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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 : 2026-04-01 Epub 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
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 : 2026-04-01 Epub 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
Receiving caregiver support and its association with hair hormones in people living with Alzheimer’s disease: The role of caregivers’ perspective taking 阿尔茨海默病患者接受照顾者支持及其与毛发激素的关系:照顾者视角的作用
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-04-01 Epub Date: 2026-01-10 DOI: 10.1016/j.psyneuen.2026.107746
Meng Huo , Kyungmin Kim , Casey K. Brown , Megan Gilligan , Wen Wang
Receiving support in later life is often experienced as stressful, but for people living with dementia (PLWD) support is an unavoidable necessity for daily functioning. The current study examined the association between receiving support in this unique context and PLWD’s hair cortisol, dehydroepiandrosterone (DHEA), and DHEA-to-cortisol ratio, which serve as non-invasive, objective physiological measures that may reflect longer-term HPA-axis activity related to stress. Further, we explored whether caregivers’ perspective taking—their ability to understand PLWD’s thoughts and feelings—moderated associations between support receipt and hair hormones. Participants included 58 couples managing mild-to-moderate Alzheimer’s disease (Mage = 77.60 for PLWD; Mage = 75.48 for caregivers). PLWD self-reported the frequency of emotional and practical support received from their spousal caregivers. Hair samples were collected from the posterior vertex to assess cortisol and DHEA concentrations and were assayed using enzyme immunoassay (EIA) method. Caregivers reported their own perspective taking and both spouses’ demographic characteristics. Multiple regressions showed that receiving more frequent emotional support and less frequent practical support from spousal caregivers were associated with higher hair cortisol concentrations in PLWD. Yet, these associations were only evident if caregivers had greater perspective taking. In addition, caregiver perspective taking exacerbated the negative association between receiving emotional support and the DHEA-to-cortisol ratio. By using hair hormones, this study offers preliminary insights into PLWD’s stress-related physiological processes in the context of intensive caregiving. Findings refine our understanding of the benefits and costs of caregivers' perspective taking and inform caregiver interventions.
在老年生活中接受支持通常是有压力的,但对于痴呆症患者(PLWD)来说,支持是日常生活中不可避免的必需品。目前的研究调查了在这种特殊情况下接受支持与PLWD毛发皮质醇、脱氢表雄酮(DHEA)和DHEA-皮质醇比率之间的关系,这是一种非侵入性、客观的生理指标,可以反映与压力相关的hpa轴的长期活性。此外,我们探讨了照顾者的视角——他们理解PLWD的想法和感受的能力——是否调节了支持接收和毛激素之间的关联。参与者包括58对患有轻度至中度阿尔茨海默病的夫妇(PLWD的Mage = 77.60;照顾者的Mage = 75.48)。PLWD自我报告从配偶照顾者那里获得情感和实际支持的频率。从后顶点采集毛发样本,评估皮质醇和脱氢表雄酮浓度,并使用酶免疫分析法(EIA)进行检测。照顾者报告了他们自己的观点和配偶双方的人口统计学特征。多元回归显示,从配偶照顾者那里获得更频繁的情感支持和更少的实际支持与PLWD中较高的毛发皮质醇浓度相关。然而,只有当照顾者有更大的视角时,这些关联才明显。此外,照顾者视角的采取加剧了接受情感支持与脱氢表雄酮-皮质醇比值之间的负相关。通过使用毛发激素,本研究提供了在强化护理背景下PLWD压力相关生理过程的初步见解。研究结果完善了我们对护理人员采取观点的收益和成本的理解,并为护理人员干预提供了信息。
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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 : 2026-04-01 Epub Date: 2026-01-31 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
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 : 2026-04-01 Epub 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
Sex-specific associations between loneliness and hair cortisol among older African American adults 老年非裔美国人孤独感和毛发皮质醇之间的性别特异性关联
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-04-01 Epub Date: 2026-01-13 DOI: 10.1016/j.psyneuen.2026.107755
Katherine Knauft , Jacqueline Rodriguez-Stanley , Kristin M. Davis , Lance M. Rappaport , Francesca Luca , Nataria T. Joseph , Christopher G. Engeland , Samuele Zilioli
Loneliness has been linked to increased risk of cardiovascular disease, which disproportionately affects African American adults. Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis, as measured by long-term accumulation of cortisol in hair, may be one pathway through which loneliness increases cardiovascular disease risk. However, the relationship between loneliness and hair cortisol levels among African American adults has not yet been explored. Further, both loneliness and cortisol activity differ across age and sex. To better understand the association between loneliness and HPA axis activity among middle-aged and older African American adults, the present study examined the degree to which age and sex interacted with loneliness to predict hair cortisol concentrations. Data were obtained from 340 African American adults (Mage = 66.06, SD = 5.46, range = 55–75; 87.1 % female), who provided hair samples and reported their loneliness level as a part of The Heart of Detroit Study. Results showed that sex significantly moderated the association between loneliness and hair cortisol. Loneliness was positively associated with hair cortisol concentrations in male, but not female, participants. These findings suggest that sex-specific associations may exist between loneliness and hair cortisol.
孤独与心血管疾病的风险增加有关,这对非裔美国成年人的影响尤为严重。下丘脑-垂体-肾上腺(HPA)轴的失调,通过头发中皮质醇的长期积累来测量,可能是孤独增加心血管疾病风险的一个途径。然而,在非裔美国成年人中,孤独和头发皮质醇水平之间的关系尚未被探索。此外,孤独感和皮质醇活动在年龄和性别上都有所不同。为了更好地理解中老年非洲裔美国人孤独感和HPA轴活动之间的关系,本研究考察了年龄和性别与孤独感的相互作用程度,以预测毛发皮质醇浓度。数据来自340名非裔美国成年人(Mage = 66.06, SD = 5.46, range = 55-75; 87.1 %女性),他们提供了头发样本,并报告了他们的孤独程度,作为底特律心脏研究的一部分。结果显示,性显著地缓和了孤独感和毛发皮质醇之间的关系。孤独与男性毛发皮质醇浓度呈正相关,但与女性无关。这些发现表明,孤独和毛发皮质醇之间可能存在性别特异性关联。
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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 : 2026-04-01 Epub 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 : 2026-04-01 Epub 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。
{"title":"Phase-dependent cytokine signatures in alcohol use disorder: A systematic review of psychoneuroimmune links to withdrawal severity and return to drinking","authors":"Svetlana Sokolova,&nbsp;Valentin Skryabin,&nbsp;Sergei Pozdniakov,&nbsp;Valentina Ivanchenko,&nbsp;Natalia Vinokurova,&nbsp;Liliya Ardamatskaya,&nbsp;Anton Masyakin","doi":"10.1016/j.psyneuen.2026.107771","DOIUrl":"10.1016/j.psyneuen.2026.107771","url":null,"abstract":"<div><h3>Background</h3><div>Neuroimmune dysregulation is increasingly implicated in alcohol use disorder (AUD), yet the clinical utility of cytokine biomarkers remains unclear.</div></div><div><h3>Objective</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":20836,"journal":{"name":"Psychoneuroendocrinology","volume":"186 ","pages":"Article 107771"},"PeriodicalIF":3.6,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146079488","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
Stress protection by your group – increasing group size reduces physiological stress contagion 团队的压力保护——增加团队规模可以减少生理压力传染
IF 3.6 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM Pub Date : 2026-04-01 Epub Date: 2026-01-11 DOI: 10.1016/j.psyneuen.2026.107747
Theresa Dorn , Alisa Auer , Lisa-Marie Walther , Christine Sauter , Elisabeth Bandle , Petra H. Wirtz

Background & objectives

Stress contagion refers to the spread of stress from one person to another. We previously established a standardized, controlled experimental paradigm to study stress contagion in humans. While stress contagion effects have been characterized on a physiological level, potential modulating factors are beginning to be understood. Using our paradigm, we tested for the first time whether the number of observers, i.e. observer group size, modulates physiological stress contagion in stress observers.

Methods

Our experimental condition comprised three groups of stress observers varying in group sizes of two (“Group 1”, n = 30), three (“Group 2”, n = 31), or more observers (“Group 3”, n = 31), with each group observing one stressed participant. The data assessment comprised up to 5 healthy young male participants, with one participant randomly assigned to undergo an adapted version of the Trier Social Stress Test (“TSST participants”, n = 57) and the remaining participants observing him disguised as panel member(s) (“stress observers”, n = 92) in addition to one panel confederate. We repeatedly assessed salivary cortisol, salivary alpha-amylase, and heart rate.

Results

The TSST induced significant increases in all physiological parameters under study (p ´ s < =.025) without reactivity differences between TSST participants of the three experimental groups (p ´ s > =.23). When comparing the physiological reactivity to direct stress observation, the stress-observer-groups significantly differed in terms of cortisol (p = .029) with overall higher reactivity in smaller observer groups. Further analyses confirmed a linear effect in terms of higher reactivity with lower observer group size (p = .046). There were no group-by-time interactions in salivary alpha-amylase and heart rate reactivity.

Discussion

Our results suggest that when directly observing stress in other individuals, observer group size has a differential effect on physiological stress contagion systems. While we found evidence for modulating effects on hypothalamic-pituitary-adrenal axis reactivity in terms of higher cortisol stress contagion reactivity with lower observer group size, observer group size did not relate to the sympathetic–adrenal–medullary axis. Potential implications remain to be elucidated.
背景和目的压力传染是指压力从一个人传播到另一个人。我们之前建立了一个标准化的、受控的实验范式来研究人类的压力传染。虽然应激传染效应已经在生理水平上被表征,但潜在的调节因素正在开始被理解。本研究首次验证了观察人数(即观察群体规模)是否能调节应激观察者的生理应激传染。方法本实验条件分为三组,每组观察1名受试者(组1,n = 30)、3名受试者(组2,n = 31)或多名受试者(组3,n = 31),每组观察1名受试者。数据评估包括多达5名健康的年轻男性参与者,其中一名参与者随机分配接受改编版的特里尔社会压力测试(“TSST参与者”,n = 57),其余参与者伪装成小组成员观察他(“压力观察者”,n = 92),此外还有一名小组成员。我们反复评估唾液皮质醇、唾液α -淀粉酶和心率。结果TSST诱导各生理参数显著升高(p ´ s <; = 0.025),三个实验组TSST参与者的反应性差异无统计学意义(p ´ s <; = 0.23)。当将生理反应性与直接应激观察进行比较时,应激观察组在皮质醇方面存在显著差异(p = .029),较小的观察组总体反应性较高。进一步的分析证实了高反应性与低观察组规模的线性效应(p = .046)。唾液α -淀粉酶和心率反应性无组间时间相互作用。我们的研究结果表明,当直接观察其他个体的压力时,观察组的大小对生理应激传染系统有不同的影响。虽然我们在观察组规模较小的情况下发现了调节下丘脑-垂体-肾上腺轴反应性的证据,即皮质醇应激感染反应性越高,观察组规模越小,但观察组规模与交感-肾上腺-髓质轴无关。潜在的影响仍有待阐明。
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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 : 2026-04-01 Epub 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
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Psychoneuroendocrinology
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