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应激影响脑老化的相关学说与机制

Stress Affecting on Brain Aging:Related Hypothesis and Mechanism

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【作者】 王铭维王培芝张忠霞耿媛

【Author】 WANG Ming-wei;WANG Pei-zhi;ZHANG Zhong-xia;Department of Neurology,the First Hospital of Hebei Medical University;

【机构】 河北医科大学第一医院神经内科河北省脑老化与认知神经科学实验室

【摘要】 应激是机体受到各种内外环境因素刺激时的适应性反应,当反应持续时间过久或长期处于激活状态,则会对机体产生不良影响。目前认为,老化与糖皮质激素的过量分泌所致大脑相关区域的损伤相关,这些区域不仅参与认知与情绪,而且与下丘脑-垂体-肾上腺轴控制的其他活动相关。除此之外,皮质醇基础水平的差异性、皮质醇在脑内的可用性、糖皮质激素受体的失衡及大脑本身的易损性、回弹性等都是应激影响脑老化的参与因素。本文将对应激所致正常或非正常老化过程的相关影响机制与学说进行综述。

【Abstract】 Stress is an adaptive response when suffering from various internal and external environmental stimulation factors.However,if this response sustains for more time than necessary or if the body is activated chronically,harmful effects will be on the body.Now it is considered that aging is related to the injury of correlated brain areas caused by the excessive secretion of glucocorticoid.These areas not only involved in cognition and emotion,but also with other activities controlled by hypothalamus-pituitary-adrenal axis.In addition,differences in basal levels of cortisol,the availability of cortisol in brain,the imbalance of the glucocorticoid receptor,the vulnerability and the resilience of the brain itself are all the factors that affect brain aging.This review will give an account of the related mechanism and hypothesis for the stress response that leads to the normal or abnormal brain aging.

【关键词】 应激脑老化皮质醇
【Key words】 stressbrain agingcortisol
【基金】 973计划前期研究专项,项目编号:2010CB535005;河北省医学科学研究课题计划,项目编号:20130272
  • 【文献出处】 医学与哲学(B) ,Medicine & Philosophy , 编辑部邮箱 ,2014年04期
  • 【分类号】R741
  • 【被引频次】3
  • 【下载频次】147
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