胞平衡
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-04-10 DOI: 10.1159/000545578
Sebastian Gatica, Nicolas Paillal, Ma Andreina Rangel-Ramírez, Luis Méndez, Alonso Fernández-Tello, Alexis M Kalergis, Susan M Bueno, Pablo A González, Jorge A Soto, Felipe Simon, Leandro J Carreño, Felipe Melo-Gonzalez, Claudia A Riedel

Introduction: Thyroid hormone homeostasis during pregnancy is crucial for proper neurodevelopment and cognitive capacity during adulthood. Accumulating evidence reveals that gestational hypothyroxinemia (HTX) modulates the immune response of the adult offspring.

Methods: In the present study, adult mice gestated in HTX and their euthyroid counterparts were induced with a mild form of experimental autoimmune encephalomyelitis (EAE), a widespread model of multiple sclerosis, and analyzed at baseline and 7 days after EAE induction.

Results: Levels of circulating IL-17 were significantly lower in mice gestated in HTX at both timepoints, while circulating IFN-γ was significantly higher only in mice gestated in HTX, 7 days after EAE induction. A significant increase in type 1 innate lymphoid cells (ILC1) was found only in mice gestated in HTX 7 days after EAE induction, while type 3 innate lymphoid cells (ILC3) populations showed no variation. Interestingly, a significant increase of Th17 CD4+ cells was found only in mice of euthyroid gestation, 7 days after EAE induction.

Conclusion: These results highlight the repercussions of thyroid hormone impairment in utero at adult ages while dissecting on the pathogenesis of EAE in terms of Th1/Th17 balance from an innate immune perspective. These findings contribute to the advancement of our comprehension of the presymptomatic stage of EAE, unveiling new paths for basic and translational research in the field of neuroinflammation.

怀孕期间甲状腺激素的平衡对成年期正常的神经发育和认知能力至关重要。越来越多的证据表明,妊娠期甲状腺功能低下(HTX)调节成年后代的免疫反应。在本研究中,用HTX妊娠的成年小鼠和甲状腺功能正常的小鼠诱导轻度的实验性自身免疫性脑脊髓炎(EAE),一种广泛存在的多发性硬化症模型,并在基线和EAE诱导后7天进行分析。在EAE诱导7天后,HTX妊娠小鼠的循环IL-17水平在两个时间点均显著降低,而循环IFN-γ水平仅在HTX妊娠小鼠中显著升高。1型先天淋巴细胞(ILC1)在EAE诱导7天后仅在HTX中妊娠的小鼠中显著增加,而3型先天淋巴细胞(ILC3)群体没有变化。有趣的是,在EAE诱导7天后,仅在甲状腺功能正常妊娠的小鼠中发现Th17 CD4+细胞显著增加。这些结果强调了成年期子宫内甲状腺激素损伤的影响,同时从先天免疫的角度从Th1/Th17平衡的角度剖析了EAE的发病机制。这些发现有助于提高我们对EAE症状前阶段的理解,为神经炎症领域的基础研究和转化研究开辟了新的途径。
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引用次数: 0
The Role of Immune Cell Subsets in the Development of Postoperative Cognitive Dysfunction in Surgical Patients under Anesthesia. 免疫细胞亚群在麻醉下手术患者术后认知功能障碍发展中的作用。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-09-24 DOI: 10.1159/000548491
Chao Ying, Feng Lin

Background: Postoperative cognitive dysfunction (POCD) affects 10-54% of surgical patients, especially the elderly. It is increasingly recognized as a major perioperative complication driven by neuroinflammatory mechanisms. While physiological postoperative inflammation supports wound healing and recovery, pathological hyperactivation of immune pathways leads to blood-brain barrier disruption, immune cell infiltration, and long-term cognitive impairment.

Summary: This review examines the contribution of innate and adaptive immune cell subsets to POCD pathogenesis. Activated microglia, infiltrating monocytes, and neutrophils initiate neuroinflammatory cascades through cytokine release, while dysregulated T-cell balance (increased Th17 cells, reduced regulatory T cells) exacerbates dysfunction. Key molecular pathways involve damage-associated molecular patterns, complement activation, and impaired neurotrophin signaling. Clinical biomarkers such as IL-6, TNF-α, and S100B show predictive value, with sensitivity of 65-85% and specificity of 75-90%. Current therapeutic strategies include dexmedetomidine, anti-inflammatory agents, and comprehensive perioperative optimization.

Key messages: POCD is a frequent postoperative complication linked to immune dysregulation and neuroinflammation. Both innate and adaptive immune cells play central roles, with microglial polarization and T-cell imbalance as major drivers. Biomarkers such as IL-6, TNF-α, and S100B can support risk stratification and early intervention. Immunomodulatory therapies and perioperative optimization represent promising approaches to reduce POCD incidence and improve patient outcomes.

术后认知功能障碍(POCD)影响10-54%的手术患者,特别是老年人。本文就免疫细胞通过神经炎症机制参与POCD的发病机制作一综述。虽然生理性术后炎症反应促进伤口愈合和组织修复,但病理性免疫通路的过度激活驱动POCD的发展。手术创伤引发全身性炎症,破坏血脑屏障完整性,促进免疫细胞浸润。先天免疫细胞,包括活化的小胶质细胞、浸润性单核细胞和中性粒细胞,通过细胞因子的释放启动神经炎症级联反应。适应性免疫反应涉及失调的T细胞稳态,Th17细胞升高,调节性T细胞减少。关键的分子通路包括损伤相关的分子模式、补体激活和神经营养因子信号中断。临床生物标志物,特别是IL-6、TNF-α和S100B,使风险分层的敏感性为65-85%,特异性为75-90%。治疗策略侧重于通过右美托咪定、抗炎药和围手术期优化进行免疫调节。了解这些免疫机制为有针对性的干预提供了基础,以预防这种衰弱性并发症并改善围手术期的认知结果。
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引用次数: 0
Expression of Concern. 表达关心。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-11-13 DOI: 10.1159/000548698
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引用次数: 0
Immunological Approaches in the Diagnosis and Treatment of Psychiatric Disorders: A Historical Overview. 精神病诊断和治疗中的免疫学方法--历史回顾。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2024-11-26 DOI: 10.1159/000542784
Norbert Müller

Background: For over 130 years, scientists have been suggesting that infection and inflammation may play a role in psychosis and other psychiatric disorders. First attempts to treat psychosis by immune-modulating therapies were made early in the last century; however, after the development of antipsychotics in the 1950s, scientific interest shifted away from immunological aspects of psychiatric disorders to the involvement of catecholamines, in particular dopamine, in psychosis.

Summary: Antipsychotic treatment was not as successful as expected, so the 1990s saw renewed interest in inflammation and psychoneuroimmunological research in schizophrenia and beyond. In parallel, advances in immunological research methods allowed immunological and inflammatory mechanisms to be studied in more detail.

Key messages: Clinical studies and meta-analyses have demonstrated positive effects of anti-inflammatory treatment in certain patients with psychiatric disorders. More research is needed to elucidate exactly how immunological mechanisms result in disease pathophysiology, with the aim to improve anti-inflammatory and personalized treatments.

背景 130 多年来,科学家们一直认为感染和炎症可能在精神病和其他精神疾病中起作用。上世纪初,人们首次尝试用免疫调节疗法来治疗精神病;然而,20 世纪 50 年代抗精神病药物问世后,科学界的兴趣从精神病的免疫学方面转向儿茶酚胺,尤其是多巴胺在精神病中的作用。摘要 抗精神病药物的治疗并不像预期的那样成功,因此在 20 世纪 90 年代,人们对精神分裂症及其他疾病的炎症和精神神经免疫学研究重新产生了兴趣。与此同时,免疫学研究方法的进步也使得免疫学和炎症机制得到了更详细的研究。重要信息 临床研究和荟萃分析表明,抗炎治疗对精神疾病有积极作用。还需要更多的研究来阐明免疫学机制是如何导致疾病病理生理学的,从而改进抗炎治疗和个性化治疗。
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引用次数: 0
Regular Positive Human Contacts Do Not Improve Pigs' Response to a Lipopolysaccharide Immune Challenge. 经常与人接触并不能改善猪对脂多糖免疫挑战的反应。
IF 2.4 4区 医学 Q3 ENDOCRINOLOGY & METABOLISM Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI: 10.1159/000544748
Oceane Schmitt, Christian Knecht, Birgit Sobczak, Hana Volkmann, Ulrike Gimsa, Jean-Loup Rault

Introduction: Little is known about the effects of a positive human-animal relationship on animal health and resilience. This study investigated the effects of regular positive human-animal interactions on pigs' response to an immune challenge.

Methods: Twenty-four female pigs were recruited at weaning (5 weeks old), and siblings of similar weights were allocated to either the positive contact treatment with positive contacts given by a human to groups of 3 pigs in their home pen or the control treatment only exposed to a human standing immobile and silently in front and outside their home pen. Treatment sessions were applied over 9 consecutive weeks, lasted 10 min per group, and occurred twice daily (morning and afternoon), 3 days a week. At 16 weeks of age, pigs were submitted to an immune challenge, which consisted of a single intravenous administration of lipopolysaccharide (LPS; 2 µg/kg). The sickness behaviours of pigs were observed using scan sampling every 5 min over 6 h post-administration, recording somnolence, vomiting, diarrhoea, cramping, shivering, and panting. Blood samples were taken before the LPS administration, after 1 h and 3 h. Blood plasma was analysed to quantify tumour necrosis factor alpha, interleukins 6 and 10, immunoglobulin A, and cortisol concentrations, and blood serum was analysed to quantify a brain-derived neurotrophic factor. Behavioural and physiological data were statistically analysed using general linear models in R.

Results: Both treatments showed signs of sickness behaviour following LPS administration, but the two treatments did not differ in the frequency, severity of sickness behaviours, or length of recovery or in the blood plasma concentration of cytokines and cortisol measured.

Conclusion: Therefore, regular exposure to positive contacts with a human over several weeks, although leading to the development of a positive human-animal relationship, did not enhance the pigs' response to this immune challenge or the immune parameters measured in this study.

导言:人们对积极的人与动物关系对动物健康和恢复能力的影响知之甚少。本研究调查了定期积极的人与动物互动对猪对免疫挑战反应的影响:24头雌性猪在断奶时(5周大)被招募,体重相近的兄弟姐妹被分配到积极接触疗法中,由人类在猪圈中对每3头猪进行积极接触;或者分配到对照疗法中,只让人类静静地站在猪圈前和猪圈外。治疗连续进行九周,每组持续 10 分钟,每天两次(上午和下午),每周三天。猪在 16 周大时接受免疫挑战,包括单次静脉注射脂多糖(LPS;2µg/kg)。在给药后的 6 小时内,每隔 5 分钟扫描取样一次,观察猪的生病行为,记录嗜睡、呕吐、腹泻、痉挛、颤抖和喘气。在注射 LPS 前、1 小时后和 3 小时后采集血液样本。分析血浆以量化肿瘤坏死因子α、白细胞介素6和10、免疫球蛋白A和皮质醇的浓度,分析血清以量化脑源性神经营养因子。使用 R 软件中的一般线性模型对行为和生理数据进行了统计分析:结果:两种治疗方法在给予 LPS 后都出现了病态行为,但两种治疗方法在病态行为的频率、严重程度或恢复时间,以及所测得的细胞因子和皮质醇的血浆浓度方面没有差异:因此,在数周内定期与人进行积极接触,虽然会促进人与动物之间积极关系的发展,但并不会增强猪对这种免疫挑战的反应,也不会提高本研究测量的免疫参数。
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引用次数: 0
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Neuroimmunomodulation
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