Document Detail


Adaptation to extreme stress: post-traumatic stress disorder, neuropeptide Y and metabolic syndrome.
MedLine Citation:
PMID:  20881319     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prevalence rates of obesity and metabolic syndrome are on the rise in the United States. Epidemiological surveys suggest that the rates of these medical conditions are especially high among persons with psychiatric disorders, including post-traumatic stress disorder (PTSD). A variety of factors are thought to contribute to the risk for metabolic syndrome, including excessive caloric intake, decreased activity and energy expenditure, use of certain medications, stress and genetic influences. Recent research demonstrates that stress, acting through the neuropeptide Y (NPY) and glucocorticoid systems, potentiates the development of obesity and other aspects of metabolic syndrome in mice fed a high caloric, fat and sugar diet. Alterations in the NPY and glucocorticoid systems also impact behavioral adaptation to stress, as indicated by studies in animals and persons exposed to severe, life-threatening or traumatic stress. The following review examines the biology of the NPY and neuroactive steroid systems as physiological links between metabolic syndrome and PTSD, a paradigmatic neuropsychiatric stress disorder. Hopefully, understanding the function of these systems from both a translational and systems biology point of view in relation to stress will enable development of more effective methods for preventing and treating the negative physical and mental health consequences of stress.
Authors:
Ann M Rasmusson; Paula P Schnurr; Zofia Zukowska; Erica Scioli; Daniel E Forman
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Experimental biology and medicine (Maywood, N.J.)     Volume:  235     ISSN:  1535-3699     ISO Abbreviation:  Exp. Biol. Med. (Maywood)     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-30     Completed Date:  2010-10-28     Revised Date:  2011-03-11    
Medline Journal Info:
Nlm Unique ID:  100973463     Medline TA:  Exp Biol Med (Maywood)     Country:  England    
Other Details:
Languages:  eng     Pagination:  1150-62     Citation Subset:  IM    
Affiliation:
VA Boston Healthcare System, Boston, MA 02130, USA. ann.rasmusson@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological
Animals
Dehydroepiandrosterone / physiology
Female
Glucocorticoids / physiology
Humans
Hydrocortisone / physiology
Male
Metabolic Syndrome X / etiology*,  physiopathology
Mice
Models, Biological
Neuropeptide Y / genetics,  physiology*
Pregnanolone / physiology
Risk Factors
Stress Disorders, Post-Traumatic / complications*,  genetics,  physiopathology
Stress, Physiological
Testosterone / physiology
Grant Support
ID/Acronym/Agency:
HL055310/HL/NHLBI NIH HHS; HL067357/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Glucocorticoids; 0/Neuropeptide Y; 128-20-1/Pregnanolone; 50-23-7/Hydrocortisone; 53-43-0/Dehydroepiandrosterone; 58-22-0/Testosterone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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