双极性障碍成年人的炎症标志物和认知功能之间的关联:系统性审查
David R A Coelho1,2,3, Jennifer Nicoloro Santabarbara2,4, Marzieh Majd2,4
1Division of Neuropsychiatry and Neuromodulation, Massachusetts General Hospital, Boston, Massachusetts, USA.
Acta psychiatrica Scandinavica
|July 23, 2025
概括
炎症与双相情感障碍 (BD) 的认知问题有关. 像CRP,TNF-α,IL-6和IL-1RA这样的关键标志物与BD患者的执行功能,处理速度和记忆力受损相关.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 免疫学 免疫学 免疫学
背景情况:
- 双极性障碍 (BD) 经常涉及认知功能障碍,影响患者的康复和生活质量.
- 炎症越来越被认为是 BD 认知缺陷的潜在贡献者.
研究的目的:
- 系统地审查和综合有关BD成年人的炎症标志物和认知功能之间的联系的证据.
- 确定特定的炎症标志物和BD中受影响的认知领域.
主要方法:
- 按照PRISMA指南进行系统审查,搜索六个数据库.
- 包括25项研究,包括3567名患有BD的成年人;不包括动物研究,评论和非英语出版物.
- 使用ROBINS-E评估研究质量并进行叙事合成.
主要成果:
- 升高的C-反应蛋白 (CRP),瘤亡因子-α (TNF-α),干白素-6 (IL-6) 和干白素-1受体对手 (IL-1Ra) 最常与认知功能障碍相关.
- 受影响的认知领域包括执行功能,处理速度和内存.
- 大多数研究都是横截面的,限制了因果推理.
结论:
- 在BD中,炎症和认知功能障碍之间存在着一致的关联,特别是涉及特定标记物和认知领域.
- 向炎症可能是改善BD认知健康的有希望的策略.
- 未来的研究应该专注于纵向设计和中心炎症标志物.
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