从青少年神经发生到精神分裂症:机遇、挑战和有希望的干预措施

A. Quartini, F. Pacitti, G. Bersani, A. Iannitelli
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引用次数: 16

摘要

精神分裂症是一种发育不良疾病,具有多因素发病机制,与产前/围产期环境紊乱以及青春期/青年期社会因素和/或成瘾性药物消费有关。青春期已被证明是大脑发育的一个非常敏感的时期。青少年时期接触不良生活事件(长期的社会孤立和/或不稳定)和/或成瘾性药物(类阿片、可卡因、大麻素、酒精、尼古丁)与正常神经发育的偏差有关,使大脑特别容易患精神疾病。据报道,一些精神药物和环境因素可以防止上述遗传和/或表观遗传脆弱性对神经发生的有害影响。神经生长因子(NGF)是成人/青少年神经发生的最强刺激之一,也是一种有希望预防和/或改善各种行为和认知精神分裂症症状的神经调节剂。Biomed Rev 2017;28日:62 - 69。关键词:精神分裂症,神经发育,青少年,干细胞,成人神经发生,成瘾药物,生活事件,NGF
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From Adolescent Neurogenesis to Schizophrenia: Opportunities, Challenges and Promising Interventions
Schizophrenia is a maldevelopmental disease with multifactorial etiopathogenesis linked to disturbances in the prenatal/ perinatal environment and to social factors and/or addictive drugs consumption during adolescence/young adulthood. Adolescence has been demonstrated to represent a very sensitive period for brain development. Exposure to adverse life events (chronic social isolation and/or instability) and/or addictive drugs (opioids, cocaine, cannabinoids, alcohol, nicotine) during adolescence has been linked to deviations in the normal neurodevelopment, producing a brain particularly at risk of mental diseases. Several psychopharmacological drugs and environmental factors have been reported to protect against the detrimental effect on neurogenesis caused by the aforementioned genetic and/or epigenetic vulnerabilities. Nerve growth factor (NGF) is one of the strongest stimuli of adult/adolescent neurogenesis and a promising neuromodulator to prevent and/or ameliorate the various behavioral and cognitive schizophrenic symptoms. Biomed Rev 2017; 28: 62-69. Key words: schizophrenia, neurodevelopment, adolescence, stem cells, adult neurogenesis, addictive drugs, life events, NGF
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