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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
The effects of the chemical relaxer lye on hair cortisol concentrations 化学松弛剂碱液对毛发皮质醇浓度的影响
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-22 DOI: 10.1016/j.psyneuen.2026.107750
Carrie L. Burnett, Kelci Crandall, Damon M. Osbourn, Tony W. Buchanan

Background

The analysis of hair cortisol is a common tool in stress research. External factors such as chemical hair treatments can impact the integrity of hair cortisol. The use of chemical relaxers is more common among racialized populations who experience high chronic stress and are underrepresented in stress research. Methods: 15 participants who identify as Black or Latinx were recruited to give a hair sample. The commonly used hair relaxer, lye, was applied to hair samples using a novel in vitro methodology to examine its impact on cortisol concentration. Results: Bayesian multilevel model estimated a small group effect (M = 0.53, 95 % CI [–8.57, 9.32]), with only 55 % of the posterior distribution favoring higher cortisol in untreated samples, indicating no meaningful difference. Conclusion: The lack of effect of lye hair relaxer on cortisol supports the inclusion of participants who use this treatment in research and reinforces the utility of hair-based stress research in populations disproportionately affected by chronic stress. Addressing representation in stress research is essential, and these findings are a critical step toward developing more inclusive and equitable methodological practices.
毛发皮质醇的分析是压力研究中常用的工具。化学护发等外部因素会影响头发皮质醇的完整性。化学松弛剂的使用在经历高慢性压力且在压力研究中代表性不足的种族化人群中更为常见。方法:招募了15名被认为是黑人或拉丁人的参与者提供头发样本。常用的头发松弛剂碱液被应用于头发样本,使用一种新的体外方法来检查其对皮质醇浓度的影响。结果:贝叶斯多水平模型估计了一个小群体效应(M = 0.53, 95 % CI[-8.57, 9.32]),只有55 %的后验分布倾向于未经处理的样本中较高的皮质醇,表明没有显著差异。结论:碱液头发松弛剂对皮质醇的影响不足,支持了研究中使用这种治疗方法的参与者,并加强了基于头发的压力研究在慢性压力不成比例影响人群中的效用。解决压力研究中的代表性问题至关重要,这些发现是朝着发展更具包容性和公平的方法实践迈出的关键一步。
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引用次数: 0
The relationship between chronic stress, co-occurring conditions, sleep, and autistic features including severity using hair cortisol concentration. 慢性压力,共发生条件,睡眠和自闭症特征之间的关系,包括使用头发皮质醇浓度的严重性。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-21 DOI: 10.1016/j.psyneuen.2026.107769
Natali Yu Chan , James Rufus John , Nisha E. Mathew , Anne Masi , Lin Kooi Ong , Valsamma Eapen , Ping-I. Lin , Adam K. Walker

Background and objective

Autism is highly heterogeneous and reliance on behavioural assessments alone may not provide sufficient insight into the unique characteristics of autistic individuals. Biomarkers, like hair cortisol concentration (HCC), may help unravel mechanisms underlying clinical variation in autism and support diagnostic measures, especially in young children who may not be able to effectively communicate their distress. We examined the relationship between HCC and autistic traits along with commonly co-occurring conditions including sleep disturbances in autistic children compared to non-autistic children.

Methods

We conducted a cross-sectional analysis utilising data from the Australian Autism Biobank comprising clinical and biological samples from Australian children aged 2–17 years. Primary analysis included multivariable linear regression analyses to identify significant associations with HCC after controlling for key sociodemographic covariates, including child’s intelligence quotient (IQ).

Results

The study included 307 autistic children, 158 non-autistic siblings, and 124 unrelated non-autistic children. The commonly reported co-occurring conditions were global developmental delay (8.5 %), intellectual disability (6.1 %), and otitis media (6.1 %). Higher severity of autistic traits and in particular social affect issues, co-occurring attention-deficit/hyperactivity disorder (ADHD), internalising, and maladaptive behaviours were significantly associated with lower normalised HCC. Higher sleep anxiety and IQ were associated with higher HCC. Regarding sociodemographic factors, older age and higher family income were associated with lower HCC.

Conclusion

The findings indicate the clinical value of HCC as a viable biomarker to identify subgroups based on co-occurring medical and mental health conditions. Further research to elucidate the link to individual and family/environmental factors as potential sources of stress is needed to offer targeted supports.
背景与目的自闭症是高度异质性的,仅依靠行为评估可能无法充分了解自闭症个体的独特特征。生物标志物,如毛发皮质醇浓度(HCC),可能有助于揭示自闭症临床差异的潜在机制,并支持诊断措施,特别是在可能无法有效表达其痛苦的幼儿中。我们研究了HCC与自闭症特征之间的关系,以及自闭症儿童与非自闭症儿童的睡眠障碍等常见共同发生的疾病。方法:我们利用澳大利亚自闭症生物样本库的数据进行了横断面分析,其中包括澳大利亚2-17岁儿童的临床和生物学样本。主要分析包括多变量线性回归分析,在控制了关键的社会人口学协变量(包括儿童智商)后,确定与HCC的显著关联。结果研究对象包括307名自闭症儿童、158名非自闭症兄弟姐妹和124名无血缘关系的非自闭症儿童。通常报道的共同发生的情况是整体发育迟缓(8.5 %),智力残疾(6.1 %)和中耳炎(6.1 %)。较高程度的自闭症特征,特别是社会影响问题、同时发生的注意缺陷/多动障碍(ADHD)、内化和适应不良行为与较低的正常化HCC显著相关。较高的睡眠焦虑和智商与较高的HCC相关。在社会人口学因素方面,年龄越大、家庭收入越高与HCC发生率越低有关。结论肝细胞癌作为一种可行的生物标志物,在基于共同发生的医疗和精神健康状况的亚群中具有临床价值。需要进一步的研究来阐明个人和家庭/环境因素作为潜在压力来源的联系,以提供有针对性的支持。
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引用次数: 0
Mixed evidence for stress effects on cortisol-testosterone coupling in Syrian refugee and Jordanian non-refugee adolescents 压力对叙利亚难民和约旦非难民青少年皮质醇-睾酮耦合影响的混合证据。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-16 DOI: 10.1016/j.psyneuen.2026.107757
Delaney J. Glass , Jessica Godwin , Josefin Koehn , Rana Dajani , Kristin Hadfield , Catherine Panter-Brick , Melanie Martin

Introduction

Pubertal development is governed by the HPA and HPG axes. Co-upregulation of the HPA/HPG during adolescence is hypothesized to produce positive cortisol–testosterone coupling to promote developmental demands of puberty, then attenuate post-puberty. However, effects of trauma and poverty-related stress on hormonal coupling are less substantiated.

Methods

We analyzed cross-sectional biological, sociodemographic, and displacement/poverty-related stress data from Syrian refugee and Jordanian non-refugee adolescents living in Northern Jordan (n = 768). We quantified free cortisol and free testosterone from dried bloodspots using mass spectrometry. We used Bayesian hierarchical models to assess the hypothesis that cortisol and testosterone are positively coupled during puberty but de-couple at later stages, and that patterns of hormonal coupling and de-coupling would vary by refugee status and indicators of early life stressors.

Results

We report some evidence for the hypothesis that cortisol and testosterone are coupled during pubertal ages 10–19. Positive hormonal coupling was most consistent among Syrian females with relatively higher lifetime trauma, distress/insecurity, household wealth, and mental health and resilience scores and Jordanian males, counterintuitively, with lower lifetime trauma, household wealth, mental health, and resilience scores.

Conclusions

Our study contributes to understanding HPA and HPG patterning and integration across a wide range of adolescent ages among adolescents affected by conflict and poverty related stressors. Our findings offer limited support for the underlying hormonal coupling hypothesis, underscoring how growing bodies may be sensitive to environmental conditions at the extremes and that life history patterning varies with socioecological conditions.
青春期发育受HPA轴和HPG轴控制。HPA/HPG在青春期的共同上调被假设为产生正的皮质醇-睾酮偶联以促进青春期的发育需求,然后在青春期后减弱。然而,创伤和贫困相关压力对激素耦合的影响较少得到证实。方法:我们分析了生活在约旦北部的叙利亚难民和约旦非难民青少年的横断面生物学、社会人口学和流离失所/贫困相关压力数据(n = 768)。我们用质谱法定量了干血点的游离皮质醇和游离睾酮。我们使用贝叶斯层次模型来评估皮质醇和睾酮在青春期正耦合但在后期分离的假设,激素耦合和分离的模式会因难民身份和早期生活压力源的指标而异。结果:我们报告了一些证据,证明皮质醇和睾酮在青春期10-19岁之间耦合。在终生创伤、痛苦/不安全感、家庭财富、心理健康和恢复力得分相对较高的叙利亚女性和约旦男性中,积极的激素耦合最为一致,与直觉相反,终生创伤、家庭财富、心理健康和恢复力得分较低。结论:本研究有助于理解受冲突和贫困相关压力源影响的青少年在不同年龄阶段的HPA和HPG模式及其整合。我们的研究结果为潜在的激素耦合假说提供了有限的支持,强调了生长中的身体如何对极端环境条件敏感,以及生活史模式如何随社会生态条件而变化。
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引用次数: 0
Chemotherapy-induced estradiol reduction is associated with less relief of pre-chemotherapy anxiety in breast cancer patients 化疗诱导的雌二醇减少与乳腺癌患者化疗前焦虑的缓解程度较低有关。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-15 DOI: 10.1016/j.psyneuen.2026.107749
Ángela del Águila , Lindsay D. Strehle , Seth Adarkwah Yiadom , Sagar D. Sardesai , Nicole O. Williams , Margaret E. Gatti-Mays , Daniel G. Stover , Preeti K. Sudheendra , Robert Wesolowski , Stephanie M. Gorka , Rebecca R. Andridge , Leah M. Pyter
Chemotherapy-induced apoptosis of mature ovarian follicles in breast cancer patients likely results in decreased circulating estradiol (E2), although this is rarely measured. Outside of cancer, sudden E2 reductions (e.g., post-childbirth) are associated with increased anxiety and depressive symptoms. About half of breast cancer patients undergoing chemotherapy report anxiety and depressive symptoms, which is a major reason for discontinuing or changing chemotherapy treatment. This study examined the relationship between E2 reductions and anxiety/depressive symptoms, during chemotherapy. As a secondary outcome, intolerance of uncertainty was also assessed. Blood samples and patient-reported questionnaires were collected from 77 breast cancer patients. Plasma E2 concentrations were quantified using ELISA. Chemotherapy-induced reductions in circulating E2 were associated with less relief from pre-chemotherapy anxiety symptoms and intolerance of uncertainty during chemotherapy, regardless of age and menopausal status. Conversely, participants whose E2 concentrations did not decrease experienced relief from pre-chemotherapy anxiety symptoms and intolerance of uncertainty during chemotherapy. Similar trends were observed for depressive symptoms. These findings suggest that monitoring circulating E2 levels may provide valuable mechanistical insights into patients’ psychological responses during chemotherapy and could inform more personalized approaches to supportive care.
化疗诱导的乳腺癌患者成熟卵巢卵泡凋亡可能导致循环雌二醇(E2)降低,尽管很少测量。除癌症外,E2的突然减少(如分娩后)与焦虑和抑郁症状的增加有关。大约一半接受化疗的乳腺癌患者报告焦虑和抑郁症状,这是停止或改变化疗治疗的主要原因。这项研究调查了化疗期间E2减少与焦虑/抑郁症状之间的关系。作为次要结果,还评估了对不确定性的不耐受。研究人员收集了77名乳腺癌患者的血液样本和患者报告的问卷。ELISA法测定血浆E2浓度。化疗诱导的循环E2降低与化疗前焦虑症状的缓解程度较低以及化疗期间对不确定性的不耐受相关,与年龄和绝经状态无关。相反,E2浓度没有降低的参与者在化疗前的焦虑症状和化疗期间对不确定性的耐受得到缓解。在抑郁症状中也观察到类似的趋势。这些发现表明,监测循环E2水平可能为化疗期间患者的心理反应提供有价值的机械见解,并可能为更个性化的支持性治疗方法提供信息。
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引用次数: 0
Considerations and practical recommendations for identifying perimenopause in longitudinal research 纵向研究中确定围绝经期的考虑和实际建议
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-15 DOI: 10.1016/j.psyneuen.2026.107748
Megan E. Huibregtse , Linzie Taylor , Trinidi Prochaska , Amanda R. Arnold , C. Neill Epperson , E. Britton Chahine , Alicia K. Smith , Abigail Powers , Vasiliki Michopoulos , Jennifer S. Stevens
Approximately half of the global population will live to experience the menopausal transition, which is associated with significant quality of life concerns and economic costs. Due to research and funding inequities, there exist significant gaps in knowledge about the menopausal transition and how to improve health outcomes. One tool that is needed to push women’s health research forward is the ability to prospectively and accurately identify reproductive stage throughout the female lifespan. In the current paper we review the current criteria for reproductive staging and historical research methods of determining stage, including retrospective and prospective approaches. We discuss important considerations surrounding recall intervals, limitations of the 2011 Stages of Reproductive Aging Workshop + 10 (STRAW+10) criteria, and data privacy concerns. We provide recommendations for the design and execution of future studies, including digital data processing algorithms that can clearly implement operational definitions of STRAW+ 10 reproductive stages. Standardizing STRAW+ 10 terminology and validating methods to collect, process, and analyze prospectively tracked vaginal bleeding data will facilitate more precise and reliable reproductive staging that are critically needed to increase our understanding of how perimenopause increases risk for adverse health outcomes and develop novel interventions to increase quality of life during reproductive aging.
全球大约一半的人口将经历更年期过渡,这与重大的生活质量问题和经济成本有关。由于研究和资金的不平等,在更年期过渡和如何改善健康结果的知识方面存在重大差距。推动妇女健康研究向前发展所需要的一个工具是能够前瞻性和准确地确定女性整个生命周期中的生殖阶段。在本文中,我们回顾了目前的生殖分期标准和确定分期的历史研究方法,包括回顾性和前瞻性方法。我们讨论了关于召回间隔的重要考虑因素,2011年生殖老龄化阶段研讨会+ 10 (STRAW+10)标准的局限性,以及数据隐私问题。我们为未来研究的设计和执行提供了建议,包括能够明确实现STRAW+ 10生殖阶段操作定义的数字数据处理算法。标准化STRAW+ 10术语和验证方法来收集、处理和分析前瞻性跟踪阴道出血数据,将有助于更精确和可靠的生殖分期,这对于增加我们对围绝经期如何增加不良健康结果风险的理解以及开发新的干预措施以提高生殖衰老期间的生活质量至关重要。
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引用次数: 0
Maternal prenatal depression and anxiety and steroid hormones in amniotic fluid 孕妇产前抑郁、焦虑和羊水中的类固醇激素。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-15 DOI: 10.1016/j.psyneuen.2026.107758
Tiina Seikku , Marius Lahti-Pulkkinen , Polina Girchenko , Verna Salo , Kati Heinonen , Taru Tukiainen , Ellie Phelan , Margaux Billen , Joanna P. Simpson , Rebecca M. Reynolds , Natalie Z.M. Homer , Katri Räikkönen
Maternal prenatal depression and anxiety (PDA) have been associated with increased risks of adverse birth and neurodevelopmental outcomes in children. While fetal exposure to too high or low levels of steroid hormones has been proposed as a potential biological mechanism underlying these effects, few studies have directly investigated this hypothesis using fetal tissue samples, and the existing studies have been limited to examining cortisol, cortisone or testosterone. We studied associations between PDA and steroid hormones in amniotic fluid by measuring a panel of 17 steroid hormones – including progestogens, mineralocorticoids, glucocorticoids, androgens and estrogens – and their substrate-to-product ratios in 173 women with singleton pregnancies undergoing amniocentesis during second trimester. The fetuses had no chromosomal abnormalities. We defined any PDA as meeting at least one of the following criteria: reported symptoms above clinical cut off (CES-D ≥ 20 or STAI state or trait anxiety ≥ 40) during pregnancy, lifetime diagnosis (ICD-10 codes F31–33, F41–43), and/or lifetime medication purchases (ATC-codes N06A, N05B). Elastic net regression identified two glucocorticoid metabolites, 20α-dihydrocortisol and 5β-tetrahydrocortisol, with lower amniotic fluid levels in fetuses of mothers with PDA compared to those without PDA (unadjusted mean difference −0.37 SD units, 95 % CI: [−0.68, −0.07]; and −0.40 SD units, 95 % CI: [−0.70, −0.10], respectively). The model with both steroids remained significant after adjusting for maternal age, body mass index, education, smoking during pregnancy, parity, gestational age at amniocentesis and fetal sex, and in sensitivity analyses excluding mothers with diabetes and hypertensive disorders (p-values < .05) and was not moderated by fetal sex (p-value > .40). PDA was not significantly associated with any substrate-to-product ratios of the steroids, used as proxies of steroid hormone metabolizing enzymes, after correction for multiple testing. This study provides support for the prenatal programming hypothesis of PDA influencing fetal environment through suboptimal levels of steroid hormones and highlights the need to expand to a comprehensive panel of steroid metabolism.
孕妇产前抑郁和焦虑(PDA)与儿童不良出生和神经发育结局的风险增加有关。虽然胎儿暴露于过高或过低水平的类固醇激素被认为是这些影响的潜在生物学机制,但很少有研究使用胎儿组织样本直接调查这一假设,而且现有的研究仅限于检测皮质醇、可的松或睾丸激素。我们通过测量17种类固醇激素(包括孕激素、矿物皮质激素、糖皮质激素、雄激素和雌激素)及其底物与产物比,研究了羊水中PDA和类固醇激素之间的关系。173名在妊娠中期进行羊膜穿刺术的单胎妊娠妇女。胎儿没有染色体异常。我们将任何PDA定义为至少满足以下标准之一:怀孕期间报告的症状高于临床界限(CES-D≥20或STAI状态或特质焦虑≥40),终生诊断(ICD-10代码F31-33, F41-43),和/或终生药物购买(atc代码N06A, N05B)。弹性净回归确定了两种糖皮质激素代谢物,20α-二氢皮质醇和5β-四氢皮质醇,与没有PDA的母亲相比,PDA母亲的胎儿羊水水平较低(未经调整的平均差异为-0.37 SD单位,95 % CI:[-0.68, -0.07];和-0.40 SD单位,95 % CI:[-0.70, -0.10])。在调整了母亲年龄、体重指数、受教育程度、怀孕期间吸烟、胎次、羊膜穿刺术胎龄和胎儿性别,以及排除患有糖尿病和高血压疾病的母亲的敏感性分析后,两种类固醇的模型仍然显著(p值为0.40)。经过多次测试校正后,PDA与类固醇的底物与产物比率(用作类固醇激素代谢酶的代用物)没有显著相关性。本研究为PDA通过次优类固醇激素水平影响胎儿环境的产前编程假说提供了支持,并强调了扩展到类固醇代谢综合小组的必要性。
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引用次数: 0
Altered placental expression of neurotransmitter and stress-related molecules in first-episode psychosis during pregnancy: Implications for cytoarchitecture and function 妊娠期首发精神病患者胎盘神经递质和应激相关分子表达的改变:对细胞结构和功能的影响
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-15 DOI: 10.1016/j.psyneuen.2026.107751
Cielo García-Montero , Óscar Fraile-Martinez , Diego Liviu Boaru , Patricia de Castro-Martinez , Diego De Leon-Oliva , Beatriz García-González , Isabel Pérez-González , Coral Bravo , Juan A.De Leon-Luis , Raul Diaz-Pedrero , Laura Lopez-Gonzalez , Silvestra Barrena-Blázquez , Julia Bujan , Natalio García-Honduvilla , Miguel Ángel Alvarez-Mon , Marta Presa , Guillermo Lahera , Melchor Alvarez-Mon , Miguel A. Saez , Miguel A. Ortega

Background

First-episode psychosis during pregnancy (FEP-PW) is a rare but serious condition that intersects maternal mental health and placental-fetal biology. While psychosis is characterized by disruptions in perception and cognition, its impact on placental neuroendocrine signaling and fetal development remains poorly understood. The placenta, as a key mediator of intrauterine environment, expresses receptors involved in neurotransmission and stress response, potentially linking maternal psychopathology to fetal neurodevelopmental risk.

Objective

This study investigates the expression of five critical neuroendocrine and stress-related molecules—dopamine receptor D2 (DRD2), serotonin receptor 1B (HTR1B), glucocorticoid receptor (NR3C1), 11β-hydroxysteroid dehydrogenase type 2 (HSD11B2), and melatonin receptor 1B (MTNR1B)—in placental tissue from women with FEP-PW compared to healthy pregnant controls (HC-PW).

Methods

Using a prospective case-control design, placental samples from 22 FEP-PW and 20 HC-PW women were analyzed. Gene expression was quantified by real-time quantitative polymerase chain reaction (RT-qPCR), and protein localization and abundance assessed via immunohistochemistry (IHC).

Results

Significant alterations in placental gene and protein expression were observed in FEP-PW placentas: DRD2, NR3C1, and HSD11B2 were markedly upregulated (all p < 0.001 at gene and protein levels), whereas HTR1B and MTNR1B were significantly downregulated compared to controls (p < 0.05, p < 0.01 respectively at gene level and p < 0.01, p < 0.001 at protein level). These findings indicate dysregulated dopaminergic, serotonergic, glucocorticoid, and melatonin signaling pathways in the placenta associated with maternal psychosis.

Conclusions

Our results provide novel evidence of distinct placental molecular adaptations in FEP-PW, reflecting heightened maternal stress and disrupted neurohormonal environments. These alterations may contribute to adverse placental function and influence fetal neurodevelopmental trajectories, underscoring the placenta’s role as a critical mediator in the maternal-placental-fetal axis in psychiatric disorders. Further research is needed to clarify the functional consequences and explore these molecules as potential biomarkers or therapeutic targets in perinatal psychiatry.
妊娠期首发精神病(FEP-PW)是一种罕见但严重的疾病,涉及母体心理健康和胎盘-胎儿生物学。虽然精神病的特征是感知和认知的中断,但其对胎盘神经内分泌信号和胎儿发育的影响仍然知之甚少。胎盘作为宫内环境的关键介质,表达参与神经传递和应激反应的受体,可能将母体精神病理与胎儿神经发育风险联系起来。目的研究FEP-PW患者胎盘组织中多巴胺受体D2 (DRD2)、血清素受体1B (HTR1B)、糖皮质激素受体(NR3C1)、11β-羟类固醇脱氢酶2型(HSD11B2)和褪黑激素受体1B (MTNR1B) 5种神经内分泌和应激相关分子的表达情况,并与健康孕妇对照(HC-PW)进行比较。方法采用前瞻性病例对照设计,对22例FEP-PW和20例HC-PW妇女的胎盘样本进行分析。采用实时定量聚合酶链反应(RT-qPCR)检测基因表达,免疫组化(IHC)检测蛋白定位和丰度。ResultsSignificant胎盘基因和蛋白质表达变化被观察到在FEP-PW胎盘:DRD2, NR3C1,和HSD11B2显著调节(所有p & lt; 0.001在基因和蛋白质水平),而HTR1B和MTNR1B控制相比明显下调(p & lt; 0.05,p & lt; 0.01分别在基因水平和p & lt; 0.01,p & lt; 0.001在蛋白质水平)。这些发现表明,胎盘中多巴胺能、血清素能、糖皮质激素和褪黑激素信号通路失调与母体精神病有关。结论研究结果为FEP-PW的胎盘分子适应提供了新的证据,反映了母体应激升高和神经激素环境的破坏。这些改变可能导致胎盘功能不良并影响胎儿神经发育轨迹,强调了胎盘在精神疾病中作为母体-胎盘-胎儿轴的关键介质的作用。需要进一步的研究来阐明功能后果,并探索这些分子作为围产期精神病学的潜在生物标志物或治疗靶点。
{"title":"Altered placental expression of neurotransmitter and stress-related molecules in first-episode psychosis during pregnancy: Implications for cytoarchitecture and function","authors":"Cielo García-Montero ,&nbsp;Óscar Fraile-Martinez ,&nbsp;Diego Liviu Boaru ,&nbsp;Patricia de Castro-Martinez ,&nbsp;Diego De Leon-Oliva ,&nbsp;Beatriz García-González ,&nbsp;Isabel Pérez-González ,&nbsp;Coral Bravo ,&nbsp;Juan A.De Leon-Luis ,&nbsp;Raul Diaz-Pedrero ,&nbsp;Laura Lopez-Gonzalez ,&nbsp;Silvestra Barrena-Blázquez ,&nbsp;Julia Bujan ,&nbsp;Natalio García-Honduvilla ,&nbsp;Miguel Ángel Alvarez-Mon ,&nbsp;Marta Presa ,&nbsp;Guillermo Lahera ,&nbsp;Melchor Alvarez-Mon ,&nbsp;Miguel A. Saez ,&nbsp;Miguel A. Ortega","doi":"10.1016/j.psyneuen.2026.107751","DOIUrl":"10.1016/j.psyneuen.2026.107751","url":null,"abstract":"<div><h3>Background</h3><div>First-episode psychosis during pregnancy (FEP-PW) is a rare but serious condition that intersects maternal mental health and placental-fetal biology. While psychosis is characterized by disruptions in perception and cognition, its impact on placental neuroendocrine signaling and fetal development remains poorly understood. The placenta, as a key mediator of intrauterine environment, expresses receptors involved in neurotransmission and stress response, potentially linking maternal psychopathology to fetal neurodevelopmental risk.</div></div><div><h3>Objective</h3><div>This study investigates the expression of five critical neuroendocrine and stress-related molecules—dopamine receptor D2 (DRD2), serotonin receptor 1B (HTR1B), glucocorticoid receptor (NR3C1), 11β-hydroxysteroid dehydrogenase type 2 (HSD11B2), and melatonin receptor 1B (MTNR1B)—in placental tissue from women with FEP-PW compared to healthy pregnant controls (HC-PW).</div></div><div><h3>Methods</h3><div>Using a prospective case-control design, placental samples from 22 FEP-PW and 20 HC-PW women were analyzed. Gene expression was quantified by real-time quantitative polymerase chain reaction (RT-qPCR), and protein localization and abundance assessed via immunohistochemistry (IHC).</div></div><div><h3>Results</h3><div>Significant alterations in placental gene and protein expression were observed in FEP-PW placentas: DRD2, NR3C1, and HSD11B2 were markedly upregulated (all p &lt; 0.001 at gene and protein levels), whereas HTR1B and MTNR1B were significantly downregulated compared to controls (p &lt; 0.05, p &lt; 0.01 respectively at gene level and p &lt; 0.01, p &lt; 0.001 at protein level). These findings indicate dysregulated dopaminergic, serotonergic, glucocorticoid, and melatonin signaling pathways in the placenta associated with maternal psychosis.</div></div><div><h3>Conclusions</h3><div>Our results provide novel evidence of distinct placental molecular adaptations in FEP-PW, reflecting heightened maternal stress and disrupted neurohormonal environments. These alterations may contribute to adverse placental function and influence fetal neurodevelopmental trajectories, underscoring the placenta’s role as a critical mediator in the maternal-placental-fetal axis in psychiatric disorders. Further research is needed to clarify the functional consequences and explore these molecules as potential biomarkers or therapeutic targets in perinatal psychiatry.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"186 ","pages":"Article 107751"},"PeriodicalIF":3.6,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
C-reactive protein predicts aggression in adolescent depression: Non-suicidal self-injury moderation and immunomodulatory shift c反应蛋白预测青少年抑郁症的攻击性:非自杀性自伤调节和免疫调节转变。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-14 DOI: 10.1016/j.psyneuen.2026.107756
Xiaoyuan Han , Xin Yu , Xinyuan Hu , Hailiang Huang , Guofeng Zhang , Xiangyu Chen , Ming Cha , Lingming Hu , Ningning Liu
Major depressive disorder (MDD) in adolescents is frequently accompanied by aggression and non-suicidal self-injury (NSSI), yet reliable biomarkers for predicting these behavioral risks remain limited. This study employed a combined cross-sectional and longitudinal design to investigate the role of peripheral inflammatory markers in aggression among 214 adolescent inpatients with MDD and 60 healthy controls. We found that C-reactive protein (CRP) emerged as notable independent predictor of aggressive behavior, showing a high area under the curve (AUC=0.91) in this sample, suggesting its potential discriminatory performance that warrants further validation. Notably, NSSI significantly moderated the CRP-aggression link, with a stronger association observed in patients without NSSI. Furthermore, sex-specific IL-6 elevations were identified in female NSSI⁺ patients. Longitudinal analyses revealed a dynamic "immunomodulatory shift," where systemic immune-inflammation index (SII) and lymphocyte-to-monocyte ratio (LMR) transitioned from positive to negative predictors of aggression over time. These preliminary findings highlight the potential of CRP as a clinically accessible indicator for aggression risk and underscore the temporal complexity of immune–behavior interactions in adolescent depression. These preliminary findings remain to be verified through independent cohorts in future studies.
青少年重度抑郁症(MDD)经常伴有攻击性和非自杀性自伤(NSSI),但预测这些行为风险的可靠生物标志物仍然有限。本研究采用横断面和纵向相结合的设计,调查了214名青少年重度抑郁症住院患者和60名健康对照者的外周炎症标志物在攻击行为中的作用。我们发现c -反应蛋白(CRP)成为攻击行为的显著独立预测因子,在该样本中显示出较高的曲线下面积(AUC=0.91),表明其潜在的歧视性性能值得进一步验证。值得注意的是,自伤显著调节了crp -攻击联系,在没有自伤的患者中观察到更强的关联。此外,在女性NSSI +患者中发现了性别特异性的IL-6升高。纵向分析揭示了一种动态的“免疫调节转变”,随着时间的推移,全身免疫炎症指数(SII)和淋巴细胞与单核细胞比率(LMR)从积极的预测因子转变为消极的预测因子。这些初步发现强调了CRP作为临床攻击风险指标的潜力,并强调了青少年抑郁症中免疫-行为相互作用的时间复杂性。这些初步发现仍需在未来的研究中通过独立队列进行验证。
{"title":"C-reactive protein predicts aggression in adolescent depression: Non-suicidal self-injury moderation and immunomodulatory shift","authors":"Xiaoyuan Han ,&nbsp;Xin Yu ,&nbsp;Xinyuan Hu ,&nbsp;Hailiang Huang ,&nbsp;Guofeng Zhang ,&nbsp;Xiangyu Chen ,&nbsp;Ming Cha ,&nbsp;Lingming Hu ,&nbsp;Ningning Liu","doi":"10.1016/j.psyneuen.2026.107756","DOIUrl":"10.1016/j.psyneuen.2026.107756","url":null,"abstract":"<div><div>Major depressive disorder (MDD) in adolescents is frequently accompanied by aggression and non-suicidal self-injury (NSSI), yet reliable biomarkers for predicting these behavioral risks remain limited. This study employed a combined cross-sectional and longitudinal design to investigate the role of peripheral inflammatory markers in aggression among 214 adolescent inpatients with MDD and 60 healthy controls. We found that C-reactive protein (CRP) emerged as notable independent predictor of aggressive behavior, showing a high area under the curve (AUC=0.91) in this sample, suggesting its potential discriminatory performance that warrants further validation. Notably, NSSI significantly moderated the CRP-aggression link, with a stronger association observed in patients without NSSI. Furthermore, sex-specific IL-6 elevations were identified in female NSSI⁺ patients. Longitudinal analyses revealed a dynamic \"immunomodulatory shift,\" where systemic immune-inflammation index (SII) and lymphocyte-to-monocyte ratio (LMR) transitioned from positive to negative predictors of aggression over time. These preliminary findings highlight the potential of CRP as a clinically accessible indicator for aggression risk and underscore the temporal complexity of immune–behavior interactions in adolescent depression. These preliminary findings remain to be verified through independent cohorts in future studies.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"186 ","pages":"Article 107756"},"PeriodicalIF":3.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146011824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Linking allostatic load, heart rate variability and brain functional networks and structures in healthy men 健康男性适应负荷、心率变异性与大脑功能网络和结构的联系。
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-01-14 DOI: 10.1016/j.psyneuen.2026.107759
Juan M. Solano-Atehortua , Gabriel Castrillón , Jazmin X. Suarez-Revelo , Juan D. Sánchez-López , Daniel A. Vargas-Tejada , Hawkins-Caicedo Valentina , Juan C. Calderón , Jaime Gallo-Villegas , Yedselt V. Ospina-Serrano , Juan D. Caicedo-Jaramillo , Ana L. Miranda-Angulo

Introduction

The allostatic load index (ALI) measures the cumulative physiological burden exerted on the body by chronic stress known as allostatic load (AL). The relationship between ALI and heart rate variability (HRV), as well as the brain moderation effect on this relationship in healthy individuals, is underexplored.

Methods

In this cross-sectional study of 88 healthy men (21–40 years) from Medellín, Colombia, we calculated two ALIs composed of four and seven biomarkers (ALI-4 and ALI-7) using a quartile-based risk summation method. Functional and structural neuroimaging metrics were derived from magnetic resonance imaging. Multiple linear regression models were used to evaluate the associations between the ALIs and HRV metrics derived from a 24-hour Holter. Exploratory interaction models tested whether the functional connectivity strength (FCS) of default mode (DMN), salience (SN) and control subnetworks (CEN), their cortical thickness as well as the volume of subcortical structures, moderated the ALI–HRV association.

Results

ALI-7 was positively associated with the LF/HF ratio (β = 0.09, p = 0.004, 95 % CI = 0.03–0.15). Exploratory interactions suggested that ALI-7’s association with the standard deviation of the NN intervals (SDNN) was moderated by the FCS in the posterior DMN and by cortical thickness in the anterior SN. However, none of these interactions remained significant after false discovery rate correction.

Conclusion

In healthy men, higher ALI was associated with reduced HRV as indicated by higher LF/HF ratio. Larger studies, including women, are needed to confirm the predictive value of ALI-7 and to elucidate the brain moderation effect on the AL-HRV relationship.
适应负荷指数(ALI)衡量慢性应激(即适应负荷(AL))对身体施加的累积生理负担。ALI与心率变异性(HRV)之间的关系,以及在健康个体中大脑调节对这种关系的影响,尚未得到充分探讨。方法:在这项来自哥伦比亚Medellín的88名健康男性(21-40岁)的横断面研究中,我们使用基于四分位数的风险累加法计算了由4种和7种生物标志物(ALI-4和ALI-7)组成的两个ali。功能和结构神经成像指标来源于磁共振成像。使用多元线性回归模型来评估ali与24小时动态心电图得出的HRV指标之间的关系。探索性交互模型测试了默认模式(DMN)、显著性(SN)和控制子网络(CEN)的功能连接强度(FCS)、它们的皮质厚度以及皮质下结构的体积是否调节了ALI-HRV的关联。结果:ALI-7与LF/HF比值呈正相关(β = 0.09, p = 0.004,95% % CI = 0.03-0.15)。探索性相互作用表明,ALI-7与神经网络间隔标准差(SDNN)的关联被后DMN的FCS和前SN的皮质厚度所调节。然而,在错误发现率修正后,这些相互作用都不显着。结论:在健康男性中,较高的ALI与较高的LF/HF比值所表明的HRV降低相关。需要包括女性在内的更大规模的研究来证实ALI-7的预测价值,并阐明大脑调节对AL-HRV关系的影响。
{"title":"Linking allostatic load, heart rate variability and brain functional networks and structures in healthy men","authors":"Juan M. Solano-Atehortua ,&nbsp;Gabriel Castrillón ,&nbsp;Jazmin X. Suarez-Revelo ,&nbsp;Juan D. Sánchez-López ,&nbsp;Daniel A. Vargas-Tejada ,&nbsp;Hawkins-Caicedo Valentina ,&nbsp;Juan C. Calderón ,&nbsp;Jaime Gallo-Villegas ,&nbsp;Yedselt V. Ospina-Serrano ,&nbsp;Juan D. Caicedo-Jaramillo ,&nbsp;Ana L. Miranda-Angulo","doi":"10.1016/j.psyneuen.2026.107759","DOIUrl":"10.1016/j.psyneuen.2026.107759","url":null,"abstract":"<div><h3>Introduction</h3><div>The allostatic load index (ALI) measures the cumulative physiological burden exerted on the body by chronic stress known as allostatic load (AL). The relationship between ALI and heart rate variability (HRV), as well as the brain moderation effect on this relationship in healthy individuals, is underexplored.</div></div><div><h3>Methods</h3><div>In this cross-sectional study of 88 healthy men (21–40 years) from Medellín, Colombia, we calculated two ALIs composed of four and seven biomarkers (ALI-4 and ALI-7) using a quartile-based risk summation method. Functional and structural neuroimaging metrics were derived from magnetic resonance imaging. Multiple linear regression models were used to evaluate the associations between the ALIs and HRV metrics derived from a 24-hour Holter. Exploratory interaction models tested whether the functional connectivity strength (FCS) of default mode (DMN), salience (SN) and control subnetworks (CEN), their cortical thickness as well as the volume of subcortical structures, moderated the ALI–HRV association.</div></div><div><h3>Results</h3><div>ALI-7 was positively associated with the LF/HF ratio (β = 0.09, <em>p</em> = 0.004, 95 % CI = 0.03–0.15). Exploratory interactions suggested that ALI-7’s association with the standard deviation of the NN intervals (SDNN) was moderated by the FCS in the posterior DMN and by cortical thickness in the anterior SN. However, none of these interactions remained significant after false discovery rate correction.</div></div><div><h3>Conclusion</h3><div>In healthy men, higher ALI was associated with reduced HRV as indicated by higher LF/HF ratio. Larger studies, including women, are needed to confirm the predictive value of ALI-7 and to elucidate the brain moderation effect on the AL-HRV relationship.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"186 ","pages":"Article 107759"},"PeriodicalIF":3.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146019517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Psychoneuroendocrinology
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