Stress - another possible mechanism of neurotoxicity in neurodegenerative diseases

M. Mendes, P. Oliveira, Maria Solange Gosik, R. Lino, R. Kalile, D. Barbas, Romeu Carillo Jr
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Abstract

Background: The literature associates oxidative stress with the production of free radicals, which lead to neurodegeneration. They present innumerable hypotheses, among which are abnormalities in the functioning of the hypothalamic-pituitary-adrenal axis, neurotoxic effects and neuronal oxidative damage. Clinical observation has shown that in neurodegenerative diseases such as Multiple Sclerosis (MS) and Amyotrophic Lateral Sclerosis (ALS) there is a report of prolonged or violent emotional stress preceding the symptoms. Aims: Using the Carillo Complex Systems Model, present some possibilities on how stress can contribute to neurodegeneration. Methodology: Nine cases of ALS and six cases of MS were evaluated, pathologies already classified as belonging to syphilinism. Literature review on stress and neurotoxicity carried out. Results and discussion: Syphilinism is an instability with a predominantly intrisic origin to the system with a chronic caracter. This diathesis characterized by a dissipative deficiency, predominantly hepatic, to the processing of certain elements or potentially toxic substances with exogenous origin or endogenous Such non-processed substances are unstable factors in the system, with greater affinity for certain tissues, like the nervous system. Among the toxins, we find alcohol, esters, formaldehyde, aloe, ketones, aldehydes, etc. The final hepatic metabolism of cortisol results in cortic acids and cortol, which use the same enzymatic system as alcohol, and can be considered syphilinic toxins. Ethanol can act directly at the circadian rhythm, disrupting it and generating stressful substances such as cortisol, regardless of an external event, increasing the toxin level. The inflammatory process generated by the production of free radicals and metabolic abnormalities, including the reduction of neuropeptide Y that modulates inflammatory activity in the nervous system, leads to changes that can result in neurodegeneration. Conclusion: Inflammation caused by toxins from
压力——神经退行性疾病中神经毒性的另一种可能机制
背景:文献将氧化应激与自由基的产生联系起来,自由基导致神经退行性变。他们提出了无数的假设,其中包括下丘脑-垂体-肾上腺轴功能异常,神经毒性作用和神经元氧化损伤。临床观察表明,神经退行性疾病,如多发性硬化症(MS)和肌萎缩侧索硬化症(ALS),在症状出现之前,有长期或强烈的情绪压力的报告。目的:利用Carillo复杂系统模型,提出压力如何导致神经退行性变的一些可能性。方法:对9例ALS患者和6例MS患者进行评估,这些患者的病理已被归类为梅毒。综述了应激与神经毒性的相关文献。结果和讨论:梅毒是一种不稳定性,主要是系统的内在起源,具有慢性特征。这种素质的特点是耗散不足,主要是肝脏,对某些元素或外源性或内源性潜在有毒物质的处理。这些未经加工的物质是系统中的不稳定因素,对某些组织(如神经系统)有更大的亲和力。在这些毒素中,我们发现了酒精、酯类、甲醛、芦荟、酮类、醛类等。皮质醇的最终肝脏代谢产生皮质酸和皮质醇,它们使用与酒精相同的酶系统,可以被认为是梅毒毒素。乙醇可以直接作用于昼夜节律,破坏它,产生应激物质,如皮质醇,而不顾外部事件,增加毒素水平。自由基和代谢异常产生的炎症过程,包括调节神经系统炎症活动的神经肽Y的减少,导致可导致神经变性的变化。结论:炎症由毒素引起
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