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Maternal Malnutrition in the Etiopathogenesis of Psychiatric Diseases: Role of Polyunsaturated Fatty Acids

机译:精神疾病的发病机理中的孕产妇营养不良:多不饱和脂肪酸的作用

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摘要

Evidence from human studies indicates that maternal metabolic state and malnutrition dramatically influence the risk for developing psychiatric complications in later adulthood. In this regard, the central role of polyunsaturated fatty acids (PUFAs), and particularly n-3 PUFAs, is emerging considering that epidemiological evidences have established a negative correlation between n-3 PUFA consumption and development of mood disorders. These findings were supported by clinical studies indicating that low content of n-3 PUFAs in diet is linked to an increased susceptibility to psychiatric disorders. PUFAs regulate membrane fluidity and exert their central action by modulating synaptogenesis and neurotrophic factor expression, neurogenesis, and neurotransmission. Moreover, they are precursors of molecules implicated in modulating immune and inflammatory processes in the brain. Importantly, their tissue concentrations are closely related to diet intake, especially to maternal consumption during embryonal life, considering that their synthesis from essential precursors has been shown to be inefficient in mammals. The scope of this review is to highlight the possible mechanisms of PUFA functions in the brain during pre- and post-natal period and to evaluate their role in the pathogenesis of psychiatric diseases.
机译:人体研究的证据表明,母亲的代谢状态和营养不良会严重影响成年后出现精神病并发症的风险。在这方面,考虑到流行病学证据已证实n-3 PUFA的摄入与情绪障碍的发展之间存在负相关关系,因此多不饱和脂肪酸(PUFA),尤其是n-3 PUFA的中心作用正在兴起。这些发现得到临床研究的支持,表明饮食中n-3 PUFA的含量低与精神疾病的易感性增加有关。 PUFA通过调节突触和神经营养因子表达,神经发生和神经传递来调节膜的流动性并发挥其中心作用。此外,它们是涉及调节大脑免疫和炎症过程的分子的前体。重要的是,考虑到它们从必需前体的合成已被证明在哺乳动物中效率低下,因此它们的组织浓度与饮食摄入密切相关,特别是与胚胎生命中的母体消耗密切相关。这篇综述的范围是强调在出生前和出生后大脑中PUFA功能的可能机制,并评估它们在精神疾病发病机理中的作用。

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