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转化性精神药理学研究面临的挑战——一些基本原则

Challenges for translational psychopharmacology research--some basic principles.

作者信息

Miczek Klaus A, de Wit Harriet

机构信息

Tufts University, 530 Boston Avenue (Bacon Hall), Medford, MA 02155, USA.

出版信息

Psychopharmacology (Berl). 2008 Aug;199(3):291-301. doi: 10.1007/s00213-008-1198-4. Epub 2008 Jun 5.

DOI:10.1007/s00213-008-1198-4
PMID:18523737
Abstract

We introduce below several principles that recur in the discussion of translating preclinical findings to clinical applications, and conversely, developing animal models of human disorders: 1. The translation of preclinical data to clinical concerns is more successful when the scope of experimental models is restricted to a core symptom of a psychiatric disorder. 2. Preclinical experimental models gain in clinical relevance if they incorporate conditions that induce maladaptive behavioral or physiological changes that have some correspondence with species-normative behavioral adaptations. 3. Preclinical data are more readily translated to the clinical situation when they are based on converging evidence from several experimental procedures, each capturing cardinal features of the disorder. 4. The more closely a model approximates significant clinical symptoms, the more likely it is to generate data that will yield clinical benefits. 5. The choice of environmental, genetic, and/or physiological manipulations that induce a cardinal symptom or cluster of behavioral symptoms reveals the theoretical approach used to construct the model. 6. Preclinical experimental preparations that are validated by predicting treatment success with a prototypic agent are only able to detect alternative treatments that are based on the same mechanism as the existing treatment that was used to validate the screen. 7. The degree to which an experimental model fulfills the criteria of high construct validity relative to face or predictive validity depends on the purpose of the model. 8. Psychological processes pertinent to affect and cognition can only be studied in preclinical models if they are defined in behavioral and neural terms.

摘要

我们在下面介绍几个在将临床前研究结果转化为临床应用以及相反地开发人类疾病动物模型的讨论中反复出现的原则

  1. 当实验模型的范围限于精神疾病的核心症状时,临床前数据向临床问题的转化会更成功。2. 如果临床前实验模型纳入了能诱发与物种规范性行为适应有一定对应关系的适应不良行为或生理变化的条件,那么它们在临床相关性方面会有所提高。3. 当临床前数据基于来自多个实验程序的汇聚证据时,它们更容易转化为临床情况,每个实验程序都捕捉到了该疾病的主要特征。4. 模型越接近显著的临床症状,就越有可能产生能带来临床益处的数据。5. 选择能诱发主要症状或一系列行为症状的环境、遗传和/或生理操作,揭示了用于构建模型的理论方法。6. 通过用原型药物预测治疗成功而得到验证的临床前实验制剂,只能检测基于与用于验证筛选的现有治疗相同机制的替代治疗方法。7. 实验模型相对于表面效度或预测效度满足高结构效度标准的程度取决于模型的目的。8. 与情感和认知相关的心理过程,只有在以行为和神经学术语进行定义时,才能在临床前模型中进行研究。

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