Leonard Brian E, Song Cai
Department of Pharmacology, National University of Ireland, Galway, Ireland.
Int J Neuropsychopharmacol. 2002 Dec;5(4):345-56. doi: 10.1017/S1461145702003140.
This review summarizes some of the evidence which implicates an increase in the peripheral and central secretion of pro-inflammatory cytokines in the behavioural changes seen in some stress-induced and brain lesion models of depression. Following a consideration of the role of cytokines in the periphery and the brain, evidence is presented suggesting that pro-inflammatory cytokines alter the function of monoamine neurotransmitters which have been implicated in severe stress and in major depression. These changes occur in the presence of elevated glucocorticoid concentrations which suggests that immune activation is correlated with a decrease in the sensitivity of the glucocorticoid receptors on immune cells in addition to those occurring in the brain. The review concludes with a brief account of the various rodent models of depression in which evidence of immune activation as been demonstrated.
本综述总结了一些证据,这些证据表明在某些应激诱导和脑损伤的抑郁症模型中观察到的行为变化与促炎细胞因子外周和中枢分泌增加有关。在考虑了细胞因子在周围和大脑中的作用之后,有证据表明促炎细胞因子会改变单胺类神经递质的功能,而这些神经递质与严重应激和重度抑郁症有关。这些变化发生在糖皮质激素浓度升高的情况下,这表明免疫激活不仅与大脑中发生的情况相关,还与免疫细胞上糖皮质激素受体敏感性降低有关。综述最后简要介绍了各种已证明有免疫激活证据的啮齿动物抑郁症模型。