The immunology of stress and the impact of inflammation on the brain and behaviour

被引:47
|
作者
Ravi, Meghna [1 ]
Miller, Andrew H. [2 ,3 ]
Michopoulos, Vasiliki [3 ,4 ]
机构
[1] Emory Univ, Grad Program Neurosci, Atlanta, GA 30322 USA
[2] Emory Univ, Res, Atlanta, GA 30322 USA
[3] Emory Univ, Psychiat & Behav Sci, Atlanta, GA 30322 USA
[4] Yerkes Natl Primate Res Ctr, Atlanta, GA 30329 USA
关键词
Neuroimmunology; post-traumatic stress disorder; depressive disorders; neuroendocrinology; anxiety disorders; CYTOKINE ALTERATIONS; BIPOLAR DISORDER; IMMUNE; HORMONES; METAANALYSIS; DISEASE; ANXIETY; ALPHA;
D O I
10.1192/bja.2020.82
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Exposure to acute versus chronic stressors and threats activates the immune system in adaptive and maladaptive manners respectively. Chronic activation arising from persistent stress exposure can contribute to an inflammatory response in the periphery and in the brain that has been implicated in stress-related psychopathology, including depression and anxiety. We review the immunology of acute and chronic stress exposure, integrate this discussion with the emerging literature linking heightened immune activation and inflammation to mood and anxiety disorders, and consider the translational implications of the immune system's role in these psychiatric conditions, with a brief overview of potential interventions.
引用
收藏
页码:158 / 165
页数:8
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