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Bias in hair cortisol measures for psychological stress: Self vs. professional collection. 心理压力的毛发皮质醇测量偏差:自我与专业收集。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-06 DOI: 10.1016/j.psyneuen.2026.107775
Heather Gatny, William Axinn, Dirgha Ghimire, Brady T West, Sabrina Hermosilla, Saman Pradhan, Sameer Dixit, Indra Chaudary

Population-representative samples of hair-based cortisol have the potential to revolutionize studies of psychological stress. However, to integrate hair-based cortisol measurement into large-scale studies, it is crucial to understand the limitations and potential biases associated with self-collection. This study examines the associations between individual, household, and community characteristics, sample collection method, and hair cortisol concentration (HCC). We conducted a random-assignment experiment within a cohort design, comparing self-collection to professional-collection of hair samples among young adults. We attempted contact and hair collection among n = 1181 individuals and obtained hair samples from n = 617 individuals ages 18-22 participating in the Chitwan Valley Family Study in Nepal. The primary outcomes were the ability to provide an analyzable hair sample (defined by sufficient weight, length, and identification of the root-end) and HCC in the top quintile. There was no difference in the probability of providing a hair sample between the self-collection and professional-collection groups. However, self-collection decreased the odds of providing an analyzable sample (OR, 0.47; 95 % CI, 0.23-0.94). Women had higher odds of providing analyzable samples (OR, 9.86; 95 % CI, 3.94-24.72), while being married reduced sample suitability (OR, 0.36; 95 % CI, 0.14-0.92). Women also had decreased odds of high HCC (OR, 0.50; 95 % CI, 0.30-0.83). Our findings show that self-collection of hair samples is feasible for large-scale studies. However, gender influences successful self-collection and is also associated with HCC. Adjusting for gender related bias is both essential and feasible to fully realize the potential of large-scale hair cortisol measurement.

基于毛发的具有人口代表性的皮质醇样本有可能彻底改变心理压力的研究。然而,为了将基于毛发的皮质醇测量整合到大规模研究中,了解与自我收集相关的局限性和潜在偏差至关重要。本研究探讨了个体、家庭和社区特征、样本收集方法和毛发皮质醇浓度(HCC)之间的关系。我们在队列设计中进行了一项随机分配实验,比较了年轻人中自我收集和专业收集的头发样本。我们尝试接触并收集了n = 1181个人的头发,并从n = 617名年龄在18-22岁的尼泊尔奇旺山谷家庭研究参与者中获得了头发样本。主要结果是能够提供可分析的毛发样本(由足够的重量、长度和根端鉴定来定义)和前五分之一的HCC。在自我收集组和专业收集组之间,提供头发样本的概率没有差异。然而,自我收集降低了提供可分析样本的几率(OR, 0.47; 95 % CI, 0.23-0.94)。女性提供可分析样本的几率更高(OR, 9.86; 95 % CI, 3.94-24.72),而结婚降低了样本的适宜性(OR, 0.36; 95 % CI, 0.14-0.92)。女性患高HCC的几率也降低(OR, 0.50; 95 % CI, 0.30-0.83)。我们的研究结果表明,自我收集头发样本对于大规模研究是可行的。然而,性别影响成功的自我收集,也与HCC有关。为了充分实现大规模毛发皮质醇测量的潜力,调整与性别相关的偏见既是必要的,也是可行的。
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引用次数: 0
Pubertal neuroendocrine network characteristics and sex differences: A hair-based hormone network study. 青春期神经内分泌网络特征与性别差异:基于毛发的激素网络研究。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-03 DOI: 10.1016/j.psyneuen.2026.107770
Xuliang Hou, Mingjun Xie, Sanjun Yi, Gao Wei, Huihua Deng, Danhua Lin

Background: Puberty is a critical developmental stage involving profound remodeling of neuroendocrine and neuromodulatory systems. While hormonal changes from a single system have been well studied, the systemic coordination across multiple systems and its sex-specific pattern remain unclear.

Methods: We recruited 449 healthy adolescents (226 males, 223 females) and constructed the network that encompasses nine hormones representative of the HPA and HPG axes, ECS, and melatonin system. The hormones were measured from hair with LC-MS/MS. Hormonal networks were estimated via Spearman correlations. Expected influence (EI), bridge expected influence (bridge EI), and global strength were calculated. Sex differences were examined in global strength, edge weight, EI and bridge EI using the Network Comparison Test.

Results: The pubertal network showed the strongest coupling between metabolically related hormone pairs (i.e., F - E, MEL - NAS and T - P) and antagonistic pairs with cross-system associations (i.e., DHEA - NAS and DHEA - AEA). Cortisol, testosterone and melatonin with the highest EI were identified as hubs where testosterone emerged as a puberty-specific central node, but 1-AG exerted negative influence as an inhibitor. The pubertal network exhibited high global strength. Males showed significantly stronger global strength than females, but weaker edgeweight at the F - DHEA, E - NAS and T - NAS edges. Significant sex differences also appeared in both EI and bridge EI at nodes NAS and 1-AG.

Conclusions: Puberty is marked by intensified neuroendocrine integration and sex-specific reorganization. Cortisol and melatonin consistently act as central hubs, testosterone and progesterone show sex-differentiated roles, and 1-AG emerges as a potential inhibitory hormone. These findings highlight systemic bases of pubertal sexual differentiation and demonstrate the value of network analysis for mapping complex hormonal interactions.

背景:青春期是神经内分泌和神经调节系统深度重塑的关键发育阶段。虽然单一系统的激素变化已经得到了很好的研究,但跨多个系统的系统协调及其性别特异性模式仍不清楚。方法:我们招募了449名健康青少年(男226名,女223名),构建了包含HPA和HPG轴、ECS和褪黑激素系统代表的9种激素的网络。用LC-MS/MS从头发中测定激素含量。激素网络通过斯皮尔曼相关性进行估计。计算预期影响(EI)、桥梁预期影响(EI)和整体强度。采用网络比较检验,对整体强度、边重、EI和桥EI进行性别差异研究。结果:在青春期网络中,代谢相关激素对(F - E、MEL - NAS和T - P)和拮抗激素对(DHEA - NAS和DHEA - AEA)的耦合作用最强。具有最高EI的皮质醇、睾酮和褪黑素被确定为枢纽,其中睾酮作为青春期特异性中心节点出现,但1-AG作为抑制剂发挥负面影响。青春期网络表现出较高的全局强度。雄性的整体强度显著高于雌性,但在F - DHEA、E - NAS和T - NAS边缘的边重较弱。NAS节点和1-AG节点EI和桥EI均存在显著的性别差异。结论:青春期以神经内分泌整合和性别特异性重组增强为特征。皮质醇和褪黑激素一直起着中枢中枢的作用,睾酮和孕酮表现出性别分化的作用,1-AG作为潜在的抑制激素出现。这些发现突出了青春期性别分化的系统基础,并证明了网络分析对绘制复杂激素相互作用的价值。
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引用次数: 0
The effect of timing and tempo of adrenarche on depression and anxiety in adolescence: A prospective cohort analysis. 青春期肾上腺素分泌的时间和速度对抑郁和焦虑的影响:一项前瞻性队列分析。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-02 DOI: 10.1016/j.psyneuen.2026.107776
Dongmei Luo, Susan M Sawyer, Hanafi Mohamad Husin, S Ghazaleh Dashti, Nandita Vijayakumar

Background: A considerable proportion of life-time depression and anxiety emerges during childhood and adolescence. Some research has shown that pubertal maturity is associated with depression and anxiety. While most research has focused on gonadarche, the earlier phase of adrenarche remains less explored and understood. We aimed to examine the effects of timing and tempo of adrenarche on incidence and chronicity of depression and anxiety during adolescence.

Methods: Data were from the Child to Adult Transition Study (CATS), a longitudinal population-based cohort from Melbourne, Australia. CATS recruited Grade 3 students in 2012, who were followed up annually across adolescence. Adrenarchal timing was modelled as the level of adrenal hormones (DHEA, DHEAS, and testosterone) relative to peers at age 9 and tempo as the adrenal hormone progression rate relative to peers between 9 and 12. Incidence and chronicity of common mental disorders were defined using self-reported depressive and anxiety symptoms collected annually from age 12-18. G-computation was used to adjust for confounding. Missing data were handled via multiple imputation using chained equations.

Results: The study comprised 667 females and 572 males. Depression incidence (76 % females, 44 % males) and chronicity (34 % females, 7 % males) and anxiety incidence (69 % females, 36 % males) and chronicity (29 % females, 7 % males) were more common in female adolescents than males. Regardless of using DHEA, DHEAS, or testosterone as the index for adrenarche, the risk ratios for the association between timing and tempo of adrenarche and the incidence and chronicity of depression or anxiety were close to null and 95 % confidence intervals were inconclusive.

Conclusions: This study did not identify a meaningful effect of adrenarchal timing and tempo on depression and anxiety in adolescents, suggesting that individual differences in adrenarche may not influence risk for later significant mental health difficulties.

背景:相当大比例的终生抑郁和焦虑出现在童年和青春期。一些研究表明,青春期的成熟与抑郁和焦虑有关。虽然大多数研究都集中在性腺功能上,但肾上腺素的早期阶段仍然很少被探索和理解。我们的目的是研究肾上腺素分泌的时间和速度对青少年抑郁和焦虑的发病率和慢性性的影响。方法:数据来自儿童到成人过渡研究(CATS),这是一项来自澳大利亚墨尔本的纵向人群队列研究。CATS在2012年招募了三年级的学生,每年对他们进行随访。以9岁时相对于同龄人的肾上腺激素水平(脱氢表雄酮、脱氢表雄酮和睾酮)为模型,以9至12岁之间相对于同龄人的肾上腺激素进展率为模型。常见精神障碍的发生率和慢性性是根据12-18岁期间每年收集的自我报告的抑郁和焦虑症状来定义的。g计算用于校正混杂。缺失数据通过链式方程的多次插补处理。结果:该研究包括667名女性和572名男性。女性青少年抑郁症发病率(女性76 %,男性44 %)、慢性发病率(女性34 %,男性7 %)、焦虑发病率(女性69 %,男性36 %)和慢性发病率(女性29 %,男性7 %)较男性多见。无论使用DHEA, DHEAS或睾酮作为肾上腺素的指标,肾上腺素的时间和速度与抑郁或焦虑的发病率和慢性性之间的关联的风险比接近于零,95% %的置信区间是不确定的。结论:本研究未发现肾上腺素分泌的时间和节奏对青少年抑郁和焦虑的有意义的影响,这表明肾上腺素分泌的个体差异可能不会影响日后出现重大心理健康问题的风险。
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引用次数: 0
Long-term offspring loss in lactating rats: Neurobiological and emotional consequences in a novel animal model. 哺乳期大鼠长期丧失后代:一种新型动物模型的神经生物学和情感后果。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-02-01 DOI: 10.1016/j.psyneuen.2026.107777
Luisa Demarchi, Alice Sanson, Anna-Lena Boos, Oliver J Bosch

The maternal bond is a vital social connection that supports the survival and well-being of both the caregiver and offspring. Disruption of this bond, particularly following offspring loss, can result in profound trauma with long-lasting consequences. While considerable research has focused on the impact of maternal separation on offspring development, the biological effects of offspring loss on the mother remain largely unexplored. In this study, we examined the long-term effects of offspring loss on neuroplasticity, the oxytocin (OXT) and corticotropin-releasing factor (CRF) systems, and stress-coping behaviors in Sprague-Dawley rat mothers. We examined two groups of lactating mothers: (I) a control group, in which dams remained with their pups until natural weaning, and (II) a separated group, in which all offspring were removed on lactation day 1 and the mothers experienced offspring loss until the time corresponding to weaning (19 days). Our results reveal that pup removal increased oxytocin receptor binding-most prominently in the ventromedial hypothalamus (VMH)-and reduced dendritic spine density in this brain region, without altering estrogen receptor α or calbindin cell expression. Separated mothers additionally showed elevated plasma corticosterone levels and increased passive stress-coping behaviors in the forced swim test. Remarkably, passive stress-coping behavior was rescued by central CRF receptor blockade but not by central OXT treatment, indicating that the CRF system plays a critical role in the distress response to offspring loss. These findings establish a novel rat model to investigate the neurobiological consequences of maternal stress following offspring loss.

母性纽带是一种重要的社会联系,它支持照顾者和后代的生存和幸福。这种联系的破坏,特别是在失去后代之后,可能会导致严重的创伤和长期的后果。虽然大量的研究集中在母亲分离对后代发育的影响上,但后代丧失对母亲的生物学影响在很大程度上仍未被探索。在这项研究中,我们研究了后代丧失对Sprague-Dawley大鼠母亲神经可塑性、催产素(OXT)和促肾上腺皮质激素释放因子(CRF)系统以及压力应对行为的长期影响。我们研究了两组哺乳母鼠:(I)对照组,母鼠和幼崽在一起直到自然断奶;(II)分离组,在哺乳第一天所有的幼崽都被移除,直到断奶(19天)。我们的研究结果显示,去除幼犬增加了催产素受体的结合——最显著的是在下丘脑腹内侧(VMH)——并减少了该脑区域的树突棘密度,而没有改变雌激素受体α或钙结合蛋白细胞的表达。此外,在强迫游泳测试中,分离母亲的血浆皮质酮水平升高,被动应激应对行为增加。值得注意的是,中枢CRF受体阻断可以挽救被动应激应对行为,而中枢OXT治疗则不能,这表明CRF系统在后代丧失的痛苦反应中起着关键作用。这些发现建立了一种新的大鼠模型来研究失去后代后母亲压力的神经生物学后果。
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引用次数: 0
Female-biased vulnerability to transgenerational impact of paternal early-life stress. 女性易受父亲早期生活压力的跨代影响。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-30 DOI: 10.1016/j.psyneuen.2026.107773
Ichiro Ishikawa, Ken-Ichi Ohta, Motoharu Imai, Masakazu Ishikawa, Haruki Kumei, Makoto Kashima, Ube Fugo, Shingo Suzuki, Hikari Otabi, Takanori Miki, Yu Nakamura

Early life adversity can have profound consequences that extend across generations, yet the epigenetic impact of paternal early life stress (ELS) on offspring neurodevelopment remains poorly understood. Here, we subjected F1 male rats to a maternal separation (MS) paradigm as a model of ELS and investigated the sex-specific transgenerational effects in their F2 offspring during adolescence (around 5 weeks of age), using behavioral tests and a transcriptomic profile of the medial prefrontal cortex (mPFC). Our findings revealed a female-biased vulnerability to paternal ELS. Specifically, female offspring of stressed fathers exhibited a range of deficits, including lower body weight and heightened anxiety-like behavior. This female-biased vulnerability extended to social behavior in a group setting; while sociability was impaired in both sexes, the deficit was more severe in females, who showed a greater reduction in social proximity. To elucidate the underlying neural mechanisms, we performed RNA sequencing on the mPFC, a key region for social behavior. This revealed a subtle but robust, female-specific transcriptomic signature, highlighted by the downregulation of the mitochondrial gene mt-Nd3 and pathways related to synaptic organization. In contrast, males showed no coherent transcriptomic alterations. Our findings demonstrate that paternal ELS induces a female-biased vulnerability to transgenerational deficits, potentially mediated by impaired mitochondrial function in the mPFC during a critical developmental window. This study underscores the critical role of paternal early-life history in shaping offspring neurodevelopmental trajectories in a sex-dependent manner.

早期生活逆境可能会对后代产生深远的影响,但父亲早期生活压力(ELS)对后代神经发育的表观遗传影响尚不清楚。在这里,我们将F1雄性大鼠置于母体分离(MS)范式中作为ELS模型,并使用行为测试和内侧前额叶皮层(mPFC)的转录组学分析,研究了其F2后代在青春期(约5周龄)的性别特异性跨代效应。我们的研究结果显示,女性更容易受到父系ELS的影响。具体来说,有压力父亲的雌性后代表现出一系列缺陷,包括体重下降和焦虑样行为加剧。这种女性偏见的脆弱性延伸到群体环境中的社会行为;虽然两性的社交能力都受到了损害,但这种缺陷在女性身上更为严重,她们的社交亲近度减少得更多。为了阐明潜在的神经机制,我们对mPFC(社会行为的关键区域)进行了RNA测序。这揭示了一个微妙但强大的女性特异性转录组特征,突出显示了线粒体基因mt-Nd3和突触组织相关途径的下调。相比之下,雄性没有表现出连贯的转录组改变。我们的研究结果表明,父系ELS诱导了女性偏向于跨代缺陷的脆弱性,这可能是由mPFC在关键发育窗口期的线粒体功能受损介导的。这项研究强调了父亲早期生活史在以性别依赖的方式塑造后代神经发育轨迹中的关键作用。
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引用次数: 0
Corrigendum to “Diurnal cortisol and rumination: Examining gender differences” [Psychoneuroendocrinology 179 (2025) 107517] “每日皮质醇和反刍:检查性别差异”的更正[精神神经内分泌学179 (2025)107517]
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-30 DOI: 10.1016/j.psyneuen.2026.107774
Nathan C. Stuart , Peggy M. Zoccola , Sally S. Dickerson
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引用次数: 0
Mediating role of maternal cortisol in the association between maternal serum creatinine and fetal cortisol exposure. 母体皮质醇在母体血清肌酐与胎儿皮质醇暴露关系中的中介作用。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-30 DOI: 10.1016/j.psyneuen.2026.107772
Ziyan Lin, Zhiqi Zhang, Guoping Yang, Nan Wang, Jinfu Peng

Background: Cortisol is the principal glucocorticoid regulated by the hypothalamic-pituitary-adrenal (HPA) axis and plays a crucial role in maintaining pregnancy and promoting fetal growth and development. Renal function is a key determinant of cortisol exposure. Given that serum creatinine serves as a key biomarker of renal function, it is plausible that maternal creatinine levels contribute to the regulation of fetal cortisol exposure, although the underlying mechanisms remain to be fully elucidated.

Objective: This study was designed to (1) examine the association between maternal serum creatinine and umbilical cord blood cortisol levels, (2) assess the potential mediating role of maternal cortisol in this relationship, and (3) investigate corresponding changes in the protein expression of placental 11β-HSD1 and 11β-HSD2.

Methods: This study employed a paired maternal-fetal design. At delivery, maternal serum, umbilical cord blood, and placental tissue were collected simultaneously from 103 mother-newborn pairs. Cortisol and cortisone levels in maternal and cord blood were measured, and protein expression of 11β-HSD1 and 11β-HSD2 in placental tissue was analyzed. Correlation and mediation analyses were performed to assess the relationships among maternal serum creatinine, maternal cortisol, and cord blood cortisol.

Results: Each unit increase in maternal serum creatinine was associated with a significant decrease in cord blood cortisol levels. Maternal cortisol levels were positively correlated with cord blood cortisol. Mediation analysis showed that maternal cortisol mediated 31.75 % of the association between maternal creatinine and cord blood cortisol. In the high-creatinine conditions, placental expression of 11β-HSD1 was significantly decreased, while expression of 11β-HSD2 was increased.

Conclusion: Maternal cortisol showed evidence of partial mediation in the association between maternal renal function and fetal cortisol exposure. This observational finding highlights a potential link between maternal renal function and fetal glucocorticoid exposure and provides a basis for future studies to investigate the role of placental glucocorticoid regulation and fetal HPA axis development.

背景:皮质醇是受下丘脑-垂体-肾上腺(HPA)轴调节的主要糖皮质激素,在维持妊娠和促进胎儿生长发育中起着至关重要的作用。肾功能是皮质醇暴露的关键决定因素。鉴于血清肌酐是肾功能的关键生物标志物,母体肌酐水平有助于胎儿皮质醇暴露的调节是合理的,尽管潜在的机制仍有待充分阐明。目的:本研究旨在(1)研究母体血清肌酐与脐带血皮质醇水平的相关性,(2)评估母体皮质醇在这一关系中的潜在介导作用,(3)研究胎盘11β-HSD1和11β-HSD2蛋白表达的相应变化。方法:本研究采用母胎配对设计。分娩时,同时采集103对母婴血清、脐带血和胎盘组织。测定母血和脐带血中皮质醇和可的松水平,分析胎盘组织中11β-HSD1和11β-HSD2蛋白表达。通过相关分析和中介分析评估产妇血清肌酐、产妇皮质醇和脐带血皮质醇之间的关系。结果:母亲血清肌酐每增加一个单位与脐带血皮质醇水平显著降低相关。母体皮质醇水平与脐带血皮质醇水平呈正相关。中介分析显示,母体皮质醇介导了母体肌酐与脐带血皮质醇相关性的31.75% %。在高肌酐条件下,胎盘11β-HSD1表达显著降低,而11β-HSD2表达升高。结论:母体皮质醇在母体肾功能与胎儿皮质醇暴露的关系中起部分中介作用。这一观察性发现强调了母体肾功能与胎儿糖皮质激素暴露之间的潜在联系,并为进一步研究胎盘糖皮质激素调节与胎儿HPA轴发育的作用提供了基础。
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引用次数: 0
Phase-dependent cytokine signatures in alcohol use disorder: A systematic review of psychoneuroimmune links to withdrawal severity and return to drinking 酒精使用障碍的阶段依赖细胞因子特征:对戒断严重程度和重新饮酒的精神神经免疫联系的系统回顾
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-25 DOI: 10.1016/j.psyneuen.2026.107771
Svetlana Sokolova, Valentin Skryabin, Sergei Pozdniakov, Valentina Ivanchenko, Natalia Vinokurova, Liliya Ardamatskaya, Anton Masyakin

Background

Neuroimmune dysregulation is increasingly implicated in alcohol use disorder (AUD), yet the clinical utility of cytokine biomarkers remains unclear.

Objective

To synthesise evidence linking pro- and anti-inflammatory cytokines to AUD severity, withdrawal symptoms, and return-to-drinking risk, with emphasis on temporal staging and translational implications.

Methods

A systematic review and meta-analysis were conducted in accordance with PRISMA 2020 and PROSPERO (CRD420251060888). Six databases and grey literature sources were searched from January 1, 2000 to October 31, 2025 (updated for revision). Eligible studies assessed IL-6, IL-1β, IL-10, TNF-α, or CRP in adults with AUD or alcohol withdrawal, and reported correlations with validated clinical severity scales (e.g., AUDIT, CIWA-Ar) or relapse outcomes. Risk of bias, evidence certainty (GRADE), and heterogeneity were systematically evaluated.

Results

Thirteen studies (N = 1458) were included across active drinking/non-treatment-seeking samples, early abstinence/withdrawal (≤14 days), and post-detoxification/treatment-follow-up contexts where acute withdrawal was absent or not the primary focus. In early abstinence, IL-6 tended to be higher in AUD/AWS than controls; however, the pooled estimate was large but imprecise and highly heterogeneous (random-effects Hedges’ g =1.21, 95 % CI −0.08–2.50; 2 studies; I²≈91 %). Higher baseline CRP was associated with lower subsequent alcohol use and weaker cue-reactivity in individual cohorts, but findings were heterogeneous and not pooled. For return-to-drinking outcomes, a single study provided extractable IL-1β group data comparing participants who returned to drinking with those who maintained abstinence; the single-study standardized effect was non-significant (Hedges’ g=0.40, 95 % CI −0.12–0.92). Lower IL-17RB expression was associated with reduced relapse-free survival in a single study and should be considered preliminary. Methodological variability and incomplete control for hepatic/metabolic confounding limited pooling for several cytokines.

Conclusions

Evidence supports phase-dependent cytokine signals in AUD, with IL-6 most consistently elevated during early abstinence and CRP showing pragmatic translational potential but substantial methodological heterogeneity. Evidence for IL-1β and IL-17RB as relapse-related markers remains preliminary due to limited extractable and non-uniform outcome reporting. Standardised, sex-stratified longitudinal studies with rigorous control for hepatic/metabolic factors and CNS validation are warranted.
神经免疫失调越来越多地与酒精使用障碍(AUD)有关,但细胞因子生物标志物的临床应用仍不清楚。目的:综合证据,将促炎和抗炎细胞因子与澳元严重程度、戒断症状和再饮酒风险联系起来,重点研究时间分期和转化意义。方法根据PRISMA 2020和PROSPERO (CRD420251060888)进行系统评价和荟萃分析。检索了2000年1月1日至2025年10月31日(更新修订)的6个数据库和灰色文献来源。符合条件的研究评估了AUD或酒精戒断的成人患者的IL-6、IL-1β、IL-10、TNF-α或CRP,并报告了与验证的临床严重程度量表(例如AUDIT、CIWA-Ar)或复发结果的相关性。系统评估偏倚风险、证据确定性(GRADE)和异质性。结果13项研究(N = 1458)纳入了主动饮酒/非寻求治疗的样本,早期戒断/戒断(≤14天),以及脱毒后/治疗-随访的情况下,急性戒断不存在或不是主要焦点。在早期戒断中,AUD/AWS患者IL-6倾向于高于对照组;然而,合并估计很大,但不精确且高度异质性(随机效应Hedges ' g =1.21, 95 % CI−0.08-2.50;2项研究;I²≈91 %)。在个体队列中,较高的基线CRP与较低的后续酒精使用和较弱的线索反应性相关,但研究结果是异质的,没有汇总。对于回归饮酒的结果,一项研究提供了可提取的IL-1β组数据,比较了回归饮酒的参与者和保持戒酒的参与者;单一研究的标准化效应不显著(Hedges ' g=0.40, 95 % CI−0.12-0.92)。在一项单一研究中,较低的IL-17RB表达与减少的无复发生存有关,应该被视为初步研究。方法的可变性和肝脏/代谢混杂的不完全控制限制了几种细胞因子的汇集。结论:有证据支持AUD患者的阶段依赖性细胞因子信号,IL-6在早期戒断期间最一致升高,CRP显示出实用的转化潜力,但方法上存在很大的异质性。IL-1β和IL-17RB作为复发相关标志物的证据仍处于初步阶段,因为可提取的结果报告有限且不统一。标准化,性别分层纵向研究严格控制肝脏/代谢因素和中枢神经系统验证是必要的。
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引用次数: 0
Hair cortisol concentrations among youth in Ukraine: Associations with war experiences and post-traumatic-stress symptoms 头发皮质醇浓度在乌克兰青年:与战争经历和创伤后应激症状的关系
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-23 DOI: 10.1016/j.psyneuen.2026.107761
Ann T. Skinner , Iuliia Pavlova , Jennifer Godwin , Emily B. Reilly , Anastasia Georgiades

Objective

To explore relations between cortisol response measured by hair cortisol concentrations (HCC), war exposure (e.g., air alarms and explosions), and psychological distress for youth living in Ukraine during the current invasion.

Methods

221 youth (Mage = 18.9 years; 20 % male) living in 5 regions of Ukraine from November 2023-March 2024 provided hair samples to assess HCC and self-report data measuring post-traumatic stress symptoms (PTS symptoms). Youth’s region of residence was matched to air alarm and explosion data.

Results

Consistent with prior research examining HPA axis activity during chronic stress, we found that exposure to more air alarms and explosions were each associated with lower HCC. Contrary to our hypotheses, we found no relation between HCC and PTS symptoms.

Conclusions

Our results suggest that youth experiencing chronic war exposure may adapt by down-regulating their cortisol production, which could generate long-term health problems such as immune dysregulation or increased inflammatory activity.
目的探讨毛发皮质醇浓度测量的皮质醇反应(HCC)、战争暴露(如空气警报和爆炸)以及当前入侵期间生活在乌克兰的年轻人的心理困扰之间的关系。方法2023年11月至2024年3月,生活在乌克兰5个地区的221名青年(年龄18.9岁,男性占20% %)提供了头发样本,用于评估HCC和测量创伤后应激症状(PTS)的自我报告数据。年轻人的居住区域与空气警报和爆炸数据相匹配。结果与先前关于慢性应激下HPA轴活动的研究一致,我们发现暴露于更多的空气警报和爆炸均与较低的HCC相关。与我们的假设相反,我们没有发现HCC和PTS症状之间的关系。结论长期战争暴露的青少年可能通过下调皮质醇分泌来适应战争环境,这可能导致免疫失调或炎症活性增加等长期健康问题。
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引用次数: 0
Social buffering of the cortisol stress response during the Minnesota Imaging Stress Test in Children 明尼苏达州儿童成像压力测试中皮质醇应激反应的社会缓冲作用
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-22 DOI: 10.1016/j.psyneuen.2026.107760
Bonny Donzella, Zachary Miller, Nikola C. Tsakonas, Kathleen M. Thomas, Megan R. Gunnar

Introduction

To understand neural underpinnings of individual differences in physiological stress responding, most notably of the hypothalamic-pituitaryadrenocortical system, but also of the autonomic system, it is essential to rely on an imaging task that reliably elevates cortisol and measures of the autonomic nervous system activity, such as salivary alpha amylase. When the question also involves neural activity related to social stress buffering, it requires a task that shows differential stress responses as a function of varying social buffering partners. The purpose of this study was to examine whether the Minnesota Imaging Stress Test in Children (MISTiC) with social buffering conditions fulfilled these requirements.

Method

180 children ages 11 through 15 years (92 female) had salivary cortisol and salivary alpha amylase (sAA) samples taken during the MISTiC, a socially evaluative stressor modeled after the Trier Social Stress Test. Participants were randomly assigned to one of three social buffering conditions: Alone-No Buffer, Parent-as-Buffer, and Researcher-as-Buffer. Buffers interacted briefly with participants audiovisually at multiple points. Saliva samples for cortisol determination were taken 3 times during the hour preceding the MISTiC with the last serving as the pretest (T0) sample. Saliva was then collected post MISTiC at 25, 35, 45, 55, and 65 min after T0. The T0, 25, and 35 samples were assayed for sAA.

Results

61 % of participants showed a significant increase in cortisol in response to the stressor (i.e., 115 % or greater) with roughly the same showing an increase in sAA. Change from T0 was analyzed for cortisol yielding a significant trials by condition interaction (p < .05). Post-hoc tests showed a significant difference between the Parent-as-Buffer and both the Alone-No Buffer and the Researcher-as-Buffer conditions, thus indicating that parents were still effective buffers for the cortisol response in this age range. The only significant effect for sAA was a trials effect, p < .001 with the same being true for self-ratings of stress, p < .001. Puberty (pre/early vs mid/late) did not moderate the response of social buffering condition on cortisol or sAA.

Conclusion

The MISTiC is effective in elevating cortisol, sAA and perceived stress. For cortisol, the method used for buffering yielded significant differences by buffer type, suggesting that this paradigm is appropriate for assessing the neural systems underlying the social buffering of stress. Contrary to our prior work, pubertal stage did not moderate the effectiveness of the parent in buffering the child’s cortisol response.
为了了解生理应激反应中个体差异的神经基础,尤其是下丘脑-垂体-肾上腺皮质系统,以及自主神经系统,有必要依靠可靠地提高皮质醇和自主神经系统活性测量的成像任务,如唾液α淀粉酶。当这个问题还涉及到与社会压力缓冲有关的神经活动时,它需要一个任务来显示不同社会缓冲伙伴的不同压力反应。本研究的目的是检验具有社会缓冲条件的明尼苏达儿童成像压力测试(MISTiC)是否满足这些要求。方法对180例11 ~ 15岁儿童(其中92例为女性)进行唾液皮质醇和唾液α淀粉酶(sAA)的检测。参与者被随机分配到三种社会缓冲条件中的一种:独自一人-没有缓冲,父母作为缓冲,研究人员作为缓冲。缓冲器在多个点上与参与者进行了简短的视听互动。用于皮质醇测定的唾液样本在MISTiC前一小时内采集3次,最后一次作为预试(T0)样本。然后在T0后25、35、45、55和65 min采集MISTiC后唾液。分别对T0、25和35个样品进行sAA检测。结果:61% %的参与者对压力源的反应显示皮质醇显著增加(即115 %或更高),sAA的增加大致相同。从T0开始分析皮质醇的变化,通过条件相互作用产生显著的试验(p <; .05)。事后测试显示,父母作为缓冲组与孤独-无缓冲组和研究者作为缓冲组之间存在显著差异,从而表明父母仍然是该年龄段皮质醇反应的有效缓冲。sAA的唯一显著效应是试验效应,p <; 。对于压力的自我评价也是如此,p <; .001。青春期(前/早vs中/晚)对社会缓冲条件对皮质醇或sAA的反应没有调节作用。结论MISTiC能有效提高皮质醇、sAA和感知应激水平。对于皮质醇,缓冲方法根据缓冲类型产生了显著差异,这表明该范式适用于评估压力社会缓冲背后的神经系统。与我们之前的工作相反,青春期并没有调节父母缓冲孩子皮质醇反应的有效性。
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引用次数: 0
期刊
Psychoneuroendocrinology
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