应激中心脑互动的炎症语言
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Inflammatory language between heart and brain under stress
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    摘要:

    炎症性过程作为应激反应的整体组成部分,由一系列特征性的炎症媒介包括细胞因子、前列腺素类物质、自由基及相关转录因子构成,并依赖于神经内分泌及自主神经系统调控完成。在应激相关的慢性炎症过程中,促炎细胞因子导致糖激素抵抗,使下丘脑-垂体-肾上腺轴活动的神经控制及负反馈抑制调控受损,最终累及糖皮质激素稳态,启动自我放大的恶性循环炎症应答过程,称为“炎症语言”,并成为精神性疾病、心血管系统疾病共同的病理生理学机制。

    Abstract:

    As an integral part of stress response,inflammatory processes are composed of several inflammatory mediators such as cytokines, prostanoids, free radicals, and some transcription factors, and are under the control of the neuroendocrine and autonomic nervous systems. During chronic inflammatory processes related to stress, the interaction between cytokines and the HPA axis results in GC resistance, which leads not only to the hyperactivation of the HPA axis (characterized by elevation of GCs and CRH) but also to a self-amplifying vicious cycle of inflammatory response. And these inflammatory processes within the context of stress also represent the common physiopathological mechanisms in stress-related diseases, such as psychiatric disorder and cardiovascular disease.

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程金波,卢才义.应激中心脑互动的炎症语言[J].中华老年多器官疾病杂志,2012,11(5):393~396

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