慢性压力和大脑 kynurenine 途径:通过临床前研究的元分析方法来解决未解决的问题,对精神疾病的转化影响
Andrea de Bartolomeis1, Michele Fornaro2, Elena Scopetta2
1Clinical Section of Psychiatry and Psychology - Department of Neuroscience, Reproductive Sciences and Odontostomatology, University School of Medicine Federico II, Naples, Italy; Laboratory of Molecular and Translational Psychiatry, University School of Medicine of Naples Federico II, Naples, Italy.
概括
慢性压力 (CS) 在动物中显著改变 kynurenine 途径 (KP),增加神经毒性代谢物并影响大脑功能. 这一元分析揭示了KP.
科学领域:
- 神经科学是一个神经科学.
- 生物化学 生物化学
- 精神病学是一个精神病学.
背景情况:
- kynurenine 途径 (KP) 涉及炎症和突触可塑性,这些过程对大脑功能至关重要.
- 慢性压力 (CS) 是精神疾病的重要环境风险因素,但潜在的神经生物学机制,特别是KP变化,仍然不清楚.
- 了解CS如何影响KP对于阐明与压力相关的精神疾病病理生理学至关重要.
研究的目的:
- 进行临床前动物研究的第一个全面的元分析,以系统地评估CS对KP的影响.
- 为了确定如何,在多大程度上,以及在哪些大脑区域中,CS对KP代谢物和酶产生影响.
- 为了确定神经化学途径最受影响的CS在KP.
主要方法:
- 通过PubMed/MEDLINE,EMBASE和Scopus确定的临床前动物研究的系统审查和元分析.
- 包括研究调查KP代谢物和酶作为结果的研究,使用标准化平均差异 (SMD).
- 使用SYRCLE和CAMARADES工具进行质量和偏差风险评估;PROSPERO注册 (CRD42023459414).
主要成果:
- CS显著增加了海马和皮质 kynurenine 度 (SMD > 1.5,p < 0.01) 和 kynurenine/tryptophan 比率.
- 神经毒性林酸水平增加,而神经保护性KYNA水平在海马和皮质下降.
- 关键的KP酶 (IDO,TDO,KMO) 的表达和活性升高,表明托代谢向KP转移.
结论:
- 在动物中,慢性压力通过 kynurenine 途径促进托芬代谢.
- 观察到的转变,其特点是神经毒性林酸增加和KYNA减少,可能会破坏神经保护并导致兴奋毒性.
- 这些KP变化为CS相关的精神疾病提供了潜在的治疗点,特别是治疗耐药的疾病.
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