Stress
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Carvajal C, Dumont Y, Quirion R. Neuropeptide y: role in emotion and alcohol dependence. CNS Neurol Disord Drug Targets. 2006 Apr;5(2):181-95. Review. Douglas Hospital Research Centre, Dept. of Psychiatry, McGill University, 6875 LaSalle Blvd., Montreal, QC, Canada, H4H 1R3.
Neuropeptide Y (NPY) is
considered to be an important neuromodulator in the regulation of emotional
behavior. For example, NPY is consistently involved in anxiety-related
behaviors and there is increasing support for a role of this peptide in mood
disorders such as depression. Furthermore, recent evidence suggests that NPY
has a significant role in the neurobiological response to alcohol, including
alcohol consumption, dependence, and withdrawal. In addition, NPY is
beginning to emerge as an important modulator in the etiology of alcoholism
that is independent from the addictive and reinforcing properties of the
traditional system commonly associated with dopamine and instead, is
strongly associated with innate emotionality. The recent developments
elucidating the role of NPY in emotion and alcohol dependence are reviewed
and the potential of the NPY system as a novel therapeutic strategy in the
treatment of anxiety, depression and alcohol-related disorders is examined. |
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Holmes A, Picciotto MR. Galanin: a novel therapeutic target for depression, anxiety disorders and drug addiction? CNS Neurol Disord Drug Targets. 2006 Apr;5(2):225-32. Review. Laboratory for Integrative Neuroscience, Section on Behavioral Science and Genetics, National Institute of Alcoholism and Alcohol Abuse, National Institutes of Health, Bethesda, Maryland 20892, USA. holmesan@mail.nih.gov
Galanin is a
neuropeptide synthesized in many neuronal types including brainstem
norepinephrine-producing cells of the locus coeruleus and the
serotonin-producing neurons of the dorsal raphe nucleus. Galanin inhibits
the firing of rodent norepinephrine, serotonin and dopamine neurons and
reduces release of these neurotransmitters in forebrain target regions. The
distribution of galanin and its receptors and its actions on monoamine
signaling has fostered interest in this neuropeptide in the field of
behavioral pharmacology and the potential role of galanin in the
pathophysiology of neurological diseases such as Alzheimer's disease,
epilepsy, stroke, and in psychiatric disorders such as anxiety, depression,
and drug addiction, particularly withdrawal. In rodent models, expression of
galanin in brain is altered by various stressors, while administration of
galanin can modulate anxiety-like responses to stress. Emerging evidence
further supports a role for galanin in the mediation of depression-related
behaviors in rodents. Recently, galanin agonists have been shown to decrease
behavioral signs of opiate withdrawal, which are thought to result from
hyperactivation of brain stress pathways. Studies using genetically modified
mice suggest that galanin normally plays a protective role against opiate
reinforcement and withdrawal. The present article reviews current evidence
on a potential role for galanin in modulating stress-related neural pathways
and behaviors, and speculates on the therapeutic potential of targeting this
galanin system for emotional disorders and opiate addiction. |
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Khan NA, McAlister FA, Rabkin SW, Padwal R, Feldman RD, Campbell NR, Leiter LA, Lewanczuk RZ, Schiffrin EL, Hill MD, Arnold M, Moe G, Campbell TS, Herbert C, Milot A, Stone JA, Burgess E, Hemmelgarn B, Jones C, Larochelle P, Ogilvie RI, Houlden R, Herman RJ, Hamet P, Fodor G, Carruthers G, Culleton B, Dechamplain J, Pylypchuk G, Logan AG, Gledhill N, Petrella R, Tobe S, Touyz RM; Canadian Hypertension Education Program. The 2006 Canadian Hypertension Education Program recommendations for the management of hypertension: Part II - Therapy. Can J Cardiol. 2006 May 15;22(7):583-93. Division of General Internal Medicine, University of British Columbia, Vancouver, BC, Canada.
OBJECTIVE: To provide
updated, evidence-based recommendations for the management of hypertension
in adults. OPTIONS AND OUTCOMES: For lifestyle and pharmacological
interventions, evidence from randomized, controlled trials and systematic
reviews of trials was preferentially reviewed. Changes in cardiovascular
morbidity and mortality were the primary outcomes of interest. For lifestyle
interventions, blood pressure (BP) lowering was accepted as a primary
outcome given the lack of long-term morbidity/mortality data in this field.
For treatment of patients with kidney disease, the development of
proteinuria or worsening of kidney function was also accepted as a
clinically relevant primary outcome. EVIDENCE: MEDLINE searches were
conducted from November 2004 to October 2005 to update the 2005
recommendations. In addition, reference lists were scanned and experts were
contacted to identify additional published studies. All relevant articles
were reviewed and appraised independently by content and methodological
experts using prespecified levels of evidence. RECOMMENDATIONS: Lifestyle
modifications to prevent and/or treat hypertension include the following:
perform 30 min to 60 min of aerobic exercise four to seven days per week;
maintain a healthy body weight (body mass index of 18.5 kg/m2 to 24.9 kg/m2)
and waist circumference (less than 102 cm for men and less than 88 cm for
women); limit alcohol consumption to no more than 14 standard drinks per
week in men or nine standard drinks per week in women; follow a diet that is
reduced in saturated fat and cholesterol and that emphasizes fruits,
vegetables and low-fat dairy products; restrict salt intake; and consider
stress management in selected individuals. Treatment thresholds and targets
should take into account each individual's global atherosclerotic risk,
target organ damage and comorbid conditions. BP should be lowered to less
than 140/90 mmHg in all patients, and to less than 130/80 mmHg in those with
diabetes mellitus or chronic kidney disease (regardless of the degree of
proteinuria). Most adults with hypertension require more than one agent to
achieve these target BPs. For adults without compelling indications for
other agents, initial therapy should include thiazide diuretics. Other
agents appropriate for first-line therapy for diastolic hypertension with or
without systolic hypertension include beta-blockers (in those younger than
60 years), angiotensin-converting enzyme (ACE) inhibitors (in nonblack
patients), long-acting calcium channel blockers or angiotensin receptor
antagonists. Other agents for first-line therapy for isolated systolic
hypertension include long-acting dihydropyridine calcium channel blockers or
angiotensin receptor antagonists. Certain comorbid conditions provide
compelling indications for first-line use of other agents: in patients with
angina, recent myocardial infarction or heart failure, beta-blockers and ACE
inhibitors are recommended as first-line therapy; in patients with diabetes
mellitus, ACE inhibitors or angiotensin receptor antagonists (or in patients
without albuminuria, thiazides or dihydropyridine calcium channel blockers)
are appropriate first-line therapies; and in patients with nondiabetic
chronic kidney disease, ACE inhibitors are recommended. All hypertensive
patients should have their fasting lipids screened, and those with
dyslipidemia should be treated using the thresholds, targets and agents
recommended by the Canadian Hypertension Education Program Working Group on
the management of dyslipidemia and the prevention of cardiovascular disease.
Selected patients with hypertension, but without dyslipidemia, should also
receive statin therapy and/or acetylsalicylic acid therapy. VALIDATION: All
recommendations were graded according to strength of the evidence and voted
on by the 45 members of the Canadian Hypertension Education Program
Evidence-Based Recommendations Task Force. All recommendations reported here
achieved at least 95% consensus. These guidelines will continue to be
updated annually. |
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Lehoux S, Castier Y, Tedgui A. Molecular mechanisms of the vascular responses to haemodynamic forces. J Intern Med. 2006 Apr;259(4):381-92. Review. From the INSERM U589, Hopital Lariboisiere, Paris, France.
Blood vessels are
permanently subjected to mechanical forces in the form of stretch,
encompassing cyclic mechanical strain due to the pulsatile nature of blood
flow and shear stress. Significant variations in mechanical forces, of
physiological or physiopathological nature, occur in vivo. These are
accompanied by phenotypical modulation of smooth muscle cells and
endothelial cells, producing structural modifications of the arterial wall.
In all the cases, vascular remodelling can be allotted to a modification of
the tensional strain or shear, and underlie a trend to reestablish baseline
mechanical conditions. Vascular cells are equipped with numerous receptors
that allow them to detect and respond to the mechanical forces generated by
pressure and shear stress. The cytoskeleton and other structural components
have an established role in mechanotransduction, being able to transmit and
modulate tension within the cell via focal adhesion sites, integrins,
cellular junctions and the extracellular matrix. Mechanical forces also
initiate complex signal transduction cascades, including nuclear factor-kappaB
and mitogen-activated protein kinase pathways, leading to functional changes
within the cell. |
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Ricciardolo FL, Nijkamp FP, Folkerts G. Nitric oxide synthase (NOS) as therapeutic target for asthma and chronic obstructive pulmonary disease. Curr Drug Targets. 2006 Jun;7(6):721-35. Review. Unit of Pneumology, IRCCS Gaslini Institute, Genoa, Italy.
In the respiratory tract, NO is produced by residential and
inflammatory cells. NO is generated via oxidation of L-arginine that is
catalysed by the enzyme NO synthase (NOS). NOS exists in three distinct
isoforms: neuronal NOS (nNOS), inducible NOS (iNOS), and endothelial NOS (eNOS).
NO derived from the constitutive isoforms of NOS (nNOS and eNOS) and other
NO-adduct molecules (nitrosothiols) are able to modulate bronchomotor tone.
NO derived from the inducible isoform of NO synthase, up-regulated by
different cytokines via NF-kappaB-dependent pathway, seems to be a
pro-inflammatory mediator with immunomodulatory effects. The production of
NO under oxidative stress conditions secondarily generates strong oxidising
agents (reactive nitrogen species) that may amplify the inflammatory
response in asthma and COPD. Moreover, NO can be exhaled and levels are
abnormal in stable atopic asthma and during exacerbations in both asthma and
COPD. Exhaled NO might therefore be a non-invasive tool to monitor the
underlying inflammatory process. It is suggested that NOS regulation
provides a novel target in the prevention and treatment of chronic
inflammatory diseases of the airways such as asthma and COPD. |
Asthma: 14847. Casalino-Matsuda SM, Monzon ME, Forteza RM. Epidermal growth factor receptor activation by epidermal growth factor mediates oxidant-induced goblet cell metaplasia in human airway epithelium. Am J Respir Cell Mol Biol. 2006 May;34(5):581-91. 14848. Chen E, Hanson MD, Paterson LQ, Griffin MJ, Walker HA, Miller GE. Socioeconomic status and inflammatory processes in childhood asthma: the role of psychological stress. J Allergy Clin Immunol. 2006 May;117(5):1014-20. 14849. Ghosh S, Janocha AJ, Aronica MA, Swaidani S, Comhair SA, Xu W, Zheng L, Kaveti S, Kinter M, Hazen SL, Erzurum SC. Nitrotyrosine proteome survey in asthma identifies oxidative mechanism of catalase inactivation. J Immunol. 2006 May 1;176(9):5587-97. 14850. Li YF, Gauderman WJ, Avol E, Dubeau L, Gilliland FD. Associations of tumor necrosis factor G-308A with childhood asthma and wheezing. Am J Respir Crit Care Med. 2006 May 1;173(9):970-6. 14851. Tsoumakidou M, Papadopouli E, Tzanakis N, Siafakas NM. Airway inflammation and cellular stress in noneosinophilic atopic asthma. Chest. 2006 May;129(5):1194-202. Depression: 14852. Adelman EM. Mind-body intelligence: a new perspective integrating Eastern and Western healing traditions. Holist Nurs Pract. 2006 May-Jun;20(3):147-51. Review. 14853. Balaban V. Psychological assessment of children in disasters and emergencies. Disasters. 2006 Jun;30(2):178-98. Review. 14854. Britton JR. Global satisfaction with perinatal hospital care: stability and relationship to anxiety, depression, and stressful medical events. Am J Med Qual. 2006 May-Jun;21(3):200-5. 14855. Broad RD, Wheeler K. An adult with childhood medical trauma treated with psychoanalytic psychotherapy and EMDR: a case study. Perspect Psychiatr Care. 2006 May;42(2):95-105. 14856. Croghan IT, Bronars C, Patten CA, Schroeder DR, Nirelli LM, Thomas JL, Clark MM, Vickers KS, Foraker R, Lane K, Houlihan D, Offord KP, Hurt RD. Is smoking related to body image satisfaction, stress, and self-esteem in young adults? Am J Health Behav. 2006 May-Jun;30(3):322-33. 14857. Delahanty LM, Conroy MB, Nathan DM; Diabetes Prevention Program Research Group. Psychological predictors of physical activity in the diabetes prevention program. J Am Diet Assoc. 2006 May;106(5):698-705. 14858. Fekkes M, Pijpers FI, Fredriks AM, Vogels T, Verloove-Vanhorick SP. Do bullied children get ill, or do ill children get bullied? A prospective cohort study on the relationship between bullying and health-related symptoms. Pediatrics. 2006 May;117(5):1568-74. 14859. Geracioti TD Jr, Carpenter LL, Owens MJ, Baker DG, Ekhator NN, Horn PS, Strawn JR, Sanacora G, Kinkead B, Price LH, Nemeroff CB. Elevated cerebrospinal fluid substance p concentrations in posttraumatic stress disorder and major depression. Am J Psychiatry. 2006 Apr;163(4):637-43. 14860. Landgraf R. The involvement of the vasopressin system in stress-related disorders. 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Symptoms of posttraumatic stress disorder in a community sample of low-income pregnant women. Am J Psychiatry. 2006 May;163(5):881-4. 14870. Taylor FB, Lowe K, Thompson C, McFall MM, Peskind ER, Kanter ED, Allison N, Williams J, Martin P, Raskind MA. Daytime prazosin reduces psychological distress to trauma specific cues in civilian trauma posttraumatic stress disorder. Biol Psychiatry. 2006 Apr 1;59(7):577-81. 14871. Vieweg WV, Julius DA, Fernandez A, Beatty-Brooks M, Hettema JM, Pandurangi AK. Posttraumatic stress disorder: clinical features, pathophysiology, and treatment. Am J Med. 2006 May;119(5):383-90. Review. 14872. Vollmer-Conna U, Aslakson E, White PD. An empirical delineation of the heterogeneity of chronic unexplained fatigue in women. Pharmacogenomics. 2006 Apr;7(3):355-64. Hypertension: 14873. Bigi R, Bestetti A, Strinchini A, Conte A, Gregori D, Brusoni B, Fiorentini C. Combined assessment of left ventricular perfusion and function by gated single-photon emission computed tomography for the risk stratification of high-risk hypertensive patients. J Hypertens. 2006 Apr;24(4):767-73. 14874. Harmsen P, Lappas G, Rosengren A, Wilhelmsen L. Long-term risk factors for stroke: twenty-eight years of follow-up of 7457 middle-aged men in Goteborg, Sweden. Stroke. 2006 Jul;37(7):1663-7. 14875. Heistad DD. Oxidative stress and vascular disease: 2005 Duff lecture. Arterioscler Thromb Vasc Biol. 2006 Apr;26(4):689-95. 14876. Karalliedde J, Viberti G. Evidence for renoprotection by blockade of the renin-angiotensin-aldosterone system in hypertension and diabetes. J Hum Hypertens. 2006 Apr;20(4):239-53. Review. 14877. Paridon SM, Alpert BS, Boas SR, Cabrera ME, Caldarera LL, Daniels SR, Kimball TR, Knilans TK, Nixon PA, Rhodes J, Yetman AT; American Heart Association Council on Cardiovascular Disease in the Young, Committee on Atherosclerosis, Hypertension, and Obesity in Youth. Clinical stress testing in the pediatric age group: a statement from the American Heart Association Council on Cardiovascular Disease in the Young, Committee on Atherosclerosis, Hypertension, and Obesity in Youth. Circulation. 2006 Apr 18;113(15):1905-20. 14878. Seasholtz TM, Wessel J, Rao F, Rana BK, Khandrika S, Kennedy BP, Lillie EO, Ziegler MG, Smith DW, Schork NJ, Brown JH, O'Connor DT. Rho kinase polymorphism influences blood pressure and systemic vascular resistance in human twins: role of heredity. Hypertension. 2006 May;47(5):937-47. 14879. Webb MS, Gonzalez LO. The burden of hypertension: mental representations of African American women. Issues Ment Health Nurs. 2006 Apr;27(3):249-71. Heart Disease: 14880. Beeres SL, Bax JJ, Kaandorp TA, Zeppenfeld K, Lamb HJ, Dibbets-Schneider P, Stokkel MP, Fibbe WE, de Roos A, van der Wall EE, Schalij MJ, Atsma DE. Usefulness of intramyocardial injection of autologous bone marrow-derived mononuclear cells in patients with severe angina pectoris and stress-induced myocardial ischemia. Am J Cardiol. 2006 May 1;97(9):1326-31. 14881. Beeres SL, Bax JJ, Dibbets P, Stokkel MP, Zeppenfeld K, Fibbe WE, van der Wall EE, Schalij MJ, Atsma DE. Effect of intramyocardial injection of autologous bone marrow-derived mononuclear cells on perfusion, function, and viability in patients with drug-refractory chronic ischemia. J Nucl Med. 2006 Apr;47(4):574-80. 14882. Denollet J, Pedersen SS, Vrints CJ, Conraads VM. Usefulness of type D personality in predicting five-year cardiac events above and beyond concurrent symptoms of stress in patients with coronary heart disease. Am J Cardiol. 2006 Apr 1;97(7):970-3. 14883. Guttormsen B, Nee L, Makielski JC, Keevil JG. Transient left ventricular apical ballooning: a review of the literature. WMJ. 2006 May;105(3):49-54. Review. 14884. Koenig W, Twardella D, Brenner H, Rothenbacher D. Lipoprotein-associated phospholipase A2 predicts future cardiovascular events in patients with coronary heart disease independently of traditional risk factors, markers of inflammation, renal function, and hemodynamic stress. Arterioscler Thromb Vasc Biol. 2006 Jul;26(7):1586-93. 14885. Maeder M, Fehr T, Rickli H, Ammann P. Sepsis-associated myocardial dysfunction: diagnostic and prognostic impact of cardiac troponins and natriuretic peptides. Chest. 2006 May;129(5):1349-66. Review. 14886. Meyer MC, Mooney RP, Sekera AK. A critical pathway for patients with acute chest pain and low risk for short-term adverse cardiac events: role of outpatient stress testing. Ann Emerg Med. 2006 May;47(5):435.e1-3. 14887. Mukherjee S, Belbin TJ, Spray DC, Mukhopadhyay A, Nagajyothi F, Weiss LM, Tanowitz HB. Microarray technology in the investigation of diseases of myocardium with special reference to infection. Front Biosci. 2006 May 1;11:1802-13. Review. 14888. Owen PJ, Rajiv C, Vinereanu D, Mathew T, Fraser AG, Lazarus JH. Subclinical hypothyroidism, arterial stiffness, and myocardial reserve. J Clin Endocrinol Metab. 2006 Jun;91(6):2126-32. 14889. Quere JP, Monin JL, Levy F, Petit H, Baleynaud S, Chauvel C, Pop C, Ohlmann P, Lelguen C, Dehant P, Gueret P, Tribouilloy C. Influence of preoperative left ventricular contractile reserve on postoperative ejection fraction in low-gradient aortic stenosis. Circulation. 2006 Apr 11;113(14):1738-44. 14890. Sharma R, Gaze DC, Pellerin D, Mehta RL, Gregson H, Streather CP, Collinson PO, Brecker SJ. Cardiac structural and functional abnormalities in end stage renal disease patients with elevated cardiac troponin T. Heart. 2006 Jun;92(6):804-9. 14891. Skulstad H, Urheim S, Edvardsen T, Andersen K, Lyseggen E, Vartdal T, Ihlen H, Smiseth OA. Grading of myocardial dysfunction by tissue Doppler echocardiography: a comparison between velocity, displacement, and strain imaging in acute ischemia. J Am Coll Cardiol. 2006 Apr 18;47(8):1672-82. 14892. White M, Ducharme A, Ibrahim R, Whittom L, Lavoie J, Guertin MC, Racine N, He Y, Yao G, Rouleau JL, Schiffrin EL, Touyz RM. Increased systemic inflammation and oxidative stress in patients with worsening congestive heart failure: improvement after short-term inotropic support. Clin Sci (Lond). 2006 Apr;110(4):483-9.
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