Clinical Science,
Journal Year:
2023,
Volume and Issue:
137(6), P. 469 - 494
Published: March 1, 2023
Abstract
While
it
is
well
known
from
numerous
epidemiologic
investigations
that
social
determinants
(socioeconomic,
environmental,
and
psychosocial
factors
exposed
to
over
the
life-course)
can
dramatically
impact
cardiovascular
health,
molecular
mechanisms
by
which
lead
poor
cardiometabolic
outcomes
are
not
understood.
This
review
comprehensively
summarizes
a
variety
of
current
topics
surrounding
biological
effects
adverse
(i.e.,
biology
adversity),
linking
translational
laboratory
studies
with
findings.
With
strong
focus
on
chronic
stress,
we
highlight
an
array
immunological
signaling
in
context
health
(SDoH).
The
main
covered
include
biomarkers
sympathetic
nervous
system
hypothalamic–pituitary–adrenal
axis
activation,
role
inflammation
adversity
focusing
glucocorticoid
resistance
key
inflammatory
cytokines
linked
environmental
stressors
(PSES).
We
then
further
discuss
effect
SDoH
immune
cell
distribution
characterization
subset,
receptor
expression,
function.
Lastly,
describe
epigenetic
regulation
stress
response
telomere
length
aging.
Ultimately,
critical
knowledge
gaps
for
future
research
as
strive
develop
more
targeted
interventions
account
improve
at-risk,
vulnerable
populations.
International Journal of Neuroscience,
Journal Year:
2016,
Volume and Issue:
127(7), P. 624 - 633
Published: July 14, 2016
Activated
microglial
cells
play
an
important
role
in
immune
and
inflammatory
responses
central
nervous
system
neurodegenerative
diseases.
Many
pro-apoptotic
pathways
are
mediated
by
signaling
molecules
that
produced
during
neuroinflammation.
In
glial
cells,
NF-κB,
a
transcription
factor,
initiates
regulates
the
expression
of
several
processes
inflammation
which
attributed
to
pathology
this
review,
we
discuss
most
neuroinflammatory
mediators
with
their
pathways.
Attenuating
cytokines
production
controlling
response,
result
understanding
neuroinflammation
pathways,
considered
therapeutic
strategies
for
treating
diseases
component.
International Journal of Geriatric Psychiatry,
Journal Year:
2017,
Volume and Issue:
33(11), P. 1428 - 1457
Published: Dec. 26, 2017
Delirium
is
the
most
common
neuropsychiatric
syndrome
encountered
by
clinicians
dealing
with
older
adults
and
medically
ill
best
characterized
5
core
domains:
cognitive
deficits,
attentional
circadian
rhythm
dysregulation,
emotional
alteration
in
psychomotor
functioning.An
extensive
literature
review
consolidation
of
published
data
into
a
novel
interpretation
known
pathophysiological
causes
delirium.Available
suggest
that
numerous
pathological
factors
may
serve
as
precipitants
for
delirium,
each
having
differential
effects
depending
on
patient-specific
patient
physiological
characteristics
(substrate).
On
basis
an
search,
newly
proposed
theory,
systems
integration
failure
hypothesis,
was
developed
to
bring
together
salient
previously
described
theories,
describing
various
contributions
from
complex
web
pathways-highlighting
areas
intersection
commonalities
explaining
how
variable
contribution
these
lead
development
behavioral
dysfunctions
characteristic
delirium.
The
specific
manifestations
delirium
picture
result
combination
neurotransmitter
function
availability,
variability
processing
sensory
information,
motor
responses
both
external
internal
cues,
degree
breakdown
neuronal
network
connectivity,
hence
term
acute
brain
failure.The
hypothesis
attempts
explain
pathophysiologic
theories
interact
other,
causing
clinically
observed
phenotypes.
A
better
understanding
underlying
pathophysiology
eventually
assist
designing
prevention
management
approaches.
Neurobiology of Stress,
Journal Year:
2018,
Volume and Issue:
9, P. 9 - 21
Published: May 19, 2018
Microglia
are
the
predominant
immune
cells
of
central
nervous
system
(CNS)
that
exert
key
physiological
roles
required
for
maintaining
CNS
homeostasis,
notably
in
response
to
chronic
stress,
as
well
mediating
synaptic
plasticity,
learning
and
memory.
The
repeated
exposure
stress
confers
a
higher
risk
developing
neurodegenerative
diseases
including
sporadic
Alzheimer's
disease
(AD).
While
microglia
have
been
causally
linked
amyloid
beta
(Aβ)
accumulation,
tau
pathology,
neurodegeneration,
loss
AD,
they
were
also
attributed
beneficial
roles,
phagocytic
elimination
Aβ.
In
this
review,
we
discuss
interactions
between
AD
overview
played
by
especially
focusing
on
an
environmental
factor
modulating
their
function,
present
recently-described
microglial
phenotypes
associated
with
neuroprotection
AD.
These
observed
under
both
pathology
may
provide
novel
opportunities
development
better-targeted
therapeutic
interventions.
Therapeutic Advances in Neurological Disorders,
Journal Year:
2017,
Volume and Issue:
11
Published: Aug. 16, 2017
Autoimmune
encephalitis
is
one
of
the
most
rapidly
growing
research
topics
in
neurology.
Along
with
discoveries
novel
antibodies
associated
disease,
clinical
experience
and
outcomes
diverse
immunotherapeutic
agents
treatment
autoimmune
are
accumulating.
Retrospective
observations
indicate
that
early
aggressive
better
functional
fewer
relapses.
Immune
response
to
first-line
(corticosteroids,
intravenous
immunoglobulin,
plasma
exchange,
immunoadsorption)
fair,
but
approximately
half
or
more
patients
administered
second-line
immunotherapy
(rituximab
cyclophosphamide).
A
small
significant
proportion
refractory
all
first-
therapies
require
further
treatment.
Although
several
investigations
have
shown
promising
alternatives,
low
absolute
number
involved
necessitates
evidence
establish
strategies.
In
this
review,
used
for
discussed
recent
attempts
at
finding
new
options
introduced.
Physiological Reviews,
Journal Year:
2018,
Volume and Issue:
98(4), P. 2225 - 2286
Published: Aug. 15, 2018
The
physiological
stress
response
is
responsible
for
the
maintenance
of
homeostasis
in
presence
real
or
perceived
challenges.
In
this
function,
brain
activates
adaptive
responses
that
involve
numerous
neural
circuits
and
effector
molecules
to
adapt
current
future
demands.
A
maladaptive
has
been
linked
etiology
a
variety
disorders,
such
as
anxiety
mood
eating
metabolic
syndrome.
neuropeptide
corticotropin-releasing
factor
(CRF)
its
relatives,
urocortins
1–3,
concert
with
their
receptors
(CRFR1,
CRFR2),
have
emerged
central
components
response.
This
peptidergic
system
impinges
on
broad
spectrum
processes
are
basis
successful
adaptation
concomitantly
integrate
autonomic,
neuroendocrine,
behavioral
responses.
review
focuses
physiology
CRF-related
peptides
cognate
aim
providing
comprehensive
up-to-date
overview
field.
We
describe
major
molecular
features
covering
aspects
gene
expression
regulation,
structural
properties,
interactions,
well
mechanisms
signal
transduction
surveillance.
addition,
we
discuss
large
body
published
experimental
studies
focusing
state-of-the-art
genetic
approaches
high
temporal
spatial
precision,
which
collectively
aimed
dissect
contribution
ligands
different
levels
controversies
field
unravel
knowledge
gaps
might
pave
way
research
directions
open
up
novel
opportunities
therapeutic
intervention.
Frontiers in Molecular Neuroscience,
Journal Year:
2018,
Volume and Issue:
10
Published: Jan. 3, 2018
Microglia
are
the
predominant
immune
response
cells
and
professional
phagocytes
of
central
nervous
system
(CNS)
that
have
been
shown
to
be
important
for
brain
development
homeostasis.
These
present
a
broad
spectrum
phenotypes
across
stages
lifespan
especially
in
CNS
diseases.
Their
prevalence
all
neurological
pathologies
makes
it
pertinent
reexamine
their
distinct
roles
during
steady-state
disease
conditions.
A
major
question
field
is
determining
whether
clustering
phenotypical
transformation
microglial
leading
causes
pathogenesis,
or
potentially
neuroprotective
responses
onset
disease.
The
recent
explosive
growth
our
understanding
origin
homeostasis
microglia,
uncovering
shaping
neural
circuitry
synaptic
plasticity,
allows
us
discuss
emerging
functions
contexts
cognitive
control
psychiatric
disorders.
mesodermal
genetic
signature
microglia
contrast
other
neuroglial
also
make
them
an
interesting
target
therapeutics.
Here,
we
review
physiological
contribution
effects
environmental
risk
factors
(e.g.,
maternal
infection,
early-life
stress,
dietary
imbalance),
impact
on
disorders
initiated
Nasu-Hakola
disease,
hereditary
diffuse
leukoencephaly
with
spheroids,
Rett
syndrome,
autism
disorders,
obsessive-compulsive
disorder)
adulthood
alcohol
drug
abuse,
depressive
disorder,
bipolar
schizophrenia,
eating
sleep
disorders).
Furthermore,
changes
context
aging,
implication
neurodegenerative
diseases
aged
adult
Alzheimer's
Parkinson's).
Taking
into
account
identification
microglia-specific
markers,
availability
compounds
these
selectively
vivo,
consider
prospect
intervention
via
route.
Cells,
Journal Year:
2023,
Volume and Issue:
12(23), P. 2726 - 2726
Published: Nov. 29, 2023
Cortisol,
a
critical
glucocorticoid
hormone
produced
by
the
adrenal
glands,
plays
pivotal
role
in
various
physiological
processes.
Its
release
is
finely
orchestrated
suprachiasmatic
nucleus,
governing
circadian
rhythm
and
activating
intricate
hypothalamic–pituitary–adrenal
(HPA)
axis,
vital
neuroendocrine
system
responsible
for
stress
response
maintaining
homeostasis.
Disruptions
cortisol
regulation
due
to
chronic
stress,
disease,
aging
have
profound
implications
multiple
bodily
systems.
Animal
models
been
instrumental
elucidating
these
complex
dynamics
during
shedding
light
on
interplay
between
physiological,
neuroendocrine,
immune
factors
response.
These
also
revealed
impact
of
stressors,
including
social
hierarchies,
highlighting
regulation.
Moreover,
closely
linked
progression
neurodegenerative
diseases,
like
Alzheimer’s
Parkinson’s,
driven
excessive
production
HPA
axis
dysregulation,
along
with
neuroinflammation
central
nervous
system.
The
relationship
dysregulation
major
depressive
disorder
complex,
characterized
hyperactivity
inflammation.
Lastly,
pain
associated
abnormal
patterns
that
heighten
sensitivity
susceptibility.
Understanding
multifaceted
mechanisms
their
effects
essential,
as
they
offer
insights
into
potential
interventions
mitigate
detrimental
consequences
conditions.
Arquivos Brasileiros de Cardiologia,
Journal Year:
2025,
Volume and Issue:
122(2)
Published: Jan. 1, 2025
Abstract
Background
Stress
arises
in
response
to
threats
or
challenges,
affecting
both
physical
and
mental
health.
While
its
harmful
effects
on
the
heart
are
widely
recognized,
cellular-level
investigations
remain
limited.
Antidepressants,
including
vortioxetine
(VOR),
known
impact
cardiovascular
system.
VOR,
used
treat
major
depressive
disorder,
is
considered
a
promising
option
for
patients
with
disease
due
anti-inflammatory
antioxidant
properties,
which
may
reduce
cardiac
damage.
Objectives
This
study
aimed
assess
of
chronic
unpredictable
mild
stress
(CUMS)
rat
hearts
evaluate
VOR’s
potential
protective
against
stress-induced
Methods
Twenty-eight
male
Wistar
Albino
rats
were
divided
into
four
groups.
The
CUMS
group
experienced
random
daily
6
weeks,
while
CUMS+VOR
received
VOR
treatment
alongside
stress.
control
groups
not
exposed
Heart
samples
examined
histopathologically
immunohistochemically.
Results
showed
increased
hyperemia,
hemorrhage,
edema,
vacuolar
degeneration,
mononuclear
cell
infiltrations,
reduced
troponin
IL-10
caspase-3
NF-κB
expressions
compared
(p≤0.001).
improved
these
findings,
normalizing
histopathological
immunohistochemical
results.
Conclusions
caused
significant
damage
rats,
by
alleviating
pathological
changes.