8 It had been shown that the immune system acts like a sensory organ informing the brain of peripheral antigenic challenge, and that immune activation with selleck screening library increased production of proinflammatory cytokines, such as interleukin-1β (IL-1β) and tumor necrosis factor α (TNF-α), increases the activity of the HPA axis and leads to altered monoamine turnover in the brain, thus influencing complex behavioral processes.9 The findings Inhibitors,research,lifescience,medical of variations in plasma cytokines in patients with major depression10 or schizophrenia11 are supported by the facts that some antidepressants suppress the inflammatory
response10 and clozapine has antiviral properties, at least in vitro.12 With respect to the multiple interactions, it becomes apparent that variations in genes coding for the proteins that are regulating or modulating these interactions might have a tremendous influence on the susceptibility Inhibitors,research,lifescience,medical for somatic and psychiatric disorders or for a combined vulnerability. Thus, studies that support linkage or association of variations in the genes implicated in these candidate pathways to psychiatric disorders could also be a hint to somatic distress. Indeed, it is known that certain inherited metabolic disorders, eg, Wilson disease, can impose with psychiatric symptoms as Inhibitors,research,lifescience,medical their initialand sometimes as their
only manifestation and a variety of psychological and psychiatric manifestations, ranging from lowering of IQ to frank psychosis or mood disturbances can be observed.13 However, these disorders are rare, and the majority of psychiatric and somatic diseases are complex disorders, which means that the underlying pathophysiology is multifactorial with interactions between one or more genes and environmental factors. Findings in selected Inhibitors,research,lifescience,medical disorders Migraine Migraine is one of the most common neurovascular disorders affecting between 16% and 23% of the general population. Characteristics of the disease are severe episodes of Inhibitors,research,lifescience,medical headache, together with autonomic and neurological symptoms.14 Despite the rare familial hemiplegic migraine, which is probably caused
by mutations in the calcium channel α1-subunit,15 two main types can second be distinguished: migraine without aura and migraine with aura. The latter has preceding transient focal neurological symptoms, mostly visual. Epidemiological studies demonstrate a higher psychiatric comorbidity for anxiety, personality trait disorders, and suicide attempts in persons suffering from migraine than in persons without.16 Further, the lifetime prevalence of major depression was approximately three times increased in patients with migraine with a significant bidirectional relationship between the two disorders.17 Migraine is believed to be the manifestation of a hereditary abnormal sensitivity of neurovascular reaction to sudden changes in the internal or external environment, or to cyclic changes in the CNS.