Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide
Introducción y objetivos: La psiconeuroinmunoendocrinología es una ciencia que documenta desde el plano fisiológico la comunicación bidireccional entre la mente y los sistemas ner vioso, inmunitario y endocrino y centra su estudio en el efecto del estrés en estos sistemas. Diversas investigaciones h...
- Autores:
-
Henao Pérez, Julieta
López Medina, Diana Carolina
Henao Pérez, Marcela
Castro Rodríguez, Viavian Camila
Castrillón Aristizábal, Mauricio
- Tipo de recurso:
- Article of journal
- Fecha de publicación:
- 2021
- Institución:
- Universidad Cooperativa de Colombia
- Repositorio:
- Repositorio UCC
- Idioma:
- OAI Identifier:
- oai:repository.ucc.edu.co:20.500.12494/46521
- Acceso en línea:
- https://doi.org/10.1016/j.rcp.2021.10.003
https://hdl.handle.net/20.500.12494/46521
- Palabra clave:
- Psiconeuroinmunología
Artritis reumatoide
Estrés
Microbiota
Ciclo circadiano
Psychoneuroimmunoendocrinology
Rheumatoid arthritis
Stress
Circadian rhythm
Microbiota
- Rights
- closedAccess
- License
- NINGUNA
id |
COOPER2_fab4b2be1abdf71765de30ac70fc2fc4 |
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oai_identifier_str |
oai:repository.ucc.edu.co:20.500.12494/46521 |
network_acronym_str |
COOPER2 |
network_name_str |
Repositorio UCC |
repository_id_str |
|
dc.title.spa.fl_str_mv |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
title |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
spellingShingle |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide Psiconeuroinmunología Artritis reumatoide Estrés Microbiota Ciclo circadiano Psychoneuroimmunoendocrinology Rheumatoid arthritis Stress Circadian rhythm Microbiota |
title_short |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
title_full |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
title_fullStr |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
title_full_unstemmed |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
title_sort |
Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide |
dc.creator.fl_str_mv |
Henao Pérez, Julieta López Medina, Diana Carolina Henao Pérez, Marcela Castro Rodríguez, Viavian Camila Castrillón Aristizábal, Mauricio |
dc.contributor.author.none.fl_str_mv |
Henao Pérez, Julieta López Medina, Diana Carolina Henao Pérez, Marcela Castro Rodríguez, Viavian Camila Castrillón Aristizábal, Mauricio |
dc.subject.spa.fl_str_mv |
Psiconeuroinmunología Artritis reumatoide Estrés Microbiota Ciclo circadiano |
topic |
Psiconeuroinmunología Artritis reumatoide Estrés Microbiota Ciclo circadiano Psychoneuroimmunoendocrinology Rheumatoid arthritis Stress Circadian rhythm Microbiota |
dc.subject.other.spa.fl_str_mv |
Psychoneuroimmunoendocrinology Rheumatoid arthritis Stress Circadian rhythm Microbiota |
description |
Introducción y objetivos: La psiconeuroinmunoendocrinología es una ciencia que documenta desde el plano fisiológico la comunicación bidireccional entre la mente y los sistemas ner vioso, inmunitario y endocrino y centra su estudio en el efecto del estrés en estos sistemas. Diversas investigaciones han demostrado que el estrés y ciertas emociones como ira, ansie dad y depresión afectan a los resultados clínicos de condiciones tales como enfermedades cardiovasculares y autoinmunitarias, cáncer e infección por el virus de la inmunodeficiencia humana. El presente trabajo se enfoca en la artritis reumatoide como enfermedad autoin munitaria paradigmática, y documenta las alteraciones que se presentan desde la visión de la psiconeuroinmunoendocrinología y los efectos del estrés en la actividad de la enfermedad. Métodos: Se revisó literatura indexada hasta la fecha que expusiera el efecto del estrés en la génesis o la evolución de la artritis reumatoide. Resultados: En el sistema de respuesta al estrés, los pacientes con artritis reumatoide presen tan disfunción del eje hipotálamo-hipófiso-suprarrenal, predominio del sistema simpático, aumento de interleucinas proinflamatorias, disbiosis marcada y efectos inmunomodulado res duales de la melatonina. Conclusiones: En una época en que la medicina se encuentra dividida en múltiples subes pecialidades, es importante retomar el concepto de la salud como un estado complejo, sustentado por un equilibrio dinámico entre factores biopsicosociales, de interacción mente-cuerpo-medio ambiente en los procesos patológicos. Por ello el enfoque psiconeu roinmunoendocrinológico del individuo y su enfermedad es un desafío importante para el tratamiento de los pacientes con enfermedades autoinmunitarias. |
publishDate |
2021 |
dc.date.issued.none.fl_str_mv |
2021-12-06 |
dc.date.accessioned.none.fl_str_mv |
2022-09-26T17:03:52Z |
dc.date.available.none.fl_str_mv |
2022-09-26T17:03:52Z |
dc.type.none.fl_str_mv |
Artículo |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
dc.type.coar.none.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.coarversion.none.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.driver.none.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.version.none.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
http://purl.org/coar/resource_type/c_6501 |
status_str |
publishedVersion |
dc.identifier.issn.spa.fl_str_mv |
0034-7450 |
dc.identifier.uri.spa.fl_str_mv |
https://doi.org/10.1016/j.rcp.2021.10.003 |
dc.identifier.uri.none.fl_str_mv |
https://hdl.handle.net/20.500.12494/46521 |
dc.identifier.bibliographicCitation.spa.fl_str_mv |
Henao Pérez, J., López Medina, D. C., Henao Pérez, M., Castro Rodríguez, V. C. y Castrillón Aristizábal, M. (2022). Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide. [Articulo, Universidad Cooperativa de Colombia]. Repositorio Institucional Universidad Cooperativa de Colombia.https://repository.ucc.edu.co/handle/20.500.12494/46521 |
identifier_str_mv |
0034-7450 Henao Pérez, J., López Medina, D. C., Henao Pérez, M., Castro Rodríguez, V. C. y Castrillón Aristizábal, M. (2022). Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide. [Articulo, Universidad Cooperativa de Colombia]. Repositorio Institucional Universidad Cooperativa de Colombia.https://repository.ucc.edu.co/handle/20.500.12494/46521 |
url |
https://doi.org/10.1016/j.rcp.2021.10.003 https://hdl.handle.net/20.500.12494/46521 |
dc.relation.isversionof.spa.fl_str_mv |
https://www.sciencedirect.com/science/article/pii/S0034745021001657 |
dc.relation.ispartofjournal.spa.fl_str_mv |
Revista Colombiana de Psiquiatría (RCP) |
dc.relation.references.spa.fl_str_mv |
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Positive selection in autoimmunity: abnormal immune responses to a bacterial dnaJ antigenic determinant in patients with early rheumatoid arthritis. Nature medicine. 1995;1(5):448-52 Engel GL. The need for a new medical model: a challenge for biomedicine. Science. 1977;196:129–36 López MF, Vilaseca MQ, Amador DP. La Psiconeuroinmunología, una nueva ciencia en el tratamiento de enfermedades. Revisión bibliográfica. Rev Cubana Invest Biomed. 1999;18:49–53 |
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Henao Pérez, JulietaLópez Medina, Diana CarolinaHenao Pérez, MarcelaCastro Rodríguez, Viavian CamilaCastrillón Aristizábal, Mauricio512022-09-26T17:03:52Z2022-09-26T17:03:52Z2021-12-060034-7450https://doi.org/10.1016/j.rcp.2021.10.003https://hdl.handle.net/20.500.12494/46521Henao Pérez, J., López Medina, D. C., Henao Pérez, M., Castro Rodríguez, V. C. y Castrillón Aristizábal, M. (2022). Psiconeuroinmunoendocrinología de la respuesta al estrés, el ciclo circadiano y la microbiota en la artritis reumatoide. [Articulo, Universidad Cooperativa de Colombia]. Repositorio Institucional Universidad Cooperativa de Colombia.https://repository.ucc.edu.co/handle/20.500.12494/46521Introducción y objetivos: La psiconeuroinmunoendocrinología es una ciencia que documenta desde el plano fisiológico la comunicación bidireccional entre la mente y los sistemas ner vioso, inmunitario y endocrino y centra su estudio en el efecto del estrés en estos sistemas. Diversas investigaciones han demostrado que el estrés y ciertas emociones como ira, ansie dad y depresión afectan a los resultados clínicos de condiciones tales como enfermedades cardiovasculares y autoinmunitarias, cáncer e infección por el virus de la inmunodeficiencia humana. El presente trabajo se enfoca en la artritis reumatoide como enfermedad autoin munitaria paradigmática, y documenta las alteraciones que se presentan desde la visión de la psiconeuroinmunoendocrinología y los efectos del estrés en la actividad de la enfermedad. Métodos: Se revisó literatura indexada hasta la fecha que expusiera el efecto del estrés en la génesis o la evolución de la artritis reumatoide. Resultados: En el sistema de respuesta al estrés, los pacientes con artritis reumatoide presen tan disfunción del eje hipotálamo-hipófiso-suprarrenal, predominio del sistema simpático, aumento de interleucinas proinflamatorias, disbiosis marcada y efectos inmunomodulado res duales de la melatonina. Conclusiones: En una época en que la medicina se encuentra dividida en múltiples subes pecialidades, es importante retomar el concepto de la salud como un estado complejo, sustentado por un equilibrio dinámico entre factores biopsicosociales, de interacción mente-cuerpo-medio ambiente en los procesos patológicos. Por ello el enfoque psiconeu roinmunoendocrinológico del individuo y su enfermedad es un desafío importante para el tratamiento de los pacientes con enfermedades autoinmunitarias.Introduction and objectives: Psychoneuroimmunoendocrinology is a field of science that docu ments bidirectional communication originating on a physiological level between the mind and the nervous, immune and endocrine systems, and centres on the effects of stress on these systems. Various studies have shown that stress and certain emotions such as anger, anxiety and depression affect clinical outcomes in conditions such as cardiovascular disea ses, autoimmune diseases, cancer and human immunodeficiency virus infection. This paper focuses on rheumatoid arthritis as a paradigmatic autoimmune disease and documents the changes that occur from a psychoneuroimmunoendocrinology perspective and the effects of stress on the activity of the disease.Methods: Literature indexed to date describing the effects of stress on the onset or course of rheumatoid arthritis was reviewed. Results: In the stress response system, patients with rheumatoid arthritis present dysfunc tion of the hypothalamic–pituitary–adrenal axis, predominance of the sympathetic nervous system, increased pro-inflammatory interleukins, marked dysbiosis and dual immunomo dulatory effects of melatonin. Conclusions: In an era in which medicine is divided into multiple subspecialisations, it is important to return to the concept of health as a complex state based on a dynamic balance among biopsychosocial factors of mind/body/environment interaction in disease processes. For this reason, a psychoneuroimmunoendocrinological approach to individuals and their illnesses constitutes an important challenge in the treatment of patients with autoimmune diseases.https://scienti.minciencias.gov.co/cvlac/visualizador/generarCurriculoCv.do?cod_rh=0000055146https://orcid.org/0000-0002-9380-116XInfettarejulieta.henaop@campusucc.edu.cohttps://scholar.google.com/citations?user=torM76QAAAAJ&hl=en218-226 p.Carlos A. Palacio, Iván D. Montoya, Maritza Rodríguez GuarínUniversidad Cooperativa de Colombia, Facultad de Ciencias de la Salud, Medicina, Medellín y EnvigadoMedicinaMedellínhttps://www.sciencedirect.com/science/article/pii/S0034745021001657Revista Colombiana de Psiquiatría (RCP)Engel GL. 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