Kempermann Gerd, Krebs Julia, Fabel Klaus
Center for Regenerative Therapies Dresden, Technical University of Dresden, Dresden, Germany.
Curr Opin Psychiatry. 2008 May;21(3):290-5. doi: 10.1097/YCO.0b013e3282fad375.
Failing adult neurogenesis is increasingly considered a factor in the pathogenesis and course of psychiatric disorders. The level of evidence in favor of such hypotheses varies, but disturbed cellular plasticity in the hippocampus may be a common aspect of several neuropsychiatric diseases.
This review covers the literature from mid-2006 to the end of 2007. We discuss studies and theoretical papers dealing with the contribution of adult neurogenesis to dementias and neurodegeneration, major depression, schizophrenia, and alcohol and drug abuse. Of these disorders, most progress has recently been made with schizophrenia for which, in contrast to the other conditions, suggestive genetic evidence exists (e.g. Disc1, Npas3).
Failing adult hippocampal neurogenesis may not explain major depression, addiction or schizophrenia, but contributes to the hippocampal aspects of the disease. We propose that the key to a more thorough understanding of this contribution will come from increased knowledge on the functional relevance of new neurons in the hippocampus and better clinical data relating to symptoms possibly related to such function. Research on the molecular basis of adult hippocampal neurogenesis may help to explain how hippocampal aspects of these disorders develop.
成人神经发生功能衰退日益被视为精神疾病发病机制和病程中的一个因素。支持此类假说的证据水平各异,但海马体中细胞可塑性紊乱可能是几种神经精神疾病的一个共同特征。
本综述涵盖了2006年年中至2007年底的文献。我们讨论了有关成人神经发生对痴呆症和神经退行性变、重度抑郁症、精神分裂症以及酒精和药物滥用的影响的研究及理论论文。在这些疾病中,精神分裂症方面最近取得了最大进展,与其他病症不同,精神分裂症存在提示性的遗传学证据(如Disc1、Npas3)。
成人海马体神经发生功能衰退可能无法解释重度抑郁症、成瘾或精神分裂症,但会对这些疾病的海马体相关方面产生影响。我们认为,更全面理解这种影响的关键将来自于对海马体中新神经元功能相关性的更多了解,以及与可能与此功能相关症状有关的更好临床数据。对成人海马体神经发生分子基础的研究可能有助于解释这些疾病的海马体相关方面是如何发展的。