University of Glasgow, UK.
CNS Neurosci Ther. 2010 Jun;16(3):e92-123. doi: 10.1111/j.1755-5949.2010.00154.x.
Dopamine is an important neuromodulator that exerts widespread effects on the central nervous system (CNS) function. Disruption in dopaminergic neurotransmission can have profound effects on mood and behavior and as such is known to be implicated in various neuropsychiatric behavioral disorders including autism and depression. The subsequent effects on other neurocircuitries due to dysregulated dopamine function have yet to be fully explored. Due to the marked social deficits observed in psychiatric patients, the neuropeptide, oxytocin is emerging as one particular neural substrate that may be influenced by the altered dopamine levels subserving neuropathologic-related behavioral diseases. Oxytocin has a substantial role in social attachment, affiliation and sexual behavior. More recently, it has emerged that disturbances in peripheral and central oxytocin levels have been detected in some patients with dopamine-dependent disorders. Thus, oxytocin is proposed to be a key neural substrate that interacts with central dopamine systems. In addition to psychosocial improvement, oxytocin has recently been implicated in mediating mesolimbic dopamine pathways during drug addiction and withdrawal. This bi-directional role of dopamine has also been implicated during some components of sexual behavior. This review will discuss evidence for the existence dopamine/oxytocin positive interaction in social behavioral paradigms and associated disorders such as sexual dysfunction, autism, addiction, anorexia/bulimia, and depression. Preliminary findings suggest that whilst further rigorous testing has to be conducted to establish a dopamine/oxytocin link in human disorders, animal models seem to indicate the existence of broad and integrated brain circuits where dopamine and oxytocin interactions at least in part mediate socio-affiliative behaviors. A profound disruption to these pathways is likely to underpin associated behavioral disorders. Central oxytocin pathways may serve as a potential therapeutic target to improve mood and socio-affiliative behaviors in patients with profound social deficits and/or drug addiction.
多巴胺是一种重要的神经调质,对中枢神经系统(CNS)功能有广泛的影响。多巴胺能神经传递的中断会对情绪和行为产生深远的影响,因此被认为与各种神经精神行为障碍有关,包括自闭症和抑郁症。由于多巴胺功能失调对其他神经回路的后续影响尚未得到充分探索。由于精神科患者表现出明显的社交缺陷,神经肽催产素作为一种特殊的神经基质,由于改变了与神经病理学相关的行为疾病相关的多巴胺水平而受到影响。催产素在社会依恋、亲和和性行为方面起着重要作用。最近,有人发现,一些多巴胺依赖障碍患者的外周和中枢催产素水平出现紊乱。因此,催产素被认为是与中枢多巴胺系统相互作用的关键神经基质。除了改善社会心理外,催产素最近还被认为在药物成瘾和戒断期间调节中脑边缘多巴胺通路。多巴胺的这种双向作用也与某些性行为成分有关。这篇综述将讨论在社会行为范式和相关疾病(如性功能障碍、自闭症、成瘾、厌食/贪食和抑郁症)中存在多巴胺/催产素正相互作用的证据。初步研究结果表明,尽管需要进一步进行严格的测试来确定多巴胺/催产素在人类疾病中的联系,但动物模型似乎表明存在广泛而综合的大脑回路,其中多巴胺和催产素的相互作用至少部分介导了社交行为。这些途径的严重中断可能是相关行为障碍的基础。中枢催产素途径可能是改善具有严重社交缺陷和/或药物成瘾的患者情绪和社交行为的潜在治疗靶点。