经颅磁刺激引起的炎症标志物变化与精神疾病改善之间的关系:系统综述。

IF 3.6 3区 医学 Q1 PSYCHIATRY
Bruno Pedraz-Petrozzi, Shrabon Insan, Moritz Spangemacher, Jonathan Reinwald, Eva Kathrin Lamadé, Maria Gilles, Michael Deuschle, Alexander Sartorius
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引用次数: 0

摘要

背景:重复经颅磁刺激(rTMS)最近在治疗不同的精神疾病方面获得了相关性。有限的证据表明,经颅磁刺激对精神病理学的有益影响至少有一部分是通过炎症反应的变化来介导的。本系统综述总结了经颅磁刺激是否能调节炎症指标,从而对精神疾病的病程产生积极影响的文献:根据 PRISMA 指南,对经颅磁刺激与精神疾病中的炎症标志物进行了系统综述。提取了经颅磁刺激治疗反应与炎症标志物变化之间的相关信息。美国国家心肺血液研究所对人类研究进行了质量评估,美国实验动物实验系统审查中心对动物研究进行了质量评估:本综述包括 17 项关于经颅磁刺激治疗反应与炎症标志物变化之间关系的研究(2 项动物研究和 15 项人类研究)。在抑郁症动物模型中,微神经胶质细胞活性的积极变化和抗炎作用与行为改善有关。然而,这些发现并没有在针对耐药性抑郁症的人体研究中得到一致的证实。虽然有几项研究报告了经颅磁刺激引起的外周炎症标志物的改变,但只有两项研究能证明它们与临床治疗反应有关。值得注意的是,大多数研究在偏倚评估中显示出较差或中等质量:结论:虽然某些人体研究表明经颅磁刺激诱导的抗炎效应与精神病理学的改善之间存在关联,但异质性和动力不足的分析限制了这些结果的普遍性。动物研究结果与人类研究结果之间的差异凸显了进行更大规模、标准化人类研究的必要性。试验注册:(PROSPERO 注册:CRD42023492732)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between rTMS-induced changes in inflammatory markers and improvement in psychiatric diseases: a systematic review.

Background: Repetitive transcranial magnetic stimulation (rTMS) has recently gained relevance in treating different psychiatric disorders. Limited evidence suggests that the beneficial effects of rTMS on psychopathology could be at least partly mediated through changes in inflammatory response. This systematic review summarizes the literature on whether rTMS can modulate inflammatory markers and thus positively influence the course of psychiatric illnesses.

Materials and methods: A systematic review of rTMS and inflammatory markers in psychiatric diseases was conducted according to PRISMA guidelines. Information on the association between rTMS treatment response and changes of inflammatory markers was extracted. The quality of the studies was assessed using the National Heart, Lung, and Blood Institute for human studies and the Systematic Review Center for Laboratory Animal Experimentation for animal studies.

Results: This review includes 17 studies (2 animal and 15 human studies) on the relationship between rTMS treatment response and changes of inflammatory markers. Positive changes in microglial activity and anti-inflammatory effects were associated with behavioral improvement in animal models of depression. However, these findings have not been consistently replicated in human studies focusing on treatment-resistant depression. While several studies reported rTMS-induced alterations in peripheral inflammatory markers, only two could demonstrate their association to clinical treatment response. Notably, most studies showed poor or moderate quality in the bias assessment.

Conclusions: While certain human studies suggest an association between rTMS-induced anti-inflammatory effects and improvement in psychopathology, heterogeneity, and underpowered analyses constrain the generalizability of these results. The discrepancy between animal and human findings highlights the need for larger, standardized human studies.

Trial registration: (PROSPERO Registration: CRD42023492732).

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来源期刊
CiteScore
6.60
自引率
2.70%
发文量
43
审稿时长
>12 weeks
期刊介绍: Annals of General Psychiatry considers manuscripts on all aspects of psychiatry, including neuroscience and psychological medicine. Both basic and clinical neuroscience contributions are encouraged. Annals of General Psychiatry emphasizes a biopsychosocial approach to illness and health and strongly supports and follows the principles of evidence-based medicine. As an open access journal, Annals of General Psychiatry facilitates the worldwide distribution of high quality psychiatry and mental health research. The journal considers submissions on a wide range of topics including, but not limited to, psychopharmacology, forensic psychiatry, psychotic disorders, psychiatric genetics, and mood and anxiety disorders.
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