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The Earth, Brain, Health Commission: how to preserve mental health in a changing environment 地球、大脑、健康委员会:如何在不断变化的环境中保护心理健康
Pub Date : 2024-09-16 DOI: 10.1038/s44220-024-00314-1
Gunter Schumann, Rosa Barciela, Vivek Benegal, Amy Bernard, Sylvane Desrivieres, Jianfeng Feng, Peng Gong, Andreas Heinz, Xanthe Hunt, Li Jin, Jürg Luterbacher, Andre Marquand, Andreas Meyer-Lindenberg, Jerome Salomon, Ameli Schwalber, Shravya Shetty, Bernd Stahl, Paul Thompson
Announced in this Comment and in collaboration with Nature Mental Health is the convening of the Earth Brain Health Commission, addressing innovative and multidisciplinary approaches to mitigating environment-related mental health harms and promoting wellbeing.
在本评论中宣布,与大自然心理健康组织合作召开地球脑健康委员会会议,探讨创新的多学科方法,以减轻与环境有关的心理健康危害,促进身心健康。
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引用次数: 0
The relation between cortical gene expression and the neural correlates of risky behavior 大脑皮层基因表达与危险行为神经相关性之间的关系
Pub Date : 2024-09-12 DOI: 10.1038/s44220-024-00311-4
Shu Liu, Abdel Abdellaoui, Guido A. van Wingen, Karin J. H. Verweij
Risky behavior is a heritable trait that can have negative mental health consequences. It has been associated with variability in cortical structure and function, but the relation between cortex, gene expression and risky behavior remains unclear. Here we investigated associations of structural and functional cortical measures with risky behavior in UK Biobank data (N = 19,205) and examined relationships of the identified cortical patterns with regional gene expression. We found that expression of 49 genes that were previously associated with risky behavior (out of 152 tested) was linked to these cortical patterns. We also observed associations between the identified cortical patterns and gene expression related to psychiatric disorders and specific cortical cell types. Through whole-genome analysis, we selected all genes with expression linked to the identified cortical patterns and identified their associated biological pathways. These findings contribute to a deeper understanding of the neural mechanisms underlying the translation of genetic predispositions into risky behavior. In a large dataset from the UK Biobank, the authors examine the relationships between regional gene expressions and structural and functional features of the cerebral cortex associated with risky behavior.
危险行为是一种可遗传的特征,会对心理健康产生负面影响。它与大脑皮层结构和功能的变异有关,但大脑皮层、基因表达和危险行为之间的关系仍不清楚。在此,我们调查了英国生物库数据(N = 19205)中皮层结构和功能测量与危险行为的关联,并研究了已确定的皮层模式与区域基因表达的关系。我们发现,以前与危险行为相关的 49 个基因(在 152 个测试基因中)的表达与这些皮层模式有关。我们还观察到已识别的大脑皮层模式与精神疾病和特定大脑皮层细胞类型相关基因表达之间的联系。通过全基因组分析,我们筛选出了与已确定的大脑皮层模式相关的所有基因表达,并确定了与之相关的生物通路。这些发现有助于加深对遗传倾向转化为危险行为的神经机制的理解。在英国生物库的一个大型数据集中,作者研究了与危险行为相关的区域基因表达与大脑皮层结构和功能特征之间的关系。
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引用次数: 0
Social identity processes as a vehicle for therapeutic success in psychedelic treatment 社会认同过程作为迷幻治疗成功的载体
Pub Date : 2024-09-09 DOI: 10.1038/s44220-024-00302-5
Martha Newson, S. Alexander Haslam, Catherine Haslam, Tegan Cruwys, Leor Roseman
The recent surge in psychedelics research has identified promising therapeutic uses for conditions including anxiety, post-traumatic stress disorder, anorexia, depression, and addiction. However, medicalized forms often lack a vital ingredient: a social group dimension. By integrating psychedelics into group settings and leveraging their capacity to foster social identities, the effects of psychedelic-assisted therapies could be enhanced, echoing their potency in Indigenous and community contexts. We outline the relevance of the ‘social cure’ model, supported by strong empirical evidence in social identity and health literature, emphasizing the importance of group contexts and social identity-based relationships in the theraputic effects of psychedelics. We present practical implications for therapeutic practice and identify future directions and challenges for social cure research, offering an agenda for theory-informed work to investigate the role of social identities and group connections in psychedelic treatment. In this Perspective, authors overview the ‘social cure’ model employing group contexts, identity, and connections and argue for its use as a therapeutic framework for psychedelic treatment.
近来,迷幻药研究激增,发现它对焦虑症、创伤后应激障碍、厌食症、抑郁症和成瘾等疾病有很好的治疗效果。然而,医学形式的迷幻药往往缺乏一个重要因素:社会群体维度。通过将迷幻剂融入群体环境并利用其促进社会认同的能力,迷幻剂辅助疗法的效果可以得到增强,这与它们在土著和社区环境中的功效相呼应。我们概述了 "社会治愈 "模式的相关性,该模式得到了社会认同和健康文献中有力的经验证据的支持,强调了群体环境和基于社会认同的关系在迷幻药治疗效果中的重要性。我们提出了对治疗实践的实际意义,并确定了社会治愈研究的未来方向和挑战,为研究社会身份和群体联系在迷幻药治疗中的作用提供了理论依据。在本《视角》中,作者概述了运用群体背景、身份和联系的 "社会治愈 "模式,并主张将其用作迷幻治疗的治疗框架。
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引用次数: 0
Found in translation — translational science in mental health research 在翻译中发现--心理健康研究中的转化科学
Pub Date : 2024-09-09 DOI: 10.1038/s44220-024-00319-w
Translational science is often characterized metaphorically, as bridging the gaps among multidisciplinary research areas. However, in reality, translational work is often separate or excluded from clinical research. Integrating elements of translational and clinical work into more general mental health research is key to innovation and progress.
转化科学通常被比喻为弥合多学科研究领域之间差距的桥梁。然而,在现实中,转化工作往往与临床研究相分离或被排除在外。将转化工作和临床工作的要素整合到更广泛的心理健康研究中,是创新和进步的关键。
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引用次数: 0
Associated transcriptional, brain and clinical variations in schizophrenia 精神分裂症的相关转录、大脑和临床变异
Pub Date : 2024-09-09 DOI: 10.1038/s44220-024-00306-1
Long-Biao Cui, Shu-Wan Zhao, Ya-Hong Zhang, Kun Chen, Yu-Fei Fu, Ting Qi, Mengya Wang, Jing-Wen Fan, Yue-Wen Gu, Xiao-Fan Liu, Xiao-Sa Li, Wen-Jun Wu, Di Wu, Hua-Ning Wang, Yong Liu, Hong Yin, Martijn P. van den Heuvel, Yongbin Wei
Understanding the relationship between genetic variations and brain abnormalities is crucial for uncovering the cross-scale pathophysiological mechanisms underlying schizophrenia. This cross-sectional study identifies brain structural correlates of individual variation in gene expression in schizophrenia and its clinical implication. RNA-sequencing data from blood samples, magnetic resonance imaging scans and clinical assessments were collected from 43 patients with schizophrenia, together with data from 60 healthy controls. Using RNA-sequencing data we show alterations in both gene-level and isoform-level expression between patients with schizophrenia and healthy controls (1,836 genes and 1,104 isoforms, false-discover-rate-adjusted P < 0.05). We also show differential gene expression to be associated with schizophrenia-related genomic variations (based on genome-wide association study data on 76,755 patients and 243,649 controls; regression coefficient (β) = 0.211, P = 0.001) and differential brain gene expression (P < 0.001, hypergeometric test). Multivariate correlation analysis combining gene expression and brain imaging shows that transcriptional levels of differentially expressed genes significantly correlate with gray matter volume in the frontal and temporal regions of cognitive brain networks in patients with schizophrenia (P < 0.001, permutation test). Findings show a significant association between gene expression, gray matter volume and cognitive performance in patients (P = 0.031, permutation test). Our results suggest that genomic variants in individuals with schizophrenia are associated with alterations in the transcriptome, which plays a role in individual variations in macroscale brain structure and cognition, contributing to building a comprehensive, multi-omics marker for the assessment of schizophrenia. This study examining blood transcriptomic, neuroimaging and clinical data in people with schizophrenia shows a relationship between individual variations in gene transcription, brain structure and cognitive performance.
了解基因变异与大脑异常之间的关系对于揭示精神分裂症的跨尺度病理生理机制至关重要。这项横断面研究确定了精神分裂症基因表达个体差异的脑结构相关性及其临床意义。我们从 43 名精神分裂症患者的血液样本、磁共振成像扫描和临床评估中收集了 RNA 序列数据,同时还收集了 60 名健康对照者的数据。通过使用 RNA 测序数据,我们发现精神分裂症患者与健康对照组之间在基因水平和同工酶水平的表达均发生了改变(1,836 个基因和 1,104 个同工酶,假发现率调整后 P < 0.05)。我们还发现,不同的基因表达与精神分裂症相关的基因组变异有关(基于全基因组关联研究数据,涉及 76,755 名患者和 243,649 名对照者;回归系数 (β) = 0.211,P = 0.001),以及不同的脑基因表达有关(P <0.001,超几何检验)。结合基因表达和脑成像的多变量相关分析表明,差异表达基因的转录水平与精神分裂症患者认知脑网络额叶和颞叶区域的灰质体积显著相关(P < 0.001, permutation test)。研究结果表明,患者的基因表达、灰质体积和认知能力之间存在明显关联(P = 0.031,置换检验)。我们的研究结果表明,精神分裂症患者的基因组变异与转录组的改变有关,而转录组的改变在宏观脑结构和认知的个体差异中起着一定的作用,这有助于为精神分裂症的评估建立一个全面的多组学标记。这项研究检查了精神分裂症患者的血液转录组、神经影像学和临床数据,结果显示基因转录、大脑结构和认知表现的个体差异之间存在关系。
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引用次数: 0
The role of workplace managers in protecting and promoting employee mental health 工作场所管理者在保护和促进员工心理健康方面的作用
Pub Date : 2024-09-02 DOI: 10.1038/s44220-024-00308-z
Leslie B. Hammer
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引用次数: 0
Neocortical serotonin 2A receptor binding, neuroticism and risk of developing depression in healthy individuals 健康人的大脑皮层血清素 2A 受体结合、神经质和患抑郁症的风险
Pub Date : 2024-08-26 DOI: 10.1038/s44220-024-00299-x
Anjali Sankar, Simon C. Ziersen, Brice Ozenne, Vibeke H. Dam, Emily E. Beaman, Lars V. Kessing, Patrick. M. Fisher, Esben Budtz-Jørgensen, Gitte M. Knudsen, Kamilla W. Miskowiak, Vibe G. Frokjaer
The serotonin 2A receptor (5-HT2AR) and personality trait neuroticism are implicated in the pathophysiology of depression and represent potential targets for prevention and treatment. Here we evaluate whether 5-HT2AR and neuroticism in healthy individuals are related to the risk of developing a future depressive episode by utilizing a large 5-HT2AR molecular-imaging cohort comprising 131 healthy individuals who underwent molecular brain imaging and neuroticism assessments and up to 19 years of data on future depression diagnosis from the Danish Registers. Using cause-specific Cox regression analysis, we found that neocortical 5-HT2AR binding coupled with the inward-directed facets of neuroticism elevated the risk of depression. The risk was greatest in individuals with both high 5-HT2AR binding and high neuroticism. Our data provide novel insights into the risk of depression and support the evaluation of clinical strategies that target 5-HT2AR, such as psychedelics, in conjunction with psychotherapy that addresses personality-based risk factors. In this study, the authors used molecular brain imaging and measures of neuroticism to identify that high 5-HT2AR binding and higher levels of neuroticism predicted an increased risk of developing depression up to 19 years after assessment.
血清素 2A 受体(5-HT2AR)和性格特征神经质与抑郁症的病理生理学有关,是预防和治疗抑郁症的潜在靶点。在此,我们利用一个大型 5-HT2AR 分子成像队列来评估健康人的 5-HT2AR 和神经质是否与未来抑郁发作的风险有关,该队列由 131 名健康人组成,他们接受了分子脑成像和神经质评估,并从丹麦登记册中获得了长达 19 年的未来抑郁诊断数据。通过特定原因的 Cox 回归分析,我们发现新皮质 5-HT2AR 结合以及神经质的内向性会增加患抑郁症的风险。同时具有高 5-HT2AR 结合力和高神经质的人患抑郁症的风险最大。我们的数据为了解抑郁症风险提供了新的视角,并支持对针对 5-HT2AR 的临床策略(如迷幻药)进行评估,同时结合针对人格风险因素的心理疗法。在这项研究中,作者利用分子脑成像技术和神经质测量方法发现,5-HT2AR结合率高和神经质水平高预示着在评估后19年内患抑郁症的风险增加。
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引用次数: 0
Mapping brain and body connections 绘制大脑与身体的联系图
Pub Date : 2024-08-26 DOI: 10.1038/s44220-024-00304-3
Natalia Gass
In this Q&A, we speak to Andrew Zalesky, professor at the University of Melbourne, a co-leader of the Systems Lab and awardee of the prestigious Rebecca L. Cooper Fellowship that provides US$1.35 million over 5 years to study brain networks in health and disease and develop high-tech psychiatric therapies based on brain stimulation. He also led the development of the Melbourne Subcortex Atlas and is recognized for the novel tools he has developed to analyze brain networks.
在本期问答中,我们采访了墨尔本大学教授安德鲁-扎列斯基(Andrew Zalesky),他是系统实验室(Systems Lab)的共同负责人,也是著名的丽贝卡-库珀奖学金(Rebecca L. Cooper Fellowship)的获得者,该奖学金将在5年内提供135万美元,用于研究健康和疾病中的大脑网络,以及开发基于脑刺激的高科技精神疗法。他还领导了墨尔本皮质下图谱的开发,并因其开发的分析大脑网络的新工具而获得认可。
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引用次数: 0
Hypocretin receptor antagonists prevent opioid addiction 降视素受体拮抗剂可预防阿片类药物成瘾
Pub Date : 2024-08-23 DOI: 10.1038/s44220-024-00300-7
Jimmy J. Fraigne, John H. Peever
The opioid abuse epidemic is a major health concern that requires new pain management strategies. Findings now show that suvorexant, a dual hypocretin receptor antagonist, reverses the anatomical and circuit alterations induced by opioids and decreases addictive behavior while maintaining the analgesic properties of the drugs.
阿片类药物滥用是一个重大的健康问题,需要新的疼痛治疗策略。目前的研究结果表明,双下视蛋白受体拮抗剂苏伐生坦(suvorexant)能逆转阿片类药物引起的解剖和回路改变,减少成瘾行为,同时保持药物的镇痛特性。
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引用次数: 0
Mapping cerebellar anatomical heterogeneity in mental and neurological illnesses 绘制精神和神经疾病的小脑解剖异质性图谱
Pub Date : 2024-08-22 DOI: 10.1038/s44220-024-00297-z
Milin Kim, Esten Leonardsen, Saige Rutherford, Geir Selbæk, Karin Persson, Nils Eiel Steen, Olav B. Smeland, Torill Ueland, Geneviève Richard, Christian F. Beckmann, Andre F. Marquand, Ole A. Andreassen, Lars T. Westlye, Thomas Wolfers, Torgeir Moberget
The cerebellum is linked to motor coordination, cognitive and affective processing, in addition to a wide range of clinical illnesses. To enable robust quantification of individual cerebellar anatomy relative to population norms, we mapped the normative development and aging of the cerebellum across the lifespan using brain scans of >54,000 participants. We estimated normative models at voxel-wise spatial precision, enabling integration with cerebellar atlases. Applying the normative models in independent samples revealed substantial heterogeneity within five clinical illnesses: autism spectrum disorder, mild cognitive impairment, Alzheimer disease, bipolar disorder, and schizophrenia. Notably, individuals with autism spectrum disorder and mild cognitive impairment exhibited increased positive and negative extreme deviations in cerebellar anatomy, while those with schizophrenia and Alzheimer disease showed predominantly negative deviations. Finally, extreme deviations were associated with cognitive scores. Our results provide a voxel-wise mapping of cerebellar anatomy across the human lifespan demonstrating the cerebellum’s nuanced role in different clinical illnesses. This study maps cerebellar anatomy across the lifespan using over 54,000 brain scans from 132 scanning sites and identifies that patients with autism spectrum disorder, mild cognitive impairment, Alzheimer disease, and schizophrenia are likely to have deviations in cerebellar anatomy.
小脑与运动协调、认知和情感处理以及多种临床疾病有关。为了能够根据群体标准对个体小脑解剖结构进行稳健的量化,我们利用 54,000 名参与者的大脑扫描绘制了整个生命周期的小脑标准发育和衰老图。我们估算了体素空间精度的标准模型,从而能够与小脑图谱整合。在独立样本中应用标准模型发现,自闭症谱系障碍、轻度认知障碍、阿尔茨海默病、双相情感障碍和精神分裂症这五种临床疾病存在很大的异质性。值得注意的是,自闭症谱系障碍和轻度认知障碍患者在小脑解剖学上表现出更多的积极和消极极端偏差,而精神分裂症和阿尔茨海默病患者则主要表现出消极偏差。最后,极端偏差与认知评分有关。我们的研究结果提供了人类整个生命周期的小脑解剖学体素分布图,显示了小脑在不同临床疾病中的微妙作用。这项研究利用来自132个扫描点的54,000多张大脑扫描图绘制了人一生中的小脑解剖图,并发现自闭症谱系障碍、轻度认知障碍、阿尔茨海默病和精神分裂症患者的小脑解剖很可能存在偏差。
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引用次数: 0
期刊
Nature mental health
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