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Anti-anxiety effect of Valeriana jatamansi Jones extract via regulation of the hypothalamus-pituitary-adrenal axis 被引量:9
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作者 Zhiyong Yan Tian'e Zhang +4 位作者 Ting Xiao Lingzhen Pan Jinzhi Qin Zhanping Zhang Changying Zuo 《Neural Regeneration Research》 SCIE CAS CSCD 2010年第14期1071-1075,共5页
BACKGROUND: Hypothalamus-pituitary-adrenal (HPA) axis dysfunction has been closely linked to anxiety. Previous studies have shown that Valeriana jatamansi Jones extract exhibits clear anxiolytic effects, but it is ... BACKGROUND: Hypothalamus-pituitary-adrenal (HPA) axis dysfunction has been closely linked to anxiety. Previous studies have shown that Valeriana jatamansi Jones extract exhibits clear anxiolytic effects, but it is unclear about the mechanism underlying regulation of the HPA axis dysfunction in these anxiolytic effects. OBJECTIVE: To observe the effects of Valeriana jatamansi Jones (Zhizhu Xiang) extract on HPA axis function in a rat model of anxiety, and to compare these effects with positive control estazolam. DESIGN, TIME AND SETTING: Randomized, controlled, animal experiment was performed at Chengdu University of Traditional Chinese Medicine, China, between February and September in 2006. MATERIALS: Estazolam was purchased from Shanghai Jiufu Pharmaceutical, China; Valeriana jatamansiJones was purchased from the Lotus Pond Market for Chinese Herbal Medicine in Chengdu. It consisted of iridoids and flavonoid components. METHODS: A total of 72 Sprague Dawley rats, aged 2 months, were randomly assigned to 6 groups low-, medium-, and high-dose Valerianajatamansi Jones groups intragastrically injected with 0.3, 0.6, and 0.9 g/kg per day Valerianajatamansi Jones extract, respectively; estazolam group intragastrically injected with 1.5 mg/kg per day estazolam; model and normal groups administered 5 mL physiological saline. Anxiety was established in all groups, except the normal group, through the use of elevated plus-maze test at 7 days following drug administration. MAIN OUTCOME MEASURES: Blood β-endorphin and corticosterone levels were determined using enzyme-linked immunosorbent assay following treatment with ValerianajatamansiJones extract. Expressions of HPA axis-related genes were measured by cDNA microarray. RESULTS: Blood β-endorphin and corticosterone levels were significantly greater in the model group than in the normal group. Compared with the model group, levels decreased with Valeriana jatamansi Jones extract or estazolam treatment, particularly in the low-dose Valeriana jatamansi Jones group (P〈 0.01). cDNA microarray results demonstrated that corticotropin-releasing hormone and Orexin, which are associated with HPA axis function, were differentially expressed; expression increased in the model group, but decreased in rats treated with Valerianajatamansi Jones extract. CONCLUSION: Valerianajatamansi Jones extract plays a role in regulating HPA axis function in a rat model of anxiety, and this effect was superior to estazolam. 展开更多
关键词 ANXIETY Valeriana jatamansi Jones hypothalamus-pituitary-adrenal axis RATS
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The mechanism of the hypothalamus-pituitary-endocrine axis in anxiety disorder
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作者 Huasu Liang Zhilan Yang Xinglan Zhou 《Journal of Translational Neuroscience》 2021年第4期1-6,共6页
Anxiety disorder is a common and serious mental disorder.At present,the pathogenesis of anxiety disorder includes hypothalamus-pituitary-adrenal(HPA)axis,neuroimmune,and brain-gut axis disorders,among others.This pape... Anxiety disorder is a common and serious mental disorder.At present,the pathogenesis of anxiety disorder includes hypothalamus-pituitary-adrenal(HPA)axis,neuroimmune,and brain-gut axis disorders,among others.This paper discusses the correlation between anx-iety disorder and the hypothalamus-pituitary-endocrine axis and finds that immune inflammation can be used as a“bridge”between the hypothalamus-pituitary-endocrine axis and anxiety disorder. 展开更多
关键词 anxiety disorder hypothalamus-pituitary-adrenal(HPA)axis hypothalamus-pituitary-thyroid(HPT)axis hypothalamus-pituitary-gonad(HPG)axis immune inflammation
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头穴丛刺对焦虑模型小鼠HPAA轴作用及相关分子机制研究 被引量:4
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作者 王晨 郑祖艳 +1 位作者 苗永新 张琳琳 《针灸临床杂志》 2020年第9期70-73,共4页
目的:观察头穴丛刺对焦虑模型小鼠行为学及小鼠血浆和下丘脑中CRH、ACTH和CORT的改变,探论头穴丛刺对焦虑模型小鼠治疗作用的机制。SD小鼠随机分为针刺组、模型空白组和空白对照组。方法:采用高架迷宫实验(EPM)和间氯苯哌嗪(mCPP)共同... 目的:观察头穴丛刺对焦虑模型小鼠行为学及小鼠血浆和下丘脑中CRH、ACTH和CORT的改变,探论头穴丛刺对焦虑模型小鼠治疗作用的机制。SD小鼠随机分为针刺组、模型空白组和空白对照组。方法:采用高架迷宫实验(EPM)和间氯苯哌嗪(mCPP)共同诱导焦虑模型小鼠。分组后针刺组根据于氏头针丛刺法进行针刺,每日1次,每次15 min,连续治疗21 d;模型空白组与空白对照组同时进行与针刺组相同的固定,不进行针刺治疗。实验结束后复测焦虑模型小鼠行为学表现及通过免疫法和免疫组化法测下丘脑CRH、ACTH、CORT和NPY含量;RT-PCR法检测NPY受体Y1 mRNA、Y5 mRNA含量。结果:行为学测试:与模型空白组比较针刺组小鼠实验后进入开臂的时间与次数百分比(OT%及OE%)均明显升高,模型空白组与空白对照组对比时可发现,模型空白组小鼠的OT%、OE%值明显下降。与空白对照组比较,模型空白组小鼠血浆和下丘脑中CRH、ACTH、CORT浓度以及下丘脑NPY受体Y1 mRNA、Y5 mRNA浓度发生明显变化;与模型空白组比较,针刺组小鼠血浆和下丘脑中CRH、ACTH、CORT及NPY受体Y1 mRNA、Y5 mRNA的浓度明显改善。结论:头穴丛刺具有通过抑制焦虑模型小鼠HPAA轴兴奋性,降低CRF的分泌、改善焦虑症状的效果。 展开更多
关键词 焦虑 小鼠 头穴 丛刺 hpaa 高架迷宫实验 促肾上腺皮质激素释放因子
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Improvement of Kidney Yang Syndrome by Icariin through Regulating Hypothalamus-Pituitary-Adrenal Axis 被引量:14
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作者 安叡 李波 +1 位作者 尤丽莎 王新宏 《Chinese Journal of Integrative Medicine》 SCIE CAS CSCD 2015年第10期765-771,共7页
Objective: To investigate whether Epimedium brevicornu Maxim (EB) and icariin could exert their protective effects on hydrocortisone induced (HCI) rats by regulating the hypothalamus-pituitary-adrenal (HPA) axi... Objective: To investigate whether Epimedium brevicornu Maxim (EB) and icariin could exert their protective effects on hydrocortisone induced (HCI) rats by regulating the hypothalamus-pituitary-adrenal (HPA) axis and endocrine system and the possible mechanism. Methods: Male 10-week-old Sprague Dawley (SD) rats were allotted to 6 groups (A-F) with 12 each, group A was injected normal saline (NS) 3 mL/kg.day intraperitoneally, group A and B were given NS 6 mL/kg.day by gastrogavage, group B-F were injected hydrocortisone 15 mg/kg intraperitoneally, group C and D were given EB 8 or 5 g/(kg·day) by gastrogavage, group E and F were given icariin 25 or 50 mg/(kg·day) by gastrogavage. Gene expressions of hypothalamus corticotropin releasing hormone (CRH) and pituitary proopiomelanocortin (POMC) were detected by reverse transcription-polymerase chain reaction (RT-PCR), and protein of pituitary POMC by Western-blot. Results: The serum T4, testosterone, cortisol and POMC mRNA expression were increased after treatment with EB or icariin in HCI rats, the serum CRH and the hypothalamus CRH mRNA expression released from hypothalamus corticotropin decreased compared with group B (P〈0.05).The treatment with only icariin increased serum adrenocorticotropic hormone (ACTH) compared with group B (P〈0.05). Conclusion: EB and icariin might be therapeutically beneficial in the treatment of HCI rats through attuning the HPA axis and endocrine system which was involved in the release of CRH in hypothalamic, and the production of POMC-derived peptide ACTH in anterior pituitary, the secretion of corticosteroids in adrenal cortex. 展开更多
关键词 drug discovery ICARIIN Epimedium brevicornu Maxim hypothalamus-pituitary-adrenal axis hydrocortisone Chinese medicine
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Relationship between glutamate in the limbic system and hypothalamus-pituitary-adrenal axis after middle cerebral artery occlusion in rats 被引量:2
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作者 何明利 陈漫娥 +4 位作者 王景周 郭光华 郑衍平 蒋晓江 张猛 《Chinese Medical Journal》 SCIE CAS CSCD 2003年第10期1492-1496,共5页
Objective To investigate the features of glutamate activity in the limbic system and the effects of glutamate on the activation of the hypothalamus-pituitary-adrenal (HPA) axis throughout both acute cerebral ischemia ... Objective To investigate the features of glutamate activity in the limbic system and the effects of glutamate on the activation of the hypothalamus-pituitary-adrenal (HPA) axis throughout both acute cerebral ischemia and reperfusion. Methods The changes in glutamate content in the nervous cell gap,in corticotrophin releasing hormone (CHR) mRNA expression level in brain tissue,and in adrenocorticotropic hormone in blood plasma at different time-points after middle cerebral artery occlusion (MCAO) in rats were determined respectively with high-performance liquid chomatography (HPLC) and in situ hybridization.Results Glutamate content in the hippocampus and the hypothalamus increased rapidly at ischemia 15 minutes,and reached peak value (the averages were 21.05 mg/g±2.88 mg/g and 14.20 mg/g±2.58 mg/g,respectively) at 1 hour after middle cerebral artery occlusion. During recirculation,it returned rapidly to the baseline level. At 24 hours after reperfusion,it went up once more,and remained at a relative high level until 48 hours after reperfusion,and then declined gradually. CRH mRNA expression levels in the temporal cortex,hippocampus and hypothalamus were enhanced markedly at 1 hour ischemia and were maintained until 96 hours after reperfusion. At the same time,adrenocorticotropic hormone level in plasma was relatively increased. In the peak stage of reperfusion injury,there was a significantly positive correlation (n=15,r =0.566,P <0.05) of the glutamate contents in the hypothalamus with the number of cells positive for CRH mRNA expression level in the hypothalamus.Conclusion It is probable that the CRH system in the central nervous system is mainly distributed in the limbic system,and glutamate might be one of the trigger factors to induce excessive stress response in the HPA axis. 展开更多
关键词 cerebral ischemia · glutamate · hypothalamus-pituitary-adrenal axis
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急性心理性应激诱发的神经内分泌反应及其影响因素 被引量:15
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作者 齐铭铭 张庆林 +1 位作者 关丽丽 杨娟 《心理科学进展》 CSSCI CSCD 北大核心 2011年第9期1347-1354,共8页
急性心理性应激源分别通过下丘脑-脑垂体-肾上腺轴(hypothalamus-pituitary-adrenal axis,HPAA)和交感神经-肾上腺髓质轴(sympathetic-adrenal medulla axis)诱发神经内分泌反应。唾液皮质醇被认为是检测急性心理性应激所诱发的HPA轴反... 急性心理性应激源分别通过下丘脑-脑垂体-肾上腺轴(hypothalamus-pituitary-adrenal axis,HPAA)和交感神经-肾上腺髓质轴(sympathetic-adrenal medulla axis)诱发神经内分泌反应。唾液皮质醇被认为是检测急性心理性应激所诱发的HPA轴反应的稳定指标。以特里尔社会应激测试(Trier Social Stress Test,TSST)及其变式作为应激源,以HPA轴的反应作为应激指标,影响个体在急性心理性应激情境中发生特异性神经内分泌反应的因素主要包括人口统计学、环境和应激频率三大方面,未来应加强急性心理性应激所诱发的神经内分泌反应的纵向研究。 展开更多
关键词 急性心理性应激 特里尔社会应激测试 特异性神经内分泌反应 下丘脑一脑垂体一肾上腺轴
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HRBC免疫应答所致—下丘脑—垂体—肾上腺轴的激活 被引量:12
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作者 张萃 杨贵贞 柳忠辉 《中国免疫学杂志》 CAS CSCD 北大核心 1992年第6期349-351,共3页
本文采用 HRBC 免疫小鼠,以 QHS 和血凝试验动态观察了0、1、3、5、7、9、11天的小鼠血浆抗体产生变化,并检测了 IL—1、IL—2、IL—6活性的动态变化.同时定量测定了 CRF、ACTH、CS 的产生,在三个层次上反应下丘脑—垂体—肾上腺轴的功... 本文采用 HRBC 免疫小鼠,以 QHS 和血凝试验动态观察了0、1、3、5、7、9、11天的小鼠血浆抗体产生变化,并检测了 IL—1、IL—2、IL—6活性的动态变化.同时定量测定了 CRF、ACTH、CS 的产生,在三个层次上反应下丘脑—垂体—肾上腺轴的功能变化及其相关性. 展开更多
关键词 内分泌免疫学 CRF ACTH 白细胞介素
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糖皮质激素对大鼠下丘脑-垂体-肾上腺轴Ca^(2+)/CaMPKⅡ的影响 被引量:2
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作者 宋春风 孟丽 +7 位作者 崔芳 朱艳 周晨明 闫静 王丽 刘贵生 马洪骏 吕佩源 《脑与神经疾病杂志》 2014年第1期1-4,共4页
目的研究糖皮质激素醋酸可的松对大鼠下丘脑-垂体-肾上腺轴(HPAA)游离钙(Ca2+)及钙调素依赖的蛋白激酶Ⅱ(CaMPKⅡ)的影响。方法用流式细胞仪及钙荧光探针Flou-3/AM来测定细胞中的Ca2+,通过液体闪烁仪测定γ-32P-ATP参入反应底物的摩尔数... 目的研究糖皮质激素醋酸可的松对大鼠下丘脑-垂体-肾上腺轴(HPAA)游离钙(Ca2+)及钙调素依赖的蛋白激酶Ⅱ(CaMPKⅡ)的影响。方法用流式细胞仪及钙荧光探针Flou-3/AM来测定细胞中的Ca2+,通过液体闪烁仪测定γ-32P-ATP参入反应底物的摩尔数,用来表示蛋白激酶的活性。结果醋酸可的松组大鼠下丘脑细胞[Ca2+]i荧光强度为129.32±17.74,显著高于对照组60.65±10.64,P<0.05。而醋酸可的松组大鼠下丘脑、肾上腺组织中CaMPKⅡ活性分别为14.07+3.15和3.87+1.47(nmolPi.min-1.mg-1protein),与对照组的7.91+3.2和2.23+0.52(nmolPi.min-1.mg-1protein)相比显著升高,差异有统计学意义,P<0.001。结论糖皮质激素对下丘脑-垂体-肾上腺轴的调控作用与Ca2+、CaMPKⅡ密切相关。 展开更多
关键词 糖皮质激素 醋酸可的松 下丘脑-垂体-肾上腺轴 钙离子 钙调素依赖的蛋白激酶Ⅱ
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IL-6/STAT3信号通路在脓毒症早期大鼠下丘脑-垂体-肾上腺轴中的表达及意义 被引量:1
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作者 王晓丹 聂文龙 张玉想 《中国急救医学》 CAS CSCD 北大核心 2015年第7期585-588,共4页
目的探讨大鼠脓毒症早期出现的HPA轴过度激活与IL-6/STAT3信号通路的内在联系。方法24只健康雄性Wistar大鼠,随机分为正常对照组(Control组)、假手术组(Sham组)、模型组(CLP组)三组。采用盲肠结扎穿孔(CLP)法建立脓毒症模型... 目的探讨大鼠脓毒症早期出现的HPA轴过度激活与IL-6/STAT3信号通路的内在联系。方法24只健康雄性Wistar大鼠,随机分为正常对照组(Control组)、假手术组(Sham组)、模型组(CLP组)三组。采用盲肠结扎穿孔(CLP)法建立脓毒症模型,术后6h处死,分离出下丘脑、垂体、肾上腺组织。RT—PCR检测下丘脑组织CRH、IL-6、STAT3、SOCS3mRNA水平,垂体组织阿片促黑色素原(POMC)、IL-6、STAT3、SOCS3mRNA水平,肾上腺组织IL-6、STAT3、SOCS3mRNA水平。结果CLP组较Control组、Sham组下丘脑组织中CRH、IL-6、STAT3、SOCs3mRNA表达水平明显增加(P〈0.01),垂体组织中POMC、IL-6、STAT3、SOCS3mRNA表达水平明显增加(P〈0.01),肾上腺组织中IL-6、STAT3、SOCS3mRNA表达水平明显增加(P〈0.01)。Control组与Sham组各指标比较差异无统计学意义。结论脓毒症早期出现的HPA轴过度激活与IL-6/STAT3信号通路有着密切联系。针对IL-6/STAT3信号通路这-靶点进行干预,有望改善脓毒症状态下HPA轴的过度激活,为脓毒症的治疗提供新的思路。 展开更多
关键词 脓毒症 下丘脑-垂体-肾上腺(HPA)轴 白细胞介素-6(IL-6) 信号转导子和转录激活子3(STAT3) 实时荧光定量PCR(RT—PCR)
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Social rank and cortisol among female rhesus macaques(Macaca mulatta) 被引量:1
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作者 Dong-Dong QIN Joshua Dominic Rizak +6 位作者 Xiao-Li FENG Xun-Xun CHU Shang-Chuan YANG Chun-Lu LI Long-Bao LV Yuan-Ye MA Xin-Tian HU 《Zoological Research》 SCIE CAS CSCD 北大核心 2013年第S02期42-49,共8页
In animal societies,some stressful events can lead to higher levels of physiological stress.Such stressors,like social rank,also predict an increased vulnerability to an array of diseases.However,the physiological rel... In animal societies,some stressful events can lead to higher levels of physiological stress.Such stressors,like social rank,also predict an increased vulnerability to an array of diseases.However,the physiological relationship between social rank and stress varies between different species,as well as within groups of a single species.For example,dominant individuals are more socially stressed at times,while at other times it is the subordinate ones who experience this stress.Together,these variations make it difficult to assess disease vulnerability as connected to social interactions.In order to learn more about how physiological rank relationships vary between groups of a single species,cortisol measurements from hair samples were used to evaluate the effects of dominance rank on long-term stress levels in despotic and less stringent female rhesus macaque hierarchal groups.In despotic groups,cortisol levels were found not to be correlated with social rank,but a negative correlation was found between social rank and cortisol levels in less stringent hierarchies.Low ranking monkeys in less stringent groups secreted elevated levels of cortisol compared to higher ranking animals.These data suggest that variations in the strictness of the dominance hierarchy are determining factors in rank related stress physiology.The further consideration of nonhuman primate social system diversity and the linear degree of their hierarchies may allow for the development of valid rank-related stress models that will help increase our understanding and guide the development of new therapeutics for diseases related to human socioeconomic status. 展开更多
关键词 Social rank hypothalamus-pituitary-adrenal axis CORTISOL FEMALE Rhesus macaques
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Social rank and cortisol among female rhesus macaques (Macaca mulatta)
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作者 Dong-Dong QIN Joshua Dominic Rizak +6 位作者 Xiao-Li FENG Xun-Xun CHU Shang-Chuan YANG Chun-Lu LI Long-Bao LV Yuan-Ye MA Xin-Tian HU 《Zoological Research》 CAS CSCD 北大核心 2013年第2期J0008-J0015,共8页
In animal societies, some stressful events can lead to higher levels of physiological stress. Such stressors, like social rank, also predict an increased vulnerability to an array of diseases. However, the physiologic... In animal societies, some stressful events can lead to higher levels of physiological stress. Such stressors, like social rank, also predict an increased vulnerability to an array of diseases. However, the physiological relationship between social rank and stress varies between different species, as well as within groups of a single species. For example, dominant individuals are more socially stressed at times, while at other times it is the subordinate ones who experience this stress. Together, these variations make it difficult to assess disease vulnerability as connected to social interactions. In order to learn more about how physiological rank relationships vary between groups of a single species, cortisol measurements from hair samples were used to evaluate the effects of dominance rank on long-term stress levels in despotic and less stringent female rhesus macaque hierarchal groups. In despotic groups, cortisol levels were found not to be correlated with social rank, but a negative correlation was found between social rank and cortisol levels in less stringent hierarchies. Low ranking monkeys in less stringent groups secreted elevated levels of cortisol compared to higher ranking animals. These data suggest that variations in the strictness of the dominance hierarchy are determining factors in rank related stress physiology. The further consideration of nonhuman primate social system diversity and the linear degree of their hierarchies may allow for the development of valid rank-related stress models that will help increase our understanding and guide the development of new therapeutics for diseases related to human socioeconomic status. 展开更多
关键词 Social rank hypothalamus-pituitary-adrenal axis CORTISOL FEMALE Rhesus macaques
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The Ventral Ascending Noradrenergic Bundles Are Involved in the Stress Response to Immobilization in Rats
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作者 Toshihiro Yoshihara Yasutaka Yawaka 《Journal of Behavioral and Brain Science》 2015年第3期88-95,共8页
Stressful stimuli induced by immobilization are perceived as acute stress in rats. This acute stress activates corticotropin-releasing hormone (CRH) neurons in the hypothalamic paraventricular nucleus (PVN), resulting... Stressful stimuli induced by immobilization are perceived as acute stress in rats. This acute stress activates corticotropin-releasing hormone (CRH) neurons in the hypothalamic paraventricular nucleus (PVN), resulting in stimulation of the hypothalamic-pituitary-adrenal (HPA) axis. The ventral ascending noradrenergic bundles (V-NAB) from the brainstem innervate the PVN. To investigate the relationship between the response of the HPA axis and the V-NAB, we examined changes in plasma corticosterone, the final output of the HPA axis, and extracellular noradrenaline (NA) in the PVN following immobilization stress in rats that received bilateral 6-hydroxydopamine (6-OHDA) lesions of the V-NAB. 6-OHDA microinjection into the V-NAB reduced the magnitude of the responses of plasma corticosterone and extracellular NA in the PVN following immobilization stress. Our results suggest that V-NAB innervation of the PVN is involved in immobilization stress-induced activation of the HPA axis. 展开更多
关键词 hypothalamus-pituitary-adrenal axis IMMOBILIZATION Stress 6-HYDROXYDOPAMINE VENTRAL Ascending BUNDLES of NORADRENERGIC Neurons Rat
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宁肠汤对肠易激综合征大鼠下丘脑-垂体-肾上腺轴干预作用研究 被引量:6
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作者 石君杰 王海云 邵国民 《中国中西医结合消化杂志》 CAS 2006年第2期93-95,共3页
[目的]探讨宁肠汤对肠易激综合征(IBS)大鼠神经内分泌功能的调节作用。[方法]以夹尾、束缚刺激作为应激原复制IBS大鼠模型,采用放免法检测模型大鼠下丘脑-垂体-肾上腺(HPA)轴功能,观察宁肠汤的调节作用。[结果]IBS大鼠HPA轴兴奋亢进,皮... [目的]探讨宁肠汤对肠易激综合征(IBS)大鼠神经内分泌功能的调节作用。[方法]以夹尾、束缚刺激作为应激原复制IBS大鼠模型,采用放免法检测模型大鼠下丘脑-垂体-肾上腺(HPA)轴功能,观察宁肠汤的调节作用。[结果]IBS大鼠HPA轴兴奋亢进,皮质醇、促肾上腺皮质激素水平明显升高(P<0.01)。而宁肠汤能降低皮质醇、促肾上腺皮质激素的水平,抑制HPA轴的兴奋性。[结论]宁肠汤对应激引起的的神经内分泌功能紊乱有一定的调节作用。 展开更多
关键词 肠易激综合征 下丘脑-垂体-肾上腺轴 宁肠汤
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New hypothesis and treatment targets of depression:an integrated view of key findings 被引量:9
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作者 Shangli Cai Shucai Huang Wei Hao 《Neuroscience Bulletin》 SCIE CAS CSCD 2015年第1期61-74,共14页
Major depressive disorder(MDD) is a common and devastating psychiatric disorder characterized by persistent low mood,cognitive disorder,and impaired social function. Despite its complex mechanisms,increasing evidenc... Major depressive disorder(MDD) is a common and devastating psychiatric disorder characterized by persistent low mood,cognitive disorder,and impaired social function. Despite its complex mechanisms,increasing evidence has identified the involvement of neurotrophic factors,inflammatory cytokines,the hypothalamuspituitary-adrenal axis,and glutamate receptors in the pathophysiology of this illness. The present review synthesizes recent research achievements to defi ne the network between different hypotheses of MDD and to understand which part is most pivotal for its pathogenesis. By integrating MDD-related signal pathways,we highlight brain-derived neurotrophic factor(BDNF) dysfunction and increased apoptosis as the fi nal common cascades,and new therapeutic strategies aiming to enhance BDNF function have been shown to exert a rapid and effective antidepressant action. 展开更多
关键词 depression BDNF cytokines hypothalamus-pituitary-adrenal axis glutamate receptor
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